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Safety and Immunogenicity of COVI-VAC, a Live Attenuated Vaccine Against COVID-19

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
COVI-VAC
Placebo
Sponsored by
Codagenix, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring live attenuated, live attenuated vaccine, SARS-CoV-2, COVID-19

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who meet all of the following criteria may be included in the study:

    1. Men and women aged between 18 to 30 years of age, inclusive, on the day of signing the informed consent form (ICF)
    2. In good health with no history, or current evidence, of clinically significant medical conditions with particular reference to, but not restricted to, hypertension, diabetes, thromboembolic disorders, coronary heart disease, chronic obstructive lung disease, and no clinically significant test abnormalities that will interfere with subject safety, as defined by medical history, physical examination, vital signs (including oxygen saturation), ECG, spirometry, and safety laboratory tests as determined by the Investigator
    3. Total body weight of greater or equal to 50 kg and body mass index (BMI) greater or equal to 18.0 kg/m2 and less than or equal to 28.0 kg/m2 (the upper limit of the BMI may be increased to less than or equal to 30 kg/m2 at the Investigator's discretion in case of a muscular healthy subject for whom BMI may be biased upwards)
    4. Negative drugs of abuse, cotinine, and alcohol screen (unless explained by prescribed medication)
    5. Negative pregnancy test for women who have not been surgically sterilised
    6. Negative COVID Clear test

Exclusion Criteria:

Subjects who meet any of the following criteria will be excluded from the study:

  1. Haemoglobin A1c ≥6.0% or 42 mmol/mol
  2. Forced expiratory volume in 1 second (FEV1) less than 80% predicted value
  3. Signs or symptoms suggestive of upper or lower respiratory tract infection (including fever or persistent cough) within 28 days of Day 1
  4. Pregnant, possibly pregnant, or lactating women
  5. Women who have been pregnant through the third trimester or given birth within the past 6 months
  6. Planning a pregnancy (subject or partner) within 90 days after the last IMP dose
  7. Inadequate venous access for repeated phlebotomy
  8. History of confirmed or suspected SARS-CoV-2 infection
  9. Contact with any individual subsequently confirmed to have SARS-CoV-2 within 14 days after contact
  10. History of wheeze treated with inhaler(s)
  11. Respiratory symptoms, including wheeze, that have ever resulted in hospitalisation
  12. Known bronchial hyperreactivity to viruses
  13. Any significant abnormality altering the anatomy of the nose in a substantial way or nasopharynx that may interfere with the aims of the study and in particular any of the nasal assessments or viral challenge (historical nasal polyps can be included, but large nasal polyps causing current and significant symptoms and/or requiring regular treatments in the last month are excluded)

Sites / Locations

  • hVIVO

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Saline

Low dose cohort 1

Medium dose cohort 1

High dose cohort 1

Low dose cohort 2

Medium dose cohort 2

High dose cohort 2

Arm Description

Normal saline

COVI-VAC, single dose

COVI-VAC, single dose

COVI-VAC, single dose

COVI-VAC, two doses 28 days apart

COVI-VAC, two doses 28 days apart

COVI-VAC, two doses 28 days apart

Outcomes

Primary Outcome Measures

Reactogenicity
Percentage of subjects with reactogenicity events
Adverse events
Percentage of subjects with adverse events
Serious adverse events
Percentage of subjects with serious adverse events

Secondary Outcome Measures

IgG titre
IgG titre measured by ELISA in serum collected on Days 1, 15, 29, 43, 57, 120, 210, and 400
Neutralizing antibody titre
Neutralising antibody level measured by microneutralisation assay in serum

Full Information

First Posted
November 5, 2020
Last Updated
June 24, 2022
Sponsor
Codagenix, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04619628
Brief Title
Safety and Immunogenicity of COVI-VAC, a Live Attenuated Vaccine Against COVID-19
Official Title
First-in-human, Randomised, Double-blind, Placebo-controlled, Dose-escalation Study in Healthy Young Adults Evaluating the Safety and Immunogenicity of COVI-VAC, a Live Attenuated Vaccine Candidate for Prevention of COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
December 11, 2020 (Actual)
Primary Completion Date
June 26, 2021 (Actual)
Study Completion Date
May 30, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Codagenix, Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is the first study of COVI-VAC in humans. The purpose of the study is to evaluate the safety and immune response of COVI-VAC (a live attenuated vaccine to prevent COVID-19) in healthy adults aged 18 to 30 years. Approximately 48 participants will be enrolled into 1 of 3 dose groups (low, medium, high). Within each of these dose groups, participants will be assigned randomly to receive either 2 doses of COVI-VAC 28 days apart, 2 doses of placebo (saline), or 1 dose of COVI-VAC and 1 dose of placebo. COVI-VAC or placebo is administered by drops into each nostril. Neither the participants nor the researchers will know whether COVI-VAC or placebo has been received. To assess the safety of the vaccine, each participant will record symptoms and oral temperature in a diary daily for 14 days after each dose. Safety laboratory tests, physical exams, ECGs, and a chest X-ray will also be performed, and peak expiratory flow and vital signs will be measured. Adverse events and medication use will be recorded. Blood samples and intranasal samples will be collected to assess the immune response from the vaccine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
live attenuated, live attenuated vaccine, SARS-CoV-2, COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Saline
Arm Type
Placebo Comparator
Arm Description
Normal saline
Arm Title
Low dose cohort 1
Arm Type
Experimental
Arm Description
COVI-VAC, single dose
Arm Title
Medium dose cohort 1
Arm Type
Experimental
Arm Description
COVI-VAC, single dose
Arm Title
High dose cohort 1
Arm Type
Experimental
Arm Description
COVI-VAC, single dose
Arm Title
Low dose cohort 2
Arm Type
Experimental
Arm Description
COVI-VAC, two doses 28 days apart
Arm Title
Medium dose cohort 2
Arm Type
Experimental
Arm Description
COVI-VAC, two doses 28 days apart
Arm Title
High dose cohort 2
Arm Type
Experimental
Arm Description
COVI-VAC, two doses 28 days apart
Intervention Type
Biological
Intervention Name(s)
COVI-VAC
Intervention Description
intranasal, live attenuated vaccine against SARS-CoV-2
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
normal saline
Primary Outcome Measure Information:
Title
Reactogenicity
Description
Percentage of subjects with reactogenicity events
Time Frame
14 days after each dose
Title
Adverse events
Description
Percentage of subjects with adverse events
Time Frame
Days 1 through 57
Title
Serious adverse events
Description
Percentage of subjects with serious adverse events
Time Frame
Days 1-400
Secondary Outcome Measure Information:
Title
IgG titre
Description
IgG titre measured by ELISA in serum collected on Days 1, 15, 29, 43, 57, 120, 210, and 400
Time Frame
Days 1, 15, 29, 43, 57, 120, 210, and 400
Title
Neutralizing antibody titre
Description
Neutralising antibody level measured by microneutralisation assay in serum
Time Frame
Days 1, 15, 29, 43, 57, 120, 210, and 400

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who meet all of the following criteria may be included in the study: Men and women aged between 18 to 30 years of age, inclusive, on the day of signing the informed consent form (ICF) In good health with no history, or current evidence, of clinically significant medical conditions with particular reference to, but not restricted to, hypertension, diabetes, thromboembolic disorders, coronary heart disease, chronic obstructive lung disease, and no clinically significant test abnormalities that will interfere with subject safety, as defined by medical history, physical examination, vital signs (including oxygen saturation), ECG, spirometry, and safety laboratory tests as determined by the Investigator Total body weight of greater or equal to 50 kg and body mass index (BMI) greater or equal to 18.0 kg/m2 and less than or equal to 28.0 kg/m2 (the upper limit of the BMI may be increased to less than or equal to 30 kg/m2 at the Investigator's discretion in case of a muscular healthy subject for whom BMI may be biased upwards) Negative drugs of abuse, cotinine, and alcohol screen (unless explained by prescribed medication) Negative pregnancy test for women who have not been surgically sterilised Negative COVID Clear test Exclusion Criteria: Subjects who meet any of the following criteria will be excluded from the study: Haemoglobin A1c ≥6.0% or 42 mmol/mol Forced expiratory volume in 1 second (FEV1) less than 80% predicted value Signs or symptoms suggestive of upper or lower respiratory tract infection (including fever or persistent cough) within 28 days of Day 1 Pregnant, possibly pregnant, or lactating women Women who have been pregnant through the third trimester or given birth within the past 6 months Planning a pregnancy (subject or partner) within 90 days after the last IMP dose Inadequate venous access for repeated phlebotomy History of confirmed or suspected SARS-CoV-2 infection Contact with any individual subsequently confirmed to have SARS-CoV-2 within 14 days after contact History of wheeze treated with inhaler(s) Respiratory symptoms, including wheeze, that have ever resulted in hospitalisation Known bronchial hyperreactivity to viruses Any significant abnormality altering the anatomy of the nose in a substantial way or nasopharynx that may interfere with the aims of the study and in particular any of the nasal assessments or viral challenge (historical nasal polyps can be included, but large nasal polyps causing current and significant symptoms and/or requiring regular treatments in the last month are excluded)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daryl Bendel, MD
Organizational Affiliation
Hvivo
Official's Role
Principal Investigator
Facility Information:
Facility Name
hVIVO
City
London
ZIP/Postal Code
E1 2AX
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Immunogenicity of COVI-VAC, a Live Attenuated Vaccine Against COVID-19

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