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A Phase 1/2 Study to Assess the Safety and Immunogenicity of JCXH-221, an mRNA-based Broadly Protective COVID-19 Vaccine

Primary Purpose

COVID-19, Infectious Disease

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
JCXH-221
Active Comparator
Placebo
Sponsored by
Immorna Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring mRNA Vaccine, COVID vaccination, Healthy subjects

Eligibility Criteria

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

Main Inclusion Criteria Sex: Male or female; female subjects may be of childbearing potential, of nonchildbearing potential, or postmenopausal. Age: 18 years of age or older, at screening. Status: Healthy subjects. Subjects must have completed the full doses for primary vaccination with an approved SARS-CoV-2 vaccine and may have received booster dose(s), with the last vaccination (can be 2nd dose of primary vaccination or booster dose) having occurred at least 4 months prior to enrollment. Main Exclusion Criteria Current or prior symptomatic or asymptomatic SARS-CoV-2 infection confirmed by an approved or authorized rapid antigen test on Day 1 or within 4 months prior to Day 1. Subjects with significant exposure (as defined by current CDC guidance) to someone with laboratory confirmed SARS-CoV-2 infection or COVID-19 with the past 14 days prior to the Screening visit. Subjects with fever or signs of acute infection at the time of enrollment and vaccination. Subjects who are taking medications that may prevent or treat COVID-19. Subjects who received convalescent serum or prior therapeutic antibodies against SARS-CoV-2 within 4 months before Day 1. Subjects with history of myocarditis or pericarditis, or with AEs after mRNA vaccination that are in nature and severity beyond the common AEs expected and necessitating medical intervention. Subjects with active or suspected immunosuppression, immunodeficiency, or autoimmune disease.

Sites / Locations

  • Velocity Clinical ResearchRecruiting
  • Velocity Clinical ResearchRecruiting
  • Velocity Clinical ResearchRecruiting
  • Velocity Clinical ResearchRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Active Comparator

Arm Label

Investigational product

Placebo

Active Comparator

Arm Description

Patients randomized to this arm will be given the investigational product (JCXH-221).

Patients randomized to this arm will be given a placebo vaccine.

Patients randomized to this arm will be given an active FDA approved COVID-19 Vaccine (Pfizer, Moderna, etc.).

Outcomes

Primary Outcome Measures

SAE frequency
Frequency of serious adverse events (SAEs) characterized by type, severity, duration, and drug relationship, from Day 1 (dosing day) until follow-up completion
Injection site reaction
Solicited local reactions at the injection site characterized by frequency, severity, and duration, recorded up to 7 days after dosing (Day 8)
Solicited systemic reaction frequency
Solicited systemic reactions characterized by frequency, severity, duration, and drug relationship, recorded up to 7 days after dosing (Day 8)
AE frequency
Adverse events (AEs), including unsolicited AEs, characterized by frequency, severity, duration, and drug relationship, for up to 28 days after dosing (Day 29)
Unsolicited treatment-emergent AE frequency
The proportion of subjects with at least 1 unsolicited treatment-emergent AE occurring up to 28 days after dosing (Day 29)
Medical AE frequency
Medically attended AEs (MAAEs) characterized by frequency, severity, duration, and drug relationship, from Day 1 until follow-up completion

Secondary Outcome Measures

SARS-CoV-2 antibody levels
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific serum neutralizing antibody levels against ancestral and variant SARS-CoV-2 strains as compared to baseline (Day 1 predose) at 7, 14, and 28 days after dosing, and 2, 4, and 6 months after dosing: Geometric mean titers (GMTs) at each time point Geometric mean-fold rise (GMFR) from before vaccination to each subsequent time point after vaccination Seroresponse rate (SRR) defined as the proportion of subjects achieving ≥4-fold rise from before vaccination to each subsequent time point after vaccination
SARS-CoV-2 anti-receptor antibody levels
SARS-CoV-2 anti-receptor binding domain (RBD) antibody levels as compared to baseline (Day 1 predose) at 7, 14, and 28 days after dosing, and 2, 4, and 6 months after dosing Geometric mean concentrations (GMCs) at each time point GMFR from before vaccination to each subsequent time point after vaccination SRR defined as the proportion of subjects achieving ≥4-fold rise from before vaccination to each subsequent time point after vaccination

