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Safety, Tolerability and Immunogenicity of Alveavax-v1.2, a BA.2/Omicron-optimized, DNA Vaccine for COVID-19 Prevention

Primary Purpose

Sars-CoV-2 Infection

Status
Completed
Phase
Phase 1
Locations
South Africa
Study Type
Interventional
Intervention
Alveavax-v1.2
Janssen Ad26.COV2.S
Sponsored by
Alvea Holdings, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Sars-CoV-2 Infection focused on measuring Sars, Sars-CoV-2, COVID-19, Vaccine, pDNA, plasmid DNA, COVID19

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Healthy adult male and female volunteers between 18 and 65 years of age, inclusive. Participants who received a primary Janssen Ad26.CoV2.S vaccine ≥ 60 days prior to receiving the study vaccine. Body mass index within the range 18 - 32 kg/m2 both inclusive. Participants who, judged by the Investigator, are in stable health as determined by their pre-study medical history, physical examination, and clinical laboratory tests. Female participants must be either of non-childbearing potential, i.e., surgically sterilized (defined as having undergone hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year postmenopausal; or, if of childbearing potential, they must be abstinent or have used adequate contraceptive precautions for 30 days prior to receiving the study vaccination and 84 days post-vaccine. Sexually active male participants who are considered sexually fertile must agree to use a barrier method of contraception during sexual activity with a female of childbearing potential from the time of vaccination until at least 84 days after the vaccination. Participants must provide written informed consent or their legal representative must understand and give written consent to the procedure. Participants must be willing and able to comply with all the required study visits and follow-up required by this protocol, and be able to complete the diary card after vaccination or have a caregiver available to assist with these matters. Exclusion Criteria: Received any other SARS-CoV-2 vaccination than a single Janssen Ad26.COV2.S vaccine or plans to receive any additional SARS-CoV-2 vaccination within 90 days after the study vaccine (Day 1). Recovered from SARS-CoV-2 infection determined by history of a positive SARS-CoV-2 test (e.g. PCR, rapid antigen test, etc.) or suspicion of a SARS-CoV-2 infection based on the (verbal) medical history within less than 60 days from the day of vaccination (Day 1) in this study. History of close contact (face-to-face contact within 1 meter or contact in a closed space for more than 15 minutes) without wearing a face-mask with a confirmed active SARS-CoV-2-positive patient within 5 days prior to Day 1. Have received any live-virus vaccine within 4 weeks or inactivated vaccine, including influenza vaccine, within 2 weeks (both licensed and investigational vaccines) prior to the study vaccine (Day 1). Previous participation in any clinical trial of a SARS-CoV-2 vaccine candidate. Have any febrile illness (temperature ≥ 38°C/100.4°F) or any active acute illness or infection (including a positive SARS-CoV-2 PCR test) within 7 days prior to administration of vaccination (Day 1) in this study. Participants may be re-evaluated once all symptoms have resolved. History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) or contraindications to any component of the study intervention(s). History of, or positive screening test for human immunodeficiency virus I or II. Any clinically significant finding during screening or check-in that, in the Investigator's judgment, results in an increased safety risk. History of cerebral venous sinus thrombosis, antiphospholipid syndrome, or a history of heparin-induced thrombocytopenia and thrombosis (HITT or HIT type 2). Any confirmed or suspected immunosuppressive or immunodeficient state; asplenia; recurrent severe infections and use of immunosuppressant medication within the past 3 months, except topical and inhaled steroids, or short-term oral steroids (course lasting ≤14 days or ≤20 mg/day). History of receiving blood transfusion, blood products, immunoglobulin, or immune stimulants within 3 months prior to Day 1. Is currently participating in any other study or has received any investigational drug in the last 6 weeks or 5× the half-life of the drug (whichever is longer) prior to screening. For female participants of childbearing potential who are pregnant (positive pregnancy test at the screening or check-in), currently breastfeeding, or attempting to conceive. Any addiction that may interfere with the participant's ability to comply with trial procedures. Inability to be venipunctured or tolerate venous, IM, SC, or ID puncture. Have a rash, dermatological condition, tattoo, or any other abnormality at the injection site that may interfere with injection site reaction rating. Investigator discretion will be permitted with this exclusion criterion. Use of prophylactic medications (e.g., antihistamines [H1 receptor antagonists], nonsteroidal anti-inflammatory drugs [NSAIDs], systemic glucocorticoids, non-opioid and opioid analgesics) within 24 hours prior to the vaccination to prevent or pre-empt symptoms due to vaccination. Any condition or abnormal baseline findings or any other unspecified reason, which in the Investigator's judgment might increase the risk to the participant or decrease the chance of obtaining satisfactory data needed to achieve the objective of the study. Participants identified as an Investigator or employee of the Investigator or clinical site with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator, or employee with direct involvement in the proposed study, or any employees of the Sponsor company.

Sites / Locations

  • JOSHA Research
  • NMMM Pharmmedica Health and Clinical Research
  • MERC Kempton Park
  • Ubuntu Clinical Research Center
  • Ubuntu Clinical Research Center Lenasia
  • Setshaba Research Centre
  • MERC Research Pty Ltd
  • TASK applied Science Brooklyn Chest Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Experimental

Arm Label

Low dose

Standard dose

High dose

Comparator

Subcutaneous

Arm Description

0.5 mg Alveavax-v1.2 in one ID injection

2 mg Alveavax-v1.2 in one ID injection

8mg Alveavax-v1.2 in four ID injections

0.5ml Janssen Ad26.COV2.S COVID-19 vaccine in one IM injection

8mg Alveavax-v1.2 in one SC injection

Outcomes

Primary Outcome Measures

Safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine (Day 7)
The overall number of participants and incidence proportion of any solicited local and systemic AEs within seven days of dose administration
Safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine (Day 28)
The overall number of participants and incidence proportion of unsolicited adverse events (AEs) within 28 days of dose administration
Safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine
The overall number of participants and incidence of serious adverse events (SAEs), adverse events of special interest (AESIs), and AEs leading to participant discontinuation throughout the trial

Secondary Outcome Measures

Immunogenicity as humoral immune response against SARS-CoV-2 BA.2/Omicron after a booster dose of Alveavax-v1.2
Geometric Mean Titer (GMT) and change in GMT of SARS-CoV-2 BA.2 binding antibodies
Success rate of intradermal injections
Absolute number and fraction of ID injections which generated a ≥ 1 mm and ≥ 7 mm in diameter clearly demarcated bleb, clearly visible for at least 20 seconds, for 0.5 mg and 2 mg Alveavax-v1.2 respectively

Full Information

First Posted
May 2, 2023
Last Updated
May 2, 2023
Sponsor
Alvea Holdings, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05844202
Brief Title
Safety, Tolerability and Immunogenicity of Alveavax-v1.2, a BA.2/Omicron-optimized, DNA Vaccine for COVID-19 Prevention
Official Title
A Phase 1 Open-label, Active-controlled, Randomized Dose-finding Study to Evaluate Safety, Tolerability, and Immunogenicity of Intradermal and Subcutaneous Application of the Plasmid DNA SARS-CoV-2 Omicron BA.2 Vaccine Alveavax-v1.2 in Primary Ad26.COV2.S Vaccinated Healthy Individuals
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
June 27, 2022 (Actual)
Primary Completion Date
March 2, 2023 (Actual)
Study Completion Date
March 2, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alvea Holdings, LLC

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
The investigated product is a Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Booster Vaccine candidate optimized for the Omicron/BA.2 variant. There are currently no licensed, variant-optimized vaccines to prevent infection with SARS-CoV-2 Omicron/BA.2. Approved or authorized SARS-CoV-2 vaccines are expensive, require a stringent cold chain, and have large-scale manufacturing issues, resulting in very limited availability in low- and middle-income countries (LMICs). Given the rapid global spread of the Omicron/BA.2 variant and potential for future novel SARS-CoV-2 variants, the rapid development of an easy-to-manufacture and easy-to-distribute vaccine is of great importance. The objective of the study is to assess the tolerability, safety, and immunogenicity of different doses and routes of administration of the Alveavax-v1.2 vaccine in healthy individuals. The study aims to evaluate: the safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine in a dose-finding design; the immunogenicity against SARS-CoV-2 BA.2/Omicron after a booster dose of Alveavax-v1.2; the clinical efficacy against SARS-CoV-2 after a booster dose of Alveavax-v1.2; and the success rate of intradermal (ID) injections.
Detailed Description
This is a first in human, open-label, active-controlled, randomized dose-finding study to evaluate safety, tolerability, and immunogenicity of intradermal (ID) and subcutaneous (SC) application of the plasmid DNA SARS-CoV-2 Omicron BA.2 vaccine Alveavax-v1.2 in primary Ad26.COV2.S vaccinated healthy individuals. Primary Ad26.COV2.S vaccinated participants will be randomized into one of 5 treatment arms to receive Alveavax-v1.2 or a Ad26.COV2.S control booster vaccine. Participants will be enrolled at multiple sites in South Africa within 28 days after the initial screening to ensure they meet all the inclusion criteria and none of the exclusion criteria. Each participant will be administered a booster vaccine on Day 1 of the study and will be monitored afterwards. Solicited local/systemic reactions will be recorded after vaccination in the participant's diary card for up to 7 days (the vaccine administration day and 6 days later). A total of 130 participants of any sex, aged between 18 and 65 years, who satisfy the inclusion and exclusion criteria are planned to be enrolled in five groups and with vaccine administered according to their dose arm as follows: Low dose: 0.5 mg Alveavax-v1.2 in one ID injection Standard dose: 2 mg Alveavax-v1.2 in one ID injection High dose: 8mg Alveavax-v1.2 in four ID injections SC injection: 8mg Alveavax-v1.2 in one SC injection Control: Janssen Ad26.COV2.S in one intramuscular (IM) injection

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sars-CoV-2 Infection
Keywords
Sars, Sars-CoV-2, COVID-19, Vaccine, pDNA, plasmid DNA, COVID19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
130 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low dose
Arm Type
Experimental
Arm Description
0.5 mg Alveavax-v1.2 in one ID injection
Arm Title
Standard dose
Arm Type
Experimental
Arm Description
2 mg Alveavax-v1.2 in one ID injection
Arm Title
High dose
Arm Type
Experimental
Arm Description
8mg Alveavax-v1.2 in four ID injections
Arm Title
Comparator
Arm Type
Active Comparator
Arm Description
0.5ml Janssen Ad26.COV2.S COVID-19 vaccine in one IM injection
Arm Title
Subcutaneous
Arm Type
Experimental
Arm Description
8mg Alveavax-v1.2 in one SC injection
Intervention Type
Drug
Intervention Name(s)
Alveavax-v1.2
Other Intervention Name(s)
Alveavax
Intervention Description
BA.2/Omicron optimized plasmid DNA vaccine for the prevention of COVID-19
Intervention Type
Drug
Intervention Name(s)
Janssen Ad26.COV2.S
Other Intervention Name(s)
Janssen
Intervention Description
COVID-19 vaccine by Janssen / Johnson & Johnson
Primary Outcome Measure Information:
Title
Safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine (Day 7)
Description
The overall number of participants and incidence proportion of any solicited local and systemic AEs within seven days of dose administration
Time Frame
Day 7
Title
Safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine (Day 28)
Description
The overall number of participants and incidence proportion of unsolicited adverse events (AEs) within 28 days of dose administration
Time Frame
Day 28
Title
Safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine
Description
The overall number of participants and incidence of serious adverse events (SAEs), adverse events of special interest (AESIs), and AEs leading to participant discontinuation throughout the trial
Time Frame
Day 168
Secondary Outcome Measure Information:
Title
Immunogenicity as humoral immune response against SARS-CoV-2 BA.2/Omicron after a booster dose of Alveavax-v1.2
Description
Geometric Mean Titer (GMT) and change in GMT of SARS-CoV-2 BA.2 binding antibodies
Time Frame
Day 28
Title
Success rate of intradermal injections
Description
Absolute number and fraction of ID injections which generated a ≥ 1 mm and ≥ 7 mm in diameter clearly demarcated bleb, clearly visible for at least 20 seconds, for 0.5 mg and 2 mg Alveavax-v1.2 respectively
Time Frame
Day 1

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male and female volunteers between 18 and 65 years of age, inclusive. Participants who received a primary Janssen Ad26.CoV2.S vaccine ≥ 60 days prior to receiving the study vaccine. Body mass index within the range 18 - 32 kg/m2 both inclusive. Participants who, judged by the Investigator, are in stable health as determined by their pre-study medical history, physical examination, and clinical laboratory tests. Female participants must be either of non-childbearing potential, i.e., surgically sterilized (defined as having undergone hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year postmenopausal; or, if of childbearing potential, they must be abstinent or have used adequate contraceptive precautions for 30 days prior to receiving the study vaccination and 84 days post-vaccine. Sexually active male participants who are considered sexually fertile must agree to use a barrier method of contraception during sexual activity with a female of childbearing potential from the time of vaccination until at least 84 days after the vaccination. Participants must provide written informed consent or their legal representative must understand and give written consent to the procedure. Participants must be willing and able to comply with all the required study visits and follow-up required by this protocol, and be able to complete the diary card after vaccination or have a caregiver available to assist with these matters. Exclusion Criteria: Received any other SARS-CoV-2 vaccination than a single Janssen Ad26.COV2.S vaccine or plans to receive any additional SARS-CoV-2 vaccination within 90 days after the study vaccine (Day 1). Recovered from SARS-CoV-2 infection determined by history of a positive SARS-CoV-2 test (e.g. PCR, rapid antigen test, etc.) or suspicion of a SARS-CoV-2 infection based on the (verbal) medical history within less than 60 days from the day of vaccination (Day 1) in this study. History of close contact (face-to-face contact within 1 meter or contact in a closed space for more than 15 minutes) without wearing a face-mask with a confirmed active SARS-CoV-2-positive patient within 5 days prior to Day 1. Have received any live-virus vaccine within 4 weeks or inactivated vaccine, including influenza vaccine, within 2 weeks (both licensed and investigational vaccines) prior to the study vaccine (Day 1). Previous participation in any clinical trial of a SARS-CoV-2 vaccine candidate. Have any febrile illness (temperature ≥ 38°C/100.4°F) or any active acute illness or infection (including a positive SARS-CoV-2 PCR test) within 7 days prior to administration of vaccination (Day 1) in this study. Participants may be re-evaluated once all symptoms have resolved. History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) or contraindications to any component of the study intervention(s). History of, or positive screening test for human immunodeficiency virus I or II. Any clinically significant finding during screening or check-in that, in the Investigator's judgment, results in an increased safety risk. History of cerebral venous sinus thrombosis, antiphospholipid syndrome, or a history of heparin-induced thrombocytopenia and thrombosis (HITT or HIT type 2). Any confirmed or suspected immunosuppressive or immunodeficient state; asplenia; recurrent severe infections and use of immunosuppressant medication within the past 3 months, except topical and inhaled steroids, or short-term oral steroids (course lasting ≤14 days or ≤20 mg/day). History of receiving blood transfusion, blood products, immunoglobulin, or immune stimulants within 3 months prior to Day 1. Is currently participating in any other study or has received any investigational drug in the last 6 weeks or 5× the half-life of the drug (whichever is longer) prior to screening. For female participants of childbearing potential who are pregnant (positive pregnancy test at the screening or check-in), currently breastfeeding, or attempting to conceive. Any addiction that may interfere with the participant's ability to comply with trial procedures. Inability to be venipunctured or tolerate venous, IM, SC, or ID puncture. Have a rash, dermatological condition, tattoo, or any other abnormality at the injection site that may interfere with injection site reaction rating. Investigator discretion will be permitted with this exclusion criterion. Use of prophylactic medications (e.g., antihistamines [H1 receptor antagonists], nonsteroidal anti-inflammatory drugs [NSAIDs], systemic glucocorticoids, non-opioid and opioid analgesics) within 24 hours prior to the vaccination to prevent or pre-empt symptoms due to vaccination. Any condition or abnormal baseline findings or any other unspecified reason, which in the Investigator's judgment might increase the risk to the participant or decrease the chance of obtaining satisfactory data needed to achieve the objective of the study. Participants identified as an Investigator or employee of the Investigator or clinical site with direct involvement in the proposed study, or identified as an immediate family member (i.e., parent, spouse, natural or adopted child) of the Investigator, or employee with direct involvement in the proposed study, or any employees of the Sponsor company.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Principal Investigator
Organizational Affiliation
TASK
Official's Role
Principal Investigator
Facility Information:
Facility Name
JOSHA Research
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9301
Country
South Africa
Facility Name
NMMM Pharmmedica Health and Clinical Research
City
Johannesburg
State/Province
Gauteng
ZIP/Postal Code
2090
Country
South Africa
Facility Name
MERC Kempton Park
City
Kempton Park
State/Province
Gauteng
ZIP/Postal Code
1619
Country
South Africa
Facility Name
Ubuntu Clinical Research Center
City
Krugersdorp
State/Province
Gauteng
ZIP/Postal Code
1739
Country
South Africa
Facility Name
Ubuntu Clinical Research Center Lenasia
City
Lenasia
State/Province
Gauteng
ZIP/Postal Code
1847
Country
South Africa
Facility Name
Setshaba Research Centre
City
Soshanguve
State/Province
Gauteng
ZIP/Postal Code
0152
Country
South Africa
Facility Name
MERC Research Pty Ltd
City
Middelburg
State/Province
Mpumalanga
ZIP/Postal Code
1055
Country
South Africa
Facility Name
TASK applied Science Brooklyn Chest Hospital
City
Ysterplaat
State/Province
Western Cape
ZIP/Postal Code
7405
Country
South Africa

12. IPD Sharing Statement

Learn more about this trial

Safety, Tolerability and Immunogenicity of Alveavax-v1.2, a BA.2/Omicron-optimized, DNA Vaccine for COVID-19 Prevention

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