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A Study to Evaluate Different Dose Levels of Ad26.COV2.S in Healthy Adolescents From 12 to 17 Years Inclusive

A Randomized, Observer-blind, Phase 2 Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Different Dose Levels of Ad26.COV2.S Administered as a One- or Two-dose Regimen in Healthy Adolescents From 12 to 17 Years Inclusive

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05007080
Acronym
HORIZON 2
Enrollment
304
Registered
2021-08-16
Start date
2021-09-27
Completion date
2023-08-14
Last updated
2025-02-04

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

Conditions

Coronavirus Disease-2019 (COVID-19) Prevention

Brief summary

The primary purpose of this study is to assess the safety, reactogenicity, and humoral immune response of Ad26.COV2.S administered intramuscularly (IM) as a 1-dose schedule or as a 2-dose schedule (56-day interval) in adolescents.

Detailed description

Available safety, immunogenicity and efficacy data from the Ad26.COV2.S vaccine development program supports initiating evaluation of Ad26.COV2.S in the pediatric population. Ad26.COV2.S will be evaluated in the pediatric population through a dose-confirmation approach. Ad26.COV2.S (also known as Ad26COVS1, VAC31518, JNJ-78436735) is a monovalent vaccine composed of a recombinant, replication-incompetent human adenovirus type 26 (Ad26) vector, constructed to encode the severe acute respiratory syndrome coronavirus(-2) (SARS-CoV-2) spike (S) protein, stabilized in its prefusion conformation. The study duration from screening until the last follow-up visit will be, excluding the 28-day screening phase, 8 months (Groups 4-6) to 12 months (Groups 1-3), consisting of 12-month study duration comprising a study period (6-months) including vaccination with a 1 active dose and a placebo vaccination (56-day interval), followed by a booster vaccination at 6 months and follow-up (safety and immunogenicity) until at least 6 months after booster vaccination (Groups 1-3) and 8 month study duration comprising 2 active doses (56-day interval) and follow-up (safety and immunogenicity) until at least 6 months after second vaccination (Groups 4-6). Assessments like immunogenicity (such as humoral and cellular immune responses), safety and reactogenicity (such as adverse events \[AEs\] monitoring) will be performed in this study. Other safety assessments include vital signs measurements (heart rate, supine systolic and diastolic blood pressure, respiratory rate, and body temperature) and physical examinations. The overall study duration from enrolment of the first participant until study completion is expected to be up to 1 year 11 months.

Interventions

BIOLOGICALAd26.COV2.S

Ad26.COV2.S will be administered as intramuscular (IM) injection.

Sponsors

Janssen Vaccines & Prevention B.V.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
Yes

Inclusion criteria

* Participant's age is 12 to 17 years of age at the time of first vaccination * Participant must be healthy, in the investigator's clinical judgement, as confirmed by medical history, physical examination, and vital signs performed at screening, and must not have comorbidities related to an increased risk of severe coronavirus disease-2019 (COVID-19) * 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 and/or parent(s)/legal guardian(s) are available and willing to participate for the duration of the study visits and follow-up * Each participant or participant's parent(s)/legal guardian(s) must have access to a consistent means of contact either by telephone contact or email/computer

Exclusion criteria

* Participant has a history of malignancy, bone marrow transplant, or solid organ transplant within 5 years before screening * Participant has a known or suspected allergy, history of anaphylaxis, or other serious adverse reactions, related to vaccines or their excipients (including specifically the excipients of the study vaccine) * Use of systemic corticosteroids at an immunosuppressive dose (treatment duration more than 14 days for one course or recurrent use) within 6 months before administration of study vaccine and during the study * Participants with a history of illness or with an ongoing illness that, in the opinion of the investigator, may pose additional risk to the participant if he/she participates in the study * Any serious, chronic, or progressive disease (example: diabetes, cardiac disease, hepatic disease, progressive neurological disease or seizure disorder; autoimmune disease, acquired immunodeficiency syndrome \[AIDS\] infection, blood dyscrasias, bleeding diathesis, signs of cardiac or renal failure, or severe malnutrition)

Design outcomes

Primary

MeasureTime frameDescription
Serological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 214 days post-dose 2 on Day 57 (Day 71)Serological response to vaccination measured by VNA titers 14 days post-dose 2 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as IC50 units.
Groups 4, 5 and 6: Number of Participants With MAAEs Leading to DiscontinuationFrom first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)Number of participants with MAAEs leading to discontinuation 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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.
Groups 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)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.
Groups 4, 5 and 6: Number of Participants With Serious Adverse Events (SAEs)From first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)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.
Groups 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C])From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)Number of participants with AESI (including MIS-C) were reported. Thrombotic events (suspected deep vessel venous or arterial thrombotic events); Thrombocytopenia (platelet count below 150,000/μL) and MIS-C (a subject \<21 years with fever, evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (≥2) organ involvement \[cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological\]; & No alternative diagnoses; & Positive for ositive for current or recent (SARS-CoV-2) coronavirus disease 2019 \[COVID-19\] infection by Real-time reverse transcriptase-polymerase chain reaction \[RT-PCR\], serology, or antigen test; Or COVID-19 exposure within the 4 weeks prior to the onset of symptoms) were considered AESIs in this study.
Groups 4, 5 and 6: Number of Participants With AESI (Including MIS-C)From first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)Number of participants with AESI (including MIS-C) were reported. Thrombotic events: suspected deep vessel venous or arterial thrombotic events and Thrombocytopenia, defined as platelet count below 150,000/μL and MIS-C were considered as AESIs in this study. MIS-C, defined as: An individual aged \<21 years presenting with fever, laboratory evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (≥2) organ involvement (cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic,or neurological); AND No alternative plausible diagnoses; AND Positive for current or recent SARS-CoV-2 (COVID-19) infection by RT-PCR, serology, or antigen test; or COVID-19 exposure within the 4 weeks prior to the onset of symptoms.
Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 128 days post-dose 1 on Day 1 (Day 29)Serological response to vaccination measured by S-ELISA (ELISA Unit/milliliter (EU/mL)) at 28 days post-dose 1 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of less than or equal to the lower limit of quantification (\<=LLOQ) and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported.
Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 214 days post-dose 2 on Day 57 (Day 71)Serological response to vaccination measured by S-ELISA (EU/mL) at 14 days post-dose 2 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported.
Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 128 days post-dose 1 on Day 1 (Day 29)Serological response to vaccination measured by VNA titers at 28 days post-dose 1 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as 50 percent (%) inhibitory concentration (IC50) units.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 17 days post-dose 1 on Day 1 (Day 8)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 each vaccination. Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination site.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 27 days post-dose 2 on Day 57 (Day 64)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 each vaccination. Solicited local AEs were: injection site pain/tenderness, erythema, swelling at the vaccination site.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 17 days post-dose 1 on Day 1 (Day 8)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 each 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 vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 27 days post-dose 2 on Day 57 (Day 64)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 each 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 vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 128 days post-dose 1 on Day 1 (Day 29)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 that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 228 days post-dose 2 on Day 57 (Day 85)Description: 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 that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary.
Groups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 1From the first vaccination (Day 1) until 6 months post-dose 1 on Day 1 (Up to Day 184)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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.
Groups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 2From the first vaccination (Day 1) until 6 months post-dose 2 on Day 57 (Up to Day 240)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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.
Groups 1, 2, and 3: Number of Participants With MAAEs Leading to DiscontinuationFrom first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)Number of participants with MAAEs leading to discontinuation 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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.

Secondary

MeasureTime frameDescription
Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Groups 1-3: Days 1, 29, 57, 71, 184, 198 and 366; Groups 4-6: Days 1, 29, 57, 71 and 240Serological response to vaccination measured by neutralizing antibody titers to SARS-CoV-2 (VNA) were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as IC50 units.
Groups 1, 2 and 3: Number of Participants With Solicited Local AEs for 7 Days Post-booster VaccinationFrom first vaccination on Day 1 up to Day 191 (7 days after booster vaccination on Day 184)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 each vaccination. Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination site. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.
Groups 1, 2 and 3: Number of Participants With Solicited Systemic AEs for 7 Days Post-booster VaccinationFrom first vaccination on Day 1 up to Day 191 (7 days after booster vaccination on Day 184)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 each 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 vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.
Groups 1, 2 and 3: Number of Participants With Unsolicited AEs for 28 Days Post-booster VaccinationFrom first vaccination on Day 1 up to Day 212 (28 days after booster Vaccination on Day 184)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 that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.
Groups 1, 2 and 3: Number of Participants With MAAEs Until 6 Months Post-booster VaccinationFrom first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.
Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDays 184, 198 and 366Serological response to post-booster vaccination measured by binding (S-ELISA) antibody titers were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDays 184, 198 and 366Serological response to post-booster vaccination measured by neutralizing (VNA) antibody titers were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as IC50 units. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISAGroups 1-3: Days 1, 29, 57, 71, 184, 198, and 366; Groups 4-6: Days 1, 29, 57, 71 and 240Serological response to vaccination measured by binding antibody titers to SARS-CoV-2 or individual SARS-CoV-2 S proteins as assessed by ELISA were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported.

