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COVID-19 Oral and Subcutaneous Vaccination Using a 2nd Generation (E1/E2B/E3-Deleted) Adenovirus Platform in Healthy Volunteers in USA

Primary Purpose

Covid19

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
hAd5-S-Fusion+N-ETSD (Suspension for injection)
hAd5-SFusion+ N-ETSD (Oral capsule)
Sponsored by
ImmunityBio, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults, age 18 - 55 years, inclusive, at time of enrollment.
  2. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines.
  3. Agrees to the collection of biospecimens (eg, nasopharyngeal [NP] swabs) and venous blood per protocol.
  4. Ability to attend required study visits and return for adequate follow-up, as required by this protocol.
  5. Ability to swallow a capsule.
  6. Temperature < 38°C.
  7. Negative for SARS-CoV-2 (qPCR or LAMP test) and no known previous COVID-19 exposure or disease.
  8. Agreement to practice effective contraception for female subjects of childbearing potential and non-sterile males. Female subjects of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male subjects must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, intrauterine devices (IUDs), oral contraceptives, and abstinence.

Exclusion Criteria:

  1. Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
  2. Pregnant and nursing women. A negative serum or urine pregnancy test during screening and on the day of and prior to each dose must be documented before the vaccine is administered to a female subject of childbearing potential.
  3. Live in a nursing home or long-term care facility.
  4. Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma.
  5. Pulmonary fibrosis.
  6. Current or former smoker.
  7. Bone marrow or organ transplantation.
  8. Obesity (defined as body mass index [BMI] of 30 kg/m2 or higher).
  9. Diabetes.
  10. Chronic kidney disease.
  11. Liver disease.
  12. Sickle cell disease.
  13. Thalassemia.
  14. Doctors, nurses, first responders, and other healthcare workers working in direct contact with COVID-19 patients.
  15. Any disease associated with acute fever, or any infection.
  16. Self-reported history of severe acute respiratory syndrome (SARS).
  17. History of hepatitis B or hepatitis C.
  18. HIV or other acquired or hereditary immunodeficiency.
  19. Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc.
  20. Cerebrovascular disease.
  21. Cystic fibrosis.
  22. Neurologic conditions, such as dementia.
  23. Hereditary or acquired angioneurotic edema.
  24. Urticaria in the last 12 months.
  25. No spleen or functional asplenia.
  26. Platelet disorder or other bleeding disorder that may cause injection contraindication.
  27. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness within 3 months before administration of study vaccine. (Including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.)
  28. Prior administration of blood products in last 4 months.
  29. Prior administration of other research medicines in last 1 month.
  30. Received or plans to receive an attenuated vaccine within 1 month before or after each study vaccination.
  31. Received or plans to receive an inactivated vaccine within 14 days before or after each study vaccination.
  32. Current treatment with investigational, authorized, or approved agents for prophylaxis of COVID-19.
  33. Have a household contact that has been diagnosed with COVID-19.
  34. Current anti-tuberculosis prophylaxis or therapy.
  35. Currently receiving treatment for cancer or history of cancer in the last five years (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  36. According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent.
  37. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

Sites / Locations

  • Chan Soon - Shiong Institute for Medicine
  • Hoag Memorial Hospital Presbyterian

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)

Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)

Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral capsule)

Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule)

Arm Description

For subjects in cohort 1, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Suspension for injection) again on day 22 (boost).

For subjects in cohort 2, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Oral capsule) on day 22 (boost).

For subjects in cohort 3, hAd5-S-Fusion+N-ETSD (Oral capsule) will be administered on days 1 (prime) and on day 22 (boost).

For subjects in cohort 4, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) will be administered on day 1 (prime) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on days 15 (boost) and 22 (boost).

Outcomes

Primary Outcome Measures

Incidence of MAAEs and SAEs
Incidence of medically-attended adverse events (MAAEs) and serious adverse events (SAEs) through 1 week post final vaccine administration
Incidence and severity of solicited local reactogenicity AEs
Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration
Incidence and severity of solicited systemic reactogenicity AEs
Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration
Incidence and severity of unsolicited AEs
Incidence and severity of unsolicited AEs through 1 week post final vaccine administration
Incidence of MAAEs and SAEs
Incidence of MAAEs and SAEs through 30 days post final vaccine administration
Incidence of MAAEs and SAEs
Incidence of MAAEs and SAEs through 6 months post final vaccine
Incidence and severity of unsolicited AEs
Incidence and severity of unsolicited AEs through 30 days post final vaccine administration
Incidence of changes of laboratory safety examinations
Incidence of abnormal changes of laboratory safety examinations
Vital Sign - Temperature
Changes in vital signs from Grades 1-4: Temperature - measured in (°C) or (°F)
Vital Sign - Heart rate
Changes in vital signs from Grades 1-4: Heart rate - measured by how many heart beats per minute
Vital Sign - Blood Pressure
Changes in vital signs from Grades 1-4: Systolic/Diastolic - measured in mm Hg
Vital Sign - Respiratory Rate
Changes in vital signs from Grades 1-4: Respiratory Rate - measured in how many breaths per minute

Secondary Outcome Measures

GMFR in IgG titer
Geometric mean fold rise (GMFR) in IgG titer
GMT of S-specific, RBD-specific, and N-specific antibodies
Geometric mean titer (GMT) of S-specific, RBD-specific, and N-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Percentage of subjects who seroconverted
Percentage of subjects who seroconverted (as defined as 4-fold change in antibody titer relative to baseline)
GMFR in neutralizing antibody
GMFR in neutralizing antibody, in the absence of evidence of incident natural infection
GMT of neutralizing antibody
GMT in neutralizing antibody, in the absence of evidence of incident natural infection
Seroconversion rate of neutralizing antibody
Seroconversion rate of neutralizing antibody (as defined as 4-fold change in antibody titer relative to baseline)
CD8+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein
CD8+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein measured by ELISPOT assay
CD4+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein
CD4+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein measured by standard immune assay

Full Information

First Posted
January 27, 2021
Last Updated
July 19, 2021
Sponsor
ImmunityBio, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04732468
Brief Title
COVID-19 Oral and Subcutaneous Vaccination Using a 2nd Generation (E1/E2B/E3-Deleted) Adenovirus Platform in Healthy Volunteers in USA
Official Title
Phase 1b Open-Label Study of the Safety, Reactogenicity, and Immunogenicity of Subcutaneously and Orally Administered Prophylactic Vaccination With 2nd Generation (E1/E2B/E3-Deleted) Adenoviral COVID-19 in Normal Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Unknown status
Study Start Date
February 24, 2021 (Actual)
Primary Completion Date
April 2022 (Anticipated)
Study Completion Date
April 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmunityBio, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 1b, open-label study in adult healthy subjects. This clinical trial is designed to assess the safety, reactogenicity, and immunogenicity the combination of hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) and to select an optimal combination dose for future studies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)
Arm Type
Experimental
Arm Description
For subjects in cohort 1, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Suspension for injection) again on day 22 (boost).
Arm Title
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)
Arm Type
Experimental
Arm Description
For subjects in cohort 2, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Oral capsule) on day 22 (boost).
Arm Title
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral capsule)
Arm Type
Experimental
Arm Description
For subjects in cohort 3, hAd5-S-Fusion+N-ETSD (Oral capsule) will be administered on days 1 (prime) and on day 22 (boost).
Arm Title
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule)
Arm Type
Experimental
Arm Description
For subjects in cohort 4, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) will be administered on day 1 (prime) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on days 15 (boost) and 22 (boost).
Intervention Type
Biological
Intervention Name(s)
hAd5-S-Fusion+N-ETSD (Suspension for injection)
Intervention Description
The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.
Intervention Type
Drug
Intervention Name(s)
hAd5-SFusion+ N-ETSD (Oral capsule)
Intervention Description
The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.
Primary Outcome Measure Information:
Title
Incidence of MAAEs and SAEs
Description
Incidence of medically-attended adverse events (MAAEs) and serious adverse events (SAEs) through 1 week post final vaccine administration
Time Frame
1 week post final vaccine administration
Title
Incidence and severity of solicited local reactogenicity AEs
Description
Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration
Time Frame
1 week post final vaccine administration
Title
Incidence and severity of solicited systemic reactogenicity AEs
Description
Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration
Time Frame
1 week post final vaccine administration
Title
Incidence and severity of unsolicited AEs
Description
Incidence and severity of unsolicited AEs through 1 week post final vaccine administration
Time Frame
1 week post final vaccine administration
Title
Incidence of MAAEs and SAEs
Description
Incidence of MAAEs and SAEs through 30 days post final vaccine administration
Time Frame
30 days post final vaccine
Title
Incidence of MAAEs and SAEs
Description
Incidence of MAAEs and SAEs through 6 months post final vaccine
Time Frame
6 months post final vaccine
Title
Incidence and severity of unsolicited AEs
Description
Incidence and severity of unsolicited AEs through 30 days post final vaccine administration
Time Frame
30 days post final vaccine administration
Title
Incidence of changes of laboratory safety examinations
Description
Incidence of abnormal changes of laboratory safety examinations
Time Frame
Day 387
Title
Vital Sign - Temperature
Description
Changes in vital signs from Grades 1-4: Temperature - measured in (°C) or (°F)
Time Frame
Day 387
Title
Vital Sign - Heart rate
Description
Changes in vital signs from Grades 1-4: Heart rate - measured by how many heart beats per minute
Time Frame
Day 387
Title
Vital Sign - Blood Pressure
Description
Changes in vital signs from Grades 1-4: Systolic/Diastolic - measured in mm Hg
Time Frame
Day 387
Title
Vital Sign - Respiratory Rate
Description
Changes in vital signs from Grades 1-4: Respiratory Rate - measured in how many breaths per minute
Time Frame
Day 387
Secondary Outcome Measure Information:
Title
GMFR in IgG titer
Description
Geometric mean fold rise (GMFR) in IgG titer
Time Frame
Day 387
Title
GMT of S-specific, RBD-specific, and N-specific antibodies
Description
Geometric mean titer (GMT) of S-specific, RBD-specific, and N-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Time Frame
Day 387
Title
Percentage of subjects who seroconverted
Description
Percentage of subjects who seroconverted (as defined as 4-fold change in antibody titer relative to baseline)
Time Frame
Day 387
Title
GMFR in neutralizing antibody
Description
GMFR in neutralizing antibody, in the absence of evidence of incident natural infection
Time Frame
Day 387
Title
GMT of neutralizing antibody
Description
GMT in neutralizing antibody, in the absence of evidence of incident natural infection
Time Frame
Day 387
Title
Seroconversion rate of neutralizing antibody
Description
Seroconversion rate of neutralizing antibody (as defined as 4-fold change in antibody titer relative to baseline)
Time Frame
Day 387
Title
CD8+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein
Description
CD8+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein measured by ELISPOT assay
Time Frame
Day 387
Title
CD4+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein
Description
CD4+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein measured by standard immune assay
Time Frame
Day 387

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults, age 18 - 55 years, inclusive, at time of enrollment. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines. Agrees to the collection of biospecimens (eg, nasopharyngeal [NP] swabs) and venous blood per protocol. Ability to attend required study visits and return for adequate follow-up, as required by this protocol. Ability to swallow a capsule. Temperature < 38°C. Negative for SARS-CoV-2 (qPCR or LAMP test) and no known previous COVID-19 exposure or disease. Agreement to practice effective contraception for female subjects of childbearing potential and non-sterile males. Female subjects of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male subjects must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, intrauterine devices (IUDs), oral contraceptives, and abstinence. Exclusion Criteria: Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past. Pregnant and nursing women. A negative serum or urine pregnancy test during screening and on the day of and prior to each dose must be documented before the vaccine is administered to a female subject of childbearing potential. Live in a nursing home or long-term care facility. Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma. Pulmonary fibrosis. Current or former smoker. Bone marrow or organ transplantation. Obesity (defined as body mass index [BMI] of 30 kg/m2 or higher). Diabetes. Chronic kidney disease. Liver disease. Sickle cell disease. Thalassemia. Doctors, nurses, first responders, and other healthcare workers working in direct contact with COVID-19 patients. Any disease associated with acute fever, or any infection. Self-reported history of severe acute respiratory syndrome (SARS). History of hepatitis B or hepatitis C. HIV or other acquired or hereditary immunodeficiency. Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc. Cerebrovascular disease. Cystic fibrosis. Neurologic conditions, such as dementia. Hereditary or acquired angioneurotic edema. Urticaria in the last 12 months. No spleen or functional asplenia. Platelet disorder or other bleeding disorder that may cause injection contraindication. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness within 3 months before administration of study vaccine. (Including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.) Prior administration of blood products in last 4 months. Prior administration of other research medicines in last 1 month. Received or plans to receive an attenuated vaccine within 1 month before or after each study vaccination. Received or plans to receive an inactivated vaccine within 14 days before or after each study vaccination. Current treatment with investigational, authorized, or approved agents for prophylaxis of COVID-19. Have a household contact that has been diagnosed with COVID-19. Current anti-tuberculosis prophylaxis or therapy. Currently receiving treatment for cancer or history of cancer in the last five years (except basal cell carcinoma of the skin and cervical carcinoma in situ). According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.
Facility Information:
Facility Name
Chan Soon - Shiong Institute for Medicine
City
El Segundo
State/Province
California
ZIP/Postal Code
90245
Country
United States
Facility Name
Hoag Memorial Hospital Presbyterian
City
Newport Beach
State/Province
California
ZIP/Postal Code
92663
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

COVID-19 Oral and Subcutaneous Vaccination Using a 2nd Generation (E1/E2B/E3-Deleted) Adenovirus Platform in Healthy Volunteers in USA

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