Official Title
A Phase 1, Randomised, Double-Blind, Placebo-Controlled, Dosage-Escalation, Single Centre Study to Evaluate the Safety and Immunogenicity of an Adjuvanted SARS-CoV-2 Sclamp Protein Subunit Vaccine in Healthy Adults Aged 18 to 55 Years Old and Healthy Older Adults, Aged 56 Years and Over
Brief Summary

This study is being conducted to look at the safety and immune response (how the immune system of the human body reacts) to a vaccine for SARS-CoV-2 (the virus responsible for COVID-19 infection) when administered as an intramuscular injection (an injection directly into the muscle) to the upper arm of healthy participants, on two occasions at least 28 days apart.

Detailed Description

This study will be conducted in 2 parts: Part 1 will include a young healthy adult population
aged ≥ 18 - ≤ 55 years and Part 2 will include an older healthy adult population aged 56
years and over.

The study will consist of 6 cohorts: 2 cohorts of a lower dose (Treatment A), 2 cohorts of an
intermediate dose (Treatment B) and 1 cohort of a higher dose (Treatment C) (Part 2 only),
and 1 cohort of a higher dose examining both a two dose regimen (Treatment C) and a single
dose vaccination regimen (Treatment D) (Part 1 only).

Cohorts 1,2 and 3 will include subjects aged ≥ 18 - ≤ 55 years of age and cohorts 4, 5 and 6
will include subjects aged 56 years and older. Cohorts 4, 5 and 6 will include an
approximately equal number of subjects aged ≥ 56 - ≤ 65 years of age, and ≥ 66 years and
over.

Part 1: Cohort 1 will include 32 subjects; of these 8 will receive placebo, and 24 subjects
will receive Treatment A. Cohort 2 will include 32 subjects; of these 8 will receive placebo,
and 24 subjects will receive Treatment B. Cohort 3 will include 56 subjects; of these 8 will
receive placebo, 24 subjects will receive Treatment C, and 24 subjects will receive Treatment
D.

Part 2: Cohort 4 will include 32 subjects; of these 8 will receive placebo, and 24 subjects
will receive Treatment A. Cohort 5 will include 32 subjects; of these 8 will receive placebo,
and 24 subjects will receive Treatment B. Cohort 6 will include 32 subjects; of these 8 will
receive placebo, and 24 subjects will receive Treatment C.

Sentinels will be used for each cohort in Part 1 such that the first two subjects will
receive either the first dose of SARS-CoV-2 Sclamp vaccine or placebo. After at least 24
hours from the time of administration of the first doses a review of the immediate
post-vaccination safety data will be conducted by the Safety Review Committee (SRC) in
accordance with the study protocol. Should there be no safety concerns, the remaining
participants in each cohort will be dosed. The step-wise dose escalation study design is an
additional precautionary measure, where the lower dose cohort will complete their first
vaccination, and the cumulative safety data from the first 7 days will be evaluated by the
SRC prior to initiating vaccination with the next higher dose of vaccine.

Cohorts will be dosed sequentially, and escalation from Cohort 1 to Cohort 3 will be
authorised by the SRC if no safety events of concern are observed in subjects up to Day 8
following review of the cumulative safety data of each Cohort.

After the first vaccination dose has been administered to Cohorts 1, 2 and 3 and the
aggregated safety data reviewed by the SRC, vaccination will be initiated for Cohorts 4, 5
and 6. These Cohorts will not include sentinels, however, the SRC will review the
aggregated/cumulative safety and tolerability data up to at least Day 8 post vaccination for
all subjects in each of Cohorts 4, 5 and 6 by cohort before proceeding to the second
vaccination dose.

Subjects will receive two single intramuscular (IM) doses of the following study treatments
at 28 days apart as follows:

IM administration (to the deltoid region of the subjects non dominant arm, administered by a
registered nurse [RN]) of SARS-CoV-2 Sclamp adjuvanted vaccine, administered on Days 1 and
29, of one of the following treatments:

Treatment A (Cohorts 1 & 4): SARS-CoV-2 Sclamp vaccine 1 x 5 mcg in 0.5 mL suspension,
administered as two separate doses at least 28 days apart Treatment B (Cohorts 2 & 5):
SARS-CoV-2 Sclamp vaccine 1 x 15 mcg in 0.5 mL suspension, administered as two separate doses
, at least 28 days apart Treatment C (Cohorts 3 & 6): SARS-CoV-2 Sclamp vaccine 1 x 45 mcg in
0.5 mL suspension, administered as two separate doses at least 28 days apart Treatment D
(Cohort 3 only): SARS-CoV-2 Sclamp vaccine 1 x 45 mcg in 0.5 mL suspension, followed by
placebo administered as the second dose at least 28 days apart.

The proposed escalation scheme for the study consists of two three-fold dose increments. The
planned dose range of 5 mcg to 15 mcg to 45 mcg administered 28 days apart was selected to
minimize the risk to the subjects while ensuring the evaluation of an exposure range that
encompasses and exceeds the expected level to achieve an immunological response.

The SRC will be responsible for the assessment of available safety and tolerability data for
each cohort and to make decisions with regards to study progression.

The study will be unblinded prior to Day 394. All subjects that received an investigational
vaccine product (not placebo) will be offered to return for optional annual follow-up visits
beyond Day 394 to determine the duration of the HIV diagnostic cross-reactivity. Samples from
this visit will be tested for cross-reaction in HIV point of care and rapid diagnostic tests.

Active, not recruiting
SARS-COV2
COVID19

Biological: MF59 adjuvanted SARS-CoV-2 Sclamp vaccine 5mcg

MF59 adjuvanted SARS-CoV-2 Sclamp vaccine 5mcg

Biological: MF59 adjuvanted SARS-CoV-2 Sclamp vaccine 15mcg

MF59 adjuvanted SARS-CoV-2 Sclamp vaccine 15mcg

Biological: MF59 adjuvanted SARS-CoV-2 Sclamp vaccine 45mcg

MF59 adjuvanted SARS-CoV-2 Sclamp vaccine 45mcg

Other: Placebo

sterile saline

Eligibility Criteria

Inclusion Criteria:

- Healthy male or non-pregnant female, ≥18 and ≤55 years of age, with BMI >18 and <34.0
kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females (Part 1); Healthy
male or non-pregnant female, ≥56 years of age, with BMI >18 and <34.0 kg/m2 and body
weight ≥50.0 kg for males and ≥45.0 kg for females (Part 2)

- Healthy as defined by:

1. The absence of clinically significant illness and surgery within 28 days prior to
dosing. Subjects displaying signs or symptoms of an acute and/or febrile illness
within 24 hours pre-dose (with at least 3 symptom-free pre-dose days required)
will be carefully evaluated for upcoming illness/disease. Inclusion pre-dosing is
at the discretion of the Investigator, and the subject may have their scheduled
dosing postponed until the condition resolves.

2. The absence of clinically significant history of neurological, endocrine,
cardiovascular, respiratory, haematological, immunological, psychiatric,
gastrointestinal, renal, hepatic, and metabolic disease (Part 1); b. The absence
of clinically significant history of a pre-existing medical condition that is not
stable (neurological, endocrine, cardiovascular, respiratory, haematological,
immunological, psychiatric, gastrointestinal, renal, hepatic, and metabolic
disease). A stable medical condition is defined as disease not requiring
significant change in therapy or hospitalization for worsening disease during the
3 months before enrolment (Part 2)

- Non-smokers or social smokers (defined as the equivalent of fewer than 10 cigarettes
per week). Ex-heavy smokers (heavy smoking defined as the equivalent of 25 or more
cigarettes per day) may be admitted if they have quit, or reduced their cigarette
intake to the defined level of social smoking, for a period of at least 12 months.

- Women of childbearing potential (WOCBP) or men whose sexual partners are WOCBP must be
able and willing to use at least 2 highly effective methods of contraception
commencing at enrolment, during the study and for 3 months after last treatment
administration. A female subject is considered to be a WOCBP following menarche and
until she is in a postmenopausal state for 12 consecutive months (without an
alternative medical cause) or otherwise permanently sterile (for which acceptable
methods include hysterectomy, bilateral salpingectomy, and bilateral oophorectomy). A
follicle-stimulating hormone (FSH) test may be used to confirm post-menopausal state.
Examples of acceptable methods of contraceptive methods (for female subjects) to be
used throughout the study include:

1. Simultaneous use of hormonal contraceptives, started at least 28 days prior to
first study treatment administration and must agree to use the same hormonal
contraceptive throughout the study, and condom for the male partner;

2. Simultaneous use of intra-uterine contraceptive device, placed at least 28 days
prior to first study treatment administration, and condom for the male partner;

3. Simultaneous use of diaphragm or cervical cap and male condom for the male
partner, started at least 28 days prior to first study treatment administration;

4. Sterile male partner (vasectomized since at least 6 months prior to first study
treatment administration);

5. True abstinence, defined as no sexual intercourse with a male partner, (for
heterosexual couples) for at least 28 days prior to first study treatment
administration and for at least the duration of the study. Periodic abstinence
and withdrawal are not acceptable methods.

- WOCBP must have a negative urine pregnancy test prior to receiving each dose.

- Male subjects (including men who have had a vasectomy) with a pregnant partner, a
female partner not of childbearing potential, or a same sex partner, must agree to use
a condom from the first study treatment administration until at least 90 days after
the last study treatment administration.

- Male subjects must be willing not to donate sperm until 90 days following the last
study treatment administration.

- Must be able to attend all visits for the duration of the study and to comply with all
study procedures according to the study schedule.

- Capable of, and have given, written informed consent.

Exclusion Criteria:

- Any clinically significant abnormality or vital sign abnormality at physical
examination (including baseline high blood pressure [140/90] after 3 repeated
measurements or high random blood sugar [non-fasting]), clinically significant
abnormal laboratory test results or positive test for HIV, hepatitis B, or hepatitis C
found during medical screening (Part 1); Any clinically significant abnormality or
vital sign abnormality at physical examination, or uncontrolled hypertension in adults
aged ≥ 56 years and older ,or high random blood sugar [non-fasting]), clinically
significant abnormal laboratory test results or positive test for HIV, hepatitis B, or
hepatitis C found during medical screening (Part 2).

- Any acute or chronic ongoing illness which, in the judgement of the investigator, may
preclude the subject's participation.

- Any subject that has an active COVID-19 infection (positive COVID-19 test:
nasal/oropharyngeal swab and/or positive serum antibody response) at screening, or Day
1, or has been in close contact with someone who has an active COVID-19 infection, or
has recovered from a previous COVID-19, SARS-CoV-1, or MERS infection.

- Positive pregnancy, urine drug screen, or alcohol breath test at screening.

- Known history of allergic reactions or hypersensitivity to vaccines, or to any
excipient in the formulation (including the adjuvant, MF59C.1).

- Presence of a known, or suspected, impairment of the immune system including, but not
limited to, HIV, autoimmune disorders, immunosuppressant therapy, and diabetes
mellitus.

- History of a known, or suspected, respiratory system disorder including, but not
limited to, cystic fibrosis, reactive airway disease, emphysema, chronic bronchitis,
chronic obstructive pulmonary disease (COPD), or asthma, excluding childhood asthma
(Part 1); History of a known, or suspected, or currently unstable medical condition
that may expose the participant to an increased risk for severe SARS-CoV-2 disease,
such as a respiratory system disorder including, but not limited to, cystic fibrosis,
reactive airway disease, emphysema, chronic bronchitis, chronic obstructive pulmonary
disease (COPD), or asthma, excluding childhood asthma, uncontrolled hypertension,
ischemic or structural heart disease, chronic kidney disease, chronic liver disease,
endocrine disorder and neurological illness (Part 2).

- History of significant alcohol abuse within 12 months prior to screening.

- Positive test for drugs of abuse (such as marijuana/tetrahydrocannabinol [THC]
products, amphetamine, methamphetamine, methadone, barbiturates, benzodiazepines,
cocaine, opiates, methylenedioxymethamphetamine [MDMA], or phencyclidine [PCP]) at
screening, prior to dosing, or a history of drug abuse within 12 months prior to
screening.

- Participation in a clinical research study involving the administration of an
investigational, or marketed, drug or device within 30 days prior to receiving the
first treatment administration, or administration of a biological product in the
context of a clinical research study within 90 days prior to the first dosing, or
concomitant participation in an investigational study involving no drug, vaccine, or
device administration, or intent to participate in another clinical study at any time
during the conduct of the study.

- Use of medications for the timeframes specified below, with the exception of hormonal
contraceptives and medications exempted by the Investigator on a case-by-case basis
because they are judged to interfere with subject safety e.g., topical drug products
without significant systemic absorption are permissible:

1. Prescription medication within 14 days prior to the first dosing (Part 1);
Prescription medication within 14 days prior to the first dosing that in the
opinion of the Investigator could impact the subjects safe participation in the
study (Part 2)

2. Any medication, or treatments, that may affect the immune system such as allergy
injections, immunoglobulin, interferon, immunomodulators, cytotoxic drugs, or
other drugs known to be frequently associated with significant major organ
toxicity within 90 days prior to enrolment;

3. Any registered vaccine administered within 30 days prior to enrolment in the
study, or who plan to receive any non-study vaccines within 28 days of the second
dose of the study vaccine

4. Any other investigational coronavirus vaccine i.e. SARS-CoV-1, SARS-CoV-2, MERS
etc. at any time prior to, or during, the study.

5. Over-the-counter products within 7 days prior to the first dosing, with the
exception of the occasional use of paracetamol (up to 2 g daily) and standard
dose vitamins (Part 1); Over-the-counter products within 7 days prior to the
first dosing, that in the opinion of the investigator could impact the subjects
safe participation in the study. Paracetamol (up to 2 g daily) and standard dose
vitamins will be permitted (Part 2).

- Donation of plasma within 7 days prior to dosing. Donation or loss of blood (excluding
volume drawn at screening) of 50 mL to 499 mL of blood within 30 days, or more than
499 mL within 56 days prior to the first dosing.

- Receipt of blood products within 2 months prior to the first study treatment
administration (Day 1), or planned receipt of blood products during the study period.

- Breast-feeding subject, or subject who plans to breastfeed from the time of first dose
through 60 days after last study treatment administration.

- Presence of tattoos, scarring, skin discoloration, or any other skin disturbances at
the injection site which, in the opinion of the Investigator, may inhibit the ability
to effectively perform an injection site assessment.

- Employee or immediate relative of an employee of the clinical site, any of its
affiliates or partners, or Syneos Health.

- Any reason which, in the opinion of the Investigator, would interfere with the primary
study objectives or prevent the subject from participating in the study.

- Permanent resident in an aged care facility (nursing or aged care home) (Part 2 only)

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
Australia
Locations

Nucleus Network Brisbane (Q-Pharm Pty Ltd)
Herston, Queensland, Australia

Paul Griffin, Dr, Principal Investigator
Nucleus Network Brisbane

The University of Queensland
NCT Number
Keywords
SARS-CoV-2 infection
MeSH Terms
COVID-19
Vaccines
MF59 oil emulsion