Study to Evaluate the inHaled Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) On the Protective-Efficacy in Adults (SeiHOPE)
Primary Purpose
COVID-19
Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Recombinant COVID-19 vaccine (adenovirus type 5 vector) for Inhalation (Ad5-nCoV-IH)
Placebo
Sponsored by

About this trial
This is an interventional prevention trial for COVID-19 focused on measuring COVID-19, Vaccine, Inhalation, Ad5, Efficacy, Safety, Immunogenicity
Eligibility Criteria
Inclusion Criteria:
- Adult volunteers aged 18 years and above who have received 1 dose of intramuscular Ad5-nCoV > 56 days at the enrollment.
- Volunteers who have provided informed consent and signed the informed consent form.
- Volunteers who are able and willing to comply with the requirements of the clinical study protocol, and can complete the entire follow-up period of this study.
Exclusion Criteria:
- Allergic to the active ingredient, any non-active ingredient, or substances used in the manufacturing process, or developed an allergy to similar vaccines in the past.
- History of severe anaphylactic reaction to vaccines (e.g., acute anaphylactic reactions, angioedema, dyspnea).
- History or family history of seizures, epilepsy, encephalopathy, or psychosis.
- Severe nasal or oral diseases, such as acute rhinitis (sinusitis), allergic rhinitis, oral ulcers, throat redness, and swelling.
- History of a definite diagnosis of COVID-19.
- Positive SARS-CoV-2 N antibody rapid screening kit (IgG and IgM) results.
- Received COVID-19 vaccine other than Ad5-nCoV.
- Axillary temperature > 37.0°C.
- Severe cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, or severe hypertension and cannot be controlled by drugs.
- Lung function abnormalities such as asthma, chronic obstructive pulmonary disease, and pulmonary fibrosis.
- Acute febrile illness, symptoms of upper respiratory tract infection, or infectious diseases.
- Severe chronic diseases, or diseases of the progressive stage that cannot be steadily controlled, such as diabetes or thyroid disorders.
- Asplenia or functional asplenia.
- Thrombocytopenia or other coagulation disorder.
- Received immunosuppressant or immunomodulatory therapy (continuous oral or intravenous infusion for more than 14 days), anti-allergic therapy, cytotoxic therapy within the past 6 months. Inhalational and local steroids are allowed.
- Received blood products within 4 months before receiving the investigational vaccine.
- Received other vaccines within the past 14 days or plan to receive other vaccines 14 days after scheduled immunization with the investigational vaccine.
- Volunteers under antituberculous treatment or with active tuberculosis.
- Received blood/plasma products or immunoglobulin 60 days before immunization with the investigational vaccine or planned to receive blood/plasma products or immunoglobulin during the entire study period.
- Females who are positive for the urine pregnancy test, pregnant, or breastfeeding, or females who plan to conceive within 3 months (urine pregnancy test will only be performed in female volunteers of childbearing age).
- Volunteers who are judged by the investigator with any contradiction to the study protocol or affected the signing of informed consent due to various medical, psychological,social, or other conditions.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Experimental group
Placebo group
Arm Description
6500 participants, Ad5-nCoV-IH, single dose, nebulized inhalation
6500 participants, placebo, single dose, nebulized inhalation
Outcomes
Primary Outcome Measures
Incidence of COVID-19 cases.
The efficacy of Ad5-nCoV-IH in preventing virologically confirmed (PCR positive) COVID-19 disease.
Incidence of SAE
Evaluate the incidence of severe adverse events (SAE)
Secondary Outcome Measures
Incidence of COVID-19 cases
The efficacy of Ad5-nCoV-IH in preventing virologically confirmed (PCR positive) COVID-19 disease.
Incidence of severe COVID-19 cases
Evaluate the efficacy of Ad5-nCoV in preventing severe COVID-19 disease caused by SARS-CoV-2 infection.
Incidence of COVID-19 cases in different age groups
The efficacy of Ad5-nCoV-IH in preventing virologically confirmed (PCR positive) COVID-19 disease in participants between 18-59 years, and participants aged 60 years and above.
Incidence of Adverse Reactions (ARs)
Incidence of ARs within 30 minutes post vaccination in the safety cohort.
Incidence of Adverse Reactions (ARs)
Incidence of ARs within 14 days post vaccination in the safety cohort.
Incidence of Adverse Events (AEs)
Incidence of AEs within 28 days post vaccination in the safety cohort.
Immunogenicity of S-RBD IgG antibody (ELISA method)
Seroconversion rate of S-RBD IgG antibody post vaccination.
Immunogenicity of S-RBD IgG antibody (ELISA method)
GMT of S-RBD IgG antibody post vaccination.
Immunogenicity of S-RBD IgG antibody (ELISA method)
GMI of S-RBD IgG antibody post vaccination.
Immunogenicity of neutralizing antibodies
Seroconversion rate of neutralizing antibodies post vaccination.
Immunogenicity of neutralizing antibodies
GMT of neutralizing antibodies post vaccination.
Immunogenicity of neutralizing antibodies
GMI of neutralizing antibodies post vaccination.
Full Information
NCT ID
NCT05124561
First Posted
November 17, 2021
Last Updated
June 14, 2023
Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology
1. Study Identification
Unique Protocol Identification Number
NCT05124561
Brief Title
Study to Evaluate the inHaled Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) On the Protective-Efficacy in Adults (SeiHOPE)
Official Title
A Multicenter, Randomized, Double-blind, Parallel-controlled Phase III Clinical Trial on the Efficacy, Safety, and Immunogenicity of Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) for Inhalation (Ad5-nCoV-IH) in Adults Aged 18 Years and Above Who Have Received One Dose of Intramuscular Ad5-nCoV
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Withdrawn
Why Stopped
The trial protocol was not approved by the regulatory authorities.
Study Start Date
December 15, 2021 (Anticipated)
Primary Completion Date
April 15, 2022 (Anticipated)
Study Completion Date
August 20, 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CanSino Biologics Inc.
Collaborators
Beijing Institute of Biotechnology
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 phase III clinical trial is an endpoint-driven randomized, double-blind, parallel-controlled, multicenter clinical trial, and around 13,000 subjects aged 18 years and above who have previously received 1 dose of intramuscular Ad5-nCoV will be recruited. Volunteers should have been vaccinated with intramuscular Ad5-nCoV > 56 days prior to enrollment. All subjects will receive 1 dose of investigational vaccine or placebo through nebulized inhalation. The ratio of subjects in the vaccine group and placebo group is 1:1 and the efficacy and safety of the investigational vaccine will be followed up for 52 weeks after vaccination.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19, Vaccine, Inhalation, Ad5, Efficacy, Safety, Immunogenicity
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Experimental group
Arm Type
Experimental
Arm Description
6500 participants, Ad5-nCoV-IH, single dose, nebulized inhalation
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
6500 participants, placebo, single dose, nebulized inhalation
Intervention Type
Biological
Intervention Name(s)
Recombinant COVID-19 vaccine (adenovirus type 5 vector) for Inhalation (Ad5-nCoV-IH)
Intervention Description
Nebulized inhalation through the mouth
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Nebulized inhalation through the mouth
Primary Outcome Measure Information:
Title
Incidence of COVID-19 cases.
Description
The efficacy of Ad5-nCoV-IH in preventing virologically confirmed (PCR positive) COVID-19 disease.
Time Frame
Day 14 to 12 months post vaccination
Title
Incidence of SAE
Description
Evaluate the incidence of severe adverse events (SAE)
Time Frame
Within 12 months post vaccination
Secondary Outcome Measure Information:
Title
Incidence of COVID-19 cases
Description
The efficacy of Ad5-nCoV-IH in preventing virologically confirmed (PCR positive) COVID-19 disease.
Time Frame
Day 28 to 12 months post vaccination
Title
Incidence of severe COVID-19 cases
Description
Evaluate the efficacy of Ad5-nCoV in preventing severe COVID-19 disease caused by SARS-CoV-2 infection.
Time Frame
Day 14 and Day 28 to 12 months post vaccination
Title
Incidence of COVID-19 cases in different age groups
Description
The efficacy of Ad5-nCoV-IH in preventing virologically confirmed (PCR positive) COVID-19 disease in participants between 18-59 years, and participants aged 60 years and above.
Time Frame
Day 14 and Day 28 to 12 months post vaccination
Title
Incidence of Adverse Reactions (ARs)
Description
Incidence of ARs within 30 minutes post vaccination in the safety cohort.
