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A Study to Evaluate the Safety and Immunogenicity of MVC-COV1901 Against COVID-19

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
MVC-COV1901
Sponsored by
Medigen Vaccine Biologics Corp.
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

Eligibility Criteria

20 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female healthy volunteer ≥20 and <50 years of age
  2. Subject free of ongoing acute diseases or serious medical conditions (e.g. concomitant illness) such as cardiovascular (e.g. New York Heart Association grade III or IV), hepatic (e.g. Child-Pugh Class C), psychiatric condition (e.g. alcoholism, drug abuse), medical history, physical findings, or laboratory abnormality that in the investigator's opinion could interfere with the results of the trial or adversely affect the safety of the subject
  3. Female subject must be:

    • Either of non-childbearing potential, i.e. surgically sterilized (defined as having undergone hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year post-menopausal;
    • Or, if of childbearing potential, must be abstinent or agree to use medically effective contraception from 14 days before screening to 30 days following last injection of study vaccines. Acceptable forms include:
    • Implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS)
    • Established use of hormonal methods (injectable, pill, patch or ring) combined with barrier methods of contraception: condom, or occlusive cap (diaphragm or cervical/vault caps) withspermicidal foam/gel/film/cream/suppository
    • Have a negative pregnancy test
  4. Subject is willing and able to comply with all required study visits and follow-up required by this protocol
  5. Subject has no overseas travel within 14 days of screening and will not have any throughout the study period
  6. Subject must provide written informed consent or the Subject's legal representative must understand and consent to the procedure

Exclusion Criteria:

  1. Receiving any investigational intervention either currently or within 30 days of first dose;
  2. Subject (particularly who is a healthcare worker) with previous known or potential exposure to SARS CoV-1 or 2 viruses (EXCEPT for those who have been tested negative and the 14-days self-managements/ home quarantines/ home isolations are completed), or received any other COVID-19 vaccine;
  3. Administration of any vaccine within 4 weeks of first dose;
  4. A BMI greater than or equal to 30 kg/m2;
  5. Subject with a history of hypersensitivity to any vaccine or a history of allergic disease or reactions likely to be exacerbated by any component of the MVC-COV1901;
  6. Administration of any blood product or intravenous immunoglobulin administration within 12 weeks of first dose;
  7. Pregnancy or breast feeding or have plans to become pregnant in 30 days after last injection of study vaccines;
  8. History of positive serologic test for HIV, hepatitis B surface antigen (HBsAg) or any potentially communicable infectious disease as determined by the investigator or Medical Monitor;
  9. Positive serologic test for hepatitis C (EXCEPTION: successful treatment with confirmation of sustained virologic response);
  10. Baseline evidence of kidney disease as measured by creatinine greater than 1.5 mg/dL;
  11. Screening laboratory tests with Grade 2 or higher abnormality (Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials, September 2007);
  12. Immunosuppressive illness including hematologic malignancy, history of solid organ or bone marrow transplantation;
  13. A history of autoimmune disease (systemic lupus, rheumatoid arthritis, scleroderma, polyarthritis, thyroiditis, etc.);
  14. Current or anticipated concomitant immunosuppressive therapy (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or less than prednisone 20 mg/day or equivalent) within 12 weeks of first dose;
  15. Current or anticipated treatment with TNF-α inhibitors, e.g. infliximab, adalimumab, etanercept within 12 weeks of first dose;
  16. Prior major surgery or any radiation therapy within 12 weeks of first dose;
  17. Alcohol or drug abuse or dependence, psychiatric, addictive, or any disorder that, in the opinion of the investigator, would interfere with adherence to study requirements or assessment of immunologic endpoints; or any illness or condition that in the opinion of the investigator may affect the safety of the participant or the evaluation of any study endpoint;
  18. Presence of keloid scar formation or hypertrophic scar as a clinically significant medical condition, tattoos or wound covering the injection site area;
  19. Body (oral, rectal or ear) temperature ≥ 38.0°C or acute illness within 2 days of first dose, or acute respiratory illness within 14 days of first dose;
  20. Screening laboratory test of antinuclear antibody (ANA), anti-dsDNA antibody, anti-neutrophil cytoplasmic antibodies (ANCA, including cytoplasmic ANCA (c-ANCA), perinuclear ANCA (p-ANCA)) with the value higher than upper normal limit;
  21. Abnormal screening electrocardiography (ECG) with clinically significant findings as reviewed by investigator.

Sites / Locations

  • National Taiwan University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Phase 1a (Low Dose)

Phase 1b (Medium Dose)

Phase 1c (High Dose)

Arm Description

15 subjects will be enrolled to receive Low-dose S-protein with adjuvant MVC-COV1901.

15 subjects will be enrolled to receive Medium-dose S-protein with adjuvant MVC-COV1901.

15 subjects will be enrolled to receive High-dose S-protein with adjuvant MVC-COV1901.

Outcomes

Primary Outcome Measures

Safety of MVC-COV1901
Incidence of solicited adverse events (AEs) after vaccination, Incidence of unsolicited AEs and other AEs after vaccination, Incidence of laboratory abnormality after vaccination, Incidence of adverse event of special interest (AESI) and serious adverse events (SAEs) after vaccination

Secondary Outcome Measures

Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Geometric mean titer (GMT)
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Seroconversion rate (SCR)
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
GMT ratio
Immunogenicity (antigen specific cellular immune responses)
The positive rate of cellular mediated immune response
Safety of MVC-COV1901
Incidence of other adverse events, Incidence of adverse event of special interest (AESI) and serious adverse events (SAEs) within the study period
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Geometric mean titer (GMT)
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Seroconversion rate (SCR)
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
GMT ratio

Full Information

First Posted
July 22, 2020
Last Updated
January 27, 2022
Sponsor
Medigen Vaccine Biologics Corp.
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1. Study Identification

Unique Protocol Identification Number
NCT04487210
Brief Title
A Study to Evaluate the Safety and Immunogenicity of MVC-COV1901 Against COVID-19
Official Title
A Phase I, Prospective, Open-Labeled Study to Evaluate the Safety and Immunogenicity of MVC-COV1901
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
October 7, 2020 (Actual)
Primary Completion Date
June 1, 2021 (Actual)
Study Completion Date
December 6, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medigen Vaccine Biologics Corp.

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 I prospective, open-labeled, single-center study to evaluate the safety and immunogenicity of MVC-COV1901.
Detailed Description
This is a phase I prospective, open-labeled, single-center study to evaluate the safety and immunogenicity of MVC-COV1901. This study is a dose escalation study with three separate arms for subjects at the age of ≥20 and <50 years. The vaccination schedule for primary regimen consists of two doses of MVC-COV1901 for each study subject, administered by intramuscular (IM) injection 0.5mL in the deltoid region of non-dominant arm preferably 28 days apart, on Day 1 and Day 29. Subjects will receive a single booster vaccination of MVC-COV1901 on Day 209, 180 days after completion of the primary regimen.

