NDV-HXP-S is an inactivated COVID-19 vectored-vaccine virus using the Newcastle Disease Virus as basis and expressing S protein from SARS-CoV-2 stabilized in pre-fusion form with Hexapro technology. This vaccine was successfully tested in non-clinical study with a good safety profile and eliciting neutralizing antibodies against SARS-CoV-2. Clinical testing is conducted by an international consortium including three different manufacturers. Butantan, in Brazil, is one of them.
The present protocol aims, to respond to several regulatory requirements to advance the clinical development of the product through a dose-escalation, controlled, randomized, adult clinical trial. The results of the Phase I (former Stage A), allow us to base the decision to evaluate the safety and immunogenicity of three doses of HDV-HXP-S (1μg, 3μg or 10μg).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
320
NDV-HXP-S 1μg 0.5mL 2 doses intramuscular (deltoid) 28 days apart
NDV-HXP-S 3μg 0.5mL 2 doses intramuscular (deltoid) 28 days apart
NDV-HXP-S 10μg 0.5mL 2 doses intramuscular (deltoid) 28 days apart
Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
Ribeirão Preto, São Paulo, Brazil
Safety: Adverse reactions.
Number and intensity of solicited local and systemic adverse reactions.
Time frame: 7 days after each vaccination.
Safety: Laboratory evaluations
Number, severity and summary of clinically significant changes of hematological (hemoglobin \[g/dL\], white blood cells \[cells/mm³\] and platelets \[count per mm³\]) and biochemical evaluations (creatinine \[mg/dL\], AST \[U/L\], ALT \[U/L\], and total bilirubin \[mg/dL\]) since the baseline within 7 days after each vaccination.
Time frame: 7 days after each vaccination.
Immunogenicity: Percentage of seroconversion.
Percentage of positive SARS-CoV-2 pseudovirus neutralization assay in a participant with a baseline negative result (Wuhan strain).
Time frame: 42(+7) days after the first dose.
Immunogenicity: Neutralization GMT SARS-CoV-2 pseudovirus.
Neutralization GMT against SARS-CoV-2 pseudovirus (Wuhan strain)
Time frame: 28 days after the first vaccination.
Immunogenicity: Neutralization GMT SARS-CoV-2 pseudovirus.
Neutralization GMT against SARS-CoV-2 pseudovirus (Wuhan strain)
Time frame: 14 days after the second vaccination.
Immunogenicity: Neutralization GMT SARS-CoV-2 pseudovirus.
Neutralization GMT against SARS-CoV-2 pseudovirus (beta and gamma strains)
Time frame: 42(+7) days after the first dose.
Safety: all unsolicited adverse reactions.
Number, intensity, and relatedness of all unsolicited adverse reactions.
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Adsorbed inactivated COVID-19 vaccine 600 SU/0.5 mL 2 doses intramuscular (deltoid) 28 days apart
Time frame: 28 days after each vaccination.
Safety: serious and medically-attended adverse reactions.
Number, intensity, and relatedness of serious adverse reactions
Time frame: Throughout the entire study period.
Safety: events of special interest.
Number, intensity, and relatedness of events of special interest.
Time frame: Throughout the entire study period.
Immunogenicity: Levels of antibodies.
Levels of antibodies against SARS-CoV-2 Nucleocapsid protein and RBD
Time frame: At baseline, 28 days after the first vaccination, and 14 days after the second vaccination, and 3, 6, 9, and 12 months after first vaccination.
Immunogenicity: Neutralization GMT of SARS-CoV-2 pseudovirus.
Neutralization GMT against SARS-CoV-2 pseudovirus per age group
Time frame: 28 days after the first vaccination, and 14 days after the second vaccination.
Exploratory Endpoints: Levels of antibodies.
Levels of antibodies against SARS-CoV-2 Nucleocapsid protein and RBD.
Time frame: At baseline, 28 days after the first vaccination, and 14 days after the second vaccination, and 3 months, 6 months, 9 months, and 12 months after first vaccination.
Exploratory Endpoints: Neutralization GMT of SARS-CoV-2 pseudovirus.
Neutralization GMT against SARS-CoV-2 pseudovirus at 3 months, 6 months, 9 months, and 12 months after first vaccination in subjects.
Time frame: at 3 months, 6 months, 9 months, and 12 months after first vaccination in subjects.
Exploratory Endpoints - COVID-19 cases.
Number and intensity of COVID-19 cases diagnosed.
Time frame: 14 days after first and second vaccination.