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Sequential Immunization of Two Doses of Inactivated COVID-19 Vaccine (Omicron) in Vaccinated Population Aged 18 Years and Above (COVID-19)

Primary Purpose

COVID-19

Status
Active
Phase
Phase 3
Locations
Hong Kong
Study Type
Interventional
Intervention
BIBP Omicron Inactivated COVID-19 vaccine (Vero Cell)
WIBP Omicron Inactivated COVID-19 vaccine (Vero Cell)
COVID-19 Vaccine (Vero Cell), Inactivated
Sponsored by
China National Biotec Group Company Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  • Age range: populations aged 18 years and above.
  • Judged by the investigator that the health condition is well after inquiry and physical examination.
  • Vaccinated with 2 doses/3 doses of inactivated COVID-19 vaccine or mRNA vaccine for ≥ 3 months.
  • Female participants who are not nursing or pregnant at the time of enrolment (negative urine pregnancy test) and have no family planning within the first 7 months after enrollment. Effective contraceptive measures have been taken within 2 weeks before inclusion.
  • During the whole follow-up period of the study, be able and willing to complete the whole prescribed study plan.
  • With self ability to understand the study procedures, the informed consent & voluntarily sign an informed consent form and is able to comply with the requirements of the clinical study protocol.

Exclusion Criteria:

  • Confirmed cases, suspected cases or asymptomatic cases of COVID-19;
  • With a history of Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) (self-report, on-site inquiry);
  • Has vaccinated with one or four doses and above COVID-19 vaccine;
  • Axillary temperature ≥37.3℃ (Tympanic temperature ≥ 37.6 ℃);
  • Previous allergic reactions to drug or vaccination (such as acute allergic reactions, urticaria, eczema, dyspnea, angioneurotic edema or abdominal pain) or allergy to known components of COVID-19 vaccine (self-report, onsite enquiry);
  • Have a history of hospital-diagnosed thrombocytopenia or other coagulation disorders (self-report, onsite enquiry);
  • With known immunological impairment or immunocompromised diagnosed by the hospital (self-report, onsite enquiry);
  • Have an uncontrolled epilepsy and other progressive neurological diseases or a history of Guillain-Barre syndrome (self-report, onsite enquiry);
  • Received whole blood, plasma and immunoglobulin therapy within 1 month (self-report, onsite enquiry);
  • Known or suspected severe illness includes: respiratory illness, acute infection or active attacks of chronic illness, liver and kidney disease, severe diabetes mellitus, malignant tumor, infectious or allergic skin disease, Human Immunodeficiency Virus (HIV) infection (self-report, onsite enquiry, provide test report if available);
  • With hospital-diagnosed serious cardiovascular diseases (cardiopulmonary failure, drug-uncontrolled hypertension (physical examination of systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg), acute attacks of chronic respiratory illness (self-report, onsite enquiry);
  • Received live attenuated vaccines within 1 month before vaccination (self-report, onsite enquiry);
  • Received inactivated vaccines within 14 days before vaccination (self-report, onsite enquiry);
  • Participating or planning to participate in other interventional vaccine clinical trials during this study
  • Other vaccination-related contraindications considered by investigators.

Sites / Locations

  • Queen Mary Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Arm Label

1: BIBP Inactivated COVID-19 vaccine (Omicron)

2: WIBP Inactivated COVID-19 vaccine (Omicron)

3:BIBP Inactivated COVID-19 vaccine (Omicron)

4: WIBP Inactivated COVID-19 vaccine (Omicron)

5:Inactivated COVID-19 Vaccine (prototype)

6:Inactivated COVID-19 Vaccine (prototype)

Arm Description

subjects will be blinded and receive two doses of BIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of inactivated COVID-19 vaccine

subjects will be blinded and receive two doses of WIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of inactivated COVID-19 vaccine

subjects will be blinded and receive two doses of BIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of COVID-19 mRNA vaccine

subjects will be blinded and receive two doses of WIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of COVID-19 mRNA vaccine

subjects will be blinded and receive two doses of Inactivated COVID-19 Vaccine (prototype) with 28 days apart more than 3 months after 2 or 3 doses of inactivated COVID-19 vaccine

subjects will be blinded and receive two doses of Inactivated COVID-19 Vaccine (prototype) with 28 days apart more than 3 months after 2 or 3 doses of COVID-19 mRNA vaccine

Outcomes

Primary Outcome Measures

The Geometric Mean Titer (GMT) of anti-omicron neutralizing antibody
The 4-fold rise rate of anti-omicron neutralizing antibody

