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The safety and immunogenicity of an inactivated SARS-CoV-2 vaccine in Chinese adults aged 18-59 years: A phase I randomized, double-blinded, controlled trial.


ABSTRACT:

Background

This study examined the safety and immunogenicity of an inactivated SARS-CoV-2 vaccine.

Method

In a phase I randomized, double-blinded, placebo-controlled trial involving 192 healthy adults 18-59 years old, two injections of three doses (50 EU, 100 EU, 150 EU) of an inactivated SARS-CoV-2 vaccine or placebo were administered intramuscularly at a 2- or 4-week interval. The safety and immunogenicity of the vaccine were evaluated.

Results

Vaccination was completed in 191 subjects. Forty-four adverse reactions occurred within 28 days, most commonly mild pain and redness at the injection site or slight fatigue. At days 14 and 28, the seroconversion rates were 87.5% and 79.2% (50 EU), 100% and 95.8% (100 EU), and 95.8% and 87.5% (150 EU), respectively, with geometric mean titers (GMTs) of 18.1 and 10.6, 54.5 and 15.4, and 37.1 and 18.5, respectively, for the schedules with 2-week and 4-week intervals. Seroconversion was associated with synchronous upregulation of antibodies against the S protein, N protein and virion and a cytotoxic T lymphocyte (CTL) response. No cytokines and immune cells related to immunopathology were observed. Transcriptome analysis revealed the genetic diversity of immune responses induced by the vaccine.

Interpretation

In a population aged 18-59 years in this trial, this inactivated SARS-CoV-2 vaccine was safe and immunogenic.

Trial registration

CTR20200943 and NCT04412538.

SUBMITTER: Pu J 

PROVIDER: S-EPMC8040531 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Publications

The safety and immunogenicity of an inactivated SARS-CoV-2 vaccine in Chinese adults aged 18-59 years: A phase I randomized, double-blinded, controlled trial.

Pu Jing J   Yu Qin Q   Yin Zhifang Z   Zhang Ying Y   Li Xueqi X   Yin Qiongzhou Q   Chen Hongbo H   Long Runxiang R   Zhao Zhimei Z   Mou Tangwei T   Zhao Heng H   Feng Shiyin S   Xie Zhongping Z   Wang Lichun L   He Zhanlong Z   Liao Yun Y   Fan Shengtao S   Jiang Ruiju R   Wang Jianfeng J   Zhang Lingli L   Li Jing J   Zheng Huiwen H   Cui Pingfang P   Jiang Guorun G   Guo Lei L   Xu Mingjue M   Yang Huijuan H   Lu Shan S   Wang Xuanyi X   Gao Yang Y   Xu Xingli X   Cai Linrui L   Zhou Jian J   Yu Li L   Chen Zhuo Z   Hong Chao C   Du Dan D   Zhao Hongling H   Li Yan Y   Ma Kaili K   Ma Yunfei Y   Liu Donglan D   Yao Shibao S   Li Changgui C   Che Yanchun Y   Liu Longding L   Li Qihan Q  

Vaccine 20210409 20


<h4>Background</h4>This study examined the safety and immunogenicity of an inactivated SARS-CoV-2 vaccine.<h4>Method</h4>In a phase I randomized, double-blinded, placebo-controlled trial involving 192 healthy adults 18-59 years old, two injections of three doses (50 EU, 100 EU, 150 EU) of an inactivated SARS-CoV-2 vaccine or placebo were administered intramuscularly at a 2- or 4-week interval. The safety and immunogenicity of the vaccine were evaluated.<h4>Results</h4>Vaccination was completed i  ...[more]

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