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Heterologous SARS-CoV-2 Vaccination With ChAdOx-1 and BNT162b2 (HeVacc)

Primary Purpose

SARS-CoV2 Infection

Status
Unknown status
Phase
Phase 2
Locations
Austria
Study Type
Interventional
Intervention
Vaxzevria
Comirnaty
Sponsored by
Medical University Innsbruck
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV2 Infection

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject provides written informed consent
  2. Participant is ≥ 18 and ≤ 65 years of age on the day of signing the ICF
  3. Individuals that are eligible for vaccination according to the Austrian vaccination plan.
  4. Participants that have been vaccinated with either ChAdOx1-S prime within the last 12 weeks or BNT162b2 prime within the last 3 - 6 weeks
  5. Subject understands and agrees to comply with study procedures
  6. Subject must be willing to be contacted by telephone or willing to complete an eDiary during study participation
  7. Female participants of childbearing potential may be enrolled in the study if the participant fulfills all the following criteria:

    • has a negative urine pregnancy test at screening
    • has agreed to practice adequate contraception from providing consent until 3 months after administration of study vaccine
    • is not currently breastfeeding Adequate female contraception is defined as consistent and correct use of an approved contraceptive method, for example:
    • Barrier method (condoms, diaphragm, cervical cap) used in conjunction with spermicide
    • Prescription hormonal contraceptive taken administered via oral (pill), transdermal (patch), subdermal or IM route
    • Intrauterine device
    • Sterilization of a female participant's monogamous male partner prior to study inclusion Cave: periodical abstinence (eg calendar, ovulation, symptothermal,...) and withdrawal are not acceptable methods of contraception.
  8. Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as: surgically sterile (history of bilateral dubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (amenorrhea for 12 consecutive months prior to Screening without an alternative medical cause).
  9. Participants agrees to not donate bone marrow, blood and blood products from the study vaccine administration until 3 months after receiving the study vaccine

Exclusion Criteria:

Participant has already received full vaccination against SARS- CoV-2 2. Prior administration of an investigational coronavirus (SARS- CoV, MERS-CoV) vaccine or current/planned simultaneous participation in another interventional study to either prevent or treat COVID-19 3. Participant has received/plans to receive a non-study vaccine within 14 days prior to or after any dose of IP 4. Participant has a contraindication to IM injections and blood draws (eg, bleeding disorders) 5. Participants has a known or suspected allergy or history of anaphylaxis, urticaria or other significant adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine; refer to the IB) 6. Subjects with previous positive PCR-test result for SARS-CoV-2 or positive anti-SARS-CoV-2 N protein antibody test 7. History of leukemia, lymphoma, or underlying bone marrow disorder (eg, myelodysplasia, myeloma, myeloproliferative disorder) or history of bone marrow transplant. 8. Malignancy that required treatment with chemotherapy, immunotherapy, radiation therapy, or other antineoplastic target therapies within 24 months prior to study enrollment. 9. Has participated in an interventional clinical study within 30 days prior to study inclusion

Sites / Locations

  • Medical University of InnsbruckRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Experimental

Arm Label

Corminaty twice

Vaxzevria twice

Heterologous

Arm Description

The participants receive Comirnaty twice 3-7 weeks apart

The participants receive Vaxzevria twice 12 weeks apart.

The recipients receive Vaxzevria followed by Comirnaty 12 weeks apart

Outcomes

Primary Outcome Measures

Neutralizing antibodies
in the heterologous arm the levels of neutralizing antibodies are at least as high as in the homologous arms
T cells
The level of T cell responses to SARS-CoV-2 S protein epitopes is at leas as high in the heterologous are than in the homologous arms
vaccine failures
Vaccine failures are not more frequent in the heterologous arm than in the homologous arms.

Secondary Outcome Measures

Full Information

First Posted
May 25, 2021
Last Updated
September 9, 2021
Sponsor
Medical University Innsbruck
Collaborators
Medical University of Graz, Medical University of Vienna
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1. Study Identification

Unique Protocol Identification Number
NCT04907331
Brief Title
Heterologous SARS-CoV-2 Vaccination With ChAdOx-1 and BNT162b2
Acronym
HeVacc
Official Title
Comparison of Heterologous Vaccination With an Vaxzevria (ChAdOx1-S) Prime and a Comirnaty (BNT162b2) Boost to Homolog Vaccination
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Unknown status
Study Start Date
May 10, 2021 (Actual)
Primary Completion Date
November 30, 2021 (Anticipated)
Study Completion Date
December 30, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medical University Innsbruck
Collaborators
Medical University of Graz, Medical University of Vienna

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will analyze the safety and efficacy of the heterologous vaccination with Vaxzevria followed by Comirnaty. As a control individuals will be vaccinated with Comirnaty or Vaxzevria twice. Each arm will involve 1000 individuals. Endpoints will be the level of antibody and T cell response as well as frequency of vaccine failures.
Detailed Description
The immune escape variants are spreading worldwide. Local transmission of the B.1.351 is observed in several European regions while P1 cases are mostly still travel associated. In Austria, there is local transmission of the Czech variant B.1.258 in several regions, while the P1 variant from Brazil plays no role yet. However, B.1.351 local transmission is observed in Tyrol, where 20-30% of SARS-CoV-2 infections were caused by this immune escape variant in January/February 2021, but then controlled but not eliminated by intensive testing. In March and April the largest world-wide outbreak of B.1.1.7 + E484K, also an immune escape variant, was observed in Tyrol. Although, some of the diagnosed cases seemed to be false positive for the E484K mutation, still several hundred have currently already been confirmed, a number that is internationally still unprecedented. It is expected that until the winter infection season, that is likely to hit Europe after a phase of low-level infections in summer, the immune escape variants will make up a substantial portion of SARS-CoV-2 infections in the countries with high seroprevalence after the vaccine campaigns such as Austria. Therefore, the vaccine programs must build up an effective immunity against the wild-type virus as well as the immune escape variants. ChAdOx1-S contributes considerably to the arsenal of vaccines purchased by the European Community. The investigators propose to test whether this vaccine could still be used to build up a cross-protective immunity in the population, when combined with a heterologous boost with the mRNA vaccine BNT162b2. Heterologous prime - boost vaccine regimen including vector vaccines have been broadly used and are generally more effective than homologous vector prime-boost regimen. If ChAdOx1-S followed by BNT162b2 builds up the same or even higher level of cross-neutralizing antibodies as BNT162b2 prime-boost, which is highly likely, the vector vaccine could potentially be included in the program for building a substantial level of cross-immunity against the immune escape variants in the population. Therefore, this study compares the level of cross-neutralizing antibodies induced by classical BNT162b2 and ChAdOx1-S vaccinations with the heterologous prime and boost with ChAdOx1-S followed by BNT162b2, respectively

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV2 Infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
3000 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Corminaty twice
Arm Type
Active Comparator
Arm Description
The participants receive Comirnaty twice 3-7 weeks apart
Arm Title
Vaxzevria twice
Arm Type
Active Comparator
Arm Description
The participants receive Vaxzevria twice 12 weeks apart.
Arm Title
Heterologous
Arm Type
Experimental
Arm Description
The recipients receive Vaxzevria followed by Comirnaty 12 weeks apart
Intervention Type
Biological
Intervention Name(s)
Vaxzevria
Intervention Description
The participants either receive homologous vaccination with Comirnaty or Vaxzevria as approved or the new heterologous vaccination with Vaxzevria followed by Comirnaty
Intervention Type
Biological
Intervention Name(s)
Comirnaty
Intervention Description
The participants either receive homologous vaccination with Comirnaty or Vaxzevria as approved or the new heterologous vaccination with Vaxzevria
Primary Outcome Measure Information:
Title
Neutralizing antibodies
Description
in the heterologous arm the levels of neutralizing antibodies are at least as high as in the homologous arms
Time Frame
10 to 180 days
Title
T cells
Description
The level of T cell responses to SARS-CoV-2 S protein epitopes is at leas as high in the heterologous are than in the homologous arms
Time Frame
10-180 days
Title
vaccine failures
Description
Vaccine failures are not more frequent in the heterologous arm than in the homologous arms.
Time Frame
180 days post intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject provides written informed consent Participant is ≥ 18 and ≤ 65 years of age on the day of signing the ICF Individuals that are eligible for vaccination according to the Austrian vaccination plan. Participants that have been vaccinated with either ChAdOx1-S prime within the last 12 weeks or BNT162b2 prime within the last 3 - 6 weeks Subject understands and agrees to comply with study procedures Subject must be willing to be contacted by telephone or willing to complete an eDiary during study participation Female participants of childbearing potential may be enrolled in the study if the participant fulfills all the following criteria: has a negative urine pregnancy test at screening has agreed to practice adequate contraception from providing consent until 3 months after administration of study vaccine is not currently breastfeeding Adequate female contraception is defined as consistent and correct use of an approved contraceptive method, for example: Barrier method (condoms, diaphragm, cervical cap) used in conjunction with spermicide Prescription hormonal contraceptive taken administered via oral (pill), transdermal (patch), subdermal or IM route Intrauterine device Sterilization of a female participant's monogamous male partner prior to study inclusion Cave: periodical abstinence (eg calendar, ovulation, symptothermal,...) and withdrawal are not acceptable methods of contraception. Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as: surgically sterile (history of bilateral dubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (amenorrhea for 12 consecutive months prior to Screening without an alternative medical cause). Participants agrees to not donate bone marrow, blood and blood products from the study vaccine administration until 3 months after receiving the study vaccine Exclusion Criteria: Participant has already received full vaccination against SARS- CoV-2 2. Prior administration of an investigational coronavirus (SARS- CoV, MERS-CoV) vaccine or current/planned simultaneous participation in another interventional study to either prevent or treat COVID-19 3. Participant has received/plans to receive a non-study vaccine within 14 days prior to or after any dose of IP 4. Participant has a contraindication to IM injections and blood draws (eg, bleeding disorders) 5. Participants has a known or suspected allergy or history of anaphylaxis, urticaria or other significant adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine; refer to the IB) 6. Subjects with previous positive PCR-test result for SARS-CoV-2 or positive anti-SARS-CoV-2 N protein antibody test 7. History of leukemia, lymphoma, or underlying bone marrow disorder (eg, myelodysplasia, myeloma, myeloproliferative disorder) or history of bone marrow transplant. 8. Malignancy that required treatment with chemotherapy, immunotherapy, radiation therapy, or other antineoplastic target therapies within 24 months prior to study enrollment. 9. Has participated in an interventional clinical study within 30 days prior to study inclusion
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dorothee von Laer, MD/PhD
Phone
+4366473333617
Email
dorothee.von-laer@i-med.ac.at
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dorothee von Laer, MD
Organizational Affiliation
Medical University Innsbruck
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical University of Innsbruck
City
Innsbruck
State/Province
Tyrol
ZIP/Postal Code
6020
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dorothee von Laer, MD/PhD
Phone
+4366473333617
Email
dorothee.von-laer@i-med.ac.at
First Name & Middle Initial & Last Name & Degree
Janine Kimpel, PhD
Email
Janine.kimpel@i-med.ac.at

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35617826
Citation
Banki Z, Mateus J, Rossler A, Schafer H, Bante D, Riepler L, Grifoni A, Sette A, Simon V, Falkensammer B, Ulmer H, Neurauter B, Borena W; HEVACC Study Group; Krammer F, von Laer D, Weiskopf D, Kimpel J. Heterologous ChAdOx1/BNT162b2 vaccination induces stronger immune response than homologous ChAdOx1 vaccination: The pragmatic, multi-center, three-arm, partially randomized HEVACC trial. EBioMedicine. 2022 Jun;80:104073. doi: 10.1016/j.ebiom.2022.104073. Epub 2022 May 23.
Results Reference
derived

Learn more about this trial

Heterologous SARS-CoV-2 Vaccination With ChAdOx-1 and BNT162b2

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