Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen that causes a coronavirus-associated acute respiratory disease called coronavirus disease 19 (COVID-19), which is spreading all over the world. This virus can cause acute respiratory distress syndrome (ARDS) with a high fatality rate. In this phase I first-in-human clinical trial, healthy volunteers in two different age cohorts and two dose cohorts will be vaccinated twice with the candidate vaccine ReCOV. The aim of the study is to assess the safety and reactogenicity of the candidate vaccine and to characterize its immunogenicity.
A total of 100 participants will receive the following vaccine regime: First, 20 young adult participants (18 to 55 years old) will receive 20μg of ReCOV vaccine on days 0 and 21. Then, 20 young adult participants (18 to 55 years old) will receive 40μg of ReCOV vaccine on days 0 and 21, and 20 old adult participants (56 to 80 years old) will receive 20μg of ReCOV vaccine on days 0 and 21. Finally, 20 old adult participants (56 to 80 years old) will receive 40μg of ReCOV vaccine on days 0 and 21. In the same time, 8 participants for each cohort, total 32 participants will receive 0.5ml of normal saline on days 0 and 21. Safety and immunogenicity data will be collected throughout the study, which concludes at 12 month after the second dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
100
The spike (S) protein is the main surface antigen of SARS-CoV-2, mediates entry of SARS CoV-2 into cells expressing the angiotensin-converting enzyme 2 (ACE2). The RBD interacts with ACE2 and can generate potent neutralizing anti-RBD antibodies.
Normal saline (0.9% sodium chloride solution),
Auckland Clinical Studies
Auckland, New Zealand
Christchurch Clinical Studies Trust
Christchurch, New Zealand
Number of Participants with solicited local and systemic adverse events
Incidence of solicited local and systemic adverse events up to 7 days after each dose
Time frame: up to 7 days after each dose
Number of Participants with unsolicited adverse events after each dose
Incidence of unsolicited adverse events after each dose up to 30 days after the second dose
Time frame: up to 30 days after the second dose
Number of Participants with serious adverse events
Incidence of serious adverse events up to 30 days after the second dose
Time frame: up to 30 days after the second dose
Number of Participants with changes in clinical laboratory tests from baseline
Changes in clinical laboratory tests from baseline up to 7 days after each dose
Time frame: up to 7 days after each dose
Number of Participants with changes in vital signs from baseline
Changes in vital signs from baseline up to 30 days after the second dose
Time frame: up to 30 days after the second dose
Number of Participants with adverse events,serious adverse events, and adverse events of special interest
Incidence of adverse events,serious adverse events, and adverse events of special interest up to 12 months after the second dose
Time frame: up to 12 months after the second dose
Number of Participants with changes in vital signs from baseline
Changes in clinical laboratory tests and vital signs from baseline up to 12 months after the second dose
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Time frame: up to 12 months after the second dose
Geometric mean titers(GMT)
specific IgG binding antibodies against SARS-CoV-2
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
Seroconversion rates
specific IgG binding antibodies against SARS-CoV-2
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
Geometric mean fold increase
specific IgG binding antibodies against SARS-CoV-2
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
IFN-γ
Positivity rate of IFN-γ measured by ELISpot
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
Geometric mean titers(GMT)
specific IgG neutralizing antibodies against SARS-CoV-2
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
Seroconversion rates
specific IgG neutralizing antibodies against SARS-CoV-2
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
Geometric mean fold increase
specific IgG neutralizing antibodies against SARS-CoV-2
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360
Levels of other T cell biomarkers
CD4+/CD8+ counts, IL-4, IL-5, and IL-17
Time frame: first dose day 21, second dose day 14, , day 30, day 90, day 180 and day 360