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Evaluation of Safety and Immunogenicity of the Recombinant ZR202-CoV and ZR202a-CoV Vaccines in Adults.

Primary Purpose

SARS-CoV-2 Infection, COVID-19

Status
Active
Phase
Phase 1
Locations
Mali
Study Type
Interventional
Intervention
ZR202-CoV
ZR202a-CoV
Comirnaty®
Sponsored by
Shanghai Zerun Biotechnology Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults of both genders, 18 years of age and older, not older than 55 years of age in Part 1.
  2. The subject has a BMI (Body Mass Index) ≤30 kg/m2, inclusive, at Screening.
  3. Having understood the contents of the ICF and patient information sheet, and having signed the ICF.
  4. Free of obvious health problems as established by medical history including physical examination and clinical judgment of the investigator.
  5. Clinical laboratory test results within normal reference range, or results with acceptable deviations that are judged to be NCS (Not Clinically Significant) by the investigator. (Part 1 only)
  6. Willing to come to study site and/or to receive home visits for the entire study period.
  7. Residence in the study area.
  8. Female subjects of childbearing potential have used available contraceptive methods during their sexual life within 14 days before enrollment, have no pregnancy plan and will take effective contraceptive measures from enrollment to 1 month after the 2nd vaccination.

Exclusion Criteria:

  1. Medical history of COVID-19 or previous vaccination with SARS-CoV-2 vaccine.
  2. Fever (body temperature ≥37.5℃/axillary temperature ≥37.3℃) on the day of vaccination or in the 72 hours prior to vaccination.
  3. Suffering from any acute clinically significant diseases or being in the acute exacerbation of chronic disease or body temperature ≥37.5℃ (this does not include minor illness such as diarrhea or mild respiratory tract infection) in the 72 hours prior to vaccination.
  4. Prior history of allergic reaction or anaphylaxis to any vaccine or drug, e.g., hypersensitivity, urticaria, serious eczema, dyspnea, laryngeal edema, and angioedema etc.
  5. Having received or planning to receive any vaccine other than the vaccines used in this clinical study from 28 days prior to the first vaccination to study end (except "vaccines for emergency" such as tetanus vaccine or rabies vaccine).
  6. Having participated in or planned to participate in clinical studies of other drugs from 28 days prior to the 1st vaccination to study end (6 months after the 2nd vaccination in Part 1).
  7. Presence of uncontrolled chronic pulmonary, cardiovascular, renal, hepatic, neurologic, hematologic, or metabolic (including diabetes mellitus) disorders, which would include the potential subject in a high-risk category for SARS-CoV-2 infection and/or its complications as judged by the investigator.
  8. Having hereditary hemorrhagic tendency or coagulation dysfunction (e.g., cytokine defects, coagulation disorders or platelet disorders), or history of significant bleeding, or history of intramuscular injection or venipuncture injury.
  9. Known medical history or a previous diagnosis of thrombosis including thrombocytopenia.
  10. Known medical history or diagnosis confirming that subjects have diseases affecting immune system function, including cancer (except skin basal cell carcinoma), congenital or acquired immunodeficiency (e.g., infection with HIV [Human Immunodeficiency Virus]), uncontrolled autoimmune disease.
  11. Asplenia or functional asplenia.
  12. Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying agents within 90 days prior to the administration of study vaccines (including systemic corticosteroids, this means prednisone, or equivalent, ≥0.5 mg/kg/day; topical steroids including inhaled steroids are allowed).
  13. Having received immunoglobulins and/or blood products within 3 months prior to the 1st vaccination in this study.
  14. Planning to permanently move from the local area before study completion or leave the local area for a long time during the period of study visits.
  15. Positive for the pregnancy test (a pregnancy test will be required before each vaccination for all women of childbearing potential) or lactation.
  16. Previous inclusion of 5 family members in the study (i.e., subjects belonging to the same family - biological father, mother, child, and brothers and sisters may be included up to a maximum of 5 members from the same family).
  17. Any chronic disease, condition, or criteria that in the opinion of the investigator might compromise the wellbeing of the subject or the compliance with study procedures or interfere with the outcome of the study.

Sites / Locations

  • Center for Vaccine Development-Mali

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

ZR202-CoV - Phase 1

ZR202a-COV - Phase 1

Comirnaty® - Phase 1

Arm Description

Two doses of SARS-CoV-2 adjuvanted recombinant protein vaccine (prototype), 1 dose each on Day 0 and 28.

Two doses of SARS-CoV-2 adjuvanted recombinant protein vaccine (variant), 1 dose each on Day 0 and 28.

Two doses of Comirnaty® (Pfizer-BioNTech), 1 dose each on Day 0 and 28.

Outcomes

Primary Outcome Measures

Percentage of subjects reporting solicited AEs within 7 days after each vaccination (Part 1)
Percentage of subjects reporting unsolicited AEs within 28 days after each vaccination (Part 1)
Occurrence of out-of-normal range clinical laboratory test results (including change from baseline values) 14 days post vaccination - (Part 1)

Secondary Outcome Measures

Immunogenicity as assess for SARS-CoV-2 specific neutralizing antibodies titers 28 days after each vaccination as measured by neutralization assay
Percentages of subjects reporting SAEs, AESIs (including COVID-19), MAAEs
Immunogenicity as assess for SARS-CoV-2-specific anti-S protein IgG binding antibodies 28 days after each vaccination as measured by ELISA.

Full Information

First Posted
August 3, 2022
Last Updated
April 18, 2023
Sponsor
Shanghai Zerun Biotechnology Co.,Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05490108
Brief Title
Evaluation of Safety and Immunogenicity of the Recombinant ZR202-CoV and ZR202a-CoV Vaccines in Adults.
Official Title
A Two-part, Phase I/II, Randomized, Observer-blinded, Controlled Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of the Recombinant ZR202-CoV and ZR202a-CoV Vaccines Administered at 0 and 28 Days as Compared to Comirnaty ®, and of a Booster Dose of ZR202a-CoV Vaccine in Healthy Adults.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 2, 2022 (Actual)
Primary Completion Date
September 26, 2022 (Actual)
Study Completion Date
August 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Zerun Biotechnology Co.,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
For Phase 1 only. Additional information will be provided when Phase 2 is implemented. This is a two-part phase I/II, single-center, observer-blind, randomized, controlled vaccine trial to evaluate the safety, reactogenicity, and immunogenicity of the recombinant ZR202-CoV and ZR202a-CoV vaccines administered at 0 and 28 days as compared to Comirnaty®, and of a booster dose of ZR202a-CoV vaccine in healthy adults. Part 1: A total of 60 eligible subjects will be randomized in a 1:1:1 ratio into one of the three vaccine groups (ZR202-CoV, ZR202a-CoV, or Comirnaty®), receiving 2 doses vaccination at 28 days interval. To assess safety and preliminary immunogenicity profile after primary series vaccination at pre-defined time points during the study. The DSMB will review the safety data and provide a recommendation to the Sponsor on whether the safety profile is acceptable for advancing to Part 2.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZR202-CoV - Phase 1
Arm Type
Experimental
Arm Description
Two doses of SARS-CoV-2 adjuvanted recombinant protein vaccine (prototype), 1 dose each on Day 0 and 28.
Arm Title
ZR202a-COV - Phase 1
Arm Type
Experimental
Arm Description
Two doses of SARS-CoV-2 adjuvanted recombinant protein vaccine (variant), 1 dose each on Day 0 and 28.
Arm Title
Comirnaty® - Phase 1
Arm Type
Active Comparator
Arm Description
Two doses of Comirnaty® (Pfizer-BioNTech), 1 dose each on Day 0 and 28.
Intervention Type
Biological
Intervention Name(s)
ZR202-CoV
Intervention Description
SARS-CoV-2 adjuvanted recombinant protein vaccine (prototype)
Intervention Type
Biological
Intervention Name(s)
ZR202a-CoV
Intervention Description
SARS-CoV-2 adjuvanted recombinant protein vaccine (variant)
Intervention Type
Biological
Intervention Name(s)
Comirnaty®
Intervention Description
Comirnaty® (Pfizer-BioNTech)
Primary Outcome Measure Information:
Title
Percentage of subjects reporting solicited AEs within 7 days after each vaccination (Part 1)
Time Frame
7 days after the first or second vaccination
Title
Percentage of subjects reporting unsolicited AEs within 28 days after each vaccination (Part 1)
Time Frame
28 days after the first or second vaccination
Title
Occurrence of out-of-normal range clinical laboratory test results (including change from baseline values) 14 days post vaccination - (Part 1)
Time Frame
Screening Visit, 14 days after the 1st and 2nd vaccinations at Day 14 and Day 42, and 28 days after both vaccinations at Day 28 and Day 56
Secondary Outcome Measure Information:
Title
Immunogenicity as assess for SARS-CoV-2 specific neutralizing antibodies titers 28 days after each vaccination as measured by neutralization assay
Time Frame
Day 28 and Day 56
Title
Percentages of subjects reporting SAEs, AESIs (including COVID-19), MAAEs
Time Frame
From 1st vaccination until 6 months after the 2nd vaccination (Part 1)
Title
Immunogenicity as assess for SARS-CoV-2-specific anti-S protein IgG binding antibodies 28 days after each vaccination as measured by ELISA.
Time Frame
Day 28 and Day 56

