A Study of Ad26.COV2.S Administered as Booster Vaccination in Adults Who Have Previously Received Primary Vaccination With Ad26.COV2.S or BNT162b2

NCT ID: NCT04999111

Last Updated: 2025-02-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

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

PHASE2

Total Enrollment

1541 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-06

Study Completion Date

2022-11-22

Brief Summary

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

The purposes of this study are to demonstrate the non-inferiority (NI) of the neutralizing antibody response to the original strain 14 days after booster vaccination with Ad26.COV2.S at the different dose levels, administered greater than or equal to (\>=) 6 months after single-dose primary vaccination with Ad26.COV2.S, compared to the neutralizing antibody response to the original strain induced by single-dose primary vaccination with Ad26.COV2.S; To demonstrate the NI of the neutralizing antibody response to the leading variant of high consequence or concern 14 days after booster vaccination with Ad26.COV2.S at the 5\*10\^10 virus particle (vp) dose level, administered \>= 6 months after single-dose primary vaccination with Ad26.COV2.S (5\*10\^10 vp dose level), compared to the neutralizing antibody response to the leading variant of high consequence or concern induced by single-dose primary vaccination with Ad26.COV2.S at the 5\*10\^10 vp dose level, if feasible; To demonstrate the NI of the neutralizing antibody response to the original strain 14 days after booster vaccination with Ad26.COV2.S at the different dose levels administered \>=6 months after completing a 2-dose primary vaccination with Pfizer BNT162b2, compared to the neutralizing antibody response to the original strain induced by 2-dose primary vaccination with Pfizer BNT162b2; To demonstrate the NI of neutralizing antibody response to the leading variant of high consequence or concern 14 days after booster vaccination with Ad26.COV2.S at the 5\*10\^10 vp dose level, administered \>= 6 months after completing a 2-dose primary vaccination with Pfizer BNT162b2, compared to the neutralizing antibody response to the leading variant of high consequence or concern induced by 2-dose primary vaccination with Pfizer BNT162b2, if feasible.

Detailed Description

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

Conditions

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

Coronavirus Disease

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

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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

Cohort 1: Group 1: Ad26.COV2.S (Dose Level 1)

Participants who have previously received primary vaccination with Ad26.COV2.S will receive single intramuscular (IM) injection of Ad26.COV2.S booster vaccination at dose level 1 on Day 1.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Participants will receive IM injection of Ad26.COV2.S.

Cohort 1: Group 2: Ad26.COV2.S (Dose Level 2)

Participants who have previously received primary vaccination with Ad26.COV2.S will receive single IM injection of Ad26.COV2.S booster vaccination at dose level 2 on Day 1.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Participants will receive IM injection of Ad26.COV2.S.

Cohort 1: Group 3: Ad26.COV2.S (Dose Level 3)

Participants who have previously received primary vaccination with Ad26.COV2.S will receive single IM injection of Ad26.COV2.S booster vaccination at dose level 3 on Day 1.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Participants will receive IM injection of Ad26.COV2.S.

Cohort 2: Group 4: Ad26.COV2.S (Dose Level 1)

Participants who have previously received primary vaccination with BNT162b2 will receive single IM injection of Ad26.COV2.S booster vaccination at dose level 1 on Day 1.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Participants will receive IM injection of Ad26.COV2.S.

Cohort 2: Group 5: Ad26.COV2.S (Dose Level 2)

Participants who have previously received primary vaccination with BNT162b2 will receive single IM injection of Ad26.COV2.S booster vaccination at dose level 2 on Day 1.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Participants will receive IM injection of Ad26.COV2.S.

Cohort 2: Group 6: Ad26.COV2.S (Dose Level 3)

Participants who have previously received primary vaccination with BNT162b2 will receive single IM injection of Ad26.COV2.S booster vaccination at dose level 3 on Day 1.

Group Type EXPERIMENTAL

Ad26.COV2.S

Intervention Type BIOLOGICAL

Participants will receive IM injection of Ad26.COV2.S.

Interventions

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

Ad26.COV2.S

Participants will receive IM injection of Ad26.COV2.S.

Intervention Type BIOLOGICAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

JNJ-78436735 VAC31518

Eligibility Criteria

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

Inclusion Criteria

* Cohort 1: Participant received Ad26.COV2.S in VAC31518COV3001. The interval between the Ad26.COV2.S primary vaccination should preferably be greater than or equal to (\>=) 6 months prior to study vaccination on VAC31518COV2008, however a window of maximum -20 days is allowed; Cohort 2: Participant completed primary vaccination with a 2-dose regimen of BNT162b2 vaccine. The last dose of BTN162b2 should preferably be \>=6 months prior to study vaccination on COV2008, however a window of a maximum of -20 days is allowed
* Participant must provide consent indicating that he or she understands the purpose, procedures and potential risks and benefits of the study, and is willing to participate in the study
* Participant agrees to not donate bone marrow, blood, and blood products from the study vaccine administration until 3 months after receiving the study vaccine
* Participant must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study
* Participant must be able to read, understand, and complete questionnaires in the electronic clinical outcome assessment (eCOA) (that is, the Coronavirus disease (COVID-19) signs and symptoms surveillance question, the e-Diary, and the electronic patient-reported outcomes (ePROs). Participants with visual impairment are eligible for study participation and may have caregiver assistance in completing the eCOA questionnaires

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 \>= 38.0 degree Celsius (C) (100.4 degree Fahrenheit \[F\]) within 24 hours prior to the planned study vaccination; randomization at a later date is permitted at the discretion of the investigator. Please notify the sponsor (or medical monitor) of this decision
* Participant has a known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine
* Participant received treatment with immunoglobulins (Ig) in the 3 months or exogenous blood products (autologous blood transfusions are not exclusionary) in the 4 months before the planned administration of the study vaccine or has any plans to receive such treatment during the study
* Participant has a known history of confirmed severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection
* Participant has a history of heparin-induced thrombocytopenia or thrombosis in combination with thrombocytopenia
* Participant has a history of acute polyneuropathy (example. Guillain-Barre syndrome)
* History of capillary leak syndrome
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.

Janssen Vaccines & Prevention B.V.

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

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Janssen Vaccines & Prevention B.V. Clinical Trial

Role: STUDY_DIRECTOR

Janssen Vaccines & Prevention B.V.

Locations

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

Central Phoenix Medical Clinic

Phoenix, Arizona, United States

Site Status

Synexus Clinical Research US Inc

Tucson, Arizona, United States

Site Status

Anaheim Clinical Trials, LLC

Anaheim, California, United States

Site Status

Ark Clinical Research

Long Beach, California, United States

Site Status

Velocity Clinical Research

North Hollywood, California, United States

Site Status

Velocity Clinical Research, Hallandale Beach

Hallandale, Florida, United States

Site Status

Research Centers of America, LLC

Hollywood, Florida, United States

Site Status

Synexus Clinical Research US Inc

Orlando, Florida, United States

Site Status

Synexus Clinical Research US Inc

The Villages, Florida, United States

Site Status

Optimal Research

Peoria, Illinois, United States

Site Status

Johnson County Clin-Trials

Lenexa, Kansas, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Clinical Trials Management, LLC

Metairie, Louisiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Rochester Clinical Research, Inc

Rochester, New York, United States

Site Status

Velocity Clinical Research, Anderson

Anderson, South Carolina, United States

Site Status

Accellacare US Inc

Mt. Pleasant, South Carolina, United States

Site Status

Coastal Carolina Research Center

North Charleston, South Carolina, United States

Site Status

Crofoot Research Center

Houston, Texas, United States

Site Status

Velocity Clinical Research, Salt Lake City

West Jordan, Utah, United States

Site Status

Countries

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

United States

References

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

Roels S, Bruckner M, Sadoff J, Cardenas V, Tang C, Hagedoorn S, Heerwegh D, Stieh DJ, Le Gars M. Pre- and post-Ad26.COV2.S booster dose antibody levels predict COVID-19 disease risk. Vaccine. 2024 Sep 17;42(22):126159. doi: 10.1016/j.vaccine.2024.126159. Epub 2024 Aug 8.

Reference Type DERIVED
PMID: 39121698 (View on PubMed)

Le Gars M, Sadoff J, Cardenas V, Heerwegh D, Tesfaye F, Roey GV, Spicer C, Matias SS, Crayne O, Kamphuis T, Struyf F, Schuitemaker H, Douoguih M. Safety, reactogenicity, and immunogenicity of Ad26.COV2.S as homologous or heterologous COVID-19 booster vaccination: Results of a randomized, double-blind, phase 2 trial. Vaccine. 2024 Jul 25;42(19):3938-3952. doi: 10.1016/j.vaccine.2024.03.079. Epub 2024 Jun 25.

Reference Type DERIVED
PMID: 38918103 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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

VAC31518COV2008

Identifier Type: OTHER

Identifier Source: secondary_id

CR109060

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

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

A Study of Ad26.COV2.S in Adults (COVID-19)
NCT04436276 COMPLETED PHASE1/PHASE2