Immunogenicity and Safety of BBIBP-Corv Coadministered With PPV23 and IIV4 in Hemodialysis Population

COVID-19 Clinical Trial

Official title:

Immunogenicity and Safety of Inactivated COVID-19 Vaccine Coadministered With 23-valent Pneumococcal Polysaccharide Vaccine and Quadrivalent Influenza Vaccine in Hemodialysis Population: a Multicentre, Randomised, Controlled, Phase 4 Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05480436
• Other study ID #: 2022BBIBP-corv+IIV4+PPPV23
• Status: Recruiting
• Phase: Phase 4
• Start date: August 5, 2022
• Est. completion date: July 30, 2023

Study information

• Verified date: August 2022
• Source: China National Biotec Group Company Limited
• Contact: Tao Huang
• Phone: +8615084736658
• Email: ymlc01[@]hncdc.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Evaluation of immunogenicity and safety of inactivated COVID-19 vaccine (BBIBP-Corv) coadministered with PPV23 and IIV4 in hemodialysis population.

Description:

Participants aged ≥18 undergoing hemodialysis were recruited and randomly assigned to one of three study groups. Experimental Group : The participants received the first dose of BBIBP-Corv and IIV4 simultaneously on Day 0, and received the second dose of BBIBP-Corv and PPV23 simultaneously on Day 28. Control Group 1: The participants received two doses of BBIBP-Corv on Day 0 and Day 28, respectively. Control Group 2 : The participants received one doses of IIV4 on Day 0 and received one doses of PPV23 on Day 28. Three blood samples were collected on days 0, 28 and 56 to test humoral immunity, and three blood samples were collected on days 0, 42 and 56 to test cellular immunity to SARS-CoV-2. Any local or systemic adverse events after vaccination will be recorded.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1200
• Est. completion date: July 30, 2023
• Est. primary completion date: January 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria 1 :

• Participants were hemodialysis patients aged =18 years.
• The duration of dialysis of the participants was =3 months.
• The life expectancy of participants was =2 years.
• Participants who have not previously been infected with SARS-CoV-2.
• Participants had not received any COVID-19 vaccine and had not received any influenza or pneumonia vaccine within 1 year.
• For female participants of reproductive age, they had no fertility plan within the first 3 months and had taken effective contraceptive measures within 2 weeks ; For male participants of reproductive age, no fertility plans were made within 3 months.
• Be able and willing to complete the entire study plan during the study follow-up period.
• Have the ability to understand the study procedures, voluntarily sign informed consent.

Inclusion Criteria 2 :

• Body temperature < 37.3 °C confirmed by clinical examination before enrollment .
• Systolic blood pressure (SBP) was < 160 mmHg and diastolic blood pressure (DBP) was< 100 mmHg , and fasting blood glucose (FPG) was =13.9 mmol/L on the day of enrollment.
• Female participants of reproductive age were not pregnant.

Exclusion Criteria 1 for the first dose:

• Being allergic to any component of vaccines and a history of severe allergic reactions to any vaccine or allergic to pollen, food and other common allergens, or a history of allergic reaction to eating eggs or using gentamicin sulfate.
• Participants with uncontrolled epilepsy or a history or family history of epilepsy, a history of Guillain-Barre syndrome, Reye syndrome, and other progressive diseases.
• Participants were confirmed to be infected with H1N1, H3N2, BY and BV influenza viruses within 6 months.
• Pregnant and lactating women.
• Participants were in the period of acute illness or acute onset of chronic disease, and the acute complication has been cured for less than two weeks.
• Participants with acute febrile diseases and infectious diseases (including hepatitis B, hepatitis C, HIV patients and carriers, as well as patients with suspected pulmonary tuberculosis symptoms such as hemoptysis, night sweats and weight loss).
• Participants with congenital immunodeficiency or currently receiving immunosuppressive therapy (oral steroid hormones, calcineurin inhibitors (CNIs), rituximab, long-term glucocorticoid use =1 week).
• Participants injected with non-specific immunoglobulin within 30 days.
• Participants received attenuated vaccines within 30 days and inactivated or other vaccines within 14 days.
• Serious drug adverse reactions and drug-related complications occurred during dialysis treatment.
• Participants with severe cardiovascular diseases (e.g., myocardial infarction, heart failure, malignant arrhythmia).
• Participants with infectious, suppurative and allergic skin diseases or severe skin itching (refers to the widespread and persistent attack; Affecting self-regulated activities of daily living or sleep; Systemic glucocorticoid or immunosuppressive therapy is required).
• Participants with malignant tumors.
• Participants had a history of seizures, encephalopathy, or psychiatric disorders (depressive mania, depression, schizophrenia, etc.).
• Other Participants whose physical conditions, as determined by the investigator, are not suitable for inclusion in clinical studies.

Exclusion Criteria 2 for the first dose:

• Participants who need medical intervention (except blood glucose) after laboratory tests (blood routine, blood biochemical, coagulation routine) are judged by the investigator.
• Participants had a history of clearly diagnosed thrombocytopenia or other coagulation disorders, which may be contraindicated as subcutaneous injections
• The participant did not inform the investigator in time of any condition mentioned in " Exclusion Criteria 1 for the first dose ".
• Other Participants whose physical conditions, as determined by the investigator, are not suitable for inclusion in clinical studies.

Exclusion criteria for the second dose:

• Subjects who had vaccine-related serious adverse reactions after vaccination.
• High fever (axillary temperature > 40.0?) lasted for two days after vaccination, or severe allergic reaction occurred.
• Any vaccine-related neurological adverse reactions occurred after vaccination.
• Participants experienced new conditions that met the "exclusion criteria for the first dose ".
• Other reasons for exclusion considered by the investigator.

Related Conditions & MeSH terms

• COVID-19
• Hemolysis

Intervention

Biological:
• coadministration
the coadministration of an inactivated COVID-19 vaccine (BBIBP-CorV) and IIV4 on Day 0, and the coadministration of BBIBP-CorV and PPV23 on Day 28
• COVID-19 vaccine
received two doses of inactivated COVID-19 vaccine (BBIBP-CorV)
• IIV4+PPV23
received one dose of IIV4 on Day 0, and one dose of PPV23 on Day 28

Locations

Country	Name	City	State
China	Xiangya Hospital Central South University	Changsha
China	Sichuan Center for Disease Control and Prevention	Chengdu
China	Guizhou Center for Disease Control and Prevention	Guiyang

Sponsors (8)

Lead Sponsor	Collaborator
China National Biotec Group Company Limited	Beijing Institute of Biological Products Co Ltd., Chengdu Institute of Biological Products Co.,Ltd., Guizhou Center for Disease Control and Prevention, Hunan Provincial Center for Disease Control and Prevention, Shanghai Institute Of Biological Products, Sichuan Center for Disease Control and Prevention, Xiangya Hospital of Central South University

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Seroconversion rate against SARS-CoV-2	The rate of seroconversion against SARS-CoV-2	28 days after two doses vaccination (Day 56)
Primary	Seroconversion rate against IIV4	The rate of seroconversion against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses	28 days after vaccination (Day 28)
Primary	Seroconversion rate against PPV23	The rate of seroconversion against 23 pneumococcal serotypes	28 days after vaccination (Day 56)
Primary	Neutralizing antibody GMT against SARS-CoV-2	Neutralizing antibody GMT against SARS-CoV-2 after vaccination	28 days after two doses vaccination (Day 56)
Primary	Hemmagglution inhibition antibody GMT against IIV4	Hemmagglution inhibition antibody GMT against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses	28 days after vaccination (Day 28)
Primary	IgG antibody GMC against PPV23	IgG antibody GMC against 23 pneumococcal serotypes	28 days after vaccination (Day 56)
Primary	Neutralizing antibody geometric mean increase (GMI) against SARS-CoV-2	Neutralizing antibody GMI against SARS-CoV-2 after vaccination	28 days after two doses vaccination (Day 56)
Primary	Hemmagglution inhibition antibody GMI against IIV4	Hemmagglution inhibition antibody GMI against influenza A (H3N2, H1N1) type and B (BY, BV) type viruses	28 days after vaccination (Day 28)
Primary	IgG antibody GMI against PPV23	IgG antibody GMI against 23 pneumococcal serotypes	28 days after vaccination (Day 56)
Secondary	Adverse events rate	Analyse the incidence of adverse events following vaccination, both solicited and unsolicited	0-7 days or 0-28 days following vaccinations
Secondary	Serious adverse event rate	Report and analyse serious adverse events	0-6 months