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Efficacy, Immunogenicity and Safety of COVID-19 Vaccine , Inactivated in Children and Adolescents

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Inactivated COVID-19 Vaccine
Controlled vaccine
Sponsored by
Sinovac Research and Development Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

6 Months - 17 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy children and adolescents aged 6 months to 17 years;
  • The participants and/or their guardians are able to understand and sign the informed consent voluntarily (in accordance with the local regulations);
  • Able to comply with study procedures based on the assessment of the Investigator;
  • Female participants of childbearing potential (post-menarche girls or in accordance with the local standard of care) may be enrolled in the study if the participant fulfills all the following criteria:

    • Has a negative pregnancy test on the day of the first dose (Day 0).
    • Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose (Day 0).
    • Has agreed to continue adequate contraception through 3 months following the second dose (Day 28).
    • Is not currently breastfeeding.
  • Must be willing to provide verifiable identification (in accordance with the local regulations), has means to be contacted and to contact the investigator during the study.

Exclusion Criteria:

  • History of confirmed infection of SARS CoV-2 prior to randomization;
  • Close contact with a confirmed COVID-19 within 14 days prior to randomization;
  • Prior administration of an investigational coronavirus vaccine or current/planned simultaneous participation in another interventional study to prevent or treat COVID-19;
  • Allergy to vaccines or vaccine/placebo ingredients, and serious adverse reactions to vaccines, such as urticaria, dyspnea, angioneuroedema;
  • Personal or first-grade relative (siblings) history of multisystem inflammatory disease in children (MIS-C);
  • Significant chronic illnesses that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion (may include, but are not limited to cardiovascular disease, liver or kidney disorders, respiratory illnesses)
  • Significant chronic central nervous system diseases or neuromuscular disorders, psychosis or severe cognitive behavioral disorder, in the opinion of the investigator, including epilepsy, autism spectrum disorder, intellectual disabilities (excluding Down Syndrome);
  • Acute central nervous system diseases such as encephalitis/myelitis, acute disseminating encephalomyelitis, and related disorders;
  • History of autoimmune and/or haematological diseases (including but not limited to systemic lupus erythematosus, thyroidectomy, autoimmune thyroid disease, any form of malignant tumor, asplenia, functional asplenia, or splenectomy resulting from any condition); well controlled type I diabetes mellitus is allowed;
  • History of bleeding disorders (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture;
  • Immunosuppressive therapy (systemic corticoid therapy, e.g. prednisone ≥2 mg/Kg/d or ≥20 mg/day for >14 days), cytotoxic therapy (antineoplastic chemotherapy, radiation therapy), (excluding topical or aerosol corticosteroid therapy) in the past 6 months;
  • Receipt of blood products or immunoglobulins in the past 3 months;
  • Receipt of other investigational drugs in the past 30 days;
  • Receipt of attenuated live vaccines in the past 14 days;
  • Receipt of inactivated or subunit vaccines in the past 7 days;
  • Acute exacerbation or presentation of stable chronic diseases (including but not limited to asthma, migraine, gastrointestinal disorder, etc;
  • Acute febrile illness with oral temperature >37.7°C or axillary temperature >37.5°C on the day of vaccination (refer to section 7.1 Delay/Discontinuation of Study Vaccination); enrollment could be considered if the fever is absent for 72 hours;
  • Any confirmed or suspected human immunodeficiency virus (HIV) infection;
  • Children in care or under a court order;
  • According to the investigator's judgment, the subject has any other factors that might interfere with the results of the clinical trial or pose additional risk to the subject due to participation in the study.

Sites / Locations

  • Hospital de Puerto Montt
  • Clínica Alemana Valdivia
  • Hospital Universidad Clinico de Antofagasta
  • Hospital Roberto del Río
  • Clínica San Carlos de Apoquindo
  • Clínica Universidad de los Andes
  • San Joaquín
  • Hospital Sótero del Río
  • Hospital Ezequial Gonzalez
  • Marcoleta
  • Clínica Alemana
  • Hospital Gustavo Fricke
  • Hospital Wanita dan Kanak-Kanak Sabah
  • Klinik Kesihatan Cheras Baru
  • Hospital Raja Permaisuri Bainun
  • Hospital Seberang Jaya
  • Hospital Miri
  • Hospital Sibu
  • Hospital Pengajar UiTM Puncak Alam
  • Klinik Kesihatan Pandamaran
  • Hospital Sungai Buloh
  • University Malaya Medical Centre
  • National Children's Hospital
  • Philippine Children's Medical Center
  • Philippine General Hospital
  • University of Philippines, National Institute of Health
  • Asian Hospital and Medical Center
  • Mecru Clinical Research Unit
  • Mecru Clinical Research Unit
  • Tiervlei Trial Centre
  • Worthwhile Clinical Trials
  • Reimed Reicherpark
  • Newtown Clinical Research Centre
  • Madibeng Centre for Research
  • Be Part Research
  • Global Clinical Trials
  • Sandton Medical Research Centre
  • Soweto Clinical Trials Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Experimental Group

Control Group

Arm Description

subjects will receive two doses of inactivated COVID-19 vaccine on day 0 and day 28.

subjects will receive two doses of placebo on day 0 and day 28.

Outcomes

Primary Outcome Measures

Efficacy index-incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset
Incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset at least 14 days after the second dose

Secondary Outcome Measures

Efficacy index-incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset
Incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset at least 14 days after the first dose
Efficacy index-incidence of RT-PCR confirmed, symptomatic COVID-19 cases with onset in SARS-CoV-2 uninfected participants
Incidence of RT-PCR confirmed, symptomatic COVID-19 with onset at least 14 days after the second dose in SARS-CoV-2 uninfected (serologically or molecularly confirmed) participants at baseline
Efficacy index-incidence of hospitalization/severe/death caused by COVID-19 with onset
Incidence of hospitalization/severe/death caused by COVID-19 with onset at least 14 days after the second dose
Safety index-occurrence, intensity, duration, and relationship of solicited local and systemic AEs and of unsolicited AEs
Occurrence, intensity, duration, and relationship of solicited local and systemic AEs during 7 days following each dose vaccination and of unsolicited AEs during 28 days post-vaccination
Safety index-occurrence and relationship of SAEs
Occurrence and relationship of SAEs from first dose to 12 months after the last dose
Safety index-occurrence and relationship of AESI
Occurrence and relationship of AESI from first dose to 12 months after the last dose
Immunogenicity index(subgroup)-SARS-CoV-2 neutralizing antibody titers
Analysis of SARS-CoV-2 neutralizing antibody titers by micro-cytopathic method to compare with the placebo group
Immunogenicity index(subgroup)-Anti-SARS-CoV-2 S
Analysis of Anti-SARS-CoV-2 S by electrochemiluminescence immunoassay to compare with the placebo group

Full Information

First Posted
August 3, 2021
Last Updated
October 12, 2023
Sponsor
Sinovac Research and Development Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04992260
Brief Title
Efficacy, Immunogenicity and Safety of COVID-19 Vaccine , Inactivated in Children and Adolescents
Official Title
A Multi-center, Randomized, Double-blind, Placebo-controlled Phase Ⅲ Clinical Trial to Evaluate the Efficacy, Immunogenicity and Safety of COVID-19 Vaccine(Vero Cell) ,Inactivated in Children and Adolescents Aged 6 Months to 17 Years
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
September 10, 2021 (Actual)
Primary Completion Date
May 31, 2023 (Actual)
Study Completion Date
May 31, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sinovac Research and Development 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 study is a global multi-center , case-driven, randomized, double-blinded, and placebo-controlled phase Ⅲ clinical trial of the SARS-CoV-2 inactivated vaccine manufactured by Sinovac Research & Development Co., Ltd. The purpose of this study is to evaluate the efficacy of two dose of CoronaVac® against RT-PCR confirmed symptomatic COVID-19 cases in participants aged 6 months to 17 years.
Detailed Description
This study is a global multi-center , case-driven, randomized, double-blinded, and placebo-controlled phase Ⅲ clinical trial in participants aged 6 months to 17 years.The purpose of this study is to evaluate the efficacy of two dose of CoronaVac® against RT-PCR confirmed symptomatic COVID-19 cases in participants aged 6 months to 17 years.The experimental vaccine and placebo were both manufactured by Sinovac Research & Development Co., Ltd. A total of 14,000 healthy participants aged 6 months to 17 years will be enrolled, and randomly assigned into 2 groups at a ratio of 1:1 to receive 2 doses of experimental vaccine (600SU) or placebo with an interval of 28 days.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
11349 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental Group
Arm Type
Experimental
Arm Description
subjects will receive two doses of inactivated COVID-19 vaccine on day 0 and day 28.
Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
subjects will receive two doses of placebo on day 0 and day 28.
Intervention Type
Biological
Intervention Name(s)
Inactivated COVID-19 Vaccine
Other Intervention Name(s)
CoronaVac
Intervention Description
The inactivated COVID-19 vaccine was manufactured by Sinovac Research& Development Co., Ltd..600SU Inactivated SARS-COV-2 virus in 0·5 mL of aluminium hydroxide solution per injection
Intervention Type
Biological
Intervention Name(s)
Controlled vaccine
Other Intervention Name(s)
Placebo
Intervention Description
The placebo was manufactured by Sinovac Research& Development Co., Ltd.The composition is aluminium hydroxide,The appearance of the placebo is consistent with the vaccine, which is a milky-white suspension.
Primary Outcome Measure Information:
Title
Efficacy index-incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset
Description
Incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset at least 14 days after the second dose
Time Frame
14 days after the second dose
Secondary Outcome Measure Information:
Title
Efficacy index-incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset
Description
Incidence of RT-PCR confirmed symptomatic COVID-19 cases with onset at least 14 days after the first dose
Time Frame
14 days after the first dose
Title
Efficacy index-incidence of RT-PCR confirmed, symptomatic COVID-19 cases with onset in SARS-CoV-2 uninfected participants
Description
Incidence of RT-PCR confirmed, symptomatic COVID-19 with onset at least 14 days after the second dose in SARS-CoV-2 uninfected (serologically or molecularly confirmed) participants at baseline
Time Frame
14 days after the second dose
Title
Efficacy index-incidence of hospitalization/severe/death caused by COVID-19 with onset
Description
Incidence of hospitalization/severe/death caused by COVID-19 with onset at least 14 days after the second dose
Time Frame
14 days after the second dose
Title
Safety index-occurrence, intensity, duration, and relationship of solicited local and systemic AEs and of unsolicited AEs
Description
Occurrence, intensity, duration, and relationship of solicited local and systemic AEs during 7 days following each dose vaccination and of unsolicited AEs during 28 days post-vaccination
Time Frame
During 7 days following each dose vaccination and during 28 days post-vaccination
Title
Safety index-occurrence and relationship of SAEs
Description
Occurrence and relationship of SAEs from first dose to 12 months after the last dose
Time Frame
From first dose to 12 months after the last dose
Title
Safety index-occurrence and relationship of AESI
Description
Occurrence and relationship of AESI from first dose to 12 months after the last dose
Time Frame
From first dose to 12 months after the last dose
Title
Immunogenicity index(subgroup)-SARS-CoV-2 neutralizing antibody titers
Description
Analysis of SARS-CoV-2 neutralizing antibody titers by micro-cytopathic method to compare with the placebo group
Time Frame
From first dose to 12 months after the last dose
Title
Immunogenicity index(subgroup)-Anti-SARS-CoV-2 S
Description
Analysis of Anti-SARS-CoV-2 S by electrochemiluminescence immunoassay to compare with the placebo group
Time Frame
From first dose to 12 months after the last dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy children and adolescents aged 6 months to 17 years; The participants and/or their guardians are able to understand and sign the informed consent voluntarily (in accordance with the local regulations); Able to comply with study procedures based on the assessment of the Investigator; Female participants of childbearing potential (post-menarche girls or in accordance with the local standard of care) may be enrolled in the study if the participant fulfills all the following criteria: Has a negative pregnancy test on the day of the first dose (Day 0). Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose (Day 0). Has agreed to continue adequate contraception through 3 months following the second dose (Day 28). Is not currently breastfeeding. Must be willing to provide verifiable identification (in accordance with the local regulations), has means to be contacted and to contact the investigator during the study. Exclusion Criteria: History of confirmed infection of SARS CoV-2 prior to randomization; Close contact with a confirmed COVID-19 within 14 days prior to randomization; Prior administration of an investigational coronavirus vaccine or current/planned simultaneous participation in another interventional study to prevent or treat COVID-19; Allergy to vaccines or vaccine/placebo ingredients, and serious adverse reactions to vaccines, such as urticaria, dyspnea, angioneuroedema; Personal or first-grade relative (siblings) history of multisystem inflammatory disease in children (MIS-C); Significant chronic illnesses that, in the opinion of the investigator, is at a stage where it might interfere with trial conduct or completion (may include, but are not limited to cardiovascular disease, liver or kidney disorders, respiratory illnesses) Significant chronic central nervous system diseases or neuromuscular disorders, psychosis or severe cognitive behavioral disorder, in the opinion of the investigator, including epilepsy, autism spectrum disorder, intellectual disabilities (excluding Down Syndrome); Acute central nervous system diseases such as encephalitis/myelitis, acute disseminating encephalomyelitis, and related disorders; History of autoimmune and/or haematological diseases (including but not limited to systemic lupus erythematosus, thyroidectomy, autoimmune thyroid disease, any form of malignant tumor, asplenia, functional asplenia, or splenectomy resulting from any condition); well controlled type I diabetes mellitus is allowed; History of bleeding disorders (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture; Immunosuppressive therapy (systemic corticoid therapy, e.g. prednisone ≥2 mg/Kg/d or ≥20 mg/day for >14 days), cytotoxic therapy (antineoplastic chemotherapy, radiation therapy), (excluding topical or aerosol corticosteroid therapy) in the past 6 months; Receipt of blood products or immunoglobulins in the past 3 months; Receipt of other investigational drugs in the past 30 days; Receipt of attenuated live vaccines in the past 14 days; Receipt of inactivated or subunit vaccines in the past 7 days; Acute exacerbation or presentation of stable chronic diseases (including but not limited to asthma, migraine, gastrointestinal disorder, etc; Acute febrile illness with oral temperature >37.7°C or axillary temperature >37.5°C on the day of vaccination (refer to section 7.1 Delay/Discontinuation of Study Vaccination); enrollment could be considered if the fever is absent for 72 hours; Any confirmed or suspected human immunodeficiency virus (HIV) infection; Children in care or under a court order; According to the investigator's judgment, the subject has any other factors that might interfere with the results of the clinical trial or pose additional risk to the subject due to participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zeng Gang, Doctor
Organizational Affiliation
Facultad de Medicina, Pontlficla Universidad Católica de Chile
Official's Role
Study Director
Facility Information:
Facility Name
Hospital de Puerto Montt
City
Puerto Montt
State/Province
Los Lagos
Country
Chile
Facility Name
Clínica Alemana Valdivia
City
Valdivia
State/Province
Los Ríos
Country
Chile
Facility Name
Hospital Universidad Clinico de Antofagasta
City
Antofagasta
State/Province
Metropolitana
Country
Chile
Facility Name
Hospital Roberto del Río
City
Independencia
State/Province
Metropolitana
Country
Chile
Facility Name
Clínica San Carlos de Apoquindo
City
Las Condes
State/Province
Metropolitana
Country
Chile
Facility Name
Clínica Universidad de los Andes
City
Las Condes
State/Province
Metropolitana
Country
Chile
Facility Name
San Joaquín
City
Macul
State/Province
Metropolitana
Country
Chile
Facility Name
Hospital Sótero del Río
City
Puente Alto
State/Province
Metropolitana
Country
Chile
Facility Name
Hospital Ezequial Gonzalez
City
San Miguel
State/Province
Metropolitana
Country
Chile
Facility Name
Marcoleta
City
Santiago
State/Province
Metropolitana
Country
Chile
Facility Name
Clínica Alemana
City
Vitacura
State/Province
Metropolitana
Country
Chile
Facility Name
Hospital Gustavo Fricke
City
Viña del Mar
State/Province
Valparaíso
Country
Chile
Facility Name
Hospital Wanita dan Kanak-Kanak Sabah
City
Kota
State/Province
Kinabalu Sabah
ZIP/Postal Code
88996
Country
Malaysia
Facility Name
Klinik Kesihatan Cheras Baru
City
Cheras
State/Province
Kuala Lumpur
ZIP/Postal Code
56100
Country
Malaysia
Facility Name
Hospital Raja Permaisuri Bainun
City
Ipoh
State/Province
Perak
ZIP/Postal Code
30450
Country
Malaysia
Facility Name
Hospital Seberang Jaya
City
Seberang Jaya
State/Province
Pulau Pinang
ZIP/Postal Code
13700
Country
Malaysia
Facility Name
Hospital Miri
City
Miri
State/Province
Sarawak
ZIP/Postal Code
980000
Country
Malaysia
Facility Name
Hospital Sibu
City
Sibu
State/Province
Sarawak
ZIP/Postal Code
96000
Country
Malaysia
Facility Name
Hospital Pengajar UiTM Puncak Alam
City
Bandar
State/Province
Selangor
ZIP/Postal Code
42300
Country
Malaysia
Facility Name
Klinik Kesihatan Pandamaran
City
Pelabuhan Klang
State/Province
Selangor
ZIP/Postal Code
42000
Country
Malaysia
Facility Name
Hospital Sungai Buloh
City
Sungai Buloh
State/Province
Selangor
ZIP/Postal Code
47000
Country
Malaysia
Facility Name
University Malaya Medical Centre
City
Kuala Lumpur
ZIP/Postal Code
59100
Country
Malaysia
Facility Name
National Children's Hospital
City
Manila
Country
Philippines
Facility Name
Philippine Children's Medical Center
City
Manila
Country
Philippines
Facility Name
Philippine General Hospital
City
Manila
Country
Philippines
Facility Name
University of Philippines, National Institute of Health
City
Manila
Country
Philippines
Facility Name
Asian Hospital and Medical Center
City
Muntinlupa
Country
Philippines
Facility Name
Mecru Clinical Research Unit
City
Ga-Rankuwa
State/Province
Gauteng
ZIP/Postal Code
1818
Country
South Africa
Facility Name
Mecru Clinical Research Unit
City
Bellville
ZIP/Postal Code
0204
Country
South Africa
Facility Name
Tiervlei Trial Centre
City
Bellville
ZIP/Postal Code
7530
Country
South Africa
Facility Name
Worthwhile Clinical Trials
City
Benoni,
ZIP/Postal Code
1501
Country
South Africa
Facility Name
Reimed Reicherpark
City
Boksburg
Country
South Africa
Facility Name
Newtown Clinical Research Centre
City
Johannesburg
ZIP/Postal Code
2113
Country
South Africa
Facility Name
Madibeng Centre for Research
City
Madibeng
ZIP/Postal Code
0250
Country
South Africa
Facility Name
Be Part Research
City
Paarl
ZIP/Postal Code
7626
Country
South Africa
Facility Name
Global Clinical Trials
City
Pretoria
ZIP/Postal Code
0083
Country
South Africa
Facility Name
Sandton Medical Research Centre
City
Sandton
ZIP/Postal Code
2196
Country
South Africa
Facility Name
Soweto Clinical Trials Center
City
Soweto
ZIP/Postal Code
1459
Country
South Africa

12. IPD Sharing Statement

Citations:
PubMed Identifier
36383021
Citation
Soto JA, Melo-Gonzalez F, Gutierrez-Vera C, Schultz BM, Berrios-Rojas RV, Rivera-Perez D, Pina-Iturbe A, Hoppe-Elsholz G, Duarte LF, Vazquez Y, Moreno-Tapia D, Rios M, Palacios PA, Garcia-Betancourt R, Santibanez A, Pacheco GA, Mendez C, Andrade CA, Silva PH, Diethelm-Varela B, Astudillo P, Calvo M, Cardenas A, Gonzalez M, Goldsack M, Gutierrez V, Potin M, Schilling A, Tapia LI, Twele L, Villena R, Grifoni A, Sette A, Weiskopf D, Fasce RA, Fernandez J, Mora J, Ramirez E, Gaete-Argel A, Acevedo ML, Valiente-Echeverria F, Soto-Rifo R, Retamal-Diaz A, Munoz-Jofre N; PedCoronaVac03CL Study Group,; Meng X, Xin Q, Alarcon-Bustamante E, Gonzalez-Aramundiz JV, Le Corre N, Alvarez-Figueroa MJ, Gonzalez PA, Abarca K, Perret C, Carreno LJ, Bueno SM, Kalergis AM. Inactivated Vaccine-Induced SARS-CoV-2 Variant-Specific Immunity in Children. mBio. 2022 Dec 20;13(6):e0131122. doi: 10.1128/mbio.01311-22. Epub 2022 Nov 16.
Results Reference
derived

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Efficacy, Immunogenicity and Safety of COVID-19 Vaccine , Inactivated in Children and Adolescents

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