ClinicalTrials.gg
CompletedNCT04652102Updated Apr 29, 2024Results posted

A Phase 2b/3, Randomized, Observer-Blinded, Placebo-Controlled, Multicenter Clinical Study Evaluating the Efficacy and Safety of Investigational SARS-CoV-2 mRNA Vaccine CVnCoV in Adults 18 Years of Age and Older

A Phase 2/3 interventional study of CVnCoV and Placebo in Covid19 and SARS-CoV-2, sponsored by CureVac. Completed at 46 sites in 10 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-29.

Sponsored by CureVac (part of BioNTech SE) · Phase 2/3, Interventional, and Prevention

Phase
Phase 2/3
Study type
Interventional
Enrollment
39,680
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of the randomized observer-blinded phase 2b/3 part of this trial is to demonstrate the efficacy of a 2-dose schedule of CVnCoV in the prevention of first episodes of virologically-confirmed cases of COVID-19 of any severity in SARS-CoV-2 naïve participants.

Read the detailed description

This clinical trial information was submitted voluntarily under the applicable law and, therefore, certain submission deadlines may not apply. (That is, clinical trial information for this applicable clinical trial was submitted under section 402(j)(4)(A) of the Public Health Service Act and 42 CFR 11.60 and is not subject to the deadlines established by sections 402(j)(2) and (3) of the Public Health Service Act or 42 CFR 11.24 and 11.44.).

02

Conditions studied

  • Covid19
  • SARS-CoV-2

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Keywords

  • Vaccine
03

In context

COVID-19

7,990 studies on the registry are indexed under COVID-19; 466 are open to participants now.

This study's enrollment of 39,680 is above the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

CureVac is the lead sponsor of 18 studies on the registry; none are open to participants now.

First submitted before CureVac became part of BioNTech SE.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female participants 18 years of age or older.
  • Be willing and able to provide written prior to initiation of any trial procedures.
  • Expected compliance with protocol procedures and availability for clinical follow-up through the last planned visit.
  • Females of non- defined as follows: surgically sterile (history of bilateral tubal ligation/occlusion, bilateral oophorectomy or hysterectomy) or {defined as amenorrhea for ≥12 consecutive months prior to screening (Day 1) without an alternative medical cause}. A follicle-stimulating hormone (FSH) level may be measured at the discretion of the Investigator to confirm postmenopausal status.
  • Females of childbearing potential: negative pregnancy test (human chorionic gonadotropin [hCG]) within 24 hours prior to each trial vaccination on Day 1 and Day 29.
  • Females of childbearing potential must use highly effective methods of from 2 weeks before the first administration of the trial vaccine until 3 months following the last administration. The following methods of birth control are considered highly effective when used consistently and correctly:

    • Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal);
    • Progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable);
    • Intrauterine devices;
    • Intrauterine hormone-releasing systems;
    • Bilateral tubal ligation;
    • Vasectomized or infertile partner;
    • Sexual abstinence {periodic abstinence (e.g., calendar, ovulation, symptothermal and post-ovulation methods) and withdrawal are not acceptable}.

Exclusion criteria

Exclusion Criteria:

  • History of virologically-confirmed COVID-19 illness.
  • For females: pregnancy or lactation.
  • Use of any or non-registered product (vaccine or drug) within 28 days preceding the administration of trial vaccine or planned use during the trial.
  • Receipt of any licensed vaccines within 28 days (for ) or 14 days (for inactivated or any other vaccines) prior to administration of the first trial vaccine.
  • Prior administration of any investigational SARS-CoV-2 vaccine or another coronavirus (SARS-CoV, Middle East Respiratory Syndrome-CoV) vaccine or planned used during the trial.
  • Any treatment with or other immune-modifying drugs (including but not limited to anabolic steroids, , biologicals and methotrexate) for > 14 days total within 6 months preceding the administration of trial vaccine or planned use during the trial. For corticosteroid use, this means prednisone or equivalent, 0.5 mg/kg/day for 14 days or more. The use of inhaled, topical, or localized injections of corticosteroids (e.g., for joint pain/inflammation) is permitted.
  • Any medically diagnosed or suspected immunosuppressive or immunodeficient condition based on medical history and physical examination including known infection with (HIV), virus (HBV) or virus (HCV); current diagnosis of or treatment for cancer including leukemia, lymphoma, Hodgkin disease, multiple myeloma or generalized ; chronic renal failure or nephrotic syndrome; and receipt of an organ or bone marrow transplant.
  • History of angioedema (hereditary or idiopathic) or history of any anaphylactic reaction.
  • History of potential immune-mediated disease (pIMD).
  • History of allergy to any component of CVnCoV.
  • Administration of immunoglobulins or any blood products within 3 months prior to the administration of trial vaccine or planned receipt during the trial.
  • Participants with a significant acute or chronic medical or psychiatric illness that, in the opinion of the Investigator, precludes trial participation (e.g., may increase the risk of trial participation, render the participant unable to meet the requirements of the trial, or may interfere with the participant's trial evaluations). These include severe and/or uncontrolled cardiovascular disease, gastrointestinal disease, liver disease, renal disease, respiratory disease, endocrine disorder, and neurological and psychiatric illnesses. However, those with controlled and stable cases can be included in the trial.