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Phase I Clinical Trial of COVID-19 mRNA Vaccine in Adults Aged 18 Years and Older

Primary Purpose

COVID-19

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
COVID-19 mRNA vaccine
Placebo
Sponsored by
CanSino Biologics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring COVID, mRNA, Vaccine, Placebo, Safety, Immunogenicity

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults aged 18 years and above with BMI of 18 to 30 (including boundary values);
  2. Volunteers are able and willing to comply with the requirements of the clinical trial protocol, and volunteers or witnesses can sign informed consent forms;
  3. Willing to discuss the medical history with the investigator or doctor and allow access to all medical records related to this trial;
  4. Provide 48-hour PCR negative report;
  5. Have not received any other COVID-19 vaccines.

Exclusion Criteria:

  • Criteria for exclusion of the first dose

    1. Other medical or psychiatric conditions, including recent (within the past year) or current presence of suicidal ideation/behavior, or laboratory abnormalities that may increase the risk of participating in the study, or subjects who are not suitable to participate in the study according to the investigator's judgment;
    2. Positive for human immunodeficiency virus (HIV);
    3. History of infection or disease of Middle East Respiratory Syndrome (MERS), SARS or other coronaviruses or related immunizations;
    4. History of serious adverse reactions associated with the vaccine and/or a history of severe allergic reactions (e.g., anaphylaxis) to any component of the vaccine under study;
    5. Immunocompromised patients with known or suspected immunodeficiency identified by medical history and/or physical examination;
    6. Bleeding constitution or condition associated with prolonged bleeding which investigators believe that intramuscular injection is contraindicated;
    7. Women who test positive for blood pregnancy or are breastfeeding, volunteers or their partners have a pregnancy plan within 12 months;
    8. Severe hypertension and uncontrollable medication (on-site measurement: systolic blood pressure ≥ 160mmHg, diastolic blood pressure ≥ 100mmHg);
    9. Have a serious chronic disease or the condition is in the progression period can not be smoothly controlled, such as diabetes, thyroid disease, etc.;
    10. History of severe myocarditis, pericarditis and other heart diseases;
    11. Abnormal laboratory tests during the screening window and judged by researchers to be of clinical significance;
    12. Plans to receive other vaccines within 28 days before and after receiving the test vaccine;
    13. Those receiving immunosuppressive therapy, including cytotoxic drugs or systemic corticosteroids, such as for cancer or autoimmune diseases, or who were scheduled to receive treatment throughout the study period. If systemic corticosteroids are used in a short period of time (< 14 days) for the treatment of acute illness, subjects should not enter this study until at least 28 days after corticosteroid therapy has been discontinued prior to study vaccination. Inhalation/spraying, intra-articular, intraskeletal, or topical (skin or eyes) use of corticosteroids is permitted;
    14. Receiving blood/plasma products or immunoglobulins 60 days prior to study vaccination or plan to receive for the entire study duration;
    15. Engage in other interventional studies within 28 days prior to entering the study and/or during the study's participation;
    16. Participated in other interventional studies of lipid-containing nanoparticles;
    17. Have symptoms of COVID-19 such as respiratory symptoms, fever, cough, shortness of breath, and dyspnea;
    18. Fever, axillary temperature > 37.0 °C.

Second dose exclusion criteria:

  1. Severe allergic reactions occur after the first vaccination;
  2. Serious adverse reactions with causal relationship during the first vaccination;
  3. Those who are newly discovered or newly occurring after the first vaccination do not meet the inclusion criteria of the first dose or meet the exclusion criteria of the first dose, and the investigator shall decide whether to continue to participate in the study;
  4. Other reasons for exclusion that the investigators believe.

Sites / Locations

  • Beijing Friendship Hospital
  • Hebei Petro China Center Hospital
  • Hunan Provincial Center for Disease Control and Prevention

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

Vaccine Group, low dose, 18-59 year-old

Vaccine Group, low dose, 60 year-old and above

Vaccine Group, high dose, 18-59 year-old

Vaccine Group, high dose, 60 year-old and above

Placebo Group, low dose, 18-59 year-old

Placebo Group, low dose, 60 year-old and above

Placebo Group, high dose, 18-59 year-old

Placebo Group, high dose, 60 year-old and above

Arm Description

2 doses of COVID-19 mRNA vaccine (30µg, 0.3 ml) on Day 0 and Day 21

2 doses of COVID-19 mRNA vaccine (30µg, 0.3 ml) on Day 0 and Day 21

2 doses of COVID-19 mRNA vaccine (50µg, 0.5 ml) on Day 0 and Day 21

2 doses of COVID-19 mRNA vaccine (50µg, 0.5 ml) on Day 0 and Day 21

2 doses of placebo (0µg, 0.3 ml) on Day 0 and Day 21

2 doses of placebo (0µg, 0.3 ml) on Day 0 and Day 21

2 doses of placebo (0µg, 0.5 ml) on Day 0 and Day 21

2 doses of placebo (0µg, 0.5 ml) on Day 0 and Day 21

Outcomes

Primary Outcome Measures

The incidence of adverse reactions (AR)
To evaluate the incidence of adverse reactions (AR) within 14 days of immunization in all subjects

Secondary Outcome Measures

The incidence of adverse reactions (AR)
To evaluate the incidence of adverse reactions (AR) within 28 days of immunization in all subjects
The incidence of SAE, MAE and AESI
To evaluation the incidence of SAE, MAE, and AESI within 12 months of full immunization in all subjects
The incidence of adverse reactions (AR)
To evaluate the incidence of adverse reactions (AR) within 60 minutes of each vaccination in all subjects
Changes in laboratory indicators
Changes in white blood cell count
Changes in laboratory indicators
Changes in neutrophils
Changes in laboratory indicators
Changes in lymphocyte count;
Changes in laboratory indicators
Changes in platelet count;
Immunogenicity of wild type neutralizing antibodies
Sero-conversation rate of anti-wild type neutralizing antibodies
Immunogenicity of wild type neutralizing antibodies
Geometric mean titer (GMT) of wild type neutralizing antibodies
Immunogenicity of wild type neutralizing antibodies
GMI of wild type neutralizing antibodies
Immunogenicity of anti-S-RBD Ig G antibodies
Sero-conversation rate of anti-S-RBD Ig G antibodies
Immunogenicity of anti-S-RBD Ig G antibodies
GMC of anti-S-RBD Ig G antibodies
Immunogenicity of anti-S-RBD Ig G antibodies
GMI of anti-S-RBD Ig G antibodies
Changes in vital signs
The incidence of outliers detected on vital signs
Immuno-persistency of wild type neutralizing antibodies
Sero-conversation rate of anti-wild type virus neutralizing antibodies
Immuno-persistency of wild type neutralizing antibodies
GMT of wild type neutralizing antibodies
Immuno-persistency of wild type neutralizing antibodies
GMI of wild type neutralizing antibodies

Full Information

First Posted
May 12, 2022
Last Updated
October 19, 2023
Sponsor
CanSino Biologics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05373485
Brief Title
Phase I Clinical Trial of COVID-19 mRNA Vaccine in Adults Aged 18 Years and Older
Official Title
A Randomized, Double-blind, Dose-exploring, Placebo-controlled, Multi-center Phase I Clinical Trial Evaluating the Safety and Immunogenicity of COVID-19 mRNA Vaccine in Adults Aged 18 Years and Older
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 20, 2022 (Actual)
Primary Completion Date
November 21, 2023 (Anticipated)
Study Completion Date
December 20, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CanSino Biologics Inc.

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
To evaluate the safety and immunogenicity of the COVID-19 mRNA vaccine in people aged 18 years and older, 80 participants will be enrolled and divided into two groups: low- and high-dose groups. Each dose group will be divided into 2 age groups (20 people each):18 to 59 years old and ≥ 60 years old. Subjects will be randomized into vaccine group or placebo group in a ratio of 3:1. Subjects will receive 2 doses of either vaccine or placebo on Day 0 and Day 21, in which the low-dose group will received 0.3 ml of the study vaccine or placebo, and the high dose group will receive 0.5 ml of the study vaccine or placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID, mRNA, Vaccine, Placebo, Safety, Immunogenicity

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Vaccine Group, low dose, 18-59 year-old
Arm Type
Experimental
Arm Description
2 doses of COVID-19 mRNA vaccine (30µg, 0.3 ml) on Day 0 and Day 21
Arm Title
Vaccine Group, low dose, 60 year-old and above
Arm Type
Experimental
Arm Description
2 doses of COVID-19 mRNA vaccine (30µg, 0.3 ml) on Day 0 and Day 21
Arm Title
Vaccine Group, high dose, 18-59 year-old
Arm Type
Experimental
Arm Description
2 doses of COVID-19 mRNA vaccine (50µg, 0.5 ml) on Day 0 and Day 21
Arm Title
Vaccine Group, high dose, 60 year-old and above
Arm Type
Experimental
Arm Description
2 doses of COVID-19 mRNA vaccine (50µg, 0.5 ml) on Day 0 and Day 21
Arm Title
Placebo Group, low dose, 18-59 year-old
Arm Type
Placebo Comparator
Arm Description
2 doses of placebo (0µg, 0.3 ml) on Day 0 and Day 21
Arm Title
Placebo Group, low dose, 60 year-old and above
Arm Type
Placebo Comparator
Arm Description
2 doses of placebo (0µg, 0.3 ml) on Day 0 and Day 21
Arm Title
Placebo Group, high dose, 18-59 year-old
Arm Type
Placebo Comparator
Arm Description
2 doses of placebo (0µg, 0.5 ml) on Day 0 and Day 21
Arm Title
Placebo Group, high dose, 60 year-old and above
Arm Type
Placebo Comparator
Arm Description
2 doses of placebo (0µg, 0.5 ml) on Day 0 and Day 21
Intervention Type
Biological
Intervention Name(s)
COVID-19 mRNA vaccine
Intervention Description
2 doses of vaccine on Day 0 and Day 21
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
2 doses of placebo on Day 0 and Day 21
Primary Outcome Measure Information:
Title
The incidence of adverse reactions (AR)
Description
To evaluate the incidence of adverse reactions (AR) within 14 days of immunization in all subjects
Time Frame
within 14 days of immunization
Secondary Outcome Measure Information:
Title
The incidence of adverse reactions (AR)
Description
To evaluate the incidence of adverse reactions (AR) within 28 days of immunization in all subjects
Time Frame
within 28 days of immunization
Title
The incidence of SAE, MAE and AESI
Description
To evaluation the incidence of SAE, MAE, and AESI within 12 months of full immunization in all subjects
Time Frame
From vaccination to post of 12 months vaccination
Title
The incidence of adverse reactions (AR)
Description
To evaluate the incidence of adverse reactions (AR) within 60 minutes of each vaccination in all subjects
Time Frame
Within 60 minutes of each vaccination
Title
Changes in laboratory indicators
Description
Changes in white blood cell count
Time Frame
Day 4 and Day 7 post each vaccination
Title
Changes in laboratory indicators
Description
Changes in neutrophils
Time Frame
Day 4 and Day 7 post each vaccination
Title
Changes in laboratory indicators
Description
Changes in lymphocyte count;
Time Frame
Day 4 and Day 7 post each vaccination
Title
Changes in laboratory indicators
Description
Changes in platelet count;
Time Frame
Day 4 and Day 7 post each vaccination
Title
Immunogenicity of wild type neutralizing antibodies
Description
Sero-conversation rate of anti-wild type neutralizing antibodies
Time Frame
Before the 2nd dose, 14 days after the 2nd dose, and 28 days after the 2nd dose
Title
Immunogenicity of wild type neutralizing antibodies
Description
Geometric mean titer (GMT) of wild type neutralizing antibodies
Time Frame
Before the 2nd dose, 14 days after the 2nd dose, and 28 days after the 2nd dose
Title
Immunogenicity of wild type neutralizing antibodies
Description
GMI of wild type neutralizing antibodies
Time Frame
Before the 2nd dose, 14 days after the 2nd dose, and 28 days after the 2nd dose
Title
Immunogenicity of anti-S-RBD Ig G antibodies
Description
Sero-conversation rate of anti-S-RBD Ig G antibodies
Time Frame
Before the 2nd dose, 14 days after the 2nd dose, and 28 days after the 2nd dose
Title
Immunogenicity of anti-S-RBD Ig G antibodies
Description
GMC of anti-S-RBD Ig G antibodies
Time Frame
Before the 2nd dose, 14 days after the 2nd dose, and 28 days after the 2nd dose
Title
Immunogenicity of anti-S-RBD Ig G antibodies
Description
GMI of anti-S-RBD Ig G antibodies
Time Frame
Before the 2nd dose, 14 days after the 2nd dose, and 28 days after the 2nd dose
Title
Changes in vital signs
Description
The incidence of outliers detected on vital signs
Time Frame
Day 1 to 4 , Day 7 after the first dose, and the day of second dose, Day 4 after the second dose, and day 7 after the second dose
Title
Immuno-persistency of wild type neutralizing antibodies
Description
Sero-conversation rate of anti-wild type virus neutralizing antibodies
Time Frame
Month 3,6 and 12 post second vaccination
Title
Immuno-persistency of wild type neutralizing antibodies
Description
GMT of wild type neutralizing antibodies
Time Frame
Month 3,6 and 12 post second vaccination
Title
Immuno-persistency of wild type neutralizing antibodies
Description
GMI of wild type neutralizing antibodies
Time Frame
Month 3,6 and 12 post second vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults aged 18 years and above with BMI of 18 to 30 (including boundary values); Volunteers are able and willing to comply with the requirements of the clinical trial protocol, and volunteers or witnesses can sign informed consent forms; Willing to discuss the medical history with the investigator or doctor and allow access to all medical records related to this trial; Provide 48-hour PCR negative report; Have not received any other COVID-19 vaccines. Exclusion Criteria: Criteria for exclusion of the first dose Other medical or psychiatric conditions, including recent (within the past year) or current presence of suicidal ideation/behavior, or laboratory abnormalities that may increase the risk of participating in the study, or subjects who are not suitable to participate in the study according to the investigator's judgment; Positive for human immunodeficiency virus (HIV); History of infection or disease of Middle East Respiratory Syndrome (MERS), SARS or other coronaviruses or related immunizations; History of serious adverse reactions associated with the vaccine and/or a history of severe allergic reactions (e.g., anaphylaxis) to any component of the vaccine under study; Immunocompromised patients with known or suspected immunodeficiency identified by medical history and/or physical examination; Bleeding constitution or condition associated with prolonged bleeding which investigators believe that intramuscular injection is contraindicated; Women who test positive for blood pregnancy or are breastfeeding, volunteers or their partners have a pregnancy plan within 12 months; Severe hypertension and uncontrollable medication (on-site measurement: systolic blood pressure ≥ 160mmHg, diastolic blood pressure ≥ 100mmHg); Have a serious chronic disease or the condition is in the progression period can not be smoothly controlled, such as diabetes, thyroid disease, etc.; History of severe myocarditis, pericarditis and other heart diseases; Abnormal laboratory tests during the screening window and judged by researchers to be of clinical significance; Plans to receive other vaccines within 28 days before and after receiving the test vaccine; Those receiving immunosuppressive therapy, including cytotoxic drugs or systemic corticosteroids, such as for cancer or autoimmune diseases, or who were scheduled to receive treatment throughout the study period. If systemic corticosteroids are used in a short period of time (< 14 days) for the treatment of acute illness, subjects should not enter this study until at least 28 days after corticosteroid therapy has been discontinued prior to study vaccination. Inhalation/spraying, intra-articular, intraskeletal, or topical (skin or eyes) use of corticosteroids is permitted; Receiving blood/plasma products or immunoglobulins 60 days prior to study vaccination or plan to receive for the entire study duration; Engage in other interventional studies within 28 days prior to entering the study and/or during the study's participation; Participated in other interventional studies of lipid-containing nanoparticles; Have symptoms of COVID-19 such as respiratory symptoms, fever, cough, shortness of breath, and dyspnea; Fever, axillary temperature > 37.0 °C. Second dose exclusion criteria: Severe allergic reactions occur after the first vaccination; Serious adverse reactions with causal relationship during the first vaccination; Those who are newly discovered or newly occurring after the first vaccination do not meet the inclusion criteria of the first dose or meet the exclusion criteria of the first dose, and the investigator shall decide whether to continue to participate in the study; Other reasons for exclusion that the investigators believe.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ruihua Dong
Organizational Affiliation
Beijing Friendship Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Kexin Zhao
Organizational Affiliation
Hebei Petro China Center Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tao Huang
Organizational Affiliation
Hunan Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Friendship Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Hebei Petro China Center Hospital
City
Langfang
State/Province
Hebei
Country
China
Facility Name
Hunan Provincial Center for Disease Control and Prevention
City
Changsha
State/Province
Hunan
Country
China

12. IPD Sharing Statement

Learn more about this trial

Phase I Clinical Trial of COVID-19 mRNA Vaccine in Adults Aged 18 Years and Older

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