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Phase II Clinical Trial of Recombinant SARS-CoV-2 Spike Protein Vaccine (CHO Cell) for the Prevention of COVID-19

Primary Purpose

COVID-19

Status
Active
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
202-CoV low adjuvant dose
202-CoV low antigen dose
202-CoV standard dose
Placebo
Sponsored by
Shanghai Zerun Biotechnology Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy individuals aged 18-59 years as well as 60 years and above who can provide legal identification (males and females are both required).
  • Willing to participate in the study with informed consent prior to screening
  • Negative in SARS-CoV-2 IgG and IgM test at screening.
  • Women of childbearing potential must be using effective method of birth control for 14 days prior to the enrollment of the study and must agree to continue such precautions during the study until 30 days after the second dose of the study vaccine/placebo.
  • Male subjects must agree to employ acceptable contraception from the day of first dose of the study vaccine/placebo until 30 days after the second dose of the study vaccine/placebo.

Exclusion Criteria:

  • Confirmed or asymptomatic COVID-19 cases or SARS-CoV-2 infection(had positive in SARS-CoV-2 nucleic acid test or serological test).
  • Had a history of traveling or residence in domestic area of high pandemic risk, overseas or epidemic areas, or had a history of contact with confirmed, asymptomatic or suspected COVID-19 cases within the past 14 days;
  • History of SARS;
  • Received SARS-CoV-2 vaccines for emergency use or approved SARS-CoV-2 vaccines;
  • Individuals involving a clinical study within 6 months prior to the screening visit; or planning to participate in another clinical study during study period.
  • Individual's systolic blood pressure ≥ 150mmHg and/or diastolic blood pressure ≥ 100mmHg at screening visit
  • Axillary temperature >=37.3℃ prior to vaccination
  • Individuals in other acute diseases, or in the acute phase of chronic diseases within 3 days prior to the signing of the informed consent form.
  • Received immunoglobulin and/or blood product 3 months prior to the first vaccination.
  • Presence of uncontrolled chronic pulmonary, cardiovascular, renal, hepatic, neurologic, hematologic or metabolic (including diabetes mellitus) disorders, which would include the potential subject in a high-risk category for SARS-CoV-2 infection and/or its complications as judged by the investigator.
  • Individuals with a history of severe allergic reaction (throat swelling, difficult in breath, dyspnea, or shock).
  • Individuals who have a history of severe adverse reaction associated with a vaccine or severe allergic reaction [e.g., anaphylaxis to any component of the study vaccines (S protein, Aluminum hydroxide, CpG adjuvant).
  • Any autoimmune or immunodeficiency disease/condition [e.g. human immunodeficiency virus (HIV) infection, Systemic lupus erythematosus (SLE)]
  • Received immunoglobulin, blood-derived products within 3 months prior to the first study vaccination.
  • Abnormal coagulation function (such as coagulation factor deficiency, coagulation disease, platelet abnormality) obvious bruises or coagulopathy.
  • Pregnant women or breastfeeding women.
  • According to the judgment of the investigator, subject has or had any other symptoms, medical history and other factors that are not suitable for participating in this clinical trial.

Sites / Locations

  • Xiangcheng 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

Placebo Comparator

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Adult Group 2a

Adult Group 2b

Adult Group 2c

Adult Placebo

Elderly Group 2d

Elderly Group 2e

Elderly Group 2f

Elderly Placebo

Arm Description

Adult healthy subjects (18 to 59 years of age, inclusive) receive 202-CoV low adjuvant dose at Day 0 and Day 28

Adult healthy subjects (18 to 59 years of age, inclusive) receive 202-CoV low antigen dose at Day 0 and Day 28

Adult healthy subjects (18 to 59 years of age, inclusive) receive 202-CoV standard dose at Day 0 and Day 28.

Adult healthy subjects (18 to 59 years of age, inclusive) receive 2 doses of placebo (saline) at Day 0 and Day 28

Adult healthy subjects (60 years of age and above) receive 202-CoV low adjuvant dose at Day 0 and Day 28

Adult healthy subjects (60 years of age and above) receive 202-CoV low antigen dose at Day 0 and Day 28

Adult healthy subjects (60 years of age and above) receive 202-CoV standard dose at Day 0 and Day 28

Adult healthy subjects (60 years of age and above) receive 2 doses of placebo (saline) at Day 0 and Day 28

Outcomes

Primary Outcome Measures

Geometric mean titer (GMT) of SARS-CoV-2 neutralising antibodies
Neutralizing antibody activity as detected by neutralization assay expressed as GMTs at multiple time points through Day 56
Seroconversion rate (SCR) of SARS-CoV-2 neutralising antibodies
Neutralizing antibody activity as detected by neutralization assay expressed as seroconversion rate at multiple time points through Day 56
Geometric mean titer (GMT) of serum IgG antibodies
Serum IgG antibody levels specific for the SARS-CoV-2 S protein antigen as detected by ELISA expressed as GMTs at multiple time points through Day 56
Seroconversion rate (SCR) of serum IgG antibodies
Serum IgG antibody levels specific for the SARS-CoV-2 S protein antigen as detected by ELISA expressed as seroconversion rate at multiple time points through Day 56
Geometric mean fold rise (GMFR) of SARS-CoV-2 neutralising antibodies
GMFR in SARS-CoV-2 serum neutralizing titers from before vaccination to each subsequent time point
Geometric mean fold rise (GMFR) of serum IgG antibodies
GMFR of serum IgG antibodies from before vaccination to each subsequent time point

Secondary Outcome Measures

Percentage of participants reporting adverse events (AEs)
Percentage of participants with solicited AEs (local, systemic) for 28 days following each primary vaccination (Days 0, 28) by intensity, relevance.
Percentage of participants reporting solicited AEs
Percentage of participants with solicited AEs (local, systemic) for 7 days following each primary vaccination (Days 0, 28) by intensity, relevance.
Percentage of participants reporting unsolicited AEs
Percentage of participants with unsolicited AEs for 28 days following each vaccination
Percentage of participants reporting serious adverse events (SAEs)
Percentage of participants with SAEs from dose 1 through 12month after last dose vaccination
Percentage of participants reporting adverse events of special interest (AESIs)
Percentage of participants with AESI from dose 1 through 12month after last dose vaccination

Full Information

First Posted
August 2, 2021
Last Updated
April 18, 2023
Sponsor
Shanghai Zerun Biotechnology Co.,Ltd
Collaborators
Walvax Biotechnology Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04990544
Brief Title
Phase II Clinical Trial of Recombinant SARS-CoV-2 Spike Protein Vaccine (CHO Cell) for the Prevention of COVID-19
Official Title
A Randomized, Double-blinded, Placebo-controlled Phase II Clinical Trial to Evaluate the Immunogenicity and Safety of the Recombinant SARS-CoV-2 Vaccine (CHO Cell) for the Prevention of COVID-19 in Adults Aged 18 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 31, 2021 (Actual)
Primary Completion Date
April 22, 2022 (Actual)
Study Completion Date
November 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Zerun Biotechnology Co.,Ltd
Collaborators
Walvax Biotechnology Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this double-blind, randomized, controlled study is to assess immunogenicity and safety of 202-CoV at multiple dose levels, administered as 2 injections (i.m) at 28 days apart in adult subjects 18 years of age and above.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
528 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Adult Group 2a
Arm Type
Experimental
Arm Description
Adult healthy subjects (18 to 59 years of age, inclusive) receive 202-CoV low adjuvant dose at Day 0 and Day 28
Arm Title
Adult Group 2b
Arm Type
Experimental
Arm Description
Adult healthy subjects (18 to 59 years of age, inclusive) receive 202-CoV low antigen dose at Day 0 and Day 28
Arm Title
Adult Group 2c
Arm Type
Experimental
Arm Description
Adult healthy subjects (18 to 59 years of age, inclusive) receive 202-CoV standard dose at Day 0 and Day 28.
Arm Title
Adult Placebo
Arm Type
Placebo Comparator
Arm Description
Adult healthy subjects (18 to 59 years of age, inclusive) receive 2 doses of placebo (saline) at Day 0 and Day 28
Arm Title
Elderly Group 2d
Arm Type
Experimental
Arm Description
Adult healthy subjects (60 years of age and above) receive 202-CoV low adjuvant dose at Day 0 and Day 28
Arm Title
Elderly Group 2e
Arm Type
Experimental
Arm Description
Adult healthy subjects (60 years of age and above) receive 202-CoV low antigen dose at Day 0 and Day 28
Arm Title
Elderly Group 2f
Arm Type
Experimental
Arm Description
Adult healthy subjects (60 years of age and above) receive 202-CoV standard dose at Day 0 and Day 28
Arm Title
Elderly Placebo
Arm Type
Placebo Comparator
Arm Description
Adult healthy subjects (60 years of age and above) receive 2 doses of placebo (saline) at Day 0 and Day 28
Intervention Type
Biological
Intervention Name(s)
202-CoV low adjuvant dose
Intervention Description
standard dose of 202-CoV with low dose CpG / alum adjuvant
Intervention Type
Biological
Intervention Name(s)
202-CoV low antigen dose
Intervention Description
low dose of 202-CoV with CpG / alum adjuvant
Intervention Type
Biological
Intervention Name(s)
202-CoV standard dose
Intervention Description
standard dose 202-CoV with CpG / alum adjuvant
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Normal saline solution
Primary Outcome Measure Information:
Title
Geometric mean titer (GMT) of SARS-CoV-2 neutralising antibodies
Description
Neutralizing antibody activity as detected by neutralization assay expressed as GMTs at multiple time points through Day 56
Time Frame
56 days
Title
Seroconversion rate (SCR) of SARS-CoV-2 neutralising antibodies
Description
Neutralizing antibody activity as detected by neutralization assay expressed as seroconversion rate at multiple time points through Day 56
Time Frame
56 days
Title
Geometric mean titer (GMT) of serum IgG antibodies
Description
Serum IgG antibody levels specific for the SARS-CoV-2 S protein antigen as detected by ELISA expressed as GMTs at multiple time points through Day 56
Time Frame
56 days
Title
Seroconversion rate (SCR) of serum IgG antibodies
Description
Serum IgG antibody levels specific for the SARS-CoV-2 S protein antigen as detected by ELISA expressed as seroconversion rate at multiple time points through Day 56
Time Frame
56 days
Title
Geometric mean fold rise (GMFR) of SARS-CoV-2 neutralising antibodies
Description
GMFR in SARS-CoV-2 serum neutralizing titers from before vaccination to each subsequent time point
Time Frame
56 days
Title
Geometric mean fold rise (GMFR) of serum IgG antibodies
Description
GMFR of serum IgG antibodies from before vaccination to each subsequent time point
Time Frame
56 days
Secondary Outcome Measure Information:
Title
Percentage of participants reporting adverse events (AEs)
Description
Percentage of participants with solicited AEs (local, systemic) for 28 days following each primary vaccination (Days 0, 28) by intensity, relevance.
Time Frame
From dose 1 through 28 days after the last dose
Title
Percentage of participants reporting solicited AEs
Description
Percentage of participants with solicited AEs (local, systemic) for 7 days following each primary vaccination (Days 0, 28) by intensity, relevance.
Time Frame
For 7 days after dose 1 and dose 2
Title
Percentage of participants reporting unsolicited AEs
Description
Percentage of participants with unsolicited AEs for 28 days following each vaccination
Time Frame
From dose 1 through 28 days after the last dose
Title
Percentage of participants reporting serious adverse events (SAEs)
Description
Percentage of participants with SAEs from dose 1 through 12month after last dose vaccination
Time Frame
From dose 1 through 12 months after the last dose
Title
Percentage of participants reporting adverse events of special interest (AESIs)
Description
Percentage of participants with AESI from dose 1 through 12month after last dose vaccination
Time Frame
From dose 1 through 12 months after the last dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy individuals aged 18-59 years as well as 60 years and above who can provide legal identification (males and females are both required). Willing to participate in the study with informed consent prior to screening Negative in SARS-CoV-2 IgG and IgM test at screening. Women of childbearing potential must be using effective method of birth control for 14 days prior to the enrollment of the study and must agree to continue such precautions during the study until 30 days after the second dose of the study vaccine/placebo. Male subjects must agree to employ acceptable contraception from the day of first dose of the study vaccine/placebo until 30 days after the second dose of the study vaccine/placebo. Exclusion Criteria: Confirmed or asymptomatic COVID-19 cases or SARS-CoV-2 infection(had positive in SARS-CoV-2 nucleic acid test or serological test). Had a history of traveling or residence in domestic area of high pandemic risk, overseas or epidemic areas, or had a history of contact with confirmed, asymptomatic or suspected COVID-19 cases within the past 14 days; History of SARS; Received SARS-CoV-2 vaccines for emergency use or approved SARS-CoV-2 vaccines; Individuals involving a clinical study within 6 months prior to the screening visit; or planning to participate in another clinical study during study period. Individual's systolic blood pressure ≥ 150mmHg and/or diastolic blood pressure ≥ 100mmHg at screening visit Axillary temperature >=37.3℃ prior to vaccination Individuals in other acute diseases, or in the acute phase of chronic diseases within 3 days prior to the signing of the informed consent form. Received immunoglobulin and/or blood product 3 months prior to the first vaccination. Presence of uncontrolled chronic pulmonary, cardiovascular, renal, hepatic, neurologic, hematologic or metabolic (including diabetes mellitus) disorders, which would include the potential subject in a high-risk category for SARS-CoV-2 infection and/or its complications as judged by the investigator. Individuals with a history of severe allergic reaction (throat swelling, difficult in breath, dyspnea, or shock). Individuals who have a history of severe adverse reaction associated with a vaccine or severe allergic reaction [e.g., anaphylaxis to any component of the study vaccines (S protein, Aluminum hydroxide, CpG adjuvant). Any autoimmune or immunodeficiency disease/condition [e.g. human immunodeficiency virus (HIV) infection, Systemic lupus erythematosus (SLE)] Received immunoglobulin, blood-derived products within 3 months prior to the first study vaccination. Abnormal coagulation function (such as coagulation factor deficiency, coagulation disease, platelet abnormality) obvious bruises or coagulopathy. Pregnant women or breastfeeding women. According to the judgment of the investigator, subject has or had any other symptoms, medical history and other factors that are not suitable for participating in this clinical trial.
Facility Information:
Facility Name
Xiangcheng Center for Disease Control and Prevention
City
Xuchang
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
34750014
Citation
Liu H, Zhou C, An J, Song Y, Yu P, Li J, Gu C, Hu D, Jiang Y, Zhang L, Huang C, Zhang C, Yang Y, Zhu Q, Wang D, Liu Y, Miao C, Cao X, Ding L, Zhu Y, Zhu H, Bao L, Zhou L, Yan H, Fan J, Xu J, Hu Z, Xie Y, Liu J, Liu G. Development of recombinant COVID-19 vaccine based on CHO-produced, prefusion spike trimer and alum/CpG adjuvants. Vaccine. 2021 Nov 26;39(48):7001-7011. doi: 10.1016/j.vaccine.2021.10.066. Epub 2021 Oct 30.
Results Reference
derived

Learn more about this trial

Phase II Clinical Trial of Recombinant SARS-CoV-2 Spike Protein Vaccine (CHO Cell) for the Prevention of COVID-19

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