Covid19Phase 2COVID-19NCT04962893
Study of a Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Virus-like Particle (VLP) Vaccine
A Phase 2 study testing SARS-CoV-2 VLP Vaccine-Wuhan, SARS-CoV-2 VLP Vaccine-Alpha (British) variant and SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variant in people with Covid19, run by Ihsan GURSEL, PhD, Prof. at 3 sites in Turkey (Türkiye).
Trial summary
This is a randomized, parallel dose assigned, double blind, multi center, Phase II study assessing the efficacy, safety, and immunogenicity of VLP vaccine (Authentic and Alpha variants) in adults between 18 and 59 years who are healthy or have medically stable chronic diseases and who have no known history of… Read more about this study
- Who is it for?
- Ages 18 to 59 yearsHealthy volunteers can take part
- Conditions the study is for
- Covid19
- What is being tested?
- SARS-CoV-2 VLP Vaccine-Wuhan, SARS-CoV-2 VLP Vaccine-Alpha (British) variant and SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variant
- Type of treatment
- Vaccines
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 349 participants
- Where
- 3 sitesTurkey (Türkiye)
- Study dates
- 26 Jun 2021to 16 Jan 2022
- 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 to 59 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- To be eligible for the study, each participant must satisfy all the following criteria:
- Female and/or male participant who is informed and about his/her participation and who agrees to give his/her written informed consent.
- Aged between 18 and 59 years.
- Negative Immunoglobulin G (IgG)/Immunoglobulin M (IgM) antibody for COVID-19.
- Negative COVID-19 quantitative polymerase chain reaction (qPCR) test result.
- Able to comply with all scheduled visits, vaccination plan, laboratory tests, lifestyle considerations, and other study procedures.
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- Negative blood test for hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV) at screening period.
- Body temperature < 37.2°C.
- Body Mass Index (BMI) ranged between 18-35 kg/m2.
- Clinical laboratory test results within the reference range of the laboratory or clinically non-significant (complete blood count (CBC), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, urea, creatinine, and fasting glucose) or any laboratory parameters defined in the study protocol.
- Good general health as determined by physical examination, laboratory screening, and review of medical history within 14 days prior to participation.
- Female participants of childbearing potential may be enrolled in the study if the subject fulfils all the following criteria:
- Have a negative pregnancy test on the day of screening and prior to each study vaccine administration.
- Use an effective contraceptive method for at least 30 days prior to first dose of study vaccine and agree to continue using one highly effective form of birth control through 6 months after the administration of the last dose of study vaccine.
- Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as postmenopausal (defined as amenorrhea for ≥12 consecutive months prior to Screening without an alternative medical cause) or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).
- Male participants who agree to use an effective contraceptive method during the study period and until 6 months after the last dose of study vaccine.
Who cannot join
- Participants with any of the following criteria will be excluded:
- History of laboratory-confirmed SARS-COV-2 infection.
- History of seizures, encephalopathy, or psychosis.
- Known or suspected allergy or history of anaphylaxis or other serious adverse reactions to any vaccine or study vaccine and/or any other excipients of the vaccine.
- Pregnant, breastfeeding or planning to become pregnant within 6 months after the study vaccine administration.
- Suspected active infection or other acute illness, including fever > 37.2°C.
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- Any presence of clinical relevance of cardiovascular disease (including but not limited to arrythmia, myocardial infarction, uncontrolled hypertension, coronary artery disease, or congestive heart failure).
- Any presence of clinical relevance of serious chronic disease [asthma, diabetes, thyroid diseases etc.).
- Any presence of clinical relevance of congenital or acquired angioedema.
- Diagnosis of immunodeficiency.
- Diagnosis of bleeding diathesis.
- Use of immunosuppressive medications, anti-allergic therapy, cytotoxic therapy, inhaler corticosteroids (excluding allergic rhinitis or topical steroid ointments).
- Those who received blood/plasma products or immunoglobulins and/or blood transfusion within the last 6 months.
