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Study of Purified Vero Rabies Vaccine Compared With a Reference Rabies Vaccine as Simulated Rabies Post-Exposure Prophylaxis in Adult and Pediatric Population in Thaïland

Primary Purpose

Rabies (Healthy Volunteers)

Status
Completed
Phase
Phase 3
Locations
Thailand
Study Type
Interventional
Intervention
Purified vero rabies vaccine - serum free VRVg-2
Purified inactivated rabies vaccine
Equine rabies immunoglobulins (ERIG) (only Group 3 and Group 4)
Human rabies immunoglobulins (HRIG) (only Group 5 and Group 6)
Sponsored by
Sanofi Pasteur, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Rabies (Healthy Volunteers) focused on measuring Rabies Vaccine

Eligibility Criteria

1 Year - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Inclusion criteria :

  • Aged ≥ 1 year on the day of inclusion
  • Participant (adult ≥ 18 years without upper age limit) or participant and participant's parent/LAR (child ≥ 1 to < 18 years) are able to attend all scheduled visits and to comply with all study procedures

The following criterion only applies to healthy adults ≥ 18 years:

- Body Mass Index (BMI): 18.5 kg/m2 ≤ BMI ≤ 30 kg/m2

Exclusion Criteria:

Exclusion criteria:

  • Pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination and until 1 month after each vaccination. To be considered of non-childbearing potential, a female must be pre-menarche or post-menopausal for at least 1 year, or surgically sterile.
  • Participation at the time of study enrollment or, planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Receipt of any vaccine in the 4 weeks (28 days) preceding the first study vaccination or planned receipt of any vaccine prior to Visit 8 (D90)
  • Previous vaccination against rabies (in pre- or post-exposure regimen) with either the study vaccines or another vaccine
  • Bite by, or exposure to a potentially rabid animal in the previous 6 months without post-exposure prophylaxis
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • At high risk for rabies exposure
  • Known systemic hypersensitivity to any of the study/control vaccine components or, for adults, to ERIG Group 3 and Group 4) or HRIG (Group 5 and Group 6), or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances
  • Positive skin test to ERIG at Visit 1 for only adult participants enrolled in Group 3 and Group 4 as per superseded Protocol version 5.0
  • Self-reported thrombocytopenia
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Current alcohol or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C). A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided
  • Personal history of Guillain-Barré syndrome
  • Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study
  • Receipt of chloroquine or hydroxychloroquine up to 2 months prior to the study or through to study until Visit 8

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number :7640004
  • Investigational Site Number :7640002
  • Investigational Site Number :7640003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Group 1: pediatric participants; VRVg-2

Group 2: pediatric participants; Verorab

Group 3: adult participants; VRVG-2 + ERIG

Group 4: adult participants; Verorab + ERIG

Group 5: adult participants; VRVG-2 + HRIG

Group 6: adult participants; Verorab + HRIG

Arm Description

VRVg-2 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28

Verorab 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28

VRVg-2 8 injections: 2 at Day 0, 2 at Day 3 and 2 at Day 7 + ERIG at D0

Verorab 8 injections: 2 at Day 0, 2 at Day 3 and 2 at Day 7 + ERIG at D0

VRVg-2 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28 + HRIG at D0

Verorab 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28 + HRIG at D0

Outcomes

Primary Outcome Measures

Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL
RVNA titers will be measured by rapid fluorescent focus inhibition test (RFFIT)
Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) 0.5 IU/mL
RVNA titers will be measured by RFFIT
Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 14 RVNA ratios Day14/Day0 will be calculated
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 42 RVNA ratios Day42/Day0 will be calculated

Secondary Outcome Measures

Number of participants reporting immediate adverse events (AEs)
Includes unsolicited (spontaneously reported) systemic AEs
Percentage of participants reporting solicited injection site reactions
Solicited injection site reactions: tenderness, erythema, swelling in toddlers (aged ≥ 1 year to < 2 years) pain, erythema, and swelling in children (aged 2 years to < 12 years), in adolescents and adults (aged ≥ 12 years)
Percentage of participants reporting solicited systemic reactions
Solicited systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost, irritability in toddlers (aged ≥ 1 year to < 2 years) fever, headache, malaise and myalgia in children (aged 2 years to < 12 years), adolescents or adults (aged ≥ 12 years)
Number of participants reporting unsolicited injection site AEs
Unsolicited (spontaneously reported) injection site AEs
Number of participants reporting unsolicited systemic AEs
Unsolicited (spontaneously reported) systemic AEs
Number of participants reporting serious adverse events (SAEs)
SAEs, including adverse event of special interest (AESIs)
Percentage of participants in Group 3 and Group 4 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL
RVNA titers will be measured by RFFIT
Number of Participants in Group 3 and Group 4 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 3 and Group 4 Participants
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 14 RVNA ratios Day14/Day0 will be calculated
Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL
RVNA titers will be measured by RFFIT
Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 90 RVNA ratios Day90/Day0 will be calculated

