COVID-19Phase 2COVID-19NCT05519839
A Study to Evaluate the Safety and Immunogenicity of COVID-19 and Influenza Combination Vaccine
A Phase 2 study testing qNIV Vaccine with Matrix-M Adjuvant, Influenza Vaccine and CIC Vaccine with Matrix-M Adjuvant in people with COVID-19 and Influenza, run by Novavax at 35 sites in 2 countries.
Trial summary
This is a randomized, observer-blinded, Phase 2 study evaluating the safety and immunogenicity of a severe acute respiratory syndrome coronavirus 2 (SARSCoV2) recombinant spike (rS) (SARS-CoV-2 rS) nanoparticle and quadrivalent hemagglutinin (HA) nanoparticle influenza vaccine (qNIV) combination vaccine with Matrix-M™… Read more about this study
- Who is it for?
- Ages 50 to 80 yearsHealthy volunteers can take part
- What is being tested?
- qNIV Vaccine with Matrix-M Adjuvant, Influenza Vaccine and CIC Vaccine with Matrix-M Adjuvant
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,579 participants
- Where
- 35 sitesin 2 countries
- Study dates
- 30 Dec 2022to 24 Dec 2023
- Phase
- Phase 2
- 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 50 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- To be included in this study, each individual must satisfy all the following criteria:
- Medically stable adult male or females ≥ 50 to ≤ 80 years of age at screening.
- Participants may have 1 or more chronic medical diagnoses, but should be clinically stable as assessed by:
- Absence of changes in medical therapy in the past 2 months due to treatment failure or toxicity;
- Absence of medical events qualifying as SAEs within 3 months; and
- Absence of known, current, and life-limiting diagnoses which render survival to completion of the protocol unlikely in the opinion of the investigator.
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- The participant has a body mass index (BMI) of 17 to 40 kg/m2, inclusive, at screening.
- Willing and able to give informed consent prior to study enrollment.
- Able to attend study visits, comply with study requirements, and provide reliable and complete reports of AEs.
- Participants must have completed a primary vaccination series against SARS-CoV-2 with an authorized COVID 19 vaccine (and fulfill national recommendations for his/her age and morbidity category) with receipt of second/last dose of authorized vaccine (with or without boosters[s]) ≥ 8 weeks prior to enrollment (first study vaccination).
- Women of childbearing potential (defined as any female participant who is NOT surgically sterile [ie, 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 the end of the study OR agree to consistently use a medically acceptable method of contraception listed below from at least 28 days prior to enrollment and through the end of the study
- Condoms (male or female) with spermicide (if acceptable in country)
- Diaphragm with spermicide
- Cervical cap with spermicide
- Intrauterine device
- Oral or patch contraceptives
- Norplant®, Depo-Provera®, or other in-country regulatory approved contraceptive method that is designed to protect against pregnancy
- Abstinence, as a form of contraception, is acceptable if in line with the participant's lifestyle
- Participants must be healthy and 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 vaccination.
- Participants must agree to not participate in any other SARS-CoV-2 or influenza prevention or treatment studies for the duration of the study. Note: For participants who become hospitalized with COVID-19, participation in investigational treatment studies is permitted.
Who cannot join
- If an individual meets any of the following criteria, he or she is ineligible for this study:
- History of laboratory-confirmed (by Polymerase Chain Reaction (PCR) or rapid antigen test) COVID-19 or asymptomatic SARS-CoV-2 infection ≤ 8 weeks prior to enrollment.
- (NOTE: Symptomatic COVID-19 or asymptomatic SARS-CoV-2 infection > 8 weeks prior to enrollment is NOT exclusionary)
- Any ongoing, symptomatic acute illness requiring medical or surgical care or chronic illness that required changes in medication in the past 2 months indicating that chronic illness/disease is not stable (at the discretion of the investigator). This includes any current workup of undiagnosed illness that could lead to a new condition.
