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COVID-19Phase 2NCT05940194

NDV-HXP-S Vaccine Clinical Trial (COVIVAC)

A Phase 2 study testing COVIVAC vaccine in people with COVID-19, run by Institute of Vaccines and Medical Biologicals, Vietnam at 1 site in Vietnam.

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 prospective, single-center, randomized, placebo-controlled (phase 1) and active-controlled (phase 2), observer-blind Phase 1/2 study includes two separate parts. After completing the phase 1 interim analysis, 2 doses (3mcg and 6mcg) were selected for phase 2. 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
What is being tested?
COVIVAC vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
374 participants
Where
1 siteVietnam
Study dates
11 Aug 2021to 11 Mar 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Adult ≥ 18 years old inclusive at the time of randomization.
  • Having no clinically significant acute medical condition, and no chronic medical condition that has not been controlled within 90 days of randomization, as determined by medical history, physical examination, screening laboratory test results, and clinical assessment of the investigator.
  • Has provided written informed consent prior to performance of any study-specific procedure.
  • Has a body mass index (BMI) of 17 to 40 kg/m2, inclusive, at screening.
  • Resides in study site area and is able and willing to adhere to all protocol visits and procedures.
  • If a woman is of childbearing potential age, must not be breastfeeding or be pregnant (based on a negative urine pregnancy test at screening and during the 24 hours prior to receipt of the first dose of IP), must plan to avoid pregnancy for at least 28 days after the last dose of IP, and be willing to use an adequate method of contraception consistently and have a repeated pregnancy test prior to the second (last) dose of IP.

Who cannot join

  • Use of any investigational medicinal product within 90 days prior to randomization or planned use of such a product during the period of study participation.
  • History of administration of any non-study vaccine within 28 days prior to administration of study vaccine or planned vaccination within 3 months after enrolment.
  • Note: receipt of any COVID-19 vaccine that is licensed or granted Emergency Use Authorization in Vietnam during the course of study participation is not exclusionary if administered after Visit 5.
  • Previous receipt of investigational vaccine for SARS or MERS, or any investigational or licensed vaccine that may have an impact on interpretation of the trial results
  • History of hypersensitivity reaction to any prior vaccination or known hypersensitivity to any component of the study vaccine
  • History of egg or chicken allergy
Show all 22Show fewer
  • History of angioedema
  • History of anaphylaxis (≥ grade 2)
  • Acute illness (moderate or severe) and/or fever (body temperature measured orally ≥38°C)
  • Any abnormal vital sign deemed clinically relevant by the PI
  • Abnormality in screening laboratory test deemed exclusionary by the PI in consultation with the Sponsor
  • A positive serologic test for hepatitis B (HBsAg) or hepatitis C (HCV Ab) (phase 1 only)
  • History of confirmed HIV
  • History of laboratory-confirmed COVID-19
  • History of malignancy, excluding non-melanoma skin and cervical carcinoma in situ
  • Any confirmed or suspected immunosuppressive or immunodeficient state
  • Administration of immunoglobulin or any blood product within 90 days prior to first study injection or planned administration during the study period.
  • Administration of any long-acting immune-modifying drugs (e.g., infliximab or rituximab) or the chronic administration (defined as more than 14 days) of immunosuppressants within six months prior to first study injection, or planned administration during the study period (includes systemic corticosteroids at doses equivalent to ≥ 0.5 mg/kg/day of prednisone; the use of topical steroids including inhaled and intranasal steroids is permitted).
  • History of known disturbance of coagulation or blood disorder that could cause anemia or excess bleeding. (e.g, thalassemia, coagulation factor deficiencies).
  • Recent history (within the past year) or signs of alcohol or substance abuse.
  • Any medical, psychiatric or behavior condition that in the opinion of the PI may interfere with the study objectives, pose a risk to the subject, or prevent the subject from completing the study follow-up.
  • Employee of any person employed by the Sponsor, the contract research organization (CRO), the PI, study site personnel, or site.

Trial locations and contacts

1 site in 1 country.

