We're building a better ClinicalTrials.gov. Check it out and tell us what you think!
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

Evaluation of Corfluvec Vaccine for the Prevention of COVID-19 in Healthy Volunteers

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: NCT05696067
Recruitment Status : Active, not recruiting
First Posted : January 25, 2023
Last Update Posted : January 25, 2023
Sponsor:
Collaborators:
MDP-CRO, LLC
St. Petersburg State Pavlov Medical University
Information provided by (Responsible Party):
Tatyana Zubkova, Research Institute of Influenza, Russia

Brief Summary:
The aim of the study is to investigate the safety and immunogenicity of a two-component intranasal vaccine for the prevention of COVID-19 in healthy volunteers 18-60 years old

Condition or disease Intervention/treatment Phase
COVID-19 Biological: Corfluvec component 1 low dose Biological: Corfluvec component 2 low dose Biological: Corfluvec component 1 high dose Biological: Corfluvec component 2 high dose Biological: Corfluvec low dose Biological: Corfluvec high dose Biological: Placebo Phase 1 Phase 2

Detailed Description:
Study include three parts. During the first part the two vaccine components will be administered separately to a small number of seronegative participants in low dose and then high dose to evaluate each component's safety. During the second part vaccine components would be administered one after another with 21 days interval to evaluate safety of the complete vaccine regimen (low dose and high dose). During the third part of the study the high dose vaccine will be administered to participants to evaluate vaccine immunogenicity. The whole study will include 200 participants. Duration of the study for each participant is about 6.5 months (no more than 194 days).

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Randomized, Double-blind, Placebo-controlled Phase 1/2 Trial of Corfluvec Intranasal Vector Vaccine for the Prevention of COVID-19 in Healthy Volunteers Aged 18 to 60 Years
Actual Study Start Date : September 13, 2022
Actual Primary Completion Date : December 20, 2022
Estimated Study Completion Date : May 9, 2023

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Group 0a
Single dose of 7.2 lg EID50 of H3N2 vaccine component
Biological: Corfluvec component 1 low dose
Participants will receive single intranasal injection of H3N2 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2

Experimental: Group 0b
Single dose of 7.5 lg EID50 of H1N1pdm09 vaccine component
Biological: Corfluvec component 2 low dose
Participants will receive single intranasal injection of H1N1pdm09 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2

Experimental: Group 0c
Single dose of 8.0 lg EID50 of H3N2 vaccine component
Biological: Corfluvec component 1 high dose
Participants will receive single intranasal injection of H3N2 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2

Experimental: Group 0d
Single dose of 8.3 lg EID50 of H1N1pdm09 vaccine component
Biological: Corfluvec component 2 high dose
Participants will receive single intranasal injection of H1N1pdm09 recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2

Experimental: Group 1a
Low dose vaccine, two components received three weeks apart
Biological: Corfluvec low dose
Participants will receive two intranasal injections of recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2 tree weeks apart (H3N2 →H1N1pdm09)

Experimental: Group 1b
High dose vaccine, two components received three weeks apart
Biological: Corfluvec high dose
Participants will receive two intranasal injections of recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2 tree weeks apart (H3N2 →H1N1pdm09)

Placebo Comparator: Group 1c
Placebo, two doses received three weeks apart
Biological: Placebo
Participants will receive two intranasal injections of placebo three weeks apart

Experimental: Group 2a
High dose vaccine, two components received three weeks apart
Biological: Corfluvec high dose
Participants will receive two intranasal injections of recombinant attenuated influenza vector with modified NS gene coding for the N protein fragment of SARS-CoV-2 tree weeks apart (H3N2 →H1N1pdm09)

Placebo Comparator: Group 2b
Placebo, two doses received three weeks apart
Biological: Placebo
Participants will receive two intranasal injections of placebo three weeks apart




Primary Outcome Measures :
  1. Number of participants with local and systemic adverse events (AEs) and serious adverse events (SAEs) [ Time Frame: Throughout the study, average of 6.5 months ]

    Number of participants with AEs and SAEs including those of particular interest:

    • immediate AEs (allergic reactions) occurring within 2 h after vaccination;
    • post-vaccination reactions between 2 h and a subsequent 7 days;
    • other AEs including unexpected clinical manifestations of a local and systemic nature occurring on the day of vaccination and the following 7 days;
    • deviations of laboratory parameters of analyzes of blood and urine samples and data from instrumental studies (ECG) obtained on Days 3, 7, 23 and 27;
    • all SAEs occurring up to 3 weeks after each vaccination; late AEs occurring after study Day 42 through Day 180±5;
    • influenza A virus shedding detected by rapid test in nasal swab samples

  2. Level of SARS-CoV-2 antigen specific cytokine producing T-cells [ Time Frame: Throughout the 42±2 study days ]
    Change from baseline in the level of cytokine producing T-cells upon in vitro stimulation of PBMC with SARS-CoV-2 N protein peptide epitopes measured by ICS/ELISPOT

  3. Level of SARS-CoV-2 antigen specific cytokine release in whole blood assay [ Time Frame: Throughout the 42±2 study days ]
    Change from baseline in the cytokine concentration in whole-blood cytokine release assay upon in vitro stimulation with SARS-CoV-2 N protein peptide epitopes

  4. Level of SARS-CoV-2 antigen specific mucosal and systemic IgA and IgG antibody [ Time Frame: Throughout the 42±2 study days ]
    Change from baseline in the levels of IgA and IgG antibody to SARS-CoV-2 N protein measured in ELISA in saliva/nasal secret and serum


Secondary Outcome Measures :
  1. Number of responders to vaccination according to the fold increase in the level of specific T-cell response [ Time Frame: Days 7, 21, 27, 42±2 ]
    Proportion of participants exhibiting significant increase in the level of specific T-cell response to SARS-CoV-2 N protein after vaccination in comparison to baseline. The increase in the parameter is considered significant if it exceeds the specified range, which is a 95% CI for mean value of parameter fold change in the Placebo group at assessment day compared to Day 1

  2. Seroconversion rate of SARS-CoV-2 antigen specific antibody [ Time Frame: Days 21, 42±2 ]
    Proportion of participants who have at least a 4-fold increase in post-vaccination antibody titers in comparison to baseline


Other Outcome Measures:
  1. Concentration of cytokines in nasal secrets after vaccination [ Time Frame: Throughout the first 48h of the study ]
    Change from the baseline in the concentration of cytokines in nasal secrets measured in ELISA/Multiplex system

  2. Influenza specific local and systemic antibody immune response [ Time Frame: Throughout the 42±2 study days ]
    Change from baseline in the uiters of influenza specific antibodies in serum and saliva/nasal secret measured in ELISA, HI, MNA and corresponding seroconversion rates.

  3. SARS-CoV-2 and influenza specific antibody and T-cell immune response (follow-up) [ Time Frame: Days 90±3, 180±5 ]
    Specific systemic antibody and T-cell immune response to SARS-CoV-2 N protein and influenza viruses (A/H1N1pdm09, A/H3N2) measured in ELISA, ISC/ELISPOT, whole-blood cytokine release assay.

  4. Efficacy against symptomatic COVID-19 and influenza [ Time Frame: Throughout the study, average of 6.5 months ]
    Number of laboratory-confirmed symptomatic cases of COVID-19 and influenza



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Availability of signed informed consent
  2. Adult men and women aged 18-60
  3. Diagnosed "healthy" according to the data of standard clinical, laboratory and instrumental examination methods, with the absence of clinically significant changes
  4. Body Mass Index (BMI): 18.5≤ BMI ≤30 kg/m2
  5. HI antibody titers ≤1:20 to influenza A/H1N1pdm09 and A/H3N2 (only for phase 1)
  6. Serum antibodies to the SARS-CoV-2 N-protein not higher than 100 BAU/ml
  7. The ability and willingness to make entries in the diary of self-observation, as well as to carry out all the visits foreseen in the study for control medical observation
  8. Negative test for alcohol in exhaled air
  9. Consent to use effective contraceptive methods throughout their participation in the study
  10. Values of the complete blood count and biochemical blood analysis (during the screening) within 0.9*reference range lower limit and 1,1 * reference range upper limit
  11. Negative tests for HIV, hepatitis B, hepatitis C, and syphilis

Exclusion Criteria:

  1. Contact with COVID-19 patients within 14 days prior to the start of the clinical study
  2. Positive rapid test result for SARS-CoV-2 antigen
  3. Participation in another clinical study within three months prior to the start of the current study; planning to participate in another study during the current study period.
  4. Immunization with any other non-study vaccine product, including COVID-19 vaccination within four weeks prior to enrollment in the current study, or refusal to postpone such until the end of the four-week period after completion of the current study
  5. Regular use of nasal irrigation therapy during the last six months prior to enrollment in the current study or episodic use of the above method of treatment in the two weeks prior to the screening
  6. History of frequent nosebleeds (>5) during the year prior to the current study
  7. Clinically significant anatomic pathology or the presence of surgical intervention in the sinus area, paranasal sinuses, or traumatic injuries of the nose within a month before screening
  8. Symptoms of acute respiratory disease, including fever, or other acute illness at the time of screening or within two weeks prior to screening
  9. Treatment with immunoglobulins or other blood derived medications in the three months prior to screening or planning such treatment during the period of participation in the current study; donation of blood/plasma (450 ml or more) less than 2 months prior to screening
  10. The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions or continuous use (the drug was prescribed for more than 14 days without a break) of immunosuppressive drugs, immunomodulators for 6 months before the screening
  11. History of bronchial asthma
  12. Hypersensitivity and the presence of severe allergic reactions, including Quincke's edema, anaphylactic shock after the previous administration of any vaccine
  13. History of wheezing after previous immunization with live influenza vaccine
  14. Other adverse events after immunization (fever above 40°C, syncope, non-febrile convulsions, anaphylaxis) when there is a minimal likelihood that they are associated with a previous administration of any vaccine
  15. Suspicion of hypersensitivity to any component of the study vaccine, including egg protein
  16. Seasonal (in spring or autumn) increased sensitivity to the effects of natural factors
  17. Acute or chronic clinically significant lung, cardiovascular, hepatic, endocrine, neurological, or psychiatric disorders, or impaired renal function identified by history, physical examination, or clinical laboratory findings that, in the opinion of the investigator, may influence the outcome of the study
  18. History of leukemia or any other malignant diseases of the blood or solid malignant neoplasms of other organs
  19. History of thrombocytopenic purpura or bleeding disorders
  20. History of convulsions
  21. The presence or suspicion of the presence of various immunosuppressive or immunodeficiency conditions, including HIV infection
  22. Tuberculosis or residual changes after tuberculosis according to the anamnesis and / or available medical documentation
  23. Chronic alcohol dependence or chronic use of illicit drugs, drug abuse
  24. Claustrophobia and social phobia according to history and / or available medical records
  25. For women of reproductive age - lactation, pregnancy or suspected pregnancy, early postpartum period
  26. Premenopausal women (last menstrual period <1 year prior to signing informed consent) who are not surgically sterile and women who are of reproductive potential but do not use or plan to use valid birth control throughout the study and do not agree to perform a urine pregnancy test while participating in the study
  27. Military personnel undergoing military service on conscription
  28. Persons in custody in pre-trial detention centers and serving sentences in places of deprivation of liberty
  29. Special diet (eg, vegetarian, vegan, salt-restricted) or lifestyle (night work, extreme physical activity)
  30. Any condition that, in the opinion of the investigator, may increase the risk to the health of a volunteer participating in the study or affect the results of the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05696067


Locations
Layout table for location information
Russian Federation
Pavlov First State Medical University of St. Petersburg
Saint Petersburg, Russian Federation
Smorodintsev Research Institute of Influenza
Saint Petersburg, Russian Federation
Sponsors and Collaborators
Tatyana Zubkova
MDP-CRO, LLC
St. Petersburg State Pavlov Medical University
Layout table for additonal information
Responsible Party: Tatyana Zubkova, Head of clinical department, Research Institute of Influenza, Russia
ClinicalTrials.gov Identifier: NCT05696067    
Other Study ID Numbers: KFV-I/II-01/2022
First Posted: January 25, 2023    Key Record Dates
Last Update Posted: January 25, 2023
Last Verified: January 2023

Layout table for additional information
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Tatyana Zubkova, Research Institute of Influenza, Russia:
COVID-19
vaccine
influenza vector
Additional relevant MeSH terms:
Layout table for MeSH terms
COVID-19
Respiratory Tract Infections
Infections
Pneumonia, Viral
Pneumonia
Virus Diseases
Coronavirus Infections
Coronaviridae Infections
Nidovirales Infections
RNA Virus Infections
Lung Diseases
Respiratory Tract Diseases