A Trial Evaluating the Safety and Immunogenicity of 3 COVID-19 SARS-CoV-2 RNA Vaccines in Healthy Adults

Purpose

This is a Phase 1/2, randomized, observer-blind study in healthy adults. The study will evaluate the safety, reactogenicity, and immunogenicity of 3 SARS-CoV-2 self-amplifying RNA vaccine candidates against COVID-19 in adults previously vaccinated and not previously vaccinated against SARS-CoV-2.

Conditions

  • COVID-19
  • SARS-CoV-2 Infection
  • Corona Virus Infection

Eligibility

Eligible Ages
Between 21 Years and 80 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

Individuals who: 1. Are able to provide consent 2. Agree to comply with all study visits and procedures 3. Are willing and able to adhere to study restrictions 4. Are sexually active and willing to adhere to contraceptive requirements 5. Are male, female, or transgender ≥21 to ≤80 years of age 6. For the previously vaccinated groups only, received 2 doses of SARS-CoV-2 vaccine 5 months or longer prior to study enrollment

Exclusion Criteria

Individuals who: 1. For the unvaccinated groups only, previously received any investigational or authorized MERS-CoV, SARS-CoV, and SARS-CoV-2 vaccines (including ARCT-021) 2. For the previously vaccinated groups only, previously received BNT162b2 but have not received 2 doses within at least 5 months prior to study enrollment 3. Are planning to receive other COVID-19 vaccines during the study period 4. Recently received other vaccines 5. Have a fever or are feeling sick close to the time of the first study vaccination 6. Have a known history of COVID-19 disease or asymptomatic SARS-CoV-2 infection 7. Are pregnant or breastfeeding 8. Have had a severe reaction to previous vaccines 9. Have a severe or uncontrolled disease(s) that may interfere with the interpretation of the study 10. Have some respiratory diseases 11. Have some significant heart diseases 12. Have some neurological conditions 13. Have sickle cell disease or some other blood disorders 14. Have had a major surgery within the past 6 months 15. Have a history of chronic liver disease 16. Have a history of autoimmune disease or immunodeficiency 17. Have received allergy injections, interferon, immunomodulators, cytotoxic drugs or other similar toxic drugs. 18. Have received blood products 19. Have a positive test for hepatitis B or C or human immunodeficiency virus 20. Have uncontrolled hypertension 21. Have had cancer except for cancers that were treated and that have low risk of returning 22. Are obese 23. Are Investigator site staff members, employees of Arcturus or the contract research organization (CRO) directly involved in the conduct of the study, or site staff members otherwise supervised by the Investigator or immediate family members of any of the previously mentioned individuals

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
The study will evaluate 3 investigational vaccines in parallel.
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
Observer Blind

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Study Group 1, Adult Participants Seronegative, Not Previously Vaccinated randomized to ARCT-165
Participants will receive one dose of ARCT-165 on Day 1 and one dose of ARCT-165 on Day 29
  • Biological: ARCT-165
    Dose 3
Experimental
Study Group 2, Adult Participants Seronegative, Not Previously Vaccinated randomized to ARCT-154
Participants will receive one dose of ARCT-154 on Day 1 and one dose of ARCT-154 on Day 29
  • Biological: ARCT-154
    Dose 2
Experimental
Study Group 3, Adult Participants Seronegative, Not Previously Vaccinated to receive ARCT-021
Participants will receive one dose of ARCT-021 on Day 1 and one dose of ARCT-021 on Day 29
  • Biological: ARCT-021
    Dose 1
Experimental
Study Group 4, Adult Participants Seropositive, Not Previously Vaccinated to receive ARCT-021
Participants will receive one dose of ARCT-021 on Day 1 and one dose of ARCT-021 on Day 29
  • Biological: ARCT-021
    Dose 1
Experimental
Study Group 5, Adult Participants Seropositive, Not Previously Vaccinated randomized to ARCT-154
Participants will receive one dose of ARCT-154 on Day 1 and one dose of ARCT-154 on Day 29
  • Biological: ARCT-154
    Dose 2
Experimental
Study Group 6, Adult Participants Previously Vaccinated randomized to receive ARCT-165
Participants will receive one dose of ARCT-165 on Day 1
  • Biological: ARCT-165
    Dose 3
Experimental
Study Group 7, Adult Participants Previously Vaccinated randomized to receive ARCT-154
Participants will receive one dose of ARCT-154 on Day 1
  • Biological: ARCT-154
    Dose 2
Experimental
Study Group 8, Adult Participants Previously Vaccinated randomized to receive ARCT-021
Participants will receive one dose of ARCT-021 on Day 1
  • Biological: ARCT-021
    Dose 1

Recruiting Locations

More Details

NCT ID
NCT05037097
Status
Completed
Sponsor
Arcturus Therapeutics, Inc.

Detailed Description

The study will initially enroll approximately 72 adult participants into 2 cohorts (A and B). Cohort A is further sub-divided into two sub-cohorts which include 12 participants who are seronegative, not previously vaccinated at screening (Sub-cohort A1) and 24 participants who are seropositive, not previously vaccinated at screening (Sub-cohort A2). Within the first cohort (Cohort A), Sub-cohort A1 will include a total of 12 adult participants ≥21 to ≤65 years of age who have not been previously vaccinated with a SARS-CoV-2 vaccine. Sub-cohort A2 will include a total of 24 adult participants ≥21 to ≤65 years of age who have not been previously vaccinated with a SARS-CoV-2 vaccine. Study vaccines will be given as 2 doses separated by 28 days. The second cohort (Cohort B) will include a total of 36 adult participants ≥21 to ≤65 years of age who have been previously vaccinated (5 months or longer prior to study enrollment) with SARS-CoV-2 vaccine. Study vaccines will be given as single doses. Additional cohorts may increase the age range of participants up to 80 years of age.