Vietnam1 site
  • District Health Center of Vu Thu District

    Thái Bình, Thai Binh, 414900

Other trials in Vietnam

About this study

Official title: A Phase 1/2 Randomized, Active- Controlled, Observer-blind Trial to Assess the Safety and Immunogenicity of COVIVAC Vaccine Produced by IVAC in Adults ≥ 18 and ≥ 60 Years Old in Vietnam

This prospective, single-center, randomized, placebo-controlled (phase 1) and active-controlled (phase 2), observer-blind Phase 1/2 study includes two separate parts.

After completing the phase 1 interim analysis, 2 doses (3mcg and 6mcg) were selected for phase 2.

In Part 2 of this combined Phase 1/2 study, 374 adults aged 18-75 years will be randomized (1:1:1) to AZD1222, or COVIVAC 3 µg being evaluated in Phase 1 or the intermediate dose of COVIVAC 6 µg being selected after consideration of phase 1 results.

Read the detailed description

In Part 2 of this combined Phase 1/2 study, 374 adults aged 18-75 years will be randomized (1:1:1) to placebo, or COVIVAC 3 µg being evaluated in Phase 1 or the intermediate dose of COVIVAC 6 µg being selected after consideration of phase 1 results. At least one-third of the subjects in Phase 2 will be aged ≥60 years to ensure that adequate safety and immune data will be available from older and elderly adults to inform the selection of the COVIVAC formulation to advance to Phase 3 studies. The Phase 2 cohort will follow the same visit schedule, and undergo the same procedures and assessments, as in Phase 1. In addition, as exploratory objectives, the anti-NDV HN IgG response will be assessed at V1, V3, V5, and V7 in all subjects, and 36 subjects (equally distributed between the two age strata) will be randomly selected in a 1:1:1 ratio to provide additional blood at V1, V5 and V7 to be used to isolate peripheral blood mononuclear cells (PBMCs) for assessment of T-cell-mediated immunity (CMI).

An interim analysis of Phase 2 data will be conducted after the last subject of the Phase 2 cohort completes V6 (D57) as the basis for selecting the optimal formulation of COVIVAC to advance to Phase 3 studies. As was the case for the Phase 1 interim analysis at the same timepoint, the data generated will include unblinded post-dose 1 and dose 2 safety results for review by the DSMB, and immunogenicity results aggregated by treatment group for review by the Sponsor. The DSMB will consider all accumulated safety data from both phases of the study prior to making any recommendation to the Sponsor that it not advance a formulation based on safety concerns. The Sponsor will ultimately select the formulation to advance to Phase 3 that, in addition to having been judged by the DSMB to have an adequate safety and tolerability profile, is optimal based on relative functional immunogenicity and other programmatic considerations such as those noted above.

Conditions
COVID-19
Being tested
COVIVAC vaccine
Medical subject headings
COVID-19

What participants receive

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

  • COVIVAC vaccineBiological

    For prevention Covid-19

Study groups in NCT05940194
Study groupRoleWhat they receive
COVIVAC 3 mcgExperimental3 mcg IVAC COVIVAC vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC vaccine
COVIVAC 6 mcgExperimental6 mcg IVAC COVIVAC vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC vaccine
AZD1222Active comparatorAZD1222 (AstraZeneca) vaccine for intramuscular injection administered as two doses (0.5mL each) 28 days apart.
Receives: Biological: COVIVAC vaccine

What is being measured

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

  1. Percentage of Participants With Local and Systemic Solicited AEs by Severity During the First 7 Days After Each Vaccination.

    • Local solicited AEs: Pain or tenderness, Swelling or induration, Erythema
    • Systemic solicited AEs: Fever (defined as oral temperature ≥ 38°C), Headache, Fatigue or malaise, Myalgia, Arthralgia, Nausea or vomiting
    • Severity grading: Mild = Causes no or minimal interference with normal daily activities; intervention not indicated; Moderate =Interferes with but does not prevent normal daily activities; intervention indicated; Severe = Prevents normal daily activities; intervention or hospitalization indicated.

    Measured: 7 days after each vaccination

  2. Percentage of Participants With Unsolicited AEs by Severity and Relatedness During the First 28 Days After Each Vaccination

    • An unsolicited adverse event is any AE reported spontaneously by the subject, observed by the study staff during study visits or those identified during review of medical records or source documents. Solicited AEs with an onset after the seven-day solicitation period will be considered unsolicited AEs
    • Severity grading: Mild = Causes no or minimal interference with normal daily activities; intervention not indicated; Moderate =Interferes with but does not prevent normal daily activities; intervention indicated; Severe = Prevents normal daily activities; intervention or hospitalization indicated.

    Measured: 28 days after each vaccination

  3. Percentage of Participants With SAEs Severity and Relatedness Throughout the Entire Study Period

    A SAE is a specific AE that:

    • Results in death.
    • Is life-threatening.*
    • Requires inpatient hospitalization or prolongation of an existing hospitalization.**
    • Results in a persistent or significant disability or incapacity.***
    • Results in a congenital anomaly or birth defect.

    Measured: From the first vaccination until Day 197

  4. Percentage of Participants With AE of Special Interest by Severity and Relatedness Throughout the Entire Study Period

    AEs of Special interest which are AEs relevant to COVID-19 and potential immune-mediated medical conditions (PIMMC) occurred throughout the entire study period

    Measured: From first vaccination to Day 197

  5. NT50 GMT at 14 Days and 6 Months After Second Vaccination

    NT50 GMT against SARS-CoV-2 pseudovirus in subjects who are anti-S IgG seronegative at baseline

    Measured: 14 days and 6 months after second vaccination

  6. GMFR in NT50 at 14 Days and 6 Months After Second Vaccination

    GMFR in NT50 against SARS-CoV-2 pseudovirus measured at 14 days and 6 months after second vaccination to the baseline

    Measured: 14 days and 6 months after second vaccination

  7. Percentage of Subjects With Seroresponse in NT50 at 14 Days and 6 Months After Second Vaccination

    Seroresponses against SARS-CoV-2 pseudovirus as defined by a ≥ 4-fold increase from baseline

    Measured: 14 days and 6 months after second vaccination

Secondary outcomes (3)
  1. IgG GMC at 14 Days and 6 Months After Second Vaccination

    Anti-S IgG GMC in subjects who are anti-S IgG seronegative at baseline

    Measured: 14 days and 6 months after the second vaccination

  2. GMFR in Anti-S IgG GMC at 14 Days and 6 Months After Second Vaccination

    GMFR in anti-S IgG GMC measured at 14 days and 6 months after second vaccination to the baseline

    Measured: 14 days and 6 months after the second vaccination

  3. Percentage of Subjects With Seroresponses in Anti-S IgG Concentration at 14 Days and 6 Months After Second Vaccination

    Seroresponses in anti-S IgG titer as defined by (1) a ≥ 4-fold increase from baseline, and (2) a ≥ 10-fold increase from baseline

    Measured: 14 days and 6 months after the 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 posted11 Jul 2023
  2. Study start11 Aug 2021
  3. Primary completion18 Oct 2021
  4. Study completion11 Mar 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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
374 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05940194
Sponsor's protocol ID
COVIVAC-0102 (Phase 2)
Status last verified
Jun 2024
First submitted
8 Jul 2023
Last updated
15 Jan 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Thiem VD, Anh DD, Ha VH, Van Thom N, Thang TC, Mateus J, Carreno JM, Raghunandan R, Huong NM, Mercer LD, Flores J, Escarrega EA, Raskin A, Thai DH, Van Be L, Sette A, Innis BL, Krammer F, Weiskopf D. Safety and immunogenicity of an inactivated recombinant Newcastle disease virus vaccine expressing SARS-CoV-2 spike: A randomised, comparator-controlled, phase 2 trial. Vaccine. 2025 Jan 12;44:126542. doi: 10.1016/j.vaccine.2024.126542. Epub 2024 Nov 29.

    PubMed 39615342

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing COVIVAC vaccine in people with COVID-19, run by Institute of Vaccines and Medical Biologicals, Vietnam at 1 site in Vietnam.

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 6 inclusion and 22 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 15 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Vietnam. 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?

Yes. Results are posted in the registry (first posted 15 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants With Local and Systemic Solicited AEs by Severity During the First 7 Days After Each Vaccination. (time frame: 7 days after each vaccination). 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 NCT05940194, 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 15 Jan 2025.

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