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Prevention of COVID-19Phase 2EU-COVAT-1NCT05160766

Assessing Immune Response of Different COVID-19 Vaccines in Older Adults

A Phase 2 study testing Comirnaty (BTN162b2) and Spikevax (mRNA-1273) in people with Prevention of COVID-19, run by Oliver Cornely, MD at 9 sites in 4 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

This is a randomised controlled, adaptive, multicentre Phase II protocol evaluating different booster strategies in individuals aged 75 years and older already vaccinated against SARS-CoV-2. Read more about this study

Who is it for?
Ages 75 years and olderHealthy volunteers can take part
Conditions the study is for
Prevention of COVID-19
What is being tested?
Comirnaty (BTN162b2) and Spikevax (mRNA-1273)
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
323 participants
Where
9 sitesin 4 countries
Study dates
8 Nov 2021to 13 Sep 2023
Phase
Phase 2
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 75 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • Subject is ≥75 years old.
  • Prior to study entry the subject was vaccinated with BNT162b2, mRNA-1273 or ChAdOx-1-S (same vaccine product for 1st + 2nd dose)
  • BNT162b2 + BNT162b2
  • mRNA-1273 + mRNA-1273
  • ChAdOx-1-S + ChAdOx-1-S
  • 9 ± 3 months since the second vaccine dose at time of enrolment for the planned 3rd vaccine dose in the trial. Vaccination status should be documented in the source data and captured in the eCRF.
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  • No contra-indication against any of the vaccine products in the trial.
  • Written informed consent from subject has been obtained.
  • Subject is ≥75 years old.
  • Prior to study entry the subject was vaccinated with one of the following vaccination regimens (1st + 2nd + 3rd dose):
  • BNT162b2 + BNT162b2 + BNT162b2
  • BNT162b2 + BNT162b2 + mRNA-1273
  • mRNA-1273 + mRNA-1273 + mRNA-1273
  • mRNA-1273 + mRNA-1273 + BNT162b2
  • ChAdOx-1-S + ChAdOx-1-S + BNT162b2
  • ChAdOx-1-S + ChAdOx-1-S + mRNA-1273
  • The last dose of the above listed vaccinations must have been administered at least 1 month prior to study entry. Vaccination status should be documented in the source data and will be captured in the eCRF.
  • Written informed consent from subject has been obtained.

Who cannot join

  • Primary vaccination performed with different vaccine products as sole (e.g., COVID-19 Vaccine Janssen) or, 1st and 2nd vaccination doses (heterologous vaccination scheme).
  • Subjects with any significant or uncontrolled disease posing a risk due to vaccination as judged by the investigator.
  • Current immunosuppressive therapy, for example continuous glucocorticosteroid treatment equivalent to >10 mg/day prednisolone.
  • Participation in other interventional trials.
  • Subjects unable to report solicited adverse events.
  • Subject with any contraindications to the vaccines in the trial at randomisation. A list of contraindications as listed in the Summary of medicinal Product Characteristics (SmPC, the Fachinformation in Germany), if appropriate.
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  • Use of drugs with significant interaction with the investigational product according to the SmPC or similar documents.
  • Diseases or findings that may have a significant effect on the target variables and which may therefore mask or inhibit the therapeutic effect under investigation.
  • Any current SARS-CoV-2 infection or proven in the preceding 3 months.
  • Persons with any kind of dependency on the principal investigator or employed by the sponsor or principal investigator.
  • Legally incapacitated persons.
  • Persons held in an institution by legal or official order.
  • Prior to study entry the subject got vaccinated with a regimen not included in the list given above.
  • Last anti-SARS-CoV-2 vaccine dose administered less than one month prior to study entry.
  • Vaccination against a disease other than COVID-19 within 2 weeks prior to study entry. Only exception: Influenza vaccination which is allowed at any time.
  • Subjects with any significant or uncontrolled disease posing a risk due to vaccination as judged by the investigator.
  • Current immunosuppressive therapy, for example continuous glucocorticosteroid treatment equivalent to >10 mg/day prednisolone.
  • Subject simultaneously participates in another clinical trials or has participated in the past 30 days.
  • Subjects unable to report solicited adverse events.
  • Subject with any contraindications to the vaccines in the trial. A list of contraindications as listed in the Summary of medicinal Product Characteristics (SmPC, the Fachinformation in Germany), if appropriate.

Trial locations and contacts

9 sites in 4 countries.

9 sites in 4 countries

Spain4 sites
  • Hospital Universitari Germans Trias i Pujol

    Badalona, 08916

  • Reina Sofia University Hospital

    Córdoba, 14004

  • La Paz University Hospital

    Madrid, 28046

  • Biodonostia Health Research Institute

    San Sebastián, 20014

Other trials in Spain

Germany3 sites
  • University Hospital Cologne

    Cologne, 50931

  • University Hospital Frankfurt

    Frankfurt, 60590

  • Hannover Medical School Hospital

    Hanover, 30625

Other trials in Germany

Lithuania1 site
  • Vilnius University Hospital Santaros Klinikos

    Vilnius, 08661

Other trials in Lithuania

Norway1 site
  • Helse Bergen HF, Haukeland University Hospital

    Bergen, 5021

Other trials in Norway

About this study

Official title: A Multinational, Phase 2, Randomised, Adaptive Protocol to Evaluate Immunogenicity and Reactogenicity of Different COVID-19 Vaccines Administration in Older Adults (≥75) Already Vaccinated Against SARS-COV-2 (EU-COVAT-1_AGED)

This is a randomised controlled, adaptive, multicentre Phase II protocol evaluating different booster strategies in individuals aged 75 years and older already vaccinated against SARS-CoV-2.

Part A of this trial foresees testing of different vaccines as a 3rd vaccination dose (first booster) for comparative assessment of their immunogenicity and safety against SARS-CoV-2 wild-type and variants in the elderly, a usually neglected population.

Part B of this trial foresees testing of different vaccines as a 4th vaccination dose (second booster) for comparative assessment of their immunogenicity and safety against SARSCoV-2 wild-type and variants in the identical population.

Read the detailed description

Part A of the present trial in which individuals received a 3rd vaccination (first booster) of either BNT162b2 or mRNA-1273 was closed to further recruitment as of January 13, 2022. This was due to a change in vaccination policies, recommending a 3rd vaccination with either BNT162b2 or mRNA-1273. Therefore, Part A was supplanted by Part B that investigated a 4th COVID-19 vaccination and started on 21 Jan 2022.

The initial study protocol started the trial with Part A in which participants were randomized to a 3rd vaccination (first booster) with either BNT162b2 or mRNA-1273:

Subjects who - prior to study entry - received a vaccination series of either BNT162b2 \& BNT162b2 or mRNA-1273 \& mRNA-1273 or ChAdOx-1-S \& ChAdOx-1-S.

For the reasons mentioned above, the study protocol was amended to continue the trial with Part B in which participants were randomized to a 4th vaccination (second booster) with either BNT162b2 or mRNA-1273:

Subjects who - prior to study entry - received a vaccination series of either BNT162b2 \& BNT162b2 \& BNT162b2 or BNT162b2 \& BNT162b2 \& mRNA-1273 or mRNA-1273 \& mRNA-1273 \& mRNA-1273 or mRNA-1273 \& mRNA-1273 \& BNT162b2 or ChAdOx-1-S \& ChAdOx-1-S \& BNT162b2 or ChAdOx-1-S \& ChAdOx-1-S \& mRNA-1273.

Being tested
Comirnaty (BTN162b2), Spikevax (mRNA-1273)
Keywords
SARS-CoV-2, COVID-19, Vaccination, Immunogenicity, BNT162b2, mRNA-1273, Booster, Elderly, head-to-head comparison
Medical subject headings
COVID-19

What participants receive

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

  • Comirnaty (BTN162b2)Biological

    Single booster shot (3rd dose in Part A and 4th dose in Part B)

  • Spikevax (mRNA-1273)Biological

    Single booster shot (3rd dose in Part A and 4th dose in Part B)

Study groups in NCT05160766
Study groupRoleWhat they receive
BNT162b2 (Part A)Active comparatorvaccination with BNT162b2 as 3rd vaccination
Receives: Biological: Comirnaty (BTN162b2)
mRNA-1273 (Part A)Active comparatorvaccination with mRNA-1273 as 3rd vaccination
Receives: Biological: Spikevax (mRNA-1273)
BNT162b2 (Part B)Active comparatorvaccination with BNT162b2 as 4th vaccination
Receives: Biological: Comirnaty (BTN162b2)
mRNA-1273 (Part B)Active comparatorvaccination with mRNA-1273 as 4th vaccination
Receives: Biological: Spikevax (mRNA-1273)

What is being measured

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

  1. Antibody Titre Increase 14 Days After Study Vaccination Dose.

    Rate of 2-fold antibody titre increase 14 days after 3rd (Part A) or 4th vaccination dose (Part B) measured by qualitative enzyme-linked immunosorbent assay (Anti-RBD-ELISA) against wildtype virus.

    Measured: From Day 0 until Day 14

Secondary outcomes (5)
  1. Change in Neutralizing Antibody Titre Against Wild-type 14 Days After Study Vaccination Dose

    Change in neutralizing antibody titre (Virus Neutralisation Assay) against wild-type 14 days after a 3rd (Part A) or 4th vaccination dose (Part B), to be determined in a subgroup only.

    Microneutralization assay results were proposed to be reported as "change in neutralizing antibody titre (Virus Neutralisation Assay)" in the trial protocol. However, as the pandemic progressed, the need arose to assess neutralization against different variants. In our stud(ies), we evaluated not only the Wuhan strain but also 25 distinct variants of concern (VoCs) and/or variants of interest (VoIs). For VoCs and VoIs, expressing results as "change in neutralization capacity expressed as a percentage (%)" is more effective as it illustrates the impact of mutations on neutralization, thereby allowing cross-variant comparisons. This adjustment did not alter the suggested endpoint, as both reporting methods reflect the ability of patients' antibodies neutralizing capacities.

    Measured: From Day 0 until Day 14

  2. Change in Neutralizing Antibody Titre Against Variants of Concern 14 Days After Study Vaccination Dose

    Change in neutralizing antibody titre (Virus Neutralisation Assay) against variants of concern 14 days after a 3rd (Part A) or 4th vaccination dose (Part B), to be determined in a subgroup only.

    Microneutralization assay results were proposed to be reported as "change in neutralizing antibody titre (Virus Neutralisation Assay)" in the trial protocol. However, as the pandemic progressed, the need arose to assess neutralization against different variants. In our stud(ies), we evaluated not only the Wuhan strain but also 25 distinct variants of concern (VoCs) and/or variants of interest (VoIs). For VoCs and VoIs, expressing results as "change in neutralization capacity expressed as a percentage (%)" is more effective as it illustrates the impact of mutations on neutralization, thereby allowing cross-variant comparisons. This adjustment did not alter the suggested endpoint, as both reporting methods reflect the ability of patients' antibodies neutralizing capacities.

    Measured: From Day 0 until Day 14

  3. Antibody Titre Level at 12 Months After a Study Vaccination Dose

    Antibody titre level at 12 months after a 3rd (Part A) or 4th vaccination dose (Part B) measured by a quantitative enzyme-linked immunosorbent assay (anti-RBD-ELISA assay).

    Measured: From Day 0 until Month 12

  4. Neutralizing Antibody Titre Against Wild-type at 12 Months After Study Vaccination Dose

    Neutralizing antibody titre (Virus Neutralisation Assay) against wild-type SARS-CoV-2 at 12 months after a 3rd (Part A) or 4th vaccination dose (Part B), to be determined in a subgroup only.

    Microneutralization assay results were proposed to be reported as "change in neutralizing antibody titre (Virus Neutralisation Assay)" in the trial protocol. However, as the pandemic progressed, the need arose to assess neutralization against different variants. In our stud(ies), we evaluated not only the Wuhan strain but also 25 distinct variants of concern (VoCs) and/or variants of interest (VoIs). For VoCs and VoIs, expressing results as "change in neutralization capacity expressed as a percentage (%)" is more effective as it illustrates the impact of mutations on neutralization, thereby allowing cross-variant comparisons. This adjustment did not alter the suggested endpoint, as both reporting methods reflect the ability of patients' antibodies neutralizing capacities.

    Measured: From Day 0 until Month 12

  5. Neutralizing Antibody Titre Against Variants of Concern at 12 Months After Study Vaccination Dose

    Neutralizing antibody titre (Virus Neutralisation Assay) against variants of concern at 12 months after a 3rd (Part A) or 4th vaccination dose (Part B), to be determined in a subgroup only.

    Microneutralization assay results were proposed to be reported as "change in neutralizing antibody titre (Virus Neutralisation Assay)" in the trial protocol. However, as the pandemic progressed, the need arose to assess neutralization against different variants. In our stud(ies), we evaluated not only the Wuhan strain but also 25 distinct variants of concern (VoCs) and/or variants of interest (VoIs). For VoCs and VoIs, expressing results as "change in neutralization capacity expressed as a percentage (%)" is more effective as it illustrates the impact of mutations on neutralization, thereby allowing cross-variant comparisons. This adjustment did not alter the suggested endpoint, as both reporting methods reflect the ability of patients' antibodies neutralizing capacities.

    Measured: From Day 0 until Month 12

Timeline

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

  1. First posted16 Dec 2021
  2. Study start8 Nov 2021
  3. Primary completion1 Oct 2022
  4. Study completion13 Sep 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 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a randomised controlled, adaptive, multicentre Phase II protocol evaluating different booster strategies in individuals aged 75 years and older already vaccinated against SARS-CoV-2. This trial foresees testing of different vaccines as a third (first booster, Part A) or fourth vaccine dose (second booster, Part B) for comparative assessment of their immunogenicity and safety against SARS-CoV-2 and SARS-CoV-2 variants in the elderly.
Masking
None (open label)
Enrolment
323 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05160766
Sponsor's protocol ID
EU-COVAT-1_AGED
Other IDs
2021-004526-29, uni-koeln-4602
Acronym
EU-COVAT-1
Status last verified
May 2025
First submitted
11 Nov 2021
Last updated
20 May 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Making de-identified/anonymized data accessible is currently under way. We expect to grant access through a central independent data repository no later than January 2025. Any pertinent information will be updated in due course.

Publications

  • Neuhann JM, Stemler J, Carcas A, Frias-Iniesta J, Bethe U, Heringer S, Tischmann L, Zarrouk M, Cuppers A, Konig F, Posch M, Cornely OA. A multinational, phase 2, randomised, adaptive protocol to evaluate immunogenicity and reactogenicity of different COVID-19 vaccines in adults >/=75 already vaccinated against SARS-CoV-2 (EU-COVAT-1-AGED): a trial conducted within the VACCELERATE network. Trials. 2022 Oct 8;23(1):865. doi: 10.1186/s13063-022-06791-y.

    PubMed 36209129

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Comirnaty (BTN162b2) and Spikevax (mRNA-1273) in people with Prevention of COVID-19, run by Oliver Cornely, MD at 9 sites in 4 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 18 inclusion and 20 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 20 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Spain, Germany, Lithuania, Norway. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 20 May 2025). 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?

Antibody Titre Increase 14 Days After Study Vaccination Dose. (time frame: From Day 0 until Day 14). 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 NCT05160766, which also lists 1 linked publication.

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 20 May 2025.

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