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Evaluation of Efficacy, Safety and Immunogenicity of GX-19N in Healthy Individuals Who Have Received COVID-19 Vaccines

Primary Purpose

SARS-CoV2 Infection

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
GX-19N
Placebo
Sponsored by
Genexine, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV2 Infection

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult males or females aged 18 years and above at the time of consent
  2. Healthy subjects in normal medical condition as determined by medical history, physical examination, and investigator's discretion
  3. Have previously received homologous full-dose of COVID-19 vaccine authorized for emergency use, and at least 3 months post second vaccination prior to Day 1
  4. Negative results for SARS-COV-2 rapid antigen test at the screening period
  5. Able to comply with all study procedures and requirements
  6. Agree for blood and nasal swab samples could be collected throughout the study period, including surveillance visit

Exclusion Criteria:

  1. Unable to follow clinical and follow-up procedures
  2. Acute fever with temperature above 38℃, coughing, breathing difficulty, chills, muscle ache, headache, sore throat, loss of smell, or loss of taste within 72 hours prior to the vaccination
  3. History of SARS-CoV-2 infection or have experienced prior administration of an investigational coronavirus (SARS-CoV, MERS-CoV) vaccine
  4. History of a malignant disease within the past 5 years
  5. Immune dysfunction, including immunodeficiency disorder, or family history of such conditions (Except stable/well-controlled HIV-positive participants)
  6. Have received immunoglobulin or blood-derived products within 3 months prior to the vaccination or are scheduled to receive them during the study period
  7. Have been dependent on antipsychotic drugs and narcotic analgesics within 6 months prior to the vaccination
  8. History or are suspected of alcohol or drug dependency
  9. History of hypersensitivity or allergic reactions including anaphylaxis
  10. A current or history of clinically significant chronic cardiovascular, endocrine, gastrointestinal, hepatic (including hepatitis B and C), renal, neurological, respiratory, psychiatric or other medical disorders not excluded by other exclusion criteria, that are assessed by the investigator
  11. Hemophiliacs or people using anticoagulants who are at a risk of serious bleeding from IM injection
  12. Have received or plans to receive other vaccination(s) within 28 days prior to or during study duration (except for influenza vaccine which is not allowed within 14 days before, or 4 weeks after final dose of IP)
  13. Have taken an immunosuppressant or immune-modifying drug within 3 months prior to the vaccination; chronic administration (defined as more than 14 continuous days) of immunosuppressant medication within the past 3 months, except topical steroids or short-term oral steroids (course lasting ≤ 14 days)
  14. Female who are pregnant or breastfeeding; however, participation is possible if breastfeeding is discontinued prior to participation in the study
  15. Have received or have plans to receive other investigational drug(s) while participating in another clinical study or bioequivalence study within 28 days prior to vaccination
  16. Not consent to the use of effective contraception at least 90 days after the last vaccination
  17. Lack of acceptable sites available for IM injection and EP
  18. Deemed ineligible by the investigator based on other clinically significant medical or psychiatric findings

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    GX-19N

    Placebo

    Arm Description

    GX-19N will be intramusculary administered via EP on day 1 and day 29.

    Placebo will be intramusculary administered via EP on day 1 and day 29

    Outcomes

    Primary Outcome Measures

    First occurrence of COVID-19 at least 14 days after the second vaccination
    Symptomatic, virologically confirmed COVID-19 as described in the study
    Incidence of severe solicited adverse events (AEs)
    Percentage of subjects reporting grade 3 or higher AEs after each vaccination
    Incidence of AEs and Serious AEs (SAEs) after each vaccination
    Percentage of subjects reporting AEs and SAEs after each vaccination
    Incidence of SAE, and Adverse events of special interest (AESIs), which relevant to COVID-19 including possible vaccine-enhanced disease
    SAE and AESIs reported in all subjects at any time after the first vaccination

    Secondary Outcome Measures

    First occurrence of severe COVID-19 at least 14 days after the second vaccination
    Symptomatic, virologically confirmed severe COVID-19 as described in the study
    Cell-mediated immune responses after vaccination
    Antigen-specific T cell response in a subset of Phase 2/3
    Antibody responses after vaccination
    Analysis of binding antibodies and neutralizing antibodies in a subset of Phase 2/3

    Full Information

    First Posted
    October 4, 2021
    Last Updated
    April 4, 2022
    Sponsor
    Genexine, Inc.
    Collaborators
    PT Kalbe Farma Tbk
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05067946
    Brief Title
    Evaluation of Efficacy, Safety and Immunogenicity of GX-19N in Healthy Individuals Who Have Received COVID-19 Vaccines
    Official Title
    A Phase 2/3, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Efficacy, Safety, and Immunogenicity of GX-19N, A DNA Vaccine, in Healthy Individuals Who Have Received One of the COVID-19 Vaccines
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Change of development strategy in consideration of the global COVID-19 situation
    Study Start Date
    October 2021 (Anticipated)
    Primary Completion Date
    October 2022 (Anticipated)
    Study Completion Date
    October 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Genexine, Inc.
    Collaborators
    PT Kalbe Farma Tbk

    4. Oversight

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

    5. Study Description

    Brief Summary
    The purpose of this study is to evaluate the efficacy, safety and immunogenicity of GX-19N in healthy individuals who have received one of COVID-19 vaccine authorized for emergency use.

    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
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    GX-19N
    Arm Type
    Experimental
    Arm Description
    GX-19N will be intramusculary administered via EP on day 1 and day 29.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo will be intramusculary administered via EP on day 1 and day 29
    Intervention Type
    Biological
    Intervention Name(s)
    GX-19N
    Intervention Description
    DNA vaccine expressing SARS-CoV-2 S-protein antigen including the Nucleocapsid protein (NP) antigen
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    GX-19N formulation buffer
    Primary Outcome Measure Information:
    Title
    First occurrence of COVID-19 at least 14 days after the second vaccination
    Description
    Symptomatic, virologically confirmed COVID-19 as described in the study
    Time Frame
    Up to 1 year after first vaccination
    Title
    Incidence of severe solicited adverse events (AEs)
    Description
    Percentage of subjects reporting grade 3 or higher AEs after each vaccination
    Time Frame
    Up to 7 days after each vaccination
    Title
    Incidence of AEs and Serious AEs (SAEs) after each vaccination
    Description
    Percentage of subjects reporting AEs and SAEs after each vaccination
    Time Frame
    Up to 1 month after each vaccination
    Title
    Incidence of SAE, and Adverse events of special interest (AESIs), which relevant to COVID-19 including possible vaccine-enhanced disease
    Description
    SAE and AESIs reported in all subjects at any time after the first vaccination
    Time Frame
    Up to 1 year after first vaccination
    Secondary Outcome Measure Information:
    Title
    First occurrence of severe COVID-19 at least 14 days after the second vaccination
    Description
    Symptomatic, virologically confirmed severe COVID-19 as described in the study
    Time Frame
    Up to 1 year after first vaccination
    Title
    Cell-mediated immune responses after vaccination
    Description
    Antigen-specific T cell response in a subset of Phase 2/3
    Time Frame
    Up to 1 year after first vaccination
    Title
    Antibody responses after vaccination
    Description
    Analysis of binding antibodies and neutralizing antibodies in a subset of Phase 2/3
    Time Frame
    Up to 1 year after first vaccination
    Other Pre-specified Outcome Measures:
    Title
    First occurrence of COVID-19 at least 14 days after the first vaccination
    Description
    Symptomatic, virologically confirmed COVID-19 as described in the study
    Time Frame
    Up to 1 year after first vaccination
    Title
    First occurrence of asymptomatic, virologically confirmed COVID-19 at least 14 days after the last vaccination in subjects
    Description
    Without symptom, but virologically confirmed COVID-19 as described in the study
    Time Frame
    Up to 1 year after first vaccination

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Adult males or females aged 18 years and above at the time of consent Healthy subjects in normal medical condition as determined by medical history, physical examination, and investigator's discretion Have previously received homologous full-dose of COVID-19 vaccine authorized for emergency use, and at least 3 months post second vaccination prior to Day 1 Negative results for SARS-COV-2 rapid antigen test at the screening period Able to comply with all study procedures and requirements Agree for blood and nasal swab samples could be collected throughout the study period, including surveillance visit Exclusion Criteria: Unable to follow clinical and follow-up procedures Acute fever with temperature above 38℃, coughing, breathing difficulty, chills, muscle ache, headache, sore throat, loss of smell, or loss of taste within 72 hours prior to the vaccination History of SARS-CoV-2 infection or have experienced prior administration of an investigational coronavirus (SARS-CoV, MERS-CoV) vaccine History of a malignant disease within the past 5 years Immune dysfunction, including immunodeficiency disorder, or family history of such conditions (Except stable/well-controlled HIV-positive participants) Have received immunoglobulin or blood-derived products within 3 months prior to the vaccination or are scheduled to receive them during the study period Have been dependent on antipsychotic drugs and narcotic analgesics within 6 months prior to the vaccination History or are suspected of alcohol or drug dependency History of hypersensitivity or allergic reactions including anaphylaxis A current or history of clinically significant chronic cardiovascular, endocrine, gastrointestinal, hepatic (including hepatitis B and C), renal, neurological, respiratory, psychiatric or other medical disorders not excluded by other exclusion criteria, that are assessed by the investigator Hemophiliacs or people using anticoagulants who are at a risk of serious bleeding from IM injection Have received or plans to receive other vaccination(s) within 28 days prior to or during study duration (except for influenza vaccine which is not allowed within 14 days before, or 4 weeks after final dose of IP) Have taken an immunosuppressant or immune-modifying drug within 3 months prior to the vaccination; chronic administration (defined as more than 14 continuous days) of immunosuppressant medication within the past 3 months, except topical steroids or short-term oral steroids (course lasting ≤ 14 days) Female who are pregnant or breastfeeding; however, participation is possible if breastfeeding is discontinued prior to participation in the study Have received or have plans to receive other investigational drug(s) while participating in another clinical study or bioequivalence study within 28 days prior to vaccination Not consent to the use of effective contraception at least 90 days after the last vaccination Lack of acceptable sites available for IM injection and EP Deemed ineligible by the investigator based on other clinically significant medical or psychiatric findings
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    JungWon Woo, Ph.D.
    Organizational Affiliation
    Genexine, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Evaluation of Efficacy, Safety and Immunogenicity of GX-19N in Healthy Individuals Who Have Received COVID-19 Vaccines

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