A Clinical Trial on Booster Immunization of Two COVID-19 Vaccines Constructed From Different Technical Routes

Sponsor
Zhongnan Hospital (Other)
Overall Status
Recruiting
CT.gov ID
NCT05886790
Collaborator
Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China (Other)
450
1
3
12
37.5

Study Details

Study Description

Brief Summary

This is an open-label, randomized, parallel-controlled clinical trial conducted in people aged 18 years and older to evaluate the immunogenicity and safety of two SARS-CoV-2 bivalent vaccines constructed by adenovirus type 5-based or mRNA-based technics.

Condition or Disease Intervention/Treatment Phase
  • Biological: Prototype and Omicron BA.4/5 Bivalent Recombinant COVID-19 Vaccine(Adenovirus Type 5 Vector) For Inhalation
  • Biological: Bivalent COVID-19 mRNA Vaccine
  • Biological: Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For Inhalation
N/A

Detailed Description

The clinical trial plans to recruit 450 subjects aged 18 years and above with an interval of ≥ 3 months between the previous dose of SARS-CoV-2 vaccine immunization and receive one dose of inhaled prototype strain and omicron BA.4/5 bivalent recombinant SARS-CoV-2 vaccine (adenovirus vector type 5) (Ad5-NCO5T-IH), beta strain and omicron BA.4/5 bivalent SARS-CoV-2 mRNA vaccine (mbO5) or inhaled prototype recombinant SARS-CoV-2 vaccine (adenovirus vector type 5) (Ad5-nCoV-IH) for follow-up until 6 months after vaccination.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
450 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
In people aged 18 years and older, people were divided into in three groups and vaccinated using three kinds of vaccines: Test vaccine 1: Prototype and Omicron BA.4/5 Bivalent Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For Inhalation Test vaccine 2: Bivalent COVID-19 mRNA Vaccine Control vaccine: Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For InhalationIn people aged 18 years and older, people were divided into in three groups and vaccinated using three kinds of vaccines:Test vaccine 1: Prototype and Omicron BA.4/5 Bivalent Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For Inhalation Test vaccine 2: Bivalent COVID-19 mRNA Vaccine Control vaccine: Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For Inhalation
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
A Randomized, Open-Label, Parallel-controlled Clinical Study on Booster Immunization of Two COVID-19 Vaccines Constructed From Different Technical Routes Among People Aged 18 Years and Older
Actual Study Start Date :
May 30, 2023
Anticipated Primary Completion Date :
Dec 31, 2023
Anticipated Study Completion Date :
May 29, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1. Ad5-NCO5T-IH

Vaccinated using Prototype and Omicron BA.4/5 Bivalent Recombinant COVID-19 Vaccine(Adenovirus Type 5 Vector) For Inhalation

Biological: Prototype and Omicron BA.4/5 Bivalent Recombinant COVID-19 Vaccine(Adenovirus Type 5 Vector) For Inhalation
Containing two adenovirus type 5-based vaccines delivering the spike proteins of SARS-CoV-2 wild type and Omicron BA.4/5 mutant, respectively
Other Names:
  • Ad5-NCO5T-IH
  • Experimental: 2. mbO5

    Vaccinated using Bivalent COVID-19 mRNA Vaccine

    Biological: Bivalent COVID-19 mRNA Vaccine
    Containing two mRNA-based vaccines delivering the spike proteins of SARS-CoV-2 Beta and Omicron BA.4/5 mutant, respectively
    Other Names:
  • mbO5
  • Other: 3. Ad5-nCoV-IH

    Vaccinated using Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For Inhalation

    Biological: Recombinant COVID-19 Vaccine (Adenovirus Type 5 Vector) For Inhalation
    Containing adenovirus type 5-based vaccine delivering the spike proteins of SARS-CoV-2 wild type
    Other Names:
  • Ad5-nCoV-IH
  • Outcome Measures

    Primary Outcome Measures

    1. Anti-XBB-specific neutralizing antibody [on day 28 post vaccination]

      GMT of anti-XBB-specific neutralizing antibody on day 28 post vaccination

    2. The incidence of adverse reactions [within 28 days post vaccination]

      The incidence of adverse reactions within 28 days post vaccination

    Secondary Outcome Measures

    1. The incidence of adverse reactions [within 30 mins post vaccination]

      The incidence of adverse reactions within 30 mins post vaccination

    2. The incidence of adverse event [within 28 days post vaccination]

      The incidence of adverse event within 28 days post vaccination

    3. The incidence of SAE and AESI [within 6 months post vaccination]

      The incidence of SAE and AESI within 6 months post vaccination

    4. specific neutralizing antibody against XBB and BA.5 variant on 0 and 28 days [on 0, 28 days post vaccination]

      The positive conversion rate, GMT and GMI of specific neutralizing antibody against XBB and BA.5 variant on 0 and 28 days

    5. specific neutralizing antibody against XBB and BA.5 variant at 14 days, 3 and 6 months [at 14 days, 3 and 6 months]

      The positive conversion rate, GMT and GMI of specific neutralizing antibody against XBB and BA.5 variant from first 90 subjects at 14 days, 3 and 6 months

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    1. Volunteers aged 18 and above at the time of screening;

    2. Volunteers can provide with informed consent and sign informed consent form (ICF);

    3. Have received COVID-19 vaccine, and the interval between the last vaccination ≥ 3 months.

    Exclusion Criteria:
    1. Those with convulsions, epilepsy, encephalopathy and serious neurological diseases (such as transverse myelitis, Guillain-Barre syndrome, demyelinating disease, etc.) in the past five years;

    2. Those who are allergic to the active ingredient, any inactive ingredient, or substances used in the production process of the research vaccine, or those who are allergic to the similar vaccines previously; Those who have had severe allergic reactions to vaccines in the past (such as acute allergic reactions, angioedema, dyspnea, etc.), and have any previous history of severe allergies to vaccines, foods, drugs, such as: urticaria, anaphylactic shock, skin eczema, allergic dyspnea, angioedema, etc. or a history of asthma;

    3. Those who have previously suffered from severe heart diseases such as myocarditis and pericarditis;

    4. Those who have experienced vaccination-related hospitalization or emergency care after previous vaccination;

    5. Female urine pregnancy test positive or lactating volunteers, volunteers or their partners have not taken effective contraception 2 weeks before screening or have a pregnancy plan within 6 months;

    6. Fever, axillary body temperature≥ 37.3°C;

    7. Those with suspected symptoms of COVID-19 in the past 3 months (fever, cough, muscle pain, loss of smell or taste, etc.);

    8. Investigators judge that they have known or suspected concomitant serious diseases with unstable drug control, including: respiratory diseases, tuberculosis, acute infection or active chronic disease, liver and kidney disease, cardiovascular disease (cardiopulmonary failure), hypertension (systolic blood pressure ≥ 160 mmHg, diastolic blood pressure ≥100 mmHg), malignant tumors, infectious or allergic skin diseases;

    9. No spleen or functional spleen;

    10. Thrombocytopenia, bleeding disorders, or other coagulation disorders (which may cause contraindications to intramuscular injection);

    11. Immunosuppressant therapy, anti-allergic therapy, cytotoxic therapy, inhaled corticosteroids (excluding corticosteroid spray therapy for allergic rhinitis, superficial corticosteroid therapy for acute non-complicated dermatitis) in the past 6 months;

    12. Suffering from nasal or oral diseases, such as acute rhinitis (sinusitis), allergic rhinitis, mouth ulcers, throat redness and swelling, etc.;

    13. Have received blood products within 3 months prior to receiving the test vaccine;

    14. Have received other vaccines or investigational drugs within 1 month prior to receiving the test vaccine;

    15. Are receiving anti-tuberculosis treatment;

    16. Those with a history of COVID-19 infection in the past 3 months;

    17. Those who have a positive test result of the novel coronavirus antigen at the time of screening;

    18. Those with positive HIV infection results at screening;

    19. Participated in other interventional studies of lipid-containing nanoparticles;

    20. According to the judgment of the investigator, due to various medical, psychological, social or other conditions, it is contrary to the trial protocol, or affects the volunteers' signing of informed consent.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Zhongnan Hospital of Wuhan University Wuhan Hubei China 430000

    Sponsors and Collaborators

    • Zhongnan Hospital
    • Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Jianying Huang, Principal Investigator, Zhongnan Hospital
    ClinicalTrials.gov Identifier:
    NCT05886790
    Other Study ID Numbers:
    • AMMS85-2301
    First Posted:
    Jun 2, 2023
    Last Update Posted:
    Jun 2, 2023
    Last Verified:
    Jun 1, 2023
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Jianying Huang, Principal Investigator, Zhongnan Hospital
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 2, 2023