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A Phase III Clinical Trial of the Immunogenicity and Safety of the Gam-COVID-Vac Vaccine Against COVID-19 in the UAE (SPUTNIK-UAE)

Primary Purpose

Covid19, SARS-CoV Infection

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Gam-COVID-Vac
placebo
Sponsored by
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring vector, covid-19, adenoviral vector vaccine, Sputnik V

Eligibility Criteria

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

Inclusion Criteria:

  1. Agree to sign the study informed consent form (ICF) before performing any study-specific procedure.
  2. Adults, i.e., ≥ 18 years old.
  3. Negative HIV, hepatitis B, hepatitis C, and syphilis test results
  4. Negative IgM and IgG SARS CoV2 antibodies enzyme immunoassay test result.
  5. Negative COVID-19 RT-PCR test result at the screening visit.
  6. No COVID-19 in medical history.
  7. Subjects to confirm they had no contact with COVID-19 persons within at least 14 days before the screening visit.
  8. Consent for using effective methods of contraception during the entire trial1
  9. A negative urine pregnancy test at the screening visit (for child-bearing age women).
  10. Negative alcohol test at the screening visit.
  11. No evidence of vaccine-induced reactions or complications after receiving immunobiological products in medical history.
  12. No acute infectious and/or respiratory diseases within at least 14 days before the enrollment.

Exclusion criteria:

  1. Any vaccination/immunization within 30 days before the enrollment.
  2. History of COVID-19.
  3. Positive SARS-CoV-2 screening result obtained by PCR (at screening).
  4. Test results for IgM and IgG antibodies to SARS-CoV-2 is positive.
  5. Administration of steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment.
  6. Pregnancy or breast-feeding.
  7. Acute coronary syndrome or stroke suffered less than one year before the enrollment.
  8. Tuberculosis, chronic systemic infections in medical history.
  9. Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study vaccine components, acute exacerbation of allergic diseases on the enrollment day.
  10. Known allergic reactions to vaccination
  11. History of asthma
  12. Neoplasms in medical history.
  13. Major operations in the past 12 months before study vaccine administration. This will include but not limited to; major organs transplant, bone marrow donation, etc.
  14. Splenectomy in the past medical history
  15. Neutropenia (absolute neutrophil count <1,000 mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the medical history within 6 months before the enrollment.
  16. Any family member with immunodeficiency, cancer, or transplantation
  17. The active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B, or C.
  18. Subjects with diabetes, heart disease, chronic kidney disease, or dialysis
  19. Subjects with latent tuberculosis infection
  20. Anorexia, protein deficiency of any origin.
  21. Subjects with any metabolic diseases
  22. Tattoos or scars at the injection site (deltoid muscle area), which in the medical opinion of the investigator does not allow assessing the local response to the study vaccine/placebo administration.
  23. Alcohol or drug addiction in medical history.
  24. Participation in any other interventional clinical trial within the previous 90 days (from the administration of the Vaccine).
  25. Any other condition that the study physician considers as a barrier to the trial completion as per the protocol.
  26. Healthcare workers

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Vaccine

    Placebo

    Arm Description

    a study group of 750 subjects receiving the Gam-COVID-Vac combined vector vaccine against the SARS-СoV-2-induced coronavirus infection

    a reference group of 250 subjects receiving placebo

    Outcomes

    Primary Outcome Measures

    SARS-CoV-2 glycoprotein-specific antibodies titer
    The geometric mean titer of the SARS-CoV-2 glycoprotein-specific antibodies in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 42±4 , 120±14 and 180±14 days after the first dose
    Seroconversion rate
    Percentage of trial subjects with fourfold or more increase in the titer of SARS-CoV-2 glycoprotein-specific antibodies in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 42±4, 120±14 and 180±14 days after the first dose
    IFN-gamma antigen-specific release
    Interferon gamma concentration in response to S protein after re-stimulation with the SARS-CoV-2 glycoprotein in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 28±4 days after the first dose
    CD4+/CD8+ proliferating cells
    The number of proliferating CD4 and CD8 cells in response to antigen stimulation in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 28±4 days after the first dose
    Virus-neutralizing antibodies titer
    Geometric mean virus-neutralizing antibodies titer in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 42±4 and 120±14 days after the first dose

    Secondary Outcome Measures

    Incidence and severity of adverse events
    Incidence and severity of adverse events in trial subjects within 4 & 6 months after injecting the first dose of the study vaccine/placebo.

    Full Information

    First Posted
    November 30, 2020
    Last Updated
    December 4, 2020
    Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
    Collaborators
    PDC-CRO
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04656613
    Brief Title
    A Phase III Clinical Trial of the Immunogenicity and Safety of the Gam-COVID-Vac Vaccine Against COVID-19 in the UAE
    Acronym
    SPUTNIK-UAE
    Official Title
    A Phase III, Randomized, Double -Blind, Placebo-controlled Trial to Evaluate Immunogenicity and Safety of the Gam-COVID-Vac Combined Vector Vaccine in Prophylactic Treatment for SARS-СoV-2 Infection in the United Arab Emirates
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    December 2020 (Anticipated)
    Primary Completion Date
    August 2021 (Anticipated)
    Study Completion Date
    December 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
    Collaborators
    PDC-CRO

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This study is randomized, double-blind (blinded for the trial subject and the study physician), placebo-controlled trial in the parallel assignment of the immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment.
    Detailed Description
    The subjects will be randomized into two groups in the ratio of 1:3; a reference group of 250 subjects receiving placebo and a study group of 750 subjects receiving the Gam-COVID-Vac combined vector vaccine against the SARS-СoV-2-induced coronavirus infection. The trial subjects will be randomized into five age strata: 18-30, 31-40, 41- 50, 51-60, and 60+ years. Each subject will participate in the trial for 180±14 days after the first dose of the study vaccine/placebo and will have in total six on-site visits to the study physician during the study period and several follow-ups Phone Call/ Teleconsultation during the study as follow: One Screening visit, i.e., Screening Visit = Day -7 to Day -1 Two vaccination visits, i.e., o Visit 1 / Day1 Tele-consultation / Phone Call to start on Day 2 and a weekly basis until visit 2 o Visit 2/ Day 21±2 Days Tele-consultation / Phone Call to occur on Day 22±2 Days then on a weekly basis until visit 3. Four Observational Visits to be scheduled as follow: Visit 3/ Day 28 ±2 days Weekly Follow Up Tele-consultation / Phone calls until visit 4 Visit 4/ Day 42 ±4 days Weekly Follow Up Tele-consultation / Phone Call until visit 5 Visit 5/ Day 90 ±7 days Weekly Follow Up Tele-consultation / Phone Call until visit 6 Visit 6/ Day 120 ±14 days Weekly Follow Up Tele-consultation / Phone calls until visit 7 End of Study Visit/ Visit 7/ Day 180 ± 14 days The study vaccine/placebo will be administered intramuscularly during vaccination visits 1 and 2 (day 1 and day 21±2). Subsequent observation visits 3, 4, 5, 6 and end of study visit / EOS /Visit 7 will be made on days 28±2, 42±4, 90±7, 120±14 and D180±14 respectively. During the observation visits, vitals will be assessed in all trial subjects, and changes in the subjects' condition and wellbeing compared to the previous visit will be recorded. Blood samples will be collected per the schedule of assessment from all subjects during the following visits to assess the following immunogenicity parameters.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Covid19, SARS-CoV Infection
    Keywords
    vector, covid-19, adenoviral vector vaccine, Sputnik V

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare Provider
    Allocation
    Randomized
    Enrollment
    1000 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Vaccine
    Arm Type
    Experimental
    Arm Description
    a study group of 750 subjects receiving the Gam-COVID-Vac combined vector vaccine against the SARS-СoV-2-induced coronavirus infection
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    a reference group of 250 subjects receiving placebo
    Intervention Type
    Biological
    Intervention Name(s)
    Gam-COVID-Vac
    Other Intervention Name(s)
    Sputnik V
    Intervention Description
    the Gam-COVID-Vac is combined 2 -component vector vaccine against the SARS-СoV-2-induced coronavirus infection
    Intervention Type
    Other
    Intervention Name(s)
    placebo
    Intervention Description
    Placebo Comparator
    Primary Outcome Measure Information:
    Title
    SARS-CoV-2 glycoprotein-specific antibodies titer
    Description
    The geometric mean titer of the SARS-CoV-2 glycoprotein-specific antibodies in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 42±4 , 120±14 and 180±14 days after the first dose
    Time Frame
    42±4 , 120±14 and 180±14 days
    Title
    Seroconversion rate
    Description
    Percentage of trial subjects with fourfold or more increase in the titer of SARS-CoV-2 glycoprotein-specific antibodies in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 42±4, 120±14 and 180±14 days after the first dose
    Time Frame
    42±4, 120±14 and 180±14 days
    Title
    IFN-gamma antigen-specific release
    Description
    Interferon gamma concentration in response to S protein after re-stimulation with the SARS-CoV-2 glycoprotein in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 28±4 days after the first dose
    Time Frame
    28±4 days
    Title
    CD4+/CD8+ proliferating cells
    Description
    The number of proliferating CD4 and CD8 cells in response to antigen stimulation in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 28±4 days after the first dose
    Time Frame
    28±4 days
    Title
    Virus-neutralizing antibodies titer
    Description
    Geometric mean virus-neutralizing antibodies titer in trial subjects on the drug administration day before injecting the first dose of the study vaccine/placebo and 42±4 and 120±14 days after the first dose
    Time Frame
    42±4 and 120±14 days
    Secondary Outcome Measure Information:
    Title
    Incidence and severity of adverse events
    Description
    Incidence and severity of adverse events in trial subjects within 4 & 6 months after injecting the first dose of the study vaccine/placebo.
    Time Frame
    within 4 & 6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Agree to sign the study informed consent form (ICF) before performing any study-specific procedure. Adults, i.e., ≥ 18 years old. Negative HIV, hepatitis B, hepatitis C, and syphilis test results Negative IgM and IgG SARS CoV2 antibodies enzyme immunoassay test result. Negative COVID-19 RT-PCR test result at the screening visit. No COVID-19 in medical history. Subjects to confirm they had no contact with COVID-19 persons within at least 14 days before the screening visit. Consent for using effective methods of contraception during the entire trial1 A negative urine pregnancy test at the screening visit (for child-bearing age women). Negative alcohol test at the screening visit. No evidence of vaccine-induced reactions or complications after receiving immunobiological products in medical history. No acute infectious and/or respiratory diseases within at least 14 days before the enrollment. Exclusion criteria: Any vaccination/immunization within 30 days before the enrollment. History of COVID-19. Positive SARS-CoV-2 screening result obtained by PCR (at screening). Test results for IgM and IgG antibodies to SARS-CoV-2 is positive. Administration of steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment. Pregnancy or breast-feeding. Acute coronary syndrome or stroke suffered less than one year before the enrollment. Tuberculosis, chronic systemic infections in medical history. Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study vaccine components, acute exacerbation of allergic diseases on the enrollment day. Known allergic reactions to vaccination History of asthma Neoplasms in medical history. Major operations in the past 12 months before study vaccine administration. This will include but not limited to; major organs transplant, bone marrow donation, etc. Splenectomy in the past medical history Neutropenia (absolute neutrophil count <1,000 mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the medical history within 6 months before the enrollment. Any family member with immunodeficiency, cancer, or transplantation The active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B, or C. Subjects with diabetes, heart disease, chronic kidney disease, or dialysis Subjects with latent tuberculosis infection Anorexia, protein deficiency of any origin. Subjects with any metabolic diseases Tattoos or scars at the injection site (deltoid muscle area), which in the medical opinion of the investigator does not allow assessing the local response to the study vaccine/placebo administration. Alcohol or drug addiction in medical history. Participation in any other interventional clinical trial within the previous 90 days (from the administration of the Vaccine). Any other condition that the study physician considers as a barrier to the trial completion as per the protocol. Healthcare workers
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Mohamed Mostafa
    Phone
    +971555389246
    Email
    Mohamed.Mostafa@pdc-cro.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Ahmed Al Hammadi
    Phone
    +971 50 443 3797
    Email
    Ahhammadi@seha.ae
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Mohamed Mostafa
    Organizational Affiliation
    PDC-CRO
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Phase III Clinical Trial of the Immunogenicity and Safety of the Gam-COVID-Vac Vaccine Against COVID-19 in the UAE

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