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Phase 3 Study of Novavax Vaccine(s) as Booster Dose After mRNA Vaccines

A Phase 3 Study to Evaluate the Immunogenicity and Safety of Novavax COVID-19 Vaccine(s) as Second or Subsequent Booster After mRNA Vaccines in Individuals 18 to 49 Years of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05875701
Enrollment
147
Registered
2023-05-25
Start date
2023-03-28
Completion date
2023-11-11
Last updated
2025-06-26

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

Conditions

COVID-19

Brief summary

This is an open-label Phase 3 study evaluating the immunogenicity and safety of Novavax vaccine(s) with Matrix-M™ adjuvant (ancestral strain NVX-CoV2373 and an alternative strain and/or multivalent Novavax vaccine) as booster doses following a series of primary and booster doses of authorized/approved mRNA vaccines followed by a single booster dose of NVX-CoV2373 in the Novavax 2019nCoV-307 study (NCT05463068).

Detailed description

This Phase 3 study investigates the immunogenicity and safety of Novavax's NVX-CoV2373 vaccine (including its Matrix-M adjuvant) as an additional booster dose for adults aged 18 to 49. Participants must have already received both their primary mRNA vaccine series and at least one booster dose of the same type. All participants were previously enrolled in Study 307 (NCT05463068), where they received either their primary mRNA vaccines with or without an additional mRNA booster, followed by a single NVX-CoV2373 booster. The study involves up to 300 volunteers who will receive a single dose of the Novavax vaccine (5 micrograms of recombinant spike protein antigen and 50 micrograms of Matrix-M adjuvant) on Day 1.

Interventions

BIOLOGICALNVX-CoV2373

1 intramuscular (IM) injection of 5 µg SARS-CoV-2 rS + 50 µg Matrix-M1 adjuvant (0.5 mL) given on Day 1

BIOLOGICALSARS-CoV-2 rS antigen/Matrix-M Adjuvant

1 intramuscular (IM) injection of 5 µg SARS-CoV-2 rS antigen+ 50 µg Matrix-M1 adjuvant (0.5 mL) given on Day 1

Sponsors

Novavax
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 49 Years
Healthy volunteers
Yes

Inclusion criteria

To be included in this study, each individual must satisfy all the following criteria: 1. Adults 18 to 49 years (inclusive) of age at the time of vaccination in Study 307 who received two or three doses of mRNA prior to enrollment in Study 307, then one dose of ancestral strain NVX-CoV2373 in Study 307. 2. Willing and able to give informed consent prior to study enrollment and to comply with study procedures. 3. Participants of childbearing potential (defined as any participant who has experienced menarche and who is NOT surgically sterile \[ie, hysterectomy, bilateral tubal ligation, or bilateral oophorectomy\] or postmenopausal \[defined as amenorrhea at least 12 consecutive months\]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through the end of study (EOS) visit OR agree to consistently use a medically acceptable method of contraception from at least 28 days prior to enrollment and through the EOS visit. 4. Is medically stable, as determined by the investigator (based on review of health status, vital signs \[to include body temperature\], medical history, and physical examination \[to include body weight\]). Vital signs must be within medically acceptable ranges prior to the study vaccination. 5. Agree to not participate in any other SARS-CoV-2 prevention or treatment trials for the duration of the study. Note: For participants who become hospitalized with COVID-19, participation in investigational treatment studies is permitted. 6. Documented receipt of COVID-19 vaccines. The most recent dose of NVX-CoV2373 must have been administered at least 180 days prior to vaccination in this study.

Exclusion criteria

Participants meeting any of the following criteria will be excluded from the study. 1. Received any additional COVID-19 vaccine booster after the Day 1 dose of NVX-CoV2373 administered during participation in Study 307. 2. History of laboratory-confirmed (by polymerase chain reaction \[PCR\] or rapid antigen test) COVID-19 infection ≤ 4 months prior to Day 1. 3. Current participation in research involving receipt of an investigational product (drug/biologic/device). 4. Any known allergies or history of anaphylaxis to the active substance or any of the other ingredients contained in the investigational product. 5. Any autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) or therapy that causes clinically significant immunosuppression. 6. Received any vaccine ≤ 90 days prior to study vaccination, except for influenza vaccine which may be received \> 4 days prior to study vaccine, or rabies vaccine, which may be received at any time if medically indicated. 7. Received immunoglobulin, blood-derived products, or immunosuppressant drugs within 90 days prior to study vaccination, except for rabies immunoglobulin which may be given if medically indicated. 8. Active cancer (malignancy) on chemotherapy that is judged to cause significant immunocompromise within 1 year prior to first study vaccination (with the exception of malignancy cured via excision, at the discretion of the investigator). 9. Participants who are breastfeeding, pregnant, or who plan to become pregnant prior to the EOS visit. 10. Suspected or known history of alcohol abuse or drug addiction within 3 months prior to the study vaccine dose that, in the opinion of the investigator, might interfere with protocol compliance. 11. Any other condition that, in the opinion of the investigator, would pose a health risk to the participant if enrolled or could interfere with evaluation of the trial vaccine or interpretation of study results (including neurologic or psychiatric conditions likely to impair the quality of safety reporting). 12. Study team member or immediate family member of any study team member (inclusive of Sponsor, clinical research organization \[CRO\], and study site personnel involved in the conduct or planning of the study). 13. Participants with a history of myocarditis or pericarditis.

Design outcomes

Primary

MeasureTime frameDescription
Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)Day 28Neutralizing Antibody responses to ancestral strain Novavax vaccine (NVX-CoV2373) for the participants in the ancestral strain NVX-2373 group and NVX-CoV2540 group at Day 29

Secondary

MeasureTime frameDescription
Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)Day 28Neutralizing Antibody responses to ancestral strain Novavax vaccine (NVX-CoV2373) for the participants in the ancestral strain NVX-2373 group and NVX-CoV2540 group at Day 28
Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)Day 28Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) in Ancestral strain NVX-CoV2373 group and updated NVX Vaccine group at Day 28
Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCRDay 28Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) in Ancestral strain NVX-CoV2373 group and updated NVX Vaccine group at Day 28
Neutralizing Antibody Responses (Post-Booster) Expressed as GMTDay 0 and Day 28 of Study 307 and Study 312 (approximately 1 year from Day 0 of Study 307 and Day 0 of Study 312)Post Booster Neutralizing Antibody responses GMTs compared with post-first booster results from Study 307
Number of Participants Reported With Medically Attended Adverse Events (MAAEs)Day 180Number of participants reported with Medically Attended Adverse Events (MAAEs) through Day 180 after the vaccine dose.
Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as SCRDay 28hACE2 Receptor Binding Inhibition Assay the SARS-CoV-2 ancestral strain spike protein expressed as SCR at Day 28
Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Day 7Number of participants reported Solicited Local and Systemic Adverse Events (AEs) in the 7 days following study vaccination.
Number of Participants Reported With Serious Adverse Events (SAEs)Day 1 to Day 180Number of participants reported with Serious Adverse Events (SAEs) through Day 180 after the vaccine dose
Serum IgG Antibody Levels (Post-Booster) Expressed as GMEUDay 0 and Day 28 of Study 307 and Study 312 (approximately 1 year from Day 0 of Study 307 and Day 0 of Study 312)Post Booster Serum IgG antibody levels expressed GMEUs compared with post-first booster results from Study 307

Countries

United States

Participant flow

Participants by arm

ArmCount
NVX CoV2373 (Ancestral Strain)
1dose of NVX-COV2373 on Day 1 NVX-CoV2373: 1 intramuscular (IM) injection of 5 µg SARS-CoV-2 rS + 50 µg Matrix-M1 adjuvant (0.5 mL) given on Day 1
104
NVX-CoV2540(Updated COVID-19 Vaccine)
1dose of updated COVID-19 vaccine on Day 1 SARS-CoV-2 rS antigen/Matrix-M Adjuvant: 1 intramuscular (IM) injection of 5 µg SARS-CoV-2 rS antigen+ 50 µg Matrix-M1 adjuvant (0.5 mL) given on Day 1
43
Total147

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up20
Overall StudyWithdrawal by Subject11

Baseline characteristics

CharacteristicTotalNVX-CoV2540(Updated COVID-19 Vaccine)NVX CoV2373 (Ancestral Strain)
Age, Continuous37.75 years
STANDARD_DEVIATION 8.58
37.2 years
STANDARD_DEVIATION 9.2
38.3 years
STANDARD_DEVIATION 7.97
Ethnicity (NIH/OMB)
Hispanic or Latino
18 Participants6 Participants12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
128 Participants36 Participants92 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants1 Participants0 Participants
PCR, n (%)
Missing
6 Participants1 Participants5 Participants
PCR, n (%)
Negative
140 Participants42 Participants98 Participants
PCR, n (%)
Positive
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Asian
6 Participants3 Participants3 Participants
Race/Ethnicity, Customized
Black or African American
38 Participants15 Participants23 Participants
Race/Ethnicity, Customized
Not Reported/Specified
2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Other
3 Participants0 Participants3 Participants
Race/Ethnicity, Customized
White
98 Participants25 Participants73 Participants
Sex: Female, Male
Female
86 Participants23 Participants63 Participants
Sex: Female, Male
Male
61 Participants20 Participants41 Participants
Time between first dose of previous NVX vaccine at Study 307 and Day 1 dose of Study 312288 days
STANDARD_DEVIATION 27.77
311.0 days
STANDARD_DEVIATION 1.85
265.0 days
STANDARD_DEVIATION 25.92

