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The objective of the clinical study is to evaluate the tolerability, safety, immunogenicity and prophylactic efficacy of the EpiVacCorona vaccine in volunteers aged 18 and above.
The study tasks are to:
The study will screen a maximum of 4,929 volunteers of both sexes aged 18 and above, of which 3,000 volunteers who meet the inclusion criteria and do not have the exclusion criteria will be randomized:
If volunteers drop out of the study, they will not be replaced. All volunteers will be followed up by an investigator physician for 6 months following the first vaccination in order to identify possible late adverse events. In case the volunteer has any late reactions, he/she will be invited to the clinic to correct his/her condition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group "Vaccine" | Experimental | 2,250 volunteers who will be vaccinated with the EpiVacCorona vaccine, twice intramuscularly at a dose of 0.5 ml. |
|
| "Control Group" | Placebo Comparator | 750 volunteers who will be vaccinated with a placebo, twice intramuscularly at a dose of 0.5 ml. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EpiVacCorona (EpiVacCorona vaccine based on peptide antigens for the prevention of COVID-19) | Biological | The EpiVacCorona vaccine is intended to prevent COVID-19. The vaccine relies on chemically synthesized peptide antigens of SARS-CoV-2 proteins conjugated to a carrier protein and adsorbed on an aluminum-containing adjuvant (aluminum hydroxide). The vaccine induces the specific immunity against the SARS-CoV-2 coronavirus following two intramuscular injections spaced 21 to 28 days apart. The EpiVacCorona vaccine contributes to the development of protective immunity against SARS-CoV-2 coronavirus following two intramuscular administrations given 21 to 28 days apart. |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of vaccinated volunteers with no laboratory confirmed symptoms caused by SARS-CoV-2, within 6 months post vaccination versus a placebo | The proportion of vaccinated volunteers with no laboratory confirmed symptoms caused by SARS-CoV-2, in combination with one or more of the following symptoms: fever or chills; cough; shortness of breath or labored breathing; fatigue; muscle pain; headache; loss of taste or smell; sore throat; a stuffy nose or runny nose; nausea or vomiting; diarrhea, within 6 months post vaccination versus a placebo | within 6 months after the first vaccination |
| The prophylactic efficacy of the vaccine | The prophylactic efficacy of the vaccine under study is ≥50% compared to a placebo, with the lower limit of the confidence interval of the point estimate for the primary efficacy variable > 30% | 9 months after the first vaccination |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of volunteers with increased levels of the immune response in terms of geometric mean titers of specific antibodies | The proportion of volunteers with increased levels of the immune response in terms of geometric mean titers of specific antibodies in ELISA is more than 4 times greater 21 to 28 days following the second vaccination | 21-28 days after the second vaccination |
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Inclusion Criteria:
Exclusion Criteria:
And:
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| Name | Affiliation | Role |
|---|---|---|
| Rinat A. Maksyutov, PhD | Federal Budgetary Research Institution - State Research Center of Virology and Biotechnology "Vector", Federal Service for Surveillance on Consumer Rights Protection and Human Well-being | Study Director |
| Nikita V. Lomakin | Federal State Budgetary Institution - Central Clinical Hospital with Polyclinic, Administrative Office of the President of the Russian Federation | Principal Investigator |
| Vitaly G. Gusarov | Federal State Budgetary Institution - N.I. Pirogov National Medical and Surgical Center, Ministry of Health of the Russian Federation | Principal Investigator |
| Maria A. Chukina | Federal State Budgetary Research Institution - Academician B.V. Petrovsky Russian Research Center for Surgery | Principal Investigator |
| Stanislav A. Terpigorev | State Budgetary Healthcare Institution of the Moscow region - M.F. Vladimirsky Moscow Regional Research Clinical Institute | Principal Investigator |
| Svetlana B. Erofeeva | State Budgetary Healthcare Institution of the Moscow region - Krasnogorsk City Hospital # 1 | Principal Investigator |
| Olga A. Rychkova | State Budgetary Educational Institution of Higher Professional Education - Tyumen State Medical University, Ministry of Health of the Russian Federation |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Budgetary Healthcare Institution of the Moscow region - Krasnogorsk City Hospital # 1 (short name: SBHI MR KCH # 1) | Krasnogorsk | Moscow Oblast | 143408 | Russia |
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|
| Placebo (sodium chloride, a 0.9% solution for the preparation of dosage forms for injections) | Other | The use of placebo: intramuscularly twice, given 21 to 28 days apart at a dose of 0.5 ml |
|
| The proportion of volunteers with increased levels of the immune response in terms of specific neutralizing antibody titers | The proportion of volunteers with increased levels of the immune response in terms of specific neutralizing antibody titers in ELISA is more than 4 times greater 21 to 28 days following the second vaccination | 21-28 days after the second vaccination |
| The frequency of severe cases of COVID-19 following a single / double vaccination | The frequency of severe cases of COVID-19 following a single / double vaccination (including hospitalization, transfer to an intensive care unit, death, etc.) | through the whole study, an average of 9 months |
| Duration of disease | Duration of illness in case of COVID-19 disease | through the whole study, an average of 9 months |
| The incidence of asymptomatic COVID-19 following a single / double vaccination | The incidence of asymptomatic COVID-19 following a single / double vaccination (to assess the effectiveness of vaccination in preventing SARS-CoV-2 infection) | through the whole study, an average of 9 months |
| Principal Investigator |
| Viktoria Y. Delyan, Associate Professor | State Autonomous Healthcare Institution - Clinical City Hospital # 7 of Kazan | Principal Investigator |
| Vladimir V. Rafalsky | Federal State Autonomous Educational Institution of Higher Education - Immanuel Kant Baltic University (short name: FSAEIHE- I. Kant Baltic Federal University) | Principal Investigator |
| Federal State Autonomous Educational Institution of Higher Education - Immanuel Kant Baltic University (short name: FSAEIHE- I. Kant Baltic Federal University) | Kaliningrad | 236016 | Russia |
| State Autonomous Healthcare Institution - Clinical City Hospital # 7 of Kazan (short name: SAHI CCH # 7) | Kazan' | 420103 | Russia |
| Federal State Budgetary Institution - N.I. Pirogov National Medical and Surgical Center, Ministry of Health of the Russian Federation (short name: FSBI - N.I. Pirogov NMSC, Ministry of Health of the Russian Federation) | Moscow | 105203 | Russia |
| Federal State Budgetary Research Institution - Academician B.V. Petrovsky Russian Research Center for Surgery (short name: FSBRI - Academician B.V. Petrovsky RRCS) | Moscow | 119991 | Russia |
| Research Center: Federal State Budgetary Institution - Central Clinical Hospital with Polyclinic, Administrative Office of the President of the Russian Federation (short name: FSBI Central Clinical Hospital with Polyclinic) | Moscow | 121359 | Russia |
| State Budgetary Healthcare Institution of the Moscow region - M.F. Vladimirsky Moscow Regional Research Clinical Institute (short name: M.F. Vladimirsky SBHI MRRCI) | Moscow | 129110 | Russia |
| State Budgetary Educational Institution of Higher Professional Education - Tyumen State Medical University, Ministry of Health of the Russian Federation (short name: SBEIHPE - Tyumen State Medical University, Ministry of Health of Russian Federation) | Tyumen | 625023 | Russia |
| 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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| ID | Term |
|---|---|
| C000718910 | EpiVacCorona vaccine |
| D012965 | Sodium Chloride |
| D012996 | Solutions |
| D007267 | Injections |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D004364 | Pharmaceutical Preparations |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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