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COVID-19Phase 1NCT04487210

A Study to Evaluate the Safety and Immunogenicity of MVC-COV1901 Against COVID-19

A Phase 1 study testing MVC-COV1901 in people with COVID-19, run by Medigen Vaccine Biologics Corp. at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a phase I prospective, open-labeled, single-center study to evaluate the safety and immunogenicity of MVC-COV1901. Read more about this study

Who is it for?
Ages 20 to 50 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
MVC-COV1901
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteTaiwan
Study dates
7 Oct 2020to 6 Dec 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 20 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female healthy volunteer ≥20 and <50 years of age
  • Subject free of ongoing acute diseases or serious medical conditions (e.g. concomitant illness) such as cardiovascular (e.g. New York Heart Association grade III or IV), hepatic (e.g. Child-Pugh Class C), psychiatric condition (e.g. alcoholism, drug abuse), medical history, physical findings, or laboratory abnormality that in the investigator's opinion could interfere with the results of the trial or adversely affect the safety of the subject
  • Female subject must be:
  • Either of non-childbearing potential, i.e. surgically sterilized (defined as having undergone hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year post-menopausal;
  • Or, if of childbearing potential, must be abstinent or agree to use medically effective contraception from 14 days before screening to 30 days following last injection of study vaccines. Acceptable forms include:
  • Implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS)
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  • Established use of hormonal methods (injectable, pill, patch or ring) combined with barrier methods of contraception: condom, or occlusive cap (diaphragm or cervical/vault caps) withspermicidal foam/gel/film/cream/suppository
  • Have a negative pregnancy test
  • Subject is willing and able to comply with all required study visits and follow-up required by this protocol
  • Subject has no overseas travel within 14 days of screening and will not have any throughout the study period
  • Subject must provide written informed consent or the Subject's legal representative must understand and consent to the procedure

Who cannot join

  • Receiving any investigational intervention either currently or within 30 days of first dose;
  • Subject (particularly who is a healthcare worker) with previous known or potential exposure to SARS CoV-1 or 2 viruses (EXCEPT for those who have been tested negative and the 14-days self-managements/ home quarantines/ home isolations are completed), or received any other COVID-19 vaccine;
  • Administration of any vaccine within 4 weeks of first dose;
  • A BMI greater than or equal to 30 kg/m2;
  • Subject with a history of hypersensitivity to any vaccine or a history of allergic disease or reactions likely to be exacerbated by any component of the MVC-COV1901;
  • Administration of any blood product or intravenous immunoglobulin administration within 12 weeks of first dose;
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  • Pregnancy or breast feeding or have plans to become pregnant in 30 days after last injection of study vaccines;
  • History of positive serologic test for HIV, hepatitis B surface antigen (HBsAg) or any potentially communicable infectious disease as determined by the investigator or Medical Monitor;
  • Positive serologic test for hepatitis C (EXCEPTION: successful treatment with confirmation of sustained virologic response);
  • Baseline evidence of kidney disease as measured by creatinine greater than 1.5 mg/dL;
  • Screening laboratory tests with Grade 2 or higher abnormality (Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials, September 2007);
  • Immunosuppressive illness including hematologic malignancy, history of solid organ or bone marrow transplantation;
  • A history of autoimmune disease (systemic lupus, rheumatoid arthritis, scleroderma, polyarthritis, thyroiditis, etc.);
  • Current or anticipated concomitant immunosuppressive therapy (excluding inhaled, topical skin and/or eye drop-containing corticosteroids, low-dose methotrexate, or less than prednisone 20 mg/day or equivalent) within 12 weeks of first dose;
  • Current or anticipated treatment with TNF-α inhibitors, e.g. infliximab, adalimumab, etanercept within 12 weeks of first dose;
  • Prior major surgery or any radiation therapy within 12 weeks of first dose;
  • Alcohol or drug abuse or dependence, psychiatric, addictive, or any disorder that, in the opinion of the investigator, would interfere with adherence to study requirements or assessment of immunologic endpoints; or any illness or condition that in the opinion of the investigator may affect the safety of the participant or the evaluation of any study endpoint;
  • Presence of keloid scar formation or hypertrophic scar as a clinically significant medical condition, tattoos or wound covering the injection site area;
  • Body (oral, rectal or ear) temperature ≥ 38.0°C or acute illness within 2 days of first dose, or acute respiratory illness within 14 days of first dose;
  • Screening laboratory test of antinuclear antibody (ANA), anti-dsDNA antibody, anti-neutrophil cytoplasmic antibodies (ANCA, including cytoplasmic ANCA (c-ANCA), perinuclear ANCA (p-ANCA)) with the value higher than upper normal limit;
  • Abnormal screening electrocardiography (ECG) with clinically significant findings as reviewed by investigator.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • National Taiwan University Hospital

    Taipei

Other trials in Taiwan

About this study

Official title: A Phase I, Prospective, Open-Labeled Study to Evaluate the Safety and Immunogenicity of MVC-COV1901

This is a phase I prospective, open-labeled, single-center study to evaluate the safety and immunogenicity of MVC-COV1901.

Read the detailed description

This is a phase I prospective, open-labeled, single-center study to evaluate the safety and immunogenicity of MVC-COV1901. This study is a dose escalation study with three separate arms for subjects at the age of ≥20 and <50 years. The vaccination schedule for primary regimen consists of two doses of MVC-COV1901 for each study subject, administered by intramuscular (IM) injection 0.5mL in the deltoid region of non-dominant arm preferably 28 days apart, on Day 1 and Day 29. Subjects will receive a single booster vaccination of MVC-COV1901 on Day 209, 180 days after completion of the primary regimen.

Conditions
COVID-19
Being tested
MVC-COV1901
Keywords
COVID-19 vaccine
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MVC-COV1901Biological

    MVC-COV1901 is formulated in the different dosages of Spike (S) protein with CpG 1018 and aluminum content as adjuvant.

Study groups in NCT04487210
Study groupRoleWhat they receive
Phase 1a (Low Dose)Experimental15 subjects will be enrolled to receive Low-dose S-protein with adjuvant MVC-COV1901.
Receives: Biological: MVC-COV1901
Phase 1b (Medium Dose)Experimental15 subjects will be enrolled to receive Medium-dose S-protein with adjuvant MVC-COV1901.
Receives: Biological: MVC-COV1901
Phase 1c (High Dose)Experimental15 subjects will be enrolled to receive High-dose S-protein with adjuvant MVC-COV1901.
Receives: Biological: MVC-COV1901

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety of MVC-COV1901

    Incidence of solicited adverse events (AEs) after vaccination, Incidence of unsolicited AEs and other AEs after vaccination, Incidence of laboratory abnormality after vaccination, Incidence of adverse event of special interest (AESI) and serious adverse events (SAEs) after vaccination

    Measured: Day 1 to 28 days after second vaccination

Secondary outcomes (8)
  1. Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)

    Geometric mean titer (GMT)

    Measured: 14 days, 28 days after each vaccination, and 180 days after second vaccination.

  2. Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)

    Seroconversion rate (SCR)

    Measured: 14 days, 28 days after each vaccination, and 180 days after second vaccination.

  3. Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)

    GMT ratio

    Measured: 14 days, 28 days after each vaccination, and 180 days after second vaccination.

  4. Immunogenicity (antigen specific cellular immune responses)

    The positive rate of cellular mediated immune response

    Measured: 28 days and 180 days after second vaccination

  5. Safety of MVC-COV1901

    Incidence of other adverse events, Incidence of adverse event of special interest (AESI) and serious adverse events (SAEs) within the study period

    Measured: Day 1 to Day 209

  6. Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)

    Geometric mean titer (GMT)

    Measured: 28 days and 180 days after the booster vaccination.

  7. Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)

    Seroconversion rate (SCR)

    Measured: 28 days and 180 days after the booster vaccination.

  8. Immunogenicity (neutralizing antibody titers and antigen specific binding antibody titers)

    GMT ratio

    Measured: 28 days and 180 days after the booster vaccination.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jul 2020
  2. Study start7 Oct 2020
  3. Primary completion1 Jun 2021
  4. Study completion6 Dec 2021

Resources

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
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04487210
Sponsor's protocol ID
CT-COV-11
Status last verified
Aug 2021
First submitted
22 Jul 2020
Last updated
31 Jan 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Hsieh SM, Chang SC, Cheng HY, Shih SR, Lien CE. Durability and Immunogenicity of Neutralizing Antibodies Response Against Omicron Variants After Three Doses of Subunit SARS-CoV-2 Vaccine MVC-COV1901: An Extension to an Open-Label, Dose-Escalation Phase 1 Study. Infect Dis Ther. 2022 Aug;11(4):1493-1504. doi: 10.1007/s40121-022-00652-6. Epub 2022 May 17.

    PubMed 35579840
  • Hsieh SM, Liu WD, Huang YS, Lin YJ, Hsieh EF, Lian WC, Chen C, Janssen R, Shih SR, Huang CG, Tai IC, Chang SC. Safety and immunogenicity of a Recombinant Stabilized Prefusion SARS-CoV-2 Spike Protein Vaccine (MVC-COV1901) Adjuvanted with CpG 1018 and Aluminum Hydroxide in healthy adults: A Phase 1, dose-escalation study. EClinicalMedicine. 2021 Aug;38:100989. doi: 10.1016/j.eclinm.2021.100989. Epub 2021 Jun 26.

    PubMed 34222848

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MVC-COV1901 in people with COVID-19, run by Medigen Vaccine Biologics Corp. at 1 site in Taiwan.

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 21 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 31 Jan 2022. 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 Taiwan. 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 of MVC-COV1901 (time frame: Day 1 to 28 days after second 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 NCT04487210, which also lists 2 linked publications.

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 31 Jan 2022.

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