Efficacy Study of COVID-19 mRNA Vaccine in Regions With SARS-CoV-2 Variants of Concern
CoVPN3008
Multi-Center, Randomized, Efficacy Study of COVID-19 mRNA Vaccine in Regions With SARS-CoV-2 Variants of Concern
2 other identifiers
interventional
14,237
6 countries
43
Brief Summary
The study will evaluate the clinical efficacy of different dosing regimens of the Moderna COVID-19 mRNA vaccine (100 mcg) in preventing COVID-19 disease in people who are living with HIV or have comorbidities associated with elevated risk of severe COVID-19, with the different vaccine regimens assessed determined by whether the participant had evidence of prior SARS-CoV-2 infection at enrollment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Dec 2021
43 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2021
CompletedFirst Submitted
Initial submission to the registry
December 21, 2021
CompletedFirst Posted
Study publicly available on registry
December 23, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 19, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 19, 2024
CompletedResults Posted
Study results publicly available
November 26, 2025
CompletedApril 21, 2026
April 1, 2026
2.4 years
December 21, 2021
May 13, 2025
April 9, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (14)
Part A: Number of Participants With a First Occurrence of CDC-defined COVID-19 Starting 1 Day After Month 0 Dose Until Month 6 Dose in FAS Cohort Between Analysis Group 1 (AG1) and Analysis Group 2-1 (AG2-1)
The CDC-based COVID-19 endpoint is defined as the first occurrence of symptomatic NAAT-confirmed COVID-19 based on the following criteria: 1. At least ONE of the following systemic or respiratory symptoms: Fever (≥ 38C), chills, cough, shortness of breath and/or difficulty breathing, fatigue, muscle and/or body aches \[not related to exercise\], headache, new loss of taste/smell, sore throat, congestion, runny nose, nausea, vomiting, or diarrhea, AND 2. At least ONE (post-baseline) nasal swab (or respiratory sample, if hospitalized) positive for SARS-CoV-2 by NAAT. Because additional NAAT testing was performed at Month 1 for AG1 but not AG2-1, NAAT results at Month 1 were not considered. 3. The symptom date and NAAT positive date must be within 14 days of each other. The date of a COVID-19 endpoint according to the CDC-based definition is the earlier date of a symptom and the date of positive NAAT that satisfy the criteria stated above. The CDC criteria do not require adjudication.
1 day after Month 1 dose until Month 6 dose
Part A: Number of Participants With a First Occurrence of COVE-defined COVID-19 Starting 1 Day After Month 0 Dose Until Month 6 Dose in FAS Cohort Between Analysis Group 1 (AG1) and Analysis Group 2-1 (AG2-1
The COVE-based COVID-19 endpoint is defined as the first occurrence of adjudicated symptomatic NAAT-confirmed COVID-19 based on the following criteria (same as in the Moderna mRNA-1273 COVE trial): 1. At least TWO of the following systemic symptoms: Fever ≥ 38◦C), chills, myalgia, headache, sore throat, new loss of taste or smell, OR 2. At least ONE of the following respiratory signs/symptoms: cough, shortness of breath or difficulty breathing, OR clinical or radiographical evidence of pneumonia, AND 3. At least ONE (post-baseline) nasal swab (or respiratory sample, if hospitalized) positive for SARS-CoV-2 by NAAT. The date of a COVID-19 endpoint is the later date of a symptom and the date of positive NAAT. The COVE criteria require adjudication.
1 day after Month 0 dose until Month 6 dose
Part A: Number of Participants With a First Occurrence of COVE-based Severe COVID-19 Starting 1 Day After Month 0 Dose Until Month 6 Dose in FAS Between Analysis Group 1 (AG1) and Analysis Group 2-1 (AG2-1)
The COVE-based severe COVID-19 endpoint is defined as the first occurrence of a confirmed case of COVE-based COVID-19, plus any of the following: 1. Clinical signs indicative of severe systemic illness, Respiratory Rate ≥ 30 per minute, Heart Rate ≥ 125 beats per minute, SpO2 ≤ 93% on room air at sea level or PaO2/FIO2 less than 300 mm Hg, OR 2. Respiratory failure or Acute Respiratory Distress Syndrome (ARDS), (defined as needing high-flow oxygen, noninvasive or mechanical ventilation, or ECMO), evidence of shock (systolic blood pressure less than 90 mmHg, diastolic BP less than 60 mmHg or requiring vasopressors), OR 3. Significant acute renal, hepatic, or neurologic dysfunction, OR 4. Admission to an intensive care unit or death. The severe COVE criteria require adjudication.
1 day after Month 0 dose until Month 6 dose
Part B: Number of Participants With a First Occurrence of CDC-based COVID-19 Starting 14 Days After Month 6 Dose Until End of Follow up in RM6 Cohort Between Month 6 Monovalent and Bivalent Boost Groups
The CDC-based COVID-19 endpoint is defined as the first occurrence of symptomatic NAAT-confirmed COVID-19 based on the following criteria: 1. At least ONE of the following systemic or respiratory symptoms: Fever (≥ 38C), chills, cough, shortness of breath and/or difficulty breathing, fatigue, muscle and/or body aches \[not related to exercise\], headache, new loss of taste/smell, sore throat, congestion, runny nose, nausea, vomiting, or diarrhea, AND 2. At least ONE (post-baseline) nasal swab (or respiratory sample, if hospitalized) positive for SARS-CoV-2 by NAAT. 3. The symptom date and NAAT positive date must be within 14 days of each other. The date of a COVID-19 endpoint according to the CDC-based definition is the earlier date of a symptom and the date of positive NAAT that satisfy the criteria stated above. The CDC criteria do not require adjudication.
14 days after Month 6 dose until end of follow up (up to 18 months)
Part B: Number of Participants With a First Occurrence of COVE-based COVID-19 Starting 14 Days After Month 6 Dose Until End of Follow up in RM6 Cohort Between Month 6 Monovalent and Bivalent Boost Group
The COVE-based COVID-19 endpoint is defined as the first occurrence of adjudicated symptomatic NAAT-confirmed COVID-19 based on the following criteria (same as in the Moderna mRNA-1273 COVE trial): 1. At least TWO of the following systemic symptoms: Fever ≥ 38◦C), chills, myalgia, headache, sore throat, new loss of taste or smell, OR 2. At least ONE of the following respiratory signs/symptoms: cough, shortness of breath or difficulty breathing, OR clinical or radiographical evidence of pneumonia, AND 3. At least ONE (post-baseline) nasal swab (or respiratory sample, if hospitalized) positive for SARS-CoV-2 by NAAT. The date of a COVID-19 endpoint is the later date of a symptom and the date of positive NAAT. The COVE criteria require adjudication.
14 days after Month 6 dose until end of follow up (up to 18 months)
Part B: Number of Participants With a First Occurrence of COVE-based Severe COVID-19 Starting 14 Days After Month 6 Dose Until End of Follow up in RM6 Cohort Between Month 6 Monovalent and Bivalent Groups
Statistical analyses were not performed because there are fewer than 7 severe COVE-based severe COVID-19 starting 14 days after Month 6 dose until end of follow up in RM6 cohort.
14 days after Month 6 dose until end of follow up (up to 18 months)
Part A: Number of Participants With Solicited Adverse Events in the Safety Subset
All solicited adverse events/reactogenicity symptoms are followed until resolution and graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, dated July 2017. Local reacto symptoms collected are: erythema/redness, induration/swelling, lymphadenopathy, and pain/tenderness. Systemic reacto symptoms collected are: arthralgia, chills, fever, headache, malaise/fatigue, myalgia, and nausea.
Up to 7 days following Month 0 vaccination (all Study Groups) and up to 7 days following Month 1 vaccination (Study Groups 1 and 3)
Part B: Number of Participants With Solicited Adverse Events in the Safety Subset
All solicited adverse events/reactogenicity symptoms are followed until resolution and graded according to the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, dated July 2017. Local reacto symptoms collected are: erythema/redness, induration/swelling, lymphadenopathy, and pain/tenderness. Systemic reacto symptoms collected are: arthralgia, chills, fever, headache, malaise/fatigue, myalgia, and nausea.
Up to 7 days following Month 6 vaccination
Part A: Number of Participants With Unsolicited Adverse Events in the Safety Subset
All unsolicited AEs are graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, July 2017.
Up to 28 days following Month 0 vaccination (all Study Groups) and up to 28 days following Month 1 vaccination (Study Groups 1 and 3)
Part B: Number of Participants With Unsolicited Adverse Events in the Safety Subset
All unsolicited AEs are graded according to the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events, Corrected Version 2.1, July 2017.
Up to 28 days following Month 6 vaccination
Part A: Number of Participants With Serious Adverse Events (SAEs)
An SAE is any AE that results in any of the following outcomes: death, a life-threatening adverse event, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect, or is medically important.
Up to Month 6
Part B: Number of Participants With Serious Adverse Events (SAEs)
An SAE is any AE that results in any of the following outcomes: death, a life-threatening adverse event, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect, or is medically important.
Day of Month 6 vaccination up to Month 18
Part A: Number of Participants With Adverse Events of Special Interest (AESIs)
Adverse events of special interest (AESI) were described in Appendix L of the protocol. AESI for this protocol include but are not limited to potential immune-mediated diseases.
Up to Month 6
Part B: Number of Participants With Adverse Events of Special Interest (AESIs)
Adverse events of special interest (AESI) were described in Appendix L of the protocol. AESI for this protocol include but are not limited to potential immune-mediated diseases.
Day of Month 6 vaccination up to Month 18
Secondary Outcomes (11)
Part A: Number of Participants With First CDC-based COVID-19 Occurrence From 1 Day After Month 0 Dose to Month 6 Dose in FAS Cohort, Comparing Baseline SARS-CoV-2 Negative vs Positive, Regardless of HIV Status
1 day after Month 0 dose until Month 6 dose
Part A: Number of Participants With First COVE-based COVID-19 Occurrence From 1 Day After Month 0 Dose to Month 6 Dose in FAS Cohort, Comparing Baseline SARS-CoV-2 Negative vs Positive, Regardless of HIV Statu
1 day after Month 0 dose until Month 6 dose
Part A: Number of Participants With First COVE-based Severe COVID-19 Occurrence From 1 Day After Month 0 Dose to Month 6 Dose in FAS Cohort, Comparing Baseline SARS-CoV-2 Negative vs Positive, Regardless of HI
1 day after Month 0 dose until Month 6 dose
Part B: Number of Participants With a First Occurrence of CDC-based COVID-19 Starting 14 Days After Month 6 Dose Until End of Follow up in RM6 Cohort Who Have Month 6 Hybrid Immunity Between Month 6 Monovalent and Bivalent Boost Groups
14 days after Month 6 dose until end of follow up (up to 18 months)
Part B: Number of Participants With a First Occurrence of CDC-based COVID-19 Starting 14 Days After Month 6 Dose Until End of Follow up in RM6 Cohort Who Have Month 6 Vaccine Immunity Between Month 6 Monovalent and Bivalent Boost Group
14 days after Month 6 dose until end of follow up (up to 18 months)
- +6 more secondary outcomes
Study Arms (6)
Study Group 1
EXPERIMENTALCOVID-19 mRNA vaccine in 100 mcg dose to be administered as an IM injection into the deltoid muscle on Months 0, 1, and 6 among adults living with HIV who are SARS-CoV-2 negative at baseline.
Study Group 2
EXPERIMENTALCOVID-19 mRNA vaccine in 100 mcg dose to be administered as an IM injection into the deltoid muscle on Months 0 and 6 among adults living with HIV who are SARS-CoV-2 positive at baseline.
Study Group 3
EXPERIMENTALCOVID-19 mRNA vaccine in 100 mcg dose to be administered as an IM injection into the deltoid muscle on Months 0, 1, and 6 among HIV negative adults who are SARS-CoV-2 negative at baseline.
Study Group 4
EXPERIMENTALCOVID-19 mRNA vaccine in 100 mcg dose to be administered as an IM injection into the deltoid muscle on Months 0 and 6 among HIV negative adults who are SARS-CoV-2 positive at baseline.
Monovalent
EXPERIMENTALmRNA-1273 vaccine in 100 mcg dose to be administered as an IM injection into the deltoid muscle on Month 6.
Bivalent
EXPERIMENTALmRNA-1273.222 vaccine in 100 mcg dose to be administered as an IM injection into the deltoid muscle on Month 6.
Interventions
COVID-19 vaccine (mRNA-1273) developed by Moderna, Inc. is a lipid nanoparticle (LNP) dispersion of a messenger ribonucleic acid (mRNA) encoding the prefusion stabilized S protein of SARS-CoV-2 formulated in LNPs composed of 4 lipids (1 proprietary and 3 commercially available).
COVID-19 vaccine (mRNA-1273.222) developed by Moderna, Inc. is an updated bivalent version of Moderna's mRNA-1273 vaccine, composed of equal parts of mRNA-1273 and mRNA that encodes the S protein of the Omicron subvariants BA.4/.5 (which have the same S protein).
COVID-19 mRNA vaccine in 100 mcg dose given as IM injection into the deltoid muscle on Months 0, 1, and 6.
COVID-19 mRNA vaccine is to be administered as IM injection into the deltoid muscle on Months 0 and 6.
Eligibility Criteria
You may qualify if:
- General and Demographic Criteria
- Age ≥ 18 years if participant self-reports living with HIV or another comorbidity known to be associated with severe COVID-19, for example (CDC.gov for exhaustive list):
- Hypertension
- Type 2 diabetes mellitus
- Overweight, obese, or severely obese (ie, body mass index \[BMI\] ≥ 25 kg/m2)
- Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
- Chronic kidney disease
- COPD (chronic obstructive pulmonary disease)
- Cancer
- Non-HIV immunocompromised state (weakened immune system) or solid organ transplant
- Pregnancy
- Sickle cell disease
- Smoking
- Willingness to be followed and remain in the catchment area for the planned duration of the study.
- Ability and willingness to provide informed consent.
- +3 more criteria
You may not qualify if:
- General
- Acutely ill 72 hours prior to or at screening. Participants meeting this criterion may be rescheduled within the relevant window periods. Participants with minor illnesses can be enrolled at the discretion of the investigator.
- History of angioedema or anaphylaxis.
- Vaccines and other injections
- Prior receipt of a SARS-CoV-2 vaccine.
- History of severe allergic reaction to any ingredient of this vaccine (lipids (SM-102, polyethylene glycol \[PEG\] 2000 dimyristoyl glycerol \[DMG\], cholesterol, and 1,2-distearoyl-sn-glycero-3-phosphocholine \[DSPC\]), tromethamine, tromethamine hydrochloride, acetic acid, sodium acetate trihydrate, and sucrose).
- Live attenuated vaccines received within 30 days before first vaccination (eg, measles, mumps, and rubella \[MMR\]; oral polio vaccine \[OPV\]; varicella; yellow fever; live attenuated influenza vaccine, live attenuated zoster vaccine).
- Any vaccines that are not live attenuated vaccines and were received within 14 days prior to first vaccination (eg, tetanus, human papilloma virus (HPV), pneumococcal, Hepatitis A or B).
- Blood products, systemic immunoglobulins, or monoclonal antibodies (including against SARS-CoV-2) received within 90 days before first vaccination.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (47)
Gaborone CRS
Gaborone, Botswana
Eswatini Prevention Center CRS
Mbabane, Hhohho Region, Eswatini
Moi University Clinical Research Centre
Eldoret, Kenya
Kisumu - Kombewa CRS
Kisumu, 40100, Kenya
Kisumu Crs
Kisumu, Kenya
Blantyre CRS
Blantyre, Malawi
Malawi CRS
Lilongwe, Malawi
Synergy Biomed Research Institute
East London, Eastern Cape, South Africa
Nelson Mandela Academic Research Unit CRS
Mthatha, Eastern Cape, South Africa
PHOENIX Pharma (Pty) Ltd
Port Elizabeth, Eastern Cape, South Africa
Josha Resarch CRS
Bloemfontein, Free State, South Africa
MeCRU CRS
Ga-Rankuwa, Gauteng, South Africa
Clinical HIV Research Unit (CHRU)/ Helen Joseph CRS
Johannesburg, Gauteng, South Africa
Newtown Clinical Research
Johannesburg, Gauteng, South Africa
Soweto - Bara CRS
Johannesburg, Gauteng, South Africa
Wits RHI Ward 21 CRS
Johannesburg, Gauteng, South Africa
MERC Kempton Park
Pretoria, Gauteng, South Africa
Synexus Stanza Clinical Research Centre (CRS)
Pretoria, Gauteng, South Africa
Tembisa Clinic 4 CoVPN CRS
Tembisa, Gauteng, South Africa
CAPRISA eThekwini CRS
Durban, KwaZulu-Natal, South Africa
Tongaat CRS
Durban, KwaZulu-Natal, South Africa
Vulindlela CRS
Durban, KwaZulu-Natal, South Africa
Isipingo CRS
Isipingo, KwaZulu-Natal, South Africa
Qhakaza Mbokodo Research Clinic CRS
Ladysmith, KwaZulu-Natal, South Africa
MERC Middelburg
Middelburg, Mpumalanga, South Africa
Aurum Institute Klerksdorp CRS
Klerksdorp, North West, South Africa
Rustenburg CRS
Rustenburg, North West, South Africa
Emavundleni CRS
Cape Town, Western Cape, South Africa
FAM-CRU (Family Clinical Research Unit)
Cape Town, Western Cape, South Africa
Groote Schuur HIV CRS
Cape Town, Western Cape, South Africa
Masiphumelele Clinical Research Site (MASI) CRS
Cape Town, Western Cape, South Africa
TASK Central
Cape Town, Western Cape, South Africa
Univeristy of Cape Town Lung CRS Institute
Cape Town, Western Cape, South Africa
TASK Eden
George, Western Cape, South Africa
Synexus Helderberg
Stellenbosch, Western Cape, South Africa
Ndlovu Research Centre CoVPN CRS
Elandsdoorn, South Africa
Kliptown Soweto CRS
Johannesburg, South Africa
PHRU Matlosana CRS
Klerksdorp, South Africa
MERC Welkom
Welkom, South Africa
UVRI-IAVI HIV Vaccine Program LTD. CRS
Entebbe, Uganda
Baylor-Uganda CRS
Kampala, Uganda
Joint Clinical Research Centre
Kampala, Uganda
MU-JHU Research Collaboration CRS
Kampala, Uganda
Cfhrz Crs
Lusaka, Zambia
Matero Reference Clinic CRS
Lusaka, Zambia
UNC Global Projects / Kamwala District Health Centre
Lusaka, Zambia
Zambia Emory HIV Research Project - Ndola CoVPN CRS
Ndola, Zambia
Related Publications (1)
Garrett N, Tapley A, Hudson A, Dadabhai S, Zhang B, Mgodi NM, Andriesen J, Takalani A, Fisher LH, Kee JJ, Magaret CA, Villaran M, Hural J, Andersen-Nissen E, Ferarri G, Miner MD, Le Roux B, Wilkinson E, Lessells R, de Oliveira T, Odhiambo J, Shah P, Polakowski L, Yacovone M, Samandari T, Chirenje Z, Elyanu PJ, Makhema J, Kamuti E, Nuwagaba-Biribonwoha H, Badal-Faesen S, Brumskine W, Coetzer S, Dawson R, Delany-Moretlwe S, Diacon AH, Fry S, Gill KM, Ebrahim Hoosain ZA, Hosseinipour MC, Inambao M, Innes C, Innes S, Kalonji D, Kasaro M, Kassim P, Kayange N, Kilembe W, Laher F, Malahleha M, Maluleke VL, Mboya G, McHarry K, Mitha E, Mngadi K, Mda P, Moloantoa T, Mutuluuza CK, Naicker N, Naicker V, Nana A, Nanvubya A, Nchabeleng M, Otieno W, Potgieter EL, Potloane D, Punt Z, Said J, Singh Y, Tayob MS, Vahed Y, Wabwire DO, McElrath MJ, Kublin JG, Bekker LG, Gilbert PB, Corey L, Gray GE, Huang Y, Kotze P; CoVPN 3008 Ubuntu Study Team. Hybrid versus vaccine immunity of mRNA-1273 among people living with HIV in East and Southern Africa: a prospective cohort analysis from the multicentre CoVPN 3008 (Ubuntu) study. EClinicalMedicine. 2025 Jan 20;80:103054. doi: 10.1016/j.eclinm.2024.103054. eCollection 2025 Feb.
PMID: 39902315RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Yunda Huang, PhD, Multiple Principal Investigator, HVTN Statistical and Data Management Center
- Organization
- Fred Hutchinson Cancer Center
Study Officials
- STUDY CHAIR
Nigel Garrett
Centre for the AIDS Programme of Research in South Africa (CAPRISA)
- STUDY CHAIR
Philip Kotze
Qhakaza Mbokodo Research Clinic
- STUDY CHAIR
Sufia Dadabhai
Blantyre CRS / Johns Hopkins Research Project
- STUDY CHAIR
Nyaradzo Mgodi
University of Zimbabwe Clinical Trials Research Centre
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 21, 2021
First Posted
December 23, 2021
Study Start
December 1, 2021
Primary Completion
April 19, 2024
Study Completion
April 19, 2024
Last Updated
April 21, 2026
Results First Posted
November 26, 2025
Record last verified: 2026-04