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VRVg 2

Phase 3

Rabies | Monoclonal antibody | Infectious Disease |Sanofi|Trials Updated: Sep 18, 2025

VRVg 2 development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since May 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment960

FDA Designations

No designations recorded

VRVg 2 clinical trials

VRVg 2 · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT03965962Study of Purified Vero Rabies Vaccine Compared With Two Reference Rabies Vaccines in a Simulated Post-Exposure Regimen in AdultsRabies (Healthy Volunteers)
COMPLETED640 Analytics
PHASE3COMPLETED
Study of Purified Vero Rabies Vaccine Compared With Two Reference Rabies Vaccines in a Simulated Post-Exposure Regimen in Adults
Rabies (Healthy Volunteers)Unlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Rabies Virus Neutralizing Antibody (RVNA) Titers Greater Than or Equal to (>=) 0.5 International Units Per Milliliter (IU/mL)-Non-Inferiority Analysis
Day 28

RVNA titer against rabies virus was assessed using the Rapid Fluorescent Focus Inhibition test (RFFIT) assay method.

Rabies Virus Neutralizing Antibody (RVNA) Geometric Mean Titers (GMTs) Against Rabies Virus at Day 0
Day 0

RVNA GMT against rabies virus was assessed using the rapid fluorescent focus inhibition test (RFFIT) assay method.

Rabies Virus Neutralizing Antibody Geometric Mean Titers Against Rabies Virus at Day 14
Day 14

RVNA GMT against rabies virus was assessed using the RFFIT assay method.

Rabies Virus Neutralizing Antibody Geometric Mean Titers Against Rabies Virus at Day 28
Day 28

RVNA GMT against rabies virus was assessed using the RFFIT assay method.

Rabies Virus Neutralizing Antibody Geometric Mean Titers Against Rabies Virus at Day 42
Day 42

RVNA GMT against rabies virus was assessed using the RFFIT assay method.

Rabies Virus Neutralizing Antibody Geometric Mean Titers Against Rabies Virus at Month 7
Month 7

RVNA GMT against rabies virus was assessed using the RFFIT assay method.

Percentage of Participants With Rabies Virus Neutralizing Antibody Titer Greater Than or Equal to (>=) 0.2 IU/mL and >=0.5 IU/mL at Day 0
Day 0

RVNA titer against rabies virus was assessed using the RFFIT assay method. Participants with RVNA titer \>=0.2 IU/mL were considered as seropositive.

Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.2 IU/mL and >=0.5 IU/mL at Day 14
Day 14

RVNA titer against rabies virus was assessed using the RFFIT assay method. Participants with RVNA titer \>=0.2 IU/mL were considered as seropositive.

Percentage of Participants With RVNA Titers >=0.2 IU/mL and >=0.5 IU/mL at Day 28
Day 28

RVNA titer against rabies virus was assessed using the RFFIT assay method. Participants with RVNA titer \>=0.2 IU/mL were considered as seropositive.

Percentage of Participants With RVNA Titers >=0.2 IU/mL and >=0.5 IU/mL at Day 42
Day 42

RVNA titer against rabies virus was assessed using the RFFIT assay method. Participants with RVNA titer \>=0.2 IU/mL were considered as seropositive.

Percentage of Participants With RVNA Titers >=0.2 IU/mL and >=0.5 IU/mL at Month 7
Month 7

RVNA titer against rabies virus was assessed using the RFFIT assay method. Participants with RVNA titer \>= 0.2 IU/mL were considered as seropositive.

Geometric Mean Titer Ratio (GMTR) of Rabies Virus Neutralizing Antibody 7 Days Following Vaccination 3 (Day 14/Day 0)
Day 0 (pre-dose) and Day 14 (7 days post-dose 3)

RVNA titer against rabies virus was assessed using the RFFIT assay method. GMTRs were calculated as the ratio of GMTs 7 days post 3rd vaccination (i.e., on Day 14) and pre-vaccination on Day 0.

Geometric Mean Titer Ratio of Rabies Virus Neutralizing Antibody 14 Days Following Vaccination 4 (Day 28/Day 0)
Day 0 (pre-dose) and Day 28 (14 days post-dose 4)

RVNA titer against rabies virus was assessed using the RFFIT assay method. GMTRs were calculated as the ratio of GMTs 14 days post 4th vaccination (i.e., on Day 28) and pre-vaccination on Day 0.

Geometric Mean Titer Ratio of Rabies Virus Neutralizing Antibody 14 Days Following Vaccination 5 (Day 42/Day 0)
Day 0 (Pre-dose) and Day 42 (14 days Post-dose 5)

RVNA titer against rabies virus was assessed using the RFFIT assay method. GMTRs were calculated as the ratio of GMTs 14 days post 5th vaccination (i.e., on Day 42) and pre-vaccination on Day 0.

