PMID- 38276672 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240129 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 12 IP - 1 DP - 2024 Jan 19 TI - Safety and Immunogenicity of the Convacell((R)) Recombinant N Protein COVID-19 Vaccine. LID - 10.3390/vaccines12010100 [doi] LID - 100 AB - We have developed Convacell((R))-a COVID-19 vaccine based on the recombinant nucleocapsid (N) protein of SARS-CoV-2. This paper details Convacell's((R)) combined phase I/II and IIb randomized, double-blind, interventional clinical trials. The primary endpoints were the frequency of adverse effects (AEs) and the titers of specific anti-N IgGs induced by the vaccination; secondary endpoints included the nature of the immune response. Convacell((R)) demonstrated high safety in phase I with no severe AEs detected, 100% seroconversion by day 42 and high and sustained for 350 days anti-N IgG levels in phase II. Convacell((R)) also demonstrated a fused cellular and humoral immune response. Phase IIb results showed significant post-vaccination increases in circulating anti-N IgG and N protein-specific IFNgamma(+)-producing PBMC quantities among 438 volunteers. Convacell((R)) showed same level of immunological efficacy for single and double dose vaccination regimens, including for elderly patients. The clinical studies indicate that Convacell((R)) is safe and highly immunogenic. FAU - Rabdano, Sevastyan AU - Rabdano S AUID- ORCID: 0000-0003-0481-5488 AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Ruzanova, Ellina AU - Ruzanova E AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Makarov, Denis AU - Makarov D AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Vertyachikh, Anastasiya AU - Vertyachikh A AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Teplykh, Valeriya AU - Teplykh V AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Rudakov, German AU - Rudakov G AUID- ORCID: 0000-0002-1526-1161 AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Pletyukhina, Iuliia AU - Pletyukhina I AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Saveliev, Nikita AU - Saveliev N AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Zakharov, Konstantin AU - Zakharov K AD - LLC "NIC Eco-bezopasnost", St. Petersburg 191119, Russia. FAU - Alpenidze, Diana AU - Alpenidze D AD - State Budgetary Health Institution "City Polyclinic No. 117", St. Petersburg 194358, Russia. FAU - Vasilyuk, Vasiliy AU - Vasilyuk V AD - Department of Toxicology, Extreme and Diving Medicine, North-Western State Medical University named after I.I. Mechnikov, St. Petersburg 191015, Russia. FAU - Arakelov, Sergei AU - Arakelov S AD - Saint Petersburg Scientific Research Institute of Vaccines and Serums of the Federal Medical-Biological Agency of Russia (SPbSRIVS), St. Petersburg 198320, Russia. FAU - Skvortsova, Veronika AU - Skvortsova V AD - Federal Medical-Biological Agency of Russia, Moscow 115682, Russia. LA - eng PT - Journal Article DEP - 20240119 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC10821050 OTO - NOTNLM OT - COVID-19 OT - clinical trial OT - nucleocapsid OT - recombinant OT - subunit OT - vaccine COIS- Sevastyan Rabdano, Iuliia Pletyukhina, Nikita Saveliev, Veronika Skvortsova, and Sergei Arakelov report patents for genetic constructs and vaccine composition. The other authors have no conflicts of interest to declare. Furthermore, the authors declare that they have prepared the article in their "personal capacity", and/or that they are employed at an academic/research institution where research or education is the primary function of the entity. EDAT- 2024/01/26 12:43 MHDA- 2024/01/26 12:44 PMCR- 2024/01/19 CRDT- 2024/01/26 09:29 PHST- 2023/12/06 00:00 [received] PHST- 2024/01/12 00:00 [revised] PHST- 2024/01/17 00:00 [accepted] PHST- 2024/01/26 12:44 [medline] PHST- 2024/01/26 12:43 [pubmed] PHST- 2024/01/26 09:29 [entrez] PHST- 2024/01/19 00:00 [pmc-release] AID - vaccines12010100 [pii] AID - vaccines-12-00100 [pii] AID - 10.3390/vaccines12010100 [doi] PST - epublish SO - Vaccines (Basel). 2024 Jan 19;12(1):100. doi: 10.3390/vaccines12010100.