2019nCoV-101 is a 2-part, randomized, observer-blinded, placebo-controlled, Phase 1/2 trial. Part 1 (Phase 1) of the study is designed to evaluate the safety and immunogenicity of SARS-CoV-2 rS nanoparticle vaccine with or without Matrix-M adjuvant in 131 healthy participants ≥ 18 to 59 (inclusive) years of age at 2 sites in Australia. An interim analysis of Part 1 safety and immunogenicity will be performed prior to optional expansion to Part 2. Part 2 (Phase 2) of the study is designed to evaluate the immunogenicity, safety, and preliminary efficacy of a single construct of SARS-CoV-2 rS nanoparticle vaccine with Matrix-M adjuvant in up to 1,500 healthy participants ≥ 18 to 84 (inclusive) years of age at up to 40 sites across Australia and/or the United States.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
1,419
Alternating intramuscular (deltoid) injections of SARS-CoV-2 rS (0.6 mL) on Days 0 and 21.
Alternating intramuscular (deltoid) injections of SARS-CoV-2 rS mixed with Matrix-M adjuvant (0.6 mL) on Days 0 and 21.
Alternating intramuscular (deltoid) injections of placebo (0.6 mL) on Days 0 and 21.
Intramuscular (deltoid) injections of placebo (0.5 mL).
Intramuscular (deltoid) injection of SARS-CoV-2 rS mixed with Matrix-M adjuvant (0.6 mL) on Day 0.
Intramuscular injection of placebo (0.6 mL) in alternate deltoid on Day 21.
Intramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M adjuvant (0.5 mL).
Meridian Clinical Research-(Savannah Georgia) - Platinum - PPDS - Phase 2
Savannah, Georgia, United States
Advanced Clinical Research - Meridian - ERN-PPDS - Phase 2
Meridian, Idaho, United States
Alliance for Multispecialty Research, LLC - Phase 2
Newton, Kansas, United States
Alliance for Multispecialty Research, LLC - Phase 2
Wichita, Kansas, United States
Central Kentucky Research Associates Inc - Phase 2
Lexington, Kentucky, United States
Meridian Clinical Research-(Rockville Maryland) - Platinum - PPDS - Phase 2
Rockville, Maryland, United States
Synexus Clinical Research US, Inc. - Cincinnati - Phase 2
Cincinnati, Ohio, United States
Rapid Medical Research Inc - ERN-PPDS - Phase 2
Cleveland, Ohio, United States
Paratus Clinical Research - Canberra - Phase 2
Bruce, Australian Capital Territory, Australia
Paratus Clinical Research - Western Sydney - Phase 2
Blacktown, New South Wales, Australia
...and 8 more locations
Participants with Solicited Adverse Events (AEs) - Phase 1
Percentage of participants with solicited AEs (local, systemic) for 7 days following each primary vaccination (Days 0, 21) by severity score, duration, and peak intensity.
Time frame: 28 days
Safety Laboratory Values (Serum Chemistry, Hematology) - Phase 1
Safety laboratory values (serum chemistry, hematology) by FDA toxicity scoring (absolute and change from baseline where identified) at 7 days after each vaccination.
Time frame: 28 days
Serum Immunoglobulin G (IgG) Antibody Levels Expressed as Geometric Mean Titers (GMTs) - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by enzyme-linked immunosorbent assay (ELISA) expressed as GMTs through Day 21.
Time frame: 21 days
Serum Immunoglobulin G (IgG) Antibody Levels Expressed as Geometric Mean Titers (GMTs) - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by enzyme-linked immunosorbent assay (ELISA) expressed as GMTs through Day 35.
Time frame: 35 days
Serum IgG Antibody Levels Expressed as Geometric Mean Fold Rises (GMFRs) - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs through Day 35.
Time frame: 35 days
Serum IgG Antibody Levels Expressed as Seroconversion Rates (SCRs) - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs through Day 35. SCR is the proportion of participants with ≥4-fold rises in ELISA units.
Time frame: 35 days
Serum IgG Antibody Levels Expressed as GMEUs - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs for the two-dose regimens by dose at Day 35 regardless of baseline immune status and stratified by baseline immune status.
Time frame: Day 35
Serum IgG Antibody Levels Expressed as GMFRs - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs for the two-dose regimens by dose at Day 35 regardless of baseline immune status and stratified by baseline immune status.
Time frame: Day 35
Serum IgG Antibody Levels Expressed as SCRs - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs (≥4-fold rises) for the two-dose regimens by dose at Day 35 regardless of baseline immune status and stratified by baseline immune status.
Time frame: Day 35
Participants with Solicited Adverse Events (AEs) - Phase 2
Percentage of participants with solicited AEs (local, systemic) for 7 days following each primary vaccination (Days 0 and 21) by severity score, duration, and peak intensity.
Time frame: 28 days
Participants with Unsolicited AEs - Phase 2
Percentage of participants with unsolicited AEs (eg, treatment-emergent, serious, suspected unexpected serious, those of special interest, all medically attended adverse events \[MAAEs\]) through the 35 days by Medical Dictionary of Regulatory Activities (MedDRA) classification, severity score, and relatedness.
Time frame: 35 days
Participants with Unsolicited AEs - Phase 1
Percentage of participants with unsolicited AEs (eg, treatment-emergent, serious, suspected unexpected serious, those of special interest, all MAAEs) through the first 49 days by MedDRA classification, severity score, and relatedness.
Time frame: 49 days
Participants with Abnormal Vital Signs - Phase 1
Percentage of participants with vital sign abnormalities on the day of vaccination by severity scoring immediately following vaccination.
Time frame: 21 days
Changes from Baseline in Body Temperature - Phase 1
Mean changes from baseline in body temperature by treatment group and visit.
Time frame: 189 days
Changes from Baseline in Blood Pressure - Phase 1
Mean changes from baseline in blood pressure by treatment group and visit.
Time frame: 189 days
Changes from Baseline in Pulse Rate - Phase 1
Mean changes from baseline in pulse rate by treatment group and visit.
Time frame: 189 days
Participants with MAAEs - Phase 1
Percentage of participants with MAAEs, defined as AEs that lead to an unscheduled visit to a healthcare practitioner, through Day 105 by MedDRA classification, severity score, and relatedness.
Time frame: 105 days
Participants with Related MAAEs; Serious Adverse Events (SAEs); and Adverse Events of Special Interest (AESI) - Phase 1
Percentage of participants with MAAEs assessed as related to study vaccine, SAEs, and AESIs until the end of the study (EOS) by MedDRA classification and severity score. All SAEs and AESI, defined as potential immune-mediated medical conditions or AEs relevant to COVID-19, by MedDRA classification, severity score, and relatedness.
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Time frame: 386 days
Assessment of Serum IgG Antibody Levels Expressed as GMTs at Multiple Time Points - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs at multiple time points through Day 189.
Time frame: 189 days
Assessment of Serum IgG Antibody Levels Expressed as GMFRs at Multiple Time Points - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs at multiple time points through Day 189.
Time frame: 189 days
Assessment of Serum IgG Antibody Levels Expressed as SCRs at Multiple Time Points - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs (proportion of participants with ≥2-fold and ≥4-fold rises in antibody levels) at multiple time points through Day 189.
Time frame: 189 days
Assessment of Serum IgG Antibody Levels Expressed by Seroresponse Rates (SRRs) at Multiple Time Points - Phase 1
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SRRs (proportion of participants with rises in ELISA units exceeding the 95th percentile of placebo participants) at multiple time points through Day 189.
Time frame: 189 days
Angiotensin-Converting Enzyme 2 (ACE2) Receptor Binding Inhibition Assay Expressed as GMTs - Phase 1
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as GMTs at multiple time points through Day 189.
