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Phase 2 N=256 Randomized Quadruple-blind Prevention

Study of AZD1222 for the Prevention of COVID-19 in Japan

COVID-19

Enrolled (actual)
256
Serious AEs
2.3%
Results posted
Mar 2024
Primary outcome: Primary: Percentage of Participants With Seroresponse to the Spike (S) Antigen of AZD1222 as Measured by Meso Scale Discovery (MSD) Serology Assay — 100.0; 0.0; 100.0; 0.0 percentage of participants — p=< 0.001

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
AZD1222 (Drug); 0.9% (w/v) saline (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
AstraZeneca
Primary completion
Nov 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Seroresponse to the Spike (S) Antigen of AZD1222 as Measured by Meso Scale Discovery (MSD) Serology Assay
100.0; 0.0; 100.0; 0.0 < 0.001 sig
PRIMARY
Number of Participants With Local Solicited Adverse Events (AE)
70; 4; 46; 2; 37; 3
PRIMARY
Number of Participants With Systemic Solicited AEs
65; 6; 41; 3; 30; 7
PRIMARY
Number of Participants With AEs, Serious AEs (SAE) and Adverse Event of Special Interest (AESI) Occurring Post Each Dose of Study Vaccination
28; 4; 22; 9; 0; 1
PRIMARY
Number of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Parameters
0; 0; 0; 0
SECONDARY
Percentage of Participants With Seroresponse to the Receptor-Binding Domain (RBD) Antigen of AZD1222 as Measured by MSD Serology Assay
100.0; 0.0; 100.0; 0.0 < 0.001 sig
SECONDARY
Geometric Mean Titers (GMTs) for SARS-CoV-2 S and RBD Antibodies as Measured by MSD Serology Assay
62.18; 46.00; 39.06; 39.87; 2520.37; 43.70
SECONDARY
Geometric Mean Fold Rise (GMFR) for SARS-CoV-2 S and RBD Antibodies as Measured by MSD Serology Assay
40.54; 0.95; 25.59; 0.98; 128.20; 0.93
SECONDARY
Percentage of Participants With Seroresponse to SARS-CoV-2 Neutralizing Antibodies (nAb) of AZD1222 as Measured by Pseudo-Neutralization Assay
67.5; 0.0; 57.0; 0.0 < 0.001 sig
SECONDARY
GMTs for SARS-CoV-2 nAb as Measured by Pseudo-Neutralization Assay
20.84; 20.00; 20.00; 20.82; 67.26; 20.00
SECONDARY
GMFR for SARS-CoV-2 nAb as Measured by Pseudo-Neutralization Assay
3.21; 1.00; 2.31; 1.01; 5.14; 1.00
SECONDARY
Number of Participants With SAEs and AESIs Occurring Throughout the Study
0; 2; 3; 1; 0; 1

Summary

The COVID-19 pandemic has caused major disruption to healthcare systems with significant socioeconomic impacts. Currently, there are no licensed preventions available against COVID-19 and accelerated vaccine development is urgently needed. A safe and effective vaccine for COVID 19 prevention would have significant global public health impact.

Eligibility Criteria

Inclusion Criteria

  • Participants aged 18 to 55 years (Cohort A and C), aged 56 to 69 years (Subcohorts B1 and D1), or aged ≥ 70 years (Subcohorts B2 and D2)

Exclusion Criteria

  • Known past laboratory-confirmed SARS-CoV-2 infection
  • Positive SARS-CoV-2 RT PCR test at screening
  • Seropositivity to SARS-CoV-2 at screening.
  • Significant infection or other illness, including fever > 37.8°C on the day prior to or day randomization
  • History of Guillain-Barré syndrome
  • Any confirmed or suspected immunosuppressive or immunodeficient state; 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)
  • History of allergy to any component of the vaccine
  • Any history of angioedema
  • Any history of anaphylaxis
  • Current diagnosis of or treatment for cancer (except basal cell carcinoma of the skin and uterine cervical carcinoma in situ)
  • History of serious psychiatric condition likely to affect participation in the study
  • Bleeding disorder (eg, factor deficiency, coagulopathy or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venepuncture
  • Suspected or known current alcohol or drug dependency
  • Any other significant disease, disorder or finding which may significantly increase the risk to the participant because of participation in the study, affect the ability of the participant to participate in the study or impair interpretation of the study data
  • Severe and/or uncontrolled cardiovascular disease, respiratory disease, gastrointestinal disease, liver disease, renal disease, endocrine disorder and neurological illness (mild/moderate well controlled comorbidities are allowed)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04568031). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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