NCT05381350

Brief Summary

This is a randomized, double-blind, active-controlled Phase Ⅲ clinical trial, as well as an immuno-bridging clinical trial by parallel testing previous serum after primary immunization of COVID-19 vaccine (Vero cell), inactivated (Omicron variant). The main purpose of this study is to evaluate the superiority of immunogenicity against SARS-CoV-2 Omicron strain induced by one-dose booster immunization of inactivated COVID-19 vaccine (Omicron variant), developed by Sinovac Research and Development Co., Ltd.in subjects who have received two- or three-dose Prototype COVID-19 vaccine (CZ strain), compared with one-dose booster of Prototype COVID-19 vaccine (CZ strain) in subjects who have received three-dose Prototype COVID-19 vaccine (CZ strain), and to evaluate the non-inferiority of immunogenicity against SARS-CoV-2 Omicron strain induced by one-dose booster immunization of inactivated COVID-19 vaccine (Omicron variant), developed by Sinovac Research and Development Co., Ltd., in subjects who have received two- or three-dose Prototype COVID-19 vaccine, compared with the immunogenicity against SARS-CoV-2 Prototype strain induced by two-dose Prototype COVID-19 vaccine(CZ strain)after primary immunization.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,750

participants targeted

Target at P75+ for phase_3 covid19

Timeline
Completed

Started Jun 2022

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 18, 2022

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 19, 2022

Completed
13 days until next milestone

Study Start

First participant enrolled

June 1, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 26, 2022

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 9, 2023

Completed
Last Updated

May 31, 2024

Status Verified

May 1, 2024

Enrollment Period

4 months

First QC Date

May 18, 2022

Last Update Submit

May 30, 2024

Conditions

Outcome Measures

Primary Outcomes (3)

  • Geometric mean titres (GMTs) and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1)

    Geometric mean titres (GMTs) and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), induced by a booster dose of COVID-19 vaccine (Omicron variant), 28 days (Day 28) after booster vaccination among subjects with two- or three-dose COVID-19 vaccine(CZ strain) ≥6 months before

    28 days (Day 28) after booster vaccination

  • GMTs and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1)

    GMTs and seroconversion rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), induced by a booster dose of Prototype COVID-19 vaccine, 28 days (Day 28) after booster vaccination among subjects with three-dose Prototype COVID-19 vaccine≥6 months before

    28 days (Day 28) after booster vaccination

  • GMTs of the neutralizing antibody to SARS-CoV-2 Prototype strain(CZ strain)

    GMTs of the neutralizing antibody to SARS-CoV-2 Prototype strain induced by two doses of Prototype COVID-19 vaccine, 28 days after vaccination in previous clinical trial serums

    28 days after vaccination of two doses of Prototype COVID-19 vaccine

Secondary Outcomes (9)

  • Geometric mean increases (GMIs) and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), as well as GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.2)

    28 days (Day 28) after booster vaccination

  • GMIs,seroconversion rates seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1), as well as GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.2)

    28 days (Day 28) after booster vaccination

  • GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain and Delta strain

    28 days (Day 28) after booster vaccination

  • GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Prototype strain (CZ strain) and Delta strain

    28 days (Day 28) after booster vaccination

  • GMTs and seropositive rates of the neutralizing antibody to SARS-CoV-2 Prototype strain (CZ strain), Delta strain and Omicron strain (BA.1, BA.2)

    28 days after primary vaccination

  • +4 more secondary outcomes

Other Outcomes (1)

  • GMTs, GMIs, seroconversion rates and seropositive rates of the neutralizing antibody to SARS-CoV-2 Omicron strain (BA.1, BA.2), Prototype strain (CZ strain) and Delta strain

    7 days (Day 7) and 14 days (Day 14) after booster vaccination

Study Arms (9)

Experimental group aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain)

EXPERIMENTAL

400 participants aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant)

Control Group aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain)

ACTIVE COMPARATOR

200 participants aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (CZ strain)

Experimental group aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain)

EXPERIMENTAL

100 participants aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant)

Control Group aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain)

ACTIVE COMPARATOR

50 participants aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (CZ strain)

Experimental group aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain)

EXPERIMENTAL

400 participants aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant)

Control Group aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain)

ACTIVE COMPARATOR

200 participants aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (CZ strain)

Experimental group aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain)

EXPERIMENTAL

100 participants aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine (Omicron variant).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant)

Control Group aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain)

ACTIVE COMPARATOR

50 participants aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain) will receive one dose of inactivated COVID-19 vaccine(CZ strain).

Biological: COVID-19 Vaccine (Vero cell), Inactivated (CZ strain)

Historical control group

ACTIVE COMPARATOR

Backup serum samples will be selected from 250 healthy adult subjects aged 26-45 years who received two doses of inactivated COVID-19 vaccine(CZ strain)from clinical trial of lot-to-lot consistency of an inactivated SARS-CoV-2 Vaccine(Pro-NCOV-4001) to detect neutralizing antibodies against the CZ, Delta and Omicron strains.

Biological: COVID-19 Vaccine (Vero cell), Inactivated (CZ strain)

Interventions

The COVID-19 Vaccine (Vero cell), Inactivated (Omicron variant)was manufactured by Sinovac Research\& Development Co., Ltd.1200SOU inactivated SARS-CoV-2 Omicron strain in 0.5ml of aluminium hydroxide solution per injection.

Experimental group aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain)Experimental group aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain)Experimental group aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain)Experimental group aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain)

The COVID-19 vaccine,inactivated was manufactured by Sinovac Research\& Development Co., Ltd.600SU inactivated SARS-CoV-2 CZ strain virus in 0.5 mL of aluminium hydroxide solution per injection.

Also known as: CoronaVac
Control Group aged 18-59 years and received 2 doses of COVID-19 vaccine(CZ strain)Control Group aged 18-59 years and received 3 doses of COVID-19 vaccine(CZ strain)Control Group aged 60 years and above and received 2 doses of COVID-19 vaccine(CZ strain)Control Group aged 60 years and above and received 3 doses of COVID-19 vaccine(CZ strain)Historical control group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Healthy adults aged 18 years and above;
  • Subjects completed two doses of the prototype COVID-19 vaccine (CZ strain)(the interval between the first dose and the second dose was 1-2 months)or completed 3 doses of prototype COVID-19 vaccine (CZ strain)over 6 months (the interval between the first dose and the second dose was 1-2 months, and the interval between the second dose and the third dose was 6 months or more);
  • The subjects can understand and voluntarily sign the informed consent form;
  • Provide legal identification and vaccination certificate of prototype COVID-19 vaccine (CZ strain).

You may not qualify if:

  • History of SARS-CoV-2 infection(laboratory confirmed);
  • Close contact with a confirmed COVID-19 (nucleic acid test or antigen test positive patients)within 14 days prior to randomization;
  • Received other COVID-19 vaccine in the past except for two or three doses of prototype vaccine;
  • Allergy to vaccines or vaccine/placebo ingredients, and serious adverse reactions to vaccines, such as urticaria, dyspnea, angioneuroedema;
  • Autoimmune disease and/or blood disease history (including but not limited to systemic lupus erythematosus, thyroidectomy, autoimmune thyroid disease, any form of malignancy, absence of spleen, functional absence of spleen, or splenectomy for any condition),patients with well-controlled type 1 diabetes can be enrolled;
  • Serious chronic diseases, such as serious cardiovascular diseases, hypertension, diabetes, liver and kidney diseases, malignant tumors, etc;
  • Severe neurological disease (epilepsy, convulsions or convulsions) or mental illness;
  • Diagnosed abnormal blood coagulation function (eg, lack of blood coagulation factors, blood coagulopathy, abnormal platelets) or obvious bruising or blood coagulation;
  • Immunosuppressive therapy, cytotoxic therapy, inhaled corticosteroids (excluding allergic rhinitis corticosteroid spray therapy, acute noncomplicated dermatitis superficial corticosteroid therapy) in the past 6 months;
  • Long-term history of alcohol or drug abuse;
  • Received blood products within 3 months prior to receiving the investigational vaccine, or planning to receive the above treatments during the study period;
  • Receipt of other investigational drugs in the past 30 days;
  • Receipt of attenuated live vaccines in the past 14 days;
  • Receipt of inactivated or subunit vaccines in the past 7 days;
  • Onset of various acute or chronic diseases within 7 days prior to the study;
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Huaiyin Center for Disease Control and Prevention

Huai'an, Jiangsu, 223300, China

Location

Related Publications (1)

  • Hu J, Liu Y, Liu S, Shu Q, Yang X, Chu K, Qiao Y, Hu Y, Wang K, Pan H. Safety and immunogenicity of a modified Omicron-adapted inactivated vaccine in healthy adults: a randomized, double-blind, active-controlled Phase III clinical trial. Front Immunol. 2023 Sep 18;14:1241153. doi: 10.3389/fimmu.2023.1241153. eCollection 2023.

    PMID: 37799724BACKGROUND

MeSH Terms

Conditions

COVID-19

Interventions

COVID-19 Vaccinessinovac COVID-19 vaccine

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Viral VaccinesVaccinesBiological ProductsComplex Mixtures

Study Officials

  • Hongxing Pan, Master

    Jiangsu Provincial Center for Disease Prevention and Control

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 18, 2022

First Posted

May 19, 2022

Study Start

June 1, 2022

Primary Completion

September 26, 2022

Study Completion

March 9, 2023

Last Updated

May 31, 2024

Record last verified: 2024-05

Locations