Full Information

First Posted
February 22, 2023
Last Updated
March 16, 2023
Sponsor
Immorna Biotherapeutics, Inc.
Collaborators
ICON plc
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1. Study Identification

Unique Protocol Identification Number
NCT05743335
Brief Title
A Phase 1/2 Study to Assess the Safety and Immunogenicity of JCXH-221, an mRNA-based Broadly Protective COVID-19 Vaccine
Official Title
A PHASE 1/2 STUDY TO ASSESS THE SAFETY AND IMMUNOGENICITY OF A BROADLY PROTECTIVE mRNA VACCINE JCXH-221 AGAINST SARS-CoV-2 INFECTION AND DISEASES
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 20, 2023 (Anticipated)
Primary Completion Date
September 6, 2024 (Anticipated)
Study Completion Date
October 4, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Immorna Biotherapeutics, Inc.
Collaborators
ICON plc

4. Oversight

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

5. Study Description

Brief Summary
The goal of this clinical trial is to learn about, test, and compare JCXH-221 in healthy volunteers. The main aims to answer are: To assess the safety and tolerability of the JCXH-221 vaccine in healthy adult subjects To identify an optimal dose for the JCXH-221 vaccine in healthy adult subjects To assess the humoral immunogenicity of the JCXH-221 vaccine in healthy adult subjects To characterize the cellular immunogenicity of the JCXH-221 vaccine in healthy adult subjects Participants for Phase I will be randomized to either JCXH-221 or placebo. In Phase 2, participants will be randomized to either JCXH-221 or a FDA approved Active comparator.
Detailed Description
This is a phase 1/2 study looking to enroll a total of 262 patients. For phase 1, two cohorts will be explored (18-64 age group and 65+ age group) for a total of 72 subjects. The subjects will be enrolled and randomized to either placebo or JCXH-221. A low dose of JCXH-221 will be explored vs placebo for each age group first. A high dose for those 2 cohorts will be explored once all safety data is reviewed. Once all of Phase 1 data has been reviewed, Phase 2 enrollment will open. In this portion of the trial, subjects will be enrolled and randomized to either JCXH-221 or a FDA approved Active comparator (Pfizer, Moderna, etc.). A total of 190 patients will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Infectious Disease
Keywords
mRNA Vaccine, COVID vaccination, Healthy subjects

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
2 age groups will be enrolled in parallel for Phase 1 (18-64 age group and 65+ age group). Phase 2 will be a single age group of 18+.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double blinded study
Allocation
Randomized
Enrollment
262 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Investigational product
Arm Type
Experimental
Arm Description
Patients randomized to this arm will be given the investigational product (JCXH-221).
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Patients randomized to this arm will be given a placebo vaccine.
Arm Title
Active Comparator
Arm Type
Active Comparator
Arm Description
Patients randomized to this arm will be given an active FDA approved COVID-19 Vaccine (Pfizer, Moderna, etc.).
Intervention Type
Biological
Intervention Name(s)
JCXH-221
Intervention Description
Participants will be randomized to either placebo or JCXH-221 for Phase 1. For Phase 2, participants will either be randomized to JCXH-221 or a FDA approved Active comparator.
Intervention Type
Biological
Intervention Name(s)
Active Comparator
Intervention Description
Participants will be randomized in Phase 2 to either JCXH-221 or a FDA approved Active Comparator,
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Participants will be randomized in Phase 1 to either JCXH-221 or placebo
Primary Outcome Measure Information:
Title
SAE frequency
Description
Frequency of serious adverse events (SAEs) characterized by type, severity, duration, and drug relationship, from Day 1 (dosing day) until follow-up completion
Time Frame
Day 1- Day 365 (12 months)
Title
Injection site reaction
Description
Solicited local reactions at the injection site characterized by frequency, severity, and duration, recorded up to 7 days after dosing (Day 8)
Time Frame
Day 1- Day 8 (7 days)
Title
Solicited systemic reaction frequency
Description
Solicited systemic reactions characterized by frequency, severity, duration, and drug relationship, recorded up to 7 days after dosing (Day 8)
Time Frame
Day 1- Day 8 (7 days)
Title
AE frequency
Description
Adverse events (AEs), including unsolicited AEs, characterized by frequency, severity, duration, and drug relationship, for up to 28 days after dosing (Day 29)
Time Frame
Day 1- Day 29 (28 days)
Title
Unsolicited treatment-emergent AE frequency
Description
The proportion of subjects with at least 1 unsolicited treatment-emergent AE occurring up to 28 days after dosing (Day 29)
Time Frame
Day 1- Day 29 (28 days)
Title
Medical AE frequency
Description
Medically attended AEs (MAAEs) characterized by frequency, severity, duration, and drug relationship, from Day 1 until follow-up completion
Time Frame
Day 1- Day 365 (12 months)
Secondary Outcome Measure Information:
Title
SARS-CoV-2 antibody levels
Description
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific serum neutralizing antibody levels against ancestral and variant SARS-CoV-2 strains as compared to baseline (Day 1 predose) at 7, 14, and 28 days after dosing, and 2, 4, and 6 months after dosing: Geometric mean titers (GMTs) at each time point Geometric mean-fold rise (GMFR) from before vaccination to each subsequent time point after vaccination Seroresponse rate (SRR) defined as the proportion of subjects achieving ≥4-fold rise from before vaccination to each subsequent time point after vaccination
Time Frame
Day 1- Day 181 (~6 months)
Title
SARS-CoV-2 anti-receptor antibody levels
Description
SARS-CoV-2 anti-receptor binding domain (RBD) antibody levels as compared to baseline (Day 1 predose) at 7, 14, and 28 days after dosing, and 2, 4, and 6 months after dosing Geometric mean concentrations (GMCs) at each time point GMFR from before vaccination to each subsequent time point after vaccination SRR defined as the proportion of subjects achieving ≥4-fold rise from before vaccination to each subsequent time point after vaccination
Time Frame
Day 1- Day 181 (~6 months)
Other Pre-specified Outcome Measures:
Title
T-cell responses
Description
T-cell responses to vaccine-encoded antigen and antigen-specific memory B cells and plasmablasts in peripheral blood mononuclear cells determined by enzyme-linked immunosorbent spot (ELISpot) assays, as compared to baseline (Day 1 predose) at 14 days and 6 months after dosing (Day 15 and Month 6)
Time Frame
Day 1- Day 181 (~6 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Main Inclusion Criteria Sex: Male or female; female subjects may be of childbearing potential, of nonchildbearing potential, or postmenopausal. Age: 18 years of age or older, at screening. Status: Healthy subjects. Subjects must have completed the full doses for primary vaccination with an approved SARS-CoV-2 vaccine and may have received booster dose(s), with the last vaccination (can be 2nd dose of primary vaccination or booster dose) having occurred at least 4 months prior to enrollment. Main Exclusion Criteria Current or prior symptomatic or asymptomatic SARS-CoV-2 infection confirmed by an approved or authorized rapid antigen test on Day 1 or within 4 months prior to Day 1. Subjects with significant exposure (as defined by current CDC guidance) to someone with laboratory confirmed SARS-CoV-2 infection or COVID-19 with the past 14 days prior to the Screening visit. Subjects with fever or signs of acute infection at the time of enrollment and vaccination. Subjects who are taking medications that may prevent or treat COVID-19. Subjects who received convalescent serum or prior therapeutic antibodies against SARS-CoV-2 within 4 months before Day 1. Subjects with history of myocarditis or pericarditis, or with AEs after mRNA vaccination that are in nature and severity beyond the common AEs expected and necessitating medical intervention. Subjects with active or suspected immunosuppression, immunodeficiency, or autoimmune disease.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Banji Oduola
Phone
630-687-3084
Email
banji.oduola@immornabio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Stephanie Allan
Email
stephanie.allan@immornabio.com
Facility Information:
Facility Name
Velocity Clinical Research
City
Hallandale Beach
State/Province
Florida
ZIP/Postal Code
33009
Country
United States
Individual Site Status
Recruiting
Facility Name
Velocity Clinical Research
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Individual Site Status
Recruiting
Facility Name
Velocity Clinical Research
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68510
Country
United States
Individual Site Status
Recruiting
Facility Name
Velocity Clinical Research
City
Cedar Park
State/Province
Texas
ZIP/Postal Code
78613
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase 1/2 Study to Assess the Safety and Immunogenicity of JCXH-221, an mRNA-based Broadly Protective COVID-19 Vaccine

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