E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
SARS-CoV-2-mediated COVID-19 |
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E.1.1.1 | Medical condition in easily understood language |
COVID-19 and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10084465 |
E.1.2 | Term | COVID-19 vaccination |
E.1.2 | System Organ Class | 100000004865 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1. Primary Efficacy Objective: Vaccine Efficacy Against RT-PCR-Confirmed COVID-19 of Any Severity: To demonstrate the efficacy of CpG 1018/Alum-adjuvanted SCB-2019 vaccine for the prevention of any RT-PCR-confirmed COVID-19 of any severity in subjects without evidence of prior SARS-CoV-2 infection.
2. Primary Safety and Reactogenicity Objective: To assess the safety and reactogenicity of CpG 1018/Alum-adjuvanted SCB-2019 vaccine compared to placebo.
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E.2.2 | Secondary objectives of the trial |
Secondary Efficacy Objectives:
- Vaccine Efficacy Against Any RT-PCR Confirmed Moderate-to-Severe COVID-19
- Vaccine Efficacy Against Any Laboratory-Confirmed SARS-CoV-2 Infection
- Vaccine Efficacy Against Any RT-PCR-Confirmed Severe COVID-19
- Vaccine Efficacy Against Any Laboratory-Confirmed Asymptomatic SARS-CoV-2 Infection
- Vaccine Efficacy Against Burden of Disease (BOD)
- Vaccine Efficacy Against Any RT-PCR-Confirmed COVID-19 of Any Severity, Associated with Hospitalization
- Vaccine Efficacy by Evidence of Prior SARS-CoV-2 Infection and Risk of Severe COVID-19
- Vaccine Efficacy After the First Dose
Secondary Immunogenicity Objectives: To assess the immunogenicity of CpG 1018/Alum-adjuvanted SCB 2019 vaccine in Phase 2 subjects
To assess the immune response against Trimer Tag domain of SCB 2019 in Phase 2 subjects
Secondary Safety Objective: To assess the immune response against Trimer Tag domain of SCB 2019 in Phase 2 subjects
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Immunogenicity sub study
Study will be conducted in sub set of the participating countries and patients.
Objective:
To assess the immunogenicity of CpG 1018/Alum-adjuvanted SCB-2019 vaccine in Phase 2 subjects
To assess the immune response against Trimer Tag domain of SCB-2019 in Phase 2 subjects
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E.3 | Principal inclusion criteria |
1. Male or females ≥18 years of age, inclusive.
2. Participants who are willing and able to comply with study requirements, including all scheduled visits, vaccinations, laboratory tests, the electronic completion of the COVID-19 ePRO and other study procedures.
3. Healthy adults or adults with pre-existing medical conditions who are in stable condition.
A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 3 months before enrollment.
Note: The first 200 individuals enrolled in the Phase 2 part of the study should be healthy subjects 18 to 64 years or age without comorbidities associated with a high risk of severe COVID-19.
4. Female subjects are eligible to participate in the study if not pregnant, not breastfeeding, and at least 1 of the following criteria apply:
• Women of childbearing potential (WOCBP) must have a negative urine pregnancy test prior to each vaccination. A confirmatory serum pregnancy test may be conducted at the Investigator’s discretion. They must be using a highly effective licensed method of birth control for 30 days prior to the first vaccination and must agree to continue such precautions during the study until 90 days after the second vaccination.
5. Male subjects must agree to employ acceptable contraception from the day of first dose of the study vaccine/placebo until 6 months after the last dose of the study vaccine/placebo and also refrain from donating sperm during this period.
6. Individuals (or their legally acceptable representative based on local regulations) willing and able to give an informed consent, prior to screening.
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E.4 | Principal exclusion criteria |
1. Individuals with laboratory-confirmed SARS-CoV-2 infection (e.g., a positive RT-PCR or Rapid COVID-19 antigen test).
2. Individuals with behavioral or cognitive impairment (including drug and alcohol abuse) in the opinion of the Investigator.
3. Individuals with any progressive or severe neurologic disorder, seizure disorder, or history of Guillian-Barré syndrome.
4. Individuals who receive treatment with immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, e.g., for cancer or an autoimmune disease, or planned receipt during the study period. If a short-term course of systemic corticosteroids have been administered for treatment of an acute illness, participants should not be enrolled into the study until corticosteroid therapy has been discontinued for at least 30 days before the first study vaccination. A unique dose of systemic steroids on a single day would be allowed, as well as inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted.
5. Individuals who are pregnant, or breastfeeding, or planning to become pregnant during the study period.
6. Individuals who have a history of severe adverse reaction associated with a vaccine or severe allergic reaction (e.g., anaphylaxis) to any component of the study vaccine (SCB-2019, CpG 1018 Adjuvant and Aluminum hydroxide/SCB-2019 components as outlined in the latest IB).
7. Individuals who have a history of malignancy within 1 year before screening (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix which have been cured, or other malignancies with minimal risk of recurrence).
8. Individuals who have received any other investigational product within 30 days prior to Day 1 or intent to participate in another clinical study at any time during the conduct of this study.
9. Individuals who have received previous vaccination with any coronavirus vaccine.
10. Individuals who have received any other licensed vaccines within 14 days prior to enrollment in this study or who are planning to receive any vaccine up to 14 days after the second vaccination.
11. Individuals with known bleeding disorder that would, in the opinion of the investigator, contraindicate intramuscular injection.
12. Individuals who received any blood/plasma products or immunoglobulins within 60 days prior to Day 1 or plan to receive it during the study period.
13. Individuals with any condition that, in the opinion of the Investigator, may increase the risk of study participation or interfere with the assessment of the primary study objectives
14. Individuals with fever >37.8°C (≥100.04°F; irrespective of method), or any acute illness at baseline (Day 1) or within 3 days of randomization. Participants meeting this criterion may be rescheduled within the relevant window. Afebrile participants with minor illnesses can be enrolled at the discretion of the investigator. |
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E.5 End points |
E.5.1 | Primary end point(s) |
First occurrence of any RT-PCR-confirmed COVID-19 of any severity with onset at least 14 days after the second study vaccination in subjects without evidence of prior SARS-CoV-2 infection.
Local and systemic solicited AEs reported within 7 days after each study vaccination (in Phase 2 subjects)
Unsolicited AEs reported from Visit 1 (Day 1) through Safety Call Day 43 (in Phase 2 subjects)
SAEs, AEs leading to early termination from the study, MAAEs, and AESIs during the entire study period (in all subjects). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
For efficacy endpoint: First occurrence of any RT-PCR-confirmed COVID-19 with onset at least 14 days after the second study vaccination
For safety and reactogenecity endpoints: For SAEs, AEs leading to early termination from the study: during the entire study period |
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E.5.2 | Secondary end point(s) |
First occurrence of RT-PCR confirmed moderate-to-severe COVID 19 (Refer to Case Definition) with onset at least 14 days after the second vaccination in subjects without evidence of prior SARS-CoV-2 infection
Occurrence of any laboratory-confirmed SARS-CoV-2 infection (Refer to Case Definition) with onset at least 14 days after the second study vaccination in subjects without evidence of prior SARS-CoV-2 infection
First occurrence of RT-PCR confirmed severe COVID 19 with onset at least 14 days after the second vaccination in subjects without evidence of prior SARS-CoV-2 infection
Occurrence of laboratory-confirmed asymptomatic SARS-CoV-2 infection (Refer to Case Definition), with onset at least 14 days after the second vaccination in subjects without evidence of prior SARS-CoV-2 infection.
Occurrence of any SARS-CoV-2 infection, any confirmed RT-PCR COVID-19 and any RT-PCR-confirmed severe COVID-19 with onset at least 14 days after the second vaccination in subjects without evidence of prior SARS-CoV-2 infection
First occurrence of RT-PCR confirmed COVID 19 of any severity, associated with hospitalization, with onset at least 14 days after the second vaccination in subjects without evidence of prior SARS-CoV-2 infection.
- First occurrence of RT-PCR confirmed COVID 19 of any severity,
- First occurrence of RT-PCR-confirmed moderate-to-severe COVID-19,
- First occurrence of RT-PCR confirmed severe COVID-19,
- First occurrence of RT-PCR confirmed COVID 19 of any severity, associated with hospitalization,
- Occurrence of any laboratory-confirmed SARS-CoV-2 infection, and
- Occurrence of laboratory-confirmed asymptomatic SARS-CoV-2 infection, with onset at least 14 days after the second vaccination
For Immunogenicity - VNA, ACE2-competitive ELISA, SCB-2019 binding antibody ELISA,
For Safety- Trimer-Tag binding antibody as measured by ELISA assay |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
For Efficacy - First occurrence of any RT-PCR-confirmed COVID-19 with onset at least 14 days after the second study vaccination
For Immunogenicity and safety - Visits 1, 2, 3, 4 and 5
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Brazil |
Colombia |
Dominican Republic |
Guatemala |
Nepal |
Panama |
Philippines |
South Africa |
Belgium |
Germany |
Poland |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |