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Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Booster Study (COVID-19)

Primary Purpose

COVID-19 Pandemic

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01)
Blank Preparation of Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01)
Sponsored by
Livzon Pharmaceutical Group Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Pandemic focused on measuring V-01 Booster

Eligibility Criteria

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

Inclusion Criteria:

Participants are eligible to be included in the study only if all of the following criteria apply:

  1. Voluntarily participate in the study and sign the informed consent form.
  2. Adults aged 18 years and older at time of consent, male or female.
  3. Able to and willing to comply with study procedure based on the assessment of the investigator.
  4. Participants who have completed the second dose of 2-dose regimen of inactive vaccination (BBIBP-CorV or CoronaVac) against SARS-CoV-2 in the past 3-6 months (Note: Participants who received mixed vaccination of BBIBP-CorV and CoronaVac will not be enrolled).
  5. Healthy participants or participants with pre-existing stable medical conditions (A stable medical condition is defined as a disease not requiring significant change in therapy or hospitalization for worsening disease within 3 months before enrollment).
  6. Males of reproductive potential and females of childbearing potential voluntarily agree to take effective and acceptable contraceptive methods from the signing of informed consent form to 3 months after vaccination; and a female participant of childbearing potential should have a negative pregnancy test at screening and on the day of vaccination (day 0).

Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (defined as amenorrhea for ≥ 12 consecutive months prior to screening without an alternative medical cause).

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

  1. History of previous COVID-19 infection.
  2. Positive for SARS-CoV-2 test by RT-PCR during screening period (Note: Participants can be enrolled in the study and receive the investigational product without waiting for the report of the SARS-CoV-2 test by RT-PCR).
  3. History of severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and other human coronavirus infections or diseases.
  4. History of severe allergy to any vaccine, e.g., acute allergic reactions, urticaria, skin eczema, dyspnea, angioneurotic edema or abdominal pain etc., or be allergic to any components of V-01.
  5. Any confirmed or suspected immunosuppression or immunodeficiency condition known from medical history, including human immunodeficiency virus (HIV) infection, asplenia.
  6. Serious or uncontrolled cardiovascular diseases, nervous system disorders (e.g., Guillain-Barre syndrome), blood and lymphatic system disorders, immune system disorders, hepatorenal disorders, respiratory system disorders (e.g., active tuberculosis, pulmonary fibrosis), metabolic and skeletal systems disorders or malignant tumors (except for skin basal cell carcinoma or in situ carcinoma of uterine cervix that has been cured for more than 5 years).
  7. Hereditary hemorrhagic tendency or coagulation dysfunction, or a history of thrombosis or hemorrhagic disease, or requirement of continuous use of anticoagulants.
  8. Prior use of any medication to prevent COVID-19 within 1 week before signing the informed consent form (except for previous vaccines, BBIBP-CorV or CoronaVac), e.g., use of antipyretics without pyrexia and any other symptoms.
  9. Received attenuated live vaccine within 28 days before the vaccination or any other vaccines (licensed or investigational) within 14 days before the vaccination.
  10. Has participated in an interventional clinical study within 1 months prior to the day of vaccination.
  11. Injection of immunoglobulin and/or other blood products within 3 months before the administration of study vaccine.
  12. Long-term use (continuous use > 14 days) of glucocorticoids (≥ 10 mg/day of prednisone or its equivalent dose) or other immunosuppressive agents within 6 months before signing the informed consent form; however, enrollment is allowed for the following conditions: inhaled or topical use of topical steroids, or short-term use (treatment course ≤ 14 days) of oral steroids.
  13. Pregnant or breastfeeding women.
  14. Planning to donate blood during the study period.
  15. Suspected or known alcohol or drug dependence.
  16. History of severe psychiatric disorders which may affect study participation.
  17. Planning to permanently move from the local area before study completion or leave the local area for a long time during the period of study visits, so that the scheduled visits cannot be followed.
  18. Those considered by the investigator as inappropriate to participate in the study.

Sites / Locations

  • Sarawak General Hospital
  • Sunway Medical Centre Velocity (SMCV) Cheras
  • Hospital Pakar Sultanah Fatimah
  • Sunway Medical Centre (SunMed)
  • Hospital Pulau Pinang
  • Klinik Kesihatan Seremban 2
  • Seri Manjung Hospital
  • Hospital Sibu
  • Hospital Sultan Abdul Halim
  • Hospital Taiping
  • Central Hospital Gujranwala
  • Shifa International Hospitals
  • Aga Khan University Hospital
  • Dow University Hospital
  • Sindh Infectious Diseases Hospital & Research Center
  • Al Khidmat Foundation - Surraya Azeem Waqf Hospital
  • Avicenna Dental College
  • Central Park Medical College and Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

V-01 COVID-19 Vaccine

Placebo control

Arm Description

1 dose on Day 0, which should be 3-6 months after the second dose of 2-dose regimen of inactive vaccine (BBIBP-CorV or CoronaVac).

1 dose on Day 0, which should be 3-6 months after the second dose of 2-dose regimen of inactive vaccine (BBIBP-CorV or CoronaVac).

Outcomes

Primary Outcome Measures

the relative efficacy of recombinant SARS-CoV-2 fusion protein vaccine (V-01) as a booster to prevent symptomatic and RT-PCR positive COVID-19 (mild or above severity)
To evaluate the relative efficacy of recombinant SARS-CoV-2 fusion protein vaccine (V-01) as a booster to prevent symptomatic and reverse transcription polymerase chain reaction (RT-PCR) positive COVID-19 (mild or above severity) compared with the placebo control group.
The incidence of adverse events (AEs)
To evaluate the incidence of adverse events (AEs) within 28 days after the booster vaccination.

Secondary Outcome Measures

The relative vaccine efficacy of V-01 as a booster to prevent severe or above COVID-19
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent severe or above COVID-19 compared with the placebo control group.
The relative vaccine efficacy of V-01 as a booster to prevent symptomatic and RT-PCR positive COVID-19 (mild or above severity)
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent symptomatic and RT-PCR positive COVID-19 (mild or above severity) in different age subgroups compared with the placebo control group.
The relative vaccine efficacy of V-01 as a booster to prevent suspected but not confirmed COVID-19
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent suspected but not confirmed COVID-19 compared with the placebo control group.
The relative vaccine efficacy of V-01 as a booster to prevent death caused by COVID-19
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent death caused by COVID-19 compared with the placebo control group.
The relative vaccine efficacy of V-01 as a booster to prevent hospitalization caused by COVID-19
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent hospitalization caused by COVID-19 compared with the placebo control group.
The incidence of serious adverse events (SAEs) and adverse events of special interest (AESIs)
To evaluate the incidence of serious adverse events (SAEs) and adverse events of special interest (AESIs) within 12 months after the booster vaccination.
The seroconversion rate of serum SARS-CoV-2 RBD protein-binding antibody, GMT and GMI (Immunology Subgroup Only)
To evaluate the immunogenicity of V-01.

Full Information

First Posted
October 21, 2021
Last Updated
April 22, 2023
Sponsor
Livzon Pharmaceutical Group Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05096832
Brief Title
Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Booster Study
Acronym
COVID-19
Official Title
A Global, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Phase III Clinical Study to Evaluate the Efficacy, Safety, and Immunogenicity of Sequential Immunization of Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Against COVID-19 in Healthy Adults Aged 18 Years and Older After the Vaccination of 2 Doses of Inactivated Vaccines
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
November 3, 2021 (Actual)
Primary Completion Date
February 18, 2022 (Actual)
Study Completion Date
April 14, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Livzon Pharmaceutical Group Inc.

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 Global, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Phase III Clinical Study to Evaluate the Efficacy, Safety, and Immunogenicity of Sequential Immunization of Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Against COVID-19 in Healthy Adults Aged 18 Years and Older after the Vaccination of 2 Doses of Inactivated Vaccines
Detailed Description
This is a global, multicenter, randomized, double-blind, placebo-controlled phase III clinical study. Approximately 10,722 participants aged 18 years and older who have completed the 2 doses of administration of inactive vaccines (BBIBP-CorV or CoronaVac) will be enrolled in this study to evaluate the efficacy, safety and immunogenicity of V-01. The eligible participants will be randomly assigned to receive dose of either 10 μg V-01 or a placebo in a 1:1 randomization ratio. Assignment will be stratified by age (18-59 years vs. ≥ 60 years), gender (male vs. female), whether or not being enrolled into immunogenicity subgroup (yes vs no), and the types of inactivated vaccines (BBIBP-CorV vs. CoronaVac).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Pandemic
Keywords
V-01 Booster

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
10381 (Actual)

8. Arms, Groups, and Interventions

Arm Title
V-01 COVID-19 Vaccine
Arm Type
Experimental
Arm Description
1 dose on Day 0, which should be 3-6 months after the second dose of 2-dose regimen of inactive vaccine (BBIBP-CorV or CoronaVac).
Arm Title
Placebo control
Arm Type
Placebo Comparator
Arm Description
1 dose on Day 0, which should be 3-6 months after the second dose of 2-dose regimen of inactive vaccine (BBIBP-CorV or CoronaVac).
Intervention Type
Biological
Intervention Name(s)
Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01)
Other Intervention Name(s)
V-01
Intervention Description
Appearance: Creamy white suspension Dosage form: Suspension for injection Strength: 10 μg (0.5 mL) /vial Vaccination route: Intramuscular injection into the lateral deltoid of the upper arm Vaccination dosage: 10 μg (0.5 mL) Immunization schedule: 1 dose on Day 0, which should be 3-6 months after the second dose of 2-dose regimen of inactive vaccine (BBIBP-CorV or CoronaVac). Storage condition: Store at 2-8 °C protected from light Expiry date: 24 months temporarily
Intervention Type
Biological
Intervention Name(s)
Blank Preparation of Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01)
Other Intervention Name(s)
Placbo
Intervention Description
The dosage, appearance, administration method, and other aspects are consistent with that of investigational vaccine, except that no vaccine antigen is contained.
Primary Outcome Measure Information:
Title
the relative efficacy of recombinant SARS-CoV-2 fusion protein vaccine (V-01) as a booster to prevent symptomatic and RT-PCR positive COVID-19 (mild or above severity)
Description
To evaluate the relative efficacy of recombinant SARS-CoV-2 fusion protein vaccine (V-01) as a booster to prevent symptomatic and reverse transcription polymerase chain reaction (RT-PCR) positive COVID-19 (mild or above severity) compared with the placebo control group.
Time Frame
From 15days after the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-courseimmunization
Title
The incidence of adverse events (AEs)
Description
To evaluate the incidence of adverse events (AEs) within 28 days after the booster vaccination.
Time Frame
Within 28 days after the booster vaccination
Secondary Outcome Measure Information:
Title
The relative vaccine efficacy of V-01 as a booster to prevent severe or above COVID-19
Description
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent severe or above COVID-19 compared with the placebo control group.
Time Frame
From 15days after the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-courseimmunization
Title
The relative vaccine efficacy of V-01 as a booster to prevent symptomatic and RT-PCR positive COVID-19 (mild or above severity)
Description
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent symptomatic and RT-PCR positive COVID-19 (mild or above severity) in different age subgroups compared with the placebo control group.
Time Frame
From 15days after the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-courseimmunization
Title
The relative vaccine efficacy of V-01 as a booster to prevent suspected but not confirmed COVID-19
Description
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent suspected but not confirmed COVID-19 compared with the placebo control group.
Time Frame
From 15days after the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-courseimmunization
Title
The relative vaccine efficacy of V-01 as a booster to prevent death caused by COVID-19
Description
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent death caused by COVID-19 compared with the placebo control group.
Time Frame
From 15days after the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-courseimmunization
Title
The relative vaccine efficacy of V-01 as a booster to prevent hospitalization caused by COVID-19
Description
To evaluate the relative vaccine efficacy of V-01 as a booster to prevent hospitalization caused by COVID-19 compared with the placebo control group.
Time Frame
From 15days after the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-courseimmunization
Title
The incidence of serious adverse events (SAEs) and adverse events of special interest (AESIs)
Description
To evaluate the incidence of serious adverse events (SAEs) and adverse events of special interest (AESIs) within 12 months after the booster vaccination.
Time Frame
Within 12 months after the booster vaccination
Title
The seroconversion rate of serum SARS-CoV-2 RBD protein-binding antibody, GMT and GMI (Immunology Subgroup Only)
Description
To evaluate the immunogenicity of V-01.
Time Frame
At day 14, day 28, month 3, month 6, and month 12 after immunization
Other Pre-specified Outcome Measures:
Title
The genotype of SARS-CoV-2 in symptomatic and RT-PCR positive COVID-19 cases.
Description
To explore the genotype of SARS-CoV-2 in symptomatic and RT-PCR positive COVID-19 cases.
Time Frame
From the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after immunization
Title
Immunogenicity of V-01 against new SARS-CoV-2 variants
Description
To explore the immunogenicity of V-01 against new SARS-CoV-2 variants.
Time Frame
From the administration of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after immunization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: Voluntarily participate in the study and sign the informed consent form. Adults aged 18 years and older at time of consent, male or female. Able to and willing to comply with study procedure based on the assessment of the investigator. Participants who have completed the second dose of 2-dose regimen of inactive vaccination (BBIBP-CorV or CoronaVac) against SARS-CoV-2 in the past 3-6 months (Note: Participants who received mixed vaccination of BBIBP-CorV and CoronaVac will not be enrolled). Healthy participants or participants with pre-existing stable medical conditions (A stable medical condition is defined as a disease not requiring significant change in therapy or hospitalization for worsening disease within 3 months before enrollment). Males of reproductive potential and females of childbearing potential voluntarily agree to take effective and acceptable contraceptive methods from the signing of informed consent form to 3 months after vaccination; and a female participant of childbearing potential should have a negative pregnancy test at screening and on the day of vaccination (day 0). Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (defined as amenorrhea for ≥ 12 consecutive months prior to screening without an alternative medical cause). Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: History of previous COVID-19 infection. Positive for SARS-CoV-2 test by RT-PCR during screening period (Note: Participants can be enrolled in the study and receive the investigational product without waiting for the report of the SARS-CoV-2 test by RT-PCR). History of severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and other human coronavirus infections or diseases. History of severe allergy to any vaccine, e.g., acute allergic reactions, urticaria, skin eczema, dyspnea, angioneurotic edema or abdominal pain etc., or be allergic to any components of V-01. Any confirmed or suspected immunosuppression or immunodeficiency condition known from medical history, including human immunodeficiency virus (HIV) infection, asplenia. Serious or uncontrolled cardiovascular diseases, nervous system disorders (e.g., Guillain-Barre syndrome), blood and lymphatic system disorders, immune system disorders, hepatorenal disorders, respiratory system disorders (e.g., active tuberculosis, pulmonary fibrosis), metabolic and skeletal systems disorders or malignant tumors (except for skin basal cell carcinoma or in situ carcinoma of uterine cervix that has been cured for more than 5 years). Hereditary hemorrhagic tendency or coagulation dysfunction, or a history of thrombosis or hemorrhagic disease, or requirement of continuous use of anticoagulants. Prior use of any medication to prevent COVID-19 within 1 week before signing the informed consent form (except for previous vaccines, BBIBP-CorV or CoronaVac), e.g., use of antipyretics without pyrexia and any other symptoms. Received attenuated live vaccine within 28 days before the vaccination or any other vaccines (licensed or investigational) within 14 days before the vaccination. Has participated in an interventional clinical study within 1 months prior to the day of vaccination. Injection of immunoglobulin and/or other blood products within 3 months before the administration of study vaccine. Long-term use (continuous use > 14 days) of glucocorticoids (≥ 10 mg/day of prednisone or its equivalent dose) or other immunosuppressive agents within 6 months before signing the informed consent form; however, enrollment is allowed for the following conditions: inhaled or topical use of topical steroids, or short-term use (treatment course ≤ 14 days) of oral steroids. Pregnant or breastfeeding women. Planning to donate blood during the study period. Suspected or known alcohol or drug dependence. History of severe psychiatric disorders which may affect study participation. Planning to permanently move from the local area before study completion or leave the local area for a long time during the period of study visits, so that the scheduled visits cannot be followed. Those considered by the investigator as inappropriate to participate in the study.
Facility Information:
Facility Name
Sarawak General Hospital
City
Kuching
State/Province
Sarawak
Country
Malaysia
Facility Name
Sunway Medical Centre Velocity (SMCV) Cheras
City
Kuala Lumpur
Country
Malaysia
Facility Name
Hospital Pakar Sultanah Fatimah
City
Muar
Country
Malaysia
Facility Name
Sunway Medical Centre (SunMed)
City
Petaling Jaya
Country
Malaysia
Facility Name
Hospital Pulau Pinang
City
Pulau Pinang
Country
Malaysia
Facility Name
Klinik Kesihatan Seremban 2
City
Seremban
Country
Malaysia
Facility Name
Seri Manjung Hospital
City
Seri Manjung
Country
Malaysia
Facility Name
Hospital Sibu
City
Sibu
Country
Malaysia
Facility Name
Hospital Sultan Abdul Halim
City
Sungai Petani
Country
Malaysia
Facility Name
Hospital Taiping
City
Taiping
Country
Malaysia
Facility Name
Central Hospital Gujranwala
City
Gujranwala
ZIP/Postal Code
52250
Country
Pakistan
Facility Name
Shifa International Hospitals
City
Islamabad
ZIP/Postal Code
44000
Country
Pakistan
Facility Name
Aga Khan University Hospital
City
Karachi
ZIP/Postal Code
74200
Country
Pakistan
Facility Name
Dow University Hospital
City
Karachi
ZIP/Postal Code
74200
Country
Pakistan
Facility Name
Sindh Infectious Diseases Hospital & Research Center
City
Karachi
ZIP/Postal Code
74200
Country
Pakistan
Facility Name
Al Khidmat Foundation - Surraya Azeem Waqf Hospital
City
Lahore
ZIP/Postal Code
54660
Country
Pakistan
Facility Name
Avicenna Dental College
City
Lahore
ZIP/Postal Code
54660
Country
Pakistan
Facility Name
Central Park Medical College and Hospital
City
Lahore
ZIP/Postal Code
54660
Country
Pakistan

12. IPD Sharing Statement

Citations:
PubMed Identifier
35686572
Citation
Wang XY, Mahmood SF, Jin F, Cheah WK, Ahmad M, Sohail MA, Ahmad W, Suppan VK, Sayeed MA, Luxmi S, Teo AH, Lee LY, Qi YY, Pei RJ, Deng W, Xu ZH, Yang JM, Zhang Y, Guan WX, Yu X. Efficacy of heterologous boosting against SARS-CoV-2 using a recombinant interferon-armed fusion protein vaccine (V-01): a randomized, double-blind and placebo-controlled phase III trial. Emerg Microbes Infect. 2022 Dec;11(1):1910-1919. doi: 10.1080/22221751.2022.2088406.
Results Reference
derived

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Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Booster Study

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