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Phase I/II Study of COVID-19 DNA Vaccine (AG0302-COVID19 High-dose)

Primary Purpose

COVID-19 Lower Respiratory Infection

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
AG0302-COVID19 for Intramuscular Injection
AG0302-COVID19 for Intramuscular Injection
AG0302-COVID19 for Intramuscular Injection
AG0302-COVID19 for Intradermal Injection
AG0302-COVID19 for Intradermal Injection
Sponsored by
AnGes, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Lower Respiratory Infection focused on measuring vaccine, COVID-19, SARS-CoV-2

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects who have obtained written consent voluntarily to participate in this clinical trial
  2. Subjects whose age at the time of obtaining consent is 18 years or older
  3. Subjects who are negative for SARS-CoV-2 by PCR test
  4. Subjects who are negative for both SARS-CoV-2 IgM antibody and SARS-CoV-2 IgG antibody by antibody test

Exclusion Criteria:

  1. Subjects with symptoms of suspected COVID-19 infection (respiratory symptoms, headache, malaise, olfactory disorders, taste disorders, etc.)
  2. Subjects with a history of COVID-19 (hearing from subjects)
  3. Subjects with a history of vaccination for the prevention of COVID-19
  4. Subjects who have participated in unapproved vaccine clinical trials within 1 year before the start of this study
  5. Subjects with an axillary temperature of 37.5 degrees or higher at the time of screening
  6. Subjects with an axillary temperature of 37.5 degrees or higher before the first vaccination
  7. Subjects who have a history of anaphylaxis
  8. Subjects who have a history of hypersensitivity to the ingredients of the investigational drug
  9. Subjects who have a current or history of serious renal, cardiovascular, respiratory, liver, kidney, gastrointestinal, and neuropsychiatric diseases
  10. Subjects with a history of convulsion or epilepsy
  11. Subjects with a history of diagnosis of immunodeficiency
  12. Subjects who have a close relative (within 3rd degree) of congenital immunodeficiency
  13. Subjects who have current bronchial asthma
  14. Subjects who have had a fever of 39.0 degrees or higher within 2 days after vaccination, or who have been suspected of having an allergy such as a systemic rash.
  15. Females who wish to become pregnant from the time of obtaining consent to 12 weeks after the first vaccination, and pregnant females who are breast-feeding. In addition, females who may become pregnant and their male sexual partners should use appropriate contraceptives (pill), condoms, vasectomy, tubal ligation, diaphragm, intrauterine devices, spermicides, intrauterine hormone-releasing system, etc. from the study entry date until 12 weeks after the first vaccination
  16. Subjects who have participated in clinical trials of other unapproved drugs and received the investigational drug within 4 weeks before the start of this clinical trial (starting from vaccination day)
  17. Subjects who have been received a live vaccine, inactivated vaccine, or toxoid within 4 weeks before the start of this clinical trial (starting from vaccination day)
  18. Subjects who have been administered with drugs that affect the immune system (excluding external preparations) such as immunomodulators (DMARDs, etc.), immunosuppressants, biologics, etc. within 4 weeks before vaccination
  19. Subjects who received blood transfusion or gamma globulin therapy within 12 weeks before vaccination, or high-dose gamma globulin therapy (200 mg/kg or more) within 24 weeks before vaccination
  20. Subjects who have a history of overseas travel within 4 weeks before the start of the clinical trial (starting from vaccination day)
  21. Subjects who are unable to comply with the clinical trial protocol and follow up (for mental, family, social or geographical reasons)
  22. Subjects who are judged to be ineligible for this clinical trial by the investigator

Sites / Locations

  • IUHW Narita Hospital
  • Medical Corporation Heishinkai OCROM Clinic
  • Medical Corporation Heishinkai ToCROM Clinic
  • Medical Corporation Shinanokai Shinanozaka Clinic
  • Sekino Clinical Pharmacology Clinic
  • Medical Corporation Heishinkai OPHAC Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group A

Group B

Group C

Group D

Group E

Arm Description

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events
Frequency and severity of each adverse event, solicited local and systemic AEs from the first vaccination to 12 weeks after first vaccination
Immunogenicity
Change in the neutralizing activity against pseudovirus of SARS-CoV-2 [ID50]
Immunogenicity
Change in Geometric mean titer (GMT) of serum anti-SARS-CoV-2 Spike (S) glycoprotein-specific antibody

Secondary Outcome Measures

Change in GMT of anti-SARS-CoV-2 Spike (S) glycoprotein-specific antibody
Change in the neutralizing activity against pseudovirus of SARS-CoV-2
Seroconversion rate from baseline (defined as a 4-fold or greater increase) in the neutralizing activity against pseudovirus of SARS-CoV-2 [ID50]
Change in IFN-gamma production against SARS-CoV-2 spike (S) glycoprotein by T cells in peripheral blood mononuclear cells
IgG subclasses (IgG1 and IgG2) of anti-SARS-CoV-2 spike (S) glycoprotein-specific antibody
Adverse events
Rate of SARS-CoV-2 positive and incidence rate of COVID-19 after the first vaccination
Rate of swelling and leakage of the drug to the vaccination site during intradermal vaccination
Number of defects in preparation and vaccination during intradermal vaccination

Full Information

First Posted
July 30, 2021
Last Updated
November 8, 2022
Sponsor
AnGes, Inc.
Collaborators
Japan Agency for Medical Research and Development
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1. Study Identification

Unique Protocol Identification Number
NCT04993586
Brief Title
Phase I/II Study of COVID-19 DNA Vaccine (AG0302-COVID19 High-dose)
Official Title
A Randomized, Open-label, Uncontrolled, Phase I/II Study to Assess Safety and Immunogenicity of Two or Three Dosing of Intramuscular/Intradermal AG0302-COVID19
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
July 29, 2021 (Actual)
Primary Completion Date
December 10, 2021 (Actual)
Study Completion Date
September 23, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AnGes, Inc.
Collaborators
Japan Agency for Medical Research and Development

4. Oversight

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

5. Study Description

Brief Summary
This study will assess the safety and immunogenicity of AG0302-COVID19 in healthy volunteers.
Detailed Description
This is a Phase I/II, multi-center, randomized, open-label, uncontrolled trial. Approximately 400 healthy volunteers, male or female, aged 18 years or older, will be randomized to one of the following five groups: [IM Groups] Group A: Vaccination 2 mg, three times at 2-week intervals (n = 80) Group B: Vaccination 4 mg, twice at 4-week intervals (n = 80) Group C: Vaccination 8 mg, twice at 4-week intervals(n = 80) [ID Groups] Group D: Vaccination 1 mg, three times at 2-week intervals (n = 80) Group E: Vaccination 1 mg, twice at 4-week intervals (n = 80)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Lower Respiratory Infection
Keywords
vaccine, COVID-19, SARS-CoV-2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
422 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Title
Group B
Arm Type
Experimental
Arm Title
Group C
Arm Type
Experimental
Arm Title
Group D
Arm Type
Experimental
Arm Title
Group E
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
AG0302-COVID19 for Intramuscular Injection
Intervention Description
Vaccination 2 mg of AG0302-COVID19 three times at 2-week intervals
Intervention Type
Biological
Intervention Name(s)
AG0302-COVID19 for Intramuscular Injection
Intervention Description
Vaccination 4 mg of AG0302-COVID19 twice at 4-week intervals
Intervention Type
Biological
Intervention Name(s)
AG0302-COVID19 for Intramuscular Injection
Intervention Description
Vaccination 8 mg of AG0302-COVID19 twice at 4-week intervals
Intervention Type
Biological
Intervention Name(s)
AG0302-COVID19 for Intradermal Injection
Intervention Description
Vaccination 1 mg of AG0302-COVID19 three times at 2-week intervals
Intervention Type
Biological
Intervention Name(s)
AG0302-COVID19 for Intradermal Injection
Intervention Description
Vaccination 1 mg of AG0302-COVID19 twice at 4-week intervals
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events
Description
Frequency and severity of each adverse event, solicited local and systemic AEs from the first vaccination to 12 weeks after first vaccination
Time Frame
Week 1 through Week 13
Title
Immunogenicity
Description
Change in the neutralizing activity against pseudovirus of SARS-CoV-2 [ID50]
Time Frame
Week 13
Title
Immunogenicity
Description
Change in Geometric mean titer (GMT) of serum anti-SARS-CoV-2 Spike (S) glycoprotein-specific antibody
Time Frame
Week 13
Secondary Outcome Measure Information:
Title
Change in GMT of anti-SARS-CoV-2 Spike (S) glycoprotein-specific antibody
Time Frame
Weeks 5, 7, 9, 13, 17, 21, 25, 37, 53
Title
Change in the neutralizing activity against pseudovirus of SARS-CoV-2
Time Frame
Weeks 5, 7, 9, 13, 17, 21, 25, 37, 53
Title
Seroconversion rate from baseline (defined as a 4-fold or greater increase) in the neutralizing activity against pseudovirus of SARS-CoV-2 [ID50]
Time Frame
Weeks 5, 7, 9, 13, 17, 21, 25, 37, 53
Title
Change in IFN-gamma production against SARS-CoV-2 spike (S) glycoprotein by T cells in peripheral blood mononuclear cells
Time Frame
Weeks 5, 7, 9, 13
Title
IgG subclasses (IgG1 and IgG2) of anti-SARS-CoV-2 spike (S) glycoprotein-specific antibody
Time Frame
Weeks 1, 9, 13
Title
Adverse events
Time Frame
Week 13 through Week 53
Title
Rate of SARS-CoV-2 positive and incidence rate of COVID-19 after the first vaccination
Time Frame
Week 1 through Week 53
Title
Rate of swelling and leakage of the drug to the vaccination site during intradermal vaccination
Time Frame
Weeks 1, 3, 5
Title
Number of defects in preparation and vaccination during intradermal vaccination
Time Frame
Week 1 through Week 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who have obtained written consent voluntarily to participate in this clinical trial Subjects whose age at the time of obtaining consent is 18 years or older Subjects who are negative for SARS-CoV-2 by PCR test Subjects who are negative for both SARS-CoV-2 IgM antibody and SARS-CoV-2 IgG antibody by antibody test Exclusion Criteria: Subjects with symptoms of suspected COVID-19 infection (respiratory symptoms, headache, malaise, olfactory disorders, taste disorders, etc.) Subjects with a history of COVID-19 (hearing from subjects) Subjects with a history of vaccination for the prevention of COVID-19 Subjects who have participated in unapproved vaccine clinical trials within 1 year before the start of this study Subjects with an axillary temperature of 37.5 degrees or higher at the time of screening Subjects with an axillary temperature of 37.5 degrees or higher before the first vaccination Subjects who have a history of anaphylaxis Subjects who have a history of hypersensitivity to the ingredients of the investigational drug Subjects who have a current or history of serious renal, cardiovascular, respiratory, liver, kidney, gastrointestinal, and neuropsychiatric diseases Subjects with a history of convulsion or epilepsy Subjects with a history of diagnosis of immunodeficiency Subjects who have a close relative (within 3rd degree) of congenital immunodeficiency Subjects who have current bronchial asthma Subjects who have had a fever of 39.0 degrees or higher within 2 days after vaccination, or who have been suspected of having an allergy such as a systemic rash. Females who wish to become pregnant from the time of obtaining consent to 12 weeks after the first vaccination, and pregnant females who are breast-feeding. In addition, females who may become pregnant and their male sexual partners should use appropriate contraceptives (pill), condoms, vasectomy, tubal ligation, diaphragm, intrauterine devices, spermicides, intrauterine hormone-releasing system, etc. from the study entry date until 12 weeks after the first vaccination Subjects who have participated in clinical trials of other unapproved drugs and received the investigational drug within 4 weeks before the start of this clinical trial (starting from vaccination day) Subjects who have been received a live vaccine, inactivated vaccine, or toxoid within 4 weeks before the start of this clinical trial (starting from vaccination day) Subjects who have been administered with drugs that affect the immune system (excluding external preparations) such as immunomodulators (DMARDs, etc.), immunosuppressants, biologics, etc. within 4 weeks before vaccination Subjects who received blood transfusion or gamma globulin therapy within 12 weeks before vaccination, or high-dose gamma globulin therapy (200 mg/kg or more) within 24 weeks before vaccination Subjects who have a history of overseas travel within 4 weeks before the start of the clinical trial (starting from vaccination day) Subjects who are unable to comply with the clinical trial protocol and follow up (for mental, family, social or geographical reasons) Subjects who are judged to be ineligible for this clinical trial by the investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development
Organizational Affiliation
AnGes, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
IUHW Narita Hospital
City
Narita
State/Province
Chiba
ZIP/Postal Code
286-8520
Country
Japan
Facility Name
Medical Corporation Heishinkai OCROM Clinic
City
Suita
State/Province
Osaka
ZIP/Postal Code
565-0853
Country
Japan
Facility Name
Medical Corporation Heishinkai ToCROM Clinic
City
Shinjuku-ku
State/Province
Tokyo
ZIP/Postal Code
160-0008
Country
Japan
Facility Name
Medical Corporation Shinanokai Shinanozaka Clinic
City
Shinjuku-ku
State/Province
Tokyo
ZIP/Postal Code
160-0017
Country
Japan
Facility Name
Sekino Clinical Pharmacology Clinic
City
Toshima-ku
State/Province
Tokyo
ZIP/Postal Code
171-0014
Country
Japan
Facility Name
Medical Corporation Heishinkai OPHAC Hospital
City
Osaka
ZIP/Postal Code
532-0003
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase I/II Study of COVID-19 DNA Vaccine (AG0302-COVID19 High-dose)

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