NCT05716347

Brief Summary

Increased immune escape of emerging SARS-CoV-2 variants and waning neutralizing antibody levels over time indicate the importance of COVID-19 vaccine booster dose. Preclinical findings have shown that the recombinant SARS-CoV-2 S-Trimer vaccine exhibited favorable safety and immunogenicity. Herein, we conducted a randomized, open-label, positive control trial to assess the safety and immunogenicity of the booster shot in healthy subjects aged 18-59 years who have completed two-dose primary series of inactivated vaccine for 6-15 months. A total of 63 eligible participants were enrolled to receive the recombinant SARS-CoV-2 S-Trimer vaccine or inactivated vaccine, and only one participant in 30 μg recombinant SARS-CoV-2 S-Trimer vaccine cohort withdrew owing to personal work reasons on September 26, 2022. Subjects in each dose group (5 μg, 10 μg, 30 μg recombinant SARS-CoV-2 S-Trimer vaccine) was randomly assigned to receive the experimental vaccine or inactivated vaccine in a 2:1 ratio.

Trial Health

57
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Trial Health Score

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

Enrollment
80

participants targeted

Target at P50-P75 for early_phase_1 covid19

Timeline
Completed

Started Jul 2022

Geographic Reach
1 country

1 active site

Status
terminated

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

July 13, 2022

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

January 10, 2023

Completed
29 days until next milestone

First Posted

Study publicly available on registry

February 8, 2023

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 13, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 13, 2023

Completed
Last Updated

July 28, 2025

Status Verified

January 1, 2023

Enrollment Period

1.2 years

First QC Date

January 10, 2023

Last Update Submit

July 24, 2025

Conditions

Outcome Measures

Primary Outcomes (6)

  • Incidence of Treatment-Emergent Adverse Events

    All adverse events within 30 minutes of booster immunization

    within 30 minutes after booster immunization

  • Incidence of Treatment-Emergent Adverse Events

    Solicited local/systemic AEs within 7 days of booster immunization

    within 7 days of booster immunization

  • Incidence of Treatment-Emergent Adverse Events

    Unsolicited local/systemic AEs within 28 days of booster immunization

    within 28 days of booster immunization

  • humoral immunogenicity

    The Geometric Mean Titer (GMT) of neutralizing antibody against Delta, Omicron BA.2.2 and Omicron BA.5.2 after the booster immunization

    On Day 14 and Day 28 after booster immunization

  • humoral immunogenicity

    The Geometric Mean Fold Rises (GMFR) of neutralizing antibody against Delta, Omicron BA.2.2 and Omicron BA.5.2 after the booster immunization

    On Day 14 and Day 28 after booster immunization

  • humoral immunogenicity

    The seroconversion rate of neutralizing antibody against Delta, Omicron BA.2.2 and Omicron BA.5.2 after the booster immunization

    On Day 14 and Day 28 after booster immunization

Secondary Outcomes (3)

  • humoral immunogenicity

    On 3rd month, 6th month after booster immunization

  • humoral immunogenicity

    On 3rd month, 6th month after booster immunization

  • The safety outcomes were the counts and percentages of AEs, including SAEs and AESIs within 12 months, changes in laboratory safety parameters on the 3rd day following booster vaccination in comparison to baseline.

    12 months

Other Outcomes (3)

  • exploratory endpoints

    on 0, 14 days, 3 months, 6 months after booster immunization

  • exploratory endpoints

    on 0, 14 days, 3 months, 6 months after booster immunization

  • exploratory endpoints

    on 0, 14 days, 3 months, 6 months after booster immunization

Study Arms (4)

the 5 μg recombinant SARS-CoV-2 S-Trimer vaccine booster group

EXPERIMENTAL
Biological: the recombinant SARS-CoV-2 S-Trimer vaccine/inactivated SARS-CoV-2 vaccine

the 10 μg recombinant SARS-CoV-2 S-Trimer vaccine booster group

EXPERIMENTAL
Biological: the recombinant SARS-CoV-2 S-Trimer vaccine/inactivated SARS-CoV-2 vaccine

the 30 μg recombinant SARS-CoV-2 S-Trimer vaccine booster group

EXPERIMENTAL
Biological: the recombinant SARS-CoV-2 S-Trimer vaccine/inactivated SARS-CoV-2 vaccine

ICV booster group

ACTIVE COMPARATOR
Biological: the recombinant SARS-CoV-2 S-Trimer vaccine/inactivated SARS-CoV-2 vaccine

Interventions

one booster dose intramuscularly in the deltoid muscle of the upper arm.

ICV booster groupthe 10 μg recombinant SARS-CoV-2 S-Trimer vaccine booster groupthe 30 μg recombinant SARS-CoV-2 S-Trimer vaccine booster groupthe 5 μg recombinant SARS-CoV-2 S-Trimer vaccine booster group

Eligibility Criteria

Age18 Years - 59 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Eligible participants were those who completed the two-dose primary series of ICV for 6-15 months
  • Voluntarily consented to participate in this trial
  • Agreed to take effective contraceptive measures (women of childbearing potential) from signing the informed consent form to 12 months after booster vaccination.

You may not qualify if:

  • History of allergy to any vaccine or its excipients;
  • Presence of severe, uncontrollable or hospitalized diseases;
  • History of major surgery within 3 months prior to enrollment;
  • History of Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS) or COVID-19;
  • Congenital or acquired immunodeficiency or autoimmune disease;
  • Any acute diseases or acute attacks of chronic diseases within 7 days prior to enrollment;
  • Receipt of any COVID-19 prophylactic medication other than primary series of ICV;
  • Long-term receipt (\>14 consecutive days) of glucocorticoids or other immunosuppressive agents within the past 6 months;
  • Receipt of biological agents, immunopotentiators or immunosuppressants within the past 6 months;
  • Receipt of blood or blood-related products within 3 months prior to vaccination;
  • Administration of antipyretics, painkillers or antiallergics within 24 hours prior to vaccination;
  • Participating or planning to participate in other clinical trials during the study period;
  • Pregnant or lactating females, women of childbearing age of pregnancy test positive;
  • Presence of any underlying disease or condition which, in the opinion of the investigator, may place the subject at unacceptable risk, is unable to meet the requirements of the protocol, or interfere with the assessment of vaccine response.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Fifth Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangzhou, 510799, China

Location

MeSH Terms

Conditions

COVID-19

Interventions

SARS-CoV-2 inactivated vaccines

Condition Hierarchy (Ancestors)

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

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 10, 2023

First Posted

February 8, 2023

Study Start

July 13, 2022

Primary Completion

September 13, 2023

Study Completion

September 13, 2023

Last Updated

July 28, 2025

Record last verified: 2023-01

Locations