search
Back to results

Safety and Immune Response of Adjuvanted SARS-CoV-2 (COVID-19) Beta Variant RBD Recombinant Protein (DoCo-Pro-RBD-1 + MF59®) and mRNA (MIPSCo-mRNA-RBD-1) Vaccines in Healthy Adults

Primary Purpose

SARS-CoV-2

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1 + MF59)
SARS-CoV-2 beta variant RBD mRNA vaccine
Normal Saline
Sponsored by
University of Melbourne
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV-2 focused on measuring COVID-19

Eligibility Criteria

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

Inclusion criteria:

To be eligible for this study, participants must meet ALL of the following inclusion criteria:

  1. Adults 18 to 64 years of age, inclusive at screening previously vaccinated with a 2-dose schedule of Cominarty™ or Vaxzevria™.
  2. ≥ 3 months (90 days) since receipt of a booster dose of either ComirnatyTM or SpikevaxTM.
  3. Be in good health as determined by medical history, physical examination, vital signs, and clinical laboratory assessments with no clinically significant abnormalities as judged by the Investigator at screening and randomisation. Vital signs must be within medically acceptable ranges prior to the first vaccination.
  4. Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [ie, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea of at least 12 consecutive months]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through the end of the study OR agree to consistently use a medically acceptable method of contraception listed below from at least 28 days prior to enrollment and through the end of the study:

    a. Condoms (male or female); Diaphragm; Cervical cap; Intrauterine device; Oral or patch contraceptives; Norplant®, Depo-Provera®, or another regulatory approved contraceptive method; Abstinence, as a form of contraception, is acceptable if in line with the participant's lifestyle.

  5. NOTE: Periodic abstinence (e.g., calendar, ovulation, symptom-thermal, post- ovulation methods) and withdrawal method (coitus interruptus) are not acceptable forms of contraception.
  6. Agrees to not participate in any other SARS-CoV-2 prevention or treatment trials for the duration of the study.
  7. Willing and able to give informed consent prior to study enrollment and to comply with all study procedures.

Exclusion criteria:

Potential study participants will be excluded from the study if ANY of the following criteria apply:

  1. History of test-confirmed (by PCR, rapid antigen test (RAT) to SARS-CoV-2) COVID-19 infection within 3 months (90 days) prior to randomisation.
  2. Participants with a BMI > 35kg/m2.
  3. Positive result for rheumatoid factor (RF) at Screening.
  4. Positive test at Screening for human immunodeficiency virus (Types 1 or 2) antibody, hepatitis B surface antigen or hepatitis C virus antibody.
  5. Clinical laboratory test results not within normal range and judged to be clinically relevant abnormalities by the investigator.
  6. History of prior cardiac inflammatory disease (endocarditis, myocarditis or pericarditis).
  7. History of demyelinating disease or Guillain Barré syndrome.
  8. Fever (non-axillary temperature >37.5°C) or any other symptoms of infection that have not completely resolved within 3 days prior to Randomisation (Day 1).
  9. Presence of current active viral infection or bacterial infection, at Screening or Randomisation (Day 1), which is determined by the Investigator to be of clinical significance.
  10. Participation in research involving receipt of an investigational product (drug/biologic/device) within 90 days prior to the first study vaccination or an intention to participate in another clinical trial at any time during the conduct of this study.
  11. Received any other vaccine within 30 days prior to the first study vaccination, other than licensed influenza vaccine, which can be administered up to 14 days prior to randomization.
  12. Any known allergies to products contained in the investigational products.
  13. Any history of anaphylaxis to any prior vaccine, food, drug, toxin or other exposure.
  14. Autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) requiring ongoing immunomodulatory therapy.

    NOTE: Stable endocrine disorders (e.g., thyroiditis, pancreatitis), including stable diabetes mellitus with no history of diabetic ketoacidosis) are NOT excluded.

  15. Chronic administration (defined as > 14 continuous days) of immunosuppressant, systemic glucocorticoids, or other immune-modifying drugs within 90 days prior to first study vaccination.

    NOTE: An immunosuppressant dose of glucocorticoid is defined as a systemic dose ≥ 10mg of prednisone per day or equivalent. The use of topical or intranasal glucocorticoids is permitted. Topical tacrolimus and ocular cyclosporin are permitted.