Time frame: 189 days
ACE2 Receptor Binding Inhibition Assay Expressed as GMFRs - Phase 1
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as GMFRs at multiple time points through Day 189.
Time frame: 189 days
ACE2 Receptor Binding Inhibition Assay Expressed as SCRs - Phase 1
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as SCRs at multiple time points through Day 189.
Time frame: 189 days
ACE2 Receptor Binding Inhibition Assay Expressed as SRRs - Phase 1
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as SRRs at multiple time points through Day 189.
Time frame: 189 days
Neutralizing Antibody Activity Expressed as GMTs - Phase 1
Neutralizing antibody activity as detected by microneutralization assay (MN) expressed as GMTs at multiple time points through Day 49.
Time frame: 49 days
Neutralizing Antibody Activity Expressed as GMFRs - Phase 1
Neutralizing antibody activity as detected by MN expressed as GMFRs at multiple time points through Day 49.
Time frame: 49 days
Neutralizing Antibody Activity Expressed as SCRs - Phase 1
Neutralizing antibody activity as detected by MN expressed as SCRs at multiple time points through Day 49.
Time frame: 49 days
Neutralizing Antibody Activity Expressed as SRRs - Phase 1
Neutralizing antibody activity as detected by MN expressed as SRRs at multiple time points through Day 49.
Time frame: 49 days
Assessment of Cell-Mediated (T helper 1 [Th1]/T helper 2 [Th2]) Pathways - Phase 1
Cell-mediated (Th1/Th2) pathways as measured by whole blood (flow cytometry) and/or in vitro peripheral blood mononuclear cell (PBMC) stimulation (eg, enzyme-linked immunospot \[ELISpot\], cytokine staining) with SARS-CoV-2 rS protein(s) through Day 28.
Time frame: 28 days
Assessment of Serum IgG Antibody Levels Expressed as GMTs - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs for the single-dose regimens compared to the two-dose regimens and to placebo through Day 35 regardless of baseline immune status and stratified by baseline immune status.
Time frame: 35 days
Assessment of Serum IgG Antibody Levels Expressed as GMFRs - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs for the single-dose regimens compared to the two-dose regimens and to placebo through Day 35 regardless of baseline immune status and stratified by baseline immune status.
Time frame: 35 days
Assessment of Serum IgG Antibody Levels Expressed as SCRs (≥ 4-fold change) - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs (≥ 4-fold change) for the single-dose regimens compared to the two-dose regimens and to placebo through Day 35 regardless of baseline immune status and stratified by baseline immune status.
Time frame: 35 days
Assessment of Serum IgG Antibody Levels Expressed as GMEUs at Multiple Time Points - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs at multiple time points through Day 357 for the single-dose regimens compared to the two-dose regimens and to placebo, stratified by baseline immune response.
Time frame: 357 days
Assessment of Serum IgG Antibody Levels Expressed as GMFRs at Multiple Time Points - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs at multiple time points through Day 357 for the single-dose regimens compared to the two-dose regimens and to placebo, stratified by baseline immune response.
Time frame: 357 days
Assessment of Serum IgG Antibody Levels Expressed as SCRs (≥ 4-fold change) at Multiple Time Points - Phase 2
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs (≥ 4-fold change) at multiple time points through Day 357 for the single-dose regimens compared to the two-dose regimens and to placebo, stratified by baseline immune response.
Time frame: 357 days
ACE2 Receptor Binding Inhibition Assay Expressed as GMTs - Phase 2
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as GMTs at multiple time points through Day 357 for the single-dose regimens compared to the two-dose regimens and to placebo.
Time frame: 357 days
ACE2 Receptor Binding Inhibition Assay Expressed as GMFRs - Phase 2
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as GMFRs at multiple time points through Day 357 for the single-dose regimens compared to the two-dose regimens and to placebo.
Time frame: 357 days
ACE2 Receptor Binding Inhibition Assay Expressed as SCRs - Phase 2
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by ACE2 receptor binding inhibition assay expressed as SCRs (≥ 4-fold change) at multiple time points through Day 357 for the single-dose regimens compared to the two-dose regimens and to placebo.
Time frame: 357 days
Neutralizing Antibody Activity Expressed as GMTs - Phase 2
Neutralizing antibody activity as detected by MN expressed as GMTs at Days 35, 217, and 357 relative to baseline in a subset of subjects by absolute titers and change from baseline.
Time frame: 357 days
Neutralizing Antibody Activity Expressed as GMFRs - Phase 2
Neutralizing antibody activity as detected by MN expressed as GMFRs at Days 35, 217 and 357 relative to baseline in a subset of subjects by absolute titers and change from baseline.
Time frame: 357 days
Neutralizing Antibody Activity Expressed as SCRs (≥ 4-fold change) - Phase 2
Neutralizing antibody activity as detected by MN expressed as SCRs (≥ 4-fold change) at Days 35, 217, and 357 relative to baseline in a subset of subjects by absolute titers and change from baseline.
Time frame: 357 days
Assessment of Serum IgG Antibody Levels Expressed as GMTs - Phase 2 Boost
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs at Days 189, 217, and 357 for all treatment groups and additionally at Day 371 and Day 546 for treatment groups B and C for boosting assessment with either placebo or active boost.
Time frame: 546 days
Assessment of Serum IgG Antibody Levels Expressed as GMFRs - Phase 2 Boost
Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs at Days 189, 217, and 357 for all treatment groups and additionally at Day 371 and Day 546 for treatment groups B and C for boosting assessment with either placebo or active boost.
Time frame: 546 days
Participants with MAAEs - Phase 2
All MAAEs, defined as AEs that lead to an unscheduled visit to a healthcare practitioner, through Day 217 by MedDRA classification, severity score, and relatedness.
Time frame: 217 days
Participants with Related MAAEs; SAEs; and AESIs - Phase 2
Percentage of participants with MAAEs assessed as related to study vaccine, SAEs, and AESIs until the end of the study (EOS) by MedDRA classification and severity score. All SAEs and AESI, defined as potential immune-mediated medical conditions or AEs relevant to COVID-19, by MedDRA classification, severity score, and relatedness.
Time frame: 357 days
Participants with Abnormal Vital Signs - Phase 2
Percentage of participants with vital sign abnormalities on the day of vaccination by severity scoring immediately following vaccination. Descriptive statistics (mean, standard deviation, change from baseline) by treatment group, by visit.
Time frame: 21 days
Changes from Baseline in Body Temperature - Phase 2
Mean changes from baseline in body temperature by treatment group and visit.
Time frame: 189 days
Changes from Baseline in Blood Pressure - Phase 2
Mean changes from baseline in blood pressure by treatment group and visit.
Time frame: 189 days
Changes from Baseline in Pulse Rate - Phase 2
Mean changes from baseline in pulse rate by treatment group and visit.
Time frame: 189 days
Participants with SARS-CoV-2 Positivity - Phase 2
Percentage of participants with SARS-CoV-2 positivity as diagnosed by qualitative polymerase chain reaction (PCR) following COVID-19 symptoms assessment from Day 28 through 6 months with severity classification, overall and by age strata (18-59, 60-84 years).
Time frame: 161 days
Assessment of SARS-CoV-2 by Qualitative PCR - Phase 2
Assessment of SARS-CoV-2 by qualitative PCR based on routine screening by self- collection (nasal mid-turbinate or saliva) from Day 28 through 6 months without symptomatology to further describe epidemiologic evolution of the pandemic and potential effect of vaccination.
Time frame: 161 days
Assessment of Cell-Mediated (Th1/Th2) Pathways - Phase 2
Assessment of cell-mediated (Th1/Th2) pathways as measured by whole blood (flow cytometry) and/or in vitro PBMC stimulation (eg, ELISpot, cytokine staining) with SARS-CoV-2 rS protein(s) through Day 28.
Time frame: 28 days