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Clinical Trial to Study the COVAC-2 Booster Dose (for COVID-19) in Generally Healthy Adults.

Primary Purpose

Double Vaccinated for COVID-19 (For Phase 1 of the Study), Acute Respiratory Syndrome Coronavirus 2 (For Phase 2 Exploratory Group)

Status
Active
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
COVAC-2
Saline Placebo
Sponsored by
University of Saskatchewan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Double Vaccinated for COVID-19 (For Phase 1 of the Study)

Eligibility Criteria

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

Inclusion Criteria:

  • Generally healthy male and female adults aged 18 years or older at the time of signing the informed consent form.
  • Good general health as determined by screening evaluation no greater than 30 days before injection of study vaccine.

Note: Participants who are overtly healthy as determined by medical evaluation or are considered medically stable according to the judgment of the Investigator. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 3 months prior to enrolment, and/or hospitalization within the entire study period is not anticipated. Also, the participant appears likely to be able to remain in follow-up through the end of protocol-specified period. Mild to moderate well-controlled comorbidities are allowed.

  • Have received minimum of 2 doses of an authorized COVID-19 vaccine at least 6 months prior to Day 0(not applicable for subjects in exploratory Phase 2 study arm).
  • If female of child-bearing potential and heterosexually active, practice of adequate contraception for 30 days prior to injection, negative pregnancy test on the day of injection, and agreement to continue adequate contraception until 180 days after the injection.
  • Written informed consent, after review of the consent form and having adequate opportunity to discuss the study with an Investigator or a qualified designee.
  • Exploratory Phase 2 study arm: Unvaccinated participants with a documented history of infection with SARS-COV-2 (positive PCR or serology for SARS-CoV-2) or positive SARS-CoV-2 antibody test at screening.

Exclusion Criteria:

  • Presence of any febrile illness or any known or suspected acute illness on the day of immunization.
  • Any condition, which in the opinion of the Investigator may make the participant inappropriate for the study.
  • Clinically significant bleeding disorder (e.g., clotting factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venipuncture.
  • Receiving systemic immunomodulatory therapy or history of receiving chemotherapy in the last 5 years other than topical agents.
  • Receipt of systemic glucocorticoids (a dose ≥20 mg/day prednisone or equivalent for 14 days) within 1 month, or any other cytotoxic or immunosuppressive drug within 6 months prior to injection of study vaccine.
  • Cancer diagnosis in the last 5 years, excluding basal cell and squamous cell carcinoma of the skin, which are allowed.
  • Presence of autoimmune disease.
  • Receipt of any investigational drug within 6 months.
  • Receipt of any non-COVID-19 authorized vaccines, for example influenza, within 2 weeks of receiving study dose injection.
  • Receipt of any other experimental SARS-CoV-2/COVID-19 or other experimental coronavirus vaccine(s) at any time prior to or during the study. Exception: Receipt of SARS CoV 2/COVID-19 vaccines at least 6 months prior to Day 0 that were experimental at the time of their administration but are currently authorized will not lead to exclusion.
  • Receipt of blood products or immunoglobulin (IVIg or IMIg) within 3 months of study entry/baseline serologic evaluation.
  • Current anti-tuberculosis therapy.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the study vaccine.
  • Hematologic or biochemical laboratory abnormalities (blood or urine), as defined by lab normal ranges. To exclude transient abnormalities, the Investigator may repeat a test once, and if the repeat test is normal according to local reference ranges, participant may be enrolled. Abnormalities of laboratory values will not be exclusionary if considered not clinically significant by the Investigator.
  • Previous (within 6 months prior to Day 0) SARS-CoV-2 infection, based on a documented positive polymerase chain reaction (PCR) test or rapid antigen test, or reported by participant or prior medical history reports (not applicable for subjects in exploratory Phase 2 study arm).
  • Member of the study personnel, or immediate family member or household member of the study personnel.

Sites / Locations

  • Manna Research (Burlington North)
  • Manna Research
  • Canadian Center for Vaccinology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

COVAC-2 10 µg group

COVAC-2 25 µg group

Placebo Control

Arm Description

20 healthy adults ≥18 years of age receive the vaccine on Day 0.

20 healthy adults ≥18 years of age receive the vaccine on Day 0

20 healthy adults ≥18 years of age receive a dose of normal saline (placebo) on Day 0.

Outcomes

Primary Outcome Measures

Assessment of the safety and tolerability of COVAC-2 booster vaccine in generally healthy volunteers
Incidence of solicited adverse events (AE) up to 7 days post-injection; unsolicited AEs up to 28 days post-injection; any clinically significant laboratory finding up to 28 days post-injection; and any serious AEs (SAEs), potential immune medicated disease (pIMDs) or COVID-19 illness up to 365 days.

Secondary Outcome Measures

To assess the spike binding and neutralizing response induced by COVAC-2 booster vaccine
Antibody response induced by COVAC-2 booster pre-injection and post injection as measured by spike protein-specific Enzyme Linked Immunosorbent Assay (ELISA), virus microneutralization and/or pseudovirus neutralization assay.
To assess the immune response induced by COVAC-2 booster vaccine, as measured by cell immune response markers up to Day 365.
Measurement of COVAC-2 immune response by measuring cell-mediated response markers in Peripheral Blood Mononuclear Cells (PBMCs) pre- and post-injection.

Full Information

First Posted
February 3, 2022
Last Updated
May 18, 2023
Sponsor
University of Saskatchewan
Collaborators
Government of Canada, Government of Saskatchewan, Vaccine Formulation Institute (VFI), Seppic
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1. Study Identification

Unique Protocol Identification Number
NCT05226702
Brief Title
Clinical Trial to Study the COVAC-2 Booster Dose (for COVID-19) in Generally Healthy Adults.
Official Title
A Phase 1 Clinical Trial to Study the Safety and Immunogenicity of a COVAC-2 Booster Dose in Generally Healthy Adults.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 22, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Saskatchewan
Collaborators
Government of Canada, Government of Saskatchewan, Vaccine Formulation Institute (VFI), Seppic

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
VIDO has developed a vaccine called COVAC-2. The COVAC-2 study vaccine contains a portion of the SARS-CoV-2 spike protein, called S1. The spike protein is the part of the virus that is responsible for attaching to the surface of host cells. COVAC-2 contains a SWE adjuvant. An adjuvant is a compound that is added to a vaccine to help the vaccine produce a better immune response. The SWE adjuvant is similar to another adjuvant, MF59, that is found in influenza vaccines and MF59 containing vaccines have been given to millions of people around the world. The vaccine is expected to stimulate the body to make antibodies against the S1 protein. The antibodies will recognize the viral spike protein if the body is exposed to the virus and prevent severe COVID-19 illness. In animal studies, the immune response generated by the COVAC-2 vaccine was able to protect the vaccinated animals against a severe SARS-CoV-2 infection. This is a Phase 1/2, placebo-controlled, observer-blind, age-stratified randomized, multicenter study to access the safety and immunogenicity of two dosing levels (10 and 25 µg S1 protein tested in parallel) administered once in healthy adults ≥18 of age who have received 2 doses of an authorized COVID-19 vaccine at least 6 months earlier. The study will also include an open-label exploratory study arm to evaluate safety and immunogenicity of a single COVAC-2 dose in previously SARS-CoV-2-infected individuals (Phase 2 only).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Double Vaccinated for COVID-19 (For Phase 1 of the Study), Acute Respiratory Syndrome Coronavirus 2 (For Phase 2 Exploratory Group)

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
COVAC-2 10 µg group
Arm Type
Experimental
Arm Description
20 healthy adults ≥18 years of age receive the vaccine on Day 0.
Arm Title
COVAC-2 25 µg group
Arm Type
Experimental
Arm Description
20 healthy adults ≥18 years of age receive the vaccine on Day 0
Arm Title
Placebo Control
Arm Type
Placebo Comparator
Arm Description
20 healthy adults ≥18 years of age receive a dose of normal saline (placebo) on Day 0.
Intervention Type
Biological
Intervention Name(s)
COVAC-2
Intervention Description
Intramuscular vaccine against SARS-CoV-2
Intervention Type
Biological
Intervention Name(s)
Saline Placebo
Intervention Description
Intramuscular injection of saline placebo
Primary Outcome Measure Information:
Title
Assessment of the safety and tolerability of COVAC-2 booster vaccine in generally healthy volunteers
Description
Incidence of solicited adverse events (AE) up to 7 days post-injection; unsolicited AEs up to 28 days post-injection; any clinically significant laboratory finding up to 28 days post-injection; and any serious AEs (SAEs), potential immune medicated disease (pIMDs) or COVID-19 illness up to 365 days.
Time Frame
Up to 365 days
Secondary Outcome Measure Information:
Title
To assess the spike binding and neutralizing response induced by COVAC-2 booster vaccine
Description
Antibody response induced by COVAC-2 booster pre-injection and post injection as measured by spike protein-specific Enzyme Linked Immunosorbent Assay (ELISA), virus microneutralization and/or pseudovirus neutralization assay.
Time Frame
Up to 365 days
Title
To assess the immune response induced by COVAC-2 booster vaccine, as measured by cell immune response markers up to Day 365.
Description
Measurement of COVAC-2 immune response by measuring cell-mediated response markers in Peripheral Blood Mononuclear Cells (PBMCs) pre- and post-injection.
Time Frame
Up to 365 days
Other Pre-specified Outcome Measures:
Title
Explore the effect of the age group, number of previous COVID-19 vaccine doses and type of previous COVID-19 vaccine on immune response
Description
Antibody response induced by COVAC-2 booster pre-injection and post injection as measured by spike protein-specific ELISA, virus neutralization assay against variant of concern, by measuring cell-mediated response markers in Peripheral Blood Mononuclear Cells (PBMCs).
Time Frame
Up to 365 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Generally healthy male and female adults aged 18 years or older at the time of signing the informed consent form. Good general health as determined by screening evaluation no greater than 30 days before injection of study vaccine. Note: Participants who are overtly healthy as determined by medical evaluation or are considered medically stable according to the judgment of the Investigator. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 3 months prior to enrolment, and/or hospitalization within the entire study period is not anticipated. Also, the participant appears likely to be able to remain in follow-up through the end of protocol-specified period. Mild to moderate well-controlled comorbidities are allowed. Have received minimum of 2 doses of an authorized COVID-19 vaccine at least 4 months prior to Day 0. Male participant and females of child-bearing potential and heterosexually active, practice of adequate contraception for 30 days prior to injection, negative pregnancy test on the day of injection, and agreement to continue adequate contraception until 180 days after the injection. Written informed consent, after review of the consent form and having adequate opportunity to discuss the study with an Investigator or a qualified designee. Exclusion Criteria: Presence of any febrile illness or any known or suspected acute illness on the day of immunization. Any condition, which in the opinion of the Investigator may make the participant inappropriate for the study. Clinically significant bleeding disorder (e.g., clotting factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following intramuscular injections or venipuncture. Receiving systemic immunomodulatory therapy or history of receiving chemotherapy in the last 5 years other than topical agents. Receipt of systemic glucocorticoids (a dose ≥20 mg/day prednisone or equivalent for 14 days) within 1 month, or any other cytotoxic or immunosuppressive drug within 6 months prior to injection of study vaccine. Cancer diagnosis in the last 5 years, excluding basal cell and squamous cell carcinoma of the skin, which are allowed. Presence of autoimmune disease. Receipt of any investigational drug within 6 months. Receipt of any non-COVID-19 authorized vaccines, for example influenza, within 2 weeks of receiving study dose injection. Receipt of any other experimental SARS-CoV-2/COVID-19 or other experimental coronavirus vaccine(s) at any time prior to or during the study. Exception: Receipt of SARS CoV 2/COVID-19 vaccines at least 4 months prior to Day 0 that were experimental at the time of their administration but are currently authorized will not lead to exclusion. Receipt of blood products or immunoglobulin (IVIg or IMIg) within 3 months of study entry/baseline serologic evaluation. Current anti-tuberculosis therapy. History of any reaction or hypersensitivity likely to be exacerbated by any component of the study vaccine. Hematologic or biochemical laboratory abnormalities (blood or urine), as defined by lab normal ranges. To exclude transient abnormalities, the Investigator may repeat a test once, and if the repeat test is normal according to local reference ranges, participant may be enrolled. Abnormalities of laboratory values will not be exclusionary if considered not clinically significant by the Investigator. Previous (within 4 months prior to Day 0) SARS-CoV-2 infection, based on a documented positive polymerase chain reaction (PCR) test or rapid antigen test, or reported by participant or prior medical history. Member of the study personnel, or immediate family member or household member of the study personnel.
Facility Information:
Facility Name
Manna Research (Burlington North)
City
Burlington
State/Province
Ontario
ZIP/Postal Code
L7M 4Y1
Country
Canada
Facility Name
Manna Research
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W 4L6
Country
Canada
Facility Name
Canadian Center for Vaccinology
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
B3K 6R8
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Trial to Study the COVAC-2 Booster Dose (for COVID-19) in Generally Healthy Adults.

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