Time Frame
Within 30 minutes post vaccination
Title
Incidence of Adverse Reactions (ARs)
Description
Incidence of ARs within 14 days post vaccination in the safety cohort.
Time Frame
Within 14 days post vaccination
Title
Incidence of Adverse Events (AEs)
Description
Incidence of AEs within 28 days post vaccination in the safety cohort.
Time Frame
Within 28 days post vaccination
Title
Immunogenicity of S-RBD IgG antibody (ELISA method)
Description
Seroconversion rate of S-RBD IgG antibody post vaccination.
Time Frame
Day 14, Day 28, Week 24, and Week 52 post-vaccination
Title
Immunogenicity of S-RBD IgG antibody (ELISA method)
Description
GMT of S-RBD IgG antibody post vaccination.
Time Frame
Day 14, Day 28, Week 24, and Week 52 post-vaccination
Title
Immunogenicity of S-RBD IgG antibody (ELISA method)
Description
GMI of S-RBD IgG antibody post vaccination.
Time Frame
Day 14, Day 28, Week 24, and Week 52 post-vaccination
Title
Immunogenicity of neutralizing antibodies
Description
Seroconversion rate of neutralizing antibodies post vaccination.
Time Frame
Day 14, Day 28, Week 24, and Week 52 post-vaccination
Title
Immunogenicity of neutralizing antibodies
Description
GMT of neutralizing antibodies post vaccination.
Time Frame
Day 14, Day 28, Week 24, and Week 52 post-vaccination
Title
Immunogenicity of neutralizing antibodies
Description
GMI of neutralizing antibodies post vaccination.
Time Frame
Day 14, Day 28, Week 24, and Week 52 post-vaccination
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Adult volunteers aged 18 years and above who have received 1 dose of intramuscular Ad5-nCoV > 56 days at the enrollment.
Volunteers who have provided informed consent and signed the informed consent form.
Volunteers who are able and willing to comply with the requirements of the clinical study protocol, and can complete the entire follow-up period of this study.
Exclusion Criteria:
Allergic to the active ingredient, any non-active ingredient, or substances used in the manufacturing process, or developed an allergy to similar vaccines in the past.
History of severe anaphylactic reaction to vaccines (e.g., acute anaphylactic reactions, angioedema, dyspnea).
History or family history of seizures, epilepsy, encephalopathy, or psychosis.
Severe nasal or oral diseases, such as acute rhinitis (sinusitis), allergic rhinitis, oral ulcers, throat redness, and swelling.
History of a definite diagnosis of COVID-19.
Positive SARS-CoV-2 N antibody rapid screening kit (IgG and IgM) results.
Received COVID-19 vaccine other than Ad5-nCoV.
Axillary temperature > 37.0°C.
Severe cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, or severe hypertension and cannot be controlled by drugs.
Lung function abnormalities such as asthma, chronic obstructive pulmonary disease, and pulmonary fibrosis.
Acute febrile illness, symptoms of upper respiratory tract infection, or infectious diseases.
Severe chronic diseases, or diseases of the progressive stage that cannot be steadily controlled, such as diabetes or thyroid disorders.
Asplenia or functional asplenia.
Thrombocytopenia or other coagulation disorder.
Received immunosuppressant or immunomodulatory therapy (continuous oral or intravenous infusion for more than 14 days), anti-allergic therapy, cytotoxic therapy within the past 6 months. Inhalational and local steroids are allowed.
Received blood products within 4 months before receiving the investigational vaccine.
Received other vaccines within the past 14 days or plan to receive other vaccines 14 days after scheduled immunization with the investigational vaccine.
Volunteers under antituberculous treatment or with active tuberculosis.
Received blood/plasma products or immunoglobulin 60 days before immunization with the investigational vaccine or planned to receive blood/plasma products or immunoglobulin during the entire study period.
Females who are positive for the urine pregnancy test, pregnant, or breastfeeding, or females who plan to conceive within 3 months (urine pregnancy test will only be performed in female volunteers of childbearing age).
Volunteers who are judged by the investigator with any contradiction to the study protocol or affected the signing of informed consent due to various medical, psychological,social, or other conditions.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fengcai Zhu
Organizational Affiliation
Jiangsu Provincial Center for Disease Control and Prevention
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
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Study to Evaluate the inHaled Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) On the Protective-Efficacy in Adults (SeiHOPE)
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