Safety and Immunogenicity Study of an Inactivated SARS-CoV-2 Vaccine for Preventing Against COVID-19

A Randomized, Double-blind, Placebo-controlled, Phase Ia/IIa Trial of an Inactivated SARS-CoV-2 Vaccine in Healthy People Aged 18 to 59 Years

This study is a randomized, double-blinded, and placebo-controlled phase Ia/IIa clinical trial of the Inactivated SARS-CoV-2 Vaccine to evaluate the safety and immunogenicity of the vaccine in healthy people aged 18~59 Years.

Study Overview

Detailed Description

This phase Ia/IIa trial is designed to evaluate the safety and immunogenicity of different doses of the Inactivated SARS-CoV-2 Vaccine inoculated with different immunization schedules based upon the randomized, double-blind and placebo-controlled principle. A total of 942 subjects aged 18 to 59 years old will be enrolled in the study, of which 192 and 750 will be enrolled for phase Ia and phase Ⅱa,respectively.The enrolled subjects in phase Ia receive two doses of low-, medium-, or high-dose of experimental vaccines or placebo at an interval of 14 or 28 days, while the enrolled subjects in Phase Ⅱa receive two doses of medium, high-dose experimental vaccines or placebo at an interval of 14 or 28 days.

Study Type

Interventional

Enrollment (Actual)

942

Phase

  • Phase 2
  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

    • Sichuan
      • Chengdu, Sichuan, China, 610041
        • West China Second University Hospital, Sichuan University / West China women's and children's Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 59 years (Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Phase Ia:

    1. Healthy adults aged 18 to 59 years (including boundary values), both men and women.
    2. Proven legal identity.
    3. Participants should understand the contents of the informed consent form, the vaccine in this trial, voluntarily sign the informed consent form, and be capable of using thermometers, scales, and filling in diary cards and contact cards as required.
    4. Participants should be able to communicate well with investigators, understand and comply with the requirements of this trial.
    5. Axillary temperature ≤37.0 ℃.
  • Phase IIa:

    1. Healthy adults aged 18 to 59 years (including boundary values), both men and women.
    2. Proven legal identity.
    3. Participants should understand the contents of the informed consent form, the vaccine in this trial, voluntarily sign the informed consent form, and be capable of using thermometers, scales, and filling in diary cards and contact cards as required.
    4. Participants should be able to communicate well with investigators, understand and comply with the requirements of this trial.
    5. Axillary temperature ≤37.0 ℃.

Exclusion Criteria:

  • Phase Ia:

    1. Contraindications for vaccination.
    2. History of allergy to vaccines or drugs.
    3. Immunization with any vaccine within 1 month.
    4. History of abnormal clinical manifestations and serious diseases to be excluded, including but not limited to nervous system, cardiovascular system, blood and lymphatic system, immune system, kidney, liver, gastrointestinal tract, respiratory system, metabolism, bones and other system diseases, and a history of malignant tumors.
    5. Those who developed acute disease within 2 weeks, or had symptoms of fever or upper respiratory tract infection within 7 days.
    6. Those who have a hereditary bleeding tendency or coagulation dysfunction, or a history of thrombosis or bleeding disorders.
    7. Those who cannot tolerate venipuncture, or have a history of halo needles or halo blood.
    8. Surgical removal of spleen or other important organs for any reason.
    9. Those who have undergone surgery within 3 months before signing the informed consent, or those who plan to perform surgery during the trial or within 3 months after the end of the trial (including cosmetic surgery, dental and oral surgery).
    10. Those who donated or lost blood (≥400 mL) in the past 3 months, who received blood transfusion or use of blood products, or who planned blood donation during the trial.
    11. Receipt of other investigational or unregistered products (drugs, vaccines, biological product or devices) in the past 3 months, or plan to use other investigational or unregistered products during the study.
    12. Receipt of immunosuppressive therapy within 6 months before signing the informed consent form, such as long-term systemic glucocorticoid therapy (with systemic glucocorticoid therapy for more than 2 weeks within 6 months, such as prednisone or similar drugs) ), but local administration (such as ointment, eye drops, inhalation, or nasal spray) is allowed. The local administration should not exceed the dosage recommended in the instructions or have any signs of systemic exposure.
    13. Those who have took soft drugs (such as marijuana) within 3 months before signing the informed consent form or took hard drugs (such as: cocaine, phencyclidine, etc.) within 1 year before the trial.
    14. Those who smoked more than 5 cigarettes per day within 3 months before signing the informed consent form.
    15. The weekly drinking volume is greater than 14 units within 3 months before signing the informed consent form (1 unit alcohol approximately equal to 360 mL beer or 45 mL spirits with 40% alcohol content or 150 mL wine).
    16. The comprehensive physical examination does not meet the health standards, mainly including: (1) Those with abnormal vital signs with clinical significance. (2) BMI<18 kg/m^2 or> 30 kg/m^2. (3) Abnormal laboratory examination with clinical significance. (4) Those who tested positive for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, hepatitis B e antigen, hepatitis C virus antibody, or Treponema pallidum antibody (tp-trust).
    17. Participants who have a positive pregnancy test, or are breastfeeding, or plan to become pregnant, or plan to donate sperm or eggs from the screening to 12 months after the second vaccination.
    18. Positive in drug abuse screening during the screening period (Morphine, Methamphetamine, Ketamine, MDMA and Tetrahydrocannabinolic acid).
    19. Positive in alcohol breath test during the screening period.
    20. Positive in SARS-CoV-2 nucleic acid screening or antibodies (IgG or IgM) screening.
    21. History of severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS) or other coronavirus infection (HCoV-229E, HCoV-OC43, HCoV-NL63, HCoV-HKU1).
    22. History of contact with confirmed or suspected cases infected with SARS-CoV-2 within 1 month.
    23. Any other situations judged by investigators as not suitable for participating in this study.
  • Phase IIa:

    1. Contraindications for vaccination.
    2. History of allergy to vaccines or drugs.
    3. Immunization with any vaccine within 1 month.
    4. History of abnormal clinical manifestations and serious diseases to be excluded, including but not limited to nervous system, cardiovascular system, blood and lymphatic system, immune system, kidney, liver, gastrointestinal tract, respiratory system, metabolism, bones and other system diseases, and a history of malignant tumors.
    5. Those who developed acute disease within 2 weeks, or had symptoms of fever or upper respiratory tract infection within 7 days.
    6. Those who have a hereditary bleeding tendency or coagulation dysfunction, or a history of thrombosis or bleeding disorders.
    7. Surgical removal of spleen or other important organs for any reason.
    8. Those who have undergone surgery within 3 months before signing the informed consent, or those who plan to perform surgery during the trial or within 3 months after the end of the trial (including cosmetic surgery, dental and oral surgery).
    9. Those who donated or lost blood (≥400 mL) in the past 3 months, who received blood transfusion or use of blood products, or who planned blood donation during the trial.
    10. Receipt of other investigational or unregistered products (drugs, vaccines, biological product or devices) in the past 3 months, or plan to use other investigational or unregistered products during the study.
    11. Receipt of immunosuppressive therapy within 6 months before signing the informed consent form, such as long-term systemic glucocorticoid therapy (with systemic glucocorticoid therapy for more than 2 weeks within 6 months, such as prednisone or similar drugs) ), but local administration (such as ointment, eye drops, inhalation, or nasal spray) is allowed. The local administration should not exceed the dosage recommended in the instructions or have any signs of systemic exposure.
    12. The comprehensive physical examination does not meet the health standards, mainly including: (1) Those with abnormal vital signs (Pulse <55 beats per minute or> 100 beats per minute at rest, Systolic blood pressure ≥140mmHg or Diastolic blood pressure ≥90mmHg, breathing> 20 beats per minute or <12 beats per minute). (2) Those who tested positive for human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen, hepatitis B e antigen, hepatitis C virus antibody, or Treponema pallidum antibody (tp-trust).
    13. Participants who have a positive pregnancy test, or are breastfeeding, or plan to become pregnant, or plan to donate sperm or eggs from the screening to 12 months after the second vaccination.
    14. Positive in SARS-CoV-2 nucleic acid screening or antibodies (IgG or IgM) screening.
    15. History of severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS) or other coronavirus infection (HCoV-229E, HCoV-OC43, HCoV-NL63, HCoV-HKU1).
    16. History of contact with confirmed or suspected cases infected with SARS-CoV-2 within 1 month.
    17. Any other situations judged by investigators as not suitable for participating in this study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Low dosage vaccine on a 0- and 28-day schedule
Two doses of low dosage Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0, 28
Two doses of low dosage(50U/0.5ml) Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0,28
Experimental: Medium dosage vaccine on a 0- and 28-day schedule
Two doses of medium dosage Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0, 28
Two doses of medium dosage(100U/0.5ml) Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0,28
Experimental: High dosage vaccine on a 0- and 28-day schedule
Two doses of high dosage Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0, 28
Two doses of high dosage(150U/0.5ml) Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0,28
Placebo Comparator: Placebo on a 0- and 28-day schedule
Two doses of placebo at the vaccination schedule of day 0, 28
Two doses of placebo at the vaccination schedule of day 0,28
Experimental: Low dosage vaccine on a 0- and 14-day schedule
Two doses of low dosage Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0, 14
Two doses of low dosage(50U/0.5ml) Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0,14
Experimental: Medium dosage vaccine on a 0- and 14-day schedule
Two doses of medium dosage Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0, 14
Two doses of medium dosage(100U/0.5ml) Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0,14
Experimental: High dosage vaccine on a 0- and 14-day schedule
Two doses of high dosage Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0, 14
Two doses of high dosage(150U/0.5ml) Inactivated SARS-CoV-2 Vaccine at the vaccination schedule of day 0,14
Placebo Comparator: Placebo on a 0- and 14-day schedule
Two doses of placebo at the vaccination schedule of day 0, 14
Two doses of placebo at the vaccination schedule of day 0,14

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adverse reactions/events rate
Time Frame: 7 days after vaccination
Occurence of adverse reactions/events after vaccination
7 days after vaccination
Adverse reactions/events rate
Time Frame: 28 days after vaccination
Occurence of adverse reactions/events after vaccination
28 days after vaccination
Seroconversion rate of Neutralizing antibodies against SARS-CoV-2 Phase IIa (Day 0, 14 schedule)
Time Frame: 14 days after the second vaccination
Seroconversion rate of neutralizing antibodies against SARS-CoV-2 in serum for the Phase IIa immunization schedule of day 0,14
14 days after the second vaccination
Seroconversion rate of Neutralizing antibodies against SARS-CoV-2 Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Seroconversion rate of neutralizing antibodies against SARS-CoV-2 in serum for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 Phase IIa (Day 0, 14 schedule)
Time Frame: 14 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase IIa immunization schedule of day 0,14
14 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Serious adverse events
Time Frame: 12 months after the second vaccination
Occurence of Serious adverse events after vaccination
12 months after the second vaccination
Level of Neutralizing antibodies against SARS-CoV-2 Phase Ia (Day 0, 14 schedule)
Time Frame: 7, 14 and 28 days after the second vaccination
Level of neutralizing antibodies against SARS-CoV-2 in serum for the Phase Ia immunization schedule of day 0,14
7, 14 and 28 days after the second vaccination
Level of Neutralizing antibodies against SARS-CoV-2 Phase IIa (Day 0, 14 schedule)
Time Frame: 14 and 28 days after the second vaccination
Level of neutralizing antibodies against SARS-CoV-2 in serum for the Phase IIa immunization schedule of day 0,14
14 and 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 Phase Ia (Day 0, 14 schedule)
Time Frame: 7, 14 and 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase Ia immunization schedule of day 0,14
7, 14 and 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 Phase IIa (Day 0, 14 schedule)
Time Frame: 14 and 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase IIa immunization schedule of day 0,14
14 and 28 days after the second vaccination
Level of Neutralizing antibodies against SARS-CoV-2 Phase Ia (Day 0, 28 schedule)
Time Frame: 7 and 28 days after the second vaccination
Level of neutralizing antibodies against SARS-CoV-2 in serum for the Phase Ia immunization schedule of day 0,28
7 and 28 days after the second vaccination
Level of Neutralizing antibodies against SARS-CoV-2 Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Level of neutralizing antibodies against SARS-CoV-2 in serum for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 Phase Ia (Day 0, 28 schedule)
Time Frame: 7 and 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase Ia immunization schedule of day 0,28
7 and 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Level of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination
Seroconversion rate of Neutralizing antibodies against SARS-CoV-2 Phase Ia (Day 0, 14 schedule)
Time Frame: 14 days after the second vaccination
Seroconversion rate of neutralizing antibodies against SARS-CoV-2 in serum for the Phase Ia immunization schedule of day 0,14
14 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 Phase Ia (Day 0, 14 schedule)
Time Frame: 14 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase Ia immunization schedule of day 0,14
14 days after the second vaccination
Seroconversion rate of Neutralizing antibodies against SARS-CoV-2 Phase Ia (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Seroconversion rate of neutralizing antibodies against SARS-CoV-2 in serum for the Phase Ia immunization schedule of day 0,28
28 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 Phase Ia (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Seroconversion rate of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase Ia immunization schedule of day 0,28
28 days after the second vaccination

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Level of IgM antibodies against SARS-CoV-2 Phase Ia (Day 0, 14 schedule)
Time Frame: 7, 14 and 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase Ia immunization schedule of day 0,14
7, 14 and 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 Phase IIa (Day 0, 14 schedule)
Time Frame: 14 and 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase IIa immunization schedule of day 0,14
14 and 28 days after the second vaccination
Level of anti-N protein antibodies Phase Ia (Day 0, 14 schedule)
Time Frame: 7, 14 and 28 days after the second vaccination
Level of anti-N protein antibodies for the Phase Ia immunization schedule of day 0,14
7, 14 and 28 days after the second vaccination
Level of anti-N protein antibodies Phase IIa (Day 0, 14 schedule)
Time Frame: 14 and 28 days after the second vaccination
Level of anti-N protein antibodies for the Phase IIa immunization schedule of day 0,14
14 and 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 Phase Ia (Day 0, 28 schedule)
Time Frame: 7 and 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase Ia immunization schedule of day 0,28
7 and 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Level of IgM antibodies against SARS-CoV-2 tested by ELISA in serum for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination
Level of anti-N protein antibodies Phase Ia (Day 0, 28 schedule)
Time Frame: 7 and 28 days after the second vaccination
Level of anti-N protein antibodies for the Phase Ia immunization schedule of day 0,28
7 and 28 days after the second vaccination
Level of anti-N protein antibodies Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Level of anti-N protein antibodies for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination
Level of Neutralizing antibodies against SARS-CoV-2 Phase Ia (both schedules)
Time Frame: 3, 6, 9 and 12 months after the second vaccination
Level of neutralizing antibodies against SARS-CoV-2 in serum for both the Phase Ia immunization schedules
3, 6, 9 and 12 months after the second vaccination
Level of Neutralizing antibodies against SARS-CoV-2 Phase IIa (both schedules)
Time Frame: 6 and 12 months after the second vaccination
Level of neutralizing antibodies against SARS-CoV-2 in serum for both the Phase IIa immunization schedules
6 and 12 months after the second vaccination
Level of IgG antibodies against SARS-CoV-2 Phase Ia (both schedules)
Time Frame: 3, 6, 9 and 12 months after the second vaccination
Level of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for both the Phase Ia immunization schedules
3, 6, 9 and 12 months after the second vaccination
Level of IgG antibodies against SARS-CoV-2 Phase IIa (both schedules)
Time Frame: 6 and 12 months after the second vaccination
Level of IgG antibodies against SARS-CoV-2 tested by ELISA in serum for both the Phase IIa immunization schedules
6 and 12 months after the second vaccination
Cellular immune responses Phase Ia (Day 0, 14 schedule)
Time Frame: 7, 14 and 28 days after the second vaccination
Cellular immune responses (CD4+, CD8+, Th1, Th2, IFN-γ, TNFα, IL-2, IL-6) will be measured for the Phase Ia immunization schedule of day 0,14
7, 14 and 28 days after the second vaccination
Cellular immune responses Phase IIa (Day 0, 14 schedule)
Time Frame: 14 and 28 days after the second vaccination
Cellular immune responses (CD4+, CD8+, Th1, Th2, IFN-γ, TNFα, IL-2, IL-6) will be measured for the Phase IIa immunization schedule of day 0,14
14 and 28 days after the second vaccination
Cellular immune responses Phase Ia (Day 0, 28 schedule)
Time Frame: 7 and 28 days after the second vaccination
Cellular immune responses (CD4+, CD8+, Th1, Th2, IFN-γ, TNFα, IL-2, IL-6) will be measured for the Phase Ia immunization schedule of day 0,28
7 and 28 days after the second vaccination
Cellular immune responses Phase IIa (Day 0, 28 schedule)
Time Frame: 28 days after the second vaccination
Cellular immune responses (CD4+, CD8+, Th1, Th2, IFN-γ, TNFα, IL-2, IL-6) will be measured for the Phase IIa immunization schedule of day 0,28
28 days after the second vaccination

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Xiaoqiang Liu, Yunnan Center For Disease Control and Prevention
  • Principal Investigator: Qin Yu, West China Second University Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 15, 2020

Primary Completion (Actual)

August 10, 2020

Study Completion (Actual)

August 31, 2021

Study Registration Dates

First Submitted

May 21, 2020

First Submitted That Met QC Criteria

June 1, 2020

First Posted (Actual)

June 2, 2020

Study Record Updates

Last Update Posted (Actual)

October 11, 2023

Last Update Submitted That Met QC Criteria

October 8, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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