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COVID-19: A Trial Studying the SARS-CoV-2 mRNA Vaccine CVnCoV to Learn About the Immune Response, the Safety, and the Degree of Typical Vaccination Reactions When CVnCoV is Given at the Same Time as a Flu Vaccine Compared to When the Vaccines Are Separately Given in Adults 60 Years of Age and Older (CV-NCOV-011)

Primary Purpose

SARS-CoV-2 Infection, Coronavirus Disease 2019 (COVID-19)

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
SARS-CoV-2 mRNA Vaccine (CVnCoV)
Quadrivalent influenza vaccine (QIV)
Placebo
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV-2 Infection focused on measuring Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), COVID-19, mRNA Vaccine, SARS-CoV-2 mRNA Vaccine (CVnCoV), Quadrivalent influenza vaccine (QIV)

Eligibility Criteria

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

Inclusion Criteria:

  • Male and female participant of 60 years of age or older, at the time of signing the informed consent.
  • Participants who are generally healthy. Note: healthy participant is defined as an individual who is in good general health, not having any symptomatic mental or physical disorder requiring regular or frequent medication. Subjects can be enrolled if the regular or frequent medication keeps the condition well controlled and asymptomatic with the treatment according to the investigator's discretion.
  • Body mass index (BMI) within the range 18.0 and ≤35.0 kg m2 (inclusive).
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.

Exclusion Criteria:

  • Female participant of child-bearing potential.
  • Use of any investigational or non-registered product (vaccine or drug) other than the study vaccine within 28 days or 5 times ½ life of the investigational product preceding the administration of the study vaccine, or planned use during the study period.
  • Receipt of any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or planned receipt of any vaccine within 28 days of study vaccine administration.
  • Receipt of any investigational, authorized or licensed, SARS-CoV-2 or other coronavirus vaccine prior to the administration of the CVnCoV study vaccine or planned receipt during the study.
  • Receipt of an influenza vaccine within 6 months prior to enrollment in this study or planned receipt during the study.
  • Receipt of any investigational or licensed lipid nanoparticles (LNP)-formulated mRNA vaccine prior to the administration of the study vaccine.
  • Any treatment with immunosuppressants or other immune-modifying drugs (including, but not limited to, corticosteroids, biologicals and methotrexate) for >14 days total within 6 months preceding the administration of study vaccine or planned use during the study. For corticosteroid use, this means prednisone or equivalent, 0.5 mg/kg/day for 14 consecutive days or more. The use of inhaled, topical, intra-articular, intra-bursal corticosteroids is permitted.
  • Administration of immunoglobulins (Igs) and/or any blood products within the 3 months preceding the administration of the study vaccine.
  • Any medically diagnosed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination, including known human immunodeficiency virus infection, hepatitis B virus infection, or hepatitis C virus infection.
  • Active cancer (under current treatment) or cancer requiring planned treatment in the past 5 years excluding non-melanoma skin cancer or cancers with excellent clinical prognosis (e.g. carcinoma in situ of the uterine cervix).
  • History of known immune-deficiency disorders disease.
  • History of angioedema (known C1 inhibitor deficiency).
  • History of any anaphylactic reactions.
  • Contraindications to administration of QIV as per current label, including history of severe allergic reactions (e.g., anaphylaxis) to any component of the QIV vaccine, including egg protein.
  • Any known allergy to any component of CVnCoV or aminoglycoside antibiotics.
  • History of confirmed SARS, MERS or COVID-19 disease or known exposure to an individual with confirmed COVID-19 disease or SARS-CoV-2 infection within 2 weeks prior to enrollment.
  • Received or plan to receive 2021 inactivated seasonal influenza vaccine prior to or during the study and for the remaining of the 2021/2022 influenza season.
  • Participants with a significant acute or chronic medical or psychiatric illness that, in the opinion of the investigator, precludes study participation (e.g., study participation may lay risks on the subject, renders the subject unable to meet the protocol requirements of the study, or may interfere with the reliability of the participant´s study readouts/results). These conditions may include severe and/or uncontrolled cardiovascular disease, gastrointestinal disease, liver disease, renal disease, respiratory disease, endocrine disorder, and neurological or psychiatric illnesses. However, those with well-controlled and those who are well-controlled and stable on their regular medication for their medical condition and have been so for the 12 weeks preceding the enrollment in this study can be included in the study.
  • Participants with impaired coagulation or any bleeding disorder in whom an intramuscular injection or a blood draw is contraindicated.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Group 1: Co-ad group

    Group 2: Control group

    Arm Description

    Participants will receive CVnCoV at the same visit as QIV: first dose of CVnCoV and a dose of QIV in opposite arms at Day 1, the second dose of CVnCoV at Day 29, and a placebo injection at Day 57.

    Participants will receive QIV and CVnCoV at two different visits: one dose of placebo and one dose of QIV in opposite arms at Day 1, the first dose of CVnCoV at Day 29 and the second dose of CVnCoV at Day 57.

    Outcomes

    Primary Outcome Measures

    Antibody titers for SARS-CoV-2 receptor binding domain (RBD)
    Hemagglutination inhibition (HI) titers for each of the 4 strains

    Secondary Outcome Measures

    Number of participants seroconverting for SARS-CoV- 2 spike protein antibodies
    Measured by enzyme-linked immunosorbent assay (ELISA).
    SARS-CoV-2 spike protein-specific antibody levels in serum
    Measured by enzyme-linked immunosorbent assay (ELISA).
    Number of participants seroconverting for SARS-CoV- 2 neutralizing antibodies
    Measured by an activity assay.
    SARS-CoV-2 neutralizing antibody levels in serum
    Number of participants with seroprotection for serum antibodies against the 4 influenza vaccine strains
    Measured by hemagglutination inhibition (HI) assay.
    Number of participants seroconverting for serum antibodies against the 4 influenza vaccine strains
    Measured by hemagglutination inhibition (HI) assay.
    Serum antibody titers against the 4 influenza vaccine strains
    Measured by hemagglutination inhibition (HI) assay.
    Number of participants with solicited local adverse events (AEs) of CVnCoV vaccine
    Number of participants with solicited systemic AEs
    Number of participants with unsolicited AEs
    Number of participants with serious adverse event (SAEs)
    Number of participants with adverse event of special interest (AESIs)

    Full Information

    First Posted
    April 16, 2021
    Last Updated
    August 4, 2021
    Sponsor
    Bayer
    Collaborators
    CureVac
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04848467
    Brief Title
    COVID-19: A Trial Studying the SARS-CoV-2 mRNA Vaccine CVnCoV to Learn About the Immune Response, the Safety, and the Degree of Typical Vaccination Reactions When CVnCoV is Given at the Same Time as a Flu Vaccine Compared to When the Vaccines Are Separately Given in Adults 60 Years of Age and Older
    Acronym
    CV-NCOV-011
    Official Title
    COVID-19: A Phase 3, Randomized, Observer-blinded, Multicenter Clinical Study Evaluating the Immunogenicity, Safety, and Reactogenicity of the Investigational SARS-CoV-2 mRNA Vaccine CVnCoV, When Co-administered With a Licensed Quadrivalent Influenza Vaccine Versus Separate Administration of the Two Vaccines in Adults 60 Years of Age and Older
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    The study cannot be conducted.
    Study Start Date
    October 1, 2021 (Anticipated)
    Primary Completion Date
    November 30, 2021 (Anticipated)
    Study Completion Date
    November 15, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bayer
    Collaborators
    CureVac

    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 most recently discovered coronavirus (SARS-CoV-2) may cause illness in humans ranging from the common cold to serious illness, also referred to as Coronavirus disease 2019 (COVID-19). As of January 2021, there are only few authorized vaccines available for the prevention of COVID-19. "CVnCoV" is a new SARS-CoV-2 messenger ribonucleic acid (mRNA) vaccine which is currently being developed for the prevention of COVID-19. The vaccine contains a molecule called mRNA which serves as an instruction manual for the cells in the body to produce a piece of protein from SARS-CoV-2 which activates the body´s defense system. The "CVnCoV" vaccine is injected into the muscle. After the injection, the body recognizes the protein as something that does not belong there. In this way the natural infection with the virus is imitated. The body activates immune cells to produce antibodies against the virus and creates specific immune cells called T cells. "CVnCoV" is given in two doses separated by 28 days. In this study, the researchers will look at how well "CVnCoV" works when the first of the two doses is given together with a flu vaccine called seasonal quadrivalent influenza vaccine (QIV). They will also look at how well the flu vaccine works under these conditions. The QIV is injected into the muscle and is given as 1 dose. To see how well the participants' immune systems is activated by "CVnCoV" and QIV, the researches will measure the levels of specific antibodies against the viruses in the blood. Antibodies are proteins that allow the immune system to find and react to bacteria and viruses in the body. The researches will look into how safe the vaccination is and which type and degree of typical vaccination reactions are seen. To give "CVnCoV" and the flu vaccine together in the future when needed, e.g. during the flu season, would reduce the burden on the health system and on the patients. Participants in this study are adults aged 60 years and older. In this study, participants are assigned to one of the two parallel groups of the same size. The assignment to either group is done by chance via a computer program. Participants in group 1 (Co-ad group) will receive CVnCoV at the same visit as QIV. Participants in group 2 (control group) will receive QIV and CVnCoV at two different visits. The Co-ad group will receive the first dose of CVnCoV and a dose of QIV in opposite arms at Day 1, the second dose of CVnCoV at Day 29, and a placebo injection, i.e. an injection that looks like a vaccination injection but does not contain vaccine, at Day 57. The control group will receive QIV and placebo in opposite arms at Day 1, the first dose of CVnCoV at day 29 and the second dose of CVnCoV at Day 57. There will be five visits and four phone calls. During the study, the study team will take blood samples on four occasions to measure the antibodies against SARS-CoV-2, and nasopharyngeal swabs at 1 occasion. The physicians will do physical examinations at each visit. The participants will be asked how they are feeling and if they have any medical problems. They will, in addition, receive an electronic Diary to report medical problems.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    SARS-CoV-2 Infection, Coronavirus Disease 2019 (COVID-19)
    Keywords
    Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), COVID-19, mRNA Vaccine, SARS-CoV-2 mRNA Vaccine (CVnCoV), Quadrivalent influenza vaccine (QIV)

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Group 1: Co-ad group
    Arm Type
    Experimental
    Arm Description
    Participants will receive CVnCoV at the same visit as QIV: first dose of CVnCoV and a dose of QIV in opposite arms at Day 1, the second dose of CVnCoV at Day 29, and a placebo injection at Day 57.
    Arm Title
    Group 2: Control group
    Arm Type
    Experimental
    Arm Description
    Participants will receive QIV and CVnCoV at two different visits: one dose of placebo and one dose of QIV in opposite arms at Day 1, the first dose of CVnCoV at Day 29 and the second dose of CVnCoV at Day 57.
    Intervention Type
    Biological
    Intervention Name(s)
    SARS-CoV-2 mRNA Vaccine (CVnCoV)
    Other Intervention Name(s)
    CV07050101
    Intervention Description
    Two intramuscular injections administered 28 days apart at a dose level of 12 μg mRNA.
    Intervention Type
    Biological
    Intervention Name(s)
    Quadrivalent influenza vaccine (QIV)
    Other Intervention Name(s)
    Influvac Tetra
    Intervention Description
    One intramuscular injection as 0.5 mL. Each 0.5 mL dose will contain 15 μg haemagglutinin (HA) from each of the four influenza strains.
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    One intramuscular injection as normal saline [0.9% NaCl].
    Primary Outcome Measure Information:
    Title
    Antibody titers for SARS-CoV-2 receptor binding domain (RBD)
    Time Frame
    28 days after the second dose of CVnCoV
    Title
    Hemagglutination inhibition (HI) titers for each of the 4 strains
    Time Frame
    28 days after the QIV vaccination
    Secondary Outcome Measure Information:
    Title
    Number of participants seroconverting for SARS-CoV- 2 spike protein antibodies
    Description
    Measured by enzyme-linked immunosorbent assay (ELISA).
    Time Frame
    28 days after the second dose of CVnCoV
    Title
    SARS-CoV-2 spike protein-specific antibody levels in serum
    Description
    Measured by enzyme-linked immunosorbent assay (ELISA).
    Time Frame
    28 days after the second dose of CVnCoV
    Title
    Number of participants seroconverting for SARS-CoV- 2 neutralizing antibodies
    Description
    Measured by an activity assay.
    Time Frame
    28 days after the second dose of CVnCoV
    Title
    SARS-CoV-2 neutralizing antibody levels in serum
    Time Frame
    28 days after the second dose of CVnCoV
    Title
    Number of participants with seroprotection for serum antibodies against the 4 influenza vaccine strains
    Description
    Measured by hemagglutination inhibition (HI) assay.
    Time Frame
    28 days after the QIV dose
    Title
    Number of participants seroconverting for serum antibodies against the 4 influenza vaccine strains
    Description
    Measured by hemagglutination inhibition (HI) assay.
    Time Frame
    28 days after the QIV dose
    Title
    Serum antibody titers against the 4 influenza vaccine strains
    Description
    Measured by hemagglutination inhibition (HI) assay.
    Time Frame
    28 days after the QIV dose
    Title
    Number of participants with solicited local adverse events (AEs) of CVnCoV vaccine
    Time Frame
    Within 7 days after each study vaccination
    Title
    Number of participants with solicited systemic AEs
    Time Frame
    Within 7 days after each study vaccination
    Title
    Number of participants with unsolicited AEs
    Time Frame
    Within 28 days after each study vaccination
    Title
    Number of participants with serious adverse event (SAEs)
    Time Frame
    Approximately 60 weeks
    Title
    Number of participants with adverse event of special interest (AESIs)
    Time Frame
    Approximately 60 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Male and female participant of 60 years of age or older, at the time of signing the informed consent. Participants who are generally healthy. Note: healthy participant is defined as an individual who is in good general health, not having any symptomatic mental or physical disorder requiring regular or frequent medication. Subjects can be enrolled if the regular or frequent medication keeps the condition well controlled and asymptomatic with the treatment according to the investigator's discretion. Body mass index (BMI) within the range 18.0 and ≤35.0 kg m2 (inclusive). Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol. Exclusion Criteria: Female participant of child-bearing potential. Use of any investigational or non-registered product (vaccine or drug) other than the study vaccine within 28 days or 5 times ½ life of the investigational product preceding the administration of the study vaccine, or planned use during the study period. Receipt of any other vaccines within 14 days (for inactivated vaccines) or 28 days (for live vaccines) prior to enrollment in this study or planned receipt of any vaccine within 28 days of study vaccine administration. Receipt of any investigational, authorized or licensed, SARS-CoV-2 or other coronavirus vaccine prior to the administration of the CVnCoV study vaccine or planned receipt during the study. Receipt of an influenza vaccine within 6 months prior to enrollment in this study or planned receipt during the study. Receipt of any investigational or licensed lipid nanoparticles (LNP)-formulated mRNA vaccine prior to the administration of the study vaccine. Any treatment with immunosuppressants or other immune-modifying drugs (including, but not limited to, corticosteroids, biologicals and methotrexate) for >14 days total within 6 months preceding the administration of study vaccine or planned use during the study. For corticosteroid use, this means prednisone or equivalent, 0.5 mg/kg/day for 14 consecutive days or more. The use of inhaled, topical, intra-articular, intra-bursal corticosteroids is permitted. Administration of immunoglobulins (Igs) and/or any blood products within the 3 months preceding the administration of the study vaccine. Any medically diagnosed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination, including known human immunodeficiency virus infection, hepatitis B virus infection, or hepatitis C virus infection. Active cancer (under current treatment) or cancer requiring planned treatment in the past 5 years excluding non-melanoma skin cancer or cancers with excellent clinical prognosis (e.g. carcinoma in situ of the uterine cervix). History of known immune-deficiency disorders disease. History of angioedema (known C1 inhibitor deficiency). History of any anaphylactic reactions. Contraindications to administration of QIV as per current label, including history of severe allergic reactions (e.g., anaphylaxis) to any component of the QIV vaccine, including egg protein. Any known allergy to any component of CVnCoV or aminoglycoside antibiotics. History of confirmed SARS, MERS or COVID-19 disease or known exposure to an individual with confirmed COVID-19 disease or SARS-CoV-2 infection within 2 weeks prior to enrollment. Received or plan to receive 2021 inactivated seasonal influenza vaccine prior to or during the study and for the remaining of the 2021/2022 influenza season. Participants with a significant acute or chronic medical or psychiatric illness that, in the opinion of the investigator, precludes study participation (e.g., study participation may lay risks on the subject, renders the subject unable to meet the protocol requirements of the study, or may interfere with the reliability of the participant´s study readouts/results). These conditions may include severe and/or uncontrolled cardiovascular disease, gastrointestinal disease, liver disease, renal disease, respiratory disease, endocrine disorder, and neurological or psychiatric illnesses. However, those with well-controlled and those who are well-controlled and stable on their regular medication for their medical condition and have been so for the 12 weeks preceding the enrollment in this study can be included in the study. Participants with impaired coagulation or any bleeding disorder in whom an intramuscular injection or a blood draw is contraindicated.

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

    Learn more about this trial

    COVID-19: A Trial Studying the SARS-CoV-2 mRNA Vaccine CVnCoV to Learn About the Immune Response, the Safety, and the Degree of Typical Vaccination Reactions When CVnCoV is Given at the Same Time as a Flu Vaccine Compared to When the Vaccines Are Separately Given in Adults 60 Years of Age and Older

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