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A Phase III Trial to Assess the Safety and Immunogenicity of a HIPRA's Candidate Booster Vaccination Against COVID-19.

Primary Purpose

COVID-19, SARS-CoV-2 Acute Respiratory Disease

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
COVID-19 Vaccine 40 ug/dose
Sponsored by
Hipra Scientific, S.L.U
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female, ≥ 16 years old at Day 0.
  • Willing to provide consent indicating that she or he understands the purpose and potential risks and is willing and able to participate in the study and comply with all the study requirements and procedures.
  • Have a recognized primary vaccination scheme recognized by the authorities with Comirnaty, Spikevax, Vaxevria or Janssen at least 91 days and preferably a maximum of 240 days before Day 0.
  • If having an underlying illnesses must be stable and well-controlled according to the investigator judgment.
  • Participant is willing to avoid receiving live attenuated vaccines (licensed) within 4 weeks before screening or after receiving any study vaccine, or other not live vaccines (licensed) within 14 days before and after receiving any study vaccine.
  • Participant agrees not to donate blood, blood products and bone marrow at least 3 months before and after vaccination.
  • Female participant of childbearing potential must have a negative pregnancy test on the on Day 0 prior to vaccination.
  • Female participant of childbearing potential must use any acceptable contraceptive method that should be started on day 0 and until 8 weeks after vaccination (hormonal contraception: oral, injectable or transdermal patch, intrauterine device, vasectomized partner, sexual abstinence or condom).
  • Male participants must use any acceptable contraceptive method that should be started on day 0 and until 8 weeks after vaccination (vasectomized participants, condom, sexual abstinence).
  • Male participants must refrain from donating sperm for at least 28 days after day 0.

Exclusion Criteria:

  • History of anaphylaxis to any prior vaccine.
  • Previous severe SARS-CoV-2 infections that required >24 hous of hospitalisation.
  • Participant received or plans to receive live attenuated vaccines within 4 weeks before and after day 0; or other not live vaccines within 14 days before and after day 0.
  • Pregnancy or breast-feeding at screening or Day 0 or willingness/intention to become pregnant during the study.
  • Having a clinically significant acute illness or fever (temperature ≥38º C (100.4ºF)) at screening or within 48 hours prior to Day 0.
  • Participant had a surgery requiring hospitalization before vaccination and he/she has not received the hospital discharge at day 0; or has a surgery requiring hospitalization planned within 12 weeks after study vaccine administration.
  • Having any active malignancy even if under treatment except for non-melanoma skin cancer, uterine cervical carcinoma, anal carcinoma, localized prostate cancer.
  • Having ongoing severe and non-stable psychiatric condition likely to affect participation in the study.
  • Having problematic or risk use of substances including alcohol that can compromise the study follow-up.
  • Having a bleeding disorder or has any condition that in the opinion of the investigator contraindicates intramuscular injections.
  • Having abnormal function of the immune system, except stable clinical conditions like controlled HIV.
  • Having clinically significant and unstable cardiovascular, respiratory, hepatic, neurological, gastrointestinal, renal, or any other medical disorder judged by the investigator within 3 months before screening.
  • Chronic or recurrent administration of systemic immunosuppressant medication.
  • Having received immunoglobulins and/or blood-derived products 12 weeks prior vaccination (Day 0) or expects to receive them during the study.
  • Having received any immunotherapy (monoclonal antibodies, plasma) aimed to prevent or treat COVID-19 within 90 days before day 0.
  • Participation in any research involving an investigational product (drug, biologic, device) within 12 weeks prior to vaccination and during the study.
  • Participant has donated ≥ 450ml of blood products within 12 weeks before screening.
  • Participant has any medical condition and/or finding that in the investigator opinion might increase participant risks, interfere with the study or impair interpretation of study data.

Sites / Locations

  • Hospital de Niguarda
  • Hospital Germans Trias I Pujol
  • Hospital de Mollet
  • Hospital Principe de Asturias
  • Hospital HM Puerta del Sur
  • Hospital de Cruces
  • Hospital HM Delfos
  • Hospital Quironsalud Barcelona
  • Hospital Vall Hebron
  • Hospital Clinic de Barcelona
  • Hospital Universitari Dr. Josep Trueta
  • Hospital Gregorio Marañón
  • Hospital Universitario La Paz
  • Hospital HM Sanchinarro
  • Hospital Quironsalud Madrid
  • Hospital HM Montepríncipe
  • Hospital Regional Universitario de Málaga
  • Hospital Clínico de Valencia

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Experimental: COVID-19 Vaccine HIPRA 40 ug/dose

Arm Description

COVID-19 Vaccine HIPRA, where subjects will receive one intramuscular injection of COVID-19 vaccine developed by HIPRA

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events (Safety and tolerability)
Number, percentage, and characteristics of solicited local and systemic reactions through Day 7 after vaccination.
Incidence of Treatment-Emergent Adverse Events (Safety and tolerability) (AEs)
Number, percentage, and characteristics of unsolicited local and systemic adverse events (AEs) through Day 28 after vaccination
Incidence of Serious Adverse Events (Safety and tolerability) (SAE)
Number and percentage of serious adverse events (SAEs) through the end of the study.
Incidence of Special Interest Adverse Events (Safety and tolerability) (AESI).
Number and percentage of adverse event of special interest (AESI) through the end of the study.
Incidence of Medically Attended Adverse Events (Safety and tolerability) (MAAEs)
Number and percentage of medically attended adverse events (MAAE) related to study vaccine through the end of the study.
Incidence of Adverse Events in laboratory parameters (Safety and tolerability)
Grade 3 and 4 changes from baseline in safety laboratory parameters at Days 14, 91 and 182 after vaccination. through the end of the study.

Secondary Outcome Measures

Changes in the immunogenicity measured by pseudovirus neutralisation
Neutralisation titre against Wuhan and Omicron strains, and any other relevant VOC in the epidemiologic moment, measured as inhibitory concentration 50 (IC50) by a pseudovirion-based neutralisation assay (PBNA) and reported as reciprocal concentration for each individual sample and geometric mean titre (GMT) for descriptive statistics analysis at Baseline and at Days 14, 91, 182 and 365.
Changes in the immunogenicity measured by pseudovirus neutralisation
The geometric mean fold rise (GMFR) in neutralising antibody titre from baseline to Day 14.
Changes in the immunogenicity measured by means of total antibody against RBD
Binding antibodies titre measured for each individual sample and GMT for descriptive statistics analysis at Baseline and Days 14, 91, 182 and 365.
Changes in the immunogenicity measured by means of total antibody against RBD.
The geometric mean fold rise (GMFR) in binding antibody titre from baseline to Day 14.
Changes in the immunogenicity measured by means of total antibody against RBD
The percentage of subjects that after the booster dose have a ≥4-fold change in binding antibodies titre from Baseline to Day 14.

Full Information

First Posted
February 8, 2022
Last Updated
March 14, 2023
Sponsor
Hipra Scientific, S.L.U
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1. Study Identification

Unique Protocol Identification Number
NCT05246137
Brief Title
A Phase III Trial to Assess the Safety and Immunogenicity of a HIPRA's Candidate Booster Vaccination Against COVID-19.
Official Title
A Phase III, Open Label, Single Arm, Multi-centre, Trial to Assess the Safety and Immunogenicity of a Booster Vaccination With a Recombinant Protein RBD Fusion Heterodimer Candidate (PHH-1V) Against SARS-CoV-2, in Adults Vaccinated Against COVID-19.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
February 3, 2022 (Actual)
Primary Completion Date
March 3, 2022 (Actual)
Study Completion Date
March 3, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hipra Scientific, S.L.U

