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COVID-19 Supplemental Vaccine Boost to Enhance T Cell Protection in Those Who Have Already Received EUA S-Based Vaccines

Primary Purpose

Covid19

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
hAd5-S-Fusion+N-ETSD vaccine
Sponsored by
ImmunityBio, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults, age ≥ 18 years, inclusive, at time of enrollment, that have previously received an FDA-authorized COVID-19 vaccine (both prime and boost) ≥14 days and

    ≤ 6 months before enrollment.

  2. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines.
  3. Agrees to the collection of biospecimens (eg, NP swabs and/or saliva sample) and venous blood per protocol.
  4. Ability to attend required study visits and return for adequate follow-up, as required by this protocol.
  5. Ability to swallow a capsule.
  6. Temperature < 38°C.
  7. Agreement to practice effective contraception for female subjects of childbearing potential and non-sterile males. Female subjects of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male subjects must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, IUDs, oral contraceptives, and abstinence.

Exclusion Criteria:

  1. Persistent grade ≥ 2 AEs related to previous COVID-19 vaccination at the time of enrollment.
  2. Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
  3. Pregnant and nursing women. A negative serum or urine pregnancy test during screening and on the day of and prior to each dose must be documented before the vaccine is administered to a female subject of childbearing potential.
  4. Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma.
  5. Pulmonary fibrosis.
  6. Bone marrow or organ transplantation.
  7. Extreme obesity (defined as BMI of 35 kg/m2 or higher).
  8. Diabetes.
  9. Chronic kidney disease.
  10. Liver disease.
  11. Sickle cell disease.
  12. Thalassemia.
  13. Any disease associated with acute fever, or any infection.
  14. Self-reported history of SARS.
  15. History of hepatitis B or hepatitis C.
  16. HIV or other acquired or hereditary immunodeficiency.
  17. Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc.
  18. Cerebrovascular disease.
  19. Cystic fibrosis.
  20. Neurologic conditions, such as dementia.
  21. Hereditary or acquired angioneurotic edema.
  22. No spleen or functional asplenia.
  23. Platelet disorder or other bleeding disorder that may cause injection contraindication.
  24. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness within 3 months before administration of study vaccine. (Including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.)
  25. Prior administration of blood products in last 4 months.
  26. Currently receiving treatment for cancer or history of cancer in the last five years (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  27. According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent.
  28. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Cohort 1: hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous

    Cohort 2: hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous and 1 × 10e10 IU/dose Sublingual

    Arm Description

    Cohort 1 (n=20): hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous on Day 1

    Cohort 2 (n=20): hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous and 1 × 10e10 IU/dose Sublingual on Day 1

    Outcomes

    Primary Outcome Measures

    Phase 1 Safety: Incidence of MAAEs and SAEs
    Incidence of MAAEs and SAEs through 1 week post final vaccine administration
    Phase 1 Safety: Incidence and severity of solicited local reactogenicity AEs
    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration
    Phase 1 Safety: Incidence and severity of solicited systemic reactogenicity AEs
    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration
    Phase 1 Safety: Incidence and severity of unsolicited AEs
    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration
    Phase 1 Safety: Incidence of MAAEs and SAEs
    Incidence of MAAEs and SAEs through 30 days and 6 months post final vaccine administration
    Phase 1 Safety: Incidence and severity of unsolicited AEs
    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration
    Phase 1 Safety: Incidence of changes of laboratory safety examinations
    Incidence of abnormal changes of laboratory safety examinations
    Phase 1 Safety: Vital Sign - Temperature
    Changes in vital signs from Grades 1-4: measured in (°C) or (°F)
    Phase 1 Safety: Vital Sign - Heart Rate
    Changes in vital signs from Grades 1-4: measured by how many heart beats per minute
    Phase 1 Safety: Vital Sign - Blood Pressure
    Changes in vital signs from Grades 1-4: systolic/diastolic - measured in mm Hg
    Phase 1 Safety: Vital Sign - Respiratory Rate
    Changes in vital signs from Grades 1-4: measured in how many breaths per minute
    Phase 2 Efficacy: Percent of subjects that show an increase in N-reactive T cells
    Percent of subjects that show an increase in N-reactive T cells as assayed by N-Tiferon assay (≥ 25 pg/mL increase in cytokine concentration from baseline)

    Secondary Outcome Measures

    Phase 1 Humoral Immunogenicity: GMT of S-specific and N-specific antibodies
    GMT of S-specific and N-specific antibodies against 2019 novel coronavirus
    Phase 1 Humoral Immunogenicity: GMT of neutralizing antibody
    GMT of neutralizing antibody
    Phase 1 Mucosal Immunogenicity: GMT of IgA antibody levels
    GMT of IgA antibody levels
    Phase 1 Cellular Immunogenicity: T cell activity
    T cell activity against SARS-CoV-2 S protein and N protein. ImmunityBio has developed a rapid assay (N-Tiferon) to detect SARS-CoV-2-specific T cell responses directly in whole blood from participants in QUILT-4.001 vaccinated with hAd5 S-Fusion+N-ETSD targeting the S and N antigens of SARS-CoV-2. This assay detected interferon-γ (IFN-γ)-secreting S- and N-specific T cells directly in whole blood post-vaccination.
    Phase 2 Efficacy: Incidence and severity of COVID-19 ≥14 days after vaccination
    Incidence and severity of COVID-19 ≥14 days after vaccination in subjects with no evidence of past SARS-CoV-2 infection. It applies to ≥3 for injection site reaction, fever, and other AEs. It also includes signs and symptoms of hypersensitivity which may include red rash (excluding site of injection), swollen throat or swollen areas of the body, wheezing, fainting, chest tightness, difficulty breathing, hoarse voice, difficulty swallowing, vomiting, diarrhea, and stomach cramping.
    Phase 2 Efficacy: Mean SARS-CoV-2 viral load
    Mean SARS-CoV-2 viral load for subjects with confirmed COVID-19 ≥14 days after vaccination
    Phase 2 Efficacy: Humoral Immunogenicity - GMT of S-specific and N-specific antibodies
    GMT of S-specific and N-specific antibodies against 2019 novel coronavirus
    Phase 2 Efficacy: Humoral Immunogenicity - GMT of neutralizing antibody
    GMT of neutralizing antibody
    Phase 2 Efficacy: Mucosal Immunogenicity - GMT of IgA antibody levels
    GMT of IgA antibody levels
    Phase 2 Efficacy: Cellular Immunogenicity - T cell activity
    T cell activity against SARS-CoV-2 S protein and N protein measured
    Phase 2 Safety: Incidence of MAAEs and SAEs
    Incidence of MAAEs and SAEs through 1 week post final vaccine administration
    Phase 2 Safety: Incidence and severity of solicited local reactogenicity AEs
    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration
    Phase 2 Safety: Incidence and severity of solicited systemic reactogenicity AEs
    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration
    Phase 2 Safety: Incidence and severity of unsolicited AEs
    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration
    Phase 2 Safety: Incidence of MAAEs and SAEs
    Incidence of MAAEs and SAEs through 30 days and 6 months post final vaccine administration
    Phase 2 Safety: Incidence and severity of unsolicited AEs
    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration
    Phase 2 Safety: Incidence of changes of laboratory safety examinations
    Incidence of abnormal changes of laboratory safety examinations
    Phase 2 Safety: Vital Sign - Temperature
    Changes in vital signs from Grades 1-4: measured in (°C) or (°F)
    Phase 2 Safety: Vital Sign - Heart rate
    Changes in vital signs from Grades 1-4: measured by how many heart beats per minute
    Phase 2 Safety: Vital Sign - Blood Pressure
    Changes in vital signs from Grades 1-4: systolic/diastolic - measured in mm Hg
    Phase 2 Safety: Vital Sign - Respiratory rate
    Changes in vital signs from Grades 1-4: measured in how many breaths per minute

    Full Information

    First Posted
    April 9, 2021
    Last Updated
    December 14, 2021
    Sponsor
    ImmunityBio, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04843722
    Brief Title
    COVID-19 Supplemental Vaccine Boost to Enhance T Cell Protection in Those Who Have Already Received EUA S-Based Vaccines
    Official Title
    Phase 1/2 Study of the Safety, Reactogenicity, and Immunogenicity of a Supplemental Spike & Nucleocapsid-targeted COVID-19 Vaccine to Enhance T Cell Based Immunogenicity in Participants Who Have Already Received Prime + Boost Vaccines Authorized For Emergency Use
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    The sponsor has changed the development plans which is not for safety reasons.
    Study Start Date
    December 2021 (Anticipated)
    Primary Completion Date
    March 2022 (Anticipated)
    Study Completion Date
    August 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    ImmunityBio, Inc.

