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Safety and immunogenicity of RNA-based vaccines against SARS-CoV-2 variants in healthy participants

Phase 1
Conditions
Protection against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV 2).
MedDRA version: 23.0Level: PTClassification code 10051905Term: Coronavirus infectionSystem Organ Class: 10021881 - Infections and infestations
MedDRA version: 23.0Level: HLTClassification code 10084510Term: Coronavirus infectionsSystem Organ Class: 10021881 - Infections and infestations
MedDRA version: 23.1Level: LLTClassification code 10084529Term: 2019 novel coronavirus infectionSystem Organ Class: 10021881 - Infections and infestations
Therapeutic area: Diseases [C] - Virus Diseases [C02]
Registration Number
EUCTR2021-003458-22-DE
Lead Sponsor
BioNTech SE
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
1470
Inclusion Criteria

1. Have given informed consent by signing the informed consent form (ICF) before initiation of any trial-specific procedures.
2. Volunteers who at the time of consent are:
- Part A: 18 to 55 years old.
- Part B: 18 to 85 years old (~60% should be 18 to 55 years old and ~40% 56 to 85 years old).
- Part C: 18 to 85 years old (~60% should be 18 to 55 years old and ~40% 56 to 85 years old).
3. For Cohorts 1 to 5: in Part A, have received BNT162b2 vaccine (30 µg, two-dose regimen) in either a clinical trial or as part of the governmental vaccination programs at least 6 months before Visit 0. Subjects who are currently enrolled in the Phase III BNT162-02 / C4591001 trial, have already been unblinded, and have previously received two doses of BNT162b2 with Dose 2 at least 6 months earlier can be included (for Cohorts 1 and 4 in Part B, prior enrollment and dosing in the BNT162-02/C4591001 trial is mandatory). At enrollment into Part B of this trial, their participation in the BNT162-02 / C4591001 trial will be terminated. Subjects should have not experienced COVID 19 based on medical history.
4. For Cohort 6: Are COVID 19 vaccine–naïve and have not experienced COVID 19 based on their medical history.
5. Are willing and able to comply with all scheduled visits, vaccination plan, laboratory tests, lifestyle considerations, and other trial procedures.
6. Are overall healthy at Visit 0 in the clinical judgment of the investigator based on the medical history, clinical assessment (including physical examination, vital signs, blood and urine clinical laboratory tests, 12-lead ECG, and oral swab for NAAT-based SARS-CoV-2 testing).
Note: Healthy volunteers with pre-existing stable disease, defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 12 weeks before Visit 0, can be included.
Note: Volunteers who had hepatitis C (HCV) infection, but have completed curative treatment based on the medical history can be included. Volunteers who had or have hepatitis B (HBV) or human immunodeficiency virus (HIV) based on the medical history cannot be included.
7. Agree not to enroll in another trial of an IMP, starting after Visit 0 and continuously until the last planned visit in this trial.
8. Women of childbearing potential (WOCBP) must test negative in a urine beta-human chorionic gonadotropin (ß-HCG) test at Visits 0 and 1. For a definition of WOCBP”.
9. WOCBP must agree to practice a highly effective form of contraception starting at Visit 0 and continuously until 28 days after their last IMP administration in this trial. For a definition of highly effective form of contraception”.
10. WOCBP must confirm that they practiced an acceptable form of contraception for the 14 days prior to Visit 0. For a definition of acceptable form of contraception”.
11. WOCBP must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction starting after Visit 0 and continuously until 28 days after their last IMP injection in this trial.
12. Men who are sexually active with a WOCBP and have not had a vasectomy must agree to use a highly effective form of contraception with their female partner of childbearing potential starting after Visit 0 and continuously until 28 days after their last IMP injection in this trial.
13. Men must be willing to refrain from sperm donation, starting after Visit 0 and continuously until 28 days after their last vaccination.
14. For Part C, C

Exclusion Criteria

1. Any existing condition which may affect vaccine injection and/or assessment of local reactions assessment, e.g., tattoos, severe scars, etc.
2. Any bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
3. Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that, in the investigator’s judgment, make the subject inappropriate for the trial.
4. Any current febrile illness (body temperature =38.0°C/=100.4°F) or other acute illness within 48 h prior to Day 1/IMP injection in this trial.
5. Any current or history of cardiovascular diseases, e.g., myocarditis, pericarditis, myocardial infarction, congestive heart failure, cardiomyopathy or clinically significant arrhythmias, unless such disease is not considered relevant for participation in this trial in the investigator's judgment.
6. History of COVID 19 and/or clinical (based on clinical confirmed COVID 19 symptoms/signs alone, if a SARS CoV 2 NAAT result was not available) or microbiological (based on COVID 19 symptoms/signs and a positive SARS CoV 2 NAAT result) evidence of prior infection with SARS CoV 2 at screening (Visit 0).
Note: not applicable for Part C.
7. History of Guillain-Barré syndrome.
8. Known or suspected immunodeficiency.
9. History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (e.g., anaphylaxis) to any component of the trial IMPs.
10. History or known allergy, hypersensitivity, or intolerance to the trial IMP including any excipients of the IMPs in this trial.
11. Have received any SARS CoV 2 vaccination other than BNT162b2 (30 µg BNT162b2 given as a course of two doses ~ 21 days apart).
Note: not applicable for Part C.
12. Have received a live or live attenuated vaccine within 28 days prior to Day 1/IMP injection.
13. Have received any other vaccines within 14 days before or after any IMP injection, e.g., influenza, tetanus, pneumococcal, hepatitis A or B. When possible standard or care vaccinations should be planned with the trial IMP administrations in mind.
14. Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids (if systemic corticosteroids are administered for =14 days at a dose of =20 mg/day of prednisone or equivalent), e.g., for cancer or an autoimmune disease, or planned receipt throughout this trial. Inhaled/nebulized, intraarticular, intrabursal, or topical (skin or eyes) corticosteroids are permitted.
15. Receipt of blood/plasma products or immunoglobulin, from 60 days before IMP administration or planned receipt throughout this trial.
16. Participation in other trials involving IMP within 28 days or 5 half-lives (whichever is longer) prior to Visit 1 and/or during trial participation, besides participation in trials with BNT162b2.
17. Are pregnant or breastfeeding or are planning pregnancy within 28 days after last IMP Treatment.
18. Are vulnerable individuals as per ICH E6 definition, i.e., are individuals whose willingness to volunteer in a clinical trial may be unduly influenced by the expectation, whether justified or not, of benefits associated with participation, or of a retaliatory response from senior members of a hierarchy in case of refusal to participate.
19. For Part C, Cohorts 7, 8, and 9: Va

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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