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A Phase 1/2 Study to Determine Safety and Immunogenicity of Two COVID 19 Vaccines VB10.2129 (RBD Candidate) and VB10.2210 (T Cell Candidate) Previously Vaccinated in Healthy Adult Volunteers

Primary Purpose

COVID-19, Infection Viral, Infections

Status
Completed
Phase
Phase 1
Locations
Norway
Study Type
Interventional
Intervention
VB10.2129
VB10.2210
Sponsored by
Nykode Therapeutics ASA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID-19, Coronavirus, DNA vaccine, Vaccine

Eligibility Criteria

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

Main inclusion criteria:

  • Give informed consent by signing the Informed Consent Form (ICF)

SARS CoV 2 vaccination status for Part 1:

  1. VB10.2129 (C1): have received 2 or 3 doses of an approved mRNA SARS CoV 2 vaccine, minimum 4.5 months (20 weeks) prior to Visit 1.
  2. VB10.2210 (C2): have received 2 doses (primary vaccination) or 3 (primary and boost) doses of an approved mRNA SARS CoV 2 vaccine, minimum 8 weeks prior to Visit 1.

SARS CoV 2 vaccination status for Part 2:

VB10.2129 (C1) and VB10.2210 (C2) Vaccination status prior to Visit 1 will be decided based on data from Part 1.

  • Willing and able to comply with scheduled visits, treatment schedule, laboratory tests, lifestyle restrictions (eg, local law and regulations [county specific lock down rules] regarding COVID-19), and other requirements of the study.
  • Healthy, in the clinical judgement of the Investigator, based on medical history, physical examination, 12-lead electrocardiogram (ECG), vital signs (systolic/diastolic blood pressure, pulse rate, body temperature, respiratory rate), and clinical laboratory tests (blood chemistry, haematology, and urine chemistry) at Visit 0 (Screening).
  • Women of childbearing potential (WOCBP) must have a negative pregnancy test and must agree to practice a highly effective form
  • Agree not to be vaccinated with any other vaccine during the study until 28 days after receiving the last study vaccination
  • Negative rtPCR-test for SARS-CoV-2

Main exclusion criteria:

  • Have had any acute illness with or without fever, within 72 hours prior to the first vaccination
  • Symptoms of upper respiratory infection, fever, persistent cough, shortness of breath, runny nose and breathing difficulties
  • Breastfeeding or who plan to breastfeed during the study
  • Have a known allergy, hypersensitivity, or intolerance to aminoglycosides
  • Had any clinically significant or chronic medical condition or any major surgery within the past 5 years which
  • Have any surgery planned during the study
  • Had any chronic use of any systemic medications, including immunosuppressant's, oral corticosteroids or other immune-modifying drugs, within the 12 months prior to Screening
  • Received any vaccination within the 28 days prior to Screening
  • Received any prescription medicines (except hormonal contraception for WOCBP) within 14 days prior to Visit 0 (Screening) or over the counter medicines (except paracetamol and acetaminophen at a dose of (≤2 grams/day)) within 48 hours of Visit 0.
  • Have a known history or a positive test of HIV 1 or 2, Hep B, or Hep C
  • Have a positive rtPCR test for SARS-CoV-2 within 2 days of Screening
  • Documented history of previous infection with SARS-CoV-2 and/or who have the presence of serum Ab indicative of a previous SARS-CoV-2 infection
  • Have a history of hypersensitivity or have had a serious reaction to a previous vaccination
  • Have any abnormality or permanent body art (eg, tattoo) that, would obstruct the ability to observe local reactions at the injection site.
  • Have a condition known to put them at high risk for severe COVID-19, including those with any of the following risk factors: Hypertension, diabetes mellitus, chronic pulmonary disease, asthma, chronic liver disease, known stage 3 or worse chronic kidney disease
  • Anticipating the need for immunosuppressive treatment within the next 6 months.

Other inclusion or exclusion criteria may apply.

Sites / Locations

  • Haukeland University Hospital, Klinisk Forskningspost
  • Oslo University Hospital Ullevål Sykehus, Dept. Infection Diseases

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

VB10.2129 Part 1 Dose escalaton

VB10.2210 Part 1 Dose escalation

VB10.2129 Part 2 Dose expansion

VB10.2210 Part 2 Dose expansion

Arm Description

0.3 mg, 1 mg or 3 mg will be administered by two IM injections 21 days apart.

0.3 mg, 1 mg or 3 mg will be administered by two IM injections 21 days apart.

The seleceted dose from Part 1 will be administered IM in a two-dose schedule.

The seleceted dose from Part 1 will be administed IM in a two-dose schedule.

