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COVID-19 Oral and Subcutaneous Vaccination Using a 2nd Generation (E1/E2B/E3-Deleted) Adenovirus Platform in Healthy Volunteers in USA

Phase 1b Open-Label Study of the Safety, Reactogenicity, and Immunogenicity of Subcutaneously and Orally Administered Prophylactic Vaccination With 2nd Generation (E1/E2B/E3-Deleted) Adenoviral COVID-19 in Normal Healthy Volunteers

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04732468
Enrollment
28
Registered
2021-02-01
Start date
2021-02-24
Completion date
2023-01-09
Last updated
2024-10-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Covid19

Brief summary

This is a phase 1b, open-label study in adult healthy subjects. This clinical trial is designed to assess the safety, reactogenicity, and immunogenicity the combination of hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) and to select an optimal combination dose for future studies.

Interventions

BIOLOGICALhAd5-S-Fusion+N-ETSD (Suspension for injection)

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

DRUGhAd5-SFusion+ N-ETSD (Oral capsule)

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

Sponsors

ImmunityBio, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

1. Healthy adults, age 18 - 55 years, inclusive, at time of enrollment. 2. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines. 3. Agrees to the collection of biospecimens (eg, nasopharyngeal \[NP\] swabs) and venous blood per protocol. 4. Ability to attend required study visits and return for adequate follow-up, as required by this protocol. 5. Ability to swallow a capsule. 6. Temperature \< 38°C. 7. Negative for SARS-CoV-2 (qPCR or LAMP test) and no known previous COVID-19 exposure or disease. 8. 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, intrauterine devices (IUDs), oral contraceptives, and abstinence.

Exclusion criteria

1. Allergy to any component of the investigational vaccine, or a more severe allergic reaction and history of allergies in the past. 2. 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. 3. Live in a nursing home or long-term care facility. 4. Chronic lung disease including chronic obstructive pulmonary disease (COPD) or moderate to severe asthma. 5. Pulmonary fibrosis. 6. Current or former smoker. 7. Bone marrow or organ transplantation. 8. Obesity (defined as body mass index \[BMI\] of 30 kg/m2 or higher). 9. Diabetes. 10. Chronic kidney disease. 11. Liver disease. 12. Sickle cell disease. 13. Thalassemia. 14. Doctors, nurses, first responders, and other healthcare workers working in direct contact with COVID-19 patients. 15. Any disease associated with acute fever, or any infection. 16. Self-reported history of severe acute respiratory syndrome (SARS). 17. History of hepatitis B or hepatitis C. 18. HIV or other acquired or hereditary immunodeficiency. 19. Serious cardiovascular diseases, such as heart failure, coronary artery disease, cardiomyopathies, arrhythmia, conduction block, myocardial infarction, pulmonary hypertension, severe hypertension without controllable drugs, etc. 20. Cerebrovascular disease. 21. Cystic fibrosis. 22. Neurologic conditions, such as dementia. 23. Hereditary or acquired angioneurotic edema. 24. Urticaria in the last 12 months. 25. No spleen or functional asplenia. 26. Platelet disorder or other bleeding disorder that may cause injection contraindication. 27. 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.) 28. Prior administration of blood products in last 4 months. 29. Prior administration of other research medicines in last 1 month. 30. Received or plans to receive an attenuated vaccine within 1 month before or after each study vaccination. 31. Received or plans to receive an inactivated vaccine within 14 days before or after each study vaccination. 32. Current treatment with investigational, authorized, or approved agents for prophylaxis of COVID-19. 33. Have a household contact that has been diagnosed with COVID-19. 34. Current anti-tuberculosis prophylaxis or therapy. 35. 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). 36. According to the judgement of investigator, various medical, psychological, social or other conditions that could affect the subjects ability to sign informed consent. 37. Assessed by the Investigator to be unable or unwilling to comply with the requirements of the protocol.

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Solicited Local Reactogenicity AEs1 week post final vaccine administrationIncidence of Solicited Local Treatment-Related Reactogenicity Adverse Events Through 1 Week Post Final Vaccine
Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs1 week post final vaccine administrationIncidence of Solicited Systemic Treatment-Related Reactogenicity Adverse Events Through 1 Week Post Final Vaccine Administration
Incidence of Unsolicited AEs1 week post final vaccine administrationIncidence of Unsolicited AEs Through 1 Week Post Final Vaccine Administration
Incidence of Unsolicited Treatment-Related AEs1 week post final vaccine administrationIncidence of Unsolicited Treatment-Related Adverse Events Through 1 Week Post Final Vaccine Administration
Incidence of MAAEs6 Months post final vaccine administrationIncidence of Medically Attended Adverse Events Through 6 Months Post Final Vaccine Administration
Incidence of Serious AEs6 Months Post Final VaccineIncidence of Serious Adverse Events Through 6 Months Post- Final Vaccine Administration

Countries

United States

Participant flow

Participants by arm

ArmCount
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)
For subjects in cohort 1, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) were administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Suspension for injection) again on day 22 (boost). hAd5-S-Fusion+N-ETSD (Suspension for injection): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain. hAd5-SFusion+ N-ETSD (Oral capsule): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.
4
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)
For subjects in cohort 2, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-SFusion+N-ETSD (Oral capsule) were administered on day 1 (prime) and hAd5-S-Fusion+N-ETSD (Oral capsule) on day 22 (boost). hAd5-S-Fusion+N-ETSD (Suspension for injection): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain. hAd5-SFusion+ N-ETSD (Oral capsule): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.
10
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)
For subjects in cohort 3, hAd5-S-Fusion+N-ETSD (Oral capsule) were administered on days 1 (prime) and on day 22 (boost). hAd5-SFusion+ N-ETSD (Oral capsule): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.
10
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)
For subjects in cohort 4, hAd5-S-Fusion+N-ETSD (Suspension for injection) and hAd5-S-Fusion+N-ETSD (Oral capsule) were administered on day 1 (prime) and hAd5-SFusion+N-ETSD (Oral capsule) will be administered on days 15 (boost) and 22 (boost). hAd5-S-Fusion+N-ETSD (Suspension for injection): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain. hAd5-SFusion+ N-ETSD (Oral capsule): The hAd5-S-Fusion+N-ETSD Vaccine is a human adenovirus serotype 5 (hAd5) vector with E1/E2b/E3 deletions expressing SARS-CoV-2 viral antigen spike fusion protein and nucleocapsid with an enhanced T-cell stimulation domain.
4
Total28

Baseline characteristics

CharacteristicCohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Total
Age, Continuous44.2 years
STANDARD_DEVIATION 8.18
39.2 years
STANDARD_DEVIATION 9.67
42.2 years
STANDARD_DEVIATION 10.75
44.5 years
STANDARD_DEVIATION 5.8
41.8 years
STANDARD_DEVIATION 9.24
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants1 Participants0 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants9 Participants9 Participants4 Participants24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants0 Participants0 Participants1 Participants
Healthy volunteers with a negative for SARS-CoV-2 test4 Participants10 Participants10 Participants4 Participants28 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants3 Participants1 Participants4 Participants
Race (NIH/OMB)
Black or African American
1 Participants0 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
White
3 Participants10 Participants5 Participants3 Participants21 Participants
Sex: Female, Male
Female
2 Participants4 Participants5 Participants2 Participants13 Participants
Sex: Female, Male
Male
2 Participants6 Participants5 Participants2 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
EG018
affected / at risk
EG019
affected / at risk
EG020
affected / at risk
EG021
affected / at risk
EG022
affected / at risk
EG023
affected / at risk
EG024
affected / at risk
EG025
affected / at risk
EG026
affected / at risk
EG027
affected / at risk
deaths
Total, all-cause mortality
0 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 4
other
Total, other adverse events
3 / 48 / 100 / 103 / 44 / 49 / 107 / 104 / 42 / 45 / 105 / 103 / 41 / 44 / 104 / 103 / 42 / 45 / 105 / 103 / 41 / 44 / 104 / 103 / 40 / 43 / 104 / 100 / 4
serious
Total, serious adverse events
0 / 41 / 101 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 40 / 40 / 100 / 100 / 4

Outcome results

Primary

Incidence of MAAEs

Incidence of Medically Attended Adverse Events Through 6 Months Post Final Vaccine Administration

Time frame: 6 Months post final vaccine administration

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of MAAEs0 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of MAAEs3 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of MAAEs4 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of MAAEs0 Participants
Primary

Incidence of Serious AEs

Incidence of Serious Adverse Events Through 6 Months Post- Final Vaccine Administration

Time frame: 6 Months Post Final Vaccine

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Serious AEs0 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Serious AEs1 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Serious AEs1 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Serious AEs0 Participants
Primary

Incidence of Solicited Local Reactogenicity AEs

Incidence of Solicited Local Treatment-Related Reactogenicity Adverse Events Through 1 Week Post Final Vaccine

Time frame: 1 week post final vaccine administration

Population: Analysis population is all subjects who received at least one dose of study intervention (safety analysis population)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Solicited Local Reactogenicity AEs3 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Solicited Local Reactogenicity AEs8 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Solicited Local Reactogenicity AEs0 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Solicited Local Reactogenicity AEs3 Participants
Primary

Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs

Incidence of Solicited Systemic Treatment-Related Reactogenicity Adverse Events Through 1 Week Post Final Vaccine Administration

Time frame: 1 week post final vaccine administration

Population: Analysis population is all subjects who received at least one dose of study intervention (safety analysis population)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs4 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs9 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs7 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Solicited Systemic Treatment-Related Reactogenicity AEs4 Participants
Primary

Incidence of Unsolicited AEs

Incidence of Unsolicited Adverse Events Through 30 Days Post Final Vaccine Administration

Time frame: 30 days post final vaccine

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited AEs2 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited AEs5 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited AEs5 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited AEs3 Participants
Primary

Incidence of Unsolicited AEs

Incidence of Unsolicited AEs Through 1 Week Post Final Vaccine Administration

Time frame: 1 week post final vaccine administration

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited AEs2 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited AEs5 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited AEs5 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited AEs3 Participants
Primary

Incidence of Unsolicited Treatment-Related AEs

Incidence of Unsolicited Treatment-Related Adverse Events Through 1 Week Post Final Vaccine Administration

Time frame: 1 week post final vaccine administration

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs1 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs4 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs4 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs3 Participants
Primary

Incidence of Unsolicited Treatment-Related AEs

Incidence of Unsolicited Treatment-Related Adverse Events Through 30 Days Post Final Vaccine Administration

Time frame: 30 Days Post Final

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs1 Participants
Cohort 2- hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-SFusion+ N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs4 Participants
Cohort 3 - hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs4 Participants
Cohort 4 - hAd5-S-Fusion+N-ETSD (Suspension for Injection) and hAd5-S-Fusion+N-ETSD (Oral Capsule)Incidence of Unsolicited Treatment-Related AEs3 Participants

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026