    4. Oversight

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

    5. Study Description

    Brief Summary
    This is a phase 1/2 study in adult healthy subjects that have previously been vaccinated with an FDA-authorized vaccine against COVID-19. This clinical trial is designed to assess the safety, efficacy, reactogenicity, and immunogenicity of hAd5-S-Fusion+N-ETSD formulated for subcutaneous, sublingual, and oral (capsule) administration.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Covid19

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Sequential Assignment
    Model Description
    Open label 2 Cohort Phase 1 Study leading to Randomized Phase 2 Study
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1: hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous
    Arm Type
    Experimental
    Arm Description
    Cohort 1 (n=20): hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous on Day 1
    Arm Title
    Cohort 2: hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous and 1 × 10e10 IU/dose Sublingual
    Arm Type
    Experimental
    Arm Description
    Cohort 2 (n=20): hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous and 1 × 10e10 IU/dose Sublingual on Day 1
    Intervention Type
    Biological
    Intervention Name(s)
    hAd5-S-Fusion+N-ETSD vaccine
    Intervention Description
    Vaccine containing both full length wild type SARS-CoV-2 spike gene optimized for better spike protein expression, and full length wild type SARS-CoV-2 nucleocapsid gene modified to also contain an enhanced T cell stimulation domain (ETSD) to enhance cell-mediated immunity.
    Primary Outcome Measure Information:
    Title
    Phase 1 Safety: Incidence of MAAEs and SAEs
    Description
    Incidence of MAAEs and SAEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 1 Safety: Incidence and severity of solicited local reactogenicity AEs
    Description
    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 1 Safety: Incidence and severity of solicited systemic reactogenicity AEs
    Description
    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 1 Safety: Incidence and severity of unsolicited AEs
    Description
    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 1 Safety: Incidence of MAAEs and SAEs
    Description
    Incidence of MAAEs and SAEs through 30 days and 6 months post final vaccine administration
    Time Frame
    through 30 days and 6 months post final vaccine administration
    Title
    Phase 1 Safety: Incidence and severity of unsolicited AEs
    Description
    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration
    Time Frame
    through 30 days post final vaccine administration
    Title
    Phase 1 Safety: Incidence of changes of laboratory safety examinations
    Description
    Incidence of abnormal changes of laboratory safety examinations
    Time Frame
    Day 365
    Title
    Phase 1 Safety: Vital Sign - Temperature
    Description
    Changes in vital signs from Grades 1-4: measured in (°C) or (°F)
    Time Frame
    Day 365
    Title
    Phase 1 Safety: Vital Sign - Heart Rate
    Description
    Changes in vital signs from Grades 1-4: measured by how many heart beats per minute
    Time Frame
    Day 365
    Title
    Phase 1 Safety: Vital Sign - Blood Pressure
    Description
    Changes in vital signs from Grades 1-4: systolic/diastolic - measured in mm Hg
    Time Frame
    Day 365
    Title
    Phase 1 Safety: Vital Sign - Respiratory Rate
    Description
    Changes in vital signs from Grades 1-4: measured in how many breaths per minute
    Time Frame
    Day 365
    Title
    Phase 2 Efficacy: Percent of subjects that show an increase in N-reactive T cells
    Description
    Percent of subjects that show an increase in N-reactive T cells as assayed by N-Tiferon assay (≥ 25 pg/mL increase in cytokine concentration from baseline)
    Time Frame
    from baseline to Day 365
    Secondary Outcome Measure Information:
    Title
    Phase 1 Humoral Immunogenicity: GMT of S-specific and N-specific antibodies
    Description
    GMT of S-specific and N-specific antibodies against 2019 novel coronavirus
    Time Frame
    Day 365
    Title
    Phase 1 Humoral Immunogenicity: GMT of neutralizing antibody
    Description
    GMT of neutralizing antibody
    Time Frame
    Day 365
    Title
    Phase 1 Mucosal Immunogenicity: GMT of IgA antibody levels
    Description
    GMT of IgA antibody levels
    Time Frame
    Day 365
    Title
    Phase 1 Cellular Immunogenicity: T cell activity
    Description
    T cell activity against SARS-CoV-2 S protein and N protein. ImmunityBio has developed a rapid assay (N-Tiferon) to detect SARS-CoV-2-specific T cell responses directly in whole blood from participants in QUILT-4.001 vaccinated with hAd5 S-Fusion+N-ETSD targeting the S and N antigens of SARS-CoV-2. This assay detected interferon-γ (IFN-γ)-secreting S- and N-specific T cells directly in whole blood post-vaccination.
    Time Frame
    Day 365
    Title
    Phase 2 Efficacy: Incidence and severity of COVID-19 ≥14 days after vaccination
    Description
    Incidence and severity of COVID-19 ≥14 days after vaccination in subjects with no evidence of past SARS-CoV-2 infection. It applies to ≥3 for injection site reaction, fever, and other AEs. It also includes signs and symptoms of hypersensitivity which may include red rash (excluding site of injection), swollen throat or swollen areas of the body, wheezing, fainting, chest tightness, difficulty breathing, hoarse voice, difficulty swallowing, vomiting, diarrhea, and stomach cramping.
    Time Frame
    ≥14 days after vaccination
    Title
    Phase 2 Efficacy: Mean SARS-CoV-2 viral load
    Description
    Mean SARS-CoV-2 viral load for subjects with confirmed COVID-19 ≥14 days after vaccination
    Time Frame
    Day 365
    Title
    Phase 2 Efficacy: Humoral Immunogenicity - GMT of S-specific and N-specific antibodies
    Description
    GMT of S-specific and N-specific antibodies against 2019 novel coronavirus
    Time Frame
    Day 365
    Title
    Phase 2 Efficacy: Humoral Immunogenicity - GMT of neutralizing antibody
    Description
    GMT of neutralizing antibody
    Time Frame
    Day 365
    Title
    Phase 2 Efficacy: Mucosal Immunogenicity - GMT of IgA antibody levels
    Description
    GMT of IgA antibody levels
    Time Frame
    Day 365
    Title
    Phase 2 Efficacy: Cellular Immunogenicity - T cell activity
    Description
    T cell activity against SARS-CoV-2 S protein and N protein measured
    Time Frame
    Day 365
    Title
    Phase 2 Safety: Incidence of MAAEs and SAEs
    Description
    Incidence of MAAEs and SAEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 2 Safety: Incidence and severity of solicited local reactogenicity AEs
    Description
    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 2 Safety: Incidence and severity of solicited systemic reactogenicity AEs
    Description
    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 2 Safety: Incidence and severity of unsolicited AEs
    Description
    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration
    Time Frame
    through 1 week post final vaccine administration
    Title
    Phase 2 Safety: Incidence of MAAEs and SAEs
    Description
    Incidence of MAAEs and SAEs through 30 days and 6 months post final vaccine administration
    Time Frame
    through 30 days and 6 months post final vaccine administration
    Title
    Phase 2 Safety: Incidence and severity of unsolicited AEs
    Description
    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration
    Time Frame
    through 30 days post final vaccine administration
    Title
    Phase 2 Safety: Incidence of changes of laboratory safety examinations
    Description
    Incidence of abnormal changes of laboratory safety examinations
    Time Frame
    Day 365
    Title
    Phase 2 Safety: Vital Sign - Temperature
    Description
    Changes in vital signs from Grades 1-4: measured in (°C) or (°F)
    Time Frame
    Day 365
    Title
    Phase 2 Safety: Vital Sign - Heart rate
    Description
    Changes in vital signs from Grades 1-4: measured by how many heart beats per minute
    Time Frame
    Day 365
    Title
    Phase 2 Safety: Vital Sign - Blood Pressure
    Description
    Changes in vital signs from Grades 1-4: systolic/diastolic - measured in mm Hg
    Time Frame
    Day 365
    Title
    Phase 2 Safety: Vital Sign - Respiratory rate
    Description
    Changes in vital signs from Grades 1-4: measured in how many breaths per minute
    Time Frame
    Day 365

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy adults, age ≥ 18 years, inclusive, at time of enrollment, that have previously received an FDA-authorized COVID-19 vaccine (both prime and boost) ≥14 days and ≤ 6 months before enrollment. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines. Agrees to the collection of biospecimens (eg, NP swabs and/or saliva sample) and venous blood per protocol. Ability to attend required study visits and return for adequate follow-up, as required by this protocol. Ability to swallow a capsule. Temperature < 38°C. Agreement to practice effective contraception for female subjects of childbearing potential and non-sterile males. Female subjects of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male subjects must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, IUDs, oral contraceptives, and abstinence. Exclusion Criteria: Persistent grade ≥ 2 AEs related to previous COVID-19 vaccination at the time of enrollment. Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past. Pregnant and nursing women. A negative serum or urine pregnancy test during screening and on the day of and prior to each dose must be documented before the vaccine is administered to a female subject of childbearing potential. Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma. Pulmonary fibrosis. Bone marrow or organ transplantation. Extreme obesity (defined as BMI of 35 kg/m2 or higher). Diabetes. Chronic kidney disease. Liver disease. Sickle cell disease. Thalassemia. Any disease associated with acute fever, or any infection. Self-reported history of SARS. History of hepatitis B or hepatitis C. HIV or other acquired or hereditary immunodeficiency. Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc. Cerebrovascular disease. Cystic fibrosis. Neurologic conditions, such as dementia. Hereditary or acquired angioneurotic edema. No spleen or functional asplenia. Platelet disorder or other bleeding disorder that may cause injection contraindication. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness within 3 months before administration of study vaccine. (Including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.) Prior administration of blood products in last 4 months. Currently receiving treatment for cancer or history of cancer in the last five years (except basal cell carcinoma of the skin and cervical carcinoma in situ). According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    COVID-19 Supplemental Vaccine Boost to Enhance T Cell Protection in Those Who Have Already Received EUA S-Based Vaccines

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