An Experimental Medicine Multicenter Trial to Evaluate the Safety and Immunogenicity of Experimental Versus Authorized SARS-CoV-2 Vaccine Candidates as a Booster Dose in Healthy Participants Previously Vaccinated With Authorized mRNA SARS-CoV-2 Vaccines.

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-65
SponsorANRS, Emerging Infectious Diseases

About this trial

The SOLVE-01 trial is a study evaluating four SARS-CoV-2 vaccines as booster injections: two experimental vaccines (CD40.RBDv and CD40.Pan.CoV, both combined with the Hiltonol® adjuvant) and two authorised vaccines (Comirnaty® and NuvaxovidTM). This trial is designed for healthy adults aged 18 to 65 at the time of signing the informed consent form.

The main objectives of this trial are:

* to evaluate the safety of the two experimental vaccines, * to determine the antibody response induced by the vaccines and its durability.

Participants will:

* Receive one injection of vaccine and two intradermal skin tests * Come to the hospital 10 visits for medical exams and blood and saliva sample collection * Keep a diary of their symptoms and the treatments taken

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Male and female subjects aged 18 to 65 years inclusive at the time of the screening visit

Having received at least two doses of COVID-19 mRNA vaccines in the past with the last dose received more than 6 months prior to IMP administration in the trial

In healthy condition or with stable health status which is defined as an existing disease that has not required a significant change in treatment or hospitalization for worsening before enrolment, and for which neither a significant change in treatment or hospitalization for worsening is expected in the near future.

For woman of childbearing potential: a negative Beta-HCG blood test measure during the screening visit, and a negative highly sensitive pregnancy urinary test the day of the vaccination visit

Disqualifiers

Acute febrile infection (body temperature ≥ 38.0°C) within the previous 72 hours and/or presenting symptoms suggestive of COVID-19 or SARS-CoV-2 infection within the previous 28 days or having been in contact with an infected individual for the last 14 days before the inclusion visit

A process that would affect the immune response;

A process that would require medication that affects the immune response;

Any contraindication to repeated injections or blood draws;

Trial design

Design model

Parallel

Treatments tested in this trial

  • CD40.RBDv vaccine adjuvanted with Hiltonol®

    Biological/Vaccine

    used at the dose of 1.0 mg subcutaneously Poly-ICLC adjuvant (Hiltonol) used at a dose of 1.0 mg and will be mixed with CD40.RBDv vaccine just prior to subcutaneous injection at day 0.

  • CD40.Pan.CoV vaccine adjuvanted with Hiltonol®

    Biological/Vaccine

    used at the dose of 1.0 mg subcutaneously Poly-ICLC adjuvant (Hiltonol) used at a dose of 1.0 mg and will be mixed with CD40.Pan.CoV vaccine just prior to subcutaneous injection at day 0.

  • Comirnaty® vaccine

    Biological/Vaccine

    administered intramuscularly at day 0. The version of the Comirnaty® vaccine and the dose will be the one adapted to the variant circulating at the start of trial and authorised by EMA.

  • Nuvaxovid™ vaccine

    Biological/Vaccine

    administered intramuscularly at day 0. The version of the Nuvaxovid™ vaccine and the dose will be the one commercialised at the start of trial and authorised by EMA.

Treatment groups

48 Participants
are divided into 4 treatment groups
Group A: CD40.RBDv/HiltonolExperimental treatment 1 intervention
Group B: CD40.Pan.CoV/HiltonolExperimental treatment 1 intervention
Group C: ComirnatyActive comparator 1 intervention
Group D: NuvaxovidActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Safety_Proportion of participants without any grade 3 or 4 adverse event

Proportion of participants without any grade 3 or 4 solicited local/systemic or unsolicited AEs between Day 0 and Week 4 and considered to be related or possibly related to IMP administration

Time frame
Between Day 0 and Week 4
2

Immunogenicity_Geometric mean titers of neutralizing antibodies

Geometric mean titers of neutralizing antibodies against the original strain D614G and the relevant circulating variants measured at Week 4 and Week 48

Time frame
At Week 4 and Week 48

Secondary outcomes

1

Safety_Number of Solicited local and systemic Adverse Reactions

overall; by grade

Time frame
up to Day 7 (7 days post vaccination) for local ARs and Week 2 (14 days post vaccination) for systemic ARs
2

Safety_Number of Unsolicited adverse events

overall; by grade; by relationship to the vaccine

Time frame
from Day 0 to end of trial
3

Safety_Number of Serious Adverse Events

overall; by grade; by relationship to the vaccine

Time frame
from Day 0 to end of the trial
4

Immunogenicity_humoral immune response (IgG binding)

Geometric mean titers of IgG binding/neutralizing antibodies titers against the original strain D614G and the relevant circulating variants

Time frame
at Day 0 (before vaccination), Day 7, Week 2, Week 4, Week 12, Week 24, Week 36 and Week 48

Other outcomes

Sponsors and contacts

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