search
Back to results

Evaluation of Corfluvec Vaccine for the Prevention of COVID-19 in Healthy Volunteers

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
Corfluvec component 1 low dose
Corfluvec component 2 low dose
Corfluvec component 1 high dose
Corfluvec component 2 high dose
Corfluvec low dose
Corfluvec high dose
Placebo
Sponsored by
Tatyana Zubkova
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID-19, vaccine, influenza vector

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Availability of signed informed consent Adult men and women aged 18-60 Diagnosed "healthy" according to the data of standard clinical, laboratory and instrumental examination methods, with the absence of clinically significant changes Body Mass Index (BMI): 18.5≤ BMI ≤30 kg/m2 HI antibody titers ≤1:20 to influenza A/H1N1pdm09 and A/H3N2 (only for phase 1) Serum antibodies to the SARS-CoV-2 N-protein not higher than 100 BAU/ml The ability and willingness to make entries in the diary of self-observation, as well as to carry out all the visits foreseen in the study for control medical observation Negative test for alcohol in exhaled air Consent to use effective contraceptive methods throughout their participation in the study Values of the complete blood count and biochemical blood analysis (during the screening) within 0.9*reference range lower limit and 1,1 * reference range upper limit Negative tests for HIV, hepatitis B, hepatitis C, and syphilis Exclusion Criteria: Contact with COVID-19 patients within 14 days prior to the start of the clinical study Positive rapid test result for SARS-CoV-2 antigen Participation in another clinical study within three months prior to the start of the current study; planning to participate in another study during the current study period. Immunization with any other non-study vaccine product, including COVID-19 vaccination within four weeks prior to enrollment in the current study, or refusal to postpone such until the end of the four-week period after completion of the current study Regular use of nasal irrigation therapy during the last six months prior to enrollment in the current study or episodic use of the above method of treatment in the two weeks prior to the screening History of frequent nosebleeds (>5) during the year prior to the current study Clinically significant anatomic pathology or the presence of surgical intervention in the sinus area, paranasal sinuses, or traumatic injuries of the nose within a month before screening Symptoms of acute respiratory disease, including fever, or other acute illness at the time of screening or within two weeks prior to screening Treatment with immunoglobulins or other blood derived medications in the three months prior to screening or planning such treatment during the period of participation in the current study; donation of blood/plasma (450 ml or more) less than 2 months prior to screening The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions or continuous use (the drug was prescribed for more than 14 days without a break) of immunosuppressive drugs, immunomodulators for 6 months before the screening History of bronchial asthma Hypersensitivity and the presence of severe allergic reactions, including Quincke's edema, anaphylactic shock after the previous administration of any vaccine History of wheezing after previous immunization with live influenza vaccine Other adverse events after immunization (fever above 40°C, syncope, non-febrile convulsions, anaphylaxis) when there is a minimal likelihood that they are associated with a previous administration of any vaccine Suspicion of hypersensitivity to any component of the study vaccine, including egg protein Seasonal (in spring or autumn) increased sensitivity to the effects of natural factors Acute or chronic clinically significant lung, cardiovascular, hepatic, endocrine, neurological, or psychiatric disorders, or impaired renal function identified by history, physical examination, or clinical laboratory findings that, in the opinion of the investigator, may influence the outcome of the study History of leukemia or any other malignant diseases of the blood or solid malignant neoplasms of other organs History of thrombocytopenic purpura or bleeding disorders History of convulsions The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions, including HIV infection Tuberculosis or residual changes after tuberculosis according to the anamnesis and / or available medical documentation Chronic alcohol dependence or chronic use of illicit drugs, drug abuse Claustrophobia and social phobia according to history and / or available medical records For women of reproductive age - lactation, pregnancy or suspected pregnancy, early postpartum period Premenopausal women (last menstrual period <1 year prior to signing informed consent) who are not surgically sterile and women who are of reproductive potential but do not use or plan to use valid birth control throughout the study and do not agree to perform a urine pregnancy test while participating in the study Military personnel undergoing military service on conscription Persons in custody in pre-trial detention centers and serving sentences in places of deprivation of liberty Special diet (eg, vegetarian, vegan, salt-restricted) or lifestyle (night work, extreme physical activity) Any condition that, in the opinion of the investigator, may increase the risk to the health of a volunteer participating in the study or affect the results of the study

Sites / Locations

  • Pavlov First State Medical University of St. Petersburg
  • Smorodintsev Research Institute of Influenza

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Group 0a

Group 0b

Group 0c

Group 0d

Group 1a

Group 1b

Group 1c

Group 2a

Group 2b

Arm Description

Single dose of 7.2 lg EID50 of H3N2 vaccine component

Single dose of 7.5 lg EID50 of H1N1pdm09 vaccine component

Single dose of 8.0 lg EID50 of H3N2 vaccine component

Single dose of 8.3 lg EID50 of H1N1pdm09 vaccine component

Low dose vaccine, two components received three weeks apart

High dose vaccine, two components received three weeks apart

Placebo, two doses received three weeks apart

High dose vaccine, two components received three weeks apart

Placebo, two doses received three weeks apart

Outcomes

Primary Outcome Measures

Number of participants with local and systemic adverse events (AEs) and serious adverse events (SAEs)
Number of participants with AEs and SAEs including those of particular interest: immediate AEs (allergic reactions) occurring within 2 h after vaccination; post-vaccination reactions between 2 h and a subsequent 7 days; other AEs including unexpected clinical manifestations of a local and systemic nature occurring on the day of vaccination and the following 7 days; deviations of laboratory parameters of analyzes of blood and urine samples and data from instrumental studies (ECG) obtained on Days 3, 7, 23 and 27; all SAEs occurring up to 3 weeks after each vaccination; late AEs occurring after study Day 42 through Day 180±5; influenza A virus shedding detected by rapid test in nasal swab samples
Level of SARS-CoV-2 antigen specific cytokine producing T-cells
Change from baseline in the level of cytokine producing T-cells upon in vitro stimulation of PBMC with SARS-CoV-2 N protein peptide epitopes measured by ICS/ELISPOT
Level of SARS-CoV-2 antigen specific cytokine release in whole blood assay
Change from baseline in the cytokine concentration in whole-blood cytokine release assay upon in vitro stimulation with SARS-CoV-2 N protein peptide epitopes
Level of SARS-CoV-2 antigen specific mucosal and systemic IgA and IgG antibody
Change from baseline in the levels of IgA and IgG antibody to SARS-CoV-2 N protein measured in ELISA in saliva/nasal secret and serum

Secondary Outcome Measures

Number of responders to vaccination according to the fold increase in the level of specific T-cell response
Proportion of participants exhibiting significant increase in the level of specific T-cell response to SARS-CoV-2 N protein after vaccination in comparison to baseline. The increase in the parameter is considered significant if it exceeds the specified range, which is a 95% CI for mean value of parameter fold change in the Placebo group at assessment day compared to Day 1
Seroconversion rate of SARS-CoV-2 antigen specific antibody
Proportion of participants who have at least a 4-fold increase in post-vaccination antibody titers in comparison to baseline

Full Information

First Posted
January 17, 2023
Last Updated
June 13, 2023
Sponsor
Tatyana Zubkova
Collaborators
MDP-CRO, LLC, St. Petersburg State Pavlov Medical University
search

1. Study Identification

Unique Protocol Identification Number
NCT05696067
Brief Title
Evaluation of Corfluvec Vaccine for the Prevention of COVID-19 in Healthy Volunteers
Official Title
Randomized, Double-blind, Placebo-controlled Phase 1/2 Trial of Corfluvec Intranasal Vector Vaccine for the Prevention of COVID-19 in Healthy Volunteers Aged 18 to 60 Years
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
September 13, 2022 (Actual)
Primary Completion Date
December 30, 2022 (Actual)
Study Completion Date
May 31, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Tatyana Zubkova
Collaborators
MDP-CRO, LLC, St. Petersburg State Pavlov Medical University

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
The aim of the study is to investigate the safety and immunogenicity of a two-component intranasal vaccine for the prevention of COVID-19 in healthy volunteers 18-60 years old
Detailed Description
Study include three parts. During the first part the two vaccine components will be administered separately to a small number of seronegative participants in low dose and then high dose to evaluate each component's safety. During the second part vaccine components would be administered one after another with 21 days interval to evaluate safety of the complete vaccine regimen (low dose and high dose). During the third part of the study the high dose vaccine will be administered to participants to evaluate vaccine immunogenicity. The whole study will include 200 participants. Duration of the study for each participant is about 6.5 months (no more than 194 days).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19, vaccine, influenza vector

