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COVID-19: A Study to Evaluate Safety, Reactogenicity and Immunogenicity of the SARS-CoV-2 mRNA Vaccine CVnCoV in Adults With Co-morbidities

COVID-19: A Phase 3 Multicenter Clinical Trial to Evaluate the Safety, Reactogenicity and Immunogenicity of the Investigational SARS-CoV-2 mRNA Vaccine CVnCoV in Adults 18 Years of Age and Above With Co-morbidities

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04860258
Enrollment
129
Registered
2021-04-26
Start date
2021-04-22
Completion date
2021-09-21
Last updated
2022-05-13

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

Conditions

Coronavirus, Covid19, SARS-CoV-2, Severe Acute Respiratory Syndrome

Keywords

Covid19, CVnCoV, SARS-CoV-2 mRNA vaccine, Vaccine, SARS, COVID, Safety, Reactogenicity, Immunogenicity

Brief summary

The primary objectives of this study are to evaluate the safety and reactogenicity profile after 1 and 2 dose administrations of investigational SARS-CoV-2 mRNA vaccine CVnCoV, and to evaluate the humoral immune responses 14 days after 2 dose administrations of CVnCoV.

Detailed description

Study participants with the following mild to moderate per protocol defined co-morbidities will be recruited: chronic kidney disease (CKD); cardiovascular disease (CVD), chronic obstructive pulmonary disease (COPD), type-2-diabetes. After safety data review, recruitment for severe cases will be opened. No severity classification will be done for study participants with chronic human immunodeficiency virus (HIV) infection with stable aviremia 12 months prior enrollment, for renal transplant patients if stable under medication for at least 6 months prior enrollment, and for study participants with a body mass index \> 32 kg/m\^2. This clinical trial information was submitted voluntarily under the applicable law and, therefore, certain submission deadlines may not apply. (That is, clinical trial information for this applicable clinical trial was submitted under section 402(j)(4)(A) of the Public Health Service Act and 42 CFR 11.60 and is not subject to the deadlines established by sections 402(j)(2) and (3) of the Public Health Service Act or 42 CFR 11.24 and 11.44.).

Interventions

BIOLOGICALCVnCoV Vaccine

Intramuscular (IM) injection in the deltoid area, preferably in the non-dominant arm.

Sponsors

CureVac
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Male and female participants ≥18 years of age with 1 or more co-morbidities. 2. For the co-morbidities chronic kidney disease, chronic obstructive pulmonary disease (COPD), chronic cardiovascular disease and diabetes mellitus, the first 25 participants per co-morbidity should include only mild to moderate cases. Thereafter, more severe conditions may be recruited following Internal Safety Review Committee (iSRC) and Data Safety Monitoring Board (DSMB) Chair approval. 3. Participant has no overt clinical signs or symptoms of COVID-19. 4. Participant has to sign the informed consent form (ICF) before any trial procedures. 5. Participants with a life expectancy of at least 1 year as per the Investigator's assessment. 6. Expected to be compliant with protocol procedures and available for clinical follow-up through the last planned visit. 7. Physical examination without acute clinically significant findings according to the Investigator's assessment. 8. Female participants: At the time of enrollment, negative human chorionic gonadotropin (hCG) pregnancy test (serum) for women presumed to be of childbearing potential on the day of enrollment. On Day 1 (pre vaccination): negative urine pregnancy test (hCG) (only required if serum pregnancy test was performed more than 3 days before). Note: Women that are postmenopausal (defined as amenorrhea for ≥ 12 consecutive months prior to screening without an alternative medical cause) or permanently sterilized will be considered as not having reproductive potential. 9. Female participants of childbearing potential must use highly effective methods of birth control from 2 weeks before the first administration of the trial vaccine until 3 months following the last administration.

Exclusion criteria

1. A previous clinical and laboratory-confirmed diagnosis of COVID-19 within the last six months prior to screening. 2. Use of any investigational or non-registered product (vaccine or drug) other than the trial vaccine within 28 days preceding the administration of the trial vaccine, or planned use during the trial period. 3. Receipt of any other vaccines within 28 days prior to enrollment in this trial or planned receipt of any vaccine within 28 days of trial vaccine administration. Planned vaccination with an inactivated influenza vaccine is permitted. 4. Receipt of any investigational, authorized or licensed SARS-CoV-2, other coronavirus vaccine or any other lipid nanoparticles (LNP)-containing messenger ribonucleic acid vaccine prior to the administration of the trial vaccine. For authorized or licensed SARS-CoV-2: planned administration during the trial up to 6 weeks after the foreseen date of second dose administration of CVnCoV. 5. Any treatment with immunosuppressants or other immune-modifying drugs (including, but not limited to, corticosteroids, biologicals, and methotrexate) for \>14 days in total within 6 months prior to the administration of the trial vaccine or planned use during the trial. For corticosteroid use, this means prednisone or equivalent, 0.5 mg/kg/day for 14 days or more. The use of inhaled, topical, or localized injections of corticosteroids (e.g., for joint pain/inflammation) is permitted. Note: This exclusion does not apply to the renal transplant cases and is at the Investigator's discretion for participants with other co-morbidities (e.g., COPD). 6. Participants with chronic human immunodeficiency virus (HIV) infection with controlled Hepatitis B infection with therapy or aviremic Hepatitis C may be eligible for the trial, based on the Investigator's judgment. 7. History of immune-mediated or autoimmune disease. 8. History of anaphylaxis or allergy to any component of CVnCoV or aminoglycoside antibiotics. 9. History of or current alcohol and/or drug abuse. 10. History of confirmed severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS) disease. 11. Administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of any dose of the trial vaccine. 12. Presence or evidence of significant uncontrolled acute or chronic medical or psychiatric illness, excluding the co-morbidities specified in the protocol. Significant medical or psychiatric illnesses include but are not limited to: * Uncontrolled respiratory disease. * Uncontrolled neurological disorders or Guillain-Barré syndrome or history of seizure, except for febrile seizures during childhood. * Current or past malignancy, unless completely resolved without sequelae for \>5 years 13. Foreseeable non-compliance with protocol, as judged by the Investigator. 14. For female participants: pregnancy or lactation. 15. Participants with impaired coagulation or any bleeding disorder in whom an IM injection or a blood draw is contraindicated. This includes participants on treatment with anticoagulants (e.g., vitamin K antagonists, novel oral anticoagulants, and heparin). Use of platelet aggregation inhibitors is not exclusionary. However, use of anticoagulants is accepted in certain co-morbidities according to the clinical Investigator's judgment and if the international normalized ratio (INR) remains ≤3. 16. Participants employed by the Sponsor, Investigator, or trial site, or relatives of research staff working on this trial.

Design outcomes

Primary

MeasureTime frameDescription
Subset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 43Day 43The SARS-CoV-2 neutralizing antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentrations/titers marked as below the LLOQ were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.
Number of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialUp to Day 57AESIs included: * AEs with a suspected immune-mediated etiology including potential immune-mediated diseases. * Other AEs relevant to SARS-CoV-2 vaccine development or the target disease. * Non-serious intercurrent medical conditions that may affect the immune response to vaccination was collected throughout the trial. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.
Number of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 43Baseline and Day 43Seroconversion was defined as any increase in titer in antibodies against SARS-CoV-2 RBD versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/ authorized vaccine.
Geometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 43Day 43The SARS-CoV-2 spike RBD protein-specific antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentration/titers marked as below the lower limit of quantification (LLOQ) were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.
Subset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 43Baseline and Day 43Seroconversion was defined as any increase in titer of SARS-CoV-2 neutralizing antibodies versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.
Number of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseUp to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. By definition, all solicited local AEs occurring from the time of first vaccination were considered related to trial vaccination. For solicited systemic AEs, the Investigator assessed the relationship between trial vaccine and each occurrence of each AE.
Intensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseUp to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. Intensity of solicited local AEs and solicited systemic AEs were graded per the FDA Toxicity Grading Scale at Grades 1-3, where higher grades indicate a worse outcome.
Duration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseUp to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. Duration was calculated as consecutive days with a respective solicited AE regardless of the grade of the AE. AEs ongoing after Day 8 were included.
Number of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseUp to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.
Intensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseUp to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit. Participants were included only once, at the maximum severity. The Investigator made an assessment of intensity for each AE reported during the trial and assigned it to one of the following categories: * Mild: an event that was easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities. * Moderate: an event that caused sufficient discomfort to interfere with normal everyday activities. * Severe: an event that prevented normal everyday activities.
Number of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialUp to Day 57An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Secondary

