Protocol summary
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Study aim
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Safety and immunogenicity of Covid 19 FAKHRAVAC (MIVAC) inactivated vaccine in healthy population 18-70 years
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Design
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Randomized, double blind, controlled trial with parallel design on 500 volunteers in 2 groups of 250, double blind and randomized.
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Settings and conduct
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Fakhra clinical trial center, Persian Gulf Hall, SASAD Sports Complex, Shahid Fakhrizadeh Street, Sayad Shirazi Highway, Tehran, Iran
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Age 18-70 years; BMI 18-35; No current or previous COVID-19 infection; Use of safe methods of contraception; Signing informed consent. Exclusion criteria: Current acute or chronic illness requiring regular medical or surgical attention; High-risk occupations exposed to Covid-19; serving in obligatory military service; Breastfeeding; Pregnancy.
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Intervention groups
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Group 1: vaccine strength of 10 micro gram, two doses at 14-day intervals
Group 2: Receiving two doses placebo at 14-day intervals
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Main outcome variables
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Primary outcomes: Reactogenicity (vital signs and anaphylactic reactions 3 hours post-vaccination; Local and systemic adverse events within the first week post-vaccination; Serum IgG level for SARS-CoV-2 to N, S1-RBD antigens up to a year. Secondary outcomes: Abnormal laboratory findings one week after vaccine injection; SAEs, SUSARs, MAAEs up to six months after the last dose of the vaccine; Occurrence of Covid-19 disease two weeks after the second dose of the vaccine onwards; Neutralizing antibody activity; Cell medicated immunity and safety of cell-mediated immune response.
General information
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Reason for update
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Recording of the actual start and end recruitment date and increase in the number of humoral immunity test occasions
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT20210206050259N2
Registration date:
2021-06-08, 1400/03/18
Registration timing:
prospective
Last update:
2022-07-02, 1401/04/11
Update count:
3
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Registration date
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2021-06-08, 1400/03/18
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2021-06-09, 1400/03/19
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Expected recruitment end date
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2021-07-06, 1400/04/15
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Actual recruitment start date
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2021-06-09, 1400/03/19
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Actual recruitment end date
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2021-07-06, 1400/04/15
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Trial completion date
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2022-01-16, 1400/10/26
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Scientific title
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Phase 2 trial of safety and immunogenicity of 10 micro gram inactivated SARS-CoV-2 vaccine (FAKHRAVAC), two doses two weeks apart in adults aged 18-70 years: a randomized, double-blind, placebo-controlled, clinical trial
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Public title
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Trial of safety and immunogenicity of 10 micro gram inactivated SARS-CoV-2 vaccine FAKHRAVAC (MIVAC)
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Purpose
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Prevention
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Inclusion/Exclusion criteria
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Inclusion criteria:
Age 18 to 70 years
Body mass index between 18 and 35 kg per square meter
No current or previous COVID-19 disease
No pregnancy
Using safe methods of contraception
Signing the informed consent form
Having Iranian citizenship
Participants should be able to read and understand informed consent, preferably having an education at a diploma or higher level.
Temperatures less than or equal to 37.2 ° C, sublingual, measured by a digital thermometer
Negative IgG and IgM antibody titers against COVID-19 N antigen
Negative RT-PCR -test for SARS-CoV-2
IgG ELISA negative blood test against HIV
Heart rate between 60 and 100
Systolic blood pressure (between 90 and 140 mm Hg), Diastolic blood pressure (between 60 and 90 mm Hg)
Committing to observing the requested behavioral protocol to reduce the risk of COVID-19
Negative pregnancy test for β-hCG on the day of screening and the day of vaccination
Clinical trial participants should refrain from donating blood or plasma from the first vaccination until three months after the last vaccination.
Participants should not enter any other trial while in this study
Expressing readiness to remain in the study for the entire study period
Use one of a safe methods of contraception in men and women up to 3 months after the last dose of the vaccine
Exclusion criteria:
Current acute or chronic symptomatic illness that requires ongoing medical or surgical care
High-risk occupations regarding the risk of acquiring COVID-19, including medical staff, occupations with close contact with many clients
Serving in compulsory military service (soldiers) in the subdivisions of the Armed Forces
Breastfeeding
History of receiving any research vaccine during the 30 days before the day of screening
History of transfusion of any blood product or immunoglobulin within the three months before the screening day
History of long-term use of immunosuppressive drugs or systemic corticosteroids in the last four months leading up to screening day
History of allergic diseases such as angioedema or anaphylactic reactions
History of any allergy to drugs or vaccines
History of cancer or chemotherapy in the last 5 years
History of serious psychiatric illnesses
History of blood disorders (Blood Dyscrasias, coagulation, platelet deficiency or disorder, etc)
Having chronic obstructive pulmonary disease such as asthma and COPD, ischemic cardiovascular disease diagnosed and treated by a specialist
Uncontrolled blood pressure (systolic higher than 140 and diastolic higher than 90)
Uncontrolled diabetes (HbA1c higher than six or BS higher than 140) or diabetes treatment by insulin
History of chronic neurological diseases (including seizures and epilepsy)
Having thyroid disease or a history of thyroidectomy except for controlled hypothyroidism
Any history of drug/alcohol abuse (addiction) during the last 2 years
Any grade 2 or higher toxicity in the hematology or biochemistry test results performed at the time of screening
History of confirmed COVID-19
Acute or chronic hepatitis B and C
Receiving prophylactic drug against tuberculosis
History of syncope when seeing or giving blood
Having splenectomy for any reason
Any close contact with a definitively infected person with COVID-19 for a maximum of two weeks before the day of receiving the first dose
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Age
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From 18 years old to 70 years old
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Gender
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Both
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Phase
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2
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Groups that have been masked
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- Participant
- Care provider
- Investigator
- Outcome assessor
- Data and Safety Monitoring Board
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Sample size
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Target sample size:
500
Actual sample size reached:
500
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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In this study, the Block Randomization method with a block size of 4 was used to assign each participant to the intervention groups. The rand() function of Excel software will be used to generate random sequences within each block. After determining the allocated intervention, a non-repetitive four-digit random code was assigned to each participant. Assigned codes will be delivered to the eligible participants via software.
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Blinding (investigator's opinion)
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Double blinded
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Blinding description
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In this study, placebo will be used. Adjunct only IMP will be used as placebo. All people involved in the study will be blind to the type of IMP received except the epidemiologist responsible for unblinding. In cases of any serious adverse event or any trend in the occurrence of adverse events towards one of the groups, unblinding will occur by DSMB request. On other clinical occasions, unblinding could occur by the principal investigators' approval
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Placebo
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Used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2021-06-07, 1400/03/17
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Ethics committee reference number
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IR.NREC.1400.003
Health conditions studied
1
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Description of health condition studied
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SARS-CoV-2
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ICD-10 code
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U07.1 COVI
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ICD-10 code description
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U07.1 COVID-19, virus identified
Primary outcomes
1
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Description
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Abnormal vital signs and anaphylactic reactions immediately after vaccination. Vital signs include body temperature, respiratory rate, heart rate, systolic and diastolic blood pressure before and immediately after vaccination
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Timepoint
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In the first three hours after each vaccine dose
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Method of measurement
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Sublingual temperature is measured using a digital thermometer. Heart rate and respiratory rate will be counted by the research staff in one minute. Blood pressure will be measured using a digital sphygmomanometer in a sitting position.
2
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Description
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Local adverse events within the first week post-vaccination including pain, tenderness, erythema and redness, and swelling and stiffness
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Timepoint
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In the first seven days after each vaccine dose
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Method of measurement
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Daily telephone contacts by the research team for seven days
3
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Description
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Systemic adverse event within the first week post-vaccination including nausea and vomiting, diarrhea, headache, fatigue, muscle pain, and other illnesses or clinical complications
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Timepoint
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In the first seven days after each vaccine dose and then monthly for up to six months.
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Method of measurement
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Telephone contacts by the research team
4
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Description
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Serum IgG level for SARS-CoV-2 N, S1-RBD antigens
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Timepoint
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on days zero, second injection day, two and four weeks after second injection and at 3, 6 months after the first vaccination.
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Method of measurement
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ELISA method
Secondary outcomes
1
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Description
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Serious Adverse Event/Reaction(SAEs) , Suspected Unexpected Serious Adverse Reaction (SUSARs), Medically Attended Adverse Events (MAAEs)
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Timepoint
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Up to six months after the last dose of the vaccine
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Method of measurement
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Monthly follow-up by the research team
2
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Description
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Occurrence of COVID-19 disease
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Timepoint
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Two weeks after the second dose of the vaccine to study end
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Method of measurement
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PCR test
3
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Description
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Neutralizing antibody activity
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Timepoint
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on days zero, second injection day, two and four weeks after second injection and at 3, 6 months after the first vaccination.
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Method of measurement
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Conventional SARS-CoV-2 virus neutralizing antibody test using a biosafety level III
4
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Description
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Cell-mediated immunity and safety of the immune response
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Timepoint
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on days zero, second injection day, two weeks after second injection and at 3, 6 months after the first vaccination.
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Method of measurement
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Absolute measurement of lymphocyte cell subpopulations (B, T, NK) and their ratio, measurement of T cell subpopulations (CD3 + CD4 +, CD3 + CD8 +), measurement of TNF-a and interleukins 4, 5, 2, 17, 6, 12, 17A, 17F, 21, 8 and 10.
5
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Description
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Abnormal laboratory findings including Hemoglobin, WBC, Lymphocytes cell, Neutrophils, Eosinophils, Platelets, ESR, CRP, LDH, CPK, RT-PCR for SARS-CoV-2, Sodium, Potassium, BUN , Creatinine, Alkaline phosphatase, ALT, AST, Bilirubin (total), U/A, Urine protein, Urine glucose, Urine RBC, IL-6
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Timepoint
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Seven days after each vaccination, IL-6 will be measured at day zero as well
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Method of measurement
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Each test will be performed using the appropriate kit
Intervention groups
1
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Description
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Intervention group: Two doses of 10 micro gram vaccine injected in the deltoid muscle (IM) at 14 days interval
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Category
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Prevention
2
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Description
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Control group:Two doses of placebo injected in the deltoid muscle (IM) at 14 days interval
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Category
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Placebo
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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No
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Title of funding source
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Organization of Defensive Innovation and Research
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Proportion provided by this source
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100
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Public or private sector
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Public
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Other
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Yes - There is a plan to make this available
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Study Protocol
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Yes - There is a plan to make this available
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Statistical Analysis Plan
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Yes - There is a plan to make this available
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Informed Consent Form
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Yes - There is a plan to make this available
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Clinical Study Report
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Yes - There is a plan to make this available
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Analytic Code
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Yes - There is a plan to make this available
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Data Dictionary
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Not applicable
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Title and more details about the data/document
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Deidentified IPD on study outcomes could be shared.
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When the data will become available and for how long
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After completion of the study and publication of the results, data could be shared for 2 years
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To whom data/document is available
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Data is available only to members of academic institutions within joint projects with MILAD Daru Nour Co.
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Under which criteria data/document could be used
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Proposal should be presented to MILAD Daru Nour Co and its necessity and scientific validity should be approved by the company
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From where data/document is obtainable
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You can contact Ms Kousar Naderi at k.naderi@strc.ac.ir
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What processes are involved for a request to access data/document
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Request for data will be made available within the approved joint projects
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Comments
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