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Immunogenicity and Safety of BBIBP-Corv Coadministered With PPV23 and IIV4 in Hemodialysis Population

Primary Purpose

Hemolysis, COVID-19

Status
Recruiting
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
coadministration
COVID-19 vaccine
IIV4+PPV23
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 Hemolysis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria 1 :

  • Participants were hemodialysis patients aged ≥18 years.
  • The duration of dialysis of the participants was ≥3 months.
  • The life expectancy of participants was ≥2 years.
  • Participants who have not previously been infected with SARS-CoV-2.
  • Participants had not received any COVID-19 vaccine and had not received any influenza or pneumonia vaccine within 1 year.
  • For female participants of reproductive age, they had no fertility plan within the first 3 months and had taken effective contraceptive measures within 2 weeks ; For male participants of reproductive age, no fertility plans were made within 3 months.
  • Be able and willing to complete the entire study plan during the study follow-up period.
  • Have the ability to understand the study procedures, voluntarily sign informed consent.

Inclusion Criteria 2 :

  • Body temperature < 37.3 °C confirmed by clinical examination before enrollment .
  • Systolic blood pressure (SBP) was < 160 mmHg and diastolic blood pressure (DBP) was< 100 mmHg , and fasting blood glucose (FPG) was ≤13.9 mmol/L on the day of enrollment.
  • Female participants of reproductive age were not pregnant.

Exclusion Criteria 1 for the first dose:

  • Being allergic to any component of vaccines and a history of severe allergic reactions to any vaccine or allergic to pollen, food and other common allergens, or a history of allergic reaction to eating eggs or using gentamicin sulfate.
  • Participants with uncontrolled epilepsy or a history or family history of epilepsy, a history of Guillain-Barre syndrome, Reye syndrome, and other progressive diseases.
  • Participants were confirmed to be infected with H1N1, H3N2, BY and BV influenza viruses within 6 months.
  • Pregnant and lactating women.
  • Participants were in the period of acute illness or acute onset of chronic disease, and the acute complication has been cured for less than two weeks.
  • Participants with acute febrile diseases and infectious diseases (including hepatitis B, hepatitis C, HIV patients and carriers, as well as patients with suspected pulmonary tuberculosis symptoms such as hemoptysis, night sweats and weight loss).
  • Participants with congenital immunodeficiency or currently receiving immunosuppressive therapy (oral steroid hormones, calcineurin inhibitors (CNIs), rituximab, long-term glucocorticoid use ≥1 week).
  • Participants injected with non-specific immunoglobulin within 30 days.
  • Participants received attenuated vaccines within 30 days and inactivated or other vaccines within 14 days.
  • Serious drug adverse reactions and drug-related complications occurred during dialysis treatment.
  • Participants with severe cardiovascular diseases (e.g., myocardial infarction, heart failure, malignant arrhythmia).
  • Participants with infectious, suppurative and allergic skin diseases or severe skin itching (refers to the widespread and persistent attack; Affecting self-regulated activities of daily living or sleep; Systemic glucocorticoid or immunosuppressive therapy is required).
  • Participants with malignant tumors.
  • Participants had a history of seizures, encephalopathy, or psychiatric disorders (depressive mania, depression, schizophrenia, etc.).
  • Other Participants whose physical conditions, as determined by the investigator, are not suitable for inclusion in clinical studies.

Exclusion Criteria 2 for the first dose:

  • Participants who need medical intervention (except blood glucose) after laboratory tests (blood routine, blood biochemical, coagulation routine) are judged by the investigator.
  • Participants had a history of clearly diagnosed thrombocytopenia or other coagulation disorders, which may be contraindicated as subcutaneous injections
  • The participant did not inform the investigator in time of any condition mentioned in " Exclusion Criteria 1 for the first dose ".
  • Other Participants whose physical conditions, as determined by the investigator, are not suitable for inclusion in clinical studies.

Exclusion criteria for the second dose:

  • Subjects who had vaccine-related serious adverse reactions after vaccination.
  • High fever (axillary temperature > 40.0℃) lasted for two days after vaccination, or severe allergic reaction occurred.
  • Any vaccine-related neurological adverse reactions occurred after vaccination.
  • Participants experienced new conditions that met the "exclusion criteria for the first dose ".
  • Other reasons for exclusion considered by the investigator.

