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COVID-19Phase 1/2NCT06255626

Safety and Immunogenicity of a Sub-unit Protein CD40.RBDv Bivalent COVID-19 Vaccine, Adjuvanted or Not, as a Booster in Volunteers.

A Phase 1/2 study testing CD40.RBDv vaccin (SARS-Cov2 Vaccin) in people with COVID-19, run by ANRS, Emerging Infectious Diseases at 2 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial, on healthy volunteers, is to learn more about safety and reactogenicity of the CD40.RBDv vaccine. The main questions that will be studied are : Is the CD40.RBDv (adjuvanted or not) safe ? Does the CD40.RBDv (adjuvanted or not) imply an immunologic response ? Participants will receive… Read more about this study

Who is it for?
Ages 18 to 84 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
CD40.RBDv vaccin (SARS-Cov2 Vaccin)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
215 participants
Where
2 sitesFrance
Study dates
27 May 2024to Sep 2025
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 84 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy volunteers Age ≥18 and <85
  • Able to understand and comply with planned study procedures and sign an informed consent before performance of any study-related screening procedures
  • Who has received a primary series of vaccination and ≥ 1 booster(s) of COVID-19 mRNA vaccination(s) with the last boost at least 6 months prior to the inclusion in the study
  • Subjects has adequate organ functions, evidenced by normal ALT, AST, and alkaline phosphatase
  • Normal haematology lab values
  • Negative virology assessment
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  • Normal Urine testing
  • Volunteers must meet the eligibility criteria in the approved package labelling of the active comparator
  • For women of childbearing potential: use of an effective contraceptive method and negative pregnancy test. For male participants, use of an effective method of contraception with their partner

Who cannot join

  • Acute febrile infection within the previous 72 hours and/or presenting symptoms suggestive of COVID-19 or SARS CoV 2 infection within the previous 28 days
  • Immunosuppressive medications received within last three months before first IMP administration or within 6 months for chemotherapies
  • Immunoglobulins within 90 days before first IMP administration
  • Blood products within 120 days before first IMP administration
  • Any medical condition, such as cancer, that might impair the immune response
  • Use of any experimental therapy
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  • Intent to participate in another study of an investigational research agent within 4 weeks prior to the enrolment visit or until the end of the study
  • Currently pregnant or breastfeeding
  • History of severe adverse events following vaccine administration
  • Any bleeding disorder considered as a contraindication to an intramuscular injection
  • A condition that requires active medical intervention or monitoring to avert grave danger to Asthma other than mild, well-controlled asthma.
  • Hypertension
  • BMI ≥ 40 kg/m2; ≤ 18 kg/m2; or BMI ≥ 35 kg/m2 with 2 or more of the following: age > 45, current smoker, known hyperlipidemia, blood pressure is defined as consistently ≥ 140 mm Hg systolic and ≥ 90 mm Hg diastolic
  • Malignancy
  • Asplenia
  • Seizure disorder
  • History of hereditary angioedema acquired angioedema, or idiopathic angioedema
  • History of myocarditis, pericarditis, cardiomyopathy, congestive heart failure with permanent sequelae, clinically significant arrhythmia (including arrhythmia requiring medication, treatment, or clinical follow-up
  • History of autoimmune disease
  • Any medical, occupational, or other condition that, in the judgment of the investigator, would interfere with or serve as a contraindication to protocol adherence
  • Psychiatric condition that precludes compliance with the protocol.
  • Live attenuated vaccines received within 30 days before first IMP administration or scheduled within 28 days after one of the last injection according to the protocol
  • Vaccines that are not live attenuated vaccines and were received within 21 days prior to first IMP administration
  • Allergy treatment with antigen injections within 30 days before first IMP administration and until the end of the study

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yves Levy, MD contact

+33149814442

yves.levy@aphp.fr

France2 sites, 2 recruiting
  • Hopital Henri Mondor

    Créteil, 94000

    Jean Daniel Lelièvre, MD

    Recruiting
  • Hôpital Cochin

    Paris, 75014

    Odile Launay, MD

    Recruiting

Other trials in France

About this study

Official title: A Phase 1/2 Multicenter, Randomized Study of the Safety and Immunogenicity of a Sub-unit Protein CD40.RBDv Bivalent COVID-19 Vaccine, Adjuvanted or Not, as a Booster in Volunteers.

The goal of this clinical trial, on healthy volunteers, is to learn more about safety and reactogenicity of the CD40.RBDv vaccine.

The main questions that will be studied are :

  • Is the CD40.RBDv (adjuvanted or not) safe ?
  • Does the CD40.RBDv (adjuvanted or not) imply an immunologic response ? Participants will receive, depending on their randomization arm, 1 or 2 injections of the CD40.RBDv vaccine or a single injection of approved mRNA vaccine
Read the detailed description

Phase 1/2a randomized, multicentre trial with four cohorts of two arms in two parts.

Part 1:

Cohort 1: Low dose (LD) CD40.RBDv vaccine non adjuvanted or mRNA vaccine (5:1 ratio)

Cohort 2: LD CD40.RBDv vaccine adjuvanted or mRNA vaccine (5:1 ratio)

Cohort 3: High dose (HD) CD40.RBDv vaccine non adjuvanted or mRNA vaccine (5:1 ratio)

Cohort 4: SC injection of HD CD40.RBDv vaccine adjuvanted or mRNA vaccine (5:1 ratio)

A substancial amendment (January 2025) has removed the randomisation to mRNA vaccine from the study design

Go-criterion for opening enrolment within cohorts are detailed into the protocol.

Part 2 at Month 3 :

Group 1: Volunteers who received mRNA vaccine in Part 1 will not receive any vaccine

Group 2: Volunteers who received a first dose of CD40.RBDv vaccine (adjuvanted or not) in Part 1 but randomized (1:1) to receive no further dose of vaccine in Part 2.

Group 3: Volunteers who received a first dose of CD40.RBDv vaccine (adjuvanted or not) in Part 1 and randomized (1:1) to receive an additional dose of CD40.RBDv vaccine (adjuvanted or not)

Conditions
COVID-19
Being tested
CD40.RBDv vaccin (SARS-Cov2 Vaccin)
Keywords
Vaccine, COVID-19
Medical subject headings
COVID-19

What participants receive

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

  • CD40.RBDv vaccin (SARS-Cov2 Vaccin)Drug

    Also called COVID-19 mRNA vaccine

    1 or 2 injection(s) of CD40.RBDv vaccine (or mRNA vaccine 1 injection (5:1))

Study groups in NCT06255626
Study groupRoleWhat they receive
1-CD40.RBDv non adjuvanted or mRNA vaccine (5:1 ratio)ExperimentalLow dose (LD) CD40.RBDv vaccine non adjuvanted or mRNA vaccine (5:1 ratio). If randomized to receive LD CD40.RBDv vaccine non adjuvanted in part 1, the subject will be randomised a second time to receive LD CD40.RBDv vaccine non adjuvanted (1:1) in part 2. Following a substancial amendment the randomization to mRNA vaccine has been removed from study design
Receives: Drug: CD40.RBDv vaccin (SARS-Cov2 Vaccin)
2-CD40.RBDv vaccine adjuvanted or mRNA vaccine (5:1 ratio)ExperimentalLD CD40.RBDv vaccine adjuvanted or mRNA vaccine (5:1 ratio) If randomized to receive LD CD40.RBDv vaccine adjuvanted in part 1, the subject will be randomised a second time to receive LD CD40.RBDv vaccine adjuvanted (1:1) in part 2. Following a substancial amendment the randomization to mRNA vaccine has been removed from study design
Receives: Drug: CD40.RBDv vaccin (SARS-Cov2 Vaccin)
3-High dose (HD) CD40.RBDv vaccine non adjuvanted or mRNA vaccine (5:1 ratio)ExperimentalHigh dose (HD) CD40.RBDv vaccine non adjuvanted or mRNA vaccine (5:1 ratio) If randomized to receive HD CD40.RBDv vaccine non adjuvanted in part 1, the subject will be randomised a second time to receive HD CD40.RBDv vaccine non adjuvanted (1:1) in part 2. Following a substancial amendment the randomization to mRNA vaccine has been removed from study design
Receives: Drug: CD40.RBDv vaccin (SARS-Cov2 Vaccin)
4-High dose (HD) CD40.RBDv vaccine adjuvanted or mRNA vaccineExperimentalHD CD40.RBDv vaccine adjuvanted or mRNA vaccine (5:1 ratio) If randomized to receive HD CD40.RBDv vaccine adjuvanted in part 1, the subject will be randomised a second time to receive HD CD40.RBDv vaccine adjuvanted (1:1) in part 2. Following a substancial amendment the randomization to mRNA vaccine has been removed from study design
Receives: Drug: CD40.RBDv vaccin (SARS-Cov2 Vaccin)

What is being measured

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

  1. Proportion of participants without any grade 3 or 4 biological or clinical solicited local/systemic or unsolicited AEs between D1 and Month 3 after each IMP/vaccine administration and considered to be related or possibly related to IMP administration

    These proportions of participants will be described with its 95% two-sided confidence interval.

    Measured: Month 3

  2. Neutralization antibodies titers (anti-RBD) against the original strain D614G and the relevant strain circulating at time of the study Month 1

    The primary immunogenecity endpoint is the neutralization antibodies titers (anti -RBD) against the original strain D614G and the relevant strain circulating at time of the study Month 1 after each dose The geometric mean titers (GMTs) with 95% confidence intervals (CIs) will be calculated at baseline and at Month 1 after each dose.

    Measured: Month 1

Secondary outcomes (11)
  1. Number of volunteers with solicited local and systemic Adverse Reactions (ARs)

    The original verbatim terms used by investigators to identify adverse events in the eCRF will be mapped to preferred terms using the MedDRA dictionary. The adverse events will then be grouped by MedDRA preferred terms into frequency tables according to system organ class. All reported adverse events, as well as adverse events judged by the investigator as at least possibly related to study vaccine, will be summarized according to system organ class and preferred term within system organ class and by interval of study observation. When an adverse event occurs more than once for a participants, the maximal severity and strongest relationship to the vaccine group will be chosen.

    Measured: Day 8

  2. Number of volunteers with Adverse Events (AEs) other than solicited adverse events

    The original verbatim terms used by investigators to identify adverse events in the eCRF will be mapped to preferred terms using the MedDRA dictionary. The adverse events will then be grouped by MedDRA preferred terms into frequency tables according to system organ class. All reported adverse events, as well as adverse events judged by the investigator as at least possibly related to study vaccine, will be summarized according to system organ class and preferred term within system organ class and by interval of study observation. When an adverse event occurs more than once for a participants, the maximal severity and strongest relationship to the vaccine group will be chosen.

    Measured: Day 1 to Months 3 after each dose

  3. Number of volunteers with Serious Adverse Events (SAEs), grade 3 and grade 4

    The original verbatim terms used by investigators to identify adverse events in the eCRF will be mapped to preferred terms using the MedDRA dictionary. The adverse events will then be grouped by MedDRA preferred terms into frequency tables according to system organ class. All reported adverse events, as well as adverse events judged by the investigator as at least possibly related to study vaccine, will be summarized according to system organ class and preferred term within system organ class and by interval of study observation. When an adverse event occurs more than once for a participants, the maximal severity and strongest relationship to the vaccine group will be chosen.

    Measured: Day 1 to Months 3 after each dose

  4. Number of volunteers with events leading to discontinuation of the vaccine regimen

    The original verbatim terms used by investigators to identify adverse events in the eCRF will be mapped to preferred terms using the MedDRA dictionary. The adverse events will then be grouped by MedDRA preferred terms into frequency tables according to system organ class. All reported adverse events, as well as adverse events judged by the investigator as at least possibly related to study vaccine, will be summarized according to system organ class and preferred term within system organ class and by interval of study observation. When an adverse event occurs more than once for a participants, the maximal severity and strongest relationship to the vaccine group will be chosen.

    Separate summaries will be produced for the following categories:

    • Serious adverse events
    • Adverse events that are possibly or probably related to vaccine
    • Adverse event leading to withdrawal from the study
    • After any vaccination and by vaccination

    Measured: Through study completion, an average of 15 months

  5. Seroconversion rate defined by an increase of 4 folds between day1 (baseline before vaccination) and Month 1 in anti-RBD IgG binding titers

    • The seroconversion rate defined by an increase of 4 folds between day1 (baseline before vaccination) and Month 1 in anti-RBD IgG binding titers will be described with its 95% two-sided confidence interval.

    Measured: Month 1

  6. To assess the cross-neutralization against the most relevant VOCs at the time of the study

    • To assess the cross-neutralization against the most relevant VOCs, The geometric mean titers (GMTs) with 95% confidence intervals (CIs) will be calculated at each timepoint.

    Measured: Day 1 (before each vaccination) day 8, day 14 and M1 after each vaccination, M3, M6, M12 (ie. 12 months after 1st dose and 9 months after 2nd dose) and M15 (ie. 15 months after 1st dose and 12 months after 2nd dose)

  7. To analyze the correlation between the magnitude of CD4+ specific T cell responses and levels of IgG specific responses

    • Correlation between the magnitude of CD4+ specific T cell responses and levels of igG specific responses will be estimated at each timepoint using Pearson or Spearman correlation coefficients, depending on variables distribution.

    Measured: Day 1 (before each vaccination) day 14 after each vaccination, M3, M6, M12 (ie. 12 months after 1st dose and 9 months after 2nd dose) and M15 (ie. 15 months after 1st dose and 12 months after 2nd dose)

  8. To characterize the vaccine efficacy by evaluating the number of COVID-19 infections (PCR+) and severity (based on CDC definition) in participants throughout the study follow-up.

    • Number of COVID-19 infections (PCR+) and severity (based on CDC definition) throughout the study follow-up.

    Measured: Through study completion, an average of 15 months

  9. To evaluate the Cytokine expression patterns of CD4 and CD8 T cells as measured by intracellular cytokine staining assay

    • Cytokine expression patterns of CD4 and CD8 T cells, measured by intracellular cytokine staining assay, will be described at each timepoint.

    Measured: Day 1 (before each vaccination) day 14 after each vaccination, M3, M6, M12 (ie. 12 months after 1st dose and 9 months after 2nd dose) and M15 (ie. 15 months after 1st dose and 12 months after 2nd dose)

  10. Percentages of T cells producing at least one cytokine after in vitro stimulation

    • Recall memory T cell responses, following in vitro restimulation (Epimax technology) on residual samples and depending on the results obtained in the analysis of intracellular cytokine staining assay, will be described.

    Measured: Through study completion, an average of 15 months

  11. Concentration (pg/mL) of cytokines produced by stimulated PBMC

    • Cytokines produced by stimulated PBMC (Luminex assay) on samples evaluated by Epimax technology will be described.

    Measured: Through study completion, an average of 15 months

Timeline

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

  1. First posted13 Feb 2024
  2. Study start27 May 2024
  3. Primary completionSep 2025 (estimated)
  4. Study completionSep 2025 (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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
215 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06255626
Sponsor's protocol ID
ANRS0407s - LKV.Cov40
Other IDs
2023-504594-20-00, 2023
Status last verified
Apr 2025
First submitted
8 Feb 2024
Last updated
25 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing CD40.RBDv vaccin (SARS-Cov2 Vaccin) in people with COVID-19, run by ANRS, Emerging Infectious Diseases at 2 sites in France.

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 9 inclusion and 24 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: looking for participants now, as of the sponsor's last update on 25 Apr 2025. 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 France. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Yves Levy, MD (+33149814442, yves.levy@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants without any grade 3 or 4 biological or clinical solicited local/systemic or unsolicited AEs between D1 and Month 3 after each IMP/vaccine administration and considered to be related or possibly related to IMP administration (time frame: Month 3). 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?
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 25 Apr 2025.

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