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Evaluation of Safety, Tolerability, Reactogenicity, Immunogenicity of Baiya SARS-CoV-2 Vax 2 as a Booster for COVID-19

Primary Purpose

COVID-19 Vaccine, COVID-19

Status
Not yet recruiting
Phase
Phase 2
Locations
Thailand
Study Type
Interventional
Intervention
50 μg Baiya SARS-CoV-2 Vax 2
Placebo
Sponsored by
Baiya Phytopharm Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Vaccine focused on measuring SARS-CoV-2, SARS-CoV-2 vaccine, COVID-19, COVID-19 Vaccine, Booster vaccine, Plant vaccine

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol Participant must be able to comply with study procedures and be available for all study visits. Have been fully vaccinated (primary vaccine 2 doses and 1 booster dose) with the AstraZeneca vaccine or mRNA vaccine more than 6 months prior to Visit 2 (Day 1) Be aged between 18 and 64 years, inclusive, at the time of signing informed consent Have a BMI between 18.5 and 35.0 kg/m2 inclusive Healthy as determined by the Investigator based on pre-study medical history, physical examination and vital signs Males must be surgically sterile (> 30 days since vasectomy with no viable sperm), practice true abstinence, or, if engaged in sexual activities with a female with childbearing potential, use condoms from the time of vaccination until 60 days after the vaccination Females of childbearing potential must practice true abstinence, or, if engaged in sexual activities with a male, agree to use highly effective (failure rate of <1% per year when used consistently and correctly), double-barrier contraceptive measures* for at least 60 days following vaccination. PI to assess the suitability of contraceptive measures on a case-by-case basis. The measures can include: combined (estrogen and progestogen) hormonal contraception associated with inhibition of ovulation, progestogen-only hormonal contraception associated with inhibition of ovulation, intrauterine device, intrauterine hormone releasing system, and documented bilateral tubal occlusion hysterectomy, bilateral salpingectomy, bilateral Essure® placement, and bilateral ovariectomy. Exclusion Criteria: Known history of covid infection within 6 months at screening or Visit 2 (Day 1). Participants who screen-fail on this criterion may be rescreened. Have received any other vaccine within 30 days prior to Visit 2 (Day 1) or plan to receive any other vaccine within 30 days after Visit 2 (Day 1) as per the investigator's judgment. Participants who screen-fail on this criterion may be rescreened. Have an ongoing AE assessed as related to any prior COVID-19 vaccine or COVID-19 disease as per the investigator's judgment. Women who are pregnant, breast feeding or planning to become pregnant within 60 days of vaccination and men who plan to conceive a child within 60 days of vaccination. Has a clinically unstable chronic underlying disease such as hypertension, diabetes mellitus, chronic obstructive pulmonary disease, asthma, or any other condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, confound, or limit the assessments specified in the protocol. Except for stable symptoms and signs that are medically controlled in the judgment of the investigator, which can be enrolled. Anticipating the need for immunosuppressive treatment within the 6 months following Visit 2 (Day 1). Being treated with other registered or investigational drug for prophylaxis or treatment of COVID-19 such as EVUSHELD or receive within 6 months prior to vaccination or plan to receive within 6 months after vaccination. Immunosuppressive illness or immunodeficient state, including hematologic malignancy, history of solid organ or bone marrow transplantation, asplenia, primary immunodeficiency diseases and HIV infection. Cancer or any malignancy that has been in remission for less than 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. Administration of other investigational products, or blood products within 4 weeks prior to Visit 2 (Day 1) or planned administration of investigational products, blood products, blood or tissue donation, or blood transfusion within 6 months after Visit 2 (Day 1). Clinically significant abnormalities in clinical laboratory tests during Screening in the opinion of the Investigator. Presence of self-reported or medically documented significant medical or psychiatric condition(s) that as judged by the investigator(s) may not be in the participants' interest to participate in the study. History of severe allergy (requiring hospital care), anaphylaxis, severe reaction to any drug or prior vaccination, or any known or suspected allergies or sensitivities to any component of the investigational vaccine or tobacco. History of systemic steroids (prednisone ≥ 20 mg/day for >14 consecutive days) within 3 months prior to screening. Topical, inhaled, intranasal, and intra-articular corticosteroids are allowed regardless of dose. Receipt of immunoglobulins or blood products within 90 days prior to vaccination or planned treatment during the study periods. Thrombocytopenia or other coagulation disorders for whom IM injections are contraindicated or receiving anticoagulant therapy.* * Anticoagulant therapy: continuous use of anticoagulants such as coumarin/warfarin or new oral anticoagulants/antiplatelets. The use of aspirin or clopidogrel is acceptable. Alcoholism, history of alcohol or drug abuse that, in the opinion of the PI, could affect the participant's safety or compliance with study, or chronic liver disease such as cirrhosis at screening. Have received any investigational drug from 30 days prior to Screening until 30 days after receiving the assigned vaccination in this study. The Investigator, sub-Investigator, study staff, sponsor, pharmaceutical product development or their family members. Presence of tattoo, bruising, or other skin blemish at the administration site that would, in the opinion of the Investigator, inhibit the ability to perform an assessment of local tolerability. Positive HBsAg, anti-HCV or anti-HIV tests at Screening Active COVID-19 infection or COVID-19 positive based on ATK testing at screening or Visit 2 (Day 1). Presence of an acute illness, as determined by the Investigator(s), with or without fever (forehead temperature measured with validated device ≥ 37.5oC) within 72 hours prior to vaccination. Participants who screen-fail on this criterion may be rescreened following a suitable recovery period as determined by the Investigator(s). Receipt of herbal medicine (such as products of Andrographis paniculata) within 5 days prior to vaccine administration or within 6 months after vaccination. Any other reason which, in the opinion of the Investigator, makes the individual ineligible for the study.

Sites / Locations

  • Queen Saovabha Memorial Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

50 μg Baiya SARS-CoV-2 Vax 2

Placebo

Arm Description

0.5 mL of Baiya SARS-CoV-2 Vax 2 Vaccine as a booster dose via IM injection on Day 1 for adult participants (18 - 64 years old)

0.5 mL of placebo via IM injection on Day 1 for adult participants (18 - 64 years old)

Outcomes

Primary Outcome Measures

Number, percentage, and severity of solicited local and systemic reactogenicity AEs
Number, percentage, and severity of unsolicited AEs
Number, percentage, and severity of treatment-related AEs
Abnormal clinically significant changes in clinical laboratory tests (haematology, coagulation, chemistry, and urinalysis)
Abnormal clinically significant changes in vital signs
Abnormal clinically significant physical examination

Secondary Outcome Measures

Geometric Mean Titres (GMT) of SARS-CoV-2 specific serum neutralizing antibody (MicroVNT)
Geometric Mean Fold Rises (GMFR) of SARS-CoV-2 specific serum neutralizing antibody (MicroVNT)
Seroconversion Rate of SARS-CoV-2 specific serum neutralizing antibody (MicroVNT)
Seroconversion Rate is defined as the proportion of participants who achieves a greater than or equal to 4-fold rise from baseline
GMT of SARS-CoV-2-surrogate viral neutralising antibody
measured by surrogate antibody ELISA
GMFR of SARS-CoV-2-surrogate viral neutralising antibody
measured by surrogate antibody ELISA
Seroconversion Rate of SARS-CoV-2-surrogate viral neutralising antibody
measured by surrogate antibody ELISA
GMT of SARS-CoV-2 variants pseudovirus-specific serum neutralising antibody
GMFR of SARS-CoV-2 variants pseudovirus-specific serum neutralising antibody
Seroconversion Rate of SARS-CoV-2 variants pseudovirus-specific serum neutralising antibody
GMT of SARS-CoV-2 RBD-specific IgG antibody
measured by ELISA
GMFR of SARS-CoV-2 RBD-specific IgG antibody
measured by ELISA
Seroconversion Rate of SARS-CoV-2 RBD-specific IgG antibody
measured by ELISA
Percentage of participants who have positive specific CD4 and CD8 T-cell IFNγ ELISpot responses (detectable above the assay cut-off)
SARS-CoV-2 RBD-specific CD4+ and CD8+ T-cell responses as measured by IFNγ ELISpot assay
Median number of spot-forming cells (SFC) per 1 million PBMCs
SARS-CoV-2 RBD-specific CD4+ and CD8+ T-cell responses as measured by IFNγ ELISpot assay
Percentage of participants who show positive specific Th1 responses, or Th2 responses (detectable above the assay cut-off)
SARS-CoV-2 RBD-specific Th1/Th2 polarisation responses quantified by intracellular cytokine staining
Median percentage specific Th1/Th2 response of each cohort
SARS-CoV-2 RBD-specific Th1/Th2 polarisation responses quantified by intracellular cytokine staining
Number and percentage of serious adverse events (SAEs)

Full Information

First Posted
May 23, 2023
Last Updated
July 25, 2023
Sponsor
Baiya Phytopharm Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05873374
Brief Title
Evaluation of Safety, Tolerability, Reactogenicity, Immunogenicity of Baiya SARS-CoV-2 Vax 2 as a Booster for COVID-19
Official Title
A Phase 2 Study to Evaluate the Safety, Tolerability, Reactogenicity, and Immunogenicity of Baiya SARS-CoV-2 Vax 2 Vaccine as a Booster Following Vaccination for COVID-19 in Adults Between 18 and 64 Years
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 2023 (Anticipated)
Primary Completion Date
November 2023 (Anticipated)
Study Completion Date
April 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baiya Phytopharm Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The investigational product Baiya SARS-CoV-2 Vax 2 vaccine is a second-generation of protein subunit vaccine from plant to prevent COVID-19 disease. This is a Phase 2, randomised, and double-blinded study to assess the safety, tolerability, reactogenicity and immunogenicity of Baiya SARS-CoV-2 Vax 2 vaccine, when used as a booster vaccination following vaccination with the alternate and widely used COVID-19 vaccines, which are AstraZeneca vaccine or mRNA vaccine.
Detailed Description
This is a Phase 2, randomised, and double-blinded study. The participants will be randomised to receive either the investigational product or the placebo at a ratio of 2:1. 0.5 mL of the assigned vaccine will be administered as an IM injection. Each participant will be followed up for 6 months after vaccination. The primary objective aims to assess the safety, tolerability, and reactogenicity of Baiya SARS-CoV-2 Vax 2 vaccine in adults (18-64 years old) as a booster vaccination following vaccination with the alternate and widely used COVID-19 vaccines, which are AstraZeneca vaccine or mRNA vaccine. The secondary objective aims to evaluate safety, tolerability, reactogenicity, and immunogenicity up to 28 days after the booster vaccination. An interim analysis of all safety and available immunogenicity data up to Visit 6 (Day 29 ±3) will be conducted for the DSMB review.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Masking Description
The treatment will be masked to the participants and site staff (including the investigators and the care providers which are blinded site staff).
Allocation
Randomized
Enrollment
75 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
50 μg Baiya SARS-CoV-2 Vax 2
Arm Type
Experimental
Arm Description
0.5 mL of Baiya SARS-CoV-2 Vax 2 Vaccine as a booster dose via IM injection on Day 1 for adult participants (18 - 64 years old)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
0.5 mL of placebo via IM injection on Day 1 for adult participants (18 - 64 years old)
Intervention Type
Biological
Intervention Name(s)
50 μg Baiya SARS-CoV-2 Vax 2
Intervention Description
Intramuscular injection in the deltoid region of 0.5 mL/dose of 50 μg Baiya SARS-CoV-2 Vax 2
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
0.9% Sodium Chloride
Intervention Description
Intramuscular injection in the deltoid region of 0.5 mL/dose of 0.9% Sodium Chloride
Primary Outcome Measure Information:
Title
Number, percentage, and severity of solicited local and systemic reactogenicity AEs
Time Frame
7-day post administration
Title
Number, percentage, and severity of unsolicited AEs
Time Frame
Day 1 to 28 days after administration
Title
Number, percentage, and severity of treatment-related AEs
Time Frame
Day 1 to 28 days after administration
Title
Abnormal clinically significant changes in clinical laboratory tests (haematology, coagulation, chemistry, and urinalysis)
Time Frame
Day 1 to 28 days after administration
Title
Abnormal clinically significant changes in vital signs
Time Frame
Day 1 to 28 days after administration
Title
Abnormal clinically significant physical examination
Time Frame
Day 1 to 28 days after administration
Secondary Outcome Measure Information:
Title
Geometric Mean Titres (GMT) of SARS-CoV-2 specific serum neutralizing antibody (MicroVNT)
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Geometric Mean Fold Rises (GMFR) of SARS-CoV-2 specific serum neutralizing antibody (MicroVNT)
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Seroconversion Rate of SARS-CoV-2 specific serum neutralizing antibody (MicroVNT)
Description
Seroconversion Rate is defined as the proportion of participants who achieves a greater than or equal to 4-fold rise from baseline
Time Frame
at 7, 14, 21 and 28 days after administration
Title
GMT of SARS-CoV-2-surrogate viral neutralising antibody
Description
measured by surrogate antibody ELISA
Time Frame
at 7, 14, 21 and 28 days after administration
Title
GMFR of SARS-CoV-2-surrogate viral neutralising antibody
Description
measured by surrogate antibody ELISA
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Seroconversion Rate of SARS-CoV-2-surrogate viral neutralising antibody
Description
measured by surrogate antibody ELISA
Time Frame
at 7, 14, 21 and 28 days after administration
Title
GMT of SARS-CoV-2 variants pseudovirus-specific serum neutralising antibody
Time Frame
at 14 and 28 days after administration
Title
GMFR of SARS-CoV-2 variants pseudovirus-specific serum neutralising antibody
Time Frame
at 14 and 28 days after administration
Title
Seroconversion Rate of SARS-CoV-2 variants pseudovirus-specific serum neutralising antibody
Time Frame
at 14 and 28 days after administration
Title
GMT of SARS-CoV-2 RBD-specific IgG antibody
Description
measured by ELISA
Time Frame
at 7, 14, 21 and 28 days after administration
Title
GMFR of SARS-CoV-2 RBD-specific IgG antibody
Description
measured by ELISA
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Seroconversion Rate of SARS-CoV-2 RBD-specific IgG antibody
Description
measured by ELISA
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Percentage of participants who have positive specific CD4 and CD8 T-cell IFNγ ELISpot responses (detectable above the assay cut-off)
Description
SARS-CoV-2 RBD-specific CD4+ and CD8+ T-cell responses as measured by IFNγ ELISpot assay
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Median number of spot-forming cells (SFC) per 1 million PBMCs
Description
SARS-CoV-2 RBD-specific CD4+ and CD8+ T-cell responses as measured by IFNγ ELISpot assay
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Percentage of participants who show positive specific Th1 responses, or Th2 responses (detectable above the assay cut-off)
Description
SARS-CoV-2 RBD-specific Th1/Th2 polarisation responses quantified by intracellular cytokine staining
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Median percentage specific Th1/Th2 response of each cohort
Description
SARS-CoV-2 RBD-specific Th1/Th2 polarisation responses quantified by intracellular cytokine staining
Time Frame
at 7, 14, 21 and 28 days after administration
Title
Number and percentage of serious adverse events (SAEs)
Time Frame
up to 6 months after administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol Participant must be able to comply with study procedures and be available for all study visits. Have been fully vaccinated (primary vaccine 2 doses and 1 booster dose) with the AstraZeneca vaccine or mRNA vaccine more than 6 months prior to Visit 2 (Day 1) Be aged between 18 and 64 years, inclusive, at the time of signing informed consent Have a BMI between 18.5 and 35.0 kg/m2 inclusive Healthy as determined by the Investigator based on pre-study medical history, physical examination and vital signs Males must be surgically sterile (> 30 days since vasectomy with no viable sperm), practice true abstinence, or, if engaged in sexual activities with a female with childbearing potential, use condoms from the time of vaccination until 60 days after the vaccination Females of childbearing potential must practice true abstinence, or, if engaged in sexual activities with a male, agree to use highly effective (failure rate of <1% per year when used consistently and correctly), double-barrier contraceptive measures* for at least 60 days following vaccination. PI to assess the suitability of contraceptive measures on a case-by-case basis. The measures can include: combined (estrogen and progestogen) hormonal contraception associated with inhibition of ovulation, progestogen-only hormonal contraception associated with inhibition of ovulation, intrauterine device, intrauterine hormone releasing system, and documented bilateral tubal occlusion hysterectomy, bilateral salpingectomy, bilateral Essure® placement, and bilateral ovariectomy. Exclusion Criteria: Known history of covid infection within 6 months at screening or Visit 2 (Day 1). Participants who screen-fail on this criterion may be rescreened. Have received any other vaccine within 30 days prior to Visit 2 (Day 1) or plan to receive any other vaccine within 30 days after Visit 2 (Day 1) as per the investigator's judgment. Participants who screen-fail on this criterion may be rescreened. Have an ongoing AE assessed as related to any prior COVID-19 vaccine or COVID-19 disease as per the investigator's judgment. Women who are pregnant, breast feeding or planning to become pregnant within 60 days of vaccination and men who plan to conceive a child within 60 days of vaccination. Has a clinically unstable chronic underlying disease such as hypertension, diabetes mellitus, chronic obstructive pulmonary disease, asthma, or any other condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant or that could prevent, confound, or limit the assessments specified in the protocol. Except for stable symptoms and signs that are medically controlled in the judgment of the investigator, which can be enrolled. Anticipating the need for immunosuppressive treatment within the 6 months following Visit 2 (Day 1). Being treated with other registered or investigational drug for prophylaxis or treatment of COVID-19 such as EVUSHELD or receive within 6 months prior to vaccination or plan to receive within 6 months after vaccination. Immunosuppressive illness or immunodeficient state, including hematologic malignancy, history of solid organ or bone marrow transplantation, asplenia, primary immunodeficiency diseases and HIV infection. Cancer or any malignancy that has been in remission for less than 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. Administration of other investigational products, or blood products within 4 weeks prior to Visit 2 (Day 1) or planned administration of investigational products, blood products, blood or tissue donation, or blood transfusion within 6 months after Visit 2 (Day 1). Clinically significant abnormalities in clinical laboratory tests during Screening in the opinion of the Investigator. Presence of self-reported or medically documented significant medical or psychiatric condition(s) that as judged by the investigator(s) may not be in the participants' interest to participate in the study. History of severe allergy (requiring hospital care), anaphylaxis, severe reaction to any drug or prior vaccination, or any known or suspected allergies or sensitivities to any component of the investigational vaccine or tobacco. History of systemic steroids (prednisone ≥ 20 mg/day for >14 consecutive days) within 3 months prior to screening. Topical, inhaled, intranasal, and intra-articular corticosteroids are allowed regardless of dose. Receipt of immunoglobulins or blood products within 90 days prior to vaccination or planned treatment during the study periods. Thrombocytopenia or other coagulation disorders for whom IM injections are contraindicated or receiving anticoagulant therapy.* * Anticoagulant therapy: continuous use of anticoagulants such as coumarin/warfarin or new oral anticoagulants/antiplatelets. The use of aspirin or clopidogrel is acceptable. Alcoholism, history of alcohol or drug abuse that, in the opinion of the PI, could affect the participant's safety or compliance with study, or chronic liver disease such as cirrhosis at screening. Have received any investigational drug from 30 days prior to Screening until 30 days after receiving the assigned vaccination in this study. The Investigator, sub-Investigator, study staff, sponsor, pharmaceutical product development or their family members. Presence of tattoo, bruising, or other skin blemish at the administration site that would, in the opinion of the Investigator, inhibit the ability to perform an assessment of local tolerability. Positive HBsAg, anti-HCV or anti-HIV tests at Screening Active COVID-19 infection or COVID-19 positive based on ATK testing at screening or Visit 2 (Day 1). Presence of an acute illness, as determined by the Investigator(s), with or without fever (forehead temperature measured with validated device ≥ 37.5oC) within 72 hours prior to vaccination. Participants who screen-fail on this criterion may be rescreened following a suitable recovery period as determined by the Investigator(s). Receipt of herbal medicine (such as products of Andrographis paniculata) within 5 days prior to vaccine administration or within 6 months after vaccination. Any other reason which, in the opinion of the Investigator, makes the individual ineligible for the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Peepattra Wantanasiri, Ph.D.
Phone
662-115-9860
Email
peepattra.w@baiyaphytopharm.com
Facility Information:
Facility Name
Queen Saovabha Memorial Institute
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peepattra Wantanasiri, Ph.D.
Phone
662 115 9860
Email
peepattra.w@baiyaphytopharm.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of Safety, Tolerability, Reactogenicity, Immunogenicity of Baiya SARS-CoV-2 Vax 2 as a Booster for COVID-19

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