Mix and Match Heterologous Prime-Boost Study Using Approved COVID-19 Vaccines
Covid19
About this trial
This is an interventional prevention trial for Covid19 focused on measuring SARS-CoV-2, Vaccines, Mix and Match Trial
Eligibility Criteria
Inclusion Criteria:
- Individuals aged 18 to 65 years old at the time of consent.
- Residing within the Maputo health region and planning to stay for the study duration.
- HIV negative test result on the day of screening (for those who do not have a documented HIV test results in the last three months of screening).
- Female volunteers of childbearing potential with a negative pregnancy test on the day(s) of screening and vaccination, practicing/willing to practice continuous effective contraception* recommended by the National Health System up to 12 weeks after the booster vaccination..
- Agreement to refrain from blood donation during the course of the study.
- Able and willing to comply with all study requirements, based on the assessment of the investigator.
- Willingness to provide written informed consent before any trial procedure * Effective contraception is defined as follows: contraceptive medications delivered orally, intramuscularly, vaginally, or implanted underneath the skin, surgical methods (hysterectomy or bilateral tubal ligation), condoms, diaphragms, intrauterine device (IUD), and abstinence.
Exclusion Criteria:
- Pregnancy, lactation, or intention to become pregnant during the vaccination phase through three months after the booster dose.
- Prior receipt/ planned receipt of any vaccine other than the study intervention within 28 days before and after each study vaccination.
- Previous participation in any COVID-19 vaccination trial or vaccination campaign.
- Administration of immunoglobulins and/ or any blood products within the three months preceding the administration of the study vaccine.
- Known infection with hepatitis B, C virus.
- Known history of allergy or anaphylaxis to study vaccine components and/or excipients or other medications, or any other allergies deemed by the investigator to increase the risk of an adverse reaction.
- History of bleeding disorder (e.g., factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture.
- Continuous use of the anticoagulants, such as coumarins and related anticoagulants.
- Severe and/or uncontrolled cardiovascular disease, respiratory disease, gastrointestinal disease, renal disease, liver disease, endocrine disorders, and neurological illness (mild/moderate well controlled comorbidities are allowed).
- Any clinically significant abnormal finding on screening as judged by the investigator.
- History of laboratory confirmed COVID-19 illness prior to enrollment (History of SARS-Cov-2 detection by PCR or antibody to SARS-CoV-2) within past 12 months.
- SARS-CoV-2 seropositivity at screening.
- Any confirmed or suspected immunosuppressive or immunodeficient state, asplenia, recurrent severe infections and chronic use (more than 14 days) immunosuppressant medication within 3 months prior to recruitment (topical steroids are allowed).
- Any other finding which in the opinion of the investigators would increase the risk of an adverse outcome from participation in the trial or result in incomplete or poor-quality data.
Sites / Locations
- Madagascar Institute for Vaccine Research (MIVR), University of Antananarivo
- Centro de Investigação e Treino em Saúde da Polana Caniço - Instituto Nacional de Saúde
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Prime BBIBP-CorV, Boost Ad26.COV2.S (A1)
Prime BBIBP-CorV, Boost BBIBP-CorV (A2)
Prime Ad26.COV2.S, Boost BBIBP-CorV (B1)
Prime Placebo, Boost Ad26.COV2.S (B2)
The randomized study participants will receive Prime BBIBP-CorV vaccine followed by Booster dose of Ad26.COV2.S vaccine (A1).
The randomized study participants will receive Prime BBIBP-CorV vaccine followed by Booster dose of BBIBP-CorV vaccine (A2).
The randomized study participants will receive Prime Ad26.COV2.S vaccine followed by Booster dose of BBIBP-CorV vaccine (B1).
The randomized study participants will receive Prime Placebo vaccine followed by Booster dose of Ad26.COV2.S (B2).