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Safety and Immunogenicity of VLA2001 Adults Aged ≥56 Years

Primary Purpose

SARS-CoV-2 Virus Infection

Status
Completed
Phase
Phase 3
Locations
New Zealand
Study Type
Interventional
Intervention
VLA2001
Sponsored by
Valneva Austria GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV-2 Virus Infection focused on measuring VLA2001, SARS-CoV-2 Virus Infection, COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  1. All participants must have read, understood, and signed the informed consent form (ICF).
  2. Participants of either gender aged 56 years or older at screening.
  3. Medically stable such that, according to the judgment of the investigator, hospitalization within the study period is not anticipated and the participant appears likely to be able to remain on study through the end of protocol-specified follow-up.
  4. Participant has a Body Mass Index (BMI) of 18.0-35.0 kg/m2, inclusive, at screening (Visit 0).
  5. Must be able to attend all visits of the study and comply with all study procedures, including daily completion of the e-diary for 7 days following each vaccination.
  6. Women of childbearing potential (WOCBP), who are sexually active with a man, must be able and willing to use at least 1 highly effective method of contraception (i.e. implant contraceptive, intra-uterine device (IUD) containing either copper or levonorgestrel, male sterilization [vasectomy], female sterilization, injectable contraceptive, oral contraceptive pill, vaginal contraceptive ring, barrier type of birth control measure) from study start until a minimum of 3 months after the last dose of study vaccine (i.e. 3 months after second dose or 3 months after booster dose).
  7. WOCBPs must have a negative pregnancy test prior to each vaccination.

Exclusion Criteria:

  1. Participant is pregnant or planning to become pregnant within 3 months after last study vaccine administration.
  2. History of allergy to any component of the vaccine.
  3. History of laboratory-confirmed SARS-CoV infection
  4. Participant had close contact to persons with confirmed SARS-CoV-2 infection within 30 days prior to screening.
  5. Participant has participated in a clinical study involving an investigational SARS-CoV-2 vaccine or has received or plans to receive a licensed SARS-CoV-2 vaccine during the duration of the study.
  6. Significant infection (e.g. positive SARS-CoV-2 RT-PCR) or other acute illness, including fever > 100 °F (> 37.8 °C) 48 hours before vaccination.
  7. Participant has a known or suspected defect of the immune system, such as participants with congenital or acquired immunodeficiency, including infection with HIV, status post organ transplantation or immuno-suppressive therapy within 4 weeks prior to the expected day of randomization.
  8. Participant has a history of malignancy in the past 5 years other than squamous cell or basal cell skin cancer. If there has been surgical excision or treatment more than 5 years ago that is considered to have achieved a cure, the participant may be enrolled.
  9. History of drug dependency or current use of drug of abuse or alcohol abuse at screening.
  10. Significant blood loss (> 450 mL) or has donated 1 or more units of blood or plasma within 6 weeks prior to the expected day of first vaccination or the booster administration.
  11. History of clinically significant bleeding disorder (e.g., factor deficiency, coagulopathy, or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture.
  12. Severe and uncontrolled ongoing autoimmune or inflammatory disease, history of Guillain-Barre syndrome or any other demyelinating condition.
  13. Any other significant disease, disorder or finding which in the opinion of the investigator may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study.

    Prior/concomitant therapy:

  14. Receipt of immunoglobulin or another blood product within the 3 months before expected day of first vaccination or the booster administration in this study or those who expect to receive immunoglobulin or another blood product during this study.
  15. Receipt of medications and or vaccinations intended to prevent COVID-19.
  16. Receipt of any vaccine (licensed or investigational), other than licensed influenza vaccine or for medical emergencies such as tetanus or rabies exporsure, within 28 days prior to the expected day of randomization.

    Others:

  17. Any member of the study team or sponsor.
  18. An immediate family member or household member of the study's personnel.

Booster Vaccination in participants 56 years and older:

In addition to the above described eligibility criteria, the following criteria must be met:

1. Participant has not received a licensed COVID-19 vaccine during his/her participation in the study.

Sites / Locations

  • Southern Clinical Trials Waitemata
  • Lakeland Clinical Trials Waikato
  • Southern Clinical Trials Totara
  • Lakeland Clinical Trials Culloden
  • Southern Clinical Trials Remuera
  • Southern Clinical Trials Tasman
  • Southern Clinical Trials Christchurch
  • Lakeland Clinical Trials Rotorua

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

VLA2001

Arm Description

Outcomes

Primary Outcome Measures

Frequency and severity of any Adverse Events (AE) up to Day 43 post-vaccination
Immune response as determined by the geometric mean titer (GMT) of SARS-CoV-2-specific neutralizing antibodies
Immune response as determined by the seroconversion rate (SCR) of SARS-CoV-2-specific neutralizing antibodies

Secondary Outcome Measures

Frequency and severity of solicited injection site and systemic reactions after each vaccination
Frequency and severity of any unsolicited Adverse Event (AE)
Frequency and severity of any unsolicited vaccine-related Adverse Event (AE)
Frequency and severity of any Serious Adverse Event (SAE)
Frequency and severity of any Adverse Event of Special Interest (AESI)
Proportion of participants with Seroconversion after receipt of 2 doses of study vaccination in terms of SARS-CoV-2-specific neutralizing antibodies
Immune response as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific neutralizing antibodies
Proportion of participants with Seroconversion after receipt of 2 doses of study vaccination in terms of S-protein binding IgG levels
Immune response as determined by the Geometric Mean Titer (GMT) of IgG antibodies to SARS-CoV-2 S-protein
Geometric Mean Fold Increase (GMFI) of neutralizing antibody (for binding and neutralizing antibodies)
Assessment of T-cell responses from Peripheral Blood Mononuclear Cell (PBMCs) in a subset of participants after in vitro stimulation with SARS-CoV-2 antigens using e.g. ELISpot or intracellular cytokine staining.
Frequency and severity of solicited injection site and systemic reactions
Frequency and severity of any unsolicited AE (Adverse Event)
Frequency and severity of any vaccine-related unsolicited AE (Adverse Event)
Frequency and severity of any SAE (Serious Adverse Event)
Frequency and severity of any AESI (Adverse Event of Special Interest)
Geometric mean fold rise (GMFR) with regards to SARS-CoV-2-specific neutralizing antibodies
Geometric Mean Titer (GMT) of SARS-CoV-2 specific neutralizing antibodies including formal non-inferiority testing on the GMT ratio for the booster subgroup who had received 2 doses of VLA2001 for primary immunization
Proportion of participants with 4-fold increase with regards to SARS-CoV-2-specific neutralizing antibodies
Geometric mean fold rise (GMFR) with regards to S-protein binding antibodies
Proportion of participants with 4-fold increase with regards to S-protein binding antibodies
Geometric Mean Titer (GMT) measured as IgG antibodies against SARS-CoV-2 as determined by ELISA
Assessment of T-cell responses from Peripheral Blood Mononuclear Cell (PBMCs) in participants after in vitro stimulation with SARS-CoV-2 antigens using ELISpot

Full Information

First Posted
June 21, 2021
Last Updated
August 31, 2023
Sponsor
Valneva Austria GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT04956224
Brief Title
Safety and Immunogenicity of VLA2001 Adults Aged ≥56 Years
Official Title
A Phase III, Open Label, Multicenter, Single Arm Study to Assess the Safety, Tolerability and Immunogenicity of VLA2001 in Volunteers Aged ≥ 56 Years.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
August 9, 2021 (Actual)
Primary Completion Date
November 10, 2021 (Actual)
Study Completion Date
November 18, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Valneva Austria GmbH

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 is a A Phase III, Open label, Multicenter, Single Arm Study to assess the Safety, Tolerability and Immunogenicity of VLA2001 in volunteers aged ≥ 56 years. Approximately 300 participants are enrolled in a non-randomized manner.
Detailed Description
This Phase 3 study is designed as a Multicentre, Open Label, Single Arm Study to assess the Safety, Tolerability and Immunogenicity of VLA2001. Participants aged 56 years or older and who are either generally healthy or are with a stable medical condition are enrolled. Approximately 300 participants will be enrolled in a non-randomized manner to receive VLA2001 at the recommended dose level, 28 days apart on Days 1 and 29. Immunogenicity and safety will be assessed up to month 12 after the first vaccination. All participants, except those who already received a licensed COVID-19 vaccine outside of the study, will be offered a booster dose with VLA2001. All eligible and willing participants will receive a booster vaccination with VLA2001 and will have a follow-up visit 14 days after the booster dose. The participants will have 1 more follow-up visit 6 months after the booster vaccination which replaces Day 365 for those participants who received a booster dose. This study will support the VLA2001 safety and immunogenicity database for vaccines aged ≥56 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV-2 Virus Infection
Keywords
VLA2001, SARS-CoV-2 Virus Infection, COVID-19

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
306 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VLA2001
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
VLA2001
Intervention Description
whole virus inactivated SARS-CoV-2 vaccine adjuvanted with cytosine phospho-guanine (CpG) 1018 in combination with aluminium hydroxide (Wuhan strain) 2 vaccinations 28 days apart Booster Vaccination on Visit B1
Primary Outcome Measure Information:
Title
Frequency and severity of any Adverse Events (AE) up to Day 43 post-vaccination
Time Frame
Day 43
Title
Immune response as determined by the geometric mean titer (GMT) of SARS-CoV-2-specific neutralizing antibodies
Time Frame
Day 43
Title
Immune response as determined by the seroconversion rate (SCR) of SARS-CoV-2-specific neutralizing antibodies
Time Frame
Day 43
Secondary Outcome Measure Information:
Title
Frequency and severity of solicited injection site and systemic reactions after each vaccination
Time Frame
within 7 days
Title
Frequency and severity of any unsolicited Adverse Event (AE)
Time Frame
until Day 43
Title
Frequency and severity of any unsolicited vaccine-related Adverse Event (AE)
Time Frame
until Day 43
Title
Frequency and severity of any Serious Adverse Event (SAE)
Time Frame
until Day 365
Title
Frequency and severity of any Adverse Event of Special Interest (AESI)
Time Frame
until Day 365
Title
Proportion of participants with Seroconversion after receipt of 2 doses of study vaccination in terms of SARS-CoV-2-specific neutralizing antibodies
Time Frame
on Day 29, Day 57, Day 71 and Day 208
Title
Immune response as determined by the Geometric Mean Titer (GMT) of SARS-CoV-2-specific neutralizing antibodies
Time Frame
on Day 29, Day 57, Day 71 and Day 208
Title
Proportion of participants with Seroconversion after receipt of 2 doses of study vaccination in terms of S-protein binding IgG levels
Time Frame
on Day 29, Day 57, Day 71 and Day 208
Title
Immune response as determined by the Geometric Mean Titer (GMT) of IgG antibodies to SARS-CoV-2 S-protein
Time Frame
on Day 29, Day 57, Day 71 and Day 208
Title
Geometric Mean Fold Increase (GMFI) of neutralizing antibody (for binding and neutralizing antibodies)
Time Frame
on Day 29, Day 43, Day 57, Day 71 and Day 208
Title
Assessment of T-cell responses from Peripheral Blood Mononuclear Cell (PBMCs) in a subset of participants after in vitro stimulation with SARS-CoV-2 antigens using e.g. ELISpot or intracellular cytokine staining.
Time Frame
on Day 1, Day 43, Day 208, Day 365
Title
Frequency and severity of solicited injection site and systemic reactions
Time Frame
within 7 days after booster vaccination
Title
Frequency and severity of any unsolicited AE (Adverse Event)
Time Frame
up to 6 months after booster vaccination
Title
Frequency and severity of any vaccine-related unsolicited AE (Adverse Event)
Time Frame
up to 6 months after booster vaccination
Title
Frequency and severity of any SAE (Serious Adverse Event)
Time Frame
up to 6 months after booster vaccination
Title
Frequency and severity of any AESI (Adverse Event of Special Interest)
Time Frame
up to 6 months after booster vaccination
Title
Geometric mean fold rise (GMFR) with regards to SARS-CoV-2-specific neutralizing antibodies
Time Frame
from day of booster vaccination up to 14 days after
Title
Geometric Mean Titer (GMT) of SARS-CoV-2 specific neutralizing antibodies including formal non-inferiority testing on the GMT ratio for the booster subgroup who had received 2 doses of VLA2001 for primary immunization
Time Frame
on Day 43 and 14 days after booster vaccination
Title
Proportion of participants with 4-fold increase with regards to SARS-CoV-2-specific neutralizing antibodies
Time Frame
from day of booster vaccination up to 14 days after
Title
Geometric mean fold rise (GMFR) with regards to S-protein binding antibodies
Time Frame
from day of booster vaccination up to 14 days after
Title
Proportion of participants with 4-fold increase with regards to S-protein binding antibodies
Time Frame
from day of booster vaccination up to 14 days after
Title
Geometric Mean Titer (GMT) measured as IgG antibodies against SARS-CoV-2 as determined by ELISA
Time Frame
from day of booster vaccination up to 6 months after
Title
Assessment of T-cell responses from Peripheral Blood Mononuclear Cell (PBMCs) in participants after in vitro stimulation with SARS-CoV-2 antigens using ELISpot
Time Frame
from day of booster vaccination up to 6 months after

10. Eligibility

Sex
All
Minimum Age & Unit of Time
56 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All participants must have read, understood, and signed the informed consent form (ICF). Participants of either gender aged 56 years or older at screening. Medically stable such that, according to the judgment of the investigator, hospitalization within the study period is not anticipated and the participant appears likely to be able to remain on study through the end of protocol-specified follow-up. Participant has a Body Mass Index (BMI) of 18.0-35.0 kg/m2, inclusive, at screening (Visit 0). Must be able to attend all visits of the study and comply with all study procedures, including daily completion of the e-diary for 7 days following each vaccination. Women of childbearing potential (WOCBP), who are sexually active with a man, must be able and willing to use at least 1 highly effective method of contraception (i.e. implant contraceptive, intra-uterine device (IUD) containing either copper or levonorgestrel, male sterilization [vasectomy], female sterilization, injectable contraceptive, oral contraceptive pill, vaginal contraceptive ring, barrier type of birth control measure) from study start until a minimum of 3 months after the last dose of study vaccine (i.e. 3 months after second dose or 3 months after booster dose). WOCBPs must have a negative pregnancy test prior to each vaccination. Exclusion Criteria: Participant is pregnant or planning to become pregnant within 3 months after last study vaccine administration. History of allergy to any component of the vaccine. History of laboratory-confirmed SARS-CoV infection Participant had close contact to persons with confirmed SARS-CoV-2 infection within 30 days prior to screening. Participant has participated in a clinical study involving an investigational SARS-CoV-2 vaccine or has received or plans to receive a licensed SARS-CoV-2 vaccine during the duration of the study. Significant infection (e.g. positive SARS-CoV-2 RT-PCR) or other acute illness, including fever > 100 °F (> 37.8 °C) 48 hours before vaccination. Participant has a known or suspected defect of the immune system, such as participants with congenital or acquired immunodeficiency, including infection with HIV, status post organ transplantation or immuno-suppressive therapy within 4 weeks prior to the expected day of randomization. Participant has a history of malignancy in the past 5 years other than squamous cell or basal cell skin cancer. If there has been surgical excision or treatment more than 5 years ago that is considered to have achieved a cure, the participant may be enrolled. History of drug dependency or current use of drug of abuse or alcohol abuse at screening. Significant blood loss (> 450 mL) or has donated 1 or more units of blood or plasma within 6 weeks prior to the expected day of first vaccination or the booster administration. History of clinically significant bleeding disorder (e.g., factor deficiency, coagulopathy, or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture. Severe and uncontrolled ongoing autoimmune or inflammatory disease, history of Guillain-Barre syndrome or any other demyelinating condition. Any other significant disease, disorder or finding which in the opinion of the investigator may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study. Prior/concomitant therapy: Receipt of immunoglobulin or another blood product within the 3 months before expected day of first vaccination or the booster administration in this study or those who expect to receive immunoglobulin or another blood product during this study. Receipt of medications and or vaccinations intended to prevent COVID-19. Receipt of any vaccine (licensed or investigational), other than licensed influenza vaccine or for medical emergencies such as tetanus or rabies exporsure, within 28 days prior to the expected day of randomization. Others: Any member of the study team or sponsor. An immediate family member or household member of the study's personnel. Booster Vaccination in participants 56 years and older: In addition to the above described eligibility criteria, the following criteria must be met: 1. Participant has not received a licensed COVID-19 vaccine during his/her participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Valneva Clinical Deveopment
Organizational Affiliation
Valneva Austria GmbH
Official's Role
Study Chair
Facility Information:
Facility Name
Southern Clinical Trials Waitemata
City
Auckland
State/Province
Birkenhead
ZIP/Postal Code
0626
Country
New Zealand
Facility Name
Lakeland Clinical Trials Waikato
City
Hamilton
State/Province
Nawton
ZIP/Postal Code
3200
Country
New Zealand
Facility Name
Southern Clinical Trials Totara
City
Auckland
State/Province
New Lynn
ZIP/Postal Code
0600
Country
New Zealand
Facility Name
Lakeland Clinical Trials Culloden
City
Papamoa
State/Province
Papamoa Beach
ZIP/Postal Code
3118
Country
New Zealand
Facility Name
Southern Clinical Trials Remuera
City
Auckland
State/Province
Remuera
ZIP/Postal Code
1050
Country
New Zealand
Facility Name
Southern Clinical Trials Tasman
City
Nelson
State/Province
Stoke
ZIP/Postal Code
7011
Country
New Zealand
Facility Name
Southern Clinical Trials Christchurch
City
Christchurch
ZIP/Postal Code
8013
Country
New Zealand
Facility Name
Lakeland Clinical Trials Rotorua
City
Rotorua
ZIP/Postal Code
3010
Country
New Zealand

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Immunogenicity of VLA2001 Adults Aged ≥56 Years

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