This is a Phase 2/3 open-label study to evaluate the safety and immunogenicity of a booster dose of the XBB.1.5 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) recombinant (r) spike (S) protein nanoparticle vaccine (SARS-CoV-2 rS) adjuvanted with Matrix-M™ in previously mRNA COVID-19 vaccinated adult participants ≥18 years of age and baseline SARS CoV-2 seropositive COVID-19 vaccine naïve participants ≥18 years of age.
Novavax, Inc. developed a recombinant prototype COVID-19 vaccine constructed from the full-length ancestral (Wuhan) SARS CoV-2 S glycoprotein (GP) adjuvanted with the saponin-based Matrix-M adjuvant (NVX-CoV2373). Subsequently, the SARS CoV 2 Omicron variant and subvariants emerged with enhanced transmissibility and the most significant number of mutations in any strain to date. Current evidence demonstrates that variant strain mutations such as those in the Omicron XBB.1.5 sublineage confer the ability to evade both natural and vaccine-induced neutralizing antibodies. Part 1 of the study aims to investigate the safety and immunogenicity of the Novavax XBB.1.5 SARS-CoV-2 rS vaccine (NVX-CoV2601) adjuvanted with Matrix-M in previously COVID-19 mRNA vaccinated participants to determine if it induces superior antibody responses compared to a historical control of the prototype vaccine (original Wuhan strain), NVX-CoV2373. Part 2 of the study aims to investigate the safety and immunogenicity of 1 dose of NVX CoV2601 in baseline SARS-CoV-2 seropositive COVID-19 vaccine naïve participants to determine if it induces non-inferior antibody responses compared to 1 booster dose of NVX-CoV2601 in previously COVID-19 mRNA vaccinated individuals participating in Part 1. Part 1: Approximately 330 previously mRNA COVID-19 vaccinated participants will receive a booster dose of XBB.1.5 Omicron subvariant vaccine (NVX-CoV2601) on Day 0. Immunogenicity and 28-day safety data will be used for an interim analysis, while participants remain on the study for immunogenicity and safety data collection up to Day 180 post-vaccination. Part 2: After completion of Part 1, approximately 330 unvaccinated participants with a clinical history of COVID-19-like disease during the previous year will receive a booster dose of NVX-CoV2601 on Day 0. Immunogenicity and 28-day safety data will be used for an interim analysis, while participants remain on the study for immunogenicity and safety data collection up to Day 180 post vaccination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Omicron sub variant XBB.1.5 SARS-CoV-2 rS /Matrix-M Adjuvant the monovalent \[5 μg/50 μg\] NVX-CoV2601) XBB.1.5 Vaccine (Booster)
Omicron sub variant XBB.1.5 SARS-CoV-2 rS /Matrix-M Adjuvant the monovalent \[5 μg/50 μg\] NVX-CoV2601) XBB.1.5 Vaccine ( single dose)
Part 1: Pseudovirus neutralization (inhibitory dilution at a concentration of 50%; ID 50 ) to the NVX-CoV2601 vaccine
Pseudovirus neutralization (inhibitory dilution at a concentration of 50%; ID 50 ) to the NVX-CoV2601 vaccine assessed at Day 28 following study vaccination.
Time frame: Day 28
Part 1: Seroresponse Rates (SRRs) in ID 50 titers to the NVXCoV2601 vaccine
SRRs (proportion of seroconverted participants) in ID 50 titers to the NVXCoV2601 vaccine assessed at Day 28 following the study vaccination.
Time frame: Day 28
Part 2: SRRs in ID 50 titers to the XBB.1.5 Omicron subvariant
SRRs (proportion of seroconverted participants) in ID 50 titers to the XBB.1.5 Omicron subvariant assessed at Day 28 following study vaccination.
Time frame: Day 28
Part 2: ID 50 (Geometric Mean Titers) GMTs to the XBB.1.5 Omicron subvariant
ID 50 GMTs to the XBB.1.5 Omicron subvariant assessed at Day 28 following study vaccination.
Time frame: Day 28
Part 1: Pseudovirus neutralization (inhibitory dilution at a concentration of 50%; ID50) to the NVX-CoV2601 vaccine
Pseudovirus neutralization (inhibitory dilution at a concentration of 50%; ID50) to the NVX-CoV2601 vaccine assessed at baseline and 28 days following study vaccination.
Time frame: Day 28
Part 1: ID 50 GMTs to the XBB.1.5 Omicron subvariant
ID 50 GMTs to the XBB.1.5 Omicron subvariant at relevant time points
Time frame: Day 0 to Day 180
Part 1: ID 50 geometric mean fold rise (GMFR) to the XBB.1.5 Omicron subvariant at relevant time points (Days 28 and 180) from baseline (Day 0).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Purpose
PREVENTION
Masking
NONE
Enrollment
660
AMR
Mobile, Alabama, United States
Benchmark Research
Sacramento, California, United States
Lynn Institute of the Rockies
Colorado Springs, Colorado, United States
AMR LLC-Miami
Coral Gables, Florida, United States
AMR
Fort Myers, Florida, United States
Health Awareness,LLC
Jupiter, Florida, United States
Tekton Research
Lawrenceville, Georgia, United States
Alliance for Multispecialty RSCH
Newton, Kansas, United States
Tekton Research
Wichita, Kansas, United States
AMR New Orleans
New Orleans, Louisiana, United States
...and 20 more locations
ID 50 GMFR to the XBB.1.5 Omicron subvariant at relevant time points (Days 28 and 180) from baseline (Day 0).
Time frame: Day 0 to Day 180
Part 1: SRRs in ID 50 titer concentrations to the XBB.1.5 Omicron subvariant at relevant time points.
SRRs in ID 50 titer concentrations to the XBB.1.5 Omicron subvariant at relevant time points.
Time frame: Day 28 to Day 180
Part 1: Anti-S immunoglobulin G (IgG) geometric mean concentrations (GMCs, EU/mL) to the NVX-CoV2601 vaccine at relevant time points
Anti-S IgG geometric mean concentrations (GMCs, EU/mL) to the NVX-CoV2601 vaccine at relevant time points (Days 0, 28, and 180).
Time frame: Day 0 to Day 180
Part 1: Incidence and severity of solicited local and systemic adverse events (AEs)
Incidence, duration, and severity of solicited local and systemic adverse events (AEs) for 7 days following vaccination.
Time frame: Day 0 to Day 7
Part 1: Incidence and severity of unsolicited AEs
Incidence, severity, and relationship of unsolicited AEs through 28 days after vaccination.
Time frame: Day 28
Part 1: Incidence and severity of MAAEs attributed to study vaccine, adverse events of special interest (AESIs), and serious adverse events (SAEs)
Incidence and severity of Medically attended adverse event (MAAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs) through day 180 or EOS.
Time frame: Day 0 to Day 180
Part 2: Pseudovirus neutralization (ID 50 ) to the XBB.1.5 Omicron subvariant
Pseudovirus neutralization (ID 50 ) to the XBB.1.5 Omicron subvariant assessed at baseline and at Day 28 following study vaccination.
Time frame: Day 0 to Day 28
Part 2: Incidence and severity of solicited local and systemic adverse events (AEs)
Incidence, duration, and severity of solicited local and systemic adverse events (AEs) for 7 days following vaccination.
Time frame: Day 0 to Day 7
Part 2: Incidence, and severity of unsolicited AEs
Incidence, severity, and relationship of unsolicited AEs through 28 days after vaccination.
Time frame: Day 28
Part 2: Incidence and severity of MAAEs, AESIs, and SAEs
Incidence and severity of MAAEs attributed to study vaccine, adverse events of special interest (AESIs) (predefined list including PIMMCs, myocarditis and/or pericarditis, and complications specific to COVID-19), and serious adverse events (SAEs) through day 180 or EOS.
Time frame: Day 0 to Day 180