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Zagreb

Phase 3

Rabies | Monoclonal antibody | Other |Novartis AG|Last Updated: May 20, 2014

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment644
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01680016A Randomized, Open-label Study Comparing Two Different Rabies Vaccine Schedules in Chinese Children and Older AdultsPHASE3 COMPLETED 644Sep 1, 2012Jan 1, 2013May 20, 20141 China
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Study Endpoints
Primary Endpoints
Non-inferiority in Immune Response of the Zagreb Postexposure Schedule of Rabipur to That of the Conventional Essen Postexposure Schedule of Rabipur as Measured by GMC of RVNA Titer 14 Days After First Vaccination in Children Aged ≥6 to ≤17 Years.
Before vaccination (day 1) and 14 days after first vaccination (day 15)

Immunogenicity was measured as the geometric mean concentrations (GMCs) of rabies virus neutralizing antibody (RVNA) titer , evaluated using the rapid fluorescent focus inhibition test, before vaccination and 14 days after first vaccination of Rabipur as per Zagreb (2-1-1) and Essen (1-1-1-1-1) postexposure schedule.

Non-inferiority in Immune Response of the Zagreb Postexposure Schedule of Rabipur to That of the Conventional Essen Postexposure Schedule of Rabipur as Measured by GMC of RVNA Titer 14 Days After the First Vaccination in Older Adults Aged ≥51 Years
Before vaccination (day 1) and 14 days after first vaccination (day 15).

Immunogenicity was measured as the GMCs of Rabies Virus Neutralizing Antibody (RVNA) titer , evaluated using the rapid fluorescent focus inhibition test, before vaccination and 14 days after first vaccination of Rabipur as per Zagreb (2-1-1) and Essen (1-1-1-1-1) postexposure schedule.

Number of Children Who Reported Solicited Local and Systemic Adverse Events After Any Vaccination of Rabipur
Days 1 to 7 postvaccination

Safety was assessed as the number of children who reported solicited local and systemic adverse events from day 1 up to and including day 7 after any vaccination of Rabipur as per Zagreb (2-1-1) and Essen (1-1-1-1-1) postexposure schedule.

Number of Older Adults Who Reported Solicited Local and Systemic Adverse Events After Any Vaccination of Rabipur
Days 1 to 7 postvaccination

Safety was assessed as the number of subjects who reported solicited local and systemic adverse events from day 1 up to and including day 7 after any vaccination of Rabipur as per Zagreb (2-1-1) and Essen (1-1-1-1-1) postexposure schedule.

Number of Children Who Reported Unsolicited Adverse Events (AEs)
From V1/day 1 (postvaccination) through V7/study termination day 43

The safety of Rabipur was assessed in terms of subjects(Children) exposed to study vaccine who reported all Unsolicited AEs (including serious adverse events \[SAE\]s and AEs leading to subject withdrawal) from V1/day 1 (postvaccination) through V7/study termination day 43.

Number of Older Adults Who Reported Unsolicited Adverse Events (AEs)
from V1/day 1 (postvaccination) through V7/study termination day 43

The safety of Rabipur was assessed in terms of subjects(Older Adults) exposed to study vaccine who reported all Unsolicited AEs (including serious adverse events \[SAE\]s and AEs leading to subject withdrawal) from V1/day 1 (postvaccination) through V7/study termination day 43.

Secondary Endpoints
Percentages of Children With RVNA Titers ≥0.5 IU/mL 14 Days After First Vaccination of Rabipur
Before vaccination (day 1) and 14 days after first vaccination (day 15).
Percentages of Older Adults With RVNA Titers ≥0.5 IU/mL 14 Days After First Vaccination of Rabipur
Before vaccination (day 1) and 14 days after first vaccination (day 15).
Percentages of Children With RVNA Titers ≥0.5 IU/mL 42 Days After First Vaccination of Rabipur
Before vaccination (day 1) and 42 days after first vaccination (day 43).
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Zagreb(≥6 to ≤17 Years)EXPERIMENTAL -
Zagreb(≥51 Years)EXPERIMENTAL -
Essen(≥6 to ≤17 Years)ACTIVE_COMPARATOR -
Essen(≥51 Years)ACTIVE_COMPARATOR -
Interventions
NameTypeDescription
ZagrebBIOLOGICALSubjects received Zagreb schedule (2-1-1) i.e. 4 vaccinations of Rabipur at days 1 , 8 and 22
EssenBIOLOGICALSubjects received Essen schedule (1-1-1-1-1) i.e. 5 vaccinations of Rabipur at days 1, 4, 8, 15 and 29
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Eligibility Criteria
Age Range6 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Individuals between 6-17 years of age and 51 years of age or older * Individuals who were in good health * Provided consent, complied with study procedures and duration of follow-up Exclusion Criteria: * Contraindications to vaccination with rabies vaccine * Body temperature...

Countries:China
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