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PTX-COVID19-B, an mRNA Humoral Vaccine, Intended for Prevention of COVID-19 in a General Population. This Study is Designed to Demonstrate the Safety, Tolerability, and Immunogenicity of PTX-COVID19-B in Comparison to the Pfizer-BioNTech COVID-19 Vaccine.

Primary Purpose

Covid19 Vaccine

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
PTX-COVID19-B
Pfizer-BioNTech COVID-19 vaccine
Placebo
Sponsored by
Providence Therapeutics Holdings Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 Vaccine

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Each subject must meet the following criteria to be enrolled and randomized into the study:

  1. Willing and able to provide written informed consent to participate prior to commencing any study-related activities.
  2. Must be able to attend all visits (scheduled and unscheduled, as applicable) for the duration of the study and comply with all study procedures.
  3. Healthy adult males and females 18 to 64 years of age, inclusive, at Screening Visit (Visit 1).
  4. Negative to SARS-CoV-2 (COVID-19 disease) at screening and at each dosing, without evidence of recent of exposure or viral respiratory disease not identified as influenza or respiratory syncytial virus (RSV) (febrile or lower respiratory tract infection).
  5. Must be in general good health before study participation with no clinically relevant abnormalities that could interfere with study assessments at investigator's discretion. Subjects may have stable comorbidities (no change in medications, exacerbations, or hospitalizations in past three (3) months).
  6. Women of childbearing potential (WOCBP) and men whose sexual partners are WOCBP must be able and willing to use at least one (1) highly effective method of contraception (i.e., including hysterectomy, bilateral salpingectomy, and bilateral oophorectomy, hormonal oral [in combination with male condoms with spermicide], transdermal, implant, or injection, barrier [i.e., condom, diaphragm with spermicide]; intrauterine device; vasectomized partner [six months minimum], clinically sterile partner; or abstinence) during the study.

    • A female subject is considered a WOCBP after menarche and until she is in a postmenopausal state for 12 consecutive months (without an alternative medical cause) or otherwise permanently sterile.
    • Subjects not of childbearing potential are not required to use any other forms of contraception during the study. Non-childbearing potential is defined as subject confirmed:

      • Surgical sterilization (e.g., bilateral oophorectomy, bilateral salpingectomy, bilateral occlusion by cautery, hysterectomy, or tubal ligation).
      • Postmenopausal (defined as permanent cessation of menstruation for at least 12 consecutive months prior to screening); if postmenopausal status is unclear, pregnancy tests will be performed prior to vaccinations.
  7. WOCBP must have a negative pregnancy test before each vaccination. If menopausal status is unclear, a pregnancy test is required.

    Inclusion into the open label safety extension

  8. Receipt of at least one (1) vaccination prior to Day 42.

Exclusion Criteria:

Subjects will not be eligible for study participation if they meet any of the exclusion criteria:

  1. History of an acute or chronic medical condition that, in the opinion of the investigator, would render vaccination unsafe or would interfere with the evaluation of responses.
  2. History of ongoing clinical condition or medication or treatments that may adversely affect the immune system.
  3. Subjects with pulse oximetry <90% at screening and prior to each vaccination.
  4. Individuals who are antigen positive, seropositive or reverse transcriptase polymerase chain reaction (RT-PCR) positive for SARS-CoV-2, including prior to a second dose of PTX-COVID19-B.
  5. Individuals who are at increased risk of exposure to SARS-CoV-2 (e.g., healthcare workers, emergency responders).
  6. Close contact of anyone known to have SARS-CoV-2 infection within 30 days prior to vaccine administration.
  7. Individuals with any elevated (Grade 1 or higher) laboratory test assessed as clinically significant for age/sex by the investigator at screening.
  8. Individuals known to have anti-platelet antibodies.
  9. Individuals with myocarditis and/or arrythmias.
  10. Active neoplastic disease (excluding non-melanoma skin cancer that was successfully treated) or a history of any hematological malignancy. ("Active" is defined as having received treatment within the past five years).
  11. Long-term (> two (2) weeks) use of oral or parenteral steroids or high-dose inhaled steroids (> 800 μg/day of beclomethasone dipropionate or equivalent) within six months before screening (nasal and topical steroids are allowed).
  12. History of autoimmune, inflammatory disease, or potential immune-mediated medical conditions (PIMMCs).
  13. Women currently pregnant, lactating, or planning a pregnancy between enrollment and Day 42.
  14. History of immune thrombocytopenic purpura (ITP).
  15. History of Guillain-Barré Syndrome or any degenerative neurology disorder.
  16. History of anaphylactic-type reaction to any injected vaccines.
  17. Known or suspected hypersensitivity to one or more of the components of the vaccine.
  18. Known history of alcohol abuse, illicit drug use, physical dependence to any opioid, or any history of drug abuse or addiction within 12 months of screening.
  19. Acute illness or fever (temperature >37.5C) within three (3) days before study enrollment (enrollment may be delayed for full recovery if acceptable to the investigator and within Protocol-defined windows).
  20. Individuals currently participating or planning to participate in a study that involves an experimental agent (vaccine, drug, biologic, device, or medication); or who have received an experimental agent within one (1) month (three (3) months for immunoglobulins) before enrollment in this study; or who expect to receive another experimental agent up to Day 90 in this study.
  21. Receipt of immunoglobulin or another blood product within the three (3) months before enrollment in this study or those who expect to receive immunoglobulin or another blood product during this study.
  22. Individuals using prescription medications for prophylaxis of SARS-CoV-2.
  23. Individuals who plan to receive another vaccine within the first three (3) months of the study (except influenza vaccine which should not be given within two (2) weeks of vaccine).
  24. Receipt of any other SARS-CoV-2 or other experimental coronavirus (MERS, SARS etc.) vaccine at any time prior to or during the study.
  25. Receipt of any investigational vaccine or investigational drug within one (1) month of enrollment and through the end of the study (one (1) year after the last vaccination).
  26. Planning international travel from enrollment through Day 43.
  27. History of surgery or major trauma within 12 weeks of screening, or surgery planned during the study.
  28. Significant blood loss (> 400 mL) or has donated one or more units of blood (within 56 days for males and 84 days for females) or plasma (within two (2) weeks) prior to study participation.
  29. Positive urine drugs of abuse screen test result.
  30. Positive screen for HIV-1 and HIV-2 antibodies, HBsAg, or HCV antibody.
  31. Involved in the planning or conduct of this study.
  32. Unwilling or unlikely to comply with the requirements of the study.

    Exclusion from the open label safety extension:

  33. Participation in a study that would affect potential immunogenicity evaluation during ongoing participation in this study. Participation in any other study is allowed after Day 90.

Sites / Locations

  • LMC Clinical Research Inc. (Calgary)
  • Malton Medical
  • Red Maple
  • Pharma Medica Research Inc.
  • Manna Bayview
  • Manna Toronto
  • Wits Vaccines & Infections Diseases Analytics (VIDA) Research Unit
  • MERC Middleburg
  • TREAD Research
  • UCT Lung Institute
  • Be Part Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

40µg PTX-COVID19-B Open-label

40µg PTX-COVID19-B

Pfizer-BioNTech COVID-19 vaccine

Arm Description

Participants, 15 healthy adults 18 to 64 years of age will receive 1 intramuscular (IM) injection of 40µg PTX-COVID19-B vaccine on Day 1, followed by a second dose on Day 28.

Participants, 360 healthy adults 18 to 64 years of age, will receive 1 intramuscular (IM) injection of 40µg PTX-COVID19-B vaccine on Day 1, followed by a second dose on Day 28. Participants will receive a placebo dose on Day 21.

Participants, 190 healthy adults 18 to 64 years of age, will receive 1 intramuscular (IM) injection of Pfizer-BioNTech COVID-19 vaccine on Day 1, followed by a placebo dose on Days 21. Participants will receive a placebo dose on Day 28.

