Evaluation of Immunogenicity, Safety and Antibody Persistence of COVID-19 Booster Vaccine (Produced in Wuhan) in Patients With Hypertension and/or Diabetes

Study Overview
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Brief Summary
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To evaluate the post-marketing immunogenicity, safety and antibody persistence of the third dose (booster) of Covid-19 vaccine in patients aged 60 years or older with hypertension and/or diabetes.

Detailed Description
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After giving informed consent, patients with hypertension, patients with diabetes, patients with both diseases, and healthy controls, all aged 60 years or older, are given a third doses of the inactivated SARS-CoV-2 vaccine (Vero cells). These subjects are all from the COVAX (HT/DM)-Wuhan clinical trial (NCT05065892). 50% of them receive the booster vaccine 3 months after the second dose (0-1-4 schedule); 50% of them receive the booster vaccine 5 months after the second dose (0-1-6 schedule). Venous blood samples are collected before the booster dose and on day 28 after the booster dose to evaluate the immunogenicity of the vaccine. Venous blood samples are also collected on day 84/168/252/336 after the booster dose to evaluate the antibody persistence of the vaccine. Adverse events are actively recorded on a diary card once daily from day 0 to day 7 and once from day 8 to day 21 after the booster dose. Serious adverse events (SAE) are collected within 6 months after the booster dose.

Official Title
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A Post-marketing Clinical Study of a Third Dose of the Inactivated SARS-CoV-2 Vaccine (Vero Cells) (Produced in Wuhan): Immunogenicity, Safety and Antibody Persistence Assessments in Patients With Hypertension and/or Diabetes

Conditions
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COVID-19 Pneumonia

Intervention / Treatment
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* Biological: Covid-19 vaccine (0-1-4 schedule)
* Biological: Covid-19 vaccine (0-1-6 schedule)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participate in the clinical trial NCT05065892. ≥60 years old individuals with full civil capacity. Clinically confirmed body temperature of <37.3°C before enrolling in this study. Able and willing to participate in the study plan during the entire study and follow-up period. Capable of understanding the study procedures, willing to sign the informed consent form, and able to comply with the requirements of the clinical study protocol. Inclusion criteria for patients with hypertension and/or diabetes: Hypertension and/or diabetes definitively diagnosed by a community-level or higher medical institution. Patients with hypertension: systolic pressure <160 mmHg and diastolic pressure <100 mmHg on the day of immunization achieved by lifestyle adjustment and/or drug treatment; patients with diabetes: fasting glucose ≤13.9 mmol/L on the day of (or within 3 days before) immunization achieved by lifestyle adjustment and/or drug treatment Exclusion Criteria: Previously confirmed or asymptomatic COVID-19 patient. Has been immunized with a SARS-CoV-2 vaccine. Illiterate. Known allergy to any ingredient (including excipient) of this product. Received non-specific immunoglobulin injection within 1 month before enrollment. Received a live attenuated vaccine within 1 month before immunization or other vaccine within 14 days before immunization. Previous serious allergy to vaccine (e.g., acute allergic reaction, urticaria, angioedema, and dyspnea). Has uncontrolled epilepsy and other progressive neurological disorders; history of Guillain-Barré syndrome. Severe respiratory disorders, severe hepatic and renal diseases, malignancies, and various acute diseases or acute onset of chronic diseases. Diagnosed with congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, or other autoimmune diseases. Definitively diagnosed with thrombocytopenia or history of other coagulation disorders that may cause subcutaneous injection to be contraindicated. Currently experiencing acute complications (ketoacidosis, hyperosmolar state, lactic acidosis, etc.) of diabetes; or within 2 weeks after recovery from these complications. Other physical conditions judged by the investigator that render the patient unsuitable for participation in the clinical study.

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 0-1-4 schedule group<br>Subjects receive the booster vaccine 3 months after the second dose. | Biological: Covid-19 vaccine (0-1-4 schedule)<br>* Subjects receive the booster vaccine 3 months after the second dose.<br>|
| Experimental: 0-1-6 schedule group<br>Subjects receive the booster vaccine 5 months after the second dose. | Biological: Covid-19 vaccine (0-1-6 schedule)<br>* Subjects receive the booster vaccine 5 months after the second dose.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Seroconversion rate | the rate of positive seroconversion against coronavirus | Up to 28 days after the booster dose | 
| Neutralizing antibody level | neutralizing antibody level against coronavirus | Up to 28 days after the booster dose | 
| Neutralizing antibody level | neutralizing antibody level against coronavirus | Up to 84 days after the booster dose | 
| Neutralizing antibody level | neutralizing antibody level against coronavirus | Up to 168 days after the booster dose | 
| Neutralizing antibody level | neutralizing antibody level against coronavirus | Up to 252 days after the booster dose | 
| Neutralizing antibody level | neutralizing antibody level against coronavirus | Up to 336 days after the booster dose | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse events following vaccination | analyse the incidence of adverse events following immunization, both solicited and unsolicited | Up to 6 months after the booster dose |