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Immunogenicity, Efficacy and Safety of QazCovid-in® COVID-19 Vaccine

Primary Purpose

Covid19, SARS-CoV Infection, Vaccine Adverse Reaction

Status
Completed
Phase
Phase 3
Locations
Kazakhstan
Study Type
Interventional
Intervention
QazCovid-in®-vaccine against COVID-19
Placebo
Sponsored by
Research Institute for Biological Safety Problems
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring QazCovid-in®, vaccine, III phase, efficiency, safety, immunogenicity

Eligibility Criteria

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

Inclusion Criteria:

Availability of signed and dated informed consent of the volunteer to participate in the study.

Healthy male and female volunteers aged 18 and above. Ability and voluntary desire to independently keep records in the Self-Observation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation.

The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study.

Negative results for IgM and IgG antibodies to SARS-CoV-2. Absence of COVID-19 diagnosis in history. Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory.

Exclusion Criteria:

Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain).

Acute illness with a fever (body temperature ≥37.1 ° C) at the time of screening.

History of chronic alcohol abuse and/or drug use. Positive results for antibodies IgM, IgG to SARS-CoV-2 Women with a positive urine pregnancy test. Simultaneous treatment with immunosuppressive drugs, incl. corticosteroids (2 weeks) 4 weeks prior to study drug administration.

Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, heart attack myocardium, severe hypertension not controlled by drugs, etc.), identified based on the data of the medical history, physical examination, which, according to the researcher, may affect the study result.

History of platelet disorder or other blood clotting disorders that may cause contraindications to intramuscular administration.

History of leukemia or neoplasm. Persons with autoimmune diseases. A history of Guillain-Barré syndrome or other neuroimmunological diseases. Subjects who received antiviral drugs, immunoglobulins or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration; Subjects who received anti-inflammatory drugs 2 days prior to study drug administration; Participation in any other clinical research within the last 6 months. Subjects with regard to whom there is a concern that they will not comply with the requirements of the study, or persons with severe physical or mental disabilities that may affect the completion of the study.

Voluntary refusal to study. Vulnerable research subjects.

Sites / Locations

  • Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Phase III Adult-vaccine (A Sample, blind study)

Phase III Adult-Placebo (A Sample, blind study)

Arm Description

Group 1 (phase III): 2400 volunteers from 18 years old and elder who will be the QazCovid-in® twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 1 (phase III): 600 volunteers from 18 years old and elder who will be the Placebo twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Outcomes

Primary Outcome Measures

Terms of seroconversion (the proportion of persons with a fourfold or higher change in antibody titers to SARS-CoV-2)
The main objective of the study is to prove the superiority of the QazCovid-in®-vaccine inactivated against COVID-19 in comparison with placebo in terms of seroconversion (the proportion of persons with a fourfold or higher change in antibody titers to SARS-CoV-2)
To evaluate the immunogenicity of the QazCovid-in® vaccine inactivated against COVID-19 versus placebo
The geometric mean titer of serum antibodies ELISA to SARS-CoV-2 after vaccination. The multiplicity of the change in the geometric mean titer of serum antibodies to SARS-CoV-2 after vaccination.
Frequency of confirmed cases of COVID-19
The presence of clinical manifestations and a positive laboratory test for SARS-CoV-2 virus RNA within 6 months after vaccination

Secondary Outcome Measures

Changing of antigen-specific cellular immunity level
Determination of the level of production of intracellular cytokines by antigen-activated T-lymphocytes
Frequency of adverse events up to seven days after immunization
Frequency of adverse reaction in the seven days following each immunization per age group
Frequency of adverse events up to 21 days after immunization
Frequency of adverse reaction in the 21 days following each immunization per age group
Incidence of serious adverse events during the study
Incidence of serious adverse events during the study

Full Information

First Posted
December 21, 2020
Last Updated
July 23, 2021
Sponsor
Research Institute for Biological Safety Problems
Collaborators
City polyclinic No. 4 of the UZO of Almaty, Clinic of the International Institute of Postgraduate Education, City Multidisciplinary Hospital of the Health Department of the Akimat of Zhambyl Region
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1. Study Identification

Unique Protocol Identification Number
NCT04691908
Brief Title
Immunogenicity, Efficacy and Safety of QazCovid-in® COVID-19 Vaccine
Official Title
Multicenter, Randomized, Blind, Placebo-controlled Clinical Study of III Phase on Assessment of Preventive Efficiency, Safety and Immunogenicity QazCovid-in®-Vaccine Against COVID-19 in Healthy Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
December 25, 2020 (Actual)
Primary Completion Date
April 26, 2021 (Actual)
Study Completion Date
July 11, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Research Institute for Biological Safety Problems
Collaborators
City polyclinic No. 4 of the UZO of Almaty, Clinic of the International Institute of Postgraduate Education, City Multidisciplinary Hospital of the Health Department of the Akimat of Zhambyl Region

4. Oversight

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

5. Study Description

Brief Summary
Multicenter, randomized, blind, placebo-controlled clinical study of III phases on the assessment of preventive efficiency, safety and immunogenicity QazCovid-in®-vaccine against COVID-19 in healthy adult volunteers
Detailed Description
The main objective of the study is to prove the superiority of the QazCovid-in®-vaccine inactivated against COVID-19 in comparison with placebo in terms of seroconversion (the proportion of persons with a fourfold or higher increase in antibody titers to SARS-CoV-2) on the 21st, 42nd day, 90th and 180th days after vaccination. To evaluate the immunogenicity of the QazCovid-in® vaccine inactivated against COVID-19 versus placebo. Evaluate vaccine efficacy. Evaluate the safety of vaccine versus placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, SARS-CoV Infection, Vaccine Adverse Reaction
Keywords
QazCovid-in®, vaccine, III phase, efficiency, safety, immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
3000 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase III Adult-vaccine (A Sample, blind study)
Arm Type
Active Comparator
Arm Description
Group 1 (phase III): 2400 volunteers from 18 years old and elder who will be the QazCovid-in® twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase III Adult-Placebo (A Sample, blind study)
Arm Type
Placebo Comparator
Arm Description
Group 1 (phase III): 600 volunteers from 18 years old and elder who will be the Placebo twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Intervention Type
Biological
Intervention Name(s)
QazCovid-in®-vaccine against COVID-19
Intervention Description
QazCovid-in® (inactivated) Vaccine manufactured by Research Institute for Biological Safety Problems Republic of Kazakhstan
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo (sodium chloride buffs, solvent for the preparation of dosage forms for injection 0.9%)
Primary Outcome Measure Information:
Title
Terms of seroconversion (the proportion of persons with a fourfold or higher change in antibody titers to SARS-CoV-2)
Description
The main objective of the study is to prove the superiority of the QazCovid-in®-vaccine inactivated against COVID-19 in comparison with placebo in terms of seroconversion (the proportion of persons with a fourfold or higher change in antibody titers to SARS-CoV-2)
Time Frame
at days 0, 21, 42, 90, 180
Title
To evaluate the immunogenicity of the QazCovid-in® vaccine inactivated against COVID-19 versus placebo
Description
The geometric mean titer of serum antibodies ELISA to SARS-CoV-2 after vaccination. The multiplicity of the change in the geometric mean titer of serum antibodies to SARS-CoV-2 after vaccination.
Time Frame
at days 0, 21, 42, 90, 180
Title
Frequency of confirmed cases of COVID-19
Description
The presence of clinical manifestations and a positive laboratory test for SARS-CoV-2 virus RNA within 6 months after vaccination
Time Frame
through study completion, an average of 6 months
Secondary Outcome Measure Information:
Title
Changing of antigen-specific cellular immunity level
Description
Determination of the level of production of intracellular cytokines by antigen-activated T-lymphocytes
Time Frame
at days 0, 90, 180
Title
Frequency of adverse events up to seven days after immunization
Description
Frequency of adverse reaction in the seven days following each immunization per age group
Time Frame
Seven days after each immunization
Title
Frequency of adverse events up to 21 days after immunization
Description
Frequency of adverse reaction in the 21 days following each immunization per age group
Time Frame
21 days after each immunization
Title
Incidence of serious adverse events during the study
Description
Incidence of serious adverse events during the study
Time Frame
throughout the study, an average of 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Availability of signed and dated informed consent of the volunteer to participate in the study. Healthy male and female volunteers aged 18 and above. Ability and voluntary desire to independently keep records in the Self-Observation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation. The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study. Negative results for IgM and IgG antibodies to SARS-CoV-2. Absence of COVID-19 diagnosis in history. Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory. Exclusion Criteria: Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain). Acute illness with a fever (body temperature ≥37.1 ° C) at the time of screening. History of chronic alcohol abuse and/or drug use. Positive results for antibodies IgM, IgG to SARS-CoV-2 Women with a positive urine pregnancy test. Simultaneous treatment with immunosuppressive drugs, incl. corticosteroids (2 weeks) 4 weeks prior to study drug administration. Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, heart attack myocardium, severe hypertension not controlled by drugs, etc.), identified based on the data of the medical history, physical examination, which, according to the researcher, may affect the study result. History of platelet disorder or other blood clotting disorders that may cause contraindications to intramuscular administration. History of leukemia or neoplasm. Persons with autoimmune diseases. A history of Guillain-Barré syndrome or other neuroimmunological diseases. Subjects who received antiviral drugs, immunoglobulins or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration; Subjects who received anti-inflammatory drugs 2 days prior to study drug administration; Participation in any other clinical research within the last 6 months. Subjects with regard to whom there is a concern that they will not comply with the requirements of the study, or persons with severe physical or mental disabilities that may affect the completion of the study. Voluntary refusal to study. Vulnerable research subjects.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Berik Khairullin, PhD
Organizational Affiliation
Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Kunsulu Zakarya, PhD
Organizational Affiliation
Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
IIlyas Kulmagambetov, PhD
Organizational Affiliation
Centre for Clinical Medicine and Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan
City
Gvardeyskiy
State/Province
Jambul
ZIP/Postal Code
080409
Country
Kazakhstan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35770251
Citation
Khairullin B, Zakarya K, Orynbayev M, Abduraimov Y, Kassenov M, Sarsenbayeva G, Sultankulova K, Chervyakova O, Myrzakhmetova B, Nakhanov A, Nurpeisova A, Zhugunissov K, Assanzhanova N, Nurabayev S, Kerimbayev A, Yershebulov Z, Burashev Y, Kulmagambetov I, Davlyatshin T, Sergeeva M, Buzitskaya Z, Stukova M, Kutumbetov L. Efficacy and safety of an inactivated whole-virion vaccine against COVID-19, QazCovid-in(R), in healthy adults: A multicentre, randomised, single-blind, placebo-controlled phase 3 clinical trial with a 6-month follow-up. EClinicalMedicine. 2022 Jun 25;50:101526. doi: 10.1016/j.eclinm.2022.101526. eCollection 2022 Aug.
Results Reference
derived

Learn more about this trial

Immunogenicity, Efficacy and Safety of QazCovid-in® COVID-19 Vaccine

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