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Covid19 PreventionPhase 3RESISTNCT04530396

Clinical Trial of Efficacy, Safety, and Immunogenicity of Gam-COVID-Vac Vaccine Against COVID-19

A Phase 3 study testing Gam-COVID-Vac in people with Covid19 Prevention, run by Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation at 23 sites in Russia.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2… Read more about this study

Who is it for?
Ages 18 to 111 yearsHealthy volunteers can take part
Conditions the study is for
Covid19 Prevention
What is being tested?
Gam-COVID-Vac
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33,758 participants
Where
23 sitesRussia
Study dates
7 Sep 2020to 1 May 2021
Phase
Phase 3
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 111 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Written informed consent of a subject to participate in the trial
  • Males and females aged ≥18 y.o.;
  • Negative HIV, hepatitis, and syphilis test results
  • Negative anti-SARS CoV2 IgM and IgG antibodies test carried out with the enzyme immunoassay method
  • Negative COVID-2019 PCR test result at the screening visit
  • No COVID-2019 in the past medical history
Show all 13Show fewer
  • No contact with COVID-2019 diseased persons within at least 14 days before the enrollment (according to trial subjects)
  • Consent to use effective contraception methods during the trial
  • Negative urine pregnancy test at the screening visit (for child-bearing age women)
  • Negative drugs or psychostimulants urine test at the screening visit
  • Negative alcohol test at the screening visit
  • No evident vaccine-induced reactions or complications after receiving immunobiological products in the past medical history
  • No acute infectious and/or respiratory diseases within at least 14 days before the enrollment.

Who cannot join

  • Any vaccination/immunization within 30 days before the enrollment;
  • Steroids (except hormonal contraceptives) and/or immunoglobulins or other blood products therapy not finished 30 days before the enrollment
  • Immunosuppressors therapy finished within 3 months before the enrollment
  • Pregnancy or breast-feeding
  • Acute coronary syndrome or stroke suffered less than one year before the enrollment
  • Tuberculosis, chronic systemic infections
Show all 19Show fewer
  • Drug allergy (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, atopy, serum disease), hypersensitivity or allergic reaction to immunobiological products, known allergic reactions to study drug components, acute exacerbation of allergic diseases on the enrollment day
  • Neoplasms in the past medical history (ICD codes C00-D09)
  • Donated blood or plasma (450+ ml) within 2 months before the enrollment
  • History of splenectomy;
  • Neutropenia (absolute neutrophil count <1,000/mm3), agranulocytosis, significant blood loss, severe anemia (hemoglobin <80 g/L), immunodeficiency in the past medical history within 6 months before the enrollment
  • Active form of a disease caused by the human immunodeficiency virus, syphilis, hepatitis B or C
  • Anorexia, protein deficiency of any origin
  • Big-size tattoos at the injection site (deltoid muscle area), which does not allow assessing the local response to the study drug/placebo administration
  • Alcohol or drug addiction in the past medical history
  • Participation in any other interventional clinical trial
  • Any other condition that the study physician considers as a barrier to the trial completion as per the protocol
  • Study center staff or other employees directly involved in the trial, or their families.
  • If a subject has any contraindications to vaccination based on the Guidelines on Detection, Investigation and Prevention, of Vaccination-induced Side Reactions (approved by the Ministry of Healthcare of Russia on Apr. 12, 2019, the vaccination may be postponed for a period of time specified in the document.

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

Russia23 sites
  • ARCHIMED V Clinic of new medical technologies limited liability company

    Moscow

  • Hadassah LTD

    Moscow

  • Medsi Group of companies joint-stock company"

    Moscow

  • Niarmedic Plus

    Moscow

  • State budgetary healthcare institution of the city of Moscow "City clinical hospital No. 52 of the Moscow city health Department"

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Consultation and Diagnosis Polyclinic No. 121, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, M. Konchalovsky Municipal Clinical Hospital, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, M. Zhadkevich Municipal Clinical Hospital, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 115, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 2, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 210, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 212, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 219, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Moscow, Municipal Polyclinic No. 220, Moscow Healthcare Department

    Moscow

  • State Budgetary Healthcare Institution, Municipal Polyclinic No. 62, Moscow Healthcare Department

    Moscow

  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 109 Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 170 Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 36 Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 46 Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 6 Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow " city polyclinic No. 68 Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow "Diagnostic center No. 5 with polyclinic Department Of the Department of health of the city of Moscow"

    Moscow

  • State budgetary institution of health care of the city of Moscow "Diagnostic clinical center No. 1 Of the Department of health of the city of Moscow"

    Moscow

Other trials in Russia

About this study

Official title: Randomized Double-blind Placebo-controlled Multi-center Clinical Trial in Parallel Assignment of Efficacy, Safety, and Immunogenicity of Gam-COVID-Vac Combined Vector Vaccine in SARS-СoV-2 Infection Prophylactic Treatment

Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment.

Read the detailed description

Randomized, double-blind (blinded for the trial subject and the study physician), placebo controlled, multi-center clinical trial in parallel assignment of efficacy, immunogenicity, and safety of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection in adults in the SARS-СoV-2 infection prophylactic treatment.

The trial will include 40,000 volunteers aged 18+. After screening, they will be randomized (3:1) into two groups - a reference group of 10,000 volunteers receiving placebo and a study group of 30,000 volunteers receiving the Gam-COVID-Vac combined vector vaccine against the SARS-СoV-2-induced coronavirus infection.

The trial subjects will be randomized into five age strata: 18-30, 31-40, 41-50, 51-60, and 60+ years.

The PCR test for SARS-CoV-2 RNA detection at the visit is performed during screening and before the second administration of the vaccine/placebo

Each subject will participate in the trial for 180±14 days after the first dose of the study drug/placebo and will have one screening visit and five on-site visits to the study physician during the said period. The study drug/placebo will be administered intramuscularly during vaccination visits 1 and 2 (day 0 and day 21±2). Subsequent observation visits 3, 4, and 5 will be made on days14±2, 28±2, 35±2,42±2, and 180±14 respectively. During the observation visits, vital signs will be assessed in all trial subjects and changes in the subjects' condition and wellbeing compared to the previous visit will be recorded. Observation visits may be remote, through the telemedicine consultation (TMC).

Additionally, the trial subjects will be able to have remote consultations with the physician through the TMC.

Blood samples will be taken from certain subjects during the following visits to assess the immunogenicity parameters listed below:

Virus-neutralizing activity (300 subjects) ×3 Interferon gamma (107 subjects) ×3 CD4 and CD8 cell count and ratio (50 subjects) SARS-CoV-2 glycoprotein-specific antibodies titer (9,520 subjects) ×3 Determination of the titer of SARS-CoV-2 nucleocleocapsid protein-specific antibodies(9,520 subjects) ×3

Blood sampling will be performed on the day of injecting the first dose of the study drug/placebo immediately prior to the study drug administration Blood sampling for immunogenicity parameters assessment will be only carried out in specially selected study centers.

Blood samples will be taken from 9,520 trial subjects. All four immunogenicity parameters may be assessed in one trial subject.

Trial subjects data will be collected using electronic case report forms and electronic questionnaires to be filled by trial subjects.

Being tested
Gam-COVID-Vac, placebo
Keywords
COVID-19, vector vaccine, SARS-CoV-2, adenoviral vector
Medical subject headings
COVID-19

What participants receive

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

  • Gam-COVID-VacBiological

    vaccine for intramuscular injection

  • placeboOther

    placebo comparator

Study groups in NCT04530396
Study groupRoleWhat they receive
Primary GroupExperimentalGam-COVID-Vac combined vector vaccine, 0,5ml/dose+0,5 ml/dose prime-boost immunization in days 1 (component I rAd26-S) and 21(component II rAd5-S)
Receives: Biological: Gam-COVID-Vac
Control GroupPlacebo comparatorplacebo, 0,5ml/dose+0,5 ml/dose immunization in days 1 and 21
Receives: Other: placebo

