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Study of GRT-R910 COVID-19 Boost Vaccine in Healthy Volunteers

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
GRT-R910 10 mcg Dose (after AZ)
GRT-R910 30 mcg Dose (after AZ)
GRT-R910 10 mcg Dose (After Adenovirus based vaccine)
GRT-R910 10 mcg Dose (after mRNA based vaccine)
Sponsored by
Gritstone bio, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring SARS-CoV-2 vaccine, Coronavirus Disease (COVID-19)

Eligibility Criteria

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

Inclusion Criteria:

  • For Cohorts 1 and 2, have received AstraZeneca's COVID-19 prime and boost vaccine at least 2 months prior to study participation.
  • For Cohorts 3 and 5, have previously received Janssen/Johnson and Johnson or AstraZeneca vaccine with or without booster dose(s) of an authorized vaccine at least 2 months prior to Day 1.
  • For Cohorts 4 and 6, have previously received an mRNA COVID-19 vaccine with or without booster dose(s) of an authorized vaccine with the last dose received at least 2 months prior to Day 1.
  • Agree to refrain from blood donation during the course of the study.
  • Women of childbearing potential (WOCBP)* must agree to avoid pregnancy and be willing to use a highly effective method of contraception** consistently for 30 days prior to the first study vaccine and for at least 60 days after the last study vaccine
  • Male participants of childbearing potential must agree to the use of condoms to ensure effective contraception with a female partner from the time of study vaccination until 3 months after vaccination.
  • Plan to remain living in the area for the duration of the study.

Exclusion Criteria:

  • History of prior confirmed COVID-19 (cohorts 1 and 2).
  • Positive for SARS-CoV-2 by lateral flow test (rapid diagnostic test), enzyme-linked immunosorbent assay (ELISA) or by nasal swab polymerase chain reaction (PCR) at screening (Cohorts 3-6).
  • Prior receipt of a SARS-CoV-2 vaccine other than AstraZeneca's AZD1222 (Covishield®, Vaxzevria®), JNJ-78436735, Pfizer/BioNTech (Comirnaty®), Moderna (Spikevax®), other approved or investigational adenovirus vectored vaccines, approved or investigational vaccines with a lipid nanoparticle (LNP) component, or any other approved or investigational vaccine likely to impact the interpretation of the trial data.
  • On current treatment or prevention agents with activity against SARS-CoV-2.
  • Participation in another research study involving receipt of an investigational product in the 60 days preceding enrollment or planned use during the study period.
  • Receipt or planned receipt of any live, attenuated vaccine within 28 days before or after study vaccination.
  • Receipt or planned receipt of any subunit or killed vaccine within 14 days before or after vaccination.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the planned administration of first study vaccination or at any time during the study.
  • Any confirmed or suspected immunosuppressive or immunodeficient state.
  • History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, including urticaria, respiratory difficulty or abdominal pain.
  • Any history of hereditary angioedema, acquired angioedema, or idiopathic angioedema.
  • Any history of anaphylaxis, including but not limited to reaction to vaccination.
  • History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  • History of serious ongoing, unstable psychiatric condition that in the opinion of the investigator would interfere with study participation.
  • Bleeding disorder or prior history of significant bleeding or bruising following IM injections or venipuncture.
  • Suspected or known current alcohol abuse that in the opinion of the investigator would impede compliance with the protocol and schedules of assessments.
  • Suspected or known drug abuse in the 5 years preceding enrollment.
  • Any other condition that in the opinion of the investigator would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results.

Sites / Locations

  • University Hospitals Birmingham NHS
  • University Hospital of Leicester NHS Trust
  • Manchester University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1: 1 or 2 Doses of 10 mcg GRT-R910 after AstraZeneca Standard of Care

Cohort 2: 1 or 2 Doses of 30 mcg GRT-R910 after AstraZeneca Standard of Care

Cohort 3: 2 Doses 10 mcg GRT-R910 after Adenovirus-Based Vector Vaccine Standard of Care

Cohort 4: 2 Doses 10 mcg GRT-R910 after mRNA Vaccine Standard of Care

Cohort 6: 2 Doses 10 mcg GRT-R910 after mRNA Vaccine Standard of Care

Arm Description

Healthy adults ≥60 years of age receive up to 2 doses of 10 mcg GRT-R910 homologous prime-boost

Healthy adults ≥60 years of age receive up to 2 doses of 30 mcg GRT-R910 homologous prime-boost

Healthy adults ≥60 years of age receive 2 doses of 10 mcg GRT-R910 homologous prime-boost

Healthy adults ≥60 years of age receive 2 doses of 10 mcg GRT-R910 homologous prime-boost

Healthy adults ≥18 to ≤59 years of age receive 2 doses of 10 mcg GRT-R910 homologous prime-boost

Outcomes

Primary Outcome Measures

Number of Participants with One or More Solicited Local Reactogenicity Signs and Symptoms
Number of Participants with One or More Solicited Systemic Reactogenicity Signs and Symptoms
Number of Participants with One or More Unsolicited Adverse Events (AEs)
Change from Baseline for Clinical Safety Laboratory Parameters
Number of Participants with One or More Serious Adverse Events
Number of Participants with One or More Adverse Events of Special Interest (AESIs) Including Potentially Immune-Mediated Medical Condition (PIMMCs), Medically Attended Adverse Events (MAAEs) and New Onset Chronic Medical Condition (NOCMCs)

Secondary Outcome Measures

Response Rate and magnitude of SARS-CoV-2 Specific Antibody Binding and Neutralization Titers in Serum Samples [Time Frame: Up to ~16 months after the prime vaccinationSerum Samples
Response Rate, magnitude, and breath of SARS-CoV-2 Specific T-Cells by Interferon-gamma (IFN-γ) Enzyme-Linked Immunospot (IFN-γ ELISpot) Assay

Full Information

First Posted
December 3, 2021
Last Updated
July 19, 2023
Sponsor
Gritstone bio, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05148962
Brief Title
Study of GRT-R910 COVID-19 Boost Vaccine in Healthy Volunteers
Official Title
A Phase 1 Trial to Evaluate the Safety, Immunogenicity, and Reactogenicity of a Self-Amplifying mRNA Prophylactic Vaccine Boost Against SARS-CoV-2 in Previously Vaccinated Healthy Adults 18 Years and Older
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
September 16, 2021 (Actual)
Primary Completion Date
May 26, 2023 (Actual)
Study Completion Date
May 26, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gritstone bio, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective is to assess the safety and tolerability of 2 different doses (10 or 30 mcg) of GRT-R910 when administered as a boost in healthy adults previously vaccinated with the AstraZeneca, Janssen/Johnson and Johnson, Moderna, or Pfizer/BioNTech COVID-19 vaccines.
Detailed Description
This trial will study a self-amplifying mRNA (samRNA) based vaccine (GRT-R910) in previously vaccinated adults (≥18 years). GRT-R910 uses a codon optimized, prefusion stabilized Spike (S) cassette with additional T cell epitopes (TCEs) covering multiple epitopes from non-spike proteins to safely drive strong, broad, and durable B and T cell immune responses to SARS-CoV-2.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: 1 or 2 Doses of 10 mcg GRT-R910 after AstraZeneca Standard of Care
Arm Type
Experimental
Arm Description
Healthy adults ≥60 years of age receive up to 2 doses of 10 mcg GRT-R910 homologous prime-boost
Arm Title
Cohort 2: 1 or 2 Doses of 30 mcg GRT-R910 after AstraZeneca Standard of Care
Arm Type
Experimental
Arm Description
Healthy adults ≥60 years of age receive up to 2 doses of 30 mcg GRT-R910 homologous prime-boost
Arm Title
Cohort 3: 2 Doses 10 mcg GRT-R910 after Adenovirus-Based Vector Vaccine Standard of Care
Arm Type
Experimental
Arm Description
Healthy adults ≥60 years of age receive 2 doses of 10 mcg GRT-R910 homologous prime-boost
Arm Title
Cohort 4: 2 Doses 10 mcg GRT-R910 after mRNA Vaccine Standard of Care
Arm Type
Experimental
Arm Description
Healthy adults ≥60 years of age receive 2 doses of 10 mcg GRT-R910 homologous prime-boost
Arm Title
Cohort 6: 2 Doses 10 mcg GRT-R910 after mRNA Vaccine Standard of Care
Arm Type
Experimental
Arm Description
Healthy adults ≥18 to ≤59 years of age receive 2 doses of 10 mcg GRT-R910 homologous prime-boost
Intervention Type
Biological
Intervention Name(s)
GRT-R910 10 mcg Dose (after AZ)
Intervention Description
10 mcg vaccine by intramuscular (IM) injection on Day 1 (required) and on Day 113 (optional)
Intervention Type
Biological
Intervention Name(s)
GRT-R910 30 mcg Dose (after AZ)
Intervention Description
30 mcg vaccine by intramuscular (IM) injection on Day 1 (required) and on Day 113 (optional)
Intervention Type
Biological
Intervention Name(s)
GRT-R910 10 mcg Dose (After Adenovirus based vaccine)
Intervention Description
GRT-R910 10 mcg vaccine by intramuscular (IM) injection on Day 1 and on Day 29
Intervention Type
Biological
Intervention Name(s)
GRT-R910 10 mcg Dose (after mRNA based vaccine)
Intervention Description
GRT-R910 10 mcg vaccine by intramuscular (IM) injection on Day 1 and on Day 29
Primary Outcome Measure Information:
Title
Number of Participants with One or More Solicited Local Reactogenicity Signs and Symptoms
Time Frame
Up to 7 days after each vaccination
Title
Number of Participants with One or More Solicited Systemic Reactogenicity Signs and Symptoms
Time Frame
Up to 7 days after each vaccination
Title
Number of Participants with One or More Unsolicited Adverse Events (AEs)
Time Frame
Up to 28 days after each vaccination
Title
Change from Baseline for Clinical Safety Laboratory Parameters
Time Frame
Up to 7 days after each vaccination
Title
Number of Participants with One or More Serious Adverse Events
Time Frame
Up to ~16 months after each vaccination
Title
Number of Participants with One or More Adverse Events of Special Interest (AESIs) Including Potentially Immune-Mediated Medical Condition (PIMMCs), Medically Attended Adverse Events (MAAEs) and New Onset Chronic Medical Condition (NOCMCs)
Time Frame
Up to ~16 months after each vaccination
Secondary Outcome Measure Information:
Title
Response Rate and magnitude of SARS-CoV-2 Specific Antibody Binding and Neutralization Titers in Serum Samples [Time Frame: Up to ~16 months after the prime vaccinationSerum Samples
Time Frame
Up to ~16 months after prime vaccination
Title
Response Rate, magnitude, and breath of SARS-CoV-2 Specific T-Cells by Interferon-gamma (IFN-γ) Enzyme-Linked Immunospot (IFN-γ ELISpot) Assay
Time Frame
Up to ~16 months after prime vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For Cohorts 1 and 2, have received AstraZeneca's COVID-19 prime and boost vaccine at least 2 months prior to study participation. For Cohort 3, have previously received Janssen/Johnson and Johnson or AstraZeneca vaccine with or without booster dose(s) of an authorized vaccine at least 2 months prior to Day 1. For Cohorts 4 and 6, have previously received an mRNA COVID-19 vaccine with or without booster dose(s) of an authorized vaccine with the last dose received at least 2 months prior to Day 1. Agree to refrain from blood donation during the course of the study. Women of childbearing potential (WOCBP)* must agree to avoid pregnancy and be willing to use a highly effective method of contraception** consistently for 30 days prior to the first study vaccine and for at least 60 days after the last study vaccine Male participants of childbearing potential must agree to the use of condoms to ensure effective contraception with a female partner from the time of study vaccination until 3 months after vaccination. Plan to remain living in the area for the duration of the study. Exclusion Criteria: History of prior confirmed COVID-19 (cohorts 1 and 2). Positive for SARS-CoV-2 by lateral flow test (rapid diagnostic test), enzyme-linked immunosorbent assay (ELISA) or by nasal swab polymerase chain reaction (PCR) at screening (Cohorts 3-6). Prior receipt of a SARS-CoV-2 vaccine other than AstraZeneca's AZD1222 (Covishield®, Vaxzevria®), JNJ-78436735, Pfizer/BioNTech (Comirnaty®), Moderna (Spikevax®), other approved or investigational adenovirus vectored vaccines, approved or investigational vaccines with a lipid nanoparticle (LNP) component, or any other approved or investigational vaccine likely to impact the interpretation of the trial data. On current treatment or prevention agents with activity against SARS-CoV-2. Participation in another research study involving receipt of an investigational product in the 60 days preceding enrollment or planned use during the study period. Receipt or planned receipt of any live, attenuated vaccine within 28 days before or after study vaccination. Receipt or planned receipt of any subunit or killed vaccine within 14 days before or after vaccination. Administration of immunoglobulins and/or any blood products within the 3 months preceding the planned administration of first study vaccination or at any time during the study. Any confirmed or suspected immunosuppressive or immunodeficient state. History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, including urticaria, respiratory difficulty or abdominal pain. Any history of hereditary angioedema, acquired angioedema, or idiopathic angioedema. Any history of anaphylaxis, including but not limited to reaction to vaccination. History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ). History of serious ongoing, unstable psychiatric condition that in the opinion of the investigator would interfere with study participation. Bleeding disorder or prior history of significant bleeding or bruising following IM injections or venipuncture. Suspected or known current alcohol abuse that in the opinion of the investigator would impede compliance with the protocol and schedules of assessments. Suspected or known drug abuse in the 5 years preceding enrollment. Any other condition that in the opinion of the investigator would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pedro Garbes, MD
Organizational Affiliation
Gritstone bio, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
University Hospitals Birmingham NHS
City
Birmingham
Country
United Kingdom
Facility Name
University Hospital of Leicester NHS Trust
City
Leicester
Country
United Kingdom
Facility Name
Manchester University
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Study of GRT-R910 COVID-19 Boost Vaccine in Healthy Volunteers

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