search
Back to results

Booster Vaccination Against COVID-19

Primary Purpose

COVID-19, Sars-CoV-2 Infection

Status
Completed
Phase
Phase 2
Locations
Turkey
Study Type
Interventional
Intervention
CoronaVac
Turkovac
Sponsored by
Health Institutes of Turkey
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID-19, SARS-CoV-2 Vaccine, Booster, Efficacy, Immunogenicity, Safety

Eligibility Criteria

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

Inclusion Criteria:

  • Signed informed consent
  • Healthy male or female aged 18 - 60 years (including both groups)
  • Subjects who were vaccinated with CoronaVac for 2 doses and who had a minimum of 90 days and a maximum of 270 days after the second dose
  • Subjects may have a controlled or moderate comorbidity
  • Female subjects of childbearing potential should be willing to ensure that they or their partner use effective birth control methods continuously from 1 month before and up to 3 months after vaccination
  • Subjects agreed to comply with all study requirements
  • Subjects are willing to share their medical history with their physician and allow access to all medical records when relevant to study procedures
  • Subjects are willing to agree to abstain from donating blood during the study

Exclusion Criteria:

Subjects meeting any of the following criteria will be excluded from the study:

  • Administration of any vaccine (registered or investigational) other than study intervention within 30 days before and after each study vaccine (one week for authorized seasonal flu vaccine or pneumococcal vaccine)
  • Positive for COVID-19 after primary vaccination
  • Pre-or planned use of another vaccine or product likely to affect the study (e.g. adenovirus vectored vaccines, any coronavirus vaccine)
  • Subjects who were pregnant at the time of enrollment or who plan to become pregnant within the first 3 months following vaccination and who are breastfeeding
  • Subjects with fever (above 38°C) at the time of vaccination and/or up to 72 hours before
  • Administration of immunoglobulins and/or any blood product within 3 months prior to vaccination
  • Any confirmed or suspected immunosuppressive or immunodeficiency state; asplenia; recurrent severe infections and use of immunosuppressants (less than ≤14 days) in the last 6 months, excluding topical steroids or short-term oral steroids
  • Possible history of allergic disease or reaction (e.g. to the active substance) by any component of the study vaccines
  • Any history of anaphylaxis
  • Current cancer diagnosis or treatment (excluding basal cell carcinoma of the skin and cervical carcinoma in situ)
  • History of bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venipuncture
  • Continued use of anticoagulants such as coumarins and related anticoagulants (i.e. warfarin) or new oral anticoagulants (i.e. apixaban, rivaroxaban, dabigatran and edoxaban)
  • Cerebral venous sinus thrombosis, antiphospholipid syndrome, or a history of heparin-induced thrombocytopenia and thrombosis (HITT or HIT type 2).
  • Suspected or known current alcohol or drug addiction
  • Any other significant disease, disorder or finding that could significantly increase the subject's risk for participation in the study, affect the subject's ability to participate in the study, or impair the interpretation of study data; severe and/or uncontrolled cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, kidney disease, endocrine disorder, and neurological disease (mild/moderate well-controlled comorbidities are permitted)
  • History of active or previous autoimmune neurological disorders (e.g. multiple sclerosis, Guillain-Barre syndrome, transverse myelitis) (Bell's palsy will not be an exclusion criterion)
  • Subjects with severe renal impairment or liver failure
  • Subjects who will undergo scheduled elective surgery during the study
  • Subjects with a life expectancy of less than 6 months
  • Subject who participated in another clinical trial study involving an investigational product in the past 12 weeks
  • In case of clinical necessity, a COVID-19 PCR (polymerase chain reaction) test will be requested from the subjects, and subjects who are positive will be excluded from the study
  • Known history of SARS-CoV-2 infection
  • Acute respiratory disease (moderate or severe illness with or without fever) (Subjects may be screened again after acute condition has resolved)
  • Fever (oral temperature > 37.8°C) (Subjects can be enrolled again after acute condition improves)
  • Insufficient level of Turkish to perform the informed consent, except where briefing by an independent witness can be provided and is available

Sites / Locations

  • Ankara City Hospital Internal Medicine Clinic
  • Sancaktepe Martyr Professor Dr. İlhan Varank Training and Research Hospital Infectious Diseases and Clinical Microbiology Clinic
  • T.R. Ministry of Health Kartal Dr. Lütfi Kirdar City Hospital Infectious Diseases
  • Ümraniye Training and Research Hospital Infectious Diseases

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

CoronaVac

Turkovac

Arm Description

Inactivated SARS-CoV-2 virus antigen, single intramuscular injection for boosting dose.

Inactivated SARS-CoV-2 virus antigen, single intramuscular injection for boosting dose.

Outcomes

Primary Outcome Measures

Incidence of adverse reactions
Incidence of adverse reactions within 7 days of vaccination in all subjects
Incidence of Serious Adverse Events (SAE)
Incidence of Serious Adverse Events (SAE) in all subjects 168 days after vaccination

Secondary Outcome Measures

Neutralizing antibody and anti-spike protein immunoglobulin G
Amount of SARS-CoV2 anti-spike protein immunoglobulin G and SARS-CoV2 neutralizing antibody amount

Full Information

First Posted
July 15, 2021
Last Updated
February 10, 2023
Sponsor
Health Institutes of Turkey
search

1. Study Identification

Unique Protocol Identification Number
NCT04979949
Brief Title
Booster Vaccination Against COVID-19
Official Title
Double-Blind, Randomized, Controlled, Multi-Centered, Phase 2 Clinical Trial to Determine the Safety, Efficacy, and Immunogenicity of Booster Vaccination Against SARS-CoV-2
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
July 12, 2021 (Actual)
Primary Completion Date
March 9, 2022 (Actual)
Study Completion Date
June 6, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Health Institutes of Turkey

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
A booster dose of vaccine (Turkovac or CoronaVac) will be administered to subjects who have passed at least 90 days and at most 270 days after the second dose of the first course of CoronaVac vaccine.
Detailed Description
To determine the safety and immunogenicity of booster doses of vaccine against SARS-CoV2 after a minimum of 90 days and a maximum of 270 days after the 2nd dose of a homologous 2 dose primary regimen. It is planned to recruit 111 subjects for 2 vaccines (Turkovac and CoronaVac). There will be a total of 222 subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Sars-CoV-2 Infection
Keywords
COVID-19, SARS-CoV-2 Vaccine, Booster, Efficacy, Immunogenicity, Safety

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Double-Blind, Randomized, Controlled, Multi-Center Phase 2 Clinical Trial to Determine Safety, Efficacy, and Immunogenicity of Booster Vaccination Against SARS-CoV-2 (Hybrid COV-Rapel TR)
Masking
ParticipantCare ProviderInvestigator
Masking Description
Double-Blind
Allocation
Randomized
Enrollment
222 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CoronaVac
Arm Type
Active Comparator
Arm Description
Inactivated SARS-CoV-2 virus antigen, single intramuscular injection for boosting dose.
Arm Title
Turkovac
Arm Type
Experimental
Arm Description
Inactivated SARS-CoV-2 virus antigen, single intramuscular injection for boosting dose.
Intervention Type
Biological
Intervention Name(s)
CoronaVac
Intervention Description
One dose vaccine will be administered to subjects who have passed at least 90 days and at most 270 days after the second dose of the first course of CoronaVac vaccine.
Intervention Type
Biological
Intervention Name(s)
Turkovac
Intervention Description
One dose vaccine will be administered to subjects who have passed at least 90 days and at most 270 days after the second dose of the first course of CoronaVac vaccine.
Primary Outcome Measure Information:
Title
Incidence of adverse reactions
Description
Incidence of adverse reactions within 7 days of vaccination in all subjects
Time Frame
7 days after vaccination
Title
Incidence of Serious Adverse Events (SAE)
Description
Incidence of Serious Adverse Events (SAE) in all subjects 168 days after vaccination
Time Frame
168 days after vaccination
Secondary Outcome Measure Information:
Title
Neutralizing antibody and anti-spike protein immunoglobulin G
Description
Amount of SARS-CoV2 anti-spike protein immunoglobulin G and SARS-CoV2 neutralizing antibody amount
Time Frame
On days 0, 28 and 84

10. Eligibility

Sex
All
Gender Based
Yes
Gender Eligibility Description
Participant eligibility is based on self-representation of gender identity.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Signed informed consent Healthy male or female aged 18 - 60 years (including both groups) Subjects who were vaccinated with CoronaVac for 2 doses and who had a minimum of 90 days and a maximum of 270 days after the second dose Subjects may have a controlled or moderate comorbidity Female subjects of childbearing potential should be willing to ensure that they or their partner use effective birth control methods continuously from 1 month before and up to 3 months after vaccination Subjects agreed to comply with all study requirements Subjects are willing to share their medical history with their physician and allow access to all medical records when relevant to study procedures Subjects are willing to agree to abstain from donating blood during the study Exclusion Criteria: Subjects meeting any of the following criteria will be excluded from the study: Administration of any vaccine (registered or investigational) other than study intervention within 30 days before and after each study vaccine (one week for authorized seasonal flu vaccine or pneumococcal vaccine) Positive for COVID-19 after primary vaccination Pre-or planned use of another vaccine or product likely to affect the study (e.g. adenovirus vectored vaccines, any coronavirus vaccine) Subjects who were pregnant at the time of enrollment or who plan to become pregnant within the first 3 months following vaccination and who are breastfeeding Subjects with fever (above 38°C) at the time of vaccination and/or up to 72 hours before Administration of immunoglobulins and/or any blood product within 3 months prior to vaccination Any confirmed or suspected immunosuppressive or immunodeficiency state; asplenia; recurrent severe infections and use of immunosuppressants (less than ≤14 days) in the last 6 months, excluding topical steroids or short-term oral steroids Possible history of allergic disease or reaction (e.g. to the active substance) by any component of the study vaccines Any history of anaphylaxis Current cancer diagnosis or treatment (excluding basal cell carcinoma of the skin and cervical carcinoma in situ) History of bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venipuncture Continued use of anticoagulants such as coumarins and related anticoagulants (i.e. warfarin) or new oral anticoagulants (i.e. apixaban, rivaroxaban, dabigatran and edoxaban) Cerebral venous sinus thrombosis, antiphospholipid syndrome, or a history of heparin-induced thrombocytopenia and thrombosis (HITT or HIT type 2). Suspected or known current alcohol or drug addiction Any other significant disease, disorder or finding that could significantly increase the subject's risk for participation in the study, affect the subject's ability to participate in the study, or impair the interpretation of study data; severe and/or uncontrolled cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, kidney disease, endocrine disorder, and neurological disease (mild/moderate well-controlled comorbidities are permitted) History of active or previous autoimmune neurological disorders (e.g. multiple sclerosis, Guillain-Barre syndrome, transverse myelitis) (Bell's palsy will not be an exclusion criterion) Subjects with severe renal impairment or liver failure Subjects who will undergo scheduled elective surgery during the study Subjects with a life expectancy of less than 6 months Subject who participated in another clinical trial study involving an investigational product in the past 12 weeks In case of clinical necessity, a COVID-19 PCR (polymerase chain reaction) test will be requested from the subjects, and subjects who are positive will be excluded from the study Known history of SARS-CoV-2 infection Acute respiratory disease (moderate or severe illness with or without fever) (Subjects may be screened again after acute condition has resolved) Fever (oral temperature > 37.8°C) (Subjects can be enrolled again after acute condition improves) Insufficient level of Turkish to perform the informed consent, except where briefing by an independent witness can be provided and is available
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ahmet Omma, Assoc. Prof.
Organizational Affiliation
Faculty Member
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ankara City Hospital Internal Medicine Clinic
City
Ankara
Country
Turkey
Facility Name
Sancaktepe Martyr Professor Dr. İlhan Varank Training and Research Hospital Infectious Diseases and Clinical Microbiology Clinic
City
Istanbul
Country
Turkey
Facility Name
T.R. Ministry of Health Kartal Dr. Lütfi Kirdar City Hospital Infectious Diseases
City
Istanbul
Country
Turkey
Facility Name
Ümraniye Training and Research Hospital Infectious Diseases
City
Istanbul
Country
Turkey

12. IPD Sharing Statement

Citations:
PubMed Identifier
33859951
Citation
Kumar A, Singh R, Kaur J, Pandey S, Sharma V, Thakur L, Sati S, Mani S, Asthana S, Sharma TK, Chaudhuri S, Bhattacharyya S, Kumar N. Wuhan to World: The COVID-19 Pandemic. Front Cell Infect Microbiol. 2021 Mar 30;11:596201. doi: 10.3389/fcimb.2021.596201. eCollection 2021.
Results Reference
background
PubMed Identifier
33408181
Citation
Dan JM, Mateus J, Kato Y, Hastie KM, Yu ED, Faliti CE, Grifoni A, Ramirez SI, Haupt S, Frazier A, Nakao C, Rayaprolu V, Rawlings SA, Peters B, Krammer F, Simon V, Saphire EO, Smith DM, Weiskopf D, Sette A, Crotty S. Immunological memory to SARS-CoV-2 assessed for up to 8 months after infection. Science. 2021 Feb 5;371(6529):eabf4063. doi: 10.1126/science.abf4063. Epub 2021 Jan 6.
Results Reference
background
PubMed Identifier
33822494
Citation
Doria-Rose N, Suthar MS, Makowski M, O'Connell S, McDermott AB, Flach B, Ledgerwood JE, Mascola JR, Graham BS, Lin BC, O'Dell S, Schmidt SD, Widge AT, Edara VV, Anderson EJ, Lai L, Floyd K, Rouphael NG, Zarnitsyna V, Roberts PC, Makhene M, Buchanan W, Luke CJ, Beigel JH, Jackson LA, Neuzil KM, Bennett H, Leav B, Albert J, Kunwar P; mRNA-1273 Study Group. Antibody Persistence through 6 Months after the Second Dose of mRNA-1273 Vaccine for Covid-19. N Engl J Med. 2021 Jun 10;384(23):2259-2261. doi: 10.1056/NEJMc2103916. Epub 2021 Apr 6. No abstract available. Erratum In: N Engl J Med. 2022 Feb 3;386(5):500.
Results Reference
background
PubMed Identifier
33730471
Citation
Wu K, Werner AP, Koch M, Choi A, Narayanan E, Stewart-Jones GBE, Colpitts T, Bennett H, Boyoglu-Barnum S, Shi W, Moliva JI, Sullivan NJ, Graham BS, Carfi A, Corbett KS, Seder RA, Edwards DK. Serum Neutralizing Activity Elicited by mRNA-1273 Vaccine. N Engl J Med. 2021 Apr 15;384(15):1468-1470. doi: 10.1056/NEJMc2102179. Epub 2021 Mar 17. No abstract available.
Results Reference
background
PubMed Identifier
33725432
Citation
Madhi SA, Baillie V, Cutland CL, Voysey M, Koen AL, Fairlie L, Padayachee SD, Dheda K, Barnabas SL, Bhorat QE, Briner C, Kwatra G, Ahmed K, Aley P, Bhikha S, Bhiman JN, Bhorat AE, du Plessis J, Esmail A, Groenewald M, Horne E, Hwa SH, Jose A, Lambe T, Laubscher M, Malahleha M, Masenya M, Masilela M, McKenzie S, Molapo K, Moultrie A, Oelofse S, Patel F, Pillay S, Rhead S, Rodel H, Rossouw L, Taoushanis C, Tegally H, Thombrayil A, van Eck S, Wibmer CK, Durham NM, Kelly EJ, Villafana TL, Gilbert S, Pollard AJ, de Oliveira T, Moore PL, Sigal A, Izu A; NGS-SA Group; Wits-VIDA COVID Group. Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against the B.1.351 Variant. N Engl J Med. 2021 May 20;384(20):1885-1898. doi: 10.1056/NEJMoa2102214. Epub 2021 Mar 16.
Results Reference
background
PubMed Identifier
36315843
Citation
Omma A, Batirel A, Aydin M, Yilmaz Karadag F, Erden A, Kucuksahin O, Armagan B, Guven SC, Karakas O, Gokdemir S, Altunal LN, Buber AA, Gemcioglu E, Zengin O, Inan O, Sahiner ES, Korukluoglu G, Sezer Z, Ozdarendeli A, Kara A, Ates I. Safety and immunogenicity of inactive vaccines as booster doses for COVID-19 in Turkiye: A randomized trial. Hum Vaccin Immunother. 2022 Nov 30;18(6):2122503. doi: 10.1080/21645515.2022.2122503. Epub 2022 Oct 31.
Results Reference
derived

Learn more about this trial

Booster Vaccination Against COVID-19

We'll reach out to this number within 24 hrs