Countries

Argentina, Brazil, India, Mexico, South Africa

Participant flow

Pre-assignment details

Of the 304 randomized participants, 3 participants were randomized to an arm that was closed prior to vaccination due to ethical reasons. One participant was excluded from the analysis due to lack of a valid informed consent form and is not presented in the below table.

Participants by arm

ArmCount
Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo
Participants received a single dose of Ad26.COV.S 2.5\*10\^10 virus particle (vp) as intramuscular (IM) injection on Day 1 and placebo matching to Ad26.COV.S 2.5\*10\^10 vp as IM injection on Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Participants received booster vaccination with Ad26.COV.S 2.5\*10\^10 vp on Day 184.
51
Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo
Participants received a single dose of Ad26.COV2.S 1.25\*10\^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 1.25\*10\^10 vp as IM injectionon Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Participants received booster vaccination with Ad26.COV.S 2.5\*10\^10 vp on Day 184.
50
Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
Participants received a single dose of Ad26.COV2.S 0.625\*10\^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 0.625\*10\^10 vp as IM injection Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Participants received booster vaccination with Ad26.COV.S 2.5\*10\^10 vp on Day 184.
51
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp
Participants received a single dose of Ad26.COV2.S 2.5\*10\^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.
49
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp
Participants received a single dose of Ad26.COV2.S 1.25\*10\^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination
49
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vp
Participants received a single dose of Ad26.COV2.S 0.625\*10\^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.
49
Total299

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyDeath010000
Overall StudyLost to Follow-up010111
Overall StudyOther101102
Overall StudyRandomized not vaccinated000001
Overall StudyWithdrawal by Subject120211

Baseline characteristics

CharacteristicTotalGroup 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroup 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroup 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroup 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroup 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroup 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vp
Age, Continuous14.2 years
STANDARD_DEVIATION 1.8
14.1 years
STANDARD_DEVIATION 1.87
14 years
STANDARD_DEVIATION 1.82
14.3 years
STANDARD_DEVIATION 1.76
14.4 years
STANDARD_DEVIATION 1.75
14.2 years
STANDARD_DEVIATION 1.8
14.1 years
STANDARD_DEVIATION 1.84
Age, Customized
85 years and over
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
Adolescents (12-17 years)
299 Participants51 Participants50 Participants51 Participants49 Participants49 Participants49 Participants
Age, Customized
Adults (18-64 years)
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
Children (2-11 years)
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
From 65 to 84 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
124 Participants22 Participants19 Participants24 Participants17 Participants16 Participants26 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
172 Participants29 Participants30 Participants27 Participants32 Participants31 Participants23 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants0 Participants1 Participants0 Participants0 Participants2 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
12 Participants3 Participants4 Participants1 Participants0 Participants2 Participants2 Participants
Race (NIH/OMB)
Asian
108 Participants17 Participants19 Participants17 Participants22 Participants19 Participants14 Participants
Race (NIH/OMB)
Black or African American
88 Participants17 Participants13 Participants16 Participants12 Participants14 Participants16 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants1 Participants0 Participants3 Participants2 Participants1 Participants0 Participants
Race (NIH/OMB)
White
82 Participants13 Participants13 Participants14 Participants12 Participants13 Participants17 Participants
Sex: Female, Male
Female
126 Participants22 Participants22 Participants21 Participants20 Participants21 Participants20 Participants
Sex: Female, Male
Male
173 Participants29 Participants28 Participants30 Participants29 Participants28 Participants29 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 / 511 / 500 / 510 / 490 / 490 / 49
other
Total, other adverse events
35 / 5132 / 5034 / 5126 / 4929 / 4935 / 49
serious
Total, serious adverse events
1 / 511 / 500 / 510 / 491 / 490 / 49

Outcome results

Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 2

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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.

Time frame: From the first vaccination (Day 1) until 6 months post-dose 2 on Day 57 (Up to Day 240)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 24 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 26 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 22 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 22 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 24 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With MAAEs 6 Months Post-Dose 25 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 1

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 each vaccination. Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination site.

Time frame: 7 days post-dose 1 on Day 1 (Day 8)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 113 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 116 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 117 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 111 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 112 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 115 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 2

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 each vaccination. Solicited local AEs were: injection site pain/tenderness, erythema, swelling at the vaccination site.

Time frame: 7 days post-dose 2 on Day 57 (Day 64)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 28 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 210 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 23 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 216 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 29 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Local Adverse Events (AEs) at 7 Days Post-dose 210 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 1

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 each 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 vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia.

Time frame: 7 days post-dose 1 on Day 1 (Day 8)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 120 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 113 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 118 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 114 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 116 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 116 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 2

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 each 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 vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia.

Time frame: 7 days post-dose 2 on Day 57 (Day 64)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 211 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 210 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 24 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 214 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 210 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Solicited Systemic AEs at 7 Days Post-dose 211 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 1

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 that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. 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-dose 1 on Day 1 (Day 29)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 19 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 19 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 15 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 13 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 18 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 110 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 2

Description: 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 that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. 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-dose 2 on Day 57 (Day 85)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure and n (number analyzed) signifies number of participants analyzed at specified timepoints.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 27 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 27 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 28 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 27 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 27 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Number of Participants With Unsolicited AEs at 28 Days Post-dose 29 Participants
Primary

Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 2

Serological response to vaccination measured by S-ELISA (EU/mL) at 14 days post-dose 2 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported.

Time frame: 14 days post-dose 2 on Day 57 (Day 71)

Population: The PPI set included all randomized and vaccinated participants for whom immunogenicity data were available excluding data from participants with major protocol deviations expected to impact the immunogenicity outcomes. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 24923 EU/mL95% Confidence Interval 3329
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 24679 EU/mL95% Confidence Interval 2748
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 24043 EU/mL95% Confidence Interval 2480
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 28958 EU/mL95% Confidence Interval 6333
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 28716 EU/mL95% Confidence Interval 6577
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 26522 EU/mL95% Confidence Interval 4461
Primary

Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 1

Serological response to vaccination measured by S-ELISA (ELISA Unit/milliliter (EU/mL)) at 28 days post-dose 1 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of less than or equal to the lower limit of quantification (\<=LLOQ) and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported.

Time frame: 28 days post-dose 1 on Day 1 (Day 29)

Population: The Per Protocol Immunogenicity (PPI) set included all randomized and vaccinated participants for whom immunogenicity data were available excluding data from participants with major protocol deviations expected to impact the immunogenicity outcomes. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 16533 ELISA Unit/milliliter (EU/mL)95% Confidence Interval 4341
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 17812 ELISA Unit/milliliter (EU/mL)95% Confidence Interval 5120
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 15881 ELISA Unit/milliliter (EU/mL)95% Confidence Interval 3719
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 19273 ELISA Unit/milliliter (EU/mL)95% Confidence Interval 5596
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 16758 ELISA Unit/milliliter (EU/mL)95% Confidence Interval 4344
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 16069 ELISA Unit/milliliter (EU/mL)95% Confidence Interval 3780
Primary

Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 1

Serological response to vaccination measured by VNA titers at 28 days post-dose 1 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as 50 percent (%) inhibitory concentration (IC50) units.

Time frame: 28 days post-dose 1 on Day 1 (Day 29)

Population: The PPI set included all randomized and vaccinated participants for whom immunogenicity data were available excluding data from participants with major protocol deviations 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: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 11325 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 11754 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 11392 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 12038 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 11878 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 11455 Titers
Primary

Groups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 1

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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.

Time frame: From the first vaccination (Day 1) until 6 months post-dose 1 on Day 1 (Up to Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 12 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 10 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 10 Participants
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 11 Participants
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 10 Participants
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, and 5: Number of Participants With Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 15 Participants
Primary

Groups 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C])

Number of participants with AESI (including MIS-C) were reported. Thrombotic events (suspected deep vessel venous or arterial thrombotic events); Thrombocytopenia (platelet count below 150,000/μL) and MIS-C (a subject \<21 years with fever, evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (≥2) organ involvement \[cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological\]; & No alternative diagnoses; & Positive for ositive for current or recent (SARS-CoV-2) coronavirus disease 2019 \[COVID-19\] infection by Real-time reverse transcriptase-polymerase chain reaction \[RT-PCR\], serology, or antigen test; Or COVID-19 exposure within the 4 weeks prior to the onset of symptoms) were considered AESIs in this study.

