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UNAIR Inactivated COVID-19 Vaccine Phase III (Immunobridging Study)

Primary Purpose

COVID-19 Pandemic, COVID-19 Vaccines

Status
Recruiting
Phase
Phase 3
Locations
Indonesia
Study Type
Interventional
Intervention
Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) 5 µg
CoronaVac Biofarma COVID-19 Vaccine
Sponsored by
Dr. Soetomo General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Pandemic focused on measuring Inactivated COVID-19 Vaccine, Immunogenicity, Safety, COVID-19, Indonesia, Immunobridging study

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy adults and elderly, males and females, 18 years of age and above. Healthy status will be determined by the investigator based on medical history, clinical laboratory results, vital sign measurements, and physical examination at screening.
  2. Subjects have been informed properly regarding the study and signed the informed consent form.
  3. Subject will commit to comply with the instructions of the investigator and the schedule of the trial
  4. Participants agree not to donate bone marrow, blood, and blood products from the first study vaccine administration until 3 months after receiving the last dose of study vaccine.
  5. Participants must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study.

Exclusion Criteria:

  1. Subjects concomitantly enrolled or scheduled to be enrolled in another vaccine trial.
  2. Evolving mild, moderate, and severe illness, especially infectious diseases or fever (axillary temperature 37.5 degree Celcius or more) concurrent or within 7 days prior to first study vaccination. This includes respiratory or constitutional symptoms consistent with SARS-CoV-2 (cough, sore throat, difficulty in breathing, etc)
  3. Known history of allergy to any component of the vaccines.
  4. History of uncontrolled coagulopathy or blood disorders contraindicating intramuscular injection.
  5. Any autoimmune or immunodeficiency disease/condition
  6. Subjects who have received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulin, blood derived products, long term corticosteroid - more than 2 weeks, and so on), OR anticipation of the need for immunosuppressive treatment within 6 months after last vaccination. The use of topical or nasal steroid will be permitted.
  7. Unstable chronic disease, inclusive of uncontrolled hypertension, congestive heart failure, chronic obstructive pulmonary disease, asthma, chronic urticaria, diabetes requiring use of medicine. The final decision regarding this condition will be decided by the attending field clinicians or investigator.
  8. Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives.
  9. Individuals who previously receive any vaccines against Covid-19.
  10. Subjects already immunized with any vaccine within 4 weeks prior and expect to receive other vaccines within 60 days following the first dose.
  11. Individuals who have a previously ascertained Covid-19 in the period of 1 month (for mild, moderate, or asymptomatic people) or 3 months (for severe Covid-19) before the first recruit of this study, or in a close contact in the last 14 days with confirmed case of Covid-19.
  12. Positive test for SARS-CoV-2 (Antigen test or, if necessary, PCR test) at screening prior to first vaccination. Testing may be repeated during the screening period if exposure to positive confirmed case of SARS-CoV-2 is suspected, at the discretion of investigator.
  13. Alcohol or substance abuse
  14. HIV patients.
  15. Malignancy patients within 2 years prior to first study vaccination.
  16. Any neurological disease or history of significant neurological disorder such as meningitis, encephalitis, Guillain-Barre Syndrome, multiple sclerosis, etc
  17. Vital sign abnormalities and clinical laboratory abnormalities as decided by the investigators. Vital sign measurements and clinical laboratory testing may be repeated before the final decision.
  18. Women who are pregnant or who plan to become pregnant during the study.
  19. Participant has major psychiatric problem or illness
  20. Participant cannot communicate reliably with the investigator
  21. Participant has contraindication to intramuscular injection and blood draws, such as bleeding disorders or phobia.
  22. Participant had major surgery within 12 weeks before vaccination which will not be fully recovered, or has major surgery planned during the time participant is expected to participate in the study or within 6 months after the last dose of study vaccine administration.
  23. Any condition that in the opinion of the investigators would pose a health risk to the subject if enrolled or could interfere with the evaluation of the vaccine or interpretation of the study results
  24. Study team members.
  25. Subject planning to move from the study area before the end of study period.

Sites / Locations

  • Dr. Soebandi General HospitalRecruiting
  • Jember Paru HospitalRecruiting
  • Dr. Saiful Anwar General HospitalRecruiting
  • Airlangga University HospitalRecruiting
  • Dr. Soetomo General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) 5 µg

CoronaVac Biofarma COVID-19 Vaccine

Arm Description

Study product are provided in the form of liquid in vial single dose (0.5 ml). The vaccine will be given twice with 28 days interval.

Control vaccine is CoronaVac Bio Farma vaccine, supplied by Ministry of Health of Indonesia, in the form of two doses vial. The vaccine will be given twice with 28 days interval.

Outcomes

Primary Outcome Measures

The Humoral Immunogenicity Profile
The level of SARS-CoV-2 neutralizing and non neutralizing antibody among participants

Secondary Outcome Measures

The Safety Profile
Evaluate number of adverse events occur among participants
The Humoral Immunogenicity Profile
The level of SARS-CoV-2 neutralizing and non neutralizing antibody among participants
The Cellular Immunogenicity Profile
Evaluate Th1 and Th2 immune responses including CD4+/CD8+. IL-2, IL-4, TNF alpha, IFN gamma, and other markers after stimulation of PBMC with SARS-CoV-2 protein peptides and Interferon gamma release assay (IGRA) to assess the production of IFN-γ from stimulated CD4+ and CD8+ with antigen peptides specific to SARS-CoV-2 among participants

Full Information

First Posted
August 18, 2022
Last Updated
August 24, 2022
Sponsor
Dr. Soetomo General Hospital
Collaborators
Indonesia-MoH, Universitas Airlangga, Biotis Pharmaceuticals, Indonesia
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1. Study Identification

Unique Protocol Identification Number
NCT05508477
Brief Title
UNAIR Inactivated COVID-19 Vaccine Phase III (Immunobridging Study)
Official Title
A Multicenter, Randomized, Double Blind, Controlled, Phase III Clinical Trial (Immunobridging Study) of Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) in Healthy Population Aged 18 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
June 28, 2022 (Actual)
Primary Completion Date
March 28, 2023 (Anticipated)
Study Completion Date
May 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Soetomo General Hospital
Collaborators
Indonesia-MoH, Universitas Airlangga, Biotis Pharmaceuticals, Indonesia

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 study is a multicenter, randomized, double blind, controlled, phase III clinical trial (Immunobridging Study) to evaluate the immunogenicity and safety of Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) in healthy populations aged 18 years and above. Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) is an inactivated vaccine made of SARS-CoV-2 virus isolated from a patient in Surabaya, composed with aluminium hydroxy gel, tween 80, and L-histidine, and this study will be the first phase III in human.
Detailed Description
This is a double blind randomized controlled trial - immunobridging study. There will be 2 groups in the study. One adult group (18 year-old and above) with 5 µg dose, and 1 control group using CoronaVac Bio Farma. Both vaccines will be administered with 2-dose schedule, intramuscularly. All cohorts will be followed for 6 months. This study will have two interim and one full analysis The main focus is immunogenicity and safety or reactogenicity issues. Data Safety Monitoring Board will be commissioned for this study to evaluate safety data over the study period and to review any events that meet a specific study pausing rule or any other safety issue that may arise. They will review the blinded 7 and 28 days safety data following the first dose of vaccine, and then the 7 and 28 days after the second dose. The immunogenicity data will be evaluated until 6 months after the second dose

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Pandemic, COVID-19 Vaccines
Keywords
Inactivated COVID-19 Vaccine, Immunogenicity, Safety, COVID-19, Indonesia, Immunobridging study

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
There will be 2 groups in the study. One adult group (18 year-old and above) with 5 µg dose, and 1 control group using CoronaVac Bio Farma. The UNAIR vaccine group will consist of 3 sub group based on different lot. Both vaccines will be administered with 2-dose schedule, intramuscularly. All cohorts will be followed for 6 months.
Masking
ParticipantInvestigator
Masking Description
In this clinical trial, the experimental vaccine and the control vaccine will have different packages. In order to maintain the blinding process, the unblinded team will be appointed to place the vaccine in the syringe. The other team members will later inject the vaccines according to the random group that has been selected. The injection team do not know what kind of vaccine is in the syringe.
Allocation
Randomized
Enrollment
4005 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) 5 µg
Arm Type
Experimental
Arm Description
Study product are provided in the form of liquid in vial single dose (0.5 ml). The vaccine will be given twice with 28 days interval.
Arm Title
CoronaVac Biofarma COVID-19 Vaccine
Arm Type
Active Comparator
Arm Description
Control vaccine is CoronaVac Bio Farma vaccine, supplied by Ministry of Health of Indonesia, in the form of two doses vial. The vaccine will be given twice with 28 days interval.
Intervention Type
Biological
Intervention Name(s)
Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) 5 µg
Intervention Description
Vaksin Merah Putih - UA SARS-CoV-2 (Vero Cell Inactivated) contains purified S protein of SARS-CoV-2 - Dose: 5 µg, aluminium hydroxide gel, 10 mM L-Histidine buffer, 0.005%, Tween Polysorbate 80, and 0.9% Sodium chloride. Vaccine will be prepared in vial (1 ml per vial). One vial will be used for one injection only. The vial should be shaken well before injection.
Intervention Type
Biological
Intervention Name(s)
CoronaVac Biofarma COVID-19 Vaccine
Intervention Description
Control vaccine in this study is existing CoronaVac-BioFarma inactivated COVID-19 vaccine which has been used widely in Indonesia
Primary Outcome Measure Information:
Title
The Humoral Immunogenicity Profile
Description
The level of SARS-CoV-2 neutralizing and non neutralizing antibody among participants
Time Frame
28 days after the second vaccination
Secondary Outcome Measure Information:
Title
The Safety Profile
Description
Evaluate number of adverse events occur among participants
Time Frame
Within 30 minutes, 24 hours, 7 and 28 days following each dose and 3 and 6 months after the second doses of vaccination
Title
The Humoral Immunogenicity Profile
Description
The level of SARS-CoV-2 neutralizing and non neutralizing antibody among participants
Time Frame
3 and 6 months following the second vaccination
Title
The Cellular Immunogenicity Profile
Description
Evaluate Th1 and Th2 immune responses including CD4+/CD8+. IL-2, IL-4, TNF alpha, IFN gamma, and other markers after stimulation of PBMC with SARS-CoV-2 protein peptides and Interferon gamma release assay (IGRA) to assess the production of IFN-γ from stimulated CD4+ and CD8+ with antigen peptides specific to SARS-CoV-2 among participants
Time Frame
3 and 6 months after the second vaccination
Other Pre-specified Outcome Measures:
Title
Lot to Lot Consistency
Description
The comparison for safety and immunogenicity aspects (humoral and cellular) among 3 vaccine lots used in this trial
Time Frame
28 days, 3 and 6 months after the second injection for immunogenicity profile, and 30 minutes, 24 hours, 7 and 28 days after each vaccination, and then 3 and 6 months after the second injection for safety aspects.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults and elderly, males and females, 18 years of age and above. Healthy status will be determined by the investigator based on medical history, clinical laboratory results, vital sign measurements, and physical examination at screening. Subjects have been informed properly regarding the study and signed the informed consent form. Subject will commit to comply with the instructions of the investigator and the schedule of the trial Participants agree not to donate bone marrow, blood, and blood products from the first study vaccine administration until 3 months after receiving the last dose of study vaccine. Participants must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study. Exclusion Criteria: Subjects concomitantly enrolled or scheduled to be enrolled in another vaccine trial. Evolving mild, moderate, and severe illness, especially infectious diseases or fever (axillary temperature 37.5 degree Celcius or more) concurrent or within 7 days prior to first study vaccination. This includes respiratory or constitutional symptoms consistent with SARS-CoV-2 (cough, sore throat, difficulty in breathing, etc) Known history of allergy to any component of the vaccines. History of uncontrolled coagulopathy or blood disorders contraindicating intramuscular injection. Any autoimmune or immunodeficiency disease/condition Subjects who have received in the previous 4 weeks a treatment likely to alter the immune response (intravenous immunoglobulin, blood derived products, long term corticosteroid - more than 2 weeks, and so on), OR anticipation of the need for immunosuppressive treatment within 6 months after last vaccination. The use of topical or nasal steroid will be permitted. Unstable chronic disease, inclusive of uncontrolled hypertension, congestive heart failure, chronic obstructive pulmonary disease, asthma, chronic urticaria, diabetes requiring use of medicine. The final decision regarding this condition will be decided by the attending field clinicians or investigator. Any abnormality or chronic disease which according to the investigator might interfere with the assessment of the trial objectives. Individuals who previously receive any vaccines against Covid-19. Subjects already immunized with any vaccine within 4 weeks prior and expect to receive other vaccines within 60 days following the first dose. Individuals who have a previously ascertained Covid-19 in the period of 1 month (for mild, moderate, or asymptomatic people) or 3 months (for severe Covid-19) before the first recruit of this study, or in a close contact in the last 14 days with confirmed case of Covid-19. Positive test for SARS-CoV-2 (Antigen test or, if necessary, PCR test) at screening prior to first vaccination. Testing may be repeated during the screening period if exposure to positive confirmed case of SARS-CoV-2 is suspected, at the discretion of investigator. Alcohol or substance abuse HIV patients. Malignancy patients within 2 years prior to first study vaccination. Any neurological disease or history of significant neurological disorder such as meningitis, encephalitis, Guillain-Barre Syndrome, multiple sclerosis, etc Vital sign abnormalities and clinical laboratory abnormalities as decided by the investigators. Vital sign measurements and clinical laboratory testing may be repeated before the final decision. Women who are pregnant or who plan to become pregnant during the study. Participant has major psychiatric problem or illness Participant cannot communicate reliably with the investigator Participant has contraindication to intramuscular injection and blood draws, such as bleeding disorders or phobia. Participant had major surgery within 12 weeks before vaccination which will not be fully recovered, or has major surgery planned during the time participant is expected to participate in the study or within 6 months after the last dose of study vaccine administration. Any condition that in the opinion of the investigators would pose a health risk to the subject if enrolled or could interfere with the evaluation of the vaccine or interpretation of the study results Study team members. Subject planning to move from the study area before the end of study period.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dominicus Husada, MD
Phone
‭+6281232266377‬
Email
dominicushusada@yahoo.com
First Name & Middle Initial & Last Name or Official Title & Degree
Damayanti Tinduh, MD
Phone
+6281703293335‬
Email
damayanti.tinduh@fk.unair.ac.id
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dominicus Husada, MD
Organizational Affiliation
Dr. Soetomo General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dr. Soebandi General Hospital
City
Jember
State/Province
East Java
ZIP/Postal Code
68111
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Retna D Puspita, MD
Phone
+62813-3118-0432
Facility Name
Jember Paru Hospital
City
Jember
State/Province
East Java
ZIP/Postal Code
68118
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sigit K Jati, MD
Phone
+6281233843628
Facility Name
Dr. Saiful Anwar General Hospital
City
Malang
State/Province
East Java
ZIP/Postal Code
65112
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cesarius S Wahono, MD
Phone
+6281344110967
Facility Name
Airlangga University Hospital
City
Surabaya
State/Province
East Java
ZIP/Postal Code
60115
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Brian E Rahman, MD
Phone
+628123005886
Facility Name
Dr. Soetomo General Hospital
City
Surabaya
State/Province
East Java
ZIP/Postal Code
67161
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dominicus Husada, MD
Phone
‭+6281232266377‬
Email
dominicushusada@yahoo.com
First Name & Middle Initial & Last Name & Degree
Damayanti Tinduh, MD
Phone
‭+6281703293335‬
Email
damayanti.tinduh@fk.unair.ac.id
First Name & Middle Initial & Last Name & Degree
Dominicus Husada, MD
First Name & Middle Initial & Last Name & Degree
Damayanti Tinduh, MD
First Name & Middle Initial & Last Name & Degree
Gatot Soegiarto, MD
First Name & Middle Initial & Last Name & Degree
Leny Kartina, MD
First Name & Middle Initial & Last Name & Degree
Aryati Aryati, MD
First Name & Middle Initial & Last Name & Degree
Jusak Nugraha, MD
First Name & Middle Initial & Last Name & Degree
Munawaroh Fitriah, MD
First Name & Middle Initial & Last Name & Degree
Maria I Lusida, MD
First Name & Middle Initial & Last Name & Degree
Eko B Khoendori, MD
First Name & Middle Initial & Last Name & Degree
Neneng D Kurniati, MD
First Name & Middle Initial & Last Name & Degree
Fierly Hayati, MD
First Name & Middle Initial & Last Name & Degree
Budi Utomo, MD
First Name & Middle Initial & Last Name & Degree
Novira Widajanti, MD
First Name & Middle Initial & Last Name & Degree
Yudi H Oktaviono, MD
First Name & Middle Initial & Last Name & Degree
Deasy Fetarayani, MD

12. IPD Sharing Statement

Plan to Share IPD
No
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