- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05542862
Booster Study of SpikoGen COVID-19 Vaccine
September 16, 2025 updated by: Vaxine Pty Ltd
Immunogenicity and Safety Study in Ambulatory Adults of a Single Intramuscular Dose of SpikoGen Vaccine as a Heterologous or Homologous Booster Dose Following Completion of a Primary Course of Covid-19 Vaccine
The purpose of the study is to assess the effectiveness of Spikogen vaccine when used as a 3rd or 4th dose booster in adults who have been previously vaccinated with any Covid-19 vaccine types, including mRNA vaccine, adenoviral vector vaccines, recombinant protein vaccines, or inactivated virus vaccines.
Study Overview
Detailed Description
Currently in Australia, mRNA, adenoviral vector and recombinant protein vaccines have provisional approval for use as 3rd or 4th booster doses.
This study will provide important data on the use of Spikogen as an alternative recombinant protein booster vaccine.
The study will provide data in ambulatory adults on the safety and effectiveness of Spikogen vaccine when administered as a single intramuscular booster dose in those who previously vaccinated with mRNA vaccine in comparison to those immunised with other Covid-19 vaccine platforms.
Study Type
Interventional
Enrollment (Actual)
81
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
South Australia
-
Adelaide, South Australia, Australia, 5042
- ARASMI
-
-
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Able to provide written informed consent
- Males or females 18 years of age or older
- Have previously had a primary course of Covid-19 vaccine with the most recent dose no less than 3 months previously.
- Understand and are likely to comply with planned study procedures and be available for all study visits.
Exclusion Criteria
- Allergy to Spikogen vaccine or one of its components, e.g. polysorbate 80.
- Have received an experimental agent within 30 days prior to the study vaccination or expect to receive another experimental agent during the trial reporting period.
- Any serious medical, social or mental condition which, in the opinion of the investigator, would be detrimental to the subjects or the 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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: SpikoGen vaccine
Single booster dose of SpikoGen Covid-19 vaccine
|
Recombinant spike protein based Covid-19 vaccine
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Seroconversion
Time Frame: Between baseline and 4 weeks post the booster dose
|
Proportion of study participants who seroconvert (4-fold or greater rise in serum spike antibody) by primary vaccine group
|
Between baseline and 4 weeks post the booster dose
|
|
Seroprotection
Time Frame: Between baseline and 4 weeks post the booster dose
|
Proportion of study participants who achieve a spike protein neutralisation titer of 32 or greater by primary vaccine group
|
Between baseline and 4 weeks post the booster dose
|
|
Geometric mean titer fold change
Time Frame: Between baseline and 4 weeks post the booster dose
|
Increase in Geometric mean titer of spike neutralisation antibodies by primary vaccine group
|
Between baseline and 4 weeks post the booster dose
|
|
Safety assessment 1
Time Frame: Occurring within 7 days after booster dose.
|
Frequency of Adverse events by primary vaccine group
|
Occurring within 7 days after booster dose.
|
|
Safety assessment 2
Time Frame: Between time of administration of booster dose and through study completion, an average of 3 months
|
Frequency of Serious Adverse events by primary vaccine group
|
Between time of administration of booster dose and through study completion, an average of 3 months
|
|
SARS-CoV-2 infection
Time Frame: Between time of administration of booster dose and through study completion, an average of 3 months
|
Frequency of SARS-CoV-2 infections in study participants by primary vaccine group, age, gender, co-morbidities, and past infection
|
Between time of administration of booster dose and through study completion, an average of 3 months
|
|
Antibody durability
Time Frame: Between time of administration of booster dose and through study completion, an average of 3 months
|
The proportion of subjects who remain seroprotected throughout the duration of the study including broken down by primary vaccine group.
|
Between time of administration of booster dose and through study completion, an average of 3 months
|
|
Seroconversion in participants with and without evidence of past infection
Time Frame: Between baseline and 4 weeks post the booster dose and through study completion, an average of 3 months
|
Spike antibody seroconversion in baseline nuclear protein antibody positive versus negative participants by primary vaccine group
|
Between baseline and 4 weeks post the booster dose and through study completion, an average of 3 months
|
|
Seroprotection in participants with and without evidence of past infection
Time Frame: Between baseline and 4 weeks post the booster dose and through study completion, an average of 3 months
|
Spike antibody seroprotection in baseline nuclear protein antibody positive versus negative participants by primary vaccine group
|
Between baseline and 4 weeks post the booster dose and through study completion, an average of 3 months
|
|
Spike antibody GMT in participants with and without evidence of past infection
Time Frame: Between baseline and 4 weeks post the booster dose and through study completion, an average of 3 months
|
Spike antibody GMT in baseline nuclear protein antibody positive versus negative participants by primary vaccine group.
|
Between baseline and 4 weeks post the booster dose and through study completion, an average of 3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Antibody correlates of protection
Time Frame: Baseline and 4 weeks post the booster dose, and through study completion, an average of 3 months
|
SARS-CoV-2 antibody levels in subjects with or without breakthrough SARS-CoV-2 infection
|
Baseline and 4 weeks post the booster dose, and through study completion, an average of 3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Dimitar Sajkov, MD/PhD, ARASMI
- Study Director: Nikolai Petrovsky, MD/PhD, Vaxine Pty Ltd
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.
General Publications
- Li L, Honda-Okubo Y, Huang Y, Jang H, Carlock MA, Baldwin J, Piplani S, Bebin-Blackwell AG, Forgacs D, Sakamoto K, Stella A, Turville S, Chataway T, Colella A, Triccas J, Ross TM, Petrovsky N. Immunisation of ferrets and mice with recombinant SARS-CoV-2 spike protein formulated with Advax-SM adjuvant protects against COVID-19 infection. Vaccine. 2021 Sep 24;39(40):5940-5953. doi: 10.1016/j.vaccine.2021.07.087. Epub 2021 Aug 3.
- Tabarsi P, Anjidani N, Shahpari R, Mardani M, Sabzvari A, Yazdani B, Roshanzamir K, Bayatani B, Taheri A, Petrovsky N, Li L, Barati S. Safety and immunogenicity of SpikoGen(R), an Advax-CpG55.2-adjuvanted SARS-CoV-2 spike protein vaccine: a phase 2 randomized placebo-controlled trial in both seropositive and seronegative populations. Clin Microbiol Infect. 2022 Sep;28(9):1263-1271. doi: 10.1016/j.cmi.2022.04.004. Epub 2022 Apr 15.
- Li L, Honda-Okubo Y, Baldwin J, Bowen R, Bielefeldt-Ohmann H, Petrovsky N. Covax-19/Spikogen(R) vaccine based on recombinant spike protein extracellular domain with Advax-CpG55.2 adjuvant provides single dose protection against SARS-CoV-2 infection in hamsters. Vaccine. 2022 May 20;40(23):3182-3192. doi: 10.1016/j.vaccine.2022.04.041. Epub 2022 Apr 18.
- Tabarsi P, Anjidani N, Shahpari R, Roshanzamir K, Fallah N, Andre G, Petrovsky N, Barati S. Immunogenicity and safety of SpikoGen(R), an adjuvanted recombinant SARS-CoV-2 spike protein vaccine as a homologous and heterologous booster vaccination: A randomized placebo-controlled trial. Immunology. 2022 Nov;167(3):340-353. doi: 10.1111/imm.13540. Epub 2022 Jul 13.
- Tabarsi P, Anjidani N, Shahpari R, Mardani M, Sabzvari A, Yazdani B, Kafi H, Fallah N, Ebrahimi A, Taheri A, Petrovsky N, Barati S. Evaluating the efficacy and safety of SpikoGen(R), an Advax-CpG55.2-adjuvanted severe acute respiratory syndrome coronavirus 2 spike protein vaccine: a phase 3 randomized placebo-controlled trial. Clin Microbiol Infect. 2023 Feb;29(2):215-220. doi: 10.1016/j.cmi.2022.09.001. Epub 2022 Sep 10.
- Honda-Okubo Y, Sajkov D, Wauchope B, Turner JV, Vote B, Antipov A, Andre G, Lebedin Y, Petrovsky N. Immunogenicity and safety study of a single dose of SpikoGen(R) vaccine as a heterologous or homologous intramuscular booster following a primary course of mRNA, adenoviral vector or recombinant protein COVID-19 vaccine in ambulatory adults. Vaccine. 2025 Mar 7;49:126744. doi: 10.1016/j.vaccine.2025.126744. Epub 2025 Feb 5.
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)
September 7, 2022
Primary Completion (Actual)
December 31, 2023
Study Completion (Actual)
September 16, 2025
Study Registration Dates
First Submitted
September 8, 2022
First Submitted That Met QC Criteria
September 13, 2022
First Posted (Actual)
September 16, 2022
Study Record Updates
Last Update Posted (Estimated)
September 17, 2025
Last Update Submitted That Met QC Criteria
September 16, 2025
Last Verified
September 1, 2025
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Infections
- Infections
- RNA Virus Infections
- Virus Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Pneumonia, Viral
- Pneumonia
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- COVID-19
- SARS-CoV-2 recombinant spike protein with delta inulin and CpG-ODN adjuvant vaccine
Other Study ID Numbers
- AUST-C19-booster
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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