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COVID-19Phase 1NCT04591717

COVID-19 Vaccination Using a 2nd Generation (E1/E2B/E3-Deleted) Adenoviral-COVID-19 in Normal Healthy Volunteers

A Phase 1 study testing hAd5-S-Fusion+N-ETSD vaccine in people with COVID-19, run by ImmunityBio, Inc. at 2 sites in United States.

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 1b, open-label study in adult healthy subjects. This clinical trial is designed to assess the safety, reactogenicity, and immunogenicity of the hAd5-S-Fusion+N-ETSD vaccine and select a dose for future studies. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
hAd5-S-Fusion+N-ETSD vaccine
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
2 sitesUnited States
Study dates
19 Oct 2020to 18 Jan 2023
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy adults, age 18 - 55 years, inclusive, at time of enrollment.
  • Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines.
  • Agrees to the collection of biospecimens (eg, nasopharyngeal [NP] swabs) and venous blood per protocol.
  • Ability to attend required study visits and return for adequate follow-up, as required by this protocol.
  • Temperature < 38°C.
  • Negative for SARS-CoV-2 (qPCR or LAMP test) and no known previous COVID-19 exposure or disease.
  • Agreement to practice effective contraception for female subjects of childbearing
  • potential and non-sterile males. Female subjects of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male subjects must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, intrauterine devices (IUDs), oral contraceptives, and abstinence.

Who cannot join

  • Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
  • Pregnant and nursing women. A negative serum or urine pregnancy test during screening and on the day of and prior to each dose must be documented before the vaccine is administered to a female subject of childbearing potential.
  • Live in a nursing home or long-term care facility.
  • Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma.
  • Pulmonary fibrosis.
  • Active smoker.
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  • Bone marrow or organ transplantation.
  • Obesity (defined as body mass index [BMI] of 30 kg/m2 or higher).
  • Diabetes.
  • Chronic kidney disease.
  • Liver disease.
  • Sickle cell disease.
  • Thalassemia.
  • Doctors, nurses, first responders, and other healthcare workers working in direct contact with COVID-19 patients.
  • Any disease associated with acute fever, or any infection.
  • Self-reported history of severe acute respiratory syndrome (SARS).
  • History of hepatitis B or hepatitis C.
  • HIV or other acquired or hereditary immunodeficiency.
  • Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc.
  • Cerebrovascular disease.
  • Cystic fibrosis.
  • Neurologic conditions, such as dementia.
  • Hereditary or acquired angioneurotic edema.
  • Urticaria in the last 12 months.
  • No spleen or functional asplenia.
  • Platelet disorder or other bleeding disorder that may cause injection contraindication.
  • Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness within 3 months before administration of study vaccine. (Including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.)
  • Prior administration of blood products in last 4 months.
  • Prior administration of other research medicines in last 1 month.
  • Received or plans to receive an attenuated vaccine within 1 month before or after each study vaccination.
  • Received or plans to receive an inactivated vaccine within 14 days before or after each study vaccination.
  • Current treatment with investigational agents for prophylaxis of COVID-19.
  • Have a household contact that has been diagnosed with COVID-19.
  • Current anti-tuberculosis prophylaxis or therapy.
  • Currently receiving treatment for cancer or history of cancer in the last five years (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  • According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent.
  • Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Chan Soon - Shiong Institute for Medicine

    El Segundo, California, 90245

  • Hoag Memorial Hospital Presbyterian

    Newport Beach, California, 92663

Other trials in United States

About this study

Official title: Phase 1b Open-Label Study of the Safety, Reactogenicity, and Immunogenicity of Prophylactic Vaccination With 2nd Generation (E1/E2B/E3-Deleted) Adenoviral-COVID-19 in Normal Healthy Volunteers

This is a phase 1b, open-label study in adult healthy subjects. This clinical trial is designed to assess the safety, reactogenicity, and immunogenicity of the hAd5-S-Fusion+N-ETSD vaccine and select a dose for future studies.

Conditions
COVID-19
Being tested
hAd5-S-Fusion+N-ETSD 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.

  • hAd5-S-Fusion+N-ETSD vaccineBiological

    The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.

Study groups in NCT04591717
Study groupRoleWhat they receive
Cohort 1: 0.5 mL of hAd5-S-Fusion+N-ETSD SCExperimental0.5 mL of hAd5-S-Fusion+N-ETSD SC (5 × 10e10 VP/dose) on days 1 and 22
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine
Cohort 2: 1.0 mL of hAd5-S-Fusion+N-ETSD SCExperimentalCohort 2: 1.0 mL of hAd5-S-Fusion+N-ETSD SC (1 × 10e11 VP/dose) on days 1 and 22
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine
Cohort 3a: 1.0 mL of hAd5-S-Fusion+N-ETSD SC and 0.5 mL of hAd5-S-Fusion+N-ETSD sublinguallyExperimentalCohort 3a: 1.0 mL of hAd5-S-Fusion+N-ETSD SC (1 × 10e11 VP/dose) and 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on day 1; 1.0 mL of hAd5-S-Fusion+N-ETSD SC (1 × 10e11 VP/dose) and 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on day 22
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine
Cohort 3b: 1.0 mL of hAd5-S-Fusion+N-ETSD SC and 0.5 mL of hAd5-S-Fusion+N-ETSD sublinguallyExperimentalCohort 3b: 1.0 mL of hAd5-S-Fusion+N-ETSD SC (1 × 10e11 VP/dose) and 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on day 1; no vaccine on day 22
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine
Cohort 3c: 1.0 mL of hAd5-S-Fusion+N-ETSD SC and 0.5 mL of hAd5-S-Fusion+N-ETSD sublinguallyExperimentalCohort 3c: 1.0 mL of hAd5-S-Fusion+N-ETSD SC (1 × 10e11 VP/dose) and 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on day 1; 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on day 22
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine
Cohort 3d: 1.0 mL of hAd5-S-Fusion+N-ETSD SC and 0.5 mL of hAd5-S-Fusion+N-ETSD sublinguallyExperimentalCohort 3d: 1.0 mL of hAd5-S-Fusion+N-ETSD SC (1 × 10e11 VP/dose) and 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on day 1; 0.5 mL of hAd5-S-Fusion+N-ETSD sublingually (5 × 10e10 VP/dose) on days 15 and 29
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine

What is being measured

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

  1. Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs through 1 week post final vaccine administration

    Measured: 1 week

  2. Incidence and severity of solicited local reactogenicity AEs

    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration

    Measured: 1 week

  3. Incidence and severity of solicited systemic reactogenicity AEs

    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration

    Measured: 1 week

  4. Incidence and severity of unsolicited AEs

    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration

    Measured: 1 week

  5. Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs through 30 days and 6 months post final vaccine administration

    Measured: 30 days to 6 months

  6. Incidence and severity of unsolicited AEs

    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration

    Measured: 30 days

  7. Incidence of abnormal changes of laboratory safety examinations

    Incidence of abnormal changes of laboratory safety examinations

    Measured: 30 days

  8. Vital Signs - Fever

    Changes in vital signs from Grades 1-4:

    • Fever - measured in (°C) or (°F)

    Measured: 30 days

  9. Vital Signs - Tachycardia

    Changes in vital signs from Grades 1-4:

    • Tachycardia - measured in beats per minute

    Measured: 30 Days

  10. Vital Signs - Bradycardia

    Changes in vital signs from Grades 1-4:

    • Bradycardia - measured in how many beats per minute

    Measured: 30 Days

  11. Vital Signs - Hypertension

    Changes in vital signs from Grades 1-4:

    • Hypertension (systolic/diastolic) - measured in mm Hg

    Measured: 30 Days

  12. Vital Signs - Hypotension

    Changes in vital signs from Grades 1-4:

    • Hypotension (systolic) - measured in mm Hg

    Measured: 30 Days

  13. Vital Signs - Respiratory Rate

    Changes in vital signs from Grades 1-4:

    • Respiratory Rate - measured in how many breaths per minute

    Measured: 30 Days

  14. GMFR in IgG titer

    GMFR in IgG titer

    Measured: Day 387

  15. GMT of S-specific, RBD-specific, and N-specific antibodies against 2019 novel coronavirus

    GMT of S-specific, RBD-specific, and N-specific antibodies against 2019 novel coronavirus tested by ELISA in serum

    Measured: Day 387

  16. Percentage of subjects who seroconverted

    Percentage of subjects who seroconverted (as defined as 4-fold change in antibody titer relative to baseline)

    Measured: Day 387

  17. GMFR in neutralizing antibody

    GMFR in neutralizing antibody

    Measured: Day 387

  18. GMT

    GMT of neutralizing antibody

    Measured: Day 387

  19. Seroconversion rate of neutralizing antibody

    Seroconversion rate of neutralizing antibody (as defined as 4-fold change in antibody titer relative to baseline)

    Measured: Day 387

  20. CD8+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein

    CD8+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein measured by ELISPOT assay

    Measured: Day 387

  21. CD4+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein

    CD4+ T-Cell activity against SARS-CoV-2 S protein, RBD, and N protein measured by standard immune assay

    Measured: Day 387

Timeline

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

  1. First posted19 Oct 2020
  2. Study start19 Oct 2020
  3. Primary completion20 Apr 2022
  4. Study completion18 Jan 2023

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
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04591717
Sponsor's protocol ID
QUILT-COVID-19-hAd5-Vaccine
Status last verified
Mar 2022
First submitted
13 Oct 2020
Last updated
28 Feb 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing hAd5-S-Fusion+N-ETSD vaccine in people with COVID-19, run by ImmunityBio, Inc. at 2 sites in United States.

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 8 inclusion and 37 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 28 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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?

Incidence of MAAEs and SAEs (time frame: 1 week). The study lists 21 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Feb 2023.

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