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COVID-19Phase 3NCT04904471

A Global Phase III Clinical Trial of Recombinant COVID- 19 Vaccine (Sf9 Cells)

A Phase 3 study testing Recombinant COVID-19 vaccine (Sf9 cells) in people with COVID-19, run by WestVac Biopharma Co., Ltd. at 24 sites in 5 countries.

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 Phase III study is a global multicenter, randomized, double-blind,placebo controlled clinical trial to evaluate the efficacy, safety, and immunogenicity of therecombinant COVID-19 vaccine (Sf9 cells) in 40,000 participants aged 18 years and older who do not have a known history of SARS-CoV-2 infection but whose… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
Recombinant COVID-19 vaccine (Sf9 cells)
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
39,663 participants
Where
24 sitesin 5 countries
Study dates
15 Jun 2021to 1 Nov 2023
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 18 years and older.
  • Able and willing (in the investigator's opinion) to comply with all study requirements.
  • Willing to allow the investigators to discuss the volunteer's medical history with their general practitioner/personal doctor and access all medical records which are relevant to study procedures.
  • Healthy adults, or stable-healthy adults who may have a pre-existing medical condition that does not meet any exclusion criteria. A stable medical condition is defined as a disease not requiring significant change in therapy or hospitalization for worsening disease during the 3 months before enrollment.
  • For females of childbearing potential only, willingness to practice continuous effective contraception (see glossary) for 90 days after completion of 3 doses vaccination, and have negative pregnancy tests before each dose vaccination. Note: Nonchildbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (defined as amenorrhea for ≥ 12 consecutive months prior to Screening without an alternative medical cause). A follicle-stimulating hormone (FSH) level may be measured at the discretion of the investigator to confirm postmenopausal status.
  • Males participating in this study who are involved in heterosexual sexual activity must agree to practice adequate contraception (see glossary) and refrain from donating sperm for 90 days after receiving the study vaccination.
  • Agreement to refrain from blood donation during the study.
  • Provide a written informed consent form (ICF)

Who cannot join

  • Participation in any other COVID-19 prophylactic drug trials during the duration of the study.
  • Note: Participation in COVID-19 treatment trials is allowed in the event of hospitalization due to COVID-19. The study team should be informed as soon as possible.
  • Positive HIV antibody testing results.
  • Participation in SARS-CoV-2 serological surveys where participants are informed of their serostatus during the duration of the study.
  • Note: Disclosure of serostatus post enrolment may accidentally unblind participants to group allocation. Participation in this trial can only be allowed if volunteers are kept blinded to their serology results from local/national serological surveys
  • Planned receipt of any licensed or investigational vaccine, other than the study intervention,within 14 days before and after study vaccination.
Show all 21Show fewer
  • Prior receipt of an investigational or licensed COVID-19 vaccine.
  • Administration of immunoglobulins and/or any blood products within three months prior to the planned administration of the investigational products (IPs).
  • Any confirmed or suspected immunosuppressive or immunodeficient state; positive HIV status;asplenia; recurrent severe infections and chronic use (more than 14 days) of immunosuppressant medication within the past 6 months. Topical steroids or short-term (course lasting ≤14 days) oral steroids are not exclusion criteria.
  • History of allergic disease or reactions likely to be exacerbated by any component of Recombinant COVID-19 Vaccine (Sf9 cells).
  • Any history of angioedema
  • Pregnancy, lactation, or willingness/intention to become pregnant within 90 days after receiving study vaccine
  • Current diagnosis or treatment of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ)
  • History of serious psychiatric condition likely to affect participation in the study
  • A bleeding disorder (e g factor deficiency coagulopathy or platelet disorder) or prior history of significant bleeding or bruising following IM injections or venipuncture
  • Suspected or known current alcohol or drug dependency
  • Severe and/or uncontrolled cardiovascular disease, respiratory disease, gastrointestinal disease,liver disease, renal disease, an endocrine disorder, and neurological illness (mild/moderate well-controlled comorbidities are allowed)
  • History of laboratory-confirmed COVID-19
  • Continuous use of anticoagulants, such as coumarins and related anticoagulants (i.e. warfarin) or novel oral anticoagulants (i.e. apixaban, rivaroxaban, dabigatran, and edoxaban)
  • Any other significant disease, disorder, or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study, or impair interpretation of the study data.
  • Exclusion criteria for the second/third dose In this trial, the second/third dose vaccination may be terminated in some cases. These include systemic allergic reactions, severe hypersensitivity reactions, or intolerable grade 3 or higher adverse reactions after the previous vaccination/placebo. If these reactions occur, the participants should not continue to receive the second/third vaccination.

Trial locations and contacts

24 sites in 5 countries.

24 sites in 5 countries

Philippines8 sites
  • Perpetual Succour Hospital - The Research Institute

    Cebu City

  • St Luke Medical Centre - BGC

    City of Taguig

  • De La Salle Medical and Health Sciences Institute

    Dasmariñas

  • The Medical City - Iloilo

    Iloilo City

  • West Visayas State University Medical Center

    Iloilo City

  • Tropical Disease Foundation

    Makati City, 1230

  • Makati Medical Center

    Makati City

  • Quirino Memorial Medical Center

    Quezon City, 1109

Other trials in Philippines

Mexico7 sites
  • Instituto de Investigaciones Aplicadas a la Neurociencia A.C.

    Durango

  • Centro de Investigación Clínica y medicina traslacional (CIMeT)

    Guadalajara

  • Hospital General Dr. Manuel Gea González

    Mexico City

  • Invesclinic MX

    Mexico City

  • Clínica de Enfermedades Crónicas y de Procedimientos Especiales

    Morelia

  • SMIQ,S de R.L. de C.V.

    Querétaro

  • FS Scientia Pharma SA de CV

    San Luis Potosí City

Other trials in Mexico

Indonesia6 sites
  • Puskesmas Ciketingudik

    Bekasi, Jiangsu, 210009

  • Permata Hospital

    Bekasi

  • Brawijaya University Hospital

    Malang

  • Universitas Muhammadiyah Malang Hospital

    Malang

  • Airlangga University Hospital

    Surabaya

  • Husada Utama Hospital

    Surabaya

Other trials in Indonesia

Kenya2 sites
  • Moi Teaching and Referral Hospital,Eldoret (MTRH)

    Eldoret

  • KAVI-Institute of Clinical Research, University of Nairobi

    Nairobi

Other trials in Kenya

Nepal1 site
  • Bharatpur Hospital

    Kathmandu

Other trials in Nepal

About this study

Official title: A Global Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Clinical Trial to Evaluate the Efficacy, Safety, and Immunogenicity of Recombinant COVID-19 Vaccine (Sf9 Cells), for the Prevention of COVID-19 in Adults Aged 18 Years and Older

This Phase III study is a global multicenter, randomized, double-blind,placebo controlled clinical trial to evaluate the efficacy, safety, and immunogenicity of therecombinant COVID-19 vaccine (Sf9 cells) in 40,000 participants aged 18 years and older who do not have a known history of SARS-CoV-2 infection but whose locations or circumstances put them at appreciable risk of acquiring COVID-19 or SARS-CoV-2 infection.

Read the detailed description

This Phase III study is a global multicenter, randomized, double-blind, placebo-controlled clinical trial to evaluate the efficacy, safety, and immunogenicity of the recombinant COVID-19 vaccine (Sf9 cells) in 40,000 participants aged 18 years and older who do not have a known history of SARS-CoV-2 infection but whose locations or circumstances put them at appreciable risk of acquiring COVID-19 or SARS-CoV-2 infection. All participants will receive three doses of either study vaccine or placebo on Day 0, Day 21, Day 42 in a ratio of 1:1.There will be two cohorts in the study: the efficacy-safety cohort and the efficacy-extended safety-immunogenicity cohort. The efficacy will be evaluated in all vaccinated participants,including population in the efficacy-safety cohort, the efficacy-extended safety immunogenicity cohort. All vaccinated participants will also be followed up to monitor incidence of SAEs, MAAEs and AESIs. The reactogenicity of the vaccine will be evaluated in the efficacy-extended safety-immunogenicity cohort. Approximately 3000 participants will be enrolled into the efficacy-extended safety-immunogenicity cohort. This cohort will undergo additional visits to collect immunogenicity data associated with receiving the recombinant COVID-19 vaccine (Sf9 cells) and to analyze the infection status.

Conditions
COVID-19
Being tested
Recombinant COVID-19 vaccine (Sf9 cells), Placebo control
Keywords
SARS-CoV-2 Vaccine, Recombinant Vaccine, Efficacy, Safety, Immunnogenicity
Medical subject headings
COVID-19

What participants receive

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

  • Recombinant COVID-19 vaccine (Sf9 cells)Biological

    This vaccine is made by using baculovirus as a vector and expressing SARS-CoV-2 S-RBD in Sf9 cells, which is purified by antigen isolation and added with aluminum hydroxide adjuvant for the prevention of COVID-19.

