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A Study to Evaluate the Safety and Immunogenicity of Ad5-nCoV and Ad5-nCoV-IH in CoronaVac Immunized Children and Adolescents

Primary Purpose

COVID-19

Status
Terminated
Phase
Phase 3
Locations
Chile
Study Type
Interventional
Intervention
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Recombinant COVID-19 vaccine (adenovirus type 5 vector) for Inhalation (Ad5-nCoV-IH)
Sponsored by
CanSino Biologics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID-19 Vaccine, Inhalation, Ad5, Safety, Immunogenicity, Children, Adolescents

Eligibility Criteria

6 Years - 17 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Children aged 6-12 years and adolescents aged 13-17 years at the time of randomization.
  2. Have received a complete two dose schedule of CoronaVac for ≥ 90 days.
  3. Obtain written informed assent from participants and consent from parents, guardians or legal representatives.
  4. Subjects are eligible for immunization of this product as evaluated by investigators after medical history examination, physical examination and clinical judgment of health.

Exclusion Criteria:

  1. Have a history of seizures, epilepsy, encephalopathy, psychosis.
  2. History of anaphylaxis to any vaccine component.
  3. Positive urine pregnancy test result, pregnant, lactation women. Female had menarche must conduct the urine pregnancy test.
  4. Congenital or acquired angioedema/neuroedema .
  5. Medical history of Guillain-Barré syndrome.
  6. Have had asthma attacks within 2 years.
  7. Have severe nasal or oral diseases, such as rhinitis (sinusitis), allergic rhinitis, oral ulcer, throat swelling, etc.
  8. Asplenia or functional absence of spleen.
  9. Bleeding disorder (e.g. protein S or factor deficiency, coagulopathy or platelet disorder).
  10. Any confirmed or suspected immunosuppressive or immunodeficient state; received immunosuppressive therapy, cytotoxic therapy, or chronic corticosteroids (excluding corticosteroid spray therapy for allergic rhinitis and surface corticosteroid therapy for acute non-complicated dermatitis) within the past 6 months.
  11. Have chronic systematic infection or chronic pulmonary disease
  12. Administration of immunoglobulins and/or any blood products within three months prior to the planned administration of the vaccine candidate.
  13. Receiving anti-tuberculosis or cancer treatment.
  14. History of COVID-19 disease.
  15. Have a positive result at the examination of rapid SARS-CoV-2 antibody assay (S-RBD IgG) before vaccination.
  16. Have received COVID vaccines other than CoronaVac.
  17. Received or plan to receive any non-COVID vaccines (licensed or investigational), within 14 days before and after study vaccination.
  18. Current diagnosis of or treatment for cancer, e.g. leukemia.
  19. Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, and affect the ability of the volunteer to participate in the study or impair interpretation of the study data.

Sites / Locations

  • Hospital Base de Osorno
  • Hospital Carlos van Buren

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Vaccine Group

Arm Description

1000 participants,500 children aged 6-12 years and 500 adolescents aged 13-17 years, Ad5-nCoV or Ad5-nCoV-IH, ≥90 days after two doses of CoronaVac. Intramuscular injection or nebulized inhalation.

Outcomes

Primary Outcome Measures

Incidence of SAE
Evaluate the incidence of severe adverse events (SAE)
Immunogenicity of S-RBD IgG antibody
GMC of S-RBD IgG antibody by Elisa post vaccination

Secondary Outcome Measures

Incidence of Adverse Reactions (ARs)
Incidence of solicited adverse reactions (ARs)
The incidence of AR and AE
Incidence of AR and AE within 28 days
Immunogenicity of S-RBD IgG antibody
GMC of S-RBD IgG antibody post vaccination by ELISA
Immunogenicity of S-RBD IgG antibody
Seroconversion rate of S-RBD IgG antibody post vaccination by ELISA
Immunogenicity of S-RBD IgG antibody
GMI of S-RBD IgG antibody post vaccination by ELISA
Immunogenicity of S-RBD IgG antibody
GMT of pseudo-virus neutralizing antibody by ELISA
Immunogenicity of S-RBD IgG antibody
GMI of pseudo-virus neutralizing antibody by ELISA
Immunogenicity of S-RBD IgG antibody
Seroconversion rate of pseudo-virus neutralizing antibody by ELISA

Full Information

First Posted
December 10, 2021
Last Updated
June 14, 2023
Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology
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1. Study Identification

Unique Protocol Identification Number
NCT05169008
Brief Title
A Study to Evaluate the Safety and Immunogenicity of Ad5-nCoV and Ad5-nCoV-IH in CoronaVac Immunized Children and Adolescents
Official Title
A Multicenter, Randomized, and Open-label Clinical Trial to Evaluate the Safety and Immunogenicity of Intramuscular and Inhaled COVID-19 Vaccine in Children Aged 6-12 Years and Adolescents Aged 13-17 Years Who Have Been Immunized With Two Doses of CoronaVac
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Terminated
Why Stopped
Difficulty recruiting subjects, so the study was terminated.
Study Start Date
February 25, 2022 (Actual)
Primary Completion Date
January 13, 2023 (Actual)
Study Completion Date
January 13, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology

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
This is a multicenter, randomized, and open-label study to evaluate the immune responses and safety profiles of children aged 6-12 years and adolescents aged 13-17 years receiving Ad5-nCoV (intramuscular injection) or Ad5-nCoV-IH (nebulized inhalation) ≥ 90 days after receiving two doses of CoronaVac.
Detailed Description
A total of 1000 participants will be equally divided into the two study groups, children of 6-12 years and adolescents of 13-17 years. In each age group, they will have an equal chance to received either one dose of Ad5-nCoV (intramuscular injection) or Ad5-nCoV-IH (nebulized inhalation). The enrollment of the children group will start after the safety profiles in 7 days post-vaccination of the adolescent group have been deemed acceptable. Investigators should try to balance the age and sex of the participants during enrollment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19 Vaccine, Inhalation, Ad5, Safety, Immunogenicity, Children, Adolescents

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
91 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine Group
Arm Type
Experimental
Arm Description
1000 participants,500 children aged 6-12 years and 500 adolescents aged 13-17 years, Ad5-nCoV or Ad5-nCoV-IH, ≥90 days after two doses of CoronaVac. Intramuscular injection or nebulized inhalation.
Intervention Type
Biological
Intervention Name(s)
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
Recombinant COVID-19 vaccine (adenovirus type 5 vector) for Inhalation (Ad5-nCoV-IH)
Intervention Description
Nebulized inhalation through the mouth
Primary Outcome Measure Information:
Title
Incidence of SAE
Description
Evaluate the incidence of severe adverse events (SAE)
Time Frame
Day 0 to 12 months post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
GMC of S-RBD IgG antibody by Elisa post vaccination
Time Frame
28 days post IM or IH
Secondary Outcome Measure Information:
Title
Incidence of Adverse Reactions (ARs)
Description
Incidence of solicited adverse reactions (ARs)
Time Frame
Within 14 days post IM or IH
Title
The incidence of AR and AE
Description
Incidence of AR and AE within 28 days
Time Frame
Within 28 days post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
GMC of S-RBD IgG antibody post vaccination by ELISA
Time Frame
14 days post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
Seroconversion rate of S-RBD IgG antibody post vaccination by ELISA
Time Frame
14 and 28 days post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
GMI of S-RBD IgG antibody post vaccination by ELISA
Time Frame
14 and 28 days post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
GMT of pseudo-virus neutralizing antibody by ELISA
Time Frame
14 and 28 days post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
GMI of pseudo-virus neutralizing antibody by ELISA
Time Frame
14 and 28 days post IM or IH
Title
Immunogenicity of S-RBD IgG antibody
Description
Seroconversion rate of pseudo-virus neutralizing antibody by ELISA
Time Frame
14 and 28 days post IM or IH
Other Pre-specified Outcome Measures:
Title
Efficacy of booster vaccination
Description
The number of all COVID-19 cases after vaccination
Time Frame
Up to 12 months post IM or IH

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Children aged 6-12 years and adolescents aged 13-17 years at the time of randomization. Have received a complete two dose schedule of CoronaVac for ≥ 90 days. Obtain written informed assent from participants and consent from parents, guardians or legal representatives. Subjects are eligible for immunization of this product as evaluated by investigators after medical history examination, physical examination and clinical judgment of health. Exclusion Criteria: Have a history of seizures, epilepsy, encephalopathy, psychosis. History of anaphylaxis to any vaccine component. Positive urine pregnancy test result, pregnant, lactation women. Female had menarche must conduct the urine pregnancy test. Congenital or acquired angioedema/neuroedema . Medical history of Guillain-Barré syndrome. Have had asthma attacks within 2 years. Have severe nasal or oral diseases, such as rhinitis (sinusitis), allergic rhinitis, oral ulcer, throat swelling, etc. Asplenia or functional absence of spleen. Bleeding disorder (e.g. protein S or factor deficiency, coagulopathy or platelet disorder). Any confirmed or suspected immunosuppressive or immunodeficient state; received immunosuppressive therapy, cytotoxic therapy, or chronic corticosteroids (excluding corticosteroid spray therapy for allergic rhinitis and surface corticosteroid therapy for acute non-complicated dermatitis) within the past 6 months. Have chronic systematic infection or chronic pulmonary disease Administration of immunoglobulins and/or any blood products within three months prior to the planned administration of the vaccine candidate. Receiving anti-tuberculosis or cancer treatment. History of COVID-19 disease. Have a positive result at the examination of rapid SARS-CoV-2 antibody assay (S-RBD IgG) before vaccination. Have received COVID vaccines other than CoronaVac. Received or plan to receive any non-COVID vaccines (licensed or investigational), within 14 days before and after study vaccination. Current diagnosis of or treatment for cancer, e.g. leukemia. Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, and affect the ability of the volunteer to participate in the study or impair interpretation of the study data.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephania Passalacqua
Organizational Affiliation
Hospital Base de Osorno, Chile
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Base de Osorno
City
Osorno
State/Province
Los Lagos
Country
Chile
Facility Name
Hospital Carlos van Buren
City
Valparaíso
State/Province
Región De Valparaíso
Country
Chile

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Safety and Immunogenicity of Ad5-nCoV and Ad5-nCoV-IH in CoronaVac Immunized Children and Adolescents

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