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This study is a randomized, double-blinded, and placebo controlled phase 1&2 clinical trial of the SARS-CoV-2 inactivated vaccine manufactured by Sinovac Life Sciences Co. , Ltd. The purpose of this study is to evaluate the safety and immunogenicity of the experimental vaccine in healthy elderly aged 60 years and above.
This study is a randomized, double-blinded, single-center, placebo-controlled phase 1&2 clinical trial in healthy elderly aged 60 years and above. The experimental vaccine and placebo were both manufactured by Sinovac Life Sciences Co. , Ltd. A total of 422 subjects will be enrolled, with 72 in phase 1 and 350 in phase 2. 72 Subjects with 36 in medium-dosage group and 36 in high-dosage group in phase 1 will receive two doses of primary immunization according to the immunization schedule of day 0, 28 and the subjects at each dosage group will be assigned in a 2:1 ratio to receive investigational vaccine or placebo respectively.All enrolled subjects will receive 1 dose of booster immunization 1 year after primary immunization.350 Subjects in phase 2 will receive two doses of primary immunization according to the immunization schedule of day 0,28,the subjects will be assigned in a ratio of 2:2:2:1 to receive the low dosage, medium dosage, high dosage vaccine, or placebo. All enrolled subjects will received 1 dose of booster immunization(the third dose ) 6 months after primary immunization.And subjects in medium-dosage group and high -dosage group will receive the second booster dose (the fourth dose) 1 year after the second dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Vaccine-medium dosage | Experimental | 24 participants in medium-dosage group in phase Ⅰ will receive two doses of primary immunization according to the immunization schedule of day 0, 28 and will receive 1 dose of booster immunization 1 year after primary immunization; 100 participants in medium-dosage group in phase Ⅱ will receive two doses of primary immunization according to the immunization schedule of day 0,28 ,1 dose of booster immunization 6 months after primary immunization(the third dose ) and the second booster dose (the fourth dose) 1 year after the second dose. |
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| Experimental Vaccine-high dosage | Experimental | 24 participants in high-dosage group in phase Ⅰ will receive two doses of primary immunization according to the immunization schedule of day 0, 28 and will receive 1 dose of booster immunization 1 year after primary immunization; 100 participants in high-dosage group in phase Ⅱ will receive two doses of primary immunization according to the immunization schedule of day 0,28 ,1 dose of booster immunization 6 months after primary immunization(the third dose) and the second booster dose (fourth dose) 1 year after the second dose . |
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| Placebo | Placebo Comparator | 24 participants including 12 at medium dosage stage and 12 at high dosage in phase Ⅰ will receive two doses of placebo according to the immunization schedule of day 0, 28 and will receive 1 dose of booster immunization 1 year after primary immunization; 50 participants in phase Ⅱ will receive two doses of primary immunization according to the immunization schedule of day 0,28 and will receive 1 dose of booster immunization 6 months after primary immunization. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Two doses of medium dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28 | Biological | The inactivated SARS-CoV-2 vaccine was manufactured by Sinovac Research & Development Co., Ltd..Two doses of medium dosage (600SU/0.5ml) experimental vaccine at the schedule of day 0,28,and one dose of booster immunization(the third dose) with medium dosage (600SU/0.5ml) experimental vaccine 1 year after primary immunization at the schedule of day 0,28 in phaseⅠand 6 months after primary immunization at the schedule of day 0,28 in phase Ⅱ.And the second booster dose (the fourth dose) 1 year after the second dose. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety index-incidence of adverse reactions | Incidence of adverse reactions after each dose vaccination | Day 0-28 after each dose vaccination |
| Immunogenicity index-seroconversion rates of neutralizing antibody | The seroconversion rate of neutralizing antibody 28 days after the second dose vaccination. | 28 days after the second dose vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| Safety index-incidence rate of adverse reactions | Incidence rate of adverse reactions within 7 days after each dose vaccination | within 7 days after each dose vaccination |
| Safety index-incidence rate of serious adverse events in phase Ⅰ |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity index -seropositive rate and GMT of neutralizing antibodies | The seropositive rate and GMT 6 months after the second dose vaccination | 6 months after the second dose vaccination |
| Immunogenicity index -seropositive rate and GMT of neutralizing antibodies in phase Ⅰ |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yuliang Zhao, Master | Hubei Provincial Center for Disease Control and Prevention | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renqiu City Center for Disease Control and Prevention | Renqiu | Hebei | 062550 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35660738 | Derived | Xin Q, Wu Q, Chen X, Han B, Chu K, Song Y, Jin H, Chen P, Lu W, Yang T, Li M, Zhao Y, Pan H, Yu H, Wang L. Six-month follow-up of a booster dose of CoronaVac in two single-centre phase 2 clinical trials. Nat Commun. 2022 Jun 3;13(1):3100. doi: 10.1038/s41467-022-30864-w. | |
| 34890537 | Derived | Zeng G, Wu Q, Pan H, Li M, Yang J, Wang L, Wu Z, Jiang D, Deng X, Chu K, Zheng W, Wang L, Lu W, Han B, Zhao Y, Zhu F, Yu H, Yin W. Immunogenicity and safety of a third dose of CoronaVac, and immune persistence of a two-dose schedule, in healthy adults: interim results from two single-centre, double-blind, randomised, placebo-controlled phase 2 clinical trials. Lancet Infect Dis. 2022 Apr;22(4):483-495. doi: 10.1016/S1473-3099(21)00681-2. Epub 2021 Dec 8. |
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| Experimental Vaccine-low dosage | Experimental | 100 participants at low dosage stage in phase Ⅱ will receive two doses of primary immunization according to the immunization schedule of day 0,28 and will receive 1 dose of booster immunization 6 months after primary immunization. |
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| Two doses of high dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28 | Biological | The inactivated SARS-CoV-2 vaccine was manufactured by Sinovac Research & Development Co., Ltd..Two doses of high dosage (1200SU/0.5ml) experimental vaccine at the schedule of day 0,28,and one dose of booster immunization(the third dose) with medium dosage (1200SU/0.5ml) experimental vaccine 1 year after primary immunization at the schedule of day 0,28 in phaseⅠand 6 months after primary immunization at the schedule of day 0,28 in phase Ⅱ.And the second booster dose (the fourth dose) 1 year after the second dose. |
|
| Two doses of placebo at the schedule of day 0,28 | Biological | The placebo was manufactured by Sinovac Research & Development Co., Ltd., Two doses of placebo at the schedule of day 0,28,and one dose of booster immunization with placebo 1 year after primary immunization at the schedule of day 0,28 in phaseⅠand 6 months after primary immunization at the schedule of day 0,28 in phase Ⅱ. |
|
| Two doses of low dosage inactivated SARS-CoV-2 vaccine at the schedule of day 0,28 | Biological | The inactivated SARS-CoV-2 vaccine was manufactured by Sinovac Research & Development Co., Ltd..Two doses of low dosage (300SU/0.5ml)experimental vaccine at the schedule of day 0,28,and one dose of booster immunization with low dosage (300SU/0.5ml) experimental vaccine 6 months after primary immunization at the schedule of day 0,28 in phase Ⅱ. |
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Incidence rate of SAEs from the beginning of the vaccination to 6 months after the booster immunization in phase Ⅰ
| From the beginning of the vaccination to 6 months after the booster immunization |
| Safety index-incidence rate of serious adverse events in phase Ⅱ | Incidence rate of SAEs from the beginning of the vaccination to 12 months after the booster immunization vaccination in phase Ⅱ | From the beginning of the vaccination to 12 months after the booster immunization vaccination |
| Immunogenicity index-seropositive rate, GMT, and GMI of neutralizing antibodies | The seropositive rate, GMT, and GMI of neutralizing antibodies 28 days after the second dose vaccination; | 28 days after the second dose vaccination |
| Immunogenicity index-seroconversion rate, seropositive rate, GMT, and GMI in phase Ⅰ | The seroconversion rate, seropositive rate, GMT, and GMI 28 days after the first dose vaccination in phase Ⅰ | 28 days after the first dose vaccination in phase Ⅰ |
The seropositive rate and GMT 12 months after the second dose vaccination in phase Ⅰ |
| 12 months after the second dose vaccination |
| Immunogenicity index -seropositive rate, GMT, and GMI of neutralizing antibodies | The seropositive rate, GMT, and GMI 28 days after the booster vaccination in phase Ⅰ | 28 days after the booster vaccination |
| Immunogenicity index -seropositive rate, GMT of neutralizing antibodies in phase Ⅱ | The seropositive rate, GMT, and GMI 7 days (or 14 days) and 28 days after the booster vaccination in phase Ⅱ | 7 days (or 14 days) and 28 days after the booster vaccination |
| Immunogenicity index -seropositive rate and GMT of neutralizing antibodies | The seropositive rate and GMT 6 months after the booster vaccination | 6 months after the booster vaccination |
| Immunogenicity index -seropositive rate and GMT of neutralizing antibodies in phase Ⅱ | The seropositive rate and GMT 12 months after the booster vaccination in phase Ⅱ | 12 months after the booster vaccination |
| Immunogenicity index-seropositive rate,GMT and GMI of neutralizing antibodies | The seropositive rate, GMT and GMI of neutralizing antibody against CZ, Delta and Omicron antigens 14 days after the fourth dose. | 14 days after the fourth dose |
| Immunogenicity index-Seropositive rate and GMTof neutralizing antibodies | The seropositive rate and GMT of neutralizing antibody against Delta and Omicron antigens 6 months after the fourth dose. | 6 months after the fourth dose |
| 33548194 | Derived | Wu Z, Hu Y, Xu M, Chen Z, Yang W, Jiang Z, Li M, Jin H, Cui G, Chen P, Wang L, Zhao G, Ding Y, Zhao Y, Yin W. Safety, tolerability, and immunogenicity of an inactivated SARS-CoV-2 vaccine (CoronaVac) in healthy adults aged 60 years and older: a randomised, double-blind, placebo-controlled, phase 1/2 clinical trial. Lancet Infect Dis. 2021 Jun;21(6):803-812. doi: 10.1016/S1473-3099(20)30987-7. Epub 2021 Feb 3. |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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