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Open Label Extension Study to Assess the Safety and Long-Term Immunogenicity of ARCT-021

A Phase 2a, Open Label Extension Study to Assess the Safety and Long-Term Immunogenicity of ARCT-021

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04728347
Enrollment
65
Registered
2021-01-28
Start date
2021-01-04
Completion date
2021-12-28
Last updated
2024-12-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

SARS-CoV-2

Brief summary

This is an open-label study enrolling healthy adults that participated in Study ARCT-021-01 (the Parent Study). Participants will receive either a single injection of ARCT-021 or no injection and be followed for up to 365 days.

Detailed description

This is a phase 2a, open-label study enrolling up to 106 healthy adults that participated in Study ARCT-021-01 (the Parent Study). Participants will enter this study approximately 3 months after their final study visit in the Parent Study. Participants that received placebo in the Parent Study or who are seronegative for SARS-CoV-2 neutralizing antibodies at screening will receive a single dose of ARCT-021 and will be followed for 365 days. Participants that received two injections of ARCT-021 in the Parent Study will not receive any further injections of ARCT-021 and will be followed for 281 days.

Interventions

BIOLOGICALARCT-021

ARCT-021 single dose

Sponsors

Arcturus Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
21 Years to 80 Years
Healthy volunteers
Yes

Inclusion criteria

Individuals who: 1. are able to give consent 2. must have completed Study ARCT-021-01 3. agree to comply with all study visits and procedures Only for subjects that will receive ARCT-021 in this study: 4. are healthy and medically stable 5. are not planning to donate blood or plasma until 28 days after the last dose of ARCT-021. 6. are willing to refrain from strenuous exercise/activity and alcohol for at least 72 hours prior to study visits and until 28 days after the last dose of ARCT-021. 7. are willing to adhere to contraception requirements if sexually active and/or are of child-bearing potential

Exclusion criteria

Individuals who: 1. are unable to comply with the study visits or procedures in Study ARCT-021-01 2. received placebo in the Parent Study and who are not willing to receive ARCT-021 in this study. Only for subjects that will receive ARCT-021 in this study: 3. have or will receive any of the SARS CoV-2 or another experimental coronavirus during this study. 4. have a diagnosis of new clinically significant abnormalities including but not limited to * Respiratory disease requiring daily medications or oxygen currently or any treatment of respiratory disease exacerbations * Significant heart conditions * Significant neurological conditions * Significant blood disorders * Newly diagnosed autoimmune disease * Major surgery 5. have abnormal screening laboratory results 6. have uncontrolled diabetes 7. use of any prescription or over-the-counter medications within 7 days prior to vaccination 8. have received immunoglobulins and/or any blood or blood products 9. have a bleeding disorder 10. have uncontrolled blood pressure 11. have been treated with another investigational drug, biological agent, or device since completion of the Parent Study 12. have received or plan to receive: * A licensed, live vaccine within 4 weeks before or after study vaccination, or * A licensed, inactivated vaccine within 2 weeks before or after study vaccination 13. have traveled outside of Singapore within 30 days before the vaccination or plans to travel outside of Singapore within 60 days after vaccination. 14. other restrictions may apply

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Solicited Local and Systemic Adverse EventsUp to Day 7 (7 days after vaccine administration)Solicited local adverse events were defined as pain, tenderness, erythema, or swelling at the injection site. Solicited systemic adverse events were defined as fever, fatigue, headache, chills, nausea, vomiting, diarrhoea, myalgia, and arthralgia. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.
Number of Participants With Unsolicited Adverse EventsUp to Day 29 (28 days after vaccine administration)Unsolicited adverse events were defined as any spontaneously occurring adverse event (serious and non-serious). A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.
Number of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)Up to a maximum of approximately 12 monthsSAEs were defined as any event that resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was an important medical event. A NOCD was defined as a MAAE that led to the new diagnosis of a chronic medical condition that was not present or suspected prior to enrollment. A MAAE was an adverse event that led to an unscheduled visit (including a telemedicine visit) to a healthcare practitioner. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Secondary

MeasureTime frameDescription
Geometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesCohorts 1a and 1b: Days 1, 29, 57, Cohort 2: Day 29GMC data are reported for the S (spike binding antibodies) analyte.
Geometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesCohorts 1a and 1b: Days 1, 29, 57, Cohort 2: Day 29
Number of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Binding Antibodies)Days 29, and 57Seroconversion was defined as a 4-fold increase in antibody titer/concentration from baseline. Data is presented for the number of participants seroconverting for binding antibodies and immunoglobulin G (IgG) antibodies against the full-length SARS-CoV-2 recombinant spike protein antigen and spike protein receptor binding domain of the SARS-CoV-2 spike glycoprotein (RBD). ARCT-021-naïve participants were those participants whose first ARCT-021 vaccine administration occurred in this study (Cohort 1a). As pre-specified, data is presented for participants in Cohort 1a only.
GMFR in SARS-CoV-2 Binding Antibody TitersCohort 1a: Days 29, 57, Cohort 1b: Days 1, 29, 57, and Cohort 2: Day 29GMFR data are reported for the S (spike binding antibodies) analyte.
Geometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersCohort 1a: Days 29, 57, Cohort 1b: Days 1, 29, 57, and Cohort 2: Day 29
Number of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Neutralizing Antibodies)Days 29, and 57Seroconversion was defined as a 4-fold increase in antibody titer/concentration from baseline. Data is presented for the number of participants seroconverting for neutralizing antibodies and immunoglobulin G (IgG) antibodies against the full-length SARS-CoV-2 recombinant spike protein antigen and spike protein receptor binding domain of the SARS-CoV-2 spike glycoprotein (RBD). ARCT-021-naïve participants were those participants whose first ARCT-021 vaccine administration occurred in this study (Cohort 1a). As pre-specified, data is presented for participants in Cohort 1a only.

Countries

Singapore

Participant flow

Participants by arm

ArmCount
Cohort 1a
Participants who participated in Study ARCT-021-01 (the Parent Study \[NCT04480957\]) and were without detectable neutralizing antibody responses at baseline received a single-dose primary injection of ARCT-021 on Day 1.
12
Cohort 1b
Participants who participated in Study ARCT-021-01 (the Parent Study \[NCT04480957\]) and were without detectable neutralizing antibody responses at baseline received a single-dose booster injection of ARCT-021 on Day 1.
12
Cohort 2: Younger Adults
Participants aged 21 to 55 years old who participated in Study ARCT-021-01 (the Parent Study \[NCT04480957\]) and were vaccinated with ARCT-021 who did not receive subsequent vaccination with ARCT-021 in this study.
25
Cohort 2: Older Adults
Participants aged 56 to 80 years old who participated in Study ARCT-021-01 (the Parent Study \[NCT04480957\]) and were vaccinated with ARCT-021 who did not receive subsequent vaccination with ARCT-021 in this study.
16
Total65

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudySponsor decision0010

Baseline characteristics

CharacteristicCohort 1aCohort 1bCohort 2: Younger AdultsCohort 2: Older AdultsTotal
Age, Continuous45.1 years
STANDARD_DEVIATION 14.99
48.3 years
STANDARD_DEVIATION 16.17
39.7 years
STANDARD_DEVIATION 8.34
63.7 years
STANDARD_DEVIATION 4.13
48.2 years
STANDARD_DEVIATION 14.28
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants12 Participants25 Participants16 Participants65 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
12 Participants11 Participants22 Participants16 Participants61 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
White
0 Participants1 Participants1 Participants0 Participants2 Participants
Sex: Female, Male
Female
3 Participants2 Participants9 Participants4 Participants18 Participants
Sex: Female, Male
Male
9 Participants10 Participants16 Participants12 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 120 / 120 / 250 / 16
other
Total, other adverse events
3 / 121 / 123 / 250 / 16
serious
Total, serious adverse events
0 / 121 / 120 / 250 / 16

Outcome results

Primary

Number of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)

SAEs were defined as any event that resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was an important medical event. A NOCD was defined as a MAAE that led to the new diagnosis of a chronic medical condition that was not present or suspected prior to enrollment. A MAAE was an adverse event that led to an unscheduled visit (including a telemedicine visit) to a healthcare practitioner. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Time frame: Up to a maximum of approximately 12 months

Population: Safety population for Cohort 1a, which included all participants who received Study vaccine in ARCT-021-02 only, and in the Longitudinal Safety population for Cohorts 1b and Cohort 2, which included all participants who received Study vaccine in ARCT- 021-01 and ARCT-021-02 (Cohort 1b) or ARCT-021-01 only (Cohort 2).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1aNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)SAEs0 Participants
Cohort 1aNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)MAAEs2 Participants
Cohort 1aNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)Unsolicited Adverse Events Associated with NOCD0 Participants
Cohort 1bNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)SAEs1 Participants
Cohort 1bNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)MAAEs5 Participants
Cohort 1bNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)Unsolicited Adverse Events Associated with NOCD1 Participants
Cohort 2: Younger AdultsNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)Unsolicited Adverse Events Associated with NOCD0 Participants
Cohort 2: Younger AdultsNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)SAEs0 Participants
Cohort 2: Younger AdultsNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)MAAEs3 Participants
Cohort 2: Older AdultsNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)SAEs0 Participants
Cohort 2: Older AdultsNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)MAAEs0 Participants
Cohort 2: Older AdultsNumber of Participants With Serious Adverse Events (SAEs), Unsolicited Adverse Events Associated With New Onset of Chronic Disease (NOCD) or Medically Attended Adverse Events (MAAEs)Unsolicited Adverse Events Associated with NOCD0 Participants
Primary

Number of Participants With Solicited Local and Systemic Adverse Events

Solicited local adverse events were defined as pain, tenderness, erythema, or swelling at the injection site. Solicited systemic adverse events were defined as fever, fatigue, headache, chills, nausea, vomiting, diarrhoea, myalgia, and arthralgia. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Time frame: Up to Day 7 (7 days after vaccine administration)

Population: Safety population for Cohort 1a, which included all participants who received Study vaccine in ARCT-021-02 only, and in the Longitudinal Safety population for Cohort 1b, which included all participants who received Study vaccine in ARCT- 021-01 and ARCT-021-02. As pre-specified, data is reported for Cohort 1 only.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1aNumber of Participants With Solicited Local and Systemic Adverse EventsSolicited Local11 Participants
Cohort 1aNumber of Participants With Solicited Local and Systemic Adverse EventsSolicited Systemic11 Participants
Cohort 1bNumber of Participants With Solicited Local and Systemic Adverse EventsSolicited Local10 Participants
Cohort 1bNumber of Participants With Solicited Local and Systemic Adverse EventsSolicited Systemic8 Participants
Primary

Number of Participants With Unsolicited Adverse Events

Unsolicited adverse events were defined as any spontaneously occurring adverse event (serious and non-serious). A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Time frame: Up to Day 29 (28 days after vaccine administration)

Population: Safety population for Cohort 1a, which included all participants who received Study vaccine in ARCT-021-02 only, and in the Longitudinal Safety population for Cohort 1b, which included all participants who received Study vaccine in ARCT- 021-01 and ARCT-021-02. As pre-specified, data is reported for Cohort 1 only.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1aNumber of Participants With Unsolicited Adverse Events3 Participants
Cohort 1bNumber of Participants With Unsolicited Adverse Events2 Participants
Secondary

Geometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding Antibodies

GMC data are reported for the S (spike binding antibodies) analyte.

Time frame: Cohorts 1a and 1b: Days 1, 29, 57, Cohort 2: Day 29

Population: Immunogenicity population, which included all participants who received Study vaccine in either ARCT-021-01 or ARCT-021-02 who had evaluable immunogenicity data following first vaccine administration. Overall number of participants analyzed' = participants evaluable for endpoint. 'Number analyzed' = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1aGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 291629.3 Arbitrary units per milliliter (AU/mL)
Cohort 1aGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 147.3 Arbitrary units per milliliter (AU/mL)
Cohort 1aGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 571013.5 Arbitrary units per milliliter (AU/mL)
Cohort 1bGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 573088.1 Arbitrary units per milliliter (AU/mL)
Cohort 1bGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 1310.6 Arbitrary units per milliliter (AU/mL)
Cohort 1bGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 295319.8 Arbitrary units per milliliter (AU/mL)
Cohort 2: Younger AdultsGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 29802.8 Arbitrary units per milliliter (AU/mL)
Cohort 2: Older AdultsGeometric Mean Concentration (GMC) of Serum SARS-CoV-2 Binding AntibodiesDay 29713.2 Arbitrary units per milliliter (AU/mL)
Secondary

Geometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody Titers

Time frame: Cohort 1a: Days 29, 57, Cohort 1b: Days 1, 29, 57, and Cohort 2: Day 29

Population: Immunogenicity population, which included all participants who received Study vaccine in either ARCT-021-01 or ARCT-021-02 and had evaluable immunogenicity data following first vaccine administration. Overall number of participants analyzed' = participants evaluable for endpoint. 'Number analyzed' = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1aGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 571.1 Ratio
Cohort 1aGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 291.2 Ratio
Cohort 1bGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 294.3 Ratio
Cohort 1bGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 10.9 Ratio
Cohort 1bGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 573.6 Ratio
Cohort 2: Younger AdultsGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 291.6 Ratio
Cohort 2: Older AdultsGeometric Mean Fold Rise (GMFR) in SARS-CoV-2 Neutralizing Antibody TitersDay 291.0 Ratio
Secondary

Geometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing Antibodies

Time frame: Cohorts 1a and 1b: Days 1, 29, 57, Cohort 2: Day 29

Population: Immunogenicity population, which included all participants who received Study vaccine in either ARCT-021-01 or ARCT-021-02 who had evaluable immunogenicity data following first vaccine administration. Overall number of participants analyzed' = participants evaluable for endpoint. 'Number analyzed' = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1aGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 296.1 Titer
Cohort 1aGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 15.0 Titer
Cohort 1aGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 575.7 Titer
Cohort 1bGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 5723.5 Titer
Cohort 1bGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 17.3 Titer
Cohort 1bGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 2938.6 Titer
Cohort 2: Younger AdultsGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 299.7 Titer
Cohort 2: Older AdultsGeometric Mean Titer (GMT) of Serum Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing AntibodiesDay 295.0 Titer
Secondary

GMFR in SARS-CoV-2 Binding Antibody Titers

GMFR data are reported for the S (spike binding antibodies) analyte.

Time frame: Cohort 1a: Days 29, 57, Cohort 1b: Days 1, 29, 57, and Cohort 2: Day 29

Population: Immunogenicity population, which included all participants who received Study vaccine in either ARCT-021-01 or ARCT-021-02 and had evaluable immunogenicity data following first vaccine administration. Overall number of participants analyzed' = participants evaluable for endpoint. 'Number analyzed' = participants evaluable at specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 1aGMFR in SARS-CoV-2 Binding Antibody TitersDay 2934.4 Ratio
Cohort 1aGMFR in SARS-CoV-2 Binding Antibody TitersDay 5720.4 Ratio
Cohort 1bGMFR in SARS-CoV-2 Binding Antibody TitersDay 17.2 Ratio
Cohort 1bGMFR in SARS-CoV-2 Binding Antibody TitersDay 57104.9 Ratio
Cohort 1bGMFR in SARS-CoV-2 Binding Antibody TitersDay 29136.5 Ratio
Cohort 2: Younger AdultsGMFR in SARS-CoV-2 Binding Antibody TitersDay 2913.3 Ratio
Cohort 2: Older AdultsGMFR in SARS-CoV-2 Binding Antibody TitersDay 2929.6 Ratio
Secondary

Number of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Binding Antibodies)

Seroconversion was defined as a 4-fold increase in antibody titer/concentration from baseline. Data is presented for the number of participants seroconverting for binding antibodies and immunoglobulin G (IgG) antibodies against the full-length SARS-CoV-2 recombinant spike protein antigen and spike protein receptor binding domain of the SARS-CoV-2 spike glycoprotein (RBD). ARCT-021-naïve participants were those participants whose first ARCT-021 vaccine administration occurred in this study (Cohort 1a). As pre-specified, data is presented for participants in Cohort 1a only.

Time frame: Days 29, and 57

Population: Immunogenicity population, which included all participants who received Study vaccine in either ARCT-021-01 or ARCT-021-02 and had evaluable immunogenicity data following first vaccine administration. Overall number of participants analyzed' = participants evaluable for endpoint. 'Number analyzed' = participants evaluable at specified timepoint.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1aNumber of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Binding Antibodies)Day 2910 Participants
Cohort 1aNumber of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Binding Antibodies)Day 579 Participants
Secondary

Number of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Neutralizing Antibodies)

Seroconversion was defined as a 4-fold increase in antibody titer/concentration from baseline. Data is presented for the number of participants seroconverting for neutralizing antibodies and immunoglobulin G (IgG) antibodies against the full-length SARS-CoV-2 recombinant spike protein antigen and spike protein receptor binding domain of the SARS-CoV-2 spike glycoprotein (RBD). ARCT-021-naïve participants were those participants whose first ARCT-021 vaccine administration occurred in this study (Cohort 1a). As pre-specified, data is presented for participants in Cohort 1a only.

Time frame: Days 29, and 57

Population: Immunogenicity population, which included all participants who received Study vaccine in either ARCT-021-01 or ARCT-021-02 and had evaluable immunogenicity data following first vaccine administration. Overall number of participants analyzed' = participants evaluable for endpoint. 'Number analyzed' = participants evaluable at specified timepoint.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1aNumber of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Neutralizing Antibodies)Day 291 Participants
Cohort 1aNumber of ARCT-021-naïve Participants (Cohort 1a) With Seroconversion (Neutralizing Antibodies)Day 570 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026