A Study of Ad26.COV2.S for the Prevention of SARS-CoV-2-mediated COVID-19 in Adults

NCT ID: NCT04614948

Last Updated: 2025-02-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

31835 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-12

Study Completion Date

2023-06-18

Brief Summary

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The study will evaluate the efficacy of Ad26.COV2.S in the prevention of molecularly confirmed moderate to severe/critical coronavirus disease-2019 (COVID-19), as compared to placebo, in SARS-CoV-2 seronegative adults in the double-blind phase and to describe COVID-19 outcomes, safety, and immunogenicity in the different study cohorts in open-label phase.

Detailed Description

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The aim of the COVID-19 vaccine clinical development program is to develop a safe and effective vaccine for the prevention of COVID-19. Ad26.COV2.S, a COVID-19 vaccine based on a human replication-incompetent Ad26 vector, constructed to encode the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus spike (S) protein, is being developed. The study will consist of: a screening phase (up to 28 days), study period (60-week), and a long-term follow-up period (1 additional year). The total study duration will be maximum 2 years and 3 months for the participants. Assessments for efficacy (COVID-19 signs and symptoms, etc.), immunogenicity (such as humoral immune responses), and safety (such as adverse events \[AEs\] monitoring) will be performed throughout the study.

Conditions

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Participants With or Without Stable Co-morbidities Associated With Progression to Severe COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Ad26.COV2.S

Participants will receive intramuscular (IM) injection of Ad26.COV2.S vaccine on Day 1 and Day 57 in the double-blind phase. At unblinding visit (open-label phase), participants who have not yet received second vaccination will receive second dose of Ad26.COV2.S vaccine on Day 57, if applicable and newly enrolled participants will either receive IM injection of one dose of Ad26.COV2.S vaccine on Day 1 or two doses of Ad26.COV2.S vaccine on Day 1 and Day 57. All ongoing participants who only received a single vaccination with Ad26.COV2.S in the study will be offered to receive single booster dose of Ad26.COV2.S in the open label phase preferably within 6 to 12 months after the participant's first Ad26.COV2.S vaccination.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Ad26.COV2.S vaccine will be administered on Day 1 and Day 57 in the double-blind phase. At unblinding visit Ad26.COV2.S vaccine will be administered to participants at Day 57 who have not yet received second vaccination and in newly enrolled participants as either single dose on Day 1 or two doses on Day 1 and Day 57. Single dose of Ad26.COV2.S vaccine will also be administered to participants initially receiving placebo. Single booster dose of Ad26.COV2.S vaccine will be given to participants in the open label phase who have received only a single vaccination with Ad26.COV2.S.

Placebo

Participants will receive IM injection of placebo on Day 1 and Day 57 in the double-blind phase. At unblinding visit (open-label phase), participants initially receiving placebo will be offered to receive IM injection of a single dose of Ad26.COV2.S vaccine. All ongoing participants who only received a single vaccination with Ad26.COV2.S in the study will be offered to receive single booster dose of Ad26.COV2.S in the open label phase preferably within 6 to 12 months after the participant's first Ad26.COV2.S vaccination.

Group Type PLACEBO_COMPARATOR

Ad26.COV2.S

Intervention Type BIOLOGICAL

Ad26.COV2.S vaccine will be administered on Day 1 and Day 57 in the double-blind phase. At unblinding visit Ad26.COV2.S vaccine will be administered to participants at Day 57 who have not yet received second vaccination and in newly enrolled participants as either single dose on Day 1 or two doses on Day 1 and Day 57. Single dose of Ad26.COV2.S vaccine will also be administered to participants initially receiving placebo. Single booster dose of Ad26.COV2.S vaccine will be given to participants in the open label phase who have received only a single vaccination with Ad26.COV2.S.

Placebo

Intervention Type OTHER

Placebo will be administered as IM injection on Day 1 and Day 57.

Interventions

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Ad26.COV2.S

Ad26.COV2.S vaccine will be administered on Day 1 and Day 57 in the double-blind phase. At unblinding visit Ad26.COV2.S vaccine will be administered to participants at Day 57 who have not yet received second vaccination and in newly enrolled participants as either single dose on Day 1 or two doses on Day 1 and Day 57. Single dose of Ad26.COV2.S vaccine will also be administered to participants initially receiving placebo. Single booster dose of Ad26.COV2.S vaccine will be given to participants in the open label phase who have received only a single vaccination with Ad26.COV2.S.

Intervention Type BIOLOGICAL

Placebo

Placebo will be administered as IM injection on Day 1 and Day 57.

Intervention Type OTHER

Other Intervention Names

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JNJ-78436735 Ad26COVS1 VAC31518

Eligibility Criteria

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Inclusion Criteria

* Contraceptive (birth control) use should be consistent with local regulations regarding the acceptable methods of contraception for those participating in clinical studies
* All participants of childbearing potential must: have a negative highly sensitive urine pregnancy test at screening; and have a negative highly sensitive urine pregnancy test immediately prior to each study vaccine administration
* Participant agrees to not donate bone marrow, blood, and blood products from the first study vaccine administration until 3 months after receiving the last dose of study vaccine
* Must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study
* Must be able to read, understand, and complete questionnaires in the electronic clinical outcome assessment (eCOA) (that is, the coronavirus disease-2019 \[COVID 19\] signs and symptoms surveillance question, the e-Diary, and the electronic patient-reported outcomes (ePROs)

Exclusion Criteria

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

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Janssen Vaccines & Prevention B.V.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Vaccines & Prevention B.V. Clinical Trial

Role: STUDY_DIRECTOR

Janssen Vaccines & Prevention B.V.

Locations

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Achieve Clinical Research, LLC

Vestavia Hills, Alabama, United States

Site Status

Hope Research Institute

Phoenix, Arizona, United States

Site Status

Central Phoenix Medical Clinic

Phoenix, Arizona, United States

Site Status

Quality of Life Medical & Research Center, LLC

Tucson, Arizona, United States

Site Status

Synexus Clinical Research US Inc

Tucson, Arizona, United States

Site Status

Woodland International Research Group

Little Rock, Arkansas, United States

Site Status

Synexus Clinical Research US Inc

Cerritos, California, United States

Site Status

eStudySite

Chula Vista, California, United States

Site Status

Ark Clinical Research

Long Beach, California, United States

Site Status

Anthony Mills Medical, Inc

Los Angeles, California, United States

Site Status

Benchmark Research

Sacramento, California, United States

Site Status

Artemis Institute for Clinical Research

San Diego, California, United States

Site Status

Paradigm Clinical Research Centers, Inc.

Wheat Ridge, Colorado, United States

Site Status

JEM Research LLC

Atlantis, Florida, United States

Site Status

Prestige Clinical Research Center, Inc.

Coral Gables, Florida, United States

Site Status

Avail Clinical Research, LLC

DeLand, Florida, United States

Site Status

Velocity Clinical Research, Hallandale Beach

Hallandale, Florida, United States

Site Status

Health Awareness inc.

Jupiter, Florida, United States

Site Status

Altus Research, Inc

Lake Worth, Florida, United States

Site Status

Compass Research, Melbourne

Melbourne, Florida, United States

Site Status

Suncoast Research Group

Miami, Florida, United States

Site Status

Behavioral Clinical Research , Inc

North Miami, Florida, United States

Site Status

Clinical NeuroScience Solutions Inc

Orlando, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Meridien Research

St. Petersburg, Florida, United States

Site Status

Palm Beach Research Center

West Palm Beach, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

Accel Research Sites

Eatonton, Georgia, United States

Site Status

The University Of Chicago Medicine

Chicago, Illinois, United States

Site Status

Great Lakes Clinical Trials

Chicago, Illinois, United States

Site Status

The South Bend Clinic Center for Research

South Bend, Indiana, United States

Site Status

Heartland Research Associates, LLC

Newton, Kansas, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Centex Studies, Inc.

Lake Charles, Louisiana, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Centennial Medical Group

Elkridge, Maryland, United States

Site Status

Optimal Research

Rockville, Maryland, United States

Site Status

Meridian Clinical Research, LLC

Rockville, Maryland, United States

Site Status

Henry Ford Health Systems

Detroit, Michigan, United States

Site Status

Cherry Street Services, Inc.

Grand Rapids, Michigan, United States

Site Status

Washington University School Of Medicine

St Louis, Missouri, United States

Site Status

Hassman Research Institute, LLC.

Berlin, New Jersey, United States

Site Status

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status

Medpharmics, LLC

Albuquerque, New Mexico, United States

Site Status

Meridian Clinical Research, LLC

Endwell, New York, United States

Site Status

Regional Clinical Research, Inc.

Endwell, New York, United States

Site Status

Allergy Asthma Immunology of Rochester, PC (AAIR) - Research Center

Rochester, New York, United States

Site Status

Richmond Behavioral Associates

Staten Island, New York, United States

Site Status

American Health Network, LLC

Charlotte, North Carolina, United States

Site Status

Wilmington Health Associates

Wilmington, North Carolina, United States

Site Status

CTI Clinical Trial and Consulting Services

Cincinnati, Ohio, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Coastal Carolina Research Center

Mt. Pleasant, South Carolina, United States

Site Status

Centennial Medical Center

Nashville, Tennessee, United States

Site Status

Centex Studies, Inc.

Houston, Texas, United States

Site Status

Centex Studies, Inc.

Houston, Texas, United States

Site Status

Texas Center for Drug Development Inc

Houston, Texas, United States

Site Status

Centex Studies, Inc.

McAllen, Texas, United States

Site Status

Endeavor Clinical Trials, LLC

San Antonio, Texas, United States

Site Status

Tranquility Clinical Research

Webster, Texas, United States

Site Status

JBR Clinical Research

Salt Lake City, Utah, United States

Site Status

Alliance for Multispeciality Research

Norfolk, Virginia, United States

Site Status

Anima

Alken, , Belgium

Site Status

Institute of Tropical Medicine Antwerp

Antwerp, , Belgium

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Center for Vaccinology (CEVAC)

Ghent, , Belgium

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UZ Leuven

Leuven, , Belgium

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Az Sint-Maarten

Mechelen, , Belgium

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Private Practice RESPISOM Namur

Namur, , Belgium

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Hospital Nossa Senhora da Conceicao S A

Porto Alegre, , Brazil

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Ministerio da Saude - Hospital dos Servidores do Estado - RJ

Rio de Janeiro, , Brazil

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Instituto Nacional de Infectologia Evandro Chagas (INI) - FIOCRUZ

Rio de Janeiro, , Brazil

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Instituto de infectologia Emilio Ribas

São Paulo, , Brazil

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Centro de Referencia E Treinamento Dst/Aids

São Paulo, , Brazil

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Fundacion Cardiomet CEQUIN

Armenia, , Colombia

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IPS Centro Cientifico Asisitencial Jose Luis Accini S.A.S.

Barranquilla, , Colombia

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Asistencia Cientifica de Alta Complejidad S.A.S

Bogotá, , Colombia

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Centro Medico Imbanaco de Cali S.A.

Cali, , Colombia

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T Y C Inversiones S A S Grupsalud

Santa Marta, , Colombia

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CHU de Montpellier Hopital Saint Eloi

Montpellier, , France

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Hopital Cochin

Paris, , France

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Hopital Saint-Antoine

Paris, , France

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Groupe Hospitalier Sud Hôpital Haut-Leveque Service d'hematologie

Pessac, , France

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CHU Saint Etienne Hopital Nord

Saint-Etienne, , France

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Hopital Rangueil

Toulouse, , France

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Hopital Purpan

Toulouse, , France

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Hôpital de Brabois Adultes

Vandœuvre-lès-Nancy, , France

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Klinikum rechts der Isar der TU Munchen

München, , Germany

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Riverside Medical Center

Bacolod, , Philippines

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West Visayas State University Medical Center

Iloilo City, , Philippines

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Tropical Disease Foundation

Makati, , Philippines

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Makati Medical Center

Manila, , Philippines

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Medical Center Manila

Manila, , Philippines

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TREAD Research Tygerberg Hospital

Cape Town, , South Africa

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Centre of Tuberculosis Research Innovation

Cape Town, , South Africa

Site Status

Worthwhile Clinical trials

Johannesburg, , South Africa

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Peermed Clinical Trial Centre

Kempton Park, , South Africa

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Dr AA Mahomed Medical Centre

Moloto South, , South Africa

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VX Pharma

Pretoria, , South Africa

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Dr J.M. Engelbrecht Trial Site

Somerset West, , South Africa

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Be Part Yoluntu Centre

Western Cape, , South Africa

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Hosp. Univ. Germans Trias I Pujol

Badalona, , Spain

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Hosp. Quiron Barcelona

Barcelona, , Spain

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Hosp Clinic de Barcelona

Barcelona, , Spain

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Hosp Univ Vall D Hebron

Barcelona, , Spain

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Hosp. Univ. de La Princesa

Madrid, , Spain

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Clinica Univ. de Navarra

Madrid, , Spain

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Hosp. Univ. de La Paz

Madrid, , Spain

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Hosp. Quiron Madrid Pozuelo

Madrid, , Spain

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Clinica Univ. de Navarra

Pamplona, , Spain

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Queen Elizabeth Hospital

Birmingham, , United Kingdom

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Powys Teaching Local Health Board - Bronllys Hospital

Brecon, , United Kingdom

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Brighton & Sussex University Hospitals NHS Trust

Brighton, , United Kingdom

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University Hospitals Bristol NHS Trust

Bristol, , United Kingdom

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Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

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Ninewells Hospital

Dundee, , United Kingdom

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Royal Free Hospital

Hampstead, , United Kingdom

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Leicester Royal Infirmary

Leicester, , United Kingdom

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Guy's and St Thomas' Hospital

London, , United Kingdom

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Imperial College London and Imperial College Healthcare NHS Trust

London, , United Kingdom

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Central Manchester University Hospitals NHS Foundation Trust

Manchester, , United Kingdom

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Newcastle upon Tyne Hospitals NHS Foundation Trust

Newcastle upon Tyne, , United Kingdom

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University of Oxford

Oxford, , United Kingdom

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Derriford Hospital

Plymouth, , United Kingdom

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Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield, , United Kingdom

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Southampton General Hospital

Southampton, , United Kingdom

Site Status

Countries

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United States Belgium Brazil Colombia France Germany Philippines South Africa Spain United Kingdom

References

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Hardt K, Vandebosch A, Sadoff J, Le Gars M, Truyers C, Lowson D, Van Dromme I, Vingerhoets J, Kamphuis T, Scheper G, Ruiz-Guinazu J, Faust SN, Spinner CD, Schuitemaker H, Van Hoof J, Douoguih M, Struyf F; ENSEMBLE2 study group. Efficacy, safety, and immunogenicity of a booster regimen of Ad26.COV2.S vaccine against COVID-19 (ENSEMBLE2): results of a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Infect Dis. 2022 Dec;22(12):1703-1715. doi: 10.1016/S1473-3099(22)00506-0. Epub 2022 Sep 13.

Reference Type DERIVED
PMID: 36113538 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2020-003643-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VAC31518COV3009

Identifier Type: OTHER

Identifier Source: secondary_id

CR108916

Identifier Type: -

Identifier Source: org_study_id

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