A Study of a Candidate COVID-19 Vaccine (COV003)
Coronavirus
About this trial
This is an interventional prevention trial for Coronavirus focused on measuring Covid-19, ChAdOx1 nCov19, sars-cov-2, vaccine
Eligibility Criteria
Inclusion Criteria:
- Adults from 18 to 55 years of age
- Adults aged 56-69 years old (after review of safety data by DSMB in this age group in the UK trial)
- Adults aged 70 and above years old (after review of safety data by DSMB in this age group in the UK trial)
- Able and willing (in the Investigator's opinion) to fulfill all study requirements;
- Health professionals and adults at high risk of exposure to SARS-CoV-2, as defined in section 5.2 of this protocol;
- Serology with SARS-CoV-2 negative IgG antibodies; This inclusion criteria does not apply to participants enrolled from version 4.0 of the protocol onwards.
- Willing to allow investigators to discuss the participant's clinical history with their GP/personal physician and access medical records relevant to the study procedures
- Only for women of childbearing age willing to practice continuous effective birth control (see below) during the study, and a negative pregnancy test on the screening and vaccination day(s);
- Consent to abstain from blood donation during the course of the study;
- Provide informed consent in writing
Exclusion Criteria:
- Participation in trials of prophylactic drugs for COVID-19 during the course of the study; Note: Participation in COVID-19 treatment trials is permitted in case of hospitalization due to COVID-19, after confirmation of positive PCR. The study team should be informed as soon as possible. Participants with COVID-19 not hospitalized with positive PCR results for COVID-19 may be medicated according to standard clinical practice.
- Participation in SARS-CoV-2 serological research where participants are informed of their serological status during the course of the study;
- Planned receipt of any vaccine (authorized or investigational), within 30 days before and after vaccination;
- Prior receipt of an investigational vaccine or authorized with the possibility of impacting the interpretation of the study data (for example, vaccines vectorized by Adenovirus, any vaccines against coronavirus);
- Administration of immunoglobulins and/or any blood products in the three months prior to the planned administration of the candidate vaccine;
- Any confirmed or suspected immunosuppressive or immunodeficiency state; asplenia; severe recurrent infections and chronic use (more than 14 days) of immunosuppressive medication in the last 6 months, except for topical steroids or short-term oral steroids (cycle lasting ≤14 days);
- History of allergic disease or reactions possibly exacerbated by any component of ChAdOx1 nCoV-19 or MenACWY or paracetamol;
- Any history of angioedema;
- Any history of anaphylaxis;
- Pregnancy, lactation or willingness/intention to become pregnant during the study;
- Current diagnosis or treatment for cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ);
- History of severe psychiatric illness that possibly affects your participation in the study;
- Hemorrhagic disorder (for example, factor deficiency, coagulopathy or platelet disorder), or a previous history of significant bleeding or bruising after IM injections or venipuncture;
- Current suspected or known dependence on alcohol or drugs;
- Severe and/or uncontrolled cardiovascular diseases, respiratory diseases, gastrointestinal diseases, liver disease, kidney disease, endocrine disorder, and neurological disease (mild/moderate well-controlled comorbidities are allowed);
- History of COVID-19 confirmed by laboratory;
- Seropositive for antibodies to SARS-CoV-2 before recruitment; This exclusion criteria does not apply to participants enrolled from version 4.0 of the protocol onwards
- Continued use of anticoagulants, such as coumarins and related anticoagulants (for example, warfarin) or new oral anticoagulants (for example, apixaban, rivaroxaban, dabigatran and edoxaban);
- Any other significant illness, disorder or finding that may significantly increase the risk for the participant, affect his/her ability to participate in the study or impair the interpretation of the study data.
Re-vaccination exclusion criteria (two-dose groups only)
- Anaphylactic reaction following administration of vaccine
- Pregnancy
Sites / Locations
- Instituto D'Or de Pesquisa e Ensino - I'DorRecruiting
- Centro de Pesquisas Clinicas de Natal (CPCLIN)Recruiting
- Hospital das Clinicas de Porto AlegreRecruiting
- Universidade Federal de Santa Maria (UFSM)Recruiting
- Instituto D'Or de Pesquisa e Ensino - I'DorRecruiting
- CRIE, Universidade Federal de São PauloRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Active Comparator
Experimental
Active Comparator
Group 1a: single dose ChAdOx & paracetamol
Group 1b: single dose MenACWY & paracetamol
Group 1c: two dose ChAdOx & paracetamol
Group 1d: two dose MenACWy/saline & paracetamol
Participants will receive a single standard dose of ChAdOx1 nCOV19 vaccine plus paracetamol
Participants will receive a single dose of MenACWY plus paracetamol
Participants will receive two standard doses of ChAdOx1 nCoV-19 vaccine, 4-12 weeks apart, plus paracetamol
Participants will receive MenACWY prime, and Saline Placebo boost (0.5mL) plus paracetamol