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CoronavirusPhase 1NCT04953078

A Study to Evaluate Safety, Tolerability, and Reactogenicity of an RBD-Fc-based Vaccine to Prevent COVID-19

A Phase 1 study testing Baiya SARS-CoV-2 Vax 1 in people with Coronavirus, run by Baiya Phytopharm Co., Ltd. at 2 sites in Thailand.

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 study is a phase 1, open-label, randomized, first-in-human clinical trial to evaluate the safety, tolerability and reactogenicity of escalating doses of Baiya SARS-CoV-2 VAX1 vaccine in participants aged 18-60 for adult groups and 61-75 for elderly groups. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Coronavirus
What is being tested?
Baiya SARS-CoV-2 Vax 1
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
2 sitesThailand
Study dates
11 Sep 2021to 4 Nov 2022
Phase
Phase 1
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 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy man and woman between 18-60 years old (inclusive) for the adult cohort and between 61-75 years old (inclusive) for the elderly cohort.
  • Have a body-mass index of 18.0-30.0 kg/m² at screening
  • Give informed consent prior to study enrollment and all study procedures
  • Participants must be able to comply with study procedures and be available for all study visits
  • Participants must be in general good health based on medical history and physical examination as determined by the investigator(s) at Screening
  • Participants must have haematology, clinical chemistry, coagulation, and urinalysis test results that are not deviating from the normal reference range by age and gender, or considered "not clinicallysignificant" per investigator decision based on safety at Screening.
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  • Males must be surgically sterile (>30 days since vasectomy with no viable sperm), practice true abstinence, or, if engaged in sexual activities with a female with childbearing potential, use condoms from first vaccination until 60 days after the last vaccination.
  • Females of child-bearing potential must practice true abstinence, or, if engaged in sexual activities with a male, agree to use highly effective (failure rate of <1% per year when used consistently and correctly), double-barrier contraceptive measures throughout the study and intend to continue use of contraception methods for at least 60 days following the last vaccination.
  • Female participants of child-bearing potential must have negative serum pregnancy test by beta human chorionic gonadotropin [β-HCG] at Screening and a negative urine-based pregnancy test within 24 hours prior to each investigational vaccine administration
  • Female participants of childbearing potential must not be pregnant or breastfeeding.
  • Women of non-child-bearing potential must:
  • be classified as being postmenopausal (defined as having a history of amenorrhea for at least one year), or
  • where history of amenorrhea is less than one year, female participants must have a follicle stimulating hormone (FSH) level > 40 milli-international units per millilitre (mIU/mL), or
  • have a documented status of being surgically sterile (hysterectomy, bilateral oophorectomy, or /salpingectomy).
  • All volunteers will be screened for serum antibodies against SARS-CoV-2, as evidence of previous infection using Enzyme-Linked Immunosorbent Assay (ELISA) and must have a negative result
  • Body temperature measured at forehead using validated device must be less than 37.5ºC at Screening.
  • Pulse must be no greater than 100 beats per minute, at Screening
  • Systolic blood pressure (SBP) must be between 85 to 150 millimeters of mercury (mm Hg), inclusive, at Screening
  • Participants must agree to refrain from donating blood, plasma, ovules, sperm, or organs during the whole study

Who cannot join

  • Presence of clinically significant medical history, unstable chronic or acute disease, or physical, or laboratory findings that in the opinion of the PI may potentially increase the expected risk of exposure to the investigational vaccine, compromise the safety of the participant, or interfere with any aspect of study conduct or interpretation of results. This will include any thrombocytopenia or bleeding disorder contraindicating IM vaccination.
  • Presence of self-reported or medically documented significant medical or psychiatric condition(s) as judged by the investigator(s) that it may not be in the participant's interest to participate in the study.
  • Presence of an acute illness, as determined by the participating Study Site investigator(s), with or without fever (forehead temperature measured by validated device ≥ 37.5 ºC) within 72 hours prior to each vaccination
  • Presence of birthmarks, tattoos, wound, or other skin conditions over the deltoid region of both arms that in the opinion of the investigator(s), could reasonably obscure and interfere with evaluation of local ISRs
  • Inadequate venous access to allow collection of blood samples
  • Breastfeeding or planning to breastfeed from the time of the first vaccination to after the last vaccination, or pregnant as confirmed by a positive serum β-HCG pregnancy test at Screening or positive urine pregnancy test at subsequent clinic visits at timepoints as delineated in the schedule of assessments
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  • Received any prophylactic or therapeutic vaccine, or licensed or unlicensed vaccine, device, or blood product, within 4 weeks of first vaccination or 5 half-lives (whichever is longer), or anticipate to do so in the follow-up period defined for this study
  • History of severe allergy (requiring hospital care), anaphylaxis, severe reaction to any drug or prior vaccination, or any known or suspected allergies or sensitivities to any component of the investigational vaccine or tobacco
  • Participant is immunosuppressed as caused by disease (such as HIV)
  • Chronic use (more than 14 continuous days) of or anticipated need to use, within the next 6 months, of any medications that may be associated with impaired immune responsiveness or with immunosuppression
  • History of hepatitis B or hepatitis C infection
  • Receipt of immunoglobulins or blood products within 90 days of the first vaccination
  • Requirement for antipyretic or analgesic medication on a daily or every other day basis from enrolment through 72 hours after vaccination
  • Current use of any prescription or over-the-counter medications within 7 days prior to vaccination, unless approved by the PI
  • Receipt of other investigational products (drug, biologic or device) within 60 days before the first vaccination
  • History of alcohol or drug abuse that in the opinion of the PI could affect the participant's safety or compliance with study
  • Participant is unwilling to abstain from blood donation during the course of the study, and/or is participating in any research study involving blood sampling (more than 450 mL /unit of blood), or blood donation to any blood bank during the 2 months prior to the Screening visit
  • Participant is unwilling to abstain from donating plasma, ovules, sperm, or organs during the course of the study
  • Close contact with anyone known to have SARS-CoV-2 infection within 30 days prior to vaccine administration
  • History of COVID-19 diagnosis
  • Has a positive result on SARS-CoV-2 antibody IgG/IgM measured by ELISA at screening
  • On current treatment with investigational agents for prophylaxis of COVID-19 including COVID-19 Vaccine under EUA.
  • Planning to travel out of the country from enrolment through 29 days after the second vaccination
  • Residing in a nursing home or other skilled nursing facility or having a requirement for skilled nursing care
  • Is a participant at high risk of SARS-CoV2 exposure in the opinion of the PI, including but not limited to an occupation (e.g., healthcare workers, active health care workers with direct patient contact, emergency response personnel) or close contact with a SARS-CoV-2 positive confirmed case (e.g. family member, housemate)
  • A chronic smoker (defined as ≥10 Pack years [packs/day × years smoked]) within the 12 months prior to enrolment (For Elderly Participants only)

Trial locations and contacts

2 sites in 1 country.

Thailand2 sites
  • Chula Clinical Research Center (Chula CRC), Faculty of Medicine, Chulalongkorn University

    Bangkok, 10330

  • Queen Saovabha Memorial Institute

    Bangkok, 10330

Other trials in Thailand

About this study

Official title: A Phase 1, Randomized, Open-label, Dose-Finding Study to Evaluate the Safety, Tolerability, and Reactogenicity of Escalating Doses of the Baiya SARS-CoV-2 Vax 1 Vaccine in Healthy Adults

This study is a phase 1, open-label, randomized, first-in-human clinical trial to evaluate the safety, tolerability and reactogenicity of escalating doses of Baiya SARS-CoV-2 VAX1 vaccine in participants aged 18-60 for adult groups and 61-75 for elderly groups. Each group will consist of three cohorts to evaluate different doses (low, medium, high) of Baiya SARS-CoV-2 VAX vaccine. Participants will be injected with two doses of the investigational product with a 21-day interval.

Conditions
Coronavirus
Being tested
Baiya SARS-CoV-2 Vax 1
Keywords
SARS-CoV-2, SARS-CoV-2 Vaccine, COVID-19, COVID-19 Vaccine
Medical subject headings
Coronavirus Infections, COVID-19

What participants receive

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

  • Baiya SARS-CoV-2 Vax 1Biological

    Intramuscular injection in the deltoid region of 0.5 mL/dose of Baiya SARS-CoV-2 Vax 1 (recombinant SARS-CoV-2 receptor-binding domain fused with FC region of human IgG1 vaccine)

Study groups in NCT04953078
Study groupRoleWhat they receive
10 μg Baiya SARS-CoV-2 Vax 1, Adult ParticipantsExperimental2 doses of Baiya SARS-CoV-2 Vax 1 (10 μg), each on Day 1 and Day 22 for adult participants (18 - 60 years old)
Receives: Biological: Baiya SARS-CoV-2 Vax 1
50 μg Baiya SARS-CoV-2 Vax 1, Adult ParticipantsExperimental2 doses of Baiya SARS-CoV-2 Vax 1 (50 μg), each on Day 1 and Day 22 for adult participants (18 - 60 years old)
Receives: Biological: Baiya SARS-CoV-2 Vax 1
100 μg Baiya SARS-CoV-2 VAX1, Adult ParticipantsExperimental2 doses of Baiya SARS-CoV-2 VAX1 (100 μg), each on Day 1 and Day 22 for adult participants (18 - 60 years old)
Receives: Biological: Baiya SARS-CoV-2 Vax 1
10 μg Baiya SARS-CoV-2 VAX1, Elderly ParticipantsExperimental2 doses of Baiya SARS-CoV-2 VAX1 (10 μg), each on Day 1 and Day 22 for elderly participants (61 - 75 years old)
Receives: Biological: Baiya SARS-CoV-2 Vax 1
50 μg Baiya SARS-CoV-2 VAX1, Elderly ParticipantsExperimental2 doses of Baiya SARS-CoV-2 VAX1 (50 μg), each on Day 1 and Day 22 for elderly participants (61 - 75 years old)
Receives: Biological: Baiya SARS-CoV-2 Vax 1
100 μg Baiya SARS-CoV-2 VAX1, Elderly ParticipantsExperimental2 doses of Baiya SARS-CoV-2 VAX1 (100 μg), each on Day 1 and Day 22 for elderly participants (61 - 75 years old)
Receives: Biological: Baiya SARS-CoV-2 Vax 1

What is being measured

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

  1. Frequency and Grade of Solicited Adverse Events

    Measured: 7 days after each vaccination

  2. Frequency and Grade of Adverse Events (including both solicited and unsolicited AEs)

    Measured: Up to 28 days after second vaccination

  3. Incidence of Serious Adverse Events (SAEs), Medically-Attended Adverse Events (MAAEs), and New-Onset Chronic Medical Conditions (NOCMCs)

    Measured: Up to 28 days after second vaccination

  4. Changes in Blood Pressure (Systolic and Diastolic Blood Pressure) from Baseline

    Blood pressure is measured mmHg. Blood pressure, both systolic and diastolic, at multiple timepoints according to the protocol will be compared to baseline value. Changes in blood pressure will be described using descriptive statistic (mean, standard deviation).

    Measured: Up to 28 days after second vaccination

  5. Changes in Pulse Rate from Baseline

    Pulse rate is measured as beats per minute. Pulse rate at multiple timepoints according to the protocol will be compared to baseline value. Changes in pulse rate will be described using descriptive statistic (mean, standard deviation).

    Measured: Up to 28 days after second vaccination

  6. Changes in Respiratory Rate from Baseline

    Respiratory rate is measured as breaths per minute. Respiratory rate at multiple timepoints according to the protocol will be compared to baseline value. Changes in respiratory rate will be described using descriptive statistic (mean, standard deviation).

    Measured: Up to 28 days after second vaccination

  7. Changes in Body Temperature from Baseline

    Body temperature is measured as degree Celsius. Body temperature at multiple timepoints according to the protocol will be compared to baseline value. Changes in body temperature will be described using descriptive statistic (mean, standard deviation)

    Measured: Up to 28 days after second vaccination

  8. Changes in Physical Conditions from Baseline Physical Examinations

    Baseline physical examination will include head, ears, nose, throat, lungs, lymph nodes, heart, abdomen and skin. Symptom directed physical examination will be performed for each subsequent visit. Changes in physical conditions from baseline physical examination will be described.

    Measured: Up to 28 days after second vaccination

  9. Safety Laboratory Value (Haematology)

    Haematology laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  10. Safety Laboratory Value (Serum chemistry)

    Serum Chemistry laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  11. Safety Laboratory Value (Coagulation)

    Coagulation laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  12. Safety Laboratory Value (Urinalysis)

    Urinalysis laboratory value by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0 (absolute and change from baseline where identified). The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  13. Treatment-emergent Changes in Blood Pressure

    Grade of treatment-emergent changes in blood pressure by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  14. Treatment-emergent Changes in Pulse Rate

    Grade of treatment-emergent changes in pulse rate by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  15. Treatment-emergent Changes in Respiratory Rate

    Grade of treatment-emergent changes in respiratory rate by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  16. Treatment-emergent Changes in Body Temperature

    Grade of treatment-emergent changes in body temperature by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

  17. Treatment-emergent, Changes in Physical Conditions

    Baseline physical examination will include head, ears, nose, throat, lungs, lymph nodes, heart, abdomen and skin. Symptom directed physical examination will be performed for each subsequent visit. Grade of treatment-emergent changes by Common Terminology Criteria for Adverse Event (CTCAE) scale version 5.0. The scale ranges from Grade 1 (Mild) to Grade 5 (Most Severe).

    Measured: Up to 28 days after second vaccination

Secondary outcomes (16)
  1. Frequency and Grade of Medically-Attended Adverse Events (MAAEs)

    Measured: 28 days - 1 year after second vaccination

  2. Frequency and Grade of New-Onset Chronic Medical Conditions (NOCMCs)

    Measured: 28 days - 1 year after second vaccination

  3. Incidence of SAEs

    Measured: 28 days - 1 year after second vaccination

  4. Geometric Mean Titer (GMT) of SARS-CoV-2 Specific Serum Neutralising Antibody

    SARS-CoV-2 Specific Serum Neutralising Antibody as measured by Micro-neutralization assay, expressed as GMTs for each cohort

    Measured: Up to 28 days after second vaccination

  5. Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Specific Serum Neutralising Antibody

    SARS-CoV-2 Specific Serum Neutralising Antibody as measured by Micro-neutralization assay, expressed as GMFRs for each cohort

    Measured: Up to 28 days after second vaccination

  6. Seroconversion Rate of SARS-CoV-2 Specific Serum Neutralising Antibody

    Seroconversion Rate is defined as the proportion of participants who achieves a greater than or equal to 4-fold rise in SARS-CoV-2 specific serum neutralising antibody level from baseline

    Measured: Up to 28 days after second vaccination

  7. Geometric Mean Titer (GMT) of SARS-CoV-2 Surrogate Viral Neutralising Antibody

    Measured by enzyme-linked immunosorbent assay (ELISA)

    Measured: Up to 28 days after second vaccination

  8. Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Surrogate Viral Neutralising Antibody

    Measured by enzyme-linked immunosorbent assay (ELISA)

    Measured: Up to 28 days after second vaccination

  9. Seroconversion Rate of SARS-CoV-2 Surrogate Viral Neutralising Antibody

    Seroconversion Rate is defined as a greater than or equal to 4-fold rise in SARS-CoV-2 surrogate viral neutralising antibody from baseline

    Measured: Up to 28 days after second vaccination

  10. Geometric Mean Titer (GMT) of RBD-specific IgG Antibody

    Measured by enzyme-linked immunosorbent assay (ELISA)

    Measured: Up to 28 days after second vaccination

  11. Geometric Mean Fold Rise (GMFR) of RBD-specific IgG Antibody

    Measured by enzyme-linked immunosorbent assay (ELISA)

    Measured: Up to 28 days after second vaccination

  12. Seroconversion Rate of RBD-specific IgG Antibody

    Measured by enzyme-linked immunosorbent assay (ELISA). Seroconversion Rate is defined as a greater than or equal to 4-fold rise in RBD-specific IgG Antibody from baseline

    Measured: Up to 28 days after second vaccination

  13. Percentage of participants who have positive RBD-specific CD4+ and CD8+ T-cell IFN-y ELISpot responses

    Measured by IFN-y ELISpot assay

    Measured: Up to 28 days after second vaccination

  14. Median number of spot-forming cells (SFC) per 1 million PBMCs

    Measured by IFN-y ELISpot assay

    Measured: Up to 28 days after second vaccination

  15. Percentage of participants who shows positive specific T-helper 1 responses, or T-helper 2 responses

    Quantified by Intracellular Cytokine Staining

    Measured: Up to 28 days after second vaccination

  16. Medium percentage of specific T-helper 1 responses or T-helper 2 responses

    Quantified by Intracellular Cytokine Staining

    Measured: Up to 28 days after 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 posted7 Jul 2021
  2. Study start11 Sep 2021
  3. Primary completion2 Dec 2021
  4. Study completion4 Nov 2022

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
Sequential
Masking
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04953078
Sponsor's protocol ID
PT-CR-001
Status last verified
Jan 2023
First submitted
14 Jun 2021
Last updated
12 Jan 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Baiya SARS-CoV-2 Vax 1 in people with Coronavirus, run by Baiya Phytopharm Co., Ltd. at 2 sites in Thailand.

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 19 inclusion and 26 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 12 Jan 2023. 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 Thailand. 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?

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?

Frequency and Grade of Solicited Adverse Events (time frame: 7 days after each vaccination). The study lists 17 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 12 Jan 2023.

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