This is a multicenter designed Phase III clinical trial. About 10000 participants plan to be enrolled.The objectives of this study are to evaluate the efficacy, safety and immunogenicity of the recombinant two-component COVID-19 vaccine (CHO cell) in adults
This study is a multicenter, randomized, double-blinded, placebo-controlled Phase III clinical trial. The objectives are to evaluate the efficacy, safety, and immunogenicity of ReCOV in adults aged 18 years and older who have not received any COVID-19 vaccination, and have no history of known COVID-19 in previous 6 months. Three-dose intramuscular (IM) vaccination schedule (21 days interval) will be applied. About 10000 participants (about 15% participants ≥ 60 years old) with SARS-CoV-2 antibody (IgM and IgG) negative at baseline, will be randomized in a ratio of 1:1 to receive ReCOV (20 μg) or placebo on Day 0, Day 21, and Day 42, respectively. Participants will be stratified by age (18-59 years, ≥ 60 years) and study sites (if applicable). For efficacy visits, study staff will contact participants on a weekly basis to remind reporting any signs or symptoms of COVID-19. If participants report any signs or symptoms that may be related to COVID-19, they will be required to immediately conduct an unscheduled visit under the instruction by site staff for COVID-19 related assessment and receiving treatment as deemed appropriate. For reactogenicity and safety visits, all vaccinated participants will be observed for 30 minutes after each dose vaccination at study site for solicited or unsolicited AEs, and will be given subject diary to record solicited AEs within 7 days after each vaccination, and unsolicited AEs from the 1st vaccination to 28 days after the 3rd vaccination. Approximately 600 participants will be included in the immunogenicity subgroup. Except for the efficacy and safety follow-up visits described above, this subgroup will be collected blood sample on Day 0 (pre-vaccination) and 14 days (+3 days), 90 days (±15 days) and 6 months (±15 days) after the 3rd dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
7,623
Before reconstitution: Lyophilized powder for reconstitution in single-use vials After reconstitution with BFA03 adjuvant: Milk-white solution with no visible foreign matter
Before reconstitution: Lyophilized powder for reconstitution in single-use vials After reconstitution with BFA03 adjuvant: Milk-white solution with no visible foreign matter
B.P. Koirala Institute of Health Sciences
Dharān, Nepal
Aramil City Hospital
Aramil, Russia
LLC Medical Service solutions
Izhevsk, Russia
To evaluate the efficacy of ReCOV in preventing Reverse Transcription-Polymerase Chain Reaction (RT-PCR) confirmed symptomatic COVID-19 in adults
RT-PCR confirmed symptomatic COVID-19 cases (regardless of severity) that occurred \> 14 days after 3 doses vaccination.
Time frame: > 14 days after 3 doses vaccination.
Evaluate the safety and reactogenicity
The occurrence of solicited local and systemic adverse events (AEs) within 7 days after each vaccination.
Time frame: within 7 days after each vaccination
Evaluate the safety and reactogenicity
The occurrence of unsolicited AEs from the 1st dose to 28 days after the 3rd vaccination
Time frame: from the 1st dose to 28 days after the 3rd vaccination.
Evaluate the safety and reactogenicity
The occurrence of serious adverse events (SAEs) and adverse events of special interest (AESIs) from the 1st dose to the end of study.
Time frame: from the 1st dose to the end of study.
To evaluate the efficacy of ReCOV in preventing RT-PCR confirmed symptomatic COVID-19 with various severity in adults
RT-PCR confirmed moderate, severe, critical COVID -19, or death that occurred \> 14 days after 3 doses vaccination
Time frame: > 14 days after 3 doses vaccination.
To evaluate the efficacy of ReCOV in preventing RT-PCR confirmed symptomatic COVID-19 with various severity in adults
RT-PCR confirmed severe, critical COVID-19, or death that occurred \> 14 days after 3 doses vaccination.
Time frame: > 14 days after 3 doses vaccination.
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'Federal State Budgetary Scientific Institution "Russian Scientific Centre of Surgery named after academician B.V. Petrovsky"
Moscow, Russia
'Joint Stock Company "Clinical and diagnostic center "Euromedservice"
Moscow, Russia
State Regional Budgetary Institution of Healthcare "Murmansk Regional Clinical Hospital named after P.A. Bayandin"
Murmansk, Russia
LLC Professorskaya klinika
Perm, Russia
UZI 4D Clinic LLC
Pyatigorsk, Russia
Klinika Zvyezdnaya LLC
Saint Petersburg, Russia
Limited Liability Company "Sfera-Med"
Saint Petersburg, Russia
...and 1 more locations
To evaluate the efficacy of ReCOV in preventing RT-PCR confirmed symptomatic COVID-19 with various severity in adults
RT-PCR confirmed symptomatic COVID-19 cases (regardless of severity) that occurred \> 14 days after 3 doses vaccination in different age groups (18-59 years and ≥ 60 years ).
Time frame: > 14 days after 3 doses vaccination in different age groups (18-59 years and ≥ 60 years ).
To evaluate the immunogenicity of ReCOV
The seroconversion rate (SCR), geometric mean titer (GMT) and geometric mean increase (GMI) of neutralizing antibody against prototype and epidemic strain at 14 days, 3 months and 6 months after 3 doses vaccination.
Time frame: at 14 days, 3 months and 6 months after 3 doses vaccination
To compare the immunogenicity of ReCOV between Asian and Non-Asian in the immunogenicity subgroup
The SCR and GMT of neutralizing antibody against prototype at 14 days,3 months and 6 months after 3 doses vaccination.
Time frame: at 14 days,3 months and 6 months after 3 doses vaccination
Genotyping of SARS-CoV-2 virus nucleic acid sequence of COVID-19 cases to evaluate the possible viral mutations
SARS-CoV-2 virus nucleic acid sequence of RT-PCR confirmed symptomatic COVID-19 cases that occurred \>14 days after 3 doses vaccination derived from isolates or direct nasopharyngeal (NP) (preferred)/ oropharyngeal (OP) swab, or respiratory samples (including saliva samples, or bronchoalveolar lavage fluid, if applicable).
Time frame: >14 days after 3 doses vaccination