Study of Monovalent and Bivalent Recombinant Protein Vaccines Against COVID-19 in Adults 18 Years of Age and Older

NCT ID: NCT04904549

Last Updated: 2024-10-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

23726 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-20

Study Completion Date

2024-08-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this Phase III study is to assess the efficacy, safety, and immunogenicity of two CoV2 preS dTM-AS03 vaccines (monovalent and bivalent) as part of primary series vaccinations in a multi-stage approach, as well as a booster injection of a CoV2 preS dTM-AS03 vaccine, in adults 18 years of age and older.

A total of approximately 21 046 participants are planned to be enrolled (5080 per study intervention group in Stage 1 and 5443 per study intervention group in Stage 2).

Initial, double-blind, primary series study design is planned for 365 days post-last Initial injection (ie, approximately 386 days total) for each participant.

Based on decisions of the Study Oversight Group, Stage 1 and Stage 2 participants will be invited to participate in an unblinded Crossover / Booster study design with duration as follows:

* For participants who initially received vaccine: 12 months post-booster (ie, approximately 18 to 24 months)
* For participants who initially received placebo: ≥ 4 months post-last dose of the primary series + 12 months post-booster (ie, approximately 28 to 34 months)
* For participants who do not consent to continue in the unblinded Crossover / Booster part of the study, all study procedures will be stopped and participants will be discontinued from the study.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The duration of participation in the initial, double-blind, primary series design of the study will be approximately 365 days post-last injection (ie, approximately 386 days total) for each participant.

Based on decisions of the Study OG, Stage 1 and Stage 2 participants will be invited to participate in an unblinded Crossover / Booster study design with duration as follows:

* For participants who initially received vaccine: 12 months post-booster (ie, approximately 18 to 24 months)
* For participants who initially received placebo: ≥ 4 months post-last dose of the primary series + 12 months post-booster (ie, approximately 28 to 34 months)
* For participants who do not consent to continue in the unblinded Crossover / Booster part of the study, all study procedures will be stopped and participants will be discontinued from the study.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

COVID-19

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study is designed to demonstrate clinical efficacy of each of the two SARS-CoV-2 adjuvanted recombinant protein vaccines (monovalent and bivalent). In Stage 1, the monovalent vaccine will be evaluated against a placebo control. In Stage 2, the bivalent vaccine will be assessed against a placebo control.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
For initial, double-blind, primary series design of study: participants, outcome assessors, Investigators, laboratory personnel, and sponsor trial staff are blinded to intervention group; and those preparing the study interventions are unblinded to vaccine assignment group.

For crossover / booster design of study (Stage 1 and Stage 2): unblinded

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Stage 1: SARS-CoV-2 vaccine

2 injections of monovalent SARS-CoV-2 vaccine at Day 1 and Day 22

Group Type EXPERIMENTAL

SARS-CoV-2 adjuvanted recombinant protein vaccine (monovalent D614) (primary series)

Intervention Type BIOLOGICAL

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection

SARS-CoV-2 adjuvanted recombinant protein vaccine (monovalent B.1.351) (booster dose) >= 4 months after last vaccination

Intervention Type BIOLOGICAL

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Stage 1: Placebo

2 injections of placebo at Day 1 and Day 22

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Pharmaceutical form: liquid. Route of administration: intramuscular administration.

SARS-CoV-2 adjuvanted recombinant protein vaccine(monovalent D614)(primary series)& SARS-CoV-2 adjuvanted recombinant protein vaccine(monovalent B.1.351)(booster dose)>=4 months after last vaccination

Intervention Type BIOLOGICAL

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Stage 2: SARS-CoV-2 vaccine

2 injections of bivalent SARS-CoV-2 vaccine at Day 1 and Day 22

Group Type EXPERIMENTAL

SARS-CoV-2 adjuvanted recombinant protein vaccine (bivalent D614 + B.1.351) (primary series)

Intervention Type BIOLOGICAL

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

SARS-CoV-2 adjuvanted recombinant protein vaccine (monovalent B.1.351) (booster dose) >= 4 months after last vaccination

Intervention Type BIOLOGICAL

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Stage 2: Placebo

2 injections of placebo at Day 1 and Day 22

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Pharmaceutical form: liquid. Route of administration: intramuscular administration.

