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Phase I/II Clinical Trial of Recombinant Novel Coronavirus (COVID-19) Vaccine (Adenovirus Type 5 Vector) for Inhalation

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) for Inhalation
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Placebo for Inhalation
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-19, Vaccine, Ad5, Safety, Immunogenicity, SARS-CoV-2, Adenovirus Vector, Aerogen Solo

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy adults 18 years of age and above at the time of enrollment;
  • Able to provide consent to participate in and having signed an Informed Consent Form (ICF);
  • Able and willing to complete all the scheduled study procedures during the whole study follow-up period;
  • HIV negative;
  • No nasal or oral diseases, such as acute rhinitis (sinusitis), allergic rhinitis, oral ulcers, sore throat, etc;
  • IgG ang IgM negative for Covid-19;
  • Axillary temperature ≤37.0℃;
  • No contact history of Covid-19.

Exclusion Criteria:

  • Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension and uncontrollable medications (on-site measurement: systolic blood pressure ≥160mmHg, diastolic blood pressure ≥100mmHg), etc;
  • Abnormal laboratory test indicators which investigator decide to be clinically significant; (Only Phase I volunteers)
  • Respiratory rate ≥17 per minute;
  • Abnormal lung function such as asthma, chronic obstructive pulmonary disease, pulmonary fibrosis, etc;
  • Prior Covid-19 vaccinations;
  • Symptoms of upper respiratory track infections;
  • Medical or family history of convulsions, epilepsy, encephalopathy, and psychosis disorders;
  • History of allergies to any ingredient of Ad5-nCoV, history of serious allergic reactions to any vaccine, history of allergies and immune diseases;
  • Acute febrile diseases and infectious diseases;
  • Medical history of SARS (SARS-CoV-1);
  • Severe chronic diseases or with advanced stage conditions which cannot be controlled smoothly, such as diabetes, thyroid disease, etc;
  • Congenital or acquired angioedema/neurological edema;
  • Urticaria history within 1 year before receiving the study vaccine;
  • Asplenia or functional asplenia;
  • Thrombocytopenia or other coagulation disorders (may cause contraindications for intramuscular injection);
  • Trypanophobia in intramuscular injection groups;
  • History of receiving immunosuppressant therapy (continuous oral or instillation for more than 14 days), anti-allergic therapy, cytotoxic therapy, nebulized corticosteroid therapy in the past 6 months;
  • Prior administration of blood products in last 4 months;
  • Other vaccination(s) or investigational drugs within 1 month before study onset, or planned use during the study period;
  • Prior administration of live attenuated vaccine within 1 month before study onset;
  • Prior administration of subunit or inactivated vaccine within 14 days before study onset;
  • Current anti-tuberculosis therapy;
  • Women who are pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the whole study;
  • Any condition that in the opinion of the investigators may interfere with the participants' compliance or evaluation of study objectives or informed consent (i.e. medical, psychological, social or other conditions, etc.) Exclusion criteria for the phase II portion of the study will be detailed in an amended synopsis/study protocol.

Sites / Locations

  • Jiangsu Provincal 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 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm 15

Arm 16

Arm 17

Arm 18

Arm 19

Arm 20

Arm 21

Arm 22

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

A1a Phase I low 2 doses

A1b Phase I placebo low 2 doses

A2a Phase I medium 2 doses

A2b Phase I placebo medium 2 doses

A3a Phase I high 2 doses

A3b Phase I placebo high 2 doses

A4a Phase I combine 2 doses

A4b Phase I placebo combine 2 doses

A5a Phase I single dose

A5b Phase I placebo single dose

B1a Phase II low 2 doses

B1b Phase II placebo low 2 doses (18-59)

B2a Phase II medium 2 doses

B2b Phase II placebo medium 2 doses

B3a Phase II high 2 doses

B3b Phase II placebo high 2 doses

B4a Phase II combine 2 doses

B4b Phase II placebo combine 2 doses

B5a Phase II intramuscular single dose

B5b Phase II placebo intramuscular single dose

B6a Phase II Aerogen Solo single dose

B6b Phase II placebo Aerogen Solo single dose

Arm Description

Ad5-nCoV containing 0.5E10 vp, 2 doses 56 days apart, Aerogen Solo

Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo

Ad5-nCoV containing 1E10 vp, 2 doses 56 days apart, Aerogen Solo

Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo

Ad5-nCoV containing 2E10 vp, 2 doses 56 days apart, Aerogen Solo

Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo

1 dose Intramuscular Injection, Ad5-nCoV containing 5E10 vp, 1 dose Aerogen Solo, Ad5-nCoV containing 2E10 vp, 56 days apart

6 subjects, Placebo containing 0 vp, 1 dose Intramuscular Injection, 1 dose Aerogen Solo, 56 days apart

Ad5-nCoV containing 1E10 vp, 1 dose Aerogen Solo

6 subjects, Placebo containing 0 vp, 1 dose Aerogen Solo

Ad5-nCoV containing 0.5E10 vp, 2 doses 56 days apart, Aerogen Solo

Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo

Ad5-nCoV containing 1E10 vp, 2 doses 56 days apart, Aerogen Solo

Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo

Ad5-nCoV containing 2E10 vp, 2 doses 56 days apart, Aerogen Solo

Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo

1 dose Intramuscular Injection, Ad5-nCoV containing 5E10 vp, 1 dose Aerogen Solo, Ad5-nCoV containing 2E10 vp, 56 days apart

Placebo containing 0 vp, 1 dose Intramuscular Injection, 1 dose Aerogen Solo, 56 days apart

Ad5-nCoV containing 5E10 vp, 1 dose Intramuscular Injection

placebo containing 0 vp, 1 dose Intramuscular Injection

Ad5-nCoV containing 1E10 vp, 1 dose Aerogen Solo

placebo containing 0 vp, 1 dose Aerogen Solo

Outcomes

Primary Outcome Measures

Incidence of Adverse Reactions (AR)
The occurrence of Adverse Reactions (AR) in all groups
Incidence of Serious Adverse Events (SAE)
The occurrence of Serious Adverse Events (SAE) in all groups

Secondary Outcome Measures

Incidence of Adverse Events/Reactions (AE/AR)
The occurence of Adverse Events/Reactions (AE/AR) in all groups
Incidence of Adverse Events/Reactions (AE/AR)
The occurence of Adverse Events/Reactions (AE/AR) in all groups
Changes in laboratory test indicators
Changes in laboratory test indicators (including white blood cell count, lymphocyte count, etc), and respiratory rate in all groups
GMT of Covid-19 S protein RBD specific antibody
GMT of S protein RBD specific antibody by ELISA
Seroconversion rate of Covid-19 S protein RBD specific antibody
Seroconversion rate of S protein RBD specific antibody by ELISA
GMI of Covid-19 S protein RBD specific antibody
GMI of S protein RBD specific antibody by ELISA
GMT of SARS-CoV-2 neutralizing antibody
GMT of SARS-CoV-2 neutralizing antibody against pseudovirus
Seroconversion rate of SARS-CoV-2 neutralizing antibody
Seroconversion rate of SARS-CoV-2 neutralizing antibody against pseudovirus
GMI of SARS-CoV-2 neutralizing antibody
GMI of SARS-CoV-2 neutralizing antibody against pseudovirus
GMT of SARS-CoV-2 neutralizing antibody
Seroconversion rate of SARS-CoV-2 neutralizing antibody
Cellular immune response
The positive rate of IFN-γ stimulated by S protein ELISpot
Cellular immune response
The positive rate of TNF-α stimulated by S protein ELISpot
Cellular immune response
The positive rate of IL-5 stimulated by S protein ELISpot
Cellular immune response
The positive rate of IL-4 stimulated by S protein ELISpot
Cellular immune response
The positive rate of IL-13 stimulated by S protein ELISpot

Full Information

First Posted
April 8, 2021
Last Updated
February 7, 2023
Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology, Jiangsu Province Centers for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT04840992
Brief Title
Phase I/II Clinical Trial of Recombinant Novel Coronavirus (COVID-19) Vaccine (Adenovirus Type 5 Vector) for Inhalation
Official Title
A Randomized, Double-blind, Placebo-Controlled Phase I/II Clinical Trial to Evaluate the Safety and Immunogenicity of Ad5-nCoV for Inhalation in Adults 18 Years of Age and Older
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
April 21, 2021 (Actual)
Primary Completion Date
July 8, 2022 (Actual)
Study Completion Date
August 9, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology, Jiangsu Province Centers for Disease Control and Prevention

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 study is a randomized, double-blind, placebo-controlled I/II clinical trial, in order to evaluate the safety and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) for Inhalation in adults 18 years of Age and Older.

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, SARS-CoV-2, Adenovirus Vector, Aerogen Solo

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
840 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A1a Phase I low 2 doses
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 0.5E10 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
A1b Phase I placebo low 2 doses
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
A2a Phase I medium 2 doses
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 1E10 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
A2b Phase I placebo medium 2 doses
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
A3a Phase I high 2 doses
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 2E10 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
A3b Phase I placebo high 2 doses
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
A4a Phase I combine 2 doses
Arm Type
Experimental
Arm Description
1 dose Intramuscular Injection, Ad5-nCoV containing 5E10 vp, 1 dose Aerogen Solo, Ad5-nCoV containing 2E10 vp, 56 days apart
Arm Title
A4b Phase I placebo combine 2 doses
Arm Type
Placebo Comparator
Arm Description
6 subjects, Placebo containing 0 vp, 1 dose Intramuscular Injection, 1 dose Aerogen Solo, 56 days apart
Arm Title
A5a Phase I single dose
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 1E10 vp, 1 dose Aerogen Solo
Arm Title
A5b Phase I placebo single dose
Arm Type
Placebo Comparator
Arm Description
6 subjects, Placebo containing 0 vp, 1 dose Aerogen Solo
Arm Title
B1a Phase II low 2 doses
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 0.5E10 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
B1b Phase II placebo low 2 doses (18-59)
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
B2a Phase II medium 2 doses
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 1E10 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
B2b Phase II placebo medium 2 doses
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
B3a Phase II high 2 doses
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 2E10 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
B3b Phase II placebo high 2 doses
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 2 doses 56 days apart, Aerogen Solo
Arm Title
B4a Phase II combine 2 doses
Arm Type
Experimental
Arm Description
1 dose Intramuscular Injection, Ad5-nCoV containing 5E10 vp, 1 dose Aerogen Solo, Ad5-nCoV containing 2E10 vp, 56 days apart
Arm Title
B4b Phase II placebo combine 2 doses
Arm Type
Placebo Comparator
Arm Description
Placebo containing 0 vp, 1 dose Intramuscular Injection, 1 dose Aerogen Solo, 56 days apart
Arm Title
B5a Phase II intramuscular single dose
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 5E10 vp, 1 dose Intramuscular Injection
Arm Title
B5b Phase II placebo intramuscular single dose
Arm Type
Placebo Comparator
Arm Description
placebo containing 0 vp, 1 dose Intramuscular Injection
Arm Title
B6a Phase II Aerogen Solo single dose
Arm Type
Experimental
Arm Description
Ad5-nCoV containing 1E10 vp, 1 dose Aerogen Solo
Arm Title
B6b Phase II placebo Aerogen Solo single dose
Arm Type
Placebo Comparator
Arm Description
placebo containing 0 vp, 1 dose Aerogen Solo
Intervention Type
Biological
Intervention Name(s)
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) for Inhalation
Intervention Description
Aerogen Solo
Intervention Type
Biological
Intervention Name(s)
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Intervention Description
Intramuscular administration
Intervention Type
Biological
Intervention Name(s)
Placebo for Inhalation
Intervention Description
Aerogen Solo
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Intramuscular administration
Primary Outcome Measure Information:
Title
Incidence of Adverse Reactions (AR)
Description
The occurrence of Adverse Reactions (AR) in all groups
Time Frame
0-14 days after each vaccination
Title
Incidence of Serious Adverse Events (SAE)
Description
The occurrence of Serious Adverse Events (SAE) in all groups
Time Frame
Within the first and final vaccination up until 12 months after the final vaccination
Secondary Outcome Measure Information:
Title
Incidence of Adverse Events/Reactions (AE/AR)
Description
The occurence of Adverse Events/Reactions (AE/AR) in all groups
Time Frame
Within 0-7 days after each vaccination
Title
Incidence of Adverse Events/Reactions (AE/AR)
Description
The occurence of Adverse Events/Reactions (AE/AR) in all groups
Time Frame
Within 0-28 days after each vaccination
Title
Changes in laboratory test indicators
Description
Changes in laboratory test indicators (including white blood cell count, lymphocyte count, etc), and respiratory rate in all groups
Time Frame
4 days after each vaccination
Title
GMT of Covid-19 S protein RBD specific antibody
Description
GMT of S protein RBD specific antibody by ELISA
Time Frame
Before the first dose, 28 days after first dose, before the second dose, 14 days after the second dose
Title
Seroconversion rate of Covid-19 S protein RBD specific antibody
Description
Seroconversion rate of S protein RBD specific antibody by ELISA
Time Frame
Before the first dose, 28 days after first dose, before the second dose, 14 days after the second dose
Title
GMI of Covid-19 S protein RBD specific antibody
Description
GMI of S protein RBD specific antibody by ELISA
Time Frame
Before the first dose, 28 days after first dose, before the second dose, 14 days after the second dose
Title
GMT of SARS-CoV-2 neutralizing antibody
Description
GMT of SARS-CoV-2 neutralizing antibody against pseudovirus
Time Frame
Before the first dose, 28 days after the first dose, before the second dose, 14 days after the second dose
Title
Seroconversion rate of SARS-CoV-2 neutralizing antibody
Description
Seroconversion rate of SARS-CoV-2 neutralizing antibody against pseudovirus
Time Frame
Before the first dose, 28 days after the first dose, before the second dose, 14 days after the second dose
Title
GMI of SARS-CoV-2 neutralizing antibody
Description
GMI of SARS-CoV-2 neutralizing antibody against pseudovirus
Time Frame
Before the first dose, 28 days after the first dose, before the second dose, 14 days after the second dose
Title
GMT of SARS-CoV-2 neutralizing antibody
Time Frame
28 days after the final vaccination
Title
Seroconversion rate of SARS-CoV-2 neutralizing antibody
Time Frame
28 days after the final vaccination
Title
Cellular immune response
Description
The positive rate of IFN-γ stimulated by S protein ELISpot
Time Frame
Before the first dose, 14 days after the first dose
Title
Cellular immune response
Description
The positive rate of TNF-α stimulated by S protein ELISpot
Time Frame
Before the first dose, 14 days after the first dose
Title
Cellular immune response
Description
The positive rate of IL-5 stimulated by S protein ELISpot
Time Frame
Before the first dose, 14 days after the first dose
Title
Cellular immune response
Description
The positive rate of IL-4 stimulated by S protein ELISpot
Time Frame
Before the first dose, 14 days after the first dose
Title
Cellular immune response
Description
The positive rate of IL-13 stimulated by S protein ELISpot
Time Frame
Before the first dose, 14 days after the first dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults 18 years of age and above at the time of enrollment; Able to provide consent to participate in and having signed an Informed Consent Form (ICF); Able and willing to complete all the scheduled study procedures during the whole study follow-up period; HIV negative; No nasal or oral diseases, such as acute rhinitis (sinusitis), allergic rhinitis, oral ulcers, sore throat, etc; IgG ang IgM negative for Covid-19; Axillary temperature ≤37.0℃; No contact history of Covid-19. Exclusion Criteria: Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension and uncontrollable medications (on-site measurement: systolic blood pressure ≥160mmHg, diastolic blood pressure ≥100mmHg), etc; Abnormal laboratory test indicators which investigator decide to be clinically significant; (Only Phase I volunteers) Respiratory rate ≥17 per minute; Abnormal lung function such as asthma, chronic obstructive pulmonary disease, pulmonary fibrosis, etc; Prior Covid-19 vaccinations; Symptoms of upper respiratory track infections; Medical or family history of convulsions, epilepsy, encephalopathy, and psychosis disorders; History of allergies to any ingredient of Ad5-nCoV, history of serious allergic reactions to any vaccine, history of allergies and immune diseases; Acute febrile diseases and infectious diseases; Medical history of SARS (SARS-CoV-1); Severe chronic diseases or with advanced stage conditions which cannot be controlled smoothly, such as diabetes, thyroid disease, etc; Congenital or acquired angioedema/neurological edema; Urticaria history within 1 year before receiving the study vaccine; Asplenia or functional asplenia; Thrombocytopenia or other coagulation disorders (may cause contraindications for intramuscular injection); Trypanophobia in intramuscular injection groups; History of receiving immunosuppressant therapy (continuous oral or instillation for more than 14 days), anti-allergic therapy, cytotoxic therapy, nebulized corticosteroid therapy in the past 6 months; Prior administration of blood products in last 4 months; Other vaccination(s) or investigational drugs within 1 month before study onset, or planned use during the study period; Prior administration of live attenuated vaccine within 1 month before study onset; Prior administration of subunit or inactivated vaccine within 14 days before study onset; Current anti-tuberculosis therapy; Women who are pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the whole study; Any condition that in the opinion of the investigators may interfere with the participants' compliance or evaluation of study objectives or informed consent (i.e. medical, psychological, social or other conditions, etc.) Exclusion criteria for the phase II portion of the study will be detailed in an amended synopsis/study protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fengcai Zhu, MSD
Organizational Affiliation
Jiangsu Provincal Center for Disease Control and Prevention
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jiangsu Provincal Center for Disease Control and Prevention
City
Nanjing
State/Province
Jiangsu
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase I/II Clinical Trial of Recombinant Novel Coronavirus (COVID-19) Vaccine (Adenovirus Type 5 Vector) for Inhalation

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