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COVID-19 Paediatric VLA2001-321 Study

Primary Purpose

SARS-CoV-2 Infection

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
VLA2001
Active Comparator
Sponsored by
Valneva Austria GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV-2 Infection focused on measuring VLA2001, SARS-CoV-2 Infection, COVID-19

Eligibility Criteria

2 Years - 12 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Written informed consent by the participant's legal representative(s), according to local requirements, and written informed assent of the participant, if applicable, prior to any study related procedures.
  2. Participants of either gender aged between 2 years and <12 years at screening.
  3. Regarding history of Menactra (meningococcal vaccination): only participants <5 years can be included who received no Menactra vaccination. Participants ≥5 years can be included, if at least 4 years have elapsed since the prior dose.
  4. Medically stable such that, according to the judgment of the investigator the participant appears likely to be able to remain on study through the end of protocol-specified follow-up.

    • For participants with chronic diseases (such as, asthma, diabetes mellitus, cystic fibrosis, human immunodeficiency virus [HIV] infection), the disease should be stable, defined as not requiring significant change in therapy or hospitalization for worsening disease during the 3 months prior to the expected day of randomization (Visit 1) and as per investigator assessment.

  5. Must be able to attend all visits of the study and comply with all study procedures, including daily completion of the e-Diary after each vaccination.
  6. Female participants of non-childbearing potential may be enrolled. For this study, non-childbearing potential is defined as pre-menarche.
  7. Female participants of childbearing potential (WOCBP) might be enrolled if:

    • have a negative pregnancy test on the day of vaccination,
    • have practiced adequate contraception* or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first injection,
    • have agreed to continue adequate contraception or abstinence through 3 months following the second injection (Phase 2 part) or following the third vaccination (Phase 3 part),
    • are not currently breastfeeding.

Exclusion Criteria:

  1. Participant is pregnant or planning to become pregnant within 3 months after study vaccine administration.
  2. History of allergy to any component of the vaccine or its excipients.
  3. Prior history of allergic or anaphylactic reaction after previous dose of a meningococcal capsular 12 polysaccharide-, diphtheria toxoid- or CRM197-containing vaccine, or to any component of Menactra.
  4. Significant infection (e.g., positive SARS-CoV-2 RT-PCR) or other acute illness, including fever >100.4 °F (>38.0 °C) within 2 weeks prior to administration of vaccine.
  5. A medical or psychiatric condition that, according to the investigator's judgment, may pose additional risk as a result of participation, interfere with study assessments, interfere with interpretation of results or compromise participant safety.
  6. Participants with history of multisystemic-inflammatory syndrome in children (MIS-C).
  7. Participated in an interventional clinical study within 28 days prior to Day 1.
  8. Received any non-study vaccine within 28 days before or after any dose of vaccine (except for seasonal influenza vaccine, which is permitted within 14 days before or after any dose of vaccine).
  9. Thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injection.
  10. Severe and uncontrolled ongoing autoimmune or inflammatory disease, history of Guillain-Barre syndrome, or any other demyelinating condition

    Prior/concomitant therapy:

  11. Receipt of immunoglobulin or another blood product within the 3 months before expected day of randomization (Visit 1) in this study or those who expect to receive immunoglobulin or another blood product during this study,
  12. Immunosuppressive treatment during the course of the study (unless such treatment has to be administered in an emergency situation). Note: Specifically, treatment that can be expected to influence immune response. Such treatment includes, but is not limited to, systemic or high dose inhaled (>800 μg/day of beclomethasone dipropionate or equivalent) corticosteroids, radiation treatment or other immunosuppressive or cytotoxic drugs. Use of inhaled (low dose), intranasal or topical steroids is permitted

    • Glucocorticoids at a dose ≥20 mg/day of prednisone or equivalent given daily or on alternate days for ≥14 consecutive days between randomization and the participant´s schedule
    • Other systemically administered drugs with significant immunosuppressive activity, such as azathioprine, tacrolimus, cyclosporine, methotrexate, or cytotoxic chemotherapy between randomization and the participant´s schedule
  13. Prior administration of an investigational or approved CoV vaccine (such as, SARS-CoV-2, SARS CoV, Middle East Respiratory Syndrome CoV) or planned use during the trial.
  14. Treatment with investigational or approved agents for prophylaxis against COVID 19 (such as, receipt of SARS-CoV-2 monoclonal antibodies or oral COVID 19 anti-viral agents) within 6 months prior to enrolment.
  15. Receipt of any vaccine (licensed or investigational), other than licensed influenza vaccine, within 28 days prior to the expected day of randomization (Visit 1).

    Others:

  16. Any member of the study team or sponsor.
  17. An immediate family member or household member of the study's personnel.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Other

    Other

    Arm Label

    Dose finding ≥5 to <12 years

    Dose finding ≥2 to <5 years

    Confirmatory ≥5 to <12 years

    Confirmatory ≥2 to <5 years

    Arm Description

    on Day 1 and Day 29 either VLA2001 half dose or VLA2001 full dose

    on Day 1 and Day 29 either VLA2001 half dose or VLA2001 full dose

    Day 1: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose) Day 29: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose) Day 57: Active Comparator

    Day 1: Active Comparator Day 29: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose) Day 57: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose)

    Outcomes

    Primary Outcome Measures

    Frequency and severity of solicited local and systemic adverse events (AE)
    Immune response measured after completion of a 2-dose immunization schedule with VLA2001 as determined by the Geometric Mean Titer (GMT)
    Immune response measured after completion of a 2-dose immunization schedule with VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific neutralising antibodies

    Secondary Outcome Measures

    Frequency, causality and severity of any Adverse Event (AE)
    Dose Finding Part
    Frequency and causality of any serious adverse events (SAEs)
    Dose Finding Part
    Frequency, causality and severity of medically-attended AEs (MAAEs)
    Dose Finding Part
    Frequency, causality and severity of adverse events of special interest (AESIs)
    Dose Finding Part
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific neutralising antibodies
    Dose Finding Part
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific neutralising antibodies
    Dose Finding Part
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific S-protein binding antibodies
    Dose Finding Part
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific S-protein binding antibodies
    Dose Finding Part
    Frequency and severity of solicited local and systemic adverse events (AEs)
    Confirmatory Phase
    Frequency, causality and severity of any unsolicited adverse event (AE) up to 4 weeks following the immunization with VLA2001 (administered as a first dose) in comparison to the vaccination with the comparator vaccine (administered as a first dose)
    Confirmatory Phase
    Frequency, causality and severity of any adverse event (AE)
    Confirmatory Phase
    Frequency, causality and severity of participants with medically-attended adverse events (MAAEs)
    Confirmatory Phase
    Frequency and causality of any serious adverse events (SAEs)
    Confirmatory Phase
    Frequency, causality and severity of adverse events of special interest (AESIs) including multisystem inflammatory syndrome in children (MISC)
    Confirmatory Phase
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific neutralising antibodies
    Confirmatory Phase
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific neutralising antibodies
    Confirmatory Phase
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific S-protein binding antibodies
    Confirmatory Phase
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific S-protein binding antibodies
    Confirmatory Phase
    Assessment of T-cell responses from PBMCs in participants after in vitro stimulation with SARS-CoV-2 antigens using e.g. ELISpot or intracellular cytokine staining

    Full Information

    First Posted
    March 16, 2022
    Last Updated
    November 3, 2022
    Sponsor
    Valneva Austria GmbH
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05298644
    Brief Title
    COVID-19 Paediatric VLA2001-321 Study
    Official Title
    A Randomized, Double-Blinded, Active Controlled COVID-19 Study to Evaluate The Safety, Tolerability, And Immunogenicity Of Different Doses Of VLA2001 Vaccine, In Children (≥2 To <12 Years)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Valneva has contacted regulators to align on potential adjustments to the previously agreed Pediatric Investigational Plan. Valneva has suspended VLA2001 pediatric development, and study VLA2001-321 will not commence.
    Study Start Date
    October 1, 2022 (Anticipated)
    Primary Completion Date
    July 31, 2023 (Anticipated)
    Study Completion Date
    August 30, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Valneva Austria GmbH

    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 Randomized, Double-blinded, Active-controlled Study to evaluate the Safety, Tolerability and Immunogenicity of VLA2001 in participants of ≥2 to 12 years. In total 1720 participants will receive either VLA2001 or active Comparator.
    Detailed Description
    This is a Randomized, Double-blinded, Active-controlled Study to evaluate the Safety, Tolerability and Immunogenicity of VLA2001 in participants of ≥2 to 12 years. The study will consist of four parts: Dose-finding part (participants aged ≥5 to <12 years) Dose-finding part (participants aged ≥2 to <5 years) Confirmatory part (participants aged ≥5 to <12 years) Confirmatory part (participants aged ≥2 to <5 years) Dose-finding part (participants aged ≥5 to <12 years) Approximately 60 participants will receive 2 intramuscular doses of either half-dose VLA2001 (n=30) or full-dose VLA2001 (n=30) on Days 1 and 29 in a 1:1 ratio. Dose-finding part (participants aged ≥2 to <5 years) Approximately 60 participants will receive 2 intramuscular doses of either half-dose VLA2001 (n=30) or full-dose VLA2001 (n=30) on Days 1 and 29 in a 1:1 ratio. Dose-finding part for age group ≥2 to <5 years will be initiated after dose for age group ≥5 to <12 years is confirmed. Confirmatory Part (participants aged ≥5 to <12 years and ≥2 to <5 years) Overall, approximately 1600 participants aged ≥2 to <12 years will be enrolled. 800 participants aged ≥5 to <12 years and 800 participants aged ≥2 to <5 years will be randomized in 3:1 ratio. In each age group, 600 participants will receive VLA2001, and 200 participants comparator. Vaccination will start with either 1 intramuscular dose of VLA2001 (selected dose) or comparator vaccine. 28 days later all participants will receive a dose of VLA2001 (selected dose) and 28 days thereafter those who had received the comparator vaccine will receive their second dose with VLA2001 while those who have already received two doses of VLA2001 will receive the comparator vaccine.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    SARS-CoV-2 Infection
    Keywords
    VLA2001, SARS-CoV-2 Infection, COVID-19

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Sequential Assignment
    Model Description
    Sequential Assignment: st phase: Dose-finding part participants aged ≥5 to <12 years nd phase: Dose-finding part participants aged ≥2 to <5 years rd phase: Confirmatory Part participants aged ≥5 to <12 years th phase: Confirmatory Part participants aged ≥2 to <5 years
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Dose finding ≥5 to <12 years
    Arm Type
    Experimental
    Arm Description
    on Day 1 and Day 29 either VLA2001 half dose or VLA2001 full dose
    Arm Title
    Dose finding ≥2 to <5 years
    Arm Type
    Experimental
    Arm Description
    on Day 1 and Day 29 either VLA2001 half dose or VLA2001 full dose
    Arm Title
    Confirmatory ≥5 to <12 years
    Arm Type
    Other
    Arm Description
    Day 1: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose) Day 29: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose) Day 57: Active Comparator
    Arm Title
    Confirmatory ≥2 to <5 years
    Arm Type
    Other
    Arm Description
    Day 1: Active Comparator Day 29: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose) Day 57: VLA2001 selected dose (= either VLA2001 half dose or VLA2001 full dose)
    Intervention Type
    Biological
    Intervention Name(s)
    VLA2001
    Intervention Description
    whole virus inactivated SARS-CoV-2 vaccine adjuvanted with cytosine phospho-guanine (CpG)1018 in combination with aluminium hydroxide
    Intervention Type
    Drug
    Intervention Name(s)
    Active Comparator
    Intervention Description
    Menactra, Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine.
    Primary Outcome Measure Information:
    Title
    Frequency and severity of solicited local and systemic adverse events (AE)
    Time Frame
    up to 7 days after each vaccination
    Title
    Immune response measured after completion of a 2-dose immunization schedule with VLA2001 as determined by the Geometric Mean Titer (GMT)
    Time Frame
    2 weeks after completion of a 2-dose immunization schedule
    Title
    Immune response measured after completion of a 2-dose immunization schedule with VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific neutralising antibodies
    Time Frame
    2 weeks after completion of a 2-dose immunization schedule
    Secondary Outcome Measure Information:
    Title
    Frequency, causality and severity of any Adverse Event (AE)
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Frequency and causality of any serious adverse events (SAEs)
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Frequency, causality and severity of medically-attended AEs (MAAEs)
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Frequency, causality and severity of adverse events of special interest (AESIs)
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific neutralising antibodies
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific neutralising antibodies
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific S-protein binding antibodies
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific S-protein binding antibodies
    Description
    Dose Finding Part
    Time Frame
    up to Month 12
    Title
    Frequency and severity of solicited local and systemic adverse events (AEs)
    Description
    Confirmatory Phase
    Time Frame
    up to 7 days after each vaccination
    Title
    Frequency, causality and severity of any unsolicited adverse event (AE) up to 4 weeks following the immunization with VLA2001 (administered as a first dose) in comparison to the vaccination with the comparator vaccine (administered as a first dose)
    Description
    Confirmatory Phase
    Time Frame
    up to 4 weeks following immunization
    Title
    Frequency, causality and severity of any adverse event (AE)
    Description
    Confirmatory Phase
    Time Frame
    up to Month 12
    Title
    Frequency, causality and severity of participants with medically-attended adverse events (MAAEs)
    Description
    Confirmatory Phase
    Time Frame
    up to Month 12
    Title
    Frequency and causality of any serious adverse events (SAEs)
    Description
    Confirmatory Phase
    Time Frame
    up to Month 24
    Title
    Frequency, causality and severity of adverse events of special interest (AESIs) including multisystem inflammatory syndrome in children (MISC)
    Description
    Confirmatory Phase
    Time Frame
    up to Month 24
    Title
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific neutralising antibodies
    Description
    Confirmatory Phase
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific neutralising antibodies
    Description
    Confirmatory Phase
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific S-protein binding antibodies
    Description
    Confirmatory Phase
    Time Frame
    up to Month 12
    Title
    Immune response of VLA2001 as determined by seroconversion rate (SCR) (defined as 4-fold increase from baseline) of SARS-CoV-2-specific S-protein binding antibodies
    Description
    Confirmatory Phase
    Time Frame
    up to Month 12
    Title
    Assessment of T-cell responses from PBMCs in participants after in vitro stimulation with SARS-CoV-2 antigens using e.g. ELISpot or intracellular cytokine staining
    Time Frame
    up to Month 12

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    2 Years
    Maximum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Written informed consent by the participant's legal representative(s), according to local requirements, and written informed assent of the participant, if applicable, prior to any study related procedures. Participants of either gender aged between 2 years and <12 years at screening. Regarding history of Menactra (meningococcal vaccination): only participants <5 years can be included who received no Menactra vaccination. Participants ≥5 years can be included, if at least 4 years have elapsed since the prior dose. Medically stable such that, according to the judgment of the investigator the participant appears likely to be able to remain on study through the end of protocol-specified follow-up. • For participants with chronic diseases (such as, asthma, diabetes mellitus, cystic fibrosis, human immunodeficiency virus [HIV] infection), the disease should be stable, defined as not requiring significant change in therapy or hospitalization for worsening disease during the 3 months prior to the expected day of randomization (Visit 1) and as per investigator assessment. Must be able to attend all visits of the study and comply with all study procedures, including daily completion of the e-Diary after each vaccination. Female participants of non-childbearing potential may be enrolled. For this study, non-childbearing potential is defined as pre-menarche. Female participants of childbearing potential (WOCBP) might be enrolled if: have a negative pregnancy test on the day of vaccination, have practiced adequate contraception* or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first injection, have agreed to continue adequate contraception or abstinence through 3 months following the second injection (Phase 2 part) or following the third vaccination (Phase 3 part), are not currently breastfeeding. Exclusion Criteria: Participant is pregnant or planning to become pregnant within 3 months after study vaccine administration. History of allergy to any component of the vaccine or its excipients. Prior history of allergic or anaphylactic reaction after previous dose of a meningococcal capsular 12 polysaccharide-, diphtheria toxoid- or CRM197-containing vaccine, or to any component of Menactra. Significant infection (e.g., positive SARS-CoV-2 RT-PCR) or other acute illness, including fever >100.4 °F (>38.0 °C) within 2 weeks prior to administration of vaccine. A medical or psychiatric condition that, according to the investigator's judgment, may pose additional risk as a result of participation, interfere with study assessments, interfere with interpretation of results or compromise participant safety. Participants with history of multisystemic-inflammatory syndrome in children (MIS-C). Participated in an interventional clinical study within 28 days prior to Day 1. Received any non-study vaccine within 28 days before or after any dose of vaccine (except for seasonal influenza vaccine, which is permitted within 14 days before or after any dose of vaccine). Thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injection. Severe and uncontrolled ongoing autoimmune or inflammatory disease, history of Guillain-Barre syndrome, or any other demyelinating condition Prior/concomitant therapy: Receipt of immunoglobulin or another blood product within the 3 months before expected day of randomization (Visit 1) in this study or those who expect to receive immunoglobulin or another blood product during this study, Immunosuppressive treatment during the course of the study (unless such treatment has to be administered in an emergency situation). Note: Specifically, treatment that can be expected to influence immune response. Such treatment includes, but is not limited to, systemic or high dose inhaled (>800 μg/day of beclomethasone dipropionate or equivalent) corticosteroids, radiation treatment or other immunosuppressive or cytotoxic drugs. Use of inhaled (low dose), intranasal or topical steroids is permitted Glucocorticoids at a dose ≥20 mg/day of prednisone or equivalent given daily or on alternate days for ≥14 consecutive days between randomization and the participant´s schedule Other systemically administered drugs with significant immunosuppressive activity, such as azathioprine, tacrolimus, cyclosporine, methotrexate, or cytotoxic chemotherapy between randomization and the participant´s schedule Prior administration of an investigational or approved CoV vaccine (such as, SARS-CoV-2, SARS CoV, Middle East Respiratory Syndrome CoV) or planned use during the trial. Treatment with investigational or approved agents for prophylaxis against COVID 19 (such as, receipt of SARS-CoV-2 monoclonal antibodies or oral COVID 19 anti-viral agents) within 6 months prior to enrolment. Receipt of any vaccine (licensed or investigational), other than licensed influenza vaccine, within 28 days prior to the expected day of randomization (Visit 1). Others: Any member of the study team or sponsor. An immediate family member or household member of the study's personnel.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Valneva Clinical Deveopment
    Organizational Affiliation
    Valneva Austria GmbH
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    COVID-19 Paediatric VLA2001-321 Study

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