MeasureTime frameDescription
GMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Days 29, 120, 211 and 393The SARS-CoV-2 spike RBD protein-specific antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentrations/titers marked as below the LLOQ were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.
Subset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Baseline and Days 29 and 120Seroconversion was defined as any increase in titer of SARS-CoV-2 neutralizing antibodies versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.
Subset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Days 29 and 120The SARS-CoV-2 neutralizing antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentrations/titers marked as below the LLOQ were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.
Number of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Baseline and Days 29, 120, 211 and 393Seroconversion was defined as any increase in titer in antibodies against SARS-CoV-2 RBD versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/ authorized vaccine.

Countries

Belgium

Participant flow

Recruitment details

This trial was performed in Belgium between 22 April 2021 and 21 September 2021.

Pre-assignment details

Of the 172 participants who were screened, 129 participants with co-morbidities known to increase the risk for (severe) COVID-19 were enrolled. Participants received investigational severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) messenger ribonucleic acid (mRNA) vaccine (CVnCoV) 12 µg on Day 1 and Day 29.

Participants by arm

ArmCount
Chronic Kidney Disease
Participants with chronic kidney disease received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. Kidney function was ascertained from the serum creatinine measurement within the last 6 months, converted into eGFR using the CKD-EPI equation, with impaired kidney function defined as eGFR \<60 mL/min/1.73m².
1
COPD
Participants with COPD received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. COPD included emphysema and chronic bronchitis.
1
Obesity
Participants with obesity received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. Obesity was defined as a BMI \>32 kg/m².
52
Chronic Cardiovascular Disease
Participants with chronic cardiovascular disease received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. Chronic cardiovascular disease included heart failure, structural heart disorder, coronary artery disease, cardiomyopathies and arterial hypertension.
33
Chronic HIV Infection
Participants with chronic HIV infection received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. Participants with chronic HIV infection required stable aviremia (\<50 copies/mL) and CD4 count \>350/mL as documented by blood samples taken within 12 months before enrollment. Viral load \<50 copies/mL over 12 months with transient changes of 50-350 copies/mL was allowed.
33
Type 2 Diabetes Mellitus
Participants with type 2 diabetes mellitus received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. Participants with type 2 diabetes mellitus required diabetes mellitus to be controlled with medication \[HbA1c \<58 mmol/mol (7.45%)\].
7
Renal Transplant
Participants with renal transplant received SARS-CoV-2 mRNA vaccine CVnCoV 12 µg on Day 1 and Day 29. Participants had a renal transplant at least a year ago under stable conditions for at least 6 months with medications, categorized as low risk of rejection.
2
Total129

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Overall StudyWithdrawal by Subject0041410

Baseline characteristics

CharacteristicChronic Kidney DiseaseCOPDObesityChronic Cardiovascular DiseaseChronic HIV InfectionType 2 Diabetes MellitusRenal TransplantTotal
Age, Continuous54.0 years73.0 years42.7 years
STANDARD_DEVIATION 10.77
52.3 years
STANDARD_DEVIATION 12.36
43.7 years
STANDARD_DEVIATION 11.69
58.3 years
STANDARD_DEVIATION 9.21
39.0 years
STANDARD_DEVIATION 2.83
46.5 years
STANDARD_DEVIATION 12.4
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants1 Participants49 Participants33 Participants32 Participants7 Participants2 Participants125 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants3 Participants0 Participants0 Participants0 Participants0 Participants3 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants0 Participants2 Participants3 Participants3 Participants0 Participants0 Participants8 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants1 Participants0 Participants5 Participants0 Participants0 Participants6 Participants
Race/Ethnicity, Customized
Unknown
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
1 Participants1 Participants48 Participants30 Participants25 Participants7 Participants2 Participants114 Participants
Sex: Female, Male
Female
0 Participants0 Participants23 Participants7 Participants4 Participants3 Participants0 Participants37 Participants
Sex: Female, Male
Male
1 Participants1 Participants29 Participants26 Participants29 Participants4 Participants2 Participants92 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
EG006
affected / at risk
deaths
Total, all-cause mortality
0 / 10 / 10 / 520 / 330 / 330 / 70 / 2
other
Total, other adverse events
1 / 11 / 150 / 5232 / 3333 / 337 / 72 / 2
serious
Total, serious adverse events
0 / 10 / 10 / 520 / 330 / 331 / 70 / 2

Outcome results

Primary

Duration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any Dose

Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. Duration was calculated as consecutive days with a respective solicited AE regardless of the grade of the AE. AEs ongoing after Day 8 were included.

Time frame: Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Population: The SAS including only participants who experienced solicited local and systemic AEs.

ArmMeasureGroupValue (MEAN)Dispersion
Chronic Kidney DiseaseDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs1.0 days
Chronic Kidney DiseaseDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs1.0 days
ObesityDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs4.4 daysStandard Deviation 5.06
ObesityDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs2.2 daysStandard Deviation 1.11
Chronic Cardiovascular DiseaseDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs4.1 daysStandard Deviation 2.58
Chronic Cardiovascular DiseaseDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs2.1 daysStandard Deviation 1.21
Chronic HIV InfectionDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs4.3 daysStandard Deviation 3.1
Chronic HIV InfectionDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs2.4 daysStandard Deviation 0.7
Type 2 Diabetes MellitusDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs1.8 daysStandard Deviation 0.75
Type 2 Diabetes MellitusDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs5.4 daysStandard Deviation 4.83
Renal TransplantDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs1.0 daysStandard Deviation 0
Renal TransplantDuration of Solicited AEs Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs3.0 daysStandard Deviation 1.41
Primary

Geometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 43

The SARS-CoV-2 spike RBD protein-specific antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentration/titers marked as below the lower limit of quantification (LLOQ) were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame: Day 43

Population: The PPI included all participants who received both doses within the windows defined in the protocol, had no major protocol deviations expected to impact the immunogenicity outcomes, had not received medical treatments (such as blood products, immunoglobulin therapy) that may interfere with any of the immunogenicity measurements and had at least 1 blood sample collected starting at 14 days (Day 43) post-second vaccination available for analysis.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Chronic Kidney DiseaseGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 43518.410 titers
COPDGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 4350.000 titers
ObesityGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 431576.121 titersStandard Deviation 7.5115
Chronic Cardiovascular DiseaseGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 431385.663 titersStandard Deviation 5.8935
Chronic HIV InfectionGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 43968.795 titersStandard Deviation 4.7759
Type 2 Diabetes MellitusGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 43183.523 titersStandard Deviation 2.4423
Renal TransplantGeometric Mean Titers (GMTs) of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Day 43416.051 titersStandard Deviation 20.0136
Primary

Intensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any Dose

Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. Intensity of solicited local AEs and solicited systemic AEs were graded per the FDA Toxicity Grading Scale at Grades 1-3, where higher grades indicate a worse outcome.

Time frame: Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Population: The SAS including only participants who experienced solicited local and systemic AEs.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Chronic Kidney DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 20 Participants
Chronic Kidney DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 11 Participants
Chronic Kidney DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 11 Participants
Chronic Kidney DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 30 Participants
Chronic Kidney DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 20 Participants
Chronic Kidney DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 30 Participants
COPDIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 20 Participants
COPDIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 10 Participants
COPDIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 20 Participants
COPDIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 10 Participants
COPDIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 30 Participants
COPDIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 30 Participants
ObesityIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 130 Participants
ObesityIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 29 Participants
ObesityIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 31 Participants
ObesityIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 18 Participants
ObesityIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 219 Participants
ObesityIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 319 Participants
Chronic Cardiovascular DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 123 Participants
Chronic Cardiovascular DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 31 Participants
Chronic Cardiovascular DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 39 Participants
Chronic Cardiovascular DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 18 Participants
Chronic Cardiovascular DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 24 Participants
Chronic Cardiovascular DiseaseIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 212 Participants
Chronic HIV InfectionIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 18 Participants
Chronic HIV InfectionIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 30 Participants
Chronic HIV InfectionIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 120 Participants
Chronic HIV InfectionIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 39 Participants
Chronic HIV InfectionIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 214 Participants
Chronic HIV InfectionIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 26 Participants
Type 2 Diabetes MellitusIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 16 Participants
Type 2 Diabetes MellitusIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 32 Participants
Type 2 Diabetes MellitusIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 23 Participants
Type 2 Diabetes MellitusIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 12 Participants
Type 2 Diabetes MellitusIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 30 Participants
Type 2 Diabetes MellitusIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 20 Participants
Renal TransplantIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 12 Participants
Renal TransplantIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 30 Participants
Renal TransplantIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 30 Participants
Renal TransplantIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEsGrade 20 Participants
Renal TransplantIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 22 Participants
Renal TransplantIntensity of Solicited AEs Per US Food and Drug Administration (FDA) Toxicity Grading Scale Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEsGrade 10 Participants
Primary

Intensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any Dose

Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit. Participants were included only once, at the maximum severity. The Investigator made an assessment of intensity for each AE reported during the trial and assigned it to one of the following categories: * Mild: an event that was easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities. * Moderate: an event that caused sufficient discomfort to interfere with normal everyday activities. * Severe: an event that prevented normal everyday activities.

Time frame: Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

Population: The SAS including only participants who experienced unsolicited AEs.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Chronic Kidney DiseaseIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate0 Participants
Chronic Kidney DiseaseIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere0 Participants
Chronic Kidney DiseaseIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild1 Participants
COPDIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild0 Participants
COPDIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate1 Participants
COPDIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere0 Participants
ObesityIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere4 Participants
ObesityIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild6 Participants
ObesityIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate17 Participants
Chronic Cardiovascular DiseaseIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild4 Participants
Chronic Cardiovascular DiseaseIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere3 Participants
Chronic Cardiovascular DiseaseIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate7 Participants
Chronic HIV InfectionIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild8 Participants
Chronic HIV InfectionIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate10 Participants
Chronic HIV InfectionIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere1 Participants
Type 2 Diabetes MellitusIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere1 Participants
Type 2 Diabetes MellitusIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate1 Participants
Type 2 Diabetes MellitusIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild2 Participants
Renal TransplantIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseMild1 Participants
Renal TransplantIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseSevere0 Participants
Renal TransplantIntensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any DoseModerate0 Participants
Primary

Number of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 43

Seroconversion was defined as any increase in titer in antibodies against SARS-CoV-2 RBD versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/ authorized vaccine.

Time frame: Baseline and Day 43

Population: The Per Protocol Immunogenicity subset (PPI) included all participants who received both doses within the windows defined in the protocol, had no major protocol deviations expected to impact the immunogenicity outcomes, had not received medical treatments (such as blood products, immunoglobulin therapy) that may interfere with any of the immunogenicity measurements and had at least 1 blood sample collected starting at 14 days (Day 43) post-second vaccination available for analysis.

ArmMeasureValue (NUMBER)
Chronic Kidney DiseaseNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 431 count of seroconverted participants
COPDNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 430 count of seroconverted participants
ObesityNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 4334 count of seroconverted participants
Chronic Cardiovascular DiseaseNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 4319 count of seroconverted participants
Chronic HIV InfectionNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 4316 count of seroconverted participants
Type 2 Diabetes MellitusNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 434 count of seroconverted participants
Renal TransplantNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein Receptor-Binding Domain (RBD) Antibodies on Day 431 count of seroconverted participants
Primary

Number of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the Trial

AESIs included: * AEs with a suspected immune-mediated etiology including potential immune-mediated diseases. * Other AEs relevant to SARS-CoV-2 vaccine development or the target disease. * Non-serious intercurrent medical conditions that may affect the immune response to vaccination was collected throughout the trial. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Time frame: Up to Day 57

Population: The SAS consisted of all participants who received at least 1 dose of CVnCoV and for whom any post-vaccination safety data were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chronic Kidney DiseaseNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs0 Participants
Chronic Kidney DiseaseNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
COPDNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
COPDNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs0 Participants
ObesityNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
ObesityNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs2 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs1 Participants
Chronic HIV InfectionNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
Chronic HIV InfectionNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs1 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs0 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
Renal TransplantNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny AESIs0 Participants
Renal TransplantNumber of Participants Who Experienced an Adverse Event of Special Interest (AESI) During the TrialAny Related AESIs0 Participants
Primary

Number of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any Dose

Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Time frame: Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

Population: The SAS consisted of all participants who received at least 1 dose of CVnCoV and for whom any post-vaccination safety data were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chronic Kidney DiseaseNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs1 Participants
Chronic Kidney DiseaseNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs1 Participants
COPDNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs1 Participants
COPDNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs1 Participants
ObesityNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs12 Participants
ObesityNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs27 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs5 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs14 Participants
Chronic HIV InfectionNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs7 Participants
Chronic HIV InfectionNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs19 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs4 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs1 Participants
Renal TransplantNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny related unsolicited AEs1 Participants
Renal TransplantNumber of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any DoseAny unsolicited AEs1 Participants
Primary

Number of Participants Who Experienced a Serious Adverse Event (SAE) During the Trial

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Time frame: Up to Day 57

Population: The SAS consisted of all participants who received at least 1 dose of CVnCoV and for whom any post-vaccination safety data were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chronic Kidney DiseaseNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
Chronic Kidney DiseaseNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs0 Participants
COPDNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
COPDNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs0 Participants
ObesityNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs0 Participants
ObesityNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs0 Participants
Chronic HIV InfectionNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs0 Participants
Chronic HIV InfectionNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs1 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
Renal TransplantNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny related SAEs0 Participants
Renal TransplantNumber of Participants Who Experienced a Serious Adverse Event (SAE) During the TrialAny SAEs0 Participants
Primary

Number of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any Dose

Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. By definition, all solicited local AEs occurring from the time of first vaccination were considered related to trial vaccination. For solicited systemic AEs, the Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Time frame: Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Population: The SAS consisted of all participants who received at least 1 dose of CVnCoV and for whom any post-vaccination safety data were available.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Chronic Kidney DiseaseNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs0 Participants
Chronic Kidney DiseaseNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs1 Participants
Chronic Kidney DiseaseNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs1 Participants
COPDNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs0 Participants
COPDNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs0 Participants
COPDNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs0 Participants
ObesityNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs44 Participants
ObesityNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs40 Participants
ObesityNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs46 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs29 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs28 Participants
Chronic Cardiovascular DiseaseNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs26 Participants
Chronic HIV InfectionNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs31 Participants
Chronic HIV InfectionNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs26 Participants
Chronic HIV InfectionNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs28 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs6 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs6 Participants
Type 2 Diabetes MellitusNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs7 Participants
Renal TransplantNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny related solicited systemic AEs2 Participants
Renal TransplantNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited systemic AEs2 Participants
Renal TransplantNumber of Participants Who Experienced a Solicited Adverse Event (AE) Occurring on the Day of Vaccination and the Following 7 Days After Any DoseAny solicited local AEs2 Participants
Primary

Subset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 43

The SARS-CoV-2 neutralizing antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentrations/titers marked as below the LLOQ were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame: Day 43

Population: A subset of the PPI population was included in the measurement of neutralizing activity.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Chronic Kidney DiseaseSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 4314.140 titers
COPDSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 435.000 titers
ObesitySubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 4357.426 titersStandard Deviation 9.1427
Chronic Cardiovascular DiseaseSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 4316.042 titersStandard Deviation 4.079
Chronic HIV InfectionSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 4318.778 titersStandard Deviation 3.9937
Type 2 Diabetes MellitusSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 435.000 titersStandard Deviation 1
Renal TransplantSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Day 4310.000 titersStandard Deviation 2.6651
Primary

Subset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 43

Seroconversion was defined as any increase in titer of SARS-CoV-2 neutralizing antibodies versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame: Baseline and Day 43

Population: A subset of the PPI population was included in the measurement of neutralizing activity.

ArmMeasureValue (NUMBER)
Chronic Kidney DiseaseSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 431 count of seroconverted participants
COPDSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 430 count of seroconverted participants
ObesitySubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 4316 count of seroconverted participants
Chronic Cardiovascular DiseaseSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 436 count of seroconverted participants
Chronic HIV InfectionSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 437 count of seroconverted participants
Type 2 Diabetes MellitusSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 430 count of seroconverted participants
Renal TransplantSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Day 431 count of seroconverted participants
Secondary

GMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393

The SARS-CoV-2 spike RBD protein-specific antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentrations/titers marked as below the LLOQ were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame: Days 29, 120, 211 and 393

