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Clinical Trial of Efficacy, Safety, and Immunogenicity of Gam-COVID-Vac Vaccine Against COVID-19 (RESIST)

Primary Purpose

Covid19 Prevention

Status
Unknown status
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Gam-COVID-Vac
placebo
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 Covid19 Prevention focused on measuring COVID-19, vector vaccine, SARS-CoV-2, adenoviral vector

Eligibility Criteria

18 Years - 111 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Written informed consent of a subject to participate in the trial
  2. Males and females aged ≥18 y.o.;
  3. Negative HIV, hepatitis, and syphilis test results
  4. Negative anti-SARS CoV2 IgM and IgG antibodies test carried out with the enzyme immunoassay method
  5. Negative COVID-2019 PCR test result at the screening visit
  6. No COVID-2019 in the past medical history
  7. No contact with COVID-2019 diseased persons within at least 14 days before the enrollment (according to trial subjects)
  8. Consent to use effective contraception methods during the trial
  9. Negative urine pregnancy test at the screening visit (for child-bearing age women)
  10. Negative drugs or psychostimulants urine test at the screening visit
  11. Negative alcohol test at the screening visit
  12. No evident vaccine-induced reactions or complications after receiving immunobiological products in the past medical history
  13. No acute infectious and/or respiratory diseases within at least 14 days before the enrollment.

Exclusion Criteria:

  1. Any vaccination/immunization within 30 days before the enrollment;
  2. Steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment
  3. Immunosuppressors therapy finished within 3 months before the enrollment
  4. Pregnancy or breast-feeding
  5. Acute coronary syndrome or stroke suffered less than one year before the enrollment
  6. Tuberculosis, chronic systemic infections
  7. Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study drug components, acute exacerbation of allergic diseases on the enrollment day
  8. Neoplasms in the past medical history (ICD codes C00-D09)
  9. Donated blood or plasma (450+ ml) within 2 months before the enrollment
  10. History of splenectomy;
  11. Neutropenia (absolute neutrophil count <1,000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the past medical history within 6 months before the enrollment
  12. Active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B or C
  13. Anorexia, protein deficiency of any origin
  14. Big-size tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the study drug/placebo administration
  15. Alcohol or drug addiction in the past medical history
  16. Participation in any other interventional clinical trial
  17. Any other condition that the study physician considers as a barrier to the trial completion as per the protocol
  18. Study center staff or other employees directly involved in the trial, or their families.

If a subject has any contraindications to vaccination based on the Guidelines on Detection, Investigation and Prevention, of Vaccination-induced Side Reactions (approved by the Ministry of Healthcare of Russia on Apr. 12, 2019, the vaccination may be postponed for a period of time specified in the document.

Sites / Locations

  • ARCHIMED V Clinic of new medical technologies limited liability company
  • Hadassah LTD
  • Medsi Group of companies joint-stock company"
  • Niarmedic Plus
  • State budgetary healthcare institution of the city of Moscow "City clinical hospital No. 52 of the Moscow city health Department"
  • State Budgetary Healthcare Institution, Moscow, Consultation and Diagnosis Polyclinic No. 121, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, M. Konchalovsky Municipal Clinical Hospital, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, M. Zhadkevich Municipal Clinical Hospital, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 115, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 2, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 210, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 212, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 219, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 220, Moscow Healthcare Department
  • State Budgetary Healthcare Institution, Municipal Polyclinic No. 62, Moscow Healthcare Department
  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 109 Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 170 Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 36 Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 46 Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 6 Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 68 Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow "Diagnostic center No. 5 with polyclinic Department Of the Department of health of the city of Moscow"
  • State budgetary institution of health care of the city of Moscow "Diagnostic clinical center No. 1 Of the Department of health of the city of Moscow"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Primary Group

Control Group

Arm Description

Gam-COVID-Vac combined vector vaccine, 0,5ml/dose+0,5 ml/dose prime-boost immunization in days 1 (component I rAd26-S) and 21(component II rAd5-S)

placebo, 0,5ml/dose+0,5 ml/dose immunization in days 1 and 21

Outcomes

Primary Outcome Measures

percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose
Demonstrate the superiority of Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the second dose of the study drug/placebo, as confirmed with the method of polymerase chain reaction (PCR)

Secondary Outcome Measures

the severity of the clinical course of COVID-19
Assess the efficacy of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus compared to placebo, based on the severity of the clinical course of COVID-19
Changing of antibody levels against the SARS-CoV-2 glycoprotein S
Assess the immunogenicity of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the geometric mean titer of SARS-CoV-2 glycoprotein-specific antibodies
Changing of antigen-specific cellular immunity level
Describe the strength of cell-mediated immune response induced by the use of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo
Changing of of virus neutralizing antibody titer
Geometric mean virus-neutralizing antibodies titer
Incidence of adverse events in trial subjects
Incidence of adverse events in trial subjects compared to placebo
Severity of adverse events in trial subjects
Severity of adverse events in trial subjects compared to placebo
estimation of the proportion of study subjects with antibodies to the N-protein of the virus SARS-CoV-2
Percentage of study subjects with antibodies to the N-protein of the SARS - CoV-2 virus that appeared after vaccination

Full Information

First Posted
August 25, 2020
Last Updated
January 20, 2021
Sponsor
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
Collaborators
Government of the city of Moscow, CRO: Crocus Medical BV
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1. Study Identification

Unique Protocol Identification Number
NCT04530396
Brief Title
Clinical Trial of Efficacy, Safety, and Immunogenicity of Gam-COVID-Vac Vaccine Against COVID-19
Acronym
RESIST
Official Title
Randomized Double-blind Placebo-controlled Multi-center Clinical Trial in Parallel Assignment of Efficacy, Safety, and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine in SARS-СoV-2 Infection Prophylactic Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Unknown status
Study Start Date
September 7, 2020 (Actual)
Primary Completion Date
May 1, 2021 (Anticipated)
Study Completion Date
May 1, 2021 (Anticipated)

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
Government of the city of Moscow, CRO: Crocus Medical BV

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
Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment.
Detailed Description
Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment. The trial will include 40,000 volunteers aged 18+. After screening, they will be randomized (3:1) into two groups - a reference group of 10,000 volunteers receiving placebo and a study group of 30,000 volunteers receiving the Gam-COVID-Vac combined vector vaccine against the SARS-СoV-2-induced coronavirus infection. The trial subjects will be randomized into five age strata: 18-30, 31-40, 41-50, 51-60, and 60+ years. The PCR test for SARS-CoV-2 RNA detection at the visit is performed during screening and before the second administration of the vaccine/placebo Each subject will participate in the trial for 180±14 days after the first dose of the study drug/placebo and will have one screening visit and five on-site visits to the study physician during the said period. The study drug/placebo will be administered intramuscularly during vaccination visits 1 and 2 (day 0 and day 21±2). Subsequent observation visits 3, 4, and 5 will be made on days14±2, 28±2, 35±2,42±2, and 180±14 respectively. During the observation visits, vital signs will be assessed in all trial subjects and changes in the subjects' condition and wellbeing compared to the previous visit will be recorded. Observation visits may be remote, through the telemedicine consultation (TMC). Additionally, the trial subjects will be able to have remote consultations with the physician through the TMC. Blood samples will be taken from certain subjects during the following visits to assess the immunogenicity parameters listed below: Virus-neutralizing activity (300 subjects) ×3 Interferon gamma (107 subjects) ×3 CD4 and CD8 cell count and ratio (50 subjects) SARS-CoV-2 glycoprotein-specific antibodies titer (9,520 subjects) ×3 Determination of the titer of SARS-CoV-2 nucleocleocapsid protein-specific antibodies(9,520 subjects) ×3 Blood sampling will be performed on the day of injecting the first dose of the study drug/placebo immediately prior to the study drug administration Blood sampling for immunogenicity parameters assessment will be only carried out in specially selected study centers. Blood samples will be taken from 9,520 trial subjects. All four immunogenicity parameters may be assessed in one trial subject. Trial subjects data will be collected using electronic case report forms and electronic questionnaires to be filled by trial subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19 Prevention
Keywords
COVID-19, vector vaccine, SARS-CoV-2, adenoviral vector

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Randomized double-blind placebo-controlled
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
33758 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Primary Group
Arm Type
Experimental
Arm Description
Gam-COVID-Vac combined vector vaccine, 0,5ml/dose+0,5 ml/dose prime-boost immunization in days 1 (component I rAd26-S) and 21(component II rAd5-S)
Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
placebo, 0,5ml/dose+0,5 ml/dose immunization in days 1 and 21
Intervention Type
Biological
Intervention Name(s)
Gam-COVID-Vac
Intervention Description
vaccine for intramuscular injection
Intervention Type
Other
Intervention Name(s)
placebo
Intervention Description
placebo comparator
Primary Outcome Measure Information:
Title
percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose
Description
Demonstrate the superiority of Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the second dose of the study drug/placebo, as confirmed with the method of polymerase chain reaction (PCR)
Time Frame
through the whole study, an average of 180 days
Secondary Outcome Measure Information:
Title
the severity of the clinical course of COVID-19
Description
Assess the efficacy of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus compared to placebo, based on the severity of the clinical course of COVID-19
Time Frame
through the whole study, an average of 180 days
Title
Changing of antibody levels against the SARS-CoV-2 glycoprotein S
Description
Assess the immunogenicity of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the geometric mean titer of SARS-CoV-2 glycoprotein-specific antibodies
Time Frame
day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose
Title
Changing of antigen-specific cellular immunity level
Description
Describe the strength of cell-mediated immune response induced by the use of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo
Time Frame
the drug administration day before injecting the first dose of the study drug/placebo and 28±2 days after the first dose
Title
Changing of of virus neutralizing antibody titer
Description
Geometric mean virus-neutralizing antibodies titer
Time Frame
the drug administration day before injecting the first dose of the study drug/placebo and 42±2 days after the first dose
Title
Incidence of adverse events in trial subjects
Description
Incidence of adverse events in trial subjects compared to placebo
Time Frame
through the whole study, an average of 180 days
Title
Severity of adverse events in trial subjects
Description
Severity of adverse events in trial subjects compared to placebo
Time Frame
through the whole study, an average of 180 days
Title
estimation of the proportion of study subjects with antibodies to the N-protein of the virus SARS-CoV-2
Description
Percentage of study subjects with antibodies to the N-protein of the SARS - CoV-2 virus that appeared after vaccination
Time Frame
day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
111 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Written informed consent of a subject to participate in the trial Males and females aged ≥18 y.o.; Negative HIV, hepatitis, and syphilis test results Negative anti-SARS CoV2 IgM and IgG antibodies test carried out with the enzyme immunoassay method Negative COVID-2019 PCR test result at the screening visit No COVID-2019 in the past medical history No contact with COVID-2019 diseased persons within at least 14 days before the enrollment (according to trial subjects) Consent to use effective contraception methods during the trial Negative urine pregnancy test at the screening visit (for child-bearing age women) Negative drugs or psychostimulants urine test at the screening visit Negative alcohol test at the screening visit No evident vaccine-induced reactions or complications after receiving immunobiological products in the past medical history No acute infectious and/or respiratory diseases within at least 14 days before the enrollment. Exclusion Criteria: Any vaccination/immunization within 30 days before the enrollment; Steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment Immunosuppressors therapy finished within 3 months before the enrollment Pregnancy or breast-feeding Acute coronary syndrome or stroke suffered less than one year before the enrollment Tuberculosis, chronic systemic infections Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study drug components, acute exacerbation of allergic diseases on the enrollment day Neoplasms in the past medical history (ICD codes C00-D09) Donated blood or plasma (450+ ml) within 2 months before the enrollment History of splenectomy; Neutropenia (absolute neutrophil count <1,000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the past medical history within 6 months before the enrollment Active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B or C Anorexia, protein deficiency of any origin Big-size tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the study drug/placebo administration Alcohol or drug addiction in the past medical history Participation in any other interventional clinical trial Any other condition that the study physician considers as a barrier to the trial completion as per the protocol Study center staff or other employees directly involved in the trial, or their families. If a subject has any contraindications to vaccination based on the Guidelines on Detection, Investigation and Prevention, of Vaccination-induced Side Reactions (approved by the Ministry of Healthcare of Russia on Apr. 12, 2019, the vaccination may be postponed for a period of time specified in the document.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elena Smolyarchuk, MD, PhD
Organizational Affiliation
Study Coordinator
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Sergey Zyryanov, MD, PhD
Organizational Affiliation
Study Coordinator
Official's Role
Study Chair
Facility Information:
Facility Name
ARCHIMED V Clinic of new medical technologies limited liability company
City
Moscow
Country
Russian Federation
Facility Name
Hadassah LTD
City
Moscow
Country
Russian Federation
Facility Name
Medsi Group of companies joint-stock company"
City
Moscow
Country
Russian Federation
Facility Name
Niarmedic Plus
City
Moscow
Country
Russian Federation
Facility Name
State budgetary healthcare institution of the city of Moscow "City clinical hospital No. 52 of the Moscow city health Department"
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Consultation and Diagnosis Polyclinic No. 121, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, M. Konchalovsky Municipal Clinical Hospital, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, M. Zhadkevich Municipal Clinical Hospital, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 115, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 2, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 210, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 212, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 219, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 220, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution, Municipal Polyclinic No. 62, Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow " city polyclinic No. 109 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow " city polyclinic No. 170 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow " city polyclinic No. 36 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow " city polyclinic No. 46 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow " city polyclinic No. 6 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow " city polyclinic No. 68 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow "Diagnostic center No. 5 with polyclinic Department Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation
Facility Name
State budgetary institution of health care of the city of Moscow "Diagnostic clinical center No. 1 Of the Department of health of the city of Moscow"
City
Moscow
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33545094
Citation
Logunov DY, Dolzhikova IV, Shcheblyakov DV, Tukhvatulin AI, Zubkova OV, Dzharullaeva AS, Kovyrshina AV, Lubenets NL, Grousova DM, Erokhova AS, Botikov AG, Izhaeva FM, Popova O, Ozharovskaya TA, Esmagambetov IB, Favorskaya IA, Zrelkin DI, Voronina DV, Shcherbinin DN, Semikhin AS, Simakova YV, Tokarskaya EA, Egorova DA, Shmarov MM, Nikitenko NA, Gushchin VA, Smolyarchuk EA, Zyryanov SK, Borisevich SV, Naroditsky BS, Gintsburg AL; Gam-COVID-Vac Vaccine Trial Group. Safety and efficacy of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine: an interim analysis of a randomised controlled phase 3 trial in Russia. Lancet. 2021 Feb 20;397(10275):671-681. doi: 10.1016/S0140-6736(21)00234-8. Epub 2021 Feb 2. Erratum In: Lancet. 2021 Feb 20;397(10275):670.
Results Reference
derived

Learn more about this trial

Clinical Trial of Efficacy, Safety, and Immunogenicity of Gam-COVID-Vac Vaccine Against COVID-19

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