Status:

COMPLETED

COVID-19 Variant Immunologic Landscape Trial (COVAIL Trial)

Lead Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Conditions:

COVID-19

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This phase 2 clinical trial will evaluate the safety and immunogenicity of additional doses of prototype and variant (alone or in combination) vaccine candidates in previously vaccinated participants ...

Detailed Description

This phase 2 clinical trial will evaluate the safety and immunogenicity of additional doses of prototype and variant (alone or in combination) vaccine candidates in previously vaccinated participants ...

Eligibility Criteria

Inclusion

  • Participants must meet all of the following criteria to be eligible to participate in this study:
  • Individuals \> / = 18 years of age at the time of consent. (18-49 years for stage 4).
  • Confirmed receipt of a complete primary and booster COVID-19 vaccine series, either homologous or heterologous, with an FDA authorized/approved vaccine at least 16 weeks prior to study vaccine dose 1.
  • Willing and able to comply with all scheduled visits, vaccination plan, laboratory tests and other study procedures.
  • Determined by medical history, targeted physical examination and clinical judgement of the investigator to be in stable state of health.
  • Note: Participants with pre-existing stable chronic medical conditions defined as condition not requiring significant change in therapy or hospitalization for worsening disease within 4 weeks from enrollment, can be included at the discretion of the investigator.

Exclusion

  • Participants meeting any of the following criteria will be excluded from the study:
  • Confirmed SARS-CoV-2 infection \< 16 weeks prior to any study vaccine dose.
  • Pregnant and breastfeeding participants.
  • Prior administration of an investigational coronavirus vaccine at any time or SARS-CoV-2 immunoglobulin, monoclonal antibody or plasma antibody therapy in the preceding 3 months.
  • Note: subjects that participated in clinical trials of products that are now FDA approved/authorized are allowed to participate.
  • Current/planned simultaneous participation in another interventional study or receipt of any investigational study product within 28 days prior to vaccine study dose(s).
  • A history of anaphylaxis, urticaria, or other significant adverse reaction requiring medical intervention after receipt of a vaccine, polyethylene glycol (PEG), polysorbate or nanolipid particles.
  • A history of myocarditis or pericarditis at any time prior to enrollment (for subjects in stages 1, 2 and 4).
  • Received or plans to receive a vaccine within 28 days prior to or after any dose of study vaccine.
  • Note: Receipt of seasonal influenza vaccine is allowed at any time.
  • Bleeding disorder diagnosed by a healthcare provider (e.g., factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or bleeding difficulties with intramuscular injections or blood draws.
  • Current or previous diagnosis of an immunocompromising condition or other immunosuppressive condition.
  • Advanced liver or kidney diseases.
  • Advanced (CD4 count \< 200) and/or untreated HIV, untreated Hepatitis B or untreated Hepatitis C.
  • Received oral, intramuscular or intravenous systemic immunosuppressants, or immune-modifying drugs for \>14 days in total within 6 months prior to any study vaccine dose (for corticosteroids = 20 mg \> / = day of prednisone equivalent).
  • Note: Topical medications are allowed.
  • Received immunoglobulin or blood-derived products, within 3 months prior any study vaccine dose.
  • Received chemotherapy, immunotherapy or radiation therapy within 6 months prior to any study vaccine dose.
  • Study personnel or an immediate family member or household member of study personnel.
  • Is acutely ill or febrile 72 hours prior to or at vaccine dosing (fever defined as \> / = 38.0 degrees Celsius/100.4 degrees Fahrenheit). Participants meeting this criterion may be rescheduled within the relevant window periods.
  • Note: Afebrile participants with minor illnesses can be enrolled at the discretion of the Investigator, as long as the illness is not suggestive of COVID-19.
  • Plan to receive a COVID-19 booster vaccine outside of the study within the next 180 days. (for subjects in Stage 4 only)

Key Trial Info

Start Date :

March 30 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 27 2023

Estimated Enrollment :

1270 Patients enrolled

Trial Details

Trial ID

NCT05289037

Start Date

March 30 2022

End Date

November 27 2023

Last Update

October 17 2025

Active Locations (22)

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Page 1 of 6 (22 locations)

1

University of Alabama at Birmingham School of Medicine - Alabama Vaccine Research Clinic

Birmingham, Alabama, United States, 35294

2

University of California, San Diego (UCSD) - Antiviral Research Center (AVRC)

San Diego, California, United States, 92103-8208

3

Zuckerberg San Francisco General Hospital, UCSF Positive Health Program

San Francisco, California, United States, 94110

4

George Washington University Medical Faculty Associates

Washington D.C., District of Columbia, United States, 20037-3201