AzTrials
AzTrials

Covid19Phase 2NCT04944368

Phase II Clinical Trial of CinnaGen COVID-19 Vaccine (SpikoGen)

A Phase 2 study testing SARS-CoV-2 recombinant spike protein + Advax-SM adjuvant in people with Covid19, run by Cinnagen at 1 site in Iran.

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

This is a phase II, randomized, two-armed, double-blind, placebo-controlled trial designed to evaluate the safety, tolerability, and immunogenicity of a candidate adjuvanted recombinant SARS-CoV-2 spike (S) protein subunit vaccine (SpikoGen) produced by CinnaGen Co. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Covid19
What is being tested?
SARS-CoV-2 recombinant spike protein + Advax-SM adjuvant
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
400 participants
Where
1 siteIran
Study dates
30 May 2021to 30 Dec 2021
Phase
Phase 2
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

  • Male or female ≥18 years
  • Willing and able to comply with all study requirements, including scheduled visits, interventions, and laboratory tests
  • Healthy adults or adults in a stable medical condition, defined as not being hospitalized within 3 months prior to the screening visit
  • Females must not be pregnant or breastfeeding

Who cannot join

  • Subjects with signs of active SARS-COV-2 infection at the screening visit.
  • Subjects with body temperature of 38 degrees Celsius or greater at the screening visit or within 72 hours prior to the screening visit.
  • Subjects with a history of any progressive or severe neurological disorders, seizure, or Guillain-Barre syndrome.
  • Subjects who receive immunosuppressive or cytotoxic medications.
  • Female Subjects who are pregnant or breastfeeding or have planned to become pregnant during the study period.
  • Subjects who have a history of severe allergic reactions (e.g., anaphylaxis) to the study vaccine, any components of the study interventions, or any pharmaceutical products.
Show all 13Show fewer
  • Subjects who have received any other investigational products within 30 days prior to the screening visit or intend to participate in any other clinical studies during the period of this study.
  • Subjects who have been vaccinated with any vaccine or vaccine candidate against SARS-CoV-2.
  • Subjects who have received any vaccines within 28 days prior to the screening visit or intend to receive any vaccines up to 14 days after the second dose of the study injection.
  • Subjects who have any known bleeding disorders or, in the investigator's opinion, have any contraindications for an intramuscular injection.
  • Subjects who have received any blood, plasma, or immunoglobulin products from 90 days prior to the screening visit or intend to receive during the study period.
  • Subjects with any condition that may increase the risk of participating in the study or may interfere with the evaluation of the primary endpoints of the study in the investigator's opinion.
  • Subjects who have donated ≥450 mL of blood or blood products within 28 days prior to the screening visit.

Trial locations and contacts

1 site in 1 country.

Iran1 site
  • Espinas Palace Hotel

    Tehran, 1981846911

Other trials in Iran

About this study

Official title: A Phase II, Randomized, Two-armed, Double-blind, Placebo-controlled Trial to Evaluate the Safety, Tolerability, and Immunogenicity of an Adjuvanted Recombinant SARS-CoV-2 Spike (S) Protein Subunit Vaccine Candidate (SpikoGen)

This is a phase II, randomized, two-armed, double-blind, placebo-controlled trial designed to evaluate the safety, tolerability, and immunogenicity of a candidate adjuvanted recombinant SARS-CoV-2 spike (S) protein subunit vaccine (SpikoGen) produced by CinnaGen Co. 400 adult individuals receive either SARS-CoV-2 recombinant spike protein (25 µg) with Advax-SM adjuvant (15 mg) or saline placebo in a 3:1 ratio. The injection is given in two doses with a 21-day interval in the deltoid muscle of the non-dominant arm. The randomization was stratified by age (<65 or ≥65) and health conditions of potential risk for severe COVID-19. Participants will be visited at two weeks and will be followed up for six months after the second dose of the study intervention.

Study hypotheses include:

  1. The adjuvanted COVID-19 vaccine candidate is safe and tolerable in adult subjects.
  2. The adjuvanted COVID-19 vaccine candidate induces strong immunogenicity against SARS-CoV-2 in adult subjects.
Conditions
Covid19
Being tested
SARS-CoV-2 recombinant spike protein + Advax-SM adjuvant, Saline placebo
Keywords
COVID-19, SARS-COV-2, Recombinant protein, Spike, Advax-SM, Advax, Vaccine, Adjuvant
Medical subject headings
COVID-19

What participants receive

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

  • SARS-CoV-2 recombinant spike protein + Advax-SM adjuvantBiological

    Also called SpikoGen

    SARS-CoV-2 recombinant spike protein (25 µg) with Advax-SM adjuvant (15 mg) in two doses with a 21-day interval administered with intramuscular injections in the non-dominant arm

  • Saline placeboBiological

    Also called Normal saline

    0.9% sodium chloride (1 mL) injection in two doses with a 21-day interval administered with intramuscular injections in the non-dominant arm

Study groups in NCT04944368
Study groupRoleWhat they receive
Vaccine candidateExperimentalNot described
Receives: Biological: SARS-CoV-2 recombinant spike protein + Advax-SM adjuvant
Saline placeboPlacebo comparatorNot described
Receives: Biological: Saline placebo

What is being measured

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

  1. Incidence of solicited adverse events

    Injection site pain, erythema, swelling, and induration, axillary swelling or tenderness ipsilateral to the side of injection, fever (oral temperature), headache, fatigue, myalgia, arthralgia, nausea, vomiting, and chills, as reported by the study participants on electronic diaries, and as defined using system organ classes and preferred terms of the Medical Dictionary for Regulatory Activities (MedDRA)

    Measured: For 7 days after each dose

  2. Incidence of unsolicited adverse events

    As reported by the study participants on electronic diaries, and as defined using system organ classes and preferred terms of the Medical Dictionary for Regulatory Activities (MedDRA)

    Measured: For 28 days after each dose

  3. Percentage of participants with seroconversion for S1 binding IgG antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  4. Percentage of participants with seroconversion for S1 binding IgG antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  5. Change in geometric mean concentration (GMC) for S1 binding IgG antibodies from baseline to 21 days after the first injection

    As measured by ELISA

    Measured: On the day of the first dose and 21 days after the first dose (on the day of the second dose)

  6. Change in geometric mean concentration (GMC) for S1 binding IgG antibodies from baseline to 14 days after the second injection

    As measured by ELISA

    Measured: On the day of the first dose and 14 days after the second dose

Secondary outcomes (29)
  1. Percentage of participants with seroconversion for SARS-CoV-2 neutralizing antibodies after the first injection

    As measured by ELISA (sVNT)

    Measured: 21 days after the first dose (on the day of the second dose)

  2. Percentage of participants with seroconversion for SARS-CoV-2 neutralizing antibodies after the first injection

    As measured by cVNT

    Measured: 21 days after the first dose (on the day of the second dose)

  3. Percentage of participants with seroconversion for SARS-CoV-2 neutralizing antibodies after the second injection

    As measured by ELISA (sVNT)

    Measured: 14 days after the second dose

  4. Percentage of participants with seroconversion for SARS-CoV-2 neutralizing antibodies after the second injection

    As measured by cVNT

    Measured: 14 days after the second dose

  5. Percentage of participants with seroconversion for receptor-binding domain (RBD) binding IgA antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  6. Percentage of participants with seroconversion for receptor-binding domain (RBD) binding IgA antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  7. Percentage of participants with seroconversion for S1 binding IgA antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  8. Percentage of participants with seroconversion for S1 binding IgA antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  9. Percentage of participants with seroconversion for receptor-binding domain (RBD) binding IgG antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  10. Percentage of participants with seroconversion for receptor-binding domain (RBD) binding IgG antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  11. Change in geometric mean concentration (GMC) for receptor-binding domain (RBD) binding IgG antibodies from baseline to 21 days after the first injection

    As measured by ELISA

    Measured: On the day of the first dose and 21 days after the first dose (on the day of the second dose)

  12. Change in geometric mean concentration (GMC) for receptor-binding domain (RBD) binding IgG antibodies from baseline to 14 days after the second injection

    As measured by ELISA

    Measured: On the day of the first dose and 14 days after the second dose

  13. Geometric mean fold rise (GMFR) for S1 binding IgG antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  14. Geometric mean fold rise (GMFR) for S1 binding IgG antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  15. Geometric mean fold rise (GMFR) for receptor-binding domain (RBD) binding IgG antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  16. Geometric mean fold rise (GMFR) for receptor-binding domain (RBD) binding IgG antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  17. Geometric mean fold rise (GMFR) for SARS-CoV-2 neutralizing antibodies after the first injection

    As measured by ELISA (sVNT)

    Measured: 21 days after the first dose (on the day of the second dose)

  18. Geometric mean fold rise (GMFR) for SARS-CoV-2 neutralizing antibodies after the second injection

    As measured by ELISA (sVNT)

    Measured: 14 days after the second dose

  19. Change in geometric mean concentration (GMC) for SARS-CoV-2 neutralizing antibodies from baseline to 21 days after the first injection

    As measured by ELISA (sVNT)

    Measured: On the day of the first dose and 21 days after the first dose (on the day of the second dose)

  20. Change in geometric mean concentration (GMC) for SARS-CoV-2 neutralizing antibodies from baseline to 14 days after the second injection

    As measured by ELISA (sVNT)

    Measured: On the day of the first dose and 14 days after the second dose

  21. Change in geometric mean concentration (GMC) for S1 binding IgA antibodies from baseline to 21 days after the first injection

    As measured by ELISA

    Measured: On the day of the first dose and 21 days after the first dose (on the day of the second dose)

  22. Change in geometric mean concentration (GMC) for S1 binding IgA antibodies from baseline to 14 days after the second injection

    As measured by ELISA

    Measured: On the day of the first dose and 14 days after the second dose

  23. Geometric mean fold rise (GMFR) for S1 binding IgA antibodies after the first injection

    As measured by ELISA

    Measured: 21 days after the first dose (on the day of the second dose)

  24. Geometric mean fold rise (GMFR) for S1 binding IgA antibodies after the second injection

    As measured by ELISA

    Measured: 14 days after the second dose

  25. Incidence of serious adverse events (SAEs) and suspected unexpected serious adverse reaction (SUSARs)

    As defined using system organ classes and preferred terms of the Medical Dictionary for Regulatory Activities (MedDRA)

    Measured: For 6 months after the second dose

  26. Change in T-cell proliferation responses from baseline to 21 days after the first injection

    Evaluation of CD4+ and CD8+ T-cell proliferation responses as measured by flow cytometry

    Measured: On the day of the first dose and 21 days after the first dose (on the day of the second dose)

  27. Change in T-cell proliferation responses from baseline to 14 days after the second injection

    Evaluation of CD4+ and CD8+ T-cell proliferation responses as measured by flow cytometry

    Measured: On the day of the first dose and 14 days after the second dose

  28. Change in T-cell IFN-γ secretion from baseline to 21 days after the first injection

    As measured by IGRA

    Measured: On the day of the first dose and 21 days after the first dose (on the day of the second dose)

  29. Change in T-cell IFN-γ secretion from baseline to 14 days after the second injection

    As measured by IGRA

    Measured: On the day of the first dose and 14 days after the second dose

Timeline

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

  1. First posted29 Jun 2021
  2. Study start30 May 2021
  3. Primary completion19 Jul 2021
  4. Study completion30 Dec 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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
400 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04944368
Sponsor's protocol ID
VAC.CIN.PT.II
Other IDs
IRCT20150303021315N23
Status last verified
Jan 2022
First submitted
19 Jun 2021
Last updated
13 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tabarsi P, Anjidani N, Shahpari R, Mardani M, Sabzvari A, Yazdani B, Roshanzamir K, Bayatani B, Taheri A, Petrovsky N, Li L, Barati S. Safety and immunogenicity of SpikoGen(R), an Advax-CpG55.2-adjuvanted SARS-CoV-2 spike protein vaccine: a phase 2 randomized placebo-controlled trial in both seropositive and seronegative populations. Clin Microbiol Infect. 2022 Sep;28(9):1263-1271. doi: 10.1016/j.cmi.2022.04.004. Epub 2022 Apr 15.

    PubMed 35436611

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SARS-CoV-2 recombinant spike protein + Advax-SM adjuvant in people with Covid19, run by Cinnagen at 1 site in Iran.

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 4 inclusion and 13 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 Oct 2022. 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 Iran. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 solicited adverse events (time frame: For 7 days after each dose). 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 NCT04944368, 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 Oct 2022.

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