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An Open Study of the Safety, Tolerability and Immunogenicity of the Drug "Gam-COVID-Vac" Vaccine Against COVID-19

Primary Purpose

Preventive Immunization COVID-19

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
Gam-COVID-Vac
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 Preventive Immunization COVID-19 focused on measuring COVID-19, SARS-CoV-2, vector vaccine

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. males and females within the age range from 18 to 60 years;
  2. written informed consent;
  3. subject body mass index (BMI): 18.5 ≤ BMI ≤ 30;
  4. negative PCR test results for SARS-CoV-2 (during the screening);
  5. no history of COVID-2019 disease;
  6. no contacts of volunteers with patients with COVID-2019 for at least 14 days;
  7. negative test results for IgM and IgG antibodies to SARS-CoV-2;
  8. subject agrees to use effective contraceptive methods during the entire period of participation in the study;
  9. absence of acute infectious diseases at the time of vaccine administration and 14 days before vaccination;
  10. negative pregnancy test of blood or urine (for women of childbearing age);
  11. subject has negative tests for HIV, hepatitis B and С, syphilis or confirmed medical history;
  12. subject has a negative result of the urine test for residual narcotic drugs;
  13. negative test for alcohol in exhaled air;
  14. the absence of malignant diseases of any nature and localization;
  15. in medical history and based on the screening results, subject has no diseases or pathologies of the gastrointestinal system, liver, kidneys, cardiovascular system and blood, CNS, musculoskeletal system, urogenital, immune and endocrine systems that from the point of view of the researcher and/or of the organizer of the study, may affect the safety of the volunteer and the evaluation of the study results (clinical, instrumental and laboratory tests did not reveal diseases or clinically significant deviations).

Exclusion Criteria:

  1. volunteer involvement in another study over the last 90 days;
  2. any vaccination over the last 30 days;
  3. history of COVID-2019 disease;
  4. positive PCR test results for SARS-CoV-2 (during the screening);
  5. positive test results for IgM and IgG antibodies to SARS-CoV-2;
  6. health staff in contact with people with COVID-2019;
  7. respiratory symptoms in the last 14 days;
  8. the administration of immunoglobulins or other blood products in the last 3 months;
  9. regular current or past use of narcotic drugs;
  10. subject has received immunosuppressive and/or immunomodulating agents within 6 months before the start of the study;
  11. pregnancy or breast feeding;
  12. exacerbation of allergic diseases at the time of vaccination;
  13. subject has systolic blood pressure less than 100 mm Hg or greater than 139 mm Hg; diastolic blood pressure less than 60 mm Hg or greater than 90 mm Hg; heart rate lower than 60 beats per minute or above 100 beats per minute;
  14. a burdened allergic history (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, a history of serum sickness, hypersensitivity or allergic reactions to the introduction of any vaccines in history, known allergic reactions to vaccine components, etc.);
  15. a history of autoimmune diseases in the volunteer's medical history and in relatives' medical history of the 1-2 degree of kinship;
  16. subject smokes more than 10 cigarettes per day;
  17. alcohol intake exceeding the low-risk level: no more than 20 grams of pure alcohol per day, no more than 5 days a week, alcohol intake within 48 hours before the administration of the drug;
  18. planned hospitalization and/or surgery during the period of participation in the study, as well as 4 weeks before the expected date of the administration of the drug;
  19. the presence of an associated disease that may affect the assessment of the results of the study;
  20. any conditions that, according to the researcher's doctor, may be a contraindication to the participation in the study.

Sites / Locations

  • Main military clinical hospital named after academician N. N. Burdenko

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Component 1

Component 2

Prime-Boost Immunization

Arm Description

rAd26 Component, 1 vaccination Component 1 consists of a recombinant adenovirus vector based on the human adenovirus type 26, containing the SARS-CoV-2 S protein gene

rAd5 Component, 1 vaccination Component 2 consists of a vector based on the human adenovirus type 5, containing the SARS-CoV-2 S protein gene.

Day 1 rAd26 Component Day 21 rAd5 Component

Outcomes

Primary Outcome Measures

Changing ofantibody levels against the SARS-CoV-2 glycoprotein S in 42 days
Determination of antibody levels against the SARS-CoV-2 glycoprotein S measured by an ELISA vs. baseline values
Number of Participants With Adverse Events
Determination of Number of Participants With Adverse Events

Secondary Outcome Measures

Changing of of virus neutralizing antibody titer
Determination of virus neutralizing antibody titer
Changing of antigen-specific cellular immunity level
Determination of antigen-specific cellular immunity (specific T-cell immunityin particular, IFN-gamma production or lymphoproliferation)

Full Information

First Posted
June 16, 2020
Last Updated
August 11, 2020
Sponsor
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
Collaborators
Acellena Contract Drug Research and Development
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1. Study Identification

Unique Protocol Identification Number
NCT04436471
Brief Title
An Open Study of the Safety, Tolerability and Immunogenicity of the Drug "Gam-COVID-Vac" Vaccine Against COVID-19
Official Title
An Open Study of the Safety, Tolerability and Immunogenicity of the Drug "Gam-COVID-Vac" a Solution for Intramuscular Injection With the Participation of Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
June 17, 2020 (Actual)
Primary Completion Date
August 3, 2020 (Actual)
Study Completion Date
August 10, 2020 (Actual)

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
Acellena Contract Drug Research and Development

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
The purpose of the study is to assess safety, tolerability and immunogenicity of the drug "Gam-COVID-Vac ", a solution for intramuscular administration, with the participation of healthy volunteers Study objectives A safety and tolerability assessment of the drug "Gam-COVID-Vac ", solution for intramuscular administration, using single dose of each component (Stage 1). A safety and tolerability assessment of the drug "Gam-COVID-Vac ", solution for intramuscular administration, using prime-boost immunization according to the proposed scheme (Stage 2). Post-vaccination immunity assessment at different time points after vaccination by: Determination of antigen-specific antibody titer in blood serum by ELISA by comparison with baseline values before the vaccine administration and at days 14, 21, 28, and 42 after vaccination (hereinafter, the countdown comes from the first time of the vaccine administration); Determination of virus neutralizing antibody titer before and at days 14, 28, and 42 after vaccination; Determination of antigen-specific cellular immunity (specific T-cell immunity) before the vaccine administration and at days 14 and 28 after vaccination.
Detailed Description
An open two stage non-randomized Phase 1 study with the participation of healthy volunteers. This clinical trial is an open study of safety, tolerability and immunogenicity of the drug "Gam-COVID-Vac ", ly solution for intramuscular administration, with the participation of healthy volunteers. Stage one the First group, 9 volunteers, will receive the drug, a solution for intramuscular administration, in the mode of single immunization with component 1 in a full therapeutic dose. the Second group, 9 volunteers, will receive the drug, a solution for intramuscular administration, in the mode of single immunization with component 2 in the full therapeutic dose. The studied drugs will be administered to a total of 18 volunteers in a hospital setting and after administration, the drug's safety will be continuously monitored for 5 days. Based on the results of the safety assessment, the Chief investigator decides to proceed to the second stage of the study on the 5th day after the introduction of the studied drugs. Second stage The second stage will include 20 volunteers and three understudies. Volunteers of the second stage will be vaccinated no earlier than 5 days after vaccination of participants of the first stage. Volunteers participating in the second stage of the study (a total of 20 people) will receive the study drug according to the booster scheme: the introduction of component 1 will be carried out on day 1, and component 2-on the 21st day of the study. Follow-up will be carried out during 4 visits: on 7, 14, 28, 42 days after administration of the drug, and phone calls at days 90 and 180 Throughout the inpatient observation and the follow-up period of visits during the entire study, safety information will be collected

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Preventive Immunization COVID-19
Keywords
COVID-19, SARS-CoV-2, vector vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
An open, prospective, two-stage, non-randomized, first-phase study involving healthy volunteers
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Component 1
Arm Type
Experimental
Arm Description
rAd26 Component, 1 vaccination Component 1 consists of a recombinant adenovirus vector based on the human adenovirus type 26, containing the SARS-CoV-2 S protein gene
Arm Title
Component 2
Arm Type
Experimental
Arm Description
rAd5 Component, 1 vaccination Component 2 consists of a vector based on the human adenovirus type 5, containing the SARS-CoV-2 S protein gene.
Arm Title
Prime-Boost Immunization
Arm Type
Experimental
Arm Description
Day 1 rAd26 Component Day 21 rAd5 Component
Intervention Type
Biological
Intervention Name(s)
Gam-COVID-Vac
Intervention Description
adenoviral-based vaccine against SARS-CoV-2
Primary Outcome Measure Information:
Title
Changing ofantibody levels against the SARS-CoV-2 glycoprotein S in 42 days
Description
Determination of antibody levels against the SARS-CoV-2 glycoprotein S measured by an ELISA vs. baseline values
Time Frame
at days 0,14, 21, 28, 42
Title
Number of Participants With Adverse Events
Description
Determination of Number of Participants With Adverse Events
Time Frame
through the whole study, an average of 180 days
Secondary Outcome Measure Information:
Title
Changing of of virus neutralizing antibody titer
Description
Determination of virus neutralizing antibody titer
Time Frame
at days 0,14, 28, 42
Title
Changing of antigen-specific cellular immunity level
Description
Determination of antigen-specific cellular immunity (specific T-cell immunityin particular, IFN-gamma production or lymphoproliferation)
Time Frame
at days 0,14, 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: males and females within the age range from 18 to 60 years; written informed consent; subject body mass index (BMI): 18.5 ≤ BMI ≤ 30; negative PCR test results for SARS-CoV-2 (during the screening); no history of COVID-2019 disease; no contacts of volunteers with patients with COVID-2019 for at least 14 days; negative test results for IgM and IgG antibodies to SARS-CoV-2; subject agrees to use effective contraceptive methods during the entire period of participation in the study; absence of acute infectious diseases at the time of vaccine administration and 14 days before vaccination; negative pregnancy test of blood or urine (for women of childbearing age); subject has negative tests for HIV, hepatitis B and С, syphilis or confirmed medical history; subject has a negative result of the urine test for residual narcotic drugs; negative test for alcohol in exhaled air; the absence of malignant diseases of any nature and localization; in medical history and based on the screening results, subject has no diseases or pathologies of the gastrointestinal system, liver, kidneys, cardiovascular system and blood, CNS, musculoskeletal system, urogenital, immune and endocrine systems that from the point of view of the researcher and/or of the organizer of the study, may affect the safety of the volunteer and the evaluation of the study results (clinical, instrumental and laboratory tests did not reveal diseases or clinically significant deviations). Exclusion Criteria: volunteer involvement in another study over the last 90 days; any vaccination over the last 30 days; history of COVID-2019 disease; positive PCR test results for SARS-CoV-2 (during the screening); positive test results for IgM and IgG antibodies to SARS-CoV-2; health staff in contact with people with COVID-2019; respiratory symptoms in the last 14 days; the administration of immunoglobulins or other blood products in the last 3 months; regular current or past use of narcotic drugs; subject has received immunosuppressive and/or immunomodulating agents within 6 months before the start of the study; pregnancy or breast feeding; exacerbation of allergic diseases at the time of vaccination; subject has systolic blood pressure less than 100 mm Hg or greater than 139 mm Hg; diastolic blood pressure less than 60 mm Hg or greater than 90 mm Hg; heart rate lower than 60 beats per minute or above 100 beats per minute; a burdened allergic history (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, a history of serum sickness, hypersensitivity or allergic reactions to the introduction of any vaccines in history, known allergic reactions to vaccine components, etc.); a history of autoimmune diseases in the volunteer's medical history and in relatives' medical history of the 1-2 degree of kinship; subject smokes more than 10 cigarettes per day; alcohol intake exceeding the low-risk level: no more than 20 grams of pure alcohol per day, no more than 5 days a week, alcohol intake within 48 hours before the administration of the drug; planned hospitalization and/or surgery during the period of participation in the study, as well as 4 weeks before the expected date of the administration of the drug; the presence of an associated disease that may affect the assessment of the results of the study; any conditions that, according to the researcher's doctor, may be a contraindication to the participation in the study.
Facility Information:
Facility Name
Main military clinical hospital named after academician N. N. Burdenko
City
Moscow
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32896291
Citation
Logunov DY, Dolzhikova IV, Zubkova OV, Tukhvatullin AI, Shcheblyakov DV, Dzharullaeva AS, Grousova DM, Erokhova AS, Kovyrshina AV, Botikov AG, Izhaeva FM, Popova O, Ozharovskaya TA, Esmagambetov IB, Favorskaya IA, Zrelkin DI, Voronina DV, Shcherbinin DN, Semikhin AS, Simakova YV, Tokarskaya EA, Lubenets NL, Egorova DA, Shmarov MM, Nikitenko NA, Morozova LF, Smolyarchuk EA, Kryukov EV, Babira VF, Borisevich SV, Naroditsky BS, Gintsburg AL. Safety and immunogenicity of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine in two formulations: two open, non-randomised phase 1/2 studies from Russia. Lancet. 2020 Sep 26;396(10255):887-897. doi: 10.1016/S0140-6736(20)31866-3. Epub 2020 Sep 4. Erratum In: Lancet. 2021 Jan 9;397(10269):98.
Results Reference
derived

Learn more about this trial

An Open Study of the Safety, Tolerability and Immunogenicity of the Drug "Gam-COVID-Vac" Vaccine Against COVID-19

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