Secondary Outcome Measures

The GMT of anti-omicron neutralizing antibody
The 4-fold rise rate of anti-omicron neutralizing antibody
Specific cellular immune response
The GMT of anti-omicron Immunoglobulin G (IgG) antibody
The proportions of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
The proportion of subjects with neutralizing antibody GMT ≥1:16,≥1:32 and ≥1:64
The incidence of any adverse reactions/events
The incidence of serious adverse events (SAE) and adverse events special interest (AESI)

Full Information

First Posted
May 17, 2022
Last Updated
June 15, 2023
Sponsor
China National Biotec Group Company Limited
Collaborators
Beijing Institute of Biological Products Co Ltd., Wuhan Institute of Biological Products Co., Ltd, The University of Hong Kong
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1. Study Identification

Unique Protocol Identification Number
NCT05382871
Brief Title
Sequential Immunization of Two Doses of Inactivated COVID-19 Vaccine (Omicron) in Vaccinated Population Aged 18 Years and Above
Acronym
COVID-19
Official Title
A Randomized, Double-Blinded, Cohort Clinical Study on Evaluating the Safety and Immunogenicity of Sequential Immunization of Two Doses of BIBP Inactivated COVID-19 Vaccine (Omicron), WIBP Inactivated COVID-19 Vaccine (Omicron) or Inactivated COVID-19 Vaccine (Prototype) in Population Aged 18 Years and Above Who Have Completed Two or Three Doses of Inactivated or mRNA Vaccine
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 27, 2022 (Actual)
Primary Completion Date
July 27, 2023 (Anticipated)
Study Completion Date
March 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
China National Biotec Group Company Limited
Collaborators
Beijing Institute of Biological Products Co Ltd., Wuhan Institute of Biological Products Co., Ltd, The University of Hong Kong

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial adopts a randomized, double-blind and positive control design, it is planned to recruit 1800 healthy participants who have been vaccinated with 2/3 doses of COVID-19 inactivated vaccine or mRNA vaccine for 3 months. The participants will be divided into two strata according to the types of vaccines administered, including 900 participants of COVID-19 inactivated vaccine and 900 participants of mRNA vaccine. According to the ratio of 1:1:1, each stratum was randomly assigned to three groups: sequential BIBP- COVID-19 inactivated vaccine (Omicron), WIBP-COVID-19 inactivated vaccine (Omicron) or COVID-19 inactivated vaccine (prototype strain). And according to D0, D28 immunization schedule, two doses of corresponding group vaccines are sequentially administered.

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
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1804 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1: BIBP Inactivated COVID-19 vaccine (Omicron)
Arm Type
Experimental
Arm Description
subjects will be blinded and receive two doses of BIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of inactivated COVID-19 vaccine
Arm Title
2: WIBP Inactivated COVID-19 vaccine (Omicron)
Arm Type
Experimental
Arm Description
subjects will be blinded and receive two doses of WIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of inactivated COVID-19 vaccine
Arm Title
3:BIBP Inactivated COVID-19 vaccine (Omicron)
Arm Type
Experimental
Arm Description
subjects will be blinded and receive two doses of BIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of COVID-19 mRNA vaccine
Arm Title
4: WIBP Inactivated COVID-19 vaccine (Omicron)
Arm Type
Experimental
Arm Description
subjects will be blinded and receive two doses of WIBP Inactivated COVID-19 vaccine (Omicron) with 28 days apart more than 3 months after 2 or 3 doses of COVID-19 mRNA vaccine
Arm Title
5:Inactivated COVID-19 Vaccine (prototype)
Arm Type
Active Comparator
Arm Description
subjects will be blinded and receive two doses of Inactivated COVID-19 Vaccine (prototype) with 28 days apart more than 3 months after 2 or 3 doses of inactivated COVID-19 vaccine
Arm Title
6:Inactivated COVID-19 Vaccine (prototype)
Arm Type
Active Comparator
Arm Description
subjects will be blinded and receive two doses of Inactivated COVID-19 Vaccine (prototype) with 28 days apart more than 3 months after 2 or 3 doses of COVID-19 mRNA vaccine
Intervention Type
Biological
Intervention Name(s)
BIBP Omicron Inactivated COVID-19 vaccine (Vero Cell)
Intervention Description
intramuscular injection in the deltoid muscle
Intervention Type
Biological
Intervention Name(s)
WIBP Omicron Inactivated COVID-19 vaccine (Vero Cell)
Intervention Description
intramuscular injection in the deltoid muscle
Intervention Type
Biological
Intervention Name(s)
COVID-19 Vaccine (Vero Cell), Inactivated
Intervention Description
intramuscular injection in the deltoid muscle
Primary Outcome Measure Information:
Title
The Geometric Mean Titer (GMT) of anti-omicron neutralizing antibody
Time Frame
28 days after sequential vaccination of 2 doses
Title
The 4-fold rise rate of anti-omicron neutralizing antibody
Time Frame
28 days after sequential vaccination of 2 doses
Secondary Outcome Measure Information:
Title
The GMT of anti-omicron neutralizing antibody
Time Frame
14 days after sequential vaccination of 2 doses
Title
The 4-fold rise rate of anti-omicron neutralizing antibody
Time Frame
14 days after sequential vaccination of 2 doses
Title
Specific cellular immune response
Time Frame
within 28 days after vaccination
Title
The GMT of anti-omicron Immunoglobulin G (IgG) antibody
Time Frame
28 days after sequential vaccination of 2 doses
Title
The proportions of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Time Frame
28 days after sequential vaccination of 2 doses
Title
The proportion of subjects with neutralizing antibody GMT ≥1:16,≥1:32 and ≥1:64
Time Frame
on 3rd month, 6th month, 9th month, and 12th month after vaccination
Title
The incidence of any adverse reactions/events
Time Frame
28 days after each immunization
Title
The incidence of serious adverse events (SAE) and adverse events special interest (AESI)
Time Frame
from 1st booster dose and up to 6 months following 2nd booster dose
Other Pre-specified Outcome Measures:
Title
The incidence of COVID-19 cases , including severe cases and deaths accompanied by COVID-19
Time Frame
From 14 day after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age range: populations aged 18 years and above. Judged by the investigator that the health condition is well after inquiry and physical examination. Vaccinated with 2 doses/3 doses of inactivated COVID-19 vaccine or mRNA vaccine for ≥ 3 months. Female participants who are not nursing or pregnant at the time of enrolment (negative urine pregnancy test) and have no family planning within the first 7 months after enrollment. Effective contraceptive measures have been taken within 2 weeks before inclusion. During the whole follow-up period of the study, be able and willing to complete the whole prescribed study plan. With self ability to understand the study procedures, the informed consent & voluntarily sign an informed consent form and is able to comply with the requirements of the clinical study protocol. Exclusion Criteria: Confirmed cases, suspected cases or asymptomatic cases of COVID-19; With a history of Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) (self-report, on-site inquiry); Has vaccinated with one or four doses and above COVID-19 vaccine; Axillary temperature ≥37.3℃ (Tympanic temperature ≥ 37.6 ℃); Previous allergic reactions to drug or vaccination (such as acute allergic reactions, urticaria, eczema, dyspnea, angioneurotic edema or abdominal pain) or allergy to known components of COVID-19 vaccine (self-report, onsite enquiry); Have a history of hospital-diagnosed thrombocytopenia or other coagulation disorders (self-report, onsite enquiry); With known immunological impairment or immunocompromised diagnosed by the hospital (self-report, onsite enquiry); Have an uncontrolled epilepsy and other progressive neurological diseases or a history of Guillain-Barre syndrome (self-report, onsite enquiry); Received whole blood, plasma and immunoglobulin therapy within 1 month (self-report, onsite enquiry); Known or suspected severe illness includes: respiratory illness, acute infection or active attacks of chronic illness, liver and kidney disease, severe diabetes mellitus, malignant tumor, infectious or allergic skin disease, Human Immunodeficiency Virus (HIV) infection (self-report, onsite enquiry, provide test report if available); With hospital-diagnosed serious cardiovascular diseases (cardiopulmonary failure, drug-uncontrolled hypertension (physical examination of systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg), acute attacks of chronic respiratory illness (self-report, onsite enquiry); Received live attenuated vaccines within 1 month before vaccination (self-report, onsite enquiry); Received inactivated vaccines within 14 days before vaccination (self-report, onsite enquiry); Participating or planning to participate in other interventional vaccine clinical trials during this study Other vaccination-related contraindications considered by investigators.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ivan Hung, Clinical Professor
Organizational Affiliation
The University of Hong Kong
Official's Role
Principal Investigator
Facility Information:
Facility Name
Queen Mary Hospital
City
Hong Kong
Country
Hong Kong

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Sequential Immunization of Two Doses of Inactivated COVID-19 Vaccine (Omicron) in Vaccinated Population Aged 18 Years and Above

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