Full Information

First Posted
July 15, 2020
Last Updated
July 11, 2023
Sponsor
Sanofi Pasteur, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT04478084
Brief Title
Study of Purified Vero Rabies Vaccine Compared With a Reference Rabies Vaccine as Simulated Rabies Post-Exposure Prophylaxis in Adult and Pediatric Population in Thaïland
Official Title
Immunogenicity and Safety of a Purified Vero Rabies Vaccine-Serum Free (VRVg) Assessed With the Institut Pasteur du Cambodge (IPC: 2-2-2-0-0) and the Thai Red Cross (TRC: 2-2-2-0-2) Intradermal Regimens as Simulated Rabies Post-exposure Prophylaxis in Healthy Subjects in Thailand
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
August 4, 2020 (Actual)
Primary Completion Date
March 19, 2022 (Actual)
Study Completion Date
July 21, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi Pasteur, a Sanofi Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objective: To describe the immune response induced by VRVg-2 and Verorab vaccine at Day 14 (to assess the immune response after 3 doses [2-2-2]) and Day 42 (to assess the immune response after 4 doses [2-2-2-0-2]) when administered as standalone in healthy pediatric population or co-administered with HRIG (Group 5 and Group 6) at Day 0 in healthy adults. Secondary Objectives: To describe the immune response induced by VRVg-2 and Verorab vaccine at Day 14 (to assess the immune response after 3 doses [2-2-2]) when co-administered with ERIG (Group 3 and Group 4) at Day 0 in healthy adults To describe the immune response induced by VRVg-2 and Verorab vaccine at D90 (to assess the immune response 90 days post-rabies simulated exposure) when administered as standalone in healthy pediatric population or co-administered with HRIG (Group 5 and Group 6) at Day 0 in healthy adults To describe the safety profile of VRVg-2 and Verorab vaccine as standalone in pediatric population or when co-administered with ERIG (Group 3 and Group 4) or HRIG (Group 5 and Group 6) at Day 0 in adults, after each vaccination.
Detailed Description
The duration of each participant's participation in the study is approximately 7 months (28 day-vaccination period followed by 6 month safety follow-up period).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rabies (Healthy Volunteers)
Keywords
Rabies Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Modified double-blind: the participant (or legally acceptable representative) and the Investigator remain unaware of the treatment assignments throughout the study. An unblinded qualified trial staff member will prepare and administer the appropriate vaccine but will not be involved in the immunogenicity and safety evaluations.
Allocation
Randomized
Enrollment
403 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: pediatric participants; VRVg-2
Arm Type
Experimental
Arm Description
VRVg-2 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28
Arm Title
Group 2: pediatric participants; Verorab
Arm Type
Active Comparator
Arm Description
Verorab 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28
Arm Title
Group 3: adult participants; VRVG-2 + ERIG
Arm Type
Experimental
Arm Description
VRVg-2 8 injections: 2 at Day 0, 2 at Day 3 and 2 at Day 7 + ERIG at D0
Arm Title
Group 4: adult participants; Verorab + ERIG
Arm Type
Active Comparator
Arm Description
Verorab 8 injections: 2 at Day 0, 2 at Day 3 and 2 at Day 7 + ERIG at D0
Arm Title
Group 5: adult participants; VRVG-2 + HRIG
Arm Type
Experimental
Arm Description
VRVg-2 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28 + HRIG at D0
Arm Title
Group 6: adult participants; Verorab + HRIG
Arm Type
Active Comparator
Arm Description
Verorab 8 injections: 2 at Day 0, 2 at Day 3, 2 at Day 7, and 2 at Day 28 + HRIG at D0
Intervention Type
Biological
Intervention Name(s)
Purified vero rabies vaccine - serum free VRVg-2
Intervention Description
Pharmaceutical form:freeze-dried Route of administration: intradermal
Intervention Type
Biological
Intervention Name(s)
Purified inactivated rabies vaccine
Other Intervention Name(s)
Verorab®
Intervention Description
Pharmaceutical form:freeze-dried Route of administration: intradermal
Intervention Type
Biological
Intervention Name(s)
Equine rabies immunoglobulins (ERIG) (only Group 3 and Group 4)
Other Intervention Name(s)
ERIG
Intervention Description
Pharmaceutical form: liquid/solution in 5 mL vials Route of administration: intramuscular
Intervention Type
Biological
Intervention Name(s)
Human rabies immunoglobulins (HRIG) (only Group 5 and Group 6)
Other Intervention Name(s)
IMOGAM® Rabies-HT
Intervention Description
Pharmaceutical form: liquid/solution in 2 mL vials Route of administration: intramuscular
Primary Outcome Measure Information:
Title
Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL
Description
RVNA titers will be measured by rapid fluorescent focus inhibition test (RFFIT)
Time Frame
Day 14 (post-vaccination)
Title
Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) 0.5 IU/mL
Description
RVNA titers will be measured by RFFIT
Time Frame
Day 42 (post-vaccination)
Title
Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
Description
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Time Frame
Day 14 (post-vaccination)
Title
Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
Description
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Time Frame
Day 42 (post-vaccination)
Title
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants
Description
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 14 RVNA ratios Day14/Day0 will be calculated
Time Frame
Day 14 (post-vaccination)
Title
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants
Description
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 42 RVNA ratios Day42/Day0 will be calculated
Time Frame
Day 42 (post-vaccination)
Secondary Outcome Measure Information:
Title
Number of participants reporting immediate adverse events (AEs)
Description
Includes unsolicited (spontaneously reported) systemic AEs
Time Frame
Within 30 minutes post-vaccination
Title
Percentage of participants reporting solicited injection site reactions
Description
Solicited injection site reactions: tenderness, erythema, swelling in toddlers (aged ≥ 1 year to < 2 years) pain, erythema, and swelling in children (aged 2 years to < 12 years), in adolescents and adults (aged ≥ 12 years)
Time Frame
Within 7 days post-vaccination
Title
Percentage of participants reporting solicited systemic reactions
Description
Solicited systemic reactions: fever, vomiting, crying abnormal, drowsiness, appetite lost, irritability in toddlers (aged ≥ 1 year to < 2 years) fever, headache, malaise and myalgia in children (aged 2 years to < 12 years), adolescents or adults (aged ≥ 12 years)
Time Frame
Between Day 0 and Day 3, between Day 3 and Day 7, and during the 7 days following the remaining vaccinations
Title
Number of participants reporting unsolicited injection site AEs
Description
Unsolicited (spontaneously reported) injection site AEs
Time Frame
Within 28 days post-vaccination
Title
Number of participants reporting unsolicited systemic AEs
Description
Unsolicited (spontaneously reported) systemic AEs
Time Frame
Between each vaccination and up to 28 days after the last vaccination
Title
Number of participants reporting serious adverse events (SAEs)
Description
SAEs, including adverse event of special interest (AESIs)
Time Frame
Up to 6 months post-vaccination
Title
Percentage of participants in Group 3 and Group 4 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL
Description
RVNA titers will be measured by RFFIT
Time Frame
Day 14 (post-vaccination)
Title
Number of Participants in Group 3 and Group 4 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
Description
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Time Frame
Day 14 (post-vaccination)
Title
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 3 and Group 4 Participants
Description
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 14 RVNA ratios Day14/Day0 will be calculated
Time Frame
Day 14 (post-vaccination)
Title
Percentage of participants in Group 1, Group 2, Group 5 and Group 6 achieving rabies virus neutralizing antibody (RVNA) titer greater than or equal to (≥) 0.5 IU/mL
Description
RVNA titers will be measured by RFFIT
Time Frame
Day 90 (post-vaccination)
Title
Number of Participants in Group 1, Group 2, Group 5 and Group 6 achieving RVNA titer greater than or equal to (≥) lower limit of quantification
Description
RVNA titers will be measured by RFFIT Lower limit of quantification for RFFIT assay is 0.2 IU/mL
Time Frame
Day 90 (post-vaccination)
Title
Geometric Mean Titer Ratio (GMTR) of individual RVNA titer: (post-/pre-vaccination) in Group 1, Group 2, Group 5 and Group 6 Participants
Description
RVNA titers against rabies virus will be measured by RFFIT at Day 0 and Day 90 RVNA ratios Day90/Day0 will be calculated
Time Frame
Day 90 (post-vaccination)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
1 Year
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Inclusion criteria : Aged ≥ 1 year on the day of inclusion Participant (adult ≥ 18 years without upper age limit) or participant and participant's parent/LAR (child ≥ 1 to < 18 years) are able to attend all scheduled visits and to comply with all study procedures The following criterion only applies to healthy adults ≥ 18 years: - Body Mass Index (BMI): 18.5 kg/m2 ≤ BMI ≤ 30 kg/m2 Exclusion Criteria: Exclusion criteria: Pregnant, or lactating, or of childbearing potential and not using an effective method of contraception or abstinence from at least 4 weeks prior to the first vaccination and until 1 month after each vaccination. To be considered of non-childbearing potential, a female must be pre-menarche or post-menopausal for at least 1 year, or surgically sterile. Participation at the time of study enrollment or, planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure Receipt of any vaccine in the 4 weeks (28 days) preceding the first study vaccination or planned receipt of any vaccine prior to Visit 8 (D90) Previous vaccination against rabies (in pre- or post-exposure regimen) with either the study vaccines or another vaccine Bite by, or exposure to a potentially rabid animal in the previous 6 months without post-exposure prophylaxis Receipt of immune globulins, blood or blood-derived products in the past 3 months Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) At high risk for rabies exposure Known systemic hypersensitivity to any of the study/control vaccine components or, for adults, to ERIG Group 3 and Group 4) or HRIG (Group 5 and Group 6), or history of a life-threatening reaction to the vaccines used in the study or to a vaccine containing any of the same substances Positive skin test to ERIG at Visit 1 for only adult participants enrolled in Group 3 and Group 4 as per superseded Protocol version 5.0 Self-reported thrombocytopenia Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily Current alcohol or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion Moderate or severe acute illness/infection (according to Investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0 C). A prospective subject should not be included in the study until the condition has resolved or the febrile event has subsided Personal history of Guillain-Barré syndrome Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study Receipt of chloroquine or hydroxychloroquine up to 2 months prior to the study or through to study until Visit 8 The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi Pasteur, a Sanofi Company
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number :7640004
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Facility Name
Investigational Site Number :7640002
City
Bangkok
Country
Thailand
Facility Name
Investigational Site Number :7640003
City
Khon Kaen
ZIP/Postal Code
40002
Country
Thailand

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Study of Purified Vero Rabies Vaccine Compared With a Reference Rabies Vaccine as Simulated Rabies Post-Exposure Prophylaxis in Adult and Pediatric Population in Thaïland

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