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The Efficacy, Safety and Immunogenicity Study of Inactivated SARS-CoV-2 Vaccine for Preventing Against COVID-19

Primary Purpose

COVID-19

Status
Unknown status
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Inactivated SARS-CoV-2 Vaccine (Vero cell)
Placebo
Sponsored by
Chinese Academy of Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults aged 18 years and above (including boundary values), both female and male.
  2. Legal identification of the participants shall be provided.
  3. Participants shall understand the content in the Informed Consent Form (ICF) and the vaccine for administration, sign the ICF voluntarily and are capable of using thermometers and rulers, and filling in diary cards and contact cards as per the requirements.
  4. Subject shall be able to communicate well with investigators, understand and comply with the requirements of this study.
  5. Participants with oral temperature ≤ 37.9 ℃.
  6. Female participants of childbearing potential (defined as any female who has experienced menarche and who is NOT surgically sterile [i.e., hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea at least 12 consecutive months]) must agree to be heterosexually inactive OR consistently use any of the following methods of contraception:

    1. Condoms (male or female)
    2. Diaphragm with spermicide
    3. Cervical cap with spermicide
    4. Intrauterine device
    5. Oral or patch contraceptives
    6. Any country regulatory-approved contraceptive method that is designed to protect against pregnancy
    7. Abstinence, as a form of contraception, is acceptable if in line with the participant's lifestyle (other approaches to abstinence are not acceptable).

Exclusion Criteria:

  1. Contraindications to commonly used vaccines;
  2. History of allergy to any vaccines or drug;
  3. Received any vaccine within 1 month before the first dose of vaccination;
  4. Serious diseases required to be excluded, including but not limited to history of diseases in nervous system, cardiovascular system, blood and lymphatic system, immune system, kidney, liver, gastrointestinal tract, respiratory system, metabolism, bones and other systems, and a history of malignant tumors;
  5. Before immunizing the first dose of investigational vaccine, those who developed acute disease within 2 weeks, or had symptoms of fever or upper respiratory tract infection within 7 days;
  6. Those who have a hereditary bleeding tendency or blood coagulation dysfunction, or a history of thrombosis or hemorrhagic disease;
  7. Surgical removal of whole or part of spleen for any reason;
  8. Those who have undergone surgery within 3 months before signing the ICF or those who plan to undergo surgery during or within 3 months after completion of the trial (including plastic surgery, dental and oral surgery);
  9. Those who donated or lost blood (≥400 mL) in the past 3 months, who received blood transfusion or use of blood products, or who plan blood donation during the trial;
  10. Those who received other investigational or unregistered products (drugs, vaccines, biological product or devices) in the past 3 months before signing the ICF, or plan to use them during the study.
  11. Those who received immunosuppressant therapy within 6 months before signing the ICF, such as long-term systemic glucocorticoid treatment (with systemic glucocorticoid therapy for more than 2 consecutive weeks within 6 months, such as prednisone or similar drugs), but local administration is permitted (such as ointment, eye drops, inhalants, or nasal spray). The local administration should not exceed the recommended dose in the package insert or have any signs of systemic exposure;
  12. Participants cannot meet the criteria through the comprehensive physical examination, mainly including:

    • Abnormal vital signs with clinical significance (awakening heart rate <55 beats/min or >100 beats/min, systolic blood pressure ≥140mmHg or diastolic blood pressure ≥90mmHg);
    • Those who tested positive for type 1 or type 2 human immunodeficiency virus (HIV-1/2) antibody, or SARS-CoV-2 nucleic acid;
  13. History of COVID-19;
  14. Participants who have a positive pregnancy test, or are breastfeeding, or planning pregnancy, or plan to donate sperm or eggs within 12 months from the screening period to the whole-course immunization;
  15. Participants who are considered as inappropriate for the trial by investigators.
  16. Suspected or known current alcohol or drug dependency.
  17. Investigator site personnel directly related to this study and/or their immediate families; immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted.

Sites / Locations

  • CEMEC Pesquisa Clinica
  • Hospital Sungai Buloh

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Investigational Vaccine

Placebo

Arm Description

Participants will receive 2 doses of the inactivated SARS-CoV-2 vaccine (Vero cell) according to the immunization schedule of D0, D14.

Participants will receive 2 doses of the placebo according to the immunization schedule of D0, D14.

