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Principal Investigator: EVAN J ANDERSON
Organization: EMORY UNIVERSITY
Fiscal Year: 2021
Award: $1,169,796
Funding agency: National Institute of Allergy and Infectious Diseases
Summary/Abstract
The Emory VTEU will participate in DMID 21-0012, A Phase 1/2 Study of Delayed Heterologous
SARS-CoV-2 Vaccine Dosing (Boost) after Receipt of EUA Vaccines. Knowledge of the safety,
tolerability, and immunogenicity of SARS-CoV-2 delayed homologous and heterologous boost
vaccine incorporating a similar or variant spike administered following EUA dosing regimens might
induce immunity to variant circulating strains and improve upon breadth and durability of
protection. Utilizing the EUA-dosed COVID-19 vaccines available (currently mRNA-1273, mRNA-
BNT162b2, and AD26.COV2.S), we propose to evaluate innate, cellular, and humoral immune
responses elicited from multiple prime boost combinations, utilizing the mRNA with homologous
spike protein as a boost while seeking to avoid duplicating trial designs currently in planning
stages or in process. This phase 1/2 study will evaluate the safety, tolerability, and
immunogenicity of delayed homologous or heterologous boost SARS-CoV-2 vaccines in two
cohorts of healthy adult participants, one of which has received EUA vaccinations and one of
which is vaccine-naïve. We will follow these participants for 12 months following receipt of the
delayed boost. In addition to screening and vaccination visits, study visits will occur at 2 weeks,
1, 3, 6, and 12 months post-vaccination with blood collection for immunogenicity assessments.
Solicited adverse events (AEs) will be collected using a memory aid and recorded on the
appropriate DCF from the time of each vaccination through 7 days post each vaccination.
Unsolicited AEs will be collected through 28 days post each vaccination. And after 28 days post
last vaccination through the end of study, only SAEs, Protocol Specified adverse events of special
interest (AESIs), medically attended adverse events (MAAEs), and new-onset medical conditions
(NOCMCs) will be reported as AEs. The study will be conducted across the two Emory VTEU
sites: Emory Children’s Center (ECC-VRC) and Hope Clinic. Recruitment and enrollment will
occur at both sites. The Emory VTEU has proven essential in the fight against the pandemic. This
supplement will allow for further investigations into vaccines trials studying vaccine dosing boosts.
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