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The phase Ⅱ trial adopts a randomized, double-blind, placebo-controlled design to evaluate the immunogenicity and safety profile of LYB001 in healthy adults aged 18 years and older. This Phase III study adopts a single-arm, open-label design to evaluate the expanded safety of LYB001 in healthy subjects 18 years of age and older. The study vaccine will be administered IM at upper arm deltoid as a three-dose regimen with 28d interval on day 0, 28, 56.
The phase Ⅱ trial will be carried out in an age-sequential enrolment manner:
Phase III trial (the expanded safety study):
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| low-dose LYB001 in participants aged 18-59 years | Experimental | 25μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
|
| high-dose LYB001 in participants aged 18-59 years | Experimental | 50μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
|
| placebo 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 | 25μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
|
| high-dose LYB001 in participants aged over 60 years | Experimental | 50μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
|
| placebo 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Change from Baseline at 14 days post dose 3 |
| SRAS-CoV-2 S protein-binding antibodies | SRAS-CoV-2 S protein-binding antibodies | Change from Baseline at 14 days post dose 3 |
| Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Change from Baseline at 28 days post dose 3 |
| SRAS-CoV-2 S protein-binding antibodies | SRAS-CoV-2 S protein-binding antibodies | Change from Baseline at 28 days post dose 3 |
| Adverse events (AEs) | 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 dose |
| Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) |
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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 | +8615626903973 | 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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The phase Ⅱ trial adopts a randomized, double-blind, placebo-controlled design. The phase Ⅲ trial for expanded safety adopts an open-label design.
| Placebo Comparator |
intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
|
| LYB001 in participants aged over 18 years | Experimental | intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56. |
|
| Placebo | Biological | Aluminum hydroxide |
|
| 3 months post dose 3 |
| Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | 6 months post dose 3 |
| Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs) | 12 months post dose 3 |
| SRAS-CoV-2 S protein-binding antibodies | SRAS-CoV-2 S protein-binding antibodies | 3 months post dose 3 |
| SRAS-CoV-2 S protein-binding antibodies | SRAS-CoV-2 S protein-binding antibodies | 6 months post dose 3 |
| SRAS-CoV-2 S protein-binding antibodies | SRAS-CoV-2 S protein-binding antibodies | 12 months post 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 |