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Reactogenicity, Safety and Immunogenicity of QazCovid-in® COVID-19 Vaccine

Primary Purpose

Covid19, SARS-CoV Infection, Vaccine Adverse Reaction

Status
Completed
Phase
Phase 1
Locations
Kazakhstan
Study Type
Interventional
Intervention
QazCovid-in® - COVID-19 inactivated vaccine
Placebo
Sponsored by
Research Institute for Biological Safety Problems
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring vaccine, I/II phase, safety, immunogenicity, QazCovid-in®

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Availability of signed and dated informed consent of the volunteer to participate in the study.
  • Healthy male and female volunteers aged 18-50 and 50 and above.
  • Ability and voluntary desire to independently keep records in the Self-Observation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation.
  • The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study.
  • Negative results for IgM and IgG antibodies to SARS-CoV-2.
  • Absence of COVID-19 diagnosis in history.
  • Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory.
  • Negative test results for human immunodeficiency virus (HIV), hepatitis B and hepatitis C.

Exclusion Criteria:

  • Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain).
  • Acute illness with fever (body temperature ≥37.1°C) at the time of screening/randomization.
  • Chronic alcohol and/or drug use in history.
  • Clinically significant deviations from normal values during laboratory and/or imaging at screening.
  • Women with a positive urine pregnancy test.
  • Simultaneous treatment with immunosuppressive drugs, including corticosteroids (2 weeks) 4 weeks prior to study drug administration.
  • Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, myocardial infarction, severe hypertension not controlled by drugs, etc.), identified based on medical history, physical examination or clinical laboratory tests that, according to the researcher, may affect the study result.
  • Disruption of platelets or other blood clotting disorders, which may cause contraindications to intramuscular administration.
  • Leukemia or neoplasm in history.
  • Persons with autoimmune diseases.
  • Volunteers who received antiviral drugs, immunoglobulin's or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration;
  • Volunteers who received anti-inflammatory drugs 2 days before study drug administration;
  • Participation in any other clinical research within the last 3 months.
  • Volunteers with a concern that they will not comply with the study requirements, or persons with severe physical or mental disabilities that may affect the completion of the study.
  • Voluntary refusal to study.

Sites / Locations

  • Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Arm Label

Phase 1 Adult-vaccine (A Sample, blind study)

Phase 1 Adult-Placebo (A Sample, blind study)

Phase 2 Adult-Vaccine, twice vaccination (An Open study)

Phase 2 Elderly-Vaccine, twice vaccination (An Open study)

Phase 2 Adult-Vaccine, single vaccination (An Open study)

Phase 2 Elderly-Vaccine, single vaccination (An Open study)

Arm Description

Group 1 (phase 1): 22 volunteers aged 18-50 years who will be the QazCovid-in® - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 2 (phase 1): 22 volunteers aged 18-50 years who will be the Placebo twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 3 (phase 2): 50 volunteers aged 18-50 years who will be the QazCovid-in® - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 4 (phase 2): 50 volunteers from 18 years old and elder who will be the QazCovid-in® - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 5 (phase 2): 50 volunteers from 18 years old and elder who will be the QazCovid-in® - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml volunteers from 18 years old and elder

Group 6 (phase 2): 50 vvolunteers from 18 years old and elder who will be the QazCovid-in® - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml

Outcomes

Primary Outcome Measures

Frequency of adverse events up to seven days after immunization
Frequency of adverse reaction in the seven days following each immunization per age group
Frequency of adverse events up to 21 days after immunization
Frequency of adverse reaction in the 21 days following each immunization per age group
The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA following the vaccination, compared with a placebo
The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA greater than ≥ 4 times 21 days following the second vaccination compared with a placebo.
Changing of virus-neutralizing antibodies to SARS-CoV-2 virus in blood serum samples
Determination of virus neutralizing antibody titer to SARS-CoV-2 virus in blood serum samples

Secondary Outcome Measures

Incidence of serious adverse events during the study
Incidence of serious adverse events during the study.
Cell-mediated immune profile
Cell-mediated immune profile - Cytokine profiles in placebo and vaccine groups

Full Information

First Posted
August 26, 2020
Last Updated
May 1, 2021
Sponsor
Research Institute for Biological Safety Problems
Collaborators
National Scientific Center for Phthisiopulmonology of the Republic of Kazakhstan
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1. Study Identification

Unique Protocol Identification Number
NCT04530357
Brief Title
Reactogenicity, Safety and Immunogenicity of QazCovid-in® COVID-19 Vaccine
Official Title
Randomized, Blind, Placebo-controlled Phase- i Study and Randomized, Open Phase Phase-ii Study of QAZCOVID-IN®- COVID-19 Inactivated Vaccine in Healthy Adult Volunteers From 18 Years Old and Elder
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
September 19, 2020 (Actual)
Primary Completion Date
November 25, 2020 (Actual)
Study Completion Date
April 25, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Research Institute for Biological Safety Problems
Collaborators
National Scientific Center for Phthisiopulmonology of the Republic of Kazakhstan

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
Randomized, blind, placebo-controlled phase- i study and randomized, open phase phase-ii study of QAZCOVID-IN®- COVID-19 inactivated vaccine in healthy adult volunteers from 18 years old and elder
Detailed Description
Purpose of the Phase-I clinical study Evaluation of the safety,acceptability and immunogenicity of QazCovid-in®-COVID-19 inactivated vaccine when administeredtwice in healthy volunteers aged 18-50 years. Purpose of the Phase-II clinical study Evaluation of the safety and immunogenicity of QazCovid-in® - COVID-19 inactivated vaccine with single and dual use in healthy volunteers aged 18 and above.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, SARS-CoV Infection, Vaccine Adverse Reaction
Keywords
vaccine, I/II phase, safety, immunogenicity, QazCovid-in®

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
244 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase 1 Adult-vaccine (A Sample, blind study)
Arm Type
Experimental
Arm Description
Group 1 (phase 1): 22 volunteers aged 18-50 years who will be the QazCovid-in® - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 1 Adult-Placebo (A Sample, blind study)
Arm Type
Placebo Comparator
Arm Description
Group 2 (phase 1): 22 volunteers aged 18-50 years who will be the Placebo twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Adult-Vaccine, twice vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 3 (phase 2): 50 volunteers aged 18-50 years who will be the QazCovid-in® - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Elderly-Vaccine, twice vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 4 (phase 2): 50 volunteers from 18 years old and elder who will be the QazCovid-in® - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Adult-Vaccine, single vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 5 (phase 2): 50 volunteers from 18 years old and elder who will be the QazCovid-in® - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml volunteers from 18 years old and elder
Arm Title
Phase 2 Elderly-Vaccine, single vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 6 (phase 2): 50 vvolunteers from 18 years old and elder who will be the QazCovid-in® - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml
Intervention Type
Biological
Intervention Name(s)
QazCovid-in® - COVID-19 inactivated vaccine
Intervention Description
QazCovid-in® (inactivated) Vaccine manufactured by Research Institute for Biological Safety Problems Republic of Kazakhstan
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo (sodium chloride bufus, solvent for the preparation of dosage forms for injection 0.9%) The use of placebo: intramuscularly, twice, spaced 21 days apart, at a dose of 0.5 ml (22 volunteers)
Primary Outcome Measure Information:
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
Title
Frequency of adverse events up to 21 days after immunization
Description
Frequency of adverse reaction in the 21 days following each immunization per age group
Time Frame
21 days after each immunization
Title
The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA following the vaccination, compared with a placebo
Description
The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA greater than ≥ 4 times 21 days following the second vaccination compared with a placebo.
Time Frame
at days 0, 21, 27, 42
Title
Changing of virus-neutralizing antibodies to SARS-CoV-2 virus in blood serum samples
Description
Determination of virus neutralizing antibody titer to SARS-CoV-2 virus in blood serum samples
Time Frame
at days 0, 21, 27, 42
Secondary Outcome Measure Information:
Title
Incidence of serious adverse events during the study
Description
Incidence of serious adverse events during the study.
Time Frame
throughout the study, an average of 42 days
Title
Cell-mediated immune profile
Description
Cell-mediated immune profile - Cytokine profiles in placebo and vaccine groups
Time Frame
at days 0, 7, 21, 27, 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Availability of signed and dated informed consent of the volunteer to participate in the study. Healthy male and female volunteers aged 18-50 and 50 and above. Ability and voluntary desire to independently keep records in the Self-Observation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation. The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study. Negative results for IgM and IgG antibodies to SARS-CoV-2. Absence of COVID-19 diagnosis in history. Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory. Negative test results for human immunodeficiency virus (HIV), hepatitis B and hepatitis C. Exclusion Criteria: Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain). Acute illness with fever (body temperature ≥37.1°C) at the time of screening/randomization. Chronic alcohol and/or drug use in history. Clinically significant deviations from normal values during laboratory and/or imaging at screening. Women with a positive urine pregnancy test. Simultaneous treatment with immunosuppressive drugs, including corticosteroids (2 weeks) 4 weeks prior to study drug administration. Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, myocardial infarction, severe hypertension not controlled by drugs, etc.), identified based on medical history, physical examination or clinical laboratory tests that, according to the researcher, may affect the study result. Disruption of platelets or other blood clotting disorders, which may cause contraindications to intramuscular administration. Leukemia or neoplasm in history. Persons with autoimmune diseases. Volunteers who received antiviral drugs, immunoglobulin's or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration; Volunteers who received anti-inflammatory drugs 2 days before study drug administration; Participation in any other clinical research within the last 3 months. Volunteers with a concern that they will not comply with the study requirements, or persons with severe physical or mental disabilities that may affect the completion of the study. Voluntary refusal to study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Berik Khairullin, PhD
Organizational Affiliation
Research Institute for Biological Safety Problems
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Kunsulu Zakarya, PhD
Organizational Affiliation
Research Institute for Biological Safety Problems
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Ilyas Kulmagambetov, PhD
Organizational Affiliation
Centre for Clinical Medicine and Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan
City
Gvardeyskiy
State/Province
Jambul
ZIP/Postal Code
080409
Country
Kazakhstan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34414368
Citation
Zakarya K, Kutumbetov L, Orynbayev M, Abduraimov Y, Sultankulova K, Kassenov M, Sarsenbayeva G, Kulmagambetov I, Davlyatshin T, Sergeeva M, Stukova M, Khairullin B. Safety and immunogenicity of a QazCovid-in(R) inactivated whole-virion vaccine against COVID-19 in healthy adults: A single-centre, randomised, single-blind, placebo-controlled phase 1 and an open-label phase 2 clinical trials with a 6 months follow-up in Kazakhstan. EClinicalMedicine. 2021 Sep;39:101078. doi: 10.1016/j.eclinm.2021.101078. Epub 2021 Aug 14.
Results Reference
derived

Learn more about this trial

Reactogenicity, Safety and Immunogenicity of QazCovid-in® COVID-19 Vaccine

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