ClinicalTrials.gg
Status unknownNCT04998240Updated Apr 19, 2023

Mix and Match Heterologous Prime-Boost Study Using Approved COVID-19 Vaccines

A Phase 2 interventional study of BBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell) and Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein), in Covid19, sponsored by International Vaccine Institute. Status unknown at 2 sites in 2 countries. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-19.

Sponsored by International Vaccine Institute · Phase 2, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is an observer-blind, randomized study which aims to assess the immune response and the safety of two different approved vaccines for first and second dose in healthy adults.

Read the detailed description

This is a phase 2, observer-blind, randomized study to assess the safety and the immunogenicity of heterologous prime-boost COVID-19 vaccines regimens in healthy adults aged 18 to 65 years using two approved vaccines (Sinopharm / CNBG Vaccine (BBIBP-CorV) and Johnson \& Johnson Vaccine (Ad26.COV2.S)).

The study will consist of 2 cohorts, one for main immunology endpoints (N=260, 65 per study arm) and one for more detailed immunological assessment (N=100, 25 per study arm). Two doses of vaccine will be administered intramuscularly 4 week apart. All the study participants will be follow-up for 12 months from the administration of first vaccine dose.

02

Conditions studied

  • Covid19

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Keywords

  • SARS-CoV-2, Vaccines, Mix and Match Trial
03

In context

COVID-19

7,990 studies on the registry are indexed under COVID-19; 466 are open to participants now.

This study's enrollment of 360 is above the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

International Vaccine Institute is the lead sponsor of 47 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals aged 18 to 65 years old at the time of consent.
  • Residing within the area of the study and planning to stay for the study duration.
  • negative test result on the day of screening (for those who do not have a documented HIV test results in the last three months of screening).
  • Female volunteers of with a negative pregnancy test on the day(s) of screening and vaccination, practicing/willing to practice continuous effective * recommended by the National Health System up to 12 weeks after the booster vaccination..
  • Agreement to refrain from blood donation during the course of the study.
  • Able and willing to comply with all study requirements, based on the assessment of the investigator.
  • Willingness to provide written before any trial procedure * Effective contraception is defined as follows: contraceptive medications delivered orally, intramuscularly, vaginally, or implanted underneath the skin, surgical methods (hysterectomy or bilateral tubal ligation), condoms, diaphragms, intrauterine device (IUD), and abstinence.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy, lactation, or intention to become pregnant during the vaccination phase through three months after the booster dose.
  • Prior receipt/ planned receipt of any vaccine other than the study intervention within 28 days before and after each study vaccination.
  • Previous participation in any COVID-19 vaccination trial or vaccination campaign.
  • Administration of immunoglobulins and/ or any blood products within the three months preceding the administration of the study vaccine.
  • Known infection with , C virus.
  • Known history of allergy or anaphylaxis to study vaccine components and/or or other medications, or any other allergies deemed by the investigator to increase the risk of an adverse reaction.
  • History of bleeding disorder (e.g., factor deficiency, coagulopathy or disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture.
  • Continuous use of the anticoagulants, such as coumarins and related anticoagulants.
  • Severe and/or uncontrolled cardiovascular disease, respiratory disease, gastrointestinal disease, renal disease, liver disease, endocrine disorders, and neurological illness (mild/moderate well controlled comorbidities are allowed).
  • Any abnormal finding on screening as judged by the investigator.
  • Confirmed SARS-CoV-2 infection at enrollment.
  • Any confirmed or suspected or immunodeficient state, asplenia, recurrent severe infections and chronic use (more than 14 days) immunosuppressant medication within 3 months prior to recruitment (topical are allowed).
  • Any other finding which in the opinion of the investigators would increase the risk of an adverse outcome from participation in the trial or result in incomplete or poor-quality data.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
360 participants (actual)

Study arms

  • Experimental
    Prime BBIBP-CorV, Boost Ad26.COV2.S (A1)

    The randomized study participants will receive Prime BBIBP-CorV vaccine followed by Booster dose of Ad26.COV2.S vaccine (A1).

    Biological: BBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell) · Biological: Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein),

  • Experimental
    Prime BBIBP-CorV, Boost BBIBP-CorV (A2)

    The randomized study participants will receive Prime BBIBP-CorV vaccine followed by Booster dose of BBIBP-CorV vaccine (A2).

    Biological: BBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell)

  • Experimental
    Prime Ad26.COV2.S, Boost BBIBP-CorV (B1)

    The randomized study participants will receive Prime Ad26.COV2.S vaccine followed by Booster dose of BBIBP-CorV vaccine (B1).

    Biological: BBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell) · Biological: Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein),

  • Experimental
    Prime Placebo, Boost Ad26.COV2.S (B2)

    The randomized study participants will receive Prime Placebo vaccine followed by Booster dose of Ad26.COV2.S (B2).

    Biological: Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein), · Biological: Placebo - Normal saline (0.9% sodium chloride solution)

Interventions

  • BiologicalBBIBP-CorV - Inactivated SARS-CoV-2 vaccine (Vero cell)

    The Inactivated SARS-CoV-2 vaccine (Vero cell)- BBIBP-CorV manufactured by Beijing Institute of Biological Products (BIBP), China National Biotec Group (CNBG), Sinopharm, Beijing, People's Republic of China Dose formulation: A liquid formulation containing 4μg total protein with aluminum hydroxide adjuvant (0·45 mg/mL) per 0·5 mL (2-dose schedule followed by a booster dose). Mode of Administration: Intramuscular Storage Conditions: 2°C to 8°C

  • BiologicalAd26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein),

    Drug page: Ad26COVS1

    Ad26.COV2.S (Recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein), manufactured by Johnson and Johnson in the United States of America. Dose formulation: One dose (0.5 ml) contains contains 5 x 10 10 virus particles Mode of administration: Intramuscular Storage Conditions: 2°C to 8°C

  • BiologicalPlacebo - Normal saline (0.9% sodium chloride solution)

    Placebo - Normal saline (0.9% sodium chloride solution) Dose formulation: Not Applicable Mode of administration: Intramuscular Storage conditions: 15°C to 30°C

06

What researchers measure

Primary outcomes

  1. Geometric Mean Titers (GMTs) of anti-SARS-CoV-2 neutralizing antibodies

    Geometric Mean Titers (GMTs) of anti-SARS-CoV-2 neutralizing antibodies using a neutralization assay four weeks after the second dose, in COVID-19 seronegative participants following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens.

    Time frame: Four Weeks after second dose

  2. Incidence of SAEs and AESI observed at any time point during the entire study period

    Incidence of SAEs and AESI observed at any time point during the entire study period, among all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens

    Time frame: Till 12 months follow-up visit

  3. Incidence of solicited reactions within 7 days (local reactions) and 14 days (systemic reactions)

    Incidence of solicited reactions within 7 days (local reactions) and 14 days (systemic reactions) following each vaccination in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens.

    Time frame: Within 7 days (local reactions) and 14 days (systemic reactions) following each vaccination

  4. Incidence of unsolicited adverse events that are within 28 days after each vaccination

    Incidence of unsolicited adverse events that are within 28 days after each vaccination in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens.

    Time frame: Within 28 days after each vaccination

  5. Incidence of changes in laboratory safety measures from baseline to day 28 after each vaccination

    Incidence of changes in laboratory safety measures from baseline to day 28 after each vaccination, in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens

    Time frame: Within 28 days after each vaccination

Secondary outcomes

  1. Geometric Mean Titers (GMTs) and Geometric Mean Fold Rise (GMFR)

    * GMTs of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364 * GMFR from baseline of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364 * Percentage of participants achieving 4-fold or more rise from baseline of anti-SARS-CoV-2 neutralizing antibodies as measured by neutralization assay at Day 0, Day 28, Day 196, Day 364

    Time frame: Till 12 months follow-up visit

  2. Geometric Mean Titers (GMTs) and Geometric Mean Fold Rise (GMFR)

    * GMTs of anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudoneutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364 * GMFR from baseline of anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudo-neutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364 * Percentage of participants achieving 4-fold or more rise from baseline for anti-SARS-CoV-2 anti-spike IgG as measured by immunoassay, anti-SARS-CoV-2 pseudoneutralizing antibodies as measured by pseudo-neutralization assay, and anti-SARS-CoV-2 anti-nucleocapsid IgG at Day 0, Day 28, Day 56, Day 196, Day 364

    Time frame: Till 12 months follow-up visit

Other outcomes

  1. Cellular immune responses against SARS-CoV-2

    Cellular immune responses against SARS-CoV-2 by ELISpot and by Intracellular Cytokine Staining (ICS) (Th1/Th2) at days 0, 14, 28, 42, 56, 196, 364, following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens, in the participants of immunology cohort.

    Time frame: Till 12 months follow-up visit

  2. GMTs, GMFR from baseline

    * GMTs of anti-SARS-CoV-2 anti-spike IgG, anti-nucleocapsid IgG against SARS-CoV-2, nAbs and pnAbs against SARS-CoV-2, cellular immune response against SARS-CoV-2, post prime or boost dose, and within one week in all participants being found to be SARS-CoV-2 positive by testing. * GMFR from baseline of anti-SARS-CoV-2 anti-spike IgG, anti-nucleocapsid IgG against SARS-CoV-2, nAbs and pnAbs against SARS-CoV-2, cellular immune response against SARS-CoV-2, post prime or boost dose, and within one week in all participants being found to be SARS-CoV-2 positive by testing. * Percentage of participants achieving 4-fold or more rise from baseline for anti-SARS-CoV-2 anti-spike IgG, anti-nucleocapsid IgG against SARS-CoV-2, nAbs and pnAbs against SARS-CoV-2, cellular immune response against SARS-CoV-2, post prime or boost dose, and within one week in all participants being found to be SARS-CoV-2 positive by testing.

    Time frame: Till 12 months follow-up visit

  3. Genome sequencing of SARS-CoV-2 viruses isolated post prime or booster dose

    Genome sequencing of SARS-CoV-2 viruses isolated post prime or boost, after diagnosis of SARS-CoV-2 infection, in all study participants of heterologous and homologous prime-boost COVID-19 vaccines regimens

    Time frame: After diagnosis of SARS-CoV-2 infection

  4. Profile of vaccine-induced humoral response against SARS-CoV-2

    Profile of vaccine-induced humoral response against SARS-CoV-2 using systems serology at days 0, 14, 28, 42, 56, 196, 364, in study participants of immunology subset cohort, following immunization with heterologous and homologous prime-boost COVID-19 vaccines regimens.

    Time frame: Till 12 months follow-up visit

07

Study locations

2 sites
  • Madagascar Institute for Vaccine Research (MIVR), University of Antananarivo
    Antananarivo, 101, Madagascar
  • Centro de Investigação e Treino em Saúde da Polana Caniço - Instituto Nacional de Saúde
    Maputo, Mozambique
08

References and documents

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2021 to primary completion in Sep 2022, 8 months.

Of 359 non-industry phase 2 interventional studies under COVID-19, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 18. This study's 8 months is below that.

Counting every sponsor, half of 582 studies reached it within 9 months; a quarter within 5 and three quarters within 16.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 29, 2021
First posted
Aug 10, 2021
StartActual
Dec 29, 2021
Primary completionActual
Sep 26, 2022
CompletionEst.
Feb 28, 2024
Last update
Apr 19, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04998240
Lead sponsor
International Vaccine Institute
Collaborators
The Coalition for Epidemic Preparedness Innovations (CEPI), Instituto Nacional de Saúde, Mozambique, University of Antananarivo, International Centre for Diarrhoeal Disease Research, Bangladesh, Harvard University, Heidelberg University
Responsible party
Sponsor
First posted
Aug 10, 2021
Start date
Dec 29, 2021
Primary completion
Sep 26, 2022
Completion
Feb 28, 2024 (estimated)
Last update
Apr 19, 2023

Study contacts

Florian Marks, PhD
principal investigator · International Vaccine Institute
Ilesh Jani, PhD
principal investigator · Instituto Nacional de Saúde, Mozambique
Raphael Rakotozandrindrainy, MD
principal investigator · Madagascar Institute for Vaccine Research (MIVR), University of Antananarivo

Oversight

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

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Ad26COVS1

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