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group 0a
Arm Type
Experimental
Arm Description
Single dose of 7.2 lg EID50 of H3N2 vaccine component
Arm Title
Group 0b
Arm Type
Experimental
Arm Description
Single dose of 7.5 lg EID50 of H1N1pdm09 vaccine component
Arm Title
Group 0c
Arm Type
Experimental
Arm Description
Single dose of 8.0 lg EID50 of H3N2 vaccine component
Arm Title
Group 0d
Arm Type
Experimental
Arm Description
Single dose of 8.3 lg EID50 of H1N1pdm09 vaccine component
Arm Title
Group 1a
Arm Type
Experimental
Arm Description
Low dose vaccine, two components received three weeks apart
Arm Title
Group 1b
Arm Type
Experimental
Arm Description
High dose vaccine, two components received three weeks apart
Arm Title
Group 1c
Arm Type
Placebo Comparator
Arm Description
Placebo, two doses received three weeks apart
Arm Title
Group 2a
Arm Type
Experimental
Arm Description
High dose vaccine, two components received three weeks apart
Arm Title
Group 2b
Arm Type
Placebo Comparator
Arm Description
Placebo, two doses received three weeks apart
Intervention Type
Biological
Intervention Name(s)
Corfluvec component 1 low dose
Intervention Description
Participants will receive single intranasal injection of H3N2 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2
Intervention Type
Biological
Intervention Name(s)
Corfluvec component 2 low dose
Intervention Description
Participants will receive single intranasal injection of H1N1pdm09 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2
Intervention Type
Biological
Intervention Name(s)
Corfluvec component 1 high dose
Intervention Description
Participants will receive single intranasal injection of H3N2 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2
Intervention Type
Biological
Intervention Name(s)
Corfluvec component 2 high dose
Intervention Description
Participants will receive single intranasal injection of H1N1pdm09 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2
Intervention Type
Biological
Intervention Name(s)
Corfluvec low dose
Intervention Description
Participants will receive two intranasal injections of recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2 tree weeks apart (H3N2 →H1N1pdm09)
Intervention Type
Biological
Intervention Name(s)
Corfluvec high dose
Intervention Description
Participants will receive two intranasal injections of recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2 tree weeks apart (H3N2 →H1N1pdm09)
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Participants will receive two intranasal injections of placebo three weeks apart
Primary Outcome Measure Information:
Title
Number of participants with local and systemic adverse events (AEs) and serious adverse events (SAEs)
Description
Number of participants with AEs and SAEs including those of particular interest: immediate AEs (allergic reactions) occurring within 2 h after vaccination; post-vaccination reactions between 2 h and a subsequent 7 days; other AEs including unexpected clinical manifestations of a local and systemic nature occurring on the day of vaccination and the following 7 days; deviations of laboratory parameters of analyzes of blood and urine samples and data from instrumental studies (ECG) obtained on Days 3, 7, 23 and 27; all SAEs occurring up to 3 weeks after each vaccination; late AEs occurring after study Day 42 through Day 180±5; influenza A virus shedding detected by rapid test in nasal swab samples
Time Frame
Throughout the study, average of 6.5 months
Title
Level of SARS-CoV-2 antigen specific cytokine producing T-cells
Description
Change from baseline in the level of cytokine producing T-cells upon in vitro stimulation of PBMC with SARS-CoV-2 N protein peptide epitopes measured by ICS/ELISPOT
Time Frame
Throughout the 42±2 study days
Title
Level of SARS-CoV-2 antigen specific cytokine release in whole blood assay
Description
Change from baseline in the cytokine concentration in whole-blood cytokine release assay upon in vitro stimulation with SARS-CoV-2 N protein peptide epitopes
Time Frame
Throughout the 42±2 study days
Title
Level of SARS-CoV-2 antigen specific mucosal and systemic IgA and IgG antibody
Description
Change from baseline in the levels of IgA and IgG antibody to SARS-CoV-2 N protein measured in ELISA in saliva/nasal secret and serum
Time Frame
Throughout the 42±2 study days
Secondary Outcome Measure Information:
Title
Number of responders to vaccination according to the fold increase in the level of specific T-cell response
Description
Proportion of participants exhibiting significant increase in the level of specific T-cell response to SARS-CoV-2 N protein after vaccination in comparison to baseline. The increase in the parameter is considered significant if it exceeds the specified range, which is a 95% CI for mean value of parameter fold change in the Placebo group at assessment day compared to Day 1
Time Frame
Days 7, 21, 27, 42±2
Title
Seroconversion rate of SARS-CoV-2 antigen specific antibody
Description
Proportion of participants who have at least a 4-fold increase in post-vaccination antibody titers in comparison to baseline
Time Frame
Days 21, 42±2
Other Pre-specified Outcome Measures:
Title
Concentration of cytokines in nasal secrets after vaccination
Description
Change from the baseline in the concentration of cytokines in nasal secrets measured in ELISA/Multiplex system
Time Frame
Throughout the first 48h of the study
Title
Influenza specific local and systemic antibody immune response
Description
Change from baseline in the uiters of influenza specific antibodies in serum and saliva/nasal secret measured in ELISA, HI, MNA and corresponding seroconversion rates.
Time Frame
Throughout the 42±2 study days
Title
SARS-CoV-2 and influenza specific antibody and T-cell immune response (follow-up)
Description
Specific systemic antibody and T-cell immune response to SARS-CoV-2 N protein and influenza viruses (A/H1N1pdm09, A/H3N2) measured in ELISA, ISC/ELISPOT, whole-blood cytokine release assay.
Time Frame
Days 90±3, 180±5
Title
Efficacy against symptomatic COVID-19 and influenza
Description
Number of laboratory-confirmed symptomatic cases of COVID-19 and influenza
Time Frame
Throughout the study, average of 6.5 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Availability of signed informed consent Adult men and women aged 18-60 Diagnosed "healthy" according to the data of standard clinical, laboratory and instrumental examination methods, with the absence of clinically significant changes Body Mass Index (BMI): 18.5≤ BMI ≤30 kg/m2 HI antibody titers ≤1:20 to influenza A/H1N1pdm09 and A/H3N2 (only for phase 1) Serum antibodies to the SARS-CoV-2 N-protein not higher than 100 BAU/ml The ability and willingness to make entries in the diary of self-observation, as well as to carry out all the visits foreseen in the study for control medical observation Negative test for alcohol in exhaled air Consent to use effective contraceptive methods throughout their participation in the study Values of the complete blood count and biochemical blood analysis (during the screening) within 0.9*reference range lower limit and 1,1 * reference range upper limit Negative tests for HIV, hepatitis B, hepatitis C, and syphilis Exclusion Criteria: Contact with COVID-19 patients within 14 days prior to the start of the clinical study Positive rapid test result for SARS-CoV-2 antigen Participation in another clinical study within three months prior to the start of the current study; planning to participate in another study during the current study period. Immunization with any other non-study vaccine product, including COVID-19 vaccination within four weeks prior to enrollment in the current study, or refusal to postpone such until the end of the four-week period after completion of the current study Regular use of nasal irrigation therapy during the last six months prior to enrollment in the current study or episodic use of the above method of treatment in the two weeks prior to the screening History of frequent nosebleeds (>5) during the year prior to the current study Clinically significant anatomic pathology or the presence of surgical intervention in the sinus area, paranasal sinuses, or traumatic injuries of the nose within a month before screening Symptoms of acute respiratory disease, including fever, or other acute illness at the time of screening or within two weeks prior to screening Treatment with immunoglobulins or other blood derived medications in the three months prior to screening or planning such treatment during the period of participation in the current study; donation of blood/plasma (450 ml or more) less than 2 months prior to screening The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions or continuous use (the drug was prescribed for more than 14 days without a break) of immunosuppressive drugs, immunomodulators for 6 months before the screening History of bronchial asthma Hypersensitivity and the presence of severe allergic reactions, including Quincke's edema, anaphylactic shock after the previous administration of any vaccine History of wheezing after previous immunization with live influenza vaccine Other adverse events after immunization (fever above 40°C, syncope, non-febrile convulsions, anaphylaxis) when there is a minimal likelihood that they are associated with a previous administration of any vaccine Suspicion of hypersensitivity to any component of the study vaccine, including egg protein Seasonal (in spring or autumn) increased sensitivity to the effects of natural factors Acute or chronic clinically significant lung, cardiovascular, hepatic, endocrine, neurological, or psychiatric disorders, or impaired renal function identified by history, physical examination, or clinical laboratory findings that, in the opinion of the investigator, may influence the outcome of the study History of leukemia or any other malignant diseases of the blood or solid malignant neoplasms of other organs History of thrombocytopenic purpura or bleeding disorders History of convulsions The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions, including HIV infection Tuberculosis or residual changes after tuberculosis according to the anamnesis and / or available medical documentation Chronic alcohol dependence or chronic use of illicit drugs, drug abuse Claustrophobia and social phobia according to history and / or available medical records For women of reproductive age - lactation, pregnancy or suspected pregnancy, early postpartum period Premenopausal women (last menstrual period <1 year prior to signing informed consent) who are not surgically sterile and women who are of reproductive potential but do not use or plan to use valid birth control throughout the study and do not agree to perform a urine pregnancy test while participating in the study Military personnel undergoing military service on conscription Persons in custody in pre-trial detention centers and serving sentences in places of deprivation of liberty Special diet (eg, vegetarian, vegan, salt-restricted) or lifestyle (night work, extreme physical activity) Any condition that, in the opinion of the investigator, may increase the risk to the health of a volunteer participating in the study or affect the results of the study
Facility Information:
Facility Name
Pavlov First State Medical University of St. Petersburg
City
Saint Petersburg
Country
Russian Federation
Facility Name
Smorodintsev Research Institute of Influenza
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Evaluation of Corfluvec Vaccine for the Prevention of COVID-19 in Healthy Volunteers

We'll reach out to this number within 24 hrs