SARS-CoV-2 adjuvanted recombinant protein vaccine(monovalent D614)(primary series)& SARS-CoV-2 adjuvanted recombinant protein vaccine(monovalent B.1.351)(booster dose)>=4 months after last vaccination

Intervention Type BIOLOGICAL

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

SARS-CoV-2 adjuvanted recombinant protein vaccine (monovalent D614) (primary series)

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection

Intervention Type BIOLOGICAL

SARS-CoV-2 adjuvanted recombinant protein vaccine (bivalent D614 + B.1.351) (primary series)

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Intervention Type BIOLOGICAL

Placebo

Pharmaceutical form: liquid. Route of administration: intramuscular administration.

Intervention Type BIOLOGICAL

SARS-CoV-2 adjuvanted recombinant protein vaccine (monovalent B.1.351) (booster dose) >= 4 months after last vaccination

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Intervention Type BIOLOGICAL

SARS-CoV-2 adjuvanted recombinant protein vaccine(monovalent D614)(primary series)& SARS-CoV-2 adjuvanted recombinant protein vaccine(monovalent B.1.351)(booster dose)>=4 months after last vaccination

Pharmaceutical form: emulsion for injection. Route of administration: intramuscular injection.

Intervention Type BIOLOGICAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Aged 18 years or older on the day of inclusion.
* For persons living with human immunodeficiency virus (HIV), stable HIV infection determined by participant currently on antiretrovirals with CD4 count \> 200/mm3.
* SARS-CoV-2 rapid serodiagnostic test performed at the time of enrollment to detect presence of SARS-CoV-2 antibodies.
* Does not intend to receive an authorized/approved COVID-19 vaccine despite encouragement by the Investigator to receive the authorized vaccine available to them at the time of enrollment.
* Informed consent form has been signed and dated
* Able to attend all visits and to comply with all study procedures
* Covered by health insurance, only if required by local, regional or national regulations
* A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:

* is of non-childbearing potential. To be considered of non-childbearing potential, a female must be post-menopausal for at least 1 year or surgically sterile, or
* is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to the first study intervention administration until at least 12 weeks after the second study intervention administration.

A participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 25 hours before any dose of study intervention.

Exclusion Criteria

* Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to a vaccine containing any of the same substances.
* Dementia or any other cognitive condition at a stage that could interfere with following the study procedures based on Investigator?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.
* 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 study 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.
* Prior administration of a coronavirus vaccine (SARS-CoV-2, SARS-CoV, Middle East Respiratory Syndrome).
* Receipt of solid-organ or bone marrow transplants in the past 180 days.
* Receipt of anti-cancer chemotherapy in the last 90 days.
* Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily.
* Identified as an Investigator or employee of the Investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the Investigator or employee with direct involvement in the proposed study.
* Participation at the time of study enrollment (or in the 30 days preceding the first study vaccination) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

AES - DRS - Simon Williamson Clinic, PC - Birmingham Site Number : 8400004

Birmingham, Alabama, United States

Site Status

Optimal Research Alabama Site Number : 8400019

Huntsville, Alabama, United States

Site Status

Peninsula Research Associates, Inc. Site Number : 8400021

Rolling Hills Estates, California, United States

Site Status

Synexus Clinical Research US, Inc. Site Number : 8400013

Centennial, Colorado, United States

Site Status

Optimal Research, LLC Site Number : 8400002

Melbourne, Florida, United States

Site Status

Synexus Clinical Research US, Inc. - Orlando Site Number : 8400020

Orlando, Florida, United States

Site Status

AES St. Petersburg Site Number : 8400017

Pinellas Park, Florida, United States

Site Status

Synexus Clinical Research US, Inc. - Atlanta Site Number : 8400005

Atlanta, Georgia, United States

Site Status

Synexus Clinical Research Chicago Site Number : 8400012

Chicago, Illinois, United States

Site Status

Synexus Clinical Research Evansville Site Number : 8400008

Evansville, Indiana, United States

Site Status

Synexus St. Louis Site Number : 8400006

St Louis, Missouri, United States

Site Status

Synexus Clinical Research US, Inc. - Henderson Site Number : 8400018

Henderson, Nevada, United States

Site Status

Rochester Clinical Research, Inc. Site Number : 8400023

Rochester, New York, United States

Site Status

Synexus Akron Site Number : 8400009

Akron, Ohio, United States

Site Status

Synexus Clinical Research US, Inc. - Cincinnati Site Number : 8400010

Cincinnati, Ohio, United States

Site Status

Synexus US Columbus Site Number : 8400011

Columbus, Ohio, United States

Site Status

Synexus Clinical Research Anderson Site Number : 8400007

Anderson, South Carolina, United States

Site Status

Coastal Carolina Research Center - N Charleston Site Number : 8400022

North Charleston, South Carolina, United States

Site Status

American Indian Clinical Trials Research Network Site Number : 8400025

Rapid City, South Dakota, United States

Site Status

AES Austin Site Number : 8400003

Austin, Texas, United States

Site Status

Synexus Dallas Site Number : 8400014

Dallas, Texas, United States

Site Status

Synexus Clinical Research US, Inc. - San Antonio Site Number : 8400015

San Antonio, Texas, United States

Site Status

AES Salt Lake City Site Number : 8400016

Murray, Utah, United States

Site Status

Investigational Site Number : 1700010

Aguazul, , Colombia

Site Status

Investigational Site Number : 1700002

Barranquilla, , Colombia

Site Status

Investigational Site Number : 1700008

Barranquilla, , Colombia

Site Status

Investigational Site Number : 1700001

Bogotá, , Colombia

Site Status

Investigational Site Number : 1700005

Cali, , Colombia

Site Status

Investigational Site Number : 1700006

Chía, , Colombia

Site Status

Investigational Site Number : 1700004

Floridablanca, , Colombia

Site Status

Investigational Site Number : 1700007

Girardot, , Colombia

Site Status

Investigational Site Number : 1700009

Meta, , Colombia

Site Status

Investigational Site Number : 1700015

Quindío, , Colombia

Site Status

Investigational Site Number : 1700003

Soledad, , Colombia

Site Status

Investigational Site Number : 2880002

Kintampo, , Ghana

Site Status

Investigational Site Number : 2880003

Kumasi, , Ghana

Site Status

Investigational Site Number : 2880001

Navrongo, , Ghana

Site Status

Investigational Site Number : 3400001

Municipio Del Distrito Central, , Honduras

Site Status

Investigational Site Number : 3400002

San Pedro Sula, , Honduras

Site Status

Investigational Site Number : 3560010

Ajmer, , India

Site Status

Investigational Site Number : 3560002

Ambawadi, , India

Site Status

Investigational Site Number : 3560007

Belagavi, , India

Site Status

Investigational Site Number : 3560001

Jaipur, , India

Site Status

Investigational Site Number : 3560005

Kanpur, , India

Site Status

Investigational Site Number : 3560009

Nagpur, , India

Site Status

Investigational Site Number : 3560011

Odisha, , India

Site Status

Investigational Site Number : 3560004

Patna, , India

Site Status

Investigational Site Number : 3560003

Punjagutta, , India

Site Status

Investigational Site Number : 3560006

Tamilnadu, , India

Site Status

Investigational Site Number : 3920005

Chiyoda-ku,, Tokyo, Japan

Site Status

Investigational Site Number : 3920004

Haramachi,Shinjuku-ku, Tokyo, Japan

Site Status

Investigational Site Number : 3920003

Kouenji minami,Suginami-ku, Tokyo, Japan

Site Status

Investigational Site Number : 3920001

Kyobashi Chuo-ku, Tokyo, Japan

Site Status

Investigational Site Number : 3920002

Ohta-ku, Tokyo, Japan

Site Status

Investigational Site Number : 4040011

Butere, , Kenya

Site Status

Investigational Site Number : 4040006

Eldoret, , Kenya

Site Status

Investigational Site Number : 4040004

Kericho, , Kenya

Site Status

Investigational Site Number : 4040002

Kisumu, , Kenya

Site Status

Investigational Site Number : 4040003

Kisumu, , Kenya

Site Status

Investigational Site Number : 4040012

Kisumu, , Kenya

Site Status

Investigational Site Number : 4040008

Mombasa, , Kenya

Site Status

Investigational Site Number : 4040001

Nairobi, , Kenya

Site Status

Investigational Site Number : 4040007

Nairobi, , Kenya

Site Status

Investigational Site Number : 4040009

Thika, , Kenya

Site Status

Investigational Site Number : 4840005

León, Guanajuato, Mexico

Site Status

Investigational Site Number : 4840004

Acapulco de Juárez, Guerrero, Mexico

Site Status

Investigational Site Number : 4840003

Guadalajara, Jalisco, Mexico

Site Status

Investigational Site Number : 4840009

Mexico City, Mexico City, Mexico

Site Status

Investigational Site Number : 4840008

Cuernavaca, Morelos, Mexico

Site Status

Investigational Site Number : 4840006

Temixco, , Mexico

Site Status

Investigational Site Number : 4840002

Veracruz, , Mexico

Site Status

Investigational Site Number : 5240002

Dhulikhel, , Nepal

Site Status

Investigational Site Number : 5240003

Kathmandu, , Nepal

Site Status

Investigational Site Number : 5240001

Nepalgunj, , Nepal

Site Status

Investigational Site Number : 8000002

Entebbe, , Uganda

Site Status

Investigational Site Number : 8000005

Entebbe, , Uganda

Site Status

Investigational Site Number : 8000001

Kampala, , Uganda

Site Status

Investigational Site Number : 8000013

Kampala, , Uganda

Site Status

Investigational Site Number : 8000007

Kampala, , Uganda

Site Status

Investigational Site Number : 8000003

Kampala, , Uganda

Site Status

Investigational Site Number : 8000004

Kampala, , Uganda

Site Status

Investigational Site Number : 8000014

Lira, , Uganda

Site Status

Investigational Site Number : 8040002

Kiev, , Ukraine

Site Status

Investigational Site Number : 8040004

Kyiv, , Ukraine

Site Status

Investigational Site Number : 8040003

Kyiv, , Ukraine

Site Status

Investigational Site Number : 8040001

Kyiv, , Ukraine

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Colombia Ghana Honduras India Japan Kenya Mexico Nepal Uganda Ukraine

References

Explore related publications, articles, or registry entries linked to this study.

Dayan GH, Rouphael N, Walsh SR, Chen A, Grunenberg N, Allen M, Antony J, Asante KP, Bhate AS, Beresnev T, Bonaparte MI, Celle M, Ceregido MA, Corey L, Dobrianskyi D, Fu B, Grillet MH, Keshtkar-Jahromi M, Juraska M, Kee JJ, Kibuuka H, Koutsoukos M, Masotti R, Michael NL, Neuzil KM, Reynales H, Robb ML, Villagomez Martinez SM, Sawe F, Schuerman L, Tong T, Treanor J, Wartel TA, Diazgranados CA, Chicz RM, Gurunathan S, Savarino S, Sridhar S; VAT00008 Study Team. Efficacy of a bivalent (D614 + B.1.351) SARS-CoV-2 recombinant protein vaccine with AS03 adjuvant in adults: a phase 3, parallel, randomised, modified double-blind, placebo-controlled trial. Lancet Respir Med. 2023 Nov;11(11):975-990. doi: 10.1016/S2213-2600(23)00263-1. Epub 2023 Sep 13.

Reference Type DERIVED
PMID: 37716365 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

U1111-1264-3238

Identifier Type: REGISTRY

Identifier Source: secondary_id

VAT00008

Identifier Type: OTHER

Identifier Source: secondary_id

VAT00008

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.