Evidence map›Paper›PMID 34499574›Full record

Trial reportHuman vaccines & immunotherapeutics2021

Safety and Immunogenicity of a novel three-dose recombinant nanoparticle rabies G protein vaccine administered as simulated post exposure immunization: A randomized, comparator controlled, multicenter, phase III clinical study.

Ravish H S, Akash Khobragade, Durga Satapathy, Monica Gupta, Surendra Kumar, Vinay Bhomia, Ramasubramanian V, Maharshi Desai, Ashok Dilipkumar Agrawal

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Human vaccines & immunotherapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 28% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 1 country.

Ravish H SDepartment of Community Medicine, Kempegowda Institute of Medical Science, Bengaluru, India.
Akash KhobragadeDepartment of Pharmacology, J J Hospital Byculla, Mumbai, India.
Durga SatapathyDepartment of Community Medicine, VSS Institute of Medical Science and Research, Sambalpur, India.
Monica GuptaConsultant Physician, Samvedna Hospital, Varanasi, India.
Surendra KumarDepartment of Community Medicine, S P Medical College and A.G Hospitals, Bikaner, India.
Vinay BhomiaConsultant Physician, Sanjivani Superspeciality Hospital Pvt. Ltd, Ahmedabad, India.
Ramasubramanian VSenior Consultant, Infectious Diseases and Tropical Medicine, Apollo Hospital, Chennai, India.
Maharshi DesaiSenior Consultant, Infectious Diseases, Apollo Hospitals International Ltd, Gandhinagar, India.
Ashok Dilipkumar AgrawalMedical Affairs, Cadila Pharmaceuticals Ltd, Ahmedabad, India.ORCID 0000-0002-4662-2732
Apollo Hospitals · INApollo Hospitals · INCadila Pharmaceuticals (India) · INKempegowda Institute of Medical Sciences · INSamvedna Hospital · INSanjivani Super Speciality Hospitals · INSardar Patel Medical College · INVeer Surendra Sai Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRabies vaccines are lifesaving in human post animal exposure. However, the compliance to the complete course of vaccine is found to be only 60%. Hence, there is a need for safe and immunogenic, shorter course vaccine that can enhance the compliance and effectively prevent the disease.

objectivesTo establish a noninferiority of a novel three-dose recombinant rabies G protein vaccine to be administered as simulated postexposure prophylaxis when compared to five-dose WHO prequalified vaccine for better safety and immunogenicity.

methodsA multi-centric, open label, assessor blind, center-specific block randomized, parallel design, phase III clinical study was conducted among 800 subjects. The eligible subjects were randomized in 2:1 ratio for recombinant rabies G protein vaccine and the reference vaccine. Subjects in recombinant rabies G protein vaccine arm received three doses of vaccine on days 0, 3, and 7, while subjects in reference vaccine arm received five doses of WHO prequalified vaccine on days 0, 3, 7, 14, and 28.

resultsThe socio-demographic characteristics of the two arms were comparable. About 9.9% subjects in recombinant rabies G protein vaccine arm and 17.2% subjects in reference arm reported adverse events. The sero-protection on day 14 was found to be 99.24% and 97.72% in recombinant rabies G protein vaccine arm and reference vaccine arm respectively and the difference was statistically nonsignificant.

conclusionThe novel three-dose recombinant rabies G protein vaccine administered as simulated postexposure prophylaxis was noninferior to five dose WHO prequalified vaccine in terms of safety and immunogenicity.

Indexed as

NanoparticlesRabiesRabies VaccinesAnimalsAntibodies, ViralGTP-Binding ProteinsHumansImmunogenicity, VaccineVaccinationAntibodies, ViralGTP-Binding ProteinsRabies VaccinesimmunogenicitynoninferiorityRecombinant rabies G protein vaccinesafetysimulated postexposure prophylaxis

Identifiers

PMID34499574
PMCPMC8828110
OpenAlexW3198448240

What OpenQuestion holds

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Registered trials

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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.