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Safety of a Single Dose of COMVIGEN VaccinePhase 2NCT05930730

Immunogenicity and Safety of Comvigen (Bivalent) Vaccine

A Phase 2 study testing Comvigen (Bivalent, ChulaCov19 BNA159.2) and BIVALENT Pfizer/BNT vaccine in people with Safety of a Single Dose of COMVIGEN Vaccine and Reactogenicity of a Single Dose of COMVIGEN Vaccine, run by Chulalongkorn University at 2 sites in Thailand.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

This study will assess the safety, reactogenicity and immunogenicity of a single dose of Comvigen (Bivalent, ChulaCov19 BNA159.2) vaccine or BIVALENT Pfizer/BNT vaccine as a booster among healthy males and non-pregnant females aged 18-64 years after receiving a previous booster dose of any approved mRNA COVID-19… Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
What is being tested?
Comvigen (Bivalent, ChulaCov19 BNA159.2) and BIVALENT Pfizer/BNT vaccine
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
450 participants
Where
2 sitesThailand
Study dates
9 Oct 2023to Feb 2024
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 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants who meet all the following criteria at Screening are eligible to participate in the study:
  • Must be a male or female aged 18 - 64 (inclusive) at the time of enrolment
  • Must have completed at least a primary course of 2 doses of any approved COVID-19 vaccine which the last dose have to be mRNA vaccine and completed the last doser 3 months or more
  • Must be able to communicate effectively with study personnel and considered reliable, willing, and cooperative in terms of compliance with the protocol requirements
  • Participants must sign the written informed consent form prior to undertaking any protocol-related procedures
  • SARS-CoV-2 rapid antigen test is negative at Day 1 (the day of receiving the study booster dose)
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  • Does not intend to receive any other authorized/approved COVID-19 vaccine at the time of enrolment and up to 3 months of the study
  • Males must be surgically sterile (>30 days since vasectomy with no viable sperm), practice true abstinence or, if engaged in sexual relations with a female of child-bearing potential, the participants and their partner must use an acceptable, highly effective, double-barrier contraceptive method* from Screening and for a period of at least 60 days after vaccination
  • A female participant is eligible if she is not pregnant, or breastfeeding indicated by one of the following conditions:
  • With childbearing potential (WOCBP): she agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to the study intervention administration until at least 12 weeks after the study intervention administration, or
  • With non-childbearing potential. To be considered of non-childbearing potential, a female must be post-menopausal for at least 1 year or surgically sterile
  • Participants must be in general good health* based on medical history and physical examination, as determined by the PI at Screening.
  • Participants must agree to refrain from donating blood, plasma, ova, sperm, or organs during the whole study.

Who cannot join

  • Participants who meet any of the following criteria are not eligible to participate in the study:
  • History of a systemic hypersensitivity or life-threatening reaction to a vaccine containing any of the same or similar substances.
  • History of test-confirmed by PCR or rapid antigen test to SARS-CoV-2 COVID-19 infection within 3 months prior to randomisation.
  • Presence of clinically significant medical history*, unstable chronic or acute disease that, in the opinion of the PI, may increase the risk of exposure to the investigational vaccine
  • History of having any significant side effects after receipt of any other COVID-19 vaccine eg. endocarditis, pericarditis or myocarditis. History of any severe reactogenic side effects or other medical illness that were thought to be associated with vaccine.
  • Presence of an acute illness* or with fever at 38.00 C or more within 72 hours prior to vaccination.
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  • Bleeding disorders or taking an anticoagulant or anti-platelet agent that may contraindicate for intramuscular injection based on Investigator's judgment
  • Inadequate venous access to allow the collection of blood samples.
  • Received any prophylactic or therapeutic vaccine, biologic product, device or blood product, within 4 weeks of vaccination or 5 half-lives (whichever is longer) or anticipate doing so in the follow-up period defined for this study. For influenza vaccine, however, can be administered up to 14 days prior to randomization and following visit 3 (Day 29+3) after blood sample collection.
  • History of ever had an anaphylaxis reaction to food, medication, or vaccination.
  • Participant is immunosuppressed as caused by disease or immunosuppressive therapy or anticipated need to use of any chemotherapy or immunosuppressive agents* within the next 6 months.
  • Participation in any of the other investigational trials of vaccines, therapeutic, or medical devices 12 weeks before or during the 6 months of this study.
  • Received immunoglobulins and/or any blood or blood products within 3 months before vaccination day or plans to receive any blood or blood products at any time during the study.

Trial locations and contacts

2 sites in 1 country.

Watsamon Jantarabenjakul, MD contact

+66 818276255

watsamon.j@chula.ac.th

Thailand2 sites, 2 recruiting
  • Department of Pediatric, Faculty of Medicine, Chulalongkorn University

    Bangkok, 10330

    Watsamon Jantarabenjakul, MD, +66 818276255, Watsamon.J@chula.ac.th

    Watsamon Jantarabenjakul, MD

    Recruiting
  • HIV-NAT, Thai Red Cross - AIDS Research Centre

    Bangkok, 10330

    Sivaporn Gatechompol, MD, +66 85-048-5053, sivaporn.k@hivnat.org

    Sivaporn Gatechompol, MD

    Recruiting

Other trials in Thailand

About this study

Official title: A Phase 2, Non-inferiority, Open-label, Randomized Controlled Study to Evaluate the Immunogenicity and Safety of Comvigen (Bivalent) Vaccine as a Booster Dose in Adults Who Have Received a Previous Booster Dose of an Approved COVID-19 Vaccine

This study will assess the safety, reactogenicity and immunogenicity of a single dose of Comvigen (Bivalent, ChulaCov19 BNA159.2) vaccine or BIVALENT Pfizer/BNT vaccine as a booster among healthy males and non-pregnant females aged 18-64 years after receiving a previous booster dose of any approved mRNA COVID-19 vaccine for more than 3 months. The results of Combiven will be compared to BIVALENT Pfizer/BNT vaccine.

Read the detailed description

This is a phase II, non-inferiority, multicenter randomized open-label trial in which 450 healthy males and non-pregnant females, aged 18-64 years, will be recruited from multi-sites in Thailand. The randomization will be a 2:1 design to receive either Comvigen (Bivalent, ChulaCov19 BNA159.2) vaccine or BIVALENT Pfizer/BNT vaccine. This clinical trial is designed to assess the safety, reactogenicity and immunogenicity of a single dose of COMVIGEN at 50 ug, as a booster dose, given at 3 months and above after receipt of a previous booster dose of any approved mRNA COVID-19 vaccine. The estimated sample size would also allow a comparison between a booster dose, Comvigen (Bivalent, ChulaCov19 BNA159.2) vaccine at 50 ug to Comirnaty, BIVALENT of Pfizer/BNT Bivalent vaccine at 30 ug dose.

Being tested
Comvigen (Bivalent, ChulaCov19 BNA159.2), BIVALENT Pfizer/BNT vaccine
Keywords
Non-inferiority study, Open-label, Randomized Controlled Study, Immunogenicity of the booster dose, safety of booster dose, reactogenicity of booster dose, COMVIGEN (Bivalent, ChulaCov19 BNA159.2 vaccine), Pfizer bivalent vaccine (Comirnaty, BIVALENT), mRNA from the ancestral (original) strain, Omicron variant (BA.4/BA.5) of SARS-CoV-2
Medical subject headings
Sprains and Strains

What participants receive

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

  • Comvigen (Bivalent, ChulaCov19 BNA159.2)Biological

    single dose of COMVIGEN at 50 ug, as a booster dose, given at 3 months and above after receipt of a previous booster dose of any approved mRNA COVID-19 vaccine

  • BIVALENT Pfizer/BNT vaccineBiological

    single dose of BIVALENT of Pfizer/BNT Bivalent vaccine at 30 ug, as a booster dose, given at 3 months and above after receipt of a previous booster dose of any approved mRNA COVID-19 vaccine

Study groups in NCT05930730
Study groupRoleWhat they receive
Comvigen (Bivalent, ChulaCov19 BNA159.2)ExperimentalNot described
Receives: Biological: Comvigen (Bivalent, ChulaCov19 BNA159.2)
BIVALENT Pfizer/BNT vaccineActive comparatorNot described
Receives: Biological: BIVALENT Pfizer/BNT vaccine

What is being measured

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

  1. adverse events

    Presence of immediate adverse events within 30 minutes after vaccination

    Measured: 30 minutes after vaccination

  2. solicited injection site or systemic reactions

    Presence of solicited injection site or systemic reactions within 7 days after vaccination

    Measured: within 7 days after vaccination

  3. unsolicited adverse events

    Presence of unsolicited adverse events within 28 days after vaccination

    Measured: within 28 days after vaccination

  4. serious adverse events (SAEs)

    Presence of serious adverse events (SAEs) from day 1 to Day 169

    Measured: 169 days

  5. medically attended adverse events (MAAEs)

    Presence of medically attended adverse events (MAAEs) from day 1 to Day 169

    Measured: 169 days

  6. New Onset Chronic Medical Condition (NOCMCs)

    Presence of New Onset Chronic Medical Condition (NOCMCs) from day 1 to Day 169

    Measured: 169 days

  7. vital signs

    Number of participants with abnormal vital signs

    Measured: 169 days

  8. vital signs

    Percent of participants with abnormal vital signs

    Measured: 169 days

  9. clinical changes

    Number of participants with abnormal physical examinations finding

    Measured: 169 days

  10. clinical changes

    Percent of participants with abnormal physical examinations findingexaminations

    Measured: 169 days

  11. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer measured by pseudoviral neutralization assay (psVNT-50) against Omicron BA.4/BA.5 exposed to COMVIGEN (Bivalent) vaccine

    Measured: Day 29

  12. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer measured by pseudoviral neutralization assay (psVNT-50) against wild-type virus exposed to COMVIGEN (Bivalent) vaccine

    Measured: Day 29

  13. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer measured by pseudoviral neutralization assay (psVNT-50) against Omicron BA.4/BA.5 exposed to BIVALENT vaccine

    Measured: Day 29

  14. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer measured by pseudoviral neutralization assay (psVNT-50) against wild-type virus exposed to BIVALENT vaccine

    Measured: Day 29

  15. Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer

    Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer against wild-type virus exposed to COMVIGEN (Bivalent) vaccine

    Measured: Day 29

  16. Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer

    Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer against Omicron BA.4/BA.5 exposed to COMVIGEN (Bivalent) vaccine

    Measured: Day 29

  17. Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer

    Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer against wild-type virus exposed to BIVALENT vaccine

    Measured: Day 29

  18. Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer

    Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer against Omicron BA.4/BA.5 exposed to BIVALENT vaccine

    Measured: Day 29

  19. Proportion of participants with at least 4-fold-rise in neutralizing antibody titer

    Proportion of participants with at least 4-fold-rise in neutralizing antibody titer, psVNT-50 against wild-type virus exposed to COMVIGEN (Bivalent)

    Measured: Day 29

  20. Proportion of participants with at least 4-fold-rise in neutralizing antibody titer

    Proportion of participants with at least 4-fold-rise in neutralizing antibody titer, psVNT-50 against Omicron BA.4/BA.5 exposed to COMVIGEN (Bivalent)

    Measured: Day 29

  21. Proportion of participants with at least 4-fold-rise in neutralizing antibody titer

    Proportion of participants with at least 4-fold-rise in neutralizing antibody titer, psVNT-50 against against wild-type virus exposed to BIVALENT vaccine

    Measured: Day 29

  22. Proportion of participants with at least 4-fold-rise in neutralizing antibody titer

    Proportion of participants with at least 4-fold-rise in neutralizing antibody titer, psVNT-50 against against Omicron BA.4/BA.5 exposed to BIVALENT vaccine

    Measured: Day 29

Secondary outcomes (23)
  1. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer at Day 29 measured by psVNT-50 against other relevant variants of concerns (VOCs)

    Measured: Day 29

  2. Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer

    Geometric mean of the fold-rise post-vaccination of psVNT-50 neutralizing antibody titer against other relevant VOCs from Day 1 to Day 29

    Measured: Day 29

  3. Proportion of participants with at least 4-fold-rise in neutralization antibody titer

    Proportion of participants with at least 4-fold-rise in neutralization antibody titer, psVNT-50 against other relevant VOCs from Day 1 to Day 29

    Measured: Day 29

  4. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer at Day 1 measured by live-virus microneutralization assay (micro-VNT-50) against wild-type virus

    Measured: Day 1

  5. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer at Day 29 measured by live-virus microneutralization assay (micro-VNT-50) against wild-type virus

    Measured: Day 29

  6. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer at Day 1 measured by live-virus microneutralization assay (micro-VNT-50) against omicron BA.4/BA.5

    Measured: Day 1

  7. Geometric mean titers of neutralizing antibody titer

    Geometric mean titers of neutralizing antibody titer at Day 29 measured by live-virus microneutralization assay (micro-VNT-50) against omicron BA.4/BA.5

    Measured: Day 29

  8. Geometric mean of the fold-rise post-vaccination of micro-VNT-50

    Geometric mean of the fold-rise post-vaccination of micro-VNT-50 against wild-type on Day 29.

    Measured: Day 29

  9. Geometric mean of the fold-rise post-vaccination of micro-VNT-50

    Geometric mean of the fold-rise post-vaccination of micro-VNT-50 against omicron BA.4/BA.5 virus on Day 29.

    Measured: Day 29

  10. Proportion of participants with at least 4-fold-rise in micro-VNT-50

    Proportion of participants with at least 4-fold-rise in micro-VNT-50 against wild-type virus on Day 29.

    Measured: Day 29

  11. Proportion of participants with at least 4-fold-rise in micro-VNT-50

    Proportion of participants with at least 4-fold-rise in micro-VNT-50 against omicron BA.4/BA.5 virus on Day 29.

    Measured: Day 29

  12. Geometric mean titers of anti-RBD antibody titer

    Geometric mean titers of anti-RBD antibody titer at Day 29 against wild type.

