search
Back to results

Safety, Tolerability and Immunogenicity of Recombinant COVID-19 Vaccine Betuvax-CoV-2 (Betuvax-CoV2)

Primary Purpose

COVID-19

Status
Active
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
Betuvax-CoV-2
Placebo
Sponsored by
Human Stem Cell Institute, Russia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring SARS-CoV-2, coronavirus, recombinant vaccine, virus-like vaccine, betulin

Eligibility Criteria

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

Inclusion criteria:

  1. 18 to 60 years of age.
  2. Verified healthy condition according to the data of standard clinical, laboratory and instrumental examination methods.
  3. For women being in an active reproductive period: Consent to adhere to appropriate methods of contraception during the entire period of the participation in the study and for 1 month after the completion of the participation in the study (appropriate methods of contraception include abstinence from sexual intercourse or any two of the following methods: an intrauterine device (intrauterine device without release and with a release of a local hormonal drug), diaphragm, spermicides, cervical caps, oral contraceptives, contraceptive sponge and/or condom); for men: Consent to adhere to appropriate dual barrier methods of contraception during the entire period of the participation in the study and 1 month after completion of the participation in the study.
  4. Body mass index (BMI): 18.5≤ BMI≤30 kg/m2.
  5. Negative breath alcohol test.
  6. Negative laboratory blood tests for HIV, syphilis and hepatitis B and C.
  7. Ability and willingness to attend all scheduled visits and undergo all procedures and examinations planned by the Protocol.
  8. Signed and dated Informed Consent to participate in the study.

Exclusion criteria:

  1. Contact with COVID-19 patients during 14 days before the start of the study.
  2. PCR SARS-CoV-2 positive test.
  3. Titer of the total specific anti-SARS-CoV-2 antibodies (ELISA) more than 1:10.
  4. Drug allergies, hereditary angioedema.
  5. Hypersensitivity to any component of the vaccine or any excipients of Betuvax-CoV-2 or allergy to the components of the vaccine.
  6. Intolerance to any of the components or any excipients of the vaccine Betuvax-CoV-2.
  7. Allergic reaction to previous immunizations.
  8. Serious post-vaccination reactions/complications associated with previous immunizations.
  9. For women of childbearing potential - lactation period, pregnancy or suspicion of it, early postpartum period.
  10. Women in the premenopausal period (last menstrual period <1 year prior to signing informed consent) who are not surgically sterile and women who have childbearing potential but do not use or plan to use appropriate methods of contraception throughout the study and do not agree to perform a urine pregnancy test while participating in a study.
  11. Men who serve in the military by conscription.
  12. Individuals in custody in pre-trial detention centers and those serving sentences in places of deprivation of liberty.
  13. Children under 18 years of age.
  14. Chronic diseases (including oncological and autoimmune), diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, as well as the gastrointestinal tract, liver, kidneys, blood, central nervous system; surgical interventions on the gastrointestinal tract (with the exception of appendectomy).
  15. Active tuberculosis at the time of screening (based on history and physical examination).
  16. Mental illness, current or in history.
  17. Decompensated neuropsychiatric diseases, including schizophrenia, multiple sclerosis, Parkinson's disease, dementia, endogenous depression, etc., which complicate the participation of a volunteer in the study.
  18. Acute infectious from less than 3 months before the start of the study.
  19. Acute infectious or non-infectious diseases, exacerbation of chronic diseases from less than 4 weeks before the start of the study.
  20. Symptoms of any diseases at the time of enrollment or if less than 4 weeks have passed since recovery.
  21. Hepatic or renal failure, currently or in history.
  22. Current or history of oncological diseases.
  23. Major surgery, major trauma less than 6 months prior to study initiation.
  24. History of splenectomy.
  25. Other comorbidities that, in the opinion of the investigator, may interfere with the evaluation of the objectives of the study.
  26. Blood pressure: systolic blood pressure less than 100 mmHg or above 130 mmHg and diastolic blood pressure over 90 mmHg or less than 70 mmHg.
  27. Heart rate less than 60 beats/min or more than 90 beats/min.
  28. Deviations from the normal values according to standard clinical, laboratory (general and biochemical blood tests, urinalysis) and instrumental methods (including ECG) examination.
  29. Long-term use (more than 14 days) of immunosuppressants, systemic glucocorticosteroids or immunomodulatory drugs during the 6 months before the start of the study.
  30. Any vaccination within one month prior to the start of the clinical trial.
  31. Taking medications containing immunoglobulin or blood products during the last 3 months before the start of the study.
  32. Donation of blood (450 ml of blood or plasma and more) less than 2 months before the start of the study.
  33. Participation in another clinical study less than 3 months before the start of the study.
  34. Consumption of more than 10 units of alcohol (1 unit of alcohol is equivalent to 1/2 liter of beer, 200 ml of wine or 50 ml of spirits) per week or history of alcoholism, drug addiction, drug abuse.
  35. Smoking more than 10 cigarettes a day.
  36. Special diet (for example, vegetarian, vegan, with limited salt intake) or a special lifestyle (work at night, extreme physical activity).
  37. Positive urine test result for psychotropic and narcotic substances, psychoactive drugs (barbiturates, benzodiazepines, methadone, phencyclidine).
  38. Unwillingness or inability to follow the recommendations and procedures prescribed by this protocol.

Sites / Locations

  • Center of professional medicine
  • "Eco-Safety" R&D center
  • Department of Vaccinology, Smorodintsev Research Institute of Influenza of the Ministry of Health of the Russian Federation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Group 1 (Phase 1)

Group 2 (Phase 1)

Group 3 (Phase 2)

Group 4 (Phase 2)

Group 5 (Phase 2)

Arm Description

All volunteers randomized to Group 1 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 5 μg, twice, within a 28-day period.

All volunteers randomized to Group 2 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 20 μg, twice, within a 28-day period.

All volunteers randomized to Group 3 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 5 μg, twice, within a 28-day period.

All volunteers randomized to Group 4 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 20 μg, twice, within a 28-day period.

Volunteers randomized to Group 5 will be administered a placebo reference drug (0.9% aqueous sodium chloride solution), twice, within a 28-day period.

Outcomes

Primary Outcome Measures

Total specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the total specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Total specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the total specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Neutralizing anti-SARS-CoV-2 antibodies
The proportion of the volunteers tested positive for the presence of neutralizing anti-SARS-CoV-2 antibodies (SARS-CoV-2 Surrogate Virus Neutralization Test)
Neutralizing anti-SARS-CoV-2 antibodies
The proportion of the volunteers tested positive for the presence of neutralizing anti-SARS-CoV-2 antibodies (SARS-CoV-2 Surrogate Virus Neutralization Test)
Adverse events
The proportion of the volunteers with any adverse events
Severe adverse events
The proportion of the volunteers with severe adverse events