  • Placebo controlOther

    Except for the absence of study vaccine antigen, all other components (aluminum hydroxide, sodium chloride, sodium dihydrogen phosphate, disodium hydrogen phosphate) are consistent with the study vaccine and have been tested and qualified by National Institutes for Food and Drug Control.

Study groups in NCT04904471
Study groupRoleWhat they receive
ExperimentalExperimentalThree doses of recombinant SARS-CoV-2 vaccine (Sf9 Cell) on Day 0, Day 21and Day 42.
Receives: Biological: Recombinant COVID-19 vaccine (Sf9 cells)
Placebo ComparatorPlacebo comparatorThree doses of placebo on Day 0, Day 21and Day 42.
Receives: Other: Placebo control

What is being measured

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

  1. Virologically confirmed (polymerase chain reaction(PCR) positive) symptomatic COVID-19 cases first occurring, regardless of severity.

    Virologically confirmed (PCR positive) symptomatic COVID-19 cases first occurring ﹥ 28 days after completion of 3 doses vaccination, regardless of severity.

    Measured: 28 days after completion of 3 doses vaccination.

  2. The incidence of serious adverse events(SAEs).

    Serious adverse events(SAEs) from Day 0 through 6 months after completion of 3 doses vaccination.

    Measured: Day 0 to 6 months after completion of 3 doses vaccination.

  3. The incidence of adverse event of special interests(AESIs).

    Adverse event of special interests(AESIs) from Day 0 through 6 months after completion of 3 doses vaccination.

    Measured: Day 0 to 6 months after completion of 3 doses vaccination.

  4. The incidence of medically attended adverse events(MAAEs).

    Medically attended adverse events(MAAEs) from Day 0 through 6 months after completion of 3 doses vaccination.

    Measured: Day 0 to 6 months after completion of 3 doses vaccination.

  5. The incidence of solicited adverse events(AEs).

    Solicited adverse events(AEs) within 7 days after each dose vaccination.

    Measured: 0 to 7 days after each dose vaccination

  6. The incidence of unsolicited adverse events(AEs) .

    Unsolicited adverse events(AEs) within 21 days after the first dose and the second dose, and within 28 days after the third dose vaccination.

    Measured: 0 to 21 days after the first dose and the second dose vaccination, and 0 to 28 days after the third dose vaccination

Secondary outcomes (16)
  1. Virologically confirmed (polymerase chain reaction(PCR) positive) symptomatic COVID-19 cases first occurring , regardless of severity.

    Virologically confirmed (polymerase chain reaction(PCR) positive) symptomatic COVID-19 cases first occurring ﹥14 days after completion of 3 doses vaccination, regardless of severity.

    Measured: 14 days after completion of 3 doses vaccination.

  2. Severe COVID-19 and death (based on WHO criteria) caused by SARS-CoV-2 infection first occurring.

    Severe COVID-19 and death (based on WHO criteria) caused by SARS-CoV-2 infection first occurring ﹥ 14 days after completion of 3 doses vaccination.

    Measured: 14 days after completion of 3 doses vaccination.

  3. Severe COVID-19 and death (based on WHO criteria) caused by SARS-CoV-2 infection first occurring.

    Severe COVID-19 and death (based on WHO criteria) caused by SARS-CoV-2 infection first occurring ﹥ 28 days after completion of 3 doses vaccination.

    Measured: 28 days after completion of 3 doses vaccination

  4. Virologically confirmed (polymerase chain reaction(PCR) positive) hospitalised moderate, severe COVID-19 and death caused by SARS-CoV-2 infection first occurring.

    Virologically confirmed (polymerase chain reaction(PCR) positive) hospitalised moderate, severe COVID-19 and death caused by SARS-CoV-2 infection first occurring ﹥ 14 days after completion of 3 doses vaccination.

    Measured: 14 days after completion of 3 doses vaccination

  5. Virologically confirmed (polymerase chain reaction(PCR) positive) hospitalised moderate, severe COVID-19 and death caused by SARS-CoV-2 infection first occurring.

    Virologically confirmed (polymerase chain reaction(PCR) positive) hospitalised moderate, severe COVID-19 and death caused by SARS-CoV-2 infection first occurring ﹥ 28 days after completion of 3 doses vaccination.

    Measured: 28 days after completion of 3 doses vaccination

  6. Serologically confirmed SARS-CoV-2 infection or virologically confirmed (polymerase chain reaction(PCR) positive) COVID-19 cases first occurring, regardless of symptomatology or severity.

    Serologically confirmed SARS-CoV-2 infection or virologically confirmed (polymerase chain reaction(PCR) positive) COVID-19 cases first occurring ﹥ 14 days after completion of 3 doses vaccination, regardless of symptomatology or severity.

    Measured: 14 days after completion of 3 doses vaccination

  7. Serologically confirmed SARS-CoV-2 infection or virologically confirmed (polymerase chain reaction(PCR) positive) COVID-19 cases first occurring, regardless of symptomatology or severity.

    Serologically confirmed SARS-CoV-2 infection or virologically confirmed (polymerase chain reaction(PCR) positive) COVID-19 cases first occurring ﹥ 28 days after completion of 3 doses vaccination, regardless of symptomatology or severity.

    Measured: 28 days after completion of 3 doses vaccination

  8. The incidence of serious adverse events(SAEs) in all participants.

    Serious adverse events(SAEs) from Day 0 through 12 months after completion of 3 doses vaccination in all participants.

    Measured: Day 0 to 12 months after completion of 3 doses vaccination

  9. The incidence of medically attended adverse events(MAAEs) in all participants.

    Medically attended adverse events(MAAEs) from Day 0 through 12 months after completion of 3 doses vaccination in all participants.

    Measured: Day 0 through 12 months after completion of 3 doses vaccination

  10. The incidence of adverse event of special interests(AESIs) in all participants.

    Adverse event of special interests(AESIs) from Day 0 through 12 months after completion of 3 doses vaccination in all participants.

    Measured: Day 0 through 12 months after completion of 3 doses vaccination

  11. The geometric mean increase(GMI) of specific antibody.

    The geometric mean increase(GMI) of spike protein (S) receptor binding domain RBD region(S-RBD) IgG antibody on day 28, month 3, month 6 and month 12 after completion of 3 doses vaccination, measured by enzyme-linked immunosorbent assays(ELISA).

    Measured: Day 28, month 3, month 6, and month 12 after completion of 3 doses vaccination

  12. The seroconversion rate of specific antibody.

    The seroconversion rate of spike protein (S) receptor binding domain RBD region(S-RBD) IgG antibody on day 28, month 3, month 6 and month 12 after completion of 3 doses vaccination, measured by enzyme-linked immunosorbent assays(ELISA).

    Measured: Day 28, month 3, month 6, and month 12 after completion of 3 doses vaccination

  13. The geometric mean titer(GMT) of specific antibody.

    The geometric mean titer(GMT) of spike protein (S) receptor binding domain RBD region(S-RBD) IgG antibody on day 28, month 3, month 6 and month 12 after completion of 3 doses vaccination, measured by enzyme-linked immunosorbent assays(ELISA).

    Measured: Day 28, month 3, month 6, and month 12 after completion of 3 doses vaccination

  14. The seroconversion rate of live-virus neutralizing antibody.

    The seroconversion rate of live-virus neutralizing antibody on day 28, month 3, month 6 and month 12 after completion of 3 doses vaccination.

    Measured: Day 28, month 3, month 6, and month 12 after completion of 3 doses vaccination

  15. The geometric mean titer(GMT) of live-virus neutralizing antibody.

    The geometric mean titer(GMT) of live-virus neutralizing antibody on day 28, month 3, month 6 and month 12 after completion of 3 doses vaccination.

    Measured: Day 28, month 3, month 6, and month 12 after completion of 3 doses vaccination

  16. The geometric mean increase(GMI) of live-virus neutralizing antibody.

    The geometric mean increase(GMI) of live-virus neutralizing antibody on day 28, month 3, month 6 and month 12 after completion of 3 doses vaccination.

    Measured: Day 28, month 3, month 6, and month 12 after completion of 3 doses vaccination

Timeline

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

  1. First posted27 May 2021
  2. Study start15 Jun 2021
  3. Primary completion31 Jan 2022
  4. Study completion1 Nov 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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
39,663 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04904471
Sponsor's protocol ID
JSVCT109
Status last verified
Mar 2024
First submitted
26 May 2021
Last updated
26 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Recombinant COVID-19 vaccine (Sf9 cells) in people with COVID-19, run by WestVac Biopharma Co., Ltd. at 24 sites in 5 countries.

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 21 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 26 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in Philippines, Mexico, Indonesia, Kenya, Nepal. 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?

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?

Virologically confirmed (polymerase chain reaction(PCR) positive) symptomatic COVID-19 cases first occurring, regardless of severity. (time frame: 28 days after completion of 3 doses 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?
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 26 Mar 2025.

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