The objective of the clinical study is to evaluate the tolerability, safety, immunogenicity and prophylactic efficacy of the EpiVacCorona vaccine in volunteers aged 18 and above. The study tasks are to: * evaluate the safety of the EpiVacCorona vaccine when administered twice intramuscularly; * evaluate the tolerability of the EpiVacCorona vaccine when administered twice intramuscularly; * identify any adverse events to the administration of the EpiVacCorona vaccine; * investigate the humoral immune response following two doses of the EpiVacCorona vaccine; * investigate the cell-mediated immune response following two doses of the EpiVacCorona vaccine; * evaluate the prophylactic efficacy of the EpiVacCorona vaccine when administered twice intramuscularly.
The study will screen a maximum of 4,929 volunteers of both sexes aged 18 and above, of which 3,000 volunteers who meet the inclusion criteria and do not have the exclusion criteria will be randomized: * 2,250 volunteers who will be vaccinated with the EpiVacCorona vaccine, twice intramuscularly at a dose of 0.5 ml; * 750 volunteers who will be vaccinated with a placebo, twice intramuscularly at a dose of 0.5 ml. If volunteers drop out of the study, they will not be replaced. All volunteers will be followed up by an investigator physician for 6 months following the first vaccination in order to identify possible late adverse events. In case the volunteer has any late reactions, he/she will be invited to the clinic to correct his/her condition.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
3,000
The EpiVacCorona vaccine is intended to prevent COVID-19. The vaccine relies on chemically synthesized peptide antigens of SARS-CoV-2 proteins conjugated to a carrier protein and adsorbed on an aluminum-containing adjuvant (aluminum hydroxide). The vaccine induces the specific immunity against the SARS-CoV-2 coronavirus following two intramuscular injections spaced 21 to 28 days apart. The EpiVacCorona vaccine contributes to the development of protective immunity against SARS-CoV-2 coronavirus following two intramuscular administrations given 21 to 28 days apart.
The use of placebo: intramuscularly twice, given 21 to 28 days apart at a dose of 0.5 ml
State Budgetary Healthcare Institution of the Moscow region - Krasnogorsk City Hospital # 1 (short name: SBHI MR KCH # 1)
Krasnogorsk, Moscow Oblast, Russia
Federal State Autonomous Educational Institution of Higher Education - Immanuel Kant Baltic University (short name: FSAEIHE- I. Kant Baltic Federal University)
Kaliningrad, Russia
State Autonomous Healthcare Institution - Clinical City Hospital # 7 of Kazan (short name: SAHI CCH # 7)
Kazan', Russia
Federal State Budgetary Institution - N.I. Pirogov National Medical and Surgical Center, Ministry of Health of the Russian Federation (short name: FSBI - N.I. Pirogov NMSC, Ministry of Health of the Russian Federation)
Moscow, Russia
Federal State Budgetary Research Institution - Academician B.V. Petrovsky Russian Research Center for Surgery (short name: FSBRI - Academician B.V. Petrovsky RRCS)
Moscow, Russia
Research Center: Federal State Budgetary Institution - Central Clinical Hospital with Polyclinic, Administrative Office of the President of the Russian Federation (short name: FSBI Central Clinical Hospital with Polyclinic)
Moscow, Russia
State Budgetary Healthcare Institution of the Moscow region - M.F. Vladimirsky Moscow Regional Research Clinical Institute (short name: M.F. Vladimirsky SBHI MRRCI)
Moscow, Russia
State Budgetary Educational Institution of Higher Professional Education - Tyumen State Medical University, Ministry of Health of the Russian Federation (short name: SBEIHPE - Tyumen State Medical University, Ministry of Health of Russian Federation)
Tyumen, Russia
The proportion of vaccinated volunteers with no laboratory confirmed symptoms caused by SARS-CoV-2, within 6 months post vaccination versus a placebo
The proportion of vaccinated volunteers with no laboratory confirmed symptoms caused by SARS-CoV-2, in combination with one or more of the following symptoms: fever or chills; cough; shortness of breath or labored breathing; fatigue; muscle pain; headache; loss of taste or smell; sore throat; a stuffy nose or runny nose; nausea or vomiting; diarrhea, within 6 months post vaccination versus a placebo
Time frame: within 6 months after the first vaccination
The prophylactic efficacy of the vaccine
The prophylactic efficacy of the vaccine under study is ≥50% compared to a placebo, with the lower limit of the confidence interval of the point estimate for the primary efficacy variable \> 30%
Time frame: 9 months after the first vaccination
The proportion of volunteers with increased levels of the immune response in terms of geometric mean titers of specific antibodies
The proportion of volunteers with increased levels of the immune response in terms of geometric mean titers of specific antibodies in ELISA is more than 4 times greater 21 to 28 days following the second vaccination
Time frame: 21-28 days after the second vaccination
The proportion of volunteers with increased levels of the immune response in terms of specific neutralizing antibody titers
The proportion of volunteers with increased levels of the immune response in terms of specific neutralizing antibody titers in ELISA is more than 4 times greater 21 to 28 days following the second vaccination
Time frame: 21-28 days after the second vaccination
The frequency of severe cases of COVID-19 following a single / double vaccination
The frequency of severe cases of COVID-19 following a single / double vaccination (including hospitalization, transfer to an intensive care unit, death, etc.)
Time frame: through the whole study, an average of 9 months
Duration of disease
Duration of illness in case of COVID-19 disease
Time frame: through the whole study, an average of 9 months
The incidence of asymptomatic COVID-19 following a single / double vaccination
The incidence of asymptomatic COVID-19 following a single / double vaccination (to assess the effectiveness of vaccination in preventing SARS-CoV-2 infection)
Time frame: through the whole study, an average of 9 months
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