Safety and Immunogenicity Study of GX-19N, a COVID-19 Preventive DNA Vaccine in Healthy Adults

NCT04715997 — Phase 1 / Phase 2, Completed, 185 participants, Genexine, Inc.

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A Phase 1/2a, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Investigate the Safety, Tolerability, and Immunogenicity of GX-19N, a COVID-19 Preventive DNA Vaccine in Healthy Subjects

RegistryNCT04715997
StatusCompleted
PhasePhase 1 / Phase 2
Study typeInterventional; randomized, sequential, masking: double, prevention
Enrollment185 (Actual)
SponsorGenexine, Inc. (Industry)
ConditionsSARS-CoV-2
InterventionsGX-19N, Placebo (Drug)
Datesstart 2020-12-30, primary completion 2022-04-19, completion 2022-04-19, first posted 2021-01-20, last updated 2025-08-20
Locations5 sites in South Korea

Related Papers Related Patents Related Grants Related Experts
All trials for SARS-CoV-2 All trials of GX-19N All trials of Placebo

-Summary

The objective of our study is to evaluate safety, tolerability, and immunogenicity of COVID-19 preventive DNA vaccine in healthy volunteers.

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+Detailed description

This clinical study is phase 1/2a clinical trial to evaluate safety, tolerability, and immunogenicity of COVID-19 preventive vaccine by intramuscularly administration in healthy volunteers.

Phase 1 of this study is designed as single arm, open-labeled and a total of 20 subjects will be enrolled. Phase 2a of study is designed as randomized, double-blind, placebo controlled and a total of 150 subjects are planned to be enrolled.

+Arms and interventions

ArmTypeInterventionsDescription
GX-19: Dose AExperimentalDrug: GX-19NDose A of GX-19N will be intramusculary administered via EP on day 1 and day 29.
Placebo: Normal salinePlacebo comparatorDrug: PlaceboPlacebo will be intramusculary administered via EP on day 1 and day 29.
  • GX-19N (Drug), also known as Dose A: DNA vaccine expressing SARS-CoV-2 S-protein antigen including the Nucleocapsid protein (NP) antigen
  • Placebo (Drug), also known as Normal saline: Normal saline

+Outcome measures

Primary outcomes

  • Incidence of Solicited Adverse Events [Through 1 year post vaccination]: solicited local and systemic AEs after vaccination
  • Incidence of Unsolicited Adverse Events [Through 1 year post vaccination]: unsolicited AEs after vaccination
  • Incidence of Serious Adverse Events [Through 1 year post vaccination]: percentage of subjects with SAEs

Secondary outcomes

  • GMT of Antigen-specific Binding Antibody Titers [Through 1 year post vaccination]: Geometric mean titer (GMT) of antigen-specific binding antibody after vaccination
  • GMFR of Antigen-specific Binding Antibody Titers [Through 1 year post vaccination]: Geometric mean fold rise (GMFR) of antigen-specific binding antibody after vaccination
  • Percentage of Subjects Who Seroconverted After Vaccination [Through 1 year post vaccination]: Seroconversion defines when FRNT50 is detected more than four times from the baseline after vaccination
  • GMT and GMFR of Neutralizing Antibody Level [Through 1 year post vaccination]: Geometric mean titer (GMT) and Geometric mean fold rise (GMFR) of neutralizing antibody after vaccination
  • GMFR of Neutralizing Antibody Level [Through 1 year post vaccination]: Geometric mean fold rise (GMFR) of neutralizing antibody after vaccination
  • GMSN and GMFR of Spot Forming Unit (SFU) detected by IFN-gamma ELISPOT assay [Through 1 year post vaccination]: Geometric mean spot numbers (GMSN) and Geometric mean fold rise (GMFR) of SFU after vaccination

Other outcomes

  • Change From Baseline in Antigen-specific IFN-gamma Cellular Immune Response [Through 1 year post vaccination]: Antigen-specific IFN-γ T cell immune response assessed after vaccination

+Eligibility

Sex: All, ages: 18 Years to 55 Years, accepts healthy volunteers

Inclusion Criteria:

* Able and willing to comply with all study procedures and voluntarily signs informed consent form
* Healthy adult male or female aged 19-55 years
* Willing to provide specimens such as blood and urine during the study, including end of study visit.

Exclusion Criteria:

* Immunosuppresion including immunodeficiency disease or family history
* Any history of malignant disease within the past 5 years
* Scheduled to undergo any surgery or dental treatment during the study
* Having received immunoglobulin or blood-derived drugs or being expected to be administered within 3 months prior to administration.
* Having relied on antipsychotic drugs and narcotic analgesics within 6 months before administration
* Positive of serology test at screening
* Suspected of drug abuse or a history within 12 months prior to administration
* Active alcohol use or history of alcohol abuse
* Serious adverse reaction to a drug containing GX-19N or other ingredients of the same categories or to a vaccine or antibiotic, nonsteroidal anti-inflammatory disease control, etc. or an allergic history
* History of hypersensitivity to vaccination such as Guillain-Barre syndrome
* Those who have or with a history of disease corresponding to other hepatobiliary, kidneys, nervous systems (middle or peripheral), respiratory machines (e.g. asthma, pneumonia, etc., endocrine systems (uncontrolled diabetes, hyperlipidemia, etc.) and cardiovascular (congestive heart failure, coronary artery disease, myocardial infarction, uncontrolled hypertension), blood tumors, urinary machines, mental, musculoskeletal systems, immune system (rheumatoid arthritis, systemic arthritis, mumps, immunodeficiency disease)
* Having hemophilia at risk of causing serious bleeding when injected intramuscularly or receiving anticoagulants
* Subjects who have been contact with COVID-19 infections in the past prior to administration, have been classified as COVID-19 confirmed patients, medical patients or patients with symptoms or have been identified with SARS and MERS infection history in the past
* Acute fever, cough, difficulty breathing, chills, muscle aches, headache, sore throat, loss of smell, or loss of taste within 72 hours prior to administration
* Other vaccination history within 28 days prior to the administration or being scheduled to be inoculated during the study
* History of having taken immunosuppressant or Immune modifying drug within 3 months prior to administration
* Having participated and had clinical trial drug administration in another clinical trial or biological equivalence study within 6 months prior to the administration
* Pregnant or breastfeeding female, however, those are allowed to participate in the study only if they stop breastfeeding before participation (fertile female† must be negative in serum pregnancy test at screening
* Fertile female who do not agree to use effective contraception methods (condoms, contraceptive diaphragm, intrauterine contraceptive devices) during the study
* Any other clinically significant medical or psychiatric finding which is considered inappropriate by investigator

+Locations (5)

FacilityCityCountryStatus
KyungHee University Medical CenterSeoulSouth Korea
Severance HospitalSeoulSouth Korea
Hanyang University HospitalSeoulSouth Korea
Gangnam Severance HospitalSeoulSouth Korea
Ajou University HospitalSuwonSouth Korea

+Publications

  • Results publication: Ahn JY, Lee J, Suh YS, Song YG, Choi YJ, Lee KH, Seo SH, Song M, Oh JW, Kim M, Seo HY, Kwak JE, Youn JW, Woo JW, Shin EC, Sung YC, Park SH, Choi JY. Safety and immunogenicity of two recombinant DNA COVID-19 vaccines containing the coding regions of the spike or spike and nucleocapsid proteins: an interim analysis of two open-label, non-randomised, phase 1 trials in healthy adults. Lancet Microbe. 2022 Mar;3(3):e173-e183. doi: 10.1016/S2666-5247(21)00358-X. Epub 2022 Feb 8. PMID 35156068

+Investigators