    Measured: Day 29

  13. Geometric mean titers of anti-Spike (S) antibody titer

    Geometric mean titers of anti-Spike (S) antibody titer at Day 29 against wild type.

    Measured: Day 29

  14. Geometric mean of the fold-rise post-vaccination of anti-RBD antibody

    Geometric mean of the fold-rise post-vaccination of anti-RBD antibody against wild-type virus at Day 29.

    Measured: Day 29

  15. Geometric mean of the fold-rise post-vaccination of anti-S antibody titer

    Geometric mean of the fold-rise post-vaccination of anti-S antibody titer against wild-type virus at Day 29.

    Measured: Day 29

  16. Proportion of participants with at least 4-fold-rise in anti-RBD

    Proportion of participants with at least 4-fold-rise in anti-RBD titer against wild-type virus at Day 29

    Measured: Day 29

  17. Proportion of participants with at least 4-fold-rise in anti-RBD

    Proportion of participants with at least 4-fold-rise in anti-S antibody titer against wild-type virus at Day 29

    Measured: Day 29

  18. Geometric mean of SARS-CoV2-specific T-cell responses

    Geometric mean of SARS-CoV2-specific T-cell responses (spot-forming cells or SFC per 1 million PBMCs) measured by IFN gamma-ELISPOT assay against wild-type peptides at day 1

    Measured: Day 1

  19. Geometric mean of SARS-CoV2-specific T-cell responses

    Geometric mean of SARS-CoV2-specific T-cell responses (spot-forming cells or SFC per 1 million PBMCs) measured by IFN gamma-ELISPOT assay against wild-type peptides at day 29

    Measured: Day 29

  20. median number of SARS-CoV2-specific T-cell responses

    median number of SARS-CoV2-specific T-cell responses (spot-forming cells or SFC per 1 million PBMCs) measured by IFN gamma-ELISPOT assay against wild-type peptides at day 1

    Measured: Day 1

  21. median number of SARS-CoV2-specific T-cell responses

    median number of SARS-CoV2-specific T-cell responses (spot-forming cells or SFC per 1 million PBMCs) measured by IFN gamma -ELISPOT assay against wild-type peptides at day 29

    Measured: Day 29

  22. Geometric mean of the fold-rise post-vaccination of SARS-CoV2-specific T-cell responses

    Geometric mean of the fold-rise post-vaccination of SARS-CoV2-specific T-cell responses (spot-forming cells (SFC) per 1 million PBMCs) measured by IFN gamma-ELISPOT assay against wild-type peptides exposed to COMVIGEN (Bivalent) vaccine on Day 29

    Measured: Day 29

  23. Geometric mean of the fold-rise post-vaccination of SARS-CoV2-specific T-cell responses

    Geometric mean of the fold-rise post-vaccination of SARS-CoV2-specific T-cell responses (spot-forming cells (SFC) per 1 million PBMCs) measured by IFN gamma-ELISPOT assay against wild-type peptides exposed to BIVALENT vaccine on Day 29

    Measured: Day 29

Timeline

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

  1. First posted5 Jul 2023
  2. Study start9 Oct 2023
  3. Primary completionFeb 2024 (estimated)
  4. Study completionFeb 2024 (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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
450 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05930730
Sponsor's protocol ID
ChulaVac 006
Status last verified
Oct 2023
First submitted
20 Jun 2023
Last updated
18 Oct 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Jantarabenjakul W, Nantanee R, Puthanakit T, Gatechompol S, Avihingsanon A, Punrin S, Tantawichien T, Nitayaphan S, Thitithanyanont A, Buranapraditkun S, Jongkaewwattana A, Ketloy C, Prompetchara E, Lawpoolsri S, Wijagkanalan W, Alameh MG, Hong L, Samija M, Weissman D, Ruxrungtham K; ChulaVac006 Study Team. Immunogenicity and safety of 'Comvigen', a bivalent SARS-CoV-2 vaccine, in comparison to Comirnaty bivalent vaccine in Thailand: a phase 2, non-inferiority randomised trial. Lancet Reg Health Southeast Asia. 2025 Aug 15;40:100650. doi: 10.1016/j.lansea.2025.100650. eCollection 2025 Sep.

    PubMed 40895389

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Comvigen (Bivalent, ChulaCov19 BNA159.2) and BIVALENT Pfizer/BNT vaccine in people with Safety of a Single Dose of COMVIGEN Vaccine and Reactogenicity of a Single Dose of COMVIGEN Vaccine, run by Chulalongkorn University 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 13 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: status not confirmed, as of the sponsor's last update on 18 Oct 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 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 Watsamon Jantarabenjakul, MD (+66 818276255, watsamon.j@chula.ac.th), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

adverse events (time frame: 30 minutes after vaccination). The study lists 22 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 NCT05930730, 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 18 Oct 2023.

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