Clinical Study of the Safety and Immunogenicity of a Recombinant Viral Vector AAV5 (Adeno-Associated Virus Type 5 )-RBD (Receptor Binding Domain)-S Vaccine for the Prevention of Coronavirus Infection (COVID-19) (COVER)
A Randomized, Double-blind, Placebo-controlled, Adaptive, Seamless Phase I / II Clinical Study of the Safety and Immunogenicity of a Recombinant Viral Vector AAV5-RBD-S Vaccine for the Prevention of Coronavirus Infection (COVID-19)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study will be carried out in 2 stages. Stage 1 aims to assess the safety and immunogenicity of different doses of BCD-250 in subjects without a history of COVID-19 infection to choose the optimal dose for further investigation.
Stage 2 aims to assess the immunogenicity and safety of the chosen on stage 1 optimal BCD-250 dose compared to placebo in subjects with and without the history of COVID-19 infection.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Saint Petersburg, Russian Federation
- UNINOVA clinic
-
Saint Petersburg, Russian Federation
- X7 Clinical Research
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed informed consent form
- Ability to comply with the study procedures based on the Investigator's assessment
- Males and females aged 18-60 years, inclusive, at the date of consent.
- Negative pregnancy test (for females of childbearing potential)
- Patients of childbearing potential and their partners with preserved reproductive function must agree to use reliable contraceptive methods starting from the time of informed consent for 3 months after Visit 1. This requirement does not apply to patients and their partners who underwent surgical sterilization. Reliable contraceptive methods include one barrier method in combination with one of the following: spermicides, intrauterine device/oral contraceptives.
- Cohort 1 only. Negative test for SARS-CoV-2 IgM and IgG at screening
- Cohort 2 only. Negative test for SARS-CoV-2 IgM at screening
- Cohort 2 only. Confirmed by SARS-CoV-2 RNA test, history of COVID-19 with documented recovery at least 4 month prior consent date.
Exclusion Criteria:
- Positive / uncertain test for SARS-CoV-2 RNA at screening
- Cohort 1 only. Documented history of COVID-19.
- Changes on chest X-ray suggestive for pneumonia or other lung diseases at screening, excluding clinically non-significant changes in subjects with COVID-19 history on investigator's opinion.
- Prior administration of SARS-CoV-2 or other coronavirus vaccine or planning of receiving SARS-CoV-2 or other coronavirus vaccine during the study participation.
- Known contact with SARS-CoV-2 infected person or person with known contact with SARS-CoV-2 infected person, within 14 days prior to consent date.
- Any acute infectious or non-infectious disease, including convalescence period, less than 4 weeks since clinical recovery
- Positive HIV, HBV, HCV or Syphilis tests
- History of splenectomy
- History of severe allergic reactions
- History of allergic or postvaccinal reactions (anaphylactic shock, fever of 40°C or more, fainting, non-febrile convulsions etc.) after vaccine administration
- Suspicious hypersensitivity or history of hypersensitivity to any component of investigational product
- Participation in other clinical studies within 90 days prior to consent date, excluding screen failures or discontinued prior to the first investigational product administration.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: COVID-19 vaccine candidate (BCD-250) low dose
The participants will receive the low dose of BCD-250
|
A recombinant viral vector AAV5-RBD-S vaccine
|
|
Experimental: COVID-19 vaccine candidate (BCD-250) high dose
The participants will receive the high dose of BCD-250
|
A recombinant viral vector AAV5-RBD-S vaccine
|
|
Experimental: Cohort 1/COVID-19 vaccine candidate (BCD-250)
The participants will receive the selected dose of BCD-250
|
A recombinant viral vector AAV5-RBD-S vaccine
|
|
Placebo Comparator: Cohort 1/Placebo
The participants will receive placebo
|
Placebo injection
|
|
Experimental: Cohort 2/COVID-19 vaccine candidate (BCD-250)
The participants will receive the selected dose of BCD-250
|
A recombinant viral vector AAV5-RBD-S vaccine
|
|
Placebo Comparator: Cohort 2/Placebo
The participants will receive placebo
|
Placebo injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of subjects with ≥ 4 fold rise of serum SARS-CoV-2-specific IgG titer from baseline
Time Frame: Day 56 after the study drug administration
|
Percentage of subjects with ≥ 4 fold rise of serum SARS-CoV-2-specific IgG titer (binding and neutralizing) from baseline on Day 56
|
Day 56 after the study drug administration
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of subjects with acute immediate hypersensitivity reactions
Time Frame: 30 minutes after the study drug administration
|
Percentage of subjects with acute immediate hypersensitivity reactions developed within 30 minutes after study drug administration.
|
30 minutes after the study drug administration
|
|
Percentage of subjects with solicited local adverse reactions
Time Frame: 7 days after the study drug administration
|
Percentage of subjects with local post-vaccination reactions developed within 7 days after study drug administration.
|
7 days after the study drug administration
|
|
Percentage of subjects with grade ≥3 solicited local adverse reactions
Time Frame: 7 days after the study drug administration
|
Percentage of subjects with grade ≥3 local post-vaccination reactions developed within 7 days after study drug administration.
|
7 days after the study drug administration
|
|
Percentage of subjects with solicited systemic adverse reactions
Time Frame: 7 days after the study drug administration
|
Percentage of subjects with systemic post-vaccination reactions developed within 7 days of study drug administration.
|
7 days after the study drug administration
|
|
Percentage of subjects with grade ≥3 solicited systemic adverse reactions
Time Frame: 7 days after the study drug administration
|
Percentage of subjects with grade ≥3 systemic post-vaccination reactions developed within 7 days of study drug administration.
|
7 days after the study drug administration
|
|
Percentage of subjects with any adverse reactions
Time Frame: 56 days after the study drug administration
|
Percentage of subjects with any adverse reactions developed within 56 days of study drug administration.
|
56 days after the study drug administration
|
|
Percentage of subjects with any grade ≥3 adverse reactions
Time Frame: 56 days after the study drug administration
|
Percentage of subjects with any grade ≥3 adverse reactions developed within 56 days of study drug administration.
|
56 days after the study drug administration
|
|
The proportion of subjects with clinical and laboratory abnormalities
Time Frame: 56 days after the study drug administration
|
The proportion of subjects with clinical and laboratory abnormalities developed within 56 days after administration of the study drug
|
56 days after the study drug administration
|
|
Percentage of subjects with adverse events of special interest
Time Frame: up to Day 365
|
Adverse events of special interest include the following adverse events: 1) AEs demanding the medical care, 2) Newly developed chronic diseases, 3) serious adverse reactions 4) Laboratory confirmed COVID-19 cases
|
up to Day 365
|
|
Percentage of subjects with SARS-CoV-2-specific IgG antibodies
Time Frame: Days 7, 14, 21, 28, 56 after the study drug administration.
|
Percentage of subjects with SARS-CoV-2-specific IgG (binding and neutralizing) antibodies within the main period of the study
|
Days 7, 14, 21, 28, 56 after the study drug administration.
|
|
Geometric mean titer of SARS-CoV-2-specific IgG antibodies
Time Frame: Days 7, 14, 21, 28, 56 after the study drug administration
|
Geometric mean titer of SARS-CoV-2-specific IgG (binding and neutralizing) antibodies within the main period of the study
|
Days 7, 14, 21, 28, 56 after the study drug administration
|
|
Change of the SARS-CoV-2-specific IgG antibodies titer from baseline
Time Frame: Days 7, 14, 21, 28, 56 after the study drug administration
|
Change of the SARS-CoV-2-specific IgG (binding and neutralizing) antibodies titer from baseline within the main period of the study
|
Days 7, 14, 21, 28, 56 after the study drug administration
|
|
Percentage of subjects with ≥ 4 fold rise of serum SARS-CoV-2-specific IgG antibodies titer from baseline
Time Frame: Days 7, 14, 21, 28 after the study drug administration
|
Percentage of subjects with ≥ 4 fold rise of serum SARS-CoV-2-specific IgG (binding and neutralizing) antibodies titer from baseline within the main period of the study
|
Days 7, 14, 21, 28 after the study drug administration
|
|
Percentage of subjects with detected SARS-CoV-2-specific peripheral blood lymphocytes
Time Frame: Days 14, 28, 56 after the study drug administration.
|
Percentage of subjects with detected SARS-CoV-2-specific peripheral blood lymphocytes within the main period of the study
|
Days 14, 28, 56 after the study drug administration.
|
|
Mean change in SARS-CoV-2-specific peripheral blood lymphocytes count
Time Frame: Days 14, 28, 56 after the study drug administration
|
Mean change in SARS-CoV-2-specific peripheral blood lymphocytes count within the main period of the study
|
Days 14, 28, 56 after the study drug administration
|
|
Percentage of subjects with SARS-CoV-2-specific IgG antibodies
Time Frame: Days 57- 365
|
Percentage of subjects with SARS-CoV-2-specific IgG (binding and neutralizing) antibodies during the study
|
Days 57- 365
|
|
Geometric mean titer of SARS-CoV-2-specific IgG antibodies
Time Frame: Days 57- 365
|
Geometric mean titer of SARS-CoV-2-specific IgG (binding and neutralizing) antibodies during the study
|
Days 57- 365
|
|
Change in the SARS-CoV-2-specific IgG titer from baseline
Time Frame: Days 57- 365
|
Change in the SARS-CoV-2-specific IgG (binding and neutralizing) antibodies titer from baseline during the study
|
Days 57- 365
|
|
Percentage of subjects with ≥ 4 fold rise of serum SARS-CoV-2-specific IgG (binding and neutralizing) titer from baseline
Time Frame: Days 57- 365
|
Percentage of subjects with ≥ 4 fold rise of serum SARS-CoV-2-specific IgG titer from baseline during the study
|
Days 57- 365
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The proportion of subjects with identified AAV5 in biological fluids (blood, saliva and urine)
Time Frame: up to Day 365
|
The proportion of subjects with identified AAV5 in biological fluids (blood, saliva and urine) during the study
|
up to Day 365
|
|
Percentage of subjects with AAV5-specific IgG antibodies
Time Frame: up to Day 365
|
Percentage of subjects with AAV5-specific IgG antibodies during the study
|
up to Day 365
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BCD-250-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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