Evidence map›Paper›PMID 35718205›Full record

Trial reportThe Journal of infection2022

Safety and immunogenicity of the inactivated whole-virus adjuvanted COVID-19 vaccine VLA2001: A randomized, dose escalation, double-blind phase 1/2 clinical trial in healthy adults.

Rajeka Lazarus, Christian Taucher, Claire Brown, Irena Čorbic Ramljak, Leon Danon, Katrin Dubischar, Christopher J A Duncan, Susanne Eder-Lingelbach, Saul N Faust, Christopher Green and 17 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04671017 (A Phase I/II Randomized, Two Parts, Dose-Finding Study To Evaluate The Safety, Tolerability and Immunogenicity Of An Inactivated, Adjuvanted SARS-CoV-2 Virus Vaccine Candidate), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04671017 phase1 / phase2completednot on this map

A Phase I/II Randomized, Two Parts, Dose-Finding Study To Evaluate The Safety, Tolerability and Immunogenicity Of An Inactivated, Adjuvanted SARS-CoV-2 Virus Vaccine Candidate (VLA2001), Against Covid-19 In Healthy Subjects

TypeinterventionalSponsorValneva Austria GmbHRan2020 to 2022Enrolled153ConditionsSARS-CoV-2 Virus InfectionArmsVLA2001
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Rajeka LazarusUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Christian TaucherValneva Austria GmbH, Campus Vienna Biocenter 3, Vienna 1030, Austria. Electronic address: christian.taucher@valneva.com.
Claire BrownNIHR/Wellcome Trust Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Irena Čorbic RamljakValneva Austria GmbH, Campus Vienna Biocenter 3, Vienna 1030, Austria.
Leon DanonDepartment of Engineering Mathematics, University of Bristol, Bristol, UK.
Katrin DubischarValneva Austria GmbH, Campus Vienna Biocenter 3, Vienna 1030, Austria.
Christopher J A DuncanDepartment of Infection and Tropical Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Translational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle, UK.
Susanne Eder-LingelbachValneva Austria GmbH, Campus Vienna Biocenter 3, Vienna 1030, Austria.
Saul N FaustNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Christopher GreenNIHR/Wellcome Trust Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Karishma GokaniNIHR/Wellcome Trust Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Romana HochreiterValneva Austria GmbH, Campus Vienna Biocenter 3, Vienna 1030, Austria.
Johanna Kellett WrightUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Dowan KwonUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Alexander MiddleditchUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Alasdair P S MunroNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Kush NakerNIHR/Wellcome Trust Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Florentina PenciuUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
David PriceDepartment of Infection and Tropical Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Translational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle, UK.
Benedicte QuertonValneva Austria GmbH, Campus Vienna Biocenter 3, Vienna 1030, Austria.
Tawassal RiazUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Amy Ross-RussellNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Amada Sanchez-GonzalezDepartment of Infection and Tropical Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Translational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle, UK.
Hayley WardleDepartment of Infection and Tropical Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Translational and Clinical Research Institute, Immunity and Inflammation Theme, Newcastle, UK.
Sarah WarrenNIHR Southampton Clinical Research Facility and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Faculty of Medicine and Institute for Life Sciences, University of Southampton, Southampton, UK.
Adam FinnUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK; Schools of Population Health Sciences and Cellular and Molecular Medicine, University of Bristol, Bristol, UK.
Valneva Phase 1 Trial Group

Funding

Wellcome Trust 211153/Z/18/Z
6 · The paper itself

Abstract

objectivesWe aimed to evaluate the safety and optimal dose of a novel inactivated whole-virus adjuvanted vaccine against SARS-CoV-2: VLA2001.

methodsWe conducted an open-label, dose-escalation study followed by a double-blind randomized trial using low, medium and high doses of VLA2001 (1:1:1). The primary safety outcome was the frequency and severity of solicited local and systemic reactions within 7 days after vaccination. The primary immunogenicity outcome was the geometric mean titre (GMT) of neutralizing antibodies against SARS-CoV-2 two weeks after the second vaccination. The study is registered as NCT04671017.

resultsBetween December 16, 2020, and June 3, 2021, 153 healthy adults aged 18-55 years were recruited in the UK. Overall, 81.7% of the participants reported a solicited AE, with injection site tenderness (58.2%) and headache (46.4%) being the most frequent. Only 2 participants reported a severe solicited event. Up to day 106, 131 (85.6%) participants had reported any AE. All observed incidents were transient and non-life threatening in nature. Immunogenicity measured at 2 weeks after completion of the two-dose priming schedule, showed significantly higher GMTs of SARS-CoV-2 neutralizing antibody titres in the highest dose group (GMT 545.6; 95% CI: 428.1, 695.4) which were similar to a panel of convalescent sera (GMT 526.9; 95% CI: 336.5, 825.1). Seroconversion rates of neutralizing antibodies were also significantly higher in the high-dose group (>90%) compared to the other dose groups. In the high dose group, antigen-specific IFN-γ expressing T-cells reactive against the S, M and N proteins were observed in 76, 36 and 49%, respectively.

conclusionsVLA2001 was well tolerated in all tested dose groups, and no safety signal of concern was identified. The highest dose group showed statistically significantly stronger immunogenicity with similar tolerability and safety, and was selected for phase 3 clinical development.

Indexed as

COVID-19COVID-19 VaccinesAdultAntibodies, NeutralizingAntibodies, ViralCOVID-19 SerotherapyDouble-Blind MethodHumansImmunization, PassiveImmunogenicity, VaccineSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesAdjuvanted vaccineCoronavirusCOVID-19CpG 1018Inactivated vaccineNeutralizing antibodyRBD-binding IgG antibodySARS-CoV-2S protein binding IgG antibodyWhole-virus vaccine

Identifiers

PMID35718205
PMCPMC9212764

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.