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A Study of a Candidate COVID-19 Vaccine (COV003)

Primary Purpose

Coronavirus

Status
Unknown status
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
ChAdOx1 nCoV-19 single dose + paracetamol
MenACWY single dose + paracetamol
ChAdOx1 nCoV-19 two dose + paracetamol
MenACWY prime & saline placebo boost + paracetamol
Sponsored by
University of Oxford
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Coronavirus focused on measuring Covid-19, ChAdOx1 nCov19, sars-cov-2, vaccine

Eligibility Criteria

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

Inclusion Criteria:

  • Adults from 18 to 55 years of age
  • Adults aged 56-69 years old (after review of safety data by DSMB in this age group in the UK trial)
  • Adults aged 70 and above years old (after review of safety data by DSMB in this age group in the UK trial)
  • Able and willing (in the Investigator's opinion) to fulfill all study requirements;
  • Health professionals and adults at high risk of exposure to SARS-CoV-2, as defined in section 5.2 of this protocol;
  • Serology with SARS-CoV-2 negative IgG antibodies; This inclusion criteria does not apply to participants enrolled from version 4.0 of the protocol onwards.
  • Willing to allow investigators to discuss the participant's clinical history with their GP/personal physician and access medical records relevant to the study procedures
  • Only for women of childbearing age willing to practice continuous effective birth control (see below) during the study, and a negative pregnancy test on the screening and vaccination day(s);
  • Consent to abstain from blood donation during the course of the study;
  • Provide informed consent in writing

Exclusion Criteria:

  • Participation in trials of prophylactic drugs for COVID-19 during the course of the study; Note: Participation in COVID-19 treatment trials is permitted in case of hospitalization due to COVID-19, after confirmation of positive PCR. The study team should be informed as soon as possible. Participants with COVID-19 not hospitalized with positive PCR results for COVID-19 may be medicated according to standard clinical practice.
  • Participation in SARS-CoV-2 serological research where participants are informed of their serological status during the course of the study;
  • Planned receipt of any vaccine (authorized or investigational), within 30 days before and after vaccination;
  • Prior receipt of an investigational vaccine or authorized with the possibility of impacting the interpretation of the study data (for example, vaccines vectorized by Adenovirus, any vaccines against coronavirus);
  • Administration of immunoglobulins and/or any blood products in the three months prior to the planned administration of the candidate vaccine;
  • Any confirmed or suspected immunosuppressive or immunodeficiency state; asplenia; severe recurrent infections and chronic use (more than 14 days) of immunosuppressive medication in the last 6 months, except for topical steroids or short-term oral steroids (cycle lasting ≤14 days);
  • History of allergic disease or reactions possibly exacerbated by any component of ChAdOx1 nCoV-19 or MenACWY or paracetamol;
  • Any history of angioedema;
  • Any history of anaphylaxis;
  • Pregnancy, lactation or willingness/intention to become pregnant during the study;
  • Current diagnosis or treatment for cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ);
  • History of severe psychiatric illness that possibly affects your participation in the study;
  • Hemorrhagic disorder (for example, factor deficiency, coagulopathy or platelet disorder), or a previous history of significant bleeding or bruising after IM injections or venipuncture;
  • Current suspected or known dependence on alcohol or drugs;
  • Severe and/or uncontrolled cardiovascular diseases, respiratory diseases, gastrointestinal diseases, liver disease, kidney disease, endocrine disorder, and neurological disease (mild/moderate well-controlled comorbidities are allowed);
  • History of COVID-19 confirmed by laboratory;
  • Seropositive for antibodies to SARS-CoV-2 before recruitment; This exclusion criteria does not apply to participants enrolled from version 4.0 of the protocol onwards
  • Continued use of anticoagulants, such as coumarins and related anticoagulants (for example, warfarin) or new oral anticoagulants (for example, apixaban, rivaroxaban, dabigatran and edoxaban);
  • Any other significant illness, disorder or finding that may significantly increase the risk for the participant, affect his/her ability to participate in the study or impair the interpretation of the study data.

Re-vaccination exclusion criteria (two-dose groups only)

  • Anaphylactic reaction following administration of vaccine
  • Pregnancy

Sites / Locations

  • Instituto D'Or de Pesquisa e Ensino - I'DorRecruiting
  • Centro de Pesquisas Clinicas de Natal (CPCLIN)Recruiting
  • Hospital das Clinicas de Porto AlegreRecruiting
  • Universidade Federal de Santa Maria (UFSM)Recruiting
  • Instituto D'Or de Pesquisa e Ensino - I'DorRecruiting
  • CRIE, Universidade Federal de São PauloRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Group 1a: single dose ChAdOx & paracetamol

Group 1b: single dose MenACWY & paracetamol

Group 1c: two dose ChAdOx & paracetamol

Group 1d: two dose MenACWy/saline & paracetamol

Arm Description

Participants will receive a single standard dose of ChAdOx1 nCOV19 vaccine plus paracetamol

Participants will receive a single dose of MenACWY plus paracetamol

Participants will receive two standard doses of ChAdOx1 nCoV-19 vaccine, 4-12 weeks apart, plus paracetamol

Participants will receive MenACWY prime, and Saline Placebo boost (0.5mL) plus paracetamol

Outcomes

Primary Outcome Measures

Evaluate the efficacy of ChAdOx1 nCoV-19 vaccine against COVID-19 disease confirmed with PCR
COVID-19 virologically confirmed symptomatic cases (PCR positive).

Secondary Outcome Measures

Evaluate the safety, tolerability and reactogenicity profile of ChAdOx1 nCoV-19 candidate vaccine: occurrence of signs and symptoms of local and systemic reactogenicity requested during 7 days after vaccination
Occurrence of signs and symptoms of local and systemic reactogenicity requested during 7 days after vaccination (in a subset of 200 participants)
Evaluate the safety, tolerability and reactogenicity profile of ChAdOx1 nCoV-19 candidate vaccine: occurrence of serious adverse events
Occurrence of serious adverse events
Evaluate the safety, tolerability and reactogenicity profile of ChAdOx1 nCoV-19 candidate vaccine: occurrence of episodes; intensified disease
Occurrence of episodes; intensified disease
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: hospitalization for COVID-19 disease confirmed by PCR
Hospitalization for COVID-19 disease confirmed by PCR
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: COVID-19 serious disease confirmed by PCR
COVID-19 serious disease confirmed by PCR
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: death associated with COVID-19 disease
Death associated with COVID-19 disease
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: antibodies against SARS-CoV-2 non-Spike protein (serum efficacy rates)
Antibodies against SARS-CoV-2 non-Spike protein (serum efficacy rates).
Evaluate the humoral immunogenicity of ChAdOx1 nCoV-19: antibodies against the SARS-CoV-2 spike protein (serum conversion rates)
Antibodies against the SARS-CoV-2 spike protein (serum conversion rates)
Evaluate the humoral immunogenicity of ChAdOx1 nCoV-19: virus neutralizing antibodies (NAb) against live and/or pseudotyped SARS-CoV-2 virus
Virus neutralizing antibodies (NAb) against live and/or pseudotyped SARS-CoV-2 virus
Assess the cellular immunogenicity of ChAdOx1 nCoV-19 candidate vaccine
Interferon-gamma (IFN-γ) enzyme-linked immunospot (ELISpot) responses to SARS-CoV-2 spike protein

Full Information

First Posted
September 1, 2020
Last Updated
November 23, 2020
Sponsor
University of Oxford
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1. Study Identification

Unique Protocol Identification Number
NCT04536051
Brief Title
A Study of a Candidate COVID-19 Vaccine (COV003)
Official Title
A Randomized, Controlled, Phase III Study to Determine the Safety, Efficacy, and Immunogenicity of the Non-Replicating ChAdOx1 nCoV-19 Vaccine
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Unknown status
Study Start Date
June 2, 2020 (Actual)
Primary Completion Date
September 2021 (Anticipated)
Study Completion Date
September 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Oxford

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
A Randomized, Controlled, Phase III Study to Determine the Safety, Efficacy, and Immunogenicity of the Non-Replicating ChAdOx1 nCoV-19 Vaccine.
Detailed Description
There will be 2 study groups and an anticipated enrolment of 10,300 health professionals and adults with high potential for exposure to SARS-CoV-2, aged ≥18 years. All subjects will undergo follow-up for a total of 1 year post last vaccination. Additional visits or procedures may be performed at the discretion of the investigators, e.g., further medical history and physical examination, or additional blood tests and other investigations if clinically relevant

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronavirus
Keywords
Covid-19, ChAdOx1 nCov19, sars-cov-2, vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Sequential Assignment
Masking
Participant
Allocation
Randomized
Enrollment
10300 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1a: single dose ChAdOx & paracetamol
Arm Type
Experimental
Arm Description
Participants will receive a single standard dose of ChAdOx1 nCOV19 vaccine plus paracetamol
Arm Title
Group 1b: single dose MenACWY & paracetamol
Arm Type
Active Comparator
Arm Description
Participants will receive a single dose of MenACWY plus paracetamol
Arm Title
Group 1c: two dose ChAdOx & paracetamol
Arm Type
Experimental
Arm Description
Participants will receive two standard doses of ChAdOx1 nCoV-19 vaccine, 4-12 weeks apart, plus paracetamol
Arm Title
Group 1d: two dose MenACWy/saline & paracetamol
Arm Type
Active Comparator
Arm Description
Participants will receive MenACWY prime, and Saline Placebo boost (0.5mL) plus paracetamol
Intervention Type
Biological
Intervention Name(s)
ChAdOx1 nCoV-19 single dose + paracetamol
Intervention Description
Single dose of ChAdOx1nCOV19 vaccine, 5x10^10 vp + paracetamol
Intervention Type
Biological
Intervention Name(s)
MenACWY single dose + paracetamol
Intervention Description
Single dose of MenACWY + paracetamol
Intervention Type
Biological
Intervention Name(s)
ChAdOx1 nCoV-19 two dose + paracetamol
Intervention Description
Two dose of ChAdOx1 nCoV-19 vaccine, 5x10^10vp (prime) and 0.5mL boost (3.5 - 6.5 × 10^10 vp), 4-12 weeks apart + paracetamol
Intervention Type
Biological
Intervention Name(s)
MenACWY prime & saline placebo boost + paracetamol
Intervention Description
MenACWY prime, and Saline Placebo boost (0.5mL) + paracetamol
Primary Outcome Measure Information:
Title
Evaluate the efficacy of ChAdOx1 nCoV-19 vaccine against COVID-19 disease confirmed with PCR
Description
COVID-19 virologically confirmed symptomatic cases (PCR positive).
Time Frame
12 months post final vaccination
Secondary Outcome Measure Information:
Title
Evaluate the safety, tolerability and reactogenicity profile of ChAdOx1 nCoV-19 candidate vaccine: occurrence of signs and symptoms of local and systemic reactogenicity requested during 7 days after vaccination
Description
Occurrence of signs and symptoms of local and systemic reactogenicity requested during 7 days after vaccination (in a subset of 200 participants)
Time Frame
7 days post vaccination
Title
Evaluate the safety, tolerability and reactogenicity profile of ChAdOx1 nCoV-19 candidate vaccine: occurrence of serious adverse events
Description
Occurrence of serious adverse events
Time Frame
12 months post final vaccination
Title
Evaluate the safety, tolerability and reactogenicity profile of ChAdOx1 nCoV-19 candidate vaccine: occurrence of episodes; intensified disease
Description
Occurrence of episodes; intensified disease
Time Frame
12 months post final vaccination
Title
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: hospitalization for COVID-19 disease confirmed by PCR
Description
Hospitalization for COVID-19 disease confirmed by PCR
Time Frame
12 months post final vaccination
Title
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: COVID-19 serious disease confirmed by PCR
Description
COVID-19 serious disease confirmed by PCR
Time Frame
12 months post final vaccination
Title
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: death associated with COVID-19 disease
Description
Death associated with COVID-19 disease
Time Frame
6 months
Title
Evaluate the efficacy of ChAdOx1 nCoV-19 candidate vaccine against severe and non-severe COVID-19 disease: antibodies against SARS-CoV-2 non-Spike protein (serum efficacy rates)
Description
Antibodies against SARS-CoV-2 non-Spike protein (serum efficacy rates).
Time Frame
12 months post final vaccination
Title
Evaluate the humoral immunogenicity of ChAdOx1 nCoV-19: antibodies against the SARS-CoV-2 spike protein (serum conversion rates)
Description
Antibodies against the SARS-CoV-2 spike protein (serum conversion rates)
Time Frame
12 months post final vaccination
Title
Evaluate the humoral immunogenicity of ChAdOx1 nCoV-19: virus neutralizing antibodies (NAb) against live and/or pseudotyped SARS-CoV-2 virus
Description
Virus neutralizing antibodies (NAb) against live and/or pseudotyped SARS-CoV-2 virus
Time Frame
12 months post final vaccination
Title
Assess the cellular immunogenicity of ChAdOx1 nCoV-19 candidate vaccine
Description
Interferon-gamma (IFN-γ) enzyme-linked immunospot (ELISpot) responses to SARS-CoV-2 spike protein
Time Frame
