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This is a randomized, double-blind, placebo-controlled Phase Ⅰ trial in healthy adults aged 18 years and older, intended to evaluate the safety, reactogenicity, and immunogenicity profile of LYB001. The study vaccine will be administered IM at upper arm deltoid as a three-dose regimen with 28d interval on day 0, 28, 56.
To ensure the safety of the participants, the phase Ⅰ trial was will be carried out in a dose-escalation and age-sequential enrolment manner:
By analogy, all dose and age-stratified groups will be sequentially enrolled. The study will be ended after all participants completed 360-day safety observation following the 3rd dose of vaccination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| low-dose LYB001 in participants aged 18-59 years | Experimental | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| Placebo comparator Ⅰ in participants aged 18-59 years | Placebo Comparator | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| high-dose LYB001 in participants aged 18-59 years | Experimental | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| Placebo comparator Ⅱ in participants aged 18-59 years | Placebo Comparator | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| low-dose LYB001 in participants aged over 60 years | Experimental | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| Placebo comparator Ⅲ in participants aged over 60 years |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LYB001 | Biological | The investigational vaccine, with its antigen consisting of receptor-binding domain (RBD) from SARS-CoV-2 and virus-like particle (VLP) vector, adjuvanted with aluminum hydroxide. The investigational are administered through Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Immediate adverse events (AEs) within 30 minutes after each vaccination, solicited local and systemic AEs for within 7 days and unsolicited AEs within 28 days following each vaccination;1. Immediate adverse events (AEs) within 30 minutes after each vaccination, solicited local and systemic AEs for within 7 days and unsolicited AEs within 28 days following each vaccination; | 28 days after each dose |
| Measure | Description | Time Frame |
|---|---|---|
| Serious adverse events (SAEs) | Serious adverse events (SAEs) throughout the study | 360 days after first vaccination |
| Safety laboratory measures | Changes of safety laboratory measures and vital signs at day 3 following each vaccination in comparison to pre-vaccination levels. |
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Inclusion Criteria:
Exclusion Criteria:
Abnormal results of laboratory screening tests which was clinically significant judged by clinicians;
Abnormal vital signs with clinical significance at screening, with systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg, or axillary body temperature ≥ 37.3°C;
Known allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients;
History of human coronavirus infection/diseases, such as severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS);
History of COVID-19, or history of close contact with confirmed/suspected COVID-19 patients, or positive results for either SARS-CoV-2 nucleic acid or antibody tests (IgG and IgM) at screening;
Administration of antipyretics or painkillers within 24 hours prior to vaccination;
Receipt of any COVID-19 vaccine, live attenuated vaccine within 28 days prior to vaccination and other vaccines, such as subunit and inactived vaccine within 14 days prior to vaccination;
Receipt of blood or blood-related products, including immunoglobulins, within 3 months prior to vaccination; or any planned use during the study period.
Subjects with the following diseases:
Drug or alcohol abuse (alcohol intake ≥ 14 units per week) which in the investigator's opinion would compromise the participant's safety or compliance with the study procedures;
History of a major surgery, per the investigator's judgment, within 12 weeks before vaccination, or not achieving full recovery after surgery, or any planned major surgery during the study;
Pregnant or lactating females, or those who plan to become pregnant during the study period;
Having participated or being participating in COVID-19 related clinical trials, and those being participating or planning to participate in other clinical trials during the study period;
Presence of any underlying disease or condition which, in the opinion of the investigator, may place the subject at unacceptable risk, is unable to meet the requirements of the protocol, or interfere with the assessment of vaccine response.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jingwen Qu | Contact | +86 15626903973 | qujingwen@luye.com |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| Placebo Comparator |
Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| high-dose LYB001 in participants aged over 60 years | Experimental | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
| Placebo comparator Ⅳ in participants aged over 60 years | Placebo Comparator | Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56 |
|
|
| Placebo | Biological | Aluminum hydroxide |
|
| 3 days after each dose |
| Geometric neutralizing titers (GMT), Geometric Mean Increases (GMI) and seroconversion rates against wild-type SARS-CoV-2 | Geometric neutralizing titers (GMT), Geometric Mean Increases (GMI) and seroconversion rates against wild-type SARS-CoV-2 | pre dose 1, day 14 post dose 2, day 14, 28 post dose 3 |
| GMT, GMI and seroconversion rates against SARS-CoV-2 variants of concern (VOCs) | GMT, GMI and seroconversion rates against SARS-CoV-2 variants of concern (VOCs) | pre dose 1, day 14 post dose 2, day 14, 28 post dose 3 |
| GMT, GMI and seroconversion rates of S protein-binding antibodies | GMT, GMI and seroconversion rates of S protein-binding antibodies | pre dose 1, day 14 post dose 2, day 14, 28 post dose 3 |
| Cellular Immune Response | 1. Th1 and Th2 immune responses by enzyme-linked immunospot (ELISPOT) assay, Th1: interferon gamma (IFN-γ), interleukin-2 (IL-2), Th2: IL-4, IL-6. | pre dose 1, day 14 post dose 2, day 14 dose 3 |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |