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COVID-19 VACCINEPhase 2ECEHeVacNCT04988048

Collaborative Study to Evaluate Heterologous Vaccination Against Covid-19 in Argentina

A Phase 2 study testing COVID-19 vaccines in people with COVID-19 VACCINE and Covid19, run by Ministry of Public Health, Argentina at 4 sites in Argentina.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Randomized, open, multicenter, collaborative and adaptive non-inferiority trial to evaluate the immunogenicity and reactogenicity of the heterologous vaccination schedules made up of the combination of vaccines available in Argentina (Sputnik-V, AstraZeneca, Sinopharm and Moderna); and to compare the immunogenicity… 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 VACCINE, Covid19
What is being tested?
COVID-19 vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,760 participants
Where
4 sitesArgentina
Study dates
3 Aug 2021to 15 Feb 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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 18 years of age or older, vaccinated with 1 dose of Sputnik V, AstraZeneca or Sinopharm vaccine up to 60 days prior to enrollment (according to the platform of the vaccine received as the first dose) or not vaccinated for the mRNA-1273 / mRNA-1273 Arm
  • With and without identified risk factors for COVID-19
  • Signature of the informed consent
  • Remain in the jurisdiction where your study began until the end of it
  • Be able to understand and sign the informed consent

Who cannot join

  • Patients with immunocompromise due to underlying disease or immunosuppressive treatment
  • Pregnant and breastfeeding people
  • Being registered in the National Health Surveillance System for having suffered COVID-19 (symptomatic or asymptomatic) or having a positive IgG result in nucleocapsid ELISA in the sample taken on "DAY 0" for people who had received Sputnik-V or AstraZeneca as the first dose
  • Having had a severe allergic reaction (anaphylaxis) to any vaccine

Trial locations and contacts

4 sites in 1 country.

Marina Pasinovich, MD contact

+5491154961973

mpasinovich@msal.gov.ar

Juan Manuel Castelli, MD contact

+5492214088284

jcastelli@msal.gov.ar

Argentina4 sites, 4 recruiting
  • Córdoba

    Córdoba

    Gabriela Barbás

    Recruiting
  • Provincia de Buenos Aires

    La Plata

    Marina Pifano

    Recruiting
  • La Rioja

    La Rioja

    Carlos Laino

    Recruiting
  • San Luis

    San Luis

    Juan Manuel Talia

    Recruiting

Other trials in Argentina

About this study

Randomized, open, multicenter, collaborative and adaptive non-inferiority trial to evaluate the immunogenicity and reactogenicity of the heterologous vaccination schedules made up of the combination of vaccines available in Argentina (Sputnik-V, AstraZeneca, Sinopharm and Moderna); and to compare the immunogenicity and reactogenicity of heterologous and homologous vaccination schedules.

Read the detailed description

More than a hundred COVID-19 vaccines based on different technologies are currentlyin the clinical phase of development around the world. More than a dozen derived from different platforms have been approved by regulatory entities in several countries and are used to immunize the world's population.

The dynamics of the COVID-19 pandemic, the emergence of variants, the magnitude and durability of the immune response, the effectiveness of approved vaccination schemes, as well as the possibility of combining vaccines from various platforms, are some of the issues to be facedin public health decision-making, in order to deliver the best protection standards to the population.

Given the dynamics of the disease in Argentina, the access to different COVID-19 vaccination alternatives requires the development of various strategies, such as stratifying the population sampled by the risk of being infected or transmitting the disease, the agreement for the acquisition of vaccines produced by multiple laboratories simultaneously, setting as a priority first dose vaccination to a higher number of people in a shorter period of time and completing the schemes already started.

The pandemic has revealed the capacity of our country to carry out research studies that produce evidence to face the new challenges posed by COVID19 and, particularly,to implement vaccination as one of the main tools to reduce the health impact it generates-for example,six months after the start of the vaccination campaign, results demonstrate the positive impact of this strategy and its effectiveness.

Models based on heterologous immunization schemes with vaccines from different platforms require evaluation by means of clinical trials,in order to show whether they are not less effective than homologous schemes already established. This is achieved through comparative evaluation of their immunogenicity, efficacy and reactogenicity with studies considering implementation possibilities, adaptiveness and response to real life situations.

Hence, the Ministry of Health propoundsthe development of a collaborative network for the integration of studies on vaccination strategies against COVID-19 with the use of heterologous schemes based on the evaluation of their non-inferiority, compared to homologous vaccination schedulesalready implemented worldwide.

The Argentine Ministry of Health looks forward to generating solid scientific evidence that supports decision-making in health policies, with broad federal participation and common objectives.

Being tested
COVID-19 vaccines
Keywords
Interchangeability, Heterologous vaccination
Medical subject headings
COVID-19

What participants receive

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

  • COVID-19 vaccinesBiological

    Also called SPUTNIK-V (Gam-COVID-Vac), SINOPHARM (BBIBP-CorV), AstraZeneca (ChAdOx1 nCoV-19 vaccine AZD1222), Moderna (mRNA-1273 or Spikevax)

    Gam-COVID-Vac Gamaleya National Center for Epidemiology and Microbiology - Russia. Non-replicative viral vector. Multi-dose vial (5 doses in 3 mL) Single-dose vial (1 dose in 0.5 mL). Intramuscular T° less than -18 ° C

    BBIBP-CorV Beijing Institute of Biological Products - People's Republic of China. Inactivated viruses. Single-dose vials (1 dose in 0.5 mL) or multi-dose vial (2 doses per vial). Intramuscular T° 2 to 8 ° C

    ChAdOx1 nCoV-19 vaccine AZD1222 AstraZeneca-Oxford - United Kingdom. Non-replicative viral vector. Multi-dose vial (10 doses in 5 mL). Intramuscular T°: 2 to 8 ° C

    mRNA-1273 or Spikevax Moderna Switzerland GmbH and the National Institute of Allergy and Infectious Diseases (NIAID) of the United States. mRNA. Multi-dose vial (maximum 15 doses per 0.5ml vial). Intramuscular. T°-15 ° to -50 °

Study groups in NCT04988048
Study groupRoleWhat they receive
Gam-COVID-Vac C1/ ChAdOx1 nCoV-19Active comparatorHeterologous: Gam-COVID-Vac C1/ ChAdOx1 nCoV-19
Receives: Biological: COVID-19 vaccines
ChAdOx1 nCoV-19 / Gam-COVID-Vac C1Active comparatorHeterologous: ChAdOx1 nCoV-19 / Gam-COVID-Vac C1
Receives: Biological: COVID-19 vaccines
Gam-COVID-Vac C1/ BBIBP-CorVActive comparatorHeterologous: Gam-COVID-Vac C1/ BBIBP-CorV
Receives: Biological: COVID-19 vaccines
BBIBP-CorV / Gam-COVID-Vac C1Active comparatorHeterologous: BBIBP-CorV / Gam-COVID-Vac C1
Receives: Biological: COVID-19 vaccines
ChAdOx1 nCoV-19 / BBIBP-CorVActive comparatorHeterologous: ChAdOx1 nCoV-19 / BBIBP-CorV
Receives: Biological: COVID-19 vaccines
BBIBP-CorV / ChAdOx1 nCoV-19Active comparatorHeterologous: BBIBP-CorV / ChAdOx1 nCoV-19
Receives: Biological: COVID-19 vaccines
Gam-COVID-Vac C1/ mRNA-1273Active comparatorHeterologous: Gam-COVID-Vac C1/ mRNA-1273
Receives: Biological: COVID-19 vaccines
ChAdOx1 nCoV-19 / mRNA-1273Active comparatorHeterologous: ChAdOx1 nCoV-19 / mRNA-1273
Receives: Biological: COVID-19 vaccines
BBIBP-CorV / mRNA-1273Active comparatorHeterologous BBIBP-CorV / mRNA-1273
Receives: Biological: COVID-19 vaccines
Gam-COVID-Vac C1/ Gam-COVID-Vac C2Active comparatorHomologous: Gam-COVID-Vac C1/ Gam-COVID-Vac C2
Receives: Biological: COVID-19 vaccines
ChAdOx1 nCoV-19 / ChAdOx1 nCoV-19Active comparatorHomologous: ChAdOx1 nCoV-19 / ChAdOx1 nCoV-19
Receives: Biological: COVID-19 vaccines
BBIBP-CorV / BBIBP-CorVActive comparatorHomologous: BBIBP-CorV / BBIBP-CorV
Receives: Biological: COVID-19 vaccines
mRNA-1273 / mRNA-1273Active comparatorHomologous: mRNA-1273 / mRNA-1273
Receives: Biological: COVID-19 vaccines
Gam-COVID-Vac C1/ Gam-COVID-Vac C1Active comparatorHomologous: Gam-COVID-Vac C1/ Gam-COVID-Vac C1
Receives: Biological: COVID-19 vaccines

What is being measured

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

  1. Antibody against Spike protein measurement by ELISA test

    To assess IgG anti Spike response (UI/ml): To assess the antibody concentration in each arm by ELISA COVIDAR IgG expressed in IU/ml. To determine whether a heterologous vaccination regimen is non-inferior to that observed with currently used homologous regimens.

    Measured: 28 days

  2. Incidence of adverse events by measurement of the number of reactions after vaccination

    Adverse events events presumably attributable to vaccination and immunization (ESAVI) and adverse events of special interest (AESI)

    Measured: 28 days

Secondary outcomes (2)
  1. Neutralising Antibody against Spike protein and cellular immune response

    Neutralizing antibody titer in the serum of vaccinated individuals, using "Vero" cells as infection targets and cellular immune response It will be studied in heparinized blood samples using mononuclear cells isolated from the blood samples obtained. These cells will be challenged "in vitro" with "pools" of peptides from the Spike and N proteins of SARS-CoV-2, evaluating the production of the cytokines interferon-γ and IL-2 by T cells, by flow cytometry.

    Measured: 6 month

  2. Incidence of adverse events by measurement of the number of reactions after vaccination

    adverse events events presumably attributable to vaccination and immunization (ESAVI) and adverse events of special interest (AESI)

    Measured: 6 months

Timeline

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

  1. First posted3 Aug 2021
  2. Study start3 Aug 2021
  3. Primary completion30 Sep 2021 (estimated)
  4. Study completion15 Feb 2022 (estimated)

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
Model description
Randomized, open, multicenter, collaborative and adaptive non-inferiority trial
Masking
None (open label)
Enrolment
1,760 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04988048
Sponsor's protocol ID
0001/2021
Acronym
ECEHeVac
Status last verified
Sep 2021
First submitted
29 Jul 2021
Last updated
29 Sep 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Nunez NG, Schmid J, Power L, Alberti C, Krishnarajah S, Kreutmair S, Unger S, Blanco S, Konigheim B, Marin C, Onofrio L, Kienzler JC, Costa-Pereira S, Ingelfinger F; InmunoCovidCba; InViV working group; Pasinovich ME, Castelli JM, Vizzotti C, Schaefer M, Villar-Vesga J, Mundt S, Merten CH, Sethi A, Wertheimer T, Lutz M, Vanoaica D, Sotomayor C, Gruppi A, Munz C, Cardozo D, Barbas G, Lopez L, Carreno P, Castro G, Raboy E, Gallego S, Moron G, Cervi L, Acosta Rodriguez EV, Maletto BA, Maccioni M, Becher B. High-dimensional analysis of 16 SARS-CoV-2 vaccine combinations reveals lymphocyte signatures correlating with immunogenicity. Nat Immunol. 2023 Jun;24(6):941-954. doi: 10.1038/s41590-023-01499-w. Epub 2023 Apr 24.

    PubMed 37095378

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing COVID-19 vaccines in people with COVID-19 VACCINE and Covid19, run by Ministry of Public Health, Argentina at 4 sites in Argentina.

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 5 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 29 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Argentina. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Marina Pasinovich, MD (+5491154961973, mpasinovich@msal.gov.ar), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Antibody against Spike protein measurement by ELISA test (time frame: 28 days). The study lists 2 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 NCT04988048, 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 29 Sep 2021.

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