12 months post final vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults from 18 to 55 years of age Adults aged 56-69 years old (after review of safety data by DSMB in this age group in the UK trial) Adults aged 70 and above years old (after review of safety data by DSMB in this age group in the UK trial) Able and willing (in the Investigator's opinion) to fulfill all study requirements; Health professionals and adults at high risk of exposure to SARS-CoV-2, as defined in section 5.2 of this protocol; Serology with SARS-CoV-2 negative IgG antibodies; This inclusion criteria does not apply to participants enrolled from version 4.0 of the protocol onwards. Willing to allow investigators to discuss the participant's clinical history with their GP/personal physician and access medical records relevant to the study procedures Only for women of childbearing age willing to practice continuous effective birth control (see below) during the study, and a negative pregnancy test on the screening and vaccination day(s); Consent to abstain from blood donation during the course of the study; Provide informed consent in writing Exclusion Criteria: Participation in trials of prophylactic drugs for COVID-19 during the course of the study; Note: Participation in COVID-19 treatment trials is permitted in case of hospitalization due to COVID-19, after confirmation of positive PCR. The study team should be informed as soon as possible. Participants with COVID-19 not hospitalized with positive PCR results for COVID-19 may be medicated according to standard clinical practice. Participation in SARS-CoV-2 serological research where participants are informed of their serological status during the course of the study; Planned receipt of any vaccine (authorized or investigational), within 30 days before and after vaccination; Prior receipt of an investigational vaccine or authorized with the possibility of impacting the interpretation of the study data (for example, vaccines vectorized by Adenovirus, any vaccines against coronavirus); Administration of immunoglobulins and/or any blood products in the three months prior to the planned administration of the candidate vaccine; Any confirmed or suspected immunosuppressive or immunodeficiency state; asplenia; severe recurrent infections and chronic use (more than 14 days) of immunosuppressive medication in the last 6 months, except for topical steroids or short-term oral steroids (cycle lasting ≤14 days); History of allergic disease or reactions possibly exacerbated by any component of ChAdOx1 nCoV-19 or MenACWY or paracetamol; Any history of angioedema; Any history of anaphylaxis; Pregnancy, lactation or willingness/intention to become pregnant during the study; Current diagnosis or treatment for cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ); History of severe psychiatric illness that possibly affects your participation in the study; Hemorrhagic disorder (for example, factor deficiency, coagulopathy or platelet disorder), or a previous history of significant bleeding or bruising after IM injections or venipuncture; Current suspected or known dependence on alcohol or drugs; Severe and/or uncontrolled cardiovascular diseases, respiratory diseases, gastrointestinal diseases, liver disease, kidney disease, endocrine disorder, and neurological disease (mild/moderate well-controlled comorbidities are allowed); History of COVID-19 confirmed by laboratory; Seropositive for antibodies to SARS-CoV-2 before recruitment; This exclusion criteria does not apply to participants enrolled from version 4.0 of the protocol onwards Continued use of anticoagulants, such as coumarins and related anticoagulants (for example, warfarin) or new oral anticoagulants (for example, apixaban, rivaroxaban, dabigatran and edoxaban); Any other significant illness, disorder or finding that may significantly increase the risk for the participant, affect his/her ability to participate in the study or impair the interpretation of the study data. Re-vaccination exclusion criteria (two-dose groups only) Anaphylactic reaction following administration of vaccine Pregnancy
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Volunteer Recruitment Coordinator
Phone
01865 611424
Email
vaccinetrials@ndm.ox.ac.uk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew Pollard, Prof
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
Facility Information:
Facility Name
Instituto D'Or de Pesquisa e Ensino - I'Dor
City
Salvador
State/Province
Bahia
ZIP/Postal Code
41253-190
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ana Verena Mendes
Facility Name
Centro de Pesquisas Clinicas de Natal (CPCLIN)
City
Natal
State/Province
Rio Grande Do Norte
ZIP/Postal Code
59025-050
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eveline Pipolo Milan
Facility Name
Hospital das Clinicas de Porto Alegre
City
Porto Alegre
State/Province
Rio Grande Do Sul
ZIP/Postal Code
90035-903
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eduardo Sprinz
Facility Name
Universidade Federal de Santa Maria (UFSM)
City
Santa Maria
State/Province
Rio Grande Do Sul
ZIP/Postal Code
97105-900
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alexandre Vargas Schwarzbold
Facility Name
Instituto D'Or de Pesquisa e Ensino - I'Dor
City
Rio de Janeiro
ZIP/Postal Code
22281-100
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ana Maria Pitella de Souze Leite
Facility Name
CRIE, Universidade Federal de São Paulo
City
São Paulo
ZIP/Postal Code
04038-001
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lily Weckx

12. IPD Sharing Statement

Learn more about this trial

A Study of a Candidate COVID-19 Vaccine (COV003)

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