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mRNA-脂质纳米颗粒疫苗候选物对 SARS-CoV-2 的安全性和免疫原性:一项 1 期随机临床试验。

Safety and immunogenicity of an mRNA-lipid nanoparticle vaccine candidate against SARS-CoV-2 : A phase 1 randomized clinical trial.

机构信息

Institute of Tropical Medicine, University Hospital Tübingen, Tübingen, Germany.

German Centre for Infection Research (DZIF), partner site Tübingen, Tübingen, Germany.

出版信息

Wien Klin Wochenschr. 2021 Sep;133(17-18):931-941. doi: 10.1007/s00508-021-01922-y. Epub 2021 Aug 10.


DOI:10.1007/s00508-021-01922-y
PMID:34378087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8354521/
Abstract

BACKGROUND: We used the RNActive® technology platform (CureVac N.V., Tübingen, Germany) to prepare CVnCoV, a COVID-19 vaccine containing sequence-optimized mRNA coding for a stabilized form of SARS-CoV‑2 spike (S) protein encapsulated in lipid nanoparticles (LNP). METHODS: This is an interim analysis of a dosage escalation phase 1 study in healthy 18-60-year-old volunteers in Hannover, Munich and Tübingen, Germany, and Ghent, Belgium. After giving 2 intramuscular doses of CVnCoV or placebo 28 days apart we assessed solicited local and systemic adverse events (AE) for 7 days and unsolicited AEs for 28 days after each vaccination. Immunogenicity was measured as enzyme-linked immunosorbent assay (ELISA) IgG antibodies to SARS-CoV‑2 S‑protein and receptor binding domain (RBD), and SARS-CoV‑2 neutralizing titers (MN). RESULTS: In 245 volunteers who received 2 CVnCoV vaccinations (2 μg, n = 47, 4 μg, n = 48, 6 μg, n = 46, 8 μg, n = 44, 12 μg, n = 28) or placebo (n = 32) there were no vaccine-related serious AEs. Dosage-dependent increases in frequency and severity of solicited systemic AEs, and to a lesser extent local AEs, were mainly mild or moderate and transient in duration. Dosage-dependent increases in IgG antibodies to S‑protein and RBD and MN were evident in all groups 2 weeks after the second dose when 100% (23/23) seroconverted to S‑protein or RBD, and 83% (19/23) seroconverted for MN in the 12 μg group. Responses to 12 μg were comparable to those observed in convalescent sera from known COVID-19 patients. CONCLUSION: In this study 2 CVnCoV doses were safe, with acceptable reactogenicity and 12 μg dosages elicited levels of immune responses that overlapped those observed in convalescent sera.

摘要

背景:我们使用 RNActive® 技术平台(德国图宾根 CureVac N.V.)来制备 CVnCoV,这是一种包含经过序列优化的编码 SARS-CoV-2 刺突(S)蛋白稳定形式的 mRNA 的 COVID-19 疫苗,封装在脂质纳米颗粒(LNP)中。

方法:这是一项在德国汉诺威、慕尼黑和图宾根以及比利时根特的 18-60 岁健康志愿者中进行的 1 期递增剂量研究的中期分析。在间隔 28 天给予 2 次肌肉内 CVnCoV 或安慰剂后,我们在每次接种后 7 天内评估了募集的局部和全身不良事件(AE),并在 28 天内评估了未募集的 AE。免疫原性通过酶联免疫吸附试验(ELISA)测量 SARS-CoV-2 S-蛋白和受体结合域(RBD)的 IgG 抗体,以及 SARS-CoV-2 中和滴度(MN)。

结果:在 245 名接受 2 次 CVnCoV 接种(2μg,n=47;4μg,n=48;6μg,n=46;8μg,n=44;12μg,n=28)或安慰剂(n=32)的志愿者中,没有与疫苗相关的严重不良事件。募集的全身 AE 的频率和严重程度与剂量有关,局部 AE 也有类似趋势,但程度较轻,且持续时间较短。在第二次剂量后 2 周,所有组均观察到 S-蛋白和 RBD 的 IgG 抗体以及 MN 的剂量依赖性增加,在 12μg 组中,100%(23/23)的血清对 S-蛋白或 RBD 发生血清转换,83%(19/23)的血清对 MN 发生血清转换。12μg 的反应与从已知 COVID-19 患者的恢复期血清中观察到的反应相当。

结论:在这项研究中,2 次 CVnCoV 剂量是安全的,具有可接受的反应原性,12μg 剂量引起的免疫反应水平与恢复期血清中观察到的水平重叠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/8343eff6d43b/508_2021_1922_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/0288f0606f5f/508_2021_1922_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/cdec84f8fdc5/508_2021_1922_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/8343eff6d43b/508_2021_1922_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/0288f0606f5f/508_2021_1922_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/cdec84f8fdc5/508_2021_1922_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3b/8443481/8343eff6d43b/508_2021_1922_Fig3_HTML.jpg

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