Phase Ⅱ and Ⅲ Trial of a SARS-CoV-2 Vaccine LYB001
Immunogenicity and Safety of a SARS-CoV-2 Vaccine LYB001 in Healthy Adults: a Randomized, Double Blinded, Placebo-controlled Phase Ⅱ Trial and a Single-arm, Open-label Phase Ⅲ Trial for Extended Safety
1 other identifier
interventional
1,900
0 countries
N/A
Brief Summary
The phase Ⅱ trial adopts a randomized, double-blind, placebo-controlled design to evaluate the immunogenicity and safety profile of LYB001 in healthy adults aged 18 years and older. This Phase III study adopts a single-arm, open-label design to evaluate the expanded safety of LYB001 in healthy subjects 18 years of age and older. The study vaccine will be administered IM at upper arm deltoid as a three-dose regimen with 28d interval on day 0, 28, 56. The phase Ⅱ trial will be carried out in an age-sequential enrolment manner:
- 1.A DSMB meeting will be held after the completion of the 7-day safety observation following each vaccination of high-dose LYB001 or placebo in participants aged 18-59 years in phase Ⅰ trial. Thereafter, the DSMB will recommend whether to initiate enrollment of younger adult participants in the Phase II trial based on the findings, who will receive low dose (25μg), high dose (50μg) LYB001 or placebo at a ratio of 3:3:1.
- 2.A DSMB meeting will be held after the completion of the 7-day safety observation following each vaccination of high-dose LYB001 or placebo in participants aged ≥60 year in phase Ⅰ trial. Thereafter, the DSMB will recommend whether to initiate enrollment of older adult participants in the Phase II trial based on the findings, who will receive low dose (25μg), high dose (50μg) LYB001 or placebo at a ratio of 3:3:1.
- 3.The phase Ⅱ trial will be ended after all participants completed 360-day safety observation following the 3rd dose of vaccination.
- 4.After completion of the 7-day safety observation following the first immunization of all cohorts in the Phase II trial, a DSMB meeting will be held to recommend whether to initiate enrollment of participants in the Phase III trial. A total of 1200 subjects will be enrolled in younger adult and older adults, with older adults accounting for ≥20% of the population, and appropriate doses will be determined based on the results of early clinical trials.
- 5.The phase III trial will be ended after all participants completed 360-day safety observation following the 3rd dose of vaccination.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 covid19
Started Jan 2022
Typical duration for phase_2 covid19
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
First Submitted
Initial submission to the registry
November 12, 2021
CompletedFirst Posted
Study publicly available on registry
November 30, 2021
CompletedStudy Start
First participant enrolled
January 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2023
CompletedNovember 30, 2021
November 1, 2021
1.2 years
November 12, 2021
November 25, 2021
Conditions
Outcome Measures
Primary Outcomes (5)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Change from Baseline at 14 days post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Change from Baseline at 14 days post dose 3
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
Change from Baseline at 28 days post dose 3
SRAS-CoV-2 S protein-binding antibodies
SRAS-CoV-2 S protein-binding antibodies
Change from Baseline at 28 days post dose 3
Adverse events (AEs)
Immediate adverse events (AEs) within 30 minutes after each vaccination, solicited local and systemic AEs for within 7 days and unsolicited AEs within 28 days following each vaccination
28 days after each dose
Secondary Outcomes (7)
Serious adverse events (SAEs)
360 days after first dose
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
3 months post dose 3
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
6 months post dose 3
Neutralizing antibody against SARS-CoV-2 wild type and variants of concern (VOCs)
12 months post dose 3
SRAS-CoV-2 S protein-binding antibodies
3 months post dose 3
- +2 more secondary outcomes
Study Arms (7)
low-dose LYB001 in participants aged 18-59 years
EXPERIMENTAL25μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
high-dose LYB001 in participants aged 18-59 years
EXPERIMENTAL50μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
placebo in participants aged 18-59 years
PLACEBO COMPARATORintramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
low-dose LYB001 in participants aged over 60 years
EXPERIMENTAL25μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
high-dose LYB001 in participants aged over 60 years
EXPERIMENTAL50μg/0.5ml/Vial. Intramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
placebo in participants aged over 60 years
PLACEBO COMPARATORintramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
LYB001 in participants aged over 18 years
EXPERIMENTALintramuscular injection (IM) at upper arm deltoid on day 0, 28, 56.
Interventions
The investigational vaccine, with its antigen consisting of receptor-binding domain (RBD) from SARS-CoV-2 and virus-like particle (VLP) vector, adjuvanted with aluminum hydroxide.
Aluminum hydroxide
Eligibility Criteria
You may qualify if:
- Healthy subjects aged 18 years and older;
- Subjects who agree to participate in this clinical trial voluntarily and sign the informed consent form, are capable of providing valid identification, understanding and complying with the requirements of the clinical protocol.
- For female participants of childbearing potential, effective contraception measures should be used within 2 weeks prior to participation in this study and the results of pregnancy test is required to be negative. Participants should voluntarily agree to use effective contraceptive measures from the time of signing the informed consent form to the end of the study (effective contraceptive measures including oral contraceptives (excluding emergency contraceptives), injectable or implantable contraceptives, sustained-release topical contraceptives, hormonal patches, intrauterine device, sterilization, abstinence, condoms (for males), diaphragms, cervical caps, etc.).
You may not qualify if:
- Abnormal results of laboratory screening tests which was clinically significant judged by clinicians;
- Abnormal vital signs with clinical significance at screening, with systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg, or axillary body temperature ≥ 37.3°C;
- Known allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients;
- History of human coronavirus infection/diseases, such as severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS);
- History of COVID-19, or history of close contact with confirmed/suspected COVID-19 patients, or positive results for either SARS-CoV-2 nucleic acid or antibody tests (IgG and IgM) at screening;
- Administration of antipyretics or painkillers within 24 hours prior to vaccination;
- Receipt of any COVID-19 vaccine, live attenuated vaccine within 28 days prior to vaccination and other vaccines, such as subunit and inactived vaccine within 14 days prior to vaccination;
- Receipt of blood or blood-related products, including immunoglobulins, within 3 months prior to vaccination; or any planned use during the study period.
- Subjects with the following diseases:
- Any acute diseases or acute attacks of chronic diseases within 7 days prior to enrolment;
- Congenital malformations or developmental disorders, genetic defects, severe malnutrition, etc.;
- Congenital or acquired immunodeficiency or autoimmune disease, or long-term receipt (\>14 consecutive days) of glucocorticoid (reference value for dose: ≥20 mg/day prednisone or equivalent) or other immunosuppressive agents within the past 6 months, with exception of inhaled or topical steroids, or short-term use (≤14 consecutive days) of oral corticosteroids;
- Currently suffering from or previously diagnosed with infectious diseases, positive screening results for hepatitis B surface antigen, hepatitis C antibody, treponema pallidum antibody, human immunodeficiency virus antibody (Pathogen screening test will be only conducted in phase Ⅱ);
- History or family history of neurological disorders (convulsions, epilepsy, encephalopathy, etc.) or psychiatric disorders;
- Asplenia, or functional asplenia;
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- The phase Ⅱ trial adopts a randomized, double-blind, placebo-controlled design. The phase Ⅲ trial for expanded safety adopts an open-label design.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 12, 2021
First Posted
November 30, 2021
Study Start
January 1, 2022
Primary Completion
March 1, 2023
Study Completion
May 1, 2023
Last Updated
November 30, 2021
Record last verified: 2021-11
Data Sharing
- IPD Sharing
- Will not share