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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
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]