Sanofi-GSK COVID-19 Vaccine Booster for Low Antibody Levels After Vaccination

(CPAT-SG Trial)

No longer recruiting at 5 trial locations
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Must be taking: CNI, Mycophenolate
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines a new COVID-19 vaccine booster from Sanofi-GSK to enhance antibody levels in kidney transplant recipients. These individuals, despite receiving other COVID-19 vaccines, still have low antibody levels, increasing their vulnerability to the virus. The trial aims to determine if this booster can enhance their protection. Individuals who have had a kidney transplant, are on specific medications, and have low antibody levels after previous COVID-19 vaccinations might be suitable candidates for this study. As a Phase 2 trial, the research measures the treatment's effectiveness in an initial, smaller group of participants.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, it does require that your immunosuppressive regimen includes specific drugs like CNI and mycophenolate, with or without a small dose of prednisone. It's best to discuss your current medications with the trial team.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research shows that the Sanofi-GSK monovalent COVID-19 vaccine is generally well-tolerated. Studies are ongoing to assess its safety and effectiveness for kidney transplant recipients, who often have weaker immune responses to vaccines. Early safety data from similar studies suggest that the vaccine does not cause serious side effects. Most people reported only mild reactions, such as sore arms or brief fatigue.

Since this vaccine is in a Phase 2 trial, it has already passed initial safety checks in earlier studies, indicating reasonable safety for people. Additionally, the vaccine includes an ingredient called adjuvant AS03, which has been used safely in other vaccines. Always consult your healthcare provider to understand more about the potential risks and benefits.12345

Why do researchers think this study treatment might be promising?

The Sanofi-GSK monovalent (B.1.351) CoV2 preS dTM-AS03 COVID-19 vaccine is unique because it targets the specific B.1.351 variant, which is different from the broader focus of current vaccines like Moderna and Pfizer-BioNTech. This specialized approach could offer enhanced protection for kidney transplant recipients with low antibody levels. Researchers are excited about this treatment because it uses an adjuvant system (AS03) designed to boost the immune response even in individuals who have not responded adequately to previous vaccines.

What evidence suggests that the Sanofi-GSK COVID-19 vaccine booster could be effective for low antibody levels in kidney transplant recipients?

Research has shown that the Sanofi-GSK monovalent COVID-19 vaccine, which participants in this trial will receive, can increase antibody levels in people with weakened immune systems, such as kidney transplant recipients. In earlier studies, this vaccine effectively created a strong immune response, especially against certain COVID-19 strains. The vaccine includes an adjuvant, a substance that helps the body produce more antibodies—proteins that fight viruses. Unpublished data suggest that the antibody response from this vaccine is similar to other approved vaccines, potentially aiding those who didn't respond well to other COVID-19 vaccines.12567

Who Is on the Research Team?

Dr. Christine Durand, MD - Lutherville ...

Christine Durand, MD

Principal Investigator

Johns Hopkins University

WA

William A. Werbel, MD

Principal Investigator

Johns Hopkins University

DS

Dorry Segev, MD, Ph.D.

Principal Investigator

New York University Langone Health-Transplantation

PS

Peter S Heeger, MD

Principal Investigator

Icahn School of Medicine at Mount Sinai: Transplantation

CP

Christian P. Larsen, MD, D.Phil.

Principal Investigator

Emory University School of Medicine: Transplantation

Are You a Good Fit for This Trial?

Adult kidney transplant recipients who've had a full primary series and booster of mRNA COVID-19 vaccines but still have low antibody levels. They must be on stable immunosuppressants, not pregnant or breastfeeding, and agree to contraception if necessary. Excluded are those with severe illnesses, other organ transplants, certain infections like HIV, recent receipt of monoclonal antibodies or convalescent plasma, and unstable medical conditions.

Inclusion Criteria

I have completed 3 doses of either Moderna or Pfizer COVID-19 vaccine.
I understand the study and agree to participate.
My COVID-19 antibody levels are within the required range after vaccination and treatment.
See 5 more

Exclusion Criteria

You have had a severe allergic reaction to any of the ingredients in the vaccine before.
I have a bleeding disorder or have taken blood thinners in the last 21 days.
You have been diagnosed with COVID-19 since your last antibody test.
See 15 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single dose of the Sanofi-GSK monovalent (B.1.351) CoV2 preS dTM-AS03 COVID-19 vaccine

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Sanofi-GSK monovalent (B.1.351) CoV2 preS dTM-AS03 COVID-19 vaccine
Trial Overview The study is testing whether a Sanofi-GSK monovalent COVID-19 vaccine can boost the immune response in kidney transplant patients who didn't maintain high enough antibody levels after receiving mRNA vaccines. It's an open-label trial where all participants receive the vaccine without being compared to a control group.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Kidney transplant recipientsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

Trials
3,361
Recruited
5,516,000+

PPD DEVELOPMENT, LP

Industry Sponsor

Trials
167
Recruited
38,000+
David Simmons profile image

David Simmons

PPD DEVELOPMENT, LP

Chief Executive Officer since 2012

BSc in Applied Science from Georgia Institute of Technology

Martina Flammer profile image

Martina Flammer

PPD DEVELOPMENT, LP

Chief Medical Officer since 2024

MD

PPD Development, LP

Industry Sponsor

PPD

Industry Sponsor

Trials
162
Recruited
36,600+
Dr. Austin Smith profile image

Dr. Austin Smith

PPD

Chief Medical Officer since 2020

Doctor of Medicine from the Royal College of Surgeons in Ireland

David Simmons profile image

David Simmons

PPD

Chief Executive Officer since 2012

Bachelor’s degree in Applied Mathematics and Industrial Management from Carnegie Mellon University

Johns Hopkins University

Collaborator

Trials
2,366
Recruited
15,160,000+

Sanofi Pasteur, a Sanofi Company

Industry Sponsor

Trials
429
Recruited
6,140,000+
Paul Hudson profile image

Paul Hudson

Sanofi Pasteur, a Sanofi Company

Chief Executive Officer since 2019

Degree in Economics from Manchester Metropolitan University

Dr. Thomas Triomphe profile image

Dr. Thomas Triomphe

Sanofi Pasteur, a Sanofi Company

Chief Medical Officer since 2020

MD from Tehran University of Medical Sciences

Published Research Related to This Trial

The SCB-2019 vaccine, a protein subunit candidate for COVID-19, demonstrated an acceptable safety profile in a phase 2/3 trial involving 30,137 adult participants, with no significant safety concerns reported over a 6-month follow-up period.
Adverse events occurred at similar rates in both the SCB-2019 and placebo groups, indicating that the vaccine does not lead to increased risks compared to a placebo, and no vaccine-associated enhanced disease was observed.
Six-month safety follow-up of an adjuvanted SARS-CoV-2 trimeric S-protein subunit vaccine (SCB-2019) in adults: A phase 2/3, double-blind, randomized study.Hosain, R., Aquino, P., Baccarini, C., et al.[2023]

Citations

COVID Protection After Transplant - Sanofi GSK (CPAT-SG ...Up to 80 participants will be enrolled in this study. Eligible participants will receive a dose of the Sanofi-GSK monovalent (B.1.351) CoV2 preS dTM-AS03 COVID- ...
outbreak.info SARS-CoV-2 data explorerSafety and Immunogenicity of a Dose of the Sanofi-GSK Monovalent (B.1.351) CoV2 preS dTM-AS03 COVID-19 Vaccine in Kidney Transplant Recipients With a ...
COVID Protection After Transplant - Sanofi GSK (CPAT-SG)An open label, non-randomized pilot study in kidney transplant recipients who received acompleted primary series and bivalent booster of mRNA based.
Confidential Page 2 of 74Study Objectives. The primary objective is to determine whether a booster dose of the Sanofi-GSK monovalent (B.1.351) CoV2 preS dTM-AS03 COVID-19 vaccine ...
Efficacy of a bivalent (D614 + B.1.351) SARS-CoV-2 ...Unpublished data from the UKHSA CONSENSUS study found antibody responses to be broadly similar between the two vaccines. The efficacy of an adjuvanted bivalent ...
Safety and Immunogenicity of an Adjuvanted Monovalent ...Purpose: Kidney transplant recipients (KTRs) demonstrate weaker immune response to vaccination, including to mRNA-based SARS-CoV-2 vaccines.
Safety and immunogenicity of a variant-adapted SARS ...Sanofi and GSK have developed a SARS-CoV-2 recombinant protein vaccine with AS03 adjuvant (CoV2 preS dTM-AS03) using a baculovirus vector system ...
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