- Those who participated in another vaccine study or received an investigational/experimental drug within 1 month prior to study entry.
- History of any live vaccine within 1 month prior to study participation.
- History of any inactivated vaccine within 1 month prior to study participation.
- Use of active tuberculosis treatment.
- According to the investigator's judgement, those who have any condition (medical, psychological, social, etc.) that may impair the subject's compliance with the study
Trial locations and contacts
3 sites in 1 country.
Turkey (Türkiye)3 sites
Dr. Abdurahman Yurtaslan Ankara Oncology Training and Research Hospital Phase I Clinical Study Center
Ankara, 06200
Health Sciences University İstanbul Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital
Istanbul, 34020
Kocaeli University Research and Application Hospital Infectious Disease and Clinical Microbiology Department
Kocaeli, 41380
About this study
Official title: Phase II Study to Assess the Safety, Efficacy, and Immunogenicity of Authentic SARS-CoV-2 or Alpha Variant Spike Containing VLP Vaccines and Their Combination for the Prevention of COVID-19 in Healthy Adult Volunteers (SAVE STUDY)
This is a randomized, parallel dose assigned, double blind, multi center, Phase II study assessing the efficacy, safety, and immunogenicity of VLP vaccine (Authentic and Alpha variants) in adults between 18 and 59 years who are healthy or have medically stable chronic diseases and who have no known history of SARS-CoV-2 infection
Read the detailed description
The primary objective of the study is to evaluate the humoral and cellular immune response of VLP vaccine candidates (harboring M, N, E, and HexaPro S antigens of the virus), as an efficacy criteria.
Approximately 330 subjects will be randomized in a 1:1:1 ratio to receive two doses of 40 mcg VLP vaccine for Wuhan (n=110) or 40 mcg VLP vaccine for Alpha (British) variant (n=110) or 40 mcg VLP vaccine for Wuhan+Alpha variant (n=110) 21 days apart.
The study will be completed in 14 months.
All injections will be done subcutaneously.
- Conditions
- Covid19
- Being tested
- SARS-CoV-2 VLP Vaccine-Wuhan, SARS-CoV-2 VLP Vaccine-Alpha (British) variant, SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variant
- Keywords
- Virus-like Particles harboring S, M, N, E antigens, SARS-CoV-2, K3-CpG ODN, Alum
- 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 VLP Vaccine-WuhanBiological
Also called Authentic VLP Vaccine
Alum adsorbed, CpG ODN adjuvanted VLP vaccine expressing HexaPro-S, M, N, E proteins of the virus
SARS-CoV-2 VLP Vaccine-Alpha (British) variantBiological
Also called Alpha Variant VLP Vaccine
Alum adsorbed, CpG ODN adjuvanted VLP vaccine expressing HexaPro-S, M, N, E proteins of the virus
SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variantBiological
Also called Combination of Authentic and Alpha VLP Vaccine
Alum adsorbed, CpG ODN adjuvanted VLP vaccine expressing HexaPro-S, M, N, E proteins of the Wuhan or Alpha variants
| Study group | Role | What they receive |
|---|---|---|
| VLP-Wuhan group (Group V1) | Experimental | 110 participants will receive 40 mcg of Alum adsorbed VLP vaccine for Wuhan adjuvanted with K3-CpGODN (1 ml), in two doses 21 days apart. Receives: Biological: SARS-CoV-2 VLP Vaccine-Wuhan |
| VLP-Alpha (British) variant group (Group V2) | Experimental | 110 participants will receive 40 mcg of Alum adsorbed VLP vaccine for Alpha variant adjuvanted with K3-CpGODN (1 ml), in two doses 21 days apart. Receives: Biological: SARS-CoV-2 VLP Vaccine-Alpha (British) variant |
| VLP-Wuhan+Alpha group (Group V3) | Experimental | 110 participants will receive 40 mcg of Alum adsorbed VLP vaccine for Wuhan and Alpha variant adjuvanted with K3-CpGODN (1 ml), in two doses 21 days apart.
