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This is a randomized, double-blind, active-controlled Phase Ⅲ clinical trial, as well as an immuno-bridging clinical trial by parallel testing previous serum after primary immunization of COVID-19 vaccine (Vero cell), inactivated (Omicron variant). The main purpose of this study is to evaluate the superiority of immunogenicity against SARS-CoV-2 Omicron strain induced by one-dose booster immunization of inactivated COVID-19 vaccine (Omicron variant), developed by Sinovac Research and Development Co., Ltd.in subjects who have received two- or three-dose Prototype COVID-19 vaccine (CZ strain), compared with one-dose booster of Prototype COVID-19 vaccine (CZ strain) in subjects who have received three-dose Prototype COVID-19 vaccine (CZ strain), and to evaluate the non-inferiority of immunogenicity against SARS-CoV-2 Omicron strain induced by one-dose booster immunization of inactivated COVID-19 vaccine (Omicron variant), developed by Sinovac Research and Development Co., Ltd., in subjects who have received two- or three-dose Prototype COVID-19 vaccine, compared with the immunogenicity against SARS-CoV-2 Prototype strain induced by two-dose Prototype COVID-19 vaccine(CZ strain)after primary immunization.
This study is a single-center, randomized, double-blind, active-controlled Phase Ⅲ clinical trial, as well as an immuno-bridging clinical trial by parallel testing previous serum after primary immunization of COVID-19 vaccine (Vero cell), inactivated (Omicron variant). The main purpose of this study is to evaluate the superiority of immunogenicity against SARS-CoV-2 Omicron strain induced by one-dose booster immunization of inactivated COVID-19 vaccine (Omicron variant)developed by Sinovac Life Sciences Co., Ltd.in subjects who have received two- or three-dose COVID-19 vaccine(CZ strain), compared with one-dose booster of COVID-19 vaccine(CZ strain)in subjects who have received three-dose COVID-19 vaccine(CZ strain)and to evaluate the non-inferiority of immunogenicity against SARS-CoV-2 Omicron strain induced by one-dose booster immunization of inactivated COVID-19 vaccine (Omicron variant), developed by Sinovac Life Sciences Co., Ltd, in subjects who have received two- or three-dose COVID-19 vaccine(CZ strain),compared with the immunogenicity against SARS-CoV-2(CZ strain)induced by two-dose COVID-19 vaccine(CZ strain)primary immunization. This clinical trial consists of two stages. A total of 1750 healthy subjects will be enrolled including 1500 healthy subjects aged 18 years and older who have received 2 or 3 doses of the COVID-19 vaccine(CZ strain)(750 population were vaccinated with 2 doses and 3 doses of COVID-19 vaccine(CZ strain)respectively)in stage I of the clinical trial,250 subjects in stage Ⅱ of the clinical trial.
Stage I of the clinical trial:1500 healthy subjects (750 population were vaccinated with 2 doses or 3 doses of COVID-19 vaccine(CZ strain)respectively)who have received two or three doses of the prototype (CZ strain) COVID-19 vaccine, including 1200 subjects aged 18~59 years old and 300 subjects aged 60 years and above. Subjects in each age group will be randomly divided into experimental group and control group in a ratio of 2:1. Subjects in the experimental group will receive one dose of inactivated COVID-19 vaccine (Omicron variant), and subjects in the control group will receive one dose of COVID-19 vaccine(CZ strain).
Stage Ⅱ of the clinical trial:Backup serum samples will be selected from 250 healthy adult subjects aged 26-45 years who received two doses of inactivated COVID-19 vaccine(CZ strain)from clinical trial of lot-to-lot consistency of an inactivated SARS-CoV-2 Vaccine(Pro-NCOV-4001).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain) | Experimental | 400 participants aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant). |
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| Control Group aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain) | Active Comparator | 200 participants aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain). |
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| Experimental group aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain) | Experimental | 100 participants aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant). |
|
| Control Group aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain) | Active Comparator | 50 participants aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant) | Biological | The COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant)was manufactured by Sinovac Research& Development Co., Ltd.1200SOU inactivated SARS-CoV-2 Omicron strain in 0.5ml of aluminium hydroxide solution per injection. |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric mean titres (GMTs) and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1) | Geometric mean titres (GMTs) and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), induced by a booster dose of COVID-19 vaccine (Omicron variant), 28 days (Day 28) after booster vaccination among subjects with two- or three-dose COVID-19 vaccine(CZ strain) ≥6 months before | 28 days (Day 28) after booster vaccination |
| GMTs and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1) | GMTs and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), induced by a booster dose of Prototype COVID-19 vaccine, 28 days (Day 28) after booster vaccination among subjects with three-dose Prototype COVID-19 vaccine≥6 months before | 28 days (Day 28) after booster vaccination |
| GMTs of the neutralizing antibody to SARS-CoV-2 Prototype strain(CZ strain) | GMTs of the neutralizing antibody to SARS-CoV-2 Prototype strain induced by two doses of Prototype COVID-19 vaccine, 28 days after vaccination in previous clinical trial serums | 28 days after vaccination of two doses of Prototype COVID-19 vaccine |
| Measure | Description | Time Frame |
|---|---|---|
| Geometric mean increases (GMIs) and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), as well as GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.2) | Geometric mean increases (GMIs) and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), as well as GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.2), induced by a booster dose of COVID-19 vaccine (Omicron variant), 28 days (Day 28) after booster vaccination among subjects with two-dose Prototype COVID-19 vaccine ≥6 months before |
| Measure | Description | Time Frame |
|---|---|---|
| GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain (CZ strain) and Delta strain | GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain and Delta strain, induced by a booster dose of COVID-19 vaccine (Omicron variant) or Prototype COVID-19 vaccine (CZ strain), 7 days (Day 7) and 14 days (Day 14) after booster vaccination among subjects with two- or three-dose Prototype COVID-19 vaccine(CZ strain) ≥6 months before |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hongxing Pan, Master | Jiangsu Provincial Center for Disease Prevention and Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Huaiyin Center for Disease Control and Prevention | Huai'an | Jiangsu | 223300 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37799724 | Background | Hu J, Liu Y, Liu S, Shu Q, Yang X, Chu K, Qiao Y, Hu Y, Wang K, Pan H. Safety and immunogenicity of a modified Omicron-adapted inactivated vaccine in healthy adults: a randomized, double-blind, active-controlled Phase III clinical trial. Front Immunol. 2023 Sep 18;14:1241153. doi: 10.3389/fimmu.2023.1241153. eCollection 2023. |
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| Experimental group aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain) | Experimental | 400 participants aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant). |
|
| Control Group aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain) | Active Comparator | 200 participants aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain). |
|
| Experimental group aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain) | Experimental | 100 participants aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant). |
|
| Control Group aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain) | Active Comparator | 50 participants aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain). |
|
| Historical control group | Active Comparator | Backup serum samples will be selected from 250 healthy adult subjects aged 26-45 years who received two doses of inactivated COVID-19 vaccine(CZ strain)from clinical trial of lot-to-lot consistency of an inactivated SARS-CoV-2 Vaccine(Pro-NCOV-4001) to detect neutralizing antibodies against the CZ, Delta and Omicron strains. |
|
|
| COVID-19 Vaccine (Vero cell), Inactivated (CZ strain) | Biological | The COVID-19 vaccine,inactivated was manufactured by Sinovac Research& Development Co., Ltd.600SU inactivated SARS-CoV-2 CZ strain virus in 0.5 mL of aluminium hydroxide solution per injection. |
|
|
| 28 days (Day 28) after booster vaccination |
| GMIs,seroconversion rates seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), as well as GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.2) | GMIs and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), as well as GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.2), induced by a booster dose of COVID-19 vaccine (Omicron variant) or prototype COVID-19 vaccine, 28 days (Day 28) after booster vaccination among subjects with three-dose Prototype COVID-19 vaccine ≥6 months before | 28 days (Day 28) after booster vaccination |
| GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain and Delta strain | GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain and Delta strain, induced by a booster dose of COVID-19 vaccine (Omicron variant) or Prototype COVID-19 vaccine, 28 days (Day 28) after booster vaccination among subjects with two-dose Prototype COVID-19 vaccine ≥6 months before | 28 days (Day 28) after booster vaccination |
| GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Prototype strain (CZ strain) and Delta strain | GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Prototype strain (CZ strain) and Delta strain, induced by a booster dose of COVID-19 vaccine (Omicron variant) or Prototype COVID-19 vaccine, 28 days (Day 28) after booster vaccination among subjects with three-dose Prototype COVID-19 vaccine ≥6 months before | 28 days (Day 28) after booster vaccination |
| GMTs and seropositive rates of the neutralizing antibody to SARS-CoV-2 Prototype strain (CZ strain), Delta strain and Omicron strain (BA.1, BA.2) | GMTs and seropositive rates of the neutralizing antibody to SARS-CoV-2 Prototype strain (CZ strain), Delta strain and Omicron strain (BA.1, BA.2), induced by two primary doses of Prototype COVID-19 vaccine in previous clinical trial serums, 28 days after primary vaccination | 28 days after primary vaccination |
| GMTs and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain (CZ strain) and Delta strain | GMTs and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain (CZ strain) and Delta strain, induced by one booster dose of COVID-19 vaccine (Omicron variant) or Prototype COVID-19 vaccine, 3 months (Day 90) and 6 months (Day 180) after booster vaccination among subjects with 2 or 3 doses of Prototype COVID-19 vaccine ≥6 months before | 3 months (Day 90) and 6 months (Day 180) after booster vaccination |
| Incidence of local and systemic adverse reactions | Incidence of local and systemic adverse reactions within 0~7 days after booster vaccination among subjects with 2 or 3 doses of Prototype COVID-19 vaccine (CZ strain) | within 0~7 days after booster vaccination |
| Incidence of serious adverse events (SAE) and adverse events of special interest (AESI) | Incidence of serious adverse events (SAE) and adverse events of special interest (AESI) within 12 months after booster vaccination among subjects with 2 or 3 doses of Prototype COVID-19 vaccine (CZ strain) | 12 months after booster vaccination |
| Incidence of adverse reactions within 0~28 days | Incidence of adverse reactions within 0~28 days after booster vaccination among subjects with 2 or 3 doses of Prototype COVID-19 vaccine (CZ strain) | Within 0~28 days after booster vaccination |
| 7 days (Day 7) and 14 days (Day 14) after booster vaccination |
| 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 |
|---|---|
| D000086663 | COVID-19 Vaccines |
| C000722216 | sinovac COVID-19 vaccine |
| ID | Term |
|---|---|
| D014765 | Viral Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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