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Clinical Trial to Assess Safety and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Сov-2) Infection

Primary Purpose

COVID-19 Prevention

Status
Unknown status
Phase
Phase 2
Locations
India
Study Type
Interventional
Intervention
Gam-COVID-Vac
Placebo
Sponsored by
Dr. Reddy's Laboratories Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Prevention focused on measuring Sputnik, Gamaleya

Eligibility Criteria

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

Inclusion Criteria:

  1. Written informed consent of a subject to participate in the trial
  2. Males and females aged 18+ years
  3. Negative human immunodeficiency virus (HIV 1 & 2) and hepatitis B and C test results
  4. Negative immunoglobulin M (IgM) and immunoglobulin G (IgG) SARS-CoV-2 antibodies through enzyme immunoassay test result
  5. Negative COVID-2019 Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) test result at the screening visit (72 hours prior to Visit 1 [Day 1])
  6. No COVID-2019 in the medical history
  7. History of no contact with COVID-2019 persons within at least 14 days before the enrolment (according to subjects)
  8. Consent for using effective methods of contraception during the entire trial 1
  9. Negative urine pregnancy test at the screening visit (for child-bearing age women)
  10. No evident vaccine-induced reactions or complications after receiving immunobiological products in the medical history
  11. No acute infectious and/or respiratory diseases within at least 14 days before the enrolment.

Exclusion Criteria:

  1. Any vaccination/immunization within 30 days before the enrolment
  2. Steroids (except hormonal contraceptives) and immunoglobulins or other blood products therapy not finished 30 days before the enrolment
  3. Immunosuppressors therapy finished within 3 months before the enrolment
  4. Pregnancy or breast-feeding
  5. Acute coronary syndrome or stroke suffered less than one year before the enrolment
  6. Tuberculosis, chronic systemic infections
  7. Drug allergy (anaphylactic shock, Quincke edema, polymorphic exudative eczema, atopy, serum disease),hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study product components, acute exacerbation of allergic diseases on the enrolment day
  8. Subjects who are on drugs that could have potential drug interactions with adenovirus vaccine
  9. Medical history of malignancy
  10. Donated blood or plasma (450+ mL) within 2 months before the enrolment
  11. Splenectomy in the medical history
  12. Neutropenia (absolute neutrophil count less than 1,000 mm3), agranulocytosis, significant blood loss,severe anaemia (haemoglobin less than 80 g/L), immunodeficiency including autoimmune disorders in the medical history within 6 months before the enrolment
  13. Active form of a disease caused by the HIV and hepatitis B or C
  14. Anorexia, protein deficiency of any origin
  15. Tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the IMP or placebo administration
  16. Alcohol or drug addiction in the medical history.
  17. Participation in any other interventional clinical trial within 1 month prior to the Screening
  18. Any other medical condition that would limit the participation of the subject as per Investigator discretion
  19. Study centre staff or other employees directly involved in the trial and their families
  20. Subjects contraindicated for vaccination

Sites / Locations

  • S N Medical College
  • MGM Medical College and Hospital
  • KLE Prabhakar Kore Hospital
  • Apollo Hospital
  • Batra Hospital
  • HIMSR with CHRD-SAS
  • ESIC Medical College & Hospital
  • AIG hospital
  • Maharaja Agrasen Superspecialty Hospital
  • GSVM Medical College
  • Peerless Hospital
  • Atharva Hospital
  • St. George's Hospital
  • JSS Hospital
  • INCLEN trust and Gurunanak Hospital
  • PIMS
  • BJ Sassoon Hospital
  • KEM Hospital
  • Noble Hospital Private Limited
  • BAPS hospital
  • Rhythm Heart Institute
  • Sumandeep Vidyapeeth
  • Christian Medical College

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Primary Group

Control Group

Arm Description

Gam-COVID-Vac combined vector vaccine, 0.5 ml/dose + 0.5 ml/dose prime-boost immunization on day 1 (component I rAd26-S) and on day 21 (component II rAd5-S)

