Safety and Immunogenicity of Recombinant Protein RBD Fusion Dimer Vaccine Against the Virus That Cause COVID-19, Known as Severe Acute Respiratoy Syndrome Coronavirus 2 (SARS-CoV-2)
Primary Purpose
COVID-19, SARS-CoV-2 Acute Respiratory Disease
Status
Active
Phase
Phase 2
Locations
Vietnam
Study Type
Interventional
Intervention
COVID-19 Vaccine HIPRA
Cominarty (Pfizer-BioNtech)
Sponsored by
About this trial
This is an interventional prevention trial for COVID-19
Eligibility Criteria
Inclusion Criteria:
- Adults males or females between 18-60 years of age at the day of screening.
- Willing and able to comply with scheduled visits, laboratory test, complete diaries and other study procedures.
- Body Mass Index 18 to 40 Kg/m2 at screening.
- COVID19 negative quick test or PCR test and negative serum IgG binding antibody response to the SARS-CoV-2 S glycoprotein at screening or prior the first vaccination. If an enrolled subject has neutralizing antibodies at baseline, he or she will be excluded from final analysis.
- Willing to avoid all other vaccines within 4 weeks before and after each injection. Seasonal influenza vaccination is allowed if it is received at least 14 days before or after the vaccination.
- Women of childbearing potential must have a negative pregnancy test in urine before the inclusion of the study and prior to each vaccination.
- If female of childbearing potential, willing to use highly effective contraceptive methods or have practiced sexual abstinence from the screening visit until 8 weeks after the last injection.
- If male and not sterilized, willing to avoid impregnating female partners from screening until 8 weeks after last injection.
- Willing and able to provide written informed consent prior the initiation of any study procedures.
Exclusion Criteria:
- Pregnant or lactating or intending to become pregnant or plans to breastfeed during the study.
- Positive pregnancy test at screening or prior to each vaccination.
- Any medical disease (acute, subacute, intermittent or chronic) or condition with grade 2 or above that in the opinion of the investigator compromise the volunteer's safety, preclude vaccination or compromise interpretation of the results.
- History of serious psychiatric condition likely to affect participation in the study.
- History of respiratory disease (e.g., chronic obstructive pulmonary disease (COPD) and asthma) requiring any daily medications currently or any treatment of respiratory disease exacerbations (e.g., asthma exacerbation) in the last 5 years.
- History of significant cardiovascular disease including hypertension (e.g., congestive heart failure, cardiomyopathy, ischemic heart disease) or history of myocarditis or pericarditis as an adult.
- History of neurological or neurodevelopmental conditions (e.g., migraines, epilepsy, stroke, seizures in the last 3 years, encephalopathy, focal neurologic deficits, Guillain-Barré syndrome, encephalomyelitis or transverse myelitis).
- Ongoing malignancy or recent diagnosis of malignancy in the last five years excluding basal cell and squamous cell carcinoma of the skin, which are allowed.
- Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent severe infections.
- Any autoimmune or immunodeficiency disease/condition (iatrogenic or congenital).
- Acute illness within 72 hours prior each vaccination that in the opinion of the investigator may interfere the evaluation of safety parameters.
- Usage of any investigational drug ≤ 90 days prior to study entry or plan to participate in another research involving an investigational product (drug/biologic/device) within 12 months after the first study vaccination.
- History of hypersensitivity or severe allergic reaction including anaphylaxis, generalized urticarial, angioedema and other significant reactions related to food, drugs, vaccines or pharmaceutical agents.
- History of allergic disease or reactions likely to be exacerbated by any component of the COVID-19 vaccine HIPRA
- Use of any immunosuppressant, glucocorticoids, or other immune-modifying drugs within 2 months prior to first study vaccination; or anticipation of the need for immunosuppressive treatment within 6 months after last vaccination.
- Received immunoglobulin, blood-derived products, or other immunosuppressant drugs within 90 days prior to first study vaccination.
- Known disturbance of coagulation (iatrogenic or congenital) or blood dyscrasias.
- Known bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture.
- Chronic liver disease
- Positive test for HIV types 1 or 2 infection, hepatitis B surface antigen (HBsAg), or hepatitis C virus antibodies (HCV Abs) at screening
- Suspected or known current alcohol abuse or any other substances abuse (except tobacco).
- History of COVID-19 infection.
- Receipt of medications intended to prevent COVID-19.
- Ever received an experimental vaccine against COVID-19.
- Close contact of anyone known to have SARS-CoV-2 infection within 15 days prior to screening visit.
- Being directly involved in the conduct of the study
- Any condition and/or laboratory finding that at the investigator consideration would interfere with the study or put at risk the participant.
Sites / Locations
- National Institute of Hygiene and Epidemiology
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
COVID-19 Vaccine HIPRA
Commercial COVID-19 Vaccine
Arm Description
Subjects will receive 2 injections of COVID-19 vaccine HIPRA administered 21 days apart.
Subjects will receive 2 injections of COVID-19 vaccine HIPRA administered 21 days apart
Outcomes
Primary Outcome Measures
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Number and percentage of solicited local and systemic reactogenicity adverse events for 7 days following each vaccination.
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Number and percentage of unsolicited local and systemic reactogenicity adverse events for 28 days following each vaccination.
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Change from baseline in safety laboratory parameters at 7 days following each vaccination.
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Number and percentage of serious adverse events throughout the study duration.
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Number and percentage of adverse events of special interest (AESI) throughout the study duration.
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Number and percentage of medically attended adverse events (MAAE) related to study vaccine throughout the study duration.
Secondary Outcome Measures
Immunogenicity
Neutralization titer for each individual sample and GMT for group comparison at Day 21 and 35.
Immunogenicity
IC50 of beta and delta variants.
Immunogenicity
Geometric mean fold rise (GMFR) in neutralizing antibodies titers from baseline at Day 21 and 35.
Immunogenicity at long-term
Neutralization titer for each individual sample and GMT for group comparison at 24 and 48 weeks after the second dose.
Immunogenicity at long-term
IC50 of beta and delta variants.
Immunogenicity at long-term
GMFR in neutralizing antibodies titers from baseline at 24 weeks after the second dose.
Immunogenicity to the SARS-CoV-2 spike glycoprotein
Total binding antibody titer and GMT for group comparison at Day 21 and 35.
Immunogenicity to the SARS-CoV-2 spike glycoprotein
GMFR in total binding antibodies titer from baseline at Day 21 and 35.
Immunogenicity to the SARS-CoV-2 spike glycoprotein at long-term
Total Binding antibody titer and GMT for group comparison at 24 weeks after the second dose.
Immunogenicity to the SARS-CoV-2 spike glycoprotein at long-term
GMFR in total binding antibodies titer from baseline at 24 weeks after the second dose.
Immunogenicity to the SARS-CoV-2 spike glycoprotein
Percentage of subjects who seroconverted defined as a ≥4-fold change in total binding antibody titer from baseline at Day 21 and 35.
Full Information
NCT ID
NCT05142514
First Posted
November 17, 2021
Last Updated
August 2, 2022
Sponsor
Hipra Scientific, S.L.U
Collaborators
Laboratorios Hipra, S.A., National Institute of Hygiene and Epidemiology, Vietnam
1. Study Identification
Unique Protocol Identification Number
NCT05142514
Brief Title
Safety and Immunogenicity of Recombinant Protein RBD Fusion Dimer Vaccine Against the Virus That Cause COVID-19, Known as Severe Acute Respiratoy Syndrome Coronavirus 2 (SARS-CoV-2)
Official Title
A Phase IIb Study to Evaluate Safety and Immunogenicity of Recombinant Protein RBD Fusion Dimer Candidate Vaccine Against the Virus That Cause COVID-19, Known as Severe Acute Respiratoy Syndrome Coronavirus 2 (SARS-CoV-2) in Adult Healthy Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 11, 2021 (Actual)
Primary Completion Date
December 27, 2021 (Actual)
Study Completion Date
December 27, 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hipra Scientific, S.L.U
Collaborators
Laboratorios Hipra, S.A., National Institute of Hygiene and Epidemiology, Vietnam
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase IIb, randomized, controlled, observer-blinded, clinical trial to evaluate safety and immunogenicity of COVID-19 Vaccine HIPRA in adult healthy volunteers in Vietnam
Detailed Description
The study population includes 256 healthy adults aged 18-60 which will be randomized in a ratio 1:1 test:commercial vaccine. Each participant will receive 2 immunisations separated by 21 days and will be followed for 24 weeks after the second dose.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, SARS-CoV-2 Acute Respiratory Disease
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
256 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
COVID-19 Vaccine HIPRA
Arm Type
Experimental
Arm Description
Subjects will receive 2 injections of COVID-19 vaccine HIPRA administered 21 days apart.
Arm Title
Commercial COVID-19 Vaccine
Arm Type
Active Comparator
Arm Description
Subjects will receive 2 injections of COVID-19 vaccine HIPRA administered 21 days apart
Intervention Type
Biological
Intervention Name(s)
COVID-19 Vaccine HIPRA
Intervention Description
Subjects will receive 2 injections of COVID-19 vaccine HIPRA administered 21 days apart
Intervention Type
Biological
Intervention Name(s)
Cominarty (Pfizer-BioNtech)
Intervention Description
Subjects will receive 2 injections of Cominarty administered 21 days apart
Primary Outcome Measure Information:
Title
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Description
Number and percentage of solicited local and systemic reactogenicity adverse events for 7 days following each vaccination.
Time Frame
7 days
Title
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Description
Number and percentage of unsolicited local and systemic reactogenicity adverse events for 28 days following each vaccination.
Time Frame
28 days
Title
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Description
Change from baseline in safety laboratory parameters at 7 days following each vaccination.
Time Frame
7 days
Title
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Description
Number and percentage of serious adverse events throughout the study duration.
Time Frame
30 weeks
Title
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Description
Number and percentage of adverse events of special interest (AESI) throughout the study duration.
Time Frame
30 weeks
Title
Safety and tolerability of COVID-19 HIPRA vaccine in healthy adult volunteers
Description
Number and percentage of medically attended adverse events (MAAE) related to study vaccine throughout the study duration.
Time Frame
30 weeks
Secondary Outcome Measure Information:
Title
Immunogenicity
Description
Neutralization titer for each individual sample and GMT for group comparison at Day 21 and 35.
Time Frame
Day 21 and 35.
Title
Immunogenicity
Description
IC50 of beta and delta variants.
Time Frame
Day 21 and 35.
Title
Immunogenicity
Description
Geometric mean fold rise (GMFR) in neutralizing antibodies titers from baseline at Day 21 and 35.
Time Frame
Day 21 and 35.
Title
Immunogenicity at long-term
Description
Neutralization titer for each individual sample and GMT for group comparison at 24 and 48 weeks after the second dose.
Time Frame
24 and 48 weeks after the second dose
Title
Immunogenicity at long-term
Description
IC50 of beta and delta variants.
Time Frame
24 weeks after the second dose
Title
Immunogenicity at long-term
Description
GMFR in neutralizing antibodies titers from baseline at 24 weeks after the second dose.
Time Frame
24 weeks after the second dose
Title
Immunogenicity to the SARS-CoV-2 spike glycoprotein
Description
Total binding antibody titer and GMT for group comparison at Day 21 and 35.
Time Frame
Day 21 and 35
Title
Immunogenicity to the SARS-CoV-2 spike glycoprotein
Description
GMFR in total binding antibodies titer from baseline at Day 21 and 35.
Time Frame
Day 21 and 35
Title
Immunogenicity to the SARS-CoV-2 spike glycoprotein at long-term
Description
Total Binding antibody titer and GMT for group comparison at 24 weeks after the second dose.
Time Frame
24 weeks after the second dose
Title
Immunogenicity to the SARS-CoV-2 spike glycoprotein at long-term
Description
GMFR in total binding antibodies titer from baseline at 24 weeks after the second dose.
Time Frame
24 weeks after the second dose
Title
Immunogenicity to the SARS-CoV-2 spike glycoprotein
Description
Percentage of subjects who seroconverted defined as a ≥4-fold change in total binding antibody titer from baseline at Day 21 and 35.
Time Frame
Day 21 and 35.
Other Pre-specified Outcome Measures:
Title
Number of participants with symptomatic SARS-CoV-2 infections in participants without evidence of infection before COVID-19 HIPRA vaccination.
Description
Number and percentage of subjects with symptomatic SARS-CoV-2 infections according to COVID-19 infection criteria.
Time Frame
30 weeks
Title
Number of COVID-19 severe infections after receiving COVID-19 HIPRA vaccine.
Description
Number and percentage of COVID-19 severe infections throughout the study duration.
Time Frame
30 weeks
Title
Number of COVID-19 severe infections after receiving COVID-19 HIPRA vaccine.
Description
Number and percentage of hospital admissions associated with COVID-19 throughout the study duration.
Time Frame
30 weeks
Title
Number of COVID-19 severe infections after receiving COVID-19 HIPRA vaccine.
Description
Number and percentage of intensive care unit (ICU) admissions associated with COVID-19 throughout the study duration.
Time Frame
30 weeks
Title
Number of COVID-19 severe infections after receiving COVID-19 HIPRA vaccine.
Description
Number and percentage of deaths associated with COVID-19 throughout the study duration.
Time Frame
30 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Adults males or females between 18-60 years of age at the day of screening.
Willing and able to comply with scheduled visits, laboratory test, complete diaries and other study procedures.
Body Mass Index 18 to 40 Kg/m2 at screening.
COVID19 negative quick test or PCR test and negative serum IgG binding antibody response to the SARS-CoV-2 S glycoprotein at screening or prior the first vaccination. If an enrolled subject has neutralizing antibodies at baseline, he or she will be excluded from final analysis.
Willing to avoid all other vaccines within 4 weeks before and after each injection. Seasonal influenza vaccination is allowed if it is received at least 14 days before or after the vaccination.
Women of childbearing potential must have a negative pregnancy test in urine before the inclusion of the study and prior to each vaccination.
If female of childbearing potential, willing to use highly effective contraceptive methods or have practiced sexual abstinence from the screening visit until 8 weeks after the last injection.
If male and not sterilized, willing to avoid impregnating female partners from screening until 8 weeks after last injection.
Willing and able to provide written informed consent prior the initiation of any study procedures.
Exclusion Criteria:
Pregnant or lactating or intending to become pregnant or plans to breastfeed during the study.
Positive pregnancy test at screening or prior to each vaccination.
Any medical disease (acute, subacute, intermittent or chronic) or condition with grade 2 or above that in the opinion of the investigator compromise the volunteer's safety, preclude vaccination or compromise interpretation of the results.
History of serious psychiatric condition likely to affect participation in the study.
History of respiratory disease (e.g., chronic obstructive pulmonary disease (COPD) and asthma) requiring any daily medications currently or any treatment of respiratory disease exacerbations (e.g., asthma exacerbation) in the last 5 years.
History of significant cardiovascular disease including hypertension (e.g., congestive heart failure, cardiomyopathy, ischemic heart disease) or history of myocarditis or pericarditis as an adult.
History of neurological or neurodevelopmental conditions (e.g., migraines, epilepsy, stroke, seizures in the last 3 years, encephalopathy, focal neurologic deficits, Guillain-Barré syndrome, encephalomyelitis or transverse myelitis).
Ongoing malignancy or recent diagnosis of malignancy in the last five years excluding basal cell and squamous cell carcinoma of the skin, which are allowed.
Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent severe infections.
Any autoimmune or immunodeficiency disease/condition (iatrogenic or congenital).
Acute illness within 72 hours prior each vaccination that in the opinion of the investigator may interfere the evaluation of safety parameters.
Usage of any investigational drug ≤ 90 days prior to study entry or plan to participate in another research involving an investigational product (drug/biologic/device) within 12 months after the first study vaccination.
History of hypersensitivity or severe allergic reaction including anaphylaxis, generalized urticarial, angioedema and other significant reactions related to food, drugs, vaccines or pharmaceutical agents.
History of allergic disease or reactions likely to be exacerbated by any component of the COVID-19 vaccine HIPRA
Use of any immunosuppressant, glucocorticoids, or other immune-modifying drugs within 2 months prior to first study vaccination; or anticipation of the need for immunosuppressive treatment within 6 months after last vaccination.
Received immunoglobulin, blood-derived products, or other immunosuppressant drugs within 90 days prior to first study vaccination.
Known disturbance of coagulation (iatrogenic or congenital) or blood dyscrasias.
Known bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture.
Chronic liver disease
Positive test for HIV types 1 or 2 infection, hepatitis B surface antigen (HBsAg), or hepatitis C virus antibodies (HCV Abs) at screening
Suspected or known current alcohol abuse or any other substances abuse (except tobacco).
History of COVID-19 infection.
Receipt of medications intended to prevent COVID-19.
Ever received an experimental vaccine against COVID-19.
Close contact of anyone known to have SARS-CoV-2 infection within 15 days prior to screening visit.
Being directly involved in the conduct of the study
Any condition and/or laboratory finding that at the investigator consideration would interfere with the study or put at risk the participant.
Facility Information:
Facility Name
National Institute of Hygiene and Epidemiology
City
Hanoi
Country
Vietnam
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Safety and Immunogenicity of Recombinant Protein RBD Fusion Dimer Vaccine Against the Virus That Cause COVID-19, Known as Severe Acute Respiratoy Syndrome Coronavirus 2 (SARS-CoV-2)
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