Trial Outcomes & Findings for ABNCoV2 Vaccine in SARS-CoV-2 (COVID-19) Seronegative and Seropositive Adult Subjects (NCT NCT05077267)

NCT ID: NCT05077267

Last Updated: 2024-09-27

Results Overview

The primary endpoint was SARS-CoV-2 index virus neutralizing antibody titers by pseudovirus assay at 2 weeks after the last vaccination, i.e., after the second vaccination in initially seronegative subjects (Group 1) and after the single boost vaccination in initially seropositive subjects (Groups 2 and 3), for subjects in the Immunogenicity Analysis Set.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

197 participants

Primary outcome timeframe

2 weeks after the second vaccination in initially seronegative subjects (Group 1) and after the single boost vaccination in initially seropositive subjects (Groups 2 and 3)

Results posted on

2024-09-27

Participant Flow

Approximately 210 subjects were to be enrolled in this trial, beginning with a run-in phase of 6 subjects (3 in each of Groups 1 and 2) before enrollment opened to both treatment groups pending positive results from a safety Data Monitoring Committee. Enrollment was based on prior SARS-CoV-2 experience, with Group 1 being seronegative and Group 2 being seropositive. Group 3 was enrolled after completion of the prior groups with a lower dose level for seropositive subjects.

Participant milestones

Participant milestones
Measure
Group 1
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Treatment Period
STARTED
28
103
66
Treatment Period
COMPLETED
28
101
66
Treatment Period
NOT COMPLETED
0
2
0
Follow-up Period
STARTED
28
103
66
Follow-up Period
COMPLETED
28
3
0
Follow-up Period
NOT COMPLETED
0
100
66

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Treatment Period
Lost to Follow-up
0
1
0
Treatment Period
Withdrawal by Subject
0
1
0
Follow-up Period
Lost to Follow-up
0
5
7
Follow-up Period
Withdrawal by Subject
0
2
5
Follow-up Period
Study terminated by sponsor
0
27
23
Follow-up Period
Received COVID-19 booster outside of trial
0
66
30
Follow-up Period
Patient is busy at work and withdraws the IC
0
0
1

Baseline Characteristics

ABNCoV2 Vaccine in SARS-CoV-2 (COVID-19) Seronegative and Seropositive Adult Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=28 Participants
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
n=103 Participants
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
n=66 Participants
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Total
n=197 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
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
27 Participants
n=5 Participants
79 Participants
n=7 Participants
59 Participants
n=5 Participants
165 Participants
n=4 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
24 Participants
n=7 Participants
7 Participants
n=5 Participants
32 Participants
n=4 Participants
Age, Continuous
46.4 years
STANDARD_DEVIATION 12.72 • n=5 Participants
51 years
STANDARD_DEVIATION 15.88 • n=7 Participants
46.3 years
STANDARD_DEVIATION 14.39 • n=5 Participants
48.7 years
STANDARD_DEVIATION 15.09 • n=4 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
42 Participants
n=7 Participants
33 Participants
n=5 Participants
92 Participants
n=4 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
61 Participants
n=7 Participants
33 Participants
n=5 Participants
105 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=5 Participants
103 Participants
n=7 Participants
65 Participants
n=5 Participants
196 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
24 Participants
n=5 Participants
100 Participants
n=7 Participants
65 Participants
n=5 Participants
189 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Region of Enrollment
Germany
28 participants
n=5 Participants
103 participants
n=7 Participants
66 participants
n=5 Participants
197 participants
n=4 Participants

PRIMARY outcome

Timeframe: 2 weeks after the second vaccination in initially seronegative subjects (Group 1) and after the single boost vaccination in initially seropositive subjects (Groups 2 and 3)

Population: All subjects who were in the Safety Analysis Set and had at least 1 post-vaccination neutralizing antibody titer result. Subjects with protocol deviations substantially affecting the immunogenicity outcomes were excluded from this analysis set. For the purpose of the primary estimate, this included SARS-CoV-2 infection prior to 2 weeks after last vaccination.

The primary endpoint was SARS-CoV-2 index virus neutralizing antibody titers by pseudovirus assay at 2 weeks after the last vaccination, i.e., after the second vaccination in initially seronegative subjects (Group 1) and after the single boost vaccination in initially seropositive subjects (Groups 2 and 3), for subjects in the Immunogenicity Analysis Set.

Outcome measures

Outcome measures
Measure
Group 1
n=24 Participants
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
n=99 Participants
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
n=65 Participants
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Severe Acute Respiratory Syndrome (SARS) Coronavirus (CoV)-2 Index Virus Neutralizing Antibody Titers at 2 Weeks After the Last Vaccination
516.7 titer
Interval 309.0 to 864.0
970.9 titer
Interval 804.1 to 1172.3
978.9 titer
Interval 781.0 to 1226.8

SECONDARY outcome

Timeframe: Within 8 days of the Day 1 vaccination for Groups 1, 2, and 3, as well as within 8 days of the Day 29 vaccination for Group 1.

Population: All subjects who received at least one vaccination with ABNCoV2 at any time during the trial.

Subjects reporting any serious adverse events (SAEs) or adverse events of special interest (AESIs) assessed as related to trial vaccine within 8 days after vaccination

Outcome measures

Outcome measures
Measure
Group 1
n=28 Participants
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
n=103 Participants
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
n=66 Participants
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Subjects Reporting Any SAEs or AESIs Assessed as Related to Trial Vaccine Within 8 Days After Vaccination
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Within 8 days of the Day 1 vaccination for Groups 1, 2, and 3, as well as within 8 days of the Day 29 vaccination for Group 1.

Population: All subjects who received at least one vaccination with ABNCoV2 at any time during the trial.

Subjects reporting any Grade ≥ 3 adverse events (AEs) assessed as related to trial vaccine within 8 days after vaccination

Outcome measures

Outcome measures
Measure
Group 1
n=28 Participants
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
n=103 Participants
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
n=66 Participants
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Subjects Reporting Any Grade ≥ 3 AEs Assessed as Related to Trial Vaccine Within 8 Days After Vaccination
0 Participants
0 Participants
0 Participants

Adverse Events

Group 1

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Group 2

Serious events: 5 serious events
Other events: 7 other events
Deaths: 0 deaths

Group 3

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1
n=28 participants at risk
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
n=103 participants at risk
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
n=66 participants at risk
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
1.9%
2/103 • Number of events 2 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Injury, poisoning and procedural complications
Clavicle fracture
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.97%
1/103 • Number of events 1 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Injury, poisoning and procedural complications
Concussion
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.97%
1/103 • Number of events 1 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Cardiac disorders
Atrioventricular block complete
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.97%
1/103 • Number of events 1 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Cardiac disorders
Cardiac arrest
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.97%
1/103 • Number of events 1 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.97%
1/103 • Number of events 1 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/28 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/103 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
1.5%
1/66 • Number of events 1 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.

Other adverse events

Other adverse events
Measure
Group 1
n=28 participants at risk
Seronegative adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1 and Day 29
Group 2
n=103 participants at risk
Seropositive adult subjects 100ug ABNCoV2 by subcutaneous injection on Day 1
Group 3
n=66 participants at risk
Seropositive adult subjects 50ug ABNCoV2 by subcutaneous injection on Day 1
Infections and infestations
Nasopharyngitis
17.9%
5/28 • Number of events 6 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
6.8%
7/103 • Number of events 7 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
4.5%
3/66 • Number of events 3 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
General disorders
Pyrexia
7.1%
2/28 • Number of events 3 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/103 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
General disorders
Malaise
7.1%
2/28 • Number of events 2 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/103 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Ear and labyrinth disorders
Ear pain
7.1%
2/28 • Number of events 2 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/103 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
Nervous system disorders
Headache
7.1%
2/28 • Number of events 2 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/103 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.
0.00%
0/66 • Overall trial from first vaccination through final follow up visit; i.e., 17 weeks for Group 1 and 2 years for Groups 2 and 3.

Additional Information

Bavarian Nordic Call Center

Bavarian Nordic A/S

Phone: +1-844-422-8274

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution/Investigator agree to submit any proposed publication or presentation to Sponsor for review at least 60 days prior to submitting any such proposed publication to a publisher or proceeding with such proposed presentation. Sponsor shall have the right to require Institution/Investigator to remove specifically identified Confidential Information and/or to delay the proposed publication or presentation for an additional 60 days to enable Sponsor to seek patent protection for Inventions.
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Restriction type: OTHER