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Clinical Trial of Efficacy and Safety of Sinovac's Adsorbed COVID-19 (Inactivated) Vaccine in Healthcare Professionals (PROFISCOV)

Primary Purpose

COVID-19

Status
Unknown status
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Adsorbed COVID-19 (inactivated) Vaccine
Placebo
Sponsored by
Butantan Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Adults 18 years of age or older;
  2. Healthcare professionals who work in direct contact care of people with possible or confirmed COVID-19 cases;
  3. Agree with periodic contacts by phone or electronic means, and home visits;
  4. Show voluntary intention to participate in the study, documented by the informed consent form signed by participant.

Exclusion Criteria:

  1. For females: Pregnancy (confirmed by positive beta-hCG test), breastfeeding or intent to engage in sexual relations with reproductive intent without use of birth control methods in the three months following vaccination;
  2. Evidence of uncontrolled neurological, cardiac, pulmonary, hepatic or renal disease, according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease;
  3. Diseases with impaired immune system including: neoplasms (except basal cell carcinoma), congenital or acquired immunodeficiencies and autoimmune diseases not controlled according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease;
  4. Behavioral, cognitive or psychiatric disease that, in the opinion of the principal investigator or his or her representative physician, affects the participant's ability to understand and cooperate with all study protocol requirements;
  5. Any alcohol or drug abuse over the 12 months prior to enrollment in the study that has caused medical, professional or family problems, indicated by clinical history;
  6. History of severe allergic reactions or anaphylaxis to the study vaccine or to components thereof;
  7. History of asplenia;
  8. Participation in another clinical trial with an investigational product in the six months prior to enrollment in the study or planned participation in another clinical trial within the two years following enrollment;
  9. Previous participation in a study to evaluate a COVID-19 vaccine or prior exposure to a COVID-19 vaccine;
  10. Use of immunosuppressant therapy regimens within the six months prior to enrollment in the study for planned use within the two years following enrollment. Immunosuppressant therapy regimens include: antineoplastic chemotherapy, radiation therapy and immunosuppressants to induce transplant tolerance, among others.
  11. Use of immunosuppressive doses of corticosteroids within the three months prior to the enrollment in the study and planned use of immunosuppressive doses of corticoids within the three months following enrollment in the study. Immunosuppressive doses of corticosteroids will be considered the equivalent prednisone 20 mg/day for adults, for longer than one week. Continued use of topical or nasal corticosteroids is not considered an immunosuppressant;
  12. Received blood products (transfusions or immunoglobulins) within the three months prior to enrollment in the study, or planned administration of blood products or immunoglobulins within the two years following enrollment in the study;
  13. Suspected or confirmed fever within the 72 hours prior to vaccination or axillary temperature greater than 37.8 °C* on the day of vaccination (enrollment may be postponed until participant has gone 72 hours without fever);
  14. Possible or confirmed case of COVID-19 on the day of vaccination (vaccination can be postponed until the participant completes 72 hours without symptoms or the diagnosis is ruled out);
  15. Received live attenuated virus vaccine or inactivated vaccine within the 28 days or 14 days, respectively, prior to enrollment in the study, or immunization planned within the 28 days after enrollment in the study;
  16. History of bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture
  17. Any other condition that, in the opinion of the principal investigator or his/her representative physician, could put the safety/rights of potential participants at risk or prevent them from complying with this protocol.

Sites / Locations

  • Universidade de Brasília
  • Universidade Federal de Minas Gerais
  • Hospital Universitário Júlio Müller
  • Hospital Universitário Maria Aparecida Pedrossian
  • Hospital das Clínicas da Universidade Federal do Paraná
  • Hospital Escola da Universidade Federal de Pelotas
  • Hospital São Lucas da Pontificia Universidade Catolica do Rio Grande do Sul
  • Hospital de Amor - Fundação Pio XII
  • Hospital das Clínicas da UNICAMP
  • Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
  • Instituto de Infectologia Emílio Ribas
  • Centro de Pesquisas Clínicas do Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
  • Instituto Israelita de Ensino e Pesquisa Albert Einstein
  • Universidade Municipal de São Caetano do Sul
  • Faculdade de Medicina de São José do Rio Preto - FAMERP
  • Instituto de Infectologia Evandro Chagas - Fiocruz

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

Adult - Vaccine

Elderly - Vaccine

Adult - Placebo

Elderly - Placebo

Arm Description

Participants aging 18-59 years receiving two doses with 14-days interval of Adsorbed COVID-19 (inactivated) Vaccine

Participants aging 60 years or above receiving two doses with 14-days interval of Adsorbed COVID-19 (inactivated) Vaccine

Participants aging 18-59 years receiving two doses with 14-days interval of placebo

Participants aging 60 years or above receiving two doses with 14-days interval of placebo

Outcomes

Primary Outcome Measures

Incidence of COVID-19 cases after two-doses immunization schedule
Number of virologically-confirmed symptomatic COVID-19 two weeks after second dose of vaccine
Frequency of adverse events up to seven days after immunization
Frequency of adverse reaction in the seven days following each immunization per age group

Secondary Outcome Measures

Incidence of COVID-19 cases after two-doses immunization schedule according to previous exposure
Number of virologically-confirmed symptomatic COVID-19 two weeks after second dose of vaccine according to previous exposure to SARS-CoV-2
Incidence of COVID-19 cases after 14-days of first immunization
Number of virologically-confirmed symptomatic COVID-19 two weeks after first dose of vaccine, regardless the vaccination schedule was completed
Combined incidence of SARS-CoV-2 infection
Number of virologically-confirmed and or serologically-confirmed SARS-CoV-2 infections two weeks after first dose of vaccine
Incidence of severe COVID-19 cases after two-doses immunization schedule
Number of virologically-confirmed severe COVID-19 two weeks after second dose of vaccine
Frequency of adverse events up to 28 days after immunization
Frequency of adverse reaction in the 28 days following each immunization per age group
Frequency of severe COVID-19 cases
Frequency of virologically-confirmed severe COVID-19 cases after receiving, at least, one dose of the vaccine
Frequency of adverse events of special interest after immunization
Frequency of adverse events of special interest after receiving, at least, one dose of the vaccine
Seroconversion rate
Number of seroconversion responses to SARS-CoV-2 in the second week after each vaccination per age group in a subset of participants
Cell-mediated immune profile
Number of cell-mediated immune response against SARS-CoV-2 in the week two and four after the second vaccination per age group in a subset of participants
Seropositivity rate
Number of seropositive responses to SARS-CoV-2 in the second week after each vaccination per age group in a subset of participants

Full Information

First Posted
June 30, 2020
Last Updated
February 10, 2021
Sponsor
Butantan Institute
Collaborators
Sinovac Life Sciences Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04456595
Brief Title
Clinical Trial of Efficacy and Safety of Sinovac's Adsorbed COVID-19 (Inactivated) Vaccine in Healthcare Professionals
Acronym
PROFISCOV
Official Title
Double-Blind, Randomized, Placebo-Controlled Phase III Clinical Trial to Evaluate Efficacy and Safety in Healthcare Professionals of the Adsorbed COVID-19 (Inactivated) Vaccine Manufactured by Sinovac
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
July 21, 2020 (Actual)
Primary Completion Date
December 17, 2020 (Actual)
Study Completion Date
February 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Butantan Institute
Collaborators
Sinovac Life Sciences Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase III clinical trial to assess efficacy and safety of the Adsorbed COVID-19 (inactivated) vaccine manufactured by Sinovac in health care professionals
Detailed Description
This is a phase III clinical trial to assess efficacy and safety of the Adsorbed COVID-19 (inactivated) vaccine manufactured by Sinovac in health care professionals. The study will be double-blind placebo-controlled trial with participants randomly allocated 1:1 to placebo and vaccine arms. The immunization schedule is two doses intramuscular injections (deltoid) with a 14-days interval. For efficacy, the study aims to detect COVID-19 cases, defined as symptomatic SARS-CoV-2 infections, after the second week post-immunization schedule. For safety and immunogenicity, participants are categorized in two age groups, Adults (18-59 years) and Elderly (60 years and above). Safety database aims to detect adverse reactions with frequency of 1:1000 or higher in adults and 1:500 in elderly. All participants will be followed up to 12 months. Interim preliminary efficacy analysis can be triggered by reaching the target number of 61 cases. Primary efficacy analysis requires 151 cases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12688 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Adult - Vaccine
Arm Type
Experimental
Arm Description
Participants aging 18-59 years receiving two doses with 14-days interval of Adsorbed COVID-19 (inactivated) Vaccine
Arm Title
Elderly - Vaccine
Arm Type
Experimental
Arm Description
Participants aging 60 years or above receiving two doses with 14-days interval of Adsorbed COVID-19 (inactivated) Vaccine
Arm Title
Adult - Placebo
Arm Type
Placebo Comparator
Arm Description
Participants aging 18-59 years receiving two doses with 14-days interval of placebo
Arm Title
Elderly - Placebo
Arm Type
Placebo Comparator
Arm Description
Participants aging 60 years or above receiving two doses with 14-days interval of placebo
Intervention Type
Biological
Intervention Name(s)
Adsorbed COVID-19 (inactivated) Vaccine
Other Intervention Name(s)
CoronaVac
Intervention Description
Adsorbed COVID-19 (inactivated) Vaccine manufactured by Sinovac
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo of Adsorbed COVID-19 (inactivated) Vaccine manufactured by Sinovac
Primary Outcome Measure Information:
Title
Incidence of COVID-19 cases after two-doses immunization schedule
Description
Number of virologically-confirmed symptomatic COVID-19 two weeks after second dose of vaccine
Time Frame
Two weeks after second dose up to one year after first dose
Title
Frequency of adverse events up to seven days after immunization
Description
Frequency of adverse reaction in the seven days following each immunization per age group
Time Frame
Seven days after each immunization
Secondary Outcome Measure Information:
Title
Incidence of COVID-19 cases after two-doses immunization schedule according to previous exposure
Description
Number of virologically-confirmed symptomatic COVID-19 two weeks after second dose of vaccine according to previous exposure to SARS-CoV-2
Time Frame
Two weeks after first dose up to one year after first dose
Title
Incidence of COVID-19 cases after 14-days of first immunization
Description
Number of virologically-confirmed symptomatic COVID-19 two weeks after first dose of vaccine, regardless the vaccination schedule was completed
Time Frame
Two weeks after last dose uup to one year after first dose
Title
Combined incidence of SARS-CoV-2 infection
Description
Number of virologically-confirmed and or serologically-confirmed SARS-CoV-2 infections two weeks after first dose of vaccine
Time Frame
Two weeks after second dose up to one year after first dose
Title
Incidence of severe COVID-19 cases after two-doses immunization schedule
Description
Number of virologically-confirmed severe COVID-19 two weeks after second dose of vaccine
Time Frame
Two weeks after second dose up to one year after first dose
Title
Frequency of adverse events up to 28 days after immunization
Description
Frequency of adverse reaction in the 28 days following each immunization per age group
Time Frame
28 days after each immunization
Title
Frequency of severe COVID-19 cases
Description
Frequency of virologically-confirmed severe COVID-19 cases after receiving, at least, one dose of the vaccine
Time Frame
From first vaccination up to one year after first dose
Title
Frequency of adverse events of special interest after immunization
Description
Frequency of adverse events of special interest after receiving, at least, one dose of the vaccine
Time Frame
From first vaccination up to one year after first dose
Title
Seroconversion rate
Description
Number of seroconversion responses to SARS-CoV-2 in the second week after each vaccination per age group in a subset of participants
Time Frame
Two weeks after each vaccination
Title
Cell-mediated immune profile
Description
Number of cell-mediated immune response against SARS-CoV-2 in the week two and four after the second vaccination per age group in a subset of participants
Time Frame
Two and four weeks afer each vaccination
Title
Seropositivity rate
Description
Number of seropositive responses to SARS-CoV-2 in the second week after each vaccination per age group in a subset of participants
Time Frame
