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Reactogenicity, Safety and Immunogenicity of QazCoVac-P COVID-19 Vaccine

Primary Purpose

Covid19, SARS-CoV Infection, Vaccine Adverse Reaction

Status
Unknown status
Phase
Phase 1
Locations
Kazakhstan
Study Type
Interventional
Intervention
QazCoVac-P -COVID-19 Subunit Vaccine
Placebo
Sponsored by
Research Institute for Biological Safety Problems
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19 focused on measuring vaccine,, I/II phase,, safety,, immunogenicity,, QazCoVac-P

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Availability of signed and dated informed consent of the volunteer to
  • participate in the study
  • Healthy male and female volunteers aged 18-50 and 50 and above.
  • Ability and voluntary desire to independently keep records in the SelfObservation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation.
  • The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study.
  • Negative results for IgM and IgG antibodies to SARS-CoV-2.
  • Absence of COVID-19 diagnosis in history.
  • Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory.
  • Negative test results for human immunodeficiency virus (HIV), hepatitis B and hepatitis C.
  • Negative PCR results for coronavirus SARS-CoV-2
  • According to the results of a chest x-ray, there is no pathological process in the lungs.

Exclusion Criteria:

  • Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain).
  • Acute illness with a fever (body temperature ≥37.1°C) at the time of screening/randomization.
  • Chronic alcohol and/or drug use in history.
  • Clinically significant deviations from normal values during laboratory and/or imaging at screening.
  • Women with a positive urine pregnancy test.
  • Simultaneous treatment with immunosuppressive drugs, including corticosteroids (2 weeks) 4 weeks prior to study drug administration.
  • Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, myocardial infarction, severe hypertension not controlled by drugs, etc.), identified based on medical history, physical examination or clinical laboratory tests that, according to the researcher, may affect the study result.
  • Disruption of platelets or other blood clotting disorders, which may cause contraindications to intramuscular administration.
  • Leukemia or neoplasm in history.
  • Persons with autoimmune diseases.
  • Volunteers who received antiviral drugs, immunoglobulin's or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration;
  • Volunteers who received anti-inflammatory drugs 2 days before study drug
  • administration;
  • Participation in any other clinical research within the last 3 months;
  • Volunteers with a concern that they will not comply with the study requirements, or persons with severe physical or mental disabilities that may affect the completion of the study;
  • Negative PCR results for coronavirus SARS-CoV-2;
  • According to the results of a chest x-ray, there is no pathological process in the lungs;
  • Voluntary refusal to study;
  • Vulnerable Volunteers of research.

Sites / Locations

  • Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Arm Label

Experimental: Phase 1 Adult-vaccine (A Sample, blind study)

Phase 1 Adult-Placebo (A Sample, blind study)

Phase 2 Adult-Vaccine, twice vaccination (An Open study)

Phase 2 Elderly-Vaccine, twice vaccination (An Open study)

Phase 2 Adult-Vaccine, single vaccination (An Open study)

Phase 2 Elderly-Vaccine, single vaccination (An Open study)

Arm Description

Group 1 (phase 1): 22 volunteers aged 18-50 years who will be the QazCoVac-P - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 2 (phase 1): 22 volunteers aged 18-50 years who will be the Placebo twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 3 (phase 2): 50 volunteers aged 18-50 years who will be the QazCoVac-P - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 4 (phase 2): 50 volunteers from 50 years old and elder who will be the QazCoVac-P - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml

Group 5 (phase 2): 50 volunteers aged 18-50 years who will be the QazCoVac-P - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml

Group 6 (phase 2): 50 volunteers from 50 years old and elder who will be the QazCoVac-P - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml

Outcomes

Primary Outcome Measures

Frequency of adverse events up to seven days after immunization
Frequency of adverse reaction in the seven days following each immunization per age group
Frequency of adverse events up to 21 days after immunization
Frequency of adverse reaction in the 21 days following each immunization per age group
The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA following the vaccination, compared with a placebo
The proportion of volunteers with changed levels of the immune response of specific neutralizing antibody titers in ELISA greater than ≥ 4 times compared with a placebo.

Secondary Outcome Measures

Incidence of serious adverse events during the study
Incidence of serious adverse events during the study.

Full Information

First Posted
February 22, 2021
Last Updated
July 22, 2021
Sponsor
Research Institute for Biological Safety Problems
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1. Study Identification

Unique Protocol Identification Number
NCT04930003
Brief Title
Reactogenicity, Safety and Immunogenicity of QazCoVac-P COVID-19 Vaccine
Official Title
Randomized, Blind, Placebo-controlled Phase- I Study and Randomized, Open Phase Phase-II Study of QazCoVac-P - COVID-19 Subunit Vaccine in Healthy Adult Volunteers From 18 Years Old and Elder
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Unknown status
Study Start Date
June 15, 2021 (Actual)
Primary Completion Date
December 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Research Institute for Biological Safety Problems

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
Randomized, Blind, Placebo-controlled Phase- I Study and Randomized, Open Phase Phase-II Study of QazCoVac-P - COVID-19 Subunit Vaccine in Healthy Adult Volunteers From 18 Years Old and Elder
Detailed Description
Purpose of the Phase-I clinical study Evaluation of the safety, acceptability and immunogenicity of QazCoVac-P - COVID-19 Subunit vaccine when administered twice in healthy volunteers aged 18-50 years. Purpose of the Phase-II clinical study Evaluation of the safety and immunogenicity of QazCoVac-P - COVID-19 Subunit vaccine with single and dual use in healthy volunteers aged 18 and above

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, SARS-CoV Infection, Vaccine Adverse Reaction
Keywords
vaccine,, I/II phase,, safety,, immunogenicity,, QazCoVac-P

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Assignment
Masking
Participant
Allocation
Randomized
Enrollment
244 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental: Phase 1 Adult-vaccine (A Sample, blind study)
Arm Type
Experimental
Arm Description
Group 1 (phase 1): 22 volunteers aged 18-50 years who will be the QazCoVac-P - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 1 Adult-Placebo (A Sample, blind study)
Arm Type
Placebo Comparator
Arm Description
Group 2 (phase 1): 22 volunteers aged 18-50 years who will be the Placebo twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Adult-Vaccine, twice vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 3 (phase 2): 50 volunteers aged 18-50 years who will be the QazCoVac-P - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Elderly-Vaccine, twice vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 4 (phase 2): 50 volunteers from 50 years old and elder who will be the QazCoVac-P - COVID-19 twice spaced 21 days apart, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Adult-Vaccine, single vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 5 (phase 2): 50 volunteers aged 18-50 years who will be the QazCoVac-P - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml
Arm Title
Phase 2 Elderly-Vaccine, single vaccination (An Open study)
Arm Type
Experimental
Arm Description
Group 6 (phase 2): 50 volunteers from 50 years old and elder who will be the QazCoVac-P - COVID-19 single vaccination, intramuscularly, at a dose of 0.5 ml
Intervention Type
Biological
Intervention Name(s)
QazCoVac-P -COVID-19 Subunit Vaccine
Intervention Description
QazCoVac-P (Subunit) Vaccine manufactured by Research Institute for Biological Safety Problems Republic of Kazakhstan
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
The use of placebo: intramuscularly, twice, spaced 21 days apart, at a dose of 0.5 ml (22 volunteers)
Primary Outcome Measure Information:
Title
Frequency of adverse events up to seven days after immunization
Description
Frequency of adverse reaction in the seven days following each immunization per age group
Time Frame
Seven days after each immunization
Title
Frequency of adverse events up to 21 days after immunization
Description
Frequency of adverse reaction in the 21 days following each immunization per age group
Time Frame
21 days after each immunization
Title
The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA following the vaccination, compared with a placebo
Description
The proportion of volunteers with changed levels of the immune response of specific neutralizing antibody titers in ELISA greater than ≥ 4 times compared with a placebo.
Time Frame
at days 0, 21, 27, 42, 90, 180
Secondary Outcome Measure Information:
Title
Incidence of serious adverse events during the study
Description
Incidence of serious adverse events during the study.
Time Frame
throughout the study, an average of 42 days
Other Pre-specified Outcome Measures:
Title
Cell-mediated immune profile
Description
Cellular immunity will be assessed by reliable (more than 2 standard deviations from the mean pre-vaccination level) increases in post-vaccination level (%) of CD4 + and CD8 + T-cells.
Time Frame
at days 0, 7, 21, 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Availability of signed and dated informed consent of the volunteer to participate in the study Healthy male and female volunteers aged 18-50 and 50 and above. Ability and voluntary desire to independently keep records in the SelfObservation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation. The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study. Negative results for IgM and IgG antibodies to SARS-CoV-2. Absence of COVID-19 diagnosis in history. Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory. Negative test results for human immunodeficiency virus (HIV), hepatitis B and hepatitis C. Negative PCR results for coronavirus SARS-CoV-2 According to the results of a chest x-ray, there is no pathological process in the lungs. Exclusion Criteria: Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain). Acute illness with a fever (body temperature ≥37.1°C) at the time of screening/randomization. Chronic alcohol and/or drug use in history. Clinically significant deviations from normal values during laboratory and/or imaging at screening. Women with a positive urine pregnancy test. Simultaneous treatment with immunosuppressive drugs, including corticosteroids (2 weeks) 4 weeks prior to study drug administration. Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, myocardial infarction, severe hypertension not controlled by drugs, etc.), identified based on medical history, physical examination or clinical laboratory tests that, according to the researcher, may affect the study result. Disruption of platelets or other blood clotting disorders, which may cause contraindications to intramuscular administration. Leukemia or neoplasm in history. Persons with autoimmune diseases. Volunteers who received antiviral drugs, immunoglobulin's or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration; Volunteers who received anti-inflammatory drugs 2 days before study drug administration; Participation in any other clinical research within the last 3 months; Volunteers with a concern that they will not comply with the study requirements, or persons with severe physical or mental disabilities that may affect the completion of the study; Negative PCR results for coronavirus SARS-CoV-2; According to the results of a chest x-ray, there is no pathological process in the lungs; Voluntary refusal to study; Vulnerable Volunteers of research.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kunsulu Zakarya, Ph.D.
Organizational Affiliation
Research Institute for Biological Safety Problems
Official's Role
Study Chair
Facility Information:
Facility Name
Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan
City
Gvardeyskiy
State/Province
Jambul
ZIP/Postal Code
080409
Country
Kazakhstan

12. IPD Sharing Statement

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Reactogenicity, Safety and Immunogenicity of QazCoVac-P COVID-19 Vaccine

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