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Safety Immunogenicity Study of MT-2766 in Japanese Adults(COVID-19)

A Phase I/II, Randomized, Placebo-Controlled Study to Evaluate the Safety and Immunogenicity of MT-2766 in Japanese Adults (COVID-19)

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05065619
Enrollment
128
Registered
2021-10-04
Start date
2021-10-02
Completion date
2023-01-29
Last updated
2023-11-07

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

Conditions

SARS-CoV-2 Infection

Brief summary

The objective of this study is to evaluate the safety and immunogenicity of MT-2766 in Japanese adults.

Interventions

DRUGPlacebo

Subjects will receive two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once)

BIOLOGICALMT-2766 Low dose

Subjects will receive two doses of MT-2766 low dose given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once)

BIOLOGICALMT-2766 High dose (3.75 µg)

Subjects will receive two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once)

Sponsors

Tanabe Pharma Corporation
CollaboratorINDUSTRY
Medicago
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

MT-2766 High dose group and placebo group are randomized and observer-blinded. MT-2766 Low dose group is open label.

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

\- Subjects must meet all of the following inclusion criteria at the Screening visit (Visit 1) and/or 1st vaccination visit (Visit 2) to be eligible for participation in this study. All Investigator assessment-based judgments must be carefully and fully documented in the source documents: 1. Subjects must have read, understood, and signed the informed consent form (ICF) prior to participating in the study; subjects must also complete study-related procedures and must communicate with the study staff at visits and by phone during the study; 2. At the Screening visit (Visit 1), Japanese male and female subjects must be ≥20 years of age; 3. At the Screening visit (Visit 1) and 1st vaccination visit (Visit 2), subject must have a body mass index (BMI) of ≥18.5 kg/m\^2 and \<30 kg/m\^2; 4. Subjects are considered by the Investigator to be reliable and likely to cooperate with the assessment procedures and be available for the duration of the study; 5. Female subjects of childbearing potential must have a negative serum pregnancy test result at the Screening visit (Visit 1) and a negative urine pregnancy test result at 1st vaccination visit (Visit 2): Non-childbearing females are defined as: * Surgically sterile (defined as bilateral tubal ligation, hysterectomy or bilateral oophorectomy performed more than one month prior to the first study vaccination); OR * Post-menopausal (absence of menses for 12 consecutive months and age consistent with natural cessation of ovulation); 6. Female subjects of childbearing potential must use an effective method of contraception for one month prior to 1st vaccination visit (Visit 2) and agree to continue employing highly effective birth control measures for at least one month after the last study vaccination (or in the case of early termination, she must not plan to become pregnant for at least one month after her last study vaccination); 7. Subjects must be non-institutionalized (e.g. not living in rehabilitation centers or old-age homes); 8. Subjects have no acute or evolving medical problems prior to study participation and no clinically relevant abnormalities that could jeopardize subject safety or interfere with study assessments, as assessed by the Principal Investigator or sub-Investigator (thereafter referred as Investigator) and determined by medical history, physical examination, serology, clinical chemistry and hematology tests, urinalysis, and vital signs. Investigator discretion is permitted with this inclusion criterion.

Exclusion criteria

* Subjects who meet any of the following

Design outcomes

Primary

MeasureTime frameDescription
SARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)Using the interleukin-4 ELISpot assay
Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityWithin 30 minutes after each vaccinationImmediate AEs are defined as any solicited AEs and unsolicited AEs occurring within 30 minutes after vaccination. The causal relationship of all solicited AEs to investigational product was analyzed as related.
Percentage of Participants With Solicited AEs According to SeverityWithin 7 days after each vaccinationSolicited AEs are defined the following; (i) local AEs (injection site erythema, injection site swelling, injection site induration, and injection site pain) and (ii) systemic AEs (fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck).
Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalityWithin 21 days after each vaccination
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsWithin 21 days after each vaccinationAESIs include vaccine-associated enhanced diseases, hypersensitivity reactions, and potential immune-mediated diseases
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTDay 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)Geometric mean neutralizing antibody titer (GMT)
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRDay 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)Geometric mean fold rise (GMFR) is defined as the ratio of geometric mean antibody titer (GMT) based on that of Day 0 (i.e. Day 21/Day 0 and Day 42/Day 0).
SARS-CoV-2 Neutralizing Antibody (Nab) ResponsesDay 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)Seroconversion (SC) rate. SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 21/42, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 21/42, respectively.
SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)Using the interferon-γ enzyme-linked immunospot (ELISpot) assay. Unit of Measure: Spot-Forming Cell (SFC)/10\^6 Peripheral Blood Mononuclear Cells (PBMC)

Secondary

MeasureTime frameDescription
Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsDay 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.AESIs include vaccine-associated enhanced diseases, hypersensitivity reactions, and potential immune-mediated diseases.
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTDay 128 and Day 201Geometric mean neutralizing antibody titer (GMT)
SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRDay 128 and Day 201Geometric mean fold rise (GMFR)
Seroconversion (SC) Rate of SARS-CoV-2 Neutralizing AntibodyDay 128 and Day 201SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 128/201, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 128/201, respectively.
SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDays 201Using the interferon-γ enzyme-linked immunospot (ELISpot) assay.
SARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDays 201Using the interleukin-4 ELISpot assay
SARS-CoV-2-specific Antibody Responses (Total IgG): GMTDay 0,Day 21,Day 42,Day 128 and Day 201Geometric mean neutralizing antibody titer (GMT)
SARS-CoV-2-specific Antibody Responses (Total IgG): GMFRDay 0,Day 21,Day 42,Day 128 and Day 201Geometric mean fold rise (GMFR)
Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):Day 0,Day 21,Day 42,Day 128 and Day 201SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 21/42/128/201, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 21/42, respectively.

Countries

Japan

Participant flow

Pre-assignment details

Low dose arm is open-label, not randomized arm and was not enrolled. It was described in the protocol that the study may be completed even if fewer than planned number of subjects in Low dose arm are enrolled.

Participants by arm

ArmCount
MT-2766 High Dose (3.75 µg)
Subjects received two doses of MT-2766 high dose (3.75 µg) given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
101
Placebo
Subjects received two doses of placebo given 21 days apart into the deltoid region of the alternating arm (each arm will be injected once).
26
Total127

Withdrawals & dropouts

PeriodReasonFG000FG001
After Day 43Difficult to go to the hospital due to moving10
After Day 43Lost to Follow-up10
After Day 43Physician Decision30
After Day 43Public vaccination68
After Day 43Study Terminated by Sponsor8816
After Day 43Withdrawal by Subject12
Up to Day 42Lost to Follow-up10
Up to Day 42Withdrawal by Subject10

Baseline characteristics

CharacteristicMT-2766 High Dose (3.75 µg)PlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
4 Participants1 Participants5 Participants
Age, Categorical
Between 18 and 65 years
97 Participants25 Participants122 Participants
Age, Continuous46.7 years
STANDARD_DEVIATION 11.3
46.8 years
STANDARD_DEVIATION 11.9
46.7 years
STANDARD_DEVIATION 11.4
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
101 Participants26 Participants127 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
101 Participants26 Participants127 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
36 Participants15 Participants51 Participants
Sex: Female, Male
Male
65 Participants11 Participants76 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1010 / 26
other
Total, other adverse events
92 / 10111 / 26
serious
Total, serious adverse events
2 / 1012 / 26

Outcome results

Primary

Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed Causality

Immediate AEs are defined as any solicited AEs and unsolicited AEs occurring within 30 minutes after vaccination. The causal relationship of all solicited AEs to investigational product was analyzed as related.

Time frame: Within 30 minutes after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Severe0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Mild1.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Moderate0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Moderate0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Potentially life-threatening0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Severe0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Mild11.9 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Potentially life-threatening0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityPercentage of Participants with Immediate Unsolicited AE1.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityPercentage of Participants with Immediate Related Unsolicited AE1.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityPercentage of Participants with Immediate Solicited AEs11.9 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityPercentage of Participants with Immediate Related Unsolicited AE0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityPercentage of Participants with Immediate Solicited AEs7.7 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Mild7.7 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Moderate0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Severe0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Solicited AE: Potentially life-threatening0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalityPercentage of Participants with Immediate Unsolicited AE0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Mild0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Moderate0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Severe0 percentage of participants
PlaceboPercentage of Participants With Immediate Adverse Events (AEs) According to Severity, and Investigator-assessed CausalitySeverity of Immediate Unsolicited AE: Potentially life-threatening0 percentage of participants
Primary

Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths

AESIs include vaccine-associated enhanced diseases, hypersensitivity reactions, and potential immune-mediated diseases

Time frame: Within 21 days after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with MAAEs3.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AESIs2.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AEs Leading to Study Withdrawal0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with Deaths0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with SAEs0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with Deaths0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with SAEs0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with MAAEs11.5 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AEs Leading to Study Withdrawal0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AESIs0 percentage of participants
Primary

Percentage of Participants With Solicited AEs According to Severity

Solicited AEs are defined the following; (i) local AEs (injection site erythema, injection site swelling, injection site induration, and injection site pain) and (ii) systemic AEs (fever, headache, fatigue, muscle aches, joint aches, chills, a feeling of general discomfort, swelling in the axilla, and swelling in the neck).

Time frame: Within 7 days after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Mild60.4 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Severe2.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Potentially life-threatening0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Potentially life-threatening0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeverityPercentage of Participants with Solicited AE91.1 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeverityPercentage of Participants with Solicited Systemic AE70.3 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeverityPercentage of Participants with Solicited Local AE85.1 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Mild45.5 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Moderate24.8 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Moderate20.8 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Mild76.2 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Severe3.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Severe5.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Potentially life-threatening0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Moderate6.9 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Potentially life-threatening0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeverityPercentage of Participants with Solicited AE42.3 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Mild38.5 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Severe0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Potentially life-threatening0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeverityPercentage of Participants with Solicited Local AE11.5 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Mild11.5 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Moderate0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Severe0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Local AE: Potentially life-threatening0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeverityPercentage of Participants with Solicited Systemic AE38.5 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Mild34.6 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Moderate3.8 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited Systemic AE: Severe0 percentage of participants
PlaceboPercentage of Participants With Solicited AEs According to SeveritySeverity of Solicited AE: Moderate3.8 percentage of participants
Primary

Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed Causality

Time frame: Within 21 days after each vaccination

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalityPercentage of Participants with Unsolicited AEs18.8 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Mild15.8 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Moderate3.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Severe0.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Potentially life-threatening0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalityPercentage of Participants with Related Unsolicited AE12.9 percentage of participants
PlaceboPercentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Potentially life-threatening0 percentage of participants
PlaceboPercentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalityPercentage of Participants with Unsolicited AEs26.9 percentage of participants
PlaceboPercentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Severe0 percentage of participants
PlaceboPercentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Mild26.9 percentage of participants
PlaceboPercentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalityPercentage of Participants with Related Unsolicited AE0 percentage of participants
PlaceboPercentage of Participants With Unsolicited AEs According to Severity, and Investigator-assessed CausalitySeverity of Unsolicited AE: Moderate0 percentage of participants
Primary

SARS-CoV-2 Neutralizing Antibody (Nab) Responses

Seroconversion (SC) rate. SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 21/42, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 21/42, respectively.

Time frame: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) ResponsesDay 2138.9 percentage of subjects achieving SC
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) ResponsesDay 4299.0 percentage of subjects achieving SC
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) ResponsesDay 210 percentage of subjects achieving SC
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) ResponsesDay 420 percentage of subjects achieving SC
Primary

SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFR

Geometric mean fold rise (GMFR) is defined as the ratio of geometric mean antibody titer (GMT) based on that of Day 0 (i.e. Day 21/Day 0 and Day 42/Day 0).

Time frame: Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 21/Day 06.55 fold rise
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 42/Day 0136.75 fold rise
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 21/Day 01.03 fold rise
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 42/Day 01.04 fold rise
Primary

SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT

Geometric mean neutralizing antibody titer (GMT)

Time frame: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 06.6 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 2143.9 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 42912.6 titer
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 06.9 titer
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 217.0 titer
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 427.0 titer
Primary

SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses

Using the interferon-γ enzyme-linked immunospot (ELISpot) assay. Unit of Measure: Spot-Forming Cell (SFC)/10\^6 Peripheral Blood Mononuclear Cells (PBMC)

Time frame: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

ArmMeasureGroupValue (MEDIAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 0188.0 SFC/10^6 PBMC
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 21265.5 SFC/10^6 PBMC
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 421173.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 0277.5 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 21330.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) ResponsesDay 42413.0 SFC/10^6 PBMC
Primary

SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses

Using the interleukin-4 ELISpot assay

Time frame: Day 0 (before 1st vaccination), Day 21 (21 days after 1st vaccination and before 2nd vaccination), and Day 42 (21 days after 2nd vaccination)

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 21 analysis, this included the subjects who received the first vaccine dose and had Day 0 and Day 21 immunogenicity sample collections. For the Day 42 analysis, this included the subjects who received both vaccine doses and had Day 0 and Day 42 immunogenicity sample collections.

ArmMeasureGroupValue (MEDIAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 00.0 SFC/10^6 PBMC
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 210.0 SFC/10^6 PBMC
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 42619.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 210.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 00.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 2 (Th2) CMI ResponsesDay 420.0 SFC/10^6 PBMC
Secondary

Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and Deaths

AESIs include vaccine-associated enhanced diseases, hypersensitivity reactions, and potential immune-mediated diseases.

Time frame: Day 0 (after 1st vaccination) to end of study, on average the study duration by the termination is 334 days.

Population: Safety population included all randomized subjects who received at least 1 dose of the investigational product.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with MAAEs31.7 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AESIs2.0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AEs Leading to Study Withdrawal0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with Deaths0 percentage of participants
MT-2766 High Dose (3.75 µg)Percentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with SAEs2.0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with Deaths0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with SAEs7.7 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with MAAEs46.2 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AEs Leading to Study Withdrawal0 percentage of participants
PlaceboPercentage of Participants With Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal, AEs of Special Interest (AESIs), and DeathsPercentage of Participants with AESIs0 percentage of participants
Secondary

SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFR

Geometric mean fold rise (GMFR)

Time frame: Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 128, analysis included the subjects who received both doses and had Day 0 and 128 sample collections (MT-2766 n=94, Placebo n=25). For the Day 201, analysis included the subjects who received both doses and had Day 0 and 201 sample collections (MT-2766 n=90, Placebo n=22).

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 128/Day 029.17 fold rise
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 201/Day 022.63 fold rise
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 128/Day 01.22 fold rise
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMFRGMFR: Day 201/Day 01.17 fold rise
Secondary

SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMT

Geometric mean neutralizing antibody titer (GMT)

Time frame: Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 128, analysis included the subjects who received both doses and had Day 0 and 128 sample collections (MT-2766 n=94, Placebo n=25). For the Day 201, analysis included the subjects who received both doses and had Day 0 and 201 sample collections (MT-2766 n=90, Placebo n=22).

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 128196.5 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 201139.9 titer
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 1288.5 titer
PlaceboSARS-CoV-2 Neutralizing Antibody (Nab) Responses: GMTGMT: Day 2018.3 titer
Secondary

SARS-CoV-2-specific Antibody Responses (Total IgG): GMFR

Geometric mean fold rise (GMFR)

Time frame: Day 0,Day 21,Day 42,Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 21, analysis included the subjects who received the 1st dose and had Day 0 and 21 sample collections. For the Day 42, 128, and 201, analyses included the subjects who received two doses and had Day 0 and the each time point sample collections. See the table below for the number of analyzed subjects at each time point.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 21/Day 022.34 fold rise
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 42/Day 0917.37 fold rise
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 128/Day 0245.38 fold rise
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 201/Day 0176.32 fold rise
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 201/Day 01.95 fold rise
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 21/Day 01.02 fold rise
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 128/Day 01.34 fold rise
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMFRGMFR: Day 42/Day 01.03 fold rise
Secondary

SARS-CoV-2-specific Antibody Responses (Total IgG): GMT

Geometric mean neutralizing antibody titer (GMT)

Time frame: Day 0,Day 21,Day 42,Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 21, analysis included the subjects who received the 1st dose and had Day 0 and 21 sample collections. For the Day 42, 128, and 201, analyses included the subjects who received two doses and had Day 0 and the each time point sample collections. See the table below for the number of analyzed subjects at each time point.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 212258.3 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 12824391.9 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 4295159.8 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 20115429.0 titer
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 0103.6 titer
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 201216.6 titer
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 0119.5 titer
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 21118.6 titer
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 42114.3 titer
PlaceboSARS-CoV-2-specific Antibody Responses (Total IgG): GMTGMT: Day 128147.0 titer
Secondary

SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses

Using the interferon-γ enzyme-linked immunospot (ELISpot) assay.

Time frame: Days 201

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 128 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 128 immunogenicity sample collections. For the Day 201 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 201 immunogenicity sample collections.

ArmMeasureValue (MEDIAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses948.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 1 (Th1) Cell-mediated Immune (CMI) Responses171.50 SFC/10^6 PBMC
Secondary

SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses

Using the interleukin-4 ELISpot assay

Time frame: Days 201

Population: Immunogenicity Per Protocol population included all randomized subjects who do not have any major protocol violations, and who received the investigational product. For the Day 128 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 128 immunogenicity sample collections. For the Day 201 analysis, this should include the subjects who received both vaccine doses and had Day 0 and Day 201 immunogenicity sample collections.

ArmMeasureValue (MEDIAN)
MT-2766 High Dose (3.75 µg)SARS-CoV-2-specific T Helper 2 (Th2) CMI Responses375.0 SFC/10^6 PBMC
PlaceboSARS-CoV-2-specific T Helper 2 (Th2) CMI Responses0.0 SFC/10^6 PBMC
Secondary

Seroconversion (SC) Rate of SARS-CoV-2 Neutralizing Antibody

SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 128/201, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 128/201, respectively.

Time frame: Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 128, analysis included the subjects who received both doses and had Day 0 and 128 sample collections (MT-2766 n=94, Placebo n=25). For the Day 201, analysis included the subjects who received both doses and had Day 0 and 201 sample collections (MT-2766 n=90, Placebo n=22).

ArmMeasureGroupValue (GEOMETRIC_MEAN)
MT-2766 High Dose (3.75 µg)Seroconversion (SC) Rate of SARS-CoV-2 Neutralizing AntibodySC rate: Day 12890.4
MT-2766 High Dose (3.75 µg)Seroconversion (SC) Rate of SARS-CoV-2 Neutralizing AntibodySC rate: Day 20177.8
PlaceboSeroconversion (SC) Rate of SARS-CoV-2 Neutralizing AntibodySC rate: Day 1284.0
PlaceboSeroconversion (SC) Rate of SARS-CoV-2 Neutralizing AntibodySC rate: Day 2014.5
Secondary

Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):

SC rate is defined as the proportion of subjects achieving SC in the analysis set i.e. subjects with: * For subjects with detectable Nab titer at Day 0 (i.e. baseline Nab titer ≥10): a ≥ 4-fold increase in Nab titers between Day 0 and Day 21/42/128/201, respectively. * For subjects with undetectable Nab titer at Day 0 (i.e. baseline Nab titer \< 10): Nab titer of ≥ 40 on Day 21/42, respectively.

Time frame: Day 0,Day 21,Day 42,Day 128 and Day 201

Population: This analysis population included randomized subjects who had no major protocol violations and received investigational drug (MT-2766 n=100, Placebo n=26). For the Day 21, analysis included the subjects who received the 1st dose and had Day 0 and 21 sample collections. For the Day 42, 128, and 201, analyses included the subjects who received two doses and had Day 0 and the each time point sample collections. See the table below for the number of analyzed subjects at each time point.

ArmMeasureGroupValue (NUMBER)
MT-2766 High Dose (3.75 µg)Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 2183.7 percentage of subjects achieving SC
MT-2766 High Dose (3.75 µg)Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 4297.9 percentage of subjects achieving SC
MT-2766 High Dose (3.75 µg)Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 12896.8 percentage of subjects achieving SC
MT-2766 High Dose (3.75 µg)Seroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 20195.6 percentage of subjects achieving SC
PlaceboSeroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 20118.2 percentage of subjects achieving SC
PlaceboSeroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 210.0 percentage of subjects achieving SC
PlaceboSeroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 12811.5 percentage of subjects achieving SC
PlaceboSeroconversion (SC) Rate of SARS-CoV-2-specific Antibody Responses (Total IgG):SC rate: Day 420.0 percentage of subjects achieving SC

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