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Covid19Phase 1NCT04732468

COVID-19 Oral and Subcutaneous Vaccination Using a 2nd Generation (E1/E2B/E3-Deleted) Adenovirus Platform in Healthy Volunteers in USA

A Phase 1 study testing hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule) in people with Covid19, run by ImmunityBio, Inc. at 2 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

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 the combination of hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) and to select an optimal combination dose for future… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Covid19
What is being tested?
hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
2 sitesUnited States
Study dates
24 Feb 2021to 9 Jan 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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.
  • Ability to swallow a capsule.
  • 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.
  • Current or former 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, authorized, or approved 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 Subcutaneously and Orally Administered 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 the combination of hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) and to select an optimal combination dose for future studies.

Conditions
Covid19
Being tested
hAd5-S-Fusion+N-ETSD (Suspension for injection), hAd5-SFusion+ N-ETSD (Oral capsule)
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 (Suspension for injection)Biological

    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.

  • hAd5-SFusion+ N-ETSD (Oral capsule)Drug

    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 NCT04732468
Study groupRoleWhat they receive
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)ExperimentalFor subjects in cohort 1, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) were administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Suspension for injection) again on day 22 (boost).
Receives: Biological: hAd5-S-Fusion+N-ETSD (Suspension for injection); Drug: hAd5-SFusion+ N-ETSD (Oral capsule)
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule)ExperimentalFor subjects in cohort 2, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) were administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Oral capsule) on day 22 (boost).
Receives: Biological: hAd5-S-Fusion+N-ETSD (Suspension for injection); Drug: hAd5-SFusion+ N-ETSD (Oral capsule)
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral capsule)ExperimentalFor subjects in cohort 3, hAd5-S-Fusion+N-ETSD (Oral capsule) were administered on days 1 (prime) and on day 22 (boost).
Receives: Drug: hAd5-SFusion+ N-ETSD (Oral capsule)
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule)ExperimentalFor subjects in cohort 4, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) were administered on day 1 (prime) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on days 15 (boost) and 22 (boost).
Receives: Biological: hAd5-S-Fusion+N-ETSD (Suspension for injection); Drug: hAd5-SFusion+ N-ETSD (Oral capsule)

What is being measured

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

  1. Incidence of Solicited Local Reactogenicity AEs

    Incidence of Solicited Local Treatment-Related Reactogenicity Adverse Events Through 1 Week Post Final Vaccine

    Measured: 1 week post final vaccine administration

  2. Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs

    Incidence of Solicited Systemic Treatment-Related Reactogenicity Adverse Events Through 1 Week Post Final Vaccine Administration

    Measured: 1 week post final vaccine administration

  3. Incidence of Unsolicited AEs

    Incidence of Unsolicited AEs Through 1 Week Post Final Vaccine Administration

    Measured: 1 week post final vaccine administration

  4. Incidence of Unsolicited Treatment-Related AEs

    Incidence of Unsolicited Treatment-Related Adverse Events Through 1 Week Post Final Vaccine Administration

    Measured: 1 week post final vaccine administration

  5. Incidence of Unsolicited AEs

    Incidence of Unsolicited Adverse Events Through 30 Days Post Final Vaccine Administration

    Measured: 30 days post final vaccine

  6. Incidence of Unsolicited Treatment-Related AEs

    Incidence of Unsolicited Treatment-Related Adverse Events Through 30 Days Post Final Vaccine Administration

    Measured: 30 Days Post Final

  7. Incidence of MAAEs

    Incidence of Medically Attended Adverse Events Through 6 Months Post Final Vaccine Administration

    Measured: 6 Months post final vaccine administration

  8. Incidence of Serious AEs

    Incidence of Serious Adverse Events Through 6 Months Post- Final Vaccine Administration

    Measured: 6 Months Post Final Vaccine

Timeline

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

  1. First posted1 Feb 2021
  2. Study start24 Feb 2021
  3. Primary completion11 Jul 2022
  4. Study completion9 Jan 2023

Why it stopped: The study was terminated early due to low enrollment.

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
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04732468
Sponsor's protocol ID
COVID-4.005
Status last verified
Sep 2024
First submitted
27 Jan 2021
Last updated
15 Oct 2024
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 (Suspension for injection) and hAd5-SFusion+ N-ETSD (Oral capsule) in people with Covid19, 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: stopped early, as of the sponsor's last update on 15 Oct 2024. 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?

Yes. Results are posted in the registry (first posted 15 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 Solicited Local Reactogenicity AEs (time frame: 1 week post final vaccine administration). The study lists 8 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 15 Oct 2024.

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