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Safety and Immunogenicity of an Intranasal SARS-CoV-2 Vaccine (BBV154) for COVID-19

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04751682
Recruitment Status : Active, not recruiting
First Posted : February 12, 2021
Last Update Posted : June 22, 2021
Sponsor:
Information provided by (Responsible Party):
Bharat Biotech International Limited

Tracking Information
First Submitted Date  ICMJE February 8, 2021
First Posted Date  ICMJE February 12, 2021
Last Update Posted Date June 22, 2021
Actual Study Start Date  ICMJE March 1, 2021
Estimated Primary Completion Date June 25, 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: February 11, 2021)
  • Incidence of immediate adverse events. [ Time Frame: within 2 hours post each vaccination ]
  • The incidence of solicited local and systemic adverse events [ Time Frame: within 7 days post each vaccination ]
  • The incidence of serious adverse events (SAEs) [ Time Frame: Through study completion, an average of 6 months ]
  • The incidence of unsolicited adverse events [ Time Frame: Through study completion, an average of 6 months ]
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: February 11, 2021)
  • To evaluate the humoral immune responses of BBV154 [ Time Frame: Through study completion, an average of 6 months ]
    GMT and four-fold seroconversion rate (SCR) of neutralizing antibodies (NAb's) by MNT/PRNT assays across the three groups.
  • To compare the humoral responses between single dose group and double dose group. [ Time Frame: Through study completion, an average of 6 months ]
    GMT and four-fold seroconversion rate (SCR) of neutralizing antibodies (NAb's) by MNT/PRNT assays across the three groups.
  • To evaluate the immune responses against spike protein of SARS-CoV-2 virus and Adenovirus vector [ Time Frame: Through study completion, an average of 6 months ]
    GMT and four-fold seroconversion rate of binding antibodies (bAb's) IgA and IgG against spike protein across the three groups. Immune response (binding/ or neutralization) to the vector will be assessed by ELISA
  • Vaccine induced cell mediated antigen specific T-cell responses across the three groups. [ Time Frame: Through study completion, an average of 6 months ]
    IFN-gamma (ELISPOT)
  • Vaccine induced cell mediated antigen specific cytokines across the three groups. To evaluate the vaccine induced Cell mediated immune response. [ Time Frame: Through study completion, an average of 6 months ]
    Th1/Th2 profiling
  • To evaluate the vaccine secretory IgA antibody response. [ Time Frame: Through study completion, an average of 6 months ]
  • To evaluate the safety of the vaccine in terms of assessing adverse event of special interest (AESI) [ Time Frame: Through study completion, an average of 6 months ]
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Safety and Immunogenicity of an Intranasal SARS-CoV-2 Vaccine (BBV154) for COVID-19
Official Title  ICMJE A Phase 1, Randomized, Double-blinded, Multicenter Study to Evaluate the Reactogenicity, Safety, and Immunogenicity of an Intranasal Adenovirus Vector COVID-19 Vaccine (BBV154) in Healthy Volunteers
Brief Summary

The study is designed to evaluate the safety, reactogenicity, and immunogenicity of three groups of healthy volunteers who receive either intranasal single dose (vaccine on Day 0 and placebo on Day 28) or two-dose (vaccine on Day 0 and 28) of BBV154 vaccine or Placebo (on Day 0 and day 28). A total of 175 subjects will be enrolled in 2:2:1 ratio and will be conducted in a double-blinded manner.

To assess the safety of the vaccine, each participant will record symptoms in a diary card for 7 days after each dose. Safety and laboratory tests and physical exams will also be performed.

Blood samples and saliva samples be collected to assess the immune response from the vaccine.

An interim report based on the safety and immunogenicity of the vaccine (BBV154) will be notified to the Central Drugs Standard Control Organization (CDSCO), India, for further progressing the clinical development of the vaccine. This unblinded interim report will contain a detailed analysis of the data based on the primary and secondary objectives of all visits through Day 42 (Immunogenicity & Safety).

Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
A Phase 1, Randomized, Double-blinded, Multicenter Study to Evaluate the Reactogenicity, Safety, and Immunogenicity of an Intranasal Adenoviral vector COVID-19 vaccine (BBV154) in Healthy Volunteers.
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description:
The vaccine and placebo are identical in appearance and colour.
Primary Purpose: Prevention
Condition  ICMJE SARS-CoV Infection
Intervention  ICMJE
  • Biological: BBV154 Vaccine
    Replication deficient Adenoviral vector-based (expressing a stabilized spike protein) SARS-CoV-2 vaccine (BBV154) NLT 1X10^10 Virus Particle.
  • Biological: Placebo
    Placebo
Study Arms  ICMJE
  • Experimental: BBV154: Single Dose
    Group 1 (Single dose group): In this group, 70 participants will be recruited and administered with vaccine (BBV154) on day 0 and with placebo on day 28 via intranasal route.
    Intervention: Biological: BBV154 Vaccine
  • Experimental: BBV154: Two Dose
    Group 2 (Two-dose group): In this group, 70 participants will be recruited and administered with vaccine (BBV154) on both day 0 and on day 28 via intranasal route.
    Intervention: Biological: BBV154 Vaccine
  • Placebo Comparator: Placebo
    Group 3 (Placebo): In this group, 35 participants will be recruited and administered with placebo on both day 0 and day 28 via intranasal route.
    Intervention: Biological: Placebo
Publications * Hassan AO, Kafai NM, Dmitriev IP, Fox JM, Smith BK, Harvey IB, Chen RE, Winkler ES, Wessel AW, Case JB, Kashentseva E, McCune BT, Bailey AL, Zhao H, VanBlargan LA, Dai YN, Ma M, Adams LJ, Shrihari S, Danis JE, Gralinski LE, Hou YJ, Schäfer A, Kim AS, Keeler SP, Weiskopf D, Baric RS, Holtzman MJ, Fremont DH, Curiel DT, Diamond MS. A Single-Dose Intranasal ChAd Vaccine Protects Upper and Lower Respiratory Tracts against SARS-CoV-2. Cell. 2020 Oct 1;183(1):169-184.e13. doi: 10.1016/j.cell.2020.08.026. Epub 2020 Aug 19.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Active, not recruiting
Estimated Enrollment  ICMJE
 (submitted: February 11, 2021)
175
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE November 30, 2021
Estimated Primary Completion Date June 25, 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Ability to provide written informed consent.
  2. Participants of either gender of age between ≥18 to ≤60 years.
  3. Good general health as determined by the discretion of investigator (vital signs (heart rate ≥60 to≤100 bpm; blood pressure systolic ≥90 mm Hg and <140 mm Hg; diastolic ≥ 60 mm Hg and <90 mm Hg; oral temperature <100.4ºF), medical history, and physical examination).
  4. Expressed interest and availability to fulfil the study requirements.
  5. For a female participant of child-bearing potential, planning to avoid becoming pregnant (use of an effective method of contraception or abstinence) from the time of study enrolment until at least four weeks after the last vaccination.
  6. Male subjects of reproductive potential: Use of condoms to ensure effective contraception with the female partner from first vaccination until 3 months after last vaccination.
  7. Male subjects agree to refrain from sperm donation from the time of first vaccination until 3 months after last vaccination.
  8. Participants must refrain from blood or plasma donation from the time of first vaccination until 3 months after last vaccination.
  9. Agrees not to participate in another clinical trial at any time during the study period.
  10. Agrees to remain in the study area for the entire duration of the study.
  11. Willing to allow storage and future use of biological samples for future research.

