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Safety and Immunogenicity of COVID-19 Vaccine in Population Aged 18 Years and Above

Primary Purpose

COVID-19

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
low-dose LYB001
Recombinant COVID-19 Vaccine (CHO Cell)
high-dose LYB001
Sponsored by
Guangzhou Patronus Biotech Co., Ltd.
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:

  • Aged 18 years and above.
  • Participate the trial voluntarily and sign informed consent form.
  • Subjects are willing to comply with the requirements of the clinical trial protocol -and complete the study follow-up.
  • Armpit temperature ≤37.0℃ on the day of enrollment.
  • Novel Coronavirus (COVID-19) Antibody (IgG and IgM) was negative.

Exclusion Criteria:

  • Known allergy to investigational vaccine or its excipients, or previous history of anaphylactic shock or other serious adverse reactions to other vaccines
  • History of severe acute respiratory syndrome (SARS) and/or Middle East respiratory syndrome (MERS) infection or disease;
  • History of COVID-19, or close contact with a confirmed/suspected COVID-19 patient, or SARS-CoV-2 nucleic acid test was positive or antibody test (IgG, IgM) was positive;
  • Used antipyretic drugs, painkillers or anti-allergic drugs within 24 h before enrollment;
  • Has received COVID-19 vaccine;
  • vaccination of subunit vaccines and/or inactivated vaccines within 7 days before enrollment, or vaccination of live attenuated vaccines within 14 days before enrollment;
  • Administration of blood or blood related products (including immunoglobulins) within 3 months before enrollment; or plan to use during the trial;
  • Patients with the following diseases:

    1. Any acute disease or in the acute phase of chronic diseases within 7 days before enrollment;
    2. Congenital malformation or developmental disorder, genetic defect, severe malnutrition, etc.;
    3. History of congenital or acquired immunodeficiency or autoimmune diseases, or long-term(used continuously>14 days)use of glucocorticoid (dose ≥ 20 mg/day prednisone or equivalent dose) or other immunosuppressants within the last 6 months, yet the following situations are allowed to be included: inhaled or topical use of external steroids, or short-term use (course ≤ 14 days ) of oral corticosteroids;
    4. Known diagnosis of or having infectious diseases, or positive for any one of HBsAg, anti-HCV antibody, anti-TP antibody or anti-HCV antibody;
    5. Neurological diseases or family history (convulsion, epilepsy, encephalopathy, etc.); history of psychosis or family history;
    6. Asplenia or functional asplenia;
    7. Serious or uncontrollable cardiovascular diseases, diabetes, hematological and lymphatic diseases, immune system diseases, liver and kidney diseases, respiratory diseases, metabolism and bone diseases, or malignant tumors that need hospitalization;
    8. Contraindications of intramuscular injection and blood drawing, such as coagulation dysfunction, thrombosis or hemorrhagic diseases, or any condition that needs continuous use of anticoagulant;
    9. Severe hypertension with uncontrolled medication (at field measurement: systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥100mmHg) History of major surgery within 12 weeks before enrollment (in the opinion of the investigator), or incomplete recovery after surgery, or planning major surgery during the trial;
  • Participating or will participate other clinical trials during this trial;
  • Any disease or condition that, in the opinion of the investigator, would pose an unacceptable risk to the subject; the subject is unable to meet the protocol requirement; will interfere with evaluation of investigational vaccine.
  • Women who were breastfeeding or pregnant during the clinical study or planned to become pregnant during the study;

Sites / Locations

  • Jiangsu Provincial Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Low-dose vaccine(18-59 years)

Low-dose vaccine(60 years old and above)

High-dose vaccine(18-59 years)

High-dose vaccine(60 years old and above)

Arm Description

3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.

3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.

3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.

3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.

Outcomes

Primary Outcome Measures

The incidence of adverse reactions (ARs)
The incidence of adverse reactions (ARs) within 7 days after each vaccination

Secondary Outcome Measures

The occurrence of adverse events
The occurrence of adverse events within 28 days after vaccination
The incidences of serious adverse events (SAEs) and adverse events of special interest (AESIs)
The incidences of serious adverse events (SAEs) and adverse events of special interest (AESIs) within 12 months after dose1, dose2 and dose 3.
Laboratory safety measures: coagulation, blood biochemistry, complete blood count and urinalysis
The change of laboratory safety measures on day 3 after each vaccination in comparison with that before vaccination.
Geometric neutralizing titers (GMT) of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs).
GMT of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs) at day 14 after the second dose, day 14 ,day 28 , month 3, month 6, month 12 after full vaccination.
Geometric mean fold rise(GMFR) of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs).
GMFR of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs) at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Seroconversion rate of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs).
Seroconversion rate of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs) at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
GMT of binding antibody against S protein of SARS-CoV-2 wild strain.
GMT of binding antibody against S protein of SARS-CoV-2 wild strain at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
GMFR of binding antibody against S protein of SARS-CoV-2 wild strain.
GMFR of binding antibody against S protein of SARS-CoV-2 wild strain at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Seroconversion rate of of binding antibody against S protein of SARS-CoV-2 wild strain.
Seroconversion rate of binding antibody against S protein of SARS-CoV-2 wild strain at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
The cytokine levels (Elispot): Th1 type: IL-2, IFN-γ; Th2 type: IL-4.
The cytokine levels (Elispot) at day 14 after the second dose, day 14 after full vaccination.