Sites / Locations

  • Xiangya Hospital Central South University
  • Sichuan Center for Disease Control and PreventionRecruiting
  • Guizhou Center for Disease Control and PreventionRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

Experimental Group

Control Group 1

Control Group 2

Arm Description

Total of 400 participants received one dose of BBIBP-Corv and IIV4 on Day 0, and received one dose of BBIBP-Corv and PPV23 on Day 28. Blood sampling was performed on Day 0, Day 28 and Day 56 for humoral immunity assessment. 30 of the 400 participants were selected to collect three blood samples on Day 0, Day 42 and Day 56 for cellular immune assessment.

Total of 400 participants received two doses of BBIBP-Corv on Day 0 and Day 28. Blood sampling was performed on Day 0, Day 28 and Day 56 for humoral immunity assessment. 30 of the 400 participants were selected to collect three blood samples on Day 0, Day 42 and Day 56 for cellular immune assessment.

Total of 400 participants received one dose IIV4 on Day 0 and received one dose PPV23 on Day 28. Blood sampling was performed on Day 0, Day 28 and Day 56 for humoral immunity assessment.

Outcomes

Primary Outcome Measures

Seroconversion rate against SARS-CoV-2
The rate of seroconversion against SARS-CoV-2
Seroconversion rate against IIV4
The rate of seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Seroconversion rate against PPV23
The rate of seroconversion against 23 pneumococcal serotypes
Neutralizing antibody GMT against SARS-CoV-2
Neutralizing antibody GMT against SARS-CoV-2 after vaccination
Hemmagglution inhibition antibody GMT against IIV4
Hemmagglution inhibition antibody GMT against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
IgG antibody GMC against PPV23
IgG antibody GMC against 23 pneumococcal serotypes
Neutralizing antibody geometric mean increase (GMI) against SARS-CoV-2
Neutralizing antibody GMI against SARS-CoV-2 after vaccination
Hemmagglution inhibition antibody GMI against IIV4
Hemmagglution inhibition antibody GMI against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
IgG antibody GMI against PPV23
IgG antibody GMI against 23 pneumococcal serotypes

Secondary Outcome Measures

Adverse events rate
Analyse the incidence of adverse events following vaccination, both solicited and unsolicited
Serious adverse event rate
Report and analyse serious adverse events

Full Information

First Posted
July 27, 2022
Last Updated
August 28, 2022
Sponsor
China National Biotec Group Company Limited
Collaborators
Hunan Provincial Center for Disease Control and Prevention, Sichuan Center for Disease Control and Prevention, Guizhou Center for Disease Control and Prevention, Xiangya Hospital of Central South University, Beijing Institute of Biological Products Co Ltd., Chengdu Institute of Biological Products Co.,Ltd., Shanghai Institute Of Biological Products
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1. Study Identification

Unique Protocol Identification Number
NCT05480436
Brief Title
Immunogenicity and Safety of BBIBP-Corv Coadministered With PPV23 and IIV4 in Hemodialysis Population
Official Title
Immunogenicity and Safety of Inactivated COVID-19 Vaccine Coadministered With 23-valent Pneumococcal Polysaccharide Vaccine and Quadrivalent Influenza Vaccine in Hemodialysis Population: a Multicentre, Randomised, Controlled, Phase 4 Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 5, 2022 (Actual)
Primary Completion Date
January 30, 2023 (Anticipated)
Study Completion Date
July 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
China National Biotec Group Company Limited
Collaborators
Hunan Provincial Center for Disease Control and Prevention, Sichuan Center for Disease Control and Prevention, Guizhou Center for Disease Control and Prevention, Xiangya Hospital of Central South University, Beijing Institute of Biological Products Co Ltd., Chengdu Institute of Biological Products Co.,Ltd., Shanghai Institute Of Biological Products

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
Evaluation of immunogenicity and safety of inactivated COVID-19 vaccine (BBIBP-Corv) coadministered with PPV23 and IIV4 in hemodialysis population.
Detailed Description
Participants aged ≥18 undergoing hemodialysis were recruited and randomly assigned to one of three study groups. Experimental Group : The participants received the first dose of BBIBP-Corv and IIV4 simultaneously on Day 0, and received the second dose of BBIBP-Corv and PPV23 simultaneously on Day 28. Control Group 1: The participants received two doses of BBIBP-Corv on Day 0 and Day 28, respectively. Control Group 2 : The participants received one doses of IIV4 on Day 0 and received one doses of PPV23 on Day 28. Three blood samples were collected on days 0, 28 and 56 to test humoral immunity, and three blood samples were collected on days 0, 42 and 56 to test cellular immunity to SARS-CoV-2. Any local or systemic adverse events after vaccination will be recorded.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental Group
Arm Type
Experimental
Arm Description
Total of 400 participants received one dose of BBIBP-Corv and IIV4 on Day 0, and received one dose of BBIBP-Corv and PPV23 on Day 28. Blood sampling was performed on Day 0, Day 28 and Day 56 for humoral immunity assessment. 30 of the 400 participants were selected to collect three blood samples on Day 0, Day 42 and Day 56 for cellular immune assessment.
Arm Title
Control Group 1
Arm Type
Active Comparator
Arm Description
Total of 400 participants received two doses of BBIBP-Corv on Day 0 and Day 28. Blood sampling was performed on Day 0, Day 28 and Day 56 for humoral immunity assessment. 30 of the 400 participants were selected to collect three blood samples on Day 0, Day 42 and Day 56 for cellular immune assessment.
Arm Title
Control Group 2
Arm Type
Active Comparator
Arm Description
Total of 400 participants received one dose IIV4 on Day 0 and received one dose PPV23 on Day 28. Blood sampling was performed on Day 0, Day 28 and Day 56 for humoral immunity assessment.
Intervention Type
Biological
Intervention Name(s)
coadministration
Intervention Description
the coadministration of an inactivated COVID-19 vaccine (BBIBP-CorV) and IIV4 on Day 0, and the coadministration of BBIBP-CorV and PPV23 on Day 28
Intervention Type
Biological
Intervention Name(s)
COVID-19 vaccine
Intervention Description
received two doses of inactivated COVID-19 vaccine (BBIBP-CorV)
Intervention Type
Biological
Intervention Name(s)
IIV4+PPV23
Intervention Description
received one dose of IIV4 on Day 0, and one dose of PPV23 on Day 28
Primary Outcome Measure Information:
Title
Seroconversion rate against SARS-CoV-2
Description
The rate of seroconversion against SARS-CoV-2
Time Frame
28 days after two doses vaccination (Day 56)
Title
Seroconversion rate against IIV4
Description
The rate of seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Time Frame
28 days after vaccination (Day 28)
Title
Seroconversion rate against PPV23
Description
The rate of seroconversion against 23 pneumococcal serotypes
Time Frame
28 days after vaccination (Day 56)
Title
Neutralizing antibody GMT against SARS-CoV-2
Description
Neutralizing antibody GMT against SARS-CoV-2 after vaccination
Time Frame
28 days after two doses vaccination (Day 56)
Title
Hemmagglution inhibition antibody GMT against IIV4
Description
Hemmagglution inhibition antibody GMT against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Time Frame
28 days after vaccination (Day 28)
Title
IgG antibody GMC against PPV23
Description
IgG antibody GMC against 23 pneumococcal serotypes
Time Frame
28 days after vaccination (Day 56)
Title
Neutralizing antibody geometric mean increase (GMI) against SARS-CoV-2
Description
Neutralizing antibody GMI against SARS-CoV-2 after vaccination
Time Frame
28 days after two doses vaccination (Day 56)
Title
Hemmagglution inhibition antibody GMI against IIV4
Description
Hemmagglution inhibition antibody GMI against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Time Frame
28 days after vaccination (Day 28)
Title
IgG antibody GMI against PPV23
Description
IgG antibody GMI against 23 pneumococcal serotypes
Time Frame
28 days after vaccination (Day 56)
Secondary Outcome Measure Information:
Title
Adverse events rate
Description
Analyse the incidence of adverse events following vaccination, both solicited and unsolicited
Time Frame
0-7 days or 0-28 days following vaccinations
Title
Serious adverse event rate
Description
Report and analyse serious adverse events
Time Frame
0-6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria 1 : Participants were hemodialysis patients aged ≥18 years. The duration of dialysis of the participants was ≥3 months. The life expectancy of participants was ≥2 years. Participants who have not previously been infected with SARS-CoV-2. Participants had not received any COVID-19 vaccine and had not received any influenza or pneumonia vaccine within 1 year. For female participants of reproductive age, they had no fertility plan within the first 3 months and had taken effective contraceptive measures within 2 weeks ; For male participants of reproductive age, no fertility plans were made within 3 months. Be able and willing to complete the entire study plan during the study follow-up period. Have the ability to understand the study procedures, voluntarily sign informed consent. Inclusion Criteria 2 : Body temperature < 37.3 °C confirmed by clinical examination before enrollment . Systolic blood pressure (SBP) was < 160 mmHg and diastolic blood pressure (DBP) was< 100 mmHg , and fasting blood glucose (FPG) was ≤13.9 mmol/L on the day of enrollment. Female participants of reproductive age were not pregnant. Exclusion Criteria 1 for the first dose: Being allergic to any component of vaccines and a history of severe allergic reactions to any vaccine or allergic to pollen, food and other common allergens, or a history of allergic reaction to eating eggs or using gentamicin sulfate. Participants with uncontrolled epilepsy or a history or family history of epilepsy, a history of Guillain-Barre syndrome, Reye syndrome, and other progressive diseases. Participants were confirmed to be infected with H1N1, H3N2, BY and BV influenza viruses within 6 months. Pregnant and lactating women. Participants were in the period of acute illness or acute onset of chronic disease, and the acute complication has been cured for less than two weeks. Participants with acute febrile diseases and infectious diseases (including hepatitis B, hepatitis C, HIV patients and carriers, as well as patients with suspected pulmonary tuberculosis symptoms such as hemoptysis, night sweats and weight loss). Participants with congenital immunodeficiency or currently receiving immunosuppressive therapy (oral steroid hormones, calcineurin inhibitors (CNIs), rituximab, long-term glucocorticoid use ≥1 week). Participants injected with non-specific immunoglobulin within 30 days. Participants received attenuated vaccines within 30 days and inactivated or other vaccines within 14 days. Serious drug adverse reactions and drug-related complications occurred during dialysis treatment. Participants with severe cardiovascular diseases (e.g., myocardial infarction, heart failure, malignant arrhythmia). Participants with infectious, suppurative and allergic skin diseases or severe skin itching (refers to the widespread and persistent attack; Affecting self-regulated activities of daily living or sleep; Systemic glucocorticoid or immunosuppressive therapy is required). Participants with malignant tumors. Participants had a history of seizures, encephalopathy, or psychiatric disorders (depressive mania, depression, schizophrenia, etc.). Other Participants whose physical conditions, as determined by the investigator, are not suitable for inclusion in clinical studies. Exclusion Criteria 2 for the first dose: Participants who need medical intervention (except blood glucose) after laboratory tests (blood routine, blood biochemical, coagulation routine) are judged by the investigator. Participants had a history of clearly diagnosed thrombocytopenia or other coagulation disorders, which may be contraindicated as subcutaneous injections The participant did not inform the investigator in time of any condition mentioned in " Exclusion Criteria 1 for the first dose ". Other Participants whose physical conditions, as determined by the investigator, are not suitable for inclusion in clinical studies. Exclusion criteria for the second dose: Subjects who had vaccine-related serious adverse reactions after vaccination. High fever (axillary temperature > 40.0℃) lasted for two days after vaccination, or severe allergic reaction occurred. Any vaccine-related neurological adverse reactions occurred after vaccination. Participants experienced new conditions that met the "exclusion criteria for the first dose ". Other reasons for exclusion considered by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tao Huang
Phone
+8615084736658
Email
ymlc01@hncdc.com
First Name & Middle Initial & Last Name or Official Title & Degree
Hui Xu
Phone
+8615974199189
Email
1196824139@qq.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tao Huang
Organizational Affiliation
Hunan Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Xiangya Hospital Central South University
City
Changsha
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hui Xu
Facility Name
Sichuan Center for Disease Control and Prevention
City
Chengdu
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaoping Zhu
Facility Name
Guizhou Center for Disease Control and Prevention
City
Guiyang
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruizhi Zhang

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Immunogenicity and Safety of BBIBP-Corv Coadministered With PPV23 and IIV4 in Hemodialysis Population

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