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CompletedNCT04435379Updated Oct 26, 2021

Study to Assess VPM1002 in Reducing Hospital Admissions and/or Severe Respiratory Infectious Diseases in Elderly in COVID-19 Pandemic

A Phase 3 interventional study of VPM1002 and Placebo in Infection, Respiratory Tract, sponsored by Vakzine Projekt Management GmbH. Completed at 12 sites in Germany. Open to participants aged 60 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-26.

Sponsored by Vakzine Projekt Management GmbH · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
2,038
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

The aim of this study is to investigate whether vaccination of elderly with VPM1002 could reduce hospital admissions and/or severe respiratory infectious diseases in the SARS-CoV-2 pandemic .

VPM1002 is a vaccine that is a further development of the old Bacillus Calmette-Guérin (BCG) vaccine, which has been used successfully as a vaccine against tuberculosis for about 100 years, especially in developing countries. VPM1002 has been shown in various clinical studies to be significantly safer than the BCG vaccine.

VPM1002 strengthens the body's immune defence and vaccination with BCG reduces the frequency of respiratory diseases. It is therefore assumed that a VPM1002 vaccination could also provide (partial) protection against COVID-19 disease caused by the "new corona virus" SARS-CoV 2.

Read the detailed description

Based on the evidence that BCG [Bacille Calmette-Guérin] vaccine

  1. can potentiate immune responses to other vaccines through induction of trained innate immunity and heterologous adaptive immunity, and
  2. can reduce the incidence of respiratory infections, exert antiviral effects in experimental models, and reduce viremia in an experimental human model of viral infection, it is hypothesized that BCG vaccination may induce (partial) protection against the susceptibility to and/or severity of SARS-CoV-2 infections.

VPM1002 is being developed with the aim to replace BCG by a vaccine that has a better safety profile and superior efficacy. Evidence from pre-clinical and clinical studies demonstrate that VPM1002 is safer and is more immunogenic than the existing BCG vaccine (for more information, please revert to the IB). It is therefore anticipated that VPM1002 will also perform better in reducing the severity of the symptoms of an infection with the SARS-CoV-2 than the BCG vaccine. Further, manufacturing of VPM1002 using state-of-the-art production methods will help hasten the production of millions of doses in a very short time and thus would be beneficial in the current SARS-CoV-2 pandemic situation.

The current trial will assess the efficacy and safety of VPM1002 to reduce the hospital admissions and clinical consequences of SARS-CoV-2 infections in the elderly population in the SARS-CoV-2 pandemic by modulating the immune system.

A total of 2038 adults aged 60 or above will be enrolled across involved clinical trial sites in Germany. Informed consent will be obtained from the subjects willing to take part in the trial. This will be followed by assessment of the eligibility criteria. Subjects who fulfil the inclusion/exclusion criteria will be centrally randomized in a 1:1 ratio to receive a single dose (0.1 ml) of either VPM1002 or Placebo.

All subjects will be requested to sign into a web-based tool designed for this trial. Every subject is encouraged to name a designated caregiver who may provide follow-up data in case of hospitalisation or severe illness of the study subject. All subjects will be followed-up entirely remotely. The questionnaires will be designed to collect data regarding hospitalisation, adverse events (AE)/serious adverse events (SAE), ICU admissions and other secondary endpoints. The investigators will review the outcome and safety data.

The duration of follow-up will be 240 days. Subjects with confirmed SARS-CoV-2 infection (with or without symptoms) will be followed for at least 6 weeks (from the date of test result), independent of the total trial duration.

02

Conditions studied

  • Infection, Respiratory Tract

Keywords

  • infectious respiratory diseases
03

In context

Communicable Diseases

4,453 studies on the registry are indexed under Communicable Diseases; 521 are open to participants now.

This study's enrollment of 2,038 is above the median of 122 across 2,719 interventional studies indexed under Communicable Diseases.

Browse Communicable Diseases studies →

Lead sponsor

Vakzine Projekt Management GmbH is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Male or female adult (≥ 60 years)
  2. Subject is contractually capable, able to understand information on study and has signed informed consent sheet
  3. Subject has access to an internet-enabled electronic device

Exclusion criteria

Exclusion Criteria:

  1. Known active or latent Mycobacterium tuberculosis infection
  2. Fever (> 38 °C) or respiratory tract infection within the past 24 hours
  3. Current active viral or bacterial infection
  4. Expected vaccination during the study period; vaccinations against influenza and pneumococcal disease are allowed with ≥ 4 weeks between these vaccinations and the trial vaccination
  5. Participation in another interventional study within 30 days before screening and during this study
  6. Known hypersensitivity or allergy to (components of) the VPM1002 vaccine or serious adverse reactions to prior Bacille Calmette-Guérin (BCG) administration
  7. Severely immunocompromised subjects, including:

    1. subjects with known infection by the human immunodeficiency virus (HIV-1);
    2. subjects with solid organ transplantation;
    3. subjects with bone marrow transplantation;
    4. subjects under chemotherapy, immunotherapy, or radiotherapy;
    5. subjects with primary immunodeficiency;
    6. treatment with any anti-cytokine therapies;
    7. treatment with oral or intravenous steroids defined as daily doses of 10 mg prednisone or equivalent for longer than 3 months, or likely use of oral or intravenous steroids in the next 4 weeks;
  8. History of malignancies, unless the subject has been free of the disease for ≥ 2 years; exception: subjects with adequately treated basal or squamous cell cancer or other localized non-melanoma skin cancer and adequately treated carcinoma in situ of the cervix may participate in the trial
  9. Previous positive SARS-CoV-2 test result
  10. Person is an employee of the sponsor, a relative of the sponsor or investigator, or is employed in the same department as the investigator
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
2,038 participants (actual)

Study arms

  • Experimental
    VPM1002

    The active ingredient of the recombinant BCG vaccine, VPM1002, is Mycobacterium bovis rBCGΔureC::hly, freeze-dried and standardized to the number of viable mycobacteria (colony forming units; CFU) per application. Dose: 2-8 x 10e5 CFU VPM1002 administered in 0.1 ml reconstituted suspension.

    Biological: VPM1002

  • Placebo comparator
    Placebo

    Physiological saline 0.1ml

    Biological: Placebo

Interventions

  • BiologicalVPM1002

    The investigational product will be administered via intradermal injection with a 1.0-ml syringe, sub-graduated into hundredths of ml (1/100 ml), and fitted with a short bevel needle (25G/0.50 mm or 26G/0.45 mm, 10 mm in length).

  • BiologicalPlacebo

    The investigational product will be administered via intradermal injection with a 1.0-ml syringe, sub-graduated into hundredths of ml (1/100 ml), and fitted with a short bevel needle (25G/0.50 mm or 26G/0.45 mm, 10 mm in length).

06

What researchers measure

Primary outcomes

  1. Number of days with severe respiratory disease at hospital and/or at home

    Time frame: From day 0 to day 240

Secondary outcomes

  1. Cumulative incidence of hospital admissions

    Time frame: From day 0 to day 240

  2. Cumulative incidence of documented SARS-CoV-2 infection

    Time frame: From day 0 to day 240

  3. Number of days with self-reported fever (≥ 38 ºC)

    Time frame: From day 0 to day 240

  4. Number of days with self-reported acute respiratory symptoms

    Time frame: From day 0 to day 240

  5. Cumulative incidence of self-reported acute respiratory symptoms

    Time frame: From day 0 to day 240

  6. Cumulative incidence of death for any reason

    Time frame: From day 0 to day 240

  7. Cumulative incidence of death due to documented SARS-CoV-2 infection

    Time frame: From day 0 to day 240

  8. Cumulative incidence of ICU admission for any reason

    Time frame: From day 0 to day 240

  9. Cumulative incidence of ICU admission due to documented SARS-CoV-2 infection

    Time frame: From day 0 to day 240

  10. Cumulative incidence of hospital admission due to documented SARSCoV- 2 infection

    Time frame: From day 0 to day 240

07

Study locations

12 sites
  • Hautarztpraxis Dres. Leitz & Kollegen
    Stuttgart, Baden-Württemberg 70178, Germany
  • MECS Cottbus GmbH
    Cottbus, Brandenburg 03050, Germany
  • Studienzentrum Dr. Keller
    Frankfurt, Hessen 60389, Germany
  • Klinische Forschung Hannover Mitte GmbH
    Hannover, Niedersachsen 30159, Germany
  • Medizinische Hochschule Hannover
    Hannover, Niedersachsen 30625, Germany
  • Medizentrum Essen Borbeck
    Essen, Nordrhein-Westfalen 45355, Germany
  • BAG Dres. med. Quist PartG
    Mainz, Rheinland-Pfalz 55128, Germany
  • SIBAmed GmbH & Co. KG
    Leipzig, Sachsen 04103, Germany
  • SocraTec R&D GmbH
    Erfurt, Thüringen 99084, Germany
  • emovis GmbH
    Berlin, 10629, Germany
  • Klinische Forschung Berlin GbR
    Berlin, 10787, Germany
  • Klinische Forschung Hamburg GmbH
    Hamburg, 20253, Germany
08

References and documents

Publications

  • Blossey AM, Bruckner S, May M, Parzmair GP, Sharma H, Shaligram U, Grode L, Kaufmann SHE, Netea MG, Schindler C. VPM1002 as Prophylaxis Against Severe Respiratory Tract Infections Including Coronavirus Disease 2019 in the Elderly: A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Multicenter Clinical Study. Clin Infect Dis. 2023 Apr 3;76(7):1304-1310. doi: 10.1093/cid/ciac881. PubMed 36358012 ↗

Individual participant data

Plan to share: No — There is uncertainty whether the European Union General Data Protection Regulation allows dissemination of individual participant data to other researchers. Some reasons why the EU Regulation would not allow this are the lack of suitable safeguards when personal data are transferred to any researcher asking for it and the impairment of the rights of the subjects for erasure of their data once they are disseminated.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04435379
Lead sponsor
Vakzine Projekt Management GmbH
Collaborators
FGK Clinical Research GmbH
Responsible party
Sponsor
First posted
Jun 17, 2020
Start date
Jun 18, 2020
Primary completion
Oct 12, 2021
Completion
Oct 12, 2021
Last update
Oct 26, 2021

Study contacts

Leander Grode, Dr. rer. nat.
study director · Vakzine Projekt Management GmbH

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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