search
Back to results

Mix and Match Heterologous Prime-Boost Study Using Approved COVID-19 Vaccines

Primary Purpose

Covid19

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell)
Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein),
Placebo - Normal saline (0.9% sodium chloride solution)
Sponsored by
International Vaccine Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring SARS-CoV-2, Vaccines, Mix and Match Trial

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

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)

Arm Description

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).

Outcomes

Primary Outcome Measures

Geometric Mean Titers (GMTs) of anti-SARS-CoV-2 neutralizing antibodies
Geometric Mean Titers (GMTs) of anti-SARS-CoV-2 neutralizing antibodies using a neutralization assay four weeks after the second dose, in COVID-19 seronegative participants following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens.
Incidence of SAEs and AESI observed at any time point during the entire study period
Incidence of SAEs and AESI observed at any time point during the entire study period, among all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens
Incidence of solicited reactions within 7 days (local reactions) and 14 days (systemic reactions)
Incidence of solicited reactions within 7 days (local reactions) and 14 days (systemic reactions) following each vaccination in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens.
Incidence of unsolicited adverse events that are within 28 days after each vaccination
Incidence of unsolicited adverse events that are within 28 days after each vaccination in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens.
Incidence of changes in laboratory safety measures from baseline to day 28 after each vaccination
Incidence of changes in laboratory safety measures from baseline to day 28 after each vaccination, in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens

Secondary Outcome Measures

Geometric Mean Titers (GMTs) and Geometric Mean Fold Rise (GMFR)
GMTs of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364 GMFR from baseline of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364 Percentage of participants achieving 4-fold or more rise from baseline of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364
Geometric Mean Titers (GMTs) and Geometric Mean Fold Rise (GMFR)
GMTs of anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudoneutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364 GMFR from baseline of anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudo-neutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364 Percentage of participants achieving 4-fold or more rise from baseline for anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudoneutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364

Full Information

First Posted
July 29, 2021
Last Updated
April 16, 2023
Sponsor
International Vaccine Institute
Collaborators
The Coalition for Epidemic Preparedness Innovations (CEPI), Instituto Nacional de Saúde (INS), Mozambique, University of Antananarivo, International Centre for Diarrhoeal Disease Research, Bangladesh, Harvard University, Heidelberg University
search

1. Study Identification

Unique Protocol Identification Number
NCT04998240
Brief Title
Mix and Match Heterologous Prime-Boost Study Using Approved COVID-19 Vaccines
Official Title
A Phase 2, Observer-blind, Randomized Study to Assess the Safety and Immunogenicity of Heterologous Prime-boost COVID-19 Vaccines Regimens in Individuals Aged 18 to 65 Years in Mozambique and Madagascar.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 29, 2021 (Actual)
Primary Completion Date
September 26, 2022 (Actual)
Study Completion Date
February 28, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
International Vaccine Institute
Collaborators
The Coalition for Epidemic Preparedness Innovations (CEPI), Instituto Nacional de Saúde (INS), Mozambique, University of Antananarivo, International Centre for Diarrhoeal Disease Research, Bangladesh, Harvard University, Heidelberg University

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 an observer-blind, randomized study which aims to assess the immune response and the safety of two different approved vaccines for first and second dose in healthy adults.
Detailed Description
This is a phase 2, observer-blind, randomized study to assess the safety and the immunogenicity of heterologous prime-boost COVID-19 vaccines regimens in healthy adults aged 18 to 65 years using two approved vaccines (Sinopharm / CNBG Vaccine (BBIBP-CorV) and Johnson & Johnson Vaccine (Ad26.COV2.S)). The study will consist of 2 cohorts, one for main immunology endpoints (N=260, 65 per study arm) and one for more detailed immunological assessment (N=100, 25 per study arm). Two doses of vaccine will be administered intramuscularly 4 week apart. All the study participants will be follow-up for 12 months from the administration of first vaccine dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
SARS-CoV-2, Vaccines, Mix and Match Trial

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The primary analysis of this study will be a non-inferiority comparison between heterologous versus homologous boost arms 4 weeks after second vaccination within each group of the studied COVID-19 vaccines, i.e., the A1 arm (BBIBP-CorV, Ad26.COV2.S) will be compared with the A2 arm (BBIBP-CorV, BBIBP-CorV), and the B1 arm (Ad26.COV2.S, BBIBP-CorV) will be compared with the B2 arm (Placebo, Ad26.COV2.S). All 360 participants will be used for the primary analysis and the secondary analysis.
Masking
Outcomes Assessor
Masking Description
This is an observer-blind study. So in this study only the outcome assessors should be blinded namely the clinical staff in charge of the clinical outcomes assessment and the laboratory analysts.
Allocation
Randomized
Enrollment
360 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Prime BBIBP-CorV, Boost Ad26.COV2.S (A1)
Arm Type
Experimental
Arm Description
The randomized study participants will receive Prime BBIBP-CorV vaccine followed by Booster dose of Ad26.COV2.S vaccine (A1).
Arm Title
Prime BBIBP-CorV, Boost BBIBP-CorV (A2)
Arm Type
Experimental
Arm Description
The randomized study participants will receive Prime BBIBP-CorV vaccine followed by Booster dose of BBIBP-CorV vaccine (A2).
Arm Title
Prime Ad26.COV2.S, Boost BBIBP-CorV (B1)
Arm Type
Experimental
Arm Description
The randomized study participants will receive Prime Ad26.COV2.S vaccine followed by Booster dose of BBIBP-CorV vaccine (B1).
Arm Title
Prime Placebo, Boost Ad26.COV2.S (B2)
Arm Type
Experimental
Arm Description
The randomized study participants will receive Prime Placebo vaccine followed by Booster dose of Ad26.COV2.S (B2).
Intervention Type
Biological
Intervention Name(s)
BBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell)
Intervention Description
The Inactivated SARS-CoV-2 vaccine (Vero cell)- BBIBP-CorV manufactured by Beijing Institute of Biological Products (BIBP), China National Biotec Group (CNBG), Sinopharm, Beijing, People's Republic of China Dose formulation: A liquid formulation containing 4μg total protein with aluminum hydroxide adjuvant (0·45 mg/mL) per 0·5 mL (2-dose schedule followed by a booster dose). Mode of Administration: Intramuscular Storage Conditions: 2°C to 8°C
Intervention Type
Biological
Intervention Name(s)
Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein),
Intervention Description
Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein), manufactured by Johnson and Johnson in the United States of America. Dose formulation: One dose (0.5 ml) contains contains 5 x 10 10 virus particles Mode of administration: Intramuscular Storage Conditions: 2°C to 8°C
Intervention Type
Biological
Intervention Name(s)
Placebo - Normal saline (0.9% sodium chloride solution)
Intervention Description
Placebo - Normal saline (0.9% sodium chloride solution) Dose formulation: Not Applicable Mode of administration: Intramuscular Storage conditions: 15°C to 30°C
Primary Outcome Measure Information:
Title
Geometric Mean Titers (GMTs) of anti-SARS-CoV-2 neutralizing antibodies
Description
Geometric Mean Titers (GMTs) of anti-SARS-CoV-2 neutralizing antibodies using a neutralization assay four weeks after the second dose, in COVID-19 seronegative participants following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens.
Time Frame
Four Weeks after second dose
Title
Incidence of SAEs and AESI observed at any time point during the entire study period
Description
Incidence of SAEs and AESI observed at any time point during the entire study period, among all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens
Time Frame
Till 12 months follow-up visit
Title
Incidence of solicited reactions within 7 days (local reactions) and 14 days (systemic reactions)
Description
Incidence of solicited reactions within 7 days (local reactions) and 14 days (systemic reactions) following each vaccination in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens.
Time Frame
Within 7 days (local reactions) and 14 days (systemic reactions) following each vaccination
Title
Incidence of unsolicited adverse events that are within 28 days after each vaccination
Description
Incidence of unsolicited adverse events that are within 28 days after each vaccination in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens.
Time Frame
Within 28 days after each vaccination
Title
Incidence of changes in laboratory safety measures from baseline to day 28 after each vaccination
Description
Incidence of changes in laboratory safety measures from baseline to day 28 after each vaccination, in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens
Time Frame
Within 28 days after each vaccination
Secondary Outcome Measure Information:
Title
Geometric Mean Titers (GMTs) and Geometric Mean Fold Rise (GMFR)
Description
GMTs of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364 GMFR from baseline of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364 Percentage of participants achieving 4-fold or more rise from baseline of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364
Time Frame
Till 12 months follow-up visit
Title
Geometric Mean Titers (GMTs) and Geometric Mean Fold Rise (GMFR)
Description
GMTs of anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudoneutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364 GMFR from baseline of anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudo-neutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364 Percentage of participants achieving 4-fold or more rise from baseline for anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudoneutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364
Time Frame
Till 12 months follow-up visit
Other Pre-specified Outcome Measures:
Title
Cellular immune responses against SARS-CoV-2
Description
Cellular immune responses against SARS-CoV-2 by ELISpot and by Intracellular Cytokine Staining (ICS) (Th1/Th2) at days 0, 14, 28, 42, 56, 196, 364, following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens, in the participants of immunology cohort.
Time Frame
Till 12 months follow-up visit
Title
GMTs, GMFR from baseline
Description
GMTs of anti-SARS-CoV-2 anti-spike IgG, anti-nucleocapsid IgG against SARS-CoV-2, nAbs and pnAbs against SARS-CoV-2, cellular immune response against SARS-CoV-2, post prime or boost dose, and within one week in all participants being found to be SARS-CoV-2 positive by testing. GMFR from baseline of anti-SARS-CoV-2 anti-spike IgG, anti-nucleocapsid IgG against SARS-CoV-2, nAbs and pnAbs against SARS-CoV-2, cellular immune response against SARS-CoV-2, post prime or boost dose, and within one week in all participants being found to be SARS-CoV-2 positive by testing. Percentage of participants achieving 4-fold or more rise from baseline for anti-SARS-CoV-2 anti-spike IgG, anti-nucleocapsid IgG against SARS-CoV-2, nAbs and pnAbs against SARS-CoV-2, cellular immune response against SARS-CoV-2, post prime or boost dose, and within one week in all participants being found to be SARS-CoV-2 positive by testing.
Time Frame
Till 12 months follow-up visit
Title
Genome sequencing of SARS-CoV-2 viruses isolated post prime or booster dose
Description
Genome sequencing of SARS-CoV-2 viruses isolated post prime or boost, after diagnosis of SARS-CoV-2 infection, in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens
Time Frame
After diagnosis of SARS-CoV-2 infection
Title
Profile of vaccine-induced humoral response against SARS-CoV-2
Description
Profile of vaccine-induced humoral response against SARS-CoV-2 using systems serology at days 0, 14, 28, 42, 56, 196, 364, in study participants of immunology subset cohort, following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens.
Time Frame
Till 12 months follow-up visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Individuals aged 18 to 65 years old at the time of consent. Residing within the area of the study 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. Confirmed SARS-CoV-2 infection at enrollment. 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Florian Marks, PhD
Organizational Affiliation
International Vaccine Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ilesh Jani, PhD
Organizational Affiliation
Instituto Nacional de Saúde
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Raphael Rakotozandrindrainy, MD
Organizational Affiliation
Madagascar Institute for Vaccine Research (MIVR), University of Antananarivo
Official's Role
Principal Investigator
Facility Information:
Facility Name
Madagascar Institute for Vaccine Research (MIVR), University of Antananarivo
City
Antananarivo
ZIP/Postal Code
101
Country
Madagascar
Facility Name
Centro de Investigação e Treino em Saúde da Polana Caniço - Instituto Nacional de Saúde
City
Maputo
Country
Mozambique

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Links:
URL
https://covid19.who.int/region/afro/country/mz
Description
Description Mozambique COVID-19 Situation

Learn more about this trial

Mix and Match Heterologous Prime-Boost Study Using Approved COVID-19 Vaccines

We'll reach out to this number within 24 hrs