Evidence map›Paper›PMID 25692792›Full record

Trial reportHuman vaccines & immunotherapeutics2015

Comparative study on the immunogenicity and safety of a purified chick embryo cell rabies vaccine (PCECV) administered according to two different simulated post exposure intramuscular regimens (Zagreb versus Essen).

B J Mahendra, Dh Ashwath Narayana, Sharad Agarkhedkar, H S Ravish, B R Harish, Shalaka Agarkhedkar, S N Madhusudana, Ashwin Belludi, Khaleel Ahmed, Rekha Jonnalagedda and 3 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01365494 (A Phase IV, Multi-center, Randomized, Open-label Study of PCECV), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01365494 phase4completednot on this map

A Phase IV, Multi-center, Randomized, Open-label Study of PCECV (Rabipur®) Comparing the Immunogenicity and Safety of Two Different Simulated Post Exposure Schedules (Zagreb 2-1-1 Versus Essen Regimen 1-1-1-1-1) in Healthy Indian Subjects

TypeinterventionalSponsorNovartis VaccinesRan2011 to 2011Enrolled250ConditionsRabiesArmsPurified Chick Embryo Cell Inactivated Rabies Vaccine
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

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  11. Neurological sequelae of vaccines.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Review
  12. Review
  13. Heterogeneity of Rabies Vaccination Recommendations across Asia.Tropical medicine and infectious disease · 2017
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 4 countries.

B J Mahendraa Department of Community Medicine; Mandya Institute of Medical Sciences ; Mandya , India.
Dh Ashwath Narayana
Sharad Agarkhedkar
H S Ravish
B R Harish
Shalaka Agarkhedkar
S N Madhusudana
Ashwin Belludi
Khaleel Ahmed
Rekha Jonnalagedda
Hoshang Vakil
Chiranjiwi Bhusal
Ashwani Kumar Arora
Novartis (Switzerland) · CHDr. D. Y. Patil Medical College, Hospital and Research Centre · INKempegowda Institute of Medical Sciences · INMandya Institute of Medical Sciences · INNational Institute of Mental Health and Neurosciences · INNovartis (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite availability of effective rabies vaccines, India has the highest global mortality rate for rabies. Low socio-economic communities are most affected due to lack of awareness of the disease and poor compliance to post-exposure prophylactic regimens. Currently, the only approved intramuscular regimen for post-exposure prophylaxis (PEP) against rabies in India is the Essen regimen, which consists of 5 injections administered over 5 separate days in a period of one month. The high number of doses and clinical visits, however, are major reasons for non-compliance, and thus a shorter regimen would be beneficial. In a simulated PEP trial in healthy, adult subjects, this study evaluated whether purified chick embryo cell vaccine (PCECV), administered according to the WHO-recommended 4-dose/3 visit Zagreb vaccination regimen is of equal immunogenicity and safety as the standard Essen regimen in Indian subjects. Two hundred and 50 healthy adults were enrolled and randomized into a Zagreb or Essen group, each receiving PCECV according to their respective regimen. Blood samples were collected on Days 0, 7, 14 and 42 and analyzed using the rapid fluorescent focus inhibition test (RFFIT). By Day 14, all subjects across both groups attained rabies virus neutralizing antibody (RVNA) concentrations of ≥ 0.5IU/ml. The Zagreb regimen was then demonstrated to be immunologically non-inferior to the Essen regimen by Day 14, which was the primary endpoint of the study. No safety issues were noted and the occurrence of adverse events was similar in both groups (17% and 15%, respectively). NCT01365494. CTRI No.: CTRI/2011/07/001857.

Indexed as

AdultAntibodies, ViralDrug-Related Side Effects and Adverse ReactionsFemaleHealthy VolunteersHumansIndiaInjections, IntramuscularMaleNeutralization TestsPost-Exposure ProphylaxisRabies VaccinesVaccinationYoung AdultAntibodies, ViralRabies VaccinesAE, adverse eventEssenGMC, geometric mean concentrationIM, intramuscularIndiaPCECVPCECV, purified chick embryo cell rabies vaccinePEP, post-exposure prophylaxisrabiesRFFIT, rapid fluorescent focus inhibition testRVNA, rabies virus neutralizing antibodySAE, serious adverse eventZagreb

Identifiers

PMID25692792
PMCPMC4514298
OpenAlexW2033751148

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.