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Immunogenecity and Safety of VaccinemRNA-1273 in Elderly Volunteers (Over 65 y) Compared to Younger Ones (18-45y) (CoviCompareM)

Primary Purpose

Prevention of COVID19

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
mRNA-1273
Sponsored by
Assistance Publique - Hôpitaux de Paris
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Prevention of COVID19 focused on measuring Vaccinology, Infectiology, Vaccine, COVID-19, Immunity, Immune, Cells, Mucosal immunity, Autoimmunity

Eligibility Criteria

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

Inclusion Criteria:

  1. At least 65 years old, at least 75 years old or 18 to 45 years old, depending on the group of inclusion.
  2. Healthy adults, or stable medical condition for adults with pre-existing medical conditions. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during 3 months before enrolment, nor expected to require any significant change in therapy or hospitalization for worsening disease in foreseeable future.
  3. Understands and agrees to comply with the study procedures (visits, phone calls) and provides written free informed consent.
  4. Able to comply with study procedures based on Investigator judgement.
  5. Affiliated to a social security system, (except state medical aid)

Exclusion criteria:

  1. Subject is ill or febrile (body temperature ≥ 38.0°C) within 72 prior hours or and/or symptoms suggestive of COVID-19 within the past 14 days at enrolment visit.

    (Ill or febrile participants may be re-scheduled within the inclusion period when no longer presenting symptoms)

  2. History of documented COVID-19 (PCR+, antigenic test+ or chest TDM+ or serology SARS-CoV-2+) prior to first vaccine administration
  3. Subjects with positive serology to SARS-CoV-2 at the enrolment visit
  4. Subjects who already received another anti-SARS-CoV-2-vaccine
  5. Subjects who received BCG given within the last year.
  6. An immediate family member or household member of study staff.
  7. Use of immunosuppressive drugs like e.g. corticosteroids at a dosage > 10mg/day (excluding topical preparations and inhalers) within 3 months prior to enrolment or 6 months for chemotherapies
  8. Received immunoglobulin or other blood product within 3 months prior to enrolment or planned receipt of immunoglobulin or a blood product through study completion.
  9. Received any vaccination within 4 weeks prior to first injection or plan to receive a licensed vaccine 4 weeks after the last injection.
  10. History of severe adverse reactions to vaccine administration, including anaphylaxis and related symptoms, such as rush, respiratory difficulty, angioedema and abdominal pain to vaccines, or history of allergic reaction likely to be exacerbated by any component of the anti-SARS-CoV-2-vaccine.
  11. History of severe allergic event
  12. Participation in another investigational clinical study (Jardé 1 or Jardé 2) within 4 weeks before the enrolment visits or planned before the study completion.
  13. Known HIV, active HCV or HBV infection
  14. Any pathological condition, such as cancer, which may be susceptible of reducing immunity response
  15. Any bleeding disorder considered as contraindication to intramuscular injection or phlebotomy
  16. The use of investigational Ig, investigational monoclonal antibodies or convalescent serum are not allowed during the study
  17. Any condition which in the opinion of the investigator may interfere with the aim of the study
  18. Pregnant or breastfeeding or positive pregnancy urine test at enrolment visit.
  19. Woman in childbearing without efficacious contraception (in the opinion of the investigator) for 31 days after treatment (2nd vaccine injection)
  20. People under legal protection measure (tutorship, curatorship or safeguard measures)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    18-45 years old

    65-74 years old

    At least 75 years old

    Arm Description

    18 - 45 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29

    65 - 74 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29

    At least 75 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29

    Outcomes

    Primary Outcome Measures

    Titers of anti-SARS-CoV-2 Spike IgG Immunoglobulin in sera
    Anti-SARS-CoV-2 Spike specific IgG Immunity acquisition

    Secondary Outcome Measures

    Anti SARS-CoV -2 IgG, IgA and IgM (total and subclasses IgG1-4) as measured by ELISA.
    Assessment of humoral immunity-systemic response
    Anti-SARS-CoV-2 neutralizing antibody (in vitro neutralisation assay.
    Assessment of humoral immunity-systemic response
    Anti-SARS-CoV-2 -specific neutralizing antibody (Pseudo neutralisation assay using lentiviral phenotypes carrying specific SARS-Cov-2 proteins.
    Assessment of humoral immunity-systemic response
    Fluorospot assays (TH1, TH2, TH17, Cytotoxicity). Phenotyping of antigen specific T-Cells via Mass cytometry, B cell repertoire and memory
    Assessment of cellular immunity acquisition
    Mucosal SARS-CoV-2 -specific antibody via measure of sIgA, sIgM and IgG in saliva by specific home-made and commercially available ELISA assays.
    Assessment of mucosal immunity
    Functionality of mucosal sIgA and sIgM by Antibody Dependent Cellular Cytotoxicity (ADCC) assay specific for SARS-CoV-2 mucosal IgA and IgM
    Assessment of mucosal immunity
    Local and systemic reactogenicity
    Clinical safety evaluation
    Determination of autoimmunity markers such as antibodies Anti-nuclear (unit measure: titers)
    Biological safety evaluation
    Determination of autoimmunity markers such as antibodies Anti-ACL, Anti-β2-GP1, Rheumatoid factor (unit measure: U/L)
    Biological safety evaluation
    Determination of autoimmunity markers such as antibodies Anti-GM1, Anti-MAG ( unit measure: pos/ne)
    Biological safety evaluation

    Full Information

    First Posted
    January 24, 2021
    Last Updated
    February 6, 2021
    Sponsor
    Assistance Publique - Hôpitaux de Paris
    Collaborators
    Institut National de la Santé Et de la Recherche Médicale, France
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04748471
    Brief Title
    Immunogenecity and Safety of VaccinemRNA-1273 in Elderly Volunteers (Over 65 y) Compared to Younger Ones (18-45y)
    Acronym
    CoviCompareM
    Official Title
    A Phase II Trial Assessing Immunogenicity and Safety of SARS-CoV-2 Vaccine mRNA-1273 in Volunteers Aged of 65 Years or More Compared to Participants 18-45 Years Old
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    February 10, 2021 (Anticipated)
    Primary Completion Date
    July 1, 2021 (Anticipated)
    Study Completion Date
    January 25, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Assistance Publique - Hôpitaux de Paris
    Collaborators
    Institut National de la Santé Et de la Recherche Médicale, France

    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
    This study aims to evaluate the immunogenicity of Moderna mRNA-1273 vaccine in volunteers aged 65 years or more compared to volunteers aged 18-45 years, over 24 months duration. It will provide necessary data on the early immunological response to the vaccine and its evolution in quantitative and qualitative terms. This study will allow establishing how aging influences the response to the vaccine and help to adapt the vaccinal plan. For instance it will suggest the necessity of a vaccination booster.
    Detailed Description
    Phase II, comparative, non-randomized trial assessing the immunogenicity and safety of vaccine candidate Moderna-1273 against SARS-CoV-2. A total of 180 volunteers will be included and vaccinated (2 doses, at day 1 and day 29), divided in 3 groups (60 volunteers 18 - 45 years old, 60 volunteers 65 - 74 years old, 60 volunteers at least 75 years old). Vaccinated volunteers of the three arms will be immune-monitored during 24 months via a battery of in vitro and ex vivo tests to comprehensively assess the course of humoral, cellular and mucosal immunity over time.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Prevention of COVID19
    Keywords
    Vaccinology, Infectiology, Vaccine, COVID-19, Immunity, Immune, Cells, Mucosal immunity, Autoimmunity

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    180 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    18-45 years old
    Arm Type
    Experimental
    Arm Description
    18 - 45 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29
    Arm Title
    65-74 years old
    Arm Type
    Experimental
    Arm Description
    65 - 74 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29
    Arm Title
    At least 75 years old
    Arm Type
    Experimental
    Arm Description
    At least 75 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29
    Intervention Type
    Biological
    Intervention Name(s)
    mRNA-1273
    Intervention Description
    SARS-CoV-2 vaccine
    Primary Outcome Measure Information:
    Title
    Titers of anti-SARS-CoV-2 Spike IgG Immunoglobulin in sera
    Description
    Anti-SARS-CoV-2 Spike specific IgG Immunity acquisition
    Time Frame
    Day 57 (28 days after second injection of mRNA-1273)
    Secondary Outcome Measure Information:
    Title
    Anti SARS-CoV -2 IgG, IgA and IgM (total and subclasses IgG1-4) as measured by ELISA.
    Description
    Assessment of humoral immunity-systemic response
    Time Frame
    From Day 1 to Month 24
    Title
    Anti-SARS-CoV-2 neutralizing antibody (in vitro neutralisation assay.
    Description
    Assessment of humoral immunity-systemic response
    Time Frame
    From Day 1 to Month 24
    Title
    Anti-SARS-CoV-2 -specific neutralizing antibody (Pseudo neutralisation assay using lentiviral phenotypes carrying specific SARS-Cov-2 proteins.
    Description
    Assessment of humoral immunity-systemic response
    Time Frame
    From Day 1 to Month 24
    Title
    Fluorospot assays (TH1, TH2, TH17, Cytotoxicity). Phenotyping of antigen specific T-Cells via Mass cytometry, B cell repertoire and memory
    Description
    Assessment of cellular immunity acquisition
    Time Frame
    From Day 1 to Month 24
    Title
    Mucosal SARS-CoV-2 -specific antibody via measure of sIgA, sIgM and IgG in saliva by specific home-made and commercially available ELISA assays.
    Description
    Assessment of mucosal immunity
    Time Frame
    From Day 1 to Month 24
    Title
    Functionality of mucosal sIgA and sIgM by Antibody Dependent Cellular Cytotoxicity (ADCC) assay specific for SARS-CoV-2 mucosal IgA and IgM
    Description
    Assessment of mucosal immunity
    Time Frame
    From Day 1 to Month 24
    Title
    Local and systemic reactogenicity
    Description
    Clinical safety evaluation
    Time Frame
    From Day 1 to Month 24
    Title
    Determination of autoimmunity markers such as antibodies Anti-nuclear (unit measure: titers)
    Description
    Biological safety evaluation
    Time Frame
    From Day 1 to Month 24
    Title
    Determination of autoimmunity markers such as antibodies Anti-ACL, Anti-β2-GP1, Rheumatoid factor (unit measure: U/L)
    Description
    Biological safety evaluation
    Time Frame
    From Day 1 to Month 24
    Title
    Determination of autoimmunity markers such as antibodies Anti-GM1, Anti-MAG ( unit measure: pos/ne)
    Description
    Biological safety evaluation
    Time Frame
    From Day 1 to Month 24

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: At least 65 years old, at least 75 years old or 18 to 45 years old, depending on the group of inclusion. Healthy adults, or stable medical condition for adults with pre-existing medical conditions. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during 3 months before enrolment, nor expected to require any significant change in therapy or hospitalization for worsening disease in foreseeable future. Understands and agrees to comply with the study procedures (visits, phone calls) and provides written free informed consent. Able to comply with study procedures based on Investigator judgement. Affiliated to a social security system, (except state medical aid) Exclusion criteria: Subject is ill or febrile (body temperature ≥ 38.0°C) within 72 prior hours or and/or symptoms suggestive of COVID-19 within the past 14 days at enrolment visit. (Ill or febrile participants may be re-scheduled within the inclusion period when no longer presenting symptoms) History of documented COVID-19 (PCR+, antigenic test+ or chest TDM+ or serology SARS-CoV-2+) prior to first vaccine administration Subjects with positive serology to SARS-CoV-2 at the enrolment visit Subjects who already received another anti-SARS-CoV-2-vaccine Subjects who received BCG given within the last year. An immediate family member or household member of study staff. Use of immunosuppressive drugs like e.g. corticosteroids at a dosage > 10mg/day (excluding topical preparations and inhalers) within 3 months prior to enrolment or 6 months for chemotherapies Received immunoglobulin or other blood product within 3 months prior to enrolment or planned receipt of immunoglobulin or a blood product through study completion. Received any vaccination within 4 weeks prior to first injection or plan to receive a licensed vaccine 4 weeks after the last injection. History of severe adverse reactions to vaccine administration, including anaphylaxis and related symptoms, such as rush, respiratory difficulty, angioedema and abdominal pain to vaccines, or history of allergic reaction likely to be exacerbated by any component of the anti-SARS-CoV-2-vaccine. History of severe allergic event Participation in another investigational clinical study (Jardé 1 or Jardé 2) within 4 weeks before the enrolment visits or planned before the study completion. Known HIV, active HCV or HBV infection Any pathological condition, such as cancer, which may be susceptible of reducing immunity response Any bleeding disorder considered as contraindication to intramuscular injection or phlebotomy The use of investigational Ig, investigational monoclonal antibodies or convalescent serum are not allowed during the study Any condition which in the opinion of the investigator may interfere with the aim of the study Pregnant or breastfeeding or positive pregnancy urine test at enrolment visit. Woman in childbearing without efficacious contraception (in the opinion of the investigator) for 31 days after treatment (2nd vaccine injection) People under legal protection measure (tutorship, curatorship or safeguard measures)
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Odile LAUNAY, Professor
    Phone
    01 58 41 28 58
    Email
    odile.launay@aphp.fr
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jean Daniel LELIEVRE, Professor
    Phone
    01 49 81 24 09
    Email
    jean-daniel.lelievre@aphp.fr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Odile LAUNAY, Professor
    Organizational Affiliation
    Assistance Publique - Hôpitaux de Paris
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Data are available upon reasonable request The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in compliance with the applicable regulations.
    IPD Sharing Time Frame
    Beginning 3 months and ending 3 years following article publication. Requests out can also be submitted to the sponsor
    IPD Sharing Access Criteria
    Researchers who provide a methodologically sound proposal.

    Learn more about this trial

    Immunogenecity and Safety of VaccinemRNA-1273 in Elderly Volunteers (Over 65 y) Compared to Younger Ones (18-45y)

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