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A randomized, double-blind, placebo-controlled phase 1 and phase 2 clinical trial to evaluate efficacy and safety of a SARS-CoV-2 vaccine SCoK in adults.


ABSTRACT:

Background

To determine an appropriate dose of, and immunization schedule for, a vaccine SCoK against COVID-19 for an efficacy study; herein, we conducted randomized controlled trials to assess the immunogenicity and safety of this vaccine in adults.

Methods

These randomized, double-blind, placebo-controlled phase 1 and 2 trials of vaccine SCoK were conducted in Binhai District, Yan City, Jiangsu Province, China. Younger and older adult participants in phase 1 and 2 trials were sequentially recruited into different groups to be intramuscularly administered 20 or 40 μg vaccine SCoK or placebo. Participants were enrolled into our phase 1 and 2 studies to receive vaccine or placebo.

Results

No serious vaccine-related adverse events were observed in either trial. In both trials, local and systemic adverse reactions were absent or mild in most participants. In our phase 1 and 2 studies, the vaccine induced significantly increased neutralizing antibody responses to pseudovirus and live SARS-CoV-2. The vaccine induced significant neutralizing antibody responses to live SARS-CoV-2 on day 14 after the last immunization, with NT50s of 80.45 and 92.46 in participants receiving 20 and 40 μg doses, respectively; the seroconversion rates were 95.83% and 100%. The vaccine SCoK showed a similar safety and immunogenicity profiles in both younger participants and older participants. The vaccine showed better immunogenicity in phase 2 than in phase 1 clinical trial. Additionally, the incidence of adverse reactions decreased significantly in phase 2 clinical trial. The vaccine SCoK was well tolerated and immunogenic.

SUBMITTER: Luo D 

PROVIDER: S-EPMC9473350 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

A randomized, double-blind, placebo-controlled phase 1 and phase 2 clinical trial to evaluate efficacy and safety of a SARS-CoV-2 vaccine SCoK in adults.

Luo Deyan D   Pan Hongxing H   He Peng P   Yang Xiaolan X   Li Tao T   Ning Nianzhi N   Fang Xin X   Yu Wenjing W   Wei Mingwei M   Gao Hui H   Wang Xin X   Gu Hongjing H   Mei Maodong M   Li Xinwang X   Zhang Liangyan L   Li Deyu D   Gao Chunrun C   Gao Jinbang J   Fei Guoqiang G   Li Ying Y   Yang Yuguo Y   Xu Yi Y   Wei Wenjin W   Sun Yansong Y   Zhu Fengcai F   Hu Zhongyu Z   Wang Hui H  

Clinical and translational medicine 20220901 9


<h4>Background</h4>To determine an appropriate dose of, and immunization schedule for, a vaccine SCoK against COVID-19 for an efficacy study; herein, we conducted randomized controlled trials to assess the immunogenicity and safety of this vaccine in adults.<h4>Methods</h4>These randomized, double-blind, placebo-controlled phase 1 and 2 trials of vaccine SCoK were conducted in Binhai District, Yan City, Jiangsu Province, China. Younger and older adult participants in phase 1 and 2 trials were se  ...[more]

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