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A Phase II Clinical Trial to Evaluate the Recombinant Vaccine for COVID-19 (Adenovirus Vector) (CTII-nCoV)

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Recombinant novel coronavirus vaccine (Adenovirus type 5 vector)
Placebo
Sponsored by
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China
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, Ad5-nCoV, SARS-CoV-2

Eligibility Criteria

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

Inclusion Criteria:

  • Aged between 18 and 60 years.
  • Able to understand the content of informed consent and willing to sign the informed consent
  • Able and willing to complete all the secluded study process during the whole 6 months study follow-up period.
  • Negative in HIV diagnostic test.
  • Negative in serum antibodies (IgG and IgM) screening of COVID-19.
  • Axillary temperature ≤37.0°C.
  • The BMI index is 18.5-30.0.
  • General good health as established by medical history and physical examination.

Exclusion Criteria:

  • Family history of seizure, epilepsy, brain or mental disease
  • Subject allergic to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
  • Woman who is pregnant, breast-feeding or positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment, or become pregnant during the next 6 months
  • Any acute fever disease or infections.
  • History of SARS
  • Major congenital defects or not well-controlled chronic illness, such as asthma, diabetes, or thyroid disease.
  • Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension without controllable drugs, etc.
  • Hereditary angioneurotic edema or acquired angioneurotic edema
  • Urticaria in last one year
  • No spleen or functional spleen.
  • Platelet disorder or other bleeding disorder may cause injection contraindication
  • Faint at the sight of needles.
  • Prior administration of immunodepressant or corticosteroids, antianaphylaxis treatment, cytotoxic treatment in last 6 months.
  • Prior administration of blood products in last 4 months
  • Prior administration of other research medicines in last 1 month
  • Prior administration of attenuated vaccine in last 1 month
  • Prior administration of inactivated vaccine in last 14 days
  • Current anti-tuberculosis prophylaxis or therapy
  • According to the judgement of investigator,various medical, psychological, social or other conditions, those could affect the subjects to sign informed consent.

Sites / Locations

  • Hubei Provincial Center for Disease Control and Prevention

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Arm 1

Arm 2

Arm 3

Arm Description

1×10^11vp of Ad5-nCoV administered through 1.0 mL intramuscular injection in the deltoid muscle on Day 0

5×10^10vp of Ad5-nCoV administered through 1.0 mL intramuscular injection in the deltoid muscle on Day 0

Placebo administered through 1.0 mL intramuscular injection in the deltoid muscle on Day 0

Outcomes

Primary Outcome Measures

Occurrence of adverse reactions
Anti SARS-CoV-2 S IgG antibody response(ELISA)
Neutralizing antibody response to SARS-CoV-2

Secondary Outcome Measures

Occurrence of adverse events
Occurrence of serious adverse reaction
Anti SARS-CoV-2 S IgG antibody response(ELISA)
Neutralizing antibody response to SARS-CoV-2
Neutralizing antibody response to Ad5-vector
IFN-γ ELISpot responses to SARS-CoV-2 spike protein

Full Information

First Posted
April 7, 2020
Last Updated
May 22, 2023
Sponsor
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China
Collaborators
CanSino Biologics Inc., Jiangsu Province Centers for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Zhongnan Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04341389
Brief Title
A Phase II Clinical Trial to Evaluate the Recombinant Vaccine for COVID-19 (Adenovirus Vector)
Acronym
CTII-nCoV
Official Title
A Randomized, Double-blind, Placebo-controlled Phase II Clinical Trial to Evaluate the Safety and Immunogenicity of the Recombinant Novel Coronavirus Vaccine (Adenovirus Vector) in Healthy Adults Aged Above 18 Years
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
April 12, 2020 (Actual)
Primary Completion Date
November 30, 2020 (Actual)
Study Completion Date
December 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China
Collaborators
CanSino Biologics Inc., Jiangsu Province Centers for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Zhongnan Hospital

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
This is a phase II, randomised, double-blinded and placebo-controlled clinical trial in healthy adults above 18 years of age. This clinical trial is designed to evaluate the immunogenicity and safety of Ad5-nCoV which encodes for a full-length spike (S) protein of SARS-CoV-2.
Detailed Description
This is a phase II, randomised, double-blinded and placebo-controlled clinical trial in healthy adults above 18 years of age,inclusive, who meet all eligibility criteria. This clinical trial is designed to evaluate the immunogenicity and safety of Ad5-nCoV which encodes for a full-length spike (S) protein of SARS-CoV-2. 500 subjects will be enrolled, 250 subjects in middle-dose vaccine group, 125 subjects in low-dose and placebo group, respectively. Immunogenicity will be tested on days 0, 14, 28 and 6 months after vaccination

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, Ad5-nCoV, SARS-CoV-2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
508 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Active Comparator
Arm Description
1×10^11vp of Ad5-nCoV administered through 1.0 mL intramuscular injection in the deltoid muscle on Day 0
Arm Title
Arm 2
Arm Type
Active Comparator
Arm Description
5×10^10vp of Ad5-nCoV administered through 1.0 mL intramuscular injection in the deltoid muscle on Day 0
Arm Title
Arm 3
Arm Type
Placebo Comparator
Arm Description
Placebo administered through 1.0 mL intramuscular injection in the deltoid muscle on Day 0
Intervention Type
Biological
Intervention Name(s)
Recombinant novel coronavirus vaccine (Adenovirus type 5 vector)
Other Intervention Name(s)
Ad5-nCoV
Intervention Description
Intramuscular injection
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Control
Intervention Description
Intramuscular injection
Primary Outcome Measure Information:
Title
Occurrence of adverse reactions
Time Frame
0-14 days post vaccination
Title
Anti SARS-CoV-2 S IgG antibody response(ELISA)
Time Frame
28 days post vaccination
Title
Neutralizing antibody response to SARS-CoV-2
Time Frame
28 days post vaccination
Secondary Outcome Measure Information:
Title
Occurrence of adverse events
Time Frame
0-28 days post vaccination
Title
Occurrence of serious adverse reaction
Time Frame
0-6 months post vaccination
Title
Anti SARS-CoV-2 S IgG antibody response(ELISA)
Time Frame
0, 14 days and 6 months post vaccination
Title
Neutralizing antibody response to SARS-CoV-2
Time Frame
0 and 6 months post vaccination
Title
Neutralizing antibody response to Ad5-vector
Time Frame
0, 28 days and 6 months post vaccination
Title
IFN-γ ELISpot responses to SARS-CoV-2 spike protein
Time Frame
0 and 28 days post vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged between 18 and 60 years. Able to understand the content of informed consent and willing to sign the informed consent Able and willing to complete all the secluded study process during the whole 6 months study follow-up period. Negative in HIV diagnostic test. Negative in serum antibodies (IgG and IgM) screening of COVID-19. Axillary temperature ≤37.0°C. The BMI index is 18.5-30.0. General good health as established by medical history and physical examination. Exclusion Criteria: Family history of seizure, epilepsy, brain or mental disease Subject allergic to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past. Woman who is pregnant, breast-feeding or positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment, or become pregnant during the next 6 months Any acute fever disease or infections. History of SARS Major congenital defects or not well-controlled chronic illness, such as asthma, diabetes, or thyroid disease. Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension without controllable drugs, etc. Hereditary angioneurotic edema or acquired angioneurotic edema Urticaria in last one year No spleen or functional spleen. Platelet disorder or other bleeding disorder may cause injection contraindication Faint at the sight of needles. Prior administration of immunodepressant or corticosteroids, antianaphylaxis treatment, cytotoxic treatment in last 6 months. Prior administration of blood products in last 4 months Prior administration of other research medicines in last 1 month Prior administration of attenuated vaccine in last 1 month Prior administration of inactivated vaccine in last 14 days Current anti-tuberculosis prophylaxis or therapy According to the judgement of investigator,various medical, psychological, social or other conditions, those could affect the subjects to sign informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fengcai Zhu, MD
Organizational Affiliation
Jiangsu Province Centers of Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hubei Provincial Center for Disease Control and Prevention
City
Wuhan
State/Province
Hubei
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32702299
Citation
Zhu FC, Guan XH, Li YH, Huang JY, Jiang T, Hou LH, Li JX, Yang BF, Wang L, Wang WJ, Wu SP, Wang Z, Wu XH, Xu JJ, Zhang Z, Jia SY, Wang BS, Hu Y, Liu JJ, Zhang J, Qian XA, Li Q, Pan HX, Jiang HD, Deng P, Gou JB, Wang XW, Wang XH, Chen W. Immunogenicity and safety of a recombinant adenovirus type-5-vectored COVID-19 vaccine in healthy adults aged 18 years or older: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet. 2020 Aug 15;396(10249):479-488. doi: 10.1016/S0140-6736(20)31605-6. Epub 2020 Jul 20.
Results Reference
derived

Learn more about this trial

A Phase II Clinical Trial to Evaluate the Recombinant Vaccine for COVID-19 (Adenovirus Vector)

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