Outcomes

Primary Outcome Measures

Injection Site Reactions
Injection site reactions (e.g., arm check evaluations including pain, tenderness, erythema/redness, induration/swelling) through the seventh day post each vaccination
Incidence of Solicited Adverse Events (AEs)
Incidence of solicited adverse events (AEs) (e.g., fever, chills, nausea/vomiting, diarrhea, headache, fatigue, myalgia) through the seventh day post each vaccination and Serious Adverse Events (SAEs)
Assessment of AEs
Incidence of unsolicited AEs and SAEs
Assessment of Safety
Medically attended AEs New onset chronic disease SAEs, AEs of special interest Potential immune-mediated medical conditions

Secondary Outcome Measures

Full Information

First Posted
December 30, 2021
Last Updated
April 5, 2023
Sponsor
Providence Therapeutics Holdings Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05175742
Brief Title
PTX-COVID19-B, an mRNA Humoral Vaccine, Intended for Prevention of COVID-19 in a General Population. This Study is Designed to Demonstrate the Safety, Tolerability, and Immunogenicity of PTX-COVID19-B in Comparison to the Pfizer-BioNTech COVID-19 Vaccine.
Official Title
A Phase 2, Randomized, Double-dummy, Observer-Blind, Study to Evaluate the Safety, Tolerability, and Immunogenicity of PTX-COVID19-B Compared to Pfizer-BioNTech COVID-19 Vaccine in Healthy Seronegative Adults Aged 18 to 64 Years
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
August 17, 2021 (Actual)
Primary Completion Date
March 29, 2023 (Actual)
Study Completion Date
March 29, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Providence Therapeutics Holdings 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
The Vaccine Product, PTX-COVID19-B mRNA Humoral Vaccine, is intended for prevention of COVID-19 in a general population. This study is designed to evaluate the safety, tolerability, and immunogenicity of PTX-COVID19-B compared to Pfizer-BioNTech COVID-19 vaccine in healthy seronegative adults aged 18 to 64.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19 Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
observer-blinded
Allocation
Randomized
Enrollment
565 (Actual)

