This prospective, single-center, randomized, placebo-controlled (phase 1) and active-controlled (phase 2), observer-blind Phase 1/2 study includes two separate parts. After completing the phase 1 interim analysis, 2 doses (3mcg and 6mcg) were selected for phase 2. In Part 2 of this combined Phase 1/2 study, 374 adults aged 18-75 years will be randomized (1:1:1) to AZD1222, or COVIVAC 3 µg being evaluated in Phase 1 or the intermediate dose of COVIVAC 6 µg being selected after consideration of phase 1 results.
In Part 2 of this combined Phase 1/2 study, 374 adults aged 18-75 years will be randomized (1:1:1) to placebo, or COVIVAC 3 µg being evaluated in Phase 1 or the intermediate dose of COVIVAC 6 µg being selected after consideration of phase 1 results. At least one-third of the subjects in Phase 2 will be aged ≥60 years to ensure that adequate safety and immune data will be available from older and elderly adults to inform the selection of the COVIVAC formulation to advance to Phase 3 studies. The Phase 2 cohort will follow the same visit schedule, and undergo the same procedures and assessments, as in Phase 1. In addition, as exploratory objectives, the anti-NDV HN IgG response will be assessed at V1, V3, V5, and V7 in all subjects, and 36 subjects (equally distributed between the two age strata) will be randomly selected in a 1:1:1 ratio to provide additional blood at V1, V5 and V7 to be used to isolate peripheral blood mononuclear cells (PBMCs) for assessment of T-cell-mediated immunity (CMI). An interim analysis of Phase 2 data will be conducted after the last subject of the Phase 2 cohort completes V6 (D57) as the basis for selecting the optimal formulation of COVIVAC to advance to Phase 3 studies. As was the case for the Phase 1 interim analysis at the same timepoint, the data generated will include unblinded post-dose 1 and dose 2 safety results for review by the DSMB, and immunogenicity results aggregated by treatment group for review by the Sponsor. The DSMB will consider all accumulated safety data from both phases of the study prior to making any recommendation to the Sponsor that it not advance a formulation based on safety concerns. The Sponsor will ultimately select the formulation to advance to Phase 3 that, in addition to having been judged by the DSMB to have an adequate safety and tolerability profile, is optimal based on relative functional immunogenicity and other programmatic considerations such as those noted above.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
374
For prevention Covid-19
District Health Center of Vu Thu District
Thái Bình, Thai Binh, Vietnam
Percentage of Participants With Local and Systemic Solicited AEs by Severity During the First 7 Days After Each Vaccination.
* Local solicited AEs: Pain or tenderness, Swelling or induration, Erythema * Systemic solicited AEs: Fever (defined as oral temperature ≥ 38°C), Headache, Fatigue or malaise, Myalgia, Arthralgia, Nausea or vomiting * Severity grading: Mild = Causes no or minimal interference with normal daily activities; intervention not indicated; Moderate =Interferes with but does not prevent normal daily activities; intervention indicated; Severe = Prevents normal daily activities; intervention or hospitalization indicated.
Time frame: 7 days after each vaccination
Percentage of Participants With Unsolicited AEs by Severity and Relatedness During the First 28 Days After Each Vaccination
* An unsolicited adverse event is any AE reported spontaneously by the subject, observed by the study staff during study visits or those identified during review of medical records or source documents. Solicited AEs with an onset after the seven-day solicitation period will be considered unsolicited AEs * Severity grading: Mild = Causes no or minimal interference with normal daily activities; intervention not indicated; Moderate =Interferes with but does not prevent normal daily activities; intervention indicated; Severe = Prevents normal daily activities; intervention or hospitalization indicated.
Time frame: 28 days after each vaccination
Percentage of Participants With SAEs Severity and Relatedness Throughout the Entire Study Period
A SAE is a specific AE that: * Results in death. * Is life-threatening.\* * Requires inpatient hospitalization or prolongation of an existing hospitalization.\*\* * Results in a persistent or significant disability or incapacity.\*\*\* * Results in a congenital anomaly or birth defect.
Time frame: From the first vaccination until Day 197
Percentage of Participants With AE of Special Interest by Severity and Relatedness Throughout the Entire Study Period
AEs of Special interest which are AEs relevant to COVID-19 and potential immune-mediated medical conditions (PIMMC) occurred throughout the entire study period
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Time frame: From first vaccination to Day 197
NT50 GMT at 14 Days and 6 Months After Second Vaccination
NT50 GMT against SARS-CoV-2 pseudovirus in subjects who are anti-S IgG seronegative at baseline
Time frame: 14 days and 6 months after second vaccination
GMFR in NT50 at 14 Days and 6 Months After Second Vaccination
GMFR in NT50 against SARS-CoV-2 pseudovirus measured at 14 days and 6 months after second vaccination to the baseline
Time frame: 14 days and 6 months after second vaccination
Percentage of Subjects With Seroresponse in NT50 at 14 Days and 6 Months After Second Vaccination
Seroresponses against SARS-CoV-2 pseudovirus as defined by a ≥ 4-fold increase from baseline
Time frame: 14 days and 6 months after second vaccination
IgG GMC at 14 Days and 6 Months After Second Vaccination
Anti-S IgG GMC in subjects who are anti-S IgG seronegative at baseline
Time frame: 14 days and 6 months after the second vaccination
GMFR in Anti-S IgG GMC at 14 Days and 6 Months After Second Vaccination
GMFR in anti-S IgG GMC measured at 14 days and 6 months after second vaccination to the baseline
Time frame: 14 days and 6 months after the second vaccination
Percentage of Subjects With Seroresponses in Anti-S IgG Concentration at 14 Days and 6 Months After Second Vaccination
Seroresponses in anti-S IgG titer as defined by (1) a ≥ 4-fold increase from baseline, and (2) a ≥ 10-fold increase from baseline
Time frame: 14 days and 6 months after the second vaccination