Safety, Immunogenicity, and Efficacy of INO-4800 for COVID-19 in Adults at High Risk of SARS-CoV-2 Exposure

NCT ID: NCT04642638

Last Updated: 2023-12-20

Study Results

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

1307 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-30

Study Completion Date

2022-09-13

Brief Summary

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This is a Phase 2/3, randomized, placebo-controlled, multi-center trial to evaluate the safety, immunogenicity and efficacy of INO-4800 administered by intradermal (ID) injection followed by electroporation (EP) using CELLECTRA® 2000 device to prevent coronavirus disease 2019 (COVID-19) in participants at high risk of exposure to severe acute respiratory syndrome coronavirus - 2 (SARS-CoV-2).

The Phase 2 segment will evaluate immunogenicity and safety in approximately 400 participants at two dose levels across three age groups. Safety and immunogenicity information from the Phase 2 segment will be used to determine the dose level for the Phase 3 efficacy segment of the study involving approximately 7116 participants.

Detailed Description

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Conditions

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Coronavirus Infection Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) COVID-19 Disease

Keywords

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DNA vaccine Electroporation Healthy COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Phase 2: INO-4800 Dose Group 1

Participants received one ID injection of 1.0 milligram (mg) of INO-4800 followed by EP using the CELLECTRA® 2000 device on Day 0 and Day 28.

Group Type EXPERIMENTAL

INO-4800

Intervention Type DRUG

INO-4800 was administered ID on Day 0 and Day 28.

CELLECTRA® 2000

Intervention Type DEVICE

EP using the CELLECTRA® 2000 device was administered following ID delivery of INO-4800 on Day 0 and Day 28.

Phase 2: INO-4800 Dose Group 2

Participants received two ID injections of 1.0 mg (total 2.0 mg per dosing visit) of INO-4800 followed by EP using the CELLECTRA® 2000 device on Day 0 and Day 28.

Group Type EXPERIMENTAL

INO-4800

Intervention Type DRUG

INO-4800 was administered ID on Day 0 and Day 28.

CELLECTRA® 2000

Intervention Type DEVICE

EP using the CELLECTRA® 2000 device was administered following ID delivery of INO-4800 on Day 0 and Day 28.

Phase 2: Placebo Dose Group 1

Participants received one ID injection of placebo followed by EP using the CELLECTRA® 2000 device on Day 0 and Day 28.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Sterile saline sodium citrate (SSC) buffer (SSC-0001) was administered ID on Day 0 and Day 28.

CELLECTRA® 2000

Intervention Type DEVICE

EP using the CELLECTRA® 2000 device was administered following ID delivery of sterile saline sodium citrate (SSC) buffer (SSC-0001) on Day 0 and Day 28.

Phase 2: Placebo Dose Group 2

Participants received 2 ID injections of placebo followed by EP using the CELLECTRA® 2000 device on Day 0 and Day 28.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Sterile saline sodium citrate (SSC) buffer (SSC-0001) was administered ID on Day 0 and Day 28.

CELLECTRA® 2000

Intervention Type DEVICE

EP using the CELLECTRA® 2000 device was administered following ID delivery of sterile saline sodium citrate (SSC) buffer (SSC-0001) on Day 0 and Day 28.

Phase 3: INO-4800 Dose Group (2.0mg per dosing visit)

Participants received two 1.0 mg ID injections of INO-4800, each followed by EP using the CELLECTRA® 2000 device on Day 0 and Day 28.

Group Type EXPERIMENTAL

INO-4800

Intervention Type DRUG

INO-4800 was administered ID on Day 0 and Day 28.

CELLECTRA® 2000

Intervention Type DEVICE

EP using the CELLECTRA® 2000 device was administered following ID delivery of INO-4800 on Day 0 and Day 28.

Phase 3: Placebo Dose Group

Participants received 2 ID injections of placebo per dosing visit, each followed by EP using the CELLECTRA® 2000 device on Day 0 and Day 28.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Sterile saline sodium citrate (SSC) buffer (SSC-0001) was administered ID on Day 0 and Day 28.

CELLECTRA® 2000

Intervention Type DEVICE

EP using the CELLECTRA® 2000 device was administered following ID delivery of sterile saline sodium citrate (SSC) buffer (SSC-0001) on Day 0 and Day 28.

Interventions

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INO-4800

INO-4800 was administered ID on Day 0 and Day 28.

Intervention Type DRUG

CELLECTRA® 2000

EP using the CELLECTRA® 2000 device was administered following ID delivery of INO-4800 on Day 0 and Day 28.

Intervention Type DEVICE

Placebo

Sterile saline sodium citrate (SSC) buffer (SSC-0001) was administered ID on Day 0 and Day 28.

Intervention Type DRUG

CELLECTRA® 2000

EP using the CELLECTRA® 2000 device was administered following ID delivery of sterile saline sodium citrate (SSC) buffer (SSC-0001) on Day 0 and Day 28.

Intervention Type DEVICE

Other Intervention Names

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SSC-0001 Placebo for INO-4800

Eligibility Criteria

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Inclusion Criteria

* Working or residing in an environment with high risk of exposure to SARS-CoV-2 for whom exposure may be relatively prolonged or for whom personal protective equipment (PPE) may be inconsistently used, especially in confined settings.
* Phase 2 only: Screening laboratory results within normal limits for testing laboratory or are deemed not clinically significant by the Investigator.
* Be post-menopausal or be surgically sterile or have a partner who is sterile or use medically effective contraception with a failure rate of \< 1% per year when used consistently and correctly from Screening until 3 months following last dose (Phase 2) or until last dose (Phase 3).

Exclusion Criteria

* Acute febrile illness with temperature higher than or equal to 100.4°F (38.0°C) or acute onset of upper or lower respiratory tract symptoms (e.g., cough, shortness of breath, sore throat).
* Positive serologic or molecular (Reverse transcription polymerase chain reaction (RT-PCR)) test for SARS-CoV-2 at Screening (this criterion applies to all Phase 2 participants and only applies after approximately 402 participants positive for SARS-CoV-2 serologic test are randomized in the Phase 3 segment of the study).
* Pregnant or breastfeeding or intending to become pregnant or intending to father children within the projected duration of the trial starting from the Screening visit until 3 months following the last dose (Phase 2) or until last dose (Phase 3).
* Known history of uncontrolled human immunodeficiency virus (HIV) based on clusters of differentiation (CD4) count less than 200 cells per cubic millimeter (/mm\^3) or a detectable viral load within the past 3 months.
* Is currently participating or has participated in a study with an investigational product within 30 days preceding Day 0.
* Previous or planned receipt of an investigational (including Emergency Use Authorization (EUA) or local equivalent authorization) or licensed vaccine for prevention or treatment of COVID-19, middle east respiratory syndrome (MERS), or severe acute respiratory syndrome (SARS) (documented receipt of placebo in previous trial would be permissible for trial eligibility).
* Respiratory diseases (e.g., asthma, chronic obstructive pulmonary disease) requiring significant changes in therapy or hospitalization for worsening disease during the 6 weeks prior to enrolment.
* Immunosuppression as a result of underlying illness or treatment.
* Lack of acceptable sites available for ID injection and EP.
* Blood donation or transfusion within 1 month prior to Day 0.
* Reported alcohol or substance abuse or dependence, or illicit drug use (excluding marijuana use).
* Any illness or condition that in the opinion of the investigator may affect the safety of the participant or the evaluation of any study endpoint.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Advaccine (Suzhou) Biopharmaceuticals Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Inovio Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jose Suaya

Role: STUDY_DIRECTOR

Inovio Pharmaceuticals

Locations

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Synexus Clinical Research US, Inc - Phoenix Southeast

Chandler, Arizona, United States

Site Status

Central Phoenix Synexus Clinical Research

Phoenix, Arizona, United States

Site Status

AMR Tempe

Tempe, Arizona, United States

Site Status

Optimal Research, LLC

San Diego, California, United States

Site Status

AMR South Florida

Coral Gables, Florida, United States

Site Status

Clinical Research Trials of Florida, Inc

Tampa, Florida, United States

Site Status

AMR Lexington

Lexington, Kentucky, United States

Site Status

Walter Reed Army Institute of Research

Silver Spring, Maryland, United States

Site Status

Ascension St. John Hospital

Detroit, Michigan, United States

Site Status

AMR Kansas City

Kansas City, Missouri, United States

Site Status

AMR, Clinical Research Consortium- Las Vegas

Las Vegas, Nevada, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Tekton Research

San Antonio, Texas, United States

Site Status

DM Clinical Research

Tomball, Texas, United States

Site Status

Advanced Clinical Research

West Jordan, Utah, United States

Site Status

Centro de Investigacion Medico Asistencial S.A.S

Barranquilla, Atlántico, Colombia

Site Status

Clinica de la Costa LTDA

Barranquilla, Atlántico, Colombia

Site Status

Corazon IPS S.A.S

Barranquilla, Atlántico, Colombia

Site Status

Ips Centro Cientifico Asistencial Sas

Barranquilla, Atlántico, Colombia

Site Status

Centro de Investigaciones Clinicas IPS Cardiomet Pereira

Pereira, Risaralda Department, Colombia

Site Status

BRCR Global Mexico

Guadalajara, Jalisco, Mexico

Site Status

Eukarya Pharmasite SC

Monterrey, Nuevo León, Mexico

Site Status

Unidad de Medicina Especializada SMA

San Juan del Río, Querétaro, Mexico

Site Status

Clinstile, SA de CV

Mexico City, , Mexico

Site Status

SMIQ, S. de R. L. de C.V.

Querétaro, , Mexico

Site Status

FAICIC S. de R.L. de C.V.

Veracruz, , Mexico

Site Status

Countries

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Brazil Philippines United States Colombia Mexico

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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INNOVATE

Identifier Type: OTHER

Identifier Source: secondary_id

WHO UTN: U1111-1266-9952

Identifier Type: OTHER

Identifier Source: secondary_id

COVID19-311

Identifier Type: -

Identifier Source: org_study_id