A Phase 2/3 interventional study of Subunit recombinant vaccine for the prevention of coronavirus infection and Placebo in COVID-19, Coronavirus Infections and Respiratory Tract Infections, sponsored by St. Petersburg Research Institute of Vaccines and Sera. Active, not recruiting at 6 sites in Russian Federation. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-30.
Sponsored by St. Petersburg Research Institute of Vaccines and Sera · Phase 2/3, Interventional, and Prevention
The goal of this clinical trial is to assess the immunogenicity, efficacy and safety of the Convacell vaccine in healthy adult volunteers aged 18 years and older. The main questions it aims to answer are:
The trial will be conducted in two stages (Stage IIb and Stage III).
Participants will be vaccinated one dose or two doses of the Convacell vaccine. Investigators will compare one dose and two doses groups and will choose the best vaccine dosage regimen in terms of immunogenicity and safety.
Participants will be vaccinated the Convacell vaccine or Placebo. Investigators will use the dosage regimen chosen in IIb stage.
6,686 studies on the registry are indexed under Infections; 807 are open to participants now.
This study's planned enrollment of 16,304 is above the median of 120 across 4,199 interventional studies indexed under Infections.
Browse Infections studies →St. Petersburg Research Institute of Vaccines and Sera is the lead sponsor of 15 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants (230) will be vaccinated Convacell Vaccine, recombinant subunit vaccine for prevention of coronavirus infection, once intramuscularly. A cohort of participants will be allocated (115 participants) for evaluating cell-mediated immunity parameters.
Biological: Subunit recombinant vaccine for the prevention of coronavirus infection
Participants (230) will be vaccinated Convacell Vaccine, recombinant subunit vaccine for prevention of coronavirus infection, twice intramuscularly. A cohort of participants will be allocated (115 participants) for evaluating cell-mediated immunity parameters.
Biological: Subunit recombinant vaccine for the prevention of coronavirus infection
Participants (10 562) will be vaccinated Convacell Vaccine, recombinant subunit vaccine for prevention of coronavirus infection, the regimen chosen in Stage IIb intramuscularly.
Biological: Subunit recombinant vaccine for the prevention of coronavirus infection
Participants (5 282) will be vaccinated Placebo, the regimen chosen in Stage IIb intramuscularly.
Biological: Placebo
solution for intramuscular injection, 0.5 ml
Also known as: Convacell
solution for intramuscular injection, 0.5 ml
Change in titer of IgG antibodies to N-protein of SARS-CoV-2 (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0, 42
Frequency of symptomatic COVID-19 with laboratory-confirmed infection within 6 months after vaccination compared with the placebo group (Stage III)
Laboratory confirmation of SARS-CoV-2 infection in accordance with current clinical guidelines can be a PCR study or an antigen test of a swab from the nasopharynx or oropharynx. The symptomatic form of COVID-19 is the presence of at least one of the following symptoms: fever/chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body pain, headache, loss of the sense of taste or smell, sore throat, nasal congestion or runny nose, nausea or vomiting, diarrhea. Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-180 (6 months)
Change in titer of IgM antibodies to N-protein of SARS-CoV-2 on day 42 after initial vaccination (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0, 42
Proportion of SARS-CoV-2 seropositive participants on day 42 after initial vaccination (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0, 42
Change in titer of IgG antibodies to N-protein of SARS-CoV-2 on day 42 after initial vaccination (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0, 42
The frequency of seroconversion (appearance of specific antibodies to SARS-CoV-2 N-protein) on day 42 after initial vaccination (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0, 42
Change from Baseline in the Mean Specifically Sensitized T-lymphocytes (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0, 42
Number of volunteers hospitalized with COVID-19 (Stage IIb)
* Total number of SARS-CoV-2 infection cases (laboratory-confirmed) * Total number of COVID-19 cases (laboratory-confirmed) * Total number of COVID-19 related deaths Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb; Days 0-49
Frequency of laboratory confirmed asymptomatic SARS-CoV-2 infections within 6 months. after initial vaccination compared with the placebo group (Stage III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-180 (6 months)
Frequency of laboratory-confirmed severe COVID-19 (Stage III)
Frequency of laboratory-confirmed severe COVID-19 in accordance with current criteria * RR \> 30/min * Blood oxygen saturation (SpO2) ≤ 93% * Oxygenation index (PaO2 /FiO2) ≤ 300 mmHg * Decreased level of consciousness, agitation * Unstable hemodynamics (systolic arterial pressure \[SBP\] less than 90 mm Hg. or diastolic blood pressure \[DBP\] less than 60 mmHg, diuresis less than 20 ml/hour) * Lung changes on computed tomography (CT) or radiographs typical for a viral lesion * Arterial blood lactate \> 2 mmol/l * Assessment on a quick scale (quick Sequential Organ Failure Assessment, qSOFA) \> 2 points Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-180 (6 months)
Overall frequency of all AEs/SAEs (Stage IIb and III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
Overall frequency of all AEs/SAEs associated with the study drug (Stage IIb and III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
The frequency of local post-vaccination reactions at the injection site (Stage IIb and III)
* Erythema at the injection site (presence/absence); * Soreness (presence/absence), including assessment duration of preservation of pain and its intensity: weak, moderate, strong; * Edema (presence/absence), including diameter infiltrate assessment: weak (up to 2.5 cm), medium (from 2.6 to 5 cm), strong (more than 5 cm or the presence of lymphangitis) reactions; * Enlargement of regional lymph nodes (presence/absence); * Induration at the injection site (presence/absence); * Itching at the injection site (presence/absence). Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-7 after initial vaccination and revaccination
The frequency of systemic post-vaccination reactions at the injection site (Stage IIb and III)
* Increase in body temperature, including an assessment fever severity: mild (37.3-37.5°C), moderate (37.6-38.5°С) and strong (\> 38.5°С); * Chills; * Deterioration of general health, malaise; * Headache; * Dizziness; * Loss of appetite; * Insomnia; * Nausea, Vomiting, Dyspepsia; * Diarrhea; * Body pain or muscle weakness; * Sweating; * Pain in the joints; * Pain in the abdomen; * Convulsions; * Myalgia; * Enlargement of regional lymph nodes. * Changes in the side of the mucous membranes, the presence of papules, vesicles, erosions. Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-7 after initial vaccination and revaccination
The frequency of local post-vaccination reactions at the injection site (Stage IIb and III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-21 after initial vaccination and revaccination
Frequency of systemic post-vaccination reactions (Stage IIb and III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Days 0-42 after initial vaccination
The frequency of toxic post-vaccination complications (Stage IIb and III)
Septic conditions, generalized infection. Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
The frequency of allergic post-vaccination complications (Stage IIb and III)
Polymorphous eruption, angioedema, arthralgia, anaphylactic shock. Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
The frequency of neurological post-vaccination complications (Stage IIb and III)
Encephalitis, neuritis, polyneuritis. Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
The presence of allergic reactions (Stage IIb and III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
Сhange in white blood cell count and relative white blood cell count (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Day 0 (screening), day 28 ± 2 (visit 4)
Сhange in neutrophils count and relative neutrophils count (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Day 0 (screening), day 28 ± 2 (visit 4)
Сhange in lymphocytes count and relative lymphocytes count (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Day 0 (screening), day 28 ± 2 (visit 4)
Сhange in monocyte count and relative monocyte count (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Day 0 (screening), day 28 ± 2 (visit 4)
Сhange in the IgE level (Stage IIb)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: Day 0 (screening), day 28 ± 2 (visit 4)
The proportion of participants with delayed post-vaccination reactions (percent) (Stage IIb and III)
Outcome Measure is analyzed separately in the 18-60 and \>60 age subgroups.
Time frame: through trial Stage IIb (Days 0-49), through trial Stage III (Days 0-196)
This study is active, not recruiting, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.
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St. Petersburg Research Institute of Vaccines and Sera