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An Effectiveness Study of the Sinovac's Adsorbed COVID-19 (Inactivated) Vaccine (Projeto S)

Primary Purpose

Covid19

Status
Unknown status
Phase
Phase 4
Locations
Brazil
Study Type
Interventional
Intervention
Adsorbed COVID-19 (Inactivated) Vaccine
Sponsored by
Butantan Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring COVID-19 Vaccines, Vaccines, Inactivated

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults 18 years of age or older;
  2. Resident in the study area;
  3. Show voluntary intention to participate in the study, documented by the informed consent form signed by participant.

Exclusion Criteria:

  1. For females: Pregnancy (confirmed by positive beta-hCG test), breastfeeding or intent to engage in sexual relations with reproductive intent without use of birth control methods in the three months following vaccination;
  2. Evidence of uncontrolled neurological, cardiac, pulmonary, hepatic or renal disease, according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease;
  3. Diseases with impaired immune system including: neoplasms (except basal cell carcinoma), congenital or acquired immunodeficiencies and autoimmune diseases not controlled according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease;
  4. Behavioral, cognitive or psychiatric disease that, in the opinion of the principal investigator or his or her representative physician, affects the participant's ability to understand and cooperate with all study protocol requirements;
  5. Any alcohol or drug abuse over the 12 months prior to enrollment in the study that has caused medical, professional or family problems, indicated by clinical history;
  6. History of severe allergic reactions or anaphylaxis to the study vaccine or to components thereof;
  7. History of asplenia;
  8. Participation in another clinical trial with an investigational product in the six months prior to enrollment in the study or planned participation in another clinical trial within the two years following enrollment;
  9. Previous participation in a study to evaluate a COVID-19 vaccine or prior exposure to a COVID-19 vaccine;
  10. Use of immunosuppressant therapy regimens within the six months prior to enrollment in the study for planned use within the two years following enrollment. Immunosuppressant therapy regimens include: antineoplastic chemotherapy, radiation therapy and immunosuppressants to induce transplant tolerance, among others.
  11. Use of immunosuppressive doses of corticosteroids within the three months prior to the enrollment in the study and planned use of immunosuppressive doses of corticoids within the three months following enrollment in the study. Immunosuppressive doses of corticosteroids will be considered the equivalent prednisone 20 mg/day for adults, for longer than one week. Continued use of topical or nasal corticosteroids is not considered an immunosuppressant;
  12. Received blood products (transfusions or immunoglobulins) within the three months prior to enrollment in the study, or planned administration of blood products or immunoglobulins within the two years following enrollment in the study;
  13. Suspected or confirmed fever within the 72 hours prior to vaccination or axillary temperature greater than 37.8 °C* on the day of vaccination (enrollment may be postponed until participant has gone 72 hours without fever);
  14. Possible or confirmed case of COVID-19 on the day of vaccination (vaccination can be postponed until the participant completes 72 hours without symptoms or the diagnosis is ruled out);
  15. Received live attenuated virus vaccine or inactivated vaccine within the 28 days or 14 days, respectively, prior to enrollment in the study, or immunization planned within the 28 days after enrollment in the study;
  16. History of bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture
  17. Any other condition that, in the opinion of the principal investigator or his/her representative physician, could put the safety/rights of potential participants at risk or prevent them from complying with this protocol.

Sites / Locations

  • Hospital Estadual de Serrana

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

First group of clusters

Second group of clusters

Third group of clusters

Fourth group of clusters

Arm Description

Adsorbed COVID-19 (Inactivated) vaccine offered in the first week of study The vaccine is administrated in two doses with a four-weeks interval

Adsorbed COVID-19 (Inactivated) vaccine offered in the second week of study The vaccine is administrated in two doses with a four-weeks interval

Adsorbed COVID-19 (Inactivated) vaccine offered in the third week of study The vaccine is administrated in two doses with a four-weeks interval

Adsorbed COVID-19 (Inactivated) vaccine offered in the fourth week of study The vaccine is administrated in two doses with a four-weeks interval

Outcomes

Primary Outcome Measures

Incidence of COVID-19 cases after two-doses immunization schedule in clusters in the first quarter of study
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to thirteen weeks

Secondary Outcome Measures

Incidence of COVID-19 cases after two-doses immunization schedule in clusters up to one year of study
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year
Incidence of COVID-19 cases after two-doses immunization schedule in clusters according to immunization status
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year according to immunization status
Incidence of COVID-19 cases after two-doses immunization schedule in clusters according to pre-existing SARS-CoV-2 antibodies
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year according to pre-existing SARS-CoV-2 antibodies
Incidence of COVID-19 cases after two-doses immunization schedule in clusters according to immunization coverage
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year according to immunization coverage
Incidence of hospitalization and death due to COVID-19 after two-doses immunization schedule in clusters
Number of hospitalization and death due to COVID-19 six weeks after beginning of study vaccination up to one year
Change in average number of reported COVID-19 cases in the study area in comparison to other neighboring cities
Average number of reported COVID-19 cases in the microregion where the study area is located
Medically-attended adverse reactions to the study vaccine
Number of medically-attended adverse reactions to the study vaccine
Frequency of severe COVID-19 cases
Frequency of virologically-confirmed severe COVID-19 cases after receiving, at least, one dose of the vaccine
Frequency of adverse events of special interest after immunization
Frequency of adverse events of special interest after receiving, at least, one dose of the vaccine
Acceptability of the study vaccine
Acceptability rate of the study vaccine in the eligible population of each cluster
Adherence to vaccination schedule
Adherence rate to vaccination schedule in the population of each cluster

Full Information

First Posted
February 5, 2021
Last Updated
April 6, 2021
Sponsor
Butantan Institute
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1. Study Identification

Unique Protocol Identification Number
NCT04747821
Brief Title
An Effectiveness Study of the Sinovac's Adsorbed COVID-19 (Inactivated) Vaccine
Acronym
Projeto S
Official Title
A Stepped-wedge Cluster Randomized Trial to Assess the Effectiveness of the Use of the Adsorbed COVID-19 (Inactivated) Vaccine Manufactured by Sinovac
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Unknown status
Study Start Date
February 7, 2021 (Actual)
Primary Completion Date
May 2021 (Anticipated)
Study Completion Date
February 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Butantan Institute

4. Oversight

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

5. Study Description

Brief Summary
This is a stepped-wedge cluster randomized trial to assess effectiveness of Sinovac's Adsorbed COVID-19 (Inactivated) vaccine. Residents in the urban area of a municipality are eligible to participate. The city was divided in clusters and those cluster were grouped to determine the offer of vaccination in four steps. The vaccine will be offered to adults (18 years old and above) according to the location of their homes in a cluster. The vaccine schedule is two doses with four-weeks interval. Baseline samples to determine previous immunity will be collected before vaccination. Cases of COVID-19 reported in the city will be recorded according to the WHO clinical progression scale. Comparison of periods before and after vaccination and relation to immunization coverage will be considered for the assessment of effectiveness in the clusters and groups of clusters.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
COVID-19 Vaccines, Vaccines, Inactivated

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Model Description
Groups of cluster are allocated to offer vaccination in a stepped-wedge mode.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
27711 (Actual)

