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Study to Compare the Immunogenicity and Safety of 3 Lots of NVX-CoV2373 in Adults

Primary Purpose

COVID-19, SARS-CoV-2 Infection

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
NVX-Cov2373
Sponsored by
Novavax
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring Coronavirus, COVID-19

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

To be included in this study, each individual must satisfy all of the following criteria:

  1. Adults 18 to 49 years of age, inclusive, at screening
  2. Willing and able to give informed consent prior to study enrollment and to comply with study procedures.
  3. Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [ie, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea at least 12 consecutive months]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through the end of study (EOS) visit OR agree to consistently use a medically acceptable method of contraception from at least 28 days prior to enrollment and through the EOS visit.
  4. Is medically stable, as determined by the investigator (based on review of health status, vital signs [to include body temperature], medical history, and targeted physical examination [to include body weight]). Vital signs must be within medically acceptable ranges prior to the study vaccination
  5. Agree to not participate in any other SARS-CoV-2 prevention or treatment trials for the duration of the study.

    Note: For participants who become hospitalized with coronavirus disease 2019 (COVID-19), participation in investigational treatment studies is permitted.

  6. Documented receipt of either 2 or 3 doses of the investigational Novavax vaccine with Matrix-M adjuvant (NVX- CoV2373); OR documented receipt of a full course of an FDA-authorized/approved COVID-19 vaccine; OR documented receipt of a full course of heterologous COVID-19 vaccines mentioned above. The most recent dose must have been administered at least 6 months prior to study vaccination.

Exclusion Criteria:

Participants meeting any of the following criteria will be excluded from the study.

  1. History of laboratory-confirmed (by polymerase chain reaction [PCR] or rapid antigen test)COVID-19 infection ≤ 4 months prior to randomization.
  2. Current participation in research involving receipt of an investigational product (drug/biologic/device).
  3. Any known allergies or history of anaphylaxis to the active substance or any of the other ingredients contained in the investigational product.
  4. Any autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) or therapy that causes clinically significant immunosuppression.
  5. Received any vaccine ≤ 90 days prior to study vaccination, except for influenza vaccine which may be received 4 days prior to study vaccine, or rabies vaccine which may be received at any time if medically indicated.
  6. Received immunoglobulin, blood-derived products, or immunosuppressant drugs within 90 days prior to study vaccination, except for rabies immunoglobulin which may be given if medically indicated.
  7. Active cancer (malignancy) on chemotherapy that is judged to cause significant immunocompromise within 1 year prior to first study vaccination (with the exception of malignancy cured via excision, at the discretion of the investigator).
  8. Participants who are breastfeeding, pregnant, or who plan to become pregnant prior to the EOS visit.
  9. Suspected or known history of alcohol abuse or drug addiction within 3 months prior to the study vaccine dose that, in the opinion of the investigator, might interfere with protocol compliance.
  10. Any other condition that, in the opinion of the investigator, would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results (including neurologic or psychiatric conditions likely to impair the quality of safety reporting).
  11. Study team member or immediate family member of any study team member (inclusive of Sponsor, clinical research organization [CRO], and study site personnel involved in the conduct or planning of the study).
  12. Participants with a history of myocarditis or pericarditis.

Sites / Locations

  • Long Beach Clinical Trial Services Inc.
  • Benchmark Research
  • Accel Clinical Research
  • Research Centers of America
  • Jacksonville Center for Clinical Research
  • Multi-Specialty Research Associates, Inc.
  • Cen/Excel ACMR
  • Meridian Clinical Research
  • CRA Headlands
  • Velocity Clinical Research
  • Meridian Clinical Research
  • Meridian Clinical Research
  • MedPharmics
  • Sundance Clinical Research
  • Meridian Clinical Research
  • Meridian Clinical Research
  • Meridian Clinical Research
  • Rochester Clinical Research
  • OnSite Clinical Solutions, LLC
  • CTI Clinical Research Center
  • Velocity Clinical Research
  • Lynn Health Science Institute
  • Tekton Research
  • Velocity Clinical Research
  • Velocity Clinical Research
  • Benchmark Research
  • Tekton Research
  • Benchmark Research
  • Research Your Health
  • Tekton Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Lot 1

Lot 2

Lot 3

Arm Description

1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.

1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.

1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.

Outcomes

Primary Outcome Measures

Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMEUs
IgG geometric mean ELISA unit concentrations (GMEU/mL) to the SARS-CoV-2 spike protein at Day 29 in each treatment arm.

Secondary Outcome Measures

Serum IgG antibody levels expressed as seroconversion rate (SCR)
Proportion of participants in each treatment arm who achieve seroconversion (≥ 4-fold increase from baseline) in IgG concentrations to the SARS-CoV-2 spike protein at Day 29.
MN50 geometric mean titers (GMTs) to the SARS-CoV-2 expressed as GMTs
MN50 geometric mean titers to the SARS-CoV-2 spike protein at Day 29 in each treatment arm.
MN50 GMTs to the SARS-CoV-2 expressed as SCR
Proportion of participants in each treatment arm who achieve seroconversion (≥ 4-fold increase from baseline) in MN50 titers to the SARS-CoV-2 spike protein at Day 29.
Human Angiotensin-Converting Enzyme 2 (hACE2) inhibition assay titers GMT to the SARS-CoV-2 expressed as GMT
hACE2 inhibition assay titers (geometric mean titer [GMTs]) at Day 29 in each treatment arm.
hACE2 inhibition assay titers to the SARS-CoV-2 expressed as SCR
Proportion of participants in each treatment arm who achieve seroconversion (≥ 4-fold increase from baseline) in hACE2 titers concentrations to the SARS-CoV-2 spike protein at Day 29.
Incidence and severity of MAAEs
Incidence, duration, severity, and relationship of MAAEs through Day 29 (ie, 28 days after vaccine dose).
Incidence and severity of AESIs
Incidence, duration, severity, and relationship of AESIs (including myocarditis and/or pericarditis) through Day 29 (ie, 28 days after vaccine dose).
Incidence and relationship of SAEs
Incidence and relationship of SAEs throughout the study

Full Information

First Posted
July 14, 2022
Last Updated
July 18, 2023
Sponsor
Novavax
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1. Study Identification

Unique Protocol Identification Number
NCT05463068
Brief Title
Study to Compare the Immunogenicity and Safety of 3 Lots of NVX-CoV2373 in Adults
Official Title
A Randomized, Observer-Blinded, Phase 3 Study to Compare the Immunogenicity and Safety of 3 Lots of NVX-CoV2373 in Adults
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
July 11, 2022 (Actual)
Primary Completion Date
August 17, 2022 (Actual)
Study Completion Date
September 1, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novavax

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a randomized, Phase 3 study comparing the immunogenicity and safety of 3 different lots of Novavax vaccine with Matrix-M™ adjuvant (NVX-CoV2373).The study will enroll approximately 900 previously vaccinated adults 18 to 49 years of age, inclusive.
Detailed Description
This is a randomized, Phase 3 study comparing the immunogenicity and safety of 3 different lots of Novavax vaccine with Matrix-M™ adjuvant (NVX-CoV2373). The study will enroll approximately 900 previously vaccinated adults 18 to 49 years of age, inclusive. Participants will be screened at baseline with the goal of enrolling approximately 900 previously vaccinated participants. Participants will be randomized 1:1:1 to receive 1 dose of the vaccine from 1 of 3 different lots, given on Day 1, at a dose level of 5 µg of antigen with 50 µg of Matrix-M adjuvant. All participants will remain on study for immunogenicity and safety data collection through 28 days following the vaccination.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
911 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lot 1
Arm Type
Experimental
Arm Description
1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.
Arm Title
Lot 2
Arm Type
Experimental
Arm Description
1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.
Arm Title
Lot 3
Arm Type
Experimental
Arm Description
1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.
Intervention Type
Drug
Intervention Name(s)
NVX-Cov2373
Other Intervention Name(s)
SARS-CoV-2 rS/Matrix-M Adjuvant
Intervention Description
Intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M adjuvant (0.5 mL) on Day 1
Primary Outcome Measure Information:
Title
Serum Immunoglobulin G (IgG) Antibody Levels Expressed as GMEUs
Description
IgG geometric mean ELISA unit concentrations (GMEU/mL) to the SARS-CoV-2 spike protein at Day 29 in each treatment arm.
Time Frame
Day 29
Secondary Outcome Measure Information:
Title
Serum IgG antibody levels expressed as seroconversion rate (SCR)
Description
Proportion of participants in each treatment arm who achieve seroconversion (≥ 4-fold increase from baseline) in IgG concentrations to the SARS-CoV-2 spike protein at Day 29.
Time Frame
Day 29
Title
MN50 geometric mean titers (GMTs) to the SARS-CoV-2 expressed as GMTs
Description
MN50 geometric mean titers to the SARS-CoV-2 spike protein at Day 29 in each treatment arm.
Time Frame
Day 29
Title
MN50 GMTs to the SARS-CoV-2 expressed as SCR
Description
Proportion of participants in each treatment arm who achieve seroconversion (≥ 4-fold increase from baseline) in MN50 titers to the SARS-CoV-2 spike protein at Day 29.
Time Frame
Day 29
Title
Human Angiotensin-Converting Enzyme 2 (hACE2) inhibition assay titers GMT to the SARS-CoV-2 expressed as GMT
Description
hACE2 inhibition assay titers (geometric mean titer [GMTs]) at Day 29 in each treatment arm.
Time Frame
Day 29
Title
hACE2 inhibition assay titers to the SARS-CoV-2 expressed as SCR
Description
Proportion of participants in each treatment arm who achieve seroconversion (≥ 4-fold increase from baseline) in hACE2 titers concentrations to the SARS-CoV-2 spike protein at Day 29.
Time Frame
Day 29
Title
Incidence and severity of MAAEs
Description
Incidence, duration, severity, and relationship of MAAEs through Day 29 (ie, 28 days after vaccine dose).
Time Frame
Day 0 to Day 29
Title
Incidence and severity of AESIs
Description
Incidence, duration, severity, and relationship of AESIs (including myocarditis and/or pericarditis) through Day 29 (ie, 28 days after vaccine dose).
Time Frame
Day 0 to Day 29
Title
Incidence and relationship of SAEs
Description
Incidence and relationship of SAEs throughout the study
Time Frame
Day 0 to Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: To be included in this study, each individual must satisfy all of the following criteria: Adults 18 to 49 years of age, inclusive, at screening Willing and able to give informed consent prior to study enrollment and to comply with study procedures. Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile [ie, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea at least 12 consecutive months]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through the end of study (EOS) visit OR agree to consistently use a medically acceptable method of contraception from at least 28 days prior to enrollment and through the EOS visit. Is medically stable, as determined by the investigator (based on review of health status, vital signs [to include body temperature], medical history, and targeted physical examination [to include body weight]). Vital signs must be within medically acceptable ranges prior to the study vaccination Agree to not participate in any other SARS-CoV-2 prevention or treatment trials for the duration of the study. Note: For participants who become hospitalized with coronavirus disease 2019 (COVID-19), participation in investigational treatment studies is permitted. Documented receipt of either 2 or 3 doses of the investigational Novavax vaccine with Matrix-M adjuvant (NVX- CoV2373); OR documented receipt of a full course of an FDA-authorized/approved COVID-19 vaccine; OR documented receipt of a full course of heterologous COVID-19 vaccines mentioned above. The most recent dose must have been administered at least 6 months prior to study vaccination. Exclusion Criteria: Participants meeting any of the following criteria will be excluded from the study. History of laboratory-confirmed (by polymerase chain reaction [PCR] or rapid antigen test)COVID-19 infection ≤ 4 months prior to randomization. Current participation in research involving receipt of an investigational product (drug/biologic/device). Any known allergies or history of anaphylaxis to the active substance or any of the other ingredients contained in the investigational product. Any autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) or therapy that causes clinically significant immunosuppression. Received any vaccine ≤ 90 days prior to study vaccination, except for influenza vaccine which may be received 4 days prior to study vaccine, or rabies vaccine which may be received at any time if medically indicated. Received immunoglobulin, blood-derived products, or immunosuppressant drugs within 90 days prior to study vaccination, except for rabies immunoglobulin which may be given if medically indicated. Active cancer (malignancy) on chemotherapy that is judged to cause significant immunocompromise within 1 year prior to first study vaccination (with the exception of malignancy cured via excision, at the discretion of the investigator). Participants who are breastfeeding, pregnant, or who plan to become pregnant prior to the EOS visit. Suspected or known history of alcohol abuse or drug addiction within 3 months prior to the study vaccine dose that, in the opinion of the investigator, might interfere with protocol compliance. Any other condition that, in the opinion of the investigator, would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results (including neurologic or psychiatric conditions likely to impair the quality of safety reporting). Study team member or immediate family member of any study team member (inclusive of Sponsor, clinical research organization [CRO], and study site personnel involved in the conduct or planning of the study). Participants with a history of myocarditis or pericarditis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development
Organizational Affiliation
Novavax, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Long Beach Clinical Trial Services Inc.
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Benchmark Research
City
Sacramento
State/Province
California
ZIP/Postal Code
95864
Country
United States
Facility Name
Accel Clinical Research
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
Research Centers of America
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Jacksonville Center for Clinical Research
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Facility Name
Multi-Specialty Research Associates, Inc.
City
Lake City
State/Province
Florida
ZIP/Postal Code
32055
Country
United States
Facility Name
Cen/Excel ACMR
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
Meridian Clinical Research
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
CRA Headlands
City
Stockbridge
State/Province
Georgia
ZIP/Postal Code
30281
Country
United States
Facility Name
Velocity Clinical Research
City
Boise
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Meridian Clinical Research
City
Sioux City
State/Province
Iowa
ZIP/Postal Code
51106
Country
United States
Facility Name
Meridian Clinical Research
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70809
Country
United States
Facility Name
MedPharmics
City
Gulfport
State/Province
Mississippi
ZIP/Postal Code
39503
Country
United States
Facility Name
Sundance Clinical Research
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Meridian Clinical Research
City
Norfolk
State/Province
Nebraska
ZIP/Postal Code
68701
Country
United States
Facility Name
Meridian Clinical Research
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
Meridian Clinical Research
City
Endwell
State/Province
New York
ZIP/Postal Code
13760
Country
United States
Facility Name
Rochester Clinical Research
City
Rochester
State/Province
New York
ZIP/Postal Code
14609
Country
United States
Facility Name
OnSite Clinical Solutions, LLC
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28208
Country
United States
Facility Name
CTI Clinical Research Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45212
Country
United States
Facility Name
Velocity Clinical Research
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Lynn Health Science Institute
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Tekton Research
City
Yukon
State/Province
Oklahoma
ZIP/Postal Code
73099
Country
United States
Facility Name
Velocity Clinical Research
City
Grants Pass
State/Province
Oregon
ZIP/Postal Code
97527
Country
United States
Facility Name
Velocity Clinical Research
City
East Greenwich
State/Province
Rhode Island
ZIP/Postal Code
02818
Country
United States
Facility Name
Benchmark Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Tekton Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78747
Country
United States
Facility Name
Benchmark Research
City
Houston
State/Province
Texas
ZIP/Postal Code
76135
Country
United States
Facility Name
Research Your Health
City
Plano
State/Province
Texas
ZIP/Postal Code
75093
Country
United States
Facility Name
Tekton Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study to Compare the Immunogenicity and Safety of 3 Lots of NVX-CoV2373 in Adults

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