PMID- 28406752 OWN - NLM STAT- MEDLINE DCOM- 20180314 LR - 20181113 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 13 IP - 7 DP - 2017 Jul 3 TI - Comparison of the immunogenicity and safety of the purified chick embryo cell rabies vaccine manufactured in India and Germany: A randomized, single blind, multicentre, phase IV clinical study. PG - 1531-1538 LID - 10.1080/21645515.2017.1307483 [doi] AB - This phase IV, single blind study assessed the immunogenicity and safety of India-manufactured purified chick embryo cell rabies vaccine (PCECV), compared with a German-manufactured batch obtained by the same production process. A total of 340 participants enrolled at 2 study sites in India were randomized (1:1:1:1) in 4 groups to receive a 5-dose Essen regimen with either 1 of the 3 Indian batches (PCECV-I) or the German batch (PCECV-G), administered on Days (D) 0, 3, 7, 14 and 30. The lot-to-lot consistency of PCECV-I batches in terms of induced immune response at D14 was demonstrated. The immune response elicited by PCECV-I was shown to be non-inferior to that induced by PCECV-G, as the lower limit of the 95% confidence interval for the ratio (PCECV-I/PCECV-G) of rabies virus neutralising antibody (RVNA) geometric mean concentrations was higher than 0.5 at D14. At least 96% of participants developed adequate RVNA concentrations (>/= 0.5 IU/mL) by D14 and all achieved RVNA concentrations >/= 0.5 IU/mL by D90. RVNA levels were comparable across all groups throughout the entire study. Solicited local and general symptoms had a similar incidence in all groups. Unsolicited adverse events (AEs) were reported by 11% of participants. Only 1 serious AE (leg fracture) was reported and was not related to vaccination. No deaths and no rabies cases were recorded during the 90 days of observation. The study showed that the 3 PCECV-I and the PCECV-G batches induced a similar immune response and had a comparable safety profile when administered according to a 5-dose schedule. FAU - Sampath, Gadey AU - Sampath G AD - a Institute of Preventive Medicine, Anti-Rabies Clinic , Hyderabad , India. FAU - Banzhoff, Angelika AU - Banzhoff A AD - b GSK Vaccines GmbH , Marburg , Germany. FAU - Deshpande, Alaka AU - Deshpande A AD - c Department of Medicine , Grant Medical College , Mumbai , India. FAU - Malerczyk, Claudius AU - Malerczyk C AD - b GSK Vaccines GmbH , Marburg , Germany. FAU - Arora, Ashwani Kumar AU - Arora AK AD - d GSK Vaccines , Siena , Italy. FAU - Vakil, Hoshang AU - Vakil H AD - e GSK Vaccines , Mumbai , India. FAU - Preiss, Scott AU - Preiss S AD - f GSK Vaccines , Wavre , Belgium. LA - eng PT - Clinical Trial, Phase IV PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20170413 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 - Adult MH - Aged MH - Animals MH - Antibodies, Neutralizing/*blood MH - Antibodies, Viral/*blood MH - Cell Culture Techniques MH - Chick Embryo MH - Child MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology/pathology MH - Female MH - Germany MH - Humans MH - Immunization Schedule MH - Incidence MH - India MH - Male MH - Middle Aged MH - Rabies Vaccines/administration & dosage/*adverse effects/*immunology/isolation & purification MH - Rabies virus/*immunology MH - Single-Blind Method MH - Technology, Pharmaceutical MH - Young Adult PMC - PMC5512782 OTO - NOTNLM OT - PCEC vaccine OT - immunogenicity OT - lot-to-lot consistency OT - rabies OT - safety EDAT- 2017/04/14 06:00 MHDA- 2018/03/15 06:00 PMCR- 2017/04/13 CRDT- 2017/04/14 06:00 PHST- 2017/04/14 06:00 [pubmed] PHST- 2018/03/15 06:00 [medline] PHST- 2017/04/14 06:00 [entrez] PHST- 2017/04/13 00:00 [pmc-release] AID - 1307483 [pii] AID - 10.1080/21645515.2017.1307483 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2017 Jul 3;13(7):1531-1538. doi: 10.1080/21645515.2017.1307483. Epub 2017 Apr 13.