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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Withdrawn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
CanSino Biologics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

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

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

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

    First Posted
    November 17, 2021
    Last Updated
    June 14, 2023
    Sponsor
    CanSino Biologics Inc.
    Collaborators
    Beijing Institute of Biotechnology
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    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

    Learn more about this trial

    Study to Evaluate the inHaled Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) On the Protective-Efficacy in Adults (SeiHOPE)

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