SARS-CoV InfectionPhase 3NCT04611802
A Study to Evaluate the Efficacy, Immune Response, and Safety of a COVID-19 Vaccine in Adults ≥ 18 Years With a Pediatric Expansion in Adolescents (12 to<18 Years) at Risk for SARS-CoV-2
A Phase 3 study testing SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period), SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period) and SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination) in people with SARS-CoV Infection and Covid19, run by Novavax at 154 sites in 3 countries.
Trial summary
This is a phase 3, randomized, observer-blinded, placebo-controlled study to evaluate the efficacy, safety, and immunogenicity of SARS-CoV-2 rS with Matrix-M1 adjuvant in adult participants and adolescent participants. Additionally providing a Booster Dose to fully vaccinated participants. Read more about this study
- Who is it for?
- Ages 12 years and olderHealthy volunteers can take part
- Conditions the study is for
- SARS-CoV Infection, Covid19
- What is being tested?
- SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period), SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period) and SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 33,000 participants
- Where
- 154 sitesin 3 countries
- Study dates
- 27 Dec 2020to 15 Dec 2023
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Adult Participants :
- Each participant in the Adult Main Study and/or the Booster Amendment must meet all of the following criteria to be enrolled in this study:
- Adults ≥ 18 years of age at screening who, by virtue of age, race, ethnicity or life circumstances, are considered at substantial risk of exposure to and infection with SARS CoV-2.
- Willing and able to give informed consent prior to study enrollment and to comply with study procedures.
- Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [i.e., hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea at least 12 consecutive months]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through 3 months after the last vaccination OR agree to consistently use a medically acceptable method of contraception from at least 28 days prior to enrollment and through 3 months after the last vaccination.
- Is medically stable, as determined by the investigator (based on review of health status, vital signs [to include body temperature], medical history, and targeted physical examination [to include body weight]). Vital signs must be within medically acceptable ranges prior to the first vaccination.
Show all 25Show fewer
- Agree to not participate in any other SARS-CoV-2 prevention trial during the study follow-up.
- For the Booster Amendment only, active participants who received a full dose regimen of active vaccine (SARS-CoV-2 rS with Matrix-M1 adjuvant) or any authorized/approved COVID-19 vaccine are eligible for participation. Such participants must demonstrate receipt by producing valid documentation of vaccination at the booster visit.
- Pediatric Participants :
- Each participant in the Pediatric Expansion and/or the Booster Amendment must meet all of the following criteria to be enrolled in this study:
- Pediatric participants 12 to < 18 years of age at screening, determined to be healthy or medically stable by the investigator (based on review of health status, vital signs [to include body temperature], medical history, and targeted physical examination [to include body weight]). Vital signs must be within medically acceptable ranges prior to the first vaccination.
- Participant and parent(s)/caregiver(s) or legally acceptable representative willing and able to give informed consent and assent, as required, prior to study enrollment and to comply with study procedures.
- Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [ie, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] must agree to be heterosexually inactive from at least 28 days prior to enrollment and through 3 months after the last vaccination OR agree to consistently use a medically acceptable method of contraception from at least 28 days prior to enrollment and through 3 months after the last vaccination.
- Agree to not participate in another SARS-CoV-2 prevention trial during the study follow-up.
- For the Booster Amendment only, active participants who received a full dose regimen of active vaccine (SARS-CoV-2 rS with Matrix-M1 adjuvant) or any authorized/approved COVID-19 vaccine are eligible for participation. Such participants must demonstrate receipt by producing valid documentation of vaccination.
- Site-Specific Sub Study:
- Each participant in the Substudy must meet all of the following criteria to be enrolled in this study:
- Be an active, enrolled participant in the 2019nCoV-301 study.
- Adults 18 years of age or older or adolescents 12 to < 18 years of age at initial screening for the parent study.
- Willing and able to give informed consent prior to substudy enrollment and to comply with extra study procedures.
- Documented receipt of the 2 doses of the primary series of NVX-CoV2373 and the booster (third dose) of NVX-CoV2373 in the parent protocol. The booster dose must have been administered at least 6 months prior to entering the substudy.
- Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile or postmenopausal) must agree to be heterosexually inactive from at least 28 days prior to entering and through the end of the substudy OR agree to consistently use a medically acceptable method of contraception for the 28 days of follow-up for the substudy.
- Is medically stable, as determined by the investigator (based on review of health status, vital signs (to include body temperature) and targeted physical examination (if medically indicated by reported symptoms). Vital signs must be within medically acceptable ranges prior to administration of study vaccination.
- Agree to not participate in any other non-NVX-CoV2373 study during the substudy.
- Note: For participants who develop COVID-19, anti-SARS-CoV-2 therapy (approved, authorized or investigational) is permitted.
Who cannot join
- Adult and adolescent participants meeting any of the following criteria will be excluded from the study:
- Unstable acute or chronic illness. Criteria for unstable medical conditions include:
- Substantive changes in chronic prescribed medication (change in class or significant change in dose) in the past 2 months.
- Currently undergoing workup of undiagnosed illness that could lead to diagnosis of a new condition.
- Note: Well-controlled human immunodeficiency virus [HIV] with undetectable HIV RNA [< 50 copies/mL] and CD4 count > 200 cells/µL for at least 1 year, documented within the last 6 months, is NOT considered an unstable chronic illness. Participant's or parent's/caregiver's verbal report will suffice as documentation.
- Participation in research involving an investigational product (drug/biologic/device) administered within 45 days prior to first study vaccination.
Show all 26Show fewer
- History of a previous laboratory-confirmed diagnosis of SARS-CoV-2 infection or COVID-19. A previous diagnosis of COVID-19 during participation in this trial is not exclusionary for the Booster Amendment.
- Received any vaccine within 4 days prior to first study vaccination or planned receipt of any vaccine before Day 49 (i.e., 28 days after second vaccination), except for influenza vaccination, which may be received ≥ 4 days prior to or ≥ 7 days after either study vaccination. Rabies vaccine, at any time it is medically indicated, is not exclusionary. Prior receipt of another approved or authorized COVID-19 vaccine prior to booster injection is not exclusionary in the Booster Amendment. Such participants must provide documentation of vaccine and date(s) of administration.
- Autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) or therapy that causes clinically significant immunosuppression. NOTE: Stable endocrine disorders (eg, thyroiditis, pancreatitis, including stable diabetes mellitus) are NOT excluded.
- Chronic administration (defined as > 14 continuous days) of immunosuppressant or systemic glucocorticoids causing clinically significant immunocompromise, within 90 days prior to first study vaccination and/or third (booster) vaccination. NOTE: An immunosuppressant dose of glucocorticoid is defined as a systemic dose ≥ 20 mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids is permitted. Topical tacrolimus and ocular cyclosporin are permitted.
- Received immunoglobulin or blood-derived products, within 90 days prior to first study vaccination and/or third (booster) vaccination.
- Active cancer (malignancy) on chemotherapy that is judged to cause clinically significant immunocompromise within 1 year prior to first study vaccination (with the exception of malignancy cured via excision, at the discretion of the investigator). This criterion is not applicable to participants diagnosed during participation in this trial who accept participation in the Booster Amendment.
- Any known allergies to products contained in the investigational product.
- Participants who are breastfeeding, pregnant, or who plan to become pregnant within 3 months following last study vaccination.
- Any other condition that, in the opinion of the investigator, would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results.
- Study team member or first-degree relative of any study team member (inclusive of Sponsor, and study site personnel involved in the study).
- Current participation in any other COVID-19 prevention clinical trial.
- Adult participants who have not received a full dose of any authorized/approved COVID-19 vaccine and are unable to provide valid documentation of vaccination will be excluded from the Booster Amendment.
- Adult and adolescent participants meeting any of the following criteria will be excluded from the substudy:
- History of laboratory-confirmed (by PCR or other antigen testing) COVID-19 infection ≤ 4 months prior to entering the substudy.
- Known to be clinically significantly immunocompromised.
- Received immunoglobulin, blood-derived products, or immunosuppressant drugs within 90 days prior to entering substudy.
- Participants who are breastfeeding, pregnant, or who plan to become pregnant prior to the end of substudy.
- History of confirmed myocarditis and/or pericarditis since enrollment to the parent study.
- Any condition that, in the opinion of the investigator, might pose a health risk to the participant, interfere with protocol compliance or interfere with evaluation of the trial vaccine.
- Study team member or immediate family member of any study team member (inclusive of Sponsor, CRO, and study site personnel involved in the conduct or planning of the substudy).
Trial locations and contacts
154 sites in 3 countries.
154 sites in 3 countries
United States144 sites
Synexus Clinical Research, US, Inc. (Adult Site)
Akron, Ohio, 44311
Anaheim Clinical Trials (Adult Site)
Anaheim, California, 92801
Synexus Clinical Research US, Inc. (Adult Site)
Anderson, South Carolina, 29621
VA Ann Arbor Healthcare System (Adult Site)
Ann Arbor, Michigan, 48105
Emory University Hospital (Adult Site)
Atlanta, Georgia, 30303
Atlanta - Morehouse School of Medicine (Adult Site)
Atlanta, Georgia, 30310-1495
Synexus Clinical Research US, Inc. (Adult Site)
Atlanta, Georgia, 30328
Atlanta Center for Medical Research (Adult Site)
Atlanta, Georgia, 30331
University of Colorado Clinical and Translational Research Centers (Pediatric & Adult Site)
Aurora, Colorado, 80045
Benchmark Research (Pediatric & Adult Site)
Austin, Texas, 78705
c/o The Pediatric Center of Frederick LLC (Adult & Pediatric Site)
Baltimore, Maryland, 21201
Advanced Clinical Research - Rancho Paseo (Pediatric & Adult Site)
Banning, California, 92220
Kentucky Pediatric/Adult Research (Pediatric Site)
Bardstown, Kentucky, 40004
Meridian Clinical Research Baton Rouge (Pediatric Site)
Baton Rouge, Louisiana, 70809
Meridian Clinical Research, LLC (Adult Site)
Baton Rouge, Louisiana, 70809
Coast Clinical Research, LLC (Pediatric Site)
Bellflower, California, 90706
Meridian Clinical Research (Pediatric Site)
Binghamton, New York, 13901
Alabama Clinical Therapeutics, Llc (Pediatric Site)
Birmingham, Alabama, 35205
Accel Research Sites (Adult Site)
Birmingham, Alabama, 35216
Central Research Associates, Inc (Pediatric Site)
Birmingham, Alabama, 35242
Beth Israel Deaconess Medical Center (Adult Site)
Boston, Massachusetts, 02215
Accellacare of Bristol (Pediatric & Adult Site)
Bristol, Tennessee, 37620
Tekton Research, Inc. (Pediatric Site)
Chamblee, Georgia, 30341
NC TraCS Institute - CTRC; University of North Carolina at Chapel Hill (Pediatric & Adult Site)
Chapel Hill, North Carolina, 27514-7064
Medical University of South Carolina, SCTR Research Nexus (Adult Site)
Charleston, South Carolina, 29425
The Charlotte-Mecklenburg Hospital Authority d/b/a Atrium Health (Pediatric & Adult Site)
Charlotte, North Carolina, 28207
Pediatric Research of Charlottesville, LLC (Pediatric Site)
Charlottesville, Virginia, 22902
WR Clinsearch, LLC (Pediatric & Adult Site)
Chattanooga, Tennessee, 37421
MultiCare Institute for Research & Innovation (Adult Site)
Cheney, Washington, 99004
Synexus Clinical Research US, Inc (Adult Site)
Chicago, Illinois, 60602
Cedar Crosse Research Center (Adult Site)
Chicago, Illinois, 60607
Velocity Clinical Research (Pediatric & Adult Site)
Chula Vista, California, 91911
Sterling Research Group, Ltd. (Adult Site)
Cincinnati, Ohio, 45219
Synexus Clinical Research US, Inc. (Adult Site)
Cincinnati, Ohio, 45236
Sterling Research Group, Ltd (Pediatric & Adult Site)
Cincinnati, Ohio, 45246
Dr. Shelly David Senders MD Inc. dba Senders Pediatrics (Pediatric Site)
Cleveland, Ohio, 44121
Velocity Clinical Research (Pediatric & Adult Site)
Cleveland, Ohio, 44122
Lynn Institute of the Rockies (Adult Site)
Colorado Springs, Colorado, 80918
The Curators of University of Missouri (Adult Site)
Columbia, Missouri, 65212
Columbus Regional Research Institute (Adult Site)
Columbus, Georgia, 31904
Aventiv Research Inc (Pediatric Site)
Columbus, Ohio, 43213
Stony Brook Responder Vaccine Program (Adult Site)
Commack, New York, 11725
University Clinical Research-Deland, LLC dba Accel Research Sites (Pediatric & Adult Site)
DeLand, Florida, 32720
Wayne State University/ Children's Hospital of Michigan (Adult Site)
Detroit, Michigan, 48201
Premier Health Research Center, Llc (Pediatric Site)
Downey, California, 90240
M3-Emerging Medical Research, LLC (Pediatric & Adult Site)
Durham, North Carolina, 27704
American Indian Clinical Trials Research Network (Pediatric & Adult Site)
Eagle Butte, South Dakota, 57625
Synexus USA (Adult Site)
Evansville, Indiana, 47714
Providea Health Partners LLC (Adult Site)
Evergreen Park, Illinois, 60805
Carolina Institute for Clinical Research (Adult Site)
Fayetteville, North Carolina, 28303
Carolina Institute for Clinical Research (Adult Site)
Fayetteville, North Carolina, 28304
Womack Army Medical Center (Adult Site)
Fort Bragg, North Carolina, 28310
Ventavia Research Group, LLC (Pediatric Site)
Fort Worth, Texas, 76104
Benchmark Research (Pediatric & Adult Site)
Fort Worth, Texas, 76135
SIMED Health, LLC / SIMED Research (Adult Site)
Gainesville, Florida, 32607
MedPharmics, LLC-Biloxi (Pediatric & Adult Site)
Gulfport, Mississippi, 39503
M D Clinical (Adult Site)
Hallandale, Florida, 33009
Synexus Clinical Research US, Inc. (Adult Site)
Henderson, Nevada, 89052
Ventavia Research Group, LLC (Pediatric Site)
Houston, Texas, 77008
Baylor College of Medicine (Adult Site)
Houston, Texas, 77030
DM Clinical Research - Pediatric Healthcare of NW Houston, P.A. (Pediatric Site)
Houston, Texas, 77065
Texas Center for Drug Development, Inc (Pediatric & Adult Site)
Houston, Texas, 77081
The University of Iowa Hospitals & Clinics (Adult Site)
Iowa City, Iowa, 52242
Jacksonville Center for Clinical Research (Pediatric & Adult Site)
Jacksonville, Florida, 32216
Holston Medical Group (Pediatric Site)
Kingsport, Tennessee, 37660
Accellacare US Inc., d/b/a Accellacare of Knoxville (Adult Site)
Knoxville, Tennessee, 37938
eStudySite - Corporate Offices (Adult Site)
La Mesa, California, 91942
Paradigm Clinical Research Centers, Inc (Pediatric Site)
La Mesa, California, 92117
Meridien Research/Accel Research (Pediatric & Adult site)
Lakeland, Florida, 33803
Clinical Research Center of Nevada (Pediatric Site)
Las Vegas, Nevada, 89014
Clinical Research Consortium (Adult Site)
Las Vegas, Nevada, 89119
Wee Care Pediatrics (Pediatric Site)
Layton, Utah, 84041
The University Of Texas Medical Branch (Utmb) (Pediatric Site)
League City, Texas, 77573
Johnson County Clin-Trials, Inc. (Pediatric & Adult Site)
Lenexa, Kansas, 66219
Lynn Institute of the Ozarks (Adult Site)
Little Rock, Arkansas, 72204
Preferred Research Partners, Inc. (Adult Site)
Little Rock, Arkansas, 72211
WR-PRI, LLC (Adult Site)
Los Alamitos, California, 90720
National Research Institute (Pediatric & Adult Site)
Los Angeles, California, 90057
Brownsboro Park Pediatrics (Pediatric Site)
Louisville, Kentucky, 40207
Centex Studies, Inc (Adult Site)
McAllen, Texas, 78504
Velocity Clinical Research (Pediatric & Adult Site)
Medford, Oregon, 97504
Clinical Neurosciecne Solutions, Inc. dba CNS Healthcare (Pediatric & Adult Site)
Memphis, Tennessee, 38119
Advanced Clinical Research (Pediatric & Adult Site)
Meridian, Idaho, 83642
Med Pharmics, LLC (Pediatric & Adult Site)
Metairie, Louisiana, 70006
Miami Veterans Affairs Medical Center (Adult Site)
Miami, Florida, 33125
Suncoast Research Associates, LLC (Adult Site)
Miami, Florida, 33135
Acevedo Clinical Research Associates (Pediatric Site)
Miami, Florida, 33142
Suncoast Research Associates, LLC (Adult Site)
Miami, Florida, 33173
University of Minnesota (Adult Site)
Minneapolis, Minnesota, 55455
Clinical Research Associates (Pediatric Site)
Nashville, Tennessee, 37203
Clinical and Translational Research Center at Meharry Medical College (Adult Site)
Nashville, Tennessee, 37208
Weill Cornell Chelsea CRS (Adult Site)
New York, New York, 10010
Health Research of Hampton Roads, Inc (Pediatric & Adult Site)
Newport News, Virginia, 23606
Alliance for Multispecialty Research (AMR) (Pediatric Site)
Newton, Kansas, 67114
Meridian Clinical Research (Adult & Pediatric Site)
Norfolk, Nebraska, 68701
Coastal Carolina Research Center (Pediatric Site)
North Charleston, South Carolina, 29405
Medical Research International (Adult Site)
Oklahoma City, Oklahoma, 73109
Lynn Health Science Institute (Pediatric & Adult Site)
Oklahoma City, Oklahoma, 73112
Meridian Clinical Research Associates, LLC (Pediatric & Adult Site)
Omaha, Nebraska, 68134
University Of Nebraska Medical Center (Pediatric & Adult Site)
Omaha, Nebraska, 68198
Orange County Research Institute (Pediatric Site)
Ontario, California, 91762
Clinical Neuroscience Solutions Inc (Pediatric & Adult Site)
Orlando, Florida, 32806
Headlands Research Orlando (Adult Site)
Orlando, Florida, 32819
The Pain Center of Arizona (Adult Site)
Phoenix, Arizona, 85018
Foothills Research Center-CCT Research (Pediatric Site)
Phoenix, Arizona, 85044
Synexus Clinical Research US, Inc (Adult Site)
Pinellas Park, Florida, 33781
Preferred Primary Care Physicians, Inc. (Pediatric Site)
Pittsburgh, Pennsylvania, 15236
Research Your Health (Pediatric & Adult site)
Plano, Texas, 75093
Empire Clinical Research (Pediatric & Adult Site)
Pomona, California, 91767
The Miriam Hospital (TMH) (Adult Site)
Providence, Rhode Island, 02904
M3 Wake Research, Inc (Adult Site)
Raleigh, North Carolina, 27612
Synexus Clinical Research US, Inc. (Adult Site)
Richfield, Minnesota, 55423
Rochester Clinical Research (Pediatric & Adult Site)
Rochester, New York, 14609
PMG Research of Rocky Mount, LLC (Adult Site)
Rocky Mount, North Carolina, 27804
University of California Davis Health (Pediatric & Adult Site)
Sacramento, California, 95817
Benchmark Research (Pediatric & Adult Site)
Sacramento, California, 95864
Wake Forest Health Network - Pediatrics - Ford, Simpson, Lively & Rice (Pediatric Site)
Salem, North Carolina, 27103
AES San Antonio (Adult Site)
San Antonio, Texas, 78229
University of Texas Health Science Center San Antonio (Adult Site)
San Antonio, Texas, 78229
Tekton Research, Inc. (Pediatric Site)
San Antonio, Texas, 78244
California Research Foundation (Pediatric & Adult Site)
San Diego, California, 92123
University of Washington VTEU (Adult Site)
Seattle, Washington, 98104
Willis-Knighton Physician Network (Adult Site)
Shreveport, Louisiana, 71101
Meridian Clinical Research (Adult Site)
Sioux City, Iowa, 51106
Spartanburg Medical Research (Pediatric Site)
Spartanburg, South Carolina, 29303
Asclepes Research Centers (Adult & Pediatric Site)
Spring Hill, Florida, 34609
Sundance Clinical Research, LLC (Pediatric & Adult Site)
St Louis, Missouri, 63141
Clinical Research Atlanta (Adult Site)
Stockbridge, Georgia, 30281
Wee Care Pediatrics (Pediatric Site)
Syracuse, Utah, 84075
Tampa Heart & Cardiovascular Center (Adult Site)
Tampa, Florida, 33607
Office Of John S. Curran MD (Adult Site)
Tampa, Florida, 33612
Alliance for Multispecialty Research, LLC (Adult Site)
Tempe, Arizona, 85281
Synexus Clinical Research US, Inc. (Adult Site)
The Villages, Florida, 32162
DM Clinical Research (Pediatric & Adult Site)
Tomball, Texas, 77375
Buynak Clinical Research, P.C. (Pediatric & Adult Site)
Valparaiso, Indiana, 46383
Synexus Clinical Research US, Inc. (Adult Site)
Vista, California, 92083
Omega Medical Research, Providence (Pediatric & Adult Site)
Warwick, Rhode Island, 02886
Meridian Clinical Research (Pediatric Site)
Washington D.C., District of Columbia, 20016
Howard University Hospital Howard/ University College of Medicine (Adult Site)
Washington D.C., District of Columbia, 20060
Advanced Clinical Research (Adult Site)
West Jordan, Utah, 84088
Comprehensive Clinical Trials, Llc (Pediatric & Adult site)
West Palm Beach, Florida, 33409
AMR Wichita East (Formerly Heartland Research Associates) (Pediatric SIte)
Wichita, Kansas, 67207
PMG Research of Wilmington, LLC (Adult Site)
Wilmington, North Carolina, 28401
Dignity Health Medical Foundation - Woodland (Adult Site)
Woodland, California, 95695
Mexico8 sites
Instituto Nacional de Salud Publica (INSP) - Cuernavaca - Centro de Investigacion en Salud Poblacional (CISP) (Adult Site)
Cuernavaca, Morelos, 62210
PanAmerican Clinical Research Mexico S.A de C.V (Adult Site)
Guadalajara, Jalisco, 44609
PanAmerican Clinical Research Mexico (Adult Site)
Juriquilla, Querétaro, 76230
Unidad de Atencion Medica e Investigacion en Salud (UNAMIS) (Adult Site)
Mérida, Yucatán, 97000
CAIMED Investigacion en Salud S.A de C.V (Adult Site)
Mexico City, 06760
Caimed Investigacion en Salud S.A. de C.V. (Adult Site)
Mexico City, 06760
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (Adult Site)
Mexico City
FAICIC S. DE R.L. DE C.V. (Adult Site)
Veracruz, 91900
Puerto Rico2 sites
Ponce Medical School Foundation Inc. / CAIMED Cneter (Pediatric & Adult Site)
Ponce, 00716
University of Puerto Rico Medical Sciences Campus Maternal Infant Studies Center (Adult Site)
San Juan, 00935
About this study
Official title: A Phase 3, Randomized, Observer-Blinded, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Immunogenicity of a SARS-CoV-2 Recombinant Spike Protein Nanoparticle Vaccine (SARS-CoV-2 rS) With Matrix-M1™ Adjuvant in Adult Participants ≥ 18 Years With a Pediatric Expansion in Adolescents (12 to < 18 Years)
This is a phase 3, randomized, observer-blinded, placebo-controlled study to evaluate the efficacy, safety, and immunogenicity of SARS-CoV-2 rS with Matrix-M1 adjuvant in adult participants and adolescent participants. Additionally providing a Booster Dose to fully vaccinated participants. A substudy is to be conducted at selected sites to evaluate the safety and immunogenicity of a fourth dose (second booster) of NVX-CoV2373 in adults and adolescents, previously fully vaccinated and subsequently boosted with a third dose (first booster)
Read the detailed description
This is a Phase 3, randomized, observer-blinded, placebo-controlled study to evaluate the efficacy, safety, and immunogenicity of SARS-CoV-2 rS with Matrix-M1 adjuvant in adult participants ≥ 18 years of age (Adult Main Study) and adolescent participants 12 to <18 years (Pediatric Expansion). Additionally, a Booster Amendment will allow for the evaluation of a booster dose of SARS-CoV-2 rS with Matrix-M1 adjuvant in participants who completed the primary series of active vaccine in the Adult Main Study or Pediatric Expansion, as well as in participants who previously completed the primary series of an authorized/approved COVID-19 vaccine. Additionally, a sub-study conducted at specific sites will allow for the evaluation of a second booster dose of SARS-CoV-2 rS with Matrix-M1 adjuvant in participants who completed the primary series of active vaccine in the Adult Main Study and Pediatric Expansion as well as a booster dose in the Booster Amendment of the study.
- Conditions
- SARS-CoV Infection, Covid19
- Being tested
- SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period), Placebo (Initial Vaccination Period), SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period), Placebo (Crossover Vaccination period), SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)
- Keywords
- Coronavirus, Prevent-19, Booster
- Medical subject headings
- Severe Acute Respiratory Syndrome, COVID-19, Coronavirus Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period)Biological
Also called NVX-CoV2373
Alternating intramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Days 0 and 21 in Initial Vaccination Period.
Placebo (Initial Vaccination Period)Other
Also called Sodium chloride 0.9% (BP, sterile)
Alternating intramuscular (deltoid) injections of placebo (0.5 mL) on Days 0 and 21 in Initial Vaccination Period.
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period)Biological
Also called NVX-CoV2373
In Crossover Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0 or Day 21
Placebo (Crossover Vaccination period)Other
Also called Sodium chloride 0.9% (BP, sterile)
In Crossover Vaccination period, one dose of intramuscular (deltoid) injection of placebo (0.5 mL) on Day 0 or Day 21
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)Biological
Also called NVX-CoV2373
In Booster Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster Vaccination)Biological
Also called NVX-CoV2373
In Second Booster Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0
| Study group | Role | What they receive |
|---|---|---|
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial vaccination) | Experimental | 2 doses of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21 in Initial Vaccination Period. Receives: Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period) |
| Placebo (Initial Vaccination) | Placebo comparator | 2 doses of Placebo (Saline), 1 dose each on Days 0 and 21in Initial Vaccination Period. Receives: Other: Placebo (Initial Vaccination Period) |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination) | Experimental | One dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 or Day 21 in Crossover Vaccination Period. Receives: Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period) |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination) | Experimental | One dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 Booster Vaccination Period. Receives: Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination) |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster) | Experimental | One dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 Second Booster Vaccination Period. Receives: Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster Vaccination) |
| Placebo (Crossover Vaccination) | Placebo comparator | One dose of Placebo (Saline) on Day 0 or Day 21 in Crossover Vaccination Period. Receives: Other: Placebo (Crossover Vaccination period) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adult Main Study and Pediatric Expansion: Participants with Symptomatic Mild, Moderate, or Severe Coronavirus Disease 2019 (COVID-19)
Number of participants with first occurrence of positive (+) polymerase chain reaction (PCR)-confirmed SARS-CoV-2 illness with symptomatic mild, moderate, or severe COVID-19, with each symptom lasting for at least 2 consecutive days, with onset from Day 28 (7 days after second vaccination dose) through the length of the study.
Measured: Day 28 to Day 750
Pediatric Expansion: Reactogenicity Incidence and Severity
Reactogenicity incidence and severity (mild, moderate or severe) recorded by all participants on their electronic patient-reported outcome diary application (eDiary) on days of vaccination and subsequent 6 days (total 7 days after each vaccine injection).
Measured: Day 0 to Day 27
Pediatric Expansion: Incidence and Severity of Medically Attended Adverse Events (MAAEs) Through Day 49
Number of participants with mild, moderate, or severe MAAEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).
Measured: Day 0 to Day 49
Pediatric Expansion: Incidence and Severity of Unsolicited Adverse Events (AEs) Through Day 49
Number of participants with mild, moderate, or severe AEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).
Measured: Day 0 to Day 49
Pediatric Expansion: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points
Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine through specified time points approximately every 3 and 6 months.
Measured: Day 90 to Day 750
Pediatric Expansion: Incidence and Severity of Serious Adverse Events (SAEs) Through Specified Time Points
Number of participants with mild, moderate, or severe SAEs attributed to study vaccine through specified time points approximately every 3 and 6 months.
Measured: Day 90 to Day 750
Pediatric Expansion: Incidence and Severity of Adverse Events of Special Interest (AESIs) Through Specified Time Points
Number of participants with mild, moderate, or severe AESIs attributed to study vaccine through specified time points approximately every 3 and 6 months.
Measured: Day 90 to Day 750
Pediatric Expansion: Incidence and Severity of SAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Number of participants with mild, moderate, or severe SAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Measured: Day 90 to Day 750
Pediatric Expansion: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Measured: Day 90 to Day 750
Pediatric Expansion: Incidence and Severity of AESIs Attributed to Study Vaccine Through Specified Time Points until Month 24
Number of participants with mild, moderate, or severe AESIs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Measured: Day 90 to Day 750
Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Specified Time Points
Number of participants with antibodies to SARS-CoV-2 NP at Day 35 to determine natural infection and to determine the incidence of asymptomatic infection acquired during study follow-up.
Measured: Day 35
Pediatric Expansion: Deaths Due to Any Cause
Number of participants who died during the study due to any cause.
Measured: Day 0 to Day 750
Secondary outcomes (29)
Adult Main Study and Pediatric Expansion: Participants with Symptomatic Moderate or Severe COVID-19
Number of participants with first occurrence of (+) PCR-confirmed SARS-CoV-2 illness with symptomatic moderate or severe COVID-19, with each symptom lasting for at least 2 consecutive days, with onset from Day 28 (7 days after second vaccination dose) through the length of the study.
Measured: Day 28 to Day 750
Adult Main Study and Pediatric Expansion: Participants with Any Symptomatic COVID-19
Number of participants with first occurrence of (+) PCR-confirmed SARS-CoV-2 illness with any symptomatic COVID-19, with each symptom lasting for at least 2 consecutive days, with onset from Day 28 (7 days after second vaccination dose) through the length of the study.
Measured: Day 28 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as Geometric Mean Titers (GMTs)
Neutralizing antibody activity as detected by microneutralization assay (MN) as expressed as GMTs at Days 0, 35 and at specified time points through EoS.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as Geometric Mean Fold Rises (GMFRs)
Neutralizing antibody activity as detected by MN as expressed as GMFRs at Days 0, 35 and at specified time points through EoS.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMTs
Serum IgG antibody levels specific to SARS-CoV-2 rS protein antigen(s) as detected by enzyme-linked immunosorbent assay (ELISA) expressed as GMTs at Days 0, 35 and at specified time points through EoS.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Serum IgG Antibody Levels Expressed as GMFRs
Serum IgG antibody levels specific to SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs at Days 0, 35 and at specified time points through EoS.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as GMTs
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by hACE2 receptor binding inhibition assay expressed as GMTs at Days 0, 35 and at specified time points through EoS.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: hACE2 Receptor Binding Inhibition Assay Expressed as GMFRs
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by hACE2 receptor binding inhibition assay expressed as GMFRs at Days 0, 35 and at specified time points through EoS.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMTs at Later Time Points
Serum IgG antibody levels specific to SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs at Months 6, 12, 18, and 24.
Measured: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMFRs at Later Time Points
Serum IgG antibody levels specific to SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs at Months 6, 12, 18, and 24.
Measured: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: hACE2 Receptor Binding Inhibition Assay Expressed as GMTs at Later Time Points
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by hACE2 receptor binding inhibition assay expressed as GMTs at Months 6, 12, 18, and 24.
Measured: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: hACE2 Receptor Binding Inhibition Assay Expressed as GMFRs at Later Time Points
Epitope-specific immune responses to the SARS-CoV-2 rS protein receptor binding as detected by hACE2 receptor binding inhibition assay expressed as GMFRs at Months 6, 12, 18, and 24.
Measured: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as GMTs at Later Time Points
Neutralizing antibody activity as detected by MN as expressed as GMTs at Months 6, 12, 18, and 24.
Measured: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as GMFRs at Later Time Points
Neutralizing antibody activity as detected by MN as expressed as GMFRs at Months 6, 12, 18, and 24.
Measured: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Description of Course, Treatment and Severity of COVID-19
Description of course, treatment and severity of COVID-19 reported after a PCR-confirmed case via the Endpoint Form.
Measured: Day 28 to Day 750
Adult Main Study: Reactogenicity Incidence and Severity
Reactogenicity incidence and severity (mild, moderate or severe) recorded by all participants on their electronic patient-reported outcome diary application (eDiary) on days of vaccination and subsequent 6 days (total 7 days after each vaccine injection).
Measured: Day 0 to Day 27
Adult Main Study: Incidence and Severity of Medically Attended Adverse Events (MAAEs) Through Day 49
Number of participants with mild, moderate, or severe MAAEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).
Measured: Day 0 to Day 49
Adult Main Study: Incidence and Severity of Unsolicited Adverse Events (AEs) Through Day 49
Number of participants with mild, moderate, or severe AEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).
Measured: Day 0 to Day 49
Adult Main Study: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points
Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine through specified time points approximately every 3 months.
Measured: Day 90 to Day 750
Adult Main Study: Incidence and Severity of Serious Adverse Events (SAEs) Attributed to Study Vaccine Through Specified Time Points
Number of participants with mild, moderate, or severe SAEs attributed to study vaccine through specified time points approximately every 3 months.
Measured: Day 90 to Day 750
Adult Main Study: Incidence and Severity of Adverse Events of Special Interest (AESIs) Attributed to Study Vaccine Through Specified Time Points
Number of participants with mild, moderate, or severe AESIs attributed to study vaccine through specified time points approximately every 3 months.
Measured: Day 90 to Day 750
Adult Main Study: Incidence and Severity of SAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Number of participants with mild, moderate, or severe SAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Measured: Day 90 to Day 750
Adult Main Study: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Measured: Day 360 to Day 750
Adult Main Study: Incidence and Severity of AESIs Attributed to Study Vaccine Through Specified Time Points until Month 24
Number of participants with mild, moderate, or severe AESIs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Measured: Day 360 to Day 750
Adult Main Study and Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Specified Time Points
Number of participants with antibodies to SARS-CoV-2 NP at Days 0 and 35, or at specified time points through EoS to determine natural infection and to determine the incidence of asymptomatic infection acquired during study follow-up.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Any Time Point
Number of participants with antibodies to SARS-CoV-2 NP, regardless of whether the infection was symptomatic.
Measured: Day 0 to Day 750
Adult Main Study: IgG antibodies to SARS-CoV-2 rS at Day 35 After First Crossover Vaccination
The ratio of geometric mean IgG antibody concentrations will be computed at Day 35 for the new manufacturing process versus the old manufacturing process using the data collected from 300 active vaccine recipients 18 to ≤ 64 years of age enrolled at selected study sites.
Measured: Day 35 after the first crossover vaccination
Adult Main Study : Deaths Due to Any Cause
Number of participants who died during the study due to any cause.
Measured: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Participants with 1st episode of positive Polymerase Chain Reaction (PCR) for Coronavirus Disease 2019 (COVID-19) due to a variant not considered as a "variant of concern/interest"
Number of participants with first episode of PCR-positive COVID-19, as defined under the primary endpoint, shown by gene sequencing to represent a variant not considered as a "variant of concern/interest" according to the CDC Variants Classification.
Measured: Day 28 to Day 750
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Nov 2020
- Study start27 Dec 2020
- Primary completion10 Apr 2023
- Study completion15 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for SARS-CoV InfectionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 33,000 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novavax
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Department of Health and Human Services
- Responsible party
- Sponsor
- Investigators
- Clinical Development, Study director, Novavax, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04611802
- Sponsor's protocol ID
- 2019nCoV-301
- Status last verified
- Nov 2023
- First submitted
- 30 Oct 2020
- Last updated
- 21 Dec 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Deming ME, Brown ER, McArthur MA, Schrag SJ, Arvay M, Humphrys M, Ravel J, Adelglass J, Essink B, Musante DB, Maguire R, Gorman R, Formentini E, Mason R, Robb ML, Neuzil KM, Rapaka RR, Wolff P, Kotloff KL; SNIFF study team. Vaccine efficacy of NVX-CoV2373 against SARS-CoV-2 infection in adolescents in the USA: an ancillary study to a phase 3, observer-blinded, randomised, placebo-controlled trial. Lancet Microbe. 2025 Apr;6(4):100984. doi: 10.1016/j.lanmic.2024.100984. Epub 2025 Jan 27.
PubMed 39884302Janes H, Fisher LH, Kee JJ, Parameswaran L, Goepfert PA, Falsey AR, Ludwig J, Magaret CA, Gilbert PB, Kublin JG, Rouphael N, Sobieszczyk ME, El Sahly HM, Baden LR, Grinsztejn B, Walsh SR, Gray GE, Kotloff KL, Gay CL, Greninger AL, Tapia MD, Hammershaimb EA, Priddy FH, Green JA, Struyf F, Dunkle L, Neuzil KM, Corey L, Huang Y. Association Between SARS-CoV-2 Viral Load and COVID-19 Vaccination in 4 Phase 3 Trials. J Infect Dis. 2024 Dec 16;230(6):1384-1389. doi: 10.1093/infdis/jiae400.
PubMed 39225478Turley CB, Tables L, Fuller T, Sanders LJ, Scott H, Moodley A, Woodward Davis A, Leav B, Miller J, Schoemaker K, Vandebosch A, Sadoff J, Woo W, Cho I, Dunkle LM, Li S, van der Laan L, Gilbert PB, Follmann D, Jaynes H, Kublin JG, Baden LR, Goepfert P, Kotloff K, Gay CL, Falsey AR, El Sahly HM, Sobieszczyk ME, Huang Y, Neuzil KM, Corey L, Grinsztejn B, Gray G, Rouphael N, Luedtke A; COVID-19 Prevention Network CoVPN. Modifiers of COVID-19 vaccine efficacy: Results from four COVID-19 prevention network efficacy trials. Vaccine. 2023 Jul 25;41(33):4899-4906. doi: 10.1016/j.vaccine.2023.06.066. Epub 2023 Jun 23.
PubMed 37385888Marchese AM, Zhou X, Kinol J, Underwood E, Woo W, McGarry A, Beyhaghi H, Anez G, Toback S, Dunkle LM. NVX-CoV2373 vaccine efficacy against hospitalization: A post hoc analysis of the PREVENT-19 phase 3, randomized, placebo-controlled trial. Vaccine. 2023 May 22;41(22):3461-3466. doi: 10.1016/j.vaccine.2023.04.054. Epub 2023 Apr 29.
PubMed 37127523Anez G, Dunkle LM, Gay CL, Kotloff KL, Adelglass JM, Essink B, Campbell JD, Cloney-Clark S, Zhu M, Plested JS, Roychoudhury P, Greninger AL, Patel N, McGarry A, Woo W, Cho I, Glenn GM, Dubovsky F; 2019nCoV-301-Pediatric Expansion Study Group. Safety, Immunogenicity, and Efficacy of the NVX-CoV2373 COVID-19 Vaccine in Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2023 Apr 3;6(4):e239135. doi: 10.1001/jamanetworkopen.2023.9135.
PubMed 37099299Anez G, Dunkle LM, Gay CL, Kotloff KL, Adelglass JM, Essink B, Campbell JD, Cloney-Clark S, Zhu M, Plested JS, Roychoudhury P, Greninger AL, Patel N, McGarry A, Woo W, Cho I, Glenn GM, Dubovsky F; 2019nCoV-301 - Pediatric Expansion Study Group. Safety, Immunogenicity and Efficacy of NVX-CoV2373 in Adolescents in PREVENT-19: A Randomized, Phase 3 Trial. medRxiv [Preprint]. 2022 Sep 21:2022.09.20.22279903. doi: 10.1101/2022.09.20.22279903.
PubMed 36172135Dunkle LM, Kotloff KL, Gay CL, Anez G, Adelglass JM, Barrat Hernandez AQ, Harper WL, Duncanson DM, McArthur MA, Florescu DF, McClelland RS, Garcia-Fragoso V, Riesenberg RA, Musante DB, Fried DL, Safirstein BE, McKenzie M, Jeanfreau RJ, Kingsley JK, Henderson JA, Lane DC, Ruiz-Palacios GM, Corey L, Neuzil KM, Coombs RW, Greninger AL, Hutter J, Ake JA, Smith K, Woo W, Cho I, Glenn GM, Dubovsky F; 2019nCoV-301 Study Group. Efficacy and Safety of NVX-CoV2373 in Adults in the United States and Mexico. N Engl J Med. 2022 Feb 10;386(6):531-543. doi: 10.1056/NEJMoa2116185. Epub 2021 Dec 15.
PubMed 34910859
Study at a glance
From the registry record, last updated by the sponsor on 21 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Observer-Blinded, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Immunogenicity of a SARS-CoV-2 Recombinant Spike Protein Nanoparticle Vaccine (SARS-CoV-2 rS) With Matrix-M1™ Adjuvant in Adult Participants ≥ 18 Years With a Pediatric Expansion in Adolescents (12 to < 18 Years)
- ClinicalTrials.gov ID
- NCT04611802
- Acronym / sponsor ID
- 2019nCoV-301
- Conditions
- SARS-CoV Infection, Covid19
- Keywords
- Coronavirus, Prevent-19, Booster
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 33,000 participants (actual)
- Lead sponsor
- NovavaxIndustry (pharma, biotech, devices)
- Collaborators
- Department of Health and Human Services
- Study start
- 27 Dec 2020 (actual)
- Primary completion
- 10 Apr 2023 (actual)
- Study completion
- 15 Dec 2023 (actual)
- First posted
- 2 Nov 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase 3, randomized, observer-blinded, placebo-controlled study to evaluate the efficacy, safety, and immunogenicity of SARS-CoV-2 rS with Matrix-M1 adjuvant in adult participants and adolescent participants. Additionally providing a Booster Dose to fully vaccinated participants. A substudy is to be conducted at selected sites to evaluate the safety and immunogenicity of a fourth dose (second booster) of NVX-CoV2373 in adults and adolescents, previously fully vaccinated and subsequently boosted with a third dose (first booster)
Detailed description
This is a Phase 3, randomized, observer-blinded, placebo-controlled study to evaluate the efficacy, safety, and immunogenicity of SARS-CoV-2 rS with Matrix-M1 adjuvant in adult participants ≥ 18 years of age (Adult Main Study) and adolescent participants 12 to <18 years (Pediatric Expansion). Additionally, a Booster Amendment will allow for the evaluation of a booster dose of SARS-CoV-2 rS with Matrix-M1 adjuvant in participants who completed the primary series of active vaccine in the Adult Main Study or Pediatric Expansion, as well as in participants who previously completed the primary series of an authorized/approved COVID-19 vaccine. Additionally, a sub-study conducted at specific sites will allow for the evaluation of a second booster dose of SARS-CoV-2 rS with Matrix-M1 adjuvant in participants who completed the primary series of active vaccine in the Adult Main Study and Pediatric Expansion as well as a booster dose in the Booster Amendment of the study.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial vaccination) | Experimental | Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period)2 doses of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21 in Initial Vaccination Period. |
| Placebo (Initial Vaccination) | Placebo comparator | Other: Placebo (Initial Vaccination Period)2 doses of Placebo (Saline), 1 dose each on Days 0 and 21in Initial Vaccination Period. |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination) | Experimental | Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period)One dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 or Day 21 in Crossover Vaccination Period. |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination) | Experimental | Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)One dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 Booster Vaccination Period. |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster) | Experimental | Biological: SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster Vaccination)One dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 Second Booster Vaccination Period. |
| Placebo (Crossover Vaccination) | Placebo comparator | Other: Placebo (Crossover Vaccination period)One dose of Placebo (Saline) on Day 0 or Day 21 in Crossover Vaccination Period. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (25 listed)
- Each participant in the Adult Main Study and/or the Booster Amendment must meet all of the following criteria to be enrolled in this study:
- Adults ≥ 18 years of age at screening who, by virtue of age, race, ethnicity or life circumstances, are considered at substantial risk of exposure to and infection with SARS CoV-2.
- Willing and able to give informed consent prior to study enrollment and to comply with study procedures.
- Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [i.e., hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea at least 12 consecutive months]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through 3 months after the last vaccination OR agree to consistently use a medically acceptable method of contraception from at least 28 days prior to enrollment and through 3 months after the last vaccination.
- Is medically stable, as determined by the investigator (based on review of health status, vital signs [to include body temperature], medical history, and targeted physical examination [to include body weight]). Vital signs must be within medically acceptable ranges prior to the first vaccination.
Key exclusion criteria (26 listed)
- Adult and adolescent participants meeting any of the following criteria will be excluded from the study:
- Unstable acute or chronic illness. Criteria for unstable medical conditions include:
- Note: Well-controlled human immunodeficiency virus [HIV] with undetectable HIV RNA [< 50 copies/mL] and CD4 count > 200 cells/µL for at least 1 year, documented within the last 6 months, is NOT considered an unstable chronic illness. Participant's or parent's/caregiver's verbal report will suffice as documentation.
- Participation in research involving an investigational product (drug/biologic/device) administered within 45 days prior to first study vaccination.
- History of a previous laboratory-confirmed diagnosis of SARS-CoV-2 infection or COVID-19. A previous diagnosis of COVID-19 during participation in this trial is not exclusionary for the Booster Amendment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period)Also: NVX-CoV2373Alternating intramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Days 0 and 21 in Initial Vaccination Period. | Biological | SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial vaccination) |
| Placebo (Initial Vaccination Period)Also: Sodium chloride 0.9% (BP, sterile)Alternating intramuscular (deltoid) injections of placebo (0.5 mL) on Days 0 and 21 in Initial Vaccination Period. | Other | Placebo (Initial Vaccination) |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period)Also: NVX-CoV2373In Crossover Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0 or Day 21 | Biological | SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination) |
| Placebo (Crossover Vaccination period)Also: Sodium chloride 0.9% (BP, sterile)In Crossover Vaccination period, one dose of intramuscular (deltoid) injection of placebo (0.5 mL) on Day 0 or Day 21 | Other | Placebo (Crossover Vaccination) |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)Also: NVX-CoV2373In Booster Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0 | Biological | SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination) |
| SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster Vaccination)Also: NVX-CoV2373In Second Booster Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0 | Biological | SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster) |
Primary outcome
Adult Main Study and Pediatric Expansion: Participants with Symptomatic Mild, Moderate, or Severe Coronavirus Disease 2019 (COVID-19)
Time frame: Day 28 to Day 750
Number of participants with first occurrence of positive (+) polymerase chain reaction (PCR)-confirmed SARS-CoV-2 illness with symptomatic mild, moderate, or severe COVID-19, with each symptom lasting for at least 2 consecutive days, with onset from Day 28 (7 days after second vaccination dose) through the length of the study.
Pediatric Expansion: Reactogenicity Incidence and Severity
Time frame: Day 0 to Day 27
Reactogenicity incidence and severity (mild, moderate or severe) recorded by all participants on their electronic patient-reported outcome diary application (eDiary) on days of vaccination and subsequent 6 days (total 7 days after each vaccine injection).
Pediatric Expansion: Incidence and Severity of Medically Attended Adverse Events (MAAEs) Through Day 49
Time frame: Day 0 to Day 49
Number of participants with mild, moderate, or severe MAAEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).
Pediatric Expansion: Incidence and Severity of Unsolicited Adverse Events (AEs) Through Day 49
Time frame: Day 0 to Day 49
Number of participants with mild, moderate, or severe AEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).
Pediatric Expansion: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points
Time frame: Day 90 to Day 750
Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine through specified time points approximately every 3 and 6 months.
Pediatric Expansion: Incidence and Severity of Serious Adverse Events (SAEs) Through Specified Time Points
Time frame: Day 90 to Day 750
Number of participants with mild, moderate, or severe SAEs attributed to study vaccine through specified time points approximately every 3 and 6 months.
Pediatric Expansion: Incidence and Severity of Adverse Events of Special Interest (AESIs) Through Specified Time Points
Time frame: Day 90 to Day 750
Number of participants with mild, moderate, or severe AESIs attributed to study vaccine through specified time points approximately every 3 and 6 months.
Pediatric Expansion: Incidence and Severity of SAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Time frame: Day 90 to Day 750
Number of participants with mild, moderate, or severe SAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Pediatric Expansion: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Time frame: Day 90 to Day 750
Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Pediatric Expansion: Incidence and Severity of AESIs Attributed to Study Vaccine Through Specified Time Points until Month 24
Time frame: Day 90 to Day 750
Number of participants with mild, moderate, or severe AESIs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.
Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Specified Time Points
Time frame: Day 35
Number of participants with antibodies to SARS-CoV-2 NP at Day 35 to determine natural infection and to determine the incidence of asymptomatic infection acquired during study follow-up.
Pediatric Expansion: Deaths Due to Any Cause
Time frame: Day 0 to Day 750
Number of participants who died during the study due to any cause.
29 secondary outcomes
Adult Main Study and Pediatric Expansion: Participants with Symptomatic Moderate or Severe COVID-19
Time frame: Day 28 to Day 750
Adult Main Study and Pediatric Expansion: Participants with Any Symptomatic COVID-19
Time frame: Day 28 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as Geometric Mean Titers (GMTs)
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as Geometric Mean Fold Rises (GMFRs)
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMTs
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Serum IgG Antibody Levels Expressed as GMFRs
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as GMTs
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: hACE2 Receptor Binding Inhibition Assay Expressed as GMFRs
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMTs at Later Time Points
Time frame: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMFRs at Later Time Points
Time frame: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: hACE2 Receptor Binding Inhibition Assay Expressed as GMTs at Later Time Points
Time frame: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: hACE2 Receptor Binding Inhibition Assay Expressed as GMFRs at Later Time Points
Time frame: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as GMTs at Later Time Points
Time frame: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as GMFRs at Later Time Points
Time frame: Day 165 to Day 750
Adult Main Study and Pediatric Expansion: Description of Course, Treatment and Severity of COVID-19
Time frame: Day 28 to Day 750
Adult Main Study: Reactogenicity Incidence and Severity
Time frame: Day 0 to Day 27
Adult Main Study: Incidence and Severity of Medically Attended Adverse Events (MAAEs) Through Day 49
Time frame: Day 0 to Day 49
Adult Main Study: Incidence and Severity of Unsolicited Adverse Events (AEs) Through Day 49
Time frame: Day 0 to Day 49
Adult Main Study: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points
Time frame: Day 90 to Day 750
Adult Main Study: Incidence and Severity of Serious Adverse Events (SAEs) Attributed to Study Vaccine Through Specified Time Points
Time frame: Day 90 to Day 750
Adult Main Study: Incidence and Severity of Adverse Events of Special Interest (AESIs) Attributed to Study Vaccine Through Specified Time Points
Time frame: Day 90 to Day 750
Adult Main Study: Incidence and Severity of SAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Time frame: Day 90 to Day 750
Adult Main Study: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Time frame: Day 360 to Day 750
Adult Main Study: Incidence and Severity of AESIs Attributed to Study Vaccine Through Specified Time Points until Month 24
Time frame: Day 360 to Day 750
Adult Main Study and Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Specified Time Points
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Any Time Point
Time frame: Day 0 to Day 750
Adult Main Study: IgG antibodies to SARS-CoV-2 rS at Day 35 After First Crossover Vaccination
Time frame: Day 35 after the first crossover vaccination
Adult Main Study : Deaths Due to Any Cause
Time frame: Day 0 to Day 750
Adult Main Study and Pediatric Expansion: Participants with 1st episode of positive Polymerase Chain Reaction (PCR) for Coronavirus Disease 2019 (COVID-19) due to a variant not considered as a "variant of concern/interest"
Time frame: Day 28 to Day 750
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Dec 2023.
- Derived from this study: PubMed 39884302Deming ME, Brown ER, McArthur MA, Schrag SJ, Arvay M, Humphrys M, Ravel J, Adelglass J, Essink B, Musante DB, Maguire R, Gorman R, Formentini E, Mason R, Robb ML, Neuzil KM, Rapaka RR, Wolff P, Kotloff KL; SNIFF study team. Vaccine efficacy of NVX-CoV2373 against SARS-CoV-2 infection in adolescents in the USA: an ancillary study to a phase 3, observer-blinded, randomised, placebo-controlled trial. Lancet Microbe. 2025 Apr;6(4):100984. doi: 10.1016/j.lanmic.2024.100984. Epub 2025 Jan 27.
- Derived from this study: PubMed 39225478Janes H, Fisher LH, Kee JJ, Parameswaran L, Goepfert PA, Falsey AR, Ludwig J, Magaret CA, Gilbert PB, Kublin JG, Rouphael N, Sobieszczyk ME, El Sahly HM, Baden LR, Grinsztejn B, Walsh SR, Gray GE, Kotloff KL, Gay CL, Greninger AL, Tapia MD, Hammershaimb EA, Priddy FH, Green JA, Struyf F, Dunkle L, Neuzil KM, Corey L, Huang Y. Association Between SARS-CoV-2 Viral Load and COVID-19 Vaccination in 4 Phase 3 Trials. J Infect Dis. 2024 Dec 16;230(6):1384-1389. doi: 10.1093/infdis/jiae400.
- Derived from this study: PubMed 37385888Turley CB, Tables L, Fuller T, Sanders LJ, Scott H, Moodley A, Woodward Davis A, Leav B, Miller J, Schoemaker K, Vandebosch A, Sadoff J, Woo W, Cho I, Dunkle LM, Li S, van der Laan L, Gilbert PB, Follmann D, Jaynes H, Kublin JG, Baden LR, Goepfert P, Kotloff K, Gay CL, Falsey AR, El Sahly HM, Sobieszczyk ME, Huang Y, Neuzil KM, Corey L, Grinsztejn B, Gray G, Rouphael N, Luedtke A; COVID-19 Prevention Network CoVPN. Modifiers of COVID-19 vaccine efficacy: Results from four COVID-19 prevention network efficacy trials. Vaccine. 2023 Jul 25;41(33):4899-4906. doi: 10.1016/j.vaccine.2023.06.066. Epub 2023 Jun 23.
- Derived from this study: PubMed 37127523Marchese AM, Zhou X, Kinol J, Underwood E, Woo W, McGarry A, Beyhaghi H, Anez G, Toback S, Dunkle LM. NVX-CoV2373 vaccine efficacy against hospitalization: A post hoc analysis of the PREVENT-19 phase 3, randomized, placebo-controlled trial. Vaccine. 2023 May 22;41(22):3461-3466. doi: 10.1016/j.vaccine.2023.04.054. Epub 2023 Apr 29.
- Derived from this study: PubMed 37099299Anez G, Dunkle LM, Gay CL, Kotloff KL, Adelglass JM, Essink B, Campbell JD, Cloney-Clark S, Zhu M, Plested JS, Roychoudhury P, Greninger AL, Patel N, McGarry A, Woo W, Cho I, Glenn GM, Dubovsky F; 2019nCoV-301-Pediatric Expansion Study Group. Safety, Immunogenicity, and Efficacy of the NVX-CoV2373 COVID-19 Vaccine in Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2023 Apr 3;6(4):e239135. doi: 10.1001/jamanetworkopen.2023.9135.
- Derived from this study: PubMed 36172135Anez G, Dunkle LM, Gay CL, Kotloff KL, Adelglass JM, Essink B, Campbell JD, Cloney-Clark S, Zhu M, Plested JS, Roychoudhury P, Greninger AL, Patel N, McGarry A, Woo W, Cho I, Glenn GM, Dubovsky F; 2019nCoV-301 - Pediatric Expansion Study Group. Safety, Immunogenicity and Efficacy of NVX-CoV2373 in Adolescents in PREVENT-19: A Randomized, Phase 3 Trial. medRxiv [Preprint]. 2022 Sep 21:2022.09.20.22279903. doi: 10.1101/2022.09.20.22279903.
- Derived from this study: PubMed 34910859Dunkle LM, Kotloff KL, Gay CL, Anez G, Adelglass JM, Barrat Hernandez AQ, Harper WL, Duncanson DM, McArthur MA, Florescu DF, McClelland RS, Garcia-Fragoso V, Riesenberg RA, Musante DB, Fried DL, Safirstein BE, McKenzie M, Jeanfreau RJ, Kingsley JK, Henderson JA, Lane DC, Ruiz-Palacios GM, Corey L, Neuzil KM, Coombs RW, Greninger AL, Hutter J, Ake JA, Smith K, Woo W, Cho I, Glenn GM, Dubovsky F; 2019nCoV-301 Study Group. Efficacy and Safety of NVX-CoV2373 in Adults in the United States and Mexico. N Engl J Med. 2022 Feb 10;386(6):531-543. doi: 10.1056/NEJMoa2116185. Epub 2021 Dec 15.
- Individual participant dataSharing planned: No
Related trials for SARS-CoV Infection
Not yet recruiting
Effect of MxA Guidance on Antiviral Treatment in Respiratory Viral Infections
Respiratory Viral Infections, Influenza
Recruiting
Effectiveness of Transcranial Direct Current in Patients With Persistent COVID-19 With Headaches and Chronic Pain.
COVID-19, Long COVID
Active, not recruiting
SARS-COV-2 Seroprevalence and Seroconversion Among Employees of the Universitair Ziekenhuis Brussel Following mRNA COVID-19 Vaccination
SARS-CoV Infection
Active, not recruiting
Clinical Validation of the NowFuture Digital Flu / COVID Test in Anterior Nasal Samples for Over-the-Counter (OTC) Use in Australia
SARS CoV 2 Infection, Influenza A Virus Infection
RecruitingObservational study
Determinants of SARS (Severe Acute Respiratory Syndrome)-COV2 (COVID-19) Persistence After Convalescence
COVID-19, Corona Virus Infection
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Development study director
Novavax, Inc.
154 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period), SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period) and SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination) in people with SARS-CoV Infection and Covid19, run by Novavax at 154 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 25 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 154 sites in United States, Mexico, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adult Main Study and Pediatric Expansion: Participants with Symptomatic Mild, Moderate, or Severe Coronavirus Disease 2019 (COVID-19) (time frame: Day 28 to Day 750). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04611802, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Dec 2023.