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一种改良型 COVID-19 mRNA 疫苗(SW-BIC-213)作为异源加强针在健康成年人中的安全性和免疫原性:一项开放标签、两中心和多臂随机、1 期临床试验。

Safety and immunogenicity of a modified COVID-19 mRNA vaccine, SW-BIC-213, as a heterologous booster in healthy adults: an open-labeled, two-centered and multi-arm randomised, phase 1 trial.

机构信息

Shanghai Xuhui Central Hospital/Xuhui Hospital, Fudan University, Shanghai, China; Shanghai Engineering Research Center of Phase I Clinical Research & Quality Consistency Evaluation for Drugs, Shanghai, China.

Zhongshan Hospital, Fudan University, Shanghai, China.

出版信息

EBioMedicine. 2023 May;91:104586. doi: 10.1016/j.ebiom.2023.104586. Epub 2023 Apr 24.


DOI:10.1016/j.ebiom.2023.104586
PMID:37099843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10124970/
Abstract

BACKGROUND: We assessed the safety and immunogenicity of a core-shell structured lipopolyplex (LPP) based COVID-19 mRNA vaccine, SW-BIC-213, as a heterologous booster in healthy adults. METHODS: We conducted an open-labeled, two-centered, and three-arm randomised phase 1 trial. Healthy adults, who had completed a two-dose of inactivated COVID-19 vaccine for more than six months, were enrolled and randomized to receive a booster dose of COVILO (inactivated vaccine) (n = 20) or SW-BIC-213-25μg (n = 20), or SW-BIC-213-45μg (n = 20). The primary study endpoint was adverse events within 30 days post-boosting. The secondary endpoint was the titers of binding antibodies and neutralizing antibodies against the wild-type (WT) of SARS-CoV-2 as well as variants of concern in serum. The exploratory endpoint was the cellular immune responses. This trial was registered with http://www.chictr.org.cn (ChiCTR2200060355). FINDINGS: Between Jun 6 and Jun 22, 2022, 60 participants were enrolled and randomized to receive a booster dose of SW-BIC-213 (25 μg, n = 20, or 45 μg, n = 20) or COVILO (n = 20). The baseline demographic characteristics of the participants at enrollment were similar among the treatment groups. For the primary outcome, injection site pain and fever were more common in the SW-BIC-213 groups (25 μg and 45 μg). Grade 3 fever was reported in 25% (5/20) of participants in the SW-BIC-213-45μg group but was resolved within 48 h after onset. No fatal events or adverse events leading to study discontinuation were observed. For secondary and exploratory outcomes, SW-BIC-213 elicited higher and longer humoral and cellular immune responses than that in the COVILO group. INTERPRETATION: SW-BIC-213, a core-shell structured lipopolyplex (LPP) based mRNA vaccine, was safe, tolerable, and immunogenic as a heterologous booster in healthy Chinese adults. FUNDING: Shanghai Municipal Government, the Science and Technology and Economic Commission of Shanghai Pudong New Area, and mRNA Innovation and Translation Center of Shanghai.

摘要

背景:我们评估了一种基于核心壳结构的脂多聚体(LPP)的 COVID-19 mRNA 疫苗 SW-BIC-213 作为健康成年人异源加强针的安全性和免疫原性。

方法:我们开展了一项开放性、双中心、三臂随机 1 期临床试验。已完成两剂灭活 COVID-19 疫苗接种且超过 6 个月的健康成年人入组并随机接受 COVILO(灭活疫苗)(n=20)、SW-BIC-213-25μg(n=20)或 SW-BIC-213-45μg(n=20)加强针接种。主要研究终点为加强针接种后 30 天内的不良事件。次要终点为血清中针对野生型(WT)SARS-CoV-2 以及关注变异株的结合抗体和中和抗体滴度。探索性终点为细胞免疫反应。该试验在中国临床试验注册中心(ChiCTR2200060355)注册。

结果:2022 年 6 月 6 日至 6 月 22 日,60 名参与者入组并随机接受 SW-BIC-213(25μg,n=20,或 45μg,n=20)或 COVILO(n=20)加强针接种。接种时各组参与者的基线人口统计学特征相似。主要结局方面,注射部位疼痛和发热在 SW-BIC-213 组(25μg 和 45μg)更为常见。SW-BIC-213-45μg 组有 25%(5/20)的参与者出现 3 级发热,但在发病后 48 小时内得到缓解。未观察到致命事件或导致研究中止的不良事件。次要结局和探索性结局方面,SW-BIC-213 诱导的体液和细胞免疫应答高于 COVILO 组。

结论:SW-BIC-213 是一种基于核心壳结构的脂多聚体(LPP)的 mRNA 疫苗,作为健康中国成年人的异源加强针,安全性好、耐受性良好且具有免疫原性。

资助:上海市政府、上海市浦东新区科技和经济委员会、上海 mRNA 创新与转化中心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/90bde9454a38/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/7157d82add48/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/b474b58afa3b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/90bde9454a38/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/7157d82add48/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/b474b58afa3b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9509/10182271/90bde9454a38/gr3.jpg

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本文引用的文献

[1]
Bivalent BNT162b2 mRNA original/omicron BA.4-5 booster vaccination: adverse reactions and inability to work compared with the monovalent COVID-19 booster.

Clin Microbiol Infect. 2023-4

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N Engl J Med. 2022-10-6

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