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Safety and Immunogenicity Study of Inactivated Vaccine for Prevention of COVID-19

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Two doses of low dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28
Two doses of medium dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28
Two doses of placebo at the schedule of day 0,28
Sponsored by
Sinovac Research and Development Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

3 Years - 17 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy children and adolescents aged 3-17 years;
  • The subject and/or guardian can understand and voluntarily sign the informed consent form (double sign required for 8-17 years old);
  • Proven legal identity.

Exclusion Criteria:

  • Travel history / residence history of communities with case reports within 14 days;
  • History of contact with a SARS-CoV-2 infection (positive in nucleic acid test) within 14 days;
  • Have contacted patients with fever or respiratory symptoms from communities with case reports within 14 days;
  • Two or more cases of fever and / or respiratory symptoms in a small contact area of volunteers, such as home, office etc. within 14 days;
  • History of SARS-CoV-2 infection;
  • History of asthma, history of allergy to the vaccine or vaccine components, or serious adverse reactions to the vaccine, such as urticaria, dyspnea, and angioedema;
  • Congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc.;
  • Autoimmune disease or immunodeficiency / immunosuppression;
  • Severe chronic diseases, severe cardiovascular diseases, hypertension and diabetes that cannot be controlled by drugs, liver or kidney diseases, malignant tumors, etc.;
  • Severe neurological disease (epilepsy, convulsions or convulsions) or mental illness;
  • Thyroid disease or history of thyroidectomy, spleenlessness, functional spleenlessness, spleenlessness or splenectomy resulting from any condition;
  • Diagnosed abnormal blood coagulation function (eg, lack of blood coagulation factors, blood coagulopathy, abnormal platelets) or obvious bruising or blood coagulation;
  • Immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (excluding allergic rhinitis corticosteroid spray therapy, acute noncomplicated dermatitis superficial corticosteroid therapy) in the past 6 months;
  • Physical examination has clinically significant abnormal hematology and biochemistry laboratory test results that exceed the reference value range (only applicable to phase I clinical trials):

    1. Blood routine test: white blood cell count, hemoglobin, platelet count;
    2. Detection of blood biochemical indicators: alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), creatinine (CR), fasting blood glucose;
    3. Urine routine index: urine protein (PRO);
  • History of alcohol or drug abuse;
  • Receipt of blood products within in the past 3 months;
  • Receipt of other investigational drugs in the past 30 days;
  • Receipt of attenuated live vaccines in the past 14 days;
  • Receipt of inactivated or subunit vaccines in the past 7 days;
  • Acute diseases or acute exacerbation of chronic diseases in the past 7 days;
  • Axillary temperature >37.0°C;
  • Already pregnant (including a positive urine pregnancy test) or are breastfeeding, planning to get pregnant within 3 months;
  • According to the investigator's judgment, the subject has any other factors that are not suitable for participating in the clinical trial.

Sites / Locations

  • Zanhuang county Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Experimental Vaccine-low dosage

Experimental Vaccine-medium dosage

Placebo

Arm Description

low dosage inactivated SARS-CoV-2 vaccine

medium dosage inactivated SARS-CoV-2 vaccine

No active ingredient in the placebo

Outcomes

Primary Outcome Measures

Safety index-incidence of adverse reactions
Incidence of adverse reactions after each dose vaccination.
Immunogenicity index-seroconversion rates of neutralizing antibody
Neutralizing antibody assay will be performed using the micro-neutralization method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4 fold increase from baseline.

Secondary Outcome Measures

Safety index-incidence of serious adverse events
SAE will be collected throughout the clinical trial.
Immunogenicity index-seropositive rates of neutralizing antibody
Neutralizing antibody assay will be performed using the micro-neutralization method, and subjects with a antibody titer ≥1:8 will defined as seropositive.
Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody
Neutralizing antibody assay will be performed using the micro-neutralization method.
Immunogenicity index-geometric mean ratio (GMR) of neutralizing antibody
Neutralizing antibody assay will be performed using the micro-neutralization method. Ratio of post-vaccination titer divided by baseline titer will be calculated.
Safety index-Incidence rate of adverse reactions
Incidence rate of adverse reactions within 7 days after each dose vaccination
Safety index-Incidence of abnormal laboratory index
Incidence of abnormal laboratory index (blood routine test, blood chemistry test, and urine routine test) on the 3th day after each dose of vaccination in phase Ⅰ
Safety index-Incidence rate of AESIs
Incidence rate of SAEs and AESIs from the beginning of the vaccination to 12 months after the last dose vaccination
Immunogenicity index- GMI of neutralizing antibody
GMI of neutralizing antibodies 28 days after the second dose vaccination
Immunogenicity index-the seroconversion rate
The seroconversion rate 28 days after the first dose vaccination in phase Ⅰ
Immunogenicity index-the seropositive rate
Seropositive rate 28 days after the first dose vaccination in phase Ⅰ
Immunogenicity index-the GMT
The GMT 28 days after the first dose vaccination in phase Ⅰ
Immunogenicity index-the GMI
The GMI 28 days after the first dose vaccination in phase Ⅰ

Full Information

First Posted
September 15, 2020
Last Updated
September 29, 2023
Sponsor
Sinovac Research and Development Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04551547
Brief Title
Safety and Immunogenicity Study of Inactivated Vaccine for Prevention of COVID-19
Official Title
A Randomized, Double-Blinded, Placebo-Controlled, Phase Ⅰ/Ⅱ Clinical Trial, to Evaluate the Safety and Immunogenicity of the SARS-CoV-2 Inactivated Vaccine (Vero Cell) in Healthy Population Aged 3-17 Years
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
October 31, 2020 (Actual)
Primary Completion Date
April 30, 2021 (Actual)
Study Completion Date
February 8, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sinovac Research and Development 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 study is a randomized, double-blinded, and placebo controlled phase 1&2 clinical trial of the SARS-CoV-2 inactivated vaccine manufactured by Sinovac Research & Development Co., Ltd. The purpose of this study is to evaluate the safety and immunogenicity of the experimental vaccine in healthy children and adolescents aged 3-17 years
Detailed Description
This study is a randomized, double-blinded, single-center, placebo-controlled phase 1&2 clinical trial in children and adolescents aged 3-17 years. The experimental vaccine and placebo were both manufactured by Sinovac Research & Development Co., Ltd. A total of 552 subjects will be enrolled, with 72 at phase 1, and 480 at phase 2. Subjects will be assigned to receive two doses of different dosage of experimental vaccine or placebo on the schedule of day 0,28. Subjects in Phase receive the second dose 10 months or 12 months after the second dose.

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 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
552 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental Vaccine-low dosage
Arm Type
Experimental
Arm Description
low dosage inactivated SARS-CoV-2 vaccine
Arm Title
Experimental Vaccine-medium dosage
Arm Type
Experimental
Arm Description
medium dosage inactivated SARS-CoV-2 vaccine
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
No active ingredient in the placebo
Intervention Type
Biological
Intervention Name(s)
Two doses of low dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28
Intervention Description
The inactivated SARS-CoV-2 vaccine was manufactured by Sinovac Research & Development Co., Ltd., with a antigen content of 300SU/0.5ml
Intervention Type
Biological
Intervention Name(s)
Two doses of medium dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28
Intervention Description
The inactivated SARS-CoV-2 vaccine was manufactured by Sinovac Research & Development Co., Ltd., with a antigen content of 600SU/0.5ml
Intervention Type
Other
Intervention Name(s)
Two doses of placebo at the schedule of day 0,28
Intervention Description
The placebo contains no active ingredient and manufactured by Sinovac Research & Development Co., Ltd.
Primary Outcome Measure Information:
Title
Safety index-incidence of adverse reactions
Description
Incidence of adverse reactions after each dose vaccination.
Time Frame
Day 0-28 after each dose vaccination
Title
Immunogenicity index-seroconversion rates of neutralizing antibody
Description
Neutralizing antibody assay will be performed using the micro-neutralization method. Seroconversion will be defined as a change from seronegative (<1:8) to seropositive (≥1:8), or ≥4 fold increase from baseline.
Time Frame
The 28th day after the second dose vaccination
Secondary Outcome Measure Information:
Title
Safety index-incidence of serious adverse events
Description
SAE will be collected throughout the clinical trial.
Time Frame
From the beginning of the vaccination to 12 months after the second dose vaccination
Title
Immunogenicity index-seropositive rates of neutralizing antibody
Description
Neutralizing antibody assay will be performed using the micro-neutralization method, and subjects with a antibody titer ≥1:8 will defined as seropositive.
Time Frame
The 28th day after each dose vaccination and the 12 month after the second dose vaccination
Title
Immunogenicity index-geometric mean titer (GMT) of neutralizing antibody
Description
Neutralizing antibody assay will be performed using the micro-neutralization method.
Time Frame
The 28th day after each dose vaccination and the 12 month after the second dose vaccination
Title
Immunogenicity index-geometric mean ratio (GMR) of neutralizing antibody
Description
Neutralizing antibody assay will be performed using the micro-neutralization method. Ratio of post-vaccination titer divided by baseline titer will be calculated.
Time Frame
The 28th day after each dose vaccination and the 12 month after the second dose vaccination
Title
Safety index-Incidence rate of adverse reactions
Description
Incidence rate of adverse reactions within 7 days after each dose vaccination
Time Frame
Within 7 days after each dose vaccination
Title
Safety index-Incidence of abnormal laboratory index
Description
Incidence of abnormal laboratory index (blood routine test, blood chemistry test, and urine routine test) on the 3th day after each dose of vaccination in phase Ⅰ
Time Frame
On the 3th day after each dose of vaccination in phase Ⅰ
Title
Safety index-Incidence rate of AESIs
Description
Incidence rate of SAEs and AESIs from the beginning of the vaccination to 12 months after the last dose vaccination
Time Frame
From the beginning of the vaccination to 12 months after the last dose vaccination
Title
Immunogenicity index- GMI of neutralizing antibody
Description
GMI of neutralizing antibodies 28 days after the second dose vaccination
Time Frame
28 days after the second dose vaccination
Title
Immunogenicity index-the seroconversion rate
Description
The seroconversion rate 28 days after the first dose vaccination in phase Ⅰ
Time Frame
28 days after the first dose vaccination in phase Ⅰ
Title
Immunogenicity index-the seropositive rate
Description
Seropositive rate 28 days after the first dose vaccination in phase Ⅰ
Time Frame
28 days after the first dose vaccination in phase Ⅰ
Title
Immunogenicity index-the GMT
Description
The GMT 28 days after the first dose vaccination in phase Ⅰ
Time Frame
28 days after the first dose vaccination in phase Ⅰ
Title
Immunogenicity index-the GMI
Description
The GMI 28 days after the first dose vaccination in phase Ⅰ
Time Frame
28 days after the first dose vaccination in phase Ⅰ
Other Pre-specified Outcome Measures:
Title
Phase Ⅰ: The seropositive rate of neutralizing antibody
Description
The seropositive rate of neutralizing antibody against live SARS-CoV-2 6 months and 12 months after the second dose vaccination
Time Frame
6 months and 12 months after the second dose vaccination
Title
Phase Ⅰ:The GMT of neutralizing antibody
Description
The GMT of neutralizing antibody against live SARS-CoV-2 6 months and 12 months after the second dose vaccination.
Time Frame
6 months and 12 months after the second dose vaccination.
Title
Phase Ⅱ: The seropositive rate of neutralizing antibody
Description
The seropositive rate of neutralizing antibody against live SARS-CoV-2 3 months, 6 months, 9 months and 12 months after the second dose vaccination
Time Frame
3 months, 6 months, 9 months and 12 months after the second dose vaccination
Title
Phase Ⅱ: The GMT of neutralizing antibody
Description
The GMT of neutralizing antibody against live SARS-CoV-2 3 months, 6 months, 9 months and 12 months after the second dose vaccination.
Time Frame
3 months, 6 months, 9 months and 12 months after the second dose vaccination.
Title
Phase Ⅱ: The seropositive rate
Description
The seropositive rate of neutralizing antibody against Prototype SARS-CoV-2 and Omicron strain 28 days after the booster dose
Time Frame
28 days after the booster dose
Title
Phase Ⅱ: The GMT
Description
The GMT of neutralizing antibody against Prototype SARS-CoV-2 and Omicron strain 28 days after the booster dose
Time Frame
28 days after the booster dose
Title
Phase Ⅱ: The GMI
Description
The GMI of neutralizing antibody against Prototype SARS-CoV-2 and Omicron strain 28 days after the booster dose
Time Frame
28 days after the booster dose
Title
Phase Ⅱ: the seropositive rate
Description
The seropositive rate of neutralizing antibody against Prototype SARS-CoV-2 and Omicron strain 6 months and 12 months after the booster dose.
Time Frame
6 months and 12 months after the booster dose
Title
Phase Ⅱ: the GMT
Description
The GMT of neutralizing antibody against Prototype SARS-CoV-2 and Omicron strain 6 months and 12 months after the booster dose.
Time Frame
6 months and 12 months after the booster dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy children and adolescents aged 3-17 years; The subject and/or guardian can understand and voluntarily sign the informed consent form (double sign required for 8-17 years old); Proven legal identity. Exclusion Criteria: Travel history / residence history of communities with case reports within 14 days; History of contact with a SARS-CoV-2 infection (positive in nucleic acid test) within 14 days; Have contacted patients with fever or respiratory symptoms from communities with case reports within 14 days; Two or more cases of fever and / or respiratory symptoms in a small contact area of volunteers, such as home, office etc. within 14 days; History of SARS-CoV-2 infection; History of asthma, history of allergy to the vaccine or vaccine components, or serious adverse reactions to the vaccine, such as urticaria, dyspnea, and angioedema; Congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc.; Autoimmune disease or immunodeficiency / immunosuppression; Severe chronic diseases, severe cardiovascular diseases, hypertension and diabetes that cannot be controlled by drugs, liver or kidney diseases, malignant tumors, etc.; Severe neurological disease (epilepsy, convulsions or convulsions) or mental illness; Thyroid disease or history of thyroidectomy, spleenlessness, functional spleenlessness, spleenlessness or splenectomy resulting from any condition; Diagnosed abnormal blood coagulation function (eg, lack of blood coagulation factors, blood coagulopathy, abnormal platelets) or obvious bruising or blood coagulation; Immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (excluding allergic rhinitis corticosteroid spray therapy, acute noncomplicated dermatitis superficial corticosteroid therapy) in the past 6 months; Physical examination has clinically significant abnormal hematology and biochemistry laboratory test results that exceed the reference value range (only applicable to phase I clinical trials): Blood routine test: white blood cell count, hemoglobin, platelet count; Detection of blood biochemical indicators: alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL), creatinine (CR), fasting blood glucose; Urine routine index: urine protein (PRO); History of alcohol or drug abuse; Receipt of blood products within in the past 3 months; Receipt of other investigational drugs in the past 30 days; Receipt of attenuated live vaccines in the past 14 days; Receipt of inactivated or subunit vaccines in the past 7 days; Acute diseases or acute exacerbation of chronic diseases in the past 7 days; Axillary temperature >37.0°C; Already pregnant (including a positive urine pregnancy test) or are breastfeeding, planning to get pregnant within 3 months; According to the investigator's judgment, the subject has any other factors that are not suitable for participating in the clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuliang Zhao, Master
Organizational Affiliation
Hubei Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Zanhuang county Center for Disease Control and Prevention
City
Shijiazhuang
State/Province
Hebei
ZIP/Postal Code
051230
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
34197764
Citation
Han B, Song Y, Li C, Yang W, Ma Q, Jiang Z, Li M, Lian X, Jiao W, Wang L, Shu Q, Wu Z, Zhao Y, Li Q, Gao Q. Safety, tolerability, and immunogenicity of an inactivated SARS-CoV-2 vaccine (CoronaVac) in healthy children and adolescents: a double-blind, randomised, controlled, phase 1/2 clinical trial. Lancet Infect Dis. 2021 Dec;21(12):1645-1653. doi: 10.1016/S1473-3099(21)00319-4. Epub 2021 Jun 28.
Results Reference
derived

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Safety and Immunogenicity Study of Inactivated Vaccine for Prevention of COVID-19

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