Outcomes

Primary Outcome Measures

The incidence of COVID-19 cases after two-doses of vaccination
The incidence of the symptomatic and laboratory-confirmed COVID-19 cases starting from Day 14 after the second dose.
The incidence of solicited AEs.
The incidence of solicited AEs at the inoculation site (local) and solicited AEs at the non-inoculation site (systemic) within 7 days after each dose

Secondary Outcome Measures

The incidence of COVID-19 cases after at least one dose of immunization.
The incidence of the symptomatic and laboratory-confirmed COVID-19 cases after at least one dose of immunization.
The Geometric Mean Titer (GMT) of neutralizing antibody
The Geometric Mean Titer (GMT) of neutralizing antibody against SARS-CoV-2 14 days after the whole-course immunization.
The Geometric Mean Titer (GMT) of IgG antibody
The Geometric Mean Titer (GMT) of IgG antibody (ELISA method) against SARS-CoV-2 14 days after the whole-course immunization.
The positive rates of neutralizing antibody
The positive rates of neutralizing antibody against SARS-CoV-2 14 days after the whole-course immunization.
The positive rates of IgG antibody
The positive rates of IgG antibody (ELISA method) against SARS-CoV-2 14 days after the whole-course immunization.
The seroconversion rates of neutralizing antibody
The seroconversion rates of neutralizing antibody against SARS-CoV-2 14 days after the whole-course immunization.
The seroconversion rates of IgG antibody
The seroconversion rates of IgG antibody (ELISA method) against SARS-CoV-2 14 days after the whole-course immunization.
The positive rates of neutralizing antibody
The positive rates of neutralizing antibody against SARS-CoV-2 6 months and 12 months after whole-course immunization.
The positive rates of IgG antibody
The positive rates of IgG antibody (ELISA method) against SARS-CoV-2 6 months and 12 months after whole-course immunization.
The Geometric Mean Titer (GMT) of neutralizing antibody
The Geometric Mean Titer (GMT) of neutralizing antibody against SARS-CoV-2 6 months and 12 months after whole-course immunization.
The Geometric Mean Titer (GMT) of IgG antibody
The Geometric Mean Titer (GMT) of IgG antibody (ELISA method) against SARS-CoV-2 6 months and 12 months after whole-course immunization.
Specific T cells with ELISPOT assay
Detecting specific T cells with ELISPOT assay 6 months and 12 months after the whole-course immunization
The incidence of AEs
The incidence of AEs from the first dose to 28 days after whole-course immunization
The incidence of SAEs
The incidence of SAEs from the first dose to at least 12 months after whole-course immunization.
The occurrence of Antibody Dependent Enhancement (ADE)/ Vaccine Enhanced Disease(VED)
The occurrence of Antibody Dependent Enhancement (ADE)/ Vaccine Enhanced Disease(VED) that probably related to the laboratory-confirmed COVID-19 from 14 days after the second dose till the end of trial.

Full Information

First Posted
December 5, 2020
Last Updated
February 9, 2021
Sponsor
Chinese Academy of Medical Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT04659239
Brief Title
The Efficacy, Safety and Immunogenicity Study of Inactivated SARS-CoV-2 Vaccine for Preventing Against COVID-19
Official Title
A Randomized, Double-Blinded, Placebo Controlled Phase III Clinical Trial of SARS-CoV-2 Vaccine, Inactivated (Vero Cell) in Adults Aged 18 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
January 28, 2021 (Actual)
Primary Completion Date
September 2021 (Anticipated)
Study Completion Date
July 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chinese Academy of Medical Sciences

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 randomized, double-blinded, placebo controlled phase III clinical trial to evaluate the efficacy, safety and immunogenicity of SARS-CoV-2 Vaccine, Inactivated (Vero Cell) in adults aged 18 years and above after 2-dose schedule.
Detailed Description
The trial includes two parts, namely the efficacy study and immunogenicity bridging study. A total of 34020 participants will be enrolled, i.e. 32820 for efficacy cohort, and 1200 for domestic immunogenicity cohort in China. Efficacy study: Participants will be randomly inoculated with two doses of investigational vaccine or placebo according to 1:1 ratio following Day 0-Day 14 immunization schedule and will be observed from the first dose of investigational vaccine to collect symptomatic and laboratory-confirmed COVID-19 cases for the evaluation of the efficacy of the investigational vaccine. Immunogenicity bridging study: Before inoculating the first dose, 14 days, 6 months and 12 months after the whole-course immunization, blood samples will be taken for determination of neutralizing antibody and IgG antibody against SARS-CoV-2 (ELISA method); and before inoculating the first dose, 6 months and 12 months after the whole-course immunization, blood samples will be taken for detecting specific T cells with the ELISPOT assay with an aim to evaluate immunogenicity and immune persistence. Safety observations for all participants will be conducted from the first dose to 28 days after the whole-course immunization, and follow-up of SAEs will also be conducted from the first dose to at least 12 months after the whole-course immunization to evaluate the safety of the investigational vaccine.

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 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
34020 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Investigational Vaccine
Arm Type
Experimental
Arm Description
Participants will receive 2 doses of the inactivated SARS-CoV-2 vaccine (Vero cell) according to the immunization schedule of D0, D14.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive 2 doses of the placebo according to the immunization schedule of D0, D14.
Intervention Type
Biological
Intervention Name(s)
Inactivated SARS-CoV-2 Vaccine (Vero cell)
Intervention Description
The inactivated SARS-CoV-2 vaccine (vero cell) was manufactured by IMBCAMS. Each dose of 0.5ml is for per person per time use.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
The placebo was manufactured by IMBCAMS. Each dose of 0.5ml is for per person per time use.
Primary Outcome Measure Information:
Title
The incidence of COVID-19 cases after two-doses of vaccination
Description
The incidence of the symptomatic and laboratory-confirmed COVID-19 cases starting from Day 14 after the second dose.
Time Frame
From 14 days after the second dose to 1 year after the second dose.
Title
The incidence of solicited AEs.
Description
The incidence of solicited AEs at the inoculation site (local) and solicited AEs at the non-inoculation site (systemic) within 7 days after each dose
Time Frame
7 days after each dose
Secondary Outcome Measure Information:
Title
The incidence of COVID-19 cases after at least one dose of immunization.
Description
The incidence of the symptomatic and laboratory-confirmed COVID-19 cases after at least one dose of immunization.
Time Frame
From the first dose to 1 year after the second dose.
Title
The Geometric Mean Titer (GMT) of neutralizing antibody
Description
The Geometric Mean Titer (GMT) of neutralizing antibody against SARS-CoV-2 14 days after the whole-course immunization.
Time Frame
14 days after the whole-course immunization
Title
The Geometric Mean Titer (GMT) of IgG antibody
Description
The Geometric Mean Titer (GMT) of IgG antibody (ELISA method) against SARS-CoV-2 14 days after the whole-course immunization.
Time Frame
14 days after the whole-course immunization
Title
The positive rates of neutralizing antibody
Description
The positive rates of neutralizing antibody against SARS-CoV-2 14 days after the whole-course immunization.
Time Frame
14 days after the whole-course immunization
Title
The positive rates of IgG antibody
Description
The positive rates of IgG antibody (ELISA method) against SARS-CoV-2 14 days after the whole-course immunization.
Time Frame
14 days after the whole-course immunization
Title
The seroconversion rates of neutralizing antibody
Description
The seroconversion rates of neutralizing antibody against SARS-CoV-2 14 days after the whole-course immunization.
Time Frame
14 days after the whole-course immunization
Title
The seroconversion rates of IgG antibody
Description
The seroconversion rates of IgG antibody (ELISA method) against SARS-CoV-2 14 days after the whole-course immunization.
Time Frame
14 days after the whole-course immunization
Title
The positive rates of neutralizing antibody
Description
The positive rates of neutralizing antibody against SARS-CoV-2 6 months and 12 months after whole-course immunization.
Time Frame
6 months and 12 months after whole-course immunization.
Title
The positive rates of IgG antibody
Description
The positive rates of IgG antibody (ELISA method) against SARS-CoV-2 6 months and 12 months after whole-course immunization.
Time Frame
6 months and 12 months after whole-course immunization.
Title
The Geometric Mean Titer (GMT) of neutralizing antibody
Description
The Geometric Mean Titer (GMT) of neutralizing antibody against SARS-CoV-2 6 months and 12 months after whole-course immunization.
Time Frame
6 months and 12 months after whole-course immunization.
Title
The Geometric Mean Titer (GMT) of IgG antibody
Description
The Geometric Mean Titer (GMT) of IgG antibody (ELISA method) against SARS-CoV-2 6 months and 12 months after whole-course immunization.
Time Frame
6 months and 12 months after whole-course immunization.
Title
Specific T cells with ELISPOT assay
Description
Detecting specific T cells with ELISPOT assay 6 months and 12 months after the whole-course immunization
Time Frame
6 months and 12 months after the whole-course immunization
Title
The incidence of AEs
Description
The incidence of AEs from the first dose to 28 days after whole-course immunization
Time Frame
From the first dose to 28 days after whole-course immunization.
Title
The incidence of SAEs
Description
The incidence of SAEs from the first dose to at least 12 months after whole-course immunization.
Time Frame
From the first dose to at least 12 months after whole-course immunization.
Title
The occurrence of Antibody Dependent Enhancement (ADE)/ Vaccine Enhanced Disease(VED)
Description
The occurrence of Antibody Dependent Enhancement (ADE)/ Vaccine Enhanced Disease(VED) that probably related to the laboratory-confirmed COVID-19 from 14 days after the second dose till the end of trial.
Time Frame
From 14 days after the second dose to 1 year after the second dose.
Other Pre-specified Outcome Measures:
Title
The surrogate endpoint of immunogenicity
Description
The correlation between the efficacy of the vaccine and the levels of neutralizing antibody and IgG antibody against SARS-CoV-2.
Time Frame
From 14 days after the second dose to 1 year after the second dose.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults aged 18 years and above (including boundary values), both female and male. Legal identification of the participants shall be provided. Participants shall understand the content in the Informed Consent Form (ICF) and the vaccine for administration, sign the ICF voluntarily and are capable of using thermometers and rulers, and filling in diary cards and contact cards as per the requirements. Subject shall be able to communicate well with investigators, understand and comply with the requirements of this study. Participants with oral temperature ≤ 37.9 ℃. Female participants of childbearing potential (defined as any female who has experienced menarche and who is NOT surgically sterile [i.e., hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea at least 12 consecutive months]) must agree to be heterosexually inactive OR consistently use any of the following methods of contraception: Condoms (male or female) Diaphragm with spermicide Cervical cap with spermicide Intrauterine device Oral or patch contraceptives Any country regulatory-approved contraceptive method that is designed to protect against pregnancy Abstinence, as a form of contraception, is acceptable if in line with the participant's lifestyle (other approaches to abstinence are not acceptable). Exclusion Criteria: Contraindications to commonly used vaccines; History of allergy to any vaccines or drug; Received any vaccine within 1 month before the first dose of vaccination; Serious diseases required to be excluded, including but not limited to history of diseases in nervous system, cardiovascular system, blood and lymphatic system, immune system, kidney, liver, gastrointestinal tract, respiratory system, metabolism, bones and other systems, and a history of malignant tumors; Before immunizing the first dose of investigational vaccine, those who developed acute disease within 2 weeks, or had symptoms of fever or upper respiratory tract infection within 7 days; Those who have a hereditary bleeding tendency or blood coagulation dysfunction, or a history of thrombosis or hemorrhagic disease; Surgical removal of whole or part of spleen for any reason; Those who have undergone surgery within 3 months before signing the ICF or those who plan to undergo surgery during or within 3 months after completion of the trial (including plastic surgery, dental and oral surgery); Those who donated or lost blood (≥400 mL) in the past 3 months, who received blood transfusion or use of blood products, or who plan blood donation during the trial; Those who received other investigational or unregistered products (drugs, vaccines, biological product or devices) in the past 3 months before signing the ICF, or plan to use them during the study. Those who received immunosuppressant therapy within 6 months before signing the ICF, such as long-term systemic glucocorticoid treatment (with systemic glucocorticoid therapy for more than 2 consecutive weeks within 6 months, such as prednisone or similar drugs), but local administration is permitted (such as ointment, eye drops, inhalants, or nasal spray). The local administration should not exceed the recommended dose in the package insert or have any signs of systemic exposure; Participants cannot meet the criteria through the comprehensive physical examination, mainly including: Abnormal vital signs with clinical significance (awakening heart rate <55 beats/min or >100 beats/min, systolic blood pressure ≥140mmHg or diastolic blood pressure ≥90mmHg); Those who tested positive for type 1 or type 2 human immunodeficiency virus (HIV-1/2) antibody, or SARS-CoV-2 nucleic acid; History of COVID-19; Participants who have a positive pregnancy test, or are breastfeeding, or planning pregnancy, or plan to donate sperm or eggs within 12 months from the screening period to the whole-course immunization; Participants who are considered as inappropriate for the trial by investigators. Suspected or known current alcohol or drug dependency. Investigator site personnel directly related to this study and/or their immediate families; immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yasmin binti Mohamed Gani, PhD
Organizational Affiliation
Hospital Sungai Buloh
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Adilson JW Cavalcante, PhD
Organizational Affiliation
CEMEC Pesquisa Clinica
Official's Role
Principal Investigator
Facility Information:
Facility Name
CEMEC Pesquisa Clinica
City
São Bernardo do Campo
State/Province
São Paulo
Country
Brazil
Facility Name
Hospital Sungai Buloh
City
Sungai Buloh
State/Province
Selangor
ZIP/Postal Code
47000
Country
Malaysia

12. IPD Sharing Statement

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The Efficacy, Safety and Immunogenicity Study of Inactivated SARS-CoV-2 Vaccine for Preventing Against COVID-19

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