Clinical trial NCT04530357: Reactogenicity, Safety and Immunogenicity of QazCovid-in® COVID-19 Vaccine
Official title: Randomized, Blind, Placebo-controlled Phase- i Study and Randomized, Open Phase Phase-ii Study of QAZCOVID-IN®- COVID-19 Inactivated Vaccine in Healthy Adult Volunteers From 18 Years Old and Elder
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
PHASE2
Conditions: Covid19
SARS-CoV Infection
Vaccine Adverse Reaction
Keywords: vaccine, I/II phase, safety, immunogenicity, QazCovid-in®
Lead sponsor: Research Institute for Biological Safety Problems
Sponsor class: OTHER_GOV
Collaborators: name: National Scientific Center for Phthisiopulmonology of the Republic of Kazakhstan
First posted: 2020-08-28
Enrollment: 244
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Randomized, blind, placebo-controlled phase- i study and randomized, open phase phase-ii study of QAZCOVID-IN®- COVID-19 inactivated vaccine in healthy adult volunteers from 18 years old and elder

Detailed description: Purpose of the Phase-I clinical study Evaluation of the safety,acceptability and immunogenicity of QazCovid-in®-COVID-19 inactivated vaccine when administeredtwice in healthy volunteers aged 18-50 years.

Purpose of the Phase-II clinical study Evaluation of the safety and immunogenicity of QazCovid-in® - COVID-19 inactivated vaccine with single and dual use in healthy volunteers aged 18 and above.

Eligibility criteria: Inclusion Criteria:

* Availability of signed and dated informed consent of the volunteer to participate in the study.
* Healthy male and female volunteers aged 18-50 and 50 and above.
* Ability and voluntary desire to independently keep records in the Self-Observation Diary, as well as to carry out all the repeated visits provided for in the study for control medical observation.
* The voluntary desire of females to use methods of reliable contraception throughout the entire period of their participation in the study.
* Negative results for IgM and IgG antibodies to SARS-CoV-2.
* Absence of COVID-19 diagnosis in history.
* Absence in the last 14 days of close contact with persons suspected of being infected with SARS-CoV-2, or persons whose diagnosis of COVID-19 has been confirmed with laboratory.
* Negative test results for human immunodeficiency virus (HIV), hepatitis B and hepatitis C.

Exclusion Criteria:

* Aggravated allergic history, drug intolerance, including hypersensitivity to any of the components of the study drug, as well as a history of serious adverse events during vaccine administration (such as allergic reactions, respiratory failure, angioedema, abdominal pain).
* Acute illness with fever (body temperature ≥37.1°C) at the time of screening/randomization.
* Chronic alcohol and/or drug use in history.
* Clinically significant deviations from normal values during laboratory and/or imaging at screening.
* Women with a positive urine pregnancy test.
* Simultaneous treatment with immunosuppressive drugs, including corticosteroids (2 weeks) 4 weeks prior to study drug administration.
* Acute or chronic clinically significant lesions of the lungs, cardiovascular system, gastrointestinal tract, liver, blood system, skin, endocrine, neurological and psychiatric diseases or impaired renal function (asthma, diabetes, thyroid disease, arrhythmia, myocardial infarction, severe hypertension not controlled by drugs, etc.), identified based on medical history, physical examination or clinical laboratory tests that, according to the researcher, may affect the study result.
* Disruption of platelets or other blood clotting disorders, which may cause contraindications to intramuscular administration.
* Leukemia or neoplasm in history.
* Persons with autoimmune diseases.
* Volunteers who received antiviral drugs, immunoglobulin's or blood transfusions or any other investigational drug within 4 weeks prior to study drug administration;
* Volunteers who received anti-inflammatory drugs 2 days before study drug administration;
* Participation in any other clinical research within the last 3 months.
* Volunteers with a concern that they will not comply with the study requirements, or persons with severe physical or mental disabilities that may affect the completion of the study.
* Voluntary refusal to study.

Primary outcomes:
measure: Frequency of adverse events up to seven days after immunization
timeFrame: Seven days after each immunization
measure: Frequency of adverse events up to 21 days after immunization
timeFrame: 21 days after each immunization
measure: The proportion of volunteers with increased levels of the immune response of specific neutralizing antibody titers in ELISA following the vaccination, compared with a placebo
timeFrame: at days 0, 21, 27, 42
measure: Changing of virus-neutralizing antibodies to SARS-CoV-2 virus in blood serum samples
timeFrame: at days 0, 21, 27, 42
Secondary outcomes:
measure: Incidence of serious adverse events during the study
timeFrame: throughout the study, an average of 42 days
measure: Cell-mediated immune profile
timeFrame: at days 0, 7, 21, 27, 42
Other outcomes:
Locations:
city: Gvardeyskiy
country: Kazakhstan
facility: Research Institute for Biological Safety Problems Committee of Science of the Ministry of Education and Science of the Republic of Kazakhstan
state: Jambul
Study officials:
affiliation: Research Institute for Biological Safety Problems
name: Berik Khairullin, PhD
role: STUDY_DIRECTOR
affiliation: Research Institute for Biological Safety Problems
name: Kunsulu Zakarya, PhD
role: STUDY_CHAIR
affiliation: Centre for Clinical Medicine and Research
name: Ilyas Kulmagambetov, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Zakarya K, Kutumbetov L, Orynbayev M, Abduraimov Y, Sultankulova K, Kassenov M, Sarsenbayeva G, Kulmagambetov I, Davlyatshin T, Sergeeva M, Stukova M, Khairullin B. Safety and immunogenicity of a QazCovid-in(R) inactivated whole-virion vaccine against COVID-19 in healthy adults: A single-centre, randomised, single-blind, placebo-controlled phase 1 and an open-label phase 2 clinical trials with a 6 months follow-up in Kazakhstan. EClinicalMedicine. 2021 Sep;39:101078. doi: 10.1016/j.eclinm.2021.101078. Epub 2021 Aug 14.