The goal of this clinical trial is to test two investigational COVID-19 booster vaccines, called CoTend-s3BXBB and CoTend-BXBB, in healthy volunteers ages 40-64. The CoTend-s3BXBB vaccine includes a component called "s3", which was designed to improve the body's response to the vaccine. CoTend-BXBB is the same vaccine without s3. The main questions the study aims to answer are: 1) Is the investigational vaccine safe? 2) Does "s3" lead to bigger, broader, and longer-lasting responses to the vaccine? 5 different doses of the vaccines will be studied. Participants will receive a single dose of either CoTend-s3BXBB, CoTend-BXBB, or placebo. Participants will be monitored for side effects. Saliva, nasal, and blood samples will be collected and immune responses to the vaccine will be measured.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
80
Ad35-vectored SARS-CoV-2 RBD (XBB.1.5) vaccine
Ad35-vectored s3-SARS-CoV-2 RBD (XBB.1.5) vaccine
Sterile sodium chloride 0.9% for injection, preservative free
UCLA Westwood
Los Angeles, California, United States
RECRUITINGUCSF Community and Clinical Research Center
San Francisco, California, United States
RECRUITINGFrequency of solicited local reactogenicity adverse events (AEs) within 7 days after dosing.
Number of participants with solicited local reactogenicity AEs (injection site pain, erythema, or swelling) within 7 days after dosing. An AE is any untoward medical occurrence in a clinical investigation of a patient administered a pharmaceutical product and that does not necessarily have a causal relationship with the treatment.
Time frame: 7 days
Frequency of solicited systemic reactogenicity AEs within 7 days after dosing.
Number of participants with solicited systemic reactogenicity AEs (malaise, participant-measured body temperature, fatigue, headache, chills, nausea, muscle aches/pain, joint pain) within 7 days after dosing.
Time frame: 7 days
Frequency of unsolicited AEs within 28 days after dosing.
Number of participants with unsolicited AEs within 28 days after dosing. Unsolicited AEs are AEs that were not pre-defined as solicited.
Time frame: 28 days
Frequency of serious adverse events (SAEs) within 28 days after dosing.
Number of participants with an SAE within 28 days after dosing. An SAE is defined as any adverse event that results in any of the following outcomes: death during a period of surveillance defined by the protocol, a life-threatening adverse experience, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect. The following are also considered SAEs for this study: severe COVID-19, defined as COVID-19 requiring hospitalization or supplemental oxygen, myocarditis or pericarditis within 6 weeks of study vaccination, and acute or new onset thrombosis or thromboembolism within 60 days of vaccination.
Time frame: 28 days
Frequency of adverse events of special interest (AESIs) within 28 days after dosing.
Number of participants with AESIs. AESIs defined as: thrombotic or thromboembolic events, thrombosis with thrombocytopenia syndrome, immune thrombocytopenia, or capillary leak syndrome occurring within 60 days; new thrombocytopenia \<150 x 10\^9/L or below the lower laboratory limit of normal or worsening in grade of thrombocytopenia within 60 days after study vaccination; new D-dimer elevation \>2000 ng/mL within 60 days; laryngospasm, bronchospasm, or anaphylaxis assessed as at least possibly related; generalized urticaria assessed as related; any other grade allergic/ hypersensitivity reaction within 7 days; any ulceration, abscess, or necrosis at injection site assessed as possibly related; myocarditis or pericarditis occurring within 6 weeks; new diagnosis of Guillain-Barré syndrome occurring within 60 days; any new or worsened immune mediated medical condition; grade 3+ lab abnormality for which there is a reasonable possibility of causal relationship to study treatment.
Time frame: 28 days
Frequency of medically attended adverse events (MAAEs) within 28 days after dosing.
Number of participants with MAAEs (MAAE defined as an AE resulting in a hospitalization, emergency room visit, or otherwise unscheduled visit with medical personnel for any reason) within 28 days after dosing.
Time frame: 28 days
Geometric mean titers (GMTs) of serum anti-XBB.1.5 neutralizing antibodies (NAb) through week 8.
Serum anti-XBB.1.5 NAb GMT
Time frame: 8 weeks
Proportion of participants achieving serum anti-XBB.1.5 NAb titers of 1:250 or better through week 8.
Proportion of participants achieving serum anti-XBB.1.5 NAb titers of 1:250 or better
Time frame: 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-XBB.1.5 NAb responses.
Geometric mean fold rise (GMFR) in serum anti-XBB.1.5 NAb levels
Time frame: Pre-dose to 8 weeks
Serum anti-D614G NAb GMTs through week 8.
Serum anti-D614G NAb GMTs
Time frame: 8 weeks
Serum anti-JN.1* NAb GMTs through week 8.
Serum anti-JN.1\* NAb GMTs (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated)
Time frame: 8 weeks
Proportion of participants achieving anti-D614G NAb titers of 1:250 or better through week 8.
Proportion of participants achieving anti-D614G NAb titers of 1:250 or better
Time frame: 8 weeks
Proportion of participants achieving anti-JN.1* NAb titers of 1:250 or better through week 8.
Proportion of participants achieving serum anti-JN.1\* NAb GMTs of 1:250 or better (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated).
Time frame: 8 weeks
GMFR from pre-dose to week 8 in serum anti-D614G NAb responses.
GMFR in serum anti-D614G NAb responses
Time frame: Pre-dose to 8 weeks
GMFR from pre-dose to week 8 in serum anti-JN.1* NAb responses.
GMFR in serum anti-JN.1\* NAb responses (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated).
Time frame: Pre-dose to 8 weeks
Serum anti-XBB.1.5 RBD IgG binding antibody (bAb) GMTs through week 8.
Serum anti-XBB.1.5 RBD IgG bAb GMTs
Time frame: 8 weeks
Serum anti-XBB.1.5 RBD IgA binding antibody GMTs through week 8.
Serum anti-XBB.1.5 RBD IgA bAb GMTs
Time frame: 8 weeks
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Serum anti-D614G RBD IgG binding antibody (bAb) GMTs through week 8.
Serum anti-D614G RBD IgG bAb GMTs.
Time frame: 8 weeks
Serum anti-D614G RBD IgA binding antibody (bAb) GMTs through week 8.
Serum anti-D614G RBD IgA bAb GMTs through week 8.
Time frame: 8 weeks
Serum anti-JN.1* RBD IgG binding antibody (bAb) GMTs through week 8.
Serum anti-JN.1\* RBD IgG bAb GMTs (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated)
Time frame: 8 weeks
Serum anti-JN.1* RBD IgA binding antibody (bAb) GMTs through week 8.
Serum anti-JN.1\* RBD IgA bAb GMTs (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated)
Time frame: 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-XBB.1.5 RBD IgG binding antibody responses.
Time frame: Pre-dose to 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-XBB.1.5 RBD IgA binding antibody responses.
Time frame: Pre-dose to 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-D614G RBD IgG binding antibody responses.
Time frame: Pre-dose to 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-D614G RBD IgA binding antibody responses.
Time frame: Pre-dose to 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-JN.1* RBD IgG binding antibody responses.
Time frame: Pre-dose to 8 weeks
Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-JN.1* RBD IgA binding antibody responses.
Time frame: Pre-dose to 8 weeks
Frequency of grade 3 or higher AEs through week 26 visit.
Number of participants with grade 3 or higher AEs through week 26 visit. Grade 3 AE is defined as severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. Grade 4 AE is defined as potentially life-threatening symptoms causing inability to perform basic self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death. All deaths related to an AE are classified as grade 5.
Time frame: 26 weeks
Frequency of SAEs through week 26 visit.
Number of participants with SAEs through week 26 visit.
Time frame: 26 weeks
Frequency of AESIs through week 26 visit.
Number of participants with AESIs through week 26 visit.
Time frame: 26 weeks
Frequency of MAAEs through week 26 visit.
Number of participants with MAAEs through week 26 visit
Time frame: 26 weeks
Frequency of SAEs through end of study visit
Number of participants with SAEs through their end of study visit
Time frame: Through end of study visit (52 or 104 weeks)
Frequency of AESIs through end of study visit
Number of participants with AESIs through their end of study visit
Time frame: Through end of study visit (52 or 104 weeks)
Frequency of MAAEs through end of study visit
Number of participants with MAAEs through their end of study visit
Time frame: Through end of study visit (52 or 104 weeks)
Fraction of RBD-specific CD4+ T cells through week 8.
Fraction of RBD-specific CD4+ T cells
Time frame: 8 weeks
Fraction of RBD-specific CD8+ T cells through week 8.
Fraction of RBD-specific CD8+ T cells
Time frame: 8 weeks
NAb GMTs through week 26.
Serum NAb GMTs
Time frame: 26 weeks
NAb GMTs through week 52.
Serum NAb GMTs
Time frame: 52 weeks
NAb GMTs through week 104.
Serum NAb GMTs
Time frame: 104 weeks
Binding Ab GMTs through week 26.
Serum binding Ab GMTs
Time frame: 26 weeks
Binding Ab GMTs through week 52.
Serum binding Ab GMTs
Time frame: 52 weeks
Binding Ab GMTs through week 104.
Serum binding Ab GMTs
Time frame: 104 weeks
Proportion of participants achieving NAb titers of 1:250 or better through week 26.
Proportion of participants achieving serum NAb titers of 1:250 or better
Time frame: 26 weeks
Proportion of participants achieving NAb titers of 1:250 or better through week 52.
Proportion of participants achieving serum NAb titers of 1:250 or better
Time frame: 52 weeks
Proportion of participants achieving NAb titers of 1:250 or better through week 104.
Proportion of participants achieving serum NAb titers of 1:250 or better
Time frame: 104 weeks
GMFR of NAb titers from pre-dose through week 26.
GMFR of serum NAb titers
Time frame: Pre-dose to 26 weeks
GMFR of NAb titers from pre-dose through week 52.
GMFR of serum NAb titers
Time frame: Pre-dose to 52 weeks
GMFR of NAb titers from pre-dose through week 104.
GMFR of serum NAb titers
Time frame: Pre-dose to 104 weeks
GMFR of binding Ab titers from pre-dose through week 26.
Time frame: Pre-dose to 26 weeks
GMFR of binding Ab titers from pre-dose through week 52.
Time frame: Pre-dose to 52 weeks
GMFR of binding Ab titers from pre-dose through week 104.
Time frame: Pre-dose to 104 weeks
Fraction of RBD-specific CD4+ T cells through week 26.
Fraction of RBD-specific CD4+ T cells
Time frame: 26 weeks
Fraction of RBD-specific CD4+ T cells through week 52.
Fraction of RBD-specific CD4+ T cells
Time frame: 52 weeks
Fraction of RBD-specific CD4+ T cells through week 104.
Fraction of RBD-specific CD4+ T cells
Time frame: 104 weeks
Fraction of RBD-specific CD8+ T cells through week 26.
Fraction of RBD-specific CD8+ T cells
Time frame: 26 weeks
Fraction of RBD-specific CD8+ T cells through week 52.
Fraction of RBD-specific CD8+ T cells
Time frame: 52 weeks
Fraction of RBD-specific CD8+ T cells through week 104.
Fraction of RBD-specific CD8+ T cells
Time frame: 104 weeks