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COVID-19Phase 1/2NCT04398147

Phase I/II Clinical Trial of Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in Canada

A Phase 1/2 study testing Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in people with COVID-19, run by CanSino Biologics Inc. at 1 site in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study is a phase I /II adaptive clinical trial to evaluate the safety, tolerability and the Immunogenicity of Ad5-nCoV in healthy adults from 18 to <55 and 65 to <85 years of age,with the randomized, observer-blind, dose-escalation design Read more about this study

Who is it for?
Ages 18 to 84 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
696 participants
Where
1 siteCanada
Study dates
1 Aug 2020to 30 Dec 2021
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 84 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy adults from 18 to <55 and 65-<85 years of age at the time of enrollment;
  • Able to provide consent to participate in and having signed an Informed Consent Form (ICF);
  • Able and willing to complete all the scheduled study procedures during the whole study follow-up period (about 6-8 months, depending on group);
  • Negative result of HIV, hepatitis B and C screening;
  • Oral temperature < 38.0℃;
  • Negative IgG and IgM antibodies against COVID-19;
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  • Negative result of real-time quantitative PCR screening of nasopharyngeal swabs/sputum for SARS-CoV-2;
  • A body mass index (BMI) between 18-35;
  • Hematological examination is within normal range, or no greater than a grade 1 abnormality and no clinical significance as assessed by the study investigator (including white blood cell count, lymphocyte count, neutrophil count, eosinophil count, platelet, hemoglobin, alanine aminotransferase ALT, aspartate aminotransferase AST, total bilirubin, blood glucose and creatinine);
  • Transient mild laboratory abnormalities may be rescreened once and the participant will be deemed eligible if the laboratory repeat test is normal as per local laboratory normal values and investigator assessment.
  • Good general health status, as determined by history and physical examination no greater than 14 days prior to administration of the test article.
  • If female of child-bearing potential and heterosexually active, has practiced adequate contraception for 30 days prior to injection, has a negative pregnancy test on the day of injection, and has agreed to continue adequate contraception until 180 days after injection. (Please refer to the glossary for the definition of child-bearing potential and adequate contraception).
  • Inclusion criteria for the phase II portion of the study will be detailed in an amended synopsis/study protocol.

Who cannot join

  • Personal history of seizure disorder, encephalopathy or psychosis;
  • Allergic history to any vaccine, or allergic to any ingredient of the Ad5-nCoV;
  • Woman is pregnant or lactating, positive urine pregnancy test or plan to become pregnant during the next 6 months;
  • Any acute febrile disease (oral temperature ≥38.0℃ or active infectious disease on the day of vaccination;
  • Medical history of SARS (SARS-CoV-1);
  • Serious cardiovascular diseases, such as arrhythmia, conduction block, myocardial infarction, severe hypertension not controlled with medication;
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  • Serious chronic disease such as asthma, diabetes and thyroid disease, etc.;
  • Congenital or acquired angioedema;
  • Immunodeficiency, asplenia or functional asplenia;
  • Platelet disorder or other bleeding disorder that may cause intramuscular injection contraindication;
  • Immunosuppressive medication, anti-allergic, cytotoxic therapy, inhaled corticosteroids (excluding corticosteroid spray for allergic rhinitis, surface corticosteroid therapy for acute non-complicated dermatitis) in the last 6 months;
  • Prior administration of blood products in last 4 months;
  • Other vaccination(s) or investigational drugs within 1 month before study onset, or planned use during the study period;
  • Prior administration of live attenuated vaccine within 1 month before study onset;
  • Prior administration of subunit or inactivated vaccine within 14 days before study onset;
  • Current anti-tuberculosis therapy;
  • Any condition that in the opinion of the investigators may interfere with the participants' compliance or evaluation of study objectives or informed consent (i.e. medical, psychological, social or other conditions, etc.) Exclusion criteria for the phase II portion of the study will be detailed in an amended synopsis/study protocol.

Trial locations and contacts

1 site in 1 country.

Luis H Barreto, PhD/MBA contact

416-294-5840

drluisbarreto@gmail.com

Canada1 site
  • Canadian Center for Vaccinology

    Halifax

    Scott A Halperin, MD, 902-470-8141, scott.halperin@dal.ca

Other trials in Canada

About this study

Official title: A Randomized, Observer-Blind, Dose-escalation Phase I/II Clinical Trial of Ad5-nCoV Vaccine in Healthy Adults From 18 to <85 Years of Age in Canada

This study is a phase I /II adaptive clinical trial to evaluate the safety, tolerability and the Immunogenicity of Ad5-nCoV in healthy adults from 18 to <55 and 65 to <85 years of age,with the randomized, observer-blind, dose-escalation design

Read the detailed description

A total of 96 healthy adult volunteers will be vaccinated in phase I stepwised according to the dose-escalation design from the younger adults(18 to <55) to the older adults(65 to <85). There are 2 dosage level used in this phase: 5E10vp and 10E10vp, and 2 dose schedules: single dose and 2 dose. According to the pre-defined adaptive design standards, the trial will moved from Phase I to Phase II. In the phase II portion, A total of 600 healthy adult volunteers will be vaccinated according to the dose-escalation design from the younger adults(18 to <55) to the older adults(55 to <85). There are 2 dosage levels and schedules used in this phase,and will determine a final dose and schedule by the end. Some cohorts in the phase II trial will be included in the subsequent phase III trial.

Conditions
COVID-19
Being tested
Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector), Placebo
Keywords
COVID-19, vaccine, Ad5, Safety, Immunogenicity, Dose-escalation, SARS-CoV-2
Medical subject headings
COVID-19, Alzheimer Disease 5

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)Biological

    Intramuscular administration

  • PlaceboBiological

    Intramuscular administration

Study groups in NCT04398147
Study groupRoleWhat they receive
phase ⅠLow single dose (18-<55)Experimental12 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
phase ⅠPlacebo low single dose (18-<55)Placebo comparator6 subjects, Placebo containing 0 vp, single dose, Intramuscular administration
Receives: Biological: Placebo
phase ⅠLow 2 dose (18-<55)Experimental12 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
phase ⅠPlacebo low 2 dose (18-<55)Placebo comparator6 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Placebo
phase ⅠLow single dose (65-<85)Experimental12 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
phase ⅠPlacebo low single dose (65-<85)Placebo comparator3 subjects, Placebo containing 0 vp, single dose, Intramuscular administration
Receives: Biological: Placebo
phase ⅠLow 2 dose (65-<85)Experimental12 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
phase ⅠPlacebo low 2 dose (65-<85)Placebo comparator3 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Placebo
phase ⅠMedium single dose (65-<85)Experimental12 subjects, Ad5-nCoV containing 10E10 vp, single dose, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
phase ⅠPlacebo medium single dose (65-<85)Placebo comparator3 subjects, Placebo containing 0 vp, single dose, Intramuscular administration
Receives: Biological: Placebo
phase ⅠMedium 2 dose (65-<85)Experimental12 subjects, Ad5-nCoV containing 10E10 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
phase ⅠPlacebo medium 2 dose (65-<85)Placebo comparator3 subjects, Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Placebo
Phase II Low single dose (18-<55)Experimental50 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo low single dose (18-<55)Placebo comparator10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration
Receives: Biological: Placebo
Phase II Low 2 dose (18-<55)Experimental50 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo low 2 dose (18-<55)Placebo comparator10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Placebo
Phase II Low single dose (55-<85)Experimental50 subjects, Ad5-nCoV containing 5E10 vp, single dose, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo low single dose (55-<85)Placebo comparator10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration
Receives: Biological: Placebo
Phase II Low 2 dose (55-<85)Experimental50 subjects, Ad5-nCoV containing 5E10 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo low 2 dose (55-<85)Placebo comparator10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Placebo
Phase II medium single dose (55-<85)Experimental50 subjects, Ad5-nCoV containing 10E10 vp, single dose, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo medium single dose (55-<85)Placebo comparator10 subjects,Placebo containing 0 vp, single dose, Intramuscular administration
Receives: Biological: Placebo
Phase II medium 2 dose (55-<85)Experimental50 subjects,Ad5-nCoV containing 10E10 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo medium 2 dose (55-<85)Placebo comparator10 subjects,Placebo containing 0 vp, 2 dose 56 days apart, Intramuscular administration
Receives: Biological: Placebo
Phase II Low 1 or 2 dose (18-<55)Experimental100 subjects,Ad5-nCoV containing 5E10 vp, 1or2 dose, Intramuscular administration ,according to the Previous trial results
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo 1 or 2 dose (18-<55)Placebo comparator20 subjects,placebo containing 0 vp, 1or2 dose, Intramuscular administration
Receives: Biological: Placebo
Phase II Low or medium dosage 1 or 2 dose (55-<85)Experimental100 subjects,Ad5-nCoV containing 5E10 vp or 10E10vp, 1or2 dose, Intramuscular administration,according to the Previous trial results
Receives: Biological: Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector)
Phase II placebo Low or medium,1 or 2 dose (55-<85)Placebo comparator20 subjects,placebo containing 0 vp, 1or2 dose, Intramuscular administration
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of the Solicited AE in all groups

    The occurrence of Solicited AE in all groups within 0-6 days after each vaccination;

    Measured: 0-6 days after each vaccination

  2. Incidence of Unsolicited AE in all groups

    The occurrence of Unsolicited AE in all groups within 0-28 days after each vaccination.

    Measured: 0-28 days after each vaccination

  3. Incidence of Serious adverse events (SAE) in all groups

    The occurrence of Serious adverse events (SAE) in all groups within 6 months after the final vaccination.

    Measured: 6 months after the final vaccination

Secondary outcomes (10)
  1. Geometric mean titer (GMT) of the IgG antibody against SARS-CoV-2 (ELISA method);

    Geometric mean titer (GMT) of the IgG antibody against SARS-CoV-2 measured on Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method);

    Measured: Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group

  2. Seroconversion rate of the IgG antibody against SARS-CoV-2(ELISA method )

    Seroconversion rate (%of subjects with 4-fold or greater increase in antibody level) of the IgG antibody against SARS-CoV-2 measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method );

    Measured: Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group

  3. Geometric Mean Increase Ratio (GMI) of the specific antibody against SARS-CoV-2(ELISA method);

    Geometric Mean Increase Ratio (GMI) of the specific antibody against SARS-CoV-2 measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (ELISA method);

    Measured: Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group

  4. Geometric mean titer (GMT) of the neutralizing antibody against SARS-CoV-2(Pseudo-viral neutralization assay)

    Geometric mean titer (GMT) of the neutralizing antibody against SARS-CoV-2 measured on Day 0, Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group (Pseudo-viral neutralization assay)

    Measured: Day 0, Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group

  5. Seroconversion rate of the neutralizing antibody against SARS-CoV-2(Pseudo-viral neutralization assay)

    Seroconversion rate of the neutralizing antibody against SARS-CoV-2 measured on Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group(Pseudo-viral neutralization assay);

    Measured: Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group

  6. Geometric mean increase ratio (GMI) of neutralizing antibody against SARS-CoV-2 (Pseudo-viral neutralization assay)

    Geometric mean increase ratio (GMI) of neutralizing antibody against SARS-CoV-2 measured on Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group (Pseudo-viral neutralization assay)

    Measured: Day 14, Day 28 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group

  7. Geometric Mean Titer (GMT) of the neutralizing antibody against adenovirus type 5 vector

    Geometric Mean Titer (GMT) of the neutralizing antibody against adenovirus type 5 vector measured on Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group;

    Measured: Day 0, Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group

  8. Geometric mean increase ratio (GMI) of the neutralizing antibody against adenovirus type 5 vector

    Geometric mean increase ratio (GMI) of the neutralizing antibody against adenovirus type 5 vector measured on Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group

    Measured: Day 14, Day 28, Day 84 and Day 168 after vaccination in the one dose group and Day 14, 28, 56, 70, 84, and 224 in the two dose group

  9. cellular immune response by ELISpot

    The positive rate of IFN-γ stimulated by S protein overlapping peptide library detected by ELISpot

    Measured: on Day 0, Day 14, Day 28 and Day 168 in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group

  10. cellular immune response by ICS

    The positive rate of IFN-γ, TNF-α, and IL-2 expressed by CD4+ and CD8+ T lymphocytes stimulated by S protein overlapping peptide library detected by Intracellular Cytokine Staining (ICS);

    Measured: Day 0, Day 14, Day 28 and Day 168 in the one dose group and Day 0, 14, 28, 56, 70, 84, and 224 in the two dose group

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 May 2020
  2. Study start1 Aug 2020 (estimated)
  3. Primary completion20 Dec 2021 (estimated)
  4. Study completion30 Dec 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
696 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04398147
Sponsor's protocol ID
Ad5-nCoV-2020003
Status last verified
May 2020
First submitted
18 May 2020
Last updated
2 Jul 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Recombinant Novel Coronavirus Vaccine (Adenovirus Type 5 Vector) in people with COVID-19, run by CanSino Biologics Inc. at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 2 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Luis H Barreto, PhD/MBA (416-294-5840, drluisbarreto@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of the Solicited AE in all groups (time frame: 0-6 days after each vaccination). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2020.

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