COVID-19 vaccine immunology

2024-517357-27-00 Therapeutic use (Phase IV) Ended

Start 7 Dec 2021 · End 17 Dec 2025 · Status Ended · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 4,000
Countries 1
Sites 1

COVID-19 infection

The main objective of this study is to evaluate immune responses after COVID-19 vaccination with different vaccine formulations

Key facts

Sponsor
Finnish Institute For Health And Welfare
Participant type
Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Trial duration
7 Dec 2021 → 17 Dec 2025
Decision date (initial)
2024-10-18
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-517357-27-00
EudraCT number
2021-004788-29

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis, Pharmacodynamic, Dose response

The main objective of this study is to evaluate immune responses after COVID-19 vaccination with different vaccine formulations

Secondary objectives 10

  1. To evaluate the vaccine response after COVID-19 vaccination with a different number of doses , vaccine combinations, vaccine dose intervals and in combination with influenza vaccination
  2. Follow how immunity is maintained after vaccination
  3. On the basis of immunity studies to aAssess the need for booster vaccination in different age groups and in different risk groups for COVID19 and in groups with different underlying diseases
  4. Investigate how COVID-19 infection affects vaccine responses
  5. Find out how vaccination affects the response to COVID-19 infection
  6. Evaluate vaccine responses against different virus variants
  7. Investigate cell-mediated responses after COVID-19 vaccination
  8. Investigate the relationship between immune responses and clinical protection
  9. Monitor the prevalence of coronavirus infection in target groups based on antibody testing
  10. Explore combinations of the above objectives

Conditions and MedDRA coding

COVID-19 infection

VersionLevelCodeTermSystem organ class
23.0 PT 10084268 COVID-19 100000004862

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Age 18 years
  2. Has received or is planning to receive at least one dose of Covid-19 vaccine in accordance with the Finnish national vaccination programme
  3. Is able to understand the given written and oral information
  4. Has given written informed consent

Exclusion criteria 1

  1. none

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Proportion of seropositive subjects with an antibody level above the target level in groups of vaccine recipients receiving different vaccine products at 6 months after two doses against the prevailing virus variant

Secondary endpoints 3

  1. Antibody and neutralising antibody levels and percentages of those above the target: in the group receiving combinations of different vaccine products,in a group of people who received the vaccine at different dose intervals (e.g. 3 weeks, 8 weeks, 12 weeks), in the group receiving different numbers of vaccine doses , in the COVID19-infected group, in different age groups, in groups at risk of COVID-19 and in immunocompromised groups, against different virus variants
  2. Cell-mediated immune responses
  3. Response variables regarding immunity studies against other microbes will be developed according to the epidemic situation

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 10

Comirnaty 30 micrograms/dose dispersion for injection COVID-19 mRNA Vaccine

PRD9317042 · Product

Active substance
Tozinameran
Substance synonyms
Nucleoside-modified mRNA encoding a modified version of the SARS-CoV-2 S protein, BNT162b2, Single-stranded, 5’-capped messenger RNA produced using a cell-free in vitro transcription from the corresponding DNA templates, encoding the viral spike (S) protein of SARS-CoV-2
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
30 µg microgram(s)
Max total dose
60 µg microgram(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1528/002
MA holder
BIONTECH MANUFACTURING GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comirnaty JN.1 30 micrograms/dose dispersion for injection in pre-filled syringe COVID-19 mRNA Vaccine

PRD11459642 · Product

Active substance
Bretovameran
Substance synonyms
5'-capped mRNA encoding SARS-CoV-2, Omicron variant JN.1, spike protein
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
30 µg microgram(s)
Max total dose
30 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1528/030
MA holder
BIONTECH MANUFACTURING GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comirnaty Original/Omicron BA.4-5 (15/15 micrograms)/dose dispersion for injection COVID-19 mRNA Vaccine

PRD9942084 · Product

Active substance
Tozinameran
Substance synonyms
Nucleoside-modified mRNA encoding a modified version of the SARS-CoV-2 S protein, BNT162b2, Single-stranded, 5’-capped messenger RNA produced using a cell-free in vitro transcription from the corresponding DNA templates, encoding the viral spike (S) protein of SARS-CoV-2
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR
Max daily dose
0.3 ml millilitre(s)
Max total dose
0.3 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1528/008
MA holder
BIONTECH MANUFACTURING GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Spikevax bivalent Original/Omicron BA.1 25 micrograms/25 micrograms dispersion for injection COVID 19 mRNA Vaccine

PRD10000345 · Product

Active substance
Elasomeran
Substance synonyms
mRNA-1273, CX-024414 (single-stranded, 5’-capped messenger RNA (mRNA) produced using a cell-free in vitro transcription from the corresponding DNA templates, encoding the viral spike (S) protein of SARS-CoV-2), CX-024414, COVID-19 mRNA vaccine Moderna (CX-024414)
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1507/008
MA holder
MODERNA BIOTECH SPAIN S. L.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Nuvaxovid dispersion for injection COVID-19 Vaccine (recombinant, adjuvanted)

PRD9391828 · Product

Active substance
SARS-COV-2, Spike Protein, Recombinant, Expressed in SF9 Cells Derived From Spodoptera Frugiperda
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
5 µg microgram(s)
Max total dose
10 µg microgram(s)
Max treatment duration
3 Week(s)
Authorisation status
Authorised
ATC code
J07BX03 — -
Marketing authorisation
EU/1/21/1618/001
MA holder
NOVAVAX CZ A.S.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Spikevax 50 micrograms dispersion for injection in pre-filled syringe COVID-19 mRNA Vaccine

PRD10000341 · Product

Active substance
Elasomeran
Substance synonyms
mRNA-1273, CX-024414 (single-stranded, 5’-capped messenger RNA (mRNA) produced using a cell-free in vitro transcription from the corresponding DNA templates, encoding the viral spike (S) protein of SARS-CoV-2), CX-024414, COVID-19 mRNA vaccine Moderna (CX-024414)
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR USE
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1507/003
MA holder
MODERNA BIOTECH SPAIN S. L.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

COVID-19 Vaccine Astrazeneca (CHADOX1 NCOV-19)

SCP48123867 · ATC

Active substance
COVID-19 Vaccine Astrazeneca (CHADOX1 NCOV-19)
Substance synonyms
Covid-19 vaccine NRVV AD (ChAdOx1 nCoV-19), ChAdOx1 nCoV-19, Chimpanzee Adenovirus Oxford 1 containing the transgene encoding the SARS-CoV-2 spike protein, VTP-900, ChAdOx1-SARS-COV-2, AZD-1222
Route of administration
INTRAMUSCULAR USE
Max daily dose
250000000 IU international unit(s)
Max total dose
500000000 IU international unit(s)
Max treatment duration
84 Day(s)
Authorisation status
Authorised
ATC code
J07BN02 — COVID-19, VIRAL VECTOR, NON-REPLICATING
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comirnaty Omicron XBB.1.5 30 micrograms/dose dispersion for injection COVID-19 mRNA Vaccine

PRD10813392 · Product

Active substance
Raxtozinameran
Substance synonyms
5'-capped mRNA encoding SARS-CoV-2, Omicron variant XBB.1.5, Spike protein, pre-fusion stabilised (K981P and V982P)
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
30 µg microgram(s)
Max total dose
30 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1528/020
MA holder
BIONTECH MANUFACTURING GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comirnaty LP.8.1 30 micrograms/dose dispersion for injection COVID-19 mRNA Vaccine

PRD12738255 · Product

Active substance
5-CAPPED Mrna Encoding SARS-COV-2, Variant LP81, Spike Protein, Pre-Fusion Stabilised (K981P and V982P)
Substance synonyms
BNT162 LP.8.1
Pharmaceutical form
DISPERSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.3 ml millilitre(s)
Max total dose
0.3 ml millilitre(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
J07BN01 — -
Marketing authorisation
EU/1/20/1528/045
MA holder
BIONTECH MANUFACTURING GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

BIMERVAX LP.8.1 emulsion for injection COVID-19 Vaccine (recombinant, adjuvanted)

PRD12882625 · Product

Active substance
SARS-COV-2 Virus, Variant LP81, Spike Protein, Receptor Binding Domain Fusion Homodimer
Pharmaceutical form
EMULSION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
0.5 ml millilitre(s)
Max total dose
0.5 ml millilitre(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
J07BN — -
Marketing authorisation
EU/1/22/1709/008
MA holder
HIPRA HUMAN HEALTH S.L.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Finnish Institute For Health And Welfare

Sponsor organisation
Finnish Institute For Health And Welfare
Address
Mannerheimintie 166
City
Helsinki
Postcode
00300
Country
Finland

Scientific contact point

Organisation
Finnish Institute For Health And Welfare
Contact name
Väestö -osasto, Terveysuhkien torjunta -yksikkö

Public contact point

Organisation
Finnish Institute For Health And Welfare
Contact name
Väestö -osasto, Terveysuhkien torjunta -yksikkö

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ended 4,000 1
Rest of world 0

Investigational sites

Finland

1 site · Ended
Finnish Institute For Health And Welfare
Väestö -osasto, Terveysuhkien torjunta -yksikkö, Mannerheimintie 166, 00300, Helsinki

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2021-12-07 2024-10-18 2025-01-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 25 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Tutkimussuunnitelma Koronarokoteimmunologia public 8
Recruitment arrangements (for publication) Lausuntohakemus_liite 11 13092021 1
Recruitment arrangements (for publication) Lausuntohakemus_liite 9 13092021 1
Subject information and informed consent form (for publication) Ajanvaraus nayteohje yleinen kaynti1 27012023 v4 1
Subject information and informed consent form (for publication) Ajanvarausohje jatkokaynnit yleinen 270123 v5 1
Subject information and informed consent form (for publication) Koronarokoteimmunologia_Tiedote_suostumus_tiedonkeruun laajentamisesta_11052023_v2_final 1
Subject information and informed consent form (for publication) Kutsu koronarokoteimmunologia jatkokaynnit 221122 v4 1
Subject information and informed consent form (for publication) Kutsu Koronarokoteimmunologia Kaynti1 221122 v4 1
Subject information and informed consent form (for publication) Palautekirje KOHD-2 otoksen tutkittaville v1 110823 1
Subject information and informed consent form (for publication) Palautekirje otos 3 tutkittaville v1 110823 1
Subject information and informed consent form (for publication) Palautekirje tutkittavalle 27012023 v3 1
Subject information and informed consent form (for publication) Suostumusasiakirja koronarokoteimmunologia 11toukok2023 v6 1
Subject information and informed consent form (for publication) Tiedote tutkittavalle koronarokoteimmunologia 11toukok2023 v6 1
Subject information and informed consent form (for publication) Tietosuojailmoitus Koronarokoteimmunologia v8 22112022 1
Summary of Product Characteristics (SmPC) (for publication) bimervax LP_8_1-epar-product-information_en_05122025 1
Summary of Product Characteristics (SmPC) (for publication) comirnaty-epar-product-information_fi_10102022 1
Summary of Product Characteristics (SmPC) (for publication) comirnaty-epar-product-information_fi_10102022 1
Summary of Product Characteristics (SmPC) (for publication) comirnatyJN_1-epar-product-information_en_10_Oct_2022 1
Summary of Product Characteristics (SmPC) (for publication) comirnatyLP_8_1-epar-product-information_en_05122025 1
Summary of Product Characteristics (SmPC) (for publication) comirnatyXBB 1_5-epar-product-information_en-10_Oct_2022 1
Summary of Product Characteristics (SmPC) (for publication) nuvaxovid-epar-product-information_fi 1
Summary of Product Characteristics (SmPC) (for publication) spikevax-previously-covid-19-vaccine-moderna-epar-product-information_fi_03102022_ 1
Summary of Product Characteristics (SmPC) (for publication) spikevax-previously-covid-19-vaccine-moderna-epar-product-information_fi_03102022_ 1
Summary of Product Characteristics (SmPC) (for publication) vaxzevria-previously-covid-19-vaccine-astrazeneca-epar-product-information_fi 1
Synopsis of the protocol (for publication) Tutkimussuunnitelma_yhteenveto_THL_v3_04122024_final 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-07 Finland Acceptable with conditions
2024-10-18
2024-10-18
2 SUBSTANTIAL MODIFICATION SM-3 2024-12-12 Finland Acceptable
2025-02-05
2025-02-05
3 SUBSTANTIAL MODIFICATION SM-4 2025-12-12 Finland Acceptable
2026-02-10
2026-02-10