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 III clinical study to assess the safety, tolerability and immunogenicity of PHH-1V as a booster dose in healthy adult subjects vaccinated against COVID-19 with the Comirnaty, Spikevax, Vaxevria or Janssen vaccine.
Detailed Description
This is a phase III clinical study to assess the safety, tolerability and immunogenicity of PHH-1V as a booster dose in healthy adults vaccinated against COVID-19 with the Comirnaty, Spikevax, Vaxevria or Janssen vaccine at least 91 days before day 0. All the participants will receive a booster dose of the HIPRA's COVID-19 Vaccine and will be followed for 26 weeks or 52 weeks if they participate in the safety cohort, or the immunogenicity cohort, respectively.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, SARS-CoV-2 Acute Respiratory Disease

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
2646 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental: COVID-19 Vaccine HIPRA 40 ug/dose
Arm Type
Experimental
Arm Description
COVID-19 Vaccine HIPRA, where subjects will receive one intramuscular injection of COVID-19 vaccine developed by HIPRA
Intervention Type
Biological
Intervention Name(s)
COVID-19 Vaccine 40 ug/dose
Intervention Description
Intramuscular injection of 0,5 ml with 40 ug of recombinant PHH-1V
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events (Safety and tolerability)
Description
Number, percentage, and characteristics of solicited local and systemic reactions through Day 7 after vaccination.
Time Frame
Day 7
Title
Incidence of Treatment-Emergent Adverse Events (Safety and tolerability) (AEs)
Description
Number, percentage, and characteristics of unsolicited local and systemic adverse events (AEs) through Day 28 after vaccination
Time Frame
Day 28
Title
Incidence of Serious Adverse Events (Safety and tolerability) (SAE)
Description
Number and percentage of serious adverse events (SAEs) through the end of the study.
Time Frame
Day 365
Title
Incidence of Special Interest Adverse Events (Safety and tolerability) (AESI).
Description
Number and percentage of adverse event of special interest (AESI) through the end of the study.
Time Frame
Day 365
Title
Incidence of Medically Attended Adverse Events (Safety and tolerability) (MAAEs)
Description
Number and percentage of medically attended adverse events (MAAE) related to study vaccine through the end of the study.
Time Frame
Day 365
Title
Incidence of Adverse Events in laboratory parameters (Safety and tolerability)
Description
Grade 3 and 4 changes from baseline in safety laboratory parameters at Days 14, 91 and 182 after vaccination. through the end of the study.
Time Frame
Day 365
Secondary Outcome Measure Information:
Title
Changes in the immunogenicity measured by pseudovirus neutralisation
Description
Neutralisation titre against Wuhan and Omicron strains, and any other relevant VOC in the epidemiologic moment, measured as inhibitory concentration 50 (IC50) by a pseudovirion-based neutralisation assay (PBNA) and reported as reciprocal concentration for each individual sample and geometric mean titre (GMT) for descriptive statistics analysis at Baseline and at Days 14, 91, 182 and 365.
Time Frame
Day 365
Title
Changes in the immunogenicity measured by pseudovirus neutralisation
Description
The geometric mean fold rise (GMFR) in neutralising antibody titre from baseline to Day 14.
Time Frame
Day 14
Title
Changes in the immunogenicity measured by means of total antibody against RBD
Description
Binding antibodies titre measured for each individual sample and GMT for descriptive statistics analysis at Baseline and Days 14, 91, 182 and 365.
Time Frame
Day 365
Title
Changes in the immunogenicity measured by means of total antibody against RBD.
Description
The geometric mean fold rise (GMFR) in binding antibody titre from baseline to Day 14.
Time Frame
Day 14
Title
Changes in the immunogenicity measured by means of total antibody against RBD
Description
The percentage of subjects that after the booster dose have a ≥4-fold change in binding antibodies titre from Baseline to Day 14.
Time Frame
Day 14
Other Pre-specified Outcome Measures:
Title
To assess number of subjects with SARS-CoV-2 infections ≥14 days after PHH-1V booster.
Description
Number and percentage of subjects with SARS-CoV-2 infections ≥14 days after PHH-1V booster according to COVID-19 infection criteria throughout the study duration.
Time Frame
Day 365
Title
To assess number of COVID-19 severe infections ≥14 days after receiving PHH-1V. SARS-CoV-2 infections ≥14 days after PHH-1V booster.
Description
Number and percentage of COVID-19 severe infections ≥14 days after PHH-1V booster and through the end of the study.
Time Frame
Day 365
Title
To assess number of COVID-19 severe infections ≥14 days after receiving PHH-1V and hospital admissions SARS-CoV-2 infections ≥14 days after PHH-1V booster.
Description
Number and percentage of hospital admissions associated with COVID-19 ≥14 days after PHH-1V booster and through the end of the study.
Time Frame
Day 365
Title
To assess number of COVID-19 severe infections ≥14 days after receiving PHH-1V in ICU. SARS-CoV-2 infections ≥14 days after PHH-1V booster.
Description
Number and percentage of intensive care unit (ICU) admissions associated with COVID-19 ≥14 days after PHH-1V booster and through the end of the study.
Time Frame
Day 365
Title
To assess number of COVID-19 severe infections ≥14 days after receiving PHH-1V receiving noninvasive ventilation. SARS-CoV-2 infections ≥14 days after PHH-1V booster.
Description
Number and percentage of noninvasive ventilation administration associated with COVID-19 ≥14 days after PHH-1V booster and through the end of the study.
Time Frame
Day 365
Title
To assess number of COVID-19 severe infections ≥14 days after receiving PHH-1V causing death.
Description
Number and percentage of deaths associated with COVID-19 ≥14 days after PHH-1V booster and through the end of the study.
Time Frame
Day 365
Title
To evaluate T-cell mediated responses against the SARS-CoV-2 S glycoprotein at Baseline and Day 14 in subjects who have received two doses of Vaxzevria vaccine and PHH-1V as a booster..
Description
T-cell-mediated response to the SARS-CoV-2 S protein as measured by whole peripheral blood mononuclear cell (PBMC) stimulation by enzyme-linked immune absorbent spot (ELISpot) at Baseline and at Day 14. This analysis will be performed in 30 subjects.
Time Frame
Day 14
Title
To assess Th-1/Th-2 T-cell mediated responses against S protein at Baseline and Day 14 in subjects who have received two doses of Vaxzevria vaccine and PHH-1V as a booster.
Description
CD4+/CD8+ T-cell response to the SARS-CoV-2 S protein as measured by in vitro PBMC stimulation by cytokine staining assays at Baseline and at Day 14. This analysis will be performed in 30 subjects.
Time Frame
Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female, ≥ 16 years old at Day 0. Willing to provide consent indicating that she or he understands the purpose and potential risks and is willing and able to participate in the study and comply with all the study requirements and procedures. Have a recognized primary vaccination scheme recognized by the authorities with Comirnaty, Spikevax, Vaxevria or Janssen at least 91 days and preferably a maximum of 240 days before Day 0. If having an underlying illnesses must be stable and well-controlled according to the investigator judgment. Participant is willing to avoid receiving live attenuated vaccines (licensed) within 4 weeks before screening or after receiving any study vaccine, or other not live vaccines (licensed) within 14 days before and after receiving any study vaccine. Participant agrees not to donate blood, blood products and bone marrow at least 3 months before and after vaccination. Female participant of childbearing potential must have a negative pregnancy test on the on Day 0 prior to vaccination. Female participant of childbearing potential must use any acceptable contraceptive method that should be started on day 0 and until 8 weeks after vaccination (hormonal contraception: oral, injectable or transdermal patch, intrauterine device, vasectomized partner, sexual abstinence or condom). Male participants must use any acceptable contraceptive method that should be started on day 0 and until 8 weeks after vaccination (vasectomized participants, condom, sexual abstinence). Male participants must refrain from donating sperm for at least 28 days after day 0. Exclusion Criteria: History of anaphylaxis to any prior vaccine. Previous severe SARS-CoV-2 infections that required >24 hous of hospitalisation. Participant received or plans to receive live attenuated vaccines within 4 weeks before and after day 0; or other not live vaccines within 14 days before and after day 0. Pregnancy or breast-feeding at screening or Day 0 or willingness/intention to become pregnant during the study. Having a clinically significant acute illness or fever (temperature ≥38º C (100.4ºF)) at screening or within 48 hours prior to Day 0. Participant had a surgery requiring hospitalization before vaccination and he/she has not received the hospital discharge at day 0; or has a surgery requiring hospitalization planned within 12 weeks after study vaccine administration. Having any active malignancy even if under treatment except for non-melanoma skin cancer, uterine cervical carcinoma, anal carcinoma, localized prostate cancer. Having ongoing severe and non-stable psychiatric condition likely to affect participation in the study. Having problematic or risk use of substances including alcohol that can compromise the study follow-up. Having a bleeding disorder or has any condition that in the opinion of the investigator contraindicates intramuscular injections. Having abnormal function of the immune system, except stable clinical conditions like controlled HIV. Having clinically significant and unstable cardiovascular, respiratory, hepatic, neurological, gastrointestinal, renal, or any other medical disorder judged by the investigator within 3 months before screening. Chronic or recurrent administration of systemic immunosuppressant medication. Having received immunoglobulins and/or blood-derived products 12 weeks prior vaccination (Day 0) or expects to receive them during the study. Having received any immunotherapy (monoclonal antibodies, plasma) aimed to prevent or treat COVID-19 within 90 days before day 0. Participation in any research involving an investigational product (drug, biologic, device) within 12 weeks prior to vaccination and during the study. Participant has donated ≥ 450ml of blood products within 12 weeks before screening. Participant has any medical condition and/or finding that in the investigator opinion might increase participant risks, interfere with the study or impair interpretation of study data.
Facility Information:
Facility Name
Hospital de Niguarda
City
Milano
ZIP/Postal Code
20162
Country
Italy
Facility Name
Hospital Germans Trias I Pujol
City
Badalona
State/Province
Barcelona
ZIP/Postal Code
08916
Country
Spain
Facility Name
Hospital de Mollet
City
Mollet Del Vallès
State/Province
Barcelona
ZIP/Postal Code
08100
Country
Spain
Facility Name
Hospital Principe de Asturias
City
Meco
State/Province
Madrid
ZIP/Postal Code
28805
Country
Spain
Facility Name
Hospital HM Puerta del Sur
City
Móstoles
State/Province
Madrid
ZIP/Postal Code
28938
Country
Spain
Facility Name
Hospital de Cruces
City
Barakaldo
State/Province
Vizcaya
ZIP/Postal Code
48903
Country
Spain
Facility Name
Hospital HM Delfos
City
Barcelona
ZIP/Postal Code
08023
Country
Spain
Facility Name
Hospital Quironsalud Barcelona
City
Barcelona
ZIP/Postal Code
08023
Country
Spain
Facility Name
Hospital Vall Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital Clinic de Barcelona
City
Barcelona
ZIP/Postal Code
17170
Country
Spain
Facility Name
Hospital Universitari Dr. Josep Trueta
City
Girona
ZIP/Postal Code
17007
Country
Spain
Facility Name
Hospital Gregorio Marañón
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Hospital Universitario La Paz
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Hospital HM Sanchinarro
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Hospital Quironsalud Madrid
City
Madrid
ZIP/Postal Code
28223
Country
Spain
Facility Name
Hospital HM Montepríncipe
City
Madrid
ZIP/Postal Code
28660
Country
Spain
Facility Name
Hospital Regional Universitario de Málaga
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Hospital Clínico de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase III Trial to Assess the Safety and Immunogenicity of a HIPRA's Candidate Booster Vaccination Against COVID-19.

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