Trial Outcomes & Findings for Safety Immunogenicity Study of MT-2766 in Japanese Adults(COVID-19) (NCT NCT05065619)

NCT ID: NCT05065619

Last Updated: 2023-11-07

Results Overview

Immediate AEs are defined as any solicited AEs and unsolicited AEs occurring within 30 minutes after vaccination. The causal relationship of all solicited AEs to investigational product was analyzed as related.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

128 participants

Primary outcome timeframe

Within 30 minutes after each vaccination

Results posted on

2023-11-07

Participant Flow

Low dose arm is open-label, not randomized arm and was not enrolled. It was described in the protocol that the study may be completed even if fewer than planned number of subjects in Low dose arm are enrolled.

Participant milestones

Participant milestones
Measure
MT-2766 High Dose (3.75 µg)
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Up to Day 42
STARTED
102
26
Up to Day 42
COMPLETED
100
26
Up to Day 42
NOT COMPLETED
2
0
After Day 43
STARTED
100
26
After Day 43
COMPLETED
0
0
After Day 43
NOT COMPLETED
100
26

Reasons for withdrawal

Reasons for withdrawal
Measure
MT-2766 High Dose (3.75 µg)
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Up to Day 42
Lost to Follow-up
1
0
Up to Day 42
Withdrawal by Subject
1
0
After Day 43
Lost to Follow-up
1
0
After Day 43
Physician Decision
3
0
After Day 43
Withdrawal by Subject
1
2
After Day 43
Public vaccination
6
8
After Day 43
Difficult to go to the hospital due to moving
1
0
After Day 43
Study Terminated by Sponsor
88
16

Baseline Characteristics

Safety Immunogenicity Study of MT-2766 in Japanese Adults(COVID-19)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MT-2766 High Dose (3.75 µg)
n=101 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Total
n=127 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
97 Participants
n=5 Participants
25 Participants
n=7 Participants
122 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Continuous
46.7 years
STANDARD_DEVIATION 11.3 • n=5 Participants
46.8 years
STANDARD_DEVIATION 11.9 • n=7 Participants
46.7 years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
36 Participants
n=5 Participants
15 Participants
n=7 Participants
51 Participants
n=5 Participants
Sex: Female, Male
Male
65 Participants
n=5 Participants
11 Participants
n=7 Participants
76 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
101 Participants
n=5 Participants
26 Participants
n=7 Participants
127 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
101 Participants
n=5 Participants
26 Participants
n=7 Participants
127 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 30 minutes after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

Immediate AEs are defined as any solicited AEs and unsolicited AEs occurring within 30 minutes after vaccination. The causal relationship of all solicited AEs to investigational product was analyzed as related.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=101 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Percentage of Participants with Immediate Solicited AEs
11.9 percentage of participants
7.7 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Solicited AE: Mild
11.9 percentage of participants
7.7 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Solicited AE: Moderate
0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Solicited AE: Severe
0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Solicited AE: Potentially life-threatening
0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Percentage of Participants with Immediate Unsolicited AE
1.0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Unsolicited AE: Mild
1.0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Unsolicited AE: Moderate
0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Unsolicited AE: Severe
0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Severity of Immediate Unsolicited AE: Potentially life-threatening
0 percentage of participants
0 percentage of participants
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality
Percentage of Participants with Immediate Related Unsolicited AE
1.0 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: Within 7 days after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

Solicited AEs are defined the following; (i) local AEs (injection site erythema, injection site swelling, injection site induration, and injection site pain) and (ii) systemic AEs (fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck).

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=101 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Percentage of Participants With Solicited AEs According to Severity
Percentage of Participants with Solicited AE
91.1 percentage of participants
42.3 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited AE: Mild
60.4 percentage of participants
38.5 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited AE: Moderate
24.8 percentage of participants
3.8 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited AE: Severe
5.0 percentage of participants
0 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited AE: Potentially life-threatening
0 percentage of participants
0 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Percentage of Participants with Solicited Local AE
85.1 percentage of participants
11.5 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Local AE: Mild
76.2 percentage of participants
11.5 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Local AE: Moderate
6.9 percentage of participants
0 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Local AE: Severe
2.0 percentage of participants
0 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Local AE: Potentially life-threatening
0 percentage of participants
0 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Percentage of Participants with Solicited Systemic AE
70.3 percentage of participants
38.5 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Systemic AE: Mild
45.5 percentage of participants
34.6 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Systemic AE: Moderate
20.8 percentage of participants
3.8 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Systemic AE: Severe
3.0 percentage of participants
0 percentage of participants
Percentage of Participants With Solicited AEs According to Severity
Severity of Solicited Systemic AE: Potentially life-threatening
0 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: Within 21 days after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=101 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality
Severity of Unsolicited AE: Severe
0.0 percentage of participants
0 percentage of participants
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality
Percentage of Participants with Unsolicited AEs
18.8 percentage of participants
26.9 percentage of participants
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality
Severity of Unsolicited AE: Mild
15.8 percentage of participants
26.9 percentage of participants
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality
Severity of Unsolicited AE: Moderate
3.0 percentage of participants
0 percentage of participants
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality
Severity of Unsolicited AE: Potentially life-threatening
0 percentage of participants
0 percentage of participants
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality
Percentage of Participants with Related Unsolicited AE
12.9 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: Within 21 days after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

AESIs include vaccine-associated enhanced diseases, hypersensitivity reactions, and potential immune-mediated diseases

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=101 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with SAEs
0 percentage of participants
0 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with MAAEs
3.0 percentage of participants
11.5 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with AEs Leading to Study Withdrawal
0 percentage of participants
0 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with AESIs
2.0 percentage of participants
0 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with Deaths
0 percentage of participants
0 percentage of participants

PRIMARY outcome

Timeframe: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

Geometric mean neutralizing antibody titer (GMT)

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=99 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT
GMT: Day 0
6.6 titer
Interval 5.5 to 8.0
6.9 titer
Interval 4.5 to 10.6
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT
GMT: Day 21
43.9 titer
Interval 31.9 to 60.3
7.0 titer
Interval 4.3 to 11.5
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT
GMT: Day 42
912.6 titer
Interval 733.6 to 1135.1
7.0 titer
Interval 4.5 to 11.0

PRIMARY outcome

Timeframe: Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

Geometric mean fold rise (GMFR) is defined as the ratio of geometric mean antibody titer (GMT) based on that of Day 0 (i.e. Day 21/Day 0 and Day 42/Day 0).

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=99 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFR
GMFR: Day 21/Day 0
6.55 fold rise
Interval 5.2 to 8.26
1.03 fold rise
Interval 0.66 to 1.62
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFR
GMFR: Day 42/Day 0
136.75 fold rise
Interval 112.15 to 166.74
1.04 fold rise
Interval 0.71 to 1.54

PRIMARY outcome

Timeframe: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

Seroconversion (SC) rate. SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 21/42, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 21/42, respectively.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=99 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2 Neutralizing Antibody (Nab) Responses
Day 21
38.9 percentage of subjects achieving SC
Interval 29.1 to 49.5
0 percentage of subjects achieving SC
Interval 0.0 to 13.7
SARS-CoV-2 Neutralizing Antibody (Nab) Responses
Day 42
99.0 percentage of subjects achieving SC
Interval 94.4 to 100.0
0 percentage of subjects achieving SC
Interval 0.0 to 13.7

PRIMARY outcome

Timeframe: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

Using the interferon-γ enzyme-linked immunospot (ELISpot) assay. Unit of Measure: Spot-Forming Cell (SFC)/10\^6 Peripheral Blood Mononuclear Cells (PBMC)

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=99 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses
Day 0
188.0 SFC/10^6 PBMC
Interval 73.0 to 258.0
277.5 SFC/10^6 PBMC
Interval 120.0 to 450.0
SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses
Day 21
265.5 SFC/10^6 PBMC
Interval 128.0 to 635.0
330.0 SFC/10^6 PBMC
Interval 233.0 to 465.0
SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses
Day 42
1173.0 SFC/10^6 PBMC
Interval 1010.0 to 1305.0
413.0 SFC/10^6 PBMC
Interval 43.0 to 835.0

PRIMARY outcome

Timeframe: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

Using the interleukin-4 ELISpot assay

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=99 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses
Day 0
0.0 SFC/10^6 PBMC
Interval 0.0 to 0.0
0.0 SFC/10^6 PBMC
Interval 0.0 to 0.0
SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses
Day 21
0.0 SFC/10^6 PBMC
Interval 0.0 to 75.0
0.0 SFC/10^6 PBMC
Interval 0.0 to 0.0
SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses
Day 42
619.0 SFC/10^6 PBMC
Interval 540.0 to 786.0
0.0 SFC/10^6 PBMC
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

AESIs include vaccine-associated enhanced diseases, hypersensitivity reactions, and potential immune-mediated diseases.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=101 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with SAEs
2.0 percentage of participants
7.7 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with MAAEs
31.7 percentage of participants
46.2 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with AEs Leading to Study Withdrawal
0 percentage of participants
0 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with AESIs
2.0 percentage of participants
0 percentage of participants
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths
Percentage of Participants with Deaths
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 128, analysis included the subjects who received both doses and had Day 0 and 128 sample collections (MT-2766 n=94, Placebo n=25). For the Day 201, analysis included the subjects who received both doses and had Day 0 and 201 sample collections (MT-2766 n=90, Placebo n=22).

Geometric mean neutralizing antibody titer (GMT)

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=94 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=25 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT
GMT: Day 128
196.5 titer
Interval 147.0 to 262.7
8.5 titer
Interval 4.6 to 15.8
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT
GMT: Day 201
139.9 titer
Interval 99.5 to 196.8
8.3 titer
Interval 4.2 to 16.4

SECONDARY outcome

Timeframe: Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 128, analysis included the subjects who received both doses and had Day 0 and 128 sample collections (MT-2766 n=94, Placebo n=25). For the Day 201, analysis included the subjects who received both doses and had Day 0 and 201 sample collections (MT-2766 n=90, Placebo n=22).

Geometric mean fold rise (GMFR)

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=94 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=25 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFR
GMFR: Day 128/Day 0
29.17 fold rise
Interval 22.6 to 37.65
1.22 fold rise
Interval 0.74 to 2.0
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFR
GMFR: Day 201/Day 0
22.63 fold rise
Interval 16.55 to 30.94
1.17 fold rise
Interval 0.62 to 2.21

SECONDARY outcome

Timeframe: Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 128, analysis included the subjects who received both doses and had Day 0 and 128 sample collections (MT-2766 n=94, Placebo n=25). For the Day 201, analysis included the subjects who received both doses and had Day 0 and 201 sample collections (MT-2766 n=90, Placebo n=22).

SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 128/201, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 128/201, respectively.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=94 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=25 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Seroconversion (SC) Rate of SARS-CoV-2 Neutralizing Antibody
SC rate: Day 128
90.4 %
Interval 82.6 to 95.5
4.0 %
Interval 0.1 to 20.4
Seroconversion (SC) Rate of SARS-CoV-2 Neutralizing Antibody
SC rate: Day 201
77.8 %
Interval 67.8 to 85.9
4.5 %
Interval 0.1 to 22.8

SECONDARY outcome

Timeframe: Days 201

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 128 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 128 immunogenicity sample collections. For the Day 201 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 201 immunogenicity sample collections.

Using the interferon-γ enzyme-linked immunospot (ELISpot) assay.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=85 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=18 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses
948.0 SFC/10^6 PBMC
Interval 815.0 to 1103.0
171.50 SFC/10^6 PBMC
Interval 0.0 to 295.0

SECONDARY outcome

Timeframe: Days 201

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 128 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 128 immunogenicity sample collections. For the Day 201 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 201 immunogenicity sample collections.

Using the interleukin-4 ELISpot assay

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=87 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=19 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses
375.0 SFC/10^6 PBMC
Interval 302.0 to 516.0
0.0 SFC/10^6 PBMC
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Day 0,Day 21,Day 42,Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 21, analysis included the subjects who received the 1st dose and had Day 0 and 21 sample collections. For the Day 42, 128, and 201, analyses included the subjects who received two doses and had Day 0 and the each time point sample collections. See the table below for the number of analyzed subjects at each time point.

Geometric mean neutralizing antibody titer (GMT)

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=100 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2-specific Antibody Responses (Total IgG): GMT
GMT: Day 0
103.6 titer
Interval 72.8 to 147.6
119.5 titer
Interval 52.5 to 271.7
SARS-CoV-2-specific Antibody Responses (Total IgG): GMT
GMT: Day 21
2258.3 titer
Interval 1529.5 to 3334.3
118.6 titer
Interval 52.1 to 270.0
SARS-CoV-2-specific Antibody Responses (Total IgG): GMT
GMT: Day 42
95159.8 titer
Interval 78038.0 to 116038.2
114.3 titer
Interval 50.6 to 257.9
SARS-CoV-2-specific Antibody Responses (Total IgG): GMT
GMT: Day 128
24391.9 titer
Interval 17875.1 to 33284.5
147.0 titer
Interval 59.4 to 363.7
SARS-CoV-2-specific Antibody Responses (Total IgG): GMT
GMT: Day 201
15429.0 titer
Interval 10934.6 to 21770.8
216.6 titer
Interval 80.2 to 584.7

SECONDARY outcome

Timeframe: Day 0,Day 21,Day 42,Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 21, analysis included the subjects who received the 1st dose and had Day 0 and 21 sample collections. For the Day 42, 128, and 201, analyses included the subjects who received two doses and had Day 0 and the each time point sample collections. See the table below for the number of analyzed subjects at each time point.

Geometric mean fold rise (GMFR)

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=98 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
SARS-CoV-2-specific Antibody Responses (Total IgG): GMFR
GMFR: Day 201/Day 0
176.32 fold rise
Interval 125.47 to 247.77
1.95 fold rise
Interval 0.98 to 3.9
SARS-CoV-2-specific Antibody Responses (Total IgG): GMFR
GMFR: Day 21/Day 0
22.34 fold rise
Interval 16.94 to 29.47
1.02 fold rise
Interval 0.6 to 1.75
SARS-CoV-2-specific Antibody Responses (Total IgG): GMFR
GMFR: Day 42/Day 0
917.37 fold rise
Interval 738.51 to 1139.54
1.03 fold rise
Interval 0.67 to 1.57
SARS-CoV-2-specific Antibody Responses (Total IgG): GMFR
GMFR: Day 128/Day 0
245.38 fold rise
Interval 181.54 to 331.67
1.34 fold rise
Interval 0.75 to 2.38

SECONDARY outcome

Timeframe: Day 0,Day 21,Day 42,Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 21, analysis included the subjects who received the 1st dose and had Day 0 and 21 sample collections. For the Day 42, 128, and 201, analyses included the subjects who received two doses and had Day 0 and the each time point sample collections. See the table below for the number of analyzed subjects at each time point.

SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 21/42/128/201, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 21/42, respectively.

Outcome measures

Outcome measures
Measure
MT-2766 High Dose (3.75 µg)
n=98 Participants
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 Participants
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):
SC rate: Day 21
83.7 percentage of subjects achieving SC
Interval 74.8 to 90.4
0.0 percentage of subjects achieving SC
Interval 0.0 to 13.2
Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):
SC rate: Day 42
97.9 percentage of subjects achieving SC
Interval 92.7 to 99.7
0.0 percentage of subjects achieving SC
Interval 0.0 to 13.7
Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):
SC rate: Day 128
96.8 percentage of subjects achieving SC
Interval 91.0 to 99.3
11.5 percentage of subjects achieving SC
Interval 2.4 to 30.2
Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):
SC rate: Day 201
95.6 percentage of subjects achieving SC
Interval 89.0 to 98.8
18.2 percentage of subjects achieving SC
Interval 5.2 to 40.3

Adverse Events

MT-2766 High Dose (3.75 µg)

Serious events: 2 serious events
Other events: 92 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MT-2766 High Dose (3.75 µg)
n=101 participants at risk
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 participants at risk
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Infections and infestations
COVID-19
0.00%
0/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
3.8%
1/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Nervous system disorders
Cerebral infarction
0.99%
1/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Gastrointestinal disorders
Large intestine polyp
0.99%
1/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Injury, poisoning and procedural complications
Sternal fracture
0.00%
0/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
3.8%
1/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.

Other adverse events

Other adverse events
Measure
MT-2766 High Dose (3.75 µg)
n=101 participants at risk
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
Placebo
n=26 participants at risk
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
General disorders
Induration
35.6%
36/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Pain
83.2%
84/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
11.5%
3/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Skin and subcutaneous tissue disorders
Redness
11.9%
12/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Chills
43.6%
44/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
3.8%
1/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Fatigue
49.5%
50/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
23.1%
6/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Feeling of General Discomfort
38.6%
39/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
19.2%
5/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Feeling of Swelling in the Neck
8.9%
9/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
3.8%
1/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Fever
14.9%
15/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Nervous system disorders
Headache
46.5%
47/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
19.2%
5/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Musculoskeletal and connective tissue disorders
Joint Aches
27.7%
28/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
3.8%
1/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
Musculoskeletal and connective tissue disorders
Muscle Aches
43.6%
44/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
General disorders
Swelling
29.7%
30/101 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.
0.00%
0/26 • Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.
Data were collected based on regular investigator assessment and laboratory testing, self-reporting by participants and subject diary. For solicited AEs, prespecified AEs were collected up to 7 days after each administration using the subject diary.

Additional Information

Medical Director

Medicago

Phone: +1 418-658-9393

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER