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Clinical Trial on Sequential Immunization of Recombinant COVID-19 Vaccine (CHO Cells,NVSI-06-08) and Inactivated COVID-19 Vaccine (Vero Cells) in Population Aged 18 Years and Above

Primary Purpose

COVID-19 Pneumonia, Coronavirus Infections

Status
Recruiting
Phase
Phase 1
Locations
United Arab Emirates
Study Type
Interventional
Intervention
Recombinant COVID-19 Vaccine (CHO cell,NVSI-06-08)
Inactivated COVID-19 vaccine (Vero cells)
3 doses Recombinant COVID-19 Vaccine (CHO cell,NVSI-06-08)
Sponsored by
National Vaccine and Serum Institute, China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 Pneumonia focused on measuring COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  • Age range: populations aged 18 years and above;
  • Judged by the investigator that the health condition is well after inquiry and physical examination;
  • Vaccinated with 2 doses of CNBG inactivated COVID-19 vaccine according to the product insert(sequential clinical trial group)
  • Never vaccinated COVID-19 vaccine(safety observation group);
  • Female subjects who are not nursing or pregnant at the time of enrolment (negative urine pregnancy test) and have no family planning within the first 3 months after enrolment. Effective contraceptive measures have been taken within 2 weeks before inclusion.
  • During the whole follow-up period of the study, be able and willing to complete the whole prescribed study plan; Self has ability to understand the study procedures, the informed consent & voluntarily sign an informed consent form and is able to comply with the requirements of the clinical study protocol.

Exclusion Criteria:

  • Confirmed cases, suspected cases or asymptomatic cases of COVID-19;
  • With a history of SARS and MERS infection (self-report, on-site inquiry);
  • Has vaccinated with any vaccine other than one or more doses of CNBG inactivated COVID-19 vaccine;
  • Axillary temperature ≥ 37.3 ℃ (forehead temperature ≥ 37.8 ℃);
  • Previous severe allergic reactions to vaccination (such as acute allergic reactions, urticaria, dyspnea, angioneurotic edema or abdominal pain) or allergy to known components of recombinant COVID-19 vaccine;
  • Allergic to any component of the study vaccine (e.g. aluminum, histidine, etc.)
  • Known or suspected diseases include:Severe respiratory diseases, severe liver and kidney diseases, hypertension (systolic blood pressure ≥ 150 mmHg, diastolic blood pressure ≥ 90 mmHg), diabetic complications, malignant tumors, various acute diseases or acute attacks of chronic diseases;
  • Has been diagnosed with congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia or other autoimmune diseases;
  • Has a history of convulsions, epilepsy, encephalopathy,long term history of alcohol and drug abuse, history of thyroidectomy, infectious diseasesor mental illness or family history(lineal);
  • With Congenital malformation or developmental disorder, genetic defect, severe malnutrition, etc.;
  • Has a history of coagulation dysfunction (e.g. coagulation factors deficiency and coagulation diseases);
  • Absence of spleen or splenectomy, functional absence of spleen caused by any condition
  • Anti -TB (TB) treatment is under way.
  • Patients receiving immunoenhancement or inhibitor therapy within 3 months (continuous oral or IV administration for more than 14 days);
  • Received blood products before within 3 months before vaccination;
  • Received other investigational drugs within 6 months before vaccination;
  • Plan to move before the end of the study or leave the local area for a long time during the scheduled study visit
  • Other circumstances judged by investigators that are not suitable for this clinical trial

Sites / Locations

  • Sheikh Khalifa Medical CityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Subject last vaccination time is within 4-6 months(sequential clinical trial group)

Subject last vaccination time is within 7-9 months(sequential clinical trial group)

Subject last vaccination time more than 9 months(sequential clinical trial group)

Safety Observation Group

Arm Description

Subject have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell).The last vaccination time is within 4-6 months

Subject have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell).The last vaccination time is within 91-180 days 7-9 months

Subject have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell).The last vaccination time more than 9 months

Subject have been vaccinated with three doses of Recombinant COVID-19 Vaccine (CHO Cells,NVSI-06-08) on 0,30,60 days

Outcomes

Primary Outcome Measures

The incidence and serverity of any adverse reactions
The incidence and serverity of solicited adverse events
The incidence and serverity of solicited adverse reactions
The incidence and severity of unsolicited adverse reactions
The incidence and serverity of solicited adverse reactions
The incidence and serverity of solicited adverse events
The incidence of SAE observed
The incidence of AESI observed
GMT of subject's anti- SARS-CoV-2 neutralizing antibody
GMT of subject's anti- SARS-CoV-2 neutralizing antibody
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody

Secondary Outcome Measures

Rate of GMT of subject's anti-SARS-CoV-2 IgG antibody
Rate of GMT of subject's anti-SARS-CoV-2 IgG antibody
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
GMI of subject's anti-SARS-CoV-2 IgG antibody
GMI of subject's anti-SARS-CoV-2 IgG antibody
Proportion of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Proportion of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Rate of Anti-SAR-CoR-2 neutralizing antibody
only sequential clinical trial group
Rate of GMT of IgG antibody
only sequential clinical trial group
Rate of the titer of neutralizing antibody ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
only sequential clinical trial group
Rate of Anti-SAR-CoR-2 neutralizing antibody
only Safety Observation Group
Rate of GMT of IgG antibody
only Safety Observation Group
Rate of the titer of neutralizing antibody ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
only Safety Observation Group

Full Information

First Posted
October 3, 2021
Last Updated
January 30, 2023
Sponsor
National Vaccine and Serum Institute, China
Collaborators
China National Biotec Group Company Limited, Lanzhou Institute of Biological Products Co., Ltd, Beijing Insitute of Biological Products Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05069129
Brief Title
Clinical Trial on Sequential Immunization of Recombinant COVID-19 Vaccine (CHO Cells,NVSI-06-08) and Inactivated COVID-19 Vaccine (Vero Cells) in Population Aged 18 Years and Above
Official Title
A Randomized, Controlled Phase I and Sequential Study to Evaluate the Safety and Immunogenicity Following Immunization of GEN2-Recombinant COVID-19 Vaccine (CHO Cells,NVSI-06-08) and Inactivated COVID-19 Vaccine (Vero Cells) in Population Aged 18 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 14, 2021 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
February 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Vaccine and Serum Institute, China
Collaborators
China National Biotec Group Company Limited, Lanzhou Institute of Biological Products Co., Ltd, Beijing Insitute of Biological Products Co., Ltd

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 randomized, blinded and controlled design. Among the randomly selected subjects who have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell), based on a step-wise approach, the subjects will receive one dose of recombinant COVID-19 vaccine sequentially at different shedules of 4-6 months, 7-9 months and >9 months after two doses of vaccination, and the subjects vaccinated at different schedules will be randomly assigned to different sequential immunization groups. At the same time, each sequential immunization group will be matched with a control group with the inactivated COVID-19 vaccine (vero cells) as the booster dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Pneumonia, Coronavirus Infections
Keywords
COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1848 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Subject last vaccination time is within 4-6 months(sequential clinical trial group)
Arm Type
Experimental
Arm Description
Subject have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell).The last vaccination time is within 4-6 months
Arm Title
Subject last vaccination time is within 7-9 months(sequential clinical trial group)
Arm Type
Experimental
Arm Description
Subject have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell).The last vaccination time is within 91-180 days 7-9 months
Arm Title
Subject last vaccination time more than 9 months(sequential clinical trial group)
Arm Type
Experimental
Arm Description
Subject have been vaccinated with two doses of Inactivated COVID-19 vaccine (Vero cell).The last vaccination time more than 9 months
Arm Title
Safety Observation Group
Arm Type
Experimental
Arm Description
Subject have been vaccinated with three doses of Recombinant COVID-19 Vaccine (CHO Cells,NVSI-06-08) on 0,30,60 days
Intervention Type
Biological
Intervention Name(s)
Recombinant COVID-19 Vaccine (CHO cell,NVSI-06-08)
Intervention Description
Intramuscular injection of Recombinant COVID-19 Vaccine (CHO cell,NVSI-06-08) in the deltoid muscle of the upper arm
Intervention Type
Biological
Intervention Name(s)
Inactivated COVID-19 vaccine (Vero cells)
Intervention Description
Intramuscular injection of Inactivated COVID-19 vaccine (Vero cells) in the deltoid muscle of the upper arm
Intervention Type
Biological
Intervention Name(s)
3 doses Recombinant COVID-19 Vaccine (CHO cell,NVSI-06-08)
Intervention Description
Intramuscular injection of Recombinant COVID-19 Vaccine (CHO cell,NVSI-06-08) in the deltoid muscle of the upper arm on 0,30,60 days
Primary Outcome Measure Information:
Title
The incidence and serverity of any adverse reactions
Time Frame
within 30 minutes after vaccination
Title
The incidence and serverity of solicited adverse events
Time Frame
within 30 minutes after vaccination
Title
The incidence and serverity of solicited adverse reactions
Time Frame
within 0-7 days after vaccination
Title
The incidence and severity of unsolicited adverse reactions
Time Frame
within 0-7 days after vaccination
Title
The incidence and serverity of solicited adverse reactions
Time Frame
within 8-30 days after vaccination
Title
The incidence and serverity of solicited adverse events
Time Frame
within 8-30 days after vaccination
Title
The incidence of SAE observed
Time Frame
after vaccination and up to 6 months after full course of immunization.
Title
The incidence of AESI observed
Time Frame
after vaccination and up to 6 months after full course of immunization
Title
GMT of subject's anti- SARS-CoV-2 neutralizing antibody
Time Frame
15th day after vaccination
Title
GMT of subject's anti- SARS-CoV-2 neutralizing antibody
Time Frame
30th day after vaccination
Title
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
Time Frame
15th day after vaccination
Title
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
Time Frame
30th day after vaccination
Secondary Outcome Measure Information:
Title
Rate of GMT of subject's anti-SARS-CoV-2 IgG antibody
Time Frame
before vaccination
Title
Rate of GMT of subject's anti-SARS-CoV-2 IgG antibody
Time Frame
30th day after the full course of vaccination
Title
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
Time Frame
before vaccination
Title
Rate of 4-fold rise of anti- SARS-CoV-2 neutralizing antibody
Time Frame
30th day after the full course of vaccination
Title
GMI of subject's anti-SARS-CoV-2 IgG antibody
Time Frame
before vaccination
Title
GMI of subject's anti-SARS-CoV-2 IgG antibody
Time Frame
30th day after the full course of vaccination
Title
Proportion of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Time Frame
before vaccination
Title
Proportion of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Time Frame
30th day after the full course of vaccination
Title
Rate of Anti-SAR-CoR-2 neutralizing antibody
Description
only sequential clinical trial group
Time Frame
the 3th month, 6th month, 12th month, 18 month and 24th month after the full course of vaccination
Title
Rate of GMT of IgG antibody
Description
only sequential clinical trial group
Time Frame
the 3th month, 6th month, 12th month, 18 month and 24th month after the full course of vaccination
Title
Rate of the titer of neutralizing antibody ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Description
only sequential clinical trial group
Time Frame
the 3th month, 6th month, 12th month, 18 month and 24th month after the full course of vaccination
Title
Rate of Anti-SAR-CoR-2 neutralizing antibody
Description
only Safety Observation Group
Time Frame
the 6th month, 12th month after the full course of vaccination
Title
Rate of GMT of IgG antibody
Description
only Safety Observation Group
Time Frame
the 6th month, 12th month after the full course of vaccination
Title
Rate of the titer of neutralizing antibody ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Description
only Safety Observation Group
Time Frame
the 6th month, 12th month after the full course of vaccination
Other Pre-specified Outcome Measures:
Title
The vaccine efficay of recombinant COVID-19 vaccine (CHO cells) against COVID-19, severe cases and deaths
Time Frame
14th day after vaccination
Title
Anti-SARS-CoV-2 neutralizing antibody
Time Frame
3th month, 6th month, 9th month and 12th month after full course of immunization
Title
Anti-SARS-CoV-2 GMT of IgG antibody
Time Frame
3th month, 6th month, 9th month and 12th month after full course of immunization
Title
Proportion of neutralizing antibody titer ≥ 1: 16, ≥ 1: 32 and ≥ 1: 64
Time Frame
3th month, 6th month, 9th month and 12th month after full course of immunization
Title
The vaccine efficacy of recombinant COVID-19 vaccine (CHO cells,NVSI-06-08) against COVID-19, severe cases and deaths aged 18 years and above
Time Frame
15th day after full course of immunization
Title
To evaluate the vaccine efficacy of recombinant COVID-19 vaccine (CHO cells,NVSI-06-08) against different variants after sequential vaccination at different schedules
Description
only sequential clinical trial group
Time Frame
15th day after full course of immunization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age range: populations aged 18 years and above; Judged by the investigator that the health condition is well after inquiry and physical examination; Vaccinated with 2 doses of CNBG inactivated COVID-19 vaccine according to the product insert(sequential clinical trial group) Never vaccinated COVID-19 vaccine(safety observation group); Female subjects who are not nursing or pregnant at the time of enrolment (negative urine pregnancy test) and have no family planning within the first 3 months after enrolment. Effective contraceptive measures have been taken within 2 weeks before inclusion. During the whole follow-up period of the study, be able and willing to complete the whole prescribed study plan; Self has ability to understand the study procedures, the informed consent & voluntarily sign an informed consent form and is able to comply with the requirements of the clinical study protocol. Exclusion Criteria: Confirmed cases, suspected cases or asymptomatic cases of COVID-19; With a history of SARS and MERS infection (self-report, on-site inquiry); Has vaccinated with any vaccine other than one or more doses of CNBG inactivated COVID-19 vaccine; Axillary temperature ≥ 37.3 ℃ (forehead temperature ≥ 37.8 ℃); Previous severe allergic reactions to vaccination (such as acute allergic reactions, urticaria, dyspnea, angioneurotic edema or abdominal pain) or allergy to known components of recombinant COVID-19 vaccine; Allergic to any component of the study vaccine (e.g. aluminum, histidine, etc.) Known or suspected diseases include:Severe respiratory diseases, severe liver and kidney diseases, hypertension (systolic blood pressure ≥ 150 mmHg, diastolic blood pressure ≥ 90 mmHg), diabetic complications, malignant tumors, various acute diseases or acute attacks of chronic diseases; Has been diagnosed with congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia or other autoimmune diseases; Has a history of convulsions, epilepsy, encephalopathy,long term history of alcohol and drug abuse, history of thyroidectomy, infectious diseasesor mental illness or family history(lineal); With Congenital malformation or developmental disorder, genetic defect, severe malnutrition, etc.; Has a history of coagulation dysfunction (e.g. coagulation factors deficiency and coagulation diseases); Absence of spleen or splenectomy, functional absence of spleen caused by any condition Anti -TB (TB) treatment is under way. Patients receiving immunoenhancement or inhibitor therapy within 3 months (continuous oral or IV administration for more than 14 days); Received blood products before within 3 months before vaccination; Received other investigational drugs within 6 months before vaccination; Plan to move before the end of the study or leave the local area for a long time during the scheduled study visit Other circumstances judged by investigators that are not suitable for this clinical trial
Facility Information:
Facility Name
Sheikh Khalifa Medical City
City
Seha
State/Province
Abu Dhab
ZIP/Postal Code
519000
Country
United Arab Emirates
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yunkai Yang, Prof.
Phone
+8613601126881
Email
yangyunkai@sinopharm.com

12. IPD Sharing Statement

Citations:
PubMed Identifier
35760812
Citation
Kaabi NA, Yang YK, Du LF, Xu K, Shao S, Liang Y, Kang Y, Su JG, Zhang J, Yang T, Hussein S, ElDein MS, Yang SS, Lei W, Gao XJ, Jiang Z, Cong X, Tan Y, Wang H, Li M, Mekki HM, Zaher W, Mahmoud S, Zhang X, Qu C, Liu DY, Zhang J, Yang M, Eltantawy I, Hou JW, Lei ZH, Xiao P, Wang ZN, Yin JL, Mao XY, Zhang J, Qu L, Zhang YT, Yang XM, Wu G, Li QM. Safety and immunogenicity of a hybrid-type vaccine booster in BBIBP-CorV recipients in a randomized phase 2 trial. Nat Commun. 2022 Jun 27;13(1):3654. doi: 10.1038/s41467-022-31379-0.
Results Reference
derived

Learn more about this trial

Clinical Trial on Sequential Immunization of Recombinant COVID-19 Vaccine (CHO Cells,NVSI-06-08) and Inactivated COVID-19 Vaccine (Vero Cells) in Population Aged 18 Years and Above

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