search
Back to results

SARS-COV-2-Spike-Ferritin-Nanoparticle (SpFN) Vaccine With ALFQ Adjuvant for Prevention of COVID-19 in Healthy Adults

Primary Purpose

SARS-CoV-2 Infection

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
25 µg SpFN_1B-06-PL + ALFQ (QS21 Adjuvant)
Sodium chloride, USP, for injection (0.9% NaCl)
50 µg SpFN_1B-06-PL + ALFQ (QS21 Adjuvant)
Sponsored by
U.S. Army Medical Research and Development Command
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Must be a male or non-pregnant, non-breastfeeding female between the ages of 18 and 55 years, inclusive, at the time of enrollment.
  • Must be willing and able to read, sign, and date the informed consent document.
  • Must demonstrate an understanding of the study with a passing score (90% or greater) on the Test of Understanding (TOU) by the third attempt, before study-related procedures are performed.
  • Must be willing and able to comply with study requirements and be available for follow-up visits for the entire study.
  • Must have the means to be contacted by telephone and/or video for remote follow-up visits as needed.
  • Must have a body mass index (BMI) ≥18.1 kg/m2 and <35.0 kg/m2.
  • Have no previously documented COVID-19/SARS-CoV-2 infection
  • Must agree to refrain from donating blood or plasma outside of this study for the duration of participation in this study.
  • Must have acceptable screening laboratory findings: white blood cell (WBC), hemoglobin, platelet count, prothrombin (PT), prothrombin time (PTT), aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), creatinine, and total bilirubin) within 14 days before Study Day 1.
  • Must be healthy based on the physician investigator's clinical judgment after review of past medical history, medication use, vital signs, and an abbreviated physical examination.
  • Biological females must have a negative urine pregnancy test at screening and a negative urine pregnancy test immediately before each study injection.
  • Biological females of reproductive capacity must use an acceptable method of contraception, beginning 30 days before enrollment, and until at least 60 days after the last study injection.

Exclusion Criteria:

  • Has plans to become pregnant or is currently pregnant or breastfeeding.
  • Seropositive to COVID-19 by binding antibody titer assay.
  • Confirmed positive for active infection of human immunodeficiency virus (HIV), hepatitis C virus (HCV), or presence of Hepatitis B surface antigen (HbsAg).
  • Has known or suspected congenital or acquired immunodeficiency, or recent history or current use of immunosuppressive therapy.
  • History of organ and or stem cell transplantation.
  • Has a history of malignancy other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved a cure.
  • Has diabetes mellitus type 1 or type 2 (including cases controlled with diet alone) and/or thyroid disease.
  • Has major psychiatric illness during the last 12 months that, in the physician investigator's opinion, would preclude participation.
  • Has a history of other chronic diseases or conditions
  • Has a current or history of substance abuse that, in the physician investigator's opinion, would preclude participation.
  • Has tattoos, scars, or other marks that would, in the opinion of the physician investigator, interfere with the assessment of the injection site.
  • Has a known allergy or history of anaphylaxis or other serious reaction to a vaccine, vaccine component, or latex.
  • Had major surgery (per the physician investigator's judgment) in the month before screening or has plans to have major surgery during the study.
  • Received blood products or immunoglobulin in the three months before screening or has plans to use during the study.
  • Donated a unit of blood within eight weeks before Study Day 1 or has plans to donate blood during the study.
  • Received an experimental COVID-19 vaccine outside of this study or a COVID-19 vaccine that has been given Emergency Use Authorization from the FDA
  • Received live attenuated vaccine from 30 days before Study Day 1 until 30 days after the last study injection.
  • Received killed or inactivated vaccine from 14 days before Study Day 1 and until 30 days after the last study injection.
  • Received experimental therapeutic agents within three months before the first study injection or has plans to receive any experimental therapeutic agents during the entire course of the study.
  • Concurrent participation in another study requiring blood draws or exposure to investigational or non-investigational vaccine/product (pharmaceutical or device) throughout the study period.
  • Has an acute illness or temperature ≥38.0 degrees Celsius (C)/100.4 degrees Fahrenheit (F) on any study injection day or within 48 hours of planned study injection.
  • In the physician investigator's opinion, is unable to communicate reliably, is unlikely to adhere to study requirements, or has a condition that would limit completion of the study.
  • Is unwilling to have their samples collected and stored for future research.
  • Emergency medical services personnel and healthcare provider with patient contact in potentially high risk/high exposure settings as per screening physician's assessment.
  • Current smoker or inhales vaporized nicotine "Vaping" daily. Current smoker is defined as an adult who has smoked 100 cigarettes in his or her lifetime and who currently smokes cigarettes.

Sites / Locations

  • WRAIR Clinical Trials Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

1A: 25 µg of SpFN + ALFQ on Days 1, 29 and 181.

1B: Placebo (Sodium chloride, USP, for injection (0.9% NaCl) on Days 1, 29 and 181.

2A: 50 µg of SpFN + ALFQ on Days 1, 29, and 181.

2B: Placebo (Sodium chloride, USP, for injection (0.9% NaCl) on Days 1, 29, and 181.

3A: 50 µg of SpFN + ALFQ on Days 1 and 181.

3B: Placebo (Sodium chloride, USP, for injection (0.9% NaCl) on Days 1 and 181.

Arm Description

Up to 20 participants will receive 25 µg of SpFN_1B-06-PL vaccine with 0.5 mL ALFQ adjuvant in a total 1.0 mL injection volume.

4 participants will receive 1.0mL of normal saline as Placebo on Study Days 1, 29, and 181.

Up to 20 participants will receive 3 intramuscular injections of: 50 ug of SpFN_1B-06-PL with 0.5 mL ALFQ adjuvant.

4 participants will receive 1.0mL of normal saline as Placebo on Study Days 1, 29, and 181.

Up to 20 participants will receive 2 intramuscular injections of: 50 ug of SpFN_1B-06-PL with 0.5 mL ALFQ adjuvant.

4 participants will receive 1.0mL of normal saline as Placebo on Study Days 1 and 181.

Outcomes

Primary Outcome Measures

Number of participants with local and systemic reactions
Post-vaccination reactions including erythema, induration, pain/tenderness, swelling, limitation of arm movement, fever, tiredness, chills, rash, myalgia, arthralgia, nausea, and headache.
Incidents of treatment-adverse events as assessed by FDA Toxicity grading scale.
Number of participants with treatment related adverse events on Day 0 through day 546.
Number of participants with humoral immune response at Study Day 43 (+/- 2).
Number of participants with quantitative humoral immune response at Day 43, two weeks after the second SpFN_1B-06-PL + 0.5 mL ALFQ vaccine administration in Arms 1 & 2 and six weeks after the first administration in Arm 3.

Secondary Outcome Measures

Number of participants with binding antibody response rate
The proportion of participants with detectable binding antibody responses, at baseline and at Study Days 8, 15, 29, 43, and 57.
Number of participants with neutralizing antibody response rate
The proportion of participants with neutralizing antibody titers (NAb) titers at ≥50% neutralization cutoff at the lowest level of dilution that optimizes interpretation at baseline and at Study Days 8, 15, 29, 43, and 57.
Number of participants with ACE-2 binding inhibition
The proportion of participants with ACE-2 binding inhibition following SpFN_1B-06-PL + ALFQ vaccination.

Full Information

First Posted
March 3, 2021
Last Updated
September 13, 2021
Sponsor
U.S. Army Medical Research and Development Command
Collaborators
Walter Reed Army Institute of Research (WRAIR), Henry M. Jackson Foundation for the Advancement of Military Medicine
search

1. Study Identification

Unique Protocol Identification Number
NCT04784767
Brief Title
SARS-COV-2-Spike-Ferritin-Nanoparticle (SpFN) Vaccine With ALFQ Adjuvant for Prevention of COVID-19 in Healthy Adults
Official Title
A PHASE 1, Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of Ranging Doses of SARS-COV-2-Spike-Ferritin-Nanoparticle (SPFN_1B-06-PL) Vaccine With Army Liposomal Formulation QS21 (ALFQ) for Prevention of COVID-19 in Healthy Adults.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 5, 2021 (Actual)
Primary Completion Date
October 30, 2022 (Anticipated)
Study Completion Date
October 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
U.S. Army Medical Research and Development Command
Collaborators
Walter Reed Army Institute of Research (WRAIR), Henry M. Jackson Foundation for the Advancement of Military Medicine

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, reactogenicity, and immune response of the SpFN COVID-19 vaccine with Army Liposomal Formulation QS21 (ALFQ) adjuvant in healthy adults ages 18-55.
Detailed Description
This clinical protocol outlines a first-in-human study of the safety, tolerability, and immunogenicity of different doses of SpFN_1B-06-PL + ALFQ prophylactic vaccine against COVID-19 in healthy adults. The experimental vaccine in this study contains 2 parts: the vaccine (called SpFN_1B-06-PL) and an experimental adjuvant called ALFQ. An adjuvant is a substance added to vaccines that can help to make the vaccine more effective by improving the immune response or causing the immune response to last longer. The experimental vaccine in this study does not contain the virus and cannot cause you to become infected with the COVID-19 disease. A total of 72 healthy adult participants (age range 18-55) will be enrolled in this study. Participants will be enrolled into one of three study arms: Arm 1: 25 µg of SpFN_1B-06-PL vaccine with 0.5 mL ALFQ adjuvant in a total 1.0 mL injection volume (20 participants) or Placebo (4 participants) on Study Days 1, 29, and 181. Arm 2: 50 µg of SpFN_1B-06-PL vaccine with 0.5 mL ALFQ adjuvant in a total 1.0 mL injection volume (20 participants) or Placebo (4 participants) on Study Days 1, 29, and 181. Arm 3: 50 µg of SpFN_1B-06-PL vaccine with 0.5 mL ALFQ adjuvant in a total 1.0 mL injection volume (20 participants) or Placebo (4 participants) on Study Days 1 and 181. Participants will: Be randomly assigned to get either the experimental COVID-19 vaccine or a placebo Receive 2 or 3 vaccine or placebo injections in the same arm muscle Record any side effects that they may experience for 7 days after receiving the injections. Have blood, nose swabs, and saliva samples collected at each visit. Have urine samples collected for pregnancy testing (females only). Undergo medical and physical examinations. Answer questions about potential exposures to COVID-19 in their daily life. The duration of this study will be for about 18 months.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1A: 25 µg of SpFN + ALFQ on Days 1, 29 and 181.
Arm Type
Experimental
Arm Description
Up to 20 participants will receive 25 µg of SpFN_1B-06-PL vaccine with 0.5 mL ALFQ adjuvant in a total 1.0 mL injection volume.
Arm Title
1B: Placebo (Sodium chloride, USP, for injection (0.9% NaCl) on Days 1, 29 and 181.
Arm Type
Placebo Comparator
Arm Description
4 participants will receive 1.0mL of normal saline as Placebo on Study Days 1, 29, and 181.
Arm Title
2A: 50 µg of SpFN + ALFQ on Days 1, 29, and 181.
Arm Type
Experimental
Arm Description
Up to 20 participants will receive 3 intramuscular injections of: 50 ug of SpFN_1B-06-PL with 0.5 mL ALFQ adjuvant.
Arm Title
2B: Placebo (Sodium chloride, USP, for injection (0.9% NaCl) on Days 1, 29, and 181.
Arm Type
Placebo Comparator
Arm Description
4 participants will receive 1.0mL of normal saline as Placebo on Study Days 1, 29, and 181.
Arm Title
3A: 50 µg of SpFN + ALFQ on Days 1 and 181.
Arm Type
Experimental
Arm Description
Up to 20 participants will receive 2 intramuscular injections of: 50 ug of SpFN_1B-06-PL with 0.5 mL ALFQ adjuvant.
Arm Title
3B: Placebo (Sodium chloride, USP, for injection (0.9% NaCl) on Days 1 and 181.
Arm Type
Placebo Comparator
Arm Description
4 participants will receive 1.0mL of normal saline as Placebo on Study Days 1 and 181.
Intervention Type
Biological
Intervention Name(s)
25 µg SpFN_1B-06-PL + ALFQ (QS21 Adjuvant)
Other Intervention Name(s)
25 µg SpFN + ALFQ
Intervention Description
SpFN_1B-06-PL will be provided in a sterile, 2 mL single-use vial at 0.7 mL/vial, 90-110 ug/mL; ALFQ will be provided in a sterile 3 mL vial at 0.6 mL/vial
Intervention Type
Drug
Intervention Name(s)
Sodium chloride, USP, for injection (0.9% NaCl)
Other Intervention Name(s)
Placebo
Intervention Description
Normal saline will be provided in a sterile, single-use 10 mL vial
Intervention Type
Biological
Intervention Name(s)
50 µg SpFN_1B-06-PL + ALFQ (QS21 Adjuvant)
Other Intervention Name(s)
50 µg SpFN + ALFQ
Intervention Description
SpFN_1B-06-PL will be provided in a sterile, 2 mL single-use vial at 0.7 mL/vial, 90-110 ug/mL; ALFQ will be provided in a sterile 3 mL vial at 0.6 mL/vial
Primary Outcome Measure Information:
Title
Number of participants with local and systemic reactions
Description
Post-vaccination reactions including erythema, induration, pain/tenderness, swelling, limitation of arm movement, fever, tiredness, chills, rash, myalgia, arthralgia, nausea, and headache.
Time Frame
Day 0 to 7 post vaccination
Title
Incidents of treatment-adverse events as assessed by FDA Toxicity grading scale.
Description
Number of participants with treatment related adverse events on Day 0 through day 546.
Time Frame
Day 0 to 546 post vaccination
Title
Number of participants with humoral immune response at Study Day 43 (+/- 2).
Description
Number of participants with quantitative humoral immune response at Day 43, two weeks after the second SpFN_1B-06-PL + 0.5 mL ALFQ vaccine administration in Arms 1 & 2 and six weeks after the first administration in Arm 3.
Time Frame
Day 43 (+/- 2 days)
Secondary Outcome Measure Information:
Title
Number of participants with binding antibody response rate
Description
The proportion of participants with detectable binding antibody responses, at baseline and at Study Days 8, 15, 29, 43, and 57.
Time Frame
Days 8, 15, 29, 43, and 57.
Title
Number of participants with neutralizing antibody response rate
Description
The proportion of participants with neutralizing antibody titers (NAb) titers at ≥50% neutralization cutoff at the lowest level of dilution that optimizes interpretation at baseline and at Study Days 8, 15, 29, 43, and 57.
Time Frame
Days 8, 15, 29, 43, and 57.
Title
Number of participants with ACE-2 binding inhibition
Description
The proportion of participants with ACE-2 binding inhibition following SpFN_1B-06-PL + ALFQ vaccination.
Time Frame
Day 0 to 57 post vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Must be a male or non-pregnant, non-breastfeeding female between the ages of 18 and 55 years, inclusive, at the time of enrollment. Must be willing and able to read, sign, and date the informed consent document. Must demonstrate an understanding of the study with a passing score (90% or greater) on the Test of Understanding (TOU) by the third attempt, before study-related procedures are performed. Must be willing and able to comply with study requirements and be available for follow-up visits for the entire study. Must have the means to be contacted by telephone and/or video for remote follow-up visits as needed. Must have a body mass index (BMI) ≥18.1 kg/m2 and <35.0 kg/m2. Have no previously documented COVID-19/SARS-CoV-2 infection Must agree to refrain from donating blood or plasma outside of this study for the duration of participation in this study. Must have acceptable screening laboratory findings: white blood cell (WBC), hemoglobin, platelet count, prothrombin (PT), prothrombin time (PTT), aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), creatinine, and total bilirubin) within 14 days before Study Day 1. Must be healthy based on the physician investigator's clinical judgment after review of past medical history, medication use, vital signs, and an abbreviated physical examination. Biological females must have a negative urine pregnancy test at screening and a negative urine pregnancy test immediately before each study injection. Biological females of reproductive capacity must use an acceptable method of contraception, beginning 30 days before enrollment, and until at least 60 days after the last study injection. Exclusion Criteria: Has plans to become pregnant or is currently pregnant or breastfeeding. Seropositive to COVID-19 by binding antibody titer assay. Confirmed positive for active infection of human immunodeficiency virus (HIV), hepatitis C virus (HCV), or presence of Hepatitis B surface antigen (HbsAg). Has known or suspected congenital or acquired immunodeficiency, or recent history or current use of immunosuppressive therapy. History of organ and or stem cell transplantation. Has a history of malignancy other than squamous cell or basal cell skin cancer, unless there has been surgical excision that is considered to have achieved a cure. Has diabetes mellitus type 1 or type 2 (including cases controlled with diet alone) and/or thyroid disease. Has major psychiatric illness during the last 12 months that, in the physician investigator's opinion, would preclude participation. Has a history of other chronic diseases or conditions Has a current or history of substance abuse that, in the physician investigator's opinion, would preclude participation. Has tattoos, scars, or other marks that would, in the opinion of the physician investigator, interfere with the assessment of the injection site. Has a known allergy or history of anaphylaxis or other serious reaction to a vaccine, vaccine component, or latex. Had major surgery (per the physician investigator's judgment) in the month before screening or has plans to have major surgery during the study. Received blood products or immunoglobulin in the three months before screening or has plans to use during the study. Donated a unit of blood within eight weeks before Study Day 1 or has plans to donate blood during the study. Received an experimental COVID-19 vaccine outside of this study or a COVID-19 vaccine that has been given Emergency Use Authorization from the FDA Received live attenuated vaccine from 30 days before Study Day 1 until 30 days after the last study injection. Received killed or inactivated vaccine from 14 days before Study Day 1 and until 30 days after the last study injection. Received experimental therapeutic agents within three months before the first study injection or has plans to receive any experimental therapeutic agents during the entire course of the study. Concurrent participation in another study requiring blood draws or exposure to investigational or non-investigational vaccine/product (pharmaceutical or device) throughout the study period. Has an acute illness or temperature ≥38.0 degrees Celsius (C)/100.4 degrees Fahrenheit (F) on any study injection day or within 48 hours of planned study injection. In the physician investigator's opinion, is unable to communicate reliably, is unlikely to adhere to study requirements, or has a condition that would limit completion of the study. Is unwilling to have their samples collected and stored for future research. Emergency medical services personnel and healthcare provider with patient contact in potentially high risk/high exposure settings as per screening physician's assessment. Current smoker or inhales vaporized nicotine "Vaping" daily. Current smoker is defined as an adult who has smoked 100 cigarettes in his or her lifetime and who currently smokes cigarettes.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Scott, M.D., MPH
Organizational Affiliation
Walter Reed Army Institute of Research (WRAIR)
Official's Role
Principal Investigator
Facility Information:
Facility Name
WRAIR Clinical Trials Center
City
Silver Spring
State/Province
Maryland
ZIP/Postal Code
20910
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

SARS-COV-2-Spike-Ferritin-Nanoparticle (SpFN) Vaccine With ALFQ Adjuvant for Prevention of COVID-19 in Healthy Adults

We'll reach out to this number within 24 hrs