Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment.
Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment. The trial will include 40,000 volunteers aged 18+. After screening, they will be randomized (3:1) into two groups - a reference group of 10,000 volunteers receiving placebo and a study group of 30,000 volunteers receiving the Gam-COVID-Vac combined vector vaccine against the SARS-СoV-2-induced coronavirus infection. The trial subjects will be randomized into five age strata: 18-30, 31-40, 41-50, 51-60, and 60+ years. The PCR test for SARS-CoV-2 RNA detection at the visit is performed during screening and before the second administration of the vaccine/placebo Each subject will participate in the trial for 180±14 days after the first dose of the study drug/placebo and will have one screening visit and five on-site visits to the study physician during the said period. The study drug/placebo will be administered intramuscularly during vaccination visits 1 and 2 (day 0 and day 21±2). Subsequent observation visits 3, 4, and 5 will be made on days14±2, 28±2, 35±2,42±2, and 180±14 respectively. During the observation visits, vital signs will be assessed in all trial subjects and changes in the subjects' condition and wellbeing compared to the previous visit will be recorded. Observation visits may be remote, through the telemedicine consultation (TMC). Additionally, the trial subjects will be able to have remote consultations with the physician through the TMC. Blood samples will be taken from certain subjects during the following visits to assess the immunogenicity parameters listed below: Virus-neutralizing activity (300 subjects) ×3 Interferon gamma (107 subjects) ×3 CD4 and CD8 cell count and ratio (50 subjects) SARS-CoV-2 glycoprotein-specific antibodies titer (9,520 subjects) ×3 Determination of the titer of SARS-CoV-2 nucleocleocapsid protein-specific antibodies(9,520 subjects) ×3 Blood sampling will be performed on the day of injecting the first dose of the study drug/placebo immediately prior to the study drug administration Blood sampling for immunogenicity parameters assessment will be only carried out in specially selected study centers. Blood samples will be taken from 9,520 trial subjects. All four immunogenicity parameters may be assessed in one trial subject. Trial subjects data will be collected using electronic case report forms and electronic questionnaires to be filled by trial subjects.
vaccine for intramuscular injection
placebo comparator
percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose
Demonstrate the superiority of Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the second dose of the study drug/placebo, as confirmed with the method of polymerase chain reaction (PCR)
Time frame: through the whole study, an average of 180 days
the severity of the clinical course of COVID-19
Assess the efficacy of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus compared to placebo, based on the severity of the clinical course of COVID-19
Time frame: through the whole study, an average of 180 days
Changing of antibody levels against the SARS-CoV-2 glycoprotein S
Assess the immunogenicity of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the geometric mean titer of SARS-CoV-2 glycoprotein-specific antibodies
Time frame: day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose
Changing of antigen-specific cellular immunity level
Describe the strength of cell-mediated immune response induced by the use of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo
Time frame: the drug administration day before injecting the first dose of the study drug/placebo and 28±2 days after the first dose
Changing of of virus neutralizing antibody titer
Geometric mean virus-neutralizing antibodies titer
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Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
33,758
ARCHIMED V Clinic of new medical technologies limited liability company
Moscow, Russia
Hadassah LTD
Moscow, Russia
Medsi Group of companies joint-stock company"
Moscow, Russia
Niarmedic Plus
Moscow, Russia
State budgetary healthcare institution of the city of Moscow "City clinical hospital No. 52 of the Moscow city health Department"
Moscow, Russia
State Budgetary Healthcare Institution, Moscow, Consultation and Diagnosis Polyclinic No. 121, Moscow Healthcare Department
Moscow, Russia
State Budgetary Healthcare Institution, Moscow, M. Konchalovsky Municipal Clinical Hospital, Moscow Healthcare Department
Moscow, Russia
State Budgetary Healthcare Institution, Moscow, M. Zhadkevich Municipal Clinical Hospital, Moscow Healthcare Department
Moscow, Russia
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 115, Moscow Healthcare Department
Moscow, Russia
State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 2, Moscow Healthcare Department
Moscow, Russia
...and 13 more locations
Time frame: the drug administration day before injecting the first dose of the study drug/placebo and 42±2 days after the first dose
Incidence of adverse events in trial subjects
Incidence of adverse events in trial subjects compared to placebo
Time frame: through the whole study, an average of 180 days
Severity of adverse events in trial subjects
Severity of adverse events in trial subjects compared to placebo
Time frame: through the whole study, an average of 180 days
estimation of the proportion of study subjects with antibodies to the N-protein of the virus SARS-CoV-2
Percentage of study subjects with antibodies to the N-protein of the SARS - CoV-2 virus that appeared after vaccination
Time frame: day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose