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Phase I/II Clinical Trial of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Canada

Primary Purpose

COVID-19

Status
Unknown status
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
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, Dose-escalation, SARS-CoV-2

Eligibility Criteria

18 Years - 84 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria for the phase I portion of the study:

  • Healthy adults from 18 to <55 and 65-<85 years of age 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 (about 6-8 months, depending on group);
  • Negative result of HIV, hepatitis B and C screening;
  • Oral temperature < 38.0℃;
  • Negative IgG and IgM antibodies against COVID-19;
  • Negative result of real-time quantitative PCR screening of nasopharyngeal swabs/sputum for SARS-CoV-2;
  • A body mass index (BMI) between 18-35;
  • Hematological examination is within normal range, or no greater than a grade 1 abnormality and no clinical significance as assessed by the study investigator (including white blood cell count, lymphocyte count, neutrophil count, eosinophil count, platelet, hemoglobin, alanine aminotransferase ALT, aspartate aminotransferase AST, total bilirubin, blood glucose and creatinine);
  • Transient mild laboratory abnormalities may be rescreened once and the participant will be deemed eligible if the laboratory repeat test is normal as per local laboratory normal values and investigator assessment.
  • Good general health status, as determined by history and physical examination no greater than 14 days prior to administration of the test article.
  • If female of child-bearing potential and heterosexually active, has practiced adequate contraception for 30 days prior to injection, has a negative pregnancy test on the day of injection, and has agreed to continue adequate contraception until 180 days after injection. (Please refer to the glossary for the definition of child-bearing potential and adequate contraception).

Inclusion criteria for the phase II portion of the study will be detailed in an amended synopsis/study protocol.

Exclusion criteria for the phase I portion of the study:

  • Personal history of seizure disorder, encephalopathy or psychosis;
  • Allergic history to any vaccine, or allergic to any ingredient of the Ad5-nCoV;
  • Woman is pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the next 6 months;
  • Any acute febrile disease (oral temperature ≥38.0℃ or active infectious disease on the day of vaccination;
  • Medical history of SARS (SARS-CoV-1);
  • Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension not controlled with medication;
  • Serious chronic disease such as asthma, diabetes and thyroid disease, etc.;
  • Congenital or acquired angioedema;
  • Immunodeficiency, asplenia or functional asplenia;
  • Platelet disorder or other bleeding disorder that may cause intramuscular injection contraindication;
  • Immunosuppressive medication, anti-allergic, cytotoxic therapy, inhaled corticosteroids (excluding corticosteroid spray for allergic rhinitis, surface corticosteroid therapy for acute non-complicated dermatitis) in the last 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;
  • 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

  • Canadian Center for Vaccinology

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 23

Arm 24

Arm 25

Arm 26

Arm 27

Arm 28

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

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

phase ⅠLow single dose (18-<55)

phase ⅠPlacebo low single dose (18-<55)

phase ⅠLow 2 dose (18-<55)

phase ⅠPlacebo low 2 dose (18-<55)

phase ⅠLow single dose (65-<85)

phase ⅠPlacebo low single dose (65-<85)

phase ⅠLow 2 dose (65-<85)

phase ⅠPlacebo low 2 dose (65-<85)

phase ⅠMedium single dose (65-<85)

phase ⅠPlacebo medium single dose (65-<85)

phase ⅠMedium 2 dose (65-<85)

phase ⅠPlacebo medium 2 dose (65-<85)

Phase II Low single dose (18-<55)

Phase II placebo low single dose (18-<55)

Phase II Low 2 dose (18-<55)

Phase II placebo low 2 dose (18-<55)

Phase II Low single dose (55-<85)

Phase II placebo low single dose (55-<85)

Phase II Low 2 dose (55-<85)

Phase II placebo low 2 dose (55-<85)

Phase II medium single dose (55-<85)

Phase II placebo medium single dose (55-<85)

Phase II medium 2 dose (55-<85)

Phase II placebo medium 2 dose (55-<85)

Phase II Low 1 or 2 dose (18-<55)

