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Study of the Immunogenicity, Safety and Tolerability of the Convacell Vaccine.

Primary Purpose

COVID-19, Immunologic Factors, Coronavirus Infections

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
Subunit recombinant vaccine for the prevention of coronavirus infection
Placebo
Sponsored by
St. Petersburg Research Institute of Vaccines and Sera
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID-19, COVID, recombinant vaccine, nucleocapsid protein, cellular immunity, SPbSRIVS, Convacell

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy men and women aged 18 to 60 years old, inclusive.
  2. Written informed consent of the volunteer to participate in the clinical trial;
  3. BMI within the range of 18.5 ≤ BWI ≤ 30 kg/m2 with the body weight of not less than 55 kg for men, not less than 45 kg for women and not more than 100 kg for volunteers of both sexes.
  4. Verified "healthy" status: no deviations from reference values of standard clinical, laboratory and instrumental examinations.
  5. Negative HIV 1&2, RPR, HВsAg and HCV RNA tests.
  6. Hemodynamic and other vital signs are within normal limits (reference intervals are 60-90 beats/min at rest for HR, up to 22 per minute for RR, body temperature from 35.5 to 36.9 °C; systolic blood pressure (SBP) is considered normal in the range of 100-139 mmHg, diastolic blood pressure (DBP) - in the range of 60-89 mmHg);
  7. Volunteers able to fulfill requirements of the Protocol (i.e., fill out the patient's diary, come to follow-up visits);
  8. Abstinence from alcohol for 14 days before the start of the trial and until the end of participation in the trial;
  9. Abstinence from smoking for 48 hours before the start of the trial and during hospitalization;
  10. For fertile women - a negative result of the pregnancy test and consent to observe adequate methods of contraception during the trial and at least two months after vaccination;
  11. For fertile men - consent to observe adequate methods of contraception during the trial and at least two months after vaccination, except for men after vasectomy with documented azoospermia, and their sexual partners should use methods of contraception that ensure more than 90% reliability or be incapable of conception after a surgical sterilization or have a natural menopause for at least 2 years

Exclusion Criteria:

  1. History of influenza or acute respiratory viral infection (ARVI) within 2 months before the start of the trial.
  2. A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter) or complications (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions accompanied or not accompanied by a fever due to any previous vaccination).
  3. Fever, cough, and shortness of breath within 30 days before vaccination.
  4. History of COVID-19.
  5. Positive result of the COVID-19 PCR test.
  6. Body temperature ≥ 37,0°C.
  7. History of allergies.
  8. Any vaccination within 30 days before the screening.
  9. History of leukemia, tuberculosis, cancer, autoimmune diseases.
  10. History of Quincke's edema.
  11. Positive blood test results for HIV, syphilis, hepatitis B/C.
  12. Volunteers who received immunoglobulin during the last three months before the trial.
  13. History of long-term use (more than 14 days) of immunosuppressants or other immunomodulatory drugs for six months before the trial.
  14. Treatment with glucocorticosteroids, including in small doses, as well as local use of drugs containing steroids (> 10 mg of prednisolone or its equivalent for more than 14 days before the screening).
  15. History of any confirmed or suspected immunosuppressive or immunodeficiency condition.
  16. History of splenectomy.
  17. History of chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, the gastrointestinal tract, liver, kidneys, hematopoietic or immune systems, mental disease in the acute stage or in the decompensation stage.
  18. Transfusion of blood or blood components within 4 months before screening.
  19. History of acute and chronic infectious diseases.
  20. Consumption of more than 10 units of alcohol per week or history of alcohol addiction, drug addiction or abuse of pharmaceutical products.
  21. Smoking of more than 10 cigarettes per day.
  22. Participation in another clinical trial within the last 90 days.
  23. Pregnancy or lactation.
  24. Coagulopathy, hemophilia, bleeding disorder.
  25. Participation in stage I of this trial (for volunteers of stage II).
  26. Transfusion of COVID-19 convalescent plasma within 14 days before the screening, COVID-19 vaccination less than 30 days before the screening

Sites / Locations

  • Medvitro, LLC
  • Research Institute of Vaccines and Serums them. I.I. Mechnikov
  • Eco-Safety, LLC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1: Subunit recombinant vaccine for the prevention of coronavirus infection

Group 2: Subunit recombinant vaccine for the prevention of coronavirus infection

Group 3: Subunit recombinant vaccine for the prevention of coronavirus infection

Group 4: Subunit recombinant vaccine for the prevention of coronavirus infection

Group 5: Placebo

Arm Description

5 volunteers have been vaccinated with a single dose (Stage I)

15 volunteers have been vaccinated with a single dose (Stage I)

45 volunteers will be vaccinated with the coronavirus vaccine intramuscularly twice (Stage II)

45 volunteers have been vaccinated with a single dose of the coronavirus vaccine intramuscularly and then treated with a single dose of placebo (Stage II)

45 volunteers have been vaccinated with placebo intramuscularly twice (Stage II)

Outcomes

Primary Outcome Measures

Incidence of actively detected local and systemic AEs (Stage I)
Incidence of actively detected local and systemic AEs (Stage II)
Increase in geometric mean titers of antibodies to N-protein of SARS-CoV-2 (Stage II)
Changes from day 0 to days 21 and 42 after the initial vaccination

Secondary Outcome Measures

Incidence of actively detected local AEs
Incidence of actively detected systemic AEs
Incidence of actively detected local AEs
Incidence of actively detected systemic AEs
Incidence of any AEs
Number of volunteers hospitalized with COVID-19
Total number of SARS-CoV-2 infection cases Total number of COVID-19 cases Total number of COVID-19 related deaths
Proportion SARS-CoV-2 seropositive volunteers
Change in IFN-γ, IL-2 and IL-4 levels
Change in the subpopulation composition of T-lymphocytes
Change in titer of antibodies to N-protein of SARS-CoV-2
Change in the antigen-specific cellular immune response (T-cell response)
Incidence of seroconversion (specific antibodies to N-protein of SARS-CoV-2)

Full Information

First Posted
November 26, 2021
Last Updated
August 29, 2023
Sponsor
St. Petersburg Research Institute of Vaccines and Sera
Collaborators
Crocus Medical B.V (The Netherlands)
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1. Study Identification

Unique Protocol Identification Number
NCT05156723
Brief Title
Study of the Immunogenicity, Safety and Tolerability of the Convacell Vaccine.
Official Title
A Double-blind, Randomized, Prospective, Placebo-controlled Trial to Assess the Immunogenicity, Safety, and Tolerability of a Coronavirus Vaccine in Healthy Volunteers Aged 18 to 60 Years
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
July 19, 2021 (Actual)
Primary Completion Date
August 30, 2021 (Actual)
Study Completion Date
December 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Petersburg Research Institute of Vaccines and Sera
Collaborators
Crocus Medical B.V (The Netherlands)

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
A two-stage trial will involve healthy volunteers. The first stage is open trial, and the second stage is a double-blind trial with randomization of volunteers into three groups. At stage I of the trial, the maximum number of screened healthy volunteers will be 30 of which 20 men aged 18 to over 60 years. At stage II of the trial, the maximum number of screened healthy volunteers will be 150, of which 135 men and women aged 18 to over 60 years eligible according to the inclusion and exclusion criteria are planned to be included and randomized to collect data that will be used for the subsequent safety and immunogenicity assessment. The enrollment of volunteers at stage II will be competitive.
Detailed Description
Trial product is subunit recombinant vaccine for the prevention of coronavirus infection caused by the SARS-CoV-2 virus. Vaccination forms humoral and cellular immunity that prevents the development of coronavirus infection caused by the SARS-CoV-2 virus. On the surface of excipients emulsion droplets N-protein is presented to monocytes attracted from the bloodstream due to a local increase in the level of cytokines. Antigen-bearing cells migrate to draining lymph nodes with activation of innate and adaptive immunity cells in them. Due to the activation of natural killer cells in combination with specific antibodies, the mechanism of lysis of infected cells is realized. The nucleocapsid protein (N) is conserved and little susceptible to mutational changes. This makes the vaccine based on it universal for various strains of coronavirus

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Immunologic Factors, Coronavirus Infections, Respiratory Tract Infections
Keywords
COVID-19, COVID, recombinant vaccine, nucleocapsid protein, cellular immunity, SPbSRIVS, Convacell

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
155 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: Subunit recombinant vaccine for the prevention of coronavirus infection
Arm Type
Experimental
Arm Description
5 volunteers have been vaccinated with a single dose (Stage I)
Arm Title
Group 2: Subunit recombinant vaccine for the prevention of coronavirus infection
Arm Type
Experimental
Arm Description
15 volunteers have been vaccinated with a single dose (Stage I)
Arm Title
Group 3: Subunit recombinant vaccine for the prevention of coronavirus infection
Arm Type
Experimental
Arm Description
45 volunteers will be vaccinated with the coronavirus vaccine intramuscularly twice (Stage II)
Arm Title
Group 4: Subunit recombinant vaccine for the prevention of coronavirus infection
Arm Type
Experimental
Arm Description
45 volunteers have been vaccinated with a single dose of the coronavirus vaccine intramuscularly and then treated with a single dose of placebo (Stage II)
Arm Title
Group 5: Placebo
Arm Type
Placebo Comparator
Arm Description
45 volunteers have been vaccinated with placebo intramuscularly twice (Stage II)
Intervention Type
Biological
Intervention Name(s)
Subunit recombinant vaccine for the prevention of coronavirus infection
Intervention Description
solution for intramuscular injection, 0.5 ml
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
solution for intramuscular injection, 0.5 ml
Primary Outcome Measure Information:
Title
Incidence of actively detected local and systemic AEs (Stage I)
Time Frame
During 21 days after initial vaccination
Title
Incidence of actively detected local and systemic AEs (Stage II)
Time Frame
During 21 days after initial vaccination
Title
Increase in geometric mean titers of antibodies to N-protein of SARS-CoV-2 (Stage II)
Description
Changes from day 0 to days 21 and 42 after the initial vaccination
Time Frame
Days 21 and 42 after the initial vaccination
Secondary Outcome Measure Information:
Title
Incidence of actively detected local AEs
Time Frame
During 7 days after initial vaccination/revaccination
Title
Incidence of actively detected systemic AEs
Time Frame
During 7 days after initial vaccination/revaccination
Title
Incidence of actively detected local AEs
Time Frame
During 21 days after initial vaccination/revaccination
Title
Incidence of actively detected systemic AEs
Time Frame
During 21 days after initial vaccination/revaccination
Title
Incidence of any AEs
Time Frame
During the trial
Title
Number of volunteers hospitalized with COVID-19
Description
Total number of SARS-CoV-2 infection cases Total number of COVID-19 cases Total number of COVID-19 related deaths
Time Frame
During the trial
Title
Proportion SARS-CoV-2 seropositive volunteers
Time Frame
Day 21 (Stage I and Stage II) and Day 42 (Stage II)
Title
Change in IFN-γ, IL-2 and IL-4 levels
Time Frame
Days 14, 21 (Stage I and Stage II) and Days 28, 42, 90 and 180 (Stage II) after vaccination
Title
Change in the subpopulation composition of T-lymphocytes
Time Frame
Days 14, 21 (Stage I and Stage II) and Days 28, 42, 90 and 180 (Stage II) after vaccination
Title
Change in titer of antibodies to N-protein of SARS-CoV-2
Time Frame
Days 14, 21 (Stage I and Stage II), Days 28, 42, 90 and 180 (Stage II), Days 240, 350 (Stage II, cohort 2) after initial vaccination
Title
Change in the antigen-specific cellular immune response (T-cell response)
Time Frame
Days 14, 21 (Stage II), Days 28, 42, 90 and 180, Days 240, 350 (Stage II, cohort 2) after initial vaccination
Title
Incidence of seroconversion (specific antibodies to N-protein of SARS-CoV-2)
Time Frame
Days 14, 21 (Stage I and Stage II), Days 28, 42, 90 and 180, Days 240, 350 (Stage II, cohort 2) after initial vaccination

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
Inclusion Criteria: Healthy men and women aged 18 to 60 years old, inclusive. Written informed consent of the volunteer to participate in the clinical trial; BMI within the range of 18.5 ≤ BWI ≤ 30 kg/m2 with the body weight of not less than 55 kg for men, not less than 45 kg for women and not more than 100 kg for volunteers of both sexes. Verified "healthy" status: no deviations from reference values of standard clinical, laboratory and instrumental examinations. Negative HIV 1&2, RPR, HВsAg and HCV RNA tests. Hemodynamic and other vital signs are within normal limits (reference intervals are 60-90 beats/min at rest for HR, up to 22 per minute for RR, body temperature from 35.5 to 36.9 °C; systolic blood pressure (SBP) is considered normal in the range of 100-139 mmHg, diastolic blood pressure (DBP) - in the range of 60-89 mmHg); Volunteers able to fulfill requirements of the Protocol (i.e., fill out the patient's diary, come to follow-up visits); Abstinence from alcohol for 14 days before the start of the trial and until the end of participation in the trial; Abstinence from smoking for 48 hours before the start of the trial and during hospitalization; For fertile women - a negative result of the pregnancy test and consent to observe adequate methods of contraception during the trial and at least two months after vaccination; For fertile men - consent to observe adequate methods of contraception during the trial and at least two months after vaccination, except for men after vasectomy with documented azoospermia, and their sexual partners should use methods of contraception that ensure more than 90% reliability or be incapable of conception after a surgical sterilization or have a natural menopause for at least 2 years Exclusion Criteria: History of influenza or acute respiratory viral infection (ARVI) within 2 months before the start of the trial. A serious post-vaccination reaction (temperature above 40 °C, hyperemia or edema more than 8 cm in diameter) or complications (collapse or shock-like condition that developed within 48 hours after vaccination; convulsions accompanied or not accompanied by a fever due to any previous vaccination). Fever, cough, and shortness of breath within 30 days before vaccination. History of COVID-19. Positive result of the COVID-19 PCR test. Body temperature ≥ 37,0°C. History of allergies. Any vaccination within 30 days before the screening. History of leukemia, tuberculosis, cancer, autoimmune diseases. History of Quincke's edema. Positive blood test results for HIV, syphilis, hepatitis B/C. Volunteers who received immunoglobulin during the last three months before the trial. History of long-term use (more than 14 days) of immunosuppressants or other immunomodulatory drugs for six months before the trial. Treatment with glucocorticosteroids, including in small doses, as well as local use of drugs containing steroids (> 10 mg of prednisolone or its equivalent for more than 14 days before the screening). History of any confirmed or suspected immunosuppressive or immunodeficiency condition. History of splenectomy. History of chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, the gastrointestinal tract, liver, kidneys, hematopoietic or immune systems, mental disease in the acute stage or in the decompensation stage. Transfusion of blood or blood components within 4 months before screening. History of acute and chronic infectious diseases. Consumption of more than 10 units of alcohol per week or history of alcohol addiction, drug addiction or abuse of pharmaceutical products. Smoking of more than 10 cigarettes per day. Participation in another clinical trial within the last 90 days. Pregnancy or lactation. Coagulopathy, hemophilia, bleeding disorder. Participation in stage I of this trial (for volunteers of stage II). Transfusion of COVID-19 convalescent plasma within 14 days before the screening, COVID-19 vaccination less than 30 days before the screening
Facility Information:
Facility Name
Medvitro, LLC
City
Moscow
Country
Russian Federation
Facility Name
Research Institute of Vaccines and Serums them. I.I. Mechnikov
City
Moscow
Country
Russian Federation
Facility Name
Eco-Safety, LLC
City
Saint-Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Study of the Immunogenicity, Safety and Tolerability of the Convacell Vaccine.

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