Clinical trial

A Phase I, Open-label, Randomized, Active-Controlled Study in Adults to Characterize the Safety and Immunogenicity of AZD9838 and AZD6563 Vaccine (ARTEMIS-C)

Name
D8670C00001
Description
The purpose of this study is to characterize the safety and immunogenicity of AZD9838 and AZD6563 when administered as a single dose vaccination against SARS-CoV-2 in adults.
Trial arms
Trial start
2023-11-27
Estimated PCD
2024-05-06
Trial end
2025-04-10
Status
Active (not recruiting)
Phase
Early phase I
Treatment
AZD9838
Intramuscular (IM) injection.
Arms:
Arm 1: dosage 1 of AZD9838 18 to 64 years of age, Arm 2: dosage 2 of AZD9838 18 to 64 years of age
Licensed mRNA vaccine
Intramuscular (IM) injection.
Arms:
Arm 3: licensed mRNA vaccine 18 to 64 years of age, Arm 8: licensed mRNA vaccine 65 years of age and older
AZD6563
Intramuscular (IM) injection.
Arms:
Arm 4: dosage 1 of AZD6563 18 to 64 years of age, Arm 5: dosage 2 of AZD6563 18 to 64 years of age, Arm 6: dosage 1 of AZD6563 65 years of age and older, Arm 7: dosage 2 of AZD6563 65 years of age and older
Size
243
Primary endpoint
Incidence of immediate unsolicited adverse events (AE)
Within 30 minutes post vaccination
Incidence of solicited adverse reactions (AR)
Through 7 days post vaccination.
Incidence of unsolicited adverse events (AE)
Through 28 days post vaccination.
Incidence of serious adverse events (SAE)
Through 12 months post vaccination
Incidence of medically attended adverse events (MAAE)
Through 12 months post vaccination
Incidence of adverse events of special interest (AESI)
Through 12 months post vaccination
Geometric mean titer (GMT) for SARS-CoV-2 ancestral strain neutralizing antibodies
Day 29
Geometric mean titer (GMT) for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies
Day 29
Geometric mean titer (GMT) for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies
Day 29
Geometric mean fold rise (GMFR) for SARS-CoV-2 ancestral strain neutralizing antibodies
Day 1 to Day 29
Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies
Day 1 to Day 29
Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies
Day 1 to Day 29
Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 ancestral strain
Day 1 to Day 29
Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 Omicron BA.4/5
Day 1 to Day 29
Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 Omicron XBB.1.5
Day 1 to Day 29
Eligibility criteria
Key Inclusion Criteria: * Adults ≥ 18 years at the time of signing informed consent. * Self-reported History of SARS-CoV-2 infection at least 6 months prior to study vaccination AND/OR prior completion of primary series vaccination against COVID-19, with the final dose received at least 6 months prior to study vaccination * Negative SARS-CoV-2 RT-PCR test at Visit 1 * Body mass index (BMI) of \<35 kg/m2 at screening * Medically stable - according to the judgement of the investigator, hospitalization within the study is not anticipated and participant is likely to remain in the study through the end of the protocol specified follow-up. Key Exclusion Criteria: * Acute illness/infection on day prior or day of dosing * History of hypersensitivity to any component of the study vaccination, severe adverse reaction associated with a vaccine and/or severe allergic reaction * Positive COVID-19 test result within 6 months of Visit 1 * Receipt of licensed, authorized, or investigational COVID-19 vaccines in the 6 months prior to administration of study intervention or expected receipt through completion of Visit 5. * Receipt of any COVID-19 monoclonal antibody (licensed or investigational) within 3 months or receipt of immunoglobulin (non-COVID related) or blood products within 6 months prior to administration of study intervention, or expected receipt during the study * Receipt of any licensed or investigational vaccine (other than licensed influenza vaccines or non-study COVID-19 vaccines) within 30 days prior to Visit 1 or expected receipt prior to completion of Visit 4. Licensed influenza vaccines are permitted beginning \> 14 days before and \> 14 days after administration of study intervention. * Previous history of myocarditis or pericarditis * Woman who are pregnant, lactating, or of child-bearing potential and not using a contraception or abstinence from at least 4 weeks prior to study vaccination and until at least 6 months after study vaccination * Lab values above ULN (Serum creatinine, AST, ALT), below LLN (hemoglobin, WBC, Platelet count) or any lab value that in the opinion of the investigator is clinically significant or might confound analysis of the study results. Participants with laboratory values outside of the normal range may have the abnormal test repeated within the screening window and if the values are normal, then the participant can be randomized. If the repeated value remains outside of the normal range but it is not felt to be clinically significant by the Investigator, the case can be discussed with the AstraZeneca study physician and if they both agree the value is not clinically significant, the participant can be randomized * History of malignancy within 5 years (treated non-melanoma skin cancer and locally treated cervical cancers allowed) * Known or suspected congenital or acquired immunodeficiency * Known or suspected autoimmune conditions as determined by history and /or physical examination * Active infection with hepatitis B or C * Troponin I levels above the normal range at the screening visit * History of hypersensitivity to kanamycin or any aminoglycoside antibiotics (eg, neomycin, streptomycin, tobramycin, and gentamicin).
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 243, 'type': 'ACTUAL'}}
Updated at
2024-05-08

1 organization

4 products

1 indication

Organization
AstraZeneca
Indication
COVID-19
Product
AZD9838
Product
AZD6563
Product
Vaccine