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1040 / 43
other
Total, other adverse events
2 / 1041 / 43
serious
Total, serious adverse events
0 / 1041 / 43

Outcome results

Primary

Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)

Neutralizing Antibody responses to ancestral strain Novavax vaccine (NVX-CoV2373) for the participants in the ancestral strain NVX-2373 group and NVX-CoV2540 group at Day 29

Time frame: Day 28

Population: Per Protocol Analysis Set

ArmMeasureGroupValue (GEOMETRIC_MEAN)
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)Date of 1st booster dose (Study 307)173.2 titers
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)28 days after 1st booster dose (Study 307)396.6 titers
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)Date of 2nd booster dose (Study 312)306.4 titers
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)28 days after 2nd booster dose (Study 312)393.2 titers
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)28 days after 2nd booster dose (Study 312)835.0 titers
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)Date of 1st booster dose (Study 307)159.5 titers
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)Date of 2nd booster dose (Study 312)420.7 titers
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)28 days after 1st booster dose (Study 307)436.0 titers
Secondary

Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as SCR

hACE2 Receptor Binding Inhibition Assay to the NVX-CoV2540(Updated COVID-19 Vaccine) expressed as SCR at Day 28

Time frame: Day 28

ArmMeasureValue (NUMBER)
NVX CoV2373 (Ancestral Strain)Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as SCR1 participants
Secondary

Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as SCR

hACE2 Receptor Binding Inhibition Assay the SARS-CoV-2 ancestral strain spike protein expressed as SCR at Day 28

Time frame: Day 28

ArmMeasureValue (NUMBER)
NVX CoV2373 (Ancestral Strain)Human Angiotensin-Converting Enzyme 2 (hACE2) Receptor Binding Inhibition Assay Expressed as SCR12.6 Percentage of participants
Secondary

Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)

Neutralizing Antibody responses to ancestral strain Novavax vaccine (NVX-CoV2373) for the participants in the ancestral strain NVX-2373 group and NVX-CoV2540 group at Day 28

Time frame: Day 28

ArmMeasureGroupValue (NUMBER)
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)28 days after 1st booster relative to date of 1st booster24 participants
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)28 days after 2nd booster relative to date of 2nd booster21 participants
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)28 days after 2nd booster relative to date of 1st booster31 participants
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)28 days after 1st booster relative to date of 1st booster11 participants
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)28 days after 2nd booster relative to date of 2nd booster11 participants
NVX-CoV2540(Updated COVID-19 Vaccine)Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)28 days after 2nd booster relative to date of 1st booster22 participants
Secondary

Neutralizing Antibody Responses (Post-Booster) Expressed as GMT

Post Booster Neutralizing Antibody responses GMTs compared with post-first booster results from Study 307

Time frame: Day 0 and Day 28 of Study 307 and Study 312 (approximately 1 year from Day 0 of Study 307 and Day 0 of Study 312)

Population: Study 307 results represent results from a prior study in which participants took part in.~Study 312 refers to the study in this specific record.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMTDay 0 of 1st booster dose (Study 307)173.2 geometric mean titer
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMT28 days after 1st booster dose (Study 307)396.6 geometric mean titer
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMTDay 0 of 2nd booster dose (Study 312)306.4 geometric mean titer
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMT28 days after 2nd booster dose (Study 312)393.2 geometric mean titer
Secondary

Neutralizing Antibody Responses (Post-Booster) Expressed as GMT

Post Booster Neutralizing Antibody responses GMTs compared with post-first booster results from Study 307

Time frame: Day 0 and Day 28 of Study 307 and Study 312 (approximately 1 year from Day 0 of Study 307 and Day 0 of Study 312)

Population: Study 307 results represent results from a prior study in which participants took part in.~Study 312 refers to the study in this specific record.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMTDay 0 of 1st booster dose (Study 307)159.5 geometric mean titer
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMT28 days after 1st booster dose (Study 307)436.0 geometric mean titer
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMTDay 0 of 2nd booster dose (Study 312)420.7 geometric mean titer
NVX CoV2373 (Ancestral Strain)Neutralizing Antibody Responses (Post-Booster) Expressed as GMT28 days after 2nd booster dose (Study 312)835.0 geometric mean titer
Secondary

Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)

Number of participants reported Solicited Local and Systemic Adverse Events (AEs) in the 7 days following study vaccination.

Time frame: Day 7

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Tenderness62 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Fatigue49 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Swelling5 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Malaise31 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Pain48 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Muscle pain43 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Systemic reaction69 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Joint pain19 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Redness7 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Nausea/vomiting12 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Fever1 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Headache40 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Any solicited local reaction68 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Headache13 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Any solicited local reaction31 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Pain18 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Tenderness29 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Redness1 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Swelling0 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Systemic reaction24 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Fever1 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Fatigue11 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Malaise5 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Muscle pain19 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Joint pain7 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)Nausea/vomiting5 Participants
Secondary

Number of Participants Reported With Medically Attended Adverse Events (MAAEs)

Number of participants reported with Medically Attended Adverse Events (MAAEs) through Day 180 after the vaccine dose.

Time frame: Day 180

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NVX CoV2373 (Ancestral Strain)Number of Participants Reported With Medically Attended Adverse Events (MAAEs)MAAEs5 Participants
NVX CoV2373 (Ancestral Strain)Number of Participants Reported With Medically Attended Adverse Events (MAAEs)Severe MAAEs0 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported With Medically Attended Adverse Events (MAAEs)MAAEs1 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported With Medically Attended Adverse Events (MAAEs)Severe MAAEs1 Participants
Secondary

Number of Participants Reported With Serious Adverse Events (SAEs)

Number of participants reported with Serious Adverse Events (SAEs) through Day 180 after the vaccine dose

Time frame: Day 1 to Day 180

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
NVX CoV2373 (Ancestral Strain)Number of Participants Reported With Serious Adverse Events (SAEs)0 Participants
NVX-CoV2540(Updated COVID-19 Vaccine)Number of Participants Reported With Serious Adverse Events (SAEs)1 Participants
Secondary

Serum IgG Antibody Levels (Post-Booster) Expressed as GMEU

Post Booster Serum IgG antibody levels expressed GMEUs compared with post-first booster results from Study 307

Time frame: Day 0 and Day 28 of Study 307 and Study 312 (approximately 1 year from Day 0 of Study 307 and Day 0 of Study 312)

Population: Study 307 results represent results from a prior study in which participants took part in.~Study 312 refers to the study in this specific record.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEUDay 0 of 1st booster dose (Study 307)32446.8 geometric mean Elisa Units
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEU28 days after 1st booster dose (Study 307)93636.6 geometric mean Elisa Units
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEUDay 0 of 2nd booster dose (Study 312)71336.1 geometric mean Elisa Units
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEU28 days after 2nd booster dose (Study 312)203864.0 geometric mean Elisa Units
Secondary

Serum IgG Antibody Levels (Post-Booster) Expressed as GMEU

Post Booster Serum IgG antibody levels expressed GMEUs compared with post-first booster results from Study 307

Time frame: Day 0 and Day 28 of Study 307 and Study 312 (approximately 1 year from Day 0 of Study 307 and Day 0 of Study 312)

Population: Study 307 results represent results from a prior study in which participants took part in.~Study 312 refers to the study in this specific record.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEUDay 0 of 1st booster dose (Study 307)37822.4 geometric mean Elisa Units
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEU28 days after 1st booster dose (Study 307)93969.2 geometric mean Elisa Units
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEUDay 0 of 2nd booster dose (Study 312)67333.6 geometric mean Elisa Units
NVX CoV2373 (Ancestral Strain)Serum IgG Antibody Levels (Post-Booster) Expressed as GMEU28 days after 2nd booster dose (Study 312)162144.7 geometric mean Elisa Units
Secondary

Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)

Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) in Ancestral strain NVX-CoV2373 group and updated NVX Vaccine group at Day 28

Time frame: Day 28

ArmMeasureGroupValue (GEOMETRIC_MEAN)
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)Date of 1st booster dose (Study 307)37822.4 Elisa Units per mL
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)28 days after 1st booster dose (Study 307)93969.2 Elisa Units per mL
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)Date of 2nd booster dose (Study 312)67333.6 Elisa Units per mL
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)28 days after 2nd booster dose (Study 312)162144.7 Elisa Units per mL
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)28 days after 2nd booster dose (Study 312)203864.0 Elisa Units per mL
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)Date of 1st booster dose (Study 307)32446.8 Elisa Units per mL
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)Date of 2nd booster dose (Study 312)71336.1 Elisa Units per mL
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)28 days after 1st booster dose (Study 307)93636.6 Elisa Units per mL
Secondary

Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR

Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) in Ancestral strain NVX-CoV2373 group and updated NVX Vaccine group at Day 28

Time frame: Day 28

ArmMeasureGroupValue (NUMBER)
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR28 days after 1st booster relative to date of 1st booster22 participants
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR28 days after 2nd booster relative to date of 2nd booster22 participants
NVX CoV2373 (Ancestral Strain)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR28 days after 2nd booster relative to date of 1st booster45 participants
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR28 days after 1st booster relative to date of 1st booster11 participants
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR28 days after 2nd booster relative to date of 2nd booster11 participants
NVX-CoV2540(Updated COVID-19 Vaccine)Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR28 days after 2nd booster relative to date of 1st booster22 participants

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026