8. Arms, Groups, and Interventions

Arm Title
40µg PTX-COVID19-B Open-label
Arm Type
Experimental
Arm Description
Participants, 15 healthy adults 18 to 64 years of age will receive 1 intramuscular (IM) injection of 40µg PTX-COVID19-B vaccine on Day 1, followed by a second dose on Day 28.
Arm Title
40µg PTX-COVID19-B
Arm Type
Experimental
Arm Description
Participants, 360 healthy adults 18 to 64 years of age, will receive 1 intramuscular (IM) injection of 40µg PTX-COVID19-B vaccine on Day 1, followed by a second dose on Day 28. Participants will receive a placebo dose on Day 21.
Arm Title
Pfizer-BioNTech COVID-19 vaccine
Arm Type
Active Comparator
Arm Description
Participants, 190 healthy adults 18 to 64 years of age, will receive 1 intramuscular (IM) injection of Pfizer-BioNTech COVID-19 vaccine on Day 1, followed by a placebo dose on Days 21. Participants will receive a placebo dose on Day 28.
Intervention Type
Biological
Intervention Name(s)
PTX-COVID19-B
Intervention Description
Sterile solution for injection
Intervention Type
Biological
Intervention Name(s)
Pfizer-BioNTech COVID-19 vaccine
Intervention Description
Sterile solution for injection
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
0.9% sodium chloride (normal saline) injection
Primary Outcome Measure Information:
Title
Injection Site Reactions
Description
Injection site reactions (e.g., arm check evaluations including pain, tenderness, erythema/redness, induration/swelling) through the seventh day post each vaccination
Time Frame
Day 1 through Day 42
Title
Incidence of Solicited Adverse Events (AEs)
Description
Incidence of solicited adverse events (AEs) (e.g., fever, chills, nausea/vomiting, diarrhea, headache, fatigue, myalgia) through the seventh day post each vaccination and Serious Adverse Events (SAEs)
Time Frame
Day 1 through Day 7 for each dose administration
Title
Assessment of AEs
Description
Incidence of unsolicited AEs and SAEs
Time Frame
Day 1 through Day 42
Title
Assessment of Safety
Description
Medically attended AEs New onset chronic disease SAEs, AEs of special interest Potential immune-mediated medical conditions
Time Frame
Day 1 through Day 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Each subject must meet the following criteria to be enrolled and randomized into the study: Willing and able to provide written informed consent to participate prior to commencing any study-related activities. Must be able to attend all visits (scheduled and unscheduled, as applicable) for the duration of the study and comply with all study procedures. Healthy adult males and females 18 to 64 years of age, inclusive, at Screening Visit (Visit 1). Negative to SARS-CoV-2 (COVID-19 disease) at screening and at each dosing, without evidence of recent of exposure or viral respiratory disease not identified as influenza or respiratory syncytial virus (RSV) (febrile or lower respiratory tract infection). Must be in general good health before study participation with no clinically relevant abnormalities that could interfere with study assessments at investigator's discretion. Subjects may have stable comorbidities (no change in medications, exacerbations, or hospitalizations in past three (3) months). Women of childbearing potential (WOCBP) and men whose sexual partners are WOCBP must be able and willing to use at least one (1) highly effective method of contraception (i.e., including hysterectomy, bilateral salpingectomy, and bilateral oophorectomy, hormonal oral [in combination with male condoms with spermicide], transdermal, implant, or injection, barrier [i.e., condom, diaphragm with spermicide]; intrauterine device; vasectomized partner [six months minimum], clinically sterile partner; or abstinence) during the study. A female subject is considered a WOCBP after menarche and until she is in a postmenopausal state for 12 consecutive months (without an alternative medical cause) or otherwise permanently sterile. Subjects not of childbearing potential are not required to use any other forms of contraception during the study. Non-childbearing potential is defined as subject confirmed: Surgical sterilization (e.g., bilateral oophorectomy, bilateral salpingectomy, bilateral occlusion by cautery, hysterectomy, or tubal ligation). Postmenopausal (defined as permanent cessation of menstruation for at least 12 consecutive months prior to screening); if postmenopausal status is unclear, pregnancy tests will be performed prior to vaccinations. WOCBP must have a negative pregnancy test before each vaccination. If menopausal status is unclear, a pregnancy test is required. Inclusion into the open label safety extension Receipt of at least one (1) vaccination prior to Day 42. Exclusion Criteria: Subjects will not be eligible for study participation if they meet any of the exclusion criteria: History of an acute or chronic medical condition that, in the opinion of the investigator, would render vaccination unsafe or would interfere with the evaluation of responses. History of ongoing clinical condition or medication or treatments that may adversely affect the immune system. Subjects with pulse oximetry <90% at screening and prior to each vaccination. Individuals who are antigen positive, seropositive or reverse transcriptase polymerase chain reaction (RT-PCR) positive for SARS-CoV-2, including prior to a second dose of PTX-COVID19-B. Individuals who are at increased risk of exposure to SARS-CoV-2 (e.g., healthcare workers, emergency responders). Close contact of anyone known to have SARS-CoV-2 infection within 30 days prior to vaccine administration. Individuals with any elevated (Grade 1 or higher) laboratory test assessed as clinically significant for age/sex by the investigator at screening. Individuals known to have anti-platelet antibodies. Individuals with myocarditis and/or arrythmias. Active neoplastic disease (excluding non-melanoma skin cancer that was successfully treated) or a history of any hematological malignancy. ("Active" is defined as having received treatment within the past five years). Long-term (> two (2) weeks) use of oral or parenteral steroids or high-dose inhaled steroids (> 800 μg/day of beclomethasone dipropionate or equivalent) within six months before screening (nasal and topical steroids are allowed). History of autoimmune, inflammatory disease, or potential immune-mediated medical conditions (PIMMCs). Women currently pregnant, lactating, or planning a pregnancy between enrollment and Day 42. History of immune thrombocytopenic purpura (ITP). History of Guillain-Barré Syndrome or any degenerative neurology disorder. History of anaphylactic-type reaction to any injected vaccines. Known or suspected hypersensitivity to one or more of the components of the vaccine. Known history of alcohol abuse, illicit drug use, physical dependence to any opioid, or any history of drug abuse or addiction within 12 months of screening. Acute illness or fever (temperature >37.5C) within three (3) days before study enrollment (enrollment may be delayed for full recovery if acceptable to the investigator and within Protocol-defined windows). Individuals currently participating or planning to participate in a study that involves an experimental agent (vaccine, drug, biologic, device, or medication); or who have received an experimental agent within one (1) month (three (3) months for immunoglobulins) before enrollment in this study; or who expect to receive another experimental agent up to Day 90 in this study. Receipt of immunoglobulin or another blood product within the three (3) months before enrollment in this study or those who expect to receive immunoglobulin or another blood product during this study. Individuals using prescription medications for prophylaxis of SARS-CoV-2. Individuals who plan to receive another vaccine within the first three (3) months of the study (except influenza vaccine which should not be given within two (2) weeks of vaccine). Receipt of any other SARS-CoV-2 or other experimental coronavirus (MERS, SARS etc.) vaccine at any time prior to or during the study. Receipt of any investigational vaccine or investigational drug within one (1) month of enrollment and through the end of the study (one (1) year after the last vaccination). Planning international travel from enrollment through Day 43. History of surgery or major trauma within 12 weeks of screening, or surgery planned during the study. Significant blood loss (> 400 mL) or has donated one or more units of blood (within 56 days for males and 84 days for females) or plasma (within two (2) weeks) prior to study participation. Positive urine drugs of abuse screen test result. Positive screen for HIV-1 and HIV-2 antibodies, HBsAg, or HCV antibody. Involved in the planning or conduct of this study. Unwilling or unlikely to comply with the requirements of the study. Exclusion from the open label safety extension: Participation in a study that would affect potential immunogenicity evaluation during ongoing participation in this study. Participation in any other study is allowed after Day 90.
Facility Information:
Facility Name
LMC Clinical Research Inc. (Calgary)
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2H 2G4
Country
Canada
Facility Name
Malton Medical
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L4V1P1
Country
Canada
Facility Name
Red Maple
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1H 1E4
Country
Canada
Facility Name
Pharma Medica Research Inc.
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M1S3V6
Country
Canada
Facility Name
Manna Bayview
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4G3E8
Country
Canada
Facility Name
Manna Toronto
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W4L6
Country
Canada
Facility Name
Wits Vaccines & Infections Diseases Analytics (VIDA) Research Unit
City
Johannesburg
State/Province
Gauten
ZIP/Postal Code
1864
Country
South Africa
Facility Name
MERC Middleburg
City
Middleburg
State/Province
Mpumalanga
ZIP/Postal Code
1055
Country
South Africa
Facility Name
TREAD Research
City
Cape Town
State/Province
Western Cape
ZIP/Postal Code
7500
Country
South Africa
Facility Name
UCT Lung Institute
City
Cape Town
State/Province
Western Cape
ZIP/Postal Code
7700
Country
South Africa
Facility Name
Be Part Research
City
Paarl
State/Province
Western Cape
ZIP/Postal Code
7626
Country
South Africa

12. IPD Sharing Statement

Learn more about this trial

PTX-COVID19-B, an mRNA Humoral Vaccine, Intended for Prevention of COVID-19 in a General Population. This Study is Designed to Demonstrate the Safety, Tolerability, and Immunogenicity of PTX-COVID19-B in Comparison to the Pfizer-BioNTech COVID-19 Vaccine.

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