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COVID-19 DiseasePhase 1NCT04830800

A Phase 1/2 Safety and Immunogenicity Trial of COVID-19 Vaccine COVIVAC (Phase 1)

A Phase 1 study testing COVIVAC and Phosphate-buffered saline in people with COVID-19 Disease and SARS Pneumonia, run by Institute of Vaccines and Medical Biologicals, Vietnam at 1 site in Vietnam.

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 prospective, single-center, randomized, placebo-controlled, observer-blind Phase 1/2 study includes two separate parts. Part 1 is a first-in-human, Phase 1 study designed to evaluate the safety, tolerability and immunogenicity of the COVIVAC vaccine at three different dose levels (1, 3, and 10 µg) without… Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19 Disease, SARS Pneumonia, Pneumonia, Viral
What is being tested?
COVIVAC and Phosphate-buffered saline
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
1 siteVietnam
Study dates
10 Mar 2021to 31 Oct 2021
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Phase 1 Only:
  • Adult 18 through 59 years of age inclusive at the time of randomization.
  • Healthy, as defined by absence of clinically significant medical condition, either acute or chronic, as determined by medical history, physical examination, screening laboratory test results, and clinical assessment of the investigator.
  • Has provided written informed consent prior to performance of any study-specific procedure.
  • Has a body mass index (BMI) of 17 to 40 kg/m2, inclusive, at screening.
  • Resides in study site area and is able and willing to adhere to all protocol visits and procedures.
  • If a woman is of childbearing potential, must not be breastfeeding or be pregnant (based on a negative urine pregnancy test at screening and during the 24 hours prior to receipt of the first dose of IP), must plan to avoid pregnancy for at least 28 days after the last dose of IP, and be willing to use an adequate method of contraception consistently and have a repeated pregnancy test prior to the second (last) dose of IP.

Who cannot join

  • Use of any investigational medicinal product within 90 days prior to randomization or planned use of such a product during the period of study participation.
  • History of administration of any non-study vaccine within 28 days prior to administration of study vaccine or planned vaccination within 3 months after enrolment.
  • Note: receipt of any COVID-19 vaccine that is licensed or granted Emergency Use Authorization in Vietnam during the course of study participation is not exclusionary if administered after Visit 5.
  • Previous receipt of investigational vaccine for SARS or MERS, or any investigational or licensed vaccine that may have an impact on interpretation of the trial results
  • History of hypersensitivity reaction to any prior vaccination or known hypersensitivity to any component of the study vaccine
  • History of egg or chicken allergy
Show all 22Show fewer
  • History of angioedema
  • History of anaphylaxis
  • Acute illness (moderate or severe) and/or fever (body temperature measured orally ≥38°C)
  • Any abnormal vital sign deemed clinically relevant by the PI
  • Abnormality in screening laboratory test deemed exclusionary by the PI in consultation with the Sponsor
  • A positive serologic test for hepatitis B (HBsAg) or hepatitis C (HCV Ab)
  • History of confirmed HIV
  • History of laboratory-confirmed COVID-19
  • History of malignancy, excluding non-melanoma skin and cervical carcinoma in situ
  • Any confirmed or suspected immunosuppressive or immunodeficient state
  • Administration of immunoglobulin or any blood product within 90 days prior to first study injection or planned administration during the study period.
  • Administration of any long-acting immune-modifying drugs (e.g., infliximab or rituximab) or the chronic administration (defined as more than 14 days) of immunosuppressants within six months prior to first study injection, or planned administration during the study period (includes systemic corticosteroids at doses equivalent to ≥ 0.5 mg/kg/day of prednisone; the use of topical steroids including inhaled and intranasal steroids is permitted).
  • History of known disturbance of coagulation or blood disorder that could cause anemia or excess bleeding. (e.g, thalassemia, coagulation factor deficiencies).
  • Recent history (within the past year) or signs of alcohol or substance abuse.
  • Any medical, psychiatric or behavior condition that in the opinion of the PI may interfere with the study objectives, pose a risk to the subject, or prevent the subject from completing the study follow-up.
  • Employee of any person employed by the Sponsor, the contract research organization (CRO), the PI, study site personnel, or site.

Trial locations and contacts

1 site in 1 country.

Vietnam1 site
  • Hanoi Medical University

    Hanoi, 10000

Other trials in Vietnam

About this study

Official title: A Phase 1/2 Randomized, Placebo-controlled, Observer-blind Trial to Assess the Safety and Immunogenicity of COVIVAC Vaccine Produced by IVAC in Adults Aged 18-60 Years in Vietnam

This prospective, single-center, randomized, placebo-controlled, observer-blind Phase 1/2 study includes two separate parts.

Part 1 is a first-in-human, Phase 1 study designed to evaluate the safety, tolerability and immunogenicity of the COVIVAC vaccine at three different dose levels (1, 3, and 10 µg) without adjuvant, and at one dose level (1 µg) with the adjuvant CpG 1018, in a total of 120 subjects aged 18-59 years. (Part 2 will be registered in a separate record)

Read the detailed description

This prospective, single-center, randomized, placebo-controlled, observer-blind Phase 1/2 study includes two separate parts.

Part 1 is a first-in-human, Phase 1 study designed to evaluate the safety, tolerability and immunogenicity of the COVIVAC vaccine at three different dose levels (1, 3, and 10 µg) without adjuvant, and at one dose level (1 µg) with the adjuvant CpG 1018, in a total of 120 subjects aged 18-59 years.

An interim analysis of Phase 1 data conducted after the last subject last visit for V6 (D57) will serve as the basis for decisions about down selection and advancing to Part 2 of the study (Phase 2). Down selection and advancement to Part 2 (Phase 2) will be based on the following parameters:

  • Post-dose 2 immunogenicity results at the aggregate treatment level
  • A threshold immune response at Visit 5 (D43) will be required: the observed seroresponse rate in a treatment group (defined as the percentage of subjects with at least a 4-fold rise from baseline in 80% neutralizing antibody titers) will need to be ≥52% at the LL of the 95% CI for that treatment (vaccine formulation) to be considered for advancement to Phase 2.
  • Post-dose 1 and post dose 2 safety results including all solicited and unsolicited adverse events, serious adverse events, and clinical laboratory results.

The following process will be followed for the decision about down selection and advancing to Part 2 (Phase 2):

  • The DSMB will review the unblinded safety data and provide a recommendation to the Sponsor on whether the safety profile is acceptable for advancing a formulation to Phase 2.
  • The Sponsor will review the DSMB recommendation in conjunction with the immunogenicity data and select two formulations to advance to Phase 2.
  • If multiple formulations achieve the threshold immune response (as well as have an adequate safety and tolerability profile per the DSMB), the Sponsor will select two formulations to advance to Phase 2 based on consideration of such factors as the relative functional immunogenicity of these formulations, opportunity for dose sparing, and opportunity to limit cost and possible supply constraints associated with use of the CpG adjuvant.
  • The selection and recommendation to advance to Phase 2 along with the interim report will be jointly reviewed by NIHE's IRB and MoH prior to Phase 2 enrollment.
Being tested
COVIVAC, Phosphate-buffered saline
Keywords
COVID-19, COVIVAC, COVID-19 disease, SARS-CoV-2, COVID-19 vaccine
Medical subject headings
Pneumonia, Viral, COVID-19

What participants receive

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

  • COVIVACBiological

    COVIVAC vaccine, manufactured by IVAC with or without adjuvant CpG1018 for prevention of COVID-19

  • Phosphate-buffered salineBiological

    Phosphate buffer solution (pH 7.2), manufactured by IVAC

Study groups in NCT04830800
Study groupRoleWhat they receive
COVIVAC 1mcgExperimental1mcg IVAC COVIVAC vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC
COVIVAC 3mcgExperimental3mcg IVAC COVIVAC vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC
COVIVAC 10mcgExperimental10mcg IVAC COVIVAC vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC
COVIVAC 1mcg + CpG1018 1.5mgExperimental1mcg + CpG1018 IVAC COVIVAC vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC
PlaceboPlacebo comparatorPhosphate buffered saline (pH 7.2) for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: Phosphate-buffered saline

What is being measured

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

  1. Solicited Adverse Events

    Percentage of participants with solicited local and systemic adverse events (AEs)

    Measured: During the first 7 days after each vaccination

  2. Clinical Safety Tests

    Percentage of participants with clinically significant hematological and biochemical abnormalities

    Measured: At 7 days post each vaccination

  3. Unsolicited Adverse Events

    Number of participants with any unsolicited adverse event

    Measured: During the first 28 days after each vaccination

  4. Serious Adverse Event

    Number of participants with serious adverse events (SAEs)

    Measured: Throughout the Study Period (until Day 197)

  5. Medical Attended Adverse Events

    Number of participants with medically-attended AEs (MAAEs)

    Measured: Throughout the Study Period (until Day 197)

  6. Adverse Event of Special Interest

    Number of participants with adverse events of special interest (AESI) , including AESI relevant to COVID-19, and potential immune-mediated medical conditions (PIMMC)

    Measured: Throughout the Study Period (until Day 197)

Secondary outcomes (6)
  1. GMT of 50% Neutralizing Antibody (NT50)

    50% neutralizing antibody (NT50) geometric mean titer (GMT) against SARS-CoV-2 pseudovirus

    Measured: GMT of NT50 at 28 days after first vaccination, at 14 days and 6 months after the second vaccination

  2. Geometric Mean Fold Rise (GMFR)

    Geometric mean fold rise (GMFR) (from baseline) in NT50 against SARS-CoV-2 pseudovirus

    Measured: GMFR at 28 days after first vaccination, at 14 days and 6 months after the second vaccination

  3. Seroresponse in NT50

    Percentage of subjects with NT50 seroresponse against SARS-CoV-2 pseudovirus as defined by (1) a ≥ 4-fold increase from baseline, and (2) a ≥ 10-fold increase from baseline

    Measured: Seroresponse at 28 days after first vaccination, at 14 days and 6 months after the second vaccination

  4. Anti-S IgG GMC

    Immunogenicity outcome measurement

    Measured: GMC of Anti-S IgG at 28 days after the first vaccination, at 14 days and 6 months after the second vaccination

  5. GMFR in Anti-S IgG GMC

    GMFR (from baseline) in anti-S IgG GMC

    Measured: GMFR at 28 days after the first vaccination, 14 days and 6 months after the second vaccination

  6. Seroresponse in Anti-S IgG Concentration

    Percentage of subjects with seroresponses in anti-S IgG titer as defined by (1) a ≥ 4-fold increase from baseline, and (2) a ≥ 10-fold increase from baseline

    Measured: Seroresponse at 28 days after the first vaccination, 14 days and 6 months after the second vaccination

Timeline

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

  1. First posted5 Apr 2021
  2. Study start10 Mar 2021
  3. Primary completion6 Jun 2021
  4. Study completion31 Oct 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
Randomised
Intervention model
Parallel groups
Model description
In Phase 1 is dose escalation design, eligible participants will be randomized to received study vaccine or placebo from low dose to higher dose and later to the formulation with CpG adjuvant.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04830800
Sponsor's protocol ID
COVIVAC-0102 (phase 1)
Status last verified
Jan 2025
First submitted
12 Mar 2021
Last updated
13 Feb 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There should be an agreement and approval by IRB before sharing IDP

Publications

  • Duc Dang A, Dinh Vu T, Hai Vu H, Thanh Ta V, Thi Van Pham A, Thi Ngoc Dang M, Van Le B, Huu Duong T, Van Nguyen D, Lawpoolsri S, Chinwangso P, McLellan JS, Hsieh CL, Garcia-Sastre A, Palese P, Sun W, Martinez JL, Gonzalez-Dominguez I, Slamanig S, Manuel Carreno J, Tcheou J, Krammer F, Raskin A, Minh Vu H, Cong Tran T, Mai Nguyen H, Mercer LD, Raghunandan R, Lal M, White JA, Hjorth R, Innis BL, Scharf R. Safety and immunogenicity of an egg-based inactivated Newcastle disease virus vaccine expressing SARS-CoV-2 spike: Interim results of a randomized, placebo-controlled, phase 1/2 trial in Vietnam. Vaccine. 2022 Jun 9;40(26):3621-3632. doi: 10.1016/j.vaccine.2022.04.078. Epub 2022 May 14.

    PubMed 35577631

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing COVIVAC and Phosphate-buffered saline in people with COVID-19 Disease and SARS Pneumonia, run by Institute of Vaccines and Medical Biologicals, Vietnam at 1 site in Vietnam.

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 7 inclusion and 22 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 13 Feb 2025. 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 Vietnam. 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 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 13 Feb 2025). 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?

Solicited Adverse Events (time frame: During the first 7 days after each vaccination). The study lists 6 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 NCT04830800, 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 13 Feb 2025.

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