- Serious chronic diseases inclusive of:
- Uncontrolled hypertension (NOTE: well controlled hypertension ≤ grade 2 in NOT exclusionary);
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- Congestive heart failure with a history of an acute exacerbation of any severity in the prior 2 years (NOTE:
- mild well-controlled congestive heart failure is NOT exclusionary);
- Chronic obstructive pulmonary disease (COPD) with a history of an acute exacerbation of any severity in the prior 2 years (NOTE: mild well-controlled COPD is NOT exclusionary);
- In the past 3 months, evidence of unstable coronary artery disease as manifested by cardiac interventions (eg, cardiac stent placement, coronary artery bypass grafting [CABG]) surgery, new cardiac medications for control of symptoms, or unstable angina (NOTE: stable coronary heart disease is NOT exclusionary);
- Asthma with a history of exacerbation in the prior 2 years or worsening of asthma symptoms or requiring changes in asthma control medications in the past 2 months (NOTE: well-controlled asthma is NOT exclusionary).
- Type 1 or type 2 diabetes (adult onset) requiring insulin (NOTE: non-insulin dependent type 2 diabetes is NOT exclusionary);
- Chronic kidney disease/renal insufficiency;
- Chronic gastrointestinal and hepatic diseases; or
- Chronic neurological diseases (such as multiple sclerosis, dementia, Parkinson's disease, degenerative neurological conditions, neuropathy, or epilepsy), history of stroke within 12 months with residual symptoms, or previous neurological disorder within 12 months with residual symptoms (NOTE: history of migraine or chronic headaches or nerve root compression that have been stable on treatment for the last 4 weeks are NOT exclusionary).
- Participation in research involving an investigational product (drug/biologic/device) within 90 days before planned date of vaccination.
- Use of COVID-19 prophylactic or treatment monoclonal antibodies or antibody cocktails within 90 days prior to planned date of vaccination.
- History of a serious reaction to prior influenza vaccination or known allergy to constituents of influenza vaccines - including egg proteins - or polysorbate 80; or any known allergies to products contained in the investigational product.
- Any history of anaphylaxis to any prior vaccine.
- History of Guillain-Barré Syndrome within 6 weeks following a previous influenza vaccine.
- Receipt of any vaccine in the 4 weeks preceding the study vaccination and any influenza vaccine within 8 weeks preceding the study vaccination. Note: Routine vaccinations will not be allowed until after study Day 21 and COVID and influenza vaccination will not be allowed until after Day 84.
- Any known or suspected autoimmune or immunosuppressive illness, congenital or acquired, based on medical history and/or physical examination (NOTE: mild psoriasis is not exclusionary).
- Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune- modifying drugs within 6 months prior to the administration of the study vaccines. An immunosuppressant dose of glucocorticoid is defined as a systemic dose ≥ 10 mg of prednisone per day or equivalent. The use of topical, inhaled, and nasal glucocorticoids is permitted.
- Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study vaccine or during the study.
- Active cancer (malignancy) therapy within 3 years prior to study vaccination (with the exception of adequately treated non-melanomatous skin carcinoma or lentigo maligna and uterine cervical carcinoma in situ without evidence of disease, at the discretion of the investigator).
- Participants who are breastfeeding, pregnant, or who plan to become pregnant prior to the end of study (EoS).
- Known disturbance of coagulation.
- Suspected or known history of alcohol abuse or drug addiction within 2 years prior to study vaccination, which in the opinion of the investigator, might interfere with protocol compliance.
- Acute disease at the time of enrollment (defined as the presence of a moderate or severe illness with or without fever, or an oral temperature > 38.0°C, on the planned day of vaccine administration).
- History of myocarditis or pericarditis.
- Any 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 vaccine or interpretation of study results (including neurologic or psychiatric conditions deemed likely to impair the quality of safety reporting).
- Study team member or immediate family member of any study team member (inclusive of Sponsor, Contract Research Organization, and study site personnel involved in the conduct or planning of the study.
Trial locations and contacts
35 sites in 2 countries.
35 sites in 2 countries
Australia25 sites
CMAX
Adelaide, South Australia
Paratus Clinical Research - Brisbane Clinic
Albion, Queensland
Paratus Clinical Research - Western Sydney
Blacktown, New South Wales, 2148
Emeritus Research - Sydney
Botany, New South Wales
Mater Adult Hospital
Brisbane, Queensland
Genesis Central Coast
Broadmeadow, New South Wales
Northern Beaches Clinical Research
Brookvale, New South Wales
Paratus Clinical Research - Canberra
Bruce, Australian Capital Territory
Emeritus Research
Camberwell, Victoria
Northside Health
Coffs Harbour, New South Whales, 2450
East Sydney Doctors
Darlinghurst, New South Wales
Holdsworth House Medical Brisbane
Darlinghurst, New South Wales
Oztrials Clinical Research
Drummoyne, New South Wales
Nucleus Network Pty Ltd
Herston, Queensland
Paratus Clinical Research - Central Coast
Kanwal, New South Wales
Novatrials
Kotara, New South Whales, 2289
Australian Clinical Research Network
Maroubra, New South Wales
Nucleus Network Limited
Melbourne, Victoria
Hunter Diabetes Centre
Merewether, New South Wales
Core Research Group
Milton, Queensland
Sutherland Clinical Trials
Miranda, New South Wales
Austrials Pty Ltd - Taringa
Taringa, Queensland
AusTrials (Wellers Hill)
Tarragindi, Queensland
Menzies Darwin
Tiwi, Norther Territory
Illawarra Health and Medical Research Institute
Wollongong, New South Wales
New Zealand10 sites
Middlemore Clinical Trials
Auckland
Optimal Clinical Trials Ltd
Auckland
New Zealand Clinical Research - Christchurch
Christchurch
P3 Research - Dunedin
Dunedin
P3 Reseach - Hawkes Bay
Havelock North, Hawkes Bay
P3 Research - Lower Hutt
Palmerston, Wellington Region
P3 Research - Palmerston North
Palmerston North, Manawatu-Wanganui, 4414
P3 Research Kapiti
Paraparaumu, Wellington Region
P3 Research - Tauranga
Tauranga
P3 Research - Wellington
Wellington
About this study
Official title: A Phase 2, Randomized, Observer-Blinded Study to Evaluate the Safety and Immunogenicity of a SARS-CoV-2 rS Nanoparticle and Quadrivalent Hemagglutinin Nanoparticle Influenza Combination Vaccine With Matrix-M™ Adjuvant in Healthy Participants ≥ 50 to ≤ 80 Years of Age
This is a randomized, observer-blinded, Phase 2 study evaluating the safety and immunogenicity of a severe acute respiratory syndrome coronavirus 2 (SARSCoV2) recombinant spike (rS) (SARS-CoV-2 rS) nanoparticle and quadrivalent hemagglutinin (HA) nanoparticle influenza vaccine (qNIV) combination vaccine with Matrix-M™ adjuvant; this combination vaccine.
Read the detailed description
The study will enroll approximately 2300 (1520 in Part 1 and 800 in Part 2) healthy (based on history and physical examination) adult male and female participants 50 to 80 years of age, inclusive, targeting participants, who must have completed a primary vaccination series against SARS-CoV-2 with an authorized COVID-19 vaccine (and fulfill national recommendations for his/her age and morbidity category) with receipt of second/last dose of authorized vaccine (with or without boosters[s]) ≥ 3 months prior to enrollment. Randomization will be stratified by age ≥ 50 to < 65 or ≥ 65 to ≤ 80 years to distribute the proportions of each age stratum evenly across vaccine groups.
- Being tested
- qNIV Vaccine with Matrix-M Adjuvant, Influenza Vaccine, CIC Vaccine with Matrix-M Adjuvant, Placebo Comparator, SARS-CoV-2 rS Vaccine with Matrix-M Adjuvant
- Keywords
- Coronavirus, Influenza
- Medical subject headings
- COVID-19, Influenza, Human, Coronavirus Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
qNIV Vaccine with Matrix-M AdjuvantDrug
Intramuscular (deltoid) injections of in-clinic mix of various doses of qNIV vaccine given on Day 0 and Day 70 .
Influenza VaccineDrug
Intramuscular (deltoid) injections of Comparator influenza vaccine given on Day 0 and Day 70 (if applicable).
CIC Vaccine with Matrix-M AdjuvantDrug
Intramuscular (deltoid) injections of co-formulated mix of various doses and formulations of CIC Vaccine given on Day 0 and Day 70
Placebo ComparatorOther
Intramuscular (deltoid) injection of placebo given on Day 70.
SARS-CoV-2 rS Vaccine with Matrix-M AdjuvantDrug
Intramuscular (deltoid) injections of in-clinic mix of various doses of SARS-CoV-2 rS vaccine given on Day 0 and Day 70 .
| Study group | Role | What they receive |
|---|---|---|
| Group A (Part 1) | Experimental | CIC Vaccine Formulation1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group B (Part 1) | Experimental | CIC Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group C (Part 1) | Experimental | CIC Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group D (Part 1) | Experimental | CIC Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group E (Part 1) | Experimental | CIC Vaccine Formulation 1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group F (Part 1) | Experimental | CIC Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group G (Part 1) | Experimental | CIC Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group H (Part 1) | Experimental | CIC Vaccine Formulation 4. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group I (Part 1) | Experimental | CIC Vaccine Formulation 5. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group J (Part 1) | Experimental | CIC Vaccine Formulation 6. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group K (Part 1) | Experimental | CIC Vaccine Formulation 7. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group L (Part 1) | Experimental | qNIV Vaccine Formulation 1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: qNIV Vaccine with Matrix-M Adjuvant |
| Group M (Part 1) | Experimental | qNIV Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: qNIV Vaccine with Matrix-M Adjuvant |
| Group N (Part 1) | Experimental | qNIV Vaccine Formulation 3 . 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: qNIV Vaccine with Matrix-M Adjuvant |
| Group O (Part 1) | Experimental | SARS-CoV-2 rS Vaccine Formulation 1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: SARS-CoV-2 rS Vaccine with Matrix-M Adjuvant |
| Group P (Part 1) | Experimental | SARS-CoV-2 rS Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: SARS-CoV-2 rS Vaccine with Matrix-M Adjuvant |
| Group Q (Part 1) | Experimental | SARS-CoV-2 rS Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: SARS-CoV-2 rS Vaccine with Matrix-M Adjuvant |
| Group R (Part 1) | Experimental | SARS-CoV-2 rS Vaccine Formulation 4. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 Receives: Drug: SARS-CoV-2 rS Vaccine with Matrix-M Adjuvant |
| Group S (Part 1) | Experimental | Influenza Vaccine Formulation 1.
1 intramuscular (IM) doses of vaccine, on Day 0. Receives: Drug: Influenza Vaccine |
| Group T (Part 2) | Experimental | CIC Vaccine Formulation 8. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 (if applicable). Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group U (Part 2) | Experimental | CIC Vaccine Formulation 9. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 (if applicable). Receives: Drug: CIC Vaccine with Matrix-M Adjuvant |
| Group S (Part 1)-Placebo | Placebo comparator | 1 intramuscular (IM) doses of placebo, on Day 70. Receives: Other: Placebo Comparator |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1 and Part 2 : Number of participants with solicited local and systemic Adverse Events (AEs)
Numbers of participants with solicited local and systemic AEs over the 7 days post-vaccination.
Measured: Day 0 to Day 7
Part 1 and Part 2 : Percentage of participants with all AEs
Proportions of participants reporting all AEs, solicited and unsolicited, over 21 days post-vaccination.
Measured: Day 0 to Day 21
Part 1 and Part 2 : Percentage of participants with Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs) and Serious Adverse Events (SAEs)
Proportions of participants with MAAEs, AESIs (including PIMMCs and myocarditis and/or pericarditis), SAEs, will be collected for 6 months (approximately 182 days) post-vaccination
Measured: Day 0 to Day 182
Secondary outcomes (17)
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Geometric Mean Titer (GMT)
HAI antibody titers specific for the HA receptor binding domains of vaccine-homologous A and B strain(s), and antigenically drifted influenza strains. Derived/calculated endpoints based on GMT, defined as the antilog of the mean of the log-transformed HAI titers on Days 0, 7, 21, 84, and other follow-up time points
Measured: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Geometric Mean Fold Rise (GMFR)
HAI antibody titers specific for the HA receptor binding domains of vaccine-homologous A and B strain(s), and antigenically drifted influenza strains. Derived/calculated endpoints based on Geometric mean fold rise (GMFRPost/Pre) - defined as the within group ratio of post-vaccination to pre-vaccination (Day 0) HAI GMTs within the same vaccine group on Days 7, 21, 84, and other follow-up time points.
Measured: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Seroconversion Rate (SCR)
HAI antibody titers specific for the HA receptor binding domains of vaccine-homologous A and B strain(s), and antigenically drifted influenza strains. Derived/calculated endpoints based on Seroconversion rate (SCR) - defined as proportion of participants in a given Vaccine Group with either a baseline reciprocal (Day 0) titer of < 10 and a post-vaccination reciprocal titer ≥ 40, or a baseline reciprocal (Day 0) titer of ≥ 10 and a post-vaccination titer ≥ 4-fold higher than the baseline titer as measured on Days 7, 21, 84, and other follow-up time points
Measured: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Seroprotection Rate (SPR)
HAI antibody titers specific for the HA receptor binding domains of vaccine-homologous A and B strain(s), and antigenically drifted influenza strains. Derived/calculated endpoints based on Seroprotection rate (SPR) - defined as the proportion of participants with a reciprocal HAI titer ≥ 40 on Days 7, 21, 84, and other follow-up time points.
Measured: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Geometric Mean Titer Ratio (GMTR)
HAI antibody titers specific for the HA receptor binding domains of vaccine-homologous A and B strain(s), and antigenically drifted influenza strains. Derived/calculated endpoints based on GMTR between select treatment arms at Days 7, 21, 84, and other follow-up time points post-vaccination (adjusted for intergroup variation in baseline [pre-vaccination] titers).
Measured: Day 0 to Day 84
Part 1 and Part 2: Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as GMTs
Microneutralization (MN50) antibody responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B strain(s) and/or antigenically drifted influenza strains, as measured by a MN assay expressed as GMTs.
Measured: Day 0 to Day 84
Part 1 and Part 2 : Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as GMFR
Microneutralization (MN50) antibody responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B strain(s) and/or antigenically drifted influenza strains, as measured by a MN assay expressed as GMFR
Measured: Day 0 to Day 84
Part 1 and Part 2: Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as SCR
Microneutralization (MN50) antibody responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B strain(s) and/or antigenically drifted influenza strains, as measured by a MN assay expressed as SCR.
Measured: Day 0 to Day 84
Part 1 and Part 2: Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as GMTR
Microneutralization (MN50) antibody responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B strain(s) and/or antigenically drifted influenza strains, as measured by a MN assay expressed as GMTR.
Measured: Day 0 to Day 84
Part 1 and Part 2: Serum Immunoglobulin G (IgG) to the SARS-CoV-2 spike protein expressed as GMEU
IgG geometric mean enzyme-linked immunosorbent assay (ELISA) unit (GMEU) concentrations (EU/mL) to the SARS-CoV-2 S protein from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points, expressed as GMEU.
Measured: Day 0 to Day 84
Part 1 and Part 2: Serum IgG to the SARS-CoV-2 spike protein expressed as GMFR
IgG geometric mean enzyme-linked immunosorbent assay (ELISA) unit (GMEU) concentrations (EU/mL) to the SARS-CoV-2 S protein from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points, expressed as GMFR.
Measured: Day 0 to Day 84
Part 1 and Part 2: Serum IgG to the SARS-CoV-2 spike protein expressed as SCR
IgG geometric mean enzyme-linked immunosorbent assay (ELISA) unit (GMEU) concentrations (EU/mL) to the SARS-CoV-2 S protein from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points expressed as SCR.
Measured: Day 0 to Day 84
Part 1 and Part 2: Serum IgG to the SARS-CoV-2 spike protein expressed as Geometric Mean ELISA Unit Ratio (GMEUR)
IgG geometric mean enzyme-linked immunosorbent assay (ELISA) unit (GMEU) concentrations (EU/mL) to the SARS-CoV-2 S protein from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points, expressed as GMEUR.
Measured: Day 0 to Day 84
Part 1 and Part 2: Microneutralization assay (MN) 50 GMTs to the SARS-CoV-2 expressed as GMTs
MN50 GMTs to the SARS-CoV-2 from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points, expressed as GMTs.
Measured: Day 0 to Day 84
Part 1 and Part 2: MN50 GMTs to the SARS-CoV-2 expressed as GMFR
MN50 GMTs to the SARS-CoV-2 from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points expressed as GMFR.
Measured: Day 0 to Day 84
Part 1 and Part 2: MN50 GMTs to the SARS-CoV-2 expressed as SCR
MN50 GMTs to the SARS-CoV-2 from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points expressed as SCR.
Measured: Day 0 to Day 84
Part 1 and Part 2: MN50 GMTs to the SARS-CoV-2 expressed as GMTR
MN50 GMTs to the SARS-CoV-2 from the matched vaccine construct (and mismatched variant if available), at Days 0, 7, 21, 84, and other follow-up time points expressed as GMTR
Measured: Day 0 to Day 84
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Aug 2022
- Study start30 Dec 2022
- Primary completion25 Jul 2023
- Study completion24 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for COVID-19Studies 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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 1,579 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novavax
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Development, Study director, Novavax, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05519839
- Sponsor's protocol ID
- 2019nCoV-CIC-E-201
- Acronym
- COVID-19
- Status last verified
- Jul 2024
- First submitted
- 26 Aug 2022
- Last updated
- 16 Jul 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Observer-Blinded Study to Evaluate the Safety and Immunogenicity of a SARS-CoV-2 rS Nanoparticle and Quadrivalent Hemagglutinin Nanoparticle Influenza Combination Vaccine With Matrix-M™ Adjuvant in Healthy Participants ≥ 50 to ≤ 80 Years of Age
- ClinicalTrials.gov ID
- NCT05519839
- Acronym / sponsor ID
- COVID-19 / 2019nCoV-CIC-E-201
- Keywords
- Coronavirus, Influenza
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,579 participants (actual)
- Lead sponsor
- NovavaxIndustry (pharma, biotech, devices)
- Study start
- 30 Dec 2022 (actual)
- Primary completion
- 25 Jul 2023 (actual)
- Study completion
- 24 Dec 2023 (actual)
- First posted
- 29 Aug 2022 (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 randomized, observer-blinded, Phase 2 study evaluating the safety and immunogenicity of a severe acute respiratory syndrome coronavirus 2 (SARSCoV2) recombinant spike (rS) (SARS-CoV-2 rS) nanoparticle and quadrivalent hemagglutinin (HA) nanoparticle influenza vaccine (qNIV) combination vaccine with Matrix-M™ adjuvant; this combination vaccine.
Detailed description
The study will enroll approximately 2300 (1520 in Part 1 and 800 in Part 2) healthy (based on history and physical examination) adult male and female participants 50 to 80 years of age, inclusive, targeting participants, who must have completed a primary vaccination series against SARS-CoV-2 with an authorized COVID-19 vaccine (and fulfill national recommendations for his/her age and morbidity category) with receipt of second/last dose of authorized vaccine (with or without boosters[s]) ≥ 3 months prior to enrollment. Randomization will be stratified by age ≥ 50 to < 65 or ≥ 65 to ≤ 80 years to distribute the proportions of each age stratum evenly across vaccine groups.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 22
| Arm | Type | Receives |
|---|---|---|
| Group A (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group B (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group C (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group D (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group E (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group F (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group G (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group H (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 4. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group I (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 5. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group J (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 6. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group K (Part 1) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 7. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group L (Part 1) | Experimental | Drug: qNIV Vaccine with Matrix-M AdjuvantqNIV Vaccine Formulation 1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group M (Part 1) | Experimental | Drug: qNIV Vaccine with Matrix-M AdjuvantqNIV Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group N (Part 1) | Experimental | Drug: qNIV Vaccine with Matrix-M AdjuvantqNIV Vaccine Formulation 3 . 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group O (Part 1) | Experimental | Drug: SARS-CoV-2 rS Vaccine with Matrix-M AdjuvantSARS-CoV-2 rS Vaccine Formulation 1. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group P (Part 1) | Experimental | Drug: SARS-CoV-2 rS Vaccine with Matrix-M AdjuvantSARS-CoV-2 rS Vaccine Formulation 2. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group Q (Part 1) | Experimental | Drug: SARS-CoV-2 rS Vaccine with Matrix-M AdjuvantSARS-CoV-2 rS Vaccine Formulation 3. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group R (Part 1) | Experimental | Drug: SARS-CoV-2 rS Vaccine with Matrix-M AdjuvantSARS-CoV-2 rS Vaccine Formulation 4. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 |
| Group S (Part 1) | Experimental | Drug: Influenza VaccineInfluenza Vaccine Formulation 1. 1 intramuscular (IM) doses of vaccine, on Day 0. |
| Group T (Part 2) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 8. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 (if applicable). |
| Group U (Part 2) | Experimental | Drug: CIC Vaccine with Matrix-M AdjuvantCIC Vaccine Formulation 9. 2 intramuscular (IM) doses of vaccine, the first on Day 0 and the second on Day 70 (if applicable). |
| Group S (Part 1)-Placebo | Placebo comparator | Other: Placebo Comparator1 intramuscular (IM) doses of placebo, on Day 70. |
Who may qualify
- Ages
- 50 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Medically stable adult male or females ≥ 50 to ≤ 80 years of age at screening.
- Participants may have 1 or more chronic medical diagnoses, but should be clinically stable as assessed by:
- The participant has a body mass index (BMI) of 17 to 40 kg/m2, inclusive, at screening.
- Willing and able to give informed consent prior to study enrollment.
- Able to attend study visits, comply with study requirements, and provide reliable and complete reports of AEs.
Key exclusion criteria (32 listed)
- If an individual meets any of the following criteria, he or she is ineligible for this study:
- History of laboratory-confirmed (by Polymerase Chain Reaction (PCR) or rapid antigen test) COVID-19 or asymptomatic SARS-CoV-2 infection ≤ 8 weeks prior to enrollment.
- (NOTE: Symptomatic COVID-19 or asymptomatic SARS-CoV-2 infection > 8 weeks prior to enrollment is NOT exclusionary)
- Any ongoing, symptomatic acute illness requiring medical or surgical care or chronic illness that required changes in medication in the past 2 months indicating that chronic illness/disease is not stable (at the discretion of the investigator). This includes any current workup of undiagnosed illness that could lead to a new condition.
- Serious chronic diseases inclusive of:
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 |
|---|---|---|
| qNIV Vaccine with Matrix-M AdjuvantIntramuscular (deltoid) injections of in-clinic mix of various doses of qNIV vaccine given on Day 0 and Day 70 . | Drug | Group L (Part 1), Group M (Part 1), Group N (Part 1) |
| Influenza VaccineIntramuscular (deltoid) injections of Comparator influenza vaccine given on Day 0 and Day 70 (if applicable). | Drug | Group S (Part 1) |
| CIC Vaccine with Matrix-M AdjuvantIntramuscular (deltoid) injections of co-formulated mix of various doses and formulations of CIC Vaccine given on Day 0 and Day 70 | Drug | Group A (Part 1), Group B (Part 1), Group C (Part 1), Group D (Part 1), Group E (Part 1), Group F (Part 1), Group G (Part 1), Group H (Part 1), Group I (Part 1), Group J (Part 1), Group K (Part 1), Group T (Part 2), Group U (Part 2) |
| Placebo ComparatorIntramuscular (deltoid) injection of placebo given on Day 70. | Other | Group S (Part 1)-Placebo |
| SARS-CoV-2 rS Vaccine with Matrix-M AdjuvantIntramuscular (deltoid) injections of in-clinic mix of various doses of SARS-CoV-2 rS vaccine given on Day 0 and Day 70 . | Drug | Group O (Part 1), Group P (Part 1), Group Q (Part 1), Group R (Part 1) |
Primary outcome
Part 1 and Part 2 : Number of participants with solicited local and systemic Adverse Events (AEs)
Time frame: Day 0 to Day 7
Numbers of participants with solicited local and systemic AEs over the 7 days post-vaccination.
Part 1 and Part 2 : Percentage of participants with all AEs
Time frame: Day 0 to Day 21
Proportions of participants reporting all AEs, solicited and unsolicited, over 21 days post-vaccination.
Part 1 and Part 2 : Percentage of participants with Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs) and Serious Adverse Events (SAEs)
Time frame: Day 0 to Day 182
Proportions of participants with MAAEs, AESIs (including PIMMCs and myocarditis and/or pericarditis), SAEs, will be collected for 6 months (approximately 182 days) post-vaccination
17 secondary outcomes
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Geometric Mean Titer (GMT)
Time frame: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Geometric Mean Fold Rise (GMFR)
Time frame: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Seroconversion Rate (SCR)
Time frame: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Seroprotection Rate (SPR)
Time frame: Day 0 to Day 84
Part 1 and Part 2 : Hemagglutination Inhibition (HAI) Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and Antigenically Drifted Influenza Strains Expressed as Geometric Mean Titer Ratio (GMTR)
Time frame: Day 0 to Day 84
Part 1 and Part 2: Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as GMTs
Time frame: Day 0 to Day 84
Part 1 and Part 2 : Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as GMFR
Time frame: Day 0 to Day 84
Part 1 and Part 2: Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as SCR
Time frame: Day 0 to Day 84
Part 1 and Part 2: Neutralizing Antibody Titers Specific for Vaccine Homologous A and B Influenza Strain(s) and/or Antigenically Drifted Influenza Strains Expressed as GMTR
Time frame: Day 0 to Day 84
Part 1 and Part 2: Serum Immunoglobulin G (IgG) to the SARS-CoV-2 spike protein expressed as GMEU
Time frame: Day 0 to Day 84
Part 1 and Part 2: Serum IgG to the SARS-CoV-2 spike protein expressed as GMFR
Time frame: Day 0 to Day 84
Part 1 and Part 2: Serum IgG to the SARS-CoV-2 spike protein expressed as SCR
Time frame: Day 0 to Day 84
Part 1 and Part 2: Serum IgG to the SARS-CoV-2 spike protein expressed as Geometric Mean ELISA Unit Ratio (GMEUR)
Time frame: Day 0 to Day 84
Part 1 and Part 2: Microneutralization assay (MN) 50 GMTs to the SARS-CoV-2 expressed as GMTs
Time frame: Day 0 to Day 84
Part 1 and Part 2: MN50 GMTs to the SARS-CoV-2 expressed as GMFR
Time frame: Day 0 to Day 84
Part 1 and Part 2: MN50 GMTs to the SARS-CoV-2 expressed as SCR
Time frame: Day 0 to Day 84
Part 1 and Part 2: MN50 GMTs to the SARS-CoV-2 expressed as GMTR
Time frame: Day 0 to Day 84
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 16 Jul 2024.
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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.
35 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing qNIV Vaccine with Matrix-M Adjuvant, Influenza Vaccine and CIC Vaccine with Matrix-M Adjuvant in people with COVID-19 and Influenza, run by Novavax at 35 sites in 2 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 20 inclusion and 32 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 16 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 35 sites in Australia, New Zealand. 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 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?
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?
Part 1 and Part 2 : Number of participants with solicited local and systemic Adverse Events (AEs) (time frame: Day 0 to Day 7). The study lists 3 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 16 Jul 2024.