What is being measured

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

  1. percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose

    Demonstrate the superiority of Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the second dose of the study drug/placebo, as confirmed with the method of polymerase chain reaction (PCR)

    Measured: through the whole study, an average of 180 days

Secondary outcomes (7)
  1. the severity of the clinical course of COVID-19

    Assess the efficacy of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus compared to placebo, based on the severity of the clinical course of COVID-19

    Measured: through the whole study, an average of 180 days

  2. Changing of antibody levels against the SARS-CoV-2 glycoprotein S

    Assess the immunogenicity of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo, based on the geometric mean titer of SARS-CoV-2 glycoprotein-specific antibodies

    Measured: day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose

  3. Changing of antigen-specific cellular immunity level

    Describe the strength of cell-mediated immune response induced by the use of the Gam-COVID-Vac combined vector vaccine against the SARS-CoV-2-induced coronavirus infection compared to placebo

    Measured: the drug administration day before injecting the first dose of the study drug/placebo and 28±2 days after the first dose

  4. Changing of of virus neutralizing antibody titer

    Geometric mean virus-neutralizing antibodies titer

    Measured: the drug administration day before injecting the first dose of the study drug/placebo and 42±2 days after the first dose

  5. Incidence of adverse events in trial subjects

    Incidence of adverse events in trial subjects compared to placebo

    Measured: through the whole study, an average of 180 days

  6. Severity of adverse events in trial subjects

    Severity of adverse events in trial subjects compared to placebo

    Measured: through the whole study, an average of 180 days

  7. estimation of the proportion of study subjects with antibodies to the N-protein of the virus SARS-CoV-2

    Percentage of study subjects with antibodies

    to the N-protein of the SARS - CoV-2 virus that appeared after

    vaccination

    Measured: day before injecting the first dose of the study drug/placebo and 42±2 and 180±14 days after the first dose

Timeline

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

  1. First posted28 Aug 2020
  2. Study start7 Sep 2020
  3. Primary completion1 May 2021 (estimated)
  4. Study completion1 May 2021 (estimated)

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized double-blind placebo-controlled
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
33,758 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04530396
Sponsor's protocol ID
04-Gam-COVID-Vac-2020
Acronym
RESIST
Status last verified
Aug 2020
First submitted
25 Aug 2020
Last updated
22 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Logunov DY, Dolzhikova IV, Shcheblyakov DV, Tukhvatulin AI, Zubkova OV, Dzharullaeva AS, Kovyrshina AV, Lubenets NL, Grousova DM, Erokhova AS, Botikov AG, Izhaeva FM, Popova O, Ozharovskaya TA, Esmagambetov IB, Favorskaya IA, Zrelkin DI, Voronina DV, Shcherbinin DN, Semikhin AS, Simakova YV, Tokarskaya EA, Egorova DA, Shmarov MM, Nikitenko NA, Gushchin VA, Smolyarchuk EA, Zyryanov SK, Borisevich SV, Naroditsky BS, Gintsburg AL; Gam-COVID-Vac Vaccine Trial Group. Safety and efficacy of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine: an interim analysis of a randomised controlled phase 3 trial in Russia. Lancet. 2021 Feb 20;397(10275):671-681. doi: 10.1016/S0140-6736(21)00234-8. Epub 2021 Feb 2.

    PubMed 33545094

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Gam-COVID-Vac in people with Covid19 Prevention, run by Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation at 23 sites in Russia.

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 13 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: status not confirmed, as of the sponsor's last update on 22 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in Russia. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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?

percentage of trial subjects with coronavirus disease 2019 (COVID-19) developed within 6 months after the first dose (time frame: through the whole study, an average of 180 days). 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 NCT04530396, 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 22 Jan 2021.

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