COVID-19Phase 3NCT06291857
A Study to Evaluate the Safety and Immunogenicity of COVID-19 Vaccine and Influenza Combination Vaccine
A Phase 3 study testing CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M Adjuvant, Novavax COVID-19 Vaccine and tNIV Vaccine in people with COVID-19, run by Novavax at 58 sites in 2 countries.
Trial summary
This is a medical study where participants will be randomly assigned to receive either a new combination vaccine that protects against both COVID-19 and the flu, or a standard flu vaccine. The researchers conducting the study won't know which vaccine each participant receives, ensuring their observations are unbiased. Read more about this study
- Who is it for?
- Ages 65 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- COVID-19
- What is being tested?
- CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M Adjuvant, Novavax COVID-19 Vaccine and tNIV Vaccine
- Type of treatment
- Vaccines, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 9,320 participants
- Where
- 58 sitesin 2 countries
- Study dates
- 9 Dec 2024to 9 Feb 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 to 75 years
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- To be included in this study, each individual must satisfy all the following criteria:
- Willing and able to give informed consent prior to study enrollment.
- Medically stable adult male or female ≥ 65 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
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- Absence of known, current, and life-limiting diagnoses which render survival to completion of the protocol unlikely in the opinion of the Investigator.
- The participant has a body mass index (BMI) of 17 to 40 kg/m2, inclusive, at Screening.
- Participant must be able to receive an injection in the deltoid of at least 1 arm.
- 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/booster against SARS CoV-2 with an authorized/approved COVID-19 vaccine, with receipt of last dose of authorized/approved vaccine (with or without boosters[s]) ≥ 8 weeks prior to vaccination.
- Female participants must be surgically sterile (ie, have undergone a hysterectomy, bilateral tubal ligation, or bilateral oophorectomy) or postmenopausal (defined as amenorrhea at least 12 consecutive months)
- 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 or influenza, 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], rapid antigen test, or rapid molecular assay) COVID-19, asymptomatic SARS-CoV-2 infection, or influenza within ≤ 8 weeks prior to Screening.
- Any ongoing, symptomatic acute illness requiring medical or surgical care or chronic illness that required substantive changes in medication in the past 2 months prior to Screening 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: hypertension ≤ 170/100 is NOT exclusionary);
- Congestive heart failure requiring hospitalization within 3 months prior to Screening
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- Chronic obstructive pulmonary disease (COPD) requiring hospitalization within 3 months prior to Screening (NOTE: stable COPD is NOT exclusionary);
- Within 3 months prior to Screening, evidence of unstable coronary artery disease as manifested by cardiac interventions (eg, cardiac stent placement, coronary artery bypass graft surgery), new cardiac medications for control of symptoms, or unstable angina (NOTE: stable coronary heart disease is NOT exclusionary);
- Hospitalization for diabetic ketoacidosis within 6 months prior to Screening
- Chronic kidney disease/renal requiring institution of substantive new therapy within 3 months prior to Screening
- Chronic clinically significant gastrointestinal and hepatic diseases requiring hospitalization or institution of substantive new therapy within 3 months prior to Screening. (for example, gastroesophageal reflux disease is NOT exclusionary)
- Chronic neurological diseases or neurological compromise preventing access to the study clinic, compliance with protocol, or accurate reporting of safety.
- 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 a 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 following a previous influenza vaccine.
- Receipt of any vaccine in the 4 weeks preceding the study vaccination and any influenza vaccine within 2 months preceding the study vaccination. Note: Routine vaccinations will not be allowed until after study Day 21 and COVID-19 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: well-controlled hypothyroidism and mild psoriasis are 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 1 year 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 EoS.
- 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).
- Known history of any prior motor neuropathy.
Trial locations and contacts
58 sites in 2 countries.
58 sites in 2 countries
Australia39 sites
Cmax - Ppds
Adelaide, South Australia, 5000
Veritus Research - Emeritus - PPDS
Bayswater, Victoria, 3153
University of the Sunshine Coast, Vitality Village - UniSC Clinical Trials - PPDS
Birtinya, Queensland, 4575
Paratus Clinical Research - Western Sydney - PPDS
Blacktown, New South Wales, 2148
Key Health- Bondi Junction
Bondi Junction, New South Wales, 2022
Emeritus Research - Sydney - PPDS
Botany, New South Wales, 2019
Momentum Taringa
Brisbane, Queensland, 4068
Genesis Research Services
Broadmeadow, New South Wales, 2292
Northern Beaches Clinical Research - PPDS
Brookvale, New South Wales, 2100
Paratus Clinical Research - Canberra - PPDS
Bruce, Australian Capital Territory, 2617
Emeritus Research -PPDS
Camberwell, Victoria, 3124
Menzies School of Health Research
Casuarina, Northern Territory, 0810
Northside Health
Coffs Harbour, New South Wales, 2450
East Sydney Doctors
Darlinghurst, New South Wales, 2010
Momentum Darlinghurst
Darlinghurst, New South Wales, 2010
Oztrials Clinical Research
Drummoyne, New South Wales, 2047
Ryrie St, Geelong, VIC 3220, Australia
Geelong, Victoria, 3220
Griffith University Clinical Trials Unit
Griffith, Queensland, 4222
Nucleus Network Pty Ltd
Herston, Queensland, 4006
Paratus Clinical Research - Brisbane Clinic - PPDS
Herston, Queensland, 4006
Paratus Clinical Research - Central Coast - PPDS
Kanwal, New South Wales, 2259
Novatrials
Kotara, New South Wales, 2289
Australian Clinical Research Network
Maroubra, New South Wales, 2035
Doherty Clinical Trials Limited
Melbourne, Victoria, 3000
Nucleus Network Limited
Melbourne, Victoria, 3004
Momentum Sunshine
Melbourne, Victoria, 3021
University of Melbourne - Melbourne
Melbourne N., Victoria, 3051
Hunter Diabetes Centre
Merewether, New South Wales, 2291
Institute for Respiratory Health - Midland
Midland, Western Australia, 6056
Sutherland Shire Clinical Research - PPDS
Miranda, New South Wales, 2228
Telethon Kids Institute
Nedlands, Western Australia, 6009
Pioneer Clinical Research - North Sydney
North Sydney, New South Wales, 2060
CliniTrials
Perth, Western Australia, 6000
Mater Hospital Brisbane
South Brisbane, Queensland, 4101
Taylor Square Private Clinic
Surry Hills, New South Wales, 2010
Momentum St Leonards
Sydney, New South Wales, 2065
Innovate Clinical Research Pty Ltd
Sydney, New South Wales, 2077
Momentum Wellers
Wellers Hill, Brisbane, 4121
Wollongong Clinical Research - PPDS
Wollongong, New South Wales, 2500
New Zealand19 sites
Southern Clinical Trials - Totara - PCRN - PPDS
Auckland, 0600
Pacific Clinical Research Network - Auckland - PCRN - PPDS
Auckland, 0622
Optimal Clinical Trials Ltd - North Shore - PPDS
Auckland, 0632
Optimal Clinical Trials Ltd - PPDS
Auckland, 1010
Momentum Pukekohe - PPDS
Auckland, 2120
New Zealand Clinical Research - Christchurch - PPDS
Christchurch, 8011
Pacific Clinical Research Network - Christchurch - PCRN - PPDS
Christchurch, 8013
Momentum Dunedin - PPDS
Dunedin, Otago, 9016
Lakeland Clinical Trials - Waikato - PCRN-PPDS
Hamilton, 3243
Momentum Hawke's Bay - PPDS
Hastings, Hawke's Bay Region, 4122
Momentum Lower Hutt - PPDS
Lower Hutt
Southern Clinical Trials - Tasman - PCRN - PPDS
Nelson, 7011
Momentum Palmerston North - PPDS
Palmerston North, 4414
Pacific Clinic Research Network - Rotorua - PCRN - PPDS
Rotorua, 3010
Momentum Tauranga - PPDS
Tauranga, Bay of Plenty, 3110
Momentum Kapiti - PPDS
Waikanae, 5036
Lakeland Clinical Trials - Wellington - PCRN - PPDS
Wellington, 5018
Momentum Wellington - PPDS
Wellington, 6021
Aotearoa Clinical Trials Trust
Wellington
About this study
Official title: A Randomized, Observer-Blinded, Active-Controlled Study to Evaluate the Safety and Immunogenicity of a COVID-19 Influenza Combination Nanoparticle Vaccine and a Standalone Trivalent Nanoparticle Influenza Hemagglutinin Vaccine in Participants ≥ 65 Years of Age.
This is a medical study where participants will be randomly assigned to receive either a new combination vaccine that protects against both COVID-19 and the flu, or a standard flu vaccine. The researchers conducting the study won't know which vaccine each participant receives, ensuring their observations are unbiased. This study compares the new combination vaccine to an already available flu vaccine to see how well it works. It's a large-scale, final-stage study designed to thoroughly check how well the vaccines trigger an immune response (immunogenicity) and how safe they are.
Read the detailed description
The study enrolled a total of 9,320 medically stable (based on history and physical examination) adult male and female participants ≥ 65 years of age across Part 1 and Part 2.
In Part 1, participants were randomly assigned to receive either CIC, Novavax COVID-19 Vaccine, tNIV, or Fluzone High-Dose in a 3:2:1:3 ratio, respectively. Following the completion of enrollment in Part 1, the remaining participants were enrolled into Part 2 and were randomly assigned to receive either CIC, tNIV, or Fluzone High-Dose in a 5:4:1 ratio, respectively.
All participants received a single intramuscular (IM) injection on Day 0.
Part 1: All participants remained on study for immunogenicity data collection through Day 182 and safety data collection through Day 364 (End of Study [EoS]).
Part 2: Only safety was assessed, and all participants remained on study for safety data collection through Day 364 (EoS).
- Conditions
- COVID-19
- Being tested
- CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M Adjuvant, Novavax COVID-19 Vaccine, tNIV Vaccine, Fluzone High Dose
- Keywords
- CIC (Coronavirus Disease 2019 Influenza Combination), Influenza, Fluzone High-Dose
- Medical subject headings
- COVID-19, Influenza, Human
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M AdjuvantBiological
Also called COVID-19 and influenza combination
CIC will contain SARs-CoV-2 antigen (35 μg), tNIV antigens (2 influenza A [H1N1 and H3N2] and 1 influenza B-Victoria lineage strains; 60 μg/strain
Novavax COVID-19 VaccineBiological
Also called Novavax SARS-CoV-2 rS vaccine
Each 0.5 mL dose comprises 5 µg SARS-CoV-2 S protein and 50 µg Matrix-M adjuvant
tNIV VaccineBiological
Also called Trivalent Nanoparticle Influenza Hemagglutinin Vaccine
2 influenza A [H1N1 and H3N2] and 1 influenza B-Victoria lineage strains (60 μg/strain), and Matrix-M adjuvant (75 μg)
Fluzone High DoseBiological
Also called Fluzone HD
Fluzone High-Dose is supplied as a suspension for IM injection 0.5 mL with 60 µg per strain
| Study group | Role | What they receive |
|---|---|---|
| CIC Vaccine | Experimental | A single 0.5 mL IM injection on Day 0 Receives: Biological: CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M Adjuvant |
| Novavax COVID-19 Vaccine | Experimental | A single 0.5 mL IM injection on Day 0 Receives: Biological: Novavax COVID-19 Vaccine |
| tNIV Vaccine | Experimental | A single 0.5 mL IM injection on Day 0 Receives: Biological: tNIV Vaccine |
| Fluzone High-Dose | Experimental | A single 0.5 mL IM injection on Day 0 Receives: Biological: Fluzone High Dose |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numbers 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 7
Numbers of participants reporting unsolicited AEs and medically attended adverse events (MAAEs).
Numbers of participants reporting unsolicited AEs and MAAEs over 21 days post-vaccination.
Measured: Day 28
Treatment-related MAAEs, serious adverse events (SAEs), and adverse events of special interest (AESIs) (including potential immune-mediated medical conditions [PIMMCs] and myocarditis and/or pericarditis)
Numbers of participants with treatment-related MAAEs, AESIs (including PIMMC and myocarditis and/or pericarditis), and SAEs will be collected for 12 months (approximately 364 days) post-vaccination.
Measured: Day 0 to Day 364
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMT
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Days 0 and 28
Measured: Days 0 and 28
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMTR
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Days 28
Measured: Day 28
Percentage of Participants With a (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose for 3 vaccine-homologous influenza strains Expressed as SCR
Percentage of Participants With a (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose for 3 vaccine-homologous influenza strain on Days 28
Measured: Day 28
Neutralizing Antibody (NAb) Responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMT
Neutralizing Antibody (NAb) Responses Assessed against three homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Day 28
Measured: Day 28
Neutralizing Antibody (NAb) Responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMTR
Neutralizing Antibody (NAb) Responses Assessed against three homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Day 28
Measured: Day 28
Percentage of Participants With a (NAb) Responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as SCR
Neutralizing Antibody (NAb) Responses Assessed against three homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Day 28
Measured: Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of homologous influenza A and B strains expressed as GMT
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of 2 influenza A strains and an influenza B-Victoria lineage strain) on Day 28
Measured: Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of homologous influenza A and B strains expressed as GMTR
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of 2 influenza A strains and an influenza B-Victoria lineage strain) on Day 28
Measured: Day 28
Percentage of Participants with (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of homologous influenza A and B strains expressed as SCR
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of 2 influenza A strains and an influenza B-Victoria lineage strain) on Day 28
Measured: Day 28
Secondary outcomes (15)
Immunogenicity- HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as Geometric Mean Titers (GMT)
HAI antibody titers specific for the HA receptor binding domains of vaccine response CIC vaccine compared to Fluzone High-Dose on Day 28
Measured: Day 28
Immunogenicity- HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as GMFR
HAI antibody titers specific for the HA receptor binding domains of vaccine response CIC vaccine compared to Fluzone High-Dose on Day 28
Measured: Day 28
Percentage of Participants with HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as SCR
HAI antibody titers specific for the HA receptor binding domains of vaccine response CIC vaccine compared to Fluzone High-Dose on Day 28
Measured: Day 28
HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as GMTR
HAI antibody titers specific for the HA receptor binding domains of vaccine response CIC vaccine compared to Fluzone High-Dose on Day 28
Measured: Day 28
Influenza NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as GMT
Neutralizing antibody titers specific to vaccine homologous influenza strains (ie, 2 influenza A strains and an influenza B-Victoria lineage strain) as measured by a neutralization assay, CIC and Fluzone High Dose on Day 28
Measured: Day 28
Influenza NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as GMFR
Neutralizing antibody titers specific to vaccine homologous influenza strains (ie, 2 influenza A strains and an influenza B-Victoria lineage strain) as measured by a neutralization assay, CIC and Fluzone High Dose on Day 28
Measured: Day 28
Percentage of Participants with a NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as SCR
Neutralizing antibody titers specific to vaccine homologous influenza strains (ie, 2 influenza A strains and an influenza B-Victoria lineage strain) as measured by a neutralization assay, CIC and Fluzone High Dose on Day 28
Measured: Day 28
Influenza NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as GMTR
Neutralizing antibody titers specific to vaccine homologous influenza strains (ie, 2 influenza A strains and an influenza B-Victoria lineage strain) as measured by a neutralization assay, CIC and Fluzone High Dose on Day 28
Measured: Day 28
Hemagglutination Inhibition (HAI) antibody titers to tNIV and Fluzone High-Dose Expressed as GMT
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of vaccine-homologous influenza A and B strains on Day 28
Measured: Day 28
Hemagglutination Inhibition (HAI) antibody titers to tNIV and Fluzone High-Dose Expressed as GMFR
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of vaccine-homologous influenza A and B strains on Day 28 homologous SARS-CoV-2 strain CIC, Fluarix or Fluzone HD, and Novavax COVID-19 Vaccine expressed as SCR
Measured: Day 28
Percentage of Participants with (HAI) antibody titers to tNIV and Fluzone High-Dose Expressed as SCR
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of vaccine-homologous influenza A and B strains on Day 28
Measured: Day 28
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as GMT
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose against three influenza strains (two A strains and one B-Victoria strain) on Day 28.
Measured: Day 28
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as GMFR
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose against three influenza strains (two A strains and one B-Victoria strain) on Day 28.
Measured: Day 28
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as GMTR
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose against three influenza strains (two A strains and one B-Victoria strain) on Day 28.
Measured: Day 28
Percentage of Participants with (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as SCR
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose against three influenza strains (two A strains and one B-Victoria strain) on Day 28.
Measured: Day 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Mar 2024
- Study start9 Dec 2024
- Primary completion24 Dec 2025
- Study completion9 Feb 2026
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 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 9,320 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
- NCT06291857
- Sponsor's protocol ID
- CIC-E-301
- Status last verified
- Jun 2026
- First submitted
- 1 Mar 2024
- Last updated
- 5 Jun 2026
- 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 5 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Observer-Blinded, Active-Controlled Study to Evaluate the Safety and Immunogenicity of a COVID-19 Influenza Combination Nanoparticle Vaccine and a Standalone Trivalent Nanoparticle Influenza Hemagglutinin Vaccine in Participants ≥ 65 Years of Age.
- ClinicalTrials.gov ID
- NCT06291857
- Acronym / sponsor ID
- CIC-E-301
- Conditions
- COVID-19
- Keywords
- CIC (Coronavirus Disease 2019 Influenza Combination), Influenza, Fluzone High-Dose
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 9,320 participants (actual)
- Lead sponsor
- NovavaxIndustry (pharma, biotech, devices)
- Study start
- 9 Dec 2024 (actual)
- Primary completion
- 24 Dec 2025 (actual)
- Study completion
- 9 Feb 2026 (actual)
- First posted
- 4 Mar 2024 (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 medical study where participants will be randomly assigned to receive either a new combination vaccine that protects against both COVID-19 and the flu, or a standard flu vaccine. The researchers conducting the study won't know which vaccine each participant receives, ensuring their observations are unbiased. This study compares the new combination vaccine to an already available flu vaccine to see how well it works. It's a large-scale, final-stage study designed to thoroughly check how well the vaccines trigger an immune response (immunogenicity) and how safe they are.
Detailed description
The study enrolled a total of 9,320 medically stable (based on history and physical examination) adult male and female participants ≥ 65 years of age across Part 1 and Part 2.
In Part 1, participants were randomly assigned to receive either CIC, Novavax COVID-19 Vaccine, tNIV, or Fluzone High-Dose in a 3:2:1:3 ratio, respectively. Following the completion of enrollment in Part 1, the remaining participants were enrolled into Part 2 and were randomly assigned to receive either CIC, tNIV, or Fluzone High-Dose in a 5:4:1 ratio, respectively.
All participants received a single intramuscular (IM) injection on Day 0.
Part 1: All participants remained on study for immunogenicity data collection through Day 182 and safety data collection through Day 364 (End of Study [EoS]).
Part 2: Only safety was assessed, and all participants remained on study for safety data collection through Day 364 (EoS).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (participant)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| CIC Vaccine | Experimental | Biological: CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M AdjuvantA single 0.5 mL IM injection on Day 0 |
| Novavax COVID-19 Vaccine | Experimental | Biological: Novavax COVID-19 VaccineA single 0.5 mL IM injection on Day 0 |
| tNIV Vaccine | Experimental | Biological: tNIV VaccineA single 0.5 mL IM injection on Day 0 |
| Fluzone High-Dose | Experimental | Biological: Fluzone High DoseA single 0.5 mL IM injection on Day 0 |
Who may qualify
- Ages
- 65 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (13 listed)
- Willing and able to give informed consent prior to study enrollment.
- Medically stable adult male or female ≥ 65 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.
- Participant must be able to receive an injection in the deltoid of at least 1 arm.
Key exclusion criteria (29 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], rapid antigen test, or rapid molecular assay) COVID-19, asymptomatic SARS-CoV-2 infection, or influenza within ≤ 8 weeks prior to Screening.
- Any ongoing, symptomatic acute illness requiring medical or surgical care or chronic illness that required substantive changes in medication in the past 2 months prior to Screening 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:
- Participation in research involving an investigational product (drug/biologic/device) within 90 days before planned date of vaccination.
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 |
|---|---|---|
| CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M AdjuvantAlso: COVID-19 and influenza combinationCIC will contain SARs-CoV-2 antigen (35 μg), tNIV antigens (2 influenza A [H1N1 and H3N2] and 1 influenza B-Victoria lineage strains; 60 μg/strain | Biological | CIC Vaccine |
| Novavax COVID-19 VaccineAlso: Novavax SARS-CoV-2 rS vaccineEach 0.5 mL dose comprises 5 µg SARS-CoV-2 S protein and 50 µg Matrix-M adjuvant | Biological | Novavax COVID-19 Vaccine |
| tNIV VaccineAlso: Trivalent Nanoparticle Influenza Hemagglutinin Vaccine2 influenza A [H1N1 and H3N2] and 1 influenza B-Victoria lineage strains (60 μg/strain), and Matrix-M adjuvant (75 μg) | Biological | tNIV Vaccine |
| Fluzone High DoseAlso: Fluzone HDFluzone High-Dose is supplied as a suspension for IM injection 0.5 mL with 60 µg per strain | Biological | Fluzone High-Dose |
Primary outcome
Numbers of participants with solicited local and systemic adverse events (AEs)
Time frame: Day 7
Numbers of participants with solicited local and systemic AEs over the 7 days post-vaccination.
Numbers of participants reporting unsolicited AEs and medically attended adverse events (MAAEs).
Time frame: Day 28
Numbers of participants reporting unsolicited AEs and MAAEs over 21 days post-vaccination.
Treatment-related MAAEs, serious adverse events (SAEs), and adverse events of special interest (AESIs) (including potential immune-mediated medical conditions [PIMMCs] and myocarditis and/or pericarditis)
Time frame: Day 0 to Day 364
Numbers of participants with treatment-related MAAEs, AESIs (including PIMMC and myocarditis and/or pericarditis), and SAEs will be collected for 12 months (approximately 364 days) post-vaccination.
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMT
Time frame: Days 0 and 28
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Days 0 and 28
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMTR
Time frame: Day 28
Hemagglutination Inhibition (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose of homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Days 28
Percentage of Participants With a (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose for 3 vaccine-homologous influenza strains Expressed as SCR
Time frame: Day 28
Percentage of Participants With a (HAI) antibody responses of the CIC vaccine compared to Fluzone High-Dose for 3 vaccine-homologous influenza strain on Days 28
Neutralizing Antibody (NAb) Responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMT
Time frame: Day 28
Neutralizing Antibody (NAb) Responses Assessed against three homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Day 28
Neutralizing Antibody (NAb) Responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as GMTR
Time frame: Day 28
Neutralizing Antibody (NAb) Responses Assessed against three homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Day 28
Percentage of Participants With a (NAb) Responses of the CIC vaccine compared to Fluzone High-Dose of homologous A and B strains Expressed as SCR
Time frame: Day 28
Neutralizing Antibody (NAb) Responses Assessed against three homologous influenza strains (two influenza A strains and one influenza B-Victoria lineage strain) on Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of homologous influenza A and B strains expressed as GMT
Time frame: Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of 2 influenza A strains and an influenza B-Victoria lineage strain) on Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of homologous influenza A and B strains expressed as GMTR
Time frame: Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of 2 influenza A strains and an influenza B-Victoria lineage strain) on Day 28
Percentage of Participants with (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of homologous influenza A and B strains expressed as SCR
Time frame: Day 28
Hemagglutination Inhibition (HAI) antibody titers specific to HA receptor-binding domains of (tNIV) comparable to Fluzone High-Dose of 2 influenza A strains and an influenza B-Victoria lineage strain) on Day 28
15 secondary outcomes
Immunogenicity- HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as Geometric Mean Titers (GMT)
Time frame: Day 28
Immunogenicity- HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as GMFR
Time frame: Day 28
Percentage of Participants with HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as SCR
Time frame: Day 28
HAI antibody titers specific for the HA receptor binding domains of vaccine homologous A and B influenza strains Expressed as GMTR
Time frame: Day 28
Influenza NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as GMT
Time frame: Day 28
Influenza NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as GMFR
Time frame: Day 28
Percentage of Participants with a NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as SCR
Time frame: Day 28
Influenza NAb responses: neutralizing antibody titers specific to vaccine homologous wild-type A and B influenza strains, is expressed as GMTR
Time frame: Day 28
Hemagglutination Inhibition (HAI) antibody titers to tNIV and Fluzone High-Dose Expressed as GMT
Time frame: Day 28
Hemagglutination Inhibition (HAI) antibody titers to tNIV and Fluzone High-Dose Expressed as GMFR
Time frame: Day 28
Percentage of Participants with (HAI) antibody titers to tNIV and Fluzone High-Dose Expressed as SCR
Time frame: Day 28
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as GMT
Time frame: Day 28
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as GMFR
Time frame: Day 28
Influenza neutralizing antibody (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as GMTR
Time frame: Day 28
Percentage of Participants with (NAb) responses of trivalent nanoparticle influenza vaccine (tNIV) comparable to Fluzone High-Dose Expressed as SCR
Time frame: Day 28
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 5 Jun 2026.
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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.
58 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing CIC Vaccine Co-formulated tNIV2 , SARSCoV-2 rS and Matrix-M Adjuvant, Novavax COVID-19 Vaccine and tNIV Vaccine in people with COVID-19, run by Novavax at 58 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 13 inclusion and 29 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 5 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 58 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numbers of participants with solicited local and systemic adverse events (AEs) (time frame: Day 7). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 5 Jun 2026.