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A Phase Ⅱ Clinical Trial of Recombinant Corona Virus Disease-19 (COVID-19) Vaccine (Sf9 Cells)

Phase 2
Completed
Conditions
COVID-19
Interventions
Biological: High-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Two dose regimen
Biological: High-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Three dose regimen
Biological: High-dose placebo (18-59 years) & Three dose regimen
Biological: Low-dose placebo (60-85 years) & Three dose regimen
Biological: Low-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Two dose regimen
Biological: High-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Three dose regimen
Biological: High-dose placebo (60-85 years) & Three dose regimen
Biological: Low-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Three dose regimen
Biological: Low-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Two dose regimen
Biological: High-dose placebo (60-85 years) & Two dose regimen
Biological: High-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Two dose regimen
Biological: High-dose placebo (18-59 years) & Two dose regimen
Biological: Low-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Three dose regimen
Biological: Low-dose placebo (18-59 years) & Two dose regimen
Biological: Low-dose placebo (18-59 years) & Three dose regimen
Biological: Low-dose placebo (60-85 years) & Two dose regimen
Registration Number
NCT04640402
Lead Sponsor
Jiangsu Province Centers for Disease Control and Prevention
Brief Summary

This is a phase Ⅱ, single-center, randomized, double-blind, placebo-controlled study, to evaluate the immunogenicity and safety of the recombinant COVID-19 vaccine (Sf9 cells) in the subjects from healthy adults and elderly adults aged 18 years and above (aged 18-60 and 60-85 years) with different immunization procedures (0, 21 days and 0, 14, 28 days) and doses (20μg/40μg).

Detailed Description

This is a phase Ⅱ, single-center, randomized, double-blind, placebo-controlled study, to evaluate the immunogenicity and safety of the recombinant COVID-19 vaccine (Sf9 cells) in the subjects from healthy adults and elderly adults aged 18 years and above (aged 18-60 and 60-85 years) . The phase Ⅱ clinical trials designed 8 research group, including two immunization procedures (0, 21 days and 0, 14, 28 days), two doses (20μg/0.5ml, 40μg/1.0ml) and two ages group (adults and elder): Each group including 120 participants. Vaccination or placebo group will be randomly assigned to receive in a 5:1 ratio, 960 in total.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
960
Inclusion Criteria
  • Aged 18 years and above.
  • Able to understand the content of informed consent and willing to sign the informed consent.
  • Able and willing to complete all the secluded study process during the whole study follow-up period (about 7 months).
  • Axillary temperature ≤37.0℃.
  • General good health as established by medical history and physical examination.
Exclusion Criteria

First dose exclusion criteria:

  • Positive serum immunoglobulin M (IgM) and IgG to the SARS-CoV-2.
  • A Known History of HIV infection
  • Family history of seizure, epilepsy, brain or mental disease.
  • Participant that has an allergic history to any ingredient of vaccines.
  • Woman who is pregnant, breast-feeding or positive in pregnancy test on day of enrollment, or is planning to be pregnant during the next 6 months.
  • Any acute fever disease or infections.
  • Have a medical history of SARS.
  • Have serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension and not well-controlled.
  • Major chronic illness, such as asthma, diabetes, or thyroid disease, and not well-controlled.
  • Hereditary angioneurotic edema or acquired angioneurotic edema.
  • Urticaria in last one year.
  • Asplenia or functional asplenia.
  • Platelet disorder or other bleeding disorder may cause injection contraindication.
  • Faint at the sight of blood or needles.
  • Prior administration of immunodepressant or corticosteroids, antianaphylactics treatment, cytotoxic treatment in last 6 months.
  • Prior administration of blood products in last 4 months.
  • Prior administration of other research medicines in last 1 month.
  • Prior administration of attenuated vaccine in last 1 month.
  • Prior administration of subunit vaccine or inactivated vaccine in last 14 days.
  • Being treated for tuberculosis.
  • Any condition that in the opinion of the investigators may interfere with the evaluation of study objectives.

