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Anti-COVID19 AKS-452 Fusion Protein Vaccine - ACT Study (ACT)

Primary Purpose

Covid19

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
AKS-452
Sponsored by
University Medical Center Groningen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring vaccine, safety, immunogenicity, dose-finding, exploratory efficacy

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

SARS-CoV-2 serology by Akston (a quantitative anti-SARS-Cov-2 SP/RBD-specific IgG ELISA):

  • Undetectable or < 5 μg/mL titer and no known prior SARS-Cov-2 infection

    • Body mass index (BMI) between 19.0 and 30.0 kg/m2, inclusive
    • General good health, without significant medical illness, as determined via physical exam findings, ECG or vital signs
  • Note: one retest of vital functions and ECG is allowed within the screening window

    - No clinically significant laboratory abnormalities as determined by the investigator

  • Note: one retest of lab tests is allowed within the screening window

    • Informed Consent Form signed voluntarily before any study-related procedure is performed, indicating that the subject understands the purpose and procedures required for the study and is willing to participate in the study
    • Willing to adhere to the prohibitions and restrictions specified in this protocol
    • Non-smoker (including prior smokers having stopped smoking for more than 3 months at time of screening) or non-habitual smoker (habitual smokers are persons who smoke more than 4 cigarettes or other tobacco products on a weekly basis) and agree to not use tobacco products during confinement.
    • Negative alcohol breath test and urine drug screen at screening and upon check-in at the clinical site.
    • Negative hepatitis panel (including hepatitis B surface Ag and anti-hepatitis C virus Abs) and negative human immunodeficiency virus Ab and Ag screens at screening
    • Female subjects should fulfil one of the following criteria:
  • At least 1 year post-menopausal (amenorrhea >12 months and/or follicle stimulating hormone >30 mIU/mL) at screening;
  • Surgically sterile (bilateral oophorectomy, hysterectomy, or tubal ligation);
  • Will use adequate forms of contraceptives from screening to discharge.

    - Female subjects of childbearing potential and male subjects who are sexually active with a female partner of childbearing potential must agree to the use of an effective method of birth control from screening to discharge

  • Note: medically acceptable methods of contraception that may be used by the subject and/or partner include combined oral contraceptive, contraceptive vaginal ring, contraceptive injection, intrauterine device, etonogestrel implant, double barrier, sterilization and vasectomy

    - Female subject has a negative pregnancy test at screening and upon check-in at the clinical site.

  • Note: pregnancy testing will consist of a serum pregnancy test at screening and urine pregnancy tests at other (dosing) visits, in all women.

Exclusion Criteria:

A potential subject who meets any of the following criteria will be excluded from participation in this study:

  • Pregnant of breastfeeding females
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, hematologic, rheumatologic, endocrine, autoimmune, or renal disease
  • Any laboratory test which is abnormal, and which is deemed by the Investigator(s) to be clinically significant
  • Behavioral or cognitive impairment or psychiatric disease that in the opinion of the investigator affects the ability of the subject to understand and cooperate with the study protocol
  • Current alcohol/illicit drug/nicotine abuse or addiction: history or evidence of current drug use or addiction (positive drug screen for amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, or opiates) or excessive use of alcohol at screening and Day -2.
  • Presence of any febrile illness (T > = 38.0°C or lab confirmed viral disease (PCR)) or symptoms suggestive of a viral respiratory infection within 1 weeks prior to vaccination
  • Use of corticosteroids (excluding topical preparations for cutaneous or nasal use) or use of immunosuppressive drugs within 30 days before inoculation
  • A history of anaphylaxis, history of allergic reaction to vaccine, known allergy to one of the components in AKS-452. Mild allergies without angio-oedema or treatment need can be included if deemed not to be of clinical significance (including but not limited to allergy to animals or mild seasonal hay fever)
  • A history of asthma within the past 10 years, or a current diagnosis of asthma or reactive airway disease associated with exercise
  • Receipt of a licensed vaccine within 4 weeks prior to viral inoculation
  • Received any experimental SARA-CoV-2 vaccine or drug
  • Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to vaccination.
  • Receipt of another investigational agent within 30 days or 5 times the product half-life (whichever is longest) prior to vaccination
  • Shares household with /works with immunocompromised individual(s), adults with significant cardiopulmonary disease, persons with significant asthma, institutionalized elderly or elderly with functional disability
  • Deprived of freedom by an administrative or court order or in an emergency setting - Any condition that in the opinion of the principal investigator (PI) would jeopardize the safety or rights of a person participating in the trial or would render the person unable to comply with the protocol.

Sites / Locations

  • University Medical Center Groningen

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

AKS-452 s.c.(A)

AKS-452 s.c. (B)

AKS-452 s.c. (C)

AKS-452 s.c. (D)

AKS-452 s.c. (E)

AKS-452 s.c. (F)

Phase 2, single-dose injection

Phase 2, two-dose injection

Arm Description

Subcutaneous injection of pre-defined dose (22,5 ug, 125 uL) single-dose

Subcutaneous injection of pre-defined dose (22,5 ug, 125 uL), two-dose

Subcutaneous injection of pre-defined dose (45 ug, 205 uL), single-dose

Subcutaneous injection of pre-defined dose (45 ug, 250 uL), two-dose

Subcutaneous injection of pre-defined dose (90 ug, 500 uL), single-dose

Subcutaneous injection of pre-defined dose (90 ug, 500 uL), two-dose

Subcutaneous injection of selected dose based on phase 1 data, dose (90 ug, 500 uL)

Subcutaneous injection of selected dose based on phase 1 data, dose (45 ug, 500 uL) twice.

Outcomes

Primary Outcome Measures

Safety / Tolerability
CTCAE-scoring

Secondary Outcome Measures

Immunogenicity
Antibody response COVID-19

Full Information

First Posted
December 22, 2020
Last Updated
April 4, 2022
Sponsor
University Medical Center Groningen
Collaborators
Akston Biosciences Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT04681092
Brief Title
Anti-COVID19 AKS-452 Fusion Protein Vaccine - ACT Study
Acronym
ACT
Official Title
Anti-COVID19 AKS-452 Phase I/II VaccinaTion Study
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
April 6, 2021 (Actual)
Primary Completion Date
March 10, 2022 (Actual)
Study Completion Date
March 10, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University Medical Center Groningen
Collaborators
Akston Biosciences Corporation

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
Combinatorial phase I/II safety, tolerability and immunogenicity single center open-label clinical study of AKS-452 COVID-19 vaccination study
Detailed Description
The study is designed as a combinatorial single-center open-label phase I and II clinical study design: I. a phase I dose-finding and safety / tolerability study combined with, II. a phase II safety / efficacy study on the biological activity of AKS-452 against COVID-19. To warrant more extensive development towards a phase III clinical study. The study will have a duration of approximately 4 months and will be executed at the University Medical Center Groningen, The Netherlands supported by the subsidizing party Akston Biosciences.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
vaccine, safety, immunogenicity, dose-finding, exploratory efficacy

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Model Description
Single-center, open-label, combinatorial safety, tolerability and exploratory efficacy
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
112 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AKS-452 s.c.(A)
Arm Type
Experimental
Arm Description
Subcutaneous injection of pre-defined dose (22,5 ug, 125 uL) single-dose
Arm Title
AKS-452 s.c. (B)
Arm Type
Experimental
Arm Description
Subcutaneous injection of pre-defined dose (22,5 ug, 125 uL), two-dose
Arm Title
AKS-452 s.c. (C)
Arm Type
Experimental
Arm Description
Subcutaneous injection of pre-defined dose (45 ug, 205 uL), single-dose
Arm Title
AKS-452 s.c. (D)
Arm Type
Experimental
Arm Description
Subcutaneous injection of pre-defined dose (45 ug, 250 uL), two-dose
Arm Title
AKS-452 s.c. (E)
Arm Type
Experimental
Arm Description
Subcutaneous injection of pre-defined dose (90 ug, 500 uL), single-dose
Arm Title
AKS-452 s.c. (F)
Arm Type
Experimental
Arm Description
Subcutaneous injection of pre-defined dose (90 ug, 500 uL), two-dose
Arm Title
Phase 2, single-dose injection
Arm Type
Experimental
Arm Description
Subcutaneous injection of selected dose based on phase 1 data, dose (90 ug, 500 uL)
Arm Title
Phase 2, two-dose injection
Arm Type
Experimental
Arm Description
Subcutaneous injection of selected dose based on phase 1 data, dose (45 ug, 500 uL) twice.
Intervention Type
Biological
Intervention Name(s)
AKS-452
Intervention Description
s.c. or i.m. vaccination
Primary Outcome Measure Information:
Title
Safety / Tolerability
Description
CTCAE-scoring
Time Frame
35 days
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
Antibody response COVID-19
Time Frame
180 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: SARS-CoV-2 serology by Akston (a quantitative anti-SARS-Cov-2 SP/RBD-specific IgG ELISA): Undetectable or < 5 μg/mL titer and no known prior SARS-Cov-2 infection Body mass index (BMI) between 19.0 and 30.0 kg/m2, inclusive General good health, without significant medical illness, as determined via physical exam findings, ECG or vital signs Note: one retest of vital functions and ECG is allowed within the screening window - No clinically significant laboratory abnormalities as determined by the investigator Note: one retest of lab tests is allowed within the screening window Informed Consent Form signed voluntarily before any study-related procedure is performed, indicating that the subject understands the purpose and procedures required for the study and is willing to participate in the study Willing to adhere to the prohibitions and restrictions specified in this protocol Non-smoker (including prior smokers having stopped smoking for more than 3 months at time of screening) or non-habitual smoker (habitual smokers are persons who smoke more than 4 cigarettes or other tobacco products on a weekly basis) and agree to not use tobacco products during confinement. Negative alcohol breath test and urine drug screen at screening and upon check-in at the clinical site. Negative hepatitis panel (including hepatitis B surface Ag and anti-hepatitis C virus Abs) and negative human immunodeficiency virus Ab and Ag screens at screening Female subjects should fulfil one of the following criteria: At least 1 year post-menopausal (amenorrhea >12 months and/or follicle stimulating hormone >30 mIU/mL) at screening; Surgically sterile (bilateral oophorectomy, hysterectomy, or tubal ligation); Will use adequate forms of contraceptives from screening to discharge. - Female subjects of childbearing potential and male subjects who are sexually active with a female partner of childbearing potential must agree to the use of an effective method of birth control from screening to discharge Note: medically acceptable methods of contraception that may be used by the subject and/or partner include combined oral contraceptive, contraceptive vaginal ring, contraceptive injection, intrauterine device, etonogestrel implant, double barrier, sterilization and vasectomy - Female subject has a negative pregnancy test at screening and upon check-in at the clinical site. Note: pregnancy testing will consist of a serum pregnancy test at screening and urine pregnancy tests at other (dosing) visits, in all women. Exclusion Criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: Pregnant of breastfeeding females Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, hematologic, rheumatologic, endocrine, autoimmune, or renal disease Any laboratory test which is abnormal, and which is deemed by the Investigator(s) to be clinically significant Behavioral or cognitive impairment or psychiatric disease that in the opinion of the investigator affects the ability of the subject to understand and cooperate with the study protocol Current alcohol/illicit drug/nicotine abuse or addiction: history or evidence of current drug use or addiction (positive drug screen for amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, or opiates) or excessive use of alcohol at screening and Day -2. Presence of any febrile illness (T > = 38.0°C or lab confirmed viral disease (PCR)) or symptoms suggestive of a viral respiratory infection within 1 weeks prior to vaccination Use of corticosteroids (excluding topical preparations for cutaneous or nasal use) or use of immunosuppressive drugs within 30 days before inoculation A history of anaphylaxis, history of allergic reaction to vaccine, known allergy to one of the components in AKS-452. Mild allergies without angio-oedema or treatment need can be included if deemed not to be of clinical significance (including but not limited to allergy to animals or mild seasonal hay fever) A history of asthma within the past 10 years, or a current diagnosis of asthma or reactive airway disease associated with exercise Receipt of a licensed vaccine within 4 weeks prior to viral inoculation Received any experimental SARA-CoV-2 vaccine or drug Receipt of blood or blood-derived products (including immunoglobulin) within 6 months prior to vaccination. Receipt of another investigational agent within 30 days or 5 times the product half-life (whichever is longest) prior to vaccination Shares household with /works with immunocompromised individual(s), adults with significant cardiopulmonary disease, persons with significant asthma, institutionalized elderly or elderly with functional disability Deprived of freedom by an administrative or court order or in an emergency setting - Any condition that in the opinion of the principal investigator (PI) would jeopardize the safety or rights of a person participating in the trial or would render the person unable to comply with the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Schelto Kruijff, MD, PhD
Organizational Affiliation
UMCG
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Medical Center Groningen
City
Groningen
ZIP/Postal Code
9700 RB
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35115195
Citation
Janssen YF, Feitsma EA, Boersma HH, Alleva DG, Lancaster TM, Sathiyaseelan T, Murikipudi S, Delpero AR, Scully MM, Ragupathy R, Kotha S, Haworth JR, Shah NJ, Rao V, Nagre S, Ronca SE, Green FM, Aminetzah A, Sollie F, Kruijff S, Brom M, van Dam GM, Zion TC. Phase I interim results of a phase I/II study of the IgG-Fc fusion COVID-19 subunit vaccine, AKS-452. Vaccine. 2022 Feb 23;40(9):1253-1260. doi: 10.1016/j.vaccine.2022.01.043. Epub 2022 Jan 31.
Results Reference
derived
Links:
URL
https://doi.org/10.1016/j.vaccine.2022.01.043
Description
Scientific manuscript phase I clinical study AKS-452

Learn more about this trial

Anti-COVID19 AKS-452 Fusion Protein Vaccine - ACT Study

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