Time frame: From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented. 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C])0 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C])0 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C])0 Participants
Primary

Groups 1, 2, and 3: Number of Participants With MAAEs Leading to Discontinuation

Number of participants with MAAEs leading to discontinuation 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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.

Time frame: From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With MAAEs Leading to Discontinuation0 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With MAAEs Leading to Discontinuation0 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With MAAEs Leading to Discontinuation0 Participants
Primary

Groups 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)

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 first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)1 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)1 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)0 Participants
Primary

Groups 4, 5 and 6: Number of Participants With AESI (Including MIS-C)

Number of participants with AESI (including MIS-C) were reported. Thrombotic events: suspected deep vessel venous or arterial thrombotic events and Thrombocytopenia, defined as platelet count below 150,000/μL and MIS-C were considered as AESIs in this study. MIS-C, defined as: An individual aged \<21 years presenting with fever, laboratory evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (≥2) organ involvement (cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic,or neurological); AND No alternative plausible diagnoses; AND Positive for current or recent SARS-CoV-2 (COVID-19) infection by RT-PCR, serology, or antigen test; or COVID-19 exposure within the 4 weeks prior to the onset of symptoms.

Time frame: From first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)

Population: Safety analyses set included all participants with at least one vaccine administration documented. 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With AESI (Including MIS-C)0 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With AESI (Including MIS-C)0 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With AESI (Including MIS-C)0 Participants
Primary

Groups 4, 5 and 6: Number of Participants With MAAEs Leading to Discontinuation

Number of participants with MAAEs leading to discontinuation 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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs.

Time frame: From first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With MAAEs Leading to Discontinuation0 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With MAAEs Leading to Discontinuation0 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With MAAEs Leading to Discontinuation0 Participants
Primary

Groups 4, 5 and 6: Number of Participants With Serious Adverse Events (SAEs)

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 first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)

Population: Safety analyses set included all participants with at least one vaccine administration documented.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With Serious Adverse Events (SAEs)0 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With Serious Adverse Events (SAEs)1 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 4, 5 and 6: Number of Participants With Serious Adverse Events (SAEs)0 Participants
Primary

Serological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 2

Serological response to vaccination measured by VNA titers 14 days post-dose 2 were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as IC50 units.

Time frame: 14 days post-dose 2 on Day 57 (Day 71)

Population: The PPI set included all randomized and vaccinated participants for whom immunogenicity data were available excluding data from participants with major protocol deviations 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: Ad26.COV2.S 2.5*10^10 vp + PlaceboSerological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 21187 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboSerological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 21094 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboSerological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 2864 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpSerological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 22386 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpSerological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 22670 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpSerological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 21742 Titers
Secondary

Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISA

Serological response to vaccination measured by binding antibody titers to SARS-CoV-2 or individual SARS-CoV-2 S proteins as assessed by ELISA were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported.

Time frame: Groups 1-3: Days 1, 29, 57, 71, 184, 198, and 366; Groups 4-6: Days 1, 29, 57, 71 and 240

Population: PPI set: all randomized and vaccinated participants with available immunogenicity data excluding data from participants with major protocol deviations expected to impact immunogenicity outcomes. Here, 'N' (number of participants analyzed) signifies participants evaluable for this outcome measure, and n(number analyzed) signifies participants analyzed at specified timepoints (where n=0, data were not planned to be analyzed at specified timepoint for specific arm).

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 3665087 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 714923 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 575629 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1844131 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1255 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 296533 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1986782 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1844765 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1987656 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 297812 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 577450 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 714679 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1297 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 3664934 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 295881 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 714043 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 19810506 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1843861 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 574554 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 3666585 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1338 EU/mL
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 577034 EU/mL
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1256 EU/mL
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 299273 EU/mL
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 718958 EU/mL
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 2404994 EU/mL
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 2405338 EU/mL
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 718716 EU/mL
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1200 EU/mL
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 575650 EU/mL
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 296758 EU/mL
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 1282 EU/mL
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 2403877 EU/mL
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 716522 EU/mL
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 296069 EU/mL
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or Individual SARS-CoV-2 S Proteins as Assessed by ELISADay 574817 EU/mL
Secondary

Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2

Serological response to vaccination measured by neutralizing antibody titers to SARS-CoV-2 (VNA) were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as IC50 units.