  16. Received immunoglobulin, blood-derived products, or immunosuppressant drugs or donation of blood/blood products within 90 days prior to vaccination or planned receipt or donation during the study period.
  17. Thrombocytopaenia, contraindicating intramuscular vaccination, based on the Investigator's judgment.
  18. Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination based on the Investigator's judgement.
  19. Active cancer (malignancy) on therapy within one year prior to first study vaccination (with the exception of adequately treated non-melanomatous skin carcinoma or lentigo malignancy and uterine cervical carcinoma in situ without evidence of disease, at the discretion of the Investigator).
  20. Participants who are breastfeeding, pregnant or who plan to become pregnant prior to the end of study.
  21. Suspected or known history of alcohol abuse or drug addiction within 2 years prior to the first study vaccine dose that, in the opinion of the Investigator, might interfere with protocol compliance.
  22. Have a tattoo/scar/birthmark or any other skin condition affecting the deltoid area that may, in the Investigator's opinion, interfere with injection site assessments.
  23. Any other condition that, in the opinion of the Investigator, would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results (including neurologic or psychiatric conditions likely to impair the quality of safety reporting).
  24. Study team member or immediate family member of any study team member (inclusive of Sponsor, Contract Research Organization (CRO), and study site personnel involved in the conduct or planning of the study).
  25. Aboriginal and Torres Strait Islander person aged 50 years or older.

Sites / Locations

  • Vaccine and Immunisation Research Group, Doherty Institute, University of Melbourne
  • Royal Melbourne Hospital, Victorian Infectious Diseases Service (VIDS)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1) 5mcg + MF59

Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1)15mcg + MF59

Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1) 45mcg + MF59

SARS-CoV-2 beta variant RBD mRNA vaccine (MIPSCo-mRNA-RBD-1) 10mcg

SARS-CoV-2 beta variant RBD mRNA vaccine (MIPSCo-mRNA-RBD-1) 20mcg

SARS-CoV-2 beta variant RBD mRNA vaccine (MIPSCo-mRNA-RBD-1) 50mcg

Normal saline (0.9%)

Arm Description

DoCo-Pro-RBD-1 antigen 5mcg mixed with MF59 adjuvant in 0.5 mL suspension, administered intramuscularly in a one dose regimen, on Day 1

DoCo-Pro-RBD-1 antigen 15mcg mixed with MF59 adjuvant in 0.5 mL suspension, administered intramuscularly in a one dose regimen, on Day 1

DoCo-Pro-RBD-1 antigen 45mcg mixed with MF59 adjuvant in 0.5 mL suspension, administered intramuscularly in a one dose regimen, on Day 1

MIPSCo-mRNA-RBD-1 antigen 10mcg administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1

MIPSCo-mRNA-RBD-1 antigen 20mcg administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1

MIPSCo-mRNA-RBD-1 antigen 50mcg administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1

Normal saline (0.9%) administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1

Outcomes

Primary Outcome Measures

Serious adverse events (SAEs), medically attended adverse events (MAAEs) and any adverse events (AEs) leading to study withdrawal at any time during the study.
Frequency
SAEs post vaccination.
Frequency
Solicited local and systemic reactogenicity AEs post vaccination.
Frequency, severity, duration and peak intensity
Unsolicited AEs post vaccination.
Frequency
Percentage of participants who achieve a boost response post vaccination.
Defined as a 4-fold increase in SARS-CoV-2 neutralising or RBD-specific Ab titres from baseline.

Secondary Outcome Measures

MAAEs from Day 1 to 6 months after vaccination.
MeDRA classification, severity score and relatedness.
The number of participants that develop an antibody response at least 4 times higher than baseline antibody titers.
Number of participants that develop an antibody response at least 4 times higher than baseline antibody titers (before injection of the vaccine candidate or placebo), as assessed using in vitro ELISA assays for binding of the SARS-CoV-2 RBD to ACE2, and neutralising antibody assays that measure the ability to block RBD binding to ACE-2 or the ability of virus to infect cells in vitro). The magnitude and durability of those antibody responses over time will also be used to indicate the strength of the response within each participant to each vaccine in each cohort, and in relation to which vaccine the participants had previously received, compared to those participants that received placebo.
Number of participants that mount a T cell response for SARS-CoV-2 RBD-derived peptide antigens.
Number of participants that develop a T cell response in the short term (Day 8) and in the longer term (Day 29, 3 and 6 months after vaccination) in response to the vaccine candidate compared to their baseline (Day 1) T cell responses. T cell responses will be measured by flow cytometry looking for activated CD4 and CD8 T cells, including the percentage of T cells that respond to peptide antigens derived from the SARS-CoV-2 RBD. The magnitude and durability of those T cell responses over time will also be used to indicate the strength of the response within each participant to each vaccine in each cohort, and in relation to which vaccine the participants had previously received, compared to those participants that received placebo.
Number of participants that mount a T cell response that leads to type-1 cytokines (such as Interferon-gamma) versus type-2 cytokines (such as Interleukin 4, 5 and 13).
For participants that develop a T cell response, two types of T cell response will be assessed, based on whether the activated T cells produce the cytokine Interferon-gamma, indicative of a type 1 cytokine response, or Interleukins 4, 5 and 13, indicative of a type 2 cytokine response. Cytokines will be measured following T cell activation with SARS-CoV-2-derived peptide antigens in vitro, using assays for cytokines will include intracellular cytokine staining as measured by flow cytometry, and elispot, as measured by an elispot reader.
The ratio of T cell derived type 1 versus type 2 cytokines in participants that mount a T cell response.
For participants that develop a T cell response, the ratio of type 1 cytokine to type 2 cytokines, measured by intracellular cytokine staining and by ELISpot, will be determined for at each timepoint, compared to placebo controls and baseline responses.

Full Information

First Posted
March 3, 2022
Last Updated
May 12, 2023
Sponsor
University of Melbourne
Collaborators
Southern Star Research Pty Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT05272605
Brief Title
Safety and Immune Response of Adjuvanted SARS-CoV-2 (COVID-19) Beta Variant RBD Recombinant Protein (DoCo-Pro-RBD-1 + MF59®) and mRNA (MIPSCo-mRNA-RBD-1) Vaccines in Healthy Adults
Official Title
A Phase I, Randomised, Double-blind, Placebo-controlled, Dose-escalation Study of Adjuvanted SARS-CoV-2 (COVID-19) Beta Variant RBD Recombinant Protein (DoCo-Pro-RBD-1 + MF59®) and mRNA (MIPSCo-mRNA-RBD-1) Vaccines in Healthy Adults Aged 18 to 64 Years Previously Vaccinated With 3 Doses of Licensed SARS-CoV-2 Ancestral Strain Vaccines
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
April 5, 2022 (Actual)
Primary Completion Date
April 19, 2023 (Actual)
Study Completion Date
April 19, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Melbourne
Collaborators
Southern Star Research Pty Ltd.