Initial vaccination with Wuhan followed by a booster of Alpha variant. Receives: Biological: SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparison of efficacy
Comparison of antibody responses of participants to a cohort of standard convalescent serum samples obtained from World Health Organization (WHO).
Measured: On Day 14 after booster dose administration
Comparison of efficacy
Comparison of antibody responses of participants to a cohort of standard convalescent serum samples obtained from World Health Organization (WHO).
Measured: On Day 28 after booster dose administration
Specific antibody (IgG) response
SARS-CoV-2 Spike/S1 or RBD antibody titers
Measured: On Day 14 after booster dose administration
Specific antibody (IgG) response
SARS-CoV-2 Spike/S1 or RBD antibody titers
Measured: On Day 28 after booster dose administration
Neutralizing antibody response
Neutralizing antibody titer against anti-Spike protein by virus neutralization method developed against SARS-CoV-2
Measured: On Day 14 after booster dose administration
Neutralizing antibody response
Neutralizing antibody titer against anti-Spike protein by virus neutralization method developed against SARS-CoV-2
Measured: On Day 28 after booster dose administration
Cellular immune response
ELISPOT: Interferon-γ (IFN-γ) positive level of T-cells
Measured: Before first dose administration, on Day 14 after booster dose administration
Secondary outcomes (3)
Adverse events (AEs)
Local and systemic AEs in all vaccine groups
Measured: Until Month 12 after booster dose administration
Serious adverse events (SAEs)
SAEs in all vaccine groups
Measured: Until Month 12 after booster dose administration
Specific antibody (IgG) response
SARS-CoV-2 Spike/S1 or RBD antibody titers
Measured: Before first and booster dose administration, at Month 3, Month 6, Month 9 and Month 12 after booster dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jul 2021
- Study start26 Jun 2021
- Primary completion16 Jan 2022
- Study completion16 Jan 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Covid19Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 349 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ihsan GURSEL, PhD, Prof.
- Sponsor type
- University, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey, Nobel Pharmaceuticals, MonitorCRO
- Responsible party
- Sponsor-investigator, Ihsan GURSEL, PhD, Prof., The Scientific and Technological Research Council of Turkey
- Investigators
- Fevzi ALTUNTAS, Principal investigator, HEAD OF ONCOLOGY HOSPITAL
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04962893
- Sponsor's protocol ID
- VLP-58-1023-Al-K3-PII
- Acronym
- COVID-19
- Status last verified
- May 2022
- First submitted
- 12 Jul 2021
- Last updated
- 31 May 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Singh VA, Nehul S, Saha A, Singh V, Bhutkar M, Kumar CS, Banerjee M, Kuhn RJ, Kumar P, Sharma GK, Tomar S. Bioengineered chimeric VLPs targeting chikungunya virus and SARS-CoV-2 show high immunogenicity in mice. Biochem Biophys Res Commun. 2026 Mar 19;805:153346. doi: 10.1016/j.bbrc.2026.153346. Epub 2026 Jan 23.
PubMed 41643552Yilmaz IC, Ipekoglu EM, Golcuklu BS, Bildik T, Aksoy AGB, Evcili I, Turay N, Surucu N, Bulbul A, Guvencli N, Yildirim M, Canavar Yildirim T, Atalay YA, Abras I, Ceylan Y, Ozsurekci Y, Tigen ET, Korten V, Gursel M, Gursel I. A phase I/II study of CpG/alum-adjuvanted mammalian-derived quadruple antigen carrying virus-like particle COVID-19 vaccine. Vaccine. 2025 Mar 7;49:126787. doi: 10.1016/j.vaccine.2025.126787. Epub 2025 Jan 31.
PubMed 39892108
Study at a glance
From the registry record, last updated by the sponsor on 31 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Study to Assess the Safety, Efficacy, and Immunogenicity of Authentic SARS-CoV-2 or Alpha Variant Spike Containing VLP Vaccines and Their Combination for the Prevention of COVID-19 in Healthy Adult Volunteers (SAVE STUDY)
- ClinicalTrials.gov ID
- NCT04962893
- Acronym / sponsor ID
- COVID-19 / VLP-58-1023-Al-K3-PII
- Conditions
- Covid19
- Keywords
- Virus-like Particles harboring S, M, N, E antigens, SARS-CoV-2, K3-CpG ODN, Alum
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 349 participants (actual)
- Lead sponsor
- Ihsan GURSEL, PhD, Prof.University, hospital or other
- Collaborators
- The Scientific and Technological Research Council of Turkey, Nobel Pharmaceuticals, MonitorCRO
- Study start
- 26 Jun 2021 (actual)
- Primary completion
- 16 Jan 2022 (actual)
- Study completion
- 16 Jan 2022 (actual)
- First posted
- 15 Jul 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, parallel dose assigned, double blind, multi center, Phase II study assessing the efficacy, safety, and immunogenicity of VLP vaccine (Authentic and Alpha variants) in adults between 18 and 59 years who are healthy or have medically stable chronic diseases and who have no known history of SARS-CoV-2 infection
Detailed description
The primary objective of the study is to evaluate the humoral and cellular immune response of VLP vaccine candidates (harboring M, N, E, and HexaPro S antigens of the virus), as an efficacy criteria.
Approximately 330 subjects will be randomized in a 1:1:1 ratio to receive two doses of 40 mcg VLP vaccine for Wuhan (n=110) or 40 mcg VLP vaccine for Alpha (British) variant (n=110) or 40 mcg VLP vaccine for Wuhan+Alpha variant (n=110) 21 days apart.
The study will be completed in 14 months.
All injections will be done subcutaneously.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| VLP-Wuhan group (Group V1) | Experimental | Biological: SARS-CoV-2 VLP Vaccine-Wuhan110 participants will receive 40 mcg of Alum adsorbed VLP vaccine for Wuhan adjuvanted with K3-CpGODN (1 ml), in two doses 21 days apart. |
| VLP-Alpha (British) variant group (Group V2) | Experimental | Biological: SARS-CoV-2 VLP Vaccine-Alpha (British) variant110 participants will receive 40 mcg of Alum adsorbed VLP vaccine for Alpha variant adjuvanted with K3-CpGODN (1 ml), in two doses 21 days apart. |
| VLP-Wuhan+Alpha group (Group V3) | Experimental | Biological: SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variant110 participants will receive 40 mcg of Alum adsorbed VLP vaccine for Wuhan and Alpha variant adjuvanted with K3-CpGODN (1 ml), in two doses 21 days apart. Initial vaccination with Wuhan followed by a booster of Alpha variant. |
Who may qualify
- Ages
- 18 to 59 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (16 listed)
- Female and/or male participant who is informed and about his/her participation and who agrees to give his/her written informed consent.
- Aged between 18 and 59 years.
- Negative Immunoglobulin G (IgG)/Immunoglobulin M (IgM) antibody for COVID-19.
- Negative COVID-19 quantitative polymerase chain reaction (qPCR) test result.
- Able to comply with all scheduled visits, vaccination plan, laboratory tests, lifestyle considerations, and other study procedures.
Key exclusion criteria (18 listed)
- History of laboratory-confirmed SARS-COV-2 infection.
- History of seizures, encephalopathy, or psychosis.
- Known or suspected allergy or history of anaphylaxis or other serious adverse reactions to any vaccine or study vaccine and/or any other excipients of the vaccine.
- Pregnant, breastfeeding or planning to become pregnant within 6 months after the study vaccine administration.
- Suspected active infection or other acute illness, including fever > 37.2°C.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SARS-CoV-2 VLP Vaccine-WuhanAlso: Authentic VLP VaccineAlum adsorbed, CpG ODN adjuvanted VLP vaccine expressing HexaPro-S, M, N, E proteins of the virus | Biological | VLP-Wuhan group (Group V1) |
| SARS-CoV-2 VLP Vaccine-Alpha (British) variantAlso: Alpha Variant VLP VaccineAlum adsorbed, CpG ODN adjuvanted VLP vaccine expressing HexaPro-S, M, N, E proteins of the virus | Biological | VLP-Alpha (British) variant group (Group V2) |
| SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variantAlso: Combination of Authentic and Alpha VLP VaccineAlum adsorbed, CpG ODN adjuvanted VLP vaccine expressing HexaPro-S, M, N, E proteins of the Wuhan or Alpha variants | Biological | VLP-Wuhan+Alpha group (Group V3) |
Primary outcome
Comparison of efficacy
Time frame: On Day 14 after booster dose administration
Comparison of antibody responses of participants to a cohort of standard convalescent serum samples obtained from World Health Organization (WHO).
Comparison of efficacy
Time frame: On Day 28 after booster dose administration
Comparison of antibody responses of participants to a cohort of standard convalescent serum samples obtained from World Health Organization (WHO).
Specific antibody (IgG) response
Time frame: On Day 14 after booster dose administration
SARS-CoV-2 Spike/S1 or RBD antibody titers
Specific antibody (IgG) response
Time frame: On Day 28 after booster dose administration
SARS-CoV-2 Spike/S1 or RBD antibody titers
Neutralizing antibody response
Time frame: On Day 14 after booster dose administration
Neutralizing antibody titer against anti-Spike protein by virus neutralization method developed against SARS-CoV-2
Neutralizing antibody response
Time frame: On Day 28 after booster dose administration
Neutralizing antibody titer against anti-Spike protein by virus neutralization method developed against SARS-CoV-2
Cellular immune response
Time frame: Before first dose administration, on Day 14 after booster dose administration
ELISPOT: Interferon-γ (IFN-γ) positive level of T-cells
3 secondary outcomes
Adverse events (AEs)
Time frame: Until Month 12 after booster dose administration
Serious adverse events (SAEs)
Time frame: Until Month 12 after booster dose administration
Specific antibody (IgG) response
Time frame: Before first and booster dose administration, at Month 3, Month 6, Month 9 and Month 12 after booster dose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 May 2022.
- Derived from this study: PubMed 41643552Singh VA, Nehul S, Saha A, Singh V, Bhutkar M, Kumar CS, Banerjee M, Kuhn RJ, Kumar P, Sharma GK, Tomar S. Bioengineered chimeric VLPs targeting chikungunya virus and SARS-CoV-2 show high immunogenicity in mice. Biochem Biophys Res Commun. 2026 Mar 19;805:153346. doi: 10.1016/j.bbrc.2026.153346. Epub 2026 Jan 23.
- Derived from this study: PubMed 39892108Yilmaz IC, Ipekoglu EM, Golcuklu BS, Bildik T, Aksoy AGB, Evcili I, Turay N, Surucu N, Bulbul A, Guvencli N, Yildirim M, Canavar Yildirim T, Atalay YA, Abras I, Ceylan Y, Ozsurekci Y, Tigen ET, Korten V, Gursel M, Gursel I. A phase I/II study of CpG/alum-adjuvanted mammalian-derived quadruple antigen carrying virus-like particle COVID-19 vaccine. Vaccine. 2025 Mar 7;49:126787. doi: 10.1016/j.vaccine.2025.126787. Epub 2025 Jan 31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fevzi ALTUNTAS principal investigator
HEAD OF ONCOLOGY HOSPITAL
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing SARS-CoV-2 VLP Vaccine-Wuhan, SARS-CoV-2 VLP Vaccine-Alpha (British) variant and SARS-CoV-2 VLP Vaccine-Wuhan+Alpha variant in people with Covid19, run by Ihsan GURSEL, PhD, Prof. at 3 sites in Turkey (Türkiye).
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 16 inclusion and 18 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 31 May 2022. 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 Turkey (Türkiye). 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 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?
Comparison of efficacy (time frame: On Day 14 after booster dose administration). The study lists 7 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 NCT04962893, which also lists 2 linked publications.
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 31 May 2022.