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CTRI Number  CTRI/2022/06/043365 [Registered on: 20/06/2022] Trial Registered Prospectively
Last Modified On: 17/05/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Vaccine 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Trial to evaluate single booster dose of ZyCoV-D of M/s Zydus Lifesciences Limited in adult subjects already vaccinated with 2 doses of Covaxin or Covishield 
Scientific Title of Study   A prospective, randomized, open label, active controlled, multicenter, phase III clinical study to evaluate the immunogenicity and safety of single booster dose of ZyCoV-D of M/s Zydus Lifesciences Limited in adult subjects already vaccinated with 2 doses of Covaxin or Covishield 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
22-04, Version no. 01, Date: 30/05/2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation  Zydus Lifesciences Limited (Formerly Known as Cadila Healthcare Limited) 
Address  Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad Ahmadabad

Ahmadabad
GUJARAT
382481
India 
Phone  079-48041430  
Fax    
Email  r.mittal@zyduslife.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jayesh Sanmukhani 
Designation  Deputy General Manager - New Product Development 
Affiliation  Zydus Lifesciences Limited (Formerly Known as Cadila Healthcare Limited) 
Address  Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad Ahmadabad

Ahmadabad
GUJARAT
382481
India 
Phone  7600012192  
Fax    
Email  jayeshsanmukhani@zyduslife.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jayesh Sanmukhani 
Designation  Deputy General Manager - New Product Development 
Affiliation  Zydus Lifesciences Limited (Formerly Known as Cadila Healthcare Limited) 
Address  Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad Ahmadabad


GUJARAT
382481
India 
Phone  7600012192  
Fax    
Email  jayeshsanmukhani@zyduslife.com  
 
Source of Monetary or Material Support  
Zydus Lifesciences Limited (Formerly Known as Cadila Healthcare Limited),Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad – 382481, Gujarat, India 
 
Primary Sponsor  
Name  Zydus Lifesciences Limited 
Address  Zydus Lifesciences Limited (Formerly Known as Cadila Healthcare Limited),Zydus Corporate Park, Scheme No. 63, Survey No. 536, Khoraj (Gandhinagar), Nr. Vaishnodevi Circle, S.G. Highway, Ahmedabad – 382481, Gujarat, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chintan Patel  Aatman Hospital  Basement, Research Room, Aatman Hospital, 5, Anveshan Row House, Opp Umiya Mata Mandir, Bopal-Ghuma Road, Bopal, Ahmedabad - 380058
Ahmadabad
GUJARAT 
9825182251

cr.aatman@gmail.com 
Dr Chandramani Singh  All India Institute of Medical Science  All India Institute of Medical Science, Patna, Bihar – 801507
Patna
BIHAR 
7906261455

info@cmsclinical.com 
Dr Sunil Naik  Government Medical College & Govt. General Hospital (Old RIMSGGH)  Government Medical College & Govt. General Hospital (Old RIMSGGH), Srikakulam-532001, Andhra Pradesh, India
Srikakulam
ANDHRA PRADESH 
8942279033

rimsresearch@gmail.com 
Dr Suresh G Bhate  Jeevan Rekha Hospital  Clinical Research Department, Second Floor, Jeevan Rekha Hospital, Dr. B.R. Ambedkar Road Opp Civil Hospital Belagavi (Belgaum)
Belgaum
KARNATAKA 
9866330090

jrhclinicalresearch@gmail.com 
Dr Manish Kumar Jain  Maharaja Agrasen Superspeciality Hospital  Research Room, Basement, Maharaja Agrasen Hospital Superspeciality Hospital, Central Spine, Agrasen Aspatal Marg, Sector 7, Vidyadhar Nagar, Jaipur - 302039
Jaipur
RAJASTHAN 
9414414834

doctormanishjain2@gmail.com 
DR ABHISHEK KARMALKAR  Vedant Multispecialty Hospital  Vedant Multispecialty Hospital, GP 83.Opp. to Rotary Club, Sambhaji Nagar MIDC Chinchwad, Pune-411019.
Pune
MAHARASHTRA 
9970004295

drkarmalkar.vedant@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Institutional Ethics Committee Vedant Multispeciality Hospital  Approved 
Institutional Ethics Committee, Aatman Hospital, 5, Anveshan Row House, Opp Umiya Mata Mandir, Bopal-Ghuma Road, Bopal, Ahmedabad - 380058, Gujarat  Approved 
Institutional Ethics Committee, All India Institute of Medical Sciences, Phulwarisharif, Patna - 801507, Bihar  Approved 
Institutional Ethics Committee, Government Medical College & Government General Hospital (Old RIMSGGH)  Approved 
Institutional Ethics Committee, Jeevan Rekha Hospital, Dr. B.R. Ambedkar Road, Opp. Civil Hospital, Veer Chambers, Belagavi – 590002, Karnataka  Approved 
Institutional Ethics Committee, Maharaja Agrasen Hospital Superspeciality Hospital, Central Spine, Agrasen Aspatal Marg, Sector 7, Vidyadhar Nagar, Jaipur - 302039, Rajasthan  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy Volunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Covaxin of M/s Bharat Biotech Bharat Biotech International Ltd.  Subjects will receive 0.5ml dose of Covaxin by intramuscular route in upper arm. Subjects will be given one dose only during the study. 
Comparator Agent  Covishield of M/s Serum Institute of India Pvt. Ltd.  Subjects will receive 0.5ml dose of Covishield by intramuscular route in upper arm. Subjects will be given one dose only during the study  
Intervention  ZyCoV-D - Novel Corona Virus-2019-nCov vaccine of M/s. Zydus Lifesciences Limited  Subject will be administered single dose of 3mg once during the study. 3mg dose of ZyCoVD consists of 3 shots of 0.1ml each via intradermal route using Pharmajet Tropis device at three different sites on the upper arm (2 shots on one arm (recommended distance between two shots is at least 5 cms) and 1 shot on other arm) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Subjects (healthy / high risk) of either gender ≥18 years of age
2. Subjects who have received 2 doses on Covaxin or Covishield with last dose 6 (+1)
months prior to screening date
3. Informed consent from subjects
4. Subjects literate enough to fill the diary card
5. Females of childbearing potential, must agree to use one of the approved contraception methods (double barrier methods, oral or injectable hormonal contraceptives or surgical sterilization), from screening until completion of the followup visit and males who agree to use contraception 
 
ExclusionCriteria 
Details  1. Febrile illness (temperature ≥ 38°C or 100.4°F) or any acute illness or infection within
4 weeks of enrolment
2. History or laboratory evidence of confirmed SARS-CoV-2 infection after primary
vaccination or RTPCR positive for COVID-19 at the time of screening
3. Subjects who have received one or two doses of any approved or experimental
COVID-19 vaccine other than Covaxin or Covishield in past.
4. History of contact with a confirmed active SARS-CoV-2 positive patient within 14 days
5. History of SARS/ MERS infection
6. Past history of hypersensitivity reaction or any serious adverse event after any
vaccination
7. Subjects with known history of thrombocytopenia or any coagulation disorder, or
subjects on anticoagulation therapy
8. Subjects with confirmed or suspected immunosuppressive or immunodeficiency
disorder; or subjects on any immunosuppressive or immunostimulant therapy
9. Clinically significant (uncontrolled) systemic disorder such as cardiovascular,
respiratory, neurologic, gastrointestinal, hepatic, renal, endocrine, haematological,
psychiatric or immunological disorder
10. Subjects administered blood, blood containing products or immunoglobulins within the
last 3 months or planned administration during the study
11. Any other vaccine administration within the last 30 days or planned to be administered
during 8 weeks after enrolment (upto day 56 of study)
12. Participation in another clinical trial in the past 3 months
13. Pregnant and lactating women
14. History of drug / alcohol abuse 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. To establish non-inferiority of single 3mg booster dose of ZyCoV-D as compared to
Homologous booster (Covaxin) in terms of seroconversion rate (IgG by ELISA and
NAB) in subjects who have received Covaxin as primary vaccination
2. To establish non-inferiority of single 3mg booster dose of ZyCoV-D as compared to
Homologous booster (Covishield) in terms of seroconversion rate (IgG by ELISA and
NAB) in subjects who have received Covishield as primary vaccination 
Day 0, Day 28 and Day 168 
 
Secondary Outcome  
Outcome  TimePoints 
1. To establish non-inferiority of single 3mg booster dose of ZyCoV-D as compared to
homologous booster (Covaxin / Covishield) in terms of GMTs of IgG by ELISA and
NAB
2. To compare the long term persistence of IgG antibodies against S1 antigen (by ELISA)
at and Neutralizing antibodies 24 weeks after booster dose (Seroconversion rate and
GMTs) with ZyCoV-D and homologous booster (Covaxin / Covishield)
3. To compare cellular response after booster dose with ZyCoV-D and homologous
booster (Covaxin / Covishield)
 
Day 0, Day 28 and Day 168 
1. Adverse events (solicited, unsolicited and SAEs) reported during the study ZyCoV-D
and homologous booster (Covaxin / Covishield) 
Throughout the Study 
 
Target Sample Size   Total Sample Size="576"
Sample Size from India="576" 
Final Enrollment numbers achieved (Total)= "576"
Final Enrollment numbers achieved (India)="576" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   23/06/2022 
Date of Study Completion (India) 13/01/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The current study is being planned To establish non-inferiority of single 3mg booster dose of ZyCoV-D against homologous booster dose of Covaxin / Covishield in terms of immunogenicity (IgG ELISA and Neutralization antibodies) in subjects who have already received 2 doses of Covaxin / Covishield. subjects who have already received 2 doses of Covaxin or Covishield will be randomized in this clinical trial to receive either ZyCoV-D or Homologous
Booster (Covaxin / Covishield) in 1:1 ratio. enrolled subjects will be divided in to 2 groups based on the vaccine received by them earlier, Covaxin or Covishield. Equal number of subjects will be enrolled in each of
these 2 groups. Subjects will be followed for 168 days after vaccination. Blood samples will be taken at Day 0, 28 and 168 for immunogenicity analysis.
 
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