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Safety, Tolerability and Immunogenicity of Gam-COVID-Vac Vaccine in a Nasal Spray (SPRAY)

Primary Purpose

COVID-19, SARS-CoV-2 Acute Respiratory Disease

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Gam-COVID-Vac
Placebo
Sponsored by
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring vaccine, Sputnik, adenoviral vector vaccine, intranasal vaccine

Eligibility Criteria

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

Inclusion Criteria:

  1. The presence of a written informed consent of the subject to participate in the study;
  2. Adult volunteers over 18;
  3. Negative test result for HIV, hepatitis, syphilis;
  4. Negative test result for COVID-2019, determined by PCR at the visit screening, and, if available, the result of the examination performed in medical organizations that are research centers 7 days before inclusion into research;
  5. The result of the study for the presence of IgG antibodies to SARS CoV2 up to 10 VGR, which corresponds to value up to 100 BAU, regardless of the immune status before;
  6. Absence of contact of the research subject with patients with COVID-2019 for at least 14 days before enrollment in the study (according to the study participant);
  7. Consent to use effective methods of contraception during the entire period of participation in research;
  8. Negative Urine Pregnancy Test at Screening Visit (for women of childbearing age);
  9. Negative test for the presence of narcotic and psychostimulant drugs in the urine for screening visit;
  10. Negative alcohol test at screening visit;
  11. No history of severe post-vaccination reactions or post-vaccination complications after the use of immunobiological preparations;
  12. Absence of acute infectious and/or respiratory diseases for at least within 14 days prior to enrollment in the study.

Exclusion Criteria:

  1. Inability to give informed consent, inability to understand the essence of the study
  2. Any vaccination/immunization carried out within 30 days prior to inclusion in study;
  3. Steroid therapy (excluding hormonal contraceptives) and/or immunoglobulins or other blood products, not completed 30 days before inclusion in the study;
  4. COVID-2019 disease or vaccination to prevent COVID-2019 in less than six months before inclusion in the study
  5. Immunosuppressive drug therapy completed less than 3 months before inclusion in the study;
  6. Postponed less than one year prior to enrollment in the study acute coronary syndrome or stroke;
  7. Tuberculosis, chronic systemic infections;
  8. Exacerbation of rhinitis
  9. Burdened allergic history (presence in the anamnesis of information about anaphylactic shock, angioedema, polymorphic exudative eczema, serum sickness), hypersensitivity or allergic reactions to the introduction of immunobiological drugs, known allergic reactions to drug components, exacerbation allergic diseases on the day of inclusion in the study;
  10. History of neoplasms (ICD codes C00-D09);
  11. Donation of blood or plasma (in a volume of 450 ml or more) less than 2 months before inclusion in the study;
  12. Splenectomy in history;
  13. Neutropenia (decrease in the absolute number of neutrophils less than 1000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin less than 80 g/l), immunodeficiency in history within 6 months prior to enrollment in the study;
  14. Subjects with active human immunodeficiency virus disease syphilis, hepatitis B and C;
  15. Anorexia, protein deficiency of any origin;
  16. History of alcoholism and drug addiction;
  17. Participation of the subject in any other interventional clinical trial during this study;
  18. Any other condition of the research subject that, in the opinion of the research physician, may prevent completion of the study in accordance with the protocol;
  19. Staff of research centers and other staff directly involved in conducting the study (principal investigator and members of the research team) and members of their families.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    rAd26 single administration

    rAd5 single administration

    prime-boost regimen with rAd26 followed rAd5 administration

    placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Change from baseline in geometric mean titer of IgGs specific to S protein
    Change from baseline in Geometric mean titer of IgGs specific to S protein at different time points after vaccination
    Change from baseline in number of participants with detected specific IgGs
    Change from baseline in Number of participants with detected specific IgGs at different time points after vaccination
    Change from baseline in Number of participants with detected specific IgAs
    Change from baseline in Number of participants with detected specific IgAs at different time points after vaccination
    Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus
    Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
    Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus
    Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
    Proportion of participants with any adverse events
    AEs evaluation during the whole period of the study
    Proportion of participants with severe adverse events
    SAEs evaluation during the whole period of the study

    Secondary Outcome Measures

    Efficacy of symptomatic COVID-19 prevention
    Efficacy of symptomatic COVID-19 prevention

    Full Information

    First Posted
    February 7, 2022
    Last Updated
    March 7, 2022
    Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05248373
    Brief Title
    Safety, Tolerability and Immunogenicity of Gam-COVID-Vac Vaccine in a Nasal Spray
    Acronym
    SPRAY
    Official Title
    A Randomized Double-blind Placebo-controlled Multi-center Clinical Trial in Parallel Assignment of Safety, Tolerability and Immunogenicity of a Vaccine "Gam-COVID-Vac, a Combined Vector Vaccine for the Prevention of Coronavirus Infection Caused by the SARS-CoV-2 Virus" in a Nasal Spray Dosage Form With the Participation of Adult Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    March 8, 2022 (Anticipated)
    Primary Completion Date
    February 14, 2023 (Anticipated)
    Study Completion Date
    December 30, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation

    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
    Randomized, double-blind, placebo-controlled trial to evaluate safety and immunogenicity of intranasal "Gam-COVID-Vak" combined vector vaccine for the prevention of coronavirus infection caused by the SARS-CoV-2 virus. The duration of participation in the study for one subject will be 180±14 days after the first dose of vaccine, during which each subject will undergo a screening visit (within a week) and face-to-face visits according to the study plan. Intranasal vaccine administration will be done at day 1 vaccination visits and day 21±2 days on an outpatient basis. During the follow-up visits key vital signs will be assessed, and will collect data on changes in the state and well-being subjects from a previous visit. Subject data will be collected using electronic forms of individual registration cards, as well as with using questionnaires (diaries) filled by the subjects of the study. Immunogenicity will be assessed on day 1, 10, 28, 42 and 90 days. Humoral and cellular immune response will be evaluated.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    COVID-19, SARS-CoV-2 Acute Respiratory Disease
    Keywords
    vaccine, Sputnik, adenoviral vector vaccine, intranasal vaccine

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    400 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    rAd26 single administration
    Arm Type
    Experimental
    Arm Title
    rAd5 single administration
    Arm Type
    Experimental
    Arm Title
    prime-boost regimen with rAd26 followed rAd5 administration
    Arm Type
    Experimental
    Arm Title
    placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Biological
    Intervention Name(s)
    Gam-COVID-Vac
    Intervention Description
    two-component combined vector vaccine for the prevention of coronavirus infection caused by the SARS-CoV-2 virus
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    solution with same composition as for vaccine formulation except rAds
    Primary Outcome Measure Information:
    Title
    Change from baseline in geometric mean titer of IgGs specific to S protein
    Description
    Change from baseline in Geometric mean titer of IgGs specific to S protein at different time points after vaccination
    Time Frame
    0, 10, 28, 42, 90 day
    Title
    Change from baseline in number of participants with detected specific IgGs
    Description
    Change from baseline in Number of participants with detected specific IgGs at different time points after vaccination
    Time Frame
    0, 10, 28, 42, 90 day
    Title
    Change from baseline in Number of participants with detected specific IgAs
    Description
    Change from baseline in Number of participants with detected specific IgAs at different time points after vaccination
    Time Frame
    0, 10, 28, 42 day
    Title
    Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus
    Description
    Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
    Time Frame
    0, 28, 42, 90 day
    Title
    Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus
    Description
    Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
    Time Frame
    0, 28, 42, 90 day
    Title
    Proportion of participants with any adverse events
    Description
    AEs evaluation during the whole period of the study
    Time Frame
    1-180 days
    Title
    Proportion of participants with severe adverse events
    Description
    SAEs evaluation during the whole period of the study
    Time Frame
    1-180 days
    Secondary Outcome Measure Information:
    Title
    Efficacy of symptomatic COVID-19 prevention
    Description
    Efficacy of symptomatic COVID-19 prevention
    Time Frame
    28-180 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: The presence of a written informed consent of the subject to participate in the study; Adult volunteers over 18; Negative test result for HIV, hepatitis, syphilis; Negative test result for COVID-2019, determined by PCR at the visit screening, and, if available, the result of the examination performed in medical organizations that are research centers 7 days before inclusion into research; The result of the study for the presence of IgG antibodies to SARS CoV2 up to 10 VGR, which corresponds to value up to 100 BAU, regardless of the immune status before; Absence of contact of the research subject with patients with COVID-2019 for at least 14 days before enrollment in the study (according to the study participant); Consent to use effective methods of contraception during the entire period of participation in research; Negative Urine Pregnancy Test at Screening Visit (for women of childbearing age); Negative test for the presence of narcotic and psychostimulant drugs in the urine for screening visit; Negative alcohol test at screening visit; No history of severe post-vaccination reactions or post-vaccination complications after the use of immunobiological preparations; Absence of acute infectious and/or respiratory diseases for at least within 14 days prior to enrollment in the study. Exclusion Criteria: Inability to give informed consent, inability to understand the essence of the study Any vaccination/immunization carried out within 30 days prior to inclusion in study; Steroid therapy (excluding hormonal contraceptives) and/or immunoglobulins or other blood products, not completed 30 days before inclusion in the study; COVID-2019 disease or vaccination to prevent COVID-2019 in less than six months before inclusion in the study Immunosuppressive drug therapy completed less than 3 months before inclusion in the study; Postponed less than one year prior to enrollment in the study acute coronary syndrome or stroke; Tuberculosis, chronic systemic infections; Exacerbation of rhinitis Burdened allergic history (presence in the anamnesis of information about anaphylactic shock, angioedema, polymorphic exudative eczema, serum sickness), hypersensitivity or allergic reactions to the introduction of immunobiological drugs, known allergic reactions to drug components, exacerbation allergic diseases on the day of inclusion in the study; History of neoplasms (ICD codes C00-D09); Donation of blood or plasma (in a volume of 450 ml or more) less than 2 months before inclusion in the study; Splenectomy in history; Neutropenia (decrease in the absolute number of neutrophils less than 1000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin less than 80 g/l), immunodeficiency in history within 6 months prior to enrollment in the study; Subjects with active human immunodeficiency virus disease syphilis, hepatitis B and C; Anorexia, protein deficiency of any origin; History of alcoholism and drug addiction; Participation of the subject in any other interventional clinical trial during this study; Any other condition of the research subject that, in the opinion of the research physician, may prevent completion of the study in accordance with the protocol; Staff of research centers and other staff directly involved in conducting the study (principal investigator and members of the research team) and members of their families.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Nadezhda L Lubenec
    Phone
    8 (499) 193-30-01
    Email
    info@gamaleya.org

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Safety, Tolerability and Immunogenicity of Gam-COVID-Vac Vaccine in a Nasal Spray

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