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Safety and Immunogenicity of Recombinant SARS-CoV-2 Spike Protein Vaccine (CHO Cell) for the Prevention of COVID-19

Primary Purpose

COVID-19

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ZR-202-CoV
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

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

Inclusion Criteria:

  • Having understood the contents of the clinical study and ICF, and having signed the ICF.
  • Adults of both genders, 60 years of age and older.
  • Adults who can provide legal proof of identity.
  • SARS-COV-2 antibody screening negative at screening visit.

Exclusion Criteria:

  • Having a clear or suspected allergy to the test vaccine ingredients (including S protein, aluminum hydroxide adjuvant or CpG adjuvant), or have a history of severe allergy to any previous vaccine (such as acute allergic reaction, dyspnea or angioneurotic edema, etc.) (inquiries);
  • Having a history of SARS or MERS infection, or a previous infection of COVID-19 (previous nucleic acid or serum antibody test was positive) (inquiries);
  • Previous vaccination with SARS-CoV-2 vaccine(including SARS-CoV-2 vaccine for clinical trial) or received other vaccines within 28 days prior to the first dose of vaccine;
  • Abnormal skin (such as inflammation, induration, redness and swelling, large area scar, etc.) on both sides of the arm at the vaccination site and affecting the vaccination or safety observation(examination);
  • Axillary body temperature ≥37.3℃ before the first dose vaccination(examination);
  • Safety laboratory abnormal of any of the below:

    1. Liver function: ALT or ALT > 1.25*ULN
    2. Kidney function: serum creatinine (Cr) > ULN
    3. Glycated hemoglobin (HbA1c) ≥ 8.0%
  • Uncontrolled epilepsy or other progressive neurological diseases (inquiries);
  • Immunocompromised or have been diagnosed with Human Immunodeficiency Virus (HIV) infection, lymphoma, leukemia, Systemic lupus erythematosus, SLE, rheumatoid arthritis, inflammatory bowel disease or other autoimmune diseases (inquiries);
  • Asplenia or functional asplenia (inquiries);
  • Having a history of coagulation disorder or abnormal coagulation function (e.g., lack of coagulation factors or thrombocytopenia) and assessed by investigators that are not suitable for the study (inquiry);
  • Having malignant tumor that not been cured clinically and been assessed by investigators as not suitable for the study (inquiry);
  • Having acute diseases or acute onset or poorly controlled chronic diseases(e.g. hypertension patients with blood pressure > 160/100mmHg, diabetes patients with ketoacidosis, etc.) within 14 days before the first dose vaccination and assessed by investigators as not suitable for the study (inquiry);
  • Use of systemic drugs that affect immune function within 6 months prior to the first dose vaccination for a long time (more than 14 consecutive days), such as immunosuppressant, cytotoxic drugs, inhaled corticosteroids (not including allergic rhinitis treated with corticosteroid spray), unless the investigators determines that the drug will not interfere with, limit, or obfuscate the evaluation prescribed by the protocol, or may endanger the safety of the subject (inquiry);
  • Treatment with whole blood, plasma or immunoglobulin within 3 months prior to the first dose(inquiry);
  • Any other factors that, in the investigator's judgment, are inappropriate for participation in the clinical study.

Sites / Locations

  • Clinical Trial Institution for Anning First Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ZR-202-CoV

Placebo

Arm Description

Adult healthy subjects (60 years of age above, inclusive) receive ZR-202-CoV 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 antibody
Proportion of participants achieving seroconversion for SARS-CoV-2 neutralising antibody
Geometric mean increase (GMI) of SARS-CoV-2 neutralising antibodies
Geometric mean titer (GMT) of SARS-CoV-2 specific IgG binding antibodies.
Proportion of participants achieving seroconversion for SARS-CoV-2 specific IgG binding antibodies..
Geometric mean increase (GMI) of SARS-CoV-2 specific IgG binding antibodies.

Secondary Outcome Measures

Incidence of adverse events (AEs) after vaccination
Percentage of participants with AEs for 28 days following each vaccination (Days 0, 28) by intensity, relevance.
Incidence of solicited adverse events (AEs) after vaccination
Percentage of participants with solicited AEs for 30 minutes and 7 days following each vaccination (Days 0, 28) by intensity, relevance
Incidence of unsolicited adverse events (AEs) after vaccination
Percentage of participants with unsolicited AEs for 28 days following each vaccination (Days 0, 28) by intensity, relevance.
Proportion of subjects with abnormal markers of hematology, biochemistry, urinalysis, thyroid and coagulation parameters
Safety Laboratory Values (Serum Chemistry, Hematology)
Incidence of serious AEs (SAEs) and adverse events of special interest (AESIs)
Percentage of participants with SAEs or AESIs for 12month after last dose vaccination

Full Information

First Posted
March 5, 2022
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
NCT05313022
Brief Title
Safety and Immunogenicity of Recombinant SARS-CoV-2 Spike Protein Vaccine (CHO Cell) for the Prevention of COVID-19
Official Title
A Randomized, Double-blinded, Placebo-controlled Clinical Trial to Evaluate the Immunogenicity and Safety of the Recombinant SARS-CoV-2 Vaccine (CHO Cell) in Healthy Adults Aged 60 Years and Above
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
January 18, 2022 (Actual)
Primary Completion Date
May 13, 2022 (Actual)
Study Completion Date
June 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
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this double-blind, randomized, controlled study is to assess safety, reactogenicity, and immunogenicity of ZR-202-CoV, administered as 2 injections (i.m) at 28 days apart in adult subjects 60 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 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
84 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZR-202-CoV
Arm Type
Experimental
Arm Description
Adult healthy subjects (60 years of age above, inclusive) receive ZR-202-CoV at Day 0 and Day 28
Arm Title
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)
ZR-202-CoV
Intervention Description
Adjuvanted Recombinant SARS-CoV-2 S-protein Subunit Vaccine
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Normal saline solution
Primary Outcome Measure Information:
Title
Geometric mean titer (GMT) of SARS-CoV-2 neutralising antibody
Time Frame
28 days after each dose
Title
Proportion of participants achieving seroconversion for SARS-CoV-2 neutralising antibody
Time Frame
28 days after each dose
Title
Geometric mean increase (GMI) of SARS-CoV-2 neutralising antibodies
Time Frame
28 days after each dose
Title
Geometric mean titer (GMT) of SARS-CoV-2 specific IgG binding antibodies.
Time Frame
28 days after each dose
Title
Proportion of participants achieving seroconversion for SARS-CoV-2 specific IgG binding antibodies..
Time Frame
28 days after each dose
Title
Geometric mean increase (GMI) of SARS-CoV-2 specific IgG binding antibodies.
Time Frame
28 days after each dose
Secondary Outcome Measure Information:
Title
Incidence of adverse events (AEs) after vaccination
Description
Percentage of participants with AEs for 28 days following each vaccination (Days 0, 28) by intensity, relevance.
Time Frame
28 days after the first or second vaccination
Title
Incidence of solicited adverse events (AEs) after vaccination
Description
Percentage of participants with solicited AEs for 30 minutes and 7 days following each vaccination (Days 0, 28) by intensity, relevance
Time Frame
30 minutes and 7 days after the first or second vaccination
Title
Incidence of unsolicited adverse events (AEs) after vaccination
Description
Percentage of participants with unsolicited AEs for 28 days following each vaccination (Days 0, 28) by intensity, relevance.
Time Frame
28 days after the first or second vaccination
Title
Proportion of subjects with abnormal markers of hematology, biochemistry, urinalysis, thyroid and coagulation parameters
Description
Safety Laboratory Values (Serum Chemistry, Hematology)
Time Frame
Day 4 after first or second vaccination
Title
Incidence of serious AEs (SAEs) and adverse events of special interest (AESIs)
Description
Percentage of participants with SAEs or AESIs for 12month after last dose vaccination
Time Frame
up to 12month after last dose vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Having understood the contents of the clinical study and ICF, and having signed the ICF. Adults of both genders, 60 years of age and older. Adults who can provide legal proof of identity. SARS-COV-2 antibody screening negative at screening visit. Exclusion Criteria: Having a clear or suspected allergy to the test vaccine ingredients (including S protein, aluminum hydroxide adjuvant or CpG adjuvant), or have a history of severe allergy to any previous vaccine (such as acute allergic reaction, dyspnea or angioneurotic edema, etc.) (inquiries); Having a history of SARS or MERS infection, or a previous infection of COVID-19 (previous nucleic acid or serum antibody test was positive) (inquiries); Previous vaccination with SARS-CoV-2 vaccine(including SARS-CoV-2 vaccine for clinical trial) or received other vaccines within 28 days prior to the first dose of vaccine; Abnormal skin (such as inflammation, induration, redness and swelling, large area scar, etc.) on both sides of the arm at the vaccination site and affecting the vaccination or safety observation(examination); Axillary body temperature ≥37.3℃ before the first dose vaccination(examination); Safety laboratory abnormal of any of the below: Liver function: ALT or ALT > 1.25*ULN Kidney function: serum creatinine (Cr) > ULN Glycated hemoglobin (HbA1c) ≥ 8.0% Uncontrolled epilepsy or other progressive neurological diseases (inquiries); Immunocompromised or have been diagnosed with Human Immunodeficiency Virus (HIV) infection, lymphoma, leukemia, Systemic lupus erythematosus, SLE, rheumatoid arthritis, inflammatory bowel disease or other autoimmune diseases (inquiries); Asplenia or functional asplenia (inquiries); Having a history of coagulation disorder or abnormal coagulation function (e.g., lack of coagulation factors or thrombocytopenia) and assessed by investigators that are not suitable for the study (inquiry); Having malignant tumor that not been cured clinically and been assessed by investigators as not suitable for the study (inquiry); Having acute diseases or acute onset or poorly controlled chronic diseases(e.g. hypertension patients with blood pressure > 160/100mmHg, diabetes patients with ketoacidosis, etc.) within 14 days before the first dose vaccination and assessed by investigators as not suitable for the study (inquiry); Use of systemic drugs that affect immune function within 6 months prior to the first dose vaccination for a long time (more than 14 consecutive days), such as immunosuppressant, cytotoxic drugs, inhaled corticosteroids (not including allergic rhinitis treated with corticosteroid spray), unless the investigators determines that the drug will not interfere with, limit, or obfuscate the evaluation prescribed by the protocol, or may endanger the safety of the subject (inquiry); Treatment with whole blood, plasma or immunoglobulin within 3 months prior to the first dose(inquiry); Any other factors that, in the investigator's judgment, are inappropriate for participation in the clinical study.
Facility Information:
Facility Name
Clinical Trial Institution for Anning First Hospital
City
Kunming
State/Province
Yunan
Country
China

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of Recombinant SARS-CoV-2 Spike Protein Vaccine (CHO Cell) for the Prevention of COVID-19

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