Evaluation of Immunogenicity and Safety of Combined Immunization of COVAX (Produced in Wuhan) and PPV23 / IIV4
A Randomized, Controlled, Multicenter Phase 4 Clinic Trial to Evaluate the Immunogenicity and Safety of Combined Immunization of Inactivated SARS-CoV-2 Vaccines (Vero Cell) (COVAX) (Produced in Wuhan) and 23-valent Pneumococcal Polysaccharide Vaccine (PPV23) or Quadrivalent Inactivated Influenza Vaccine (IIV4)
1 other identifier
interventional
1,404
1 country
3
Brief Summary
Subjects will be recruited and divided into 3 groups: Experimental Group (468 subjects): 1st dose : combined vaccination of COVAX+PPV23, 2nd dose: combined vaccination of COVAX+IIV4; Control Group A (468 subjects): 1st dose: COVAX only, 2nd dose: COVAX only; Control Group B (468 subjects): 1st dose: PPV23 only, 2nd dose: IIV4 only. Blood samples will be collected 3 times: before the 1st dose of vaccinatioin; before the 2nd dose of vaccination; 28 days after the 2nd dose of vaccination. The immunogenicity and safety of both experimental and control groups will be analyzed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started May 2021
Shorter than P25 for phase_4
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 6, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 29, 2021
CompletedFirst Submitted
Initial submission to the registry
October 5, 2021
CompletedFirst Posted
Study publicly available on registry
October 15, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedOctober 15, 2021
October 1, 2021
23 days
October 5, 2021
October 5, 2021
Conditions
Outcome Measures
Primary Outcomes (16)
Seroconversion rate (COVAX)
the rate of positive seroconversion against coronavirus
Results obtained 28 days after the first dose (= right before the second dose)
Seroconversion rate (COVAX)
the rate of positive seroconversion against coronavirus
Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)
Neutralizing antibody level (COVAX)
neutralizing antibody level against coronavirus
Baseline (before vaccination) results
Neutralizing antibody level (COVAX)
neutralizing antibody level against coronavirus
Results obtained 28 days after the first dose (= right before the second dose)
Neutralizing antibody level (COVAX)
neutralizing antibody level against coronavirus
Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)
Seropositive rate (IIV4)
the rate of positive seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Baseline (before vaccination) results
Seroconversion rate (IIV4)
the rate of positive seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Results obtained 28 days after the first dose (= right before the second dose)
Seroconversion rate (IIV4)
the rate of positive seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)
Hemmagglution inhibition antibody level (IIV4)
Hemmagglution inhibition antibody levels against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Baseline (before vaccination) results
Hemmagglution inhibition antibody level (IIV4)
Hemmagglution inhibition antibody levels against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Results obtained 28 days after the first dose (= right before the second dose)
Hemmagglution inhibition antibody level (IIV4)
Hemmagglution inhibition antibody levels against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses
Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)
Seroconversion rate (PPV23)
the rate of positive seroconversion against 23 pneumococcal serotypes
Results obtained 28 days after the first dose (= right before the second dose)
Seroconversion rate (PPV23)
the rate of positive seroconversion against 23 pneumococcal serotypes
Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)
Neutralizing antibody level (PPV23)
Neutralizing antibody level against 23 pneumococcal serotypes
Baseline (before vaccination) results
Neutralizing antibody level (PPV23)
Neutralizing antibody level against 23 pneumococcal serotypes
Results obtained 28 days after the first dose (= right before the second dose)
Neutralizing antibody level (PPV23)
Neutralizing antibody level against 23 pneumococcal serotypes
Results obtained after the second dose of vaccination (= 56 days after the first dose, or 28 days after the second dose)
Secondary Outcomes (1)
Adverse events following vaccination
0-6 months
Study Arms (3)
Experimental group
EXPERIMENTALExperimental Group (468 subjects) will receive: 1st dose : combined vaccination of COVAX+PPV23; 2nd dose: combined vaccination of COVAX+IIV4
Control group A
ACTIVE COMPARATORControl Group A (468 subjects) will receive: 1st dose: COVAX only; 2nd dose: COVAX only
Control group B
ACTIVE COMPARATORControl Group B (468 subjects) will receive: 1st dose: PPV23 only; 2nd dose: IIV4 only
Interventions
1st dose : combined vaccination of COVAX+PPV23; 2nd dose: combined vaccination of COVAX+IIV4
1st dose: PPV23 only; 2nd dose: IIV4 only
Eligibility Criteria
You may qualify if:
- ≥18 years old when enrolled;
- Participants signing the informed consent;
- Being able to participate in all planned follow-ups and accomplish all research procedures including completing a diary card and coming back for interview;
- Having not been administered any pneumonia vaccine or COVID-19 vaccine, and having not been administered an influenza vaccine in the current season before enrollment;
- ≥14 days from the most recent vaccination;
- Before enrollment, the body temperature is ≤37.0C as confirmed by medical history and clinical examination.
You may not qualify if:
- Having a history of COVID-19 or a positive nucleic acid test for COVID-19;
- Having a history or a family history of allergy, convulsion, epilepsy, brain disease, or mental illness;
- Being allergic to any component of vaccines, or having a history of severe allergic reaction to any vaccine;
- Having immunodeficiency disorder, during treatment of malignant tumor, having immunodeficiency induced by immunosuppressants (oral steroid hormones) or HIV, or having a family member with close contact who suffers from congenital immune disorder;
- Having injection of non-specific immunoglobulin within 1 month prior to enrollment;
- Having acute febrile illness or communicable disease;
- Having a history of confirmed thrombocytopenia or other coagulation disorders, which may cause contraindications for a subcutaneous injection;
- Having severe chronic disease or acute exacerbation of chronic disease, or having uncontrolled hypertension or diabetes;
- Having various infectious, pyogenic, or allergic skin diseases;
- Women in pregnancy or lactation or participants who plan for a baby within 3 months after vaccination should delay the vaccination;
- Having any condition that may affect trial assessment as determined by researchers.
- Having any serious adverse event related to the first dose vaccination;
- After vaccination, having systemic adverse reaction or allergic reaction with a severity of grade 3 or higher as determined by researchers;
- Having any condition that may affect trial assessment as determined by researchers.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- China National Biotec Group Company Limitedlead
- Chengdu Institute of Biological Products Co.,Ltd.collaborator
- Changchun Institute of Biological Products Co., Ltd.collaborator
- Wuhan Institute of Biological Products Co., Ltdcollaborator
- Hubei Provincial Center for Disease Control and Preventioncollaborator
- Guangdong Center for Disease Prevention and Controlcollaborator
- Henan Center for Disease Control and Preventioncollaborator
Study Sites (3)
Guangdong Center for Disease Control and Prevention
Guangzhou, Guangdong, China
Henan Center for Disease Control and Prevention
Zhengzhou, Henan, China
Hubei Center for Disease Control and Prevention
Wuhan, Hubei, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Serum testing technicians were masked.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 5, 2021
First Posted
October 15, 2021
Study Start
May 6, 2021
Primary Completion
May 29, 2021
Study Completion
December 1, 2021
Last Updated
October 15, 2021
Record last verified: 2021-10
Data Sharing
- IPD Sharing
- Will not share