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 study of two experimental SARS-CoV-2 vaccines against the virus called SARS-CoV-2 virus. The first of the experimental vaccines is called DoCo-Pro-RBD-1 + M59® and contains a laboratory made protein which looks the same as a protein in the SARS-CoV-2 virus. As this protein is so similar to a protein in the SARS-CoV-2 virus, it allows the immune system to develop immunity against the real virus by producing specific antibodies against this protein. Antibodies are substances in the blood which could help protect against future infection. The second of the experimental vaccines that will be tested is called MIPSCo-mRNA-RBD-1. This type of vaccine uses messenger ribonucleic acid (mRNA) which is a set of instructions for a cell to make a viral protein called an antigen. Antigens are substances that can trigger the body's defences to produce antibodies that fight against the disease. This study will test these two experimental COVID-19 vaccines in people who have previously received two doses of ComirnatyTM (Pfizer Australia Pty Ltd) or VaxzevriaTM (AstraZeneca Pty Ltd) and a third booster vaccination with either ComirnatyTM or SpikevaxTM (Moderna). This study is the first time this recombinant protein vaccine and this mRNA vaccine will be given to humans. The purpose of this study is to determine what amount, or dose, of the experimental vaccines is safe and produces the desired immune response and antibody level for future investigations. It will do this by testing 3 different dose levels for each of the two vaccines. Each participant will receive a single vaccine at one of the three dose levels, or a placebo injection. This study is the first time this recombinant protein vaccine and this mRNA vaccine will be given to humans.
Detailed Description
This is a randomised, double-blind, placebo-controlled, dose-escalation, first-in-human study to assess the safety, reactogenicity and immunogenicity of SARS-CoV-2 beta variant DoCo-Pro-RBD-1 + MF59® and MIPSCo-mRNA-RBD-1 vaccine at three dose levels, administered intramuscularly (IM) as a single booster dose in healthy adults previously vaccinated with two doses of CominartyTM (BNT162b2 [mRNA]) or VaxzevriaTM (ChAdOx1-S) COVID-19 and a third booster dose of either ComirnatyTM or SpikevaxTM vaccines. The study will comprise a Dose-Escalation Phase and an Expanded Phase. The study vaccines, DoCo-Pro-RBD-1 + MF59®, MIPSCo-mRNA-RBD-1 or placebo (normal saline) will be administered IM in the deltoid region of the upper arm. The study will enroll healthy adults aged 18 to 64 years of age inclusive. Participants in both the Dose-Escalation Phase and Expanded Phase of the study will be stratified by prior primary course COVID-19 vaccination with CominartyTM or VaxzevriaTM.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV-2
Keywords
COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
76 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1) 5mcg + MF59
Arm Type
Experimental
Arm Description
DoCo-Pro-RBD-1 antigen 5mcg mixed with MF59 adjuvant in 0.5 mL suspension, administered intramuscularly in a one dose regimen, on Day 1
Arm Title
Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1)15mcg + MF59
Arm Type
Experimental
Arm Description
DoCo-Pro-RBD-1 antigen 15mcg mixed with MF59 adjuvant in 0.5 mL suspension, administered intramuscularly in a one dose regimen, on Day 1
Arm Title
Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1) 45mcg + MF59
Arm Type
Experimental
Arm Description
DoCo-Pro-RBD-1 antigen 45mcg mixed with MF59 adjuvant in 0.5 mL suspension, administered intramuscularly in a one dose regimen, on Day 1
Arm Title
SARS-CoV-2 beta variant RBD mRNA vaccine (MIPSCo-mRNA-RBD-1) 10mcg
Arm Type
Experimental
Arm Description
MIPSCo-mRNA-RBD-1 antigen 10mcg administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1
Arm Title
SARS-CoV-2 beta variant RBD mRNA vaccine (MIPSCo-mRNA-RBD-1) 20mcg
Arm Type
Experimental
Arm Description
MIPSCo-mRNA-RBD-1 antigen 20mcg administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1
Arm Title
SARS-CoV-2 beta variant RBD mRNA vaccine (MIPSCo-mRNA-RBD-1) 50mcg
Arm Type
Experimental
Arm Description
MIPSCo-mRNA-RBD-1 antigen 50mcg administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1
Arm Title
Normal saline (0.9%)
Arm Type
Placebo Comparator
Arm Description
Normal saline (0.9%) administered intramuscularly as a 0.5 mL dose in a one dose regimen on Day 1
Intervention Type
Biological
Intervention Name(s)
Adjuvanted SARS-CoV-2 beta variant RBD recombinant protein vaccine (DoCo-Pro-RBD-1 + MF59)
Intervention Description
Single booster dose in healthy adults previously vaccinated with two doses of CominartyTM (BNT162b2 [mRNA]) or VaxzevriaTM (ChAdOx1-S) COVID-19 and a third booster dose of either ComirnatyTM or SpikevaxTM vaccines.
Intervention Type
Biological
Intervention Name(s)
SARS-CoV-2 beta variant RBD mRNA vaccine
Intervention Description
Single booster dose in healthy adults previously vaccinated with two doses of CominartyTM (BNT162b2 [mRNA]) or VaxzevriaTM (ChAdOx1-S) COVID-19 and a third booster dose of either ComirnatyTM or SpikevaxTM vaccines.
Intervention Type
Other
Intervention Name(s)
Normal Saline
Intervention Description
Placebo comparator
Primary Outcome Measure Information:
Title
Serious adverse events (SAEs), medically attended adverse events (MAAEs) and any adverse events (AEs) leading to study withdrawal at any time during the study.
Description
Frequency
Time Frame
Through to study completion at Day 181.
Title
SAEs post vaccination.
Description
Frequency
Time Frame
Day 1 to 29 (28 Days post vaccination).
Title
Solicited local and systemic reactogenicity AEs post vaccination.
Description
Frequency, severity, duration and peak intensity
Time Frame
Within 7 days after vaccination (Day 1)
Title
Unsolicited AEs post vaccination.
Description
Frequency
Time Frame
Day 1 to Day 29 (28 days post vaccination).
Title
Percentage of participants who achieve a boost response post vaccination.
Description
Defined as a 4-fold increase in SARS-CoV-2 neutralising or RBD-specific Ab titres from baseline.
Time Frame
28 days after vaccination
Secondary Outcome Measure Information:
Title
MAAEs from Day 1 to 6 months after vaccination.
Description
MeDRA classification, severity score and relatedness.
Time Frame
6 months after vaccination.
Title
The number of participants that develop an antibody response at least 4 times higher than baseline antibody titers.
Description
Number of participants that develop an antibody response at least 4 times higher than baseline antibody titers (before injection of the vaccine candidate or placebo), as assessed using in vitro ELISA assays for binding of the SARS-CoV-2 RBD to ACE2, and neutralising antibody assays that measure the ability to block RBD binding to ACE-2 or the ability of virus to infect cells in vitro). The magnitude and durability of those antibody responses over time will also be used to indicate the strength of the response within each participant to each vaccine in each cohort, and in relation to which vaccine the participants had previously received, compared to those participants that received placebo.
Time Frame
At baseline (Day 1), Day 29 (28 days after vaccination), and 3, and 6 months after vaccination
Title
Number of participants that mount a T cell response for SARS-CoV-2 RBD-derived peptide antigens.
Description
Number of participants that develop a T cell response in the short term (Day 8) and in the longer term (Day 29, 3 and 6 months after vaccination) in response to the vaccine candidate compared to their baseline (Day 1) T cell responses. T cell responses will be measured by flow cytometry looking for activated CD4 and CD8 T cells, including the percentage of T cells that respond to peptide antigens derived from the SARS-CoV-2 RBD. The magnitude and durability of those T cell responses over time will also be used to indicate the strength of the response within each participant to each vaccine in each cohort, and in relation to which vaccine the participants had previously received, compared to those participants that received placebo.
Time Frame
Baseline (Day 1), Day 8 (7 days after vaccination), Day 29 (28 days after vaccination) and 3 and 6 months after vaccination.
Title
Number of participants that mount a T cell response that leads to type-1 cytokines (such as Interferon-gamma) versus type-2 cytokines (such as Interleukin 4, 5 and 13).
Description
For participants that develop a T cell response, two types of T cell response will be assessed, based on whether the activated T cells produce the cytokine Interferon-gamma, indicative of a type 1 cytokine response, or Interleukins 4, 5 and 13, indicative of a type 2 cytokine response. Cytokines will be measured following T cell activation with SARS-CoV-2-derived peptide antigens in vitro, using assays for cytokines will include intracellular cytokine staining as measured by flow cytometry, and elispot, as measured by an elispot reader.
Time Frame
Baseline (Day 1), Day 8 (7 days after vaccination), Day 29 (28 days after vaccination) and 3 and 6 months after vaccination.
Title
The ratio of T cell derived type 1 versus type 2 cytokines in participants that mount a T cell response.
Description
For participants that develop a T cell response, the ratio of type 1 cytokine to type 2 cytokines, measured by intracellular cytokine staining and by ELISpot, will be determined for at each timepoint, compared to placebo controls and baseline responses.
Time Frame
Baseline (Day 1), Day 8 (7 days after vaccination), Day 29 (28 days after vaccination) and 3 and 6 months after vaccination.

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: To be eligible for this study, participants must meet ALL of the following inclusion criteria: Adults 18 to 64 years of age, inclusive at screening previously vaccinated with a 2-dose schedule of Cominarty™ or Vaxzevria™. ≥ 3 months (90 days) since receipt of a booster dose of either ComirnatyTM or SpikevaxTM. Be in good health as determined by medical history, physical examination, vital signs, and clinical laboratory assessments with no clinically significant abnormalities as judged by the Investigator at screening and randomisation. Vital signs must be within medically acceptable ranges prior to the first vaccination. Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [ie, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea of at least 12 consecutive months]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through the end of the study OR agree to consistently use a medically acceptable method of contraception listed below from at least 28 days prior to enrollment and through the end of the study: a. Condoms (male or female); Diaphragm; Cervical cap; Intrauterine device; Oral or patch contraceptives; Norplant®, Depo-Provera®, or another regulatory approved contraceptive method; Abstinence, as a form of contraception, is acceptable if in line with the participant's lifestyle. NOTE: Periodic abstinence (e.g., calendar, ovulation, symptom-thermal, post- ovulation methods) and withdrawal method (coitus interruptus) are not acceptable forms of contraception. Agrees to not participate in any other SARS-CoV-2 prevention or treatment trials for the duration of the study. Willing and able to give informed consent prior to study enrollment and to comply with all study procedures. Exclusion criteria: Potential study participants will be excluded from the study if ANY of the following criteria apply: History of test-confirmed (by PCR, rapid antigen test (RAT) to SARS-CoV-2) COVID-19 infection within 3 months (90 days) prior to randomisation. Participants with a BMI > 35kg/m2. Positive result for rheumatoid factor (RF) at Screening. Positive test at Screening for human immunodeficiency virus (Types 1 or 2) antibody, hepatitis B surface antigen or hepatitis C virus antibody. Clinical laboratory test results not within normal range and judged to be clinically relevant abnormalities by the investigator. History of prior cardiac inflammatory disease (endocarditis, myocarditis or pericarditis). History of demyelinating disease or Guillain Barré syndrome. Fever (non-axillary temperature >37.5°C) or any other symptoms of infection that have not completely resolved within 3 days prior to Randomisation (Day 1). Presence of current active viral infection or bacterial infection, at Screening or Randomisation (Day 1), which is determined by the Investigator to be of clinical significance. Participation in research involving receipt of an investigational product (drug/biologic/device) within 90 days prior to the first study vaccination or an intention to participate in another clinical trial at any time during the conduct of this study. Received any other vaccine within 30 days prior to the first study vaccination, other than licensed influenza vaccine, which can be administered up to 14 days prior to randomization. Any known allergies to products contained in the investigational products. Any history of anaphylaxis to any prior vaccine, food, drug, toxin or other exposure. Autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) requiring ongoing immunomodulatory therapy. NOTE: Stable endocrine disorders (e.g., thyroiditis, pancreatitis), including stable diabetes mellitus with no history of diabetic ketoacidosis) are NOT excluded. Chronic administration (defined as > 14 continuous days) of immunosuppressant, systemic glucocorticoids, or other immune-modifying drugs within 90 days prior to first study vaccination. NOTE: An immunosuppressant dose of glucocorticoid is defined as a systemic dose ≥ 10mg of prednisone per day or equivalent. The use of topical or intranasal glucocorticoids is permitted. Topical tacrolimus and ocular cyclosporin are permitted. Received immunoglobulin, blood-derived products, or immunosuppressant drugs or donation of blood/blood products within 90 days prior to vaccination or planned receipt or donation during the study period. Thrombocytopaenia, contraindicating intramuscular vaccination, based on the Investigator's judgment. Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular vaccination based on the Investigator's judgement. Active cancer (malignancy) on therapy within one year prior to first study vaccination (with the exception of adequately treated non-melanomatous skin carcinoma or lentigo malignancy and uterine cervical carcinoma in situ without evidence of disease, at the discretion of the Investigator). Participants who are breastfeeding, pregnant or who plan to become pregnant prior to the end of study. Suspected or known history of alcohol abuse or drug addiction within 2 years prior to the first study vaccine dose that, in the opinion of the Investigator, might interfere with protocol compliance. Have a tattoo/scar/birthmark or any other skin condition affecting the deltoid area that may, in the Investigator's opinion, interfere with injection site assessments. Any other condition that, in the opinion of the Investigator, would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results (including neurologic or psychiatric conditions likely to impair the quality of safety reporting). Study team member or immediate family member of any study team member (inclusive of Sponsor, Contract Research Organization (CRO), and study site personnel involved in the conduct or planning of the study). Aboriginal and Torres Strait Islander person aged 50 years or older.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prof. Terry Nolan
Organizational Affiliation
Peter Doherty Institute for Infection and Immunity, The University of Melbourne
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vaccine and Immunisation Research Group, Doherty Institute, University of Melbourne
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3010
Country
Australia
Facility Name
Royal Melbourne Hospital, Victorian Infectious Diseases Service (VIDS)
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3052
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://www.medrxiv.org/content/10.1101/2022.08.05.22278425v1
Description
Broad immunity to SARS-CoV-2 variants of concern mediated by a SARS-CoV-2 receptor-binding domain protein vaccine

Learn more about this trial

Safety and Immune Response of Adjuvanted SARS-CoV-2 (COVID-19) Beta Variant RBD Recombinant Protein (DoCo-Pro-RBD-1 + MF59®) and mRNA (MIPSCo-mRNA-RBD-1) Vaccines in Healthy Adults

We'll reach out to this number within 24 hrs