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| Name | Class |
|---|---|
| National Vaccine Institute, Thailand | OTHER |
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The investigational product Baiya SARS-CoV-2 Vax 2 vaccine is a second-generation of protein subunit vaccine from plant. The primary objective aiming to evaluate the safety, tolerability, and reactogenicity of Baiya SARS-CoV-2 Vax 2 in adults (aged between 18 to 64 years, inclusive) after 2 doses of Baiya SARS-CoV-2 Vax 2 given 21 days apart IM, up to 28 days after the second vaccination. The secondary objective aiming to evaluate long-term safety profile (up to 1 year) and evaluate immunogenicity after 2 doses of Baiya SARS-CoV-2 Vax 2 given 21 days apart.
The Baiya SARS-CoV-2 Vax 2 investigational vaccine is developed by Baiya Phytopharm Co., Ltd. for the active immunisation of adults against SARS-CoV-2, which causes coronavirus disease 2019 (COVID-19). This first in human (FIH) study will be conducted in healthy participants. Screening for the study will occur within a 42-day window prior to study enrolment. All eligible, consenting participants will receive Baiya SARS-CoV-2 Vax 2 vaccine at the assigned dose by IM injection, according to a repeat vaccination schedule (to be given 21 days apart). The study is an open-label, dose escalation, FIH study conducted in healthy adults aged 18 to 64 years (inclusive).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 25 μg Baiya SARS-CoV-2 Vax 2 | Experimental | Experimental: 25 μg Baiya SARS-CoV-2 Vax 2, Adult Participants 2 doses of Baiya SARS-CoV-2 Vax 2 (25 μg), each on Day 1 and Day 22 for adult participants (18 - 64 years old) |
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| 50 μg Baiya SARS-CoV-2 Vax 2 | Experimental | Experimental: 50 μg Baiya SARS-CoV-2 Vax 2, Adult Participants 2 doses of Baiya SARS-CoV-2 Vax 2 (50 μg), each on Day 1 and Day 22 for adult participants (18 - 64 years old) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 25 Baiya SARS-CoV-2 Vax 2 | Biological | Intramuscular injection in the deltoid region of 0.5 mL/dose of Baiya SARS-CoV-2 Vax 2 (recombinant SARS-CoV-2 receptor-binding domain fused with FC region of human IgG1 vaccine) |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and grade of solicited local and systemic reactogenicity AEs | 7-day post each vaccination | |
| Frequency and grade of AEs | Post-vaccination - 28 days after second vaccination | |
| Incidence of Serious Adverse Events (SAEs), Medically-Attended Adverse Events (MAAEs), and New-Onset Chronic Medical Conditions (NOCMCs) | Post-vaccination - 28 days after second vaccination | |
| Changes in Blood Pressure (Systolic and Diastolic Blood Pressure) from Baseline | Blood pressure is measured mmHg. Blood pressure, both systolic and diastolic, at multiple timepoints according to the protocol will be compared to baseline value. Changes in blood pressure will be described using descriptive statistic (mean, standard deviation). | Post-vaccination - 28 days after second vaccination |
| Changes in Pulse Rate from Baseline | Pulse rate is measured as beats per minute. Pulse rate at multiple timepoints according to the protocol will be compared to baseline value. Changes in pulse rate will be described using descriptive statistic (mean, standard deviation). | Post-vaccination - 28 days after second vaccination |
| Changes in Respiratory Rate from Baseline | Respiratory rate is measured as breaths per minute. Respiratory rate at multiple timepoints according to the protocol will be compared to baseline value. Changes in respiratory rate will be described using descriptive statistic (mean, standard deviation). | Post-vaccination - 28 days after second vaccination |
| Changes in Body Temperature from Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and Grade of Medically-Attended Adverse Events (MAAEs) | 28 days - 1 year after second vaccination | |
| Frequency and Grade of New-Onset Chronic Medical Conditions (NOCMCs) | 28 days - 1 year after second vaccination |
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Inclusion Criteria:
Healthy man or woman between 18 to 64 years old (inclusive).
Give informed consent prior to study enrolment and all study procedures.
Participant must be able to comply with study procedures and be available for all study visits.
Participants must be in general good health based on medical history and physical examination as determined by the investigator(s) at Screening.
Males must be surgically sterile (>30 days since vasectomy with no viable sperm), practice true abstinence, or, if engaged in sexual activities with a female with childbearing potential, use condoms from first vaccination until 60 days after the last vaccination.
Females of child-bearing potential must practice true abstinence, or, if engaged in sexual activities with a male, agree to use highly effective (failure rate of <1% per year when used consistently and correctly), double-barrier contraceptive measures throughout the study and intend to continue use of contraception methods for at least 60 days following the last vaccination.
Female participants of childbearing potential must not be pregnant or breastfeeding.
Body temperature measured at forehead using validated device must be less than 37.5ºC at Screening.
Pulse must be no greater than 100 beats per minute at Screening.
Systolic blood pressure (SBP) must be between 90 to 160 millimetres of mercury (mmHg), inclusive, at Screening.
Participants must agree to refrain from donating blood, plasma, ovules, or sperm during the whole study.
Participants must have haematology, clinical chemistry, coagulation, and urinalysis test results that are not deviating from the normal reference range by age and gender or considered "not clinically significant" per investigator decision based on safety at Screening.
Female participants of child-bearing potential must have negative serum pregnancy test by beta human chorionic gonadotropin [β-HCG] at Screening and a negative urine-based pregnancy test within 24 hours prior to each investigational vaccine administration.
Women of non-child-bearing potential must:
All volunteers will be screened for serum antibodies against SARS-CoV-2 as evidence of previous infection using Enzyme-Linked Immunosorbent Assay (ELISA) and must have a negative result.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Queen Saovabha Memorial Institute | Bangkok | 10330 | Thailand |
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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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| 50 Baiya SARS-CoV-2 Vax 2 | Biological | Intramuscular injection in the deltoid region of 0.5 mL/dose of Baiya SARS-CoV-2 Vax 2 (recombinant SARS-CoV-2 receptor-binding domain fused with FC region of human IgG1 vaccine) |
|
Body temperature is measured as degree Celsius. Body temperature at multiple timepoints according to the protocol will be compared to baseline value. Changes in body temperature will be described using descriptive statistic (mean, standard deviation) |
| Post-vaccination - 28 days after second vaccination |
| Changes in Physical Examinations from Baseline | Baseline physical examination will include head, ears, nose, throat, lungs, lymph nodes, heart, abdomen and skin. Symptom directed physical examination will be performed for each subsequent visit. Changes in physical conditions from baseline physical examination will be described. | Post-vaccination - 28 days after second vaccination |
| Clinically relevant changes in haematology laboratory measurements | Haematology laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Up to 28 days after second vaccination |
| Clinically relevant changes in blood chemistry laboratory measurements | Blood Chemistry laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Up to 28 days after second vaccination |
| Clinically relevant changes in coagulation laboratory measurements | Coagulation laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Up to 28 days after second vaccination |
| Clinically relevant changes in urinalysis laboratory measurements | Urinalysis laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Up to 28 days after second vaccination |
| Treatment-emergent, clinically significant changes in Blood Pressure | Grade of treatment-emergent changes in blood pressure by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Post-vaccination - 28 days after second vaccination |
| Treatment-emergent, clinically significant changes in Pulse Rate | Grade of treatment-emergent changes in pulse rate by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Post-vaccination - 28 days after second vaccination |
| Treatment-emergent, clinically significant changes in Respiratory Rate | Grade of treatment-emergent changes in respiratory rate by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Post-vaccination - 28 days after second vaccination |
| Treatment-emergent, clinically significant changes in Body Temperature | Grade of treatment-emergent changes in body temperature by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Post-vaccination - 28 days after second vaccination |
| Treatment-emergent, clinically significant changes in Physical examinations | Baseline physical examination will include head, ears, nose, throat, lungs, lymph nodes, heart, abdomen and skin. Symptom directed physical examination will be performed for each subsequent visit. Grade of treatment-emergent changes by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe). | Post-vaccination - 28 days after second vaccination |
| Incidence of SAEs | 28 days - 1 year after second vaccination |
| Geometric Mean Titer (GMT) of SARS-CoV-2 Specific Serum Neutralising Antibody | SARS-CoV-2 Specific Serum Neutralising Antibody as measured by Micro-neutralization assay, expressed as GMTs for each cohort | on 7, 14 and 28 days after second vaccination |
| Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Specific Serum Neutralising Antibody | SARS-CoV-2 Specific Serum Neutralising Antibody as measured by Micro-neutralization assay, expressed as GMFRs for each cohort | on 7, 14 and 28 days after second vaccination |
| Seroconversion Rate of SARS-CoV-2 Specific Serum Neutralising Antibody | Seroconversion Rate is defined as the proportion of participants who achieves a greater than or equal to 4-fold rise in SARS-CoV-2 specific serum neutralising antibody level from baseline | on 7, 14 and 28 days after second vaccination |
| Geometric Mean Titer (GMT) of SARS-CoV-2 Surrogate Viral Neutralising Antibody | on 7, 14 and 28 days after second vaccination |
| Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Surrogate Viral Neutralising Antibody | on 7, 14 and 28 days after second vaccination |
| Seroconversion Rate of SARS-CoV-2 Surrogate Viral Neutralising Antibody | Seroconversion Rate is defined as a greater than or equal to 4-fold rise in SARS-CoV-2 surrogate viral neutralising antibody from baseline | on 7, 14 and 28 days after second vaccination |
| Geometric Mean Titer (GMT) of RBD-specific IgG Antibody | Measured by enzyme-linked immunosorbent assay (ELISA) | on 7, 14 and 28 days after second vaccination |
| Geometric Mean Fold Rise (GMFR) of RBD-specific IgG Antibody | Measured by enzyme-linked immunosorbent assay (ELISA) | on 7, 14 and 28 days after second vaccination |
| Seroconversion Rate of RBD-specific IgG Antibody | Measured by enzyme-linked immunosorbent assay (ELISA). Seroconversion Rate is defined as a greater than or equal to 4-fold rise in RBD-specific IgG Antibody from baseline | on 7, 14 and 28 days after second vaccination |
| Percentage of participants who have positive RBD-specific CD4+ and CD8+ T-cell IFN-y ELISpot responses | Measured by IFN-y ELISpot assay | on 7, 14 and 28 days after second vaccination |
| Median number of spot-forming cells (SFC) per 1 million PBMCs | Measured by IFN-y ELISpot assay | on 7, 14 and 28 days after second vaccination |
| Percentage of participants who shows positive specific T-helper 1 responses, or T-helper 2 responses | Quantified by Intracellular Cytokine Staining | on 7, 14 and 28 days after second vaccination |
| Median percentage of specific T-helper 1 responses and T-helper 2 responses ratio | Quantified by Intracellular Cytokine Staining | on 7, 14 and 28 days after second vaccination |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |