AzTrials
AzTrials

Influenza, HumanPhase 4NCT04790851

Evaluation of Immunogenicity and Safety of Combined Immunization of COVID-19 Vaccine (Produced in Beijing) and PPV23 / IIV4

A Phase 4 study testing COVAX+IIV4; COVAX+PPV23, COVAX only (1st and 2nd dose) and IIV4 for the 1st dose and PPV23 for the 2nd dose in people with Influenza, Human and Pneumonia, Pneumococcal, run by China National Biotec Group Company Limited at 3 sites in China.

Completed

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

Official record
Search all trials

Trial summary

Subjects will be recruited and divided into 3 groups: Experimental Group (384 subjects): 1st dose : combined vaccination of COVAX+IIV4, 2nd dose: combined vaccination of COVAX+PPV23; Control Group A (384 subjects): 1st dose: COVAX only, 2nd dose: COVAX only; Control Group B (384 subjects): 1st dose: IIV4 only, 2nd… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza, Human, Pneumonia, Pneumococcal, Covid19
What is being tested?
COVAX+IIV4; COVAX+PPV23, COVAX only (1st and 2nd dose) and IIV4 for the 1st dose and PPV23 for the 2nd dose
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,133 participants
Where
3 sitesChina
Study dates
10 Mar 2021to 5 Sep 2021
Phase
Phase 4
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • ≥18 years old when enrolled;
  • Participants signing the informed consent;
  • Being able to participate in all planned follow-ups and accomplish all research procedures including completing a diary card and coming back for interview;
  • Having not been administered any pneumonia vaccine or COVID-19 vaccine, and having not been administered an influenza vaccine in the current season before enrollment;
  • ≥14 days from the most recent vaccination;
  • Before enrollment, the body temperature is ≤37.0C as confirmed by medical history and clinical examination.

Who cannot join

  • Having a history of COVID-19 or a positive nucleic acid test for COVID-19;
  • Having a history or a family history of allergy, convulsion, epilepsy, brain disease, or mental illness;
  • Being allergic to any component of vaccines, or having a history of severe allergic reaction to any vaccine;
  • Having immunodeficiency disorder, during treatment of malignant tumor, having immunodeficiency induced by immunosuppressants (oral steroid hormones) or HIV, or having a family member with close contact who suffers from congenital immune disorder;
  • Having injection of non-specific immunoglobulin within 1 month prior to enrollment;
  • Having acute febrile illness or communicable disease;
Show all 15Show fewer
  • Having a history of confirmed thrombocytopenia or other coagulation disorders, which may cause contraindications for a subcutaneous injection;
  • Having severe chronic disease or acute exacerbation of chronic disease, or having uncontrolled hypertension or diabetes;
  • Having various infectious, pyogenic, or allergic skin diseases;
  • Women in pregnancy or lactation or participants who plan for a baby within 3 months after vaccination should delay the vaccination;
  • Having any condition that may affect trial assessment as determined by researchers.
  • Having any serious adverse event related to the first dose vaccination;
  • After vaccination, having systemic adverse reaction or allergic reaction with a severity of grade 3 or higher as determined by researchers;
  • Having a newly emerging condition that meets the exclusion criteria for the first dose;
  • Having any condition that may affect trial assessment as determined by researchers.

Trial locations and contacts

3 sites in 1 country.

China3 sites
  • Sichuan Center for Disease Control and Prevention

    Chengdu, 610041

  • Shanghai Municipal Center for Disease Control and Prevention

    Shanghai, 200336

  • Shanxi Provincial Center for Disease Control and Prevention

    Taiyuan, 030012

Other trials in China

About this study

Official title: A Randomized, Controlled, Multicenter Phase 4 Clinic Trial to Evaluate the Immunogenicity and Safety of Combined Immunization of Inactivated SARS-CoV-2 Vaccines (Vero Cell) (COVAX) (Produced in Beijing) and 23-valent Pneumococcal Polysaccharide Vaccine (PPV23) or Quadrivalent Inactivated Influenza Vaccine (IIV4)

Subjects will be recruited and divided into 3 groups:

Experimental Group (384 subjects): 1st dose : combined vaccination of COVAX+IIV4, 2nd dose: combined vaccination of COVAX+PPV23; Control Group A (384 subjects): 1st dose: COVAX only, 2nd dose: COVAX only; Control Group B (384 subjects): 1st dose: IIV4 only, 2nd dose: PPV23 only.

Blood samples will be collected 3 times:

before the 1st dose of vaccinatioin; before the 2nd dose of vaccination; 28 days after the 2nd dose of vaccination.

The immunogenicity and safety of both experimental and control groups will be analyzed.

Read the detailed description

This randomized, parallel, controlled study is designed to evaluate the immunogenicity and safety of simultaneously immunization of COVAX + PPV23 and COVAX + IIV4.

1152 subjects are divided into 3 groups, including 1 experimental group and 2 control groups (control group A and B). Each group includes 384 subjects respectively.

Experimental Group (384 subjects) will receive: 1st dose : combined vaccination of COVAX+IIV4, 2nd dose: combined vaccination of COVAX+PPV23; Control Group A (384 subjects) will receive: 1st dose: COVAX only, 2nd dose: COVAX only; Control Group B (384 subjects) will receive: 1st dose: IIV4 only, 2nd dose: PPV23 only.

Specifically, each group will be divided again. Each 384-subject group is divided again into 2 age-based subgroups: (1) 18-59 years old; (2) ≥60 years old.

Each subgroup includes 192 subjects respectively. Blood samples will be collected 3 times: (1) before the 1st dose of vaccinatioin; (2) before the 2nd dose of vaccination; (3) 28 days after the 2nd dose of vaccination.

To evaluate the immunogenicity, the investigators will detect and compare the neutralizing antibody levels, the seroconversion rates and antibody geometric mean concentrations.

The safety of all groups will be monitored as well.

Being tested
COVAX+IIV4; COVAX+PPV23, COVAX only (1st and 2nd dose), IIV4 for the 1st dose and PPV23 for the 2nd dose
Medical subject headings
Influenza, Human, Pneumonia, Pneumococcal, COVID-19

What participants receive

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

  • COVAX+IIV4; COVAX+PPV23Biological

    1st dose : combined vaccination of COVAX+IIV4; 2nd dose: combined vaccination of COVAX+PPV23

  • COVAX only (1st and 2nd dose)Biological

    1st dose: COVAX only; 2nd dose: COVAX only

  • IIV4 for the 1st dose and PPV23 for the 2nd doseBiological

    1st dose: IIV4 only; 2nd dose: PPV23 only

Study groups in NCT04790851
Study groupRoleWhat they receive
Experimental groupExperimentalExperimental Group (384 subjects) will receive: 1st dose : combined vaccination of COVAX+IIV4; 2nd dose: combined vaccination of COVAX+PPV23
Receives: Biological: COVAX+IIV4; COVAX+PPV23
Control group AActive comparatorControl Group A (384 subjects) will receive: 1st dose: COVAX only; 2nd dose: COVAX only
Receives: Biological: COVAX only (1st and 2nd dose)
Control group BActive comparatorControl Group B (384 subjects) will receive: 1st dose: IIV4 only; 2nd dose: PPV23 only
Receives: Biological: IIV4 for the 1st dose and PPV23 for the 2nd dose

What is being measured

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

  1. Seroconversion rate (COVAX)

    the rate of positive seroconversion against coronavirus

    Measured: Results obtained 28 days after the first dose (= right before the second dose)

  2. Seroconversion rate (COVAX)

    the rate of positive seroconversion against coronavirus

    Measured: Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)

  3. Neutralizing antibody level (COVAX)

    neutralizing antibody level against coronavirus

    Measured: Baseline (before vaccination) results

  4. Neutralizing antibody level (COVAX)

    neutralizing antibody level against coronavirus

    Measured: Results obtained 28 days after the first dose (= right before the second dose)

  5. Neutralizing antibody level (COVAX)

    neutralizing antibody level against coronavirus

    Measured: Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)

  6. Seropositive rate (IIV4)

    the rate of positive seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses

    Measured: Baseline (before vaccination) results

  7. Seroconversion rate (IIV4)

    the rate of positive seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses

    Measured: Results obtained 28 days after the first dose (= right before the second dose)

  8. Seroconversion rate (IIV4)

    the rate of positive seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses

    Measured: Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)

  9. Hemmagglution inhibition antibody level (IIV4)

    Hemmagglution inhibition antibody levels against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses

    Measured: Baseline (before vaccination) results

  10. Hemmagglution inhibition antibody level (IIV4)

    Hemmagglution inhibition antibody levels against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses

    Measured: Results obtained 28 days after the first dose (= right before the second dose)

  11. Hemmagglution inhibition antibody level (IIV4)

    Hemmagglution inhibition antibody levels against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses

    Measured: Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)

  12. Seroconversion rate (PPV23)

    the rate of positive seroconversion against 23 pneumococcal serotypes

    Measured: Results obtained 28 days after the first dose (= right before the second dose)

  13. Seroconversion rate (PPV23)

    the rate of positive seroconversion against 23 pneumococcal serotypes

    Measured: Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)

  14. Neutralizing antibody level (PPV23)

    Neutralizing antibody level against 23 pneumococcal serotypes

    Measured: Baseline (before vaccination) results

  15. Neutralizing antibody level (PPV23)

    Neutralizing antibody level against 23 pneumococcal serotypes

    Measured: Results obtained 28 days after the first dose (= right before the second dose)

  16. Neutralizing antibody level (PPV23)

    Neutralizing antibody level against 23 pneumococcal serotypes

    Measured: Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)

Secondary outcomes (1)
  1. Adverse events following vaccination

    analyse the incidence of adverse events following immunization, both solicited and unsolicited

    Measured: 0-6 months

Timeline

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

  1. First posted10 Mar 2021
  2. Study start10 Mar 2021
  3. Primary completion5 Sep 2021
  4. Study completion5 Sep 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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,133 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04790851
Sponsor's protocol ID
COVAX+PPV23+IIV4-Beijing
Status last verified
Oct 2021
First submitted
8 Mar 2021
Last updated
20 Oct 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Chen H, Huang Z, Chang S, Hu M, Lu Q, Zhang Y, Wang H, Xiao Y, Wang H, Ge Y, Zou Y, Cui F, Han S, Zhang M, Wang S, Zhu X, Zhang B, Li Z, Ren J, Chen X, Ma R, Zhang L, Guo X, Luo L, Sun X, Yang X. Immunogenicity and safety of an inactivated SARS-CoV-2 vaccine (Sinopharm BBIBP-CorV) coadministered with quadrivalent split-virion inactivated influenza vaccine and 23-valent pneumococcal polysaccharide vaccine in China: A multicentre, non-inferiority, open-label, randomised, controlled, phase 4 trial. Vaccine. 2022 Aug 26;40(36):5322-5332. doi: 10.1016/j.vaccine.2022.07.033. Epub 2022 Jul 29.

    PubMed 35931636

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing COVAX+IIV4; COVAX+PPV23, COVAX only (1st and 2nd dose) and IIV4 for the 1st dose and PPV23 for the 2nd dose in people with Influenza, Human and Pneumonia, Pneumococcal, run by China National Biotec Group Company Limited at 3 sites 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 6 inclusion and 15 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 20 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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?

Seroconversion rate (COVAX) (time frame: Results obtained 28 days after the first dose (= right before the second dose)). The study lists 16 primary outcomes in all. 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 NCT04790851, 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 20 Oct 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in