Placebo, 0.5 ml/dose + 0.5 ml/dose immunization on days 1 and 21

Outcomes

Primary Outcome Measures

Adverse Events
For Phase II study - - Incidence & severity of adverse events (AEs) after first dose of IMP/Placebo For Phase III study - - Incidence of related serious adverse events (SAEs) following vaccination during the study
Immunogenicity
For Phase II study - - Seroconversion rate of SARS-CoV-2 glycoprotein-specific antibodies in immunogenicity group
Immunogenicity
For Phase III study - Geometric mean titre ratio of SARS-CoV-2 glycoprotein-specific antibodies between IMP and placebo in immunogenicity group

Secondary Outcome Measures

Adverse Events
Incidence and severity of adverse events after injecting the first dose of the IMP/placebo Incidence of SAE following vaccination
Immunogenicity assessment
Seroconversion rate of SARS-CoV-2 glycoprotein-specific antibodies in immunogenicity group Seroconversion rate of SARS-CoV-2 virus-neutralizing antibodies in immunogenicity group
Immunogenicity assessment
Geometric mean virus-neutralizing antibodies titre in immunogenicity group
Immunogenicity assessment
Interferon gamma concentration in T-cells after restimulation with the SARS-CoV-2 glycoprotein in cell mediated immunogenicity group
Immunogenicity assessment
The number of proliferating cluster of differentiation 4 (CD4) cell and cluster of differentiation 8 (CD8) cells in response to mitogen stimulation in cell mediated immunogenicity group
Percentage of subjects with mild, moderate, severe coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose of the vaccine/placebo
Comparing percentage of subjects developing COVID-19 disease between Gam-COVID-Vac combined vector vaccine and placebo based on severity course
Incidence of coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose in trial subjects
Comparing incidence of COVID-19 disease between Gam-COVID-Vac combined vector vaccine and placebo

Full Information

First Posted
November 17, 2020
Last Updated
May 31, 2021
Sponsor
Dr. Reddy's Laboratories Limited
Collaborators
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation, Russian Direct Investment Fund, CRO: JSS Medical Research India Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04640233
Brief Title
Clinical Trial to Assess Safety and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Сov-2) Infection
Official Title
Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase II/III Adaptive Clinical Trial to Assess the Safety and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine for SARS-Сov-2 Infection in Indian Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Unknown status
Study Start Date
November 30, 2020 (Actual)
Primary Completion Date
August 2021 (Anticipated)
Study Completion Date
September 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Reddy's Laboratories Limited
Collaborators
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation, Russian Direct Investment Fund, CRO: JSS Medical Research India Pvt. 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
Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Centre Phase II/III Adaptive Clinical Trial to Assess the Safety and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine for SARS-Сov-2 Infection in Indian Healthy Subjects.
Detailed Description
Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Centre Phase II/III Adaptive Clinical Trial to Assess the Safety and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine for SARS-Сov-2 Infection in Indian Healthy Subjects. In phase II trial, 100 subjects of immunogenicity group will be enrolled in 3:1 (Test:Placebo) ratio. These 100 subjects will be assessed for safety and immunogenicity outcomes till Day 28 post the first dose of investigational medicinal product (IMP)/placebo administration and will continue with study assessments till Day 180. Safety and immunogenicity data collected till Day 28 will be submitted to the regulatory authority for recommendation to proceed with Phase III recruitment. In Phase III trial, 1500 subjects will be enrolled and randomized in the ratio of 3:1 (Gam-COVID--Vac : Placebo). Each subject will participate in this adaptive study phase II/III clinical trial for 180±14 days after the first dose of the IMP/placebo and will have one screening visit and seven on-site visits during the trial period. The IMP/placebo will be administered intramuscularly during vaccination Visits 1 and 3 (Day 1 and Day 21±2). The observation Visits 2, 4, 5, 6, and 7 will be made on Day 19±2, Day 28±2, Day 42±2, Day 90±7, and Day 180±14, respectively. During the observation visits, vital indicators will be assessed in all subjects and changes in the subjects' condition and well being compared to the previous visit will be recorded. The schedule of examination procedures is mentioned in the Schedule of Event tables. Additionally, the subjects will be able to have remote consultations with the study physician through the weekly telephonic follow-up. Blood samples will be taken from immunogenicity group of phase II (all 100) and phase III (284 out of 1500) trials during the following visits to assess the immunogenicity parameters.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Prevention
Keywords
Sputnik, Gamaleya

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1600 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Primary Group
Arm Type
Experimental
Arm Description
Gam-COVID-Vac combined vector vaccine, 0.5 ml/dose + 0.5 ml/dose prime-boost immunization on day 1 (component I rAd26-S) and on day 21 (component II rAd5-S)
Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
Placebo, 0.5 ml/dose + 0.5 ml/dose immunization on days 1 and 21
Intervention Type
Biological
Intervention Name(s)
Gam-COVID-Vac
Intervention Description
Vaccine for intramuscular injection
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo comparator
Primary Outcome Measure Information:
Title
Adverse Events
Description
For Phase II study - - Incidence & severity of adverse events (AEs) after first dose of IMP/Placebo For Phase III study - - Incidence of related serious adverse events (SAEs) following vaccination during the study
Time Frame
For Phase II study - at Day 28; For Phase III study - till day 180 after first dose
Title
Immunogenicity
Description
For Phase II study - - Seroconversion rate of SARS-CoV-2 glycoprotein-specific antibodies in immunogenicity group
Time Frame
For Phase II study - Day 28 after first dose
Title
Immunogenicity
Description
For Phase III study - Geometric mean titre ratio of SARS-CoV-2 glycoprotein-specific antibodies between IMP and placebo in immunogenicity group
Time Frame
For Phase III study - Day 42 after first dose
Secondary Outcome Measure Information:
Title
Adverse Events
Description
Incidence and severity of adverse events after injecting the first dose of the IMP/placebo Incidence of SAE following vaccination
Time Frame
Baseline to Day 180
Title
Immunogenicity assessment
Description
Seroconversion rate of SARS-CoV-2 glycoprotein-specific antibodies in immunogenicity group Seroconversion rate of SARS-CoV-2 virus-neutralizing antibodies in immunogenicity group
Time Frame
Baseline, Day 21, Day 28, Day 42, Day 90, and Day 180
Title
Immunogenicity assessment
Description
Geometric mean virus-neutralizing antibodies titre in immunogenicity group
Time Frame
Baseline, Day 21, Day 28, Day 42, Day 90, and Day 180
Title
Immunogenicity assessment
Description
Interferon gamma concentration in T-cells after restimulation with the SARS-CoV-2 glycoprotein in cell mediated immunogenicity group
Time Frame
Baseline, Day 28, Day 42, Day 90 and Day 180
Title
Immunogenicity assessment
Description
The number of proliferating cluster of differentiation 4 (CD4) cell and cluster of differentiation 8 (CD8) cells in response to mitogen stimulation in cell mediated immunogenicity group
Time Frame
Baseline, Day 28, Day 42, Day 90 and Day 180
Title
Percentage of subjects with mild, moderate, severe coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose of the vaccine/placebo
Description
Comparing percentage of subjects developing COVID-19 disease between Gam-COVID-Vac combined vector vaccine and placebo based on severity course
Time Frame
Baseline to Day 180
Title
Incidence of coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose in trial subjects
Description
Comparing incidence of COVID-19 disease between Gam-COVID-Vac combined vector vaccine and placebo
Time Frame
Baseline to Day 180

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Written informed consent of a subject to participate in the trial Males and females aged 18+ years Negative human immunodeficiency virus (HIV 1 & 2) and hepatitis B and C test results Negative immunoglobulin M (IgM) and immunoglobulin G (IgG) SARS-CoV-2 antibodies through enzyme immunoassay test result Negative COVID-2019 Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) test result at the screening visit (72 hours prior to Visit 1 [Day 1]) No COVID-2019 in the medical history History of no contact with COVID-2019 persons within at least 14 days before the enrolment (according to subjects) Consent for using effective methods of contraception during the entire trial 1 Negative urine pregnancy test at the screening visit (for child-bearing age women) No evident vaccine-induced reactions or complications after receiving immunobiological products in the medical history No acute infectious and/or respiratory diseases within at least 14 days before the enrolment. Exclusion Criteria: Any vaccination/immunization within 30 days before the enrolment Steroids (except hormonal contraceptives) and immunoglobulins or other blood products therapy not finished 30 days before the enrolment Immunosuppressors therapy finished within 3 months before the enrolment Pregnancy or breast-feeding Acute coronary syndrome or stroke suffered less than one year before the enrolment Tuberculosis, chronic systemic infections Drug allergy (anaphylactic shock, Quincke edema, polymorphic exudative eczema, atopy, serum disease),hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study product components, acute exacerbation of allergic diseases on the enrolment day Subjects who are on drugs that could have potential drug interactions with adenovirus vaccine Medical history of malignancy Donated blood or plasma (450+ mL) within 2 months before the enrolment Splenectomy in the medical history Neutropenia (absolute neutrophil count less than 1,000 mm3), agranulocytosis, significant blood loss,severe anaemia (haemoglobin less than 80 g/L), immunodeficiency including autoimmune disorders in the medical history within 6 months before the enrolment Active form of a disease caused by the HIV and hepatitis B or C Anorexia, protein deficiency of any origin Tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the IMP or placebo administration Alcohol or drug addiction in the medical history. Participation in any other interventional clinical trial within 1 month prior to the Screening Any other medical condition that would limit the participation of the subject as per Investigator discretion Study centre staff or other employees directly involved in the trial and their families Subjects contraindicated for vaccination
Facility Information:
Facility Name
S N Medical College
City
Agra
Country
India
Facility Name
MGM Medical College and Hospital
City
Aurangabad
Country
India
Facility Name
KLE Prabhakar Kore Hospital
City
Belgaum
Country
India
Facility Name
Apollo Hospital
City
Delhi
Country
India
Facility Name
Batra Hospital
City
Delhi
Country
India
Facility Name
HIMSR with CHRD-SAS
City
Delhi
Country
India
Facility Name
ESIC Medical College & Hospital
City
Faridabad
Country
India
Facility Name
AIG hospital
City
Hyderabad
Country
India
Facility Name
Maharaja Agrasen Superspecialty Hospital
City
Jaipur
Country
India
Facility Name
GSVM Medical College
City
Kanpur
Country
India
Facility Name
Peerless Hospital
City
Kolkata
Country
India
Facility Name
Atharva Hospital
City
Lucknow
Country
India
Facility Name
St. George's Hospital
City
Mumbai
Country
India
Facility Name
JSS Hospital
City
Mysore
Country
India
Facility Name
INCLEN trust and Gurunanak Hospital
City
Palwal
Country
India
Facility Name
PIMS
City
Puducherry
Country
India
Facility Name
BJ Sassoon Hospital
City
Pune
Country
India
Facility Name
KEM Hospital
City
Pune
Country
India
Facility Name
Noble Hospital Private Limited
City
Pune
Country
India
Facility Name
BAPS hospital
City
Sūrat
Country
India
Facility Name
Rhythm Heart Institute
City
Vadodara
Country
India
Facility Name
Sumandeep Vidyapeeth
City
Vadodara
Country
India
Facility Name
Christian Medical College
City
Vellore
Country
India

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Trial to Assess Safety and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Сov-2) Infection

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