Trial NCT04324606; ISRCTN15281137
Publication Folegatti PM, Lancet, 2020
Dates: 23/04/2020 to 21/05/2020
Funding: Mixed (UK Research and Innovation, Coalition for Epidemic Preparedness Innovations, National Institute for Health Research (NIHR), NIHR Oxford Biomedical Research Centre, Thames Valley and South Midland’s NIHR Clinical Research Network, and the German Center for Infection Research (DZIF), Partner site Gießen-Marburg-Langen. Assays were facilitated and funded by Astra Zeneca.)
Conflict of interest: Yes
Methods | |
RCT | |
Location :
Multicenter / United Kingdom Follow-up duration (months): 1.84 | |
* | |
Inclusion criteria | Healthy adults aged 18-55 years; Able and willing (in the Investigator's opinion) to comply with all study requirements (participants must not rely on public transport or taxis); Willing to allow the investigators to discuss the volunteer's medical history with their General Practitioner and access all medical records when relevant to study procedures; For females only, willingness to practice continuous effective contraception during the study and a negative pregnancy test on the day(s) of screening and vaccination; Agreement to refrain from blood donation during the course of the study; Provide written informed consent. |
Exclusion criteria | Prior receipt of any vaccines (licensed or investigational) ?30 days before enrolment ; Planned receipt of any vaccine other than the study intervention within 30 days before and after each study vaccination ; Prior receipt of an investigational or licensed vaccine likely to impact on interpretation of the trial data (e.g. Adenovirus vectored vaccines, any coronavirus vaccines) ; Administration of immunoglobulins and/or any blood products within the three months preceding the planned administration of the vaccine candidate ; Any confirmed or suspected immunosuppressive or immunodeficient state, including HIV infection; asplenia; recurrent severe infections and use of immunosuppressant medication within the past 6 months, except topical steroids or short-term oral steroids (course lasting <14 days) ; Any autoimmune conditions, except mild psoriasis, well-controlled autoimmune thyroid disease, vitiligo or stable coeliac disease not requiring immunosuppressive or immunomodulatory therapy ; History of allergic disease or reactions likely to be exacerbated by any component of the ChAdOx1 nCoV-19 or MenACWY vaccines ; Any history of angioedema ; Any history of anaphylaxis ; Pregnancy, lactation or willingness/intention to become pregnant during the study ; History of cancer (except basal cell carcinoma of the skin and cervical carcinoma in situ) ; History of serious psychiatric condition likely to affect participation in the study (e.g. ongoing severe depression, history of admission to an in-patient psychiatric facility, recent suicidal ideation, history of suicide attempt, bipolar disorder, personality disorder, alcohol and drug dependency, severe eating disorder, psychosis, use of mood stabilisers or antipsychotic medication) ; Bleeding disorder (e.g. factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture ; Any other serious chronic illness requiring hospital specialist supervision ; Chronic respiratory diseases, including mild asthma (resolved childhood asthma is allowed) ; Chronic cardiovascular disease (including hypertension), gastrointestinal disease, liver disease (except Gilberts Syndrome), renal disease, endocrine disorder (including diabetes) and neurological illness (excluding migraine) ; Seriously overweight (BMI?40 Kg/m2) or underweight (BMI?18 Kg/m2) ; Suspected or known current alcohol abuse as defined by an alcohol intake of greater than 42 units every week ; Suspected or known injecting drug abuse in the 5 years preceding enrolment ; Any clinically significant abnormal finding on screening biochemistry, haematology blood tests or urinalysis ; Any other significant disease, disorder or finding which may significantly increase the risk to the volunteer because of participation in the study, affect the ability of the volunteer to participate in the study or impair interpretation of the study data ; History of laboratory confirmed COVID-19 ; New onset of fever or a cough or shortness of breath or anosmia/ageusia since February 2020. Should a reliable test become available, this exclusion criteria will be replaced with seropositivity for SARS- CoV-2 before enrolment ; Those who have been at high risk of exposure before enrolment, including but not limited to: close contacts of confirmed COVID-19 cases, anyone who had to self-isolate as a result of a symptomatic household member, frontline healthcare professionals working in A&E, ICU and other higher risk areas. Should a reliable test become available, this exclusion criteria will be replaced with seropositivity for SARS-CoV-2 before enrolment ; Living in the same household as any vulnerable groups at risk of severe COVID-19 disease (as per PHE guidance). An amendment to the study protocol (amendment date April 21, 2020) allowed for recruitment of health-care workers with a negative SARS-CoV-2 serology at screening, once an antibody test became available. |
Interventions | |
Intervention
1 IM dose of 5 × 10^10 vp of ChAdOx1 nCoV-19 vaccine |
|
Control
1 IM dose of 0.5mL MenACWY control vaccine | |
Participants | |
Randomized * participants | |
Characteristics of participants Type of participants: Healthy volunteers N=* 541 males Children: 0 Pregnant women: 0 Immunocompromized patients: 0 Mean age: Age range: NR | |
Description of participants Healthy adults with no history of laboratory confirmed SARS-CoV-2 infection or of COVID-19-like symptoms in five centres in the UK | |
Primary outcome | |
In the register Number of virologically confirmed (PCR positive) symptomatic cases of COVID-19 [ Time Frame: 6 months ]; Occurrence of serious adverse events (SAEs) throughout the study duration [ Time Frame: 6 months ] | |
In the report Cases of symptomatic virologically confirmed COVID-19; Occurrence of serious adverse events | |
Variants description | |
Variants | |
Description | |
Documents avalaible |
Protocol Yes. In English Statistical plan Yes Data-sharing stated:
Yes |
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 |
Low |
General comment | In addition to the published article, the trial registry, study protocol and statistical analysis plan were used in data extraction and assessment of risk of bias. The published article reports on combined phases I and II of the trial. Although long term follow up is ongoing, recruitment is complete and achieved pre-stated sample size. The published article is a preliminary report on early outcomes. Otherwise, there were no major differences in population, procedures or treatment between the published article and registry and protocol. |