COVID-19Phase 1CTCOVID-19NCT04313127
Phase I Clinical Trial of a COVID-19 Vaccine in 18-60 Healthy Adults
A Phase 1 study testing Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in people with COVID-19, run by CanSino Biologics Inc. at 1 site in China.
Trial summary
The 2019 novel-coronavirus (2019-nCov) is the cause of a cluster of unexplained pneumonia that started in Hubei province in China. It has manifest into a global health crisis with escalating confirmed cases and spread across many countries. Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- COVID-19
- What is being tested?
- Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 108 participants
- Where
- 1 siteChina
- Study dates
- 16 Mar 2020to 20 Feb 2021
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Aged between 18 and 60 years.
- Able to understand the content of informed consent and willing to sign the informed consent
- Able and willing to complete all the secluded study process during the whole 6 months study follow-up period.
- Negative in HIV diagnostic test.
- Negative in serum antibodies (IgG and IgM) screening of COVID-19.
- Normal in lung CT images (no imaging features of COVID-19
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- Axillary temperature ≤37.0°C.
- The BMI index is 18.5-30.0.
- Negative in Nasopharyngeal swabs / sputum and anal swabs through RT-PCR
- Laboratory tests such as hematological examination and clinical biochemistry examination are in the normal range or without meaning judged by clinical doctor.
- General good health as established by medical history and physical examination.
Who cannot join
- Family history of seizure, epilepsy, brain or mental disease
- Subject allergic to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
- Woman who is pregnant, breast-feeding or positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment, or become pregnant during the next 6 months
- Any acute fever disease or infections.
- History of SARS
- Major congenital defects or not well-controlled chronic illness, such as asthma, diabetes, or thyroid disease.
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- Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension without controllable drugs, etc.
- Hereditary angioneurotic edema or acquired angioneurotic edema
- Urticaria in last one year
- No spleen or functional spleen.
- Platelet disorder or other bleeding disorder may cause injection contraindication
- Faint at the sight of needles.
- Prior administration of immunodepressant or corticosteroids, antianaphylaxis treatment, cytotoxic treatment in last 6 months.
- Prior administration of blood products in last 4 months
- Prior administration of other research medicines in last 1 month
- Prior administration of attenuated vaccine in last 1 month
- Prior administration of inactivated vaccine in last 14 days
- Current anti-tuberculosis prophylaxis or therapy
- According to the judgement of investigator,various medical, psychological, social or other conditions, those could affect the subjects to sign informed consent.
Trial locations and contacts
1 site in 1 country.
China1 site
Hubei Provincial Center for Disease Control and Prevention
Wuhan, Hubei
About this study
Official title: A Single-center,Open-label,Dose-escalating Phase I Clinical Trial to Evaluate Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Healthy Adults Aged 18-60 Years Old
The 2019 novel-coronavirus (2019-nCov) is the cause of a cluster of unexplained pneumonia that started in Hubei province in China. It has manifest into a global health crisis with escalating confirmed cases and spread across many countries.
In view of the fact that there is currently no effective antiviral therapy, the prevention or treatment of diseases caused by COVID-19 can be tough for current treatment.
This study is a phase I clinical trial. The investigators intent to evaluate the safety, reactogenicity and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) .
Read the detailed description
This is a single-center,open-label,dose-escalating phase I clinical trial in healthy 18 to 60 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety, reactogenicity and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) manufactured by Beijing Institute of Biotechnology and CanSino Biologics Inc.One hundred and eight subjects will be enrolled into one of three cohorts and will receive an intramuscular (IM) injection of experimental vaccine or placebo on Days 1 in the deltoid muscle.
- Conditions
- COVID-19
- Being tested
- Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
- Keywords
- COVID-19, vaccine, Ad5, Safety, Immunogenicity, Infection, novel coronavirus, Dose-escalation
- Medical subject headings
- COVID-19, Alzheimer Disease 5, Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)Biological
Intramuscular other name:Ad5-nCoV
| Study group | Role | What they receive |
|---|---|---|
| Low-dose Group | Experimental | Subjects received one dose of 5E10 vp Ad5-nCoV at 18 to 60 years old Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) |
| Middle-dose Group | Experimental | Subjects received one dose of 1E11 vp Ad5-nCoV at 18 to 60 years old Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) |
| High-dose Group | Experimental | Subjects received one dose of 1.5E11vp Ad5-nCoV at 18 to 60 years old Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety indexes of adverse reactions
Occurrence of adverse reactions post-vaccination
Measured: 0-7 days post-vaccination
Secondary outcomes (12)
Safety indexes of adverse events
Occurrence of adverse events post-vaccination
Measured: 0-28 days post-vaccination
Safety indexes of SAE
Occurrence of serious adverse events post-vaccination
Measured: 0-28 days, within 6 mouths post-vaccination
Safety indexes of lab measures
Occurrence of abnormal changes of laboratory safety examinations
Measured: pre-vaccination, day 7 post-vaccination
Immunogencity indexes of GMT(ELISA)
Geometric mean titer(GMT)of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Measured: day14,28,month 3,6 post-vaccination
Immunogencity indexes of GMT(pseudoviral neutralization test method)
Geometric mean titer(GMT)of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Measured: day14,28,month 6 post-vaccination
Immunogencity indexes of seropositivity rates(ELISA)
the seropositivity rates of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Measured: day14,28,month 3,6 post-vaccination
Immunogencity indexes of seropositivity rates(pseudoviral neutralization test method)
the seropositivity rates of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Measured: day14,28,month 6 post-vaccination
Immunogencity indexes of GMI(ELISA)
Geometric mean fold increase(GMI)of S-specific antibodies against 2019 novel coronavirus tested by ELISA in serum
Measured: day14,28,month 3,6 post-vaccination
Immunogencity indexes of GMI(pseudoviral neutralization test method)
Geometric mean fold increase(GMI)of S-specific antibodies against 2019 novel coronavirus tested by pseudoviral neutralization test method in serum
Measured: day14,28,month 6 post-vaccination
Immunogencity indexes of GMC(Ad5 vector)
Geometric mean concentration(GMC)of anti-Ad5 vector neutralizing antibody responses
Measured: day、14,28,month3,6 post-vaccination
Immunogencity indexes of GMI(Ad5 vector)
Geometric mean fold increase(GMI)of anti-Ad5 vector neutralizing antibody responses
Measured: day、14,28,month3,6 post-vaccination
Immunogencity indexes of cellular immune
specific cellular immune responses
Measured: day 14, 28,month 6 post-vaccination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2020
- Study start16 Mar 2020
- Primary completion20 Jan 2021
- Study completion20 Feb 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- More trials run by CanSino Biologics Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 108 participants (actual)
Sponsor and investigators
- Lead sponsor
- CanSino Biologics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China, Jiangsu Province Centers for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Tongji Hospital
- Responsible party
- Sponsor
- Investigators
- Zhu Fengcai, Principal investigator, Jiangsu Province Centers for Disease Control and PreventionGuan Xuhua, Principal investigator, Hubei Provincial Center for Disease Control and PreventionWang Wei, Principal investigator, Tongji Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04313127
- Sponsor's protocol ID
- JSVCT088
- Acronym
- CTCOVID-19
- Status last verified
- May 2020
- First submitted
- 15 Mar 2020
- Last updated
- 4 Aug 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: We support data sharing of the individual participant data. The individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendixes) will be shared. Individual participant data will be available beginning 3 months and ending one year following article publication. Supporting clinical documents including study protocol, statistical analysis plan (SAP), and the informed consent form (ICF) will be available immediately following publication for at least one year. Supporting clinical documents access information will be available at http://www.jshealth.com/. Researchers who provide a scientifically sound proposal will be allowed to access to the individual participant data. Proposals should be directed to jszfc@vip.sina.com or cw0226@foxmail.com.
Publications
Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, Wu SP, Wang BS, Wang Z, Wang L, Jia SY, Jiang HD, Wang L, Jiang T, Hu Y, Gou JB, Xu SB, Xu JJ, Wang XW, Wang W, Chen W. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet. 2020 Jun 13;395(10240):1845-1854. doi: 10.1016/S0140-6736(20)31208-3. Epub 2020 May 22.
PubMed 32450106
Study at a glance
From the registry record, last updated by the sponsor on 4 Aug 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-center,Open-label,Dose-escalating Phase I Clinical Trial to Evaluate Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Healthy Adults Aged 18-60 Years Old
- ClinicalTrials.gov ID
- NCT04313127
- Acronym / sponsor ID
- CTCOVID-19 / JSVCT088
- Conditions
- COVID-19
- Keywords
- COVID-19, vaccine, Ad5, Safety, Immunogenicity, Infection, novel coronavirus, Dose-escalation
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 108 participants (actual)
- Lead sponsor
- CanSino Biologics Inc.Industry (pharma, biotech, devices)
- Collaborators
- Institute of Biotechnology, Academy of Military Medical Sciences, PLA of China, Jiangsu Province Centers for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Tongji Hospital
- Study start
- 16 Mar 2020 (actual)
- Primary completion
- 20 Jan 2021 (actual)
- Study completion
- 20 Feb 2021 (actual)
- First posted
- 18 Mar 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The 2019 novel-coronavirus (2019-nCov) is the cause of a cluster of unexplained pneumonia that started in Hubei province in China. It has manifest into a global health crisis with escalating confirmed cases and spread across many countries.
In view of the fact that there is currently no effective antiviral therapy, the prevention or treatment of diseases caused by COVID-19 can be tough for current treatment.
This study is a phase I clinical trial. The investigators intent to evaluate the safety, reactogenicity and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) .
Detailed description
This is a single-center,open-label,dose-escalating phase I clinical trial in healthy 18 to 60 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety, reactogenicity and immunogenicity of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) manufactured by Beijing Institute of Biotechnology and CanSino Biologics Inc.One hundred and eight subjects will be enrolled into one of three cohorts and will receive an intramuscular (IM) injection of experimental vaccine or placebo on Days 1 in the deltoid muscle.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Low-dose Group | Experimental | Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)Subjects received one dose of 5E10 vp Ad5-nCoV at 18 to 60 years old |
| Middle-dose Group | Experimental | Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)Subjects received one dose of 1E11 vp Ad5-nCoV at 18 to 60 years old |
| High-dose Group | Experimental | Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)Subjects received one dose of 1.5E11vp Ad5-nCoV at 18 to 60 years old |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (11 listed)
- Aged between 18 and 60 years.
- Able to understand the content of informed consent and willing to sign the informed consent
- Able and willing to complete all the secluded study process during the whole 6 months study follow-up period.
- Negative in HIV diagnostic test.
- Negative in serum antibodies (IgG and IgM) screening of COVID-19.
Key exclusion criteria (19 listed)
- Family history of seizure, epilepsy, brain or mental disease
- Subject allergic to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
- Woman who is pregnant, breast-feeding or positive in β-HCG (human chorionic gonadotropin) pregnancy test (urine) on day of enrollment, or become pregnant during the next 6 months
- Any acute fever disease or infections.
- History of SARS
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)Intramuscular other name:Ad5-nCoV | Biological | High-dose Group, Low-dose Group, Middle-dose Group |
Primary outcome
Safety indexes of adverse reactions
Time frame: 0-7 days post-vaccination
Occurrence of adverse reactions post-vaccination
12 secondary outcomes
Safety indexes of adverse events
Time frame: 0-28 days post-vaccination
Safety indexes of SAE
Time frame: 0-28 days, within 6 mouths post-vaccination
Safety indexes of lab measures
Time frame: pre-vaccination, day 7 post-vaccination
Immunogencity indexes of GMT(ELISA)
Time frame: day14,28,month 3,6 post-vaccination
Immunogencity indexes of GMT(pseudoviral neutralization test method)
Time frame: day14,28,month 6 post-vaccination
Immunogencity indexes of seropositivity rates(ELISA)
Time frame: day14,28,month 3,6 post-vaccination
Immunogencity indexes of seropositivity rates(pseudoviral neutralization test method)
Time frame: day14,28,month 6 post-vaccination
Immunogencity indexes of GMI(ELISA)
Time frame: day14,28,month 3,6 post-vaccination
Immunogencity indexes of GMI(pseudoviral neutralization test method)
Time frame: day14,28,month 6 post-vaccination
Immunogencity indexes of GMC(Ad5 vector)
Time frame: day、14,28,month3,6 post-vaccination
Immunogencity indexes of GMI(Ad5 vector)
Time frame: day、14,28,month3,6 post-vaccination
Immunogencity indexes of cellular immune
Time frame: day 14, 28,month 6 post-vaccination
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Aug 2021.
- Derived from this study: PubMed 32450106Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, Wu SP, Wang BS, Wang Z, Wang L, Jia SY, Jiang HD, Wang L, Jiang T, Hu Y, Gou JB, Xu SB, Xu JJ, Wang XW, Wang W, Chen W. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet. 2020 Jun 13;395(10240):1845-1854. doi: 10.1016/S0140-6736(20)31208-3. Epub 2020 May 22.
- Individual participant dataSharing planned: Yes. We support data sharing of the individual participant data. The individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendixes) will be shared. Individual participant data will be available beginning 3 months and ending one year following article publication. Supporting clinical documents including study protocol, statistical analysis plan (SAP), and the informed consent form (ICF) will be available immediately following publication for at least one year. Supporting clinical documents access information will be available at http://www.jshealth.com/. Researchers who provide a scientifically sound proposal will be allowed to access to the individual participant data. Proposals should be directed to jszfc@vip.sina.com or cw0226@foxmail.com.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zhu Fengcai principal investigator
Jiangsu Province Centers for Disease Control and Prevention
Guan Xuhua principal investigator
Hubei Provincial Center for Disease Control and Prevention
Wang Wei principal investigator
Tongji Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in people with COVID-19, run by CanSino Biologics Inc. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Safety indexes of adverse reactions (time frame: 0-7 days post-vaccination). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04313127, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Aug 2021.