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A Clinical Trial of a Recombinant Adenovirus 5 Vectored COVID-19 Vaccine (Ad5-nCoV) With Two Doses in Healthy Adults

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Ad5-nCoV
Sponsored by
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID-19 vaccine, Ad5-nCoV

Eligibility Criteria

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

Inclusion Criteria:

  • Aged 18 years and older;
  • Able to provide consent to participate in and having signed an Informed Consent Form (ICF);
  • Able and willing to complete all the scheduled study procedures during the whole study follow-up period (about 6-8 months, depending on group);
  • Negative result of HIV screening;
  • Axillary temperature ≤37.0°C.
  • Negative IgG and IgM antibodies against COVID-19;
  • Good general health status, as determined by history and physical examination.

Exclusion Criteria for the first vaccination:

  • Hematological examination is abnormal, or clinically significant as assessed by the study investigator (including white blood cell count, lymphocyte count, neutrophil count, eosinophil count, platelet, hemoglobin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, blood glucose and creatinine);
  • With oral ulcers, throat swelling and other oral diseases.
  • With symptoms of upper respiratory tract infection.
  • Personal history of seizure disorder, encephalopathy or psychosis;
  • Allergic history to any vaccine, or allergic to any ingredient of the Ad5-nCoV;
  • Any acute febrile disease or active infectious disease on the day of vaccination;
  • History of SARS or COVID-19;
  • History of COVID-19 candidate vaccine administration;
  • History of chronic obstructive pulmonary disease (COPD).
  • Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension not controlled with medication;
  • Serious chronic disease or in the advanced stage that cannot be controlled well, such as asthma, diabetes and thyroid disease, etc.;
  • Congenital or acquired angioedema;
  • Suffered from urticaria within 1 year before receiving the trial vaccine.
  • Asplenia or functional asplenia;
  • Platelet disorder or other bleeding disorder that may cause intramuscular injection contraindication;
  • Faint with needles in intramuscular administration group;
  • Immunosuppressive medication, anti-allergic, cytotoxic therapy, inhaled corticosteroids (excluding surface corticosteroid therapy for acute non-complicated dermatitis) in the last 6 months;
  • Prior administration of blood products in last 4 months;
  • Other vaccination(s) or investigational drugs within 1 month before study onset;
  • Prior administration of live attenuated vaccine within 1 month before study onset;
  • Prior administration of subunit or inactivated vaccine within 14 days before study onset;
  • Current anti-tuberculosis therapy;
  • Woman is pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the next 8 months;
  • Any condition that in the opinion of the investigators may interfere with the participants' compliance or evaluation of study objectives or informed consent (i.e. medical, psychological, social or other conditions, etc.).

Exclusion Criteria for the second vaccination:

  • Severe allergic reaction after the first dose of vaccination;
  • Severe adverse reactions causally related to the first vaccination;
  • For those newly discovered or newly occured after the first vaccination that does not meet the first-dose selection criteria or meets the first-dose exclusion criteria, the investigator will determine whether to continue participating in the study;
  • Other reasons for exclusion as deemed by the investigator.

Sites / Locations

  • Zhongnan Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Experimental

Arm Label

Group A: Intramuscular administration

Group B: Mixed administration

Group C: Mucosal administration, high dose

Group D: Mucosal administration, low dose

Group E: Intramuscular administration, one dose

Group F: Intramuscular administration, two doses

Arm Description

24 subjects. 5E10 VP of Ad5-nCoV on Day 0 and on Day 56.

24 subjects. An intramuscular administration of 5E10 VP of Ad5-nCoV on day 0 and a mucosal administration of 2E10 VP on Day 28.

24 subjects. A mucosal administration of 2E10 VP of Ad5-nCoV on Day 0 and Day 28.

24 subjects. A mucosal administration of 1E10 VP of Ad5-nCoV on day 0 and Day 28.

24 subjects. An intramuscular administration of 5E10 VP of Ad5-nCoV on day 0.

24 subjects. Two intramuscular administrations of 5E10 VP of Ad5-nCoV at left and right arms on day 0.

Outcomes

Primary Outcome Measures

Incidence of the AE in all groups
The occurrence of AE in all groups within 0-7 days after each vaccination;
Seroconversion rate of the IgG antibody against SARS-CoV-2
Seroconversion rate the IgG antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Geomean titers of the IgG antibody against SARS-CoV-2
Geomean titers of the IgG antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Seroconversion rate of the neutralizing antibody against SARS-CoV-2
Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Geomean titers of the neutralizing antibody against SARS-CoV-2
Geomean titers of the neutralizing antibody against SARS-CoV-2 measured on Day 28 after last vaccination

Secondary Outcome Measures

Incidence of the AE in all groups
The occurrence of AE in all groups within 0-30 minutes and 0-28 days after each vaccination.
Incidence of Serious adverse events (SAE) in all groups
The occurrence of Serious adverse events (SAE) in all groups within 6 months after the final vaccination.
Geomean titers of the IgG antibody against SARS-CoV-2
Geomean titers of the IgG antibody against SARS-CoV-2 measured on Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Seroconversion rate of the IgG antibody against SARS-CoV-2
Seroconversion rate of the IgG antibody against SARS-CoV-2 measured on Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Geomean titers of the neutralizing antibody against SARS-CoV-2
Geomean titers of the neutralizing antibody against SARS-CoV-2 measured on Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Seroconversion rate of the neutralizing antibody against SARS-CoV-2
Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 0, Day14, Day 28 or Day 56 after first vaccination and on day 14, day 28 and day168 after last vaccination.
Cellular immune response by ELISpot
The positive rate of IFN-γ stimulated by S protein overlapping peptide library detected by ELISpot on Day 0 and Day 14 after each vaccination
Geomean titers of neutralizing antibody response to Ad5-vector
Geomean titers of neutralizing antibody response to Ad5-vector on Day 0, 14 and 28 after each vaccination.
Cellular immune response by ICS
The positive rate of the specific cytokines expressed by CD4+ and CD8+ T lymphocytes stimulated by S protein overlapping peptide library detected by intracellular cytokine staining on Day 0 and Day 14 after each vaccination
Geomean titers of the IgA antibody against SARS-CoV-2
Geomean titers of the IgA antibody against SARS-CoV-2 on Day 0, 14 and 28 after each vaccination.

Full Information

First Posted
September 15, 2020
Last Updated
May 22, 2023
Sponsor
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China
Collaborators
Zhongnan Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04552366
Brief Title
A Clinical Trial of a Recombinant Adenovirus 5 Vectored COVID-19 Vaccine (Ad5-nCoV) With Two Doses in Healthy Adults
Official Title
A Clinical Trial to Evaluate the Safety and Immunogenicity of a Recombinant Adenovirus 5 Vectored COVID-19 Vaccine (Ad5-nCoV) With Two Doses in Healthy Adults Aged 18 Years and Older
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
September 29, 2020 (Actual)
Primary Completion Date
December 31, 2020 (Actual)
Study Completion Date
April 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China
Collaborators
Zhongnan Hospital

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 clinical trial to evaluate the safety and immunogenicity of a recombinant adenovirus 5 vectored COVID-19 vaccine (Ad5-nCoV) with two doses and with different adminstration routes in healthy adults aged 18 years and older.
Detailed Description
A total of 168 healthy adult volunteers will be vaccinated in this clinical trial according to open, partly randomized design from the healthy adults aged 18 years and older. The safety and immunogenicity of intramuscular vaccination and mucosal vaccination of two doses of Ad5-nCoV in different administration schedules will be evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19 vaccine, Ad5-nCoV

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
149 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A: Intramuscular administration
Arm Type
Experimental
Arm Description
24 subjects. 5E10 VP of Ad5-nCoV on Day 0 and on Day 56.
Arm Title
Group B: Mixed administration
Arm Type
Experimental
Arm Description
24 subjects. An intramuscular administration of 5E10 VP of Ad5-nCoV on day 0 and a mucosal administration of 2E10 VP on Day 28.
Arm Title
Group C: Mucosal administration, high dose
Arm Type
Experimental
Arm Description
24 subjects. A mucosal administration of 2E10 VP of Ad5-nCoV on Day 0 and Day 28.
Arm Title
Group D: Mucosal administration, low dose
Arm Type
Experimental
Arm Description
24 subjects. A mucosal administration of 1E10 VP of Ad5-nCoV on day 0 and Day 28.
Arm Title
Group E: Intramuscular administration, one dose
Arm Type
Active Comparator
Arm Description
24 subjects. An intramuscular administration of 5E10 VP of Ad5-nCoV on day 0.
Arm Title
Group F: Intramuscular administration, two doses
Arm Type
Experimental
Arm Description
24 subjects. Two intramuscular administrations of 5E10 VP of Ad5-nCoV at left and right arms on day 0.
Intervention Type
Biological
Intervention Name(s)
Ad5-nCoV
Intervention Description
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Primary Outcome Measure Information:
Title
Incidence of the AE in all groups
Description
The occurrence of AE in all groups within 0-7 days after each vaccination;
Time Frame
0-7 days after each vaccination
Title
Seroconversion rate of the IgG antibody against SARS-CoV-2
Description
Seroconversion rate the IgG antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Time Frame
Day 28 after last vaccination
Title
Geomean titers of the IgG antibody against SARS-CoV-2
Description
Geomean titers of the IgG antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Time Frame
Day 28 after last vaccination
Title
Seroconversion rate of the neutralizing antibody against SARS-CoV-2
Description
Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Time Frame
Day 28 after last vaccination
Title
Geomean titers of the neutralizing antibody against SARS-CoV-2
Description
Geomean titers of the neutralizing antibody against SARS-CoV-2 measured on Day 28 after last vaccination
Time Frame
Day 28 after last vaccination
Secondary Outcome Measure Information:
Title
Incidence of the AE in all groups
Description
The occurrence of AE in all groups within 0-30 minutes and 0-28 days after each vaccination.
Time Frame
0-30 minutes, 0-28 days after each vaccination
Title
Incidence of Serious adverse events (SAE) in all groups
Description
The occurrence of Serious adverse events (SAE) in all groups within 6 months after the final vaccination.
Time Frame
6 months after the final vaccination
Title
Geomean titers of the IgG antibody against SARS-CoV-2
Description
Geomean titers of the IgG antibody against SARS-CoV-2 measured on Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Time Frame
Day 0, 14, 28 and 56 after first vaccination and Day 14 and Day168 after last vaccination.
Title
Seroconversion rate of the IgG antibody against SARS-CoV-2
Description
Seroconversion rate of the IgG antibody against SARS-CoV-2 measured on Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Time Frame
Day 0, 14, 28 and 56 after first vaccination and Day 14 and Day168 after last vaccination.
Title
Geomean titers of the neutralizing antibody against SARS-CoV-2
Description
Geomean titers of the neutralizing antibody against SARS-CoV-2 measured on Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Time Frame
Day 0, 14, 28 and 56 after first vaccination and Day 14 and Day168 after last vaccination.
Title
Seroconversion rate of the neutralizing antibody against SARS-CoV-2
Description
Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 0, Day14, Day 28 or Day 56 after first vaccination and on day 14, day 28 and day168 after last vaccination.
Time Frame
Day 0, 14, 28 and 56 after first vaccination and on Day 14 and Day168 after last vaccination.
Title
Cellular immune response by ELISpot
Description
The positive rate of IFN-γ stimulated by S protein overlapping peptide library detected by ELISpot on Day 0 and Day 14 after each vaccination
Time Frame
Day 0 and Day 14 after each vaccination
Title
Geomean titers of neutralizing antibody response to Ad5-vector
Description
Geomean titers of neutralizing antibody response to Ad5-vector on Day 0, 14 and 28 after each vaccination.
Time Frame
Day 0, 14 and 28 after each vaccination.
Title
Cellular immune response by ICS
Description
The positive rate of the specific cytokines expressed by CD4+ and CD8+ T lymphocytes stimulated by S protein overlapping peptide library detected by intracellular cytokine staining on Day 0 and Day 14 after each vaccination
Time Frame
Day 0 and Day 14 after each vaccination
Title
Geomean titers of the IgA antibody against SARS-CoV-2
Description
Geomean titers of the IgA antibody against SARS-CoV-2 on Day 0, 14 and 28 after each vaccination.
Time Frame
Day 0, 14 and 28 after each vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged 18 years and older; Able to provide consent to participate in and having signed an Informed Consent Form (ICF); Able and willing to complete all the scheduled study procedures during the whole study follow-up period (about 6-8 months, depending on group); Negative result of HIV screening; Axillary temperature ≤37.0°C. Negative IgG and IgM antibodies against COVID-19; Good general health status, as determined by history and physical examination. Exclusion Criteria for the first vaccination: Hematological examination is abnormal, or clinically significant as assessed by the study investigator (including white blood cell count, lymphocyte count, neutrophil count, eosinophil count, platelet, hemoglobin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, blood glucose and creatinine); With oral ulcers, throat swelling and other oral diseases. With symptoms of upper respiratory tract infection. Personal history of seizure disorder, encephalopathy or psychosis; Allergic history to any vaccine, or allergic to any ingredient of the Ad5-nCoV; Any acute febrile disease or active infectious disease on the day of vaccination; History of SARS or COVID-19; History of COVID-19 candidate vaccine administration; History of chronic obstructive pulmonary disease (COPD). Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension not controlled with medication; Serious chronic disease or in the advanced stage that cannot be controlled well, such as asthma, diabetes and thyroid disease, etc.; Congenital or acquired angioedema; Suffered from urticaria within 1 year before receiving the trial vaccine. Asplenia or functional asplenia; Platelet disorder or other bleeding disorder that may cause intramuscular injection contraindication; Faint with needles in intramuscular administration group; Immunosuppressive medication, anti-allergic, cytotoxic therapy, inhaled corticosteroids (excluding surface corticosteroid therapy for acute non-complicated dermatitis) in the last 6 months; Prior administration of blood products in last 4 months; Other vaccination(s) or investigational drugs within 1 month before study onset; Prior administration of live attenuated vaccine within 1 month before study onset; Prior administration of subunit or inactivated vaccine within 14 days before study onset; Current anti-tuberculosis therapy; Woman is pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the next 8 months; Any condition that in the opinion of the investigators may interfere with the participants' compliance or evaluation of study objectives or informed consent (i.e. medical, psychological, social or other conditions, etc.). Exclusion Criteria for the second vaccination: Severe allergic reaction after the first dose of vaccination; Severe adverse reactions causally related to the first vaccination; For those newly discovered or newly occured after the first vaccination that does not meet the first-dose selection criteria or meets the first-dose exclusion criteria, the investigator will determine whether to continue participating in the study; Other reasons for exclusion as deemed by the investigator.
Facility Information:
Facility Name
Zhongnan Hospital
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430071
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34324836
Citation
Wu S, Huang J, Zhang Z, Wu J, Zhang J, Hu H, Zhu T, Zhang J, Luo L, Fan P, Wang B, Chen C, Chen Y, Song X, Wang Y, Si W, Sun T, Wang X, Hou L, Chen W. Safety, tolerability, and immunogenicity of an aerosolised adenovirus type-5 vector-based COVID-19 vaccine (Ad5-nCoV) in adults: preliminary report of an open-label and randomised phase 1 clinical trial. Lancet Infect Dis. 2021 Dec;21(12):1654-1664. doi: 10.1016/S1473-3099(21)00396-0. Epub 2021 Jul 26.
Results Reference
derived

Learn more about this trial

A Clinical Trial of a Recombinant Adenovirus 5 Vectored COVID-19 Vaccine (Ad5-nCoV) With Two Doses in Healthy Adults

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