This is a randomized, double-blind, placebo-controlled Phase Ⅰ trial in healthy adults aged 18 years and older, intended to evaluate the safety, reactogenicity, and immunogenicity profile of LYB001. The study vaccine will be administered IM at upper arm deltoid as a three-dose regimen with 28d interval on day 0, 28, 56. To ensure the safety of the participants, the phase Ⅰ trial was will be carried out in a dose-escalation and age-sequential enrolment manner: 1. The safety, reactogenicity, and immunogenicity will be firstly evaluated in a cohort of adults aged 18-59 years randomly assigned (4:1) either to receive low-dose (25µg) LYB001 or placebo. After confirmation of an favorable 7-day safety, reactogenicity profile in this cohort by investigator, the study was able to proceed to the cohort of adults aged 18-59 years receiving high-dose (50µg) LYB001 or placebo. 2. After completing a favorable 7-day safety observation following the first dose of 50μg LYB001 in cohorts aged 18-59 years, the study was able to advance to cohorts aged ≥ 60 years receiving low-dose (25µg) LYB001 or placebo. By analogy, all dose and age-stratified groups will be sequentially enrolled. The study will be ended after all participants completed 360-day safety observation following the 3rd dose of vaccination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
100
The investigational vaccine, with its antigen consisting of receptor-binding domain (RBD) from SARS-CoV-2 and virus-like particle (VLP) vector, adjuvanted with aluminum hydroxide. The investigational are administered through Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
Aluminum hydroxide
Adverse events
Immediate adverse events (AEs) within 30 minutes after each vaccination, solicited local and systemic AEs for within 7 days and unsolicited AEs within 28 days following each vaccination;1. Immediate adverse events (AEs) within 30 minutes after each vaccination, solicited local and systemic AEs for within 7 days and unsolicited AEs within 28 days following each vaccination;
Time frame: 28 days after each dose
Serious adverse events (SAEs)
Serious adverse events (SAEs) throughout the study
Time frame: 360 days after first vaccination
Safety laboratory measures
Changes of safety laboratory measures and vital signs at day 3 following each vaccination in comparison to pre-vaccination levels.
Time frame: 3 days after each dose
Geometric neutralizing titers (GMT), Geometric Mean Increases (GMI) and seroconversion rates against wild-type SARS-CoV-2
Geometric neutralizing titers (GMT), Geometric Mean Increases (GMI) and seroconversion rates against wild-type SARS-CoV-2
Time frame: pre dose 1, day 14 post dose 2, day 14, 28 post dose 3
GMT, GMI and seroconversion rates against SARS-CoV-2 variants of concern (VOCs)
GMT, GMI and seroconversion rates against SARS-CoV-2 variants of concern (VOCs)
Time frame: pre dose 1, day 14 post dose 2, day 14, 28 post dose 3
GMT, GMI and seroconversion rates of S protein-binding antibodies
GMT, GMI and seroconversion rates of S protein-binding antibodies
Time frame: pre dose 1, day 14 post dose 2, day 14, 28 post dose 3
Cellular Immune Response
1\. Th1 and Th2 immune responses by enzyme-linked immunospot (ELISPOT) assay, Th1: interferon gamma (IFN-γ), interleukin-2 (IL-2), Th2: IL-4, IL-6.
Time frame: pre dose 1, day 14 post dose 2, day 14 dose 3
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