AzTrials
AzTrials

COVID-19Phase 1ARTEMIS-CNCT06147063

A Randomized Trial Evaluating a mRNA-VLP Vaccine's Immunogenicity and Safety for COVID-19

A Phase 1 study testing AZD9838, Licensed SARS-CoV-2 mRNA vaccine and AZD6563 in people with COVID-19 and SARS-CoV-2 Infection, run by AstraZeneca at 5 sites in United States.

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 characterize the safety and immunogenicity of AZD9838 and AZD6563 when administered as a single dose vaccination against SARS-CoV-2 in adults. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
COVID-19, SARS-CoV-2 Infection
What is being tested?
AZD9838, Licensed SARS-CoV-2 mRNA vaccine and AZD6563
Could I receive a placebo?
No, everyone receives an active treatment
How many people
243 participants
Where
5 sitesUnited States
Study dates
27 Nov 2023to 27 Mar 2025
Phase
Phase 1
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adults ≥ 18 years at the time of signing informed consent.
  • Self-reported History of SARS-CoV-2 infection at least 6 months prior to study vaccination AND/OR prior completion of primary series vaccination against COVID-19, with the final dose received at least 6 months prior to study vaccination
  • Negative SARS-CoV-2 RT-PCR test at Visit 1
  • Body mass index (BMI) of <35 kg/m2 at screening
  • Medically stable - according to the judgement of the investigator, hospitalization within the study is not anticipated and participant is likely to remain in the study through the end of the protocol specified follow-up.

Who cannot join

  • Acute illness/infection on day prior or day of dosing
  • History of hypersensitivity to any component of the study vaccination, severe adverse reaction associated with a vaccine and/or severe allergic reaction
  • Positive COVID-19 test result within 6 months of Visit 1
  • Receipt of licensed, authorized, or investigational COVID-19 vaccines in the 6 months prior to administration of study intervention or expected receipt through completion of Visit 5.
  • Receipt of any COVID-19 monoclonal antibody (licensed or investigational) within 3 months or receipt of immunoglobulin (non-COVID related) or blood products within 6 months prior to administration of study intervention, or expected receipt during the study
  • Receipt of any licensed or investigational vaccine (other than licensed influenza vaccines or non-study COVID-19 vaccines) within 30 days prior to Visit 1 or expected receipt prior to completion of Visit 4. Licensed influenza vaccines are permitted beginning > 14 days before and > 14 days after administration of study intervention.
Show all 15Show fewer
  • Previous history of myocarditis or pericarditis
  • Woman who are pregnant, lactating, or of child-bearing potential and not using a contraception or abstinence from at least 4 weeks prior to study vaccination and until at least 6 months after study vaccination
  • Lab values above ULN (Serum creatinine, AST, ALT), below LLN (hemoglobin, WBC, Platelet count) or any lab value that in the opinion of the investigator is clinically significant or might confound analysis of the study results. Participants with laboratory values outside of the normal range may have the abnormal test repeated within the screening window and if the values are normal, then the participant can be randomized. If the repeated value remains outside of the normal range but it is not felt to be clinically significant by the Investigator, the case can be discussed with the AstraZeneca study physician and if they both agree the value is not clinically significant, the participant can be randomized
  • History of malignancy within 5 years (treated non-melanoma skin cancer and locally treated cervical cancers allowed)
  • Known or suspected congenital or acquired immunodeficiency
  • Known or suspected autoimmune conditions as determined by history and /or physical examination
  • Active infection with hepatitis B or C
  • Troponin I levels above the normal range at the screening visit
  • History of hypersensitivity to kanamycin or any aminoglycoside antibiotics (eg, neomycin, streptomycin, tobramycin, and gentamicin).

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Research Site

    Chicago, Illinois, 60640

  • Research Site

    Long Beach, California, 90815

  • Research Site

    North Charleston, South Carolina, 29405

  • Research Site

    Rolling Hills Estates, California, 90274

  • Research Site

    Wichita, Kansas, 67207

Other trials in United States

About this study

Official title: A Phase I, Open-label, Randomized, Active-Controlled Study in Adults to Characterize the Safety and Immunogenicity of AZD9838 and AZD6563 Vaccine (ARTEMIS-C)

The purpose of this study is to characterize the safety and immunogenicity of AZD9838 and AZD6563 when administered as a single dose vaccination against SARS-CoV-2 in adults.

Read the detailed description

This is a Phase I, open-label, randomized, active-controlled study to assess the safety and immunogenicity of 2 dosages of AZD9838 and 2 dosages of AZD6563 compared with a licensed SARS-CoV-2 mRNA vaccine in approximately 240 healthy participants. AZD6563 will be assessed in adults 18 years of age and older. AZD9838 will be assessed in adults 18 to 64 years of age only.

The duration of each participant's involvement in the study will be approximately 12 months following administration of study vaccination.

Being tested
AZD9838, Licensed SARS-CoV-2 mRNA vaccine, AZD6563
Keywords
COVID-19, Coronavirus, Vaccine, SARS-CoV-2, mRNA vaccine
Medical subject headings
COVID-19, Coronavirus Infections

What participants receive

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

  • AZD9838Biological

    Intramuscular (IM) injection.

  • Licensed SARS-CoV-2 mRNA vaccineBiological

    Intramuscular (IM) injection.

  • AZD6563Biological

    Intramuscular (IM) injection.

Study groups in NCT06147063
Study groupRoleWhat they receive
AZ BA.4/5 5µg, 18-64 yearsExperimentalParticipants received a single intramuscular dose of AZD9838.
Receives: Biological: AZD9838
AZ BA.4/5 10µg, 18-64 yearsExperimentalParticipants received a single intramuscular dose of AZD9838.
Receives: Biological: AZD9838
Pfizer XBB.1.5, 18-64 yearsActive comparatorParticipants received a single intramuscular dose of the Pfizer XBB.1.5 vaccine.
Receives: Biological: Licensed SARS-CoV-2 mRNA vaccine
AZ XBB.1.5 5µg, 18-64 yearsExperimentalParticipants received a single intramuscular dose of AZD6563.
Receives: Biological: AZD6563
AZ XBB.1.5 10µg, 18-64 yearsExperimentalParticipants received a single intramuscular dose of AZD6563.
Receives: Biological: AZD6563
AZ XBB.1.5 5µg, >=65 yearsExperimentalParticipants received a single intramuscular dose of AZD6563.
Receives: Biological: AZD6563
AZ XBB.1.5 10µg, >=65 yearsExperimentalParticipants received a single intramuscular dose of AZD6563.
Receives: Biological: AZD6563
Pfizer XBB.1.5, >=65 yearsActive comparatorParticipants received a single intramuscular dose of the Pfizer XBB.1.5 vaccine.
Receives: Biological: Licensed SARS-CoV-2 mRNA vaccine

What is being measured

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

  1. Number of participants with immediate unsolicited adverse events (AE)

    Immediate unsolicited AEs were defined as having an onset within 30 minutes post vaccination.

    Measured: Within 30 minutes post vaccination

  2. Number of participants with injection site and systemic solicited adverse reactions (ARs)

    Injection site solicited ARs included injection site pain, injection site erythema (redness), and injection site swelling. Systemic solicited ARs included fever, chills, headache, myalgia (muscle aches and pains), and fatigue (physical or mental tiredness).

    Measured: Through 7 days post vaccination

  3. Number of participants with any unsolicited adverse events (AEs)

    Unsolicited AEs were any AEs reported in addition to predefined solicited ARs.

    Measured: Through 28 days post vaccination

  4. Number of participants with serious adverse events (SAEs), Medically-attended adverse events (MAAEs), and Adverse Events of Special Interest (AESIs)

    An SAE is an AE meeting one or more of: resulted in death; was immediately life-threatening; required or prolonged in-patient hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; or was an important medical event that may have jeopardized the participant or required intervention to prevent the above. MAAEs are AEs leading to medically attended visits that were not routine physical examination or vaccination visits (eg, urgent care, emergency room, or unscheduled visits to/from medical personnel, including telemedicine). An AESI was an event of scientific and medical interest, specific to understanding the safety profile of the investigational vaccine, requiring close monitoring and rapid communication by Investigators to the Sponsor.

    Measured: Through 12 months post vaccination

  5. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 ancestral strain neutralizing antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 ancestral strain neutralizing antibodies

    Measured: Day 29

  6. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies

    Measured: Day 29

  7. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies

    Measured: Day 29

  8. Geometric mean fold rise (GMFR) for SARS-CoV-2 ancestral strain neutralizing antibodies

    GMFR for SARS-CoV-2 ancestral strain neutralizing antibodies

    Measured: Day 1 to Day 29

  9. Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies

    GMFR for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies

    Measured: Day 1 to Day 29

  10. Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies

    GMFR for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies

    Measured: Day 1 to Day 29

  11. Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 ancestral strain

    Seroresponse was defined as GMFR >=4 from baseline

    Measured: Day 1 to Day 29

  12. Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 Omicron BA.4/5

    Seroresponse was defined as GMFR >=4 from baseline

    Measured: Day 1 to Day 29

  13. Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 Omicron XBB.1.5

    Seroresponse was defined as GMFR >=4 from baseline

    Measured: Day 1 to Day 29

Secondary outcomes (28)
  1. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 ancestral strain neutralizing antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 ancestral strain neutralizing antibodies by visit.

    Measured: Day 1 to Day 360

  2. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies by visit.

    Measured: Day 1 to Day 360

  3. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies by visit.

    Measured: Day 1 to Day 360

  4. Geometric mean fold rise (GMFR) for SARS-CoV-2 ancestral strain neutralizing antibodies

    GMFR for SARS-CoV-2 ancestral strain neutralizing antibodies by visit.

    Measured: Day 1 to Day 360

  5. Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies

    GMFR for SARS-CoV-2 Omicron BA.4/5 neutralizing antibodies by visit.

    Measured: Day 1 to Day 360

  6. Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies

    GMFR for SARS-CoV-2 Omicron XBB.1.5 neutralizing antibodies by visit.

    Measured: Day 1 to Day 360

  7. Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 ancestral strain

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  8. Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 Omicron BA.4/5

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  9. Proportion of participants with neutralizing antibody seroresponse against SARS-CoV-2 Omicron XBB.1.5

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  10. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 ancestral strain S protein binding antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 ancestral strain S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  11. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 Beta variant S protein binding antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 Beta variant S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  12. Model-adjusted geometric mean titer (GMT) for SARS-CoV-2 Delta variant S protein binding antibodies

    Model-adjusted GMTs and 95% CIs for SARS-CoV-2 Delta variant S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  13. Geometric mean titer (GMT) for SARS-CoV-2 Omicron subvariant S protein binding antibodies

    GMT for SARS-CoV-2 Omicron subvariant S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  14. Geometric mean fold rise (GMFR) for SARS-CoV-2 ancestral strain S protein binding antibodies

    GMFR for SARS-CoV-2 ancestral strain S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  15. Geometric mean fold rise (GMFR) for SARS-CoV-2 Beta variant S protein binding antibodies

    GMFR for SARS-CoV-2 Beta variant S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  16. Geometric mean fold rise (GMFR) for SARS-CoV-2 Delta variant S protein binding antibodies

    GMFR for SARS-CoV-2 Delta variant S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  17. Geometric mean fold rise (GMFR) for SARS-CoV-2 Omicron subvariant S protein binding antibodies

    GMFR for SARS-CoV-2 Omicron subvariant S protein binding antibodies by visit.

    Measured: Day 1 to Day 360

  18. Proportion of participants with S protein binding antibody seroresponse against SARS-CoV-2 ancestral strain

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  19. Proportion of participants with S protein binding antibody seroresponse against SARS-CoV-2 Beta variant

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  20. Proportion of participants with S protein binding antibody seroresponse against SARS-CoV-2 Delta variant

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  21. Proportion of participants with S protein binding antibody seroresponse against SARS-CoV-2 Omicron subvariant

    Seroresponse was defined as GMFR >=4 from baseline by visit.

    Measured: Day 1 to Day 360

  22. Geometric mean response of S-specific CD4+ T-cells expressing Th1 cytokines

    Geometric mean response of S-specific T cells by phenotype as measured by an intracellular cytokine staining assay over time.

    Measured: Day 1 to Day 180

  23. Geometric mean response of S-specific CD4+ T-cells expressing Th2 cytokines

    Geometric mean response of S-specific T cells by phenotype as measured by an intracellular cytokine staining assay over time.

    Measured: Day 1 to Day 180

  24. Geometric mean response of S-specific CD8+ T-cells expressing cytokines

    Geometric mean response of S-specific T cells by phenotype as measured by an intracellular cytokine staining assay over time.

    Measured: Day 1 to Day 180

  25. Incidence of H. pylori anti-ferritin antibodies

    Incidence of H. pylori anti-ferritin antibodies.

    Measured: Day 1 to Day 360

  26. Titer of H. pylori anti-ferritin antibodies

    Titer of H. pylori anti-ferritin antibodies.

    Measured: Day 1 to Day 360

  27. Incidence of human anti-ferritin antibodies (light and/or heavy)

    Incidence of human anti-ferritin antibodies (light and/or heavy).

    Measured: Day 1 to Day 360

  28. Titer of human anti-ferritin antibodies (light and/or heavy)

    Incidence of human anti-ferritin antibodies (light and/or heavy).

    Measured: Day 1 to Day 360

Timeline

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

  1. First posted27 Nov 2023
  2. Study start27 Nov 2023
  3. Primary completion30 Apr 2024
  4. Study completion27 Mar 2025

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
243 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06147063
Sponsor's protocol ID
D8670C00001
Acronym
ARTEMIS-C
Status last verified
Aug 2026
First submitted
24 Nov 2023
Last updated
31 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD9838, Licensed SARS-CoV-2 mRNA vaccine and AZD6563 in people with COVID-19 and SARS-CoV-2 Infection, run by AstraZeneca at 5 sites in United States.

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 15 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 31 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Number of participants with immediate unsolicited adverse events (AE) (time frame: Within 30 minutes post vaccination). The study lists 13 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 31 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in