Phase II placebo 1 or 2 dose (18-<55)

Phase II Low or medium dosage 1 or 2 dose (55-<85)

Phase II placebo Low or medium,1 or 2 dose (55-<85)

Arm Description

12 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration

6 subjects, Placebo containing 0 vp, single dose, Intramuscular administration

12 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration

6 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration

12 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration

3 subjects, Placebo containing 0 vp, single dose, Intramuscular administration

12 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration

3 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration

12 subjects, Ad5-nCoV containing 10E10 vp, single dose, Intramuscular administration

3 subjects, Placebo containing 0 vp, single dose, Intramuscular administration

12 subjects, Ad5-nCoV containing 10E10 vp, 2 dose 56 days apart, Intramuscular administration

3 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration

50 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration

10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration

50 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration

10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration

50 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration

10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration

50 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration

10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration

50 subjects, Ad5-nCoV containing 10E10 vp, single dose, Intramuscular administration

10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration

50 subjects,Ad5-nCoV containing 10E10 vp, 2 dose 56 days apart, Intramuscular administration

10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration

100 subjects,Ad5-nCoV containing 5E10 vp, 1or2 dose, Intramuscular administration ,according to the Previous trial results

20 subjects,placebo containing 0 vp, 1or2 dose, Intramuscular administration

100 subjects,Ad5-nCoV containing 5E10 vp or 10E10vp, 1or2 dose, Intramuscular administration,according to the Previous trial results

20 subjects,placebo containing 0 vp, 1or2 dose, Intramuscular administration

Outcomes

Primary Outcome Measures

Incidence of the Solicited AE in all groups
The occurrence of Solicited AE in all groups within 0-6 days after each vaccination;
Incidence of Unsolicited AE in all groups
The occurrence of Unsolicited AE in all groups within 0-28 days after each vaccination.
Incidence of Serious adverse events (SAE) in all groups
The occurrence of Serious adverse events (SAE) in all groups within 6 months after the final vaccination.

Secondary Outcome Measures

Geometric mean titer (GMT) of the IgG antibody against SARS-CoV-2 (ELISA method);
Geometric mean titer (GMT) of the IgG antibody against SARS-CoV-2 measured on Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method);
Seroconversion rate of the IgG antibody against SARS-CoV-2(ELISA method )
Seroconversion rate (%of subjects with 4-fold or greater increase in antibody level) of the IgG antibody against SARS-CoV-2 measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method );
Geometric Mean Increase Ratio (GMI) of the specific antibody against SARS-CoV-2(ELISA method);
Geometric Mean Increase Ratio (GMI) of the specific antibody against SARS-CoV-2 measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method);
Geometric mean titer (GMT) of the neutralizing antibody against SARS-CoV-2(Pseudo-viral neutralization assay)
Geometric mean titer (GMT) of the neutralizing antibody against SARS-CoV-2 measured on Day 0, Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group (Pseudo-viral neutralization assay)
Seroconversion rate of the neutralizing antibody against SARS-CoV-2(Pseudo-viral neutralization assay)
Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group(Pseudo-viral neutralization assay);
Geometric mean increase ratio (GMI) of neutralizing antibody against SARS-CoV-2 (Pseudo-viral neutralization assay)
Geometric mean increase ratio (GMI) of neutralizing antibody against SARS-CoV-2 measured on Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (Pseudo-viral neutralization assay)
Geometric Mean Titer (GMT) of the neutralizing antibody against adenovirus type 5 vector
Geometric Mean Titer (GMT) of the neutralizing antibody against adenovirus type 5 vector measured on Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group;
Geometric mean increase ratio (GMI) of the neutralizing antibody against adenovirus type 5 vector
Geometric mean increase ratio (GMI) of the neutralizing antibody against adenovirus type 5 vector measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
cellular immune response by ELISpot
The positive rate of IFN-γ stimulated by S protein overlapping peptide library detected by ELISpot
cellular immune response by ICS
The positive rate of IFN-γ, TNF-α, and IL-2 expressed by CD4+ and CD8+ T lymphocytes stimulated by S protein overlapping peptide library detected by Intracellular Cytokine Staining (ICS);

Full Information

First Posted
May 18, 2020
Last Updated
June 30, 2020
Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology, Canadian Center for Vaccinology
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1. Study Identification

Unique Protocol Identification Number
NCT04398147
Brief Title
Phase I/II Clinical Trial of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Canada
Official Title
A Randomized, Observer-Blind, Dose-escalation Phase I/II Clinical Trial of Ad5-nCoV Vaccine in Healthy Adults From 18 to <85 Years of Age in Canada
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Unknown status
Study Start Date
August 1, 2020 (Anticipated)
Primary Completion Date
December 20, 2021 (Anticipated)
Study Completion Date
December 30, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology, Canadian Center for Vaccinology

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 phase I /II adaptive clinical trial to evaluate the safety, tolerability and the Immunogenicity of Ad5-nCoV in healthy adults from 18 to <55 and 65 to <85 years of age,with the randomized, observer-blind, dose-escalation design
Detailed Description
A total of 96 healthy adult volunteers will be vaccinated in phase I stepwised according to the dose-escalation design from the younger adults(18 to <55) to the older adults(65 to <85). There are 2 dosage level used in this phase: 5E10vp and 10E10vp, and 2 dose schedules: single dose and 2 dose. According to the pre-defined adaptive design standards, the trial will moved from Phase I to Phase II. In the phase II portion, A total of 600 healthy adult volunteers will be vaccinated according to the dose-escalation design from the younger adults(18 to <55) to the older adults(55 to <85). There are 2 dosage levels and schedules used in this phase,and will determine a final dose and schedule by the end. Some cohorts in the phase II trial will be included in the subsequent phase III trial.

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, Dose-escalation, SARS-CoV-2

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
phase ⅠLow single dose (18-<55)
Arm Type
Experimental
Arm Description
12 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Arm Title
phase ⅠPlacebo low single dose (18-<55)
Arm Type
Placebo Comparator
Arm Description
6 subjects, Placebo containing 0 vp, single dose, Intramuscular administration
Arm Title
phase ⅠLow 2 dose (18-<55)
Arm Type
Experimental
Arm Description
12 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
phase ⅠPlacebo low 2 dose (18-<55)
Arm Type
Placebo Comparator
Arm Description
6 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
phase ⅠLow single dose (65-<85)
Arm Type
Experimental
Arm Description
12 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Arm Title
phase ⅠPlacebo low single dose (65-<85)
Arm Type
Placebo Comparator
Arm Description
3 subjects, Placebo containing 0 vp, single dose, Intramuscular administration
Arm Title
phase ⅠLow 2 dose (65-<85)
Arm Type
Experimental
Arm Description
12 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
phase ⅠPlacebo low 2 dose (65-<85)
Arm Type
Placebo Comparator
Arm Description
3 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
phase ⅠMedium single dose (65-<85)
Arm Type
Experimental
Arm Description
12 subjects, Ad5-nCoV containing 10E10 vp, single dose, Intramuscular administration
Arm Title
phase ⅠPlacebo medium single dose (65-<85)
Arm Type
Placebo Comparator
Arm Description
3 subjects, Placebo containing 0 vp, single dose, Intramuscular administration
Arm Title
phase ⅠMedium 2 dose (65-<85)
Arm Type
Experimental
Arm Description
12 subjects, Ad5-nCoV containing 10E10 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
phase ⅠPlacebo medium 2 dose (65-<85)
Arm Type
Placebo Comparator
Arm Description
3 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II Low single dose (18-<55)
Arm Type
Experimental
Arm Description
50 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Arm Title
Phase II placebo low single dose (18-<55)
Arm Type
Placebo Comparator
Arm Description
10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration
Arm Title
Phase II Low 2 dose (18-<55)
Arm Type
Experimental
Arm Description
50 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II placebo low 2 dose (18-<55)
Arm Type
Placebo Comparator
Arm Description
10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II Low single dose (55-<85)
Arm Type
Experimental
Arm Description
50 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Arm Title
Phase II placebo low single dose (55-<85)
Arm Type
Placebo Comparator
Arm Description
10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration
Arm Title
Phase II Low 2 dose (55-<85)
Arm Type
Experimental
Arm Description
50 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II placebo low 2 dose (55-<85)
Arm Type
Placebo Comparator
Arm Description
10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II medium single dose (55-<85)
Arm Type
Experimental
Arm Description
50 subjects, Ad5-nCoV containing 10E10 vp, single dose, Intramuscular administration
Arm Title
Phase II placebo medium single dose (55-<85)
Arm Type
Placebo Comparator
Arm Description
10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration
Arm Title
Phase II medium 2 dose (55-<85)
Arm Type
Experimental
Arm Description
50 subjects,Ad5-nCoV containing 10E10 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II placebo medium 2 dose (55-<85)
Arm Type
Placebo Comparator
Arm Description
10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Arm Title
Phase II Low 1 or 2 dose (18-<55)
Arm Type
Experimental
Arm Description
100 subjects,Ad5-nCoV containing 5E10 vp, 1or2 dose, Intramuscular administration ,according to the Previous trial results
Arm Title
Phase II placebo 1 or 2 dose (18-<55)
Arm Type
Placebo Comparator
Arm Description
20 subjects,placebo containing 0 vp, 1or2 dose, Intramuscular administration
Arm Title
Phase II Low or medium dosage 1 or 2 dose (55-<85)
Arm Type
Experimental
Arm Description
100 subjects,Ad5-nCoV containing 5E10 vp or 10E10vp, 1or2 dose, Intramuscular administration,according to the Previous trial results
Arm Title
Phase II placebo Low or medium,1 or 2 dose (55-<85)
Arm Type
Placebo Comparator
Arm Description
20 subjects,placebo containing 0 vp, 1or2 dose, Intramuscular administration
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
Intervention Description
Intramuscular administration
Primary Outcome Measure Information:
Title
Incidence of the Solicited AE in all groups
Description
The occurrence of Solicited AE in all groups within 0-6 days after each vaccination;
Time Frame
0-6 days after each vaccination
Title
Incidence of Unsolicited AE in all groups
Description
The occurrence of Unsolicited AE in all groups within 0-28 days after each vaccination.
Time Frame
0-28 days after each vaccination
Title
Incidence of Serious adverse events (SAE) in all groups
Description
The occurrence of Serious adverse events (SAE) in all groups within 6 months after the final vaccination.
Time Frame
6 months after the final vaccination
Secondary Outcome Measure Information:
Title
Geometric mean titer (GMT) of the IgG antibody against SARS-CoV-2 (ELISA method);
Description
Geometric mean titer (GMT) of the IgG antibody against SARS-CoV-2 measured on Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method);
Time Frame
Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Seroconversion rate of the IgG antibody against SARS-CoV-2(ELISA method )
Description
Seroconversion rate (%of subjects with 4-fold or greater increase in antibody level) of the IgG antibody against SARS-CoV-2 measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method );
Time Frame
Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Geometric Mean Increase Ratio (GMI) of the specific antibody against SARS-CoV-2(ELISA method);
Description
Geometric Mean Increase Ratio (GMI) of the specific antibody against SARS-CoV-2 measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method);
Time Frame
Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Geometric mean titer (GMT) of the neutralizing antibody against SARS-CoV-2(Pseudo-viral neutralization assay)
Description
Geometric mean titer (GMT) of the neutralizing antibody against SARS-CoV-2 measured on Day 0, Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group (Pseudo-viral neutralization assay)
Time Frame
Day 0, Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Seroconversion rate of the neutralizing antibody against SARS-CoV-2(Pseudo-viral neutralization assay)
Description
Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group(Pseudo-viral neutralization assay);
Time Frame
Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Geometric mean increase ratio (GMI) of neutralizing antibody against SARS-CoV-2 (Pseudo-viral neutralization assay)
Description
Geometric mean increase ratio (GMI) of neutralizing antibody against SARS-CoV-2 measured on Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (Pseudo-viral neutralization assay)
Time Frame
Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Geometric Mean Titer (GMT) of the neutralizing antibody against adenovirus type 5 vector
Description
Geometric Mean Titer (GMT) of the neutralizing antibody against adenovirus type 5 vector measured on Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group;
Time Frame
Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group
Title
Geometric mean increase ratio (GMI) of the neutralizing antibody against adenovirus type 5 vector
Description
Geometric mean increase ratio (GMI) of the neutralizing antibody against adenovirus type 5 vector measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
Time Frame
Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group
Title
cellular immune response by ELISpot
Description
The positive rate of IFN-γ stimulated by S protein overlapping peptide library detected by ELISpot
Time Frame
on Day 0, Day 14, Day 28 and Day 168 in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group
Title
cellular immune response by ICS
Description
The positive rate of IFN-γ, TNF-α, and IL-2 expressed by CD4+ and CD8+ T lymphocytes stimulated by S protein overlapping peptide library detected by Intracellular Cytokine Staining (ICS);
Time Frame
Day 0, Day 14, Day 28 and Day 168 in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
84 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria for the phase I portion of the study: Healthy adults from 18 to <55 and 65-<85 years of age 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 (about 6-8 months, depending on group); Negative result of HIV, hepatitis B and C screening; Oral temperature < 38.0℃; Negative IgG and IgM antibodies against COVID-19; Negative result of real-time quantitative PCR screening of nasopharyngeal swabs/sputum for SARS-CoV-2; A body mass index (BMI) between 18-35; Hematological examination is within normal range, or no greater than a grade 1 abnormality and no clinical significance as assessed by the study investigator (including white blood cell count, lymphocyte count, neutrophil count, eosinophil count, platelet, hemoglobin, alanine aminotransferase ALT, aspartate aminotransferase AST, total bilirubin, blood glucose and creatinine); Transient mild laboratory abnormalities may be rescreened once and the participant will be deemed eligible if the laboratory repeat test is normal as per local laboratory normal values and investigator assessment. Good general health status, as determined by history and physical examination no greater than 14 days prior to administration of the test article. If female of child-bearing potential and heterosexually active, has practiced adequate contraception for 30 days prior to injection, has a negative pregnancy test on the day of injection, and has agreed to continue adequate contraception until 180 days after injection. (Please refer to the glossary for the definition of child-bearing potential and adequate contraception). Inclusion criteria for the phase II portion of the study will be detailed in an amended synopsis/study protocol. Exclusion criteria for the phase I portion of the study: Personal history of seizure disorder, encephalopathy or psychosis; Allergic history to any vaccine, or allergic to any ingredient of the Ad5-nCoV; Woman is pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the next 6 months; Any acute febrile disease (oral temperature ≥38.0℃ or active infectious disease on the day of vaccination; Medical history of SARS (SARS-CoV-1); Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension not controlled with medication; Serious chronic disease such as asthma, diabetes and thyroid disease, etc.; Congenital or acquired angioedema; Immunodeficiency, asplenia or functional asplenia; Platelet disorder or other bleeding disorder that may cause intramuscular injection contraindication; Immunosuppressive medication, anti-allergic, cytotoxic therapy, inhaled corticosteroids (excluding corticosteroid spray for allergic rhinitis, surface corticosteroid therapy for acute non-complicated dermatitis) in the last 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; 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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Luis H Barreto, PhD/MBA
Phone
416-294-5840
Email
drluisbarreto@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott A Halperin, MD
Organizational Affiliation
Canadian Center for Vaccinology
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Joanne M Langley, MD
Organizational Affiliation
Canadian Center for Vaccinology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Canadian Center for Vaccinology
City
Halifax
Country
Canada
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Scott A Halperin, MD
Phone
902-470-8141
Email
scott.halperin@dal.ca

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase I/II Clinical Trial of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Canada

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