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A Study of Ad26.COV2.S in Healthy Pregnant Participants (COVID-19)

An Open-label, Phase 2 Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Ad26.COV2.S in Healthy Pregnant Participants

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04765384
Acronym
HORIZON 1
Enrollment
51
Registered
2021-02-21
Start date
2021-08-27
Completion date
2023-11-24
Last updated
2025-05-25

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

Conditions

COVID-19 Prevention

Brief summary

The purpose of this study is to assess the safety and reactogenicity of Ad26.COV2.S administered intramuscularly (IM) as a 1-dose schedule at the standard dose level in adult participants during the second and/or third trimester of pregnancy and (potentially) post-partum; to assess the humoral immune response in peripheral blood of adult participants to Ad26.COV2.S administered IM as a 1-dose schedule during the second and/or third trimester of pregnancy, 28 days after vaccination.

Detailed description

There is an increased risk of severe coronavirus disease-2019 (COVID-19) during pregnancy, as well as an increased risk of adverse birth outcomes. Therefore, the aim of this study is to assess the safety, reactogenicity and immunogenicity of Ad26.COV2.S in adult participants in the second and/or third trimester of pregnancy. Ad26.COV2.S (also known as Ad26COVS1) is a monovalent vaccine composed of a recombinant, replication incompetent adenovirus type 26 (Ad26) vector, constructed to encode the S protein derived from a severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) clinical isolate, stabilized in its prefusion conformation. For each adult participant, the total study duration from screening until the last follow-up visit will be approximately 16 months. The study will consist of a screening phase (28 days), vaccination period (study period from vaccination to pregnancy completion/termination) and a follow-up period (up to 12 months post pregnancy completion/termination). For neonates/infants born to the participants in the study will be followed for approximately 12 months postpartum. Safety assessments will include immunogenicity assessments, physical examination, vital signs, clinical safety laboratory assessments, medical, obstetric and delivery history, pregnancy outcome, neonate safety assessment, adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESI).

Interventions

BIOLOGICALAd26.COV2.S

Participants will receive intramuscular (IM) injection of Ad26.COV2.S.

Sponsors

Janssen Vaccines & Prevention B.V.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* If on medication for a condition, the medication dose must have been stable for at least 4 weeks preceding vaccination * Participant must be healthy as confirmed by medical history, physical examination, vital signs, and obstetric history performed at Screening. Participant may have underlying illnesses, as long as the symptoms and signs are medically controlled * Participant will be at second or third trimester of pregnancy, that is, Week 16 to Week 38 of gestation (inclusive), at the time of vaccination, based on ultrasound at the time of screening (or not longer than 10 days prior to vaccination if performed elsewhere) * Participant agrees to not donate bone marrow, blood, and blood products from the first study vaccine administration until 3 months after receiving the last dose of study vaccine * Participant must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study * Participant either received their last COVID-19 vaccination with an authorized/licensed COVID-19 vaccine (at least 4 months prior to first study vaccination) or is COVID 19 vaccine-naïve

Exclusion criteria

* Participants with medical or obstetric histories that put them at higher risk for maternal or fetal complications (example, chronic pregnancy-related disorders, birth defects or genetic conditions during previous pregnancy) * Participant with abnormal pregnancy screening test (example, ultrasound fetal abnormalities, maternal blood screen) * Participant has a history of malignancy within 2 years before screening (exceptions are squamous, basal cell carcinomas of the skin, carcinoma in situ of the cervix, or malignancy, considered cured with minimal risk of recurrence) * Participant has a known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine) * Participant has a history of any serious, chronic, or progressive neurological disorders or seizures including Guillain-Barre syndrome, with the exception of febrile seizures during childhood * Participant has a positive diagnostic test result (polymerase chain reaction \[PCR\] based viral ribonucleic acid \[RNA\] detection) severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection at screening or Day 1 (if more than 4 days in between) * Participant has a history of thrombosis with thrombocytopenia syndrome (TTS), including cerebral venous sinus thrombosis (CVST), or heparin-induced thrombocytopenia (HIT) * Participant has a history of capillary leak syndrome (CLS)

Design outcomes

Primary

MeasureTime frameDescription
Number of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First VaccinationFrom first vaccination on Day 1 up to 7 days post first vaccination (up to Day 8)Number of adult participants with solicited local AEs for 7 days post first vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were pre-defined as local (at the injection site) AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post first vaccination (day of first vaccination and the subsequent 7 days). Solicited local AEs are injection site pain/tenderness, erythema, swelling at the vaccination site.
Number of Adult Participants With Solicited Systemic AEs for 7 Days Post First VaccinationFrom first vaccination on Day 1 up to 7 days post first vaccination (up to Day 8)Number of adult participants with solicited systemic AEs for 7 days post first vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as systemic AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post first vaccination. Participants were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post first vaccination (day of first vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia.
Number of Adult Participants With Unsolicited AEs for 28 Days Post First VaccinationFrom first vaccination on Day 1 up to 28 days post first vaccination (up to Day 29)Number of adult participants with unsolicited AEs for 28 days post first vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.
Number of Adult Participants With Serious Adverse Events (SAEs) From First Vaccination Until End of the Study (EOS)From first vaccination on Day 1 until end of study (up to post-partum [PP] Day 366 [Day 15 up to Day 554])Number of adult participants with SAEs from first vaccination until EOS were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. SAEs were defined as any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.
Number of Adult Participants With Adverse Events of Special Interest (AESIs) From First Vaccination Until EOSFrom first vaccination on Day 1 until end of study (up to PP Day 366 [Day 15 up to Day 554])Number of adult participants with AESIs from first vaccination until EOS were reported. Thrombosis with thrombocytopenia syndrome (TTS) in adults was considered an AESI in this study. TTS is a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia.
Number of Adult Participants With Medically Attended Adverse Events (MAAEs) Until 6 Months Post First VaccinationFrom first vaccination on Day 1 until 6 months post first vaccination (up to Day 183)Number of adult participants with MAAEs until 6 months post first vaccination was reported. MAAEs were defined as AEs with medically attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically attended visits. New onset of chronic diseases was collected as part of the MAAEs.
Number of Adult Participants With AEs Leading to Study DiscontinuationFrom first vaccination on Day 1 until end of study (up to PP Day 366 [Day 15 up to Day 554])Number of adult participants with AEs leading to study discontinuation were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. All AEs leading to discontinuation from the study (regardless of the causal relationship) were reported for all adult participants from the moment of first vaccination until completion of the participant's last study-related procedure.
Serological Response to Vaccination as Measured by S-Enzyme-linked Immunosorbent Assay (S-ELISA) in Adult Participants 28 Days Post First Vaccination28 days post first vaccination on Day 1 (at Day 29)Serological response to vaccination as measured by S-ELISA in adult participants 28 days post first vaccination was reported.

Secondary

MeasureTime frameDescription
Number of Adult Participants With Pregnancy Related AEs Throughout PregnancyFrom first vaccination on Day 1 until PP Day 1 (Day 7 up to Day 163)Number of adult participants with pregnancy related AEs throughout pregnancy were reported. Pregnancy related AEs in adult participants were collected based on 2 baseline gestational age groups (adult participants who received vaccination at 16 to 27 weeks \[\>=16 weeks to \<28 weeks\] and at 28 to 38 weeks \[\>=28 weeks to \<=38 weeks\]) and included gestational hypertension, foetal growth restriction, haemorrhage in pregnancy, polyhydramnios, pre-eclampsia, premature rupture of membranes, preterm premature rupture of membranes, bradycardia foetal, premature baby, amniorrhexis, foetalgrowth restriction, amniotic fluid volume decreased.
Serological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 1, Day 29, PP Day 1 (Day 7 up to Day 163), PP Day 183 (Day 189 up to Day 345)Serological response to first vaccination as measured by S-ELISA at all blood collection timepoints post first vaccination were reported.
Serological Response to First Vaccination as Measured by Virus Neutralization Assay (VNA) Titers, 28 Days in Adult Participants Post First Vaccination28 days post first vaccination on Day 1 (at Day 29)Serological response to first vaccination measured by VNA titers at 28 days in adult participants post first vaccination was reported. Data were expressed as 50 percent (%) inhibitory concentration (IC50) units.
Group 4: Serological Response to Booster Vaccination Measured by Binding (S-ELISA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster VaccinationBooster Day 1 (Day 84 up to Day 364), Booster Day 29 (Day 112 up to Day 392)Serological response to vaccination as measured by binding (S-ELISA) antibody titers in adult participants at blood collection time points post booster vaccination were reported.
Group 4: Serological Response to Booster Vaccination Measured by Neutralizing (VNA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster VaccinationBooster Day 1 (Day 84 up to Day 364), Booster Day 29 (Day 112 up to Day 392)Serological response to booster vaccination measured by neutralizing VNA antibody titers in adult participants at blood collection time points post booster vaccination were reported. Data were expressed as IC50 units.
Serological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsAt birth (postnatal [PN] Day 1 [Day 7 up to Day 163]), 2 months (up to PN Day 61 [Day 67 up to Day 223]) and 6 months (up to PN Day 183 [Day 189 up to Day 345])Serological response to vaccination as measured by S-ELISA at birth (that is, in cord blood) and at 2 months and 6 months of age in neonates and infants born to adult participants were reported.
Group 4: Number of Adult Participants With Solicited Local AEs for 7 Days Post Booster Vaccination7 days post booster vaccination (Day 84 up to Day 371)Number of adult participants with solicited local AEs for 7 days post booster vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were pre-defined as local (at the injection site) AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post booster vaccination (day of booster vaccination and the subsequent 7 days). Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination site.
Number of Neonates and Infants With SAEs (Including MIS-C) From Birth Up to 12 Months of Age in Neonates and Infants Born to Adult ParticipantsFrom birth (PN Day 1 [Day 7 up to Day 163]) up to 12 months of age (up to PN Day 366 [Day 372 up to Day 528])An AE is any untoward medical occurrence in participants in the study that does not necessarily have a causal relationship with pharmaceutical/biological agent under study. SAE: any untoward medical occurrence that resulted in following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important. MIS-C: a serious and potentially fatal condition in infants and children with SARS-CoV-2, which resulted in inflammation involving multiple organs. Symptoms of MIS-C: persistent fever, fatigue and signs and symptoms including multiorgan systems (cardiac, gastrointestinal, renal, hematologic, dermatologic, neurologic) involvement, elevated inflammatory markers and, in severe cases, hypotension and shock.
Number of Neonates and Infants With AESIs From Birth Until 12 Months of Age in Neonates and Infants Born to Adult ParticipantsFrom birth (PN Day 1 [Day 7 up to Day 163]) until 12 months of age (up to PN Day 366 [Day 372 up to Day 528])Number of neonates and infants with AESIs from birth until 12 months of age in neonates and infants born to adult participants were reported. TTS is a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia.
Number of Neonates and Infants With MAAEs From Birth Until 6 Months of Age in Neonates and Infants Born to Adult ParticipantsFrom birth (PN Day 1 [Day 7 up to Day 163]) until 6 months of age (up to PN 183 [Day 189 up to Day 345])Number of neonates and infants with MAAEs from birth until 6 months of age in neonates and infants born to adult participants were reported. MAAEs were defined as AEs with medically attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically attended visits. New onset of chronic diseases were collected as part of the MAAEs.
Number of Neonates and Infants With AEs Leading to Study Discontinuation From Birth Until Study DiscontinuationFrom birth (PN Day 1 [Day 7 up to Day 163]) until study discontinuation (until 12 months of age [up to PN Day 366 {Day 372 up to Day 528}])Number of neonates and infants with AEs leading to study discontinuation from birth until study discontinuation were reported. An AE is any untoward medical occurrence in participants who does not necessarily have a causal relationship with pharmaceutical/biological agent under study. All AEs leading to discontinuation from the study (regardless of the causal relationship) were reported for all neonates and infants.
Number of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeFrom birth (PN Day 1 [Day 7 up to Day 163]) up to 12 months of age (up to PN Day 366 [Day 372 up to Day 528])Number of neonates and infants with different birth outcomes from birth until 12 months of age were reported. Neonate/infant outcomes included normal neonate, term neonate with (or without) complications, preterm neonate with (or without) complications, neonatal infection, respiratory distress, congenital anomalies, neonatal death, low birth weight, and small for gestational age.
Serological Response to Vaccination as Measured by VNA Titers at Birth (That is, in Cord Blood) in Neonates and Infants Born to Adult ParticipantsAt Birth (PN Day 1 [Day 7 up to Day 163])Serological response to vaccination as measured by VNA titers at birth (that is, in cord blood) in neonates and infants born to adult participants were reported. Data were expressed as IC50 units.
Group 4: Number of Adult Participants With Solicited Systemic AEs for 7 Days Post Booster Vaccination7 days post booster vaccination (Day 84 up to Day 371)Number of adult participants with solicited systemic AEs for 7 days post booster vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as systemic AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post booster vaccination. Participants were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post-vaccination (day of booster vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia.
Group 4: Number of Adult Participants With Unsolicited AEs for 28 Days Post Booster Vaccination28 days post booster vaccination (Day 84 up to Day 392)Number of adult participants with unsolicited AEs for 28 days post booster vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.
Group 4: Number of Adult Participants With SAEs Post Booster Vaccination Until EOSFrom booster vaccination (Day 84 up to Day 364) until EOS (up to PP Day 366 [Day 366 up to Day 554])Number of adult participants with SAEs post booster vaccination until EOS were reported. AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. SAE were defined as any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.
Group 4: Number of Adult Participants With AESIs Post Booster Vaccination Until EOSFrom booster vaccination (Day 84 up to Day 364) until EOS (up to PP Day 366 [Day 366 up to Day 554])Number of adult participants with AESI post booster vaccination until EOS were reported. Thrombosis with thrombocytopenia syndrome (TTS) in adults was considered an AESI in this study. TTS is a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia.
Group 4: Number of Adult Participants With MAAEs Until 6 Months Post Booster Vaccination6 months post booster vaccination (Day 84 up to Day 546)Number of adult participants with MAAEs until 6 months post booster vaccination were reported. MAAEs were defined as AEs with medically attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically attended visits. New onset of chronic diseases was collected as part of the MAAEs.
Group 4: Number of Adult Participants With AEs Leading to Study Discontinuation Post Booster Vaccination Until EOSFrom post booster vaccination (Day 84 up to Day 364) until EOS (up to PP Day 366 [Day 366 up to Day 554])Number of adult participants with AEs leading to study discontinuation post booster vaccination until EOS were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. All AEs leading to discontinuation from the study (regardless of the causal relationship) were reported for all adult participants from the moment of booster vaccination until completion of the participant's last study-related procedure.
Number of Adult Participants With Pregnancy OutcomesFrom first vaccination on Day 1 until PP Day 1 (Day 7 up to Day 163)Number of adult participants with pregnancy outcomes were reported. Pregnancy outcomes in adult participants included live term birth, live preterm birth, stillbirth, and abortion.

Countries

Brazil, South Africa, United States

Participant flow

Recruitment details

Per plan, only adults were considered enrolled in the study.

Pre-assignment details

Per change in planned analyses, combined analysis was performed for Groups 2 and 3 in both adults and neonates in order to protect and maintain the privacy/confidentiality of the single participant enrolled in Group 2. Each adult participant in Group 4 received booster dose at a different timepoint, that is, any day from Day 84 up to Day 364.

Participants by arm

ArmCount
Group 1 (Adults): Ad26.COV2.S 5*10^10 vp
Adult participants from 2nd or 3rd trimester of pregnancy (Week 16 to Week 38 of gestation, inclusive), previously vaccinated (at least 4 months prior to receiving the study vaccine) exclusively with messenger Ribonucleic acid (mRNA) coronavirus disease 2019 (COVID-19) vaccine (primary vaccination \[2-doses\] or homologous booster vaccination) with COVID-19 mRNA vaccine (Pfizer-BioNTech or Moderna) received a single dose of the adenovirus type 26 (Ad26) vector, encoded with spike (S) protein from severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) (Ad26.COV2.S) 5\*10\^10 viral particles (vp) as intramuscular (IM) injection on Day 1.
12
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vp
Adult participants from 2nd or 3rd trimester of pregnancy (Week 16 to Week 38 of gestation, inclusive), previously vaccinated (at least 4 months prior to receiving the study vaccine) with any regimen not included in Group 1 (non-mRNA or heterologous regimen) received a single dose of Ad26.COV2.S 5\*10\^10 vp as IM injection on Day 1.
10
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vp
Adult participants from 2nd or 3rd trimester of pregnancy (Week 16 to Week 38 of gestation, inclusive), with no prior COVID-19 vaccination (vaccine- naive) received a single dose of Ad26.COV2.S 5\*10\^10 vp as IM injection on Day 1 followed by an optional single booster dose of Ad26.COV2.S 5\*10\^10 vp as IM injection on Booster Day 1 (any day between Day 84 and Day 364).
29
Total51

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Post-baseline: AdultsLost to Follow-up013000
Post-baseline: AdultsWithdrawal by Subject213000
Post-natal: Neonates and InfantsDeath000100
Post-natal: Neonates and InfantsLost to Follow-up000005
Post-natal: Neonates and InfantsWithdrawal by Parent Or Guardian000003

Baseline characteristics

CharacteristicGroup 1 (Adults): Ad26.COV2.S 5*10^10 vpGroups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpTotal
Age, Continuous24.3 years
STANDARD_DEVIATION 3.42
24.2 years
STANDARD_DEVIATION 3.61
25.4 years
STANDARD_DEVIATION 5.29
24.9 years
STANDARD_DEVIATION 4.57
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants6 Participants10 Participants26 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants4 Participants18 Participants24 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants5 Participants9 Participants16 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants2 Participants2 Participants6 Participants
Race (NIH/OMB)
White
8 Participants3 Participants18 Participants29 Participants
Region of Enrollment
Brazil
12 Participants9 Participants11 Participants32 Participants
Region of Enrollment
South Africa
0 Participants1 Participants4 Participants5 Participants
Region of Enrollment
United States
0 Participants0 Participants14 Participants14 Participants
Sex: Female, Male
Female
12 Participants10 Participants29 Participants51 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 120 / 100 / 291 / 100 / 80 / 29
other
Total, other adverse events
12 / 128 / 1027 / 297 / 105 / 815 / 29
serious
Total, serious adverse events
4 / 122 / 103 / 293 / 104 / 84 / 29

Outcome results

Primary

Number of Adult Participants With Adverse Events of Special Interest (AESIs) From First Vaccination Until EOS

Number of adult participants with AESIs from first vaccination until EOS were reported. Thrombosis with thrombocytopenia syndrome (TTS) in adults was considered an AESI in this study. TTS is a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia.

Time frame: From first vaccination on Day 1 until end of study (up to PP Day 366 [Day 15 up to Day 554])

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Adverse Events of Special Interest (AESIs) From First Vaccination Until EOS0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Adverse Events of Special Interest (AESIs) From First Vaccination Until EOS0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Adverse Events of Special Interest (AESIs) From First Vaccination Until EOS0 Participants
Primary

Number of Adult Participants With AEs Leading to Study Discontinuation

Number of adult participants with AEs leading to study discontinuation were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. All AEs leading to discontinuation from the study (regardless of the causal relationship) were reported for all adult participants from the moment of first vaccination until completion of the participant's last study-related procedure.

Time frame: From first vaccination on Day 1 until end of study (up to PP Day 366 [Day 15 up to Day 554])

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With AEs Leading to Study Discontinuation0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With AEs Leading to Study Discontinuation0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With AEs Leading to Study Discontinuation0 Participants
Primary

Number of Adult Participants With Medically Attended Adverse Events (MAAEs) Until 6 Months Post First Vaccination

Number of adult participants with MAAEs until 6 months post first vaccination was reported. MAAEs were defined as AEs with medically attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically attended visits. New onset of chronic diseases was collected as part of the MAAEs.

Time frame: From first vaccination on Day 1 until 6 months post first vaccination (up to Day 183)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Medically Attended Adverse Events (MAAEs) Until 6 Months Post First Vaccination6 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Medically Attended Adverse Events (MAAEs) Until 6 Months Post First Vaccination2 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Medically Attended Adverse Events (MAAEs) Until 6 Months Post First Vaccination7 Participants
Primary

Number of Adult Participants With Serious Adverse Events (SAEs) From First Vaccination Until End of the Study (EOS)

Number of adult participants with SAEs from first vaccination until EOS were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. SAEs were defined as any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

Time frame: From first vaccination on Day 1 until end of study (up to post-partum [PP] Day 366 [Day 15 up to Day 554])

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Serious Adverse Events (SAEs) From First Vaccination Until End of the Study (EOS)4 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Serious Adverse Events (SAEs) From First Vaccination Until End of the Study (EOS)2 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Serious Adverse Events (SAEs) From First Vaccination Until End of the Study (EOS)3 Participants
Primary

Number of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First Vaccination

Number of adult participants with solicited local AEs for 7 days post first vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were pre-defined as local (at the injection site) AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post first vaccination (day of first vaccination and the subsequent 7 days). Solicited local AEs are injection site pain/tenderness, erythema, swelling at the vaccination site.

Time frame: From first vaccination on Day 1 up to 7 days post first vaccination (up to Day 8)

Population: Full Analysis Set - Adults (FAS-A) included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First Vaccination10 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First Vaccination5 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First Vaccination20 Participants
Primary

Number of Adult Participants With Solicited Systemic AEs for 7 Days Post First Vaccination

Number of adult participants with solicited systemic AEs for 7 days post first vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as systemic AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post first vaccination. Participants were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post first vaccination (day of first vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia.

Time frame: From first vaccination on Day 1 up to 7 days post first vaccination (up to Day 8)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Solicited Systemic AEs for 7 Days Post First Vaccination10 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Solicited Systemic AEs for 7 Days Post First Vaccination4 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Solicited Systemic AEs for 7 Days Post First Vaccination20 Participants
Primary

Number of Adult Participants With Unsolicited AEs for 28 Days Post First Vaccination

Number of adult participants with unsolicited AEs for 28 days post first vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.

Time frame: From first vaccination on Day 1 up to 28 days post first vaccination (up to Day 29)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Unsolicited AEs for 28 Days Post First Vaccination7 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Unsolicited AEs for 28 Days Post First Vaccination4 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Unsolicited AEs for 28 Days Post First Vaccination10 Participants
Primary

Serological Response to Vaccination as Measured by S-Enzyme-linked Immunosorbent Assay (S-ELISA) in Adult Participants 28 Days Post First Vaccination

Serological response to vaccination as measured by S-ELISA in adult participants 28 days post first vaccination was reported.

Time frame: 28 days post first vaccination on Day 1 (at Day 29)

Population: Per-protocol Immunogenicity-Adults (PPI-A) set included all vaccinated adult participants for whom immunogenicity data were available excluding adult participants with major protocol deviations that were expected to impact the immunogenicity outcomes. Here, N (Number of participants analyzed) signifies the number of participants that were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-Enzyme-linked Immunosorbent Assay (S-ELISA) in Adult Participants 28 Days Post First Vaccination19179 ELISA units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-Enzyme-linked Immunosorbent Assay (S-ELISA) in Adult Participants 28 Days Post First Vaccination12335 ELISA units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-Enzyme-linked Immunosorbent Assay (S-ELISA) in Adult Participants 28 Days Post First Vaccination5906 ELISA units per milliliter (EU/mL)
Secondary

Group 4: Number of Adult Participants With AESIs Post Booster Vaccination Until EOS

Number of adult participants with AESI post booster vaccination until EOS were reported. Thrombosis with thrombocytopenia syndrome (TTS) in adults was considered an AESI in this study. TTS is a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia.

Time frame: From booster vaccination (Day 84 up to Day 364) until EOS (up to PP Day 366 [Day 366 up to Day 554])

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With AESIs Post Booster Vaccination Until EOS0 Participants
Secondary

Group 4: Number of Adult Participants With AEs Leading to Study Discontinuation Post Booster Vaccination Until EOS

Number of adult participants with AEs leading to study discontinuation post booster vaccination until EOS were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. All AEs leading to discontinuation from the study (regardless of the causal relationship) were reported for all adult participants from the moment of booster vaccination until completion of the participant's last study-related procedure.

Time frame: From post booster vaccination (Day 84 up to Day 364) until EOS (up to PP Day 366 [Day 366 up to Day 554])

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With AEs Leading to Study Discontinuation Post Booster Vaccination Until EOS0 Participants
Secondary

Group 4: Number of Adult Participants With MAAEs Until 6 Months Post Booster Vaccination

Number of adult participants with MAAEs until 6 months post booster vaccination were reported. MAAEs were defined as AEs with medically attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically attended visits. New onset of chronic diseases was collected as part of the MAAEs.

Time frame: 6 months post booster vaccination (Day 84 up to Day 546)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With MAAEs Until 6 Months Post Booster Vaccination0 Participants
Secondary

Group 4: Number of Adult Participants With SAEs Post Booster Vaccination Until EOS

Number of adult participants with SAEs post booster vaccination until EOS were reported. AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. SAE were defined as any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important.

Time frame: From booster vaccination (Day 84 up to Day 364) until EOS (up to PP Day 366 [Day 366 up to Day 554])

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With SAEs Post Booster Vaccination Until EOS0 Participants
Secondary

Group 4: Number of Adult Participants With Solicited Local AEs for 7 Days Post Booster Vaccination

Number of adult participants with solicited local AEs for 7 days post booster vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were pre-defined as local (at the injection site) AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post booster vaccination (day of booster vaccination and the subsequent 7 days). Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination site.

Time frame: 7 days post booster vaccination (Day 84 up to Day 371)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With Solicited Local AEs for 7 Days Post Booster Vaccination6 Participants
Secondary

Group 4: Number of Adult Participants With Solicited Systemic AEs for 7 Days Post Booster Vaccination

Number of adult participants with solicited systemic AEs for 7 days post booster vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as systemic AEs for which participants were specifically asked and which were noted by participants in their reactogenicity diary for 7 days post booster vaccination. Participants were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post-vaccination (day of booster vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia.

Time frame: 7 days post booster vaccination (Day 84 up to Day 371)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With Solicited Systemic AEs for 7 Days Post Booster Vaccination7 Participants
Secondary

Group 4: Number of Adult Participants With Unsolicited AEs for 28 Days Post Booster Vaccination

Number of adult participants with unsolicited AEs for 28 days post booster vaccination was reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.

Time frame: 28 days post booster vaccination (Day 84 up to Day 392)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Number of Adult Participants With Unsolicited AEs for 28 Days Post Booster Vaccination2 Participants
Secondary

Group 4: Serological Response to Booster Vaccination Measured by Binding (S-ELISA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster Vaccination

Serological response to vaccination as measured by binding (S-ELISA) antibody titers in adult participants at blood collection time points post booster vaccination were reported.

Time frame: Booster Day 1 (Day 84 up to Day 364), Booster Day 29 (Day 112 up to Day 392)

Population: PPI-A set included all vaccinated adult participants with available immunogenicity data excluding participants with major protocol deviations that impact immunogenicity outcomes. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Serological Response to Booster Vaccination Measured by Binding (S-ELISA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster VaccinationBooster Day 1 (Day 84 up to Day 364)4204 ELISA Units per milliliter (EU/mL)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Serological Response to Booster Vaccination Measured by Binding (S-ELISA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster VaccinationBooster Day 29 (Day 112 up to Day 392)7213 ELISA Units per milliliter (EU/mL)
Secondary

Group 4: Serological Response to Booster Vaccination Measured by Neutralizing (VNA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster Vaccination

Serological response to booster vaccination measured by neutralizing VNA antibody titers in adult participants at blood collection time points post booster vaccination were reported. Data were expressed as IC50 units.

Time frame: Booster Day 1 (Day 84 up to Day 364), Booster Day 29 (Day 112 up to Day 392)

Population: PPI-A set included all vaccinated adult participants with available immunogenicity data excluding participants with major protocol deviations that impact immunogenicity outcomes. Data for this outcome measure was planned to be collected and analyzed only for the participants in arm Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5\*10\^10 vp, as only this arm received the booster vaccination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Serological Response to Booster Vaccination Measured by Neutralizing (VNA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster VaccinationBooster Day 1 (Day 84 up to Day 364)1299 titers
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpGroup 4: Serological Response to Booster Vaccination Measured by Neutralizing (VNA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster VaccinationBooster Day 29 (Day 112 up to Day 392)3203 titers
Secondary

Number of Adult Participants With Pregnancy Outcomes

Number of adult participants with pregnancy outcomes were reported. Pregnancy outcomes in adult participants included live term birth, live preterm birth, stillbirth, and abortion.

Time frame: From first vaccination on Day 1 until PP Day 1 (Day 7 up to Day 163)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Here N (Number of participants analyzed) signifies the number of participants that were evaluable for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesLive Term Birth10 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesLive Preterm Birth0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesStillbirth0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesAbortion0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesAbortion0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesLive Term Birth7 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesStillbirth0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesLive Preterm Birth1 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesAbortion0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesLive Preterm Birth3 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesStillbirth0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy OutcomesLive Term Birth26 Participants
Secondary

Number of Adult Participants With Pregnancy Related AEs Throughout Pregnancy

Number of adult participants with pregnancy related AEs throughout pregnancy were reported. Pregnancy related AEs in adult participants were collected based on 2 baseline gestational age groups (adult participants who received vaccination at 16 to 27 weeks \[\>=16 weeks to \<28 weeks\] and at 28 to 38 weeks \[\>=28 weeks to \<=38 weeks\]) and included gestational hypertension, foetal growth restriction, haemorrhage in pregnancy, polyhydramnios, pre-eclampsia, premature rupture of membranes, preterm premature rupture of membranes, bradycardia foetal, premature baby, amniorrhexis, foetalgrowth restriction, amniotic fluid volume decreased.

Time frame: From first vaccination on Day 1 until PP Day 1 (Day 7 up to Day 163)

Population: FAS-A included all enrolled adult participants with at least one vaccine administration documented. Here n(number analyzed) signifies number of participants analyzed for specified categories.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy Related AEs Throughout PregnancyGestational Age: 16-27 weeks4 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy Related AEs Throughout PregnancyGestational Age: 28-38 weeks1 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy Related AEs Throughout PregnancyGestational Age: 16-27 weeks2 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy Related AEs Throughout PregnancyGestational Age: 28-38 weeks3 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy Related AEs Throughout PregnancyGestational Age: 16-27 weeks3 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Adult Participants With Pregnancy Related AEs Throughout PregnancyGestational Age: 28-38 weeks1 Participants
Secondary

Number of Neonates and Infants With AESIs From Birth Until 12 Months of Age in Neonates and Infants Born to Adult Participants

Number of neonates and infants with AESIs from birth until 12 months of age in neonates and infants born to adult participants were reported. TTS is a syndrome characterized by a combination of both a thrombotic event and thrombocytopenia.

Time frame: From birth (PN Day 1 [Day 7 up to Day 163]) until 12 months of age (up to PN Day 366 [Day 372 up to Day 528])

Population: FAS-NVN included all non-vaccinated neonates/infants (NVN) born to Ad26.COV2.S vaccinated adult participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With AESIs From Birth Until 12 Months of Age in Neonates and Infants Born to Adult Participants0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With AESIs From Birth Until 12 Months of Age in Neonates and Infants Born to Adult Participants0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With AESIs From Birth Until 12 Months of Age in Neonates and Infants Born to Adult Participants0 Participants
Secondary

Number of Neonates and Infants With AEs Leading to Study Discontinuation From Birth Until Study Discontinuation

Number of neonates and infants with AEs leading to study discontinuation from birth until study discontinuation were reported. An AE is any untoward medical occurrence in participants who does not necessarily have a causal relationship with pharmaceutical/biological agent under study. All AEs leading to discontinuation from the study (regardless of the causal relationship) were reported for all neonates and infants.

Time frame: From birth (PN Day 1 [Day 7 up to Day 163]) until study discontinuation (until 12 months of age [up to PN Day 366 {Day 372 up to Day 528}])

Population: FAS-NVN included all non-vaccinated neonates/infants (NVN) born to Ad26.COV2.S vaccinated adult participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With AEs Leading to Study Discontinuation From Birth Until Study Discontinuation0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With AEs Leading to Study Discontinuation From Birth Until Study Discontinuation0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With AEs Leading to Study Discontinuation From Birth Until Study Discontinuation0 Participants
Secondary

Number of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of Age

Number of neonates and infants with different birth outcomes from birth until 12 months of age were reported. Neonate/infant outcomes included normal neonate, term neonate with (or without) complications, preterm neonate with (or without) complications, neonatal infection, respiratory distress, congenital anomalies, neonatal death, low birth weight, and small for gestational age.

Time frame: From birth (PN Day 1 [Day 7 up to Day 163]) up to 12 months of age (up to PN Day 366 [Day 372 up to Day 528])

Population: FAS-NVN included all non-vaccinated neonates/infants (NVN) born to Ad26.COV2.S vaccinated adult participants. Here 'N' (Number of participants analyzed) signifies the number of participants who completed the neonatal medical history form and were analyzed for this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgePreterm neonate without complications0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeTerm neonate with complications0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgePreterm neonate with complications0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNeonatal infection0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeRespiratory distress0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeCongenital anomalies0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNeonatal death0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeLow birth weight1 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeSmall for gestational age0 Participants
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNormal neonate9 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeCongenital anomalies0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNormal neonate7 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeRespiratory distress0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgePreterm neonate without complications0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeTerm neonate with complications0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeSmall for gestational age0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeLow birth weight0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgePreterm neonate with complications0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNeonatal death0 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNeonatal infection0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeLow birth weight0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNeonatal infection0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgePreterm neonate without complications2 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeRespiratory distress0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeCongenital anomalies0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeSmall for gestational age0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNeonatal death0 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeNormal neonate25 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgeTerm neonate with complications1 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of AgePreterm neonate with complications1 Participants
Secondary

Number of Neonates and Infants With MAAEs From Birth Until 6 Months of Age in Neonates and Infants Born to Adult Participants

Number of neonates and infants with MAAEs from birth until 6 months of age in neonates and infants born to adult participants were reported. MAAEs were defined as AEs with medically attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not considered medically attended visits. New onset of chronic diseases were collected as part of the MAAEs.

Time frame: From birth (PN Day 1 [Day 7 up to Day 163]) until 6 months of age (up to PN 183 [Day 189 up to Day 345])

Population: FAS-NVN included all non-vaccinated neonates/infants (NVN) born to Ad26.COV2.S vaccinated adult participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With MAAEs From Birth Until 6 Months of Age in Neonates and Infants Born to Adult Participants5 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With MAAEs From Birth Until 6 Months of Age in Neonates and Infants Born to Adult Participants4 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With MAAEs From Birth Until 6 Months of Age in Neonates and Infants Born to Adult Participants5 Participants
Secondary

Number of Neonates and Infants With SAEs (Including MIS-C) From Birth Up to 12 Months of Age in Neonates and Infants Born to Adult Participants

An AE is any untoward medical occurrence in participants in the study that does not necessarily have a causal relationship with pharmaceutical/biological agent under study. SAE: any untoward medical occurrence that resulted in following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important. MIS-C: a serious and potentially fatal condition in infants and children with SARS-CoV-2, which resulted in inflammation involving multiple organs. Symptoms of MIS-C: persistent fever, fatigue and signs and symptoms including multiorgan systems (cardiac, gastrointestinal, renal, hematologic, dermatologic, neurologic) involvement, elevated inflammatory markers and, in severe cases, hypotension and shock.

Time frame: From birth (PN Day 1 [Day 7 up to Day 163]) up to 12 months of age (up to PN Day 366 [Day 372 up to Day 528])

Population: Full Analysis Set - Non-vaccinated Neonates/Infants (FAS-NVN) included all non-vaccinated neonates/infants born to Ad26.COV2.S vaccinated adult participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With SAEs (Including MIS-C) From Birth Up to 12 Months of Age in Neonates and Infants Born to Adult Participants3 Participants
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With SAEs (Including MIS-C) From Birth Up to 12 Months of Age in Neonates and Infants Born to Adult Participants4 Participants
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpNumber of Neonates and Infants With SAEs (Including MIS-C) From Birth Up to 12 Months of Age in Neonates and Infants Born to Adult Participants4 Participants
Secondary

Serological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First Vaccination

Serological response to first vaccination as measured by S-ELISA at all blood collection timepoints post first vaccination were reported.

Time frame: Day 1, Day 29, PP Day 1 (Day 7 up to Day 163), PP Day 183 (Day 189 up to Day 345)

Population: PPI-A set included all vaccinated adult participants for whom immunogenicity data were available excluding adult participants with major protocol deviations that were expected to impact the immunogenicity outcomes. Here N (Number of participants analyzed) signifies the number of participants that were evaluable for this outcome measure and n (number analyzed) signifies number of participants analyzed at specified timepoints.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 110977 ELISA Units per milliliter (EU/mL)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 2919179 ELISA Units per milliliter (EU/mL)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationPP Day 1 (Day 7 up to Day 163)16733 ELISA Units per milliliter (EU/mL)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationPP Day 183 (Day 189 up to Day 345)12704 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationPP Day 183 (Day 189 up to Day 345)8846 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 12927 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationPP Day 1 (Day 7 up to Day 163)10179 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 2912335 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationPP Day 183 (Day 189 up to Day 345)4698 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 295906 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationPP Day 1 (Day 7 up to Day 163)4025 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First VaccinationDay 1197 ELISA Units per milliliter (EU/mL)
Secondary

Serological Response to First Vaccination as Measured by Virus Neutralization Assay (VNA) Titers, 28 Days in Adult Participants Post First Vaccination

Serological response to first vaccination measured by VNA titers at 28 days in adult participants post first vaccination was reported. Data were expressed as 50 percent (%) inhibitory concentration (IC50) units.

Time frame: 28 days post first vaccination on Day 1 (at Day 29)

Population: PPI-A set included all vaccinated adult participants for whom immunogenicity data were available excluding adult participants with major protocol deviations that were expected to impact the immunogenicity outcomes. Here N (Number of participants analyzed) signifies the number of participants that were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by Virus Neutralization Assay (VNA) Titers, 28 Days in Adult Participants Post First Vaccination7233 titers
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by Virus Neutralization Assay (VNA) Titers, 28 Days in Adult Participants Post First Vaccination5527 titers
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to First Vaccination as Measured by Virus Neutralization Assay (VNA) Titers, 28 Days in Adult Participants Post First Vaccination1601 titers
Secondary

Serological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult Participants

Serological response to vaccination as measured by S-ELISA at birth (that is, in cord blood) and at 2 months and 6 months of age in neonates and infants born to adult participants were reported.

Time frame: At birth (postnatal [PN] Day 1 [Day 7 up to Day 163]), 2 months (up to PN Day 61 [Day 67 up to Day 223]) and 6 months (up to PN Day 183 [Day 189 up to Day 345])

Population: Per-protocol immunogenicity- non-vaccinated neonates/infants (PPI-NVN) included all non-vaccinated neonates/infants born to Ad26.COV2.S vaccinated adult participants for whom immunogenicity data were available. Here N (Number of participants analyzed) signifies the number of participants that were evaluable for this outcome measure and n(number analyzed) signifies number of participants analyzed at specified timepoints.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 61 [Day 67 up to Day 223])4021 ELISA Units per milliliter (EU/mL)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 1 [Day 7 up to Day 163])17327 ELISA Units per milliliter (EU/mL)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 183 [Day 189 up to Day 345)529 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 61 [Day 67 up to Day 223])3520 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 1 [Day 7 up to Day 163])11540 ELISA Units per milliliter (EU/mL)
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 183 [Day 189 up to Day 345)477 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 1 [Day 7 up to Day 163])4013 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 183 [Day 189 up to Day 345)795 ELISA Units per milliliter (EU/mL)
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult ParticipantsPN Day 61 [Day 67 up to Day 223])2996 ELISA Units per milliliter (EU/mL)
Secondary

Serological Response to Vaccination as Measured by VNA Titers at Birth (That is, in Cord Blood) in Neonates and Infants Born to Adult Participants

Serological response to vaccination as measured by VNA titers at birth (that is, in cord blood) in neonates and infants born to adult participants were reported. Data were expressed as IC50 units.

Time frame: At Birth (PN Day 1 [Day 7 up to Day 163])

Population: Per-protocol immunogenicity- non-vaccinated neonates/infants (PPI-NVN) included all non-vaccinated neonates/infants born to Ad26.COV2.S vaccinated adult participants for whom immunogenicity data were available. Here N (Number of participants analyzed) signifies the number of participants that were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by VNA Titers at Birth (That is, in Cord Blood) in Neonates and Infants Born to Adult Participants3788 titers
Groups 2 and 3 (Adults): Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by VNA Titers at Birth (That is, in Cord Blood) in Neonates and Infants Born to Adult Participants3756 titers
Group 4 (Adults): Vaccine-naive: Ad26.COV2.S 5*10^10 vpSerological Response to Vaccination as Measured by VNA Titers at Birth (That is, in Cord Blood) in Neonates and Infants Born to Adult Participants658 titers

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