ClinicalTrials.gg
CompletedNCT06492564Updated Nov 21, 2025

Dose, Safety and Pathogenicity of SARS-CoV-2 (COVID-19) Omicron Virus (BA.5)

An Early Phase 1 interventional study of SARS-CoV-2 omicron virus dose arm 1 and SARS-CoV-2 omicron virus dose arm 2 in SARS-CoV-2 Infection, sponsored by Hvivo. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Hvivo · Early Phase 1, Interventional, and Other

Phase
Early Phase 1
Study type
Interventional
Enrollment
36
Allocation
Non-randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

An Exploratory Study to Establish the Dose, Safety and Pathogenicity of a SARS-CoV-2 Omicron Challenge Strain (BA.5) in Healthy Participants 18 to 40 Years of Age

Read the detailed description

This is an exploratory study of an SARS-CoV-2 Omicron (BA.5) challenge strain to determine the optimum safe infectious titer of challenge agent in healthy participants 18 to 40 years of age.

Up to 90 participants who meet all study inclusion and no exclusion criteria will be allocated to one of the three dose escalating cohorts (Dose 1, Dose 2 or Dose 3), with up to 30 participants in each dose group, to receive one dose of SARS-CoV-2 omicron. Based on the outcome of each cohort the next cohort may receive a high or lower dose than the previous cohort.

Each participant will remain in the study for approximately 9 months from screening to the last clinic visit.

The study is divided into three phases:

  1. Screening phase: Screening will occur between Day -90 to Day -2/-1.
  2. Quarantine phase: Participants will stay in the quarantine unit for approximately 17 days (from Day -2/-1 to Day 14).

    One or two days prior to the day of inoculation with the challenge virus, participants will be admitted to quarantine where their eligibility will be reassessed. If participants remain eligible for the study, they will receive the challenge virus on Day 0. Participants will undergo a range of clinical assessments and safety monitoring for the entirety of their stay in quarantine. Participants will be discharged from the quarantine unit on Day 14 (or may remain longer at the principal investigator's discretion). If participants do not become infected with the virus they may be discharged earlier on Day 8.

  3. Outpatient phase:Following the conclusion of the quarantine phase, participants will receive telephone follow up calls every 3 days between quarantine discharge and the day 28 follow up visit. Participants will also attend additional Follow-Up visits, approximately 28 days, 90 days, and 180 days after they received the study virus. Their symptoms will be reassessed, and a complete safety examination performed.
02

Conditions studied

  • SARS-CoV-2 Infection

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Keywords

  • SARS-CoV-2
  • Omicron
  • COVID-19
  • Human Challenge Trials
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 36 is below the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Hvivo is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 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

  • Written
  • Adult male or female aged between 18 and 40 years
  • A total body weight ≥50 kg and (BMI) ≥18 kg/m2 and ≤28kg/m2. The upper limit of BMI may be increased to ≤30kg/m2 at the PI's discretion, in the case of physically fit muscular individuals.
  • In good health with no history, or current evidence, of medical conditions, and no clinically significant test abnormalities that will interfere with participant safety.
  • Documented medical history
  • Adherence to requirements
  • Serosuitable for the challenge virus
  • Participants must have been previously vaccinated with a COVID-19 vaccine licensed for use in the UK and completed the course

Exclusion criteria

Exclusion Criteria:

  • History of, or currently active, symptoms or signs suggestive of upper or lower respiratory tract (LRT) infection within 4 weeks prior to the first study visit.
  • Any history or evidence of any or currently active disease.
  • Any participants who have smoked ≥5 pack years at any time.
  • Female participants who are breastfeeding, or have been pregnant within 6 months prior to the study, or have a positive pregnancy test at any point during screening or prior to inoculation.
  • Any history of anaphylaxis and/or a any history of severe allergic reaction.
  • Venous access deemed inadequate for the phlebotomy and cannulation demands of the study.
  • History of severe COVID-19 or severe complication of any other viral disease.
  • Participants with no knowledge of their family history, as deemed appropriate by the PI
  • Significant abnormality of the nose, includes loss of or alterations in smell or taste,nasal polyps, epistaxis, nasal or sinus surgery.
  • Recent vaccinations or intention to receive vaccination before the Day 28 follow up visit. Receipt of COVID-19 vaccine in the last 3 months prior to inoculation and/or a diagnosis of COVID 19 confirmed by a physician within the last 6 months prior to screening or at any time between screening and quarantine admission.
  • Receipt of blood or blood products, or loss (including blood donations) of 550 mL or more of blood during the 3 months prior to the planned inoculation or planned during the 3 months after the final visit.
  • Recent receipt of drugs or challenge viruses.
  • Use or anticipated use during the conduct of the study of concomitant medications (prescription and/or non-prescription), including vitamins or herbal and dietary supplements within the specified windows.
  • Positive drugs of abuse test or recent history or presence of alcohol addiction
  • A (FEV1) \<80%.
  • Positive , virus, or virus test.
  • Presence of fever, defined as participant presenting with a temperature reading of ≥37.9°C on Day -2/-1 and/or pre-inoculation on Day 0.
  • Those employed or immediate relatives of those employed at hVIVO or the sponsor.
  • Any other reason, in the opinion of the investigator deems the participant unsuitable for the study
  • Sensitivity to any of the study interventions, challenge agent or components thereof (including lactose), or drug or other allergy that, in the opinion of the PI/investigator, contraindicates participation in the study.
Terms in these criteria, in plain language(9)

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Early Phase 1
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Dose 1

    Low dose, expected to be approximately 10\^4 tissue culture infective dose 50% (TCID50)/mL (titer may be adjusted based on stock titer)

    Biological: SARS-CoV-2 omicron virus dose arm 1

  • Experimental
    Dose 2

    Medium dose, expected to be approximately 10\^5 tissue culture infective dose 50% (TCID50)/mL (titer may be adjusted based on stock titer)

    Biological: SARS-CoV-2 omicron virus dose arm 2

  • Experimental
    Dose 3

    High dose, expected to be approximately 10\^6 tissue culture infective dose 50% (TCID50)/mL (titer may be adjusted based on stock titer)

    Biological: SARS-CoV-2 omicron virus dose arm 3

Interventions

  • BiologicalSARS-CoV-2 omicron virus dose arm 1

    Low dose, approximately 10\^4 TCID50/mL

  • BiologicalSARS-CoV-2 omicron virus dose arm 2

    Medium dose, approximately 10\^5 TCID50/mL

  • BiologicalSARS-CoV-2 omicron virus dose arm 3

    High dose, approximately 10\^6 TCID50/mL

06

What researchers measure

Primary outcomes

  1. Occurrence of Adverse Events related to the viral challenge

    Number of participants with challenge Agent-emergent adverse events (AEs) at least possibly related to the viral challenge from viral challenge (Day 0) up to the Day 28 follow-up

    Time frame: Day 0 to Day 28

  2. Occurrence of Serious Adverse Events and Medically Attended Adverse Events, related to the viral challenge

    Occurrence of serious AEs (SAEs) and Medically Attended Adverse Events (MAAEs) related to the viral challenge from viral challenge (Day 0) up to the Day 180 follow-up

    Time frame: Day 0 to Day 180

  3. Induces laboratory-confirmed infection in ≥40% of inoculated participants

    Quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR)-confirmed SARS-CoV-2 omicron infection, defined as 2 quantifiable (≥ lower limit of quantification \[LLOQ\]) qRT-PCR measurements (reported over 4 planned consecutive assessments within 48 hours), from Day 1 pm to planned discharge from quarantine (Day 14 am).

    Time frame: Day 1 to Day 14

07

Study locations

1 site
  • hVIVO Services Ltd, 40 Bank Street, Canary Wharf
    London, E14 5NR, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 2024 to primary completion in Oct 2025, 10 months.

Of 233 industry-sponsored phase 1 interventional studies under COVID-19, half reached primary completion within 6 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 12. This study's 10 months is above that.

Counting every sponsor, half of 384 studies reached it within 7 months; a quarter within 3 and three quarters within 15.

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

Registered
Jul 5, 2024
First posted
Jul 9, 2024
StartActual
Dec 2, 2024
Primary completionActual
Oct 16, 2025
CompletionActual
Oct 16, 2025
Last update
Nov 21, 2025
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 Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06492564
Lead sponsor
Hvivo
Responsible party
Sponsor
First posted
Jul 9, 2024
Start date
Dec 2, 2024
Primary completion
Oct 16, 2025
Completion
Oct 16, 2025
Last update
Nov 21, 2025

Study contacts

Melissa Bevan, MBBS
principal investigator · hVIVO Services Ltd.

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

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