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A 2nd Generation E1/E2B/E3-Deleted Adenoviral COVID-19 Vaccine: The TCELLVACCINE TRIAL

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
hAd5-S-Fusion+N-ETSD
Placebo (0.9% (w/v) saline)
Sponsored by
ImmunityBio, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

16 Years - 80 Years (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Subjects are eligible to be included in the study only if all of the following criteria apply: Age and Sex: Male or female participants ≥16 years of age, at randomization. • Refer to Appendix 2 for reproductive criteria for male and female participants. Type of Participant and Disease Characteristics: Participants who are willing and able to comply with all scheduled assessments, vaccination plan, laboratory tests, lifestyle considerations, and other study procedures. Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study. Note: Healthy participants with preexisting stable disease, defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 6 weeks before enrollment, can be included. Specific criteria for Phase 3 participants with known stable infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV) can be found in Appendix 3. Participants who, in the judgment of the investigator, are at higher risk for SARS-CoV-2 infection and subsequent development of COVID-19 (including, but not limited to, use of mass transportation, relevant demographics, and frontline essential workers). Informed Consent: Capable of giving personal signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document (ICD) and in this protocol. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: Medical Conditions: Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. Phase 2 only: Known infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV). History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). Receipt of medications intended to prevent COVID-19. Previous clinical or microbiological diagnosis of COVID-19. Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination. Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate subcutaneous injection. Women who are pregnant or breastfeeding. Prior/Concomitant Therapy: Previous vaccination with any coronavirus vaccine. Individuals who receive treatment with immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study. If systemic corticosteroids have been administered short term (<14 days) for treatment of an acute illness, participants should not be enrolled into the study until corticosteroid therapy has been discontinued for at least 28 days before study intervention administration. Inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted. Receipt of blood/plasma products or immunoglobulin, from 60 days before study intervention administration or planned receipt throughout the study. Prior/Concurrent Clinical Study Experience: Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation. Other Exclusions Investigator site staff or Sponsor employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator.

Sites / Locations

  • Hoag Memorial Hospital Presbyterian

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

hAd5-S-Fusion+N-ETSD

Placebo

Arm Description

Prime (SC, Day 1) + Boost (SC, Day 22) @ 1x10^11 VP/dose

Prime (SC, Day 1) + Boost (SC, Day 22)

Outcomes

Primary Outcome Measures

COVID-19 incidence based on central laboratory or locally confirmed nucleic acid amplification test (NAAT) in subjects with no serological or virological evidence (up to 14 days after receipt of the last dose) of past SARS-CoV-2 infection
To evaluate the efficacy of prophylactic hAd5-SFusion+ N-ETSD against confirmed COVID-19 in subjects without serological or virological evidence of infection before vaccination
COVID-19 incidence based on central laboratory or locally confirmed NAAT in subjects with and without serological or virological evidence of infection before vaccination
To evaluate the efficacy of prophylactic hAd5-SFusion+ N-ETSD against confirmed COVID-19 in subjects with and without serological or virological evidence of infection before vaccination

Secondary Outcome Measures

Confirmed NAAT severe COVID-19 incidence in subjects with no serological or virological evidence of past SARS-CoV-2 infection
To evaluate the efficacy of prophylactic hAd5-SFusion+ N-ETSD against confirmed severe COVID-19 in subjects without serological or virological evidence of infection before vaccination
Confirmed NAAT severe COVID-19 incidence in subjects with and without serological or virological evidence of infection before vaccination
To evaluate the efficacy of prophylactic hAd5-SFusion+N-ETSD against confirmed severe COVID-19 in subjects with and without serological or virological evidence of infection before vaccination
COVID-19 incidence based on central laboratory or locally confirmed (according to the CDC-defined symptoms) in subjects with no serological or virological evidence (up to 14 days after receipt of the last dose) of past SARS-CoV-2 infection
To describe the efficacy of prophylactic hAd5-SFusion+N-ETSD against confirmed COVID-19 (according to the CDC defined symptoms) in subjects without serological or virological evidence of infection before vaccination
COVID-19 incidence based on central laboratory or locally confirmed (according to the CDC-defined symptoms) in subjects with and without serological or virological evidence of infection before vaccination
To describe the efficacy of prophylactic hAd5-SFusion+N-ETSD against confirmed COVID-19 (according to the CDCdefined symptoms) in subjects with and without serological or virological evidence of infection before vaccination

Full Information

First Posted
August 30, 2023
Last Updated
September 1, 2023
Sponsor
ImmunityBio, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT06022224
Brief Title
A 2nd Generation E1/E2B/E3-Deleted Adenoviral COVID-19 Vaccine: The TCELLVACCINE TRIAL
Official Title
A Phase 2/3, Placebo-Controlled, Randomized, Observer-Blind Study To Evaluate the Safety, Tolerability, Immunogenicity, and Efficacy of a 2nd Generation E1/E2B/E3-Deleted Adenoviral COVID-19 Vaccine: The TCELLVACCINE TRIAL
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
December 9, 2020 (Actual)
Primary Completion Date
June 23, 2022 (Actual)
Study Completion Date
July 19, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmunityBio, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 2/3, multicenter, randomized, placebo-controlled, observer-blind study assessing the safety, tolerability, immunogenicity, and efficacy of prophylactic hAd5-S-Fusion+N-ETSD against COVID-19. It is intended that a minimum of 25% of subjects will be in the >55-year stratum. Safety, immunogenicity, and efficacy assessments will be conducted per the Schedule of Events (SoE) and subjects are expected to participate for up to a maximum of approximately 2 years.

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
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Sequential Assignment
Model Description
The first 200 subjects randomized will comprise the phase 2 portion of the study. Enrollment may continue during this period and these subjects would be included in the phase 3 portion of the study.
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
hAd5-S-Fusion+N-ETSD
Arm Type
Experimental
Arm Description
Prime (SC, Day 1) + Boost (SC, Day 22) @ 1x10^11 VP/dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Prime (SC, Day 1) + Boost (SC, Day 22)
Intervention Type
Biological
Intervention Name(s)
hAd5-S-Fusion+N-ETSD
Intervention Description
Clear and colorless liquid. Each vaccine is supplied in a 2-mL vial containing 1.0 mL of extractable vaccine at a concentration of 1 × 10^11 viral particles/mL.
Intervention Type
Biological
Intervention Name(s)
Placebo (0.9% (w/v) saline)
Intervention Description
Clear and colorless liquid.
Primary Outcome Measure Information:
Title
COVID-19 incidence based on central laboratory or locally confirmed nucleic acid amplification test (NAAT) in subjects with no serological or virological evidence (up to 14 days after receipt of the last dose) of past SARS-CoV-2 infection
Description
To evaluate the efficacy of prophylactic hAd5-SFusion+ N-ETSD against confirmed COVID-19 in subjects without serological or virological evidence of infection before vaccination
Time Frame
14 days after receipt of the last dose
Title
COVID-19 incidence based on central laboratory or locally confirmed NAAT in subjects with and without serological or virological evidence of infection before vaccination
Description
To evaluate the efficacy of prophylactic hAd5-SFusion+ N-ETSD against confirmed COVID-19 in subjects with and without serological or virological evidence of infection before vaccination
Time Frame
Before vaccination
Secondary Outcome Measure Information:
Title
Confirmed NAAT severe COVID-19 incidence in subjects with no serological or virological evidence of past SARS-CoV-2 infection
Description
To evaluate the efficacy of prophylactic hAd5-SFusion+ N-ETSD against confirmed severe COVID-19 in subjects without serological or virological evidence of infection before vaccination
Time Frame
Before vaccination
Title
Confirmed NAAT severe COVID-19 incidence in subjects with and without serological or virological evidence of infection before vaccination
Description
To evaluate the efficacy of prophylactic hAd5-SFusion+N-ETSD against confirmed severe COVID-19 in subjects with and without serological or virological evidence of infection before vaccination
Time Frame
Before vaccination
Title
COVID-19 incidence based on central laboratory or locally confirmed (according to the CDC-defined symptoms) in subjects with no serological or virological evidence (up to 14 days after receipt of the last dose) of past SARS-CoV-2 infection
Description
To describe the efficacy of prophylactic hAd5-SFusion+N-ETSD against confirmed COVID-19 (according to the CDC defined symptoms) in subjects without serological or virological evidence of infection before vaccination
Time Frame
14 days after receipt of the last dose
Title
COVID-19 incidence based on central laboratory or locally confirmed (according to the CDC-defined symptoms) in subjects with and without serological or virological evidence of infection before vaccination
Description
To describe the efficacy of prophylactic hAd5-SFusion+N-ETSD against confirmed COVID-19 (according to the CDCdefined symptoms) in subjects with and without serological or virological evidence of infection before vaccination
Time Frame
Before vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects are eligible to be included in the study only if all of the following criteria apply: Age and Sex: Male or female participants ≥16 years of age, at randomization. • Refer to Appendix 2 for reproductive criteria for male and female participants. Type of Participant and Disease Characteristics: Participants who are willing and able to comply with all scheduled assessments, vaccination plan, laboratory tests, lifestyle considerations, and other study procedures. Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study. Note: Healthy participants with preexisting stable disease, defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 6 weeks before enrollment, can be included. Specific criteria for Phase 3 participants with known stable infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV) can be found in Appendix 3. Participants who, in the judgment of the investigator, are at higher risk for SARS-CoV-2 infection and subsequent development of COVID-19 (including, but not limited to, use of mass transportation, relevant demographics, and frontline essential workers). Informed Consent: Capable of giving personal signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document (ICD) and in this protocol. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: Medical Conditions: Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. Phase 2 only: Known infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV). History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). Receipt of medications intended to prevent COVID-19. Previous clinical or microbiological diagnosis of COVID-19. Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination. Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate subcutaneous injection. Women who are pregnant or breastfeeding. Prior/Concomitant Therapy: Previous vaccination with any coronavirus vaccine. Individuals who receive treatment with immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study. If systemic corticosteroids have been administered short term (<14 days) for treatment of an acute illness, participants should not be enrolled into the study until corticosteroid therapy has been discontinued for at least 28 days before study intervention administration. Inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted. Receipt of blood/plasma products or immunoglobulin, from 60 days before study intervention administration or planned receipt throughout the study. Prior/Concurrent Clinical Study Experience: Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation. Other Exclusions Investigator site staff or Sponsor employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator.
Facility Information:
Facility Name
Hoag Memorial Hospital Presbyterian
City
Newport Beach
State/Province
California
ZIP/Postal Code
92663
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A 2nd Generation E1/E2B/E3-Deleted Adenoviral COVID-19 Vaccine: The TCELLVACCINE TRIAL

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