Geometric Mean Titer Ratio of Rabies Virus Neutralizing Antibody 6 Months Following Last Vaccination (Month 7/Day 0)
Day 0 (Pre-dose) and Month 7 (6 Months Post Last Vaccination)

RVNA titer against rabies virus was assessed using the RFFIT assay method. GMTRs were calculated as the ratio of GMTs 6 month post last vaccination on Month 7 and pre-vaccination on Day 0.

Percentage of Participants With Complete Virus Neutralization at Starting Dilution (1/5) of Rapid Fluorescent Focus Inhibition Test Assay at Day 0
Day 0

Complete virus neutralization was defined as absence of fluorescent cells at the participant/time point level at the starting dilution (1/5) of the RFFIT assay. Percentage of participants with complete virus neutralization were reported.

Percentage of Participants With Complete Virus Neutralization at Starting Dilution (1/5) of Rapid Fluorescent Focus Inhibition Test Assay at Day 14
Day 14

Complete virus neutralization was defined as absence of fluorescent cells at the participant/time point level at the starting dilution (1/5) of the RFFIT assay. Percentage of participants with complete virus neutralization were reported.

Percentage of Participants With Complete Virus Neutralization at Starting Dilution (1/5) of Rapid Fluorescent Focus Inhibition Test Assay at Day 28
Day 28

Complete virus neutralization was defined as absence of fluorescent cells at the participant/time point level at the starting dilution (1/5) of the RFFIT assay. Percentage of participants with complete virus neutralization were reported.

Percentage of Participants With Complete Virus Neutralization at Starting Dilution (1/5) of Rapid Fluorescent Focus Inhibition Test Assay at Day 42
Day 42

Complete virus neutralization was defined as absence of fluorescent cells at the participant/time point level at the starting dilution (1/5) of the RFFIT assay. Percentage of participants with complete virus neutralization were reported.

Percentage of Participants With Complete Virus Neutralization at Starting Dilution (1/5) of Rapid Fluorescent Focus Inhibition Test Assay at Month 7
Month 7

Complete virus neutralization was defined as absence of fluorescent cells at the participant/time point level at the starting dilution (1/5) of the RFFIT assay. Percentage of participants with complete virus neutralization were reported.

Number of Participants With Immediate Unsolicited Adverse Events
Within 30 Minutes After any Vaccination

An adverse event was defined as any untoward medical occurrence in a participant who received study drug and does not necessary have to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the case report form (CRF) in terms of diagnosis and/or onset post-vaccination. All participants were observed for 30 minutes after any vaccination, and any unsolicited AEs occurred during that time were recorded as immediate unsolicited AEs in the CRF. Immediate AEs considered as related to vaccination were recorded as immediate unsolicited adverse reactions (ARs).

Number of Participants With at Least One Solicited Injection Site Reactions
Within 7 Days After any and each vaccination (Vaccination 1, 2, 3, 4 and 5)

A solicited reaction (SR) was an AR observed and reported under conditions (symptoms and onset) prelisted (i.e., solicited) in the CRF and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited injection site reactions included pain, erythema and swelling at and around the injection site.

Number of Participants With at Least One Solicited Systemic Reactions
Within 7 Days After any and each vaccination (Vaccination 1, 2, 3, 4 and 5)

A solicited reaction was an AR observed and reported under the conditions (symptom and onset) prelisted (i.e., solicited) in the CRF and considered as related to vaccination. An AR was all noxious and unintended responses to a medicinal product related to any dose. Solicited systemic reactions included fever, headache, malaise and myalgia.

Number of Participants With at Least One Unsolicited Adverse Events
Within 28 Days After any vaccination

An AE was defined as any untoward medical occurrence in a participant who received study drug and does not necessary have to have a causal relationship with treatment. An unsolicited AE was an observed AE that did not fulfill the conditions prelisted in the CRF in terms of diagnosis and/or onset post-vaccination.

Number of Participants With Serious Adverse Events (SAEs)
From Day 0 up to Month 7

An AE was defined as any untoward medical occurrence in a participant who received study drug and does not necessary have to have a causal relationship with treatment. An SAE was any untoward medical occurrence that at any dose resulted in death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect or a medically important event.

Secondary Endpoints

Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.5 IU/mL
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Percentage of Participants With Rabies Virus Neutralizing Antibody Titers >=0.2 IU/mL (Lower Limit of Quantification [LLOQ])
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
Rabies Virus Neutralizing Antibody (RVNA) Geometric Mean Titers (GMTs) Against Rabies Virus
Day 0 (pre-vaccination), Day 14, Day 28 and Day 42
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group 1: VRVg-2 + HRIGEXPERIMENTALParticipants received 0.5 milliliters (mL) intramuscular (IM) injection of VRVg-2 formulation on Days 0, 3, 7, 14 and 28 along with HRIG injection at Day 0.
Group 2: Verorab + HRIGACTIVE_COMPARATORParticipants received 0.5 mL IM injection of Verorab on Days 0, 3, 7, 14 and 28 along with HRIG injection at Day 0.
Group 3: Imovax Rabies + HRIGACTIVE_COMPARATORParticipants received 1 mL IM injection of Imovax Rabies on Days 0, 3, 7, 14 and 28 along with HRIG injection at Day 0.
Group 4: VRVg-2EXPERIMENTALParticipants received 0.5 mL IM injection of VRVg-2 formulation on Days 0, 3, 7, 14 and 28.
Group 1: VRVg-2 Formulation 1EXPERIMENTALVRVg-2 formulation 1, intramuscular (IM) injection on Days 0, 3, 7, 14 and 28. Concomitant administration of human rabies immunoglobulins (HRIG) on Day 0.
Group 2: VRVg-2 Formulation 2EXPERIMENTALVRVg-2 formulation 2, IM injection on Days 0, 3, 7, 14 and 28. Concomitant administration of HRIG on Day 0.
Group 3: VRVg-2 Formulation 3EXPERIMENTALVRVg-2 formulation 3, IM injection on Days 0, 3, 7, 14 and 28. Concomitant administration of HRIG on Day 0.
Group 4: VRVg-1EXPERIMENTALVRVg-1 initial formulation, IM injection on Days 0, 3, 7, 14 and 28. Concomitant administration of HRIG on Day 0.
Group 5: Imovax RabiesACTIVE_COMPARATORImovax Rabies, IM injection on Days 0, 3, 7, 14 and 28. Concomitant administration of HRIG on Day 0.

Interventions

NameTypeDescription
VRVg-2BIOLOGICALPharmaceutical form: Powder and solvent for suspension for injection; Route of administration: IM
Purified Inactivated Rabies VaccineBIOLOGICALPharmaceutical form: Powder and solvent for suspension for injection; Route of administration: IM
Human Diploid Cell Vaccine (HDCV)BIOLOGICALPharmaceutical form: Powder and solvent for suspension for injection; Route of administration: IM
Rabies immune globulin (human)BIOLOGICALPharmaceutical form: Solution for injection; Route of administration: IM
VRVg 2BIOLOGICALModified formulation 1 (Low) of Purified Vero Rabies Vaccine Serum Free
VRVg 1BIOLOGICALInitial formulation of Purified Vero Rabies Vaccine Serum Free
Imovax RabiesBIOLOGICALPurified inactivated rabies vaccine prepared on human diploid cell cultures
Human Rabies Immunoglobulins (HRIG)BIOLOGICALCommercialized formulation of HRIG
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion criteria : * Men or women aged \>=18 years on the day of inclusion (\>= 18 years means from the day of the 18th birthday onwards, with no upper age limit). * Able to attend all scheduled visits and to comply with all trial procedures. * Body Mass Index (BMI): 18.5 kilograms per square met...

Countries:FranceUnited States
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Frequently asked questions about VRVg 2

What is VRVg 2?

VRVg 2 is an investigational monoclonal antibody developed by Sanofi for rabies and rabies virus. It is being studied as a passive immunization agent in the infectious disease therapeutic area. The asset is in Phase 3 clinical development and has been evaluated in a completed Phase 3 trial and a completed Phase 2 trial.

What is VRVg 2 used for in rabies?

VRVg 2 is being developed for rabies and rabies virus, with clinical evaluation in healthy adult volunteers under simulated post-exposure regimens. The Phase 3 study enrolled 640 participants in France and compared the regimen against two reference rabies vaccines. It is an investigational product and is not approved for use.

Who makes VRVg 2?

VRVg 2 is developed by Sanofi, which trades under the ticker SNY. Sanofi is the sponsor of the clinical program evaluating the monoclonal antibody in rabies and rabies virus indications. The program includes a completed Phase 3 trial and a completed Phase 2 trial.

What phase is VRVg 2 in?

VRVg 2 is in Phase 3 clinical development. The Phase 3 study, NCT03965962, has been completed and enrolled 640 participants in France. A Phase 2 study, NCT03145766, was also completed with 320 participants in the United States. VRVg 2 remains investigational and is not approved.

What clinical trials is VRVg 2 in?

VRVg 2 has been evaluated in two completed clinical trials. NCT03965962 was a Phase 3 study of a purified Vero rabies vaccine in a simulated post-exposure regimen in adults, enrolling 640 participants in France. NCT03145766 was a Phase 2 immunogenicity and safety study enrolling 320 participants in the United States.

Is VRVg 2 the same as VRVg-2?

Yes, VRVg 2 and VRVg-2 refer to the same Sanofi monoclonal antibody asset being developed for rabies and rabies virus. The two spellings are alternative names for the same investigational product, which is in Phase 3 clinical development.