成人单价 mRNA 疫苗 ABO1020 的有效性、免疫原性和安全性:一项随机、双盲、安慰剂对照的 3 期试验。

IF 12.8 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Med Pub Date : 2024-10-11 Epub Date: 2024-07-17 DOI:10.1016/j.medj.2024.06.013
Suad Hannawi, Xiao-Hong Wu, Ralph Elvi Villalobos, Erlina Burhan, Ma Dovie Lallaine Borra, Rakesh Kumar Gupta, Grace P Aquitania, Blake Warren C Ang, Gelza Mae A Zabat, Camilo C Roa, Loreta Zoleta-De Jesus, Dan-Dan Yu, Meng Wang, Yan Wu, Wen-Jie Song, Bo Ying, Cheng-Feng Qin
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引用次数: 0

摘要

背景:ABO1020 是一种单价 COVID-19 mRNA 疫苗:ABO1020是一种单价COVID-19 mRNA疫苗。1期试验结果表明,ABO1020安全且耐受性良好,目前急需进行3期试验,以评估ABO1020在健康成人中的疗效、免疫原性和安全性:我们在健康成人中开展了一项跨国、随机、安慰剂对照、双盲、3 期试验(ClinicalTrials.gov:NCT05636319)。参与者被随机分配(1:1)接受2剂ABO1020(每剂15微克)或安慰剂,每剂间隔28天。主要终点是疫苗在预防全程接种后至少14天出现的无症状COVID-19病例方面的疗效。第二个终点包括针对 Omicron BA.5 和 XBB 的中和抗体滴度以及安全性评估:共有 14 138 人被随机分配接种疫苗或安慰剂(每组 7069 人)。ABO1020组的93名参与者和安慰剂组的273名参与者在接种第二剂疫苗14天后确诊了366例有症状的COVID-19病例,疫苗有效率为66.18%(95%置信区间:57.21-73.27,0.01-0.01,0.01-0.01,0.01-0.01,0.01-0.01,0.01-0.01):结论:ABO1020的耐受性良好:ABO1020耐受性良好,对成人症状性COVID-19的保护率为66.18%:国家重点研发计划、中国医学科学院医学科学创新基金、国家自然科学基金。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy, immunogenicity, and safety of a monovalent mRNA vaccine, ABO1020, in adults: A randomized, double-blind, placebo-controlled, phase 3 trial.

Background: ABO1020 is a monovalent COVID-19 mRNA vaccine. Results from a phase 1 trial showed ABO1020 was safe and well tolerated, and phase 3 trials to evaluate the efficacy, immunogenicity, and safety of ABO1020 in healthy adults are urgently needed.

Methods: We conducted a multinational, randomized, placebo-controlled, double-blind, phase 3 trial among healthy adults (ClinicalTrials.gov: NCT05636319). Participants were randomly assigned (1:1) to receive either 2 doses of ABO1020 (15 μg per dose) or placebo, administered 28 days apart. The primary endpoint was the vaccine efficacy in preventing symptomatic COVID-19 cases that occurred at least 14 days post-full vaccination. The second endpoint included the neutralizing antibody titers against Omicron BA.5 and XBB and safety assessments.

Findings: A total of 14,138 participants were randomly assigned to receive either vaccine or placebo (7,069 participants in each group). A total of 366 symptomatic COVID-19 cases were confirmed 14 days after the second dose among 93 participants in the ABO1020 group and 273 participants in the placebo group, yielding a vaccine efficacy of 66.18% (95% confidence interval: 57.21-73.27, p < 0.0001). A single dose or two doses of ABO1020 elicited potent neutralizing antibodies against both BA.5 and XBB.1.5. The safety profile of ABO1020 was characterized by transient, mild-to-moderate fever, pain at the injection site, and headache.

Conclusion: ABO1020 was well tolerated and conferred 66.18% protection against symptomatic COVID-19 in adults.

Funding: National Key Research and Development Project of China, Innovation Fund for Medical Sciences from the CAMS, National Natural Science Foundation of China.

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来源期刊
Med
Med MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
17.70
自引率
0.60%
发文量
102
期刊介绍: Med is a flagship medical journal published monthly by Cell Press, the global publisher of trusted and authoritative science journals including Cell, Cancer Cell, and Cell Reports Medicine. Our mission is to advance clinical research and practice by providing a communication forum for the publication of clinical trial results, innovative observations from longitudinal cohorts, and pioneering discoveries about disease mechanisms. The journal also encourages thought-leadership discussions among biomedical researchers, physicians, and other health scientists and stakeholders. Our goal is to improve health worldwide sustainably and ethically. Med publishes rigorously vetted original research and cutting-edge review and perspective articles on critical health issues globally and regionally. Our research section covers clinical case reports, first-in-human studies, large-scale clinical trials, population-based studies, as well as translational research work with the potential to change the course of medical research and improve clinical practice.
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