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Safety and Immunogenicity of BNT162b2 Coadministered With SIIV in Adults 18 Through 64 Years of Age

Primary Purpose

SARS-CoV-2 Infection, COVID-19

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
BNT162b2
Placebo
Seasonal Inactivated Influenza Vaccine
Sponsored by
BioNTech SE
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV-2 Infection focused on measuring COVID-19, Coronavirus, Vaccine, SARS-CoV-2, RNA Vaccine

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Participants 18 through 64 years of age, inclusive, at the time of consent.
  2. Are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
  3. Adults determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study, including adults with preexisting stable disease, defined as disease not requiring significant change in therapy in the previous 6 weeks or hospitalization for worsening disease within 12 weeks before receipt of study intervention.
  4. Have received 3 prior doses of 30 µg BNT162b2, with the third dose being at least 90 days before Visit 1 (Day 1). Documented confirmation of prior BNT162b2 receipt must be obtained prior to randomization.
  5. Capable of giving personal signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol.

Exclusion Criteria:

  1. Other medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior, or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  2. Allergy to egg proteins (egg or egg products) or chicken proteins.
  3. History of Guillain-Barré syndrome.
  4. History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  5. A positive SARS-CoV-2 test result (either by NAAT or rapid antigen test) within 28 days of Visit 1 (Day 1).
  6. Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
  7. Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
  8. Women who are pregnant or breastfeeding.
  9. Vaccination with any influenza vaccine <6 months before study intervention administration, or planned receipt of any licensed or investigational nonstudy influenza vaccine during study participation.
  10. Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids (if systemic corticosteroids are administered for ≥14 days at a dose of ≥20 mg/day of prednisone or equivalent), eg, for COPD, or planned receipt throughout the study. Inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted.
  11. Receipt of blood/plasma products or immunoglobulin, from 60 days before study intervention administration or planned receipt throughout the study.
  12. Receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration or planned receipt throughout the study.
  13. Prior receipt of any COVID-19 vaccine other than BNT162b2 or receipt of more than 3 prior doses of BNT162b2.
  14. Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
  15. Investigator site staff or Pfizer/BioNTech employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.

Sites / Locations

  • Northern Beaches Clinical Research
  • Australian Clinical Research Network
  • Westmead Hospital
  • Paratus Clinical Research Brisbane
  • AusTrials - Wellers Hill
  • Emeritus Research
  • Barwon Health
  • New Zealand Clinical Research (NZCR)
  • Optimal Clinical Trials
  • Southern Clinical Trials Totara
  • Lakeland Clinical Trials Culloden
  • Pacific Clinical Research Network - Rotorua
  • P3 Research - Tauranga
  • New Zealand Clinical Research (Christchurch)
  • Pacific Clinical Research Network - Forte
  • Southern Clinical Trials Ltd
  • P3 Research - Hawke's Bay
  • P3 Research - Palmerston North
  • Lakeland Clinical Trials Waikato
  • P3 Research - Kapiti
  • Lakeland Clinical Trials Wellington
  • Southern Clinical Trials Waitemata Ltd
  • Middlemore Clinical Trials
  • Southern Clinical Trials Tasman
  • Capital and Coast District Health Board
  • P3 Research - Wellington

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Coadministration Group

Separate Administration Group

Arm Description

BNT162b2 and SIIV followed by placebo a month later

Placebo and SIIV followed by BNT162b2 a month later

Outcomes

Primary Outcome Measures

Local reactions (redness, swelling, and pain at the injection site) self-reported on e-diaries
The percentage of participants reporting prompted local reactions within 7 days after each vaccination
Systemic events (fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain) self-reported on e-diaries
The percentage of participants reporting prompted systemic events within 7 days after each vaccination
Adverse Events
The percentage of participants reporting AEs within 1 month after each vaccination
Serious Adverse Events
The percentage of participants reporting SAEs from the first vaccination up to 1 month after the last vaccination
Full-length S-binding IgG levels
Geometric mean ratio of full-length S-binding IgG levels 1 month after vaccination with BNT162b2 in the coadministration group to the IgG levels 1 month after vaccination with BNT162b2 in the separate administration group
Strain-specific HAI titers ; H3N2-neutralizing antibody titers (if H3N2-HAI titers cannot be obtained)
Geometric mean ratio of the strain-specific HAI (or H3N2-neutralizing antibody) titers 1 month after vaccination with SIIV in the coadministration group to the corresponding HAI (or H3N2-neutralizing antibody) titers in the separate administration group