8. Arms, Groups, and Interventions

Arm Title
First group of clusters
Arm Type
Experimental
Arm Description
Adsorbed COVID-19 (Inactivated) vaccine offered in the first week of study The vaccine is administrated in two doses with a four-weeks interval
Arm Title
Second group of clusters
Arm Type
Experimental
Arm Description
Adsorbed COVID-19 (Inactivated) vaccine offered in the second week of study The vaccine is administrated in two doses with a four-weeks interval
Arm Title
Third group of clusters
Arm Type
Experimental
Arm Description
Adsorbed COVID-19 (Inactivated) vaccine offered in the third week of study The vaccine is administrated in two doses with a four-weeks interval
Arm Title
Fourth group of clusters
Arm Type
Experimental
Arm Description
Adsorbed COVID-19 (Inactivated) vaccine offered in the fourth week of study The vaccine is administrated in two doses with a four-weeks interval
Intervention Type
Biological
Intervention Name(s)
Adsorbed COVID-19 (Inactivated) Vaccine
Other Intervention Name(s)
CoronaVac
Intervention Description
Adsorbed COVID-19 (inactivated) Vaccine manufactured by Sinovac
Primary Outcome Measure Information:
Title
Incidence of COVID-19 cases after two-doses immunization schedule in clusters in the first quarter of study
Description
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to thirteen weeks
Time Frame
Thirteen weeks after the beginning of study vaccination
Secondary Outcome Measure Information:
Title
Incidence of COVID-19 cases after two-doses immunization schedule in clusters up to one year of study
Description
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year
Time Frame
One year after the beginning of study vaccination
Title
Incidence of COVID-19 cases after two-doses immunization schedule in clusters according to immunization status
Description
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year according to immunization status
Time Frame
One year after the beginning of study vaccination
Title
Incidence of COVID-19 cases after two-doses immunization schedule in clusters according to pre-existing SARS-CoV-2 antibodies
Description
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year according to pre-existing SARS-CoV-2 antibodies
Time Frame
One year after the beginning of study vaccination
Title
Incidence of COVID-19 cases after two-doses immunization schedule in clusters according to immunization coverage
Description
Number of virologically-confirmed symptomatic COVID-19 six weeks after beginning of study vaccination up to one year according to immunization coverage
Time Frame
One year after the beginning of study vaccination
Title
Incidence of hospitalization and death due to COVID-19 after two-doses immunization schedule in clusters
Description
Number of hospitalization and death due to COVID-19 six weeks after beginning of study vaccination up to one year
Time Frame
One year after the beginning of study vaccination
Title
Change in average number of reported COVID-19 cases in the study area in comparison to other neighboring cities
Description
Average number of reported COVID-19 cases in the microregion where the study area is located
Time Frame
One year after the beginning of study vaccination
Title
Medically-attended adverse reactions to the study vaccine
Description
Number of medically-attended adverse reactions to the study vaccine
Time Frame
One week after each vaccination
Title
Frequency of severe COVID-19 cases
Description
Frequency of virologically-confirmed severe COVID-19 cases after receiving, at least, one dose of the vaccine
Time Frame
From first vaccination up to one year after first dose
Title
Frequency of adverse events of special interest after immunization
Description
Frequency of adverse events of special interest after receiving, at least, one dose of the vaccine
Time Frame
From first vaccination up to one year after first dose
Title
Acceptability of the study vaccine
Description
Acceptability rate of the study vaccine in the eligible population of each cluster
Time Frame
Two weeks after the beginning of study vaccination of the corresponding cluster
Title
Adherence to vaccination schedule
Description
Adherence rate to vaccination schedule in the population of each cluster
Time Frame
Six weeks after the beginning of study vaccination of the corresponding cluster
Other Pre-specified Outcome Measures:
Title
Frequency of SARS-CoV-2 variants in the study area
Description
Description of SARS-CoV-2 variants sequenced out of the samples collected in the study area
Time Frame
One year after the beginning of study vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults 18 years of age or older; Resident in the study area; Show voluntary intention to participate in the study, documented by the informed consent form signed by participant. Exclusion Criteria: For females: Pregnancy (confirmed by positive beta-hCG test), breastfeeding or intent to engage in sexual relations with reproductive intent without use of birth control methods in the three months following vaccination; Evidence of uncontrolled neurological, cardiac, pulmonary, hepatic or renal disease, according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease; Diseases with impaired immune system including: neoplasms (except basal cell carcinoma), congenital or acquired immunodeficiencies and autoimmune diseases not controlled according to anamnesis or physical examination. Significant changes in treatment or hospitalizations due to worsening of the condition in the last three months are indicators of uncontrolled disease; Behavioral, cognitive or psychiatric disease that, in the opinion of the principal investigator or his or her representative physician, affects the participant's ability to understand and cooperate with all study protocol requirements; Any alcohol or drug abuse over the 12 months prior to enrollment in the study that has caused medical, professional or family problems, indicated by clinical history; History of severe allergic reactions or anaphylaxis to the study vaccine or to components thereof; History of asplenia; Participation in another clinical trial with an investigational product in the six months prior to enrollment in the study or planned participation in another clinical trial within the two years following enrollment; Previous participation in a study to evaluate a COVID-19 vaccine or prior exposure to a COVID-19 vaccine; Use of immunosuppressant therapy regimens within the six months prior to enrollment in the study for planned use within the two years following enrollment. Immunosuppressant therapy regimens include: antineoplastic chemotherapy, radiation therapy and immunosuppressants to induce transplant tolerance, among others. Use of immunosuppressive doses of corticosteroids within the three months prior to the enrollment in the study and planned use of immunosuppressive doses of corticoids within the three months following enrollment in the study. Immunosuppressive doses of corticosteroids will be considered the equivalent prednisone 20 mg/day for adults, for longer than one week. Continued use of topical or nasal corticosteroids is not considered an immunosuppressant; Received blood products (transfusions or immunoglobulins) within the three months prior to enrollment in the study, or planned administration of blood products or immunoglobulins within the two years following enrollment in the study; Suspected or confirmed fever within the 72 hours prior to vaccination or axillary temperature greater than 37.8 °C* on the day of vaccination (enrollment may be postponed until participant has gone 72 hours without fever); Possible or confirmed case of COVID-19 on the day of vaccination (vaccination can be postponed until the participant completes 72 hours without symptoms or the diagnosis is ruled out); Received live attenuated virus vaccine or inactivated vaccine within the 28 days or 14 days, respectively, prior to enrollment in the study, or immunization planned within the 28 days after enrollment in the study; History of bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture Any other condition that, in the opinion of the principal investigator or his/her representative physician, could put the safety/rights of potential participants at risk or prevent them from complying with this protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ricardo Palacios, MD, PhD
Organizational Affiliation
Butantan Institute
Official's Role
Study Director
Facility Information:
Facility Name
Hospital Estadual de Serrana
City
Serrana
State/Province
SP
ZIP/Postal Code
14150-000
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

An Effectiveness Study of the Sinovac's Adsorbed COVID-19 (Inactivated) Vaccine

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