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Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Phase III (COVID-19)

Primary Purpose

COVID-19 Pandemic

Status
Active
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

Eligibility Criteria

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

Inclusion Criteria:

The participants can be enrolled only all of the following criteria are met:

  1. Voluntarily participate in this study and sign the informed consent form;
  2. Adults aged 18 years and older, male or female;
  3. According to the assessment of the investigator, the participant has a stable medical condition (which is defined as no significant changes in therapy or hospitalization caused by disease aggravation within 3 months before enrollment) and is able to and willing to follow the requirements of the protocol.
  4. Males of reproductive potential and females of child-bearing potential voluntarily agree to take effective and acceptable contraceptive methods from the signing of informed consent form to 12 months after full-course immunization; females of child-bearing potential have a negative pregnancy test at screening and at the day of vaccination.

Exclusion Criteria:

Participants meeting any of the following exclusion criteria will not be allowed to participate in this study:

1.History of previous COVID-19 infection; 2.Positive result for RT-PCR test in the screening period or specific antibody IgG or IgM meet the following criteria:

  1. If IgG is positive, the participant will be excluded regardless of the results of other indexes.
  2. If IgG is negative and IgM is positive, it will be determined whether or not to enroll such participant after the result of RT-PCR test is obtained;
  3. If both IgG and IgM are negative, the participant can be vaccinated without waiting for the RT-PCR test results.

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 medications to prevent COVID-19, e.g., use of antipyretics without pyrexia and any other symptoms; 9.A history of vaccination against SARS-CoV-2 (marketed or investigational); 10.Received attenuated live vaccine within 28 days before the first vaccination or any other vaccines (licensed or investigational) within 14 days before the first 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 (≥10mg/day of prednisone or its equivalent dose) or other immunosuppressive agents; 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

  • Andalas University Hospital
  • Medical Faculty of Mulawarman University
  • Medical Faculty of Padjadjaran University
  • Medical Faculty of UIN Syarif Hidayatullah
  • Mary Mediatrix Medical Center
  • The Medical City- Iloilo
  • Makati Medical Center
  • University of the Philippines - Philippine General Hospital
  • East Avenue Medical Center
  • Lung Center of the Philippines
  • Mary Chiles General Hospital
  • Far Eastern University-Nicanor Reyes Medical Foundation Medical Center
  • St. Luke's Medical Foundation Medical Center
  • Central Clinical Hospital of the Russian Academy of Sciences
  • Oris LLC
  • Zvezdnaya Clinic
  • UZI-4D Clinic LLC
  • Institute of Medical Research LLC
  • Lab. of molecular virology Smorodintsev Research Institute of Influenza MoH
  • LLC "Uromed"
  • Medical Technologies
  • N.P. Bechtereva Institute of the Human Brain of the Russian Academy of Sciences
  • Research Center ECO Safety LLC
  • State Budgetary Healthcare Institution "Nikolaevskaya hospital"
  • Strategic Medical Systems LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

V-01 COVID-19 Vaccine

Placebo control

Arm Description

Intramuscular injection into the lateral deltoid of the upper arm Two doses, one each on Day 0 and 21 (+7 days), respectively.

Intramuscular injection into the lateral deltoid of the upper arm Two doses, one each on Day 0 and 21 (+7 days), respectively.

Outcomes

Primary Outcome Measures

The efficacy of V-01 for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity)
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above severity) starting from at least 14 days (≥15 days) after full-course immunization (completing all vaccinations);
The incidence of adverse events (AEs) of V-01
To evaluate the incidence of adverse events (AEs) of recombinant SARS-CoV-2 fusion protein vaccine (V-01) from the first vaccination to 28 days after full-course immunization

Secondary Outcome Measures

The efficacy of V-01 for the prevention of COVID-19 of severe or above in severity
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of COVID-19 of severe or above severity starting from at least 14 days (≥15 days) after full-course immunization;
The efficacy of V-01 for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity)
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity) starting from more than 14 days after the first vaccination;
The efficacy of V-01 for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity) in different age groups
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity) starting from more than 14 days after full-course immunization in different age groups
The morbidity of suspected but not confirmed COVID-19 (negative or not detected)
To evaluate the morbidity of suspected but not confirmed COVID-19 (negative or not detected)
The mortality caused by COVID-19
To evaluate the mortality caused by COVID-19
The hospitalization rate caused by COVID-19
To evaluate the hospitalization rate caused by COVID-19
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) occurred from the first dose of recombinant SARS-CoV-2 fusion protein vaccine (V-01) to 12 months after full-course immunization
The seroconversion rate of serum SARS-CoV-2 RBD protein-binding antibody, geometric mean titer (GMT) and geometric mean increase (GMI)
To evaluate the seroconversion rate of serum SARS-CoV-2 RBD protein-binding antibody, geometric mean titer (GMT) and geometric mean increase (GMI) at day 28, month 3, month 6, and month 12 after full-course immunization (enzyme-linked immunosorbent assay [ELISA]); To evaluate the seroconversion rate of serum anti-SARS-CoV-2 neutralizing antibody, GMT and GMI at day 28, month 3, month 6, and month 12 after full-course immunization (live virus neutralization assay);

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
NCT05096845
Brief Title
Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Phase III
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 Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) in Adults Aged 18 Years and Older
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 25, 2021 (Actual)
Primary Completion Date
February 8, 2022 (Actual)
Study Completion Date
June 14, 2023 (Anticipated)

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 Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) in Adults Aged 18 Years and Older
Detailed Description
This is a global, multicenter, randomized, double-blind, placebo-controlled, parallel-group phase III clinical study. Approximately 22,500 participants aged 18 years and older will be enrolled in this study to evaluate the efficacy, safety and immunogenicity of recombinant SARS-CoV-2 fusion protein vaccine (code: V-01, hereinafter referred to as V-01). The eligible participants will be randomized in a 2:1 ratio into investigational vaccine group (V-01) and placebo group, with random stratification factors including 1) age (18-59 years vs ≥60 years); 2) gender (male vs female); and 3) whether or not being enrolled into immunogenicity subgroup (yes vs no). The participants will receive investigational vaccine V-01 or placebo on two doses schedule (one dose each on day 0 and 21, with +7 days' time window for the second dose).

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
22500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
V-01 COVID-19 Vaccine
Arm Type
Experimental
Arm Description
Intramuscular injection into the lateral deltoid of the upper arm Two doses, one each on Day 0 and 21 (+7 days), respectively.
Arm Title
Placebo control
Arm Type
Placebo Comparator
Arm Description
Intramuscular injection into the lateral deltoid of the upper arm Two doses, one each on Day 0 and 21 (+7 days), respectively.
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 (0.5mL) /vial Vaccination route: intramuscular injection into the lateral deltoid of the upper arm Vaccination dosage: 10 μg Immunization schedule: two doses, one each on Day 0 and 21 (+7 days), respectively. Storage condition: store at 2~8°C protected from light Expiry date: 24 months after production date
Intervention Type
Other
Intervention Name(s)
Blank Preparation of Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01)
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 efficacy of V-01 for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity)
Description
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above severity) starting from at least 14 days (≥15 days) after full-course immunization (completing all vaccinations);
Time Frame
More than 14 days (≥15 days) after full course immunization
Title
The incidence of adverse events (AEs) of V-01
Description
To evaluate the incidence of adverse events (AEs) of recombinant SARS-CoV-2 fusion protein vaccine (V-01) from the first vaccination to 28 days after full-course immunization
Time Frame
From the first vaccination to 28 days after full-course immunization
Secondary Outcome Measure Information:
Title
The efficacy of V-01 for the prevention of COVID-19 of severe or above in severity
Description
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of COVID-19 of severe or above severity starting from at least 14 days (≥15 days) after full-course immunization;
Time Frame
More than 14 days (≥15 days) after full-course immunization;
Title
The efficacy of V-01 for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity)
Description
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity) starting from more than 14 days after the first vaccination;
Time Frame
More than 14 days (≥15 days) after full-course immunization;
Title
The efficacy of V-01 for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity) in different age groups
Description
To evaluate the efficacy of the recombinant SARS-CoV-2 fusion protein vaccine (V-01) for the prevention of symptomatic RT-PCR-positive COVID-19 (mild or above in severity) starting from more than 14 days after full-course immunization in different age groups
Time Frame
More than 14 days (≥15 days) after full-course immunization;
Title
The morbidity of suspected but not confirmed COVID-19 (negative or not detected)
Description
To evaluate the morbidity of suspected but not confirmed COVID-19 (negative or not detected)
Time Frame
More than 14 days (≥15 days) after full-course immunization;
Title
The mortality caused by COVID-19
Description
To evaluate the mortality caused by COVID-19
Time Frame
More than 14 days (≥15 days) after full-course immunization;
Title
The hospitalization rate caused by COVID-19
Description
To evaluate the hospitalization rate caused by COVID-19
Time Frame
More than 14 days (≥15 days) after full-course immunization;
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) occurred from the first dose of recombinant SARS-CoV-2 fusion protein vaccine (V-01) to 12 months after full-course immunization
Time Frame
From the first dose of recombinant SARS-CoV-2 fusion protein vaccine (V-01) to 12 months after full-course immunization
Title
The seroconversion rate of serum SARS-CoV-2 RBD protein-binding antibody, geometric mean titer (GMT) and geometric mean increase (GMI)
Description
To evaluate the seroconversion rate of serum SARS-CoV-2 RBD protein-binding antibody, geometric mean titer (GMT) and geometric mean increase (GMI) at day 28, month 3, month 6, and month 12 after full-course immunization (enzyme-linked immunosorbent assay [ELISA]); To evaluate the seroconversion rate of serum anti-SARS-CoV-2 neutralizing antibody, GMT and GMI at day 28, month 3, month 6, and month 12 after full-course immunization (live virus neutralization assay);
Time Frame
At day 28, month 3, month 6, and month 12 after full-course immunization
Other Pre-specified Outcome Measures:
Title
The severity of COVID-19, so as to evaluate the vaccine-mediated antibody-dependent enhancement (ADE)
Description
To evaluate the severity of COVID-19 of participants in the vaccine group versus the control group, so as to evaluate the vaccine-mediated antibody-dependent enhancement (ADE)
Time Frame
From the first dose of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-course immunization
Title
The correlation of immunogenicity and efficacy through evaluating the titer level of RBD protein-binding antibody in confirmed COVID-19 cases
Description
To explore the correlation of immunogenicity and efficacy through evaluating the titer level of RBD protein-binding antibody in confirmed COVID-19 cases.
Time Frame
From the first dose of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-course immunization
Title
SARS-CoV-2 nucleic acid sequence in symptomatic and RT-PCR-positive COVID-19 cases
Description
Genotypic analyses of SARS-CoV-2 nucleic acid sequence in symptomatic and RT-PCR-positive COVID-19 cases.
Time Frame
From the first dose of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-course immunization
Title
The 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 first dose of recombinant SARS-CoV-2fusion protein vaccine (V-01) to 12 months after full-course immunization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: The participants can be enrolled only all of the following criteria are met: Voluntarily participate in this study and sign the informed consent form; Adults aged 18 years and older, male or female; According to the assessment of the investigator, the participant has a stable medical condition (which is defined as no significant changes in therapy or hospitalization caused by disease aggravation within 3 months before enrollment) and is able to and willing to follow the requirements of the protocol. Males of reproductive potential and females of child-bearing potential voluntarily agree to take effective and acceptable contraceptive methods from the signing of informed consent form to 12 months after full-course immunization; females of child-bearing potential have a negative pregnancy test at screening and at the day of vaccination. Exclusion Criteria: Participants meeting any of the following exclusion criteria will not be allowed to participate in this study: 1.History of previous COVID-19 infection; 2.Positive result for RT-PCR test in the screening period or specific antibody IgG or IgM meet the following criteria: If IgG is positive, the participant will be excluded regardless of the results of other indexes. If IgG is negative and IgM is positive, it will be determined whether or not to enroll such participant after the result of RT-PCR test is obtained; If both IgG and IgM are negative, the participant can be vaccinated without waiting for the RT-PCR test results. 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 medications to prevent COVID-19, e.g., use of antipyretics without pyrexia and any other symptoms; 9.A history of vaccination against SARS-CoV-2 (marketed or investigational); 10.Received attenuated live vaccine within 28 days before the first vaccination or any other vaccines (licensed or investigational) within 14 days before the first 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 (≥10mg/day of prednisone or its equivalent dose) or other immunosuppressive agents; 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.
Facility Information:
Facility Name
Andalas University Hospital
City
Padang
Country
Indonesia
Facility Name
Medical Faculty of Mulawarman University
City
Samarinda
Country
Indonesia
Facility Name
Medical Faculty of Padjadjaran University
City
Sumedang
Country
Indonesia
Facility Name
Medical Faculty of UIN Syarif Hidayatullah
City
Tangerang
Country
Indonesia
Facility Name
Mary Mediatrix Medical Center
City
Lipa city
State/Province
Batangas
ZIP/Postal Code
4217
Country
Philippines
Facility Name
The Medical City- Iloilo
City
Iloilo City
State/Province
Iloilo
ZIP/Postal Code
5000
Country
Philippines
Facility Name
Makati Medical Center
City
Makati City
Country
Philippines
Facility Name
University of the Philippines - Philippine General Hospital
City
Manila
ZIP/Postal Code
1000
Country
Philippines
Facility Name
East Avenue Medical Center
City
Manila
Country
Philippines
Facility Name
Lung Center of the Philippines
City
Manila
Country
Philippines
Facility Name
Mary Chiles General Hospital
City
Manila
Country
Philippines
Facility Name
Far Eastern University-Nicanor Reyes Medical Foundation Medical Center
City
Quezon City
ZIP/Postal Code
1118
Country
Philippines
Facility Name
St. Luke's Medical Foundation Medical Center
City
Quezon City
Country
Philippines
Facility Name
Central Clinical Hospital of the Russian Academy of Sciences
City
Engels
Country
Russian Federation
Facility Name
Oris LLC
City
Moscow
Country
Russian Federation
Facility Name
Zvezdnaya Clinic
City
Moscow
Country
Russian Federation
Facility Name
UZI-4D Clinic LLC
City
Pyatigorsk
Country
Russian Federation
Facility Name
Institute of Medical Research LLC
City
Saint Petersburg
Country
Russian Federation
Facility Name
Lab. of molecular virology Smorodintsev Research Institute of Influenza MoH
City
Saint Petersburg
Country
Russian Federation
Facility Name
LLC "Uromed"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Medical Technologies
City
Saint Petersburg
Country
Russian Federation
Facility Name
N.P. Bechtereva Institute of the Human Brain of the Russian Academy of Sciences
City
Saint Petersburg
Country
Russian Federation
Facility Name
Research Center ECO Safety LLC
City
Saint Petersburg
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution "Nikolaevskaya hospital"
City
Saint Petersburg
Country
Russian Federation
Facility Name
Strategic Medical Systems LLC
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Recombinant SARS-CoV-2 Fusion Protein Vaccine (V-01) Phase III

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