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This is a randomized, placebo-controlled, double-blinded phase I study, designed to evaluate the safety including reactogenicity and immunogenicity of this investigational DNA vaccine delivered intramuscularly by in vivo EP in human adults. The vaccine doses will be given to healthy adults aged 18 to 60 years, who have been previously vaccinated against COVID-19 with 3 doses of either Comirnaty® or Spikevax®, or both in any combination ≥3 months ago.
One dose of the investigational vaccine or placebo will be given as a fourth booster dose. The vaccine will be administered intramuscularly at 3 dose levels or given as placebo (containing a 0.9 % NaCl solution), in combination with in vivo EP. The EP method used in the study is a class IIa "EPS Gun" from IGEA optimized for Electro Gene Transfer (EGT) vaccination and CE marked for the intended use in this clinical trial.
Primary objective:
• The primary objective of this study is to assess the safety and reactogenicity of the investigational vaccine OC-007 DNA delivered by in vivo EP, as a booster dose given at ≥ 3 months post-initial mRNA vaccination.
The secondary objectives:
• To investigate the humoral immune response to the investigational vaccine administered as one dose, by measuring changes in spike and of nucleocapsid antibody levels.
Exploratory objective:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active vaccine | Experimental | Plasmid DNA vaccine, OC-007 |
|
| Placebo | Placebo Comparator | Sodium chloride solution (0.9 %) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DNA vaccine OC-007 | Biological | Plasmid DNA vaccine |
|
| Measure | Description | Time Frame |
|---|---|---|
| Local reactions after the vaccine/placebo dose | Local reactions (pain at the injection site, redness, and swelling) for up to 7 days after the vaccine/placebo dose | Up to 7 days after the vaccine/placebo dose |
| Visual analogue scale pain rating scale score | Visual analogue scale (VAS) score to rate the level of pain experienced immediately (0 minutes), and after 5, 15, 30 and 60 minutes post-EP. Scale is continous and the farther right on the scale line the more pain. | At 0, 5, 15, 30 and 60 minutes post-EP. |
| Systemic events for 7 days after each vaccine/placebo dose. | Systemic events (fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain) for 7 days after each vaccine/placebo dose. | For 7 days after each vaccine/placebo dose. |
| Unsolicited AEs | Unsolicited AEs from the study dose to 28 days after vaccination. | From the study dose to 28 days after vaccination. |
| Serious Adverse Events (SAEs)/SUSARs | Serious Adverse Events (SAEs)/suspected unexpected serious adverse reactions (SUSARs) from the study dose until the study end at 3 months after vaccination. | From the study dose until the study end at 3 months after vaccination. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in antibody levels to the SARS-CoV-2 spike and nucleocapsid protein. | Change from baseline sample (a two-fold increase in endpoint titer or a 50% increase in optical density at a 1:62, 1:125, 1:250, 1:500, or 1:1000 serum dilution) in antibody levels to the SARS-CoV-2 spike and nucleocapsid protein by inhouse and/or commercial assays during the study period. | Day 7, Day 14, 1 Month and 3 Months. |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory: In depth humoral and cellular immunological responses | Description of in depth humoral and cellular immunological responses after receiving investigational vaccine at each sampling. Immunoglobulin levels analysed by Enzyme-Linked Immunosorbent Assays (ELISAs). Antibody titer analysed by CPE based microneutralization assay. Isolated Peripheral Blood Mononuclear Cell behavior analysed by enzyme-linked immunospot (ELISpot) assay. Flow cytometry will be used for functional and phenotypic characterization of T-cells. |
Inclusion Criteria:
Men and women between the ages of 18 and 60 years (at the time of consent).
All study subjects have received three doses of registered mRNA vaccine/s, the last dose given ≥ 3 months before inclusion in this study.
Healthy participant, according to the investigator's clinical judgment, as established by medical history, vital signs, physical examination, and laboratory assessments.
No clinically significant laboratory abnormalities as determined by the investigator at screening.
Note: one retest of lab tests is allowed within the screening window.
Negative HIV 1/2 antibody/antigen test, hepatitis B surface antigen (HBsAg), and hepatitis C virus (HCV) antibody at screening.
Participant with a body mass index (BMI) 20-30.0 kg/m2.
Provide written informed consent before initiation of any study procedures.
A female participant is eligible for this study if she is one of the following:
Highly effective methods of contraception include one or more of the following:
A female participant is eligible if she is willing to abstain from donating oocyte from the screening visit up to 3 months after vaccination.
A male participant who is sexually active is eligible if he is willing to use a condom from the screening visit up to 3 months after vaccination except if the male participant is sterile (e.g. vasectomised); the unique female sexual partner is postmenopausal, is permanently sterilized (e.g. hysterectomy or tubal ligation), or use a highly effective method of contraception.
Able to understand and comply with planned study procedures and willing to be available for all study-required procedures, visits and calls for the duration of the study.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Matti Sällberg, PhD | Department of Laboratory Medicine, Karolinska Institute, Stockholm | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phase I Study Unit, Karolinska University Hospital | Stockholm | Region Stockholm | 141 86 | Sweden |
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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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| ID | Term |
|---|---|
| D000086663 | COVID-19 Vaccines |
| ID | Term |
|---|---|
| D014765 | Viral Vaccines |
| D014612 | Vaccines |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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Randomized, placebo-controlled, double-blinded phase I study including three dose levels of the DNA vaccine OC-007.
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Double-blinding: subjects, study personnel and outcome assessors are blinded to treatment.
| Placebo | Other | 0.9% NaCl solution |
|
| Day 7, Day 14, 1 Month and 3 Months |
| Exploratory: SARS-CoV-2 infections | Number and severity of SARS-CoV-2 infections during the study period. | Up to 3 Months |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |