This Phase IIb clinical study aims to compare the immunogenicity and safety of a booster dose of recombinant protein RBD fusion dimer vaccine as a heterologous booster (to subjects who have received the second dose of the Pfizer-BioNTech (Comirnaty) COVID-19 vaccine at least 182 days prior to the booster dose in this study) versus a homologous booster (subjects who received the second dose of the Comirnaty COVID-19 vaccine at least 182 days prior to the booster dose in this study) will receive a third dose of the Comirnaty vaccine). The extension part of the study aims to compare the immunogenicity and safety of a fourth dose of PHH-1V in subjects with a primovaccination with Pfizer-BioNTech (Comirnaty) COVID-19 vaccine plus either a booster dose of Comirnaty or PHH-1V versus those with three vaccinations of Comirnaty.
The study population includes 1075 healthy adults aged above 18 years old who have received two doses of the Comirnaty vaccine, and are at least 182 days and less than 365 days after their second dose will be randomly assigned to two treatment arms. In each arm, volunteers will be randomized in a ratio Test vaccine:Comirnaty of 2:1. Each participant will receive one booster immunisation and will be followed for 1 year to evaluate immunogenicity response and assess the safety of the test vaccine in comparison to Cominarty. The study population of the extension part includes 200 healthy adults abode 18 years old who have received or: 3 doses of Comirnaty vaccine, or 2 doses of Comirnaty + 1 dose of PHH-1V. Each participant will receive one dose of PHH-1V.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
887
Subjects will receive one injection of COVID-19 Vaccine HIPRA
Subjects will receive one injection of Cominarty Vaccine
Hospital Germans Trias I Pujol
Badalona, BARCELONA, Spain
Hospital Vall Hebron
Barcelona, BARCELONA, Spain
Hospital Clinic de Barcelona
Barcelona, Barcelona, Spain
Hospital Universitari Dr. Josep Trueta
Girona, Girona, Spain
Hospital Gregorio Marañón
Madrid, Madrid, Spain
Hospital Universitario La Paz
Madrid, Madrid, Spain
Hospital Principe de Asturias
Meco, Madrid, Spain
Hospital Regional Universitario de Málaga
Málaga, Málaga, Spain
Hospital Clínico de Valencia
Valencia, Valencia, Spain
Hospital de Cruces
Barakaldo, VIZCAYA, Spain
Part A: Changes of the immunogenicity against Wuhan
Neutralisation titre measured as inhibitory concentration 50 (IC50) for each individual sample and geometric mean titre (GMT) for treatment group comparison at Baseline and Day 14.
Time frame: 14 days
Safety and tolerability of PHH-1V as third or fourth dose
Number, percentage, and characteristics of solicited local reactions through Day 7 after vaccination.
Time frame: 7 days
Safety and tolerability of PHH-1V as third or fourth dose
Number, percentage, and characteristics of unsolicited local and systemic adverse events (AEs) through Day 28 after vaccination.
Time frame: 28 days
Safety and tolerability of PHH-1V as third or fourth dose
Number and percentage of serious adverse events (SAEs), adverse event of special interest (AESI) and medically attended adverse events (MAAE) through Day 364.
Time frame: 364 days
Safety and tolerability of PHH-1V as third or fourth dose
Change from baseline in safety laboratory parameters at Days 14, 28, 182, and 364 after vaccination.
Time frame: Days 14, 28, 182, and 364
Part B: Changes of the immunogenicity against Omicron BA.1
Neutralisation titre measured as inhibitory concentration 50 (IC50) by PBNA and reported as log10 concentration for each individual sample and GMT, at Day 14 post-dose 4 of PHH-1V in cohort 2 versus post-dose 3 in cohort 2 (cohort 2 having three doses of Comirnaty + the frouth dose of PHH-1V).
Time frame: Day 14
Changes of the immunogenicity against the Variants of Concern (VOC)
Neutralisation titre against VOC measured as IC50 for each individual sample and GMT for treatment group comparison at Baseline and Days 28, 98, 182, and/or 364.
Time frame: Day 14, 28, 98, 182, 364
Changes of the immunogenicity against the Variants of Concern (VOC)
Geometric mean fold rise (GMFR) in neutralising antibodies titres for treatment group comparison at Baseline and Days 14, 28, 98, 182, and/or 364.
Time frame: Day 14, 28, 98, 182 and 364
Changes of the immunogenicity against the Variants of Concern (VOC)
Neutralisation titre against VOC measured as IC50 by PBNA and reported as reciprocal concentration for each individual sample and GMT for treatment group comparison at Baseline and Days 14, 28, 98, 182, and 364.
Time frame: Day 14, 28, 98, 182 and 364
Changes of the immunogenicity against the Variants of Concern (VOC)
Geometric mean fold rise (GMFR) in neutralising antibodies titres for treatment group comparison at Baseline and Days 14, 28, 98, 182, and 364.
Time frame: Day 14, 28, 98, 182 and 364
Changes in immunogenicity at Baseline and Days 14, 28, 182 &364.
Neutralisation titre measured as inhibitory dilution 50 (ID50) for each individual sample, and GMT for treatment group comparison at Baseline and Days 14, 28, 98, 182, and 364. This analysis will be performed in a subset of subjects.
Time frame: Days 14, 28, 98, 182 and 364
Immunogenicity to the SARS-CoV-2 spike glycoprotein
Percentage of subjects that, after a booster dose, have a ≥4-fold change in binding antibodies titre from Baseline and Days 14, 28, 98, 182, and 364.
Time frame: Days 14, 28, 98, 182, and 364
T-cell mediated responses against the SARS-CoV-2 S glycoprotein at Baseline & D14.
T-cell-mediated response to the SARS-CoV-2 S protein at Baseline and at Day 14. This analysis will be performed in a subset of subjects.
Time frame: Day 14
Th-1/Th-2 T-cell mediated responses against the SARS-CoV-2 S glycoprotein at Baseline & D14. Th-1/Th2
CD4+/CD8+ T-cell response to the SARS-CoV-2 S protein at Baseline and at Day 14. This analysis will be performed in a subset of subjects.
Time frame: Day 14
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