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Immunogenicity and Safety of Recombinant COVID-19 Vaccine (CHO Cells)

Primary Purpose

COVID-19

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
a middle-dose recombinant COVID-19 vaccine (CHO Cell) (18-59 years) at the schedule of day 0, 28, 56
a high-dose recombinant COVID-19 vaccine (CHO Cell) (18-59 years) at the schedule of day 0, 28, 56
a middle-dose recombinant COVID-19 vaccine (CHO Cell) (60-85 years) at the schedule of day 0, 28, 56
a high-dose recombinant COVID-19 vaccine (CHO Cell) (60-85 years) at the schedule of day 0, 28, 56
a middle-dose placebo (18-59 years) at the schedule of day 0, 28, 56
a high-dose placebo (18-59 years) at the schedule of day 0, 28, 56
a middle-dose placebo (60-85 years) at the schedule of day 0, 28, 56
a high-dose placebo (60-85 years) at the schedule of day 0, 28, 56
Sponsored by
Jiangsu Province Centers for Disease Control and Prevention
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring Immunogenicity, Safety, COVID-19 vaccine, Recombinant vaccine

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy subjects of ≥ 18 years old.
  • The subject can understand and voluntarily sign the informed consent.
  • Axillary temperature ≤37.0℃.
  • General good health as established by medical history and physical examination

Exclusion Criteria:

  • Have a history of close contact with a confirmed case of SARS-CoV-2, an asymptomatic infection in the previous 14 days, or a travel history/residential history in a community where a case has been reported.
  • Have a history of contact with a person infected with SARS-CoV-2(a person with a positive nucleic acid test) in the previous 14 days.
  • Patients with fever or respiratory symptoms who have been to middle or high-risk areas in the past 14 days or have exit history, or come from communities with case reports.
  • In the past 14 days, there have been 2 or more cases of fever and/or respiratory symptoms in small areas such as homes, offices, school classes, etc.
  • Have a history of SARS.
  • Have a history of SARS-CoV-2 infection or history of Coronavirus Vaccination (including Emergency Vaccine and Experimental Vaccine).
  • Positive in SARS-CoV-2 IgG or IgM antibody screening.
  • Have a history of HIV infection;
  • Women who are breastfeeding, pregnant, or planning to become pregnant during 6 months after full-course vaccination (based on the subject's self-report and blood pregnancy test results for women of childbearing age).
  • Have a history of asthma, a history of vaccine or vaccine component allergy, have serious adverse reactions to the vaccine, such as urticaria, dyspnea, angioedema.
  • Subjects with congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc.
  • Subjects with autoimmune diseases or immunodeficiency/immunosuppression.
  • Subjects with severe chronic diseases, severe cardiovascular diseases, hypertension(sbp≥160mmHg and/or dbp≥100mmHg) and diabetes that cannot be controlled by drugs, liver and kidney diseases, malignant tumors, etc.
  • Subjects with severe neurological disease (epilepsy, convulsions or convulsions) or mental illness.
  • Subjects with thyroid disease or history of thyroidectomy, no spleen, functional asthenia, and any spleen or splenectomy caused by any condition.
  • Abnormal blood coagulation function diagnosed by a doctor (such as coagulation factor deficiency, coagulopathy, abnormal platelet) or obvious bruise or coagulation disorder.
  • Have received immunosuppressant therapy, cytotoxic therapy, and inhaled corticosteroids in the past 6 months (excluding corticosteroid spray therapy for allergic rhinitis and surface corticosteroid therapy for acute non-complicated dermatitis).
  • Received blood products within 3 months before receiving trial vaccine.
  • Received other study drugs within 30 days before receiving the trail vaccine.
  • Received a live attenuated vaccine within 14 days before receiving the experimental vaccine.
  • Received a subunit or inactivated vaccine within 7 days before receiving the experimental vaccine.
  • Various acute or chronic diseases occurred in the past 7 days.
  • Have a long history of alcohol or drug abuse.
  • Had urticaria one year before receiving the experimental vaccine;
  • congenital or acquired angioedema/neuroedema;
  • According to the judgment of the investigator, the subject has any other factors that are not suitable for participating in the clinical trial, or Or influence the subject to sign the informed consent.

Exclusion criteria of subsequent dose:

  • Patients with severe allergic reactions after the previous dose of vaccination;
  • Patients with serious adverse reactions causally related to the previous dose of vaccination.
  • For those newly discovered or newly discovered after the first vaccination that does not meet the first-dose selection criteria or meets the first-dose exclusion criteria, the investigator will determine whether to continue participating in the study.
  • Other exclusion reasons suggested by the researchers.

Sites / Locations

  • Jiangsu Provincial Center for Diseases Control and PreventionRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Placebo Comparator

Placebo Comparator

Arm Label

Middle-dose vaccine (18-59 years)

High-dose vaccine (18-59 years)

Middle-dose vaccine (60-85 years)

High-dose vaccine (60-85 years)

Middle-dose placebo (18-59 years)

High-dose placebo (18-59 years)

Middle-dose placebo (60-85 years)

High-dose placebo (60-85 years)

Arm Description

Three doses of middle-dose experimental vaccine at the schedule of day 0, 28, 56

Two doses of High-dose vaccine at the schedule of day 0, 28, 56

Three doses of middle-dose experimental vaccine at the schedule of day 0, 28, 56

Two doses of High-dose experimental vaccine at the schedule of day 0, 28, 56

Three doses of middle-dose placebo at the schedule of day 0, 28, 56

Two doses of High-dose placebo at the schedule of day 0, 28, 56

Three doses of middle-dose placebo at the schedule of day 0, 28, 56

Two doses of High-dose placebo at the schedule of day 0, 28, 56

Outcomes

Primary Outcome Measures

The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (eucivirus neutralization assays)
The incidence of adverse reaction (AR)

Secondary Outcome Measures

The incidence of adverse events (AE)
The incidence of severe adverse events (SAE)
The Geometric mean titer (GMT) of anti-SARS-CoV-2 specific neutralizing antibody (euvirus and pseudovirus neutralization assays)
The Geometric mean fold increase (GMI) of anti-SARS-CoV-2 specific neutralizing antibody (euvirus and pseudovirus neutralization assays)
The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (eucivirus neutralization assays)
The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (pseudovirus neutralization assays)
The positive conversion rate of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody
The GMT of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody
The GMI of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody

Full Information

First Posted
March 19, 2021
Last Updated
March 28, 2022
Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Academy of Military Medical Sciences,Academy of Military Sciences,PLA ZHONGYIANKE Biotech Co, Ltd. LIAONINGMAOKANGYUAN Biotech Co, Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04813562
Brief Title
Immunogenicity and Safety of Recombinant COVID-19 Vaccine (CHO Cells)
Official Title
A Single-center, Randomized, Double Blinded, Placebo Controlled, Phase 2 Clinical Trial of Recombinant COVID-19 Vaccine (CHO Cells), in the Subjects From Healthy Aged 18 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 23, 2021 (Actual)
Primary Completion Date
July 30, 2022 (Anticipated)
Study Completion Date
July 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Collaborators
Academy of Military Medical Sciences,Academy of Military Sciences,PLA ZHONGYIANKE Biotech Co, Ltd. LIAONINGMAOKANGYUAN Biotech 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
Yes

5. Study Description

Brief Summary
This is a phase Ⅱ, randomized, placebo-controlled, double-blind study, to evaluate immunogenicity and safety of a recombinant COVID-19 vaccine (CHO cells) in the subjects from healthy adults and elderly adults aged 18 years and above (aged 18-60 and 60-85 years) with an immunization procedure (0, 28, 56 days).
Detailed Description
This is a phase Ⅱ, single-center, randomized, double-blind, placebo-controlled study, to evaluate the immunogenicity and safety of the recombinant COVID-19 vaccine (CHO cells) in the subjects from healthy adults and elderly adults aged 18 years and above (aged 18-60 and 60-85 years) . The phase Ⅱ clinical trials designed 4 research group, including an immunization procedures (0, 28, 56 days), two doses (20μg/0.5ml, 40μg/0.5ml) and two ages group (adults and elder): Each group including 120 participants. Vaccination or placebo group will be randomly assigned to receive in a 5:1 ratio, 480 in total. Cellular immune blood samples were collected from the top 96 subjects (i.e., the top 24 in each study group, vaccine group: control group =5:1), and Elispot test and cytokine staining (ICS)/flow assay were performed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
Immunogenicity, Safety, COVID-19 vaccine, Recombinant vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
480 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Middle-dose vaccine (18-59 years)
Arm Type
Experimental
Arm Description
Three doses of middle-dose experimental vaccine at the schedule of day 0, 28, 56
Arm Title
High-dose vaccine (18-59 years)
Arm Type
Experimental
Arm Description
Two doses of High-dose vaccine at the schedule of day 0, 28, 56
Arm Title
Middle-dose vaccine (60-85 years)
Arm Type
Experimental
Arm Description
Three doses of middle-dose experimental vaccine at the schedule of day 0, 28, 56
Arm Title
High-dose vaccine (60-85 years)
Arm Type
Experimental
Arm Description
Two doses of High-dose experimental vaccine at the schedule of day 0, 28, 56
Arm Title
Middle-dose placebo (18-59 years)
Arm Type
Placebo Comparator
Arm Description
Three doses of middle-dose placebo at the schedule of day 0, 28, 56
Arm Title
High-dose placebo (18-59 years)
Arm Type
Placebo Comparator
Arm Description
Two doses of High-dose placebo at the schedule of day 0, 28, 56
Arm Title
Middle-dose placebo (60-85 years)
Arm Type
Placebo Comparator
Arm Description
Three doses of middle-dose placebo at the schedule of day 0, 28, 56
Arm Title
High-dose placebo (60-85 years)
Arm Type
Placebo Comparator
Arm Description
Two doses of High-dose placebo at the schedule of day 0, 28, 56
Intervention Type
Biological
Intervention Name(s)
a middle-dose recombinant COVID-19 vaccine (CHO Cell) (18-59 years) at the schedule of day 0, 28, 56
Intervention Description
18-59 years,Three doses of middle-dose (20µg/0.5ml) recombinant COVID-19 vaccine (CHO Cell) at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a high-dose recombinant COVID-19 vaccine (CHO Cell) (18-59 years) at the schedule of day 0, 28, 56
Intervention Description
18-59 years,Three doses of high-dose (40µg/0.5ml) recombinant COVID-19 vaccine (CHO Cell) at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a middle-dose recombinant COVID-19 vaccine (CHO Cell) (60-85 years) at the schedule of day 0, 28, 56
Intervention Description
60-85 years,Three doses of middle-dose (20µg/0.5ml) recombinant COVID-19 vaccine (CHO Cell) at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a high-dose recombinant COVID-19 vaccine (CHO Cell) (60-85 years) at the schedule of day 0, 28, 56
Intervention Description
60-85 years,Three doses of high-dose (40µg/0.5ml) recombinant COVID-19 vaccine (CHO Cell) at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a middle-dose placebo (18-59 years) at the schedule of day 0, 28, 56
Intervention Description
18-59 years,Three doses of middle-dose (0.5ml) placebo at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a high-dose placebo (18-59 years) at the schedule of day 0, 28, 56
Intervention Description
18-59 years,Three doses of high-dose (0.5ml) placebo at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a middle-dose placebo (60-85 years) at the schedule of day 0, 28, 56
Intervention Description
60-85 years,Three doses of middle-dose (0.5ml) placebo at the schedule of day 0, 28, 56.
Intervention Type
Biological
Intervention Name(s)
a high-dose placebo (60-85 years) at the schedule of day 0, 28, 56
Intervention Description
60-85 years,Three doses of high-dose (0.5ml) placebo at the schedule of day 0, 28, 56.
Primary Outcome Measure Information:
Title
The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (eucivirus neutralization assays)
Time Frame
30 days after full-course vaccination in each study group
Title
The incidence of adverse reaction (AR)
Time Frame
0 to 7 days after vaccination in each study group
Secondary Outcome Measure Information:
Title
The incidence of adverse events (AE)
Time Frame
0 to 30 days after vaccination in each study group
Title
The incidence of severe adverse events (SAE)
Time Frame
12 months after prime and boost vaccination
Title
The Geometric mean titer (GMT) of anti-SARS-CoV-2 specific neutralizing antibody (euvirus and pseudovirus neutralization assays)
Time Frame
14 days, 30 days, 6 months and 12 months after full-course vaccination in each study group
Title
The Geometric mean fold increase (GMI) of anti-SARS-CoV-2 specific neutralizing antibody (euvirus and pseudovirus neutralization assays)
Time Frame
14 days, 30 days, 6 months and 12 months after full-course vaccination in each study group
Title
The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (eucivirus neutralization assays)
Time Frame
14 days, 6 months and 12 months after full-course vaccination in each study group
Title
The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (pseudovirus neutralization assays)
Time Frame
14 days, 30days, 6 months and 12 months after full-course vaccination in each study group
Title
The positive conversion rate of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody
Time Frame
14 days, 30days, 6 months and 12 months after full-course vaccination in each study group
Title
The GMT of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody
Time Frame
14 days, 30days, 6 months and 12 months after full-course vaccination in each study group
Title
The GMI of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody
Time Frame
14 days, 30days, 6 months and 12 months after full-course vaccination in each study group
Other Pre-specified Outcome Measures:
Title
The geometric mean titer (GMT) ratio of the SARS-CoV-2 neutralizing antibody and the S-RBD protein specific antibody in each study groups
Time Frame
14 days, 30days, 6 months and 12 months after full-course vaccination in each study group
Title
Subtypes of IgG antibodies against the S-RBD protein of SARS-CoV-2 after immunization in each study group
Time Frame
14 days, 30days, 6 months and 12 months after full-course vaccination in each study group
Title
The proportion of IFN-γ secreted by T cells at Day 14 using ELISpot detection method
Time Frame
Day 14 after full-course vaccination in each study group
Title
The Intracellular cytokine staining (ICS)/flow cytometry was used to detect the Th1/Th2 immune response after immunization (CD3+/CD4+/CD8+ T cells, and cytokines TNFα/IFNγ/IL2/IL4).
Time Frame
Day 14 after full-course vaccination in each study group

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy subjects of ≥ 18 years old. The subject can understand and voluntarily sign the informed consent. Axillary temperature ≤37.0℃. General good health as established by medical history and physical examination Exclusion Criteria: Have a history of close contact with a confirmed case of SARS-CoV-2, an asymptomatic infection in the previous 14 days, or a travel history/residential history in a community where a case has been reported. Have a history of contact with a person infected with SARS-CoV-2(a person with a positive nucleic acid test) in the previous 14 days. Patients with fever or respiratory symptoms who have been to middle or high-risk areas in the past 14 days or have exit history, or come from communities with case reports. In the past 14 days, there have been 2 or more cases of fever and/or respiratory symptoms in small areas such as homes, offices, school classes, etc. Have a history of SARS. Have a history of SARS-CoV-2 infection or history of Coronavirus Vaccination (including Emergency Vaccine and Experimental Vaccine). Positive in SARS-CoV-2 IgG or IgM antibody screening. Have a history of HIV infection; Women who are breastfeeding, pregnant, or planning to become pregnant during 6 months after full-course vaccination (based on the subject's self-report and blood pregnancy test results for women of childbearing age). Have a history of asthma, a history of vaccine or vaccine component allergy, have serious adverse reactions to the vaccine, such as urticaria, dyspnea, angioedema. Subjects with congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc. Subjects with autoimmune diseases or immunodeficiency/immunosuppression. Subjects with severe chronic diseases, severe cardiovascular diseases, hypertension(sbp≥160mmHg and/or dbp≥100mmHg) and diabetes that cannot be controlled by drugs, liver and kidney diseases, malignant tumors, etc. Subjects with severe neurological disease (epilepsy, convulsions or convulsions) or mental illness. Subjects with thyroid disease or history of thyroidectomy, no spleen, functional asthenia, and any spleen or splenectomy caused by any condition. Abnormal blood coagulation function diagnosed by a doctor (such as coagulation factor deficiency, coagulopathy, abnormal platelet) or obvious bruise or coagulation disorder. Have received immunosuppressant therapy, cytotoxic therapy, and inhaled corticosteroids in the past 6 months (excluding corticosteroid spray therapy for allergic rhinitis and surface corticosteroid therapy for acute non-complicated dermatitis). Received blood products within 3 months before receiving trial vaccine. Received other study drugs within 30 days before receiving the trail vaccine. Received a live attenuated vaccine within 14 days before receiving the experimental vaccine. Received a subunit or inactivated vaccine within 7 days before receiving the experimental vaccine. Various acute or chronic diseases occurred in the past 7 days. Have a long history of alcohol or drug abuse. Had urticaria one year before receiving the experimental vaccine; congenital or acquired angioedema/neuroedema; According to the judgment of the investigator, the subject has any other factors that are not suitable for participating in the clinical trial, or Or influence the subject to sign the informed consent. Exclusion criteria of subsequent dose: Patients with severe allergic reactions after the previous dose of vaccination; Patients with serious adverse reactions causally related to the previous dose of vaccination. For those newly discovered or newly discovered after the first vaccination that does not meet the first-dose selection criteria or meets the first-dose exclusion criteria, the investigator will determine whether to continue participating in the study. Other exclusion reasons suggested by the researchers.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Fanyue Meng, Doctor
Phone
18915999245
Email
mfy19780712@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fengcai Zhu, Doctor
Organizational Affiliation
Jiangsu Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jiangsu Provincial Center for Diseases Control and Prevention
City
Nanjing
State/Province
Jiangsu
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mingwei Wei
Phone
15950529760
Email
wnmcwmw@163.com

12. IPD Sharing Statement

Citations:
PubMed Identifier
36103390
Citation
Luo D, Pan H, He P, Yang X, Li T, Ning N, Fang X, Yu W, Wei M, Gao H, Wang X, Gu H, Mei M, Li X, Zhang L, Li D, Gao C, Gao J, Fei G, Li Y, Yang Y, Xu Y, Wei W, Sun Y, Zhu F, Hu Z, Wang H. A randomized, double-blind, placebo-controlled phase 1 and phase 2 clinical trial to evaluate efficacy and safety of a SARS-CoV-2 vaccine SCoK in adults. Clin Transl Med. 2022 Sep;12(9):e1016. doi: 10.1002/ctm2.1016.
Results Reference
derived

Learn more about this trial

Immunogenicity and Safety of Recombinant COVID-19 Vaccine (CHO Cells)

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