AzTrials
AzTrials

COVID-19 InfectionPhase 2NCT05049226

Third Dose Vaccination With AstraZeneca or Pfizer COVID-19 Vaccine Among Adults Received Sinovac COVID-19 Vaccine

A Phase 2 study testing AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose, Pfizer/BioNTech BNT162b2 vaccine (PF) full dose and AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose in people with COVID-19 Infection and COVID-19 VACCINE, run by Mahidol University at 7 sites in Thailand.

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 prospective, multi-center, randomized, observer-blind Phase 2 study. A total of 1320 participants will be divided into 2 groups (660 each) receiving either full dose or half dose of either AZ or PF. Read more about this study

Who is it for?
Ages 20 years and olderHealthy volunteers can take part
Conditions the study is for
COVID-19 Infection, COVID-19 VACCINE
What is being tested?
AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose, Pfizer/BioNTech BNT162b2 vaccine (PF) full dose and AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,250 participants
Where
7 sitesThailand
Study dates
24 Sep 2021to 22 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 20 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adult male or female age equal or more than 20 years with Thai ID cards
  • Received two doses (21-28 days apart) of Sinovac inactivated COVID-19 vaccine who will be divided according to their intervals 60-less than 90 days, 90-less than120 days and 120-180 days
  • Has provided written informed consent prior to performance of any study-specific procedure
  • No history of fever or PUI symptoms within 7 days

Who cannot join

  • Any confirmed or suspected immunosuppressive or immunodeficient state.
  • Contraindication to AZ or PF according to labelling of the products
  • History of COVID infection within 3 months period
  • Pregnancy

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

Thailand7 sites
  • Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi hospital, Mahidol University

    Bang Phli, Changwat Samut Prakan, 10540

  • Faculty of Medicine Siriraj Hospital, Mahidol University

    Bangkok Noi, Bangkok, 10700

  • Faculty of Medicine, Chiang Mai University

    Chiang Mai, 50200

  • Faculty of Medicine, Prince of Songkla University

    Hat Yai, Changwat Songkhla, 90110

  • Faculty of Medicine Thammasat University

    Khlong Luang, Changwat Pathum Thani, 12121

  • Faculty of Medicine, Khon Kaen University

    Khon Kaen, 40002

  • Faculty of Medicine Chulalongkorn University

    Pathum Wan, Bangkok, 10330

Other trials in Thailand

About this study

Official title: A Randomized, Observer-blind Trial to Assess the Immunogenicity and Safety of Third Dose Vaccination With AstraZeneca COVID-19 Vaccine or Pfizer/BioNTech COVID-19 Vaccine Among Thai Adults Receiving Two Doses of Sinovac

This prospective, multi-center, randomized, observer-blind Phase 2 study. A total of 1320 participants will be divided into 2 groups (660 each) receiving either full dose or half dose of either AZ or PF.

Each group is further stratified into 3 subgroups according to three interval duration in term of days after second dose of SV for 60 to less than 90 days, 90 to less than120 days and 120 to 180 days. Each group will be randomized to receive either AZ or PF in 1:1 ratio.

Subjects who fulfilled eligibility criteria will be randomly assigned to receive either full dose or half dose of AZ or PF in 1:1 ratio as an IM injection in the deltoid muscle at Visit 1 (V1). Subjects will be follow-up for assessing immunity at day 28 (V3), day 60 (V4) and day 90 (V5) and for safety at day 7 (V2), day 28 (V3), day 60 (V4) and day 90 (V5). At least 50% from each subgroup will be randomly selected to provide additional blood at baseline (V1, day 0) and day 28 (V3) to be used for assessment of T-cell-mediated immunity (CMI)

Read the detailed description

This study has been designed to assess immune response and safety of third dose vaccination with AstraZeneca ChAdOx1AZD1222 vaccine or Pfizer/BioNTech BNT162b2 vaccine among Thai subjects who have received two doses of Sinovac.

The types of vaccines provided by the government included 7.7 million doses of inactivated vaccine manufactured by Sinovac and 6.5 million doses of AstraZeneca ChAdOx1 AZD1222 vaccine.

With the limited supplies of COVID vaccines in many regions of the world especially in LMIC including Thailand and the evidences of waning immunity of especially inactivated vaccine have raised the concerns whether third dose is needed.

The third dose that available now in Thailand are AstraZeneca ChAdOx1AZD1222 vaccine (AZ)/ Pfizer/BioNTech BNT162b2 vaccine (PF) and whether this can be provided with half dose so that the vaccination coverage is going to be higher in spite of limited vaccine supplies.

A number of studies have proved that COVID-19 vaccines are effective at preventing people from getting severe COVID-19 disease. However, the vaccines do not only reduce the chance of infection, but they also help to mitigate disease severity.

Study population: Male and female adults aged equal or more than 20 years who received two doses of Inactivated COVID-19 vaccine developed by Sinovac (given at 21-28 days apart) at different intervals of 60 to less than 90 days, 90 to less than120 days and 120 to 180 days

This prospective, multi-center, randomized, observer-blind Phase 2 study, A total of 1320 participants will be divided into 2 groups (660 each) receiving either full dose or half dose of either AZ or PF.

Each group is further stratified into 3 subgroups according to three interval duration in term of days after second dose of SV for 60-less than 90 days, 90-less than120 days and 120-180 days respectively. Subjects who fulfilled eligibility criteria will be randomly assigned to receive either full dose or half dose of AZ or PF in 1:1 ratio as an IM injection in the deltoid muscle at Visit 1 (V1).

All participants will be randomized based on dose given either full dose or half dose and further stratify accordingly by Interactive web-based response system (IWRS). There will be unblinded team which consists of pharmacist and nurse who will give injection. All the safety assessment will be performed independently by clinical team.

Subjects will be follow-up for assessing immunity at day 28 (V3), day 60 (V4) and day 90 (V5) and for safety at day 7 (V2), day 28 (V3), day 60 (V4) and day 90 (V5).

Being tested
AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose, Pfizer/BioNTech BNT162b2 vaccine (PF) full dose, AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose, Pfizer/BioNTech BNT162b2 vaccine (PF) half dose
Keywords
COVID-19 Infection, COVID-19 Respiratory Infection, COVID-19 VACCINE, AstraZeneca COVID-19 VACCINE, AstraZeneca COVID-19 (ChAdOx1 AZD1222) vaccine, Pfizer/BioNTech COVID-19 VACCINE, Pfizer/BioNTech COVID-19 (BNT162b2) vaccine, Thai adults, full dose AstraZeneca COVID-19 VACCINE, half dose AstraZeneca COVID-19 VACCINE, full dose Pfizer/BioNTech COVID-19 VACCINE, half dose Pfizer/BioNTech COVID-19 VACCINE, Sinovac COVID-19 Vaccine, immunogenicity, safety
Medical subject headings
COVID-19

What participants receive

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

  • AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full doseBiological

    Astrazeneca COVID-19 (ChAdOx1 AZD1222) vaccine:

    One dose (0.5 ml) contains: COVID-19 Vaccine (ChAdOx1-S* recombinant) 5 × 10^10 viral particles (vp)

    *Recombinant, replication-deficient chimpanzee adenovirus vector encoding the SARS-CoV-2 Spike glycoprotein. Produced in genetically modified human embryonic kidney (HEK) 293 cells.

    Administer: Intramuscular (IM) injection in the deltoid muscle

  • Pfizer/BioNTech BNT162b2 vaccine (PF) full doseBiological

    Pfizer-BioNTech COVID-19 (BNT162b2) vaccine:

    Diluent: 0.9% sodium chloride (normal saline, preservative-free)

    Administer: Intramuscular (IM) injection in the deltoid muscle

  • AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half doseBiological

    Astrazeneca COVID-19 (ChAdOx1 AZD1222) vaccine:

    One dose (0.5 ml) contains: COVID-19 Vaccine (ChAdOx1-S* recombinant) 5 × 10^10 viral particles (vp)

    *Recombinant, replication-deficient chimpanzee adenovirus vector encoding the SARS-CoV-2 Spike glycoprotein. Produced in genetically modified human embryonic kidney (HEK) 293 cells.

    Administer: Intramuscular (IM) injection in the deltoid muscle

  • Pfizer/BioNTech BNT162b2 vaccine (PF) half doseBiological

    Pfizer-BioNTech COVID-19 (BNT162b2) vaccine:

    Diluent: 0.9% sodium chloride (normal saline, preservative-free)

    Administer: Intramuscular (IM) injection in the deltoid muscle

Study groups in NCT05049226
Study groupRoleWhat they receive
Two doses of SV at interval 60 to less than 90 daysExperimentalParticipants who have received two doses of SV at interval 60 to less than 90 days
Receives: Biological: AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose; Biological: Pfizer/BioNTech BNT162b2 vaccine (PF) full dose; Biological: AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose; Biological: Pfizer/BioNTech BNT162b2 vaccine (PF) half dose
Two doses of SV at interval 90 to less than 120 daysExperimentalParticipants who have received two doses of SV at interval 90 to less than 120 days
Receives: Biological: AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose; Biological: Pfizer/BioNTech BNT162b2 vaccine (PF) full dose; Biological: AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose; Biological: Pfizer/BioNTech BNT162b2 vaccine (PF) half dose
Two doses of SV at interval 120 to 180 daysExperimentalParticipants who have received two doses of SV at interval 120 to 180 days
Receives: Biological: AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose; Biological: Pfizer/BioNTech BNT162b2 vaccine (PF) full dose; Biological: AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose; Biological: Pfizer/BioNTech BNT162b2 vaccine (PF) half dose

What is being measured

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

  1. GMT Anti-S IgG at baseline and after vaccination

    GMT Anti-S IgG at baseline and after vaccination at day 28, day 60 and day 90

    Measured: Day 0, Day 28, Day 60 and Day 90

  2. GMFR changed from baseline in anti-S IgG GMT after vaccination

    GMFR changed from baseline in anti-S IgG GMT at 28,60 and 90 days after vaccination

    Measured: Day 28, Day 60 and Day 90

  3. Anti-S IgG Seroresponses changed from baseline after vaccination

    Frequency and percentage of participants with seroresponses in anti-S IgG titer as defined by (1) a ≥ 4-fold increase from baseline at 28, 60 and 90 days after vaccination (2) a ≥ 10-fold increase from baseline at 28,60 and 90 days after vaccination

    Measured: Day 28, Day 60 and Day 90

  4. GMT against SARS-Cov-2 pseudovirus (PVNT) Neutralizing antibody titer 50 at baseline and after vaccination

    GMT against SARS-Cov-2 pseudovirus (PVNT) Neutralizing antibody titer 50 at baseline and after vaccination at day 28 and day 90

    Measured: Day 0, Day 28 and Day 90

  5. GMFR changed from baseline in NT50 against SARS-CoV-2 pseudovirus after vaccination

    GMFR changed from baseline in NT50 against SARS-CoV-2 pseudovirus at 28 and 90 days vaccination

    Measured: Day 28 and Day 90

  6. Frequency of solicited reportable local adverse event after vaccination

    Frequency and percentage of solicited reportable local adverse events (pain or tenderness, erythema, swelling or induration) of vaccination

    Measured: Day 0 through Day 7

  7. Frequency of solicited reportable systemic adverse event after vaccination

    Frequency and percentage of solicited reportable systemic adverse events (fever, headache, fatigue or malaise, myalgia, arthralgia, nausea or vomitting) of vaccination

    Measured: Day 0 through Day 7

  8. Frequency of all unsolicited AEs

    Frequency and percentage of all unsolicited AEs

    Measured: Day 0 through Day 28

  9. Frequency of SAEs

    Frequency and percentage of SAEs throughout the entire study period

    Measured: Day 0 through Day 90

Secondary outcomes (3)
  1. NT50 GMT against SARS-Cov-2 by micro neutralization assay at baseline and day 28 and day 90 after vaccination

    NT50 GMT against SARS-Cov-2 by micro neutralization assay at baseline and day 28 and 90 after vaccination

    Measured: Day 0, Day 28 and Day 90

  2. GMFR changed from baseline in NT50 against SARS-CoV-2 (micro NT Delta/WT NA) at 28 and 90 days after vaccination among those positives by PNT assay

    GMFR changed from baseline in NT50 against SARS-CoV-2 (micro NT Delta/WT NA) at 28 and 90 days after vaccination among those positives by PNT assay

    Measured: Day 28 and Day 90

  3. NT50 seroresponses against SARS-CoV-2 using micro NT changed from baseline at 28 and 90 days after vaccination among those positive by PVNT assay

    Frequency and percentage of participants with NT50 seroresponses against SARS-CoV-2 using micro NT as defined by (1) a ≥ 4-fold increase from baseline at 28 and 90 days after vaccination compare to baseline among those positive by PVNT assay

    Measured: Day 28 and Day 90

Timeline

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

  1. First posted20 Sep 2021
  2. Study start24 Sep 2021
  3. Primary completion22 Feb 2022
  4. Study completion22 Feb 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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,250 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05049226
Sponsor's protocol ID
TVTN001
Status last verified
Jul 2022
First submitted
14 Sep 2021
Last updated
6 Jul 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: data or left over specimen will be shared for future study ONLY subject who consent allow using their data/specimens. Sharing will be done without personnel identification

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) full dose, Pfizer/BioNTech BNT162b2 vaccine (PF) full dose and AstraZeneca ChAdOx1 AZD1222 vaccine (AZ) half dose in people with COVID-19 Infection and COVID-19 VACCINE, run by Mahidol University at 7 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 4 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: finished, as of the sponsor's last update on 6 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 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 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?

GMT Anti-S IgG at baseline and after vaccination (time frame: Day 0, Day 28, Day 60 and Day 90). The study lists 9 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 6 Jul 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