This study is a multi-center, randomized, national, observer-blinded, active-controlled phase IIB clinical trial to determine the efficacy, immunogenicity, and safety of two-doses of inactive COVID-19 vaccine (TURKOVAC) vaccine versus the two-doses CoronaVac (Sinovac) vaccine in healthy adolescents aged 12-18 years.
The primary aim of the study is to evaluate the clinical efficacy of two-doses of TURKOVAC and two-doses of CoronaVac vaccines against symptomatic COVID-19 disease confirmed by real time-polymerase chain reaction (RT-PCR) in adolescents (12-18 years of age). After the second dose of vaccine administration, the immunological responses of TURKOVAC and CoronaVac vaccines will be demonstrated by neutralizing antibodies and anti-spiked antibodies. A total of 644 subjects will be enrolled. Subjects will be assigned according to randomization (1:1) for 2 different arms. The assigned vaccine will be administered to subjects in two doses on days 0 and 28.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
1
Health Sciences University Adana City Training and Research Hospital, Pediatric Health and Diseases
Adana, Turkey (Türkiye)
COVID-19 Positivity Rate
The rate of positivity in a polymerase chain reaction (PCR) sample taken within 24 or 48 hours in subjects (symptomatic subject) with fever and other COVID-19 symptoms 14 days after the second vaccination dose.
Time frame: 14 days after the second dose of vaccination
Protection Rates of TURKOVAC and CoronaVac Vaccines Against Symptomatic COVID-19
Protection rates of TURKOVAC and CoronaVac vaccines against symptomatic COVID-19 confirmed by real time-polymerase chain reaction (RT-PCR), 14 days after first dose of vaccination.
Time frame: 14 days after first dose of vaccination
Protection rates of TURKOVAC and CoronaVac Vaccines Against Symptomatic COVID-19
Protection rates of TURKOVAC and CoronaVac vaccines against symptomatic COVID-19 confirmed by real time-polymerase chain reaction (RT-PCR), 14 days after second dose of vaccination.
Time frame: 14 days after second dose of vaccination
The Protection Rates of TURKOVAC and CoronaVac Vaccines in Preventing Hospitalization and Death Against Severe COVID-19
The protection rates of two-doses of TURKOVAC and CoronaVac vaccines in preventing hospitalization and death against severe COVID-19 disease confirmed by real time-polymerase chain reaction (RT-PCR), 14 days after the second dose of vaccination.
Time frame: 14 days after second dose of vaccination
The Incidence of Adverse Events (AEs)
The incidence of adverse events (AEs) within after up to 30 minutes each dose of vaccination.
Time frame: Up to 30 minutes each dose of vaccination
The Incidence of Undesirable Adverse Event
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Çukurova University Faculty of Medicine Department of Pediatric Infectious Diseases
Adana, Turkey (Türkiye)
T.R. Ministry of Health Ankara City Hospital, Pediatric Infectious Diseases Clinic
Ankara, Turkey (Türkiye)
Ankara University Faculty of Medicine Department of Pediatric Infectious Diseases
Ankara, Turkey (Türkiye)
Hacettepe University Faculty of Medicine Department of Child Health and Diseases Department of Pediatric Infectious Diseases
Ankara, Turkey (Türkiye)
Eskişehir Osmangazi University Faculty of Medicine, Department of Child Health and Diseases
Eskişehir, Turkey (Türkiye)
İstanbul University İstanbul Faculty of Medicine, Department of Pediatric Infectious Diseases
Istanbul, Turkey (Türkiye)
Marmara University Istanbul Pendik Training and Research Hospital, Pediatric Infectious Diseases Clinic
Istanbul, Turkey (Türkiye)
T.R. Ministry of Health Istanbul Provincial Health Directorate Prof. Dr. Cemil Taşçıoğlu City Hospital, Pediatric Infectious Diseases Clinic
Istanbul, Turkey (Türkiye)
University of Health Sciences İstanbul Şisli Hamidiye Etfal Training and Research Hospital, Pediatric Infectious Diseases Clinic
Istanbul, Turkey (Türkiye)
...and 4 more locations
The incidence of an undesirable adverse event from the first day of vaccination to the following year after the last dose of vaccination.
Time frame: First day of vaccination to the following year after the last dose of vaccination
The Incidence of Undesirable Adverse Event
The incidence of undesirable adverse events within 7 days after each vaccination dose.
Time frame: 7 days after each vaccination dose
The Incidence of Serious Undesirable Adverse Events
The incidence of serious undesirable adverse events up to one year after first and second dose vaccination.
Time frame: 1 year after first and second dose vaccination
The Seropositivity Rate of SARS-CoV2 Specific Binding Antibody
The seropositivity rate of SARS-CoV2 specific binding antibody at 42, 56, 70, 126, 168, and 224 days after the first dose of TURKOVAC and CoronaVac vaccination. * The change in the geometric mean concentration (GMC) SARS-CoV2 anti-spike protein immunoglobulin G in the 42nd and 56th day compared to the baseline is 2 times.
Time frame: 42, 56, 70, 126, 168, and 224 days after the first dose of vaccination
Evaluation of SARS-CoV2 Neutralizing Antibodies
To evaluate SARS-CoV2 neutralizing antibodies by neutralization test at 42, 56, 70, 126, 168, and 224 days after the first dose of TURKOVAC and CoronaVac vaccination. * The change in the geometric mean concentration (GMC) and geometric mean titer (GMT) SARS-CoV2 neutralizing antibodies in the 42nd and 56th day compared to the baseline is 2 times.
Time frame: 42, 56, 70, 126, 168, and 224 days after the first dose of vaccination
T-Cell Evaluation
To evaluate the SARS-CoV2 protein-peptide pool-specific T cells (T cell activation) on the first dose day and at 70, 126, and 224 days after the first dose. Geometric mean percentage (minimum 25 percent, maximum 75 percent) of SARS-CoV2 protein-peptide pool-specific T-cell determined by flow cytometry. * The success criterion for T cell activation is defined as the appearance of an anamnestic response.
Time frame: 70, 126, and 224 days after the first dose of vaccination
The Incidence of Local and Systemic Signs and Symptoms
The incidence of local and systemic signs and symptoms in TURKOVAC and CoronaVac vaccines will be evaluated with the chi-square test when the chi-square condition is provided, and the Fisher Exact Test when the chi-square condition is not provided.
Time frame: Through study completion, an average of 1 year