Exclusion Criteria:

  1. History of any other COVID-19 investigational/or licensed vaccination.
  2. Unacceptable laboratory abnormality from screening (prior to first vaccination) or safety testing, as listed below [Abnormal Complete Blood Count (CBC), Random blood sugar level, Renal function test (serum urea and Creatinine), liver function tests, urine analysis report, Positive serology for hepatitis C or HIV antibody or hepatitis B surface antigen].

    (Subjects will be informed if their results are positive for hepatitis C, HIV 1 & 2 antibody or hepatitis B surface antigen (HBsAg) and will be referred to a primary care provider for follow up of these abnormal laboratory tests.)

  3. Confirmed SARS-CoV-2 at the time of screening using RT-PCR and ELISA or CLIA method.
  4. History of facial nerve paralysis
  5. History of cold, sneezing, nasal obstruction in the past 3 days.
  6. Prescribed usage of any nasal spray/or nasal drop medication.
  7. Any significant abnormality altering the anatomy of the nose in a substantial way or nasopharynx that may interfere with the aims of the study and in particular any of the nasal assessments or viral challenge (historical nasal polyps can be included, but large nasal polyps causing current and significant symptoms and/or requiring regular treatments in the last month are excluded)
  8. For women of child bearing potential, a positive serum pregnancy test (during screening within 45 days of enrolment) or positive urine pregnancy test (within 24 hours of administering each dose of vaccine).
  9. Temperature >38.0°C (100.4°F) or symptoms of an acute self-limited illness such as an upper respiratory infection or gastroenteritis within three days prior to each dose of vaccine.
  10. Medical problems as a result of alcohol or illicit drug use during the past 12 months.
  11. Receipt of an experimental agent (vaccine, drug, device, etc.) within 60 days before enrolment or expects to receive an investigational agent during the study period.
  12. Receipt of any licensed vaccine within four weeks before enrolment in this study.
  13. Known sensitivity to any ingredient of the study vaccines, or a more severe allergic reaction and history of allergies in the past.
  14. Receipt of immunoglobulin or other blood products within the three months prior to vaccination in this study.
  15. Immunosuppression as a result of an underlying illness or treatment with immunosuppressive or cytotoxic drugs, or use of anticancer chemotherapy or radiation therapy within the preceding 36 months.
  16. Long-term use (> 2 weeks) of oral or parenteral steroids (glucocorticoids) or high-dose inhaled steroids (>800 mcg/day of beclomethasone dipropionate or equivalent) within the preceding six months (nasal and topical steroids are allowed).
  17. Any history of hereditary angioedema or idiopathic angioedema.
  18. Any history of anaphylaxis in relation to vaccination.
  19. Any history of albumin-intolerance.
  20. Pregnancy, lactation, or willingness/intention to become pregnant during the study.
  21. History of any cancer.
  22. History of severe psychiatric conditions likely to affect participation in the study.
  23. A bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder, or prior history of significant bleeding or bruising following IM injections or venepuncture.
  24. Any other serious chronic illness requiring hospital specialist supervision.
  25. Chronic respiratory diseases like severe acute respiratory syndrome (SARS), including mild asthma.
  26. Chronic cardiovascular disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder, and neurological illness
  27. Morbidly obese (BMI≥35 kg/m2) or underweight (BMI ≤18 kg/m2).
  28. Living in the same household of any COVID-19 positive person.
  29. Any other condition that in the opinion of the investigator would jeopardize the safety or rights of a volunteer participating in the trial or would render the subject unable to comply with the protocol. Re-Vaccination Exclusion Criteri.
  30. Pregnancy.
  31. Anaphylactic reaction following administration of the investigational vaccine.
  32. Virologically confirmed cases of SARS-CoV-2 infection.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 60 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE India
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04751682
Other Study ID Numbers  ICMJE BBIL/BBV154/2020
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Bharat Biotech International Limited
Study Sponsor  ICMJE Bharat Biotech International Limited
Collaborators  ICMJE Not Provided
Investigators  ICMJE Not Provided
PRS Account Bharat Biotech International Limited
Verification Date June 2021

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP