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Clinical Trial of the Immunogenicity, Safety, and Efficacy of the Gam-COVID-Vac Vaccine Against COVID-19 in Venezuela (VENEZUELA)

Primary Purpose

Covid19

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Gam-COVID-Vac
Placebo
Sponsored by
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring vaccine, COVID-19, adenoviral vector, SARS-CoV-2, Ad26, Ad5, Heterologous prime-boost vaccination

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+
  3. Negative HIV, hepatitis, and syphilis test results
  4. A negative test result for the presence of IgM and IgG antibodies to SARS CoV2 by enzyme immunoassay
  5. A negative test result for COVID-2019 by PCR at screening visit
  6. No COVID-2019 in the medical history
  7. No contact with COVID-2019 persons within at least 14 days before the enrollment (according to trial subjects)
  8. Consent to use effective contraception methods during the trial
  9. Negative urine pregnancy test at the screening visit (for child-bearing age women)
  10. Negative drugs or psychostimulants urine test at the screening visit
  11. Negative alcohol test at the screening visit
  12. No evident vaccine-induced reactions or complications after receiving immunobiological products in the medical history
  13. No acute infectious and/or respiratory diseases within at least 14 days before the enrollment.

Exclusion Criteria:

  1. Any vaccination/immunization within 30 days before the enrollment;
  2. Steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment.
  3. Immunosuppressors therapy finished within 3 months before the enrollment
  4. Pregnancy or breast-feeding
  5. Acute coronary syndrome or stroke suffered less than one year before the enrollment
  6. Tuberculosis, chronic systemic infections
  7. Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study drug components, acute exacerbation of allergic diseases on the enrollment day
  8. Neoplasms in the medical history.
  9. Donated blood or plasma (450+ ml) within 2 months before the enrollment
  10. Splenectomy in the medical history
  11. Neutropenia (absolute neutrophil count <1,000 mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the medical history within 6 months before the enrollment
  12. Active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B or C
  13. Anorexia, protein deficiency of any origin
  14. Big-size tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the study drug/placebo administration
  15. Alcohol or drug addiction in the medical history
  16. Participation in any other interventional clinical trial.
  17. Any other condition that the study physician considers as a barrier to the trial completion as per the protocol
  18. Study center staff and other employees directly involved in the trial and their families.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Vaccine Gam-COVID-Vac

    Placebo

    Arm Description

    Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2 infection

    Placebo

    Outcomes

    Primary Outcome Measures

    Seroconversion rate
    Percentage of trial subjects with fourfold or more increase in the titer of SARS-CoV-2 glycoprotein-specific antibodies in 2,000 trial subjects on the drug administration day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose

    Secondary Outcome Measures

    Incidence and severity of adverse events
    Incidence and severity of adverse events in trial subjects within 6 months after injecting the first dose of the study drug/placebo
    Virus-neutralizing antibody levels against the SARS-CoV-2
    Geometric mean virus-neutralizing antibodies titer in 500 trial subjects on the drug administration day before injecting the first dose of the study drug/placebo and 42±2 days after the first dose
    Antibody levels against the SARS-CoV-2 glycoprotein
    Geometric mean titer of the SARS-CoV-2 glycoprotein-specific antibodies in 2,000 trial subjects on the drug administration day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose
    Percentage of trial subjects with coronavirus disease 2019 (COVID-19)
    Percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months, as confirmed with the method of polymerase chain reaction (PCR)

    Full Information

    First Posted
    November 16, 2020
    Last Updated
    November 23, 2020
    Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
    Collaborators
    Ministerio del Poder Popular para la Salud de la República Bolivariana de Venezuela
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04642339
    Brief Title
    Clinical Trial of the Immunogenicity, Safety, and Efficacy of the Gam-COVID-Vac Vaccine Against COVID-19 in Venezuela
    Acronym
    VENEZUELA
    Official Title
    Randomized, Double-blind, Placebo Controlled, Clinical Trial of the Immunogenicity, Safety, and Efficacy of the Gam-COVID-Vac Combined Vector Vaccine in Prophylactic Treatment for SARS-СoV-2 Infection
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 2020 (Anticipated)
    Primary Completion Date
    October 2021 (Anticipated)
    Study Completion Date
    December 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
    Collaborators
    Ministerio del Poder Popular para la Salud de la República Bolivariana de Venezuela

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Randomized, double-blind, placebo controlled clinical trial of immunogenicity, safety and efficacy of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults.
    Detailed Description
    Randomized, double-blind (blinded for trial subject and the study physician), placebo controlled clinical trial in parallel assignment of the immunogenicity, safety, and efficacy of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults. The trial will include 2,000 volunteers over the age of 18. After screening, they will be randomised (3:1) into two groups - a reference group of 500 volunteers who will receive the placebo and a study group of 1,500 volunteers who will receive the combined Gam-COVID-Vac vaccine against SARS-induced coronavirus infection-СoV-2oV-2. The trial subjects will be randomized into five age strata: 18-30, 31-40, 41-50, 51-60 and 60+ years. Each subject will participate in the trial for 180±14 days after the first dose of the study drug/placebo and will have one screening visit and five on-site visits to the study physician during the said period. The study drug/placebo will be administered intramuscularly during vaccination visits 1 and 2 (day 1 and day 21±2). Follow-up visits Nos. 3, 4, 5 will be conducted on days 28±2, 42±2 and 180±14, respectively. Blood samples will be taken from certain subjects during the following visits to assess the immunogenicity parameters on days 1, 42±2 and 180±14. During observation visits, vital indicators will be assessed on all trial subjects and changes in the subjects' condition and well-being will be recorded, observational visits may be remote, using telemedicine (TM) technologies. Additionally, the trial subjects will be able to have remote consultations with the study physician through the TM. Data from trial subjects will be collected through electronic case report forms.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Covid19
    Keywords
    vaccine, COVID-19, adenoviral vector, SARS-CoV-2, Ad26, Ad5, Heterologous prime-boost vaccination

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    2000 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Vaccine Gam-COVID-Vac
    Arm Type
    Experimental
    Arm Description
    Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2 infection
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo
    Intervention Type
    Biological
    Intervention Name(s)
    Gam-COVID-Vac
    Other Intervention Name(s)
    Sputnik V
    Intervention Description
    Gam-COVID-Vac combined vector vaccine, 0,5ml/dose+0,5 ml/dose prime-boost immunization with component I (rAd26-S) and component II (rAd5-S) with 21 days interval
    Intervention Type
    Biological
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo
    Primary Outcome Measure Information:
    Title
    Seroconversion rate
    Description
    Percentage of trial subjects with fourfold or more increase in the titer of SARS-CoV-2 glycoprotein-specific antibodies in 2,000 trial subjects on the drug administration day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose
    Time Frame
    42 day, 180 day
    Secondary Outcome Measure Information:
    Title
    Incidence and severity of adverse events
    Description
    Incidence and severity of adverse events in trial subjects within 6 months after injecting the first dose of the study drug/placebo
    Time Frame
    through the study (till day 180)
    Title
    Virus-neutralizing antibody levels against the SARS-CoV-2
    Description
    Geometric mean virus-neutralizing antibodies titer in 500 trial subjects on the drug administration day before injecting the first dose of the study drug/placebo and 42±2 days after the first dose
    Time Frame
    42 day
    Title
    Antibody levels against the SARS-CoV-2 glycoprotein
    Description
    Geometric mean titer of the SARS-CoV-2 glycoprotein-specific antibodies in 2,000 trial subjects on the drug administration day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose
    Time Frame
    42 day, 180 day
    Title
    Percentage of trial subjects with coronavirus disease 2019 (COVID-19)
    Description
    Percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months, as confirmed with the method of polymerase chain reaction (PCR)
    Time Frame
    through the study (till 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+ Negative HIV, hepatitis, and syphilis test results A negative test result for the presence of IgM and IgG antibodies to SARS CoV2 by enzyme immunoassay A negative test result for COVID-2019 by PCR at screening visit No COVID-2019 in the medical history No contact with COVID-2019 persons within at least 14 days before the enrollment (according to trial subjects) Consent to use effective contraception methods during the trial Negative urine pregnancy test at the screening visit (for child-bearing age women) Negative drugs or psychostimulants urine test at the screening visit Negative alcohol test at the screening visit 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 enrollment. Exclusion Criteria: Any vaccination/immunization within 30 days before the enrollment; Steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment. Immunosuppressors therapy finished within 3 months before the enrollment Pregnancy or breast-feeding Acute coronary syndrome or stroke suffered less than one year before the enrollment Tuberculosis, chronic systemic infections Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study drug components, acute exacerbation of allergic diseases on the enrollment day Neoplasms in the medical history. Donated blood or plasma (450+ ml) within 2 months before the enrollment Splenectomy in the medical history Neutropenia (absolute neutrophil count <1,000 mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the medical history within 6 months before the enrollment Active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B or C Anorexia, protein deficiency of any origin Big-size tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the study drug/placebo administration Alcohol or drug addiction in the medical history Participation in any other interventional clinical trial. Any other condition that the study physician considers as a barrier to the trial completion as per the protocol Study center staff and other employees directly involved in the trial and their families.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Alexis H García Piñero, MD
    Phone
    +582122191711
    Email
    alexisgarcia27@gmail.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Children's Cardiology Hospital "Dr. Gilberto Rodriguez Ochoa"
    Phone
    +582122191711
    Email
    presidencia@espromedbio.gob.ve
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Alexis H García Piñero, MD
    Organizational Affiliation
    Children's Cardiology Hospital "Dr. Gilberto Rodriguez Ochoa"
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Clinical Trial of the Immunogenicity, Safety, and Efficacy of the Gam-COVID-Vac Vaccine Against COVID-19 in Venezuela

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