Secondary Outcome Measures

Full-length S-binding IgG levels ; SARS-CoV-2 neutralizing titers (for a subset of approximately 200 participants) expressed as Geometric Mean Concentrations/Geometric Mean Titers
Geometric Mean Concentrations/Geometric Mean Titers elicited by BNT162b2 when coadministered with SIIV or administered alone
Full-length S-binding IgG levels ; SARS-CoV-2 neutralizing titers (for a subset of approximately 200 participants) expressed as Geometric Mean Fold Rise
Geometric Mean Fold Rise elicited by BNT162b2 when coadministered with SIIV or administered alone
Strain-specific HAI titers ; H3N2-neutralizing antibody titers (if H3N2-HAI titers cannot be obtained) expressed as Geometric Mean Titers
Geometric Mean Titers elicited by SIIV when coadministered with BNT162b2 or administered alone
Strain-specific HAI titers ; H3N2-neutralizing antibody titers (if H3N2-HAI titers cannot be obtained) expressed as Geometric Mean Fold Rise
Geometric Mean Fold Rise in strain-specific HAI titers elicited by SIIV when coadministered with BNT162b2 or administered alone

Full Information

First Posted
March 25, 2022
Last Updated
October 13, 2022
Sponsor
BioNTech SE
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT05310084
Brief Title
Safety and Immunogenicity of BNT162b2 Coadministered With SIIV in Adults 18 Through 64 Years of Age
Official Title
A PHASE 3, RANDOMIZED, OBSERVER-BLIND TRIAL TO EVALUATE THE SAFETY AND IMMUNOGENICITY OF BNT162b2 WHEN COADMINISTERED WITH SEASONAL INACTIVATED INFLUENZA VACCINE (SIIV) IN ADULTS 18 THROUGH 64 YEARS OF AGE
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
April 20, 2022 (Actual)
Primary Completion Date
October 5, 2022 (Actual)
Study Completion Date
October 5, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioNTech SE
Collaborators
Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will assess the safety and immunogenicity of a fourth dose (booster) of BNT162b2 when coadministered with SIIV compared to separate administration of the vaccines when given 1 month apart (SIIV followed by BNT162b2), in participants who have received 3 prior doses of 30 µg BNT162b2, with the third dose being at least 90 days before Visit 1 (Day 1). Healthy adults 18 through 64 years of age will be randomized 1:1 to either the co-administration group, or the separate administration group The duration of the study for each participant will be approximately 2 months There are 3 scheduled study visits each about 1 month apart The study will be conducted in New Zealand and Australia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV-2 Infection, COVID-19
Keywords
COVID-19, Coronavirus, Vaccine, SARS-CoV-2, RNA Vaccine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
This is an Observer-Blind Study. The vaccines and placebo will be administered by an unblinded third-party site staff member.
Allocation
Randomized
Enrollment
1134 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Coadministration Group
Arm Type
Experimental
Arm Description
BNT162b2 and SIIV followed by placebo a month later
Arm Title
Separate Administration Group
Arm Type
Experimental
Arm Description
Placebo and SIIV followed by BNT162b2 a month later
Intervention Type
Biological
Intervention Name(s)
BNT162b2
Intervention Description
Intramuscular injection
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Saline intramuscular injection
Intervention Type
Biological
Intervention Name(s)
Seasonal Inactivated Influenza Vaccine
Intervention Description
SIIV intramuscular injection
Primary Outcome Measure Information:
Title
Local reactions (redness, swelling, and pain at the injection site) self-reported on e-diaries
Description
The percentage of participants reporting prompted local reactions within 7 days after each vaccination
Time Frame
7 days after each vaccination
Title
Systemic events (fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain) self-reported on e-diaries
Description
The percentage of participants reporting prompted systemic events within 7 days after each vaccination
Time Frame
7 days after each vaccination
Title
Adverse Events
Description
The percentage of participants reporting AEs within 1 month after each vaccination
Time Frame
1 month after each vaccination
Title
Serious Adverse Events
Description
The percentage of participants reporting SAEs from the first vaccination up to 1 month after the last vaccination
Time Frame
1 month after the last vaccination
Title
Full-length S-binding IgG levels
Description
Geometric mean ratio of full-length S-binding IgG levels 1 month after vaccination with BNT162b2 in the coadministration group to the IgG levels 1 month after vaccination with BNT162b2 in the separate administration group
Time Frame
1 month after vaccination with BNT162b2
Title
Strain-specific HAI titers ; H3N2-neutralizing antibody titers (if H3N2-HAI titers cannot be obtained)
Description
Geometric mean ratio of the strain-specific HAI (or H3N2-neutralizing antibody) titers 1 month after vaccination with SIIV in the coadministration group to the corresponding HAI (or H3N2-neutralizing antibody) titers in the separate administration group
Time Frame
1 month after vaccination with SIIV
Secondary Outcome Measure Information:
Title
Full-length S-binding IgG levels ; SARS-CoV-2 neutralizing titers (for a subset of approximately 200 participants) expressed as Geometric Mean Concentrations/Geometric Mean Titers
Description
Geometric Mean Concentrations/Geometric Mean Titers elicited by BNT162b2 when coadministered with SIIV or administered alone
Time Frame
At baseline (before vaccination) and 1 month after vaccination with BNT162b2
Title
Full-length S-binding IgG levels ; SARS-CoV-2 neutralizing titers (for a subset of approximately 200 participants) expressed as Geometric Mean Fold Rise
Description
Geometric Mean Fold Rise elicited by BNT162b2 when coadministered with SIIV or administered alone
Time Frame
At baseline (before vaccination) and 1 month after vaccination with BNT162b2
Title
Strain-specific HAI titers ; H3N2-neutralizing antibody titers (if H3N2-HAI titers cannot be obtained) expressed as Geometric Mean Titers
Description
Geometric Mean Titers elicited by SIIV when coadministered with BNT162b2 or administered alone
Time Frame
At baseline (before vaccination) and 1 month after vaccination with SIIV
Title
Strain-specific HAI titers ; H3N2-neutralizing antibody titers (if H3N2-HAI titers cannot be obtained) expressed as Geometric Mean Fold Rise
Description
Geometric Mean Fold Rise in strain-specific HAI titers elicited by SIIV when coadministered with BNT162b2 or administered alone
Time Frame
At baseline (before vaccination) and 1 month after vaccination with SIIV

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants 18 through 64 years of age, inclusive, at the time of consent. Are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. Adults determined by clinical assessment, including medical history and clinical judgment, to be eligible for the study, including adults with preexisting stable disease, defined as disease not requiring significant change in therapy in the previous 6 weeks or hospitalization for worsening disease within 12 weeks before receipt of study intervention. Have received 3 prior doses of 30 µg BNT162b2, with the third dose being at least 90 days before Visit 1 (Day 1). Documented confirmation of prior BNT162b2 receipt must be obtained prior to randomization. Capable of giving personal signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol. Exclusion Criteria: Other medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior, or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. Allergy to egg proteins (egg or egg products) or chicken proteins. History of Guillain-Barré syndrome. History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). A positive SARS-CoV-2 test result (either by NAAT or rapid antigen test) within 28 days of Visit 1 (Day 1). Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination. Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection. Women who are pregnant or breastfeeding. Vaccination with any influenza vaccine <6 months before study intervention administration, or planned receipt of any licensed or investigational nonstudy influenza vaccine during study participation. Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids (if systemic corticosteroids are administered for ≥14 days at a dose of ≥20 mg/day of prednisone or equivalent), eg, for COPD, or planned receipt throughout the study. Inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted. Receipt of blood/plasma products or immunoglobulin, from 60 days before study intervention administration or planned receipt throughout the study. Receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration or planned receipt throughout the study. Prior receipt of any COVID-19 vaccine other than BNT162b2 or receipt of more than 3 prior doses of BNT162b2. Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation. Investigator site staff or Pfizer/BioNTech employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Northern Beaches Clinical Research
City
Brookvale
State/Province
New South Wales
ZIP/Postal Code
2100
Country
Australia
Facility Name
Australian Clinical Research Network
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
NSW 2035
Country
Australia
Facility Name
Westmead Hospital
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Facility Name
Paratus Clinical Research Brisbane
City
Albion
State/Province
Queensland
ZIP/Postal Code
4010
Country
Australia
Facility Name
AusTrials - Wellers Hill
City
Wellers Hill
State/Province
Queensland
ZIP/Postal Code
4121
Country
Australia
Facility Name
Emeritus Research
City
Camberwell
State/Province
Victoria
ZIP/Postal Code
3124
Country
Australia
Facility Name
Barwon Health
City
Geelong
State/Province
Victoria
ZIP/Postal Code
3220
Country
Australia
Facility Name
New Zealand Clinical Research (NZCR)
City
Grafton
State/Province
Auckland
ZIP/Postal Code
1010
Country
New Zealand
Facility Name
Optimal Clinical Trials
City
Grafton
State/Province
Auckland
ZIP/Postal Code
1010
Country
New Zealand
Facility Name
Southern Clinical Trials Totara
City
New Lynn
State/Province
Auckland
ZIP/Postal Code
0600
Country
New Zealand
Facility Name
Lakeland Clinical Trials Culloden
City
Papamoa Beach
State/Province
BAY OF Plenty
ZIP/Postal Code
3118
Country
New Zealand
Facility Name
Pacific Clinical Research Network - Rotorua
City
Rotorua
State/Province
BAY OF Plenty
ZIP/Postal Code
3010
Country
New Zealand
Facility Name
P3 Research - Tauranga
City
Tauranga
State/Province
BAY OF Plenty
ZIP/Postal Code
3110
Country
New Zealand
Facility Name
New Zealand Clinical Research (Christchurch)
City
Christchurch
State/Province
Canterbury
ZIP/Postal Code
8011
Country
New Zealand
Facility Name
Pacific Clinical Research Network - Forte
City
Christchurch
State/Province
Canterbury
ZIP/Postal Code
8013
Country
New Zealand
Facility Name
Southern Clinical Trials Ltd
City
Christchurch
State/Province
Canterbury
ZIP/Postal Code
8013
Country
New Zealand
Facility Name
P3 Research - Hawke's Bay
City
Havelock North
State/Province
Hawke's BAY
ZIP/Postal Code
4130
Country
New Zealand
Facility Name
P3 Research - Palmerston North
City
Palmerston North
State/Province
Manawatu-wanganui
ZIP/Postal Code
4414
Country
New Zealand
Facility Name
Lakeland Clinical Trials Waikato
City
Hamilton
State/Province
Waikato
ZIP/Postal Code
3200
Country
New Zealand
Facility Name
P3 Research - Kapiti
City
Paraparaumu
State/Province
Wellington
ZIP/Postal Code
5032
Country
New Zealand
Facility Name
Lakeland Clinical Trials Wellington
City
Upper Hutt
State/Province
Wellington
ZIP/Postal Code
5018
Country
New Zealand
Facility Name
Southern Clinical Trials Waitemata Ltd
City
Auckland
ZIP/Postal Code
0626
Country
New Zealand
Facility Name
Middlemore Clinical Trials
City
Auckland
ZIP/Postal Code
2025
Country
New Zealand
Facility Name
Southern Clinical Trials Tasman
City
Nelson
ZIP/Postal Code
7011
Country
New Zealand
Facility Name
Capital and Coast District Health Board
City
Wellington
ZIP/Postal Code
6021
Country
New Zealand
Facility Name
P3 Research - Wellington
City
Wellington
ZIP/Postal Code
6021
Country
New Zealand

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=C4591030
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

Safety and Immunogenicity of BNT162b2 Coadministered With SIIV in Adults 18 Through 64 Years of Age

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