Safety, Tolerability and Immunogenicity of Alveavax-v1.2, a BA.2/Omicron-optimized, DNA Vaccine for COVID-19 Prevention

Last updated: May 2, 2023
Sponsor: Alvea Holdings, LLC
Overall Status: Completed

Phase

1

Condition

Covid-19

Corona Virus

Treatment

Alveavax-v1.2

Janssen Ad26.COV2.S

Clinical Study ID

NCT05844202
Alvea-VAX-P00001
DOH-27-062022-5157
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The investigated product is a Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Booster Vaccine candidate optimized for the Omicron/BA.2 variant. There are currently no licensed, variant-optimized vaccines to prevent infection with SARS-CoV-2 Omicron/BA.2. Approved or authorized SARS-CoV-2 vaccines are expensive, require a stringent cold chain, and have large-scale manufacturing issues, resulting in very limited availability in low- and middle-income countries (LMICs). Given the rapid global spread of the Omicron/BA.2 variant and potential for future novel SARS-CoV-2 variants, the rapid development of an easy-to-manufacture and easy-to-distribute vaccine is of great importance.

The objective of the study is to assess the tolerability, safety, and immunogenicity of different doses and routes of administration of the Alveavax-v1.2 vaccine in healthy individuals.

The study aims to evaluate:

  • the safety and tolerability of Alveavax-v1.2 in healthy participants compared to a control booster vaccine in a dose-finding design;

  • the immunogenicity against SARS-CoV-2 BA.2/Omicron after a booster dose of Alveavax-v1.2;

  • the clinical efficacy against SARS-CoV-2 after a booster dose of Alveavax-v1.2;

  • and the success rate of intradermal (ID) injections.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Healthy adult male and female volunteers between 18 and 65 years of age, inclusive.
  2. Participants who received a primary Janssen Ad26.CoV2.S vaccine ≥ 60 days prior toreceiving the study vaccine.
  3. Body mass index within the range 18 - 32 kg/m2 both inclusive.
  4. Participants who, judged by the Investigator, are in stable health as determined bytheir pre-study medical history, physical examination, and clinical laboratory tests.
  5. Female participants must be either of non-childbearing potential, i.e., surgicallysterilized (defined as having undergone hysterectomy and/or bilateral oophorectomyand/or bilateral salpingectomy; tubal ligation alone is not considered sufficient) orone year postmenopausal; or, if of childbearing potential, they must be abstinent orhave used adequate contraceptive precautions for 30 days prior to receiving the studyvaccination and 84 days post-vaccine.
  6. Sexually active male participants who are considered sexually fertile must agree touse a barrier method of contraception during sexual activity with a female ofchildbearing potential from the time of vaccination until at least 84 days after thevaccination.
  7. Participants must provide written informed consent or their legal representative mustunderstand and give written consent to the procedure.
  8. Participants must be willing and able to comply with all the required study visits andfollow-up required by this protocol, and be able to complete the diary card aftervaccination or have a caregiver available to assist with these matters.

Exclusion

Exclusion Criteria:

  1. Received any other SARS-CoV-2 vaccination than a single Janssen Ad26.COV2.S vaccine orplans to receive any additional SARS-CoV-2 vaccination within 90 days after the studyvaccine (Day 1).
  2. Recovered from SARS-CoV-2 infection determined by history of a positive SARS-CoV-2test (e.g. PCR, rapid antigen test, etc.) or suspicion of a SARS-CoV-2 infection basedon the (verbal) medical history within less than 60 days from the day of vaccination (Day 1) in this study.
  3. History of close contact (face-to-face contact within 1 meter or contact in a closedspace for more than 15 minutes) without wearing a face-mask with a confirmed activeSARS-CoV-2-positive patient within 5 days prior to Day 1.
  4. Have received any live-virus vaccine within 4 weeks or inactivated vaccine, includinginfluenza vaccine, within 2 weeks (both licensed and investigational vaccines) priorto the study vaccine (Day 1).
  5. Previous participation in any clinical trial of a SARS-CoV-2 vaccine candidate.
  6. Have any febrile illness (temperature ≥ 38°C/100.4°F) or any active acute illness orinfection (including a positive SARS-CoV-2 PCR test) within 7 days prior toadministration of vaccination (Day 1) in this study. Participants may be re-evaluatedonce all symptoms have resolved.
  7. History of severe adverse reaction associated with a vaccine and/or severe allergicreaction (eg, anaphylaxis) or contraindications to any component of the studyintervention(s).
  8. History of, or positive screening test for human immunodeficiency virus I or II.
  9. Any clinically significant finding during screening or check-in that, in theInvestigator's judgment, results in an increased safety risk.
  10. History of cerebral venous sinus thrombosis, antiphospholipid syndrome, or a historyof heparin-induced thrombocytopenia and thrombosis (HITT or HIT type 2).
  11. Any confirmed or suspected immunosuppressive or immunodeficient state; asplenia;recurrent severe infections and use of immunosuppressant medication within the past 3months, except topical and inhaled steroids, or short-term oral steroids (courselasting ≤14 days or ≤20 mg/day).
  12. History of receiving blood transfusion, blood products, immunoglobulin, or immunestimulants within 3 months prior to Day 1.
  13. Is currently participating in any other study or has received any investigational drugin the last 6 weeks or 5× the half-life of the drug (whichever is longer) prior toscreening.
  14. For female participants of childbearing potential who are pregnant (positive pregnancytest at the screening or check-in), currently breastfeeding, or attempting toconceive.
  15. Any addiction that may interfere with the participant's ability to comply with trialprocedures.
  16. Inability to be venipunctured or tolerate venous, IM, SC, or ID puncture.
  17. Have a rash, dermatological condition, tattoo, or any other abnormality at theinjection site that may interfere with injection site reaction rating. Investigatordiscretion will be permitted with this exclusion criterion.
  18. Use of prophylactic medications (e.g., antihistamines [H1 receptor antagonists],nonsteroidal anti-inflammatory drugs [NSAIDs], systemic glucocorticoids, non-opioidand opioid analgesics) within 24 hours prior to the vaccination to prevent or pre-emptsymptoms due to vaccination.
  19. Any condition or abnormal baseline findings or any other unspecified reason, which inthe Investigator's judgment might increase the risk to the participant or decrease thechance of obtaining satisfactory data needed to achieve the objective of the study.
  20. Participants identified as an Investigator or employee of the Investigator or clinicalsite with direct involvement in the proposed study, or identified as an immediatefamily member (i.e., parent, spouse, natural or adopted child) of the Investigator, oremployee with direct involvement in the proposed study, or any employees of theSponsor company.

Study Design

Total Participants: 130
Treatment Group(s): 2
Primary Treatment: Alveavax-v1.2
Phase: 1
Study Start date:
June 27, 2022
Estimated Completion Date:
March 02, 2023

Study Description

This is a first in human, open-label, active-controlled, randomized dose-finding study to evaluate safety, tolerability, and immunogenicity of intradermal (ID) and subcutaneous (SC) application of the plasmid DNA SARS-CoV-2 Omicron BA.2 vaccine Alveavax-v1.2 in primary Ad26.COV2.S vaccinated healthy individuals.

Primary Ad26.COV2.S vaccinated participants will be randomized into one of 5 treatment arms to receive Alveavax-v1.2 or a Ad26.COV2.S control booster vaccine.

Participants will be enrolled at multiple sites in South Africa within 28 days after the initial screening to ensure they meet all the inclusion criteria and none of the exclusion criteria.

Each participant will be administered a booster vaccine on Day 1 of the study and will be monitored afterwards. Solicited local/systemic reactions will be recorded after vaccination in the participant's diary card for up to 7 days (the vaccine administration day and 6 days later).

A total of 130 participants of any sex, aged between 18 and 65 years, who satisfy the inclusion and exclusion criteria are planned to be enrolled in five groups and with vaccine administered according to their dose arm as follows:

Low dose: 0.5 mg Alveavax-v1.2 in one ID injection

Standard dose: 2 mg Alveavax-v1.2 in one ID injection

High dose: 8mg Alveavax-v1.2 in four ID injections

SC injection: 8mg Alveavax-v1.2 in one SC injection

Control: Janssen Ad26.COV2.S in one intramuscular (IM) injection

Connect with a study center

  • JOSHA Research

    Bloemfontein, Free State 9301
    South Africa

    Site Not Available

  • NMMM Pharmmedica Health and Clinical Research

    Johannesburg, Gauteng 2090
    South Africa

    Site Not Available

  • MERC Kempton Park

    Kempton Park, Gauteng 1619
    South Africa

    Site Not Available

  • Ubuntu Clinical Research Center

    Krugersdorp, Gauteng 1739
    South Africa

    Site Not Available

  • Ubuntu Clinical Research Center Lenasia

    Lenasia, Gauteng 1847
    South Africa

    Site Not Available

  • Setshaba Research Centre

    Soshanguve, Gauteng 0152
    South Africa

    Site Not Available

  • MERC Research Pty Ltd

    Middelburg, Mpumalanga 1055
    South Africa

    Site Not Available

  • TASK applied Science Brooklyn Chest Hospital

    Ysterplaat, Western Cape 7405
    South Africa

    Site Not Available

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