Full Information

First Posted
September 15, 2022
Last Updated
March 9, 2023
Sponsor
Guangzhou Patronus Biotech Co., Ltd.
Collaborators
Yantai Patronus Biotech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05552573
Brief Title
Safety and Immunogenicity of COVID-19 Vaccine in Population Aged 18 Years and Above
Official Title
A Randomized, Blinded, Positive-controlled Phase I Clinical Trial to Evaluate the Safety and Immunogenicity of Recombinant SARS-CoV-2 Vaccine (CHO Cell) LYB001 in Population Aged 18 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 19, 2022 (Actual)
Primary Completion Date
January 10, 2023 (Actual)
Study Completion Date
December 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangzhou Patronus Biotech Co., Ltd.
Collaborators
Yantai Patronus Biotech 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
This is a randomized, blinded, positive-controlled study to evaluate the safety and immnunogenicity of Recombinant SARS-CoV-2 Vaccine (CHO Cell) LYB001, in population aged 18 years old and above. 100 subjects will be recruited in this study, including 50 aged 18-59 years old and 50 aged 60 years old and above.
Detailed Description
All subjects will be received 3 doses of LYB001, according to the immunization schedule of 0, 28, 56 days. The adverse events within 28 days after vaccination will be observed. In addition, blood samples will be collected on day 0 before vaccination,day 14 after dose 2, and on day 14, 28 and month 3, 6, 9, 12 after full vaccination. Serum antibody levels, cellular immune responses will be analyzed to evaluate the immunogenicity and immune persistence of the vaccine.

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 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low-dose vaccine(18-59 years)
Arm Type
Experimental
Arm Description
3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.
Arm Title
Low-dose vaccine(60 years old and above)
Arm Type
Experimental
Arm Description
3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.
Arm Title
High-dose vaccine(18-59 years)
Arm Type
Experimental
Arm Description
3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.
Arm Title
High-dose vaccine(60 years old and above)
Arm Type
Experimental
Arm Description
3 doses of LYB001 or Recombinant COVID-19 Vaccine (CHO Cell) at the immunization schedule of 0, 28, 56 days. Vaccination or positve-controlled group will be randomly assigned to receive in a 4:1 ratio.
Intervention Type
Biological
Intervention Name(s)
low-dose LYB001
Intervention Description
This vaccine is prepared through gene recombination and 3 doses of low-dose(30µg/0.5ml) LYB001 at the schedule of 0, 28, 56 days.
Intervention Type
Biological
Intervention Name(s)
Recombinant COVID-19 Vaccine (CHO Cell)
Intervention Description
This vaccine is Positive-controlled vaccine and 3 doses (0.5ml) at the schedule of 0, 28, 56 days.
Intervention Type
Biological
Intervention Name(s)
high-dose LYB001
Intervention Description
This vaccine is prepared through gene recombination and 3 doses of high-dose(60µg/0.5ml) LYB001 at the schedule of 0, 28, 56 days.
Primary Outcome Measure Information:
Title
The incidence of adverse reactions (ARs)
Description
The incidence of adverse reactions (ARs) within 7 days after each vaccination
Time Frame
Day 0-7 days after each vaccination
Secondary Outcome Measure Information:
Title
The occurrence of adverse events
Description
The occurrence of adverse events within 28 days after vaccination
Time Frame
Day 0-28 days after each vaccination
Title
The incidences of serious adverse events (SAEs) and adverse events of special interest (AESIs)
Description
The incidences of serious adverse events (SAEs) and adverse events of special interest (AESIs) within 12 months after dose1, dose2 and dose 3.
Time Frame
Day 0 to 12 months after dose1, dose2 and dose 3.
Title
Laboratory safety measures: coagulation, blood biochemistry, complete blood count and urinalysis
Description
The change of laboratory safety measures on day 3 after each vaccination in comparison with that before vaccination.
Time Frame
Day 3 after each vaccination.
Title
Geometric neutralizing titers (GMT) of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs).
Description
GMT of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs) at day 14 after the second dose, day 14 ,day 28 , month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14 after the second dose, day 14 , day 28 ,month 3, month 6, month 12 after full vaccination.
Title
Geometric mean fold rise(GMFR) of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs).
Description
GMFR of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs) at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14 after the second dose, day 14, day 28, month 3, month 6, month 12 after full vaccination.
Title
Seroconversion rate of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs).
Description
Seroconversion rate of neutralizing antibody against SARS-CoV-2 wild strain and variants of concern(VOCs) at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14 after the second dose, day 14, day 28, month 3, month 6, month 12 after full vaccination.
Title
GMT of binding antibody against S protein of SARS-CoV-2 wild strain.
Description
GMT of binding antibody against S protein of SARS-CoV-2 wild strain at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14 after the second dose, day 14, day 28, month 3, month 6, month 12 after full vaccination.
Title
GMFR of binding antibody against S protein of SARS-CoV-2 wild strain.
Description
GMFR of binding antibody against S protein of SARS-CoV-2 wild strain at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14 after the second dose, day 14, day 28, month 3, month 6, month 12 after full vaccination.
Title
Seroconversion rate of of binding antibody against S protein of SARS-CoV-2 wild strain.
Description
Seroconversion rate of binding antibody against S protein of SARS-CoV-2 wild strain at day 14 after the second dose, day 14 ,day 28, month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14 after the second dose, day 14, day 28, month 3, month 6, month 12 after full vaccination.
Title
The cytokine levels (Elispot): Th1 type: IL-2, IFN-γ; Th2 type: IL-4.
Description
The cytokine levels (Elispot) at day 14 after the second dose, day 14 after full vaccination.
Time Frame
Day 14 after the second dose, day 14 after full vaccination.
Other Pre-specified Outcome Measures:
Title
Anti-VLP antibody levels
Description
Anti-VLP antibody levels at day 14, day 28, month 3, month 6, month 12 after full vaccination.
Time Frame
Day 14, day 28, month 3, month 6, month 12 after full vaccination.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged 18 years and above. Participate the trial voluntarily and sign informed consent form. Subjects are willing to comply with the requirements of the clinical trial protocol -and complete the study follow-up. Armpit temperature ≤37.0℃ on the day of enrollment. Novel Coronavirus (COVID-19) Antibody (IgG and IgM) was negative. Exclusion Criteria: Known allergy to investigational vaccine or its excipients, or previous history of anaphylactic shock or other serious adverse reactions to other vaccines History of severe acute respiratory syndrome (SARS) and/or Middle East respiratory syndrome (MERS) infection or disease; History of COVID-19, or close contact with a confirmed/suspected COVID-19 patient, or SARS-CoV-2 nucleic acid test was positive or antibody test (IgG, IgM) was positive; Used antipyretic drugs, painkillers or anti-allergic drugs within 24 h before enrollment; Has received COVID-19 vaccine; vaccination of subunit vaccines and/or inactivated vaccines within 7 days before enrollment, or vaccination of live attenuated vaccines within 14 days before enrollment; Administration of blood or blood related products (including immunoglobulins) within 3 months before enrollment; or plan to use during the trial; Patients with the following diseases: Any acute disease or in the acute phase of chronic diseases within 7 days before enrollment; Congenital malformation or developmental disorder, genetic defect, severe malnutrition, etc.; History of congenital or acquired immunodeficiency or autoimmune diseases, or long-term(used continuously>14 days)use of glucocorticoid (dose ≥ 20 mg/day prednisone or equivalent dose) or other immunosuppressants within the last 6 months, yet the following situations are allowed to be included: inhaled or topical use of external steroids, or short-term use (course ≤ 14 days ) of oral corticosteroids; Known diagnosis of or having infectious diseases, or positive for any one of HBsAg, anti-HCV antibody, anti-TP antibody or anti-HCV antibody; Neurological diseases or family history (convulsion, epilepsy, encephalopathy, etc.); history of psychosis or family history; Asplenia or functional asplenia; Serious or uncontrollable cardiovascular diseases, diabetes, hematological and lymphatic diseases, immune system diseases, liver and kidney diseases, respiratory diseases, metabolism and bone diseases, or malignant tumors that need hospitalization; Contraindications of intramuscular injection and blood drawing, such as coagulation dysfunction, thrombosis or hemorrhagic diseases, or any condition that needs continuous use of anticoagulant; Severe hypertension with uncontrolled medication (at field measurement: systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥100mmHg) History of major surgery within 12 weeks before enrollment (in the opinion of the investigator), or incomplete recovery after surgery, or planning major surgery during the trial; Participating or will participate other clinical trials during this trial; Any disease or condition that, in the opinion of the investigator, would pose an unacceptable risk to the subject; the subject is unable to meet the protocol requirement; will interfere with evaluation of investigational vaccine. Women who were breastfeeding or pregnant during the clinical study or planned to become pregnant during the study;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fengcai Zhu
Organizational Affiliation
Jiangsu Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jiangsu Provincial Center for Disease Control and Prevention
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210000
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety and Immunogenicity of COVID-19 Vaccine in Population Aged 18 Years and Above

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