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: Adults of both genders, 18 years of age and older, not older than 55 years of age in Part 1. The subject has a BMI (Body Mass Index) ≤30 kg/m2, inclusive, at Screening. Having understood the contents of the ICF and patient information sheet, and having signed the ICF. Free of obvious health problems as established by medical history including physical examination and clinical judgment of the investigator. Clinical laboratory test results within normal reference range, or results with acceptable deviations that are judged to be NCS (Not Clinically Significant) by the investigator. (Part 1 only) Willing to come to study site and/or to receive home visits for the entire study period. Residence in the study area. Female subjects of childbearing potential have used available contraceptive methods during their sexual life within 14 days before enrollment, have no pregnancy plan and will take effective contraceptive measures from enrollment to 1 month after the 2nd vaccination. Exclusion Criteria: Medical history of COVID-19 or previous vaccination with SARS-CoV-2 vaccine. Fever (body temperature ≥37.5℃/axillary temperature ≥37.3℃) on the day of vaccination or in the 72 hours prior to vaccination. Suffering from any acute clinically significant diseases or being in the acute exacerbation of chronic disease or body temperature ≥37.5℃ (this does not include minor illness such as diarrhea or mild respiratory tract infection) in the 72 hours prior to vaccination. Prior history of allergic reaction or anaphylaxis to any vaccine or drug, e.g., hypersensitivity, urticaria, serious eczema, dyspnea, laryngeal edema, and angioedema etc. Having received or planning to receive any vaccine other than the vaccines used in this clinical study from 28 days prior to the first vaccination to study end (except "vaccines for emergency" such as tetanus vaccine or rabies vaccine). Having participated in or planned to participate in clinical studies of other drugs from 28 days prior to the 1st vaccination to study end (6 months after the 2nd vaccination in Part 1). Presence of uncontrolled chronic pulmonary, cardiovascular, renal, hepatic, neurologic, hematologic, or metabolic (including diabetes mellitus) disorders, which would include the potential subject in a high-risk category for SARS-CoV-2 infection and/or its complications as judged by the investigator. Having hereditary hemorrhagic tendency or coagulation dysfunction (e.g., cytokine defects, coagulation disorders or platelet disorders), or history of significant bleeding, or history of intramuscular injection or venipuncture injury. Known medical history or a previous diagnosis of thrombosis including thrombocytopenia. Known medical history or diagnosis confirming that subjects have diseases affecting immune system function, including cancer (except skin basal cell carcinoma), congenital or acquired immunodeficiency (e.g., infection with HIV [Human Immunodeficiency Virus]), uncontrolled autoimmune disease. Asplenia or functional asplenia. Chronic administration (defined as more than 14 days) of immunosuppressants or other immune-modifying agents within 90 days prior to the administration of study vaccines (including systemic corticosteroids, this means prednisone, or equivalent, ≥0.5 mg/kg/day; topical steroids including inhaled steroids are allowed). Having received immunoglobulins and/or blood products within 3 months prior to the 1st vaccination in this study. Planning to permanently move from the local area before study completion or leave the local area for a long time during the period of study visits. Positive for the pregnancy test (a pregnancy test will be required before each vaccination for all women of childbearing potential) or lactation. Previous inclusion of 5 family members in the study (i.e., subjects belonging to the same family - biological father, mother, child, and brothers and sisters may be included up to a maximum of 5 members from the same family). Any chronic disease, condition, or criteria that in the opinion of the investigator might compromise the wellbeing of the subject or the compliance with study procedures or interfere with the outcome of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Samba Sow
Organizational Affiliation
Center for Vaccine Development - Mali
Official's Role
Principal Investigator
Facility Information:
Facility Name
Center for Vaccine Development-Mali
City
Bamako
Country
Mali

12. IPD Sharing Statement

Learn more about this trial

Evaluation of Safety and Immunogenicity of the Recombinant ZR202-CoV and ZR202a-CoV Vaccines in Adults.

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