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COVID-19 PreventionPhase 3NCT04908722

A Study to Evaluate Dose Levels of Ad26.COV2.S Administered as a Two-dose Schedule in Healthy Adults

A Phase 3 study testing Ad26.COV2.S in people with COVID-19 Prevention, run by Janssen Vaccines & Prevention B.V. at 43 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to demonstrate non-inferiority (NI) in terms of humoral immune responses after 6 dose levels of Ad26.COV2.S. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19 Prevention
What is being tested?
Ad26.COV2.S
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,609 participants
Where
43 sitesin 5 countries
Study dates
18 Jun 2021to 10 Jul 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participant must sign an informed consent form (ICF) indicating that he or she understands the purpose, procedures and potential risks and benefits of the study, and is willing to participate in the study
  • Participant must be healthy, in the investigator's clinical judgment, as confirmed by medical history, physical examination, and vital signs performed at screening. Participant may have underlying illnesses, as long as the symptoms and signs are medically controlled and not considered to be comorbidities related to an increased risk of severe Coronavirus disease 2019 (COVID-19), except for smoking, which is allowed. If on medication for a condition, the medication dose must have been stable for at least 12 weeks preceding vaccination and expected to remain stable for the duration of the study. Participant will be included on the basis of physical examination, medical history, and vital signs
  • All female participants of childbearing potential must: a) have a negative highly sensitive urine pregnancy test at screening; b) have a negative highly sensitive urine pregnancy test immediately prior to each study vaccine administration
  • Participant agrees to not donate bone marrow, blood, and blood products from the first study vaccine administration until 3 months after receiving the last dose of study vaccine
  • Participant must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study

Who cannot join

  • Participant has a clinically significant acute illness (this does not include minor illnesses such as diarrhea or mild upper respiratory tract infection) or temperature greater than or equal to (>=) 38.0 degree Celsius (C) (100.4 degree Fahrenheit [F]) within 24 hours prior to the planned first dose of study vaccine; randomization at a later date is permitted at the discretion of the investigator and after consultation with the sponsor
  • Participant has a known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine)
  • Participant received or plans to receive: (a) licensed live attenuated vaccines - within 28 days before or after planned administration of the first or subsequent study vaccinations; and (b) other licensed (not live) vaccines - within 14 days before or after planned administration of the first or subsequent study vaccinations
  • Participant received an investigational drug (including investigational drugs for prophylaxis of COVID-19) or used an invasive investigational medical device within 30 days or received investigational immunoglobulin (Ig) or monoclonal antibodies within 3 months, or received convalescent serum for COVID-19 treatment within 4 months or received an investigational vaccine within 6 months before the planned administration of the first dose of study vaccine or is currently enrolled or plans to participate in another investigational study during the course of this study
  • Participant previously received a coronavirus vaccine

Trial locations and contacts

43 sites in 5 countries.

43 sites in 5 countries

United States18 sites
  • Anaheim Clinical Trials, LLC

    Anaheim, California, 92801

  • Velocity Clinical Research, Hallandale Beach

    Hallandale, Florida, 33009

  • Ventavia Research Group, LLC

    Keller, Texas, 76248

  • Clinical Research Center of Nevada

    Las Vegas, Nevada, 89106

  • Baptist Health Center For Clinical Research

    Little Rock, Arkansas, 72205

  • Ark Clinical Research

    Long Beach, California, 90815

  • Medpharmics, LLC

    Metairie, Louisiana, 70006

  • Floridian Research Institute

    Miami, Florida, 33179

  • Coastal Carolina Research Center

    North Charleston, South Carolina, 29405

  • Research Your Health

    Plano, Texas, 75093

  • Wake Research Associates

    Raleigh, North Carolina, 27612

  • Paradigm Clinical Research Centers, Inc.

    Redding, California, 96001

  • Clinical Research Partners, LLC

    Richmond, Virginia, 23226

  • Rochester Clinical Research, Inc

    Rochester, New York, 14609

  • Wr McCr Llc

    San Diego, California, 92120

  • Ark Clinical Research

    Tustin, California, 92780

  • Trial Management Associates, LLC

    Wilmington, North Carolina, 28403

  • Tekton Research Inc.

    Yukon, Oklahoma, 73099

Other trials in United States

Brazil11 sites
  • Universidade Federal De Minas Gerais - Hospital das Clínicas

    Belo Horizonte, 30130-100

  • Santa Casa de Misericordia de Belo Horizonte

    Belo Horizonte, 30150-221

  • CECOR Centro OncolOgico de Roraima

    Boa Vista, 69304-415

  • Sociedade Campineira de Educacao e Instrucao Hospital e Maternidade Celso Pierro

    Campinas, 13060-904

  • Núcleo de Medicina Tropical - Universidade Federal do Ceará

    Ceará, 60430-160

  • Sociedade Literaria e Caritativa Santo Agostinho Hospital Sao Jose

    Criciúma, 88811-508

  • Centro de Estudos e Pesquisas em Moléstias Infecciosas - CEPCLIN

    Natal, 59025-050

  • Hospital Das Clinicas Da Faculdade De Medicina De RPUSP HCRP

    Ribeirão Preto, 14048-900

  • Municipio de Nova Iguacu - Hospital Geral de Nova Iguacu

    Rio de Janeiro, 26030-380

  • CPQuali Pesquisa Clinica LTDA ME

    São Paulo, 01228-000

  • Centro de Referencia E Treinamento Dst/Aids

    São Paulo, 04121-000

Other trials in Brazil

South Africa6 sites
  • Synexus Helderberg Clinical Research Centre

    Cape Town, 7130

  • Ndlovu Elandsdoorn Site

    Dennilton, 0485

  • Stanza Clinical Research Centre : Mamelodi

    Mamelodi East, 122

  • PHOENIX PHARMA (Pty) Ltd

    Port Elizabeth, 6001

  • Gct Sunnyside

    Pretoria, 0002

  • Setshaba Research Centre

    Soshanguve, 152

Other trials in South Africa

Germany5 sites
  • Klinische Forschung Berlin-Mitte GmbH

    Berlin, 10787

  • Clinical Research HamburggmbH

    Hamburg, 22143

  • Klinische Forschung Hannover-Mitte GmbH

    Hanover, 30159

  • Synexus Clinical Research GmbH

    Leipzig, 04103

  • Universitaetsmedizin Rostock

    Rostock, 18057

Other trials in Germany

Poland3 sites
  • Gdanskie Centrum Zdrowia

    Gdansk, 80-542

  • Centrum Medyczne Medyk

    Rzeszów, 35-055

  • Centrum Medyczne Pratia Poznan

    Skorzewo, 60 185

Other trials in Poland

About this study

Official title: A Randomized, Double-blind, Phase 3 Study to Evaluate 6 Dose Levels of Ad26.COV2.S Administered As a Two-Dose Schedule in Healthy Adults

The purpose of this study is to demonstrate non-inferiority (NI) in terms of humoral immune responses after 6 dose levels of Ad26.COV2.S.

Being tested
Ad26.COV2.S

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ad26.COV2.SBiological

    Also called JNJ-78436735, Ad26COVS1, VAC31518

    Participants will receive intramuscular (IM) injections of Ad26.COV2.S.

Study groups in NCT04908722
Study groupRoleWhat they receive
Group 1: Ad26.COV2.S Dose Level 1ExperimentalParticipants in the main study and sub study will receive intramuscular (IM) injections of Ad26.COV2.S as a 2-dose vaccination regimen at dose level 1 on Days 1 and 57.
Receives: Biological: Ad26.COV2.S
Group 2: Ad26.COV2.S Dose Level 2ExperimentalParticipants will receive IM injections of Ad26.COV2.S as a 2-dose vaccination regimen at dose level 2 on Days 1 and 57 in the main study.
Receives: Biological: Ad26.COV2.S
Group 3: Ad26.COV2.S Dose Level 3ExperimentalParticipants in the main study and sub study will receive IM injections of Ad26.COV2.S as a 2-dose vaccination regimen at dose level 3 on Days 1 and 57.
Receives: Biological: Ad26.COV2.S
Group 4: Ad26.COV2.S Dose Level 4ExperimentalParticipants will receive IM injections of Ad26.COV2.S as a 2-dose vaccination regimen at dose level 4 on Days 1 and 57 in the main study.
Receives: Biological: Ad26.COV2.S
Group 5: Ad26.COV2.S Dose Level 5ExperimentalParticipants in the main study and sub study will receive IM injections of Ad26.COV2.S as a 2-dose vaccination regimen at dose level 5 on Days 1 and 57.
Receives: Biological: Ad26.COV2.S
Group 6: Ad26.COV2.S Dose Level 6ExperimentalParticipants in the main study and sub study will receive IM injections of Ad26.COV2.S as a 2-dose vaccination regimen at dose level 6 on Days 1 and 57.
Receives: Biological: Ad26.COV2.S

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Geometric Mean Concentration of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) S Protein Binding Antibodies Measured by Enzyme-Linked Immunosorbent Assay (ELISA) 28 Days After First Vaccination

    Geometric mean concentration of SARS-CoV-2 S protein binding antibodies measured by ELISA were reported. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: 28 days after first vaccination (at Day 29)

  2. Geometric Mean Concentration of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) S Protein Binding Antibodies Measured by Enzyme-Linked Immunosorbent Assay (ELISA) 14 Days After Second Vaccination

    Geometric mean concentration of SARS-CoV-2 S protein binding antibodies measured by ELISA were reported. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: 14 days after second vaccination (at Day 71)

Secondary outcomes (9)
  1. Percentage of Participants With Serological Response to Vaccination to SARS-COV-2 S Protein as Measured by ELISA

    Percentage of participants with serological response to vaccination to SARS-COV-2 S protein as measured by ELISA were reported. A participant was considered a responder if one or both of the following conditions were satisfied: (1) the baseline (pre-dose 1) sample value was less than or equal to (<=) lower limit of quantification (LLOQ) and the post-baseline sample was greater than (>) LLOQ; (2) the baseline sample (pre-dose 1) value was >LLOQ and the post-baseline sample value represented an at least 4-fold (>=4-fold) increase from the baseline sample value. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: Day 29, Day 57, Day 71, Week 32, and Week 60

  2. Geometric Mean Concentration of SARS-CoV-2 S Protein Binding Antibody Measured by ELISA

    Geometric mean concentration of SARS-CoV-2 S protein binding antibody measured by ELISA were reported. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: Day 29, Day 57, Day 71, Week 32, and Week 60

  3. Number of Subjects With Solicited Local Adverse Events (AEs) for 7 Days After Each Vaccination

    An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited local AEs were pre-defined local (at the injection site) AEs for which participants were specifically questioned and which were noted by participant in their e-diary for 7 days after each vaccination. Solicited local AEs included injection site pain/tenderness, erythema and swelling at the study vaccine injection site. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: 7 days after each vaccination (first vaccination [at Day 8], second vaccination [at Day 64])

  4. Number of Subjects With Solicited Systemic AEs for 7 Days After Each Vaccination

    An AE was any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited systemic AEs (include body temperature, fatigue, headache, nausea, myalgia) were noted in the subject diary after 7 days of each vaccination. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: 7 days after each vaccination (first vaccination [at Day 8], second vaccination [at Day 64])

  5. Number of Participants With Unsolicited AEs for 28 Days After Each Vaccination

    Unsolicited AEs were all AEs for which the subject was not specifically questioned in the subject diary. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: 28 days after each vaccination (first vaccination [at Day 29], second vaccination [at Day 85])

  6. Number of Participants With Serious Adverse Events (SAEs)

    SAE was any untoward medical occurrence that at any dose may results in death, was life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: From Day 1 (post-vaccination) up to end of the study (up to 60 weeks)

  7. Number of Participants With Adverse Events of Special Interest (AESIs)

    AESIs were significant AEs that were judged to be of special interest because of clinical importance, known or suspected class effects, or based on nonclinical signals. Thrombosis with thrombocytopenia syndrome were considered to be an AESI. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: From Day 1 (post-vaccination) up to end of the study (up to 60 weeks)

  8. Number of Participants With AEs Leading to Study Discontinuation

    Number of participants with AEs leading to study discontinuation were reported. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: Up to 60 weeks

  9. Number of Participants With Medically-Attended Adverse Events (MAAEs)

    MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. As per planned analysis, the data were analyzed and reported combined for the main study and sub-study.

    Measured: 6 months after second vaccination (up to 32 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jun 2021
  2. Study start18 Jun 2021
  3. Primary completion10 Jul 2023
  4. Study completion10 Jul 2023

Resources

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
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,609 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04908722
Sponsor's protocol ID
CR108960
Other IDs
2020-005801-14, VAC31518COV3003
Status last verified
Jan 2025
First submitted
27 May 2021
Last updated
4 Feb 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ad26.COV2.S in people with COVID-19 Prevention, run by Janssen Vaccines & Prevention B.V. at 43 sites in 5 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 5 inclusion and 5 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 4 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, Brazil, South Africa, Germany, Poland. 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. 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?

Yes. Results are posted in the registry (first posted 23 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Geometric Mean Concentration of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) S Protein Binding Antibodies Measured by Enzyme-Linked Immunosorbent Assay (ELISA) 28 Days After First Vaccination (time frame: 28 days after first vaccination (at Day 29)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 4 Feb 2025.

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