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# A Phase III Trial to Assess the Safety and Immunogenicity of a HIPRA's Candidate Booster Vaccination Against COVID-19.

NCT05246137

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

Participants

2,646

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

Lead sponsor

Hipra Scientific, S.L.U

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

Start date

2022-02-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

Number of sites

18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Title and summary

**Summary**

This is a phase III clinical study to assess the safety, tolerability and immunogenicity of PHH-1V as a booster dose in healthy adult subjects vaccinated against COVID-19 with the Comirnaty, Spikevax, Vaxevria or Janssen vaccine.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Short title**

A Phase III Trial to Assess the Safety and Immunogenicity of a HIPRA's Candidate Booster Vaccination Against COVID-19.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Official title**

A Phase III, Open Label, Single Arm, Multi-centre, Trial to Assess the Safety and Immunogenicity of a Booster Vaccination With a Recombinant Protein RBD Fusion Heterodimer Candidate (PHH-1V) Against SARS-CoV-2, in Adults Vaccinated Against COVID-19.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Dates

**Completion date**

2023-03-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**First posted**

2022-02-18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Registry last updated**

2023-03-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Primary completion date**

2022-03-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Start date**

2022-02-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Size and sites

**Actual participants**

2,646

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Participants**

2,646

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Protocol amendments**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Number of sites**

18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Lead sponsor**

Hipra Scientific, S.L.U

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Identifiers

**Registry ID**

NCT05246137

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**ClinicalTrials.gov ID**

NCT05246137

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Study design

**Allocation**

Not applicable

**Model**

Single group

**Purpose**

Prevention

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Outcomes

### Primary outcomes

1. Incidence of Treatment-Emergent Adverse Events (Safety and tolerability)  
Timeframe: Day 7  
Number, percentage, and characteristics of solicited local and systemic reactions through Day 7 after vaccination.
2. Incidence of Treatment-Emergent Adverse Events (Safety and tolerability) (AEs)  
Timeframe: Day 28  
Number, percentage, and characteristics of unsolicited local and systemic adverse events (AEs) through Day 28 after vaccination
3. Incidence of Serious Adverse Events (Safety and tolerability) (SAE)  
Timeframe: Day 365  
Number and percentage of serious adverse events (SAEs) through the end of the study.
4. Incidence of Special Interest Adverse Events (Safety and tolerability) (AESI).  
Timeframe: Day 365  
Number and percentage of adverse event of special interest (AESI) through the end of the study.
5. Incidence of Medically Attended Adverse Events (Safety and tolerability) (MAAEs)  
Timeframe: Day 365  
Number and percentage of medically attended adverse events (MAAE) related to study vaccine through the end of the study.
6. Incidence of Adverse Events in laboratory parameters (Safety and tolerability)  
Timeframe: Day 365  
Grade 3 and 4 changes from baseline in safety laboratory parameters at Days 14, 91 and 182 after vaccination. through the end of the study.

### Secondary outcomes

1. Changes in the immunogenicity measured by pseudovirus neutralisation  
Timeframe: Day 365  
Neutralisation titre against Wuhan and Omicron strains, and any other relevant VOC in the epidemiologic moment, measured as inhibitory concentration 50 (IC50) by a pseudovirion-based neutralisation assay (PBNA) and reported as reciprocal concentration for each individual sample and geometric mean titre (GMT) for descriptive statistics analysis at Baseline and at Days 14, 91, 182 and 365.
2. Changes in the immunogenicity measured by pseudovirus neutralisation  
Timeframe: Day 14  
The geometric mean fold rise (GMFR) in neutralising antibody titre from baseline to Day 14.
3. Changes in the immunogenicity measured by means of total antibody against RBD  
Timeframe: Day 365  
Binding antibodies titre measured for each individual sample and GMT for descriptive statistics analysis at Baseline and Days 14, 91, 182 and 365.
4. Changes in the immunogenicity measured by means of total antibody against RBD.  
Timeframe: Day 14  
The geometric mean fold rise (GMFR) in binding antibody titre from baseline to Day 14.
5. Changes in the immunogenicity measured by means of total antibody against RBD  
Timeframe: Day 14  
The percentage of subjects that after the booster dose have a ≥4-fold change in binding antibodies titre from Baseline to Day 14.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Eligibility

**Sex**

All

**Age groups**

Children, Adults, Older adults

**Minimum age**

16 Years

**Healthy volunteers**

Yes

### Inclusion criteria

- Male or female, ≥ 16 years old at Day 0.
- Willing to provide consent indicating that she or he understands the purpose and potential risks and is willing and able to participate in the study and comply with all the study requirements and procedures.
- Have a recognized primary vaccination scheme recognized by the authorities with Comirnaty, Spikevax, Vaxevria or Janssen at least 91 days and preferably a maximum of 240 days before Day 0.
- If having an underlying illnesses must be stable and well-controlled according to the investigator judgment.
- Participant is willing to avoid receiving live attenuated vaccines (licensed) within 4 weeks before screening or after receiving any study vaccine, or other not live vaccines (licensed) within 14 days before and after receiving any study vaccine.
- Participant agrees not to donate blood, blood products and bone marrow at least 3 months before and after vaccination.
- Female participant of childbearing potential must have a negative pregnancy test on the on Day 0 prior to vaccination.
- Female participant of childbearing potential must use any acceptable contraceptive method that should be started on day 0 and until 8 weeks after vaccination (hormonal contraception: oral, injectable or transdermal patch, intrauterine device, vasectomized partner, sexual abstinence or condom).
- Male participants must use any acceptable contraceptive method that should be started on day 0 and until 8 weeks after vaccination (vasectomized participants, condom, sexual abstinence).
- Male participants must refrain from donating sperm for at least 28 days after day 0.

### Exclusion criteria

- History of anaphylaxis to any prior vaccine.
- Previous severe SARS-CoV-2 infections that required >24 hous of hospitalisation.
- Participant received or plans to receive live attenuated vaccines within 4 weeks before and after day 0; or other not live vaccines within 14 days before and after day 0.
- Pregnancy or breast-feeding at screening or Day 0 or willingness/intention to become pregnant during the study.
- Having a clinically significant acute illness or fever (temperature ≥38º C (100.4ºF)) at screening or within 48 hours prior to Day 0.
- Participant had a surgery requiring hospitalization before vaccination and he/she has not received the hospital discharge at day 0; or has a surgery requiring hospitalization planned within 12 weeks after study vaccine administration.
- Having any active malignancy even if under treatment except for non-melanoma skin cancer, uterine cervical carcinoma, anal carcinoma, localized prostate cancer.
- Having ongoing severe and non-stable psychiatric condition likely to affect participation in the study.
- Having problematic or risk use of substances including alcohol that can compromise the study follow-up.
- Having a bleeding disorder or has any condition that in the opinion of the investigator contraindicates intramuscular injections.
- Having abnormal function of the immune system, except stable clinical conditions like controlled HIV.
- Having clinically significant and unstable cardiovascular, respiratory, hepatic, neurological, gastrointestinal, renal, or any other medical disorder judged by the investigator within 3 months before screening.
- Chronic or recurrent administration of systemic immunosuppressant medication.
- Having received immunoglobulins and/or blood-derived products 12 weeks prior vaccination (Day 0) or expects to receive them during the study.
- Having received any immunotherapy (monoclonal antibodies, plasma) aimed to prevent or treat COVID-19 within 90 days before day 0.
- Participation in any research involving an investigational product (drug, biologic, device) within 12 weeks prior to vaccination and during the study.
- Participant has donated ≥ 450ml of blood products within 12 weeks before screening.
- Participant has any medical condition and/or finding that in the investigator opinion might increase participant risks, interfere with the study or impair interpretation of study data.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Sites

- Hospital de NiguardaMilan, Italy
- Hospital Germans Trias I PujolBadalona, Spain
- Hospital de MolletMollet del Vallès, Spain
- Hospital Principe de AsturiasMeco, Spain
- Hospital HM Puerta del SurMóstoles, Spain
- Hospital de CrucesBarakaldo, Spain
- Hospital HM DelfosBarcelona, Spain
- Hospital Quironsalud BarcelonaBarcelona, Spain
- Hospital Vall HebronBarcelona, Spain
- Hospital Clinic de BarcelonaBarcelona, Spain
- Girona, Spain
- Hospital Gregorio MarañónMadrid, Spain
- Hospital Universitario La PazMadrid, Spain
- Hospital HM SanchinarroMadrid, Spain
- Hospital Quironsalud MadridMadrid, Spain
- Hospital HM MontepríncipeMadrid, Spain
- Hospital Regional Universitario de MálagaMálaga, Spain
- Hospital Clínico de ValenciaValencia, Spain

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## References

- PubMed 37460353  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/37460353/)
Related publication

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05246137)

## Related records

### Drugs (1)

- [Nepafenac](https://trialight.com/data/asset/nepafenac-96b6dc32-9431-4662-97dd-bbaf8ea3d7a7.md)

### Lead sponsors (1)

- [Hipra Scientific, S.L.U](https://trialight.com/data/company/hipra-scientific-s-l-u-d554b415-8745-4d0f-b201-84d5534e5f9e.md)

### Conditions (1)

- [COVID-19](https://trialight.com/data/condition/covid-19-13f0ebf3-c291-557d-bdef-93563d077103.md) Primary condition

### Targets (2)

- [PTGS1](https://trialight.com/data/target/ptgs1-5707ce48-8ccd-5bd5-8c18-9c64cacc2fef.md)
- [PTGS2](https://trialight.com/data/target/ptgs2-85dbd9a5-4609-5423-b863-90d0a825b213.md)

---

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