Safety and Immunogenicity Study of Recombinant Protein RBD Candidate Vaccine Against SARS-CoV-2 in Adult Healthy Volunteers (COVID-19)
Primary Purpose
Covid19, SARS CoV 2 Infection
Status
Completed
Phase
Phase 1
Locations
Spain
Study Type
Interventional
Intervention
COVID-19 vaccine HIPRA 10
COVID-19 vaccine HIPRA 20
COVID-19 vaccine HIPRA 40
Commercial COVID-19 vaccine
Sponsored by

About this trial
This is an interventional prevention trial for Covid19
Eligibility Criteria
Inclusion Criteria:
- Adults males or females between 18-39 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 PCR test and negative serum IgG binding antibody response to the SARS-CoV-2 S glycoprotein at screening or prior the first vaccination.
- 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 18 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 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 (e-g- ongoing severe depression, history of admission to an in-patient psychiatric facility, recent suicidal ideation, history of suicide attempt, bipolar disorder, personality disorder, alcohol and drug dependency, severe eating disorder, psychosis, use of mood stabilisers or antipsychotic medication).
- 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
- Hospital Clínic de Barcelona
- Hospital Universitari Dr. Josep Trueta
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 commercial COVID-19 vaccine administered 21 days apart.
Outcomes
Primary Outcome Measures
Number and percentage of solicited local and systemic reactogenicity adverse events for 7 days following each vaccination.
Number and percentage of unsolicited local and systemic reactogenicity adverse events for 28 days following each vaccination.
Secondary Outcome Measures
Change from baseline in hematology and biochemistry laboratory values at 7 days following each vaccination
Number and percentage of serious adverse events throughout the study duration.
Number and percentage of adverse events of special interest (AESI) throughout the study
Number and percentage of medically attended adverse events (MAAE) related to study vaccine throughout the study duration
Neutralization titer measured as Inhibitory concentration 50 (IC50) for each individual sample and geometric mean titer (GMT) for group comparison at Day 21 and 35
Geometric mean fold rise (GMFR) in neutralizing antibodies titers from baseline at Day 21 and 35.
Neutralization titer measured as IC50 for each individual sample and GMT for group comparison at 24 and 48 weeks after the second dose
GMFR in neutralizing antibodies titers from baseline at 24 and 48 weeks after the second dose.
Binding antibody IgG titer measured for each individual sample and GMT for group comparison at Day 21 and 35
GMFR in IgG titer from baseline at Day 21 and 35
Binding antibody IgG titer measured for each individual sample and GMT for group comparison at 24 and 48 weeks after the second dose.
GMFR in IgG titer from baseline at 24 and 48 weeks after the second dose
T-cell-mediated response to the SARS-CoV-2 S protein as measured by whole PBMC stimulation by ELISpot at baseline and at Day 35.
CD4+/CD8+ T-cell response to the SARS-CoV-2 S protein as measured by in vitro PBMC stimulation by cytokine staining assays at baseline and at Day 35
Full Information
NCT ID
NCT05007509
First Posted
August 12, 2021
Last Updated
February 28, 2023
Sponsor
Laboratorios Hipra, S.A.
1. Study Identification
Unique Protocol Identification Number
NCT05007509
Brief Title
Safety and Immunogenicity Study of Recombinant Protein RBD Candidate Vaccine Against SARS-CoV-2 in Adult Healthy Volunteers (COVID-19)
Official Title
A Phase I/IIa Study to Evaluate Safety and Immunogenicity of Recombinant Protein RBD Candidate Vaccine Against SARS-CoV-2 in Adult Healthy Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
August 16, 2021 (Actual)
Primary Completion Date
September 30, 2021 (Actual)
Study Completion Date
September 30, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Laboratorios Hipra, S.A.
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 first-in-human, phase I/IIa, randomized, controlled, observer-blinded, dose-escalation, multicentre clinical trial to evaluate safety and immunogenicity of COVID-19 HIPRA vaccine in adult healthy volunteers.
Detailed Description
The study population includes 30 healthy adults aged 18-39 which will be distributed in 3 cohorts, receiving three different doses of antigen, 10 µg, 20 µg and 40 µg. In each cohort, patients will be randomized in ratio of 10:2 test:commercial vaccine, following an staggered enrolment with a sentinel subject in each cohort. Each participant will receive 2 immunisations separated by 21 days, and will be followed for 48 weeks after the second dose
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, SARS CoV 2 Infection
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
30 (Actual)
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 commercial COVID-19 vaccine administered 21 days apart.