Exclusion criteria for subsequent doses:

  • Patients with severe allergic reactions after the previous dose of vaccination;
  • Patients with serious adverse events causally related to the previous dose of vaccination.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
High-dose vaccine (18-59 years) & Two dose regimenHigh-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Two dose regimentwo doses of high-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 21.
High-dose vaccine (18-59 years) & Three dose regimenHigh-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Three dose regimenthree doses of high-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 14, 28.
High-dose placebo (18-59 years) & Three dose regimenHigh-dose placebo (18-59 years) & Three dose regimenthree doses of placebo at the schedule of day 0, 14, 28.
Low-dose placebo (60-85 years) & Three dose regimenLow-dose placebo (60-85 years) & Three dose regimenthree doses of placebo at the schedule of day 0, 14, 28.
Low-dose vaccine (18-59 years) & Two dose regimenLow-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Two dose regimentwo doses of low-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 21.
High-dose vaccine (60-85 years) & Three dose regimenHigh-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Three dose regimenthree doses of high-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 14, 28.
High-dose placebo (60-85 years) & Three dose regimenHigh-dose placebo (60-85 years) & Three dose regimenthree doses of placebo at the schedule of day 0, 14, 28.
Low-dose vaccine (18-59 years) & Three dose regimenLow-dose Recombinant COVID-19 vaccine (Sf9 cells) (18-59 years) & Three dose regimenthree doses of low-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 14, 28.
Low-dose vaccine (60-85 years) & Two dose regimenLow-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Two dose regimentwo doses of low-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 21.
High-dose placebo (60-85 years) & Two dose regimenHigh-dose placebo (60-85 years) & Two dose regimentwo doses of placebo at the schedule of day 0, 21.
High-dose vaccine (60-85 years) & Two dose regimenHigh-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Two dose regimentwo doses of high-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 21.
High-dose placebo (18-59 years) & Two dose regimenHigh-dose placebo (18-59 years) & Two dose regimentwo doses of placebo at the schedule of day 0, 21.
Low-dose vaccine (60-85 years) & Three dose regimenLow-dose Recombinant COVID-19 vaccine (Sf9 cells) (60-85 years) & Three dose regimenthree doses of low-dose Recombinant COVID-19 vaccine (Sf9 cells) at the schedule of day 0, 14, 28.
Low-dose placebo (18-59 years) & Two dose regimenLow-dose placebo (18-59 years) & Two dose regimentwo doses of placebo at the schedule of day 0, 21.
Low-dose placebo (18-59 years) & Three dose regimenLow-dose placebo (18-59 years) & Three dose regimenthree doses of placebo at the schedule of day 0, 14, 28.
Low-dose placebo (60-85 years) & Two dose regimenLow-dose placebo (60-85 years) & Two dose regimentwo doses of placebo at the schedule of day 0, 21.
Primary Outcome Measures
NameTimeMethod
Geometric mean (GMT) of specific antibody1 months after immunization in each study group

Geometric mean (GMT) of specific antibody against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Spike protein Receptor-binding domain(S-RBD) protein (ELISA)

The incidence of adverse reaction (AR)0 to 7 days after vaccination in each study group

The incidence of adverse reaction (AR)

Secondary Outcome Measures
NameTimeMethod
The incidence of adverse events (AE)0 to 28 days after vaccination in each study group

The incidence of adverse events (AE)

The incidence of severe adverse events (SAE)0 to 28 days after vaccination in each study group

The incidence of severe adverse events (SAE)

The incidence of serious adverse events6 months after vaccination in each study group

The incidence of serious adverse events

Geometric mean (GMT) of anti-SARS-CoV-2-specific neutralizing antibodies14 days after immunization in each study group

Geometric mean (GMT) of anti-SARS-CoV-2-specific neutralizing antibodies (euvirus and pseudovirus-neutralizing assays)

The positive conversion rate of S-RBD protein-specific antibody14 days, 30 days after immunization in each study group

The positive conversion rate of S-RBD protein-specific antibody (ELISA) against SARS-CoV-2

Geometric mean fold increase (GMI) of S-RBD protein-specific antibody14 days, 30 days after immunization in each study group

Geometric mean fold increase (GMI) of S-RBD protein-specific antibody (ELISA) against SARS-CoV-2

The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody14 days, 30 days after immunization in each study group

The positive conversion rate of anti-SARS-CoV-2 specific neutralizing antibody (euvirus and pseudovirus neutralization test)

Geometric mean fold increase (GMI) of anti-SARS-CoV-2 specific neutralizing antibodies14 days, 30 days after immunization in each study group

Geometric mean fold increase (GMI) of anti-SARS-CoV-2 specific neutralizing antibodies (eucivirus and pseudovirus neutralization assays)

Trial Locations

Locations (1)

Jiangsu Provincial Center for Diseases Control and Prevention

🇨🇳

Nanjing, Jiangsu, China

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