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Safety and Immunogenicity of an Intranasal SARS-CoV-2 Vaccine (BBV154) for COVID-19

Primary Purpose

SARS-CoV Infection

Status
Completed
Phase
Phase 1
Locations
India
Study Type
Interventional
Intervention
BBV154 Vaccine
Placebo
Sponsored by
Bharat Biotech International Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV Infection

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Ability to provide written informed consent.
  2. Participants of either gender of age between ≥18 to ≤60 years.
  3. Good general health as determined by the discretion of investigator (vital signs (heart rate ≥60 to≤100 bpm; blood pressure systolic ≥90 mm Hg and <140 mm Hg; diastolic ≥ 60 mm Hg and <90 mm Hg; oral temperature <100.4ºF), medical history, and physical examination).
  4. Expressed interest and availability to fulfil the study requirements.
  5. For a female participant of child-bearing potential, planning to avoid becoming pregnant (use of an effective method of contraception or abstinence) from the time of study enrolment until at least four weeks after the last vaccination.
  6. Male subjects of reproductive potential: Use of condoms to ensure effective contraception with the female partner from first vaccination until 3 months after last vaccination.
  7. Male subjects agree to refrain from sperm donation from the time of first vaccination until 3 months after last vaccination.
  8. Participants must refrain from blood or plasma donation from the time of first vaccination until 3 months after last vaccination.
  9. Agrees not to participate in another clinical trial at any time during the study period.
  10. Agrees to remain in the study area for the entire duration of the study.
  11. Willing to allow storage and future use of biological samples for future research.

Exclusion Criteria:

  1. History of any other COVID-19 investigational/or licensed vaccination.
  2. Unacceptable laboratory abnormality from screening (prior to first vaccination) or safety testing, as listed below [Abnormal Complete Blood Count (CBC), Random blood sugar level, Renal function test (serum urea and Creatinine), liver function tests, urine analysis report, Positive serology for hepatitis C or HIV antibody or hepatitis B surface antigen].

    (Subjects will be informed if their results are positive for hepatitis C, HIV 1 & 2 antibody or hepatitis B surface antigen (HBsAg) and will be referred to a primary care provider for follow up of these abnormal laboratory tests.)

  3. Confirmed SARS-CoV-2 at the time of screening using RT-PCR and ELISA or CLIA method.
  4. History of facial nerve paralysis
  5. History of cold, sneezing, nasal obstruction in the past 3 days.
  6. Prescribed usage of any nasal spray/or nasal drop medication.
  7. Any significant abnormality altering the anatomy of the nose in a substantial way or nasopharynx that may interfere with the aims of the study and in particular any of the nasal assessments or viral challenge (historical nasal polyps can be included, but large nasal polyps causing current and significant symptoms and/or requiring regular treatments in the last month are excluded)
  8. For women of child bearing potential, a positive serum pregnancy test (during screening within 45 days of enrolment) or positive urine pregnancy test (within 24 hours of administering each dose of vaccine).
  9. Temperature >38.0°C (100.4°F) or symptoms of an acute self-limited illness such as an upper respiratory infection or gastroenteritis within three days prior to each dose of vaccine.
  10. Medical problems as a result of alcohol or illicit drug use during the past 12 months.
  11. Receipt of an experimental agent (vaccine, drug, device, etc.) within 60 days before enrolment or expects to receive an investigational agent during the study period.
  12. Receipt of any licensed vaccine within four weeks before enrolment in this study.
  13. Known sensitivity to any ingredient of the study vaccines, or a more severe allergic reaction and history of allergies in the past.
  14. Receipt of immunoglobulin or other blood products within the three months prior to vaccination in this study.
  15. Immunosuppression as a result of an underlying illness or treatment with immunosuppressive or cytotoxic drugs, or use of anticancer chemotherapy or radiation therapy within the preceding 36 months.
  16. Long-term use (> 2 weeks) of oral or parenteral steroids (glucocorticoids) or high-dose inhaled steroids (>800 mcg/day of beclomethasone dipropionate or equivalent) within the preceding six months (nasal and topical steroids are allowed).
  17. Any history of hereditary angioedema or idiopathic angioedema.
  18. Any history of anaphylaxis in relation to vaccination.
  19. Any history of albumin-intolerance.
  20. Pregnancy, lactation, or willingness/intention to become pregnant during the study.
  21. History of any cancer.
  22. History of severe psychiatric conditions likely to affect participation in the study.
  23. A bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder, or prior history of significant bleeding or bruising following IM injections or venepuncture.
  24. Any other serious chronic illness requiring hospital specialist supervision.
  25. Chronic respiratory diseases like severe acute respiratory syndrome (SARS), including mild asthma.
  26. Chronic cardiovascular disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, and neurological illness
  27. Morbidly obese (BMI≥35 kg/m2) or underweight (BMI ≤18 kg/m2).
  28. Living in the same household of any COVID-19 positive person.
  29. Any other condition that in the opinion of the investigator would jeopardize the safety or rights of a volunteer participating in the trial or would render the subject unable to comply with the protocol. Re-Vaccination Exclusion Criteri.
  30. Pregnancy.
  31. Anaphylactic reaction following administration of the investigational vaccine.
  32. Virologically confirmed cases of SARS-CoV-2 infection.

Sites / Locations

  • AIIMS,Patna
  • Apollo Hospitals,Chennai
  • St.Theresa Hospital, Hyderabad
  • Gillurkar Multispeciality Hospital,Nagpur

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

BBV154: Single Dose

BBV154: Two Dose

Placebo

Arm Description

Group 1 (Single dose group): In this group, 70 participants will be recruited and administered with vaccine (BBV154) on day 0 and with placebo on day 28 via intranasal route.

Group 2 (Two-dose group): In this group, 70 participants will be recruited and administered with vaccine (BBV154) on both day 0 and on day 28 via intranasal route.

Group 3 (Placebo): In this group, 35 participants will be recruited and administered with placebo on both day 0 and day 28 via intranasal route.

Outcomes

Primary Outcome Measures

Incidence of immediate adverse events.
The incidence of solicited local and systemic adverse events
The incidence of serious adverse events (SAEs)
The incidence of unsolicited adverse events

Secondary Outcome Measures

To evaluate the humoral immune responses of BBV154
GMT and four-fold seroconversion rate (SCR) of neutralizing antibodies (NAb's) by MNT/PRNT assays across the three groups.
To compare the humoral responses between single dose group and double dose group.
GMT and four-fold seroconversion rate (SCR) of neutralizing antibodies (NAb's) by MNT/PRNT assays across the three groups.
To evaluate the immune responses against spike protein of SARS-CoV-2 virus and Adenovirus vector
GMT and four-fold seroconversion rate of binding antibodies (bAb's) IgA and IgG against spike protein across the three groups. Immune response (binding/ or neutralization) to the vector will be assessed by ELISA
Vaccine induced cell mediated antigen specific T-cell responses across the three groups.
IFN-gamma (ELISPOT)
Vaccine induced cell mediated antigen specific cytokines across the three groups. To evaluate the vaccine induced Cell mediated immune response.
Th1/Th2 profiling
To evaluate the vaccine secretory IgA antibody response.
To evaluate the safety of the vaccine in terms of assessing adverse event of special interest (AESI)

Full Information

First Posted
February 8, 2021
Last Updated
August 17, 2022
Sponsor
Bharat Biotech International Limited
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1. Study Identification

Unique Protocol Identification Number
NCT04751682
Brief Title
Safety and Immunogenicity of an Intranasal SARS-CoV-2 Vaccine (BBV154) for COVID-19
Official Title
A Phase 1, Randomized, Double-blinded, Multicenter Study to Evaluate the Reactogenicity, Safety, and Immunogenicity of an Intranasal Adenovirus Vector COVID-19 Vaccine (BBV154) in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
June 25, 2021 (Actual)
Study Completion Date
November 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bharat Biotech International Limited

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
The study is designed to evaluate the safety, reactogenicity, and immunogenicity of three groups of healthy volunteers who receive either intranasal single dose (vaccine on Day 0 and placebo on Day 28) or two-dose (vaccine on Day 0 and 28) of BBV154 vaccine or Placebo (on Day 0 and day 28). A total of 175 subjects will be enrolled in 2:2:1 ratio and will be conducted in a double-blinded manner. To assess the safety of the vaccine, each participant will record symptoms in a diary card for 7 days after each dose. Safety and laboratory tests and physical exams will also be performed. Blood samples and saliva samples be collected to assess the immune response from the vaccine. An interim report based on the safety and immunogenicity of the vaccine (BBV154) will be notified to the Central Drugs Standard Control Organization (CDSCO), India, for further progressing the clinical development of the vaccine. This unblinded interim report will contain a detailed analysis of the data based on the primary and secondary objectives of all visits through Day 42 (Immunogenicity & Safety).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV Infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
A Phase 1, Randomized, Double-blinded, Multicenter Study to Evaluate the Reactogenicity, Safety, and Immunogenicity of an Intranasal Adenoviral vector COVID-19 vaccine (BBV154) in Healthy Volunteers.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
The vaccine and placebo are identical in appearance and colour.
Allocation
Randomized
Enrollment
175 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BBV154: Single Dose
Arm Type
Experimental
Arm Description
Group 1 (Single dose group): In this group, 70 participants will be recruited and administered with vaccine (BBV154) on day 0 and with placebo on day 28 via intranasal route.
Arm Title
BBV154: Two Dose
Arm Type
Experimental
Arm Description
Group 2 (Two-dose group): In this group, 70 participants will be recruited and administered with vaccine (BBV154) on both day 0 and on day 28 via intranasal route.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Group 3 (Placebo): In this group, 35 participants will be recruited and administered with placebo on both day 0 and day 28 via intranasal route.
Intervention Type
Biological
Intervention Name(s)
BBV154 Vaccine
Intervention Description
Replication deficient Adenoviral vector-based (expressing a stabilized spike protein) SARS-CoV-2 vaccine (BBV154) NLT 1X10^10 Virus Particle.
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Incidence of immediate adverse events.
Time Frame
within 2 hours post each vaccination
Title
The incidence of solicited local and systemic adverse events
Time Frame
within 7 days post each vaccination
Title
The incidence of serious adverse events (SAEs)
Time Frame
Through study completion, an average of 6 months
Title
The incidence of unsolicited adverse events
Time Frame
Through study completion, an average of 6 months
Secondary Outcome Measure Information:
Title
To evaluate the humoral immune responses of BBV154
Description
GMT and four-fold seroconversion rate (SCR) of neutralizing antibodies (NAb's) by MNT/PRNT assays across the three groups.
Time Frame
Through study completion, an average of 6 months
Title
To compare the humoral responses between single dose group and double dose group.
Description
GMT and four-fold seroconversion rate (SCR) of neutralizing antibodies (NAb's) by MNT/PRNT assays across the three groups.
Time Frame
Through study completion, an average of 6 months
Title
To evaluate the immune responses against spike protein of SARS-CoV-2 virus and Adenovirus vector
Description
GMT and four-fold seroconversion rate of binding antibodies (bAb's) IgA and IgG against spike protein across the three groups. Immune response (binding/ or neutralization) to the vector will be assessed by ELISA
Time Frame
Through study completion, an average of 6 months
Title
Vaccine induced cell mediated antigen specific T-cell responses across the three groups.
Description
IFN-gamma (ELISPOT)
Time Frame
Through study completion, an average of 6 months
Title
Vaccine induced cell mediated antigen specific cytokines across the three groups. To evaluate the vaccine induced Cell mediated immune response.
Description
Th1/Th2 profiling
Time Frame
Through study completion, an average of 6 months
Title
To evaluate the vaccine secretory IgA antibody response.
Time Frame
Through study completion, an average of 6 months
Title
To evaluate the safety of the vaccine in terms of assessing adverse event of special interest (AESI)
Time Frame
Through study completion, an average of 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Ability to provide written informed consent. Participants of either gender of age between ≥18 to ≤60 years. Good general health as determined by the discretion of investigator (vital signs (heart rate ≥60 to≤100 bpm; blood pressure systolic ≥90 mm Hg and <140 mm Hg; diastolic ≥ 60 mm Hg and <90 mm Hg; oral temperature <100.4ºF), medical history, and physical examination). Expressed interest and availability to fulfil the study requirements. For a female participant of child-bearing potential, planning to avoid becoming pregnant (use of an effective method of contraception or abstinence) from the time of study enrolment until at least four weeks after the last vaccination. Male subjects of reproductive potential: Use of condoms to ensure effective contraception with the female partner from first vaccination until 3 months after last vaccination. Male subjects agree to refrain from sperm donation from the time of first vaccination until 3 months after last vaccination. Participants must refrain from blood or plasma donation from the time of first vaccination until 3 months after last vaccination. Agrees not to participate in another clinical trial at any time during the study period. Agrees to remain in the study area for the entire duration of the study. Willing to allow storage and future use of biological samples for future research. Exclusion Criteria: History of any other COVID-19 investigational/or licensed vaccination. Unacceptable laboratory abnormality from screening (prior to first vaccination) or safety testing, as listed below [Abnormal Complete Blood Count (CBC), Random blood sugar level, Renal function test (serum urea and Creatinine), liver function tests, urine analysis report, Positive serology for hepatitis C or HIV antibody or hepatitis B surface antigen]. (Subjects will be informed if their results are positive for hepatitis C, HIV 1 & 2 antibody or hepatitis B surface antigen (HBsAg) and will be referred to a primary care provider for follow up of these abnormal laboratory tests.) Confirmed SARS-CoV-2 at the time of screening using RT-PCR and ELISA or CLIA method. History of facial nerve paralysis History of cold, sneezing, nasal obstruction in the past 3 days. Prescribed usage of any nasal spray/or nasal drop medication. Any significant abnormality altering the anatomy of the nose in a substantial way or nasopharynx that may interfere with the aims of the study and in particular any of the nasal assessments or viral challenge (historical nasal polyps can be included, but large nasal polyps causing current and significant symptoms and/or requiring regular treatments in the last month are excluded) For women of child bearing potential, a positive serum pregnancy test (during screening within 45 days of enrolment) or positive urine pregnancy test (within 24 hours of administering each dose of vaccine). Temperature >38.0°C (100.4°F) or symptoms of an acute self-limited illness such as an upper respiratory infection or gastroenteritis within three days prior to each dose of vaccine. Medical problems as a result of alcohol or illicit drug use during the past 12 months. Receipt of an experimental agent (vaccine, drug, device, etc.) within 60 days before enrolment or expects to receive an investigational agent during the study period. Receipt of any licensed vaccine within four weeks before enrolment in this study. Known sensitivity to any ingredient of the study vaccines, or a more severe allergic reaction and history of allergies in the past. Receipt of immunoglobulin or other blood products within the three months prior to vaccination in this study. Immunosuppression as a result of an underlying illness or treatment with immunosuppressive or cytotoxic drugs, or use of anticancer chemotherapy or radiation therapy within the preceding 36 months. Long-term use (> 2 weeks) of oral or parenteral steroids (glucocorticoids) or high-dose inhaled steroids (>800 mcg/day of beclomethasone dipropionate or equivalent) within the preceding six months (nasal and topical steroids are allowed). Any history of hereditary angioedema or idiopathic angioedema. Any history of anaphylaxis in relation to vaccination. Any history of albumin-intolerance. Pregnancy, lactation, or willingness/intention to become pregnant during the study. History of any cancer. History of severe psychiatric conditions likely to affect participation in the study. A bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder, or prior history of significant bleeding or bruising following IM injections or venepuncture. Any other serious chronic illness requiring hospital specialist supervision. Chronic respiratory diseases like severe acute respiratory syndrome (SARS), including mild asthma. Chronic cardiovascular disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, and neurological illness Morbidly obese (BMI≥35 kg/m2) or underweight (BMI ≤18 kg/m2). Living in the same household of any COVID-19 positive person. Any other condition that in the opinion of the investigator would jeopardize the safety or rights of a volunteer participating in the trial or would render the subject unable to comply with the protocol. Re-Vaccination Exclusion Criteri. Pregnancy. Anaphylactic reaction following administration of the investigational vaccine. Virologically confirmed cases of SARS-CoV-2 infection.
Facility Information:
Facility Name
AIIMS,Patna
City
Patna
State/Province
Bihar
Country
India
Facility Name
Apollo Hospitals,Chennai
City
Chennai
State/Province
Tamil Nadu
Country
India
Facility Name
St.Theresa Hospital, Hyderabad
City
Hyderabad
Country
India
Facility Name
Gillurkar Multispeciality Hospital,Nagpur
City
Nagpur
Country
India

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32931734
Citation
Hassan AO, Kafai NM, Dmitriev IP, Fox JM, Smith BK, Harvey IB, Chen RE, Winkler ES, Wessel AW, Case JB, Kashentseva E, McCune BT, Bailey AL, Zhao H, VanBlargan LA, Dai YN, Ma M, Adams LJ, Shrihari S, Danis JE, Gralinski LE, Hou YJ, Schafer A, Kim AS, Keeler SP, Weiskopf D, Baric RS, Holtzman MJ, Fremont DH, Curiel DT, Diamond MS. A Single-Dose Intranasal ChAd Vaccine Protects Upper and Lower Respiratory Tracts against SARS-CoV-2. Cell. 2020 Oct 1;183(1):169-184.e13. doi: 10.1016/j.cell.2020.08.026. Epub 2020 Aug 19.
Results Reference
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Safety and Immunogenicity of an Intranasal SARS-CoV-2 Vaccine (BBV154) for COVID-19

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