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THEMBA II T-Cell Vaccine: Vaccination With saRNA COVID-19 Vaccines

Primary Purpose

COVID-19

Status
Recruiting
Phase
Phase 1
Locations
South Africa
Study Type
Interventional
Intervention
AAHI-SC2 Vaccine
AAHI-SC3 Vaccine
EUA or approved vaccine
Sponsored by
ImmunityBio, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults ≥ 18 years of age at time of enrollment.
  2. Vaccinated with an EUA or approved vaccine against COVID-19 ≥ 3 months prior to enrollment on study or infection with COVID-19 ≥ 3 months prior to enrollment on study.
  3. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines.
  4. Agrees to the collection of biospecimens (eg, nasopharyngeal [NP] swabs) and venous blood per protocol.
  5. Ability to attend required study visits and return for adequate follow-up, as required by this protocol.
  6. Temperature < 38°C.
  7. Agreement to practice effective contraception for female participants of childbearing potential and non-sterile males. Female participants of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male participants must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm), intrauterine devices (IUDs), oral contraceptives, injectable contraceptives, patches, implants and abstinence.
  8. HIV-positive participants must have been on anti-retroviral therapy for ≥ 4 weeks and have HIV-1 viral load < 1,000 copies/mL at the time of enrollment.

Exclusion Criteria:

  1. Serious adverse reaction to any vaccine, any unrelated medication or any component of the investigational vaccine, including a history of anaphylaxis and symptoms of a severe allergic reaction and history of allergies in the past.
  2. Confirmed current COVID-19, previous SARS-CoV-2 infection in the last < 3 months, or PCR positive for SARS-CoV-2 at screening.
  3. Vaccinated with an EAU-approved vaccine against COVID-19 in the last < 3 months.
  4. Pregnant or breastfeeding women.
  5. Chronic lung disease (included COPD) as evidenced by one or more exacerbations requiring a course of steroids in the last year, or the requiring chronic low dose oral steroids to prevent exacerbations. Uncontrolled asthma, defined as requiring reliever inhaler (short-acting beta agonist or ipratromium bromide) more than twice a week is also excluded.
  6. Bone marrow or organ transplant recipient
  7. Extreme obesity (defined as BMI of 40 kg/m2 or higher).
  8. Chronic kidney disease requiring dialysis.
  9. History of liver disease.
  10. Any disease associated with acute fever, or any infection.
  11. Participants with acquired or hereditary immunodeficiencies other than well-controlled HIV are excluded from enrollment.
  12. Current diagnosis of active tuberculosis.
  13. History of hereditary, idiopathic or acquired angioedema.
  14. No spleen or functional asplenia.
  15. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, or immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.
  16. According to the judgement of the investigator any medical, psychiatric, psychological, social, occupational or other conditions that could affect the participants ability to sign informed consent, provide safety assessment data or comply with the requirements of the study protocol.
  17. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

Sites / Locations

  • Wits VidaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Phase 1 Cohort 1A

Phase 1 Cohort 1B

Phase 1 Cohort 1C

Phase 1 Cohort 2A

Phase 1 Cohort 2B

Phase 1 Cohort 2C

Phase 2 Control arm

Phase 2 Experimental arm 1

Phase 2 Experimental arm 2

Phase 2 Experimental arm 3

Arm Description

AAHI-SC2 on Day 1 at dosage 25 μg IM

AAHI-SC2 on Day 1 at dosage 50 μg IM

AAHI-SC2 on Day 1 at dosage 70 μg IM

AAHI-SC3 on Day 1 at dosage 25 μg IM

AAHI-SC3 on Day 1 at dosage 50 μg IM

AAHI-SC3 on Day 1 at dosage 85 μg IM

EUA or approved vaccine on Day 1

AAHI-SC2 on Day 1 Dose TBD as determined in phase 1 study

AAHI-SC3 on Day 1 Dose TBD as determined in phase 1 study

AAHI-SC3 on Day 1 and 29 Dose TBD as determined in phase 1 study

Outcomes

Primary Outcome Measures

Phase 1 Safety - Incidence of medically-attended MAAEs and SAEs
Incidence of medically-attended adverse events (MAAEs) and serious adverse events (SAEs)
Phase 1 Safety - Incidence of MAAEs and SAEs through 30 days
Incidence of MAAEs and SAEs
Phase 1 Safety - Incidence of MAAEs and SAEs through 6 months
Incidence of MAAEs and SAEs
Phase 1 Safety - Incidence of local reactogenicity AEs
Incidence and severity of solicited local reactogenicity AEs
Phase 1 Safety - Incidence of solicited systemic reactogenicity AEs
Incidence and severity of solicited systemic reactogenicity AEs
Phase 1 Safety - Incidence of unsolicited AEs through 1 week
Incidence and severity of unsolicited AEs
Phase 1 Safety - Incidence of unsolicited AEs through 30 days
Incidence and severity of unsolicited AEs
Phase 1 Safety - Incidence of abnormal changes of laboratory safety examinations
Incidence of abnormal changes of laboratory safety examinations
Phase 1 Safety - Vital Sign - Temperature
Changes in vital signs from Grades 1-4: measured in (°C) or (°F)
Phase 1 Safety - Vital Sign - Heart Rate
Changes in vital signs from Grades 1-4: measured by how many heart beats per minute
Phase 1 Safety - Vital Sign - Blood Pressure
Changes in vital signs from Grades 1-4: systolic/diastolic - measured in mm Hg
Phase 1 Safety - Vital Sign - Respiratory Rate
Changes in vital signs from Grades 1-4: measured in how many breaths per minute
Phase 2 Humoral Immunogenicity - GMT of S-specific and N-specific IgG antibodies
GMT of S-specific and N-specific IgG antibodies against 2019 novel coronavirus tested by ELISA in serum
Phase 2 Humoral Immunogenicity - GMT of neutralizing antibody
GMT of neutralizing antibody
Phase 2 Cellular Immunogenicity - T cell activity
T cell activity against SARS-CoV-2 S protein and N protein as assayed by the ELISpot assay

Secondary Outcome Measures

Phase 1 Humoral Immunogenicity - GMT of S-specific and N-specific IgG antibodies
Geometric mean titer (GMT) of S-specific and N-specific IgG antibodies against 2019 novel coronavirus tested by ELISA in serum
Phase 1 Humoral Immunogenicity - GMT of neutralizing antibody
GMT of neutralizing antibody
Phase 1 Cellular Immunogenicity - T cell activity
T cell activity against SARS-CoV-2 S protein and N protein as assayed by ELISpot
Phase 2 Safety - Incidence of MAAEs and SAEs
Incidence of MAAEs and SAEs
Phase 2 Safety - Incidence of Incidence of MAAEs and SAEs through 6 months
Incidence of MAAEs and SAEs
Phase 2 Safety - Incidence of solicited local reactogenicity AEs
Incidence and severity of solicited local reactogenicity AEs
Phase 2 Safety - Incidence of solicited systemic reactogenicity AEs
Incidence and severity of solicited systemic reactogenicity AEs
Phase 2 Safety - Incidence of unsolicited AEs
Incidence and severity of unsolicited AEs

Full Information

First Posted
May 9, 2022
Last Updated
September 26, 2023
Sponsor
ImmunityBio, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05370040
Brief Title
THEMBA II T-Cell Vaccine: Vaccination With saRNA COVID-19 Vaccines
Official Title
THEMBA II T-CELL Vaccine: A Phase 1/2 Study of the Safety, Reactogenicity, and Immunogenicity of Vaccination With saRNA COVID-19 Vaccines
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 9, 2022 (Actual)
Primary Completion Date
September 2023 (Anticipated)
Study Completion Date
September 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmunityBio, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 1/2 open-label study assessing the safety, reactogenicity, and immunogenicity of saRNA COVID-19 boost vaccines in participants that have been previously vaccinated against or previously infected with COVID-19.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Open label 6 Cohort Phase 1 Study leading to Randomized 4 Cohort Phase 2 Study
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
180 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase 1 Cohort 1A
Arm Type
Experimental
Arm Description
AAHI-SC2 on Day 1 at dosage 25 μg IM
Arm Title
Phase 1 Cohort 1B
Arm Type
Experimental
Arm Description
AAHI-SC2 on Day 1 at dosage 50 μg IM
Arm Title
Phase 1 Cohort 1C
Arm Type
Experimental
Arm Description
AAHI-SC2 on Day 1 at dosage 70 μg IM
Arm Title
Phase 1 Cohort 2A
Arm Type
Experimental
Arm Description
AAHI-SC3 on Day 1 at dosage 25 μg IM
Arm Title
Phase 1 Cohort 2B
Arm Type
Experimental
Arm Description
AAHI-SC3 on Day 1 at dosage 50 μg IM
Arm Title
Phase 1 Cohort 2C
Arm Type
Experimental
Arm Description
AAHI-SC3 on Day 1 at dosage 85 μg IM
Arm Title
Phase 2 Control arm
Arm Type
Placebo Comparator
Arm Description
EUA or approved vaccine on Day 1
Arm Title
Phase 2 Experimental arm 1
Arm Type
Experimental
Arm Description
AAHI-SC2 on Day 1 Dose TBD as determined in phase 1 study
Arm Title
Phase 2 Experimental arm 2
Arm Type
Experimental
Arm Description
AAHI-SC3 on Day 1 Dose TBD as determined in phase 1 study
Arm Title
Phase 2 Experimental arm 3
Arm Type
Experimental
Arm Description
AAHI-SC3 on Day 1 and 29 Dose TBD as determined in phase 1 study
Intervention Type
Biological
Intervention Name(s)
AAHI-SC2 Vaccine
Intervention Description
AAHI -SC2 self-amplifying RNA (saRNA) against SARS-CoV-2 Spike protein delivered by nanostructured lipid carrier (NLC) Vaccine
Intervention Type
Biological
Intervention Name(s)
AAHI-SC3 Vaccine
Intervention Description
AAHI-SC3 self-amplifying RNA (saRNA) against SARS-CoV-2 Spike and nucleocapsid protein delivered by nanostructured lipid carrier (NLC) Vaccine
Intervention Type
Biological
Intervention Name(s)
EUA or approved vaccine
Intervention Description
Janssen or Pfizer vaccines (control arm)
Primary Outcome Measure Information:
Title
Phase 1 Safety - Incidence of medically-attended MAAEs and SAEs
Description
Incidence of medically-attended adverse events (MAAEs) and serious adverse events (SAEs)
Time Frame
through 1 week post final vaccine administration
Title
Phase 1 Safety - Incidence of MAAEs and SAEs through 30 days
Description
Incidence of MAAEs and SAEs
Time Frame
through 30 days post final vaccine administration
Title
Phase 1 Safety - Incidence of MAAEs and SAEs through 6 months
Description
Incidence of MAAEs and SAEs
Time Frame
through 6 months post final vaccine administration
Title
Phase 1 Safety - Incidence of local reactogenicity AEs
Description
Incidence and severity of solicited local reactogenicity AEs
Time Frame
through 1 week after each vaccine dose
Title
Phase 1 Safety - Incidence of solicited systemic reactogenicity AEs
Description
Incidence and severity of solicited systemic reactogenicity AEs
Time Frame
through 1 week after each vaccine dose
Title
Phase 1 Safety - Incidence of unsolicited AEs through 1 week
Description
Incidence and severity of unsolicited AEs
Time Frame
through 1 week post final vaccine administration
Title
Phase 1 Safety - Incidence of unsolicited AEs through 30 days
Description
Incidence and severity of unsolicited AEs
Time Frame
through 30 days post final vaccine administration
Title
Phase 1 Safety - Incidence of abnormal changes of laboratory safety examinations
Description
Incidence of abnormal changes of laboratory safety examinations
Time Frame
Day 365
Title
Phase 1 Safety - Vital Sign - Temperature
Description
Changes in vital signs from Grades 1-4: measured in (°C) or (°F)
Time Frame
Day 365
Title
Phase 1 Safety - Vital Sign - Heart Rate
Description
Changes in vital signs from Grades 1-4: measured by how many heart beats per minute
Time Frame
Day 365
Title
Phase 1 Safety - Vital Sign - Blood Pressure
Description
Changes in vital signs from Grades 1-4: systolic/diastolic - measured in mm Hg
Time Frame
Day 365
Title
Phase 1 Safety - Vital Sign - Respiratory Rate
Description
Changes in vital signs from Grades 1-4: measured in how many breaths per minute
Time Frame
Day 365
Title
Phase 2 Humoral Immunogenicity - GMT of S-specific and N-specific IgG antibodies
Description
GMT of S-specific and N-specific IgG antibodies against 2019 novel coronavirus tested by ELISA in serum
Time Frame
Day 365
Title
Phase 2 Humoral Immunogenicity - GMT of neutralizing antibody
Description
GMT of neutralizing antibody
Time Frame
Day 365
Title
Phase 2 Cellular Immunogenicity - T cell activity
Description
T cell activity against SARS-CoV-2 S protein and N protein as assayed by the ELISpot assay
Time Frame
Day 365
Secondary Outcome Measure Information:
Title
Phase 1 Humoral Immunogenicity - GMT of S-specific and N-specific IgG antibodies
Description
Geometric mean titer (GMT) of S-specific and N-specific IgG antibodies against 2019 novel coronavirus tested by ELISA in serum
Time Frame
Day 365
Title
Phase 1 Humoral Immunogenicity - GMT of neutralizing antibody
Description
GMT of neutralizing antibody
Time Frame
Day 365
Title
Phase 1 Cellular Immunogenicity - T cell activity
Description
T cell activity against SARS-CoV-2 S protein and N protein as assayed by ELISpot
Time Frame
Day 365
Title
Phase 2 Safety - Incidence of MAAEs and SAEs
Description
Incidence of MAAEs and SAEs
Time Frame
through 30 days post final vaccine administration
Title
Phase 2 Safety - Incidence of Incidence of MAAEs and SAEs through 6 months
Description
Incidence of MAAEs and SAEs
Time Frame
through 6 months post final vaccine administration
Title
Phase 2 Safety - Incidence of solicited local reactogenicity AEs
Description
Incidence and severity of solicited local reactogenicity AEs
Time Frame
through 1 week after each vaccine dose
Title
Phase 2 Safety - Incidence of solicited systemic reactogenicity AEs
Description
Incidence and severity of solicited systemic reactogenicity AEs
Time Frame
through 1 week after each vaccine dose
Title
Phase 2 Safety - Incidence of unsolicited AEs
Description
Incidence and severity of unsolicited AEs
Time Frame
through 30 days post final vaccine administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults ≥ 18 years of age at time of enrollment. Vaccinated with an EUA or approved vaccine against COVID-19 ≥ 3 months prior to enrollment on study or infection with COVID-19 ≥ 3 months prior to enrollment on study. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines. Agrees to the collection of biospecimens (eg, nasopharyngeal [NP] swabs) and venous blood per protocol. Ability to attend required study visits and return for adequate follow-up, as required by this protocol. Temperature < 38°C. Agreement to practice effective contraception for female participants of childbearing potential and non-sterile males. Female participants of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male participants must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm), intrauterine devices (IUDs), oral contraceptives, injectable contraceptives, patches, implants and abstinence. HIV-positive participants must have been on anti-retroviral therapy for ≥ 4 weeks and have HIV-1 viral load < 1,000 copies/mL at the time of enrollment. Exclusion Criteria: Serious adverse reaction to any vaccine, any unrelated medication or any component of the investigational vaccine, including a history of anaphylaxis and symptoms of a severe allergic reaction and history of allergies in the past. Confirmed current COVID-19, previous SARS-CoV-2 infection in the last < 3 months, or PCR positive for SARS-CoV-2 at screening. Vaccinated with an EAU-approved vaccine against COVID-19 in the last < 3 months. Pregnant or breastfeeding women. Chronic lung disease (included COPD) as evidenced by one or more exacerbations requiring a course of steroids in the last year, or the requiring chronic low dose oral steroids to prevent exacerbations. Uncontrolled asthma, defined as requiring reliever inhaler (short-acting beta agonist or ipratromium bromide) more than twice a week is also excluded. Bone marrow or organ transplant recipient Extreme obesity (defined as BMI of 40 kg/m2 or higher). Chronic kidney disease requiring dialysis. History of liver disease. Any disease associated with acute fever, or any infection. Participants with acquired or hereditary immunodeficiencies other than well-controlled HIV are excluded from enrollment. Current diagnosis of active tuberculosis. History of hereditary, idiopathic or acquired angioedema. No spleen or functional asplenia. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, or immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted. According to the judgement of the investigator any medical, psychiatric, psychological, social, occupational or other conditions that could affect the participants ability to sign informed consent, provide safety assessment data or comply with the requirements of the study protocol. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lennie Sender, MD
Phone
714-615-2350
Email
lennie.sender@immunitybio.com
Facility Information:
Facility Name
Wits Vida
City
Johannesburg
Country
South Africa
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Anthonet Koen, MD
Phone
27 84 744 4196
Email
Anthonet.koen@wits-vida.org
First Name & Middle Initial & Last Name & Degree
Anthonet Koen, MD

12. IPD Sharing Statement

Learn more about this trial

THEMBA II T-Cell Vaccine: Vaccination With saRNA COVID-19 Vaccines

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