Evidence map›Paper›PMID 39587931›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Noninferiority Study of Purified Vero Rabies Vaccine-Serum Free in 3-dose and 2-dose Preexposure Prophylaxis Regimens in Comparison With Licensed Rabies Vaccines.

Kulkanya Chokephaibulkit, Catherine Huoi, Terapong Tantawichien, Piroon Mootsikapun, Pope Kosalaraksa, Sasisopin Kiertiburanakul, Winai Ratanasuwan, Manuel Vangelisti, Thelma Laot, Youjun Huang and 3 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04127786 (Immunogenicity and Safety of a Purified Vero Rabies Vaccine - Serum Free in Comparison With Verorab® and Imovax® Rabies, in a Pre-exposure Regimen in Both Pediatric and Adult Populations and a Single Booster Dose of Purified Vero Rabies Vaccine - Serum Free Administered at 1 Year Post-3-dose Primary Series, and Between 2 up to 3 Years Post-One Week 2-Dose Primary Series in a Subset of Adults in Thailand), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04127786 phase3completednot on this map

Immunogenicity and Safety of a Purified Vero Rabies Vaccine - Serum Free in Comparison With Verorab® and Imovax® Rabies, in a Pre-exposure Regimen in Both Pediatric and Adult Populations and a Single Booster Dose of Purified Vero Rabies Vaccine - Serum Free Administered at 1 Year Post-3-dose Primary Series, and Between 2 up to 3 Years Post-One Week 2-Dose Primary Series in a Subset of Adults in Thailand

TypeinterventionalSponsorSanofi Pasteur, a Sanofi CompanyRan2019 to 2025Enrolled1,708ConditionsRabies, Healthy VolunteersArmsPurified vero rabies vaccine - serum free - VRVg-2, Purified inactivated rabies vaccine - Verorab®, Purified inactivated rabies vaccine - Imovax® Rabies
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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.

Kulkanya ChokephaibulkitFaculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-0140-4600
Catherine HuoiClinical Development, Sanofi Vaccines, Marcy l'Etoile, France.
Terapong TantawichienFaculty of Medicine, Chulalongkorn University and Queen Saovabha Memorial Institute, Bangkok, Thailand.ORCID 0000-0003-1970-5118
Piroon MootsikapunFaculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0002-8708-1565
Pope KosalaraksaFaculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0003-4450-2398
Sasisopin KiertiburanakulFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-4379-4704
Winai RatanasuwanFaculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-2602-5153
Manuel VangelistiDevelopment/LCM Portfolio, R&D, Sanofi Vaccines, Marcy l'Etoile, France.
Thelma LaotClinical Development, Sanofi Vaccines, Taguig City, Philippines.
Youjun HuangEvidence Generation and Decision Sciences, Sanofi, Chengdu, China.
Celine PetitGlobal Immunology, Sanofi Vaccines, Marcy l'Etoile, France.
Andrea-Clemencia Pineda-PeñaClinical Development, Sanofi Vaccines, Marcy l'Etoile, France.ORCID 0000-0003-1937-0506
Carina FragoClinical Development, Sanofi Vaccines, Singapore, Singapore.ORCID 0000-0003-2450-6420

Funding

Sanofi
6 · The paper itself

Abstract

backgroundA next-generation, serum-free, highly purified Vero cell rabies vaccine, PVRV-NG2, is in development.

methodsThis multicenter, observer-blind, phase 3 study evaluated the immunogenicity and safety of PVRV-NG2, compared with 2 licensed rabies vaccines (purified Vero cell rabies vaccine [PVRV] and human diploid cell vaccine [HDCV]), as a preexposure prophylaxis (PrEP) regimen. Participants were randomized 3:1:1 to PVRV-NG2, PVRV, or HDCV, as a 3-dose (cohort 1; children and adults; day [D] 0, D7, and D28) or 2-dose (cohort 2; adults; D0 and D7) PrEP regimen. The primary objective was noninferiority of PVRV-NG2 to PVRV and HDCV as 3-dose PrEP, based on the proportion of participants with rabies virus-neutralizing antibody titer ≥0.5 IU/mL at D42. Noninferiority of immune responses for 2-dose PrEP at D28 and noninferiority of 2-dose (D28) versus 3-dose (D42) HDCV were also assessed as secondary immunogenicity objectives. Safety was assessed throughout.

resultsOverall, 1708 participants were enrolled (cohort 1: 505 children, 505 adults; cohort 2: 698 adults). All participants had rabies virus-neutralizing antibody titers ≥0.5 IU/mL after 3-dose PVRV-NG2 (D42), with noninferiority to PVRV and HDCV demonstrated. All secondary immunogenicity objectives were achieved, including noninferiority of 2-dose PVRV-NG2 versus 2-dose PVRV and HDCV (D28) and 3-dose HDCV (D42), and noninferiority of 2-dose HDCV versus 3-dose HDCV. The safety profile of PVRV-NG2 was comparable to those of PVRV and HDCV.

conclusionsThis study supports the use of PVRV-NG2 in 2- or 3-dose PrEP regimens, with no safety concerns identified. CLINICAL TRIALS REGISTRATION: ClinicalTrials.gov identifier: NCT04127786; EudraCT: 2019-000973-22; WHO: U1111-1217-3241.

Indexed as

Pre-Exposure ProphylaxisRabiesRabies VaccinesAdolescentAdultAgedAnimalsAntibodies, NeutralizingAntibodies, ViralChildChild, PreschoolChlorocebus aethiopsFemaleHumansImmunization ScheduleImmunogenicity, VaccineAntibodies, NeutralizingAntibodies, ViralRabies Vaccinesimmunogenicitypreexposure prophylaxisrabiessafetyvaccination

Identifiers

PMID39587931
PMCPMC12497947

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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.