Evaluation of COVID-19 Vaccines Given as a Booster in Healthy Adults in Indonesia (MIACoV Indonesia)

NCT ID: NCT05387317

Last Updated: 2024-03-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-30

Study Completion Date

2025-10-31

Brief Summary

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This is a randomised controlled clinical trial to determine the reactogenicity and immunogenicity of booster doses of SARS-CoV-2 vaccines (Pfizer-BioNTech, AstraZeneca or Moderna) in adults who have previously received either AstraZeneca or Coronavac as their primary doses.

Both fractional and standard doses of Pfizer-BioNTech, AstraZeneca and Moderna will be tested.

Detailed Description

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There will be a total of 800 participants in the study, to be randomised and administered booster doses in this study.

The study will be conducted at 3 clinics in Bandung. Participants will have previously received primary doses of Coronavac or Astranzeneca, with the second dose administered at least 6 months previously.

Participants will be followed for 12 months following the booster vaccine adminstration, with blood samples drawn at baseline, 28 days, 6 months and 12 months following booster vaccine administration.

Conditions

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COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
A unblinded vaccinator will administer the dose and will not be involved in outcome assessment. Unblinding will occur for each participant at approximately 28 days after the study vaccine

Study Groups

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Pfizer-BioNTech Standard dose after CoronaVac priming

Pfizer-BioNTech (BNT162b2, or Comirnaty®) Dose: 30ug in 0.3ml

The 50 participants in this arm received second CoronaVac priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Pfizer-BioNTech Standard dose

Intervention Type BIOLOGICAL

Standard Dose - (30ug in 0.3ml)

The Pfizer-BioNTech COVID-19 vaccine, BNT162b2, encodes a P2 mutant spike protein and is formulated as an RNA-lipid nanoparticle (LNP) of nucleoside-modified mRNA (modRNA).

Pfizer-BioNTech Fractional dose after CoronaVac priming

Pfizer-BioNTech (BNT162b2, or Comirnaty®) Dose: 15ug in 0.15ml

The 50 participants in this arm received second CoronaVac priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Pfizer-BioNTech Fractional dose

Intervention Type BIOLOGICAL

Fractional Dose - (15ug in 0.15ml)

The Pfizer-BioNTech COVID-19 vaccine, BNT162b2, encodes a P2 mutant spike protein and is formulated as an RNA-lipid nanoparticle (LNP) of nucleoside-modified mRNA (modRNA).

AstraZeneca Standard dose after CoronaVac priming

AstraZeneca (ChAdOx1-S, Vaxzevria®). Dose: 0.5ml

The 50 participants in this arm received second CoronaVac priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

AstraZeneca Standard dose

Intervention Type BIOLOGICAL

Standard Dose (5xE10vp in 0.5ml)

ChAdOx1 nCoV-19 is a recombinant replication-defective chimpanzee adenovirus expressing the SARS-CoV-2 spike (S) surface glycoprotein

AstraZeneca Fractional dose after CoronaVac priming

AstraZeneca (ChAdOx1-S, Vaxzevria®). Dose: 0.25ml

The 50 participants in this arm received second CoronaVac priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

AstraZeneca Fractional dose

Intervention Type BIOLOGICAL

Fractional Dose (2.5E10vp in 0.25ml)

ChAdOx1 nCoV-19 is a recombinant replication-defective chimpanzee adenovirus expressing the SARS-CoV-2 spike (S) surface glycoprotein

Moderna Standard Dose after CoronaVac priming

Moderna (mRNA-1273 or Spikevax®) Dose: 50ug in 0.25ml

The 100 participants in this arm received second CoronaVac priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Moderna Standard dose

Intervention Type BIOLOGICAL

Standard dose (50ug in 0.25ml)

Moderna Fractional Dose after CoronaVac priming

Moderna (mRNA-1273 or Spikevax®) Dose: 20ug in 0.1ml

The 100 participants in this arm received second CoronaVac priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Moderna Fractional dose

Intervention Type BIOLOGICAL

Fractional dose (20ug in 0.1ml)

Pfizer-BioNTech Standard dose after AstraZeneca priming

Pfizer-BioNTech (BNT162b2, or Comirnaty®) Dose: 30ug in 0.3ml

The 50 participants in this arm received second AstraZeneca priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Pfizer-BioNTech Standard dose

Intervention Type BIOLOGICAL

Standard Dose - (30ug in 0.3ml)

The Pfizer-BioNTech COVID-19 vaccine, BNT162b2, encodes a P2 mutant spike protein and is formulated as an RNA-lipid nanoparticle (LNP) of nucleoside-modified mRNA (modRNA).

Pfizer-BioNTech Fractional dose after AstraZeneca priming

Pfizer-BioNTech (BNT162b2, or Comirnaty®) Dose: 15ug in 0.15ml

The 50 participants in this arm received second AstraZeneca priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Pfizer-BioNTech Fractional dose

Intervention Type BIOLOGICAL

Fractional Dose - (15ug in 0.15ml)

The Pfizer-BioNTech COVID-19 vaccine, BNT162b2, encodes a P2 mutant spike protein and is formulated as an RNA-lipid nanoparticle (LNP) of nucleoside-modified mRNA (modRNA).

AstraZeneca Standard dose after AstraZeneca priming

AstraZeneca (ChAdOx1-S, Vaxzevria®). Dose: 0.5ml

The 50 participants in this arm received second AstraZeneca priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

AstraZeneca Standard dose

Intervention Type BIOLOGICAL

Standard Dose (5xE10vp in 0.5ml)

ChAdOx1 nCoV-19 is a recombinant replication-defective chimpanzee adenovirus expressing the SARS-CoV-2 spike (S) surface glycoprotein

AstraZeneca Fractional dose after AstraZeneca priming

AstraZeneca (ChAdOx1-S, Vaxzevria®). Dose: 0.25ml

The 50 participants in this arm received second AstraZeneca priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

AstraZeneca Fractional dose

Intervention Type BIOLOGICAL

Fractional Dose (2.5E10vp in 0.25ml)

ChAdOx1 nCoV-19 is a recombinant replication-defective chimpanzee adenovirus expressing the SARS-CoV-2 spike (S) surface glycoprotein

Moderna Standard Dose after AstraZeneca priming

Moderna (mRNA-1273 or Spikevax®) Dose: 50ug in 0.25ml

The 100 participants in this arm received second AstraZeneca priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Moderna Standard dose

Intervention Type BIOLOGICAL

Standard dose (50ug in 0.25ml)

Moderna Fractional Dose afterAstraZeneca priming

Moderna (mRNA-1273 or Spikevax®) Dose: 20ug in 0.1

The 100 participants in this arm received second AstraZeneca priming dose at least 6 months prior to randomisation.

Group Type EXPERIMENTAL

Moderna Fractional dose

Intervention Type BIOLOGICAL

Fractional dose (20ug in 0.1ml)

Interventions

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Pfizer-BioNTech Standard dose

Standard Dose - (30ug in 0.3ml)

The Pfizer-BioNTech COVID-19 vaccine, BNT162b2, encodes a P2 mutant spike protein and is formulated as an RNA-lipid nanoparticle (LNP) of nucleoside-modified mRNA (modRNA).

Intervention Type BIOLOGICAL

AstraZeneca Standard dose

Standard Dose (5xE10vp in 0.5ml)

ChAdOx1 nCoV-19 is a recombinant replication-defective chimpanzee adenovirus expressing the SARS-CoV-2 spike (S) surface glycoprotein

Intervention Type BIOLOGICAL

Pfizer-BioNTech Fractional dose

Fractional Dose - (15ug in 0.15ml)

The Pfizer-BioNTech COVID-19 vaccine, BNT162b2, encodes a P2 mutant spike protein and is formulated as an RNA-lipid nanoparticle (LNP) of nucleoside-modified mRNA (modRNA).

Intervention Type BIOLOGICAL

AstraZeneca Fractional dose

Fractional Dose (2.5E10vp in 0.25ml)

ChAdOx1 nCoV-19 is a recombinant replication-defective chimpanzee adenovirus expressing the SARS-CoV-2 spike (S) surface glycoprotein

Intervention Type BIOLOGICAL

Moderna Standard dose

Standard dose (50ug in 0.25ml)

Intervention Type BIOLOGICAL

Moderna Fractional dose

Fractional dose (20ug in 0.1ml)

Intervention Type BIOLOGICAL

Other Intervention Names

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BNT162b2 Comirnaty ChAdOx1-S Vaxzevria BNT162b2 Comirnaty ChAdOx1-S Vaxzevria mRNA-1273 Spikevax® mRNA-1273 Spikevax®

Eligibility Criteria

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Inclusion Criteria

1. Clinically healthy adults aged 18 years and above who had completed the primary series of COVID-19 vaccine with CoronaVac or AstraZeneca more than 6 months prior to enrolment to the study.
2. Signed written informed consent form and willing to comply with the instructions of the investigator and the schedule of the trial.

Exclusion Criteria

1. Those who have already received a third dose of SARS-CoV-2 vaccine
2. Concomitantly enrolled or scheduled to be enrolled in another trial.
3. Those with fever (temperature ˃ 37.5℃, measured with infrared thermometer/thermal gun), upper respiratory tract infection symptoms such as sneezing, nasal congestion, runny nose, cough, sore throat, loss of taste, chills and shortness of breath within 72 hours before enrolment.
4. Blood pressure ˃ 180/110 mmHg.
5. History of confirmed COVID-19 within one month prior to study enrolment.
6. History of allergy to vaccines or vaccine ingredients, and severe adverse reactions to vaccines, such as urticaria, dyspnoea, and angioneurotic oedema.
7. Those with uncontrolled autoimmune disease such as systemic lupus erythematosis.
8. History of uncontrolled coagulopathy or blood disorders, immune deficiency.
9. History of having received blood derived product/transfusion within 3 months prior to enrolment.
10. Those who received immunosuppressant therapy such as high-dose corticosteroid or cancer chemotherapy
11. Those with uncontrolled chronic disease, such as severe heart disease, asthma exacerbation
12. Those who have history of uncontrolled epilepsy (within the last 2 years) or other progressive neurological disorders, such as Guillain-Barre Syndrome
13. Those who have receive any vaccination within 2 weeks before study vaccine administration for this protocol, or intended to receive any vaccination within 2 weeks after study vaccine administration.
14. Pregnant woman
15. Those aged ≥60 years old with difficulty in climbing 10 steps of stairs, frequently experiencing fatigue, difficulty in walking 100-200 m, or having at least 5 comorbidities (hypertension, diabetes, cancer, chronic lung disease, heart attack, congestive heart failure, chest pain, asthma, joint pain, stroke, and kidney disease).
16. Those who are study staff working on the study or the immediate family of study investigators
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universitas Padjadjaran

OTHER

Sponsor Role collaborator

Health Development Policy Agency, Ministry of Health Republic of Indonesia

UNKNOWN

Sponsor Role collaborator

Coalition for Epidemic Preparedness Innovations

OTHER

Sponsor Role collaborator

The Peter Doherty Institute for Infection and Immunity

OTHER

Sponsor Role collaborator

Indonesia University

OTHER

Sponsor Role collaborator

Murdoch Childrens Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eddy Fadlyana, Dr

Role: PRINCIPAL_INVESTIGATOR

Universitas Padjadjaran, Indonesia

Locations

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Puskesmas Ciumbuleuit

Bandung, West Java, Indonesia

Site Status

Puskesmas Dago

Bandung, West Java, Indonesia

Site Status

Puskesmas Garuda

Bandung, West Java, Indonesia

Site Status

Countries

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Indonesia

Other Identifiers

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RCH HREC Ref 81803

Identifier Type: -

Identifier Source: org_study_id

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