Immunogenicity and safety of boosting with a recombinant two-component SARS-CoV-2 vaccine : two randomized, parallel-controlled, phase 2 studies

BACKGROUND: Recombinant protein vaccines are vital for broad protection against SARS-CoV-2 variants. This study assessed ReCOV as a booster in two Phase 2 trials.

RESEARCH DESIGN AND METHODS: Study-1 involved subjects were randomized (1:1:1) to receive 20 μg ReCOV, 40 μg ReCOV, or an inactivated vaccine (COVILO®) in the United Arab Emirates. Study-2 participating individuals were randomized (1:1:1) to receive 20 μg ReCOV (pilot batch, ReCOV HA), 20 μg ReCOV (commercial batch, ReCOV TC), or 30 μg BNT162b2 (COMIRNATY®) in the Philippines. The primary immunogenicity objectives was to compare the geometric mean titer (GMT) and seroconversion rate (SCR) of neutralizing antibodies induced by one ReCOV booster dose with those of inactivated vaccine and BNT162b2, respectively, at 14 days post-booster.

RESULTS: Heterologous ReCOV booster doses were safe and induced comparable immune responses to inactivated vaccines and BNT162b2 against Omicron variants and the prototype. They showed significant advantages in cross-neutralization against multiple SARS-CoV-2 variants, surpassing inactivated vaccines and BNT162b2, with good immune persistence.

CONCLUSIONS: Heterologous ReCOV boosting was safe and effective, showing promise in combating COVID-19. The study highlights ReCOV's potential for enhanced protection, supported by strong cross-neutralization and immune persistence.

CLINICAL TRIAL REGISTRATION: Study-1, www.clinicaltrials.gov, identifier is NCT05323435; Study-2, www.clinicaltrials.gov, identifier is NCT05084989.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Expert review of vaccines - 23(2024), 1 vom: 03. Jan., Seite 419-431

Sprache:

Englisch

Beteiligte Personen:

Balgos, Abundio [VerfasserIn]
Hannawi, Suad [VerfasserIn]
Chen, Wen-Li [VerfasserIn]
Abuquta, Alaa [VerfasserIn]
Safeldin, Linda [VerfasserIn]
Hassan, Aala [VerfasserIn]
Alamadi, Ahmad [VerfasserIn]
Tirador, Louie [VerfasserIn]
Jaen, Anjuli May [VerfasserIn]
Villalobos, Ralph Elvi [VerfasserIn]
Mo, Chen [VerfasserIn]
Yue, Zi-Jing [VerfasserIn]
Ma, Ying [VerfasserIn]
Wang, Qing-Shuang [VerfasserIn]
Wen, Ren-Du [VerfasserIn]
Yao, Zheng [VerfasserIn]
Yu, Jia-Ping [VerfasserIn]
Yao, Wen-Rong [VerfasserIn]
Zhang, Jian-Hui [VerfasserIn]
Hong, Kun-Xue [VerfasserIn]
Liu, Yong [VerfasserIn]
Li, Jing-Xin [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Neutralizing
Antibodies, Viral
BNT162 Vaccine
COVID-19 Vaccines
Clinical Trial, Phase II
Heterologous booster
Immunogenicity
Journal Article
Omicron variants
Randomized Controlled Trial
SARS-CoV-2
Safety
Vaccines, Inactivated

Anmerkungen:

Date Completed 04.04.2024

Date Revised 04.04.2024

published: Print-Electronic

ClinicalTrials.gov: NCT05084989, NCT05323435

Citation Status MEDLINE

doi:

10.1080/14760584.2024.2334423

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370192508