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Covid19Phase 1/2NCT04845191

COVID-19 Subcutaneously and Orally Administered Supplemental Vaccine Boost to Enhance T Cell Protection in Those Who Have Already Received EUA S-Based Vaccines

A Phase 1/2 study testing hAd5-S-Fusion+N-ETSD vaccine in people with Covid19, run by ImmunityBio, Inc..

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a phase 1/2 study in adult healthy subjects that have previously been vaccinated with an FDA-authorized vaccine against COVID-19. This clinical trial is designed to assess the safety, efficacy, reactogenicity, and immunogenicity of hAd5-S-Fusion+N-ETSD formulated for subcutaneous and oral (capsule)… Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Covid19
What is being tested?
hAd5-S-Fusion+N-ETSD vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
Dec 2021to 14 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 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy adults, age ≥ 18 years, inclusive, at time of enrollment, that have previously received an FDA-authorized COVID-19 vaccine (both prime and boost) ≥14 days and
  • ≤ 6 months before enrollment.
  • Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines.
  • Agrees to the collection of biospecimens (eg, NP swabs and/or saliva sample) and venous blood per protocol.
  • Ability to attend required study visits and return for adequate follow-up, as required by this protocol.
  • Ability to swallow a capsule.
  • Temperature < 38°C.
  • Agreement to practice effective contraception for female subjects of childbearing potential and non-sterile males. Female subjects of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male subjects must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm) used with spermicide, IUDs, oral contraceptives, and abstinence.

Who cannot join

  • Persistent grade ≥ 2 AEs related to previous COVID-19 vaccination at the time of enrollment.
  • Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past.
  • Pregnant and nursing women. A negative serum or urine pregnancy test during screening and on the day of and prior to each dose must be documented before the vaccine is administered to a female subject of childbearing potential.
  • Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma.
  • Pulmonary fibrosis.
  • Bone marrow or organ transplantation.
Show all 28Show fewer
  • Extreme obesity (defined as BMI of 35 kg/m2 or higher).
  • Diabetes.
  • Chronic kidney disease.
  • Liver disease.
  • Sickle cell disease.
  • Thalassemia.
  • Any disease associated with acute fever, or any infection.
  • Self-reported history of SARS.
  • History of hepatitis B or hepatitis C.
  • HIV or other acquired or hereditary immunodeficiency.
  • Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc.
  • Cerebrovascular disease.
  • Cystic fibrosis.
  • Neurologic conditions, such as dementia.
  • Hereditary or acquired angioneurotic edema.
  • No spleen or functional asplenia.
  • Platelet disorder or other bleeding disorder that may cause injection contraindication.
  • Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness within 3 months before administration of study vaccine. (Including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted.)
  • Prior administration of blood products in last 4 months.
  • Currently receiving treatment for cancer or history of cancer in the last five years (except basal cell carcinoma of the skin and cervical carcinoma in situ).
  • According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent.
  • Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

About this study

Official title: Phase 1/2 Study of the Safety, Reactogenicity, and Immunogenicity of a Subcutaneously- and Orally- Administered Supplemental Spike & Nucleocapsid-targeted COVID-19 Vaccine to Enhance T Cell Based Immunogenicity in Participants Who Have Already Received Prime + Boost Vaccines Authorized For Emergency Use

This is a phase 1/2 study in adult healthy subjects that have previously been vaccinated with an FDA-authorized vaccine against COVID-19. This clinical trial is designed to assess the safety, efficacy, reactogenicity, and immunogenicity of hAd5-S-Fusion+N-ETSD formulated for subcutaneous and oral (capsule) administration.

Conditions
Covid19
Being tested
hAd5-S-Fusion+N-ETSD vaccine
Medical subject headings
COVID-19

What participants receive

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

  • hAd5-S-Fusion+N-ETSD vaccineBiological

    hAd5-S-Fusion+N-ETSD is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen S fusion protein and N with an enhanced T-cell stimulation domain.

Study groups in NCT04845191
Study groupRoleWhat they receive
Experimental: Cohort 1: hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose SubcutaneousExperimentalCohort 1 (n=20): hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous on Day 1
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine
Experimental: Cohort 2: hAd5-S-Fusion+N-ETSD Subcutaneous and OralExperimentalCohort 2 (n=20): hAd5-S-Fusion+N-ETSD at 5 × 10e10 IU/dose Subcutaneous and 1 × 10e10 IU/dose Oral on Day 1
Receives: Biological: hAd5-S-Fusion+N-ETSD vaccine

What is being measured

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

  1. Phase 1 Safety: Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  2. Phase 1 Safety: Incidence and severity of solicited local reactogenicity AEs

    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  3. Phase 1 Safety: Incidence and severity of solicited systemic reactogenicity AEs

    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  4. Phase 1 Safety: Incidence and severity of unsolicited AEs

    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  5. Phase 1 Safety: Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs through 30 days

    Measured: through 30 days

  6. Phase 1 Safety: Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs at 6 months post final vaccine administration

    Measured: 6 months post final vaccine administration

  7. Phase 1 Safety: Incidence and severity of unsolicited AEs

    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration

    Measured: through 30 days post final vaccine administration

  8. Phase 1 Safety: Incidence of changes of laboratory safety examinations

    Incidence of abnormal changes of laboratory safety examinations

    Measured: Day 365

  9. Phase 1 Safety: Vital Sign - Temperature

    Changes in vital signs from Grades 1-4:

    measured in (°C) or (°F)

    Measured: Day 365

  10. Phase 1 Safety: Vital Sign - Heart Rate

    Changes in vital signs from Grades 1-4:

    measured by how many heart beats per minute

    Measured: Day 365

  11. Phase 1 Safety: Vital Sign - Blood Pressure

    Changes in vital signs from Grades 1-4:

    systolic/diastolic - measured in mm Hg

    Measured: Day 365

  12. Phase 1 Safety: Vital Sign - Respiratory Rate

    Changes in vital signs from Grades 1-4:

    measured in how many breaths per minute

    Measured: Day 365

  13. Phase 2 Efficacy: Percent of subjects that show an increase in N-reactive T cells

    Percent of subjects that show an increase in N-reactive T cells as assayed by N-Tiferon assay (≥ 25 pg/mL increase in cytokine concentration from baseline)

    Measured: from baseline to Day 365

Secondary outcomes (21)
  1. Phase 1 Humoral Immunogenicity: GMT of S-specific and N-specific antibodies

    GMT of S-specific and N-specific antibodies against 2019 novel coronavirus

    Measured: Day 365

  2. Phase 1 Humoral Immunogenicity: GMT of neutralizing antibody

    GMT of neutralizing antibody

    Measured: Day 365

  3. Phase 1 Mucosal Immunogenicity: GMT of IgA antibody levels

    GMT of IgA antibody levels

    Measured: Day 365

  4. Phase 1 Cellular Immunogenicity: T cell activity

    T cell activity against SARS-CoV-2 S protein and N protein. T cell activity against SARS-CoV-2 S protein and N protein. ImmunityBio has developed a rapid assay (N-Tiferon) to detect SARS-CoV-2-specific T cell responses directly in whole blood from participants in QUILT-4.001 vaccinated with hAd5 S-Fusion+N-ETSD targeting the S and N antigens of SARS-CoV-2. This assay detected interferon-γ (IFN-γ)-secreting S- and N-specific T cells directly in whole blood post-vaccination.

    Measured: Day 365

  5. Phase 2 Efficacy: Incidence and severity of COVID-19 ≥14 days after vaccination

    Incidence and severity of COVID-19 ≥14 days after vaccination in subjects with no evidence of past SARS-CoV-2 infection. It applies to ≥3 for injection site reaction, fever, and other AEs. It also includes signs and symptoms of hypersensitivity which may include red rash (excluding site of injection), swollen throat or swollen areas of the body, wheezing, fainting, chest tightness, difficulty breathing, hoarse voice, difficulty swallowing, vomiting, diarrhea, and stomach cramping.

    Measured: ≥14 days after vaccination

  6. Phase 2 Efficacy: Mean SARS-CoV-2 viral load

    Mean SARS-CoV-2 viral load for subjects with confirmed COVID-19 ≥14 days after vaccination

    Measured: Day 365

  7. Phase 2 Efficacy: Humoral Immunogenicity - GMT of S-specific and N-specific antibodies

    GMT of S-specific and N-specific antibodies against 2019 novel coronavirus

    Measured: Day 365

  8. Phase 2 Efficacy: Humoral Immunogenicity - GMT of neutralizing antibody

    GMT of neutralizing antibody

    Measured: Day 365

  9. Phase 2 Efficacy: Mucosal Immunogenicity - GMT of IgA antibody levels

    GMT of IgA antibody levels

    Measured: Day 365

  10. Phase 2 Efficacy: Cellular Immunogenicity - T cell activity

    T cell activity against SARS-CoV-2 S protein and N protein measured

    Measured: Day 365

  11. Phase 2 Safety: Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  12. Phase 2 Safety: Incidence and severity of solicited local reactogenicity AEs

    Incidence and severity of solicited local reactogenicity AEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  13. Phase 2 Safety: Incidence and severity of solicited systemic reactogenicity AEs

    Incidence and severity of solicited systemic reactogenicity AEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  14. Phase 2 Safety: Incidence and severity of unsolicited AEs

    Incidence and severity of unsolicited AEs through 1 week post final vaccine administration

    Measured: through 1 week post final vaccine administration

  15. Phase 2 Safety: Incidence of MAAEs and SAEs

    Incidence of MAAEs and SAEs through 30 days and 6 months post final vaccine administration

    Measured: through 30 days and 6 months post final vaccine administration

  16. Phase 2 Safety: Incidence and severity of unsolicited AEs

    Incidence and severity of unsolicited AEs through 30 days post final vaccine administration

    Measured: through 30 days post final vaccine administration

  17. Phase 2 Safety: Incidence of changes of laboratory safety examinations

    Incidence of abnormal changes of laboratory safety examinations

    Measured: Day 365

  18. Phase 2 Safety: Vital Sign - Temperature

    Changes in vital signs from Grades 1-4:

    measured in (°C) or (°F)

    Measured: Day 365

  19. Phase 2 Safety: Vital Sign - Heart rate

    Changes in vital signs from Grades 1-4:

    measured by how many heart beats per minute

    Measured: Day 365

  20. Phase 2 Safety: Vital Sign - Blood Pressure

    Changes in vital signs from Grades 1-4:

    systolic/diastolic - measured in mm Hg

    Measured: Day 365

  21. Phase 2 Safety: Vital Sign - Respiratory rate

    Changes in vital signs from Grades 1-4:

    measured in how many breaths per minute

    Measured: Day 365

Timeline

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

  1. First posted14 Apr 2021
  2. Study startDec 2021 (estimated)
  3. Primary completionDec 2021 (estimated)
  4. Study completion14 Dec 2021

Why it stopped: The sponsor has changed the development plans which is not for safety reasons.

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
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
Open label 2 Cohort Phase 1 Study leading to Randomized Phase 2 Study
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04845191
Sponsor's protocol ID
COVID-4.009
Status last verified
Apr 2021
First submitted
9 Apr 2021
Last updated
21 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing hAd5-S-Fusion+N-ETSD vaccine in people with Covid19, run by ImmunityBio, Inc..

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 8 inclusion and 28 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: withdrawn, as of the sponsor's last update on 21 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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?

The study was withdrawn before enrolling participants, so there are no results.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1 Safety: Incidence of MAAEs and SAEs (time frame: through 1 week post final vaccine administration). The study lists 13 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 21 Feb 2025.

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Clinical Trial NCT04845191 | AzTrials