Phase I Clinical Trial of a COVID-19 Vaccine in 18-60 Healthy Adults (CTCOVID-19)
Primary Purpose
COVID-19
Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Sponsored by

About this trial
This is an interventional prevention trial for COVID-19 focused on measuring COVID-19, vaccine, Ad5, Safety, Immunogenicity, Infection, novel coronavirus, Dose-escalation
Eligibility Criteria
Inclusion Criteria:
- Aged between 18 and 60 years.
- Able to understand the content of informed consent and willing to sign the informed consent
- Able and willing to complete all the secluded study process during the whole 6 months study follow-up period.
- Negative in HIV diagnostic test.
- Negative in serum antibodies (IgG and IgM) screening of COVID-19.
- Normal in lung CT images (no imaging features of COVID-19
- Axillary temperature ≤37.0°C.
- The BMI index is 18.5-30.0.
- Negative in Nasopharyngeal swabs / sputum and anal swabs through RT-PCR
- Laboratory tests such as hematological examination and clinical biochemistry examination are in the normal range or without meaning judged by clinical doctor.
- General good health as established by medical history and physical examination.
Exclusion Criteria:
- Family history of seizure, epilepsy, brain or mental disease
- Subject allergic to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
- Woman who is pregnant, breast-feeding or positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment, or become pregnant during the next 6 months
- Any acute fever disease or infections.
- History of SARS
- Major congenital defects or not well-controlled chronic illness, such as asthma, diabetes, or thyroid disease.
- Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension without controllable drugs, etc.
- Hereditary angioneurotic edema or acquired angioneurotic edema
- Urticaria in last one year
- No spleen or functional spleen.
- Platelet disorder or other bleeding disorder may cause injection contraindication
- Faint at the sight of needles.
- Prior administration of immunodepressant or corticosteroids, antianaphylaxis treatment, cytotoxic treatment in last 6 months.
- Prior administration of blood products in last 4 months
- Prior administration of other research medicines in last 1 month
- Prior administration of attenuated vaccine in last 1 month
- Prior administration of inactivated vaccine in last 14 days
- Current anti-tuberculosis prophylaxis or therapy
- According to the judgement of investigator,various medical, psychological, social or other conditions, those could affect the subjects to sign informed consent.
Sites / Locations
- Hubei Provincial Center for Disease Control and Prevention
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Low-dose Group
Middle-dose Group
High-dose Group
Arm Description
Subjects received one dose of 5E10 vp Ad5-nCoV at 18 to 60 years old
Subjects received one dose of 1E11 vp Ad5-nCoV at 18 to 60 years old
Subjects received one dose of 1.5E11vp Ad5-nCoV at 18 to 60 years old
Outcomes
Primary Outcome Measures
Safety indexes of adverse reactions
Occurrence of adverse reactions post-vaccination
Secondary Outcome Measures
Safety indexes of adverse events
Occurrence of adverse events post-vaccination
Safety indexes of SAE
Occurrence of serious adverse events post-vaccination
Safety indexes of lab measures
Occurrence of abnormal changes of laboratory safety examinations
Immunogencity indexes of GMT(ELISA)
Geometric mean titer(GMT)of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Immunogencity indexes of GMT(pseudoviral neutralization test method)
Geometric mean titer(GMT)of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Immunogencity indexes of seropositivity rates(ELISA)
the seropositivity rates of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Immunogencity indexes of seropositivity rates(pseudoviral neutralization test method)
the seropositivity rates of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Immunogencity indexes of GMI(ELISA)
Geometric mean fold increase(GMI)of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Immunogencity indexes of GMI(pseudoviral neutralization test method)
Geometric mean fold increase(GMI)of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Immunogencity indexes of GMC(Ad5 vector)
Geometric mean concentration(GMC)of anti-Ad5 vector neutralizing antibody responses
Immunogencity indexes of GMI(Ad5 vector)
Geometric mean fold increase(GMI)of anti-Ad5 vector neutralizing antibody responses
Immunogencity indexes of cellular immune
specific cellular immune responses
Full Information
NCT ID
NCT04313127
First Posted
March 15, 2020
Last Updated
August 2, 2021
Sponsor
CanSino Biologics Inc.
Collaborators
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China, Jiangsu Province Centers for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Tongji Hospital
1. Study Identification
Unique Protocol Identification Number
NCT04313127
Brief Title
Phase I Clinical Trial of a COVID-19 Vaccine in 18-60 Healthy Adults
Acronym
CTCOVID-19
Official Title
A Single-center,Open-label,Dose-escalating Phase I Clinical Trial to Evaluate Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Healthy Adults Aged 18-60 Years Old
Study Type
Interventional
2. Study Status
Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
March 16, 2020 (Actual)
Primary Completion Date
January 20, 2021 (Actual)
Study Completion Date
February 20, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CanSino Biologics Inc.
Collaborators
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China, Jiangsu Province Centers for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Tongji Hospital
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
The 2019 novel-coronavirus (2019-nCov) is the cause of a cluster of unexplained pneumonia that started in Hubei province in China. It has manifest into a global health crisis with escalating confirmed cases and spread across many countries.
In view of the fact that there is currently no effective antiviral therapy, the prevention or treatment of diseases caused by COVID-19 can be tough for current treatment.
This study is a phase I clinical trial. The investigators intent to evaluate the safety, reactogenicity and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) .
Detailed Description
This is a single-center,open-label,dose-escalating phase I clinical trial in healthy 18 to 60 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety, reactogenicity and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) manufactured by Beijing Institute of Biotechnology and CanSino Biologics Inc.One hundred and eight subjects will be enrolled into one of three cohorts and will receive an intramuscular (IM) injection of experimental vaccine or placebo on Days 1 in the deltoid muscle.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19, vaccine, Ad5, Safety, Immunogenicity, Infection, novel coronavirus, Dose-escalation
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
108 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Low-dose Group
Arm Type
Experimental
Arm Description
Subjects received one dose of 5E10 vp Ad5-nCoV at 18 to 60 years old
Arm Title
Middle-dose Group
Arm Type
Experimental
Arm Description
Subjects received one dose of 1E11 vp Ad5-nCoV at 18 to 60 years old
Arm Title
High-dose Group
Arm Type
Experimental
Arm Description
Subjects received one dose of 1.5E11vp Ad5-nCoV at 18 to 60 years old
Intervention Type
Biological
Intervention Name(s)
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Intervention Description
Intramuscular other name:Ad5-nCoV
Primary Outcome Measure Information:
Title
Safety indexes of adverse reactions
Description
Occurrence of adverse reactions post-vaccination
Time Frame
0-7 days post-vaccination
Secondary Outcome Measure Information:
Title
Safety indexes of adverse events
Description
Occurrence of adverse events post-vaccination
Time Frame
0-28 days post-vaccination
Title
Safety indexes of SAE
Description
Occurrence of serious adverse events post-vaccination
Time Frame
0-28 days, within 6 mouths post-vaccination
Title
Safety indexes of lab measures
Description
Occurrence of abnormal changes of laboratory safety examinations
Time Frame
pre-vaccination, day 7 post-vaccination
Title
Immunogencity indexes of GMT(ELISA)
Description
Geometric mean titer(GMT)of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Time Frame
day14,28,month 3,6 post-vaccination
Title
Immunogencity indexes of GMT(pseudoviral neutralization test method)
Description
Geometric mean titer(GMT)of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Time Frame
day14,28,month 6 post-vaccination
Title
Immunogencity indexes of seropositivity rates(ELISA)
Description
the seropositivity rates of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Time Frame
day14,28,month 3,6 post-vaccination
Title
Immunogencity indexes of seropositivity rates(pseudoviral neutralization test method)
Description
the seropositivity rates of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Time Frame
day14,28,month 6 post-vaccination
Title
Immunogencity indexes of GMI(ELISA)
Description
Geometric mean fold increase(GMI)of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Time Frame
day14,28,month 3,6 post-vaccination
Title
Immunogencity indexes of GMI(pseudoviral neutralization test method)
Description
Geometric mean fold increase(GMI)of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Time Frame
day14,28,month 6 post-vaccination
Title
Immunogencity indexes of GMC(Ad5 vector)
Description
Geometric mean concentration(GMC)of anti-Ad5 vector neutralizing antibody responses
Time Frame
day、14,28,month3,6 post-vaccination
Title
Immunogencity indexes of GMI(Ad5 vector)
Description
Geometric mean fold increase(GMI)of anti-Ad5 vector neutralizing antibody responses
Time Frame
day、14,28,month3,6 post-vaccination
Title
Immunogencity indexes of cellular immune
Description
specific cellular immune responses
Time Frame
day 14, 28,month 6 post-vaccination
Other Pre-specified Outcome Measures:
Title
Consistency analysis(ELISA and pseudoviral neutralization test method)
Description
Consistency analysis of S-specific antibodies against 2019 novel coronavirus tested by ELISA against those tested by pseudoviral neutralization test method
Time Frame
day,14,28, month 6 post-vaccination
Title
Dose-response relationship(Humoral immunity)
Description
Relationship between Geometric mean titer (GMT) of S protein-specific antibodies against 2019 novel coronavirus and vaccine dose among study groups
Time Frame
day14,28,month 3,6 post-vaccination
Title
Persistence analysis of anti-S protein antibodies
Description
Persistence analysis of anti-S protein antibodies among study groups
Time Frame
day14,28,month 3,6 post-vaccination
Title
Time-dose-response relationship(Humoral immunity)
Description
Relationship between the appearance time of S-specific antibodies against 2019 novel coronavirus and the vaccination dose.
Time Frame
day14,28,month 3,6 post-vaccination
Title
Dose-response relationship( cellular immunity)
Description
Relationship between cellular immune levels against 2019 novel coronavirus and vaccine dose among study groups
Time Frame
day 14, 28,month 6 post-vaccination
Title
Persistence analysis of cellular immuse
Description
Persistence analysis of specific cellular immune response
Time Frame
day 14, 28,month 6 post-vaccination
Title
Time-dose-response relationship(cellular immunity)
Description
Relationship between the appearance time of cellular immunity against 2019 novel coronavirus and the vaccination dose.
Time Frame
day 14, 28,month 6 post-vaccination
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Aged between 18 and 60 years.
Able to understand the content of informed consent and willing to sign the informed consent
Able and willing to complete all the secluded study process during the whole 6 months study follow-up period.
Negative in HIV diagnostic test.
Negative in serum antibodies (IgG and IgM) screening of COVID-19.
Normal in lung CT images (no imaging features of COVID-19
Axillary temperature ≤37.0°C.
The BMI index is 18.5-30.0.
Negative in Nasopharyngeal swabs / sputum and anal swabs through RT-PCR
Laboratory tests such as hematological examination and clinical biochemistry examination are in the normal range or without meaning judged by clinical doctor.
General good health as established by medical history and physical examination.
Exclusion Criteria:
Family history of seizure, epilepsy, brain or mental disease
Subject allergic to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
Woman who is pregnant, breast-feeding or positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment, or become pregnant during the next 6 months
Any acute fever disease or infections.
History of SARS
Major congenital defects or not well-controlled chronic illness, such as asthma, diabetes, or thyroid disease.
Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension without controllable drugs, etc.
Hereditary angioneurotic edema or acquired angioneurotic edema
Urticaria in last one year
No spleen or functional spleen.
Platelet disorder or other bleeding disorder may cause injection contraindication
Faint at the sight of needles.
Prior administration of immunodepressant or corticosteroids, antianaphylaxis treatment, cytotoxic treatment in last 6 months.
Prior administration of blood products in last 4 months
Prior administration of other research medicines in last 1 month
Prior administration of attenuated vaccine in last 1 month
Prior administration of inactivated vaccine in last 14 days
Current anti-tuberculosis prophylaxis or therapy
According to the judgement of investigator,various medical, psychological, social or other conditions, those could affect the subjects to sign informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhu Fengcai
Organizational Affiliation
Jiangsu Province Centers for Disease Control and Prevention
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Guan Xuhua
Organizational Affiliation
Hubei Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Wang Wei
Organizational Affiliation
Tongji Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hubei Provincial Center for Disease Control and Prevention
City
Wuhan
State/Province
Hubei
Country
China
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
We support data sharing of the individual participant data. The individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendixes) will be shared. Individual participant data will be available beginning 3 months and ending one year following article publication. Supporting clinical documents including study protocol, statistical analysis plan (SAP), and the informed consent form (ICF) will be available immediately following publication for at least one year. Supporting clinical documents access information will be available at http://www.jshealth.com/. Researchers who provide a scientifically sound proposal will be allowed to access to the individual participant data. Proposals should be directed to jszfc@vip.sina.com or cw0226@foxmail.com.
IPD Sharing Time Frame
Data will be available beginning 3 months and ending one year following article publication
IPD Sharing Access Criteria
Data access requests will be reviewed by the sponsor,investigator and collaborators on the basis of scientific merit. To gain access, data requestors will need to sign a data access agreement.
IPD Sharing URL
http://www.jshealth.com/
Citations:
PubMed Identifier
32450106
Citation
Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, Wu SP, Wang BS, Wang Z, Wang L, Jia SY, Jiang HD, Wang L, Jiang T, Hu Y, Gou JB, Xu SB, Xu JJ, Wang XW, Wang W, Chen W. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet. 2020 Jun 13;395(10240):1845-1854. doi: 10.1016/S0140-6736(20)31208-3. Epub 2020 May 22.
Results Reference
derived
Learn more about this trial
Phase I Clinical Trial of a COVID-19 Vaccine in 18-60 Healthy Adults
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