Intervention Type
Biological
Intervention Name(s)
COVID-19 vaccine HIPRA 10
Other Intervention Name(s)
COHORT 1
Intervention Description
One sentinel subject and 4 additional subjects will be assigned to COVID-19 vaccine HIPRA 10 µg
Intervention Type
Biological
Intervention Name(s)
COVID-19 vaccine HIPRA 20
Other Intervention Name(s)
COHORT 2
Intervention Description
One sentinel subject and 9 additional subjects will be assigned to COVID-19 vaccine HIPRA 20 µg
Intervention Type
Biological
Intervention Name(s)
COVID-19 vaccine HIPRA 40
Other Intervention Name(s)
COHORT 3
Intervention Description
One sentinel subject and 9 additional subjects will be assigned to COVID-19 vaccine HIPRA 40 µg
Intervention Type
Biological
Intervention Name(s)
Commercial COVID-19 vaccine
Intervention Description
One subject in cohort 1 and 2 subjects in Cohort 2 and 3 will be assigned to Commercial COVID-19 vaccine
Primary Outcome Measure Information:
Title
Number and percentage of solicited local and systemic reactogenicity adverse events for 7 days following each vaccination.
Time Frame
7 days
Title
Number and percentage of unsolicited local and systemic reactogenicity adverse events for 28 days following each vaccination.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Change from baseline in hematology and biochemistry laboratory values at 7 days following each vaccination
Time Frame
7 days
Title
Number and percentage of serious adverse events throughout the study duration.
Time Frame
357 days
Title
Number and percentage of adverse events of special interest (AESI) throughout the study
Time Frame
357 days
Title
Number and percentage of medically attended adverse events (MAAE) related to study vaccine throughout the study duration
Time Frame
357 days
Title
Neutralization titer measured as Inhibitory concentration 50 (IC50) for each individual sample and geometric mean titer (GMT) for group comparison at Day 21 and 35
Time Frame
Day 21 and 35
Title
Geometric mean fold rise (GMFR) in neutralizing antibodies titers from baseline at Day 21 and 35.
Time Frame
Day 21 and 35
Title
Neutralization titer measured as IC50 for each individual sample and GMT for group comparison at 24 and 48 weeks after the second dose
Time Frame
week 27 and week 51
Title
GMFR in neutralizing antibodies titers from baseline at 24 and 48 weeks after the second dose.
Time Frame
week 27 and week 51
Title
Binding antibody IgG titer measured for each individual sample and GMT for group comparison at Day 21 and 35
Time Frame
Day 21 and 35
Title
GMFR in IgG titer from baseline at Day 21 and 35
Time Frame
Day 21 and 35
Title
Binding antibody IgG titer measured for each individual sample and GMT for group comparison at 24 and 48 weeks after the second dose.
Time Frame
week 27 and week 51
Title
GMFR in IgG titer from baseline at 24 and 48 weeks after the second dose
Time Frame
week 27 and week 51
Title
T-cell-mediated response to the SARS-CoV-2 S protein as measured by whole PBMC stimulation by ELISpot at baseline and at Day 35.
Time Frame
Day 35
Title
CD4+/CD8+ T-cell response to the SARS-CoV-2 S protein as measured by in vitro PBMC stimulation by cytokine staining assays at baseline and at Day 35
Time Frame
Day 35
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Adults males or females between 18-39 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 PCR test and negative serum IgG binding antibody response to the SARS-CoV-2 S glycoprotein at screening or prior the first vaccination.
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 18 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 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 (e-g- ongoing severe depression, history of admission to an in-patient psychiatric facility, recent suicidal ideation, history of suicide attempt, bipolar disorder, personality disorder, alcohol and drug dependency, severe eating disorder, psychosis, use of mood stabilisers or antipsychotic medication).
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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elia Torroella
Organizational Affiliation
Laboratorios Hipra, S.A.
Official's Role
Study Chair
Facility Information:
Facility Name
Hospital Clínic de Barcelona
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Hospital Universitari Dr. Josep Trueta
City
Girona
ZIP/Postal Code
17007
Country
Spain
12. IPD Sharing Statement
Plan to Share IPD
Undecided
IPD Sharing Plan Description
To be decided
Learn more about this trial
Safety and Immunogenicity Study of Recombinant Protein RBD Candidate Vaccine Against SARS-CoV-2 in Adult Healthy Volunteers (COVID-19)
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