Study of Recombinant Protein Vaccines With Adjuvant as a Primary Series and as a Booster Dose Against COVID-19 in Adults 18 Years of Age and Older
NCT ID: NCT04762680
Last Updated: 2025-09-18
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2/PHASE3
3159 participants
INTERVENTIONAL
2021-02-24
2023-06-29
Brief Summary
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To assess the safety profile of the study vaccines in each study intervention group.
To assess the neutralizing antibody profile after primary series vaccination in SARS-CoV-2-naïve adults.
To demonstrate that a booster dose of monovalent or bivalent SARS-CoV-2 vaccine given to adults previously vaccinated with an authorized/approved COVID-19 vaccine induces an immune response that is non-inferior to the response induced by a twodose priming series with the monovalent vaccine, and superior to that observed immediately before booster.
The secondary objectives of the study are:
To assess the neutralizing and binding antibody profiles after primary series vaccination at pre-defined time points during the study.
To assess the neutralizing and binding antibody responses of booster vaccination.
To describe the occurrences of laboratory-confirmed symptomatic COVID19 after primary series and booster vaccination.
To describe the occurrences of serologically-confirmed SARS-CoV-2 infection after primary series vaccination.
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Detailed Description
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Original Phase 2 part: 365 days postinjection 2 (ie, 386 days total). Supplemental Cohorts 1 and 2: 365 days post-booster injection (ie, 366 days total).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
The supplemental Cohort 1 intervention group and Supplemental Cohorts Comparator Group will be open-label. Supplemental Cohort 2 will involve sequential randomization to main arms then exploratory arms, and the intervention will be modified double-blind (observer-blinded, as described).
Study Groups
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Phase 2 Cohort -SARS-CoV-2 vaccine Formulation 1
2 injections of SARS-CoV-2 vaccine Formulation 1 at Day 1 and Day 22
SARS-CoV-2 recombinant protein vaccine Phase 2 Formulation 1
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Phase 2 Cohort - SARS-CoV-2 vaccine Formulation 2
2 injections of SARS-CoV-2 vaccine Formulation 2 at Day 1 and Day 22
SARS-CoV-2 recombinant protein vaccine Phase 2 Formulation 2
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Phase 2 Cohort - SARS-CoV-2 vaccine Formulation 3
2 injections of SARS-CoV-2 vaccine Formulation 3 Day 1 and Day 22
SARS-CoV-2 recombinant protein vaccine Phase 2 Formulation 3
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Supplemental Cohort 1 - Booster Monovalent (D614)-AS03 SARS-CoV-2 vaccine
Participants who were previously vaccinated 4 to \< 10 months prior with an authorized mRNA or adenovirus-vector COVID-19 vaccine will receive 1 booster injection of monovalent (D614)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (D614)-AS03, Dosage A
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Supplemental Cohort 2 - Booster Monovalent (B.1.351)-AS03 SARS-CoV-2 vaccine
Participants who were vaccinated 4 to \< 10 months prior with an authorized mRNA or adenovirus-vector COVID-19 vaccine or SARS-Cov-2 vaccine will receive 1 booster injection of monovalent (B.1.351)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Supplemental Cohort 2 - Booster Bivalent (D614 + B.1.351)-AS03 SARS-CoV-2 vaccine
Participants who were vaccinated 4 to \< 10 months prior with an authorized mRNA or adenovirus-vector COVID-19 vaccine will receive 1 booster injection of bivalent (D614+B.1.351)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, bivalent (D614+B.1.351)-AS03
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Supplemental Cohort 2 - Booster Monovalent (D614)-AS03 SARS-CoV-2 vaccine
Participants who were vaccinated 4 to \< 10 months prior with SARS-Cov-2 vaccine will receive 1 booster injection of monovalent (D614)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (D614)-AS03, Dosage A
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Supplemental Comparator for Cohort 1 and 2 Boosters - Monovalent (D614)-AS03 SARS-CoV-2 vaccine
2 injections of monovalent (D614)-AS03 SARS-CoV-2 vaccine at Day 1 and Day 22 in previously unvaccinated, naïve participants
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (D614)-AS03, Dosage B
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Cohort 2 - Booster Exploratory 1
Participants who were vaccinated 4 to \< 10 months prior with an authorized mRNA COVID-19 vaccine will receive 1 booster injection of monovalent (B.1.351)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 1
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Cohort 2 - Booster Exploratory 2
Participants who were vaccinated 4 to \< 10 months prior with an authorized mRNA COVID-19 vaccine will receive 1 booster injection of monovalent (B.1.351)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 2
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Cohort 2 - Booster Exploratory 3
Participants who were vaccinated 4 to \< 10 months prior with an authorized mRNA COVID-19 vaccine will receive 1 booster injection of monovalent (B.1.351)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 3
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Cohort 2 - Booster Exploratory 4
Participants who were vaccinated 4 to \< 10 months prior with an authorized mRNA COVID-19 vaccine will receive 1 booster injection of monovalent (B.1.351)-AS03 SARS-CoV-2 vaccine
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 4
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Interventions
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SARS-CoV-2 recombinant protein vaccine Phase 2 Formulation 1
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 recombinant protein vaccine Phase 2 Formulation 2
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 recombinant protein vaccine Phase 2 Formulation 3
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (D614)-AS03, Dosage A
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (D614)-AS03, Dosage B
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 1
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 2
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 3
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, monovalent (B.1.351)-AS03 Alternative Exploratory Formulation 4
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
SARS-CoV-2 adjuvanted recombinant protein vaccine, bivalent (D614+B.1.351)-AS03
Pharmaceutical form: Emulsion for injection Route of administration: Intramuscular injection
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
OR Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to the first vaccination until at least 12 weeks after the last vaccination (ie, second dose of primary series or booster injection). A participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 4 hours before any dose of study intervention. - -Informed consent form has been signed and dated.
Able to attend all scheduled visits and to comply with all study procedures. SARS-CoV-2 rapid serodiagnostic test performed at the time of enrollment to detect presence of SARS-CoV-2 antibodies (Original Phase 2 Cohort).
For persons living with human immunodeficiency virus (HIV), stable HIV infection determined by participant currently on antiretrovirals with CD4 count \> 200/mm3.
Does not intend to receive an authorized/approved COVID-19 vaccine from first vaccination to 3 weeks after the second vaccination despite encouragement by the investigator to receive the authorized vaccine available to them at the time of enrollment.
Supplemental cohorts: for participants originally enrolled in the Phase II cohort of the study, informed consent has to be signed and dated for transitioning to Supplemental Cohort 2.
Supplemental cohorts, Booster arms: received a complete primary vaccination series with an authorized/conditionally approved mRNA COVID-19 vaccine (mRNA-1273 \[Moderna\] or BNT162b2 \[Pfizer/BioNTech\]) or adenovirus-vectored COVID-19 vaccine (ChAdOx1 nCoV-19 \[Oxford University/AstraZeneca\] or Ad26.CoV2.S \[J\&J/Janssen\]), with the last dose administered a minimum of 4 months prior to inclusion but not longer than 10 months prior to inclusion.
Exclusion Criteria
Dementia or any other cognitive condition at a stage that could interfere with following the trial procedures based on Investigator or designee's judgment.
Self-reported thrombocytopenia, contraindicating intramuscular (IM) vaccination based on Investigator's judgment.
Bleeding disorder, or receipt of anticoagulants in the past 21 days preceding inclusion, contraindicating IM vaccination based on Investigator's judgment.
Unstable acute or chronic illness that in the opinion of the Investigator or designee poses additional risk as a result of participation or that could interfere with the study procedures.
Receipt of solid-organ or bone marrow transplants in the past 180 days. Receipt of anti-cancer chemotherapy in the last 90 days. Receipt of immunoglobulins, blood, or blood-derived products in the past 3 months.
Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0°C \[≥ 100.4°F\]). A prospective participant should not be included in the trial until the condition has resolved or the febrile event has subsided. Receipt of any vaccine in the 30 days preceding or on the day of the first study vaccination or planned receipt of any vaccine between the first study vaccination and in the 30 days following the second study vaccination except for influenza vaccination, which may be received at any time in relation to study intervention.
Applicable to Original Phase II Cohort, Supplemental Cohort 1 and Cohort 2 Comparator Group: Prior administration of a coronavirus vaccine (SARS-CoV-2, SARS-CoV, Middle East Respiratory Syndrome \[MERS-CoV\]). Participation at the time of study enrollment (or in the 30 days preceding the first study vaccination) or planned participation during the present study trial period in another clinical study investigating a vaccine, drug, medical device, or medical procedure. Exclusion criterion for the Supplemental Cohort 1 and Cohort 2 comparator group: positive rapid diagnostic test for SARS-CoV-2 antibodies at time of enrollment.
Exclusion criterion for participants in Supplemental Cohort 2 who were primed as participant in the Original Phase II Cohort of the present study: Receipt of authorized/conditionally approved COVID-19 vaccine after enrollment in Original Phase 2 Cohort.
Exclusion criterion for all Booster groups: Documented virologically-confirmed SARS-CoV-2 infection (by NAAT) after first dose of primary immunization.
18 Years
ALL
Yes
Sponsors
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GlaxoSmithKline
INDUSTRY
Sanofi Pasteur, a Sanofi Company
INDUSTRY
Responsible Party
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Principal Investigators
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Clinical Sciences & Operations
Role: STUDY_DIRECTOR
Sanofi
Locations
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Synexus - Clinical Research Advantage, Inc. Site Number : 8400270
Birmingham, Alabama, United States
Synexus Chandler Site Number : 8400251
Chandler, Arizona, United States
Synexus - Glendale. Site Number : 8400271
Glendale, Arizona, United States
Baptist Health Center for Clinical Research Site Number : 8400077
Little Rock, Arkansas, United States
Charles R. Drew University of Medicine and Science Site Number : 8400220
Los Angeles, California, United States
Peninsula Research Associates, Inc. Site Number : 8400094
Rolling Hills Estates, California, United States
Optimal Research Site Number : 8400173
San Diego, California, United States
Yale University Site Number : 8400239
New Haven, Connecticut, United States
The George Washington University Site Number : 8400212
Washington D.C., District of Columbia, United States
Cenexel Research Centers of America Site Number : 8400089
Hollywood, Florida, United States
Optimal Research, LLC Site Number : 8400057
Melbourne, Florida, United States
Synexus Clinical Research US, Inc. - Orlando Site Number : 8400179
Orlando, Florida, United States
Emory University Decatur Site Number : 8400201
Decatur, Georgia, United States
Chicago Clinical Research Institute, Inc. Site Number : 8400269
Chicago, Illinois, United States
Optimal Research Site Number : 8400187
Peoria, Illinois, United States
Synexus Clinical Research Evansville Site Number : 8400272
Evansville, Indiana, United States
Research Works INC Site Number : 8400045
New Orleans, Louisiana, United States
Optimal Research, LLC Rockville Site Number : 8400048
Rockville, Maryland, United States
Brigham and Women's Hospital Site Number : 8400199
Boston, Massachusetts, United States
Synexus St. Louis Site Number : 8400100
St Louis, Missouri, United States
Velocity Clinical Research, Omaha Site Number : 8400030
Omaha, Nebraska, United States
Holy Name Medical Center Site Number : 8400072
Teaneck, New Jersey, United States
NYU VC-Augustana Site Number : 8400267
Brooklyn, New York, United States
New York University Langone Vaccine Center Site Number : 8400230
New York, New York, United States
Columbia University Irving Medical Center Site Number : 8400203
New York, New York, United States
University of Rochester Site Number : 8400207
Rochester, New York, United States
University of Pittsburgh Site Number : 8400233
Pittsburgh, Pennsylvania, United States
Coastal Carolina Research Center Site Number : 8400097
North Charleston, South Carolina, United States
American Indian Clinical Trials Research Network Site Number : 8400204
Rapid City, South Dakota, United States
AES Austin Site Number : 8400191
Austin, Texas, United States
Investigational Site Number : 0360001
South Brisbane, Queensland, Australia
Investigational Site Number : 0360003
Norwood, , Australia
Investigational Site Number : 0360002
Southport, , Australia
Investigational Site Number : 0360005
Westmead, , Australia
Investigational Site Number : 0360004
Woodville, , Australia
Investigational Site Number : 2500013
Dijon, , France
Investigational Site Number : 2500008
Limoges, , France
Investigational Site Number : 2500014
Lyon, , France
Investigational Site Number : 2500015
Marseille, , France
Investigational Site Number : 2500016
Marseille, , France
Investigational Site Number : 2500006
Nantes, , France
Investigational Site Number : 2500005
Paris, , France
Investigational Site Number : 2500003
Pessac, , France
Investigational Site Number : 2500007
Pierre-Bénite, , France
Investigational Site Number : 2500004
Rennes, , France
Investigational Site Number : 2500002
Tours, , France
Investigational Site Number : 3400002
Municipio Del Distrito Central, , Honduras
Investigational Site Number : 3400001
San Pedro Sula, , Honduras
Investigational Site Number : 5540005
New Lynn, Auckland, New Zealand
Investigational Site Number : 5540002
Christchurch, , New Zealand
Investigational Site Number : 5540007
Nawton, , New Zealand
Investigational Site Number : 5540010
Nelson, , New Zealand
Investigational Site Number : 5540001
Rotorua, , New Zealand
Investigational Site Number : 7240013
Santiago de Compostela, Galicia [Galicia], Spain
Investigational Site Number : 7240016
Majadahonda, Madrid, Spain
Investigational Site Number : 7240009
Madrid, , Spain
Investigational Site Number : 7240008
Valencia, , Spain
Investigational Site Number : 7240003
Vigo, , Spain
Investigational Site Number : 8260011
Runcorn, Halton, United Kingdom
Investigational Site Number : 8260017
Bath, Somerset, United Kingdom
Investigational Site Number : 8260013
Surrey, Sutton, United Kingdom
Investigational Site Number : 8260014
Doncaster, , United Kingdom
Investigational Site Number : 8260016
Gloucester, , United Kingdom
Investigational Site Number : 8260010
Harrow, , United Kingdom
Investigational Site Number : 8260015
London, , United Kingdom
Investigational Site Number : 8260012
Southampton, , United Kingdom
Countries
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References
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de Bruyn G, Wang J, Purvis A, Ruiz MS, Adhikarla H, Alvi S, Bonaparte MI, Brune D, Bueso A, Canter RM, Ceregido MA, Deshmukh S, Diemert D, Finn A, Forrat R, Fu B, Gallais J, Griffin P, Grillet MH, Haney O, Henderson JA, Koutsoukos M, Launay O, Torres FM, Masotti R, Michael NL, Park J, Rivera-Medina DM, Romanyak N, Rook C, Schuerman L, Sher LD, Tavares-Da-Silva F, Whittington A, Chicz RM, Gurunathan S, Savarino S, Sridhar S; VAT00002 booster cohorts study team. Safety and immunogenicity of a variant-adapted SARS-CoV-2 recombinant protein vaccine with AS03 adjuvant as a booster in adults primed with authorized vaccines: a phase 3, parallel-group study. EClinicalMedicine. 2023 Jul 22;62:102109. doi: 10.1016/j.eclinm.2023.102109. eCollection 2023 Aug.
Sridhar S, Joaquin A, Bonaparte MI, Bueso A, Chabanon AL, Chen A, Chicz RM, Diemert D, Essink BJ, Fu B, Grunenberg NA, Janosczyk H, Keefer MC, Rivera M DM, Meng Y, Michael NL, Munsiff SS, Ogbuagu O, Raabe VN, Severance R, Rivas E, Romanyak N, Rouphael NG, Schuerman L, Sher LD, Walsh SR, White J, von Barbier D, de Bruyn G, Canter R, Grillet MH, Keshtkar-Jahromi M, Koutsoukos M, Lopez D, Masotti R, Mendoza S, Moreau C, Ceregido MA, Ramirez S, Said A, Tavares-Da-Silva F, Shi J, Tong T, Treanor J, Diazgranados CA, Savarino S. Safety and immunogenicity of an AS03-adjuvanted SARS-CoV-2 recombinant protein vaccine (CoV2 preS dTM) in healthy adults: interim findings from a phase 2, randomised, dose-finding, multicentre study. Lancet Infect Dis. 2022 May;22(5):636-648. doi: 10.1016/S1473-3099(21)00764-7. Epub 2022 Jan 25.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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VAT00002 Plain language Results Summary
Other Identifiers
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U1111-1251-4616
Identifier Type: REGISTRY
Identifier Source: secondary_id
2020-003370-41
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
VAT00002
Identifier Type: -
Identifier Source: org_study_id
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