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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-005889-34 | EudraCT Number |
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| Name | Class |
|---|---|
| Institut National de la Santé Et de la Recherche Médicale, France | OTHER_GOV |
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This study aims to evaluate the immunogenicity of Moderna mRNA-1273 vaccine in volunteers aged 65 years or more compared to volunteers aged 18-45 years, over 24 months duration. It will provide necessary data on the early immunological response to the vaccine and its evolution in quantitative and qualitative terms. This study will allow establishing how aging influences the response to the vaccine and help to adapt the vaccinal plan. For instance it will suggest the necessity of a vaccination booster.
Phase II, comparative, non-randomized trial assessing the immunogenicity and safety of vaccine candidate Moderna-1273 against SARS-CoV-2. A total of 180 volunteers will be included and vaccinated (2 doses, at day 1 and day 29), divided in 3 groups (60 volunteers 18 - 45 years old, 60 volunteers 65 - 74 years old, 60 volunteers at least 75 years old). Vaccinated volunteers of the three arms will be immune-monitored during 24 months via a battery of in vitro and ex vivo tests to comprehensively assess the course of humoral, cellular and mucosal immunity over time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 18-45 years old | Experimental | 18 - 45 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29 |
|
| 65-74 years old | Experimental | 65 - 74 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29 |
|
| At least 75 years old | Experimental | At least 75 years old (60 volunteers), 2 injections of mRNA-1273, at day 1 and day 29 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mRNA-1273 | Biological | SARS-CoV-2 vaccine |
|
| Measure | Description | Time Frame |
|---|---|---|
| Titers of anti-SARS-CoV-2 Spike IgG Immunoglobulin in sera | Anti-SARS-CoV-2 Spike specific IgG Immunity acquisition | Day 57 (28 days after second injection of mRNA-1273) |
| Measure | Description | Time Frame |
|---|---|---|
| Anti SARS-CoV -2 IgG, IgA and IgM (total and subclasses IgG1-4) as measured by ELISA. | Assessment of humoral immunity-systemic response | From Day 1 to Month 24 |
| Anti-SARS-CoV-2 neutralizing antibody (in vitro neutralisation assay. |
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Inclusion Criteria:
Exclusion criteria:
Subject is ill or febrile (body temperature ≥ 38.0°C) within 72 prior hours or and/or symptoms suggestive of COVID-19 within the past 14 days at enrolment visit.
(Ill or febrile participants may be re-scheduled within the inclusion period when no longer presenting symptoms)
History of documented COVID-19 (PCR+, antigenic test+ or chest TDM+ or serology SARS-CoV-2+) prior to first vaccine administration
Subjects with positive serology to SARS-CoV-2 at the enrolment visit
Subjects who already received another anti-SARS-CoV-2-vaccine
Subjects who received BCG given within the last year.
An immediate family member or household member of study staff.
Use of immunosuppressive drugs like e.g. corticosteroids at a dosage > 10mg/day (excluding topical preparations and inhalers) within 3 months prior to enrolment or 6 months for chemotherapies
Received immunoglobulin or other blood product within 3 months prior to enrolment or planned receipt of immunoglobulin or a blood product through study completion.
Received any vaccination within 4 weeks prior to first injection or plan to receive a licensed vaccine 4 weeks after the last injection.
History of severe adverse reactions to vaccine administration, including anaphylaxis and related symptoms, such as rush, respiratory difficulty, angioedema and abdominal pain to vaccines, or history of allergic reaction likely to be exacerbated by any component of the anti-SARS-CoV-2-vaccine.
History of severe allergic event
Participation in another investigational clinical study (Jardé 1 or Jardé 2) within 4 weeks before the enrolment visits or planned before the study completion.
Known HIV, active HCV or HBV infection
Any pathological condition, such as cancer, which may be susceptible of reducing immunity response
Any bleeding disorder considered as contraindication to intramuscular injection or phlebotomy
The use of investigational Ig, investigational monoclonal antibodies or convalescent serum are not allowed during the study
Any condition which in the opinion of the investigator may interfere with the aim of the study
Pregnant or breastfeeding or positive pregnancy urine test at enrolment visit.
Woman in childbearing without efficacious contraception (in the opinion of the investigator) for 31 days after treatment (2nd vaccine injection)
People under legal protection measure (tutorship, curatorship or safeguard measures)
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Odile LAUNAY, Professor | Contact | 01 58 41 28 58 | odile.launay@aphp.fr | |
| Jean Daniel LELIEVRE, Professor | Contact | 01 49 81 24 09 | jean-daniel.lelievre@aphp.fr |
| Name | Affiliation | Role |
|---|---|---|
| Odile LAUNAY, Professor | Assistance Publique - Hôpitaux de Paris | Principal Investigator |
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Data are available upon reasonable request The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients.
Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in compliance with the applicable regulations.
Beginning 3 months and ending 3 years following article publication. Requests out can also be submitted to the sponsor
Researchers who provide a methodologically sound proposal.
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D001327 | Autoimmune Diseases |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D000090983 | 2019-nCoV Vaccine mRNA-1273 |
| ID | Term |
|---|---|
| D000087503 | mRNA Vaccines |
| D000087504 | Nucleic Acid-Based Vaccines |
| D014614 | Vaccines, Synthetic |
| D011994 | Recombinant Proteins |
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Assessment of humoral immunity-systemic response
| From Day 1 to Month 24 |
| Anti-SARS-CoV-2 -specific neutralizing antibody (Pseudo neutralisation assay using lentiviral phenotypes carrying specific SARS-Cov-2 proteins. | Assessment of humoral immunity-systemic response | From Day 1 to Month 24 |
| Fluorospot assays (TH1, TH2, TH17, Cytotoxicity). Phenotyping of antigen specific T-Cells via Mass cytometry, B cell repertoire and memory | Assessment of cellular immunity acquisition | From Day 1 to Month 24 |
| Mucosal SARS-CoV-2 -specific antibody via measure of sIgA, sIgM and IgG in saliva by specific home-made and commercially available ELISA assays. | Assessment of mucosal immunity | From Day 1 to Month 24 |
| Functionality of mucosal sIgA and sIgM by Antibody Dependent Cellular Cytotoxicity (ADCC) assay specific for SARS-CoV-2 mucosal IgA and IgM | Assessment of mucosal immunity | From Day 1 to Month 24 |
| Local and systemic reactogenicity | Clinical safety evaluation | From Day 1 to Month 24 |
| Determination of autoimmunity markers such as antibodies Anti-nuclear (unit measure: titers) | Biological safety evaluation | From Day 1 to Month 24 |
| Determination of autoimmunity markers such as antibodies Anti-ACL, Anti-β2-GP1, Rheumatoid factor (unit measure: U/L) | Biological safety evaluation | From Day 1 to Month 24 |
| Determination of autoimmunity markers such as antibodies Anti-GM1, Anti-MAG ( unit measure: pos/ne) | Biological safety evaluation | From Day 1 to Month 24 |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D007154 | Immune System Diseases |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D000086663 | COVID-19 Vaccines |
| D014765 | Viral Vaccines |
| D000941 | Antigens |
| D001685 | Biological Factors |