Secondary Outcome Measures

Total specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the total specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
IgG-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the IgG-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
IgG-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the IgG-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
IgG-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the IgG-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
IgM-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the IgM-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
IgM-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the IgM-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
IgM-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with an increased level of the IgM-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Neutralizing anti-SARS-CoV-2 antibodies
The proportion of the volunteers tested positive for the presence of neutralizing anti-SARS-CoV-2 antibodies (SARS-CoV-2 Surrogate Virus Neutralization Test)
Geometric mean titers of the total anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the total anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the total anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the total anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the total anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the total anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies (ELISA test)
Geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies
The proportion of the volunteers with geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies (ELISA test)
Specific anti-SARS-CoV-2 cellular immune response (Phase 1)
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (flow cytometry)
Specific anti-SARS-CoV-2 cellular immune response (Phase 1)
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (flow cytometry)
Specific anti-SARS-CoV-2 cellular immune response
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (ELISPOT)
Specific anti-SARS-CoV-2 cellular immune response
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (ELISPOT)
Specific anti-SARS-CoV-2 cellular immune response
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (ELISPOT)
COVID-19 symptoms
The proportion of the volunteers with at least one COVID-19 symptom (fever, chills, dyspnoea, difficulty breathing, cough, sore throat, fatigue, muscle pain, loss or decrease in taste and/or odor, nasal congestion, runny nose, headache, nausea, vomiting, diarrhea) and a PCR-confirmed SARS-CoV-2 infection
COVID-19 symptoms
The proportion of the volunteers with at least one COVID-19 symptom (fever, chills, dyspnoea, difficulty breathing, cough, sore throat, fatigue, muscle pain, loss or decrease in taste and/or odor, nasal congestion, runny nose, headache, nausea, vomiting, diarrhea) and a PCR-confirmed SARS-CoV-2 infection
Moderate, severe or extremely severe course of COVID-19, or lethal outcome
The proportion of the volunteers with COVID-19 of moderate, severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Moderate, severe or extremely severe course of COVID-19, or lethal outcome
The proportion of the volunteers with COVID-19 of moderate, severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Severe or extremely severe course of COVID-19, or lethal outcome
The proportion of the volunteers with COVID-19 of severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Severe or extremely severe course of COVID-19, or lethal outcome
The proportion of the volunteers with COVID-19 of severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Lethal outcome
The proportion of the volunteers with lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Lethal outcome
The proportion of the volunteers with lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Allergic reactions
The proportion of the volunteers with immediate side effects (allergic reactions)
Allergic reactions
The proportion of the volunteers with immediate side effects (allergic reactions)
Local post-vaccination reactions
The proportion of the volunteers with local post-vaccination reactions
Local post-vaccination reactions
The proportion of the volunteers with local post-vaccination reactions
Severe local post-vaccination reactions
The proportion of the volunteers with >grade 3 of local post-vaccination reactions
Severe local post-vaccination reactions
The proportion of the volunteers with >grade 3 of local post-vaccination reactions
Systemic post-vaccination reactions
The proportion of the volunteers with systemic post-vaccination reactions
Systemic post-vaccination reactions
The proportion of the volunteers with systemic post-vaccination reactions
Severe systemic post-vaccination reactions
The proportion of the volunteers with >grade 3 of severe systemic post-vaccination reactions
Severe systemic post-vaccination reactions
The proportion of the volunteers with >grade 3 of severe systemic post-vaccination reactions
Any adverse events
The proportion of the volunteers with any adverse events
Any adverse events
The proportion of the volunteers with any adverse events
Adverse events of special interest
The proportion of the volunteers with adverse events of special interest, adverse reactions that require medical attention, with newly developed chronic diseases
Adverse events of special interest
The proportion of the volunteers with adverse events of special interest, adverse reactions that require medical attention, with newly developed chronic diseases
Adverse events of special interest
The proportion of the volunteers with adverse events of special interest, adverse reactions that require medical attention, with newly developed chronic diseases
Severe adverse events
The proportion of the volunteers with severe adverse events
Severe adverse events
The proportion of the volunteers with severe adverse events
Prematurely terminated participation
The proportion of the volunteers who prematurely terminated their participation in the study due to the development of adverse events or severe adverse events associated with the use of the study drug
Prematurely terminated participation
The proportion of the volunteers who prematurely terminated their participation in the study due to the development of adverse events or severe adverse events associated with the use of the study drug
Prematurely terminated participation
The proportion of the volunteers who prematurely terminated their participation in the study due to the development of adverse events or severe adverse events associated with the use of the study drug

Full Information

First Posted
March 2, 2022
Last Updated
March 7, 2022
Sponsor
Human Stem Cell Institute, Russia
Collaborators
Betuvax LLC, CEG BIO LLC
search

1. Study Identification

Unique Protocol Identification Number
NCT05270954
Brief Title
Safety, Tolerability and Immunogenicity of Recombinant COVID-19 Vaccine Betuvax-CoV-2
Acronym
Betuvax-CoV2
Official Title
Randomized, Double-blind, Multicenter Parallel-group Clinical Study of Safety, Tolerability and Immunogenicity of the Betuvax-CoV-2 Recombinant COVID-19 Vaccine, Suspension for Intramuscular Administration in Healthy Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 14, 2021 (Actual)
Primary Completion Date
April 25, 2022 (Anticipated)
Study Completion Date
July 24, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Human Stem Cell Institute, Russia
Collaborators
Betuvax LLC, CEG BIO LLC

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, multicenter parallel-group clinical study of safety, tolerability and immunogenicity of the Betuvax-CoV-2 vaccine. The aim of this study is to investigate the safety, tolerability and immunogenicity of the Betuvax-CoV-2 Recombinant vaccine for the prevention of coronavirus infection caused by the SARS-CoV-2 virus, suspension for intramuscular administration, 10 μg/ml and 40 μg/ml (Ltd. Institute of New Medical Technologies, Russia) in healthy adult volunteers, aged 18 to 60 (inclusive).
Detailed Description
Participation of the volunteers in the study includes Visit 0 (screening), Visits 1-4 and Visits 10-13 (on an inpatient basis), Visits 5-9 and Visits 14-20 (on an outpatient basis). During Visits 2 and 11, volunteers receive either a study drug (one of two dosages) or a placebo. The study includes 116 healthy male and female volunteers aged 18 to 60 (inclusive) years who meet the inclusion criteria. All volunteers are enrolled in two stages of the study and at each stage they are randomized into two or three groups, respectively. Taking into account the estimated number of volunteers found by the screening results as not meeting the inclusion criteria (54 people), 170 volunteers are screened in the First and Second stage. The vaccination course includes two intramuscular injections within a 28-day period. The first stage of the study: Group 1 (10 people) will be intramuscularly administered the study drug Betuvax-CoV-2 according to the following scheme: the first injection of 20 μg (0.5 ml of suspension for intramuscular administration of 40 μg/ml), the second injection of 5 μg (0.5 ml of suspension for intramuscular injection of 10 μg/ml) in 28 days. Group 2 (10 people) will be intramuscularly administered the study drug Betuvax-CoV-2 according to the following scheme: the first and second injection of 20 μg (0.5 ml of solution for intramuscular injection of 40 μg/ml) within a 28-day period. The second stage of the study: Group 3 (32 people) will be intramuscularly administered the study drug Betuvax-CoV-2 according to the following scheme: the first injection of 20 μg (0.5 ml of the suspension for intramuscular administration of 40 μg/ml), the second injection of 5 μg (0.5 ml of the suspension for intramuscular injection of 10 μg/ml) in 28 days. Group 4 (32 people) will be intramuscularly administered the study drug Betuvax-CoV-2 according to the following scheme: the first and second injection of 20 μg (0.5 ml of solution for intramuscular injection of 40 μg/ml) within a 28-day period. Group 5 (32 people) will receive a placebo according to the following scheme: the first and second injections (0.5 ml of sodium chloride 0.9% solution, intramuscularly) within a 28-day period. Study participants will be closely monitored for their intended outcomes. Key safety outcomes will be centrally reviewed by the Independent Data Monitoring Committee (ICMD). Investigators will be required to report anticipated safety outcomes in a timely manner (within 24 hours if possible) and to record these outcomes in the CRF in a timely manner (within 24 hours if possible).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
SARS-CoV-2, coronavirus, recombinant vaccine, virus-like vaccine, betulin

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Masking Description
The Phase 1 is Open Label; The Phase 2 is double-blind.
Allocation
Randomized
Enrollment
116 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 (Phase 1)
Arm Type
Active Comparator
Arm Description
All volunteers randomized to Group 1 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 5 μg, twice, within a 28-day period.
Arm Title
Group 2 (Phase 1)
Arm Type
Active Comparator
Arm Description
All volunteers randomized to Group 2 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 20 μg, twice, within a 28-day period.
Arm Title
Group 3 (Phase 2)
Arm Type
Active Comparator
Arm Description
All volunteers randomized to Group 3 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 5 μg, twice, within a 28-day period.
Arm Title
Group 4 (Phase 2)
Arm Type
Active Comparator
Arm Description
All volunteers randomized to Group 4 will be administered the Betuvax-CoV-2 drug according to the following scheme: 20 μg + 20 μg, twice, within a 28-day period.
Arm Title
Group 5 (Phase 2)
Arm Type
Placebo Comparator
Arm Description
Volunteers randomized to Group 5 will be administered a placebo reference drug (0.9% aqueous sodium chloride solution), twice, within a 28-day period.
Intervention Type
Biological
Intervention Name(s)
Betuvax-CoV-2
Intervention Description
Vaccine: Betuvax-CoV-2 intramuscular injection solution (0.5 ml)
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
0.9% NaCl
Intervention Description
Placebo: a 0.9% NaCl intramuscular injection solution (0.5 ml)
Primary Outcome Measure Information:
Title
Total specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the total specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
Total specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the total specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
90±5 days after the first administration of the study drug/placebo
Title
Neutralizing anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers tested positive for the presence of neutralizing anti-SARS-CoV-2 antibodies (SARS-CoV-2 Surrogate Virus Neutralization Test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
Neutralizing anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers tested positive for the presence of neutralizing anti-SARS-CoV-2 antibodies (SARS-CoV-2 Surrogate Virus Neutralization Test)
Time Frame
90±5 days after the first administration of the study drug/placebo
Title
Adverse events
Description
The proportion of the volunteers with any adverse events
Time Frame
Within 50 days of the first dose of the study drug/placebo
Title
Severe adverse events
Description
The proportion of the volunteers with severe adverse events
Time Frame
Within 50 days of the first dose of the study drug/placebo
Secondary Outcome Measure Information:
Title
Total specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the total specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
180±5 days after the first administration of the study drug/placebo
Title
IgG-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the IgG-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
IgG-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the IgG-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
90±5 days after the first dose of the study drug/placebo
Title
IgG-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the IgG-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
180±5 days after the first dose of the study drug/placebo
Title
IgM-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the IgM-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
IgM-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the IgM-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
90±5 days after the first dose of the study drug/placebo
Title
IgM-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with an increased level of the IgM-specific anti-SARS-CoV-2 antibodies by 4 times or more (ELISA test)
Time Frame
180±5 days after the first dose of the study drug/placebo
Title
Neutralizing anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers tested positive for the presence of neutralizing anti-SARS-CoV-2 antibodies (SARS-CoV-2 Surrogate Virus Neutralization Test)
Time Frame
180±5 days after the first administration of the study drug/placebo
Title
Geometric mean titers of the total anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the total anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
Geometric mean titers of the total anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the total anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
90±5 days after the first administration of the study drug/placebo
Title
Geometric mean titers of the total anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the total anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
180±5 days after the first administration of the study drug/placebo
Title
Geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
Geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
90±5 days after the first administration of the study drug/placebo
Title
Geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the IgG-specific anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
180±5 days after the first administration of the study drug/placebo
Title
Geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
21 days after the second administration of the study drug/placebo
Title
Geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
90±5 days after the first administration of the study drug/placebo
Title
Geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies
Description
The proportion of the volunteers with geometric mean titers of the IgM-specific anti-SARS-CoV-2 antibodies (ELISA test)
Time Frame
180±5 days after the first administration of the study drug/placebo
Title
Specific anti-SARS-CoV-2 cellular immune response (Phase 1)
Description
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (flow cytometry)
Time Frame
21 days after the second dose of the study drug (only in Phase 1)
Title
Specific anti-SARS-CoV-2 cellular immune response (Phase 1)
Description
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (flow cytometry)
Time Frame
90±5 days after the first dose of the study drug (only in Phase 1)
Title
Specific anti-SARS-CoV-2 cellular immune response
Description
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (ELISPOT)
Time Frame
21 days after the second dose of the study drug/placebo
Title
Specific anti-SARS-CoV-2 cellular immune response
Description
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (ELISPOT)
Time Frame
90±5 days after the first dose of the study drug/placebo
Title
Specific anti-SARS-CoV-2 cellular immune response
Description
The proportion of the volunteers with a specific anti-SARS-CoV-2 cellular immune response (ELISPOT)
Time Frame
180±5 days after the first dose of the study drug/placebo
Title
COVID-19 symptoms
Description
The proportion of the volunteers with at least one COVID-19 symptom (fever, chills, dyspnoea, difficulty breathing, cough, sore throat, fatigue, muscle pain, loss or decrease in taste and/or odor, nasal congestion, runny nose, headache, nausea, vomiting, diarrhea) and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 90±5 day after the first dose of study drug/placebo
Title
COVID-19 symptoms
Description
The proportion of the volunteers with at least one COVID-19 symptom (fever, chills, dyspnoea, difficulty breathing, cough, sore throat, fatigue, muscle pain, loss or decrease in taste and/or odor, nasal congestion, runny nose, headache, nausea, vomiting, diarrhea) and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 180±5 day after the first dose of study drug/placebo
Title
Moderate, severe or extremely severe course of COVID-19, or lethal outcome
Description
The proportion of the volunteers with COVID-19 of moderate, severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 90±5 day after the first dose of the study drug/placebo
Title
Moderate, severe or extremely severe course of COVID-19, or lethal outcome
Description
The proportion of the volunteers with COVID-19 of moderate, severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 180±5 day after the first dose of the study drug/placebo
Title
Severe or extremely severe course of COVID-19, or lethal outcome
Description
The proportion of the volunteers with COVID-19 of severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 90±5 day after the first dose of the study drug/placebo
Title
Severe or extremely severe course of COVID-19, or lethal outcome
Description
The proportion of the volunteers with COVID-19 of severe or extremely severe course, or with a lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 180±5 day after the first dose of the study drug/placebo
Title
Lethal outcome
Description
The proportion of the volunteers with lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 90±5 day after the first dose of the study drug/placebo
Title
Lethal outcome
Description
The proportion of the volunteers with lethal outcome, and a PCR-confirmed SARS-CoV-2 infection
Time Frame
From the 7th day after the second administration of the study drug/placebo till the 180±5 day after the first dose of the study drug/placebo
Title
Allergic reactions
Description
The proportion of the volunteers with immediate side effects (allergic reactions)
Time Frame
Within 2 hours of the first study drug/placebo administration
Title
Allergic reactions
Description
The proportion of the volunteers with immediate side effects (allergic reactions)
Time Frame
Within 2 hours of the second study drug/placebo administration
Title
Local post-vaccination reactions
Description
The proportion of the volunteers with local post-vaccination reactions
Time Frame
Within 7 days after the first administration of the study drug/placebo
Title
Local post-vaccination reactions
Description
The proportion of the volunteers with local post-vaccination reactions
Time Frame
Within 7 days after the second administration of the study drug/placebo
Title
Severe local post-vaccination reactions
Description
The proportion of the volunteers with >grade 3 of local post-vaccination reactions
Time Frame
Within 7 days of the first study drug/placebo administration
Title
Severe local post-vaccination reactions
Description
The proportion of the volunteers with >grade 3 of local post-vaccination reactions
Time Frame
Within 7 days of the second study drug/placebo administration
Title
Systemic post-vaccination reactions
Description
The proportion of the volunteers with systemic post-vaccination reactions
Time Frame
Within 7 days after the first administration of the study drug/placebo
Title
Systemic post-vaccination reactions
Description
The proportion of the volunteers with systemic post-vaccination reactions
Time Frame
Within 7 days after the second administration of the study drug/placebo
Title
Severe systemic post-vaccination reactions
Description
The proportion of the volunteers with >grade 3 of severe systemic post-vaccination reactions
Time Frame
Within 7 days after the first administration of the study drug/placebo
Title
Severe systemic post-vaccination reactions
Description
The proportion of the volunteers with >grade 3 of severe systemic post-vaccination reactions
Time Frame
Within 7 days after the second administration of the study drug/placebo
Title
Any adverse events
Description
The proportion of the volunteers with any adverse events
Time Frame
Within 90±5 days after the first dose of the study drug/placebo
Title
Any adverse events
Description
The proportion of the volunteers with any adverse events
Time Frame
Within 180±5 days after the first dose of the study drug/placebo
Title
Adverse events of special interest
Description
The proportion of the volunteers with adverse events of special interest, adverse reactions that require medical attention, with newly developed chronic diseases
Time Frame
Within 50 days after the first dose of the study drug/placebo
Title
Adverse events of special interest
Description
The proportion of the volunteers with adverse events of special interest, adverse reactions that require medical attention, with newly developed chronic diseases
Time Frame
Within 90±5 days after the first dose of the study drug/placebo
Title
Adverse events of special interest
Description
The proportion of the volunteers with adverse events of special interest, adverse reactions that require medical attention, with newly developed chronic diseases
Time Frame
Within 180±5 days after the first dose of the study drug/placebo
Title
Severe adverse events
Description
The proportion of the volunteers with severe adverse events
Time Frame
Within 90±5 days after the first dose of the study drug/placebo
Title
Severe adverse events
Description
The proportion of the volunteers with severe adverse events
Time Frame
Within 180±5 days after the first dose of the study drug/placebo
Title
Prematurely terminated participation
Description
The proportion of the volunteers who prematurely terminated their participation in the study due to the development of adverse events or severe adverse events associated with the use of the study drug
Time Frame
Within 50 days after the administration of the first dose of the study drug/placebo
Title
Prematurely terminated participation
Description
The proportion of the volunteers who prematurely terminated their participation in the study due to the development of adverse events or severe adverse events associated with the use of the study drug
Time Frame
Within 90±5 days after the administration of the first dose of the study drug/placebo
Title
Prematurely terminated participation
Description
The proportion of the volunteers who prematurely terminated their participation in the study due to the development of adverse events or severe adverse events associated with the use of the study drug
Time Frame
Within 180±5 days after the administration of the first dose of the study drug/placebo

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: 18 to 60 years of age. Verified healthy condition according to the data of standard clinical, laboratory and instrumental examination methods. For women being in an active reproductive period: Consent to adhere to appropriate methods of contraception during the entire period of the participation in the study and for 1 month after the completion of the participation in the study (appropriate methods of contraception include abstinence from sexual intercourse or any two of the following methods: an intrauterine device (intrauterine device without release and with a release of a local hormonal drug), diaphragm, spermicides, cervical caps, oral contraceptives, contraceptive sponge and/or condom); for men: Consent to adhere to appropriate dual barrier methods of contraception during the entire period of the participation in the study and 1 month after completion of the participation in the study. Body mass index (BMI): 18.5≤ BMI≤30 kg/m2. Negative breath alcohol test. Negative laboratory blood tests for HIV, syphilis and hepatitis B and C. Ability and willingness to attend all scheduled visits and undergo all procedures and examinations planned by the Protocol. Signed and dated Informed Consent to participate in the study. Exclusion criteria: Contact with COVID-19 patients during 14 days before the start of the study. PCR SARS-CoV-2 positive test. Titer of the total specific anti-SARS-CoV-2 antibodies (ELISA) more than 1:10. Drug allergies, hereditary angioedema. Hypersensitivity to any component of the vaccine or any excipients of Betuvax-CoV-2 or allergy to the components of the vaccine. Intolerance to any of the components or any excipients of the vaccine Betuvax-CoV-2. Allergic reaction to previous immunizations. Serious post-vaccination reactions/complications associated with previous immunizations. For women of childbearing potential - lactation period, pregnancy or suspicion of it, early postpartum period. Women in the premenopausal period (last menstrual period <1 year prior to signing informed consent) who are not surgically sterile and women who have childbearing potential but do not use or plan to use appropriate methods of contraception throughout the study and do not agree to perform a urine pregnancy test while participating in a study. Men who serve in the military by conscription. Individuals in custody in pre-trial detention centers and those serving sentences in places of deprivation of liberty. Children under 18 years of age. Chronic diseases (including oncological and autoimmune), diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, as well as the gastrointestinal tract, liver, kidneys, blood, central nervous system; surgical interventions on the gastrointestinal tract (with the exception of appendectomy). Active tuberculosis at the time of screening (based on history and physical examination). Mental illness, current or in history. Decompensated neuropsychiatric diseases, including schizophrenia, multiple sclerosis, Parkinson's disease, dementia, endogenous depression, etc., which complicate the participation of a volunteer in the study. Acute infectious from less than 3 months before the start of the study. Acute infectious or non-infectious diseases, exacerbation of chronic diseases from less than 4 weeks before the start of the study. Symptoms of any diseases at the time of enrollment or if less than 4 weeks have passed since recovery. Hepatic or renal failure, currently or in history. Current or history of oncological diseases. Major surgery, major trauma less than 6 months prior to study initiation. History of splenectomy. Other comorbidities that, in the opinion of the investigator, may interfere with the evaluation of the objectives of the study. Blood pressure: systolic blood pressure less than 100 mmHg or above 130 mmHg and diastolic blood pressure over 90 mmHg or less than 70 mmHg. Heart rate less than 60 beats/min or more than 90 beats/min. Deviations from the normal values according to standard clinical, laboratory (general and biochemical blood tests, urinalysis) and instrumental methods (including ECG) examination. Long-term use (more than 14 days) of immunosuppressants, systemic glucocorticosteroids or immunomodulatory drugs during the 6 months before the start of the study. Any vaccination within one month prior to the start of the clinical trial. Taking medications containing immunoglobulin or blood products during the last 3 months before the start of the study. Donation of blood (450 ml of blood or plasma and more) less than 2 months before the start of the study. Participation in another clinical study less than 3 months before the start of the study. Consumption of more than 10 units of alcohol (1 unit of alcohol is equivalent to 1/2 liter of beer, 200 ml of wine or 50 ml of spirits) per week or history of alcoholism, drug addiction, drug abuse. Smoking more than 10 cigarettes a day. Special diet (for example, vegetarian, vegan, with limited salt intake) or a special lifestyle (work at night, extreme physical activity). Positive urine test result for psychotropic and narcotic substances, psychoactive drugs (barbiturates, benzodiazepines, methadone, phencyclidine). Unwillingness or inability to follow the recommendations and procedures prescribed by this protocol.
Facility Information:
Facility Name
Center of professional medicine
City
Perm
ZIP/Postal Code
614000
Country
Russian Federation
Facility Name
"Eco-Safety" R&D center
City
Saint Petersburg
ZIP/Postal Code
196143
Country
Russian Federation
Facility Name
Department of Vaccinology, Smorodintsev Research Institute of Influenza of the Ministry of Health of the Russian Federation
City
Saint Petersburg
ZIP/Postal Code
197376
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Safety, Tolerability and Immunogenicity of Recombinant COVID-19 Vaccine Betuvax-CoV-2

We'll reach out to this number within 24 hrs