Two weeks after second vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults 18 years of age or older; Healthcare professionals who work in direct contact care of people with possible or confirmed COVID-19 cases; Agree with periodic contacts by phone or electronic means, and home visits; Show voluntary intention to participate in the study, documented by the informed consent form signed by participant. Exclusion Criteria: For females: Pregnancy (confirmed by positive beta-hCG test), breastfeeding or intent to engage in sexual relations with reproductive intent without use of birth control methods in the three months following vaccination; Evidence of uncontrolled neurological, cardiac, pulmonary, hepatic or renal disease, according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease; Diseases with impaired immune system including: neoplasms (except basal cell carcinoma), congenital or acquired immunodeficiencies and autoimmune diseases not controlled according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease; Behavioral, cognitive or psychiatric disease that, in the opinion of the principal investigator or his or her representative physician, affects the participant's ability to understand and cooperate with all study protocol requirements; Any alcohol or drug abuse over the 12 months prior to enrollment in the study that has caused medical, professional or family problems, indicated by clinical history; History of severe allergic reactions or anaphylaxis to the study vaccine or to components thereof; History of asplenia; Participation in another clinical trial with an investigational product in the six months prior to enrollment in the study or planned participation in another clinical trial within the two years following enrollment; Previous participation in a study to evaluate a COVID-19 vaccine or prior exposure to a COVID-19 vaccine; Use of immunosuppressant therapy regimens within the six months prior to enrollment in the study for planned use within the two years following enrollment. Immunosuppressant therapy regimens include: antineoplastic chemotherapy, radiation therapy and immunosuppressants to induce transplant tolerance, among others. Use of immunosuppressive doses of corticosteroids within the three months prior to the enrollment in the study and planned use of immunosuppressive doses of corticoids within the three months following enrollment in the study. Immunosuppressive doses of corticosteroids will be considered the equivalent prednisone 20 mg/day for adults, for longer than one week. Continued use of topical or nasal corticosteroids is not considered an immunosuppressant; Received blood products (transfusions or immunoglobulins) within the three months prior to enrollment in the study, or planned administration of blood products or immunoglobulins within the two years following enrollment in the study; Suspected or confirmed fever within the 72 hours prior to vaccination or axillary temperature greater than 37.8 °C* on the day of vaccination (enrollment may be postponed until participant has gone 72 hours without fever); Possible or confirmed case of COVID-19 on the day of vaccination (vaccination can be postponed until the participant completes 72 hours without symptoms or the diagnosis is ruled out); Received live attenuated virus vaccine or inactivated vaccine within the 28 days or 14 days, respectively, prior to enrollment in the study, or immunization planned within the 28 days after enrollment in the study; History of bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture Any other condition that, in the opinion of the principal investigator or his/her representative physician, could put the safety/rights of potential participants at risk or prevent them from complying with this protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ricardo Palacios, MD, PhD
Organizational Affiliation
Butantan Institute
Official's Role
Study Director
Facility Information:
Facility Name
Universidade de Brasília
City
Brasilia
State/Province
DF
ZIP/Postal Code
71691-082
Country
Brazil
Facility Name
Universidade Federal de Minas Gerais
City
Belo Horizonte
State/Province
MG
ZIP/Postal Code
30750-140
Country
Brazil
Facility Name
Hospital Universitário Júlio Müller
City
Cuiabá
State/Province
Mount
ZIP/Postal Code
78048-902
Country
Brazil
Facility Name
Hospital Universitário Maria Aparecida Pedrossian
City
Campo Grande
State/Province
MS
ZIP/Postal Code
79080-190
Country
Brazil
Facility Name
Hospital das Clínicas da Universidade Federal do Paraná
City
Curitiba
State/Province
PR
ZIP/Postal Code
80060-900
Country
Brazil
Facility Name
Hospital Escola da Universidade Federal de Pelotas
City
Pelotas
State/Province
RS
ZIP/Postal Code
96020-360
Country
Brazil
Facility Name
Hospital São Lucas da Pontificia Universidade Catolica do Rio Grande do Sul
City
Porto Alegre
State/Province
RS
ZIP/Postal Code
90619-900
Country
Brazil
Facility Name
Hospital de Amor - Fundação Pio XII
City
Barretos
State/Province
SP
ZIP/Postal Code
14780-070
Country
Brazil
Facility Name
Hospital das Clínicas da UNICAMP
City
Campinas
State/Province
SP
ZIP/Postal Code
13083-888
Country
Brazil
Facility Name
Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
City
Ribeirao Preto
State/Province
SP
ZIP/Postal Code
14015-069
Country
Brazil
Facility Name
Instituto de Infectologia Emílio Ribas
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
01246-900
Country
Brazil
Facility Name
Centro de Pesquisas Clínicas do Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
05403 000
Country
Brazil
Facility Name
Instituto Israelita de Ensino e Pesquisa Albert Einstein
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
05652-900
Country
Brazil
Facility Name
Universidade Municipal de São Caetano do Sul
City
São Caetano do Sul
State/Province
SP
ZIP/Postal Code
09521-160
Country
Brazil
Facility Name
Faculdade de Medicina de São José do Rio Preto - FAMERP
City
São José Do Rio Preto
State/Province
São Paulo
ZIP/Postal Code
15090-000
Country
Brazil
Facility Name
Instituto de Infectologia Evandro Chagas - Fiocruz
City
Rio De Janeiro
ZIP/Postal Code
21710-232
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
33059771
Citation
Palacios R, Patino EG, de Oliveira Piorelli R, Conde MTRP, Batista AP, Zeng G, Xin Q, Kallas EG, Flores J, Ockenhouse CF, Gast C. Double-Blind, Randomized, Placebo-Controlled Phase III Clinical Trial to Evaluate the Efficacy and Safety of treating Healthcare Professionals with the Adsorbed COVID-19 (Inactivated) Vaccine Manufactured by Sinovac - PROFISCOV: A structured summary of a study protocol for a randomised controlled trial. Trials. 2020 Oct 15;21(1):853. doi: 10.1186/s13063-020-04775-4.
Results Reference
background
PubMed Identifier
35464483
Citation
Luan N, Li T, Wang Y, Cao H, Yin X, Lin K, Liu C. Th2-Oriented Immune Serum After SARS-CoV-2 Vaccination Does Not Enhance Infection In Vitro. Front Immunol. 2022 Apr 8;13:882856. doi: 10.3389/fimmu.2022.882856. eCollection 2022.
Results Reference
derived

Learn more about this trial

Clinical Trial of Efficacy and Safety of Sinovac's Adsorbed COVID-19 (Inactivated) Vaccine in Healthcare Professionals

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