A Phase 1, Randomized, Open-label, Dose-Finding Study to Evaluate the Safety, Tolerability, and Reactogenicity of Escalating Doses of the Baiya SARS-CoV-2 Vax 1 Vaccine in Healthy Adults
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Coronavirus
- Sponsor
- Baiya Phytopharm Co., Ltd.
- Enrollment
- 48
- Locations
- 2
- Primary Endpoint
- Treatment-emergent Changes in Respiratory Rate
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This study is a phase 1, open-label, randomized, first-in-human clinical trial to evaluate the safety, tolerability and reactogenicity of escalating doses of Baiya SARS-CoV-2 VAX1 vaccine in participants aged 18-60 for adult groups and 61-75 for elderly groups. Each group will consist of three cohorts to evaluate different doses (low, medium, high) of Baiya SARS-CoV-2 VAX vaccine. Participants will be injected with two doses of the investigational product with a 21-day interval.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy man and woman between 18-60 years old (inclusive) for the adult cohort and between 61-75 years old (inclusive) for the elderly cohort.
- •Have a body-mass index of 18.0-30.0 kg/m² at screening
- •Give informed consent prior to study enrollment and all study procedures
- •Participants must be able to comply with study procedures and be available for all study visits
- •Participants must be in general good health based on medical history and physical examination as determined by the investigator(s) at Screening
- •Participants must have haematology, clinical chemistry, coagulation, and urinalysis test results that are not deviating from the normal reference range by age and gender, or considered "not clinicallysignificant" per investigator decision based on safety at Screening.
- •Males must be surgically sterile (\>30 days since vasectomy with no viable sperm), practice true abstinence, or, if engaged in sexual activities with a female with childbearing potential, use condoms from first vaccination until 60 days after the last vaccination.
- •Females of child-bearing potential must practice true abstinence, or, if engaged in sexual activities with a male, agree to use highly effective (failure rate of \<1% per year when used consistently and correctly), double-barrier contraceptive measures throughout the study and intend to continue use of contraception methods for at least 60 days following the last vaccination.
- •Female participants of child-bearing potential must have negative serum pregnancy test by beta human chorionic gonadotropin \[β-HCG\] at Screening and a negative urine-based pregnancy test within 24 hours prior to each investigational vaccine administration
- •Female participants of childbearing potential must not be pregnant or breastfeeding.
Exclusion Criteria
- •Presence of clinically significant medical history, unstable chronic or acute disease, or physical, or laboratory findings that in the opinion of the PI may potentially increase the expected risk of exposure to the investigational vaccine, compromise the safety of the participant, or interfere with any aspect of study conduct or interpretation of results. This will include any thrombocytopenia or bleeding disorder contraindicating IM vaccination.
- •Presence of self-reported or medically documented significant medical or psychiatric condition(s) as judged by the investigator(s) that it may not be in the participant's interest to participate in the study.
- •Presence of an acute illness, as determined by the participating Study Site investigator(s), with or without fever (forehead temperature measured by validated device ≥ 37.5 ºC) within 72 hours prior to each vaccination
- •Presence of birthmarks, tattoos, wound, or other skin conditions over the deltoid region of both arms that in the opinion of the investigator(s), could reasonably obscure and interfere with evaluation of local ISRs
- •Inadequate venous access to allow collection of blood samples
- •Breastfeeding or planning to breastfeed from the time of the first vaccination to after the last vaccination, or pregnant as confirmed by a positive serum β-HCG pregnancy test at Screening or positive urine pregnancy test at subsequent clinic visits at timepoints as delineated in the schedule of assessments
- •Received any prophylactic or therapeutic vaccine, or licensed or unlicensed vaccine, device, or blood product, within 4 weeks of first vaccination or 5 half-lives (whichever is longer), or anticipate to do so in the follow-up period defined for this study
- •History of severe allergy (requiring hospital care), anaphylaxis, severe reaction to any drug or prior vaccination, or any known or suspected allergies or sensitivities to any component of the investigational vaccine or tobacco
- •Participant is immunosuppressed as caused by disease (such as HIV)
- •Chronic use (more than 14 continuous days) of or anticipated need to use, within the next 6 months, of any medications that may be associated with impaired immune responsiveness or with immunosuppression
Outcomes
Primary Outcomes
Treatment-emergent Changes in Respiratory Rate
Time Frame: Up to 28 days after second vaccination
Grade of treatment-emergent changes in respiratory rate by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Treatment-emergent, Changes in Physical Conditions
Time Frame: Up to 28 days after second vaccination
Baseline physical examination will include head, ears, nose, throat, lungs, lymph nodes, heart, abdomen and skin. Symptom directed physical examination will be performed for each subsequent visit. Grade of treatment-emergent changes by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Frequency and Grade of Adverse Events (including both solicited and unsolicited AEs)
Time Frame: Up to 28 days after second vaccination
Changes in Pulse Rate from Baseline
Time Frame: Up to 28 days after second vaccination
Pulse rate is measured as beats per minute. Pulse rate at multiple timepoints according to the protocol will be compared to baseline value. Changes in pulse rate will be described using descriptive statistic (mean, standard deviation).
Changes in Body Temperature from Baseline
Time Frame: Up to 28 days after second vaccination
Body temperature is measured as degree Celsius. Body temperature at multiple timepoints according to the protocol will be compared to baseline value. Changes in body temperature will be described using descriptive statistic (mean, standard deviation)
Safety Laboratory Value (Coagulation)
Time Frame: Up to 28 days after second vaccination
Coagulation laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Treatment-emergent Changes in Pulse Rate
Time Frame: Up to 28 days after second vaccination
Grade of treatment-emergent changes in pulse rate by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Treatment-emergent Changes in Body Temperature
Time Frame: Up to 28 days after second vaccination
Grade of treatment-emergent changes in body temperature by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Frequency and Grade of Solicited Adverse Events
Time Frame: 7 days after each vaccination
Incidence of Serious Adverse Events (SAEs), Medically-Attended Adverse Events (MAAEs), and New-Onset Chronic Medical Conditions (NOCMCs)
Time Frame: Up to 28 days after second vaccination
Changes in Blood Pressure (Systolic and Diastolic Blood Pressure) from Baseline
Time Frame: Up to 28 days after second vaccination
Blood pressure is measured mmHg. Blood pressure, both systolic and diastolic, at multiple timepoints according to the protocol will be compared to baseline value. Changes in blood pressure will be described using descriptive statistic (mean, standard deviation).
Changes in Respiratory Rate from Baseline
Time Frame: Up to 28 days after second vaccination
Respiratory rate is measured as breaths per minute. Respiratory rate at multiple timepoints according to the protocol will be compared to baseline value. Changes in respiratory rate will be described using descriptive statistic (mean, standard deviation).
Safety Laboratory Value (Haematology)
Time Frame: Up to 28 days after second vaccination
Haematology laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Changes in Physical Conditions from Baseline Physical Examinations
Time Frame: Up to 28 days after second vaccination
Baseline physical examination will include head, ears, nose, throat, lungs, lymph nodes, heart, abdomen and skin. Symptom directed physical examination will be performed for each subsequent visit. Changes in physical conditions from baseline physical examination will be described.
Safety Laboratory Value (Serum chemistry)
Time Frame: Up to 28 days after second vaccination
Serum Chemistry laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Safety Laboratory Value (Urinalysis)
Time Frame: Up to 28 days after second vaccination
Urinalysis laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Treatment-emergent Changes in Blood Pressure
Time Frame: Up to 28 days after second vaccination
Grade of treatment-emergent changes in blood pressure by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).
Secondary Outcomes
- Incidence of SAEs(28 days - 1 year after second vaccination)
- Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Specific Serum Neutralising Antibody(Up to 28 days after second vaccination)
- Frequency and Grade of Medically-Attended Adverse Events (MAAEs)(28 days - 1 year after second vaccination)
- Frequency and Grade of New-Onset Chronic Medical Conditions (NOCMCs)(28 days - 1 year after second vaccination)
- Geometric Mean Titer (GMT) of SARS-CoV-2 Surrogate Viral Neutralising Antibody(Up to 28 days after second vaccination)
- Seroconversion Rate of RBD-specific IgG Antibody(Up to 28 days after second vaccination)
- Percentage of participants who have positive RBD-specific CD4+ and CD8+ T-cell IFN-y ELISpot responses(Up to 28 days after second vaccination)
- Geometric Mean Titer (GMT) of SARS-CoV-2 Specific Serum Neutralising Antibody(Up to 28 days after second vaccination)
- Seroconversion Rate of SARS-CoV-2 Specific Serum Neutralising Antibody(Up to 28 days after second vaccination)
- Seroconversion Rate of SARS-CoV-2 Surrogate Viral Neutralising Antibody(Up to 28 days after second vaccination)
- Medium percentage of specific T-helper 1 responses or T-helper 2 responses(Up to 28 days after second vaccination)
- Geometric Mean Titer (GMT) of RBD-specific IgG Antibody(Up to 28 days after second vaccination)
- Geometric Mean Fold Rise (GMFR) of RBD-specific IgG Antibody(Up to 28 days after second vaccination)
- Percentage of participants who shows positive specific T-helper 1 responses, or T-helper 2 responses(Up to 28 days after second vaccination)
- Median number of spot-forming cells (SFC) per 1 million PBMCs(Up to 28 days after second vaccination)
- Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Surrogate Viral Neutralising Antibody(Up to 28 days after second vaccination)