Outcomes

Primary Outcome Measures

Incidence and frequency of local and systemic solicited adverse events (AEs)
As self reported in eDiary
Incidence and frequency of local and systemic unsolicited AEs
As elicited by investigator
Incidence and frequency of serious AEs (SAEs)
As elicited by investigator

Secondary Outcome Measures

Humoral responses against SARS-CoV-2
Number participants with increase in Ab titre and neutralizing Ab responses after first and second vaccine and long term responses (VB10.2129)
Cellular responses (T-cell responses) to SARS-CoV-2 RBD epitopes by ELISpot
Number of participants with change from baseline in Antigen-Specific T-cell cytokine production and long term T-cell responses

Full Information

First Posted
October 4, 2021
Last Updated
August 13, 2023
Sponsor
Nykode Therapeutics ASA
Collaborators
Vaccibody AS
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1. Study Identification

Unique Protocol Identification Number
NCT05069623
Brief Title
A Phase 1/2 Study to Determine Safety and Immunogenicity of Two COVID 19 Vaccines VB10.2129 (RBD Candidate) and VB10.2210 (T Cell Candidate) Previously Vaccinated in Healthy Adult Volunteers
Official Title
A Phase 1/2, Open Label, Dose Escalation Study to Determine Safety and Immunogenicity of Two (Prophylactic) COVID 19 DNA Vaccine Candidates (VB10.2129 [C1], a RBD Candidate and VB10.2210 [C2], a T Cell Candidate), in Healthy Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
October 27, 2021 (Actual)
Primary Completion Date
December 16, 2022 (Actual)
Study Completion Date
May 30, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nykode Therapeutics ASA
Collaborators
Vaccibody AS

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
An open label, dose escalation, and dose expansion study to evaluate the safety, reactogenicity and immunogenicity of two SARS-CoV-2 DNA plasmid vaccine candidates, VB10.2129 (C1) and VB10.2210 (C2). tThree dose levels will be tested. IM administrations 21 days apart. Part 1 is a dose escalation phase and Part 2 is a dose expansion phase. In Part 2 a selected dose will be tested further in additional healty volunteers.
Detailed Description
This is an open label, dose escalation, and dose expansion study designed to evaluate the safety, reactogenicity and immunogenicity of two SARS-CoV-2 or COVID-19 DNA plasmid vaccine candidates, VB10.2129 (C1) and VB10.2210 (C2). Part 1 is a dose escalation phase and Part 2 is a dose expansion phase and both vaccine candidates, ie, VB10.2129 (C1) and VB10.2210 (C2) will be tested. Part 1 consist of two arms: one arm with each vaccine candidate and each arm investigating three escalating dose levels. 10 subjects previously vaccinated with an mRNA vaccine will be enrolled at each dose level. Each subject will receive two vaccinations 21 days apart (Day 0 and Day 21). In Part 2 is a dose expansion phase with one arm for each candidate; VB10.2129 and VB10.2210, in previously vaccinated healthy subjects only. The dose to be investigated will be selected based on safety and inital immune response data from Part 1. All subjects will be folowed for up to 1 year after the first vaccination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Infection Viral, Infections
Keywords
COVID-19, Coronavirus, DNA vaccine, Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Two vaccine candidates are investigated in parallell.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
68 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VB10.2129 Part 1 Dose escalaton
Arm Type
Experimental
Arm Description
0.3 mg, 1 mg or 3 mg will be administered by two IM injections 21 days apart.
Arm Title
VB10.2210 Part 1 Dose escalation
Arm Type
Experimental
Arm Description
0.3 mg, 1 mg or 3 mg will be administered by two IM injections 21 days apart.
Arm Title
VB10.2129 Part 2 Dose expansion
Arm Type
Experimental
Arm Description
The seleceted dose from Part 1 will be administered IM in a two-dose schedule.
Arm Title
VB10.2210 Part 2 Dose expansion
Arm Type
Experimental
Arm Description
The seleceted dose from Part 1 will be administed IM in a two-dose schedule.
Intervention Type
Biological
Intervention Name(s)
VB10.2129
Intervention Description
0.3 mg, 1 mg or 3 mg on Day 0 and Day 21 or 3 mg on Day 0
Intervention Type
Biological
Intervention Name(s)
VB10.2210
Intervention Description
3 doses (dose to be determined) on Day 0 and Day 21 or highest dose (TBD) on Day 0
Primary Outcome Measure Information:
Title
Incidence and frequency of local and systemic solicited adverse events (AEs)
Description
As self reported in eDiary
Time Frame
Day 0 to Day 7 days after each vaccination
Title
Incidence and frequency of local and systemic unsolicited AEs
Description
As elicited by investigator
Time Frame
Day 0 to Day 49
Title
Incidence and frequency of serious AEs (SAEs)
Description
As elicited by investigator
Time Frame
Day 0 to 1 year
Secondary Outcome Measure Information:
Title
Humoral responses against SARS-CoV-2
Description
Number participants with increase in Ab titre and neutralizing Ab responses after first and second vaccine and long term responses (VB10.2129)
Time Frame
Day 0 (before Dose 1) up to 1 year
Title
Cellular responses (T-cell responses) to SARS-CoV-2 RBD epitopes by ELISpot
Description
Number of participants with change from baseline in Antigen-Specific T-cell cytokine production and long term T-cell responses
Time Frame
Day 0 (before Dose 1) up to 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Main inclusion criteria: Give informed consent by signing the Informed Consent Form (ICF) SARS CoV 2 vaccination status for Part 1: VB10.2129 (C1): have received 2 or 3 doses of an approved mRNA SARS CoV 2 vaccine, minimum 4.5 months (20 weeks) prior to Visit 1. VB10.2210 (C2): have received 2 doses (primary vaccination) or 3 (primary and boost) doses of an approved mRNA SARS CoV 2 vaccine, minimum 8 weeks prior to Visit 1. SARS CoV 2 vaccination status for Part 2: VB10.2129 (C1) and VB10.2210 (C2) Vaccination status prior to Visit 1 will be decided based on data from Part 1. Willing and able to comply with scheduled visits, treatment schedule, laboratory tests, lifestyle restrictions (eg, local law and regulations [county specific lock down rules] regarding COVID-19), and other requirements of the study. Healthy, in the clinical judgement of the Investigator, based on medical history, physical examination, 12-lead electrocardiogram (ECG), vital signs (systolic/diastolic blood pressure, pulse rate, body temperature, respiratory rate), and clinical laboratory tests (blood chemistry, haematology, and urine chemistry) at Visit 0 (Screening). Women of childbearing potential (WOCBP) must have a negative pregnancy test and must agree to practice a highly effective form Agree not to be vaccinated with any other vaccine during the study until 28 days after receiving the last study vaccination Negative rtPCR-test for SARS-CoV-2 Main exclusion criteria: Have had any acute illness with or without fever, within 72 hours prior to the first vaccination Symptoms of upper respiratory infection, fever, persistent cough, shortness of breath, runny nose and breathing difficulties Breastfeeding or who plan to breastfeed during the study Have a known allergy, hypersensitivity, or intolerance to aminoglycosides Had any clinically significant or chronic medical condition or any major surgery within the past 5 years which Have any surgery planned during the study Had any chronic use of any systemic medications, including immunosuppressant's, oral corticosteroids or other immune-modifying drugs, within the 12 months prior to Screening Received any vaccination within the 28 days prior to Screening Received any prescription medicines (except hormonal contraception for WOCBP) within 14 days prior to Visit 0 (Screening) or over the counter medicines (except paracetamol and acetaminophen at a dose of (≤2 grams/day)) within 48 hours of Visit 0. Have a known history or a positive test of HIV 1 or 2, Hep B, or Hep C Have a positive rtPCR test for SARS-CoV-2 within 2 days of Screening Documented history of previous infection with SARS-CoV-2 and/or who have the presence of serum Ab indicative of a previous SARS-CoV-2 infection Have a history of hypersensitivity or have had a serious reaction to a previous vaccination Have any abnormality or permanent body art (eg, tattoo) that, would obstruct the ability to observe local reactions at the injection site. Have a condition known to put them at high risk for severe COVID-19, including those with any of the following risk factors: Hypertension, diabetes mellitus, chronic pulmonary disease, asthma, chronic liver disease, known stage 3 or worse chronic kidney disease Anticipating the need for immunosuppressive treatment within the next 6 months. Other inclusion or exclusion criteria may apply.
Facility Information:
Facility Name
Haukeland University Hospital, Klinisk Forskningspost
City
Bergen
ZIP/Postal Code
5020
Country
Norway
Facility Name
Oslo University Hospital Ullevål Sykehus, Dept. Infection Diseases
City
Oslo
Country
Norway

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Data dictionaries and all collected IPD will be stripped of identifiers and may be made available upon request.
IPD Sharing Time Frame
Anonymous IPD may be shared following or during the publication of summary data. Archival data may be accessed for up to 25 years following the end of the study.
IPD Sharing Access Criteria
Those who request the anonymous IPD must provide a plan of study explaining how the data will be used. Requests may be sent to the Central Contact Person. Requests will be reviewed based on the potential for the planned use of the IPD for advancing scientific knowledge and theory.

Learn more about this trial

A Phase 1/2 Study to Determine Safety and Immunogenicity of Two COVID 19 Vaccines VB10.2129 (RBD Candidate) and VB10.2210 (T Cell Candidate) Previously Vaccinated in Healthy Adult Volunteers

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