Time frame: Groups 1-3: Days 1, 29, 57, 71, 184, 198 and 366; Groups 4-6: Days 1, 29, 57, 71 and 240

Population: PPI set: all randomized and vaccinated participants with available immunogenicity data excluding data from participants with major protocol deviations expected to impact immunogenicity outcomes. Here, 'N' (number of participants analyzed) signifies participants evaluable for this outcome measure, and n(number analyzed) signifies participants analyzed at specified timepoints (where n=0, data were not planned to be analyzed at specified timepoint for specific arm). NA=\<LLOQ.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1841358 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 711187 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1105 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 3661809 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 291325 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 571197 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1982496 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1149 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 291754 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 571743 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 711094 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1841702 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1982547 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 3661783 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 71864 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1114 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 3662274 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 184860 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 291392 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1984083 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 57993 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 2401867 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 712386 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 292038 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1112 Titers
Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 571662 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 291878 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 712670 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 2401900 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 183 Titers
Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 571434 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 291455 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 2401134 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 711742 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 571188 Titers
Group 6: Ad26.COV2.S 0.625*10^10 vp + Ad26.COV2.S 0.625*10^10 vpGroups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2Day 1127 Titers
Secondary

Groups 1, 2 and 3: Number of Participants With MAAEs Until 6 Months Post-booster Vaccination

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 be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.

Time frame: From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)

Population: Safety analyses set included all 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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With MAAEs Until 6 Months Post-booster Vaccination1 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With MAAEs Until 6 Months Post-booster Vaccination2 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With MAAEs Until 6 Months Post-booster Vaccination2 Participants
Secondary

Groups 1, 2 and 3: Number of Participants With Solicited Local AEs for 7 Days Post-booster Vaccination

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 each vaccination. Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination site. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.

Time frame: From first vaccination on Day 1 up to Day 191 (7 days after booster vaccination on Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Solicited Local AEs for 7 Days Post-booster Vaccination19 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Solicited Local AEs for 7 Days Post-booster Vaccination16 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Solicited Local AEs for 7 Days Post-booster Vaccination17 Participants
Secondary

Groups 1, 2 and 3: Number of Participants With Solicited Systemic AEs for 7 Days Post-booster Vaccination

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 each 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 vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.

Time frame: From first vaccination on Day 1 up to Day 191 (7 days after booster vaccination on Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Solicited Systemic AEs for 7 Days Post-booster Vaccination16 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Solicited Systemic AEs for 7 Days Post-booster Vaccination14 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Solicited Systemic AEs for 7 Days Post-booster Vaccination15 Participants
Secondary

Groups 1, 2 and 3: Number of Participants With Unsolicited AEs for 28 Days Post-booster Vaccination

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 that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. Unsolicited AEs were defined as AEs for which the participants were not specifically questioned in the participant's reactogenicity diary. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in the study protocol.

Time frame: From first vaccination on Day 1 up to Day 212 (28 days after booster Vaccination on Day 184)

Population: Safety analyses set included all participants with at least one vaccine administration documented. Here, 'N' (number of participants analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Unsolicited AEs for 28 Days Post-booster Vaccination6 Participants
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Unsolicited AEs for 28 Days Post-booster Vaccination8 Participants
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Number of Participants With Unsolicited AEs for 28 Days Post-booster Vaccination10 Participants
Secondary

Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody Titers

Serological response to post-booster vaccination measured by binding (S-ELISA) antibody titers were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.

Time frame: Days 184, 198 and 366

Population: PPI set: All randomized and vaccinated participants with available immunogenicity data excluding data from participants with major protocol deviations 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: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 1986782 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 1844131 EU/mL
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 3665087 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 1987656 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 1844765 EU/mL
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 3664934 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 1843861 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 3666585 EU/mL
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody TitersDay 19810506 EU/mL
Secondary

Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody Titers

Serological response to post-booster vaccination measured by neutralizing (VNA) antibody titers were reported. For Vaccine-specific responses, a participant was defined as a responder if: 1. a baseline sample value of \<=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly \>LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. Data were expressed as IC50 units. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.

Time frame: Days 184, 198 and 366

Population: PPI set: All randomized and vaccinated participants with available immunogenicity data excluding data from participants with major protocol deviations 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: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 1841358 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 3661809 Titers
Group 1: Ad26.COV2.S 2.5*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 1982496 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 1982547 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 3661783 Titers
Group 2: Ad26.COV2.S 1.25*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 1841702 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 3662274 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 184860 Titers
Group 3: Ad26.COV2.S 0.625*10^10 vp + PlaceboGroups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody TitersDay 1984083 Titers

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