Safety and Immunogenicity of NVX-CoV2705
COVID-19
A Phase 3 Open-Label, Single-Arm Study to Evaluate the Safety and Immunogenicity of an Omicron JN.1 Subvariant SARS-CoV-2 rS Vaccine Adjuvanted With Matrix-M
2 other identifiers
interventional
676
1 country
10
Brief Summary
This study is a Phase 3 trial designed to check the safety and immune response to a new Omicron JN.1 COVID-19 vaccine. Study researchers will give a single dose of this vaccine, called NVX-CoV2705, to approximately 120 participants. This includes adults aged 65 and older, and individuals aged 12 to 64 who have existing health conditions that put them at high risk for severe COVID-19. All participants must have received a previous COVID-19 vaccine at least 90 days before joining this study. Study researchers will be closely monitoring participants for their immune response for 28 days and collecting safety data for 180 days after vaccination.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 covid19
Started Oct 2025
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 14, 2025
CompletedFirst Posted
Study publicly available on registry
July 23, 2025
CompletedStudy Start
First participant enrolled
October 9, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 16, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
June 16, 2026
ExpectedFebruary 13, 2026
February 1, 2026
6 months
July 14, 2025
February 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pseudovirus neutralization (ID50) of Omicron JN.1 subvariant vaccine expressed as GMFR
Pseudovirus neutralization (ID50) GMFR for the Omicron JN.1 subvariant at Day 28 following study vaccination.
Day 28
Secondary Outcomes (5)
Pseudovirus neutralization (ID50) of Omicron JN.1 subvariant vaccine expressed as GMT
Day 28
Pseudovirus neutralization (ID50) of Omicron JN.1 subvariant vaccine expressed as SRR
Day 28
Number of Participants Reported Solicited Local and Systemic Adverse Events (AEs)
Day 28
Number of Participants Reported any unsolicited AEs and MAAEs
Day 28
Number of Participants Reported MAAEs Attributed to Study Vaccine, Adverse Events of Special Interest (AESIs), and Serious Adverse Events (SAEs)
Day 180
Study Arms (1)
NVX-CoV2705
EXPERIMENTALNVX-CoV2705 vaccine in a 0.5 mL injection volume at an antigenic dose of 5 µg with 50 µg Matrix-M adjuvant.
Interventions
Intramuscular (deltoid) injection at an antigenic dose of 5 µg with 50 µg Matrix-M adjuvant.
Eligibility Criteria
You may qualify if:
- To be included in this study, each individual must satisfy all the following criteria:
- Participants ≥ 65 years of age and participants 12 through 64 years who have at least one underlying condition that puts them at high risk of severe outcomes from COVID-19 at time of study vaccination. In each instance, the investigator's judgment may be exercised and other eligibility criteria must be respected.
- Previously vaccinated with a COVID-19 vaccine with the last dose administered ≥ 90 days prior to study vaccination (written or verbal confirmation by participant).
- Participant and parent(s)/caregiver(s) or legally acceptable representative willing and able to give informed consent and assent prior to study enrollment and to comply with study procedures.
- Female 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 \[defined as amenorrhea ≥ 12 consecutive months\]) must agree to be heterosexually inactive from at least 28 days prior to enrollment and through the end of the study OR agree to consistently use a medically acceptable method of contraception listed below from ≥ 28 days prior to enrollment and through the end of the study.
- Condoms (male or female) with spermicide (if acceptable in country)
- Diaphragm with spermicide
- Cervical cap with spermicide
- Intrauterine device
- Oral or patch contraceptives
- Norplant®, Depo-Provera®, or other in country regulatory approved contraceptive method that is designed to protect against pregnancy
- Abstinence, as a form of contraception, is acceptable if in line with the participant's lifestyle NOTE: Periodic abstinence (eg, calendar, ovulation, sympto-thermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
- 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. Vital signs must be within medically acceptable ranges prior to study vaccination. If the individual has a diagnosis of hypertension, it must be stable and controlled with necessary medication.
- Agrees not to participate in any research involving receipt of investigational products (drug/biologic/device), including other SARS-CoV-2 prevention or treatment trials, for the duration of the study.
You may not qualify if:
- If an individual meets any of the following criteria, he or she is ineligible for this study:
- Current participation in research involving receipt of investigational products (drug/biologic/device).
- Received any other vaccine (except for a licensed seasonal influenza vaccine or rabies vaccine \[if medically indicated\]) within 28 days prior to study vaccination. For the influenza vaccine, a participant is eligible as long as the vaccine was administered ≥ 14 days prior to study vaccination.
- Any known history of allergies to products contained in the investigational product in the participant's lifetime.
- Any known history of anaphylaxis to any prior vaccine in the participant's lifetime.
- Known history of myocarditis or pericarditis in the participant's lifetime.
- Suspected or known history of alcohol abuse or drug addiction within 2 years prior to study vaccination that, in the opinion of the investigator, might interfere with protocol compliance.
- Autoimmune or immunodeficiency disease/condition (iatrogenic or congenital) that requires the use of immune modulators.
- NOTE: Stable endocrine disorders (eg, thyroiditis, pancreatitis), including stable diabetes mellitus with no history of diabetic ketoacidosis, are NOT excluded.
- Chronic administration (defined as \> 14 continuous days) of immunosuppressant, systemic glucocorticoids, or other immune-modifying drugs within 90 days prior to study vaccination (Day 0).
- NOTE: An immunosuppressant dose of glucocorticoid is defined as a systemic dose ≥ 10 mg of prednisone per day or equivalent. The use of topical, inhaled or intranasal glucocorticoids is permitted. Topical tacrolimus and ocular cyclosporin are permitted.
- Received any prohibited medication (see Section 7.3), immunoglobulin, blood-derived products, or immunosuppressant drugs within 90 days prior to study vaccination (Day 0).
- Active cancer (malignancy) on chemotherapy within 3 years prior to study vaccination (with the exception of adequately treated non-melanomatous skin carcinoma or lentigo maligna and uterine cervical carcinoma in situ without evidence of disease, at the discretion of the investigator).
- Participants who are breastfeeding, pregnant, or who plan to become pregnant prior to the end of study.
- 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 study vaccine or interpretation of study results (including neurologic or psychiatric conditions likely to impair the quality of safety reporting).
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (10)
Investigational Site Number US404
Phoenix, Arizona, 85044, United States
Investigational Site Number US395
Melrose Park, Illinois, 60160, United States
Investigational Site Number US406
Lenexa, Kansas, 66219, United States
Investigational Site Number US294
Lafayette, Louisiana, 70508, United States
Investigational Site Number US407
Southfield, Michigan, 48076-5412, United States
Investigational Site Number US326
Omaha, Nebraska, 68134, United States
Investigational Site Number US381
Cincinnati, Ohio, 45246-2316, United States
Investigational Site Number US047
Austin, Texas, 78705-3298, United States
Investigational Site Number US073
Tomball, Texas, 77375, United States
Investigational Site Number US391
Pleasant View, Utah, 84404-4791, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 14, 2025
First Posted
July 23, 2025
Study Start
October 9, 2025
Primary Completion
April 16, 2026
Study Completion (Estimated)
June 16, 2026
Last Updated
February 13, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org