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COVAXIN in a Pediatric Cohort (COVAXIN-Peds)

Primary Purpose

SARS-CoV2 Infection

Status
Completed
Phase
Phase 2
Locations
India
Study Type
Interventional
Intervention
COVAXIN
Sponsored by
Bharat Biotech International Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV2 Infection

Eligibility Criteria

2 Years - 18 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Ability to provide written informed consent (by the parents or legally acceptable/authorized representative (LAR) and assent by the children (verbal/oral assent for the children of age between 7-12 years, and written assent for the children of age between >12 to 18 years), and Audio video consent for all participants.
  2. Participants of either gender of age between ≥2 to ≤18years (Participant should be ≤18 years at the time of Screening of the study).
  3. Good general health as determined by the discretion of investigator.
  4. Expressed interest and availability to fulfill the study requirements.
  5. Agrees not to participate in another clinical trial at any time during the study period.
  6. Agrees to remain in the study area for the entire duration of the study.
  7. Willing to allow storage and future use of biological samples for future research.

Exclusion Criteria:

  1. History of any other COVID-19 investigational vaccination.
  2. Confirmed SARS-CoV-2 at the time of screening using RT-PCR and ELISA method.
  3. 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.
  4. Receipt of an experimental agent (vaccine, drug, device, etc.) within 60 days before enrollment or expects to receive an investigational agent during the study period.
  5. Receipt of any licensed vaccine within four weeks before enrollment in this study.
  6. Known sensitivity to any ingredient of the study vaccines, or a more severe allergic reaction and history of allergies in the past.
  7. Receipt of immunoglobulin or other blood products within the three months prior to vaccination in this study.
  8. 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.
  9. 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).
  10. Any history of hereditary angioedema or idiopathic angioedema.
  11. Any history of anaphylaxis in relation to vaccination.
  12. History of congenital diseases.
  13. Any history of albumin-intolerance.
  14. History of any cancer.
  15. History of psychiatric severe conditions likely to affect participation in the study.
  16. A bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder, or prior history of significant bleeding or bruising following IM injections or venepuncture.
  17. Any other serious chronic illness requiring hospital specialist supervision.
  18. Respiratory diseases like severe acute respiratory syndrome (SARS), including mild asthma.
  19. Chronic cardiovascular disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, and neurological illness
  20. History of SARS-CoV-2 infection or known close contact with anyone with laboratory-confirmed SARS-CoV-2 infection or COVID-19 within 2 weeks prior to vaccine administration.
  21. 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 Criteria

  22. Anaphylactic reaction following administration of the investigational vaccine.
  23. Virologically confirmed cases of COVID-19

Sites / Locations

  • Victoria Government Hospital
  • All India Institute of Medical Sciences
  • Cheluvambha Hospital
  • Meditrina Institute of Medical Sciences
  • Jawahar Lal Nehru Medical college
  • Pranam Hospitals Hyderabad
  • Prakhar Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Study vaccine

Arm Description

SARS-COV2 vaccine

Outcomes

Primary Outcome Measures

Reactogenicity
Occurrence of Solicited Adverse events
Immunogenecity
GMTs of SARS-CoV-2 virus neutralizing antibodies by MNT/PRNT assay.

Secondary Outcome Measures

Immunogenicity
The GMT of binding antibodies (bAb's) IgG against spike protein (S1) and Nucleocapsid (N) protein in all three groups.

Full Information

First Posted
May 18, 2021
Last Updated
August 17, 2022
Sponsor
Bharat Biotech International Limited
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1. Study Identification

Unique Protocol Identification Number
NCT04918797
Brief Title
COVAXIN in a Pediatric Cohort
Acronym
COVAXIN-Peds
Official Title
A Phase II/III, Open Label, Multicenter Study to Evaluate the Safety, Reactogenicity and Immunogenicity of the Whole-Virion Inactivated SARS-CoV-2 Vaccine (COVAXIN®) in Healthy Volunteers Ages ≤18 to ≥ 2 Years.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
May 26, 2021 (Actual)
Primary Completion Date
August 15, 2021 (Actual)
Study Completion Date
January 25, 2022 (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 ages ≤18 - >12, ≤12 ->6, ≤ 6 - >2 years of healthy volunteers who receive two doses of the whole virion inactivated SARS-CoV-2 virus vaccine (COVAXIN®) 28 days apart. Data will be un-blinded to the third party bio-statistician and an interim analysis will be performed on day 56 for Immunogenicity, Safety and submitted to CDSCO.
Detailed Description
Study design: A Phase II/III, Open Label, Multicenter Study to Evaluate the Safety, Reactogenicity and Immunogenicity, of the Whole-Virion Inactivated SARS-CoV-2 Vaccine (COVAXIN®) in Healthy Volunteers ages ≤18 to ≥2 Years. A total sample size of 525 healthy volunteers. The study is designed to evaluate the safety, reactogenicity and immunogenicity of three groups ages ≤18 - >12, ≤12 ->6, ≤ 6 - >2 years of healthy volunteers who receive two doses of the whole virion inactivated SARS-CoV-2 virus vaccine (COVAXIN®) 28 days apart. Group1: A total of 175 healthy volunteers ages ≤18->12, years will be enrolled in this group and will receive two doses of BBV152 vaccine through intramuscular route on Day 0 and Day 28+2. Group 2: A total of 175 healthy volunteers ages ≤12->6, years will be enrolled in this group and will receive two doses of BBV152 vaccine through intramuscular route on Day 0 and Day 28+2. Group 3: A total of 175 healthy volunteers ages ≤6-> 2 years will be enrolled in this group and will receive two doses of BBV152 vaccine through intramuscular route on Day 0 and Day 28+2. Data will be un-blinded to the third party bio-statistician and an interim analysis will be performed on day 56 for Immunogenicity, Safety and submitted to CDSCO. Immunogenicity analysis: A total of 5 ml of blood is collected at days 0, 28+2, 56±7, 118±7 and 208±7. SARS-CoV-2 test will be conducted at the time of screening using RT-PCR and ELISA method.

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, Phase 3
Interventional Study Model
Single Group Assignment
Model Description
Open label
Masking
None (Open Label)
Allocation
N/A
Enrollment
525 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Study vaccine
Arm Type
Experimental
Arm Description
SARS-COV2 vaccine
Intervention Type
Biological
Intervention Name(s)
COVAXIN
Intervention Description
Whole-Virion Inactivated SARS-CoV-2 Vaccine (COVAXIN®)
Primary Outcome Measure Information:
Title
Reactogenicity
Description
Occurrence of Solicited Adverse events
Time Frame
Within 7 days after each dose of vaccination
Title
Immunogenecity
Description
GMTs of SARS-CoV-2 virus neutralizing antibodies by MNT/PRNT assay.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
The GMT of binding antibodies (bAb's) IgG against spike protein (S1) and Nucleocapsid (N) protein in all three groups.
Time Frame
6 months
Other Pre-specified Outcome Measures:
Title
Unsolicited Adverse Events
Description
Occurrence of Unsolicited Adverse events
Time Frame
Within 28 days after each dose of vaccination
Title
Adverse Events of Special Interest
Description
Occurrence of Adverse Events of Special Interest
Time Frame
Through study completion ,an average of 9 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Ability to provide written informed consent (by the parents or legally acceptable/authorized representative (LAR) and assent by the children (verbal/oral assent for the children of age between 7-12 years, and written assent for the children of age between >12 to 18 years), and Audio video consent for all participants. Participants of either gender of age between ≥2 to ≤18years (Participant should be ≤18 years at the time of Screening of the study). Good general health as determined by the discretion of investigator. Expressed interest and availability to fulfill the study requirements. 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 vaccination. Confirmed SARS-CoV-2 at the time of screening using RT-PCR and ELISA method. 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. Receipt of an experimental agent (vaccine, drug, device, etc.) within 60 days before enrollment or expects to receive an investigational agent during the study period. Receipt of any licensed vaccine within four weeks before enrollment 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. History of congenital diseases. Any history of albumin-intolerance. History of any cancer. History of psychiatric severe 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. 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 History of SARS-CoV-2 infection or known close contact with anyone with laboratory-confirmed SARS-CoV-2 infection or COVID-19 within 2 weeks prior to vaccine administration. 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 Criteria Anaphylactic reaction following administration of the investigational vaccine. Virologically confirmed cases of COVID-19
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr.Vasant Khalatkar, MBBS,MD
Organizational Affiliation
Meditrina Institute of Medical Sciences,Nagpur
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr.V.N Tripathi, MBBS,MD
Organizational Affiliation
Prakhar Hospital Pvt Ltd.,Kanpur
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Padmavathi I V, MBBS,MD
Organizational Affiliation
Victoria Government Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr.Lokesh Kumar Tiwari, MBBS,DNB
Organizational Affiliation
All India Institute of Medical Scienes,Patna
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr.Jai Prakash Narayan, MBBS,MD
Organizational Affiliation
JLN Medical college,Ajmer
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Mirza Nizam Baig, MBBS,MD
Organizational Affiliation
Pranam Hospitals Hyderabad
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Prashanth Siddiah, MBBS,MD
Organizational Affiliation
Cheluvambha Hospital,Mysore
Official's Role
Principal Investigator
Facility Information:
Facility Name
Victoria Government Hospital
City
Visakhapatnam
State/Province
Andhra Pradesh
ZIP/Postal Code
530001
Country
India
Facility Name
All India Institute of Medical Sciences
City
Patna
State/Province
Bihar
ZIP/Postal Code
801507
Country
India
Facility Name
Cheluvambha Hospital
City
Mysore
State/Province
Karnataka
ZIP/Postal Code
570001
Country
India
Facility Name
Meditrina Institute of Medical Sciences
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
440010
Country
India
Facility Name
Jawahar Lal Nehru Medical college
City
Ajmer
State/Province
Rajasthan
ZIP/Postal Code
305001
Country
India
Facility Name
Pranam Hospitals Hyderabad
City
Hyderabad
State/Province
Telangana
ZIP/Postal Code
500050
Country
India
Facility Name
Prakhar Hospital
City
Kanpur
State/Province
Uttar Pradesh
ZIP/Postal Code
208002
Country
India

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35717995
Citation
Vadrevu KM, Reddy S, Jogdand H, Ganneru B, Mirza N, Tripathy VN, Singh C, Khalatkar V, Prasanth S, Rai S, Ella R, Blackwelder W, Prasad S, Ella K. Immunogenicity and reactogenicity of an inactivated SARS-CoV-2 vaccine (BBV152) in children aged 2-18 years: interim data from an open-label, non-randomised, age de-escalation phase 2/3 study. Lancet Infect Dis. 2022 Sep;22(9):1303-1312. doi: 10.1016/S1473-3099(22)00307-3. Epub 2022 Jun 16.
Results Reference
derived

Learn more about this trial

COVAXIN in a Pediatric Cohort

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