The phase Ⅱ trial adopts a randomized, double-blind, placebo-controlled design to evaluate the immunogenicity and safety profile of LYB001 in healthy adults aged 18 years and older. This Phase III study adopts a single-arm, open-label design to evaluate the expanded safety of LYB001 in healthy subjects 18 years of age and older. The study vaccine will be administered IM at upper arm deltoid as a three-dose regimen with 28d interval on day 0, 28, 56. The phase Ⅱ trial will be carried out in an age-sequential enrolment manner: 1. A DSMB meeting will be held after the completion of the 7-day safety observation following each vaccination of high-dose LYB001 or placebo in participants aged 18-59 years in phase Ⅰ trial. Thereafter, the DSMB will recommend whether to initiate enrollment of younger adult participants in the Phase II trial based on the findings, who will receive low dose (25μg), high dose (50μg) LYB001 or placebo at a ratio of 3:3:1. 2. A DSMB meeting will be held after the completion of the 7-day safety observation following each vaccination of high-dose LYB001 or placebo in participants aged ≥60 year in phase Ⅰ trial. Thereafter, the DSMB will recommend whether to initiate enrollment of older adult participants in the Phase II trial based on the findings, who will receive low dose (25μg), high dose (50μg) LYB001 or placebo at a ratio of 3:3:1. 3. The phase Ⅱ trial will be ended after all participants completed 360-day safety observation following the 3rd dose of vaccination. Phase III trial (the expanded safety study): 1. After completion of the 7-day safety observation following the first immunization of all cohorts in the Phase II trial, a DSMB meeting will be held to recommend whether to initiate enrollment of participants in the Phase III trial. A total of 1200 subjects will be enrolled in younger adult and older adults, with older adults accounting for ≥20% of the population, and appropriate doses will be determined based on the results of early clinical trials. 2. The phase III trial 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
1,900
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Time frame: Change from Baseline at 14 days post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Time frame: Change from Baseline at 14 days post dose 3
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Time frame: Change from Baseline at 28 days post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Time frame: Change from Baseline at 28 days post dose 3
Adverse events (AEs)
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 dose
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Time frame: 3 months post dose 3
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Time frame: 6 months post dose 3
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Time frame: 12 months post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Time frame: 3 months post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Time frame: 6 months post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Time frame: 12 months post dose 3
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