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The goal of this clinical trial is to assess the immunogenicity, efficacy and safety of the Convacell vaccine in healthy adult volunteers aged 18 years and older. The main questions it aims to answer are:
The trial will be conducted in two stages (Stage IIb and Stage III).
• Stage IIb
Participants will be vaccinated one dose or two doses of the Convacell vaccine. Investigators will compare one dose and two doses groups and will choose the best vaccine dosage regimen in terms of immunogenicity and safety.
• Stage III
Participants will be vaccinated the Convacell vaccine or Placebo. Investigators will use the dosage regimen chosen in IIb stage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Convacell, 1 dose (Stage IIb) | Experimental | Participants (230) will be vaccinated Convacell Vaccine, recombinant subunit vaccine for prevention of coronavirus infection, once intramuscularly. A cohort of participants will be allocated (115 participants) for evaluating cell-mediated immunity parameters. |
|
| Convacell, 2 doses (Stage IIb) | Experimental | Participants (230) will be vaccinated Convacell Vaccine, recombinant subunit vaccine for prevention of coronavirus infection, twice intramuscularly. A cohort of participants will be allocated (115 participants) for evaluating cell-mediated immunity parameters. |
|
| Convacell, chosen regimen (Stage III) | Experimental | Participants (10 562) will be vaccinated Convacell Vaccine, recombinant subunit vaccine for prevention of coronavirus infection, the regimen chosen in Stage IIb intramuscularly. |
|
| Placebo, chosen regimen (Stage III) | Placebo Comparator | Participants (5 282) will be vaccinated Placebo, the regimen chosen in Stage IIb intramuscularly. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Subunit recombinant vaccine for the prevention of coronavirus infection | Biological | solution for intramuscular injection, 0.5 ml |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in titer of IgG antibodies to N-protein of SARS-CoV-2 (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0, 42 |
| Frequency of symptomatic COVID-19 with laboratory-confirmed infection within 6 months after vaccination compared with the placebo group (Stage III) | Laboratory confirmation of SARS-CoV-2 infection in accordance with current clinical guidelines can be a PCR study or an antigen test of a swab from the nasopharynx or oropharynx. The symptomatic form of COVID-19 is the presence of at least one of the following symptoms: fever/chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body pain, headache, loss of the sense of taste or smell, sore throat, nasal congestion or runny nose, nausea or vomiting, diarrhea. Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-180 (6 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in titer of IgM antibodies to N-protein of SARS-CoV-2 on day 42 after initial vaccination (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0, 42 |
| Proportion of SARS-CoV-2 seropositive participants on day 42 after initial vaccination (Stage IIb) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ellina Ruzanova | St. Petersburg Research Institute of Vaccines and Sera | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Limited Liability Company "OLLA-MED" | Moscow | Russia | ||||
| State budgetary health care institution of the city of Moscow "City Clinical Hospital No. 24 of the Department of Health of the City of Moscow" |
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|
| Placebo | Biological | solution for intramuscular injection, 0.5 ml |
|
Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. |
| Days 0, 42 |
| Change in titer of IgG antibodies to N-protein of SARS-CoV-2 on day 42 after initial vaccination (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0, 42 |
| The frequency of seroconversion (appearance of specific antibodies to SARS-CoV-2 N-protein) on day 42 after initial vaccination (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0, 42 |
| Change from Baseline in the Mean Specifically Sensitized T-lymphocytes (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0, 42 |
| Number of volunteers hospitalized with COVID-19 (Stage IIb) |
Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb; Days 0-49 |
| Frequency of laboratory confirmed asymptomatic SARS-CoV-2 infections within 6 months. after initial vaccination compared with the placebo group (Stage III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-180 (6 months) |
| Frequency of laboratory-confirmed severe COVID-19 (Stage III) | Frequency of laboratory-confirmed severe COVID-19 in accordance with current criteria
Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-180 (6 months) |
| Overall frequency of all AEs/SAEs (Stage IIb and III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| Overall frequency of all AEs/SAEs associated with the study drug (Stage IIb and III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| The frequency of local post-vaccination reactions at the injection site (Stage IIb and III) |
Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-7 after initial vaccination and revaccination |
| The frequency of systemic post-vaccination reactions at the injection site (Stage IIb and III) |
Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-7 after initial vaccination and revaccination |
| The frequency of local post-vaccination reactions at the injection site (Stage IIb and III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-21 after initial vaccination and revaccination |
| Frequency of systemic post-vaccination reactions (Stage IIb and III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Days 0-42 after initial vaccination |
| The frequency of toxic post-vaccination complications (Stage IIb and III) | Septic conditions, generalized infection. Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| The frequency of allergic post-vaccination complications (Stage IIb and III) | Polymorphous eruption, angioedema, arthralgia, anaphylactic shock. Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| The frequency of neurological post-vaccination complications (Stage IIb and III) | Encephalitis, neuritis, polyneuritis. Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| The presence of allergic reactions (Stage IIb and III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| Сhange in white blood cell count and relative white blood cell count (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Day 0 (screening), day 28 ± 2 (visit 4) |
| Сhange in neutrophils count and relative neutrophils count (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Day 0 (screening), day 28 ± 2 (visit 4) |
| Сhange in lymphocytes count and relative lymphocytes count (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Day 0 (screening), day 28 ± 2 (visit 4) |
| Сhange in monocyte count and relative monocyte count (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Day 0 (screening), day 28 ± 2 (visit 4) |
| Сhange in the IgE level (Stage IIb) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | Day 0 (screening), day 28 ± 2 (visit 4) |
| The proportion of participants with delayed post-vaccination reactions (percent) (Stage IIb and III) | Outcome Measure is analyzed separately in the 18-60 and >60 age subgroups. | through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196) |
| Moscow |
| Russia |
| Limited Liability Company "Scientific Research Center Eco-Safety" | Saint Petersburg | Russia |
| St. Petersburg State Budgetary Health Institution "City Polyclinic No. 117" | Saint Petersburg | Russia |
| Limited Liability Company "Otkrytaya Meditsina" | Tolyatti | Russia |
| Limited Liability Company "Meditsinskiy Diagnosticheskiy Tsentr" | Yaroslavl | Russia |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D018352 | Coronavirus Infections |
| D012141 | Respiratory Tract Infections |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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