Trial ISRCTN89951424
Publication Clemens S, Nat. Commun., 2021
Dates: 2020-06-23 to 2020-12-01
Funding: Mixed (UKRI, NIHR, Wellcome Trust, CEPI, Lemann Foundation, Rede D’Or, and Brava and Telles Foundation, NIHR Oxford Biomedical Research Centre, and AstraZeneca)
Conflict of interest: Yes
Methods | |
RCT | |
Location :
Multicenter / Brazil Follow-up duration (months): 8.27 | |
ChAdOx1 (n=5207) Placebo (n=5209) |
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Inclusion criteria |
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Exclusion criteria |
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Interventions | |
Intervention
2 IM doses of 3.5-6.5 x 10^10 vp, 4 to 12 weeks apart |
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Control
1 IM dose of Men ACWY control vaccine and 1 IM dose of normal saline placebo, 4 to 12 weeks apart | |
Participants | |
Randomized 10,416 participants | |
Characteristics of participants Type of participants: Adults N=10,416 4268 males Children: 0 Pregnant women: 0 Immunocompromized patients: 0 Mean age: Age range: 18+ | |
Description of participants Adults that were SARS-CoV-2 seronegative and with no history of COVID-19 in six centers in Brazil. | |
Primary outcome | |
In the register Virologically confirmed (PCV positive) symptomatic cases of COVID-19 over the course of 12 months | |
In the report Virologically-confirmed, symptomatic COVID-19, defined as a NAAT-positive swab combined with at least one of: fever >37.8ºC, cough, shortness of breath, anosmia or ageusia | |
Documents available |
Protocol Yes. In English Statistical plan Yes Data-sharing stated:
Yes, when the trial is complete |
Risk of bias Overall The overall risk of bias reported in the table corresponds to the highest risk of bias for the outcomes assessed for the systematic review |
Some concerns |
General comment | In addition to all available versions of the published/pre-print articles, the supplementary materials, study registry, protocol, and companion published article (Voysey, Lancet, 2020) were used in data extraction and risk of bias assessment. Following emergency use authorisation of ChAdOx1 nCoV-19 and an inactivated SARS-CoV-2 viral vaccine in Brazil on 17th January 2021, all trial participants were unblinded to vaccine allocation. Participants in the control group were offered 2 doses of ChAdOx1 nCoV-19 within the trial with a dose interval in line with the national programme or could choose to accept the inactivated viral vaccine as part of the Brazilian national immunisation programme. Post-hoc exploratory analysis with data cut-off date on February 28, 2021 at which point the majority of participants in the trial were unblinded and further accrual of cases for efficacy analyses were no longer possible. |