COVID-19
Conditions
Keywords
covid-19, vaccine
Brief summary
This is an adaptive Phase I trial of a vaccine consisting of autologous dendritic cells previously loaded ex vivo with SARS-CoV-2 spike protein, with or without GM-CSF, to prevent COVID-19 in adults.
Detailed description
Subjects eligible for treatment will be those who at baseline, are not actively infected with SARS-CoV-2, have no evidence of prior infection with SARS-CoV-2 based on serologic testing, and give informed consent for a vaccination with AV-COVID-19. The patient population will include the elderly and others at higher risk for poor outcomes after COVID-19 infection. For this reason, individuals will not be excluded solely on the basis of age, body mass index, history of hypertension, diabetes, cancer, or autoimmune disease. After enrolling for screening, subjects will undergo a nasal swab test to exclude active COVID-19 infection and a rapid test for anti-coronavirus antibodies to exclude pre-existing anti-SARS-CoV-2 antibodies. 50 mL of blood will be collected, from which peripheral blood monocytes will be isolated and differentiated into DC before incubation with SARS-CoV-2 S-protein, during which time the protein is digested into 9 to 25 amino acid peptide sequences presented on the dendrites of DC in conjunction with histocompatibility class I and class II molecules. Safety and quality testing will be performed on a small quantity of the batch, and the remaining AV-COVID-19 will be cryopreserved for shipping to the treatment site. Once the Study Drug is ready, if eligible, the subject will be seen at Study Week-0 for treatment. Prior to injection of the Study Drug, a nasal swab test will be collected to confirm that they are still negative for COVID-19, and blood will be drawn to determine baseline levels of anti-SARS-CoV-2 antibodies. At the treatment site, the product will be thawed and admixed with saline or (saline with GM-CSF), and within 5 hours of thawing, will be injected SC via a 25-gauge needle
Interventions
BIOLOGICALAV-COVID-19
Autologous dendritic cells previously loaded ex vivo with SARS-CoV-2 spike protein
Sponsors
Ina-Respond
Aivita Biomedical, Inc.
PT AIVITA Biomedika Indonesia
National Institute of Health Research and Development, Ministry of Health Republic of Indonesia
RSUP Dr. Kariadi Semarang, indonesia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Intervention model description
Autologous dendritic cells previously loaded ex vivo with SARS-CoV-2 spike protein
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. 18 years or older, 2. in relatively good health with adequate physical and mental function 3. including factors associated with in increased risk for medical complications associated with COVID-19 infection or increased risk for exposure to SARS-CoV-2
Exclusion criteria
1. Active COVID-19 infection by PCR testing 2. Pre-existing IgG or IgM SARS-CoV-2 antibodies 3. Pregnant, Known hypersensitivity to GM-CSF 4. Known active immune deficiency disease or active HIV 5. HBV, HCV, On active treatment with corticosteroids or other immunosuppressive agent 6. Participated in previous COVID-19 vaccine study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of solicited local and systemic reactogenicity adverse events (AEs) | until follow up day 7 | Percentage of participants with solicited AEs (local, systemic) for 7 days following vaccination. |
| Frequency of any serious adverse events (SAEs) | until follow up day 365 | Percentage of participants with serious undesirable effect associated with the use of a medical product in a patient. |
| Frequency of any new-onset chronic medical conditions (NOCMCs) | until follow up day 365 | NOCMCs will be documented from the time of study vaccination through approximately 1 year after study vaccination |
| Frequency of medically attended adverse events (MAAEs) [ | until follow up day 365 | Percentage of participants with MAAEs, defined as AEs that lead to an unscheduled visit to a healthcare practitioner, through Day 365. |
| Frequency of Unsolicited AE and Adverse Events of Special Interest (AESIs) | until follow up day 90 | Percentage of participants with unsolicited AEs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum IgG Antibody Levels Expressed as Geometric Mean Fold Rises (GMFRs) | until follow up day 28 | Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs through Day 28. |
| Serum Immunoglobulin G (IgG) Antibody Levels Expressed as Geometric Mean Titers (GMTs) | until follow up day 28 | Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by enzyme-linked immunosorbent assay (ELISA) expressed as GMTs through Day 28. |
| Serum IgG Antibody Levels Expressed as Seroconversion Rates (SCRs) | until follow up day 28 | Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs through Day 28. SCR is the proportion of participants with ≥4-fold rises in ELISA units. |
| Neutralizing Antibody Activity Expressed as GMTs | until follow up day 28 | Neutralizing antibody activity as detected by microneutralization assay (MN) expressed as GMTs at multiple time points through Day 28. |
| Neutralizing Antibody Activity Expressed as GMFRs | until follow up day 28 | Neutralizing antibody activity as detected by MN expressed as GMFRs at multiple time points through Day 28. |
| Neutralizing Antibody Activity Expressed as SCRs | until follow up day 28 | Neutralizing antibody activity as detected by MN expressed as SCRs at multiple time points through Day 28. |
| Assessment of Cell-Mediated (T helper 1 [Th1]/T helper 2 [Th2]) Pathways | until follow up day 28 | Cell-mediated (Th1/Th2) pathways as measured by whole blood (flow cytometry) and/or in vitro peripheral blood mononuclear cell (PBMC) stimulation (eg, enzyme-linked immunospot \[ELISpot\], cytokine staining) with SARS-CoV-2 rS protein(s) through Day 28. |
| Optimal dose of SARS-CoV2 antigen and GM-CSF | until follow up month one | Measurement of IgG in subject blood after one month |
| Duration of detection IgG and neutralizing antibody againts SARS-CoV-2in blood after vaccination | until follow up month 12 | Measurement of IgG and neutralizing antibody in subject blood after 12 months |
Countries
Indonesia
Contacts
PRINCIPAL_INVESTIGATORdr. Djoko Wibisono, Sp.PD - KGH
Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto, Jakarta
PRINCIPAL_INVESTIGATORDr. Muhammad Karyana, MPH
National Institute of Health Research and Development, Ministry of Health Republic of Indonesia
Outcome results
None listed