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Determine safety and tolerability and immungenicity of investigational vaccine ARCT-021 in healthy adult volunteers.
Randomized, double blinded (study site staff, subjects and Sponsor), placebo controlled, adaptive, ascending dose study evaluating administration of ARCT-021 in healthy adult subjects. 0.9% sterile saline will serve as a placebo control. Study drug (ARCT-021 or control) will be administered as an intramuscular (IM) injection. The study comprises two parts. In the Phase 1 part escalating dose levels given as a single injection to younger adults (21 to 55 years) will be evaluated sequentially. Two dose levels will be further evaluated in the Phase 2 part of the study in two expansion cohorts in younger adults (21 to 55 years) and in two elderly subject (56 to 80 years) cohorts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Escalation Cohort dose 1 of ARCT-021, 21 - 55 years | Experimental | Escalation Cohort dose 1 of ARCT-021 administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| Escalation Cohort dose 2 of ARCT-021, 21 -55 years | Experimental | Escalation Cohort dose 2 of ARCT-021 administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| Escalation Cohort dose 3 of ARCT-021, 21 - 55 years | Experimental | Escalation Cohort dose 3 of ARCT-021 administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| Escalation Cohort dose 4 of ARCT-021, 21 - 55 years | Experimental | Escalation Cohort dose 4 of ARCT-021 administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| Expansion cohort dose regimen 1, 21 - 55 years. | Experimental | Expansion cohort dose regimen 1, administered through 0.5 mL intramuscular injection in the deltoid muscle. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARCT-021 Dose 1 | Biological | ARCT-021 Dose 1 is an investigational vaccine comprising a self-replicating (replicon) mRNA that encodes for the full length spike protein of 2019-nCoV formulated in a lipid nanoparticle (LNP) |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence, severity and dose-relationship of AEs | Safety and tolerability of ARCT-021 assessed by determining the incidence, severity and dose-relationship of AEs by dose | 56 days |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric mean titre for SARS-CoV-2-specific serum neutralizing antibody | SARS-CoV-2-specific serum neutralizing antibody levels, expressed as GMT | Up to 56 days |
| Mean titre for SARS-CoV-2-specific serum neutralizing antibody levels |
| Measure | Description | Time Frame |
|---|---|---|
| Increase in SARS-CoV-2--spike protein-specific binding antibody levels | GMFR in SARS-CoV-2--spike protein-specific binding antibody levels from before vaccination to each subsequent time point | Up to 56 days |
| Geometric mean SARS-CoV-2--spike protein-specific binding antibody titre |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jenny Low Guek Hong, MD | SingHealth Investigational Medicine Unit (IMU) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SingHealth Investigational Medicine Unit (IMU), Singapore General Hospital | Singapore | 169608 | Singapore |
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| Expansion cohort dose regimen 2, 21 - 55 years. | Experimental | Expansion cohort dose regimen 2, administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| Expansion cohort dose regimen 1, 56 - 80 years | Experimental | Expansion cohort dose regimen 1, administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| Expansion cohort dose regimen 2, 56 - 80 years | Experimental | Expansion cohort dose regimen 2, administered through 0.5 mL intramuscular injection in the deltoid muscle. |
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| ARCT-021 Dose 2 | Biological | ARCT-021 Dose 2 is an investigational vaccine comprising a self-replicating (replicon) mRNA that encodes for the full length spike protein of 2019-nCoV formulated in a lipid nanoparticle (LNP): ARCT-021 |
|
| ARCT-021 Dose 3 | Biological | ARCT-021 Dose 3 is an investigational vaccine comprising a self-replicating (replicon) mRNA that encodes for the full length spike protein of 2019-nCoV formulated in a lipid nanoparticle (LNP): ARCT-021 |
|
| ARCT-021 Dose 4 | Biological | ARCT-021 Dose 4 is an investigational vaccine comprising a self-replicating (replicon) mRNA that encodes for the full length spike protein of 2019-nCoV formulated in a lipid nanoparticle (LNP): ARCT-021 |
|
| ARCT-021 Dose Regimen 1 | Biological | ARCT-021 dose regimen 1 is an investigational vaccine comprising a self-replicating (replicon) mRNA that encodes for the full length spike protein of 2019-nCoV formulated in a lipid nanoparticle (LNP): ARCT-021 |
|
| ARCT-021 Dose Regimen 2 | Biological | ARCT-021 dose regimen 2 is an investigational vaccine comprising a self-replicating (replicon) mRNA that encodes for the full length spike protein of 2019-nCoV formulated in a lipid nanoparticle (LNP): ARCT-021 |
|
| Placebo | Other | Sterile 0.9% saline |
|
SARS-CoV-2-specific serum neutralizing antibody levels, expressed as mean titer
| Up to 56 days |
| Geometric mean fold rise in titre for SARS-CoV-2-spike protein specific neutralizing antibody levels | GMFR in titre for SARS-CoV-2-spike protein specific neutralizing antibodies from before vaccination to each subsequent time point | Up to 56 days |
GMT for SARS-CoV-2--spike protein-specific binding antibody levels |
| Up to 56 days |
| Mean SARS-CoV-2--spike protein-specific binding antibody titre | Mean titer for SARS-CoV-2--spike protein-specific binding antibody levels | Up to 56 days |
| SARS-CoV-2-specific serum neutralizing antibody seroconversion rate | Proportion of participants that are seronegative before vaccination achieving a titer of greater than or equal to 20 for SARS-CoV-2-specific serum neutralizing antibodies | 56 days |
| SARS-CoV-2-specific serum neutralizing antibody seroconversion rate (seropositive baseline) | Proportion of participants that are seropositive before vaccination achieving a greater than or equal to 4-fold rise from before vaccination in SARS-CoV-2-specific serum neutralizing antibody levels | 56 days |