Safety, Tolerability and Immunogenicity of Gam-COVID-Vac Vaccine in a Nasal Spray (SPRAY)
Primary Purpose
COVID-19, SARS-CoV-2 Acute Respiratory Disease
Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Gam-COVID-Vac
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for COVID-19 focused on measuring vaccine, Sputnik, adenoviral vector vaccine, intranasal vaccine
Eligibility Criteria
Inclusion Criteria:
- The presence of a written informed consent of the subject to participate in the study;
- Adult volunteers over 18;
- Negative test result for HIV, hepatitis, syphilis;
- Negative test result for COVID-2019, determined by PCR at the visit screening, and, if available, the result of the examination performed in medical organizations that are research centers 7 days before inclusion into research;
- The result of the study for the presence of IgG antibodies to SARS CoV2 up to 10 VGR, which corresponds to value up to 100 BAU, regardless of the immune status before;
- Absence of contact of the research subject with patients with COVID-2019 for at least 14 days before enrollment in the study (according to the study participant);
- Consent to use effective methods of contraception during the entire period of participation in research;
- Negative Urine Pregnancy Test at Screening Visit (for women of childbearing age);
- Negative test for the presence of narcotic and psychostimulant drugs in the urine for screening visit;
- Negative alcohol test at screening visit;
- No history of severe post-vaccination reactions or post-vaccination complications after the use of immunobiological preparations;
- Absence of acute infectious and/or respiratory diseases for at least within 14 days prior to enrollment in the study.
Exclusion Criteria:
- Inability to give informed consent, inability to understand the essence of the study
- Any vaccination/immunization carried out within 30 days prior to inclusion in study;
- Steroid therapy (excluding hormonal contraceptives) and/or immunoglobulins or other blood products, not completed 30 days before inclusion in the study;
- COVID-2019 disease or vaccination to prevent COVID-2019 in less than six months before inclusion in the study
- Immunosuppressive drug therapy completed less than 3 months before inclusion in the study;
- Postponed less than one year prior to enrollment in the study acute coronary syndrome or stroke;
- Tuberculosis, chronic systemic infections;
- Exacerbation of rhinitis
- Burdened allergic history (presence in the anamnesis of information about anaphylactic shock, angioedema, polymorphic exudative eczema, serum sickness), hypersensitivity or allergic reactions to the introduction of immunobiological drugs, known allergic reactions to drug components, exacerbation allergic diseases on the day of inclusion in the study;
- History of neoplasms (ICD codes C00-D09);
- Donation of blood or plasma (in a volume of 450 ml or more) less than 2 months before inclusion in the study;
- Splenectomy in history;
- Neutropenia (decrease in the absolute number of neutrophils less than 1000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin less than 80 g/l), immunodeficiency in history within 6 months prior to enrollment in the study;
- Subjects with active human immunodeficiency virus disease syphilis, hepatitis B and C;
- Anorexia, protein deficiency of any origin;
- History of alcoholism and drug addiction;
- Participation of the subject in any other interventional clinical trial during this study;
- Any other condition of the research subject that, in the opinion of the research physician, may prevent completion of the study in accordance with the protocol;
- Staff of research centers and other staff directly involved in conducting the study (principal investigator and members of the research team) and members of their families.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
rAd26 single administration
rAd5 single administration
prime-boost regimen with rAd26 followed rAd5 administration
placebo
Arm Description
Outcomes
Primary Outcome Measures
Change from baseline in geometric mean titer of IgGs specific to S protein
Change from baseline in Geometric mean titer of IgGs specific to S protein at different time points after vaccination
Change from baseline in number of participants with detected specific IgGs
Change from baseline in Number of participants with detected specific IgGs at different time points after vaccination
Change from baseline in Number of participants with detected specific IgAs
Change from baseline in Number of participants with detected specific IgAs at different time points after vaccination
Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus
Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus
Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
Proportion of participants with any adverse events
AEs evaluation during the whole period of the study
Proportion of participants with severe adverse events
SAEs evaluation during the whole period of the study
Secondary Outcome Measures
Efficacy of symptomatic COVID-19 prevention
Efficacy of symptomatic COVID-19 prevention
Full Information
NCT ID
NCT05248373
First Posted
February 7, 2022
Last Updated
March 7, 2022
Sponsor
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
1. Study Identification
Unique Protocol Identification Number
NCT05248373
Brief Title
Safety, Tolerability and Immunogenicity of Gam-COVID-Vac Vaccine in a Nasal Spray
Acronym
SPRAY
Official Title
A Randomized Double-blind Placebo-controlled Multi-center Clinical Trial in Parallel Assignment of Safety, Tolerability and Immunogenicity of a Vaccine "Gam-COVID-Vac, a Combined Vector Vaccine for the Prevention of Coronavirus Infection Caused by the SARS-CoV-2 Virus" in a Nasal Spray Dosage Form With the Participation of Adult Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
March 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 8, 2022 (Anticipated)
Primary Completion Date
February 14, 2023 (Anticipated)
Study Completion Date
December 30, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
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, double-blind, placebo-controlled trial to evaluate safety and immunogenicity of intranasal "Gam-COVID-Vak" combined vector vaccine for the prevention of coronavirus infection caused by the SARS-CoV-2 virus.
The duration of participation in the study for one subject will be 180±14 days after the first dose of vaccine, during which each subject will undergo a screening visit (within a week) and face-to-face visits according to the study plan. Intranasal vaccine administration will be done at day 1 vaccination visits and day 21±2 days on an outpatient basis.
During the follow-up visits key vital signs will be assessed, and will collect data on changes in the state and well-being subjects from a previous visit. Subject data will be collected using electronic forms of individual registration cards, as well as with using questionnaires (diaries) filled by the subjects of the study.
Immunogenicity will be assessed on day 1, 10, 28, 42 and 90 days. Humoral and cellular immune response will be evaluated.
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
Keywords
vaccine, Sputnik, adenoviral vector vaccine, intranasal vaccine
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
400 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
rAd26 single administration
Arm Type
Experimental
Arm Title
rAd5 single administration
Arm Type
Experimental
Arm Title
prime-boost regimen with rAd26 followed rAd5 administration
Arm Type
Experimental
Arm Title
placebo
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
Gam-COVID-Vac
Intervention Description
two-component combined vector vaccine for the prevention of coronavirus infection caused by the SARS-CoV-2 virus
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
solution with same composition as for vaccine formulation except rAds
Primary Outcome Measure Information:
Title
Change from baseline in geometric mean titer of IgGs specific to S protein
Description
Change from baseline in Geometric mean titer of IgGs specific to S protein at different time points after vaccination
Time Frame
0, 10, 28, 42, 90 day
Title
Change from baseline in number of participants with detected specific IgGs
Description
Change from baseline in Number of participants with detected specific IgGs at different time points after vaccination
Time Frame
0, 10, 28, 42, 90 day
Title
Change from baseline in Number of participants with detected specific IgAs
Description
Change from baseline in Number of participants with detected specific IgAs at different time points after vaccination
Time Frame
0, 10, 28, 42 day
Title
Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus
Description
Change from baseline in Geometric mean titer of neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
Time Frame
0, 28, 42, 90 day
Title
Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus
Description
Change from baseline in Number of participants with detected neutralizing antibodies to SARS-Cov-2 virus at different time points after vaccination
Time Frame
0, 28, 42, 90 day
Title
Proportion of participants with any adverse events
Description
AEs evaluation during the whole period of the study
Time Frame
1-180 days
Title
Proportion of participants with severe adverse events
Description
SAEs evaluation during the whole period of the study
Time Frame
1-180 days
Secondary Outcome Measure Information:
Title
Efficacy of symptomatic COVID-19 prevention
Description
Efficacy of symptomatic COVID-19 prevention
Time Frame
28-180 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
The presence of a written informed consent of the subject to participate in the study;
Adult volunteers over 18;
Negative test result for HIV, hepatitis, syphilis;
Negative test result for COVID-2019, determined by PCR at the visit screening, and, if available, the result of the examination performed in medical organizations that are research centers 7 days before inclusion into research;
The result of the study for the presence of IgG antibodies to SARS CoV2 up to 10 VGR, which corresponds to value up to 100 BAU, regardless of the immune status before;
Absence of contact of the research subject with patients with COVID-2019 for at least 14 days before enrollment in the study (according to the study participant);
Consent to use effective methods of contraception during the entire period of participation in research;
Negative Urine Pregnancy Test at Screening Visit (for women of childbearing age);
Negative test for the presence of narcotic and psychostimulant drugs in the urine for screening visit;
Negative alcohol test at screening visit;
No history of severe post-vaccination reactions or post-vaccination complications after the use of immunobiological preparations;
Absence of acute infectious and/or respiratory diseases for at least within 14 days prior to enrollment in the study.
Exclusion Criteria:
Inability to give informed consent, inability to understand the essence of the study
Any vaccination/immunization carried out within 30 days prior to inclusion in study;
Steroid therapy (excluding hormonal contraceptives) and/or immunoglobulins or other blood products, not completed 30 days before inclusion in the study;
COVID-2019 disease or vaccination to prevent COVID-2019 in less than six months before inclusion in the study
Immunosuppressive drug therapy completed less than 3 months before inclusion in the study;
Postponed less than one year prior to enrollment in the study acute coronary syndrome or stroke;
Tuberculosis, chronic systemic infections;
Exacerbation of rhinitis
Burdened allergic history (presence in the anamnesis of information about anaphylactic shock, angioedema, polymorphic exudative eczema, serum sickness), hypersensitivity or allergic reactions to the introduction of immunobiological drugs, known allergic reactions to drug components, exacerbation allergic diseases on the day of inclusion in the study;
History of neoplasms (ICD codes C00-D09);
Donation of blood or plasma (in a volume of 450 ml or more) less than 2 months before inclusion in the study;
Splenectomy in history;
Neutropenia (decrease in the absolute number of neutrophils less than 1000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin less than 80 g/l), immunodeficiency in history within 6 months prior to enrollment in the study;
Subjects with active human immunodeficiency virus disease syphilis, hepatitis B and C;
Anorexia, protein deficiency of any origin;
History of alcoholism and drug addiction;
Participation of the subject in any other interventional clinical trial during this study;
Any other condition of the research subject that, in the opinion of the research physician, may prevent completion of the study in accordance with the protocol;
Staff of research centers and other staff directly involved in conducting the study (principal investigator and members of the research team) and members of their families.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nadezhda L Lubenec
Phone
8 (499) 193-30-01
Email
info@gamaleya.org
12. IPD Sharing Statement
Plan to Share IPD
No
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Safety, Tolerability and Immunogenicity of Gam-COVID-Vac Vaccine in a Nasal Spray
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