PMID- 25692350 OWN - NLM STAT- MEDLINE DCOM- 20151215 LR - 20231111 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 11 IP - 2 DP - 2015 TI - Immunogenicity and safety of purified chick-embryo cell rabies vaccine under Zagreb 2-1-1 or 5-dose Essen regimen in Chinese children 6 to 17 years old and adults over 50 years: a randomized open-label study. PG - 435-42 LID - 10.4161/21645515.2014.994460 [doi] AB - The aim of this Phase IIIb, open-label, randomized study was to demonstrate the non-inferiority of immune responses and to assess the safety of a purified chick-embryo cell rabies vaccine (PCECV) in healthy Chinese children (6 to 17 years) and older adults (>/=51 years) following 2 alternative intramuscular (IM) simulated post-exposure prophylaxis (PEP) regimens: 4-dose Zagreb or 5-dose Essen regimen. Serum samples were collected prior to vaccination on Days 1 and 15 and on day 43 to assess immune response by rabies virus neutralizing antibody (RVNA) concentrations. Solicited adverse events (AEs) were recorded for up to 7 days following each vaccine dose, and unsolicited AEs throughout the entire study period. PCECV vaccination induced a strong immune response at Day 15, and the non-inferiority in immune response of the Zagreb vs. the Essen regimen was demonstrated in children and older adults. At Day 15,100% of children (N = 224), and 99% of subjects >/=51 years of age (N = 376) developed adequate RVNA concentrations (>/=0.5 IU/mL); at Day 43 all subjects achieved RVNA concentrations >/=0.5 IU/mL, for both PEP regimens. The well-known tolerability and safety profile of the PCECV was again observed in this study following either Zagreb or Essen regimens. Rabies PEP vaccination with PCECV following a Zagreb regimen induced immune responses non-inferior to those of the Essen regimen, and had a similar safety and tolerability profile to the Essen regimen in Chinese children, adolescents, and adults over 51 years. ClinicalTrials.gov identifier: NCT01680016. FAU - Li, RongCheng AU - Li R AD - a Guangxi Center for Disease Prevention and Control ; Guangxi , China. FAU - Li, YanPing AU - Li Y FAU - Wen, ShuQing AU - Wen S FAU - Wen, HuiChun AU - Wen H FAU - Nong, Yi AU - Nong Y FAU - Mo, Zhaojun AU - Mo Z FAU - Xie, Fang AU - Xie F FAU - Pellegrini, Michele AU - Pellegrini M LA - eng SI - ClinicalTrials.gov/NCT01680016 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Antibodies, Neutralizing) RN - 0 (Antibodies, Viral) RN - 0 (Rabies Vaccines) SB - IM MH - Adolescent MH - Aged MH - Aged, 80 and over MH - Animals MH - Antibodies, Neutralizing/*blood MH - Antibodies, Viral/*blood MH - Chick Embryo MH - Child MH - China MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/pathology MH - Female MH - Humans MH - Injections, Intramuscular MH - Male MH - Middle Aged MH - Post-Exposure Prophylaxis/*methods MH - Rabies/*prevention & control MH - Rabies Vaccines/administration & dosage/*adverse effects/*immunology/isolation & purification MH - Time Factors MH - Vaccination/*methods PMC - PMC4514244 OTO - NOTNLM OT - AE, adverse event OT - CI, confidence interval OT - Essen regimen OT - GMC, geometric mean concentration OT - IM, intramuscular OT - NIFDC, National Institutes for Food and Drug Control OT - PCECV, purified chick-embryo cell rabies vaccine OT - PEP, post-exposure prophylaxis OT - PPS, per-protocol set OT - RFFIT, Rapid Fluorescent Focus Inhibition Test OT - RVNA, rabies virus neutralizing antibody OT - Zagreb regimen OT - immunogenicity OT - intramuscular post-exposure prophylaxis; purified chick-embryo cell rabies vaccine OT - rabies OT - rabies virus neutralizing antibody EDAT- 2015/02/19 06:00 MHDA- 2015/12/17 06:00 PMCR- 2016/02/18 CRDT- 2015/02/19 06:00 PHST- 2015/02/19 06:00 [entrez] PHST- 2015/02/19 06:00 [pubmed] PHST- 2015/12/17 06:00 [medline] PHST- 2016/02/18 00:00 [pmc-release] AID - 994460 [pii] AID - 10.4161/21645515.2014.994460 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2015;11(2):435-42. doi: 10.4161/21645515.2014.994460.