Efficacy Study of COVID-19 mRNA Vaccine in Regions With SARS-CoV-2 Variants of Concern (CoVPN3008)
SARS-CoV-2 Infection, HIV Infections, COVID-19
About this trial
This is an interventional prevention trial for SARS-CoV-2 Infection focused on measuring SARS-CoV-2, HIV, COVID-19
Eligibility Criteria
Inclusion Criteria:
General and Demographic Criteria
Age ≥ 18 years if participant self-reports living with HIV or another comorbidity known to be associated with severe COVID-19, for example (CDC.gov for exhaustive list):
- Hypertension
- Type 2 diabetes mellitus
- Overweight, obese, or severely obese (ie, body mass index [BMI] ≥ 25 kg/m2)
- Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
- Chronic kidney disease
- COPD (chronic obstructive pulmonary disease)
- Cancer
- Non-HIV immunocompromised state (weakened immune system) or solid organ transplant
- Pregnancy
- Sickle cell disease
- Smoking
- Willingness to be followed and remain in the catchment area for the planned duration of the study.
- Ability and willingness to provide informed consent.
- Willingness to discuss HIV infection status, undergo related testing/monitoring labs, and receive counseling and referrals to minimize HIV acquisition/improve HIV care as appropriate based on their infection status.
- Assessment of Understanding (AoU): Participant demonstrates understanding of this study; completes a questionnaire prior to first vaccination with demonstration of understanding of all questionnaire items answered incorrectly.
- Agrees not to enroll in another interventional study of an investigational research agent until after the study is completed and all the data has been obtained. Enrollment in studies of investigational research agents for the treatment of COVID-19 is allowed for participants who develop COVID-19 disease.
Exclusion Criteria:
General
- Acutely ill 72 hours prior to or at screening. Participants meeting this criterion may be rescheduled within the relevant window periods. Participants with minor illnesses can be enrolled at the discretion of the investigator.
History of angioedema or anaphylaxis.
Vaccines and other injections
- Prior receipt of a SARS-CoV-2 vaccine.
- History of severe allergic reaction to any ingredient of this vaccine (lipids (SM-102, polyethylene glycol [PEG] 2000 dimyristoyl glycerol [DMG], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine [DSPC]), tromethamine, tromethamine hydrochloride, acetic acid, sodium acetate trihydrate, and sucrose).
- Live attenuated vaccines received within 30 days before first vaccination (eg, measles, mumps, and rubella [MMR]; oral polio vaccine [OPV]; varicella; yellow fever; live attenuated influenza vaccine, live attenuated zoster vaccine).
- Any vaccines that are not live attenuated vaccines and were received within 14 days prior to first vaccination (eg, tetanus, human papilloma virus (HPV), pneumococcal, Hepatitis A or B).
- Blood products, systemic immunoglobulins, or monoclonal antibodies (including against SARS-CoV-2) received within 90 days before first vaccination.
Sites / Locations
- Gaborone CRS
- Moi University Clinical Research Centre
- Kisumu - Kombewa CRS
- Kisumu Crs
- Blantyre CRS
- Malawi CRS
- Synergy Biomed Research Institute
- Nelson Mandela Academic Research Unit CRS
- PHOENIX Pharma (Pty) Ltd
- Josha Resarch CRS
- MeCRU CRS
- Clinical HIV Research Unit (CHRU)/ Helen Joseph CRS
- Newtown Clinical Research
- Soweto - Bara CRS
- Wits RHI Ward 21 CRS
- MERC Kempton Park
- Synexus Stanza Clinical Research Centre (CRS)
- Tembisa Clinic 4 CoVPN CRS
- CAPRISA eThekwini CRS
- Tongaat CRS
- Vulindlela CRS
- Isipingo CRS
- Qhakaza Mbokodo Research Clinic CRS
- MERC Middelburg
- Aurum Institute Klerksdorp CRS
- Rustenburg CRS
- Emavundleni CRS
- FAM-CRU (Family Clinical Research Unit)
- Groote Schuur HIV CRS
- Masiphumelele Clinical Research Site (MASI) CRS
- TASK Central
- Univeristy of Cape Town Lung CRS Institute
- TASK Eden
- Synexus Helderberg
- Ndlovu Research Centre CoVPN CRS
- Kliptown Soweto CRS
- PHRU Matlosana CRS
- MERC Welkom
- Eswatini Prevention Center CRS
- UVRI-IAVI HIV Vaccine Program LTD. CRS
- Baylor-Uganda CRS
- Joint Clinical Research Centre
- MU-JHU Research Collaboration CRS
- Cfhrz Crs
- Matero Reference Clinic CRS
- UNC Global Projects / Kamwala District Health Centre
- Zambia Emory HIV Research Project - Ndola CoVPN CRS
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Group 1
Group 2
Group 3
Group 4
This arm will assess the relative vaccine efficacy (RVE) of a 3- vs. 2-dose COVID-19 mRNA vaccine regimen to prevent virologically confirmed, symptomatic COVID-19 in adult people living with HIV who are SARS-CoV-2 negative at baseline.
This arm will assess the relative vaccine efficacy (RVE) of a 2- vs. 1-dose COVID-19 mRNA vaccine regimen to prevent virologically confirmed symptomatic COVID-19 in adult people living with HIV who are SARS-CoV-2 positive at baseline.
This arm will assess the relative vaccine efficacy (RVE) of a 3- vs. 2-dose COVID-19 mRNA vaccine regimen to prevent virologically confirmed, symptomatic COVID-19 in HIV negative adults who are SARS-CoV-2 negative at baseline.
This arm will assess the relative vaccine efficacy (RVE) of a 2- vs. 1-dose COVID-19 mRNA vaccine regimen to prevent virologically confirmed symptomatic COVID-19 in HIV negative adults who are SARSCoV-2 positive at baseline.