South African National Clinical Trials Registry

South African Medical Research Council, Cochrane South Africa
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: sactradmin@mrc.ac.za Website: sanctr.samrc.ac.za
Trial no.: DOH-27-042022-7586 Date of Approval: 26/04/2022
Trial Status: Approved
TRIAL DESCRIPTION
Public title Themba II T-Cell Vaccine: A phase 1/2 Study of the Safety, Reactogenicity, and Immunogenicity of Vaccination with saRNA COVID-19 Vaccines
Official scientific title Themba II T-Cell Vaccine: A phase 1/2 Study of the Safety, Reactogenicity, and Immunogenicity of Vaccination with saRNA COVID-19 Vaccines
Brief summary describing the background and objectives of the trial This is a phase 1/2 open-label study assessing the safety, reactogenicity, and immunogenicity of saRNA COVID-19 boost vaccines in participants that have been previously vaccinated against or previously infected with COVID-19. Participants enrolled will include individuals previously vaccinated against COVID-19 or previously infected with COVID-19 > 3 months prior to enrollment. Previously unvaccinated/vaccinated status and previously uninfected/infected status will be established by medical history and by SARS-CoV-2 serology assessed in the prescreening visit. The phase 1 study is a single arm, open-label study. The phase 2 and study is a randomized open-label study. For the phase 2 study, laboratory analyses of immunogenicity assessments will be performed blind to participants’ vaccine treatment on study. In all study phases, SARS-CoV-2 serological status will be assessed in a prescreening visit. Participants will be ≥ 18 years of age who are healthy or have medically-stable chronic diseases. The treatment regime is described in the sections that follow.
Type of trial RCT
Acronym (If the trial has an acronym then please provide) THEMBA 2
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied COVID-19
Purpose of the trial Prevention: Vaccines
Anticipated trial start date 20/04/2022
Actual trial start date 19/04/2022
Anticipated date of last follow up 11/03/2024
Actual Last follow-up date 11/03/2024
Anticipated target sample size (number of participants) 180
Actual target sample size (number of participants) 60
Recruitment status Completed
Publication URL
Secondary Ids Issuing authority/Trial register
COVID-4015 Sponsor
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Randomised Stratified allocation where factors such as age, gender, center, or previous treatment are used in the stratification Central randomisation by phone/fax Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Control Group Janssen or Pfizer COVID19 vaccine Boost dose Once Janssen or Pfizer COVID19 vaccine 30 Active-Treatment of Control Group
Experimental Group AAHISC2 Vaccine Boost Once AAHI SC2 self-amplifying RNA against SARS-CoV-2 Spike protein delivered by nanostructured lipid carrier Vaccine 60
Experimental Group AAHISC3 Vaccine Boost Once AAHI-SC3 self-amplifying RNA against SARS-CoV-2 Spike and nucleocapsid protein delivered by nanostructured lipid carrier Vaccine 60
Experimental Group AAHISC3 Vaccine Prime Day 1 Phase 2 Boost Day 29 Phase 2 Two doses phase 2 AAHI-SC3 self-amplifying RNA against SARS-CoV-2 Spike and nucleocapsid protein delivered by nanostructured lipid carrier Vaccine 30
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
1. Healthy adults ≥ 18 years of age at time of enrollment. 2. Vaccinated with an EUA or approved vaccine against COVID-19 ≥ 3 months prior to enrollment on study or infection with COVID-19 ≥ 3 months prior to enrollment on study. 3. Able to understand and provide a signed informed consent that fulfills the relevant Institutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines. 4. Agrees to the collection of biospecimens (eg, nasopharyngeal [NP] swabs) and venous blood per protocol. 5. Ability to attend required study visits and return for adequate follow-up, as required by this protocol. 6. Temperature < 38°C. 7. Agreement to practice effective contraception for female participants of childbearing potential and non-sterile males. Female participants of childbearing potential must agree to use effective contraception while on study until at least 1 month after the last dose of vaccine. Non-sterile male participants must agree to use a condom while on study until at least 1 month after the last dose of vaccine. Effective contraception includes surgical sterilization (eg, vasectomy, tubal ligation), two forms of barrier methods (eg, condom, diaphragm), intrauterine devices (IUDs), oral contraceptives, injectable contraceptives, patches, implants and abstinence. 1. Serious adverse reaction to any vaccine, any unrelated medication or any component of the investigational vaccine, including a history of anaphylaxis and symptoms of a severe allergic reaction and history of allergies in the past. 2. Confirmed current COVID-19, previous SARS-CoV-2 infection in the last < 3 months, or PCR positive for SARS-CoV-2 at screening. 3. Vaccinated with an EAU-approved vaccine against COVID-19 in the last < 3 months. 4. Pregnant or breastfeeding women. 5. Chronic lung disease (included COPD) as evidenced by one or more exacerbations requiring a course of steroids in the last year, or the requiring chronic low dose oral steroids to prevent exacerbations. Uncontrolled asthma, defined as requiring reliever inhaler (short-acting beta agonist or ipratromium bromide) more than twice a week is also excluded. 6. Bone marrow or organ transplant recipient 7. Extreme obesity (defined as BMI of 40 kg/m2 or higher). 8. Chronic kidney disease requiring dialysis. 9. History of liver disease. 10. Any disease associated with acute fever, or any infection. 11. Participants with acquired or hereditary immunodeficiencies. 12. Current diagnosis of active tuberculosis. 13. History of hereditary, idiopathic or acquired angioedema. 14. No spleen or functional asplenia. 15. Chronic use (more than 14 continuous days) of any medications that may be associated with impaired immune responsiveness including, but not limited to, systemic corticosteroids exceeding 10 mg/day of prednisone equivalent, allergy injections, immunoglobulin, interferon, or immunomodulators. The use of low dose topical, ophthalmic, inhaled and intranasal steroid preparations will be permitted. 16. According to the judgement of the investigator any medical, psychiatric, psychological, social, occupational or other conditions that could affect the participants ability to sign informed consent, provide safety assessment data or comply with the requirements of the study protocol. 17. Assessed by t Adult: 19 Year(s)-105 Year(s) 18 Year(s) 105 Year(s) Both
APPROVALS
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 01/03/2022 SAHPRA
Ethics Committee Address
Street address City Postal code Country
Building A, Loftus Park, 2nd floor, Kirkness Road, Arcadia Pretoria 0083 South Africa
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 05/04/2022 Witwatersrand Human Research Ethics Committee Medical
Ethics Committee Address
Street address City Postal code Country
Suite 189, Private Bag X2600, Houghton Johannesburg 2041 South Africa
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Phase 1 Safety To determine the safety and reactogenicity of homologous and heterologous vaccination with saRNA COVID-19 vaccines. 1 week, 30 days, 6 months
Secondary Outcome Phase 1 To determine immunogenicity of homologous and heterologous vaccination with saRNA COVID-19 vaccines, as determined by changes in humoral and cellular response. Day 1, 8, 22, 60
Primary Outcome Phase 2 To determine immunogenicity of homologous and heterologous vaccination with saRNA COVID-19 vaccines, as determined by changes in humoral and cellular response Day 1, 8, 22, 60
Secondary Outcome Phase 2 To determine the safety and reactogenicity of homologous and heterologous vaccination with saRNA COVID-19 vaccines. 1 week, 30 days, 6 months
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Wits VIDA VIDA Research Unit Nurses home Road Chris Hani Baragwanath Academic Hospital, Soweto 2013 South Africa
FUNDING SOURCES
Name of source Street address City Postal code Country
Nant South Africa Proprietary Limited 6 Dunkeld Road Camps Bay Cape Town 8005 South Africa
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor ImmunityBio 9920 Jefferson Blvd Culver City 90232 United States of America Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
CONTACT PEOPLE
Role Name Email Phone Street address
Scientific Enquiries Lennie Sender lennie.sender@immunitybio.com +17146152350 9920 Jefferson Blvd
City Postal code Country Position/Affiliation
Culver City CA 90232 United States of America Medical Monitor
Role Name Email Phone Street address
Principal Investigator Anthonet Koen anthonet.koen@wits-vida.org 0119834283 Wits VIDA Research Unit, Nurses Road, Chris Hani Baragwanath Academic Hospital
City Postal code Country Position/Affiliation
Johannesburg South Africa Principal Investigator
Role Name Email Phone Street address
Public Enquiries Anthonet Koen anthonet.koen@wits-vida.org 0119834283 Wits VIDA Research Unit, Nurses Road, CHBAH
City Postal code Country Position/Affiliation
Johannesburg South Africa Wits VIDA
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes The results of this study may be published in a medical journal, presented at a medical congress, or used for teaching purposes. Additionally, this study and its results may be submitted for inclusion in all appropriate health authority study registries, as well as publication on health authority study registry websites, as required by local health authority regulations. Study Protocol 12months Controlled. The Sponsor must be informed of any plans to publish the results of this study and has the right to review any publication (eg, manuscript, abstract, oral/slide presentation, book chapter) resulting from this study before it is submitted/presented.
URL Results Available Results Summary Result Posting Date First Journal Publication Date
No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Anticipated trial start date 11/04/2022 Updated start date in accordance with HREC approval timing 01 Mar 2022 20 Apr 2022
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Actual trial start date 09/05/2022 Site Initiation completed 19Apr2022 19 Apr 2022
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Anticipated date of last follow up 30/08/2023 Anticipated last participant final visit 31 Oct 2023 11 Mar 2024
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Completion date 17/03/2024 All participants have completed the study 11 Mar 2024
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Final no of participants 30/08/2023 Updated to reflect phase 1 participant enrolment 60
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Recruitment status 09/05/2022 Study recruitment commenced 05May2022 Not yet recruiting Recruiting
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Recruitment status 30/08/2023 Phase 1 participants in follow up to completion Recruiting Closed to recruitment,follow-up continuing
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Recruitment status 17/03/2024 All participants have completed the study Closed to recruitment,follow-up continuing Completed
Section Name Field Name Date Reason Old Value Updated Value
Trial Information COMPLETION_STATUS 17/03/2024 All participants have completed the study In Progress Completed