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase 1a (Low Dose)
Arm Type
Experimental
Arm Description
15 subjects will be enrolled to receive Low-dose S-protein with adjuvant MVC-COV1901.
Arm Title
Phase 1b (Medium Dose)
Arm Type
Experimental
Arm Description
15 subjects will be enrolled to receive Medium-dose S-protein with adjuvant MVC-COV1901.
Arm Title
Phase 1c (High Dose)
Arm Type
Experimental
Arm Description
15 subjects will be enrolled to receive High-dose S-protein with adjuvant MVC-COV1901.
Intervention Type
Biological
Intervention Name(s)
MVC-COV1901
Intervention Description
MVC-COV1901 is formulated in the different dosages of Spike (S) protein with CpG 1018 and aluminum content as adjuvant.
Primary Outcome Measure Information:
Title
Safety of MVC-COV1901
Description
Incidence of solicited adverse events (AEs) after vaccination, Incidence of unsolicited AEs and other AEs after vaccination, Incidence of laboratory abnormality after vaccination, Incidence of adverse event of special interest (AESI) and serious adverse events (SAEs) after vaccination
Time Frame
Day 1 to 28 days after second vaccination
Secondary Outcome Measure Information:
Title
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Description
Geometric mean titer (GMT)
Time Frame
14 days, 28 days after each vaccination, and 180 days after second vaccination.
Title
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Description
Seroconversion rate (SCR)
Time Frame
14 days, 28 days after each vaccination, and 180 days after second vaccination.
Title
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Description
GMT ratio
Time Frame
14 days, 28 days after each vaccination, and 180 days after second vaccination.
Title
Immunogenicity (antigen specific cellular immune responses)
Description
The positive rate of cellular mediated immune response
Time Frame
28 days and 180 days after second vaccination
Title
Safety of MVC-COV1901
Description
Incidence of other adverse events, Incidence of adverse event of special interest (AESI) and serious adverse events (SAEs) within the study period
Time Frame
Day 1 to Day 209
Title
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Description
Geometric mean titer (GMT)
Time Frame
28 days and 180 days after the booster vaccination.
Title
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Description
Seroconversion rate (SCR)
Time Frame
28 days and 180 days after the booster vaccination.
Title
Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)
Description
GMT ratio
Time Frame
28 days and 180 days after the booster vaccination.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female healthy volunteer ≥20 and <50 years of age Subject free of ongoing acute diseases or serious medical conditions (e.g. concomitant illness) such as cardiovascular (e.g. New York Heart Association grade III or IV), hepatic (e.g. Child-Pugh Class C), psychiatric condition (e.g. alcoholism, drug abuse), medical history, physical findings, or laboratory abnormality that in the investigator's opinion could interfere with the results of the trial or adversely affect the safety of the subject Female subject must be: Either of non-childbearing potential, i.e. surgically sterilized (defined as having undergone hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year post-menopausal; Or, if of childbearing potential, must be abstinent or agree to use medically effective contraception from 14 days before screening to 30 days following last injection of study vaccines. Acceptable forms include: Implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS) Established use of hormonal methods (injectable, pill, patch or ring) combined with barrier methods of contraception: condom, or occlusive cap (diaphragm or cervical/vault caps) withspermicidal foam/gel/film/cream/suppository Have a negative pregnancy test Subject is willing and able to comply with all required study visits and follow-up required by this protocol Subject has no overseas travel within 14 days of screening and will not have any throughout the study period Subject must provide written informed consent or the Subject's legal representative must understand and consent to the procedure Exclusion Criteria: Receiving any investigational intervention either currently or within 30 days of first dose; Subject (particularly who is a healthcare worker) with previous known or potential exposure to SARS CoV-1 or 2 viruses (EXCEPT for those who have been tested negative and the 14-days self-managements/ home quarantines/ home isolations are completed), or received any other COVID-19 vaccine; Administration of any vaccine within 4 weeks of first dose; A BMI greater than or equal to 30 kg/m2; Subject with a history of hypersensitivity to any vaccine or a history of allergic disease or reactions likely to be exacerbated by any component of the MVC-COV1901; Administration of any blood product or intravenous immunoglobulin administration within 12 weeks of first dose; Pregnancy or breast feeding or have plans to become pregnant in 30 days after last injection of study vaccines; History of positive serologic test for HIV, hepatitis B surface antigen (HBsAg) or any potentially communicable infectious disease as determined by the investigator or Medical Monitor; Positive serologic test for hepatitis C (EXCEPTION: successful treatment with confirmation of sustained virologic response); Baseline evidence of kidney disease as measured by creatinine greater than 1.5 mg/dL; Screening laboratory tests with Grade 2 or higher abnormality (Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials, September 2007); Immunosuppressive illness including hematologic malignancy, history of solid organ or bone marrow transplantation; A history of autoimmune disease (systemic lupus, rheumatoid arthritis, scleroderma, polyarthritis, thyroiditis, etc.); Current or anticipated concomitant immunosuppressive therapy (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or less than prednisone 20 mg/day or equivalent) within 12 weeks of first dose; Current or anticipated treatment with TNF-α inhibitors, e.g. infliximab, adalimumab, etanercept within 12 weeks of first dose; Prior major surgery or any radiation therapy within 12 weeks of first dose; Alcohol or drug abuse or dependence, psychiatric, addictive, or any disorder that, in the opinion of the investigator, would interfere with adherence to study requirements or assessment of immunologic endpoints; or any illness or condition that in the opinion of the investigator may affect the safety of the participant or the evaluation of any study endpoint; Presence of keloid scar formation or hypertrophic scar as a clinically significant medical condition, tattoos or wound covering the injection site area; Body (oral, rectal or ear) temperature ≥ 38.0°C or acute illness within 2 days of first dose, or acute respiratory illness within 14 days of first dose; Screening laboratory test of antinuclear antibody (ANA), anti-dsDNA antibody, anti-neutrophil cytoplasmic antibodies (ANCA, including cytoplasmic ANCA (c-ANCA), perinuclear ANCA (p-ANCA)) with the value higher than upper normal limit; Abnormal screening electrocardiography (ECG) with clinically significant findings as reviewed by investigator.
Facility Information:
Facility Name
National Taiwan University Hospital
City
Taipei
Country
Taiwan

12. IPD Sharing Statement

Citations:
PubMed Identifier
35579840
Citation
Hsieh SM, Chang SC, Cheng HY, Shih SR, Lien CE. Durability and Immunogenicity of Neutralizing Antibodies Response Against Omicron Variants After Three Doses of Subunit SARS-CoV-2 Vaccine MVC-COV1901: An Extension to an Open-Label, Dose-Escalation Phase 1 Study. Infect Dis Ther. 2022 Aug;11(4):1493-1504. doi: 10.1007/s40121-022-00652-6. Epub 2022 May 17.
Results Reference
derived
PubMed Identifier
34222848
Citation
Hsieh SM, Liu WD, Huang YS, Lin YJ, Hsieh EF, Lian WC, Chen C, Janssen R, Shih SR, Huang CG, Tai IC, Chang SC. Safety and immunogenicity of a Recombinant Stabilized Prefusion SARS-CoV-2 Spike Protein Vaccine (MVC-COV1901) Adjuvanted with CpG 1018 and Aluminum Hydroxide in healthy adults: A Phase 1, dose-escalation study. EClinicalMedicine. 2021 Aug;38:100989. doi: 10.1016/j.eclinm.2021.100989. Epub 2021 Jun 26.
Results Reference
derived

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A Study to Evaluate the Safety and Immunogenicity of MVC-COV1901 Against COVID-19

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