The purpose of this study is to assess the safety, reactogenicity and immune response of a self-amplifying mRNA (SAM) lipid nanoparticle (LNP) platform with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Spike antigen (CoV-2 SAM \[LNP\] vaccine) in ascending doses when administered intramuscularly (IM) on a 0,1-month schedule to healthy adults 18 to 50 years of age. There will be no administration of escalated doses of the study vaccine.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
40
2 doses of 1 µg CoV2 SAM (LNP) vaccine in 0,1-month schedule, administered IM in the deltoid of the non-dominant arm.
GSK Investigational Site
Rochester, New York, United States
Number of participants with at least 1 solicited administration site event during 7-day follow-up period after first vaccination (first vaccination occurs on Day 1)
The solicited administration site events are pain, redness and swelling.
Time frame: 7-day follow-up period after first vaccination (from Day 1 to Day 7)
Number of participants with at least 1 solicited administration site event during 7-day follow-up period after second vaccination (second vaccination occurs on Day 31)
The solicited administration site events are pain, redness and swelling.
Time frame: 7-day follow-up period after second vaccination (from Day 31 to Day 37)
Number of participants with at least 1 solicited systemic event during 7-day follow-up period after first vaccination (first vaccination occurs on Day 1)
The solicited systemic events are fatigue, fever, nausea, vomiting, diarrhea, abdominal pain, headache, myalgia and arthralgia.
Time frame: 7-day follow-up period after first vaccination (from Day 1 to Day 7)
Number of participants with at least 1 solicited systemic event during 7-day follow-up period after second vaccination (second vaccination occurs on Day 31)
The solicited systemic events are fatigue, fever, nausea, vomiting, diarrhea, abdominal pain, headache, myalgia and arthralgia.
Time frame: 7-day follow-up period after second vaccination (from Day 31 to Day 37)
Number of participants with any unsolicited adverse event (AE) during 30-day follow-up period after first vaccination (first vaccination occurs on Day 1)
An unsolicited AE is an AE that was not included in a list of solicited events using a Participant Diary. Unsolicited events must have been spontaneously communicated by a participant who has signed the informed consent. Unsolicited AEs include both serious and non-serious AEs.
Time frame: 30-day follow-up period after first vaccination (from Day 1 to Day 30)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Number of participants with any unsolicited AE during 30-day follow-up period after second vaccination (second vaccination occurs on Day 31)
An unsolicited AE is an AE that was not included in a list of solicited events using a Participant Diary. Unsolicited events must have been spontaneously communicated by a participant who has signed the informed consent. Unsolicited AEs include both serious and non-serious AEs.
Time frame: 30-day follow-up period after second vaccination (from Day 31 to Day 60)
Number of participants with any hematological and biochemical laboratory abnormality at screening
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Screening
Number of participants with any hematological and biochemical laboratory abnormality at Day 1
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Day 1
Number of participants with any hematological and biochemical laboratory abnormality at Day 2
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Day 2
Number of participants with any hematological and biochemical laboratory abnormality at Day 8
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Day 8
Number of participants with any hematological and biochemical laboratory abnormality at Day 31
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Day 31
Number of participants with any hematological and biochemical laboratory abnormality at Day 32
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Day 32
Number of participants with any hematological and biochemical laboratory abnormality at Day 38
Clinically significant abnormal laboratory findings are those which are not associated with an underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition. Hematology and biochemistry results below or above the laboratory normal ranges were evaluated for the following parameters: Hematology: platelet count, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count with differential neutrophils, lymphocytes and eosinophils. Biochemistry: blood urea nitrogen (BUN), creatinine, liver function tests - alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase and bilirubin.
Time frame: At Day 38
Number of participants with at least 1 medically attended AE (MAE) from first administered dose up to 30 days after last dose (second vaccination occurs on Day 31)
A MAE is an AE for which the participants received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.
Time frame: From Day 1 to Day 60
Number of participants with at least 1 serious adverse event (SAE) from first administered dose up to 30 days after last dose (second vaccination occurs on Day 31)
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity or is a congenital anomaly/birth defect in the offspring of a study patient.
Time frame: From Day 1 to Day 60
Number of participants with at least 1 adverse event of special interest (AESI) from first administered dose up to 30 days after last dose (second vaccination occurs on Day 31)
Potential immune-mediated diseases (pIMDs) are a subset of AESIs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology. Other AESIs are COVID-19 cases (any suspected, probable or confirmed case of COVID-19 should be reported by the principal investigator as AESI, as defined by World Health Organization).
Time frame: From Day 1 to Day 60
Number of participants with at least 1 MAE from first administered dose up to study conclusion
A MAE is an AE for which the participants received medical attention defined as hospitalization, or an otherwise unscheduled visit to or from medical personnel for any reason, including emergency room visits.
Time frame: From Day 1 to Day 391
Number of participants with at least 1 SAE from first administered dose up to study conclusion
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity or is a congenital anomaly/birth defect in the offspring of a study patient.
Time frame: From Day 1 to Day 391
Number of participants with at least 1 AESI from first administered dose up to study conclusion
pIMDs are a subset of AESIs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology. Other AESIs are COVID-19 cases (any suspected, probable or confirmed case of COVID-19 should be reported by the principal investigator as AESI, as defined by World Health Organization).
Time frame: From Day 1 to Day 391
Humoral immune response in terms of SARS-CoV-2 Anti-Spike immunoglobulin G (IgG) antibody geometric mean concentrations (GMCs) at pre-vaccination, first dose (first vaccination occurs on Day 1)
Anti-Spike IgG antibodies GMCs are performed by enzyme-linked immunosorbent assay (ELISA).
Time frame: At Day 1
Humoral immune response in terms of SARS-CoV-2 Anti-Spike IgG antibody GMCs at pre-vaccination, second dose (second vaccination occurs on Day 31)
Anti-Spike IgG antibody GMCs are performed by ELISA.
Time frame: At Day 31
Humoral immune response in terms of SARS-CoV-2 Anti-Spike IgG antibody GMCs at 1 month after last dose (second vaccination occurs on Day 31)
Anti-Spike IgG antibody GMCs are performed by ELISA.
Time frame: At Day 61
Humoral immune response in terms of SARS-CoV-2 Anti-Nucleocapsid IgG antibody GMCs at pre-vaccination, first dose (first vaccination occurs on Day 1)
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 1
Humoral immune response in terms of SARS-CoV-2 Anti-Nucleocapsid IgG antibody GMCs at pre-vaccination, second dose (second vaccination occurs on Day 31)
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 31
Humoral immune response in terms of Anti-Nucleocapsid IgG antibody GMCs at 1 month after last dose (second vaccination occurs on Day 31)
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 61
Humoral immune response in terms of SARS-CoV-2 neutralizing antibody Geometric Mean Titers (GMTs) at pre-vaccination, first dose (first vaccination occurs on Day 1)
SARS-CoV-2 neutralizing antibody GMTs are performed by neutralization assay.
Time frame: At Day 1
Humoral immune response in terms of SARS-CoV-2 neutralizing antibody GMTs at pre-vaccination, second dose (second vaccination occurs on Day 31)
SARS-CoV-2 neutralizing antibody GMTs are performed by neutralization assay.
Time frame: At Day 31
Humoral immune response in terms of SARS-CoV-2 neutralizing antibody GMTs at 1 month after last dose (second vaccination occurs on Day 31)
SARS-CoV-2 neutralizing antibody GMTs are performed by neutralization assay.
Time frame: At Day 61
Humoral immune response in terms of SARS-CoV-2 Anti-Spike IgG antibody GMCs at Day 8
Anti-Spike IgG antibody GMCs are performed by ELISA.
Time frame: At Day 8
Humoral immune response in terms of SARS-CoV-2 Anti-Spike IgG antibody GMCs at Day 15
Anti-Spike IgG antibody GMCs are performed by ELISA.
Time frame: At Day 15
Humoral immune response in terms of SARS-CoV-2 Anti-Spike IgG antibody GMCs at Day 38
Anti-Spike IgG antibody GMCs are performed by ELISA.
Time frame: At Day 38
Humoral immune response in terms of SARS-CoV-2 Anti-Spike IgG antibody GMCs at Day 45
Anti-Spike IgG antibody GMCs are performed by ELISA.
Time frame: At Day 45
Humoral immune response in terms of SARS-CoV-2 Anti-Nucleocapsid IgG antibody GMCs at Day 8
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 8
Humoral immune response in terms of SARS-CoV-2 Anti-Nucleocapsid IgG antibody GMCs at Day 15
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 15
Humoral immune response in terms of SARS-CoV-2 Anti-Nucleocapsid IgG antibody GMCs at Day 38
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 38
Humoral immune response in terms of SARS-CoV-2 Anti-Nucleocapsid IgG antibody GMCs at Day 45
Anti-Nucleocapsid IgG antibody GMCs are performed by ELISA.
Time frame: At Day 45
Cell mediated immune (CMI) response in terms of frequency of SARS-CoV-2 Spike-specific Cluster of Differentiation (CD) 4+ and CD8+ T-cells secreting at least 2 markers including one cytokine at pre-vaccination, first dose
SARS-CoV-2 Spike-specific cytokine producing CD4+ and CD8+ T-cell responses is measured by flow cytometry using intracellular cytokine staining (ICS).
Time frame: At Day 1
CMI response in terms of frequency of SARS-CoV-2 Spike-specific CD4+ and CD8+ T-cells secreting at least 2 markers including one cytokine at pre-vaccination, second dose
SARS-CoV-2 Spike-specific cytokine producing CD4+ and CD8+ T-cell responses is measured by flow cytometry using ICS.
Time frame: At Day 31
CMI response in terms of frequency of SARS-CoV-2 Spike-specific CD4+ and CD8+ T-cells secreting at least 2 markers including one cytokine at Day 61
SARS-CoV-2 Spike-specific cytokine producing CD4+ and CD8+ T-cell responses is measured by flow cytometry using ICS.
Time frame: At Day 61