Population: The PPI. No data was collected for Days 211 and 393 due to early study termination.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Chronic Kidney DiseaseGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 2950.000 titers
COPDGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 12050.000 titers
COPDGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 2950.000 titers
ObesityGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 1201861.522 titersStandard Deviation 7.3966
ObesityGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 29234.464 titersStandard Deviation 9.4598
Chronic Cardiovascular DiseaseGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 29153.351 titersStandard Deviation 5.6201
Chronic Cardiovascular DiseaseGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 120179.992 titersStandard Deviation 6.1193
Chronic HIV InfectionGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 120174.749 titersStandard Deviation 1.1589
Chronic HIV InfectionGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 29104.230 titersStandard Deviation 5.4583
Type 2 Diabetes MellitusGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 2990.306 titersStandard Deviation 3.7506
Type 2 Diabetes MellitusGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 120554.010 titers
Renal TransplantGMTs of Serum SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 2950.000 titersStandard Deviation 1
Secondary

Number of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393

Seroconversion was defined as any increase in titer in antibodies against SARS-CoV-2 RBD versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/ authorized vaccine.

Time frame: Baseline and Days 29, 120, 211 and 393

Population: The PPI. No data was collected for Days 211 and 393 due to early study termination.

ArmMeasureGroupValue (NUMBER)
Chronic Kidney DiseaseNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 290 count of seroconverted participants
COPDNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 290 count of seroconverted participants
COPDNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 1200 count of seroconverted participants
ObesityNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 2913 count of seroconverted participants
ObesityNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 1206 count of seroconverted participants
Chronic Cardiovascular DiseaseNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 1201 count of seroconverted participants
Chronic Cardiovascular DiseaseNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 297 count of seroconverted participants
Chronic HIV InfectionNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 293 count of seroconverted participants
Chronic HIV InfectionNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 1202 count of seroconverted participants
Type 2 Diabetes MellitusNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 1201 count of seroconverted participants
Type 2 Diabetes MellitusNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 291 count of seroconverted participants
Renal TransplantNumber of Participants Seroconverting for SARS-CoV-2 Spike Protein RBD Antibodies on Days 29, 120, 211 and 393Day 290 count of seroconverted participants
Secondary

Subset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120

The SARS-CoV-2 neutralizing antibodies are expressed as GMT (geometric mean of reciprocal duplicate dilutions). Concentrations/titers marked as below the LLOQ were arbitrary replaced by half of the LLOQ for GMT computations purpose. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame: Days 29 and 120

Population: A subset of the PPI population was included in the measurement of neutralizing activity.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Chronic Kidney DiseaseSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 295.000 titers
COPDSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 295.000 titers
COPDSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1205.000 titers
ObesitySubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 12026.389 titersStandard Deviation 7.038
ObesitySubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 2917.311 titersStandard Deviation 7.4073
Chronic Cardiovascular DiseaseSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1205.000 titers
Chronic Cardiovascular DiseaseSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 297.297 titersStandard Deviation 2.3521
Chronic HIV InfectionSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 296.234 titersStandard Deviation 2.0782
Chronic HIV InfectionSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1207.071 titersStandard Deviation 1.6325
Type 2 Diabetes MellitusSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 295.000 titersStandard Deviation 1
Type 2 Diabetes MellitusSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1205.000 titers
Renal TransplantSubset Participants: GMTs of Serum SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 295.000 titersStandard Deviation 1
Secondary

Subset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120

Seroconversion was defined as any increase in titer of SARS-CoV-2 neutralizing antibodies versus baseline. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame: Baseline and Days 29 and 120

Population: A subset of the PPI population was included in the measurement of neutralizing activity.

ArmMeasureGroupValue (NUMBER)
Chronic Kidney DiseaseSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 290 count of seroconverted participants
COPDSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1200 count of seroconverted participants
COPDSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 290 count of seroconverted participants
ObesitySubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1202 count of seroconverted participants
ObesitySubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 297 count of seroconverted participants
Chronic Cardiovascular DiseaseSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 292 count of seroconverted participants
Chronic Cardiovascular DiseaseSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1200 count of seroconverted participants
Chronic HIV InfectionSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 291 count of seroconverted participants
Chronic HIV InfectionSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1201 count of seroconverted participants
Type 2 Diabetes MellitusSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 290 count of seroconverted participants
Type 2 Diabetes MellitusSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 1200 count of seroconverted participants
Renal TransplantSubset Participants: Number of Participants Seroconverting for SARS-CoV-2 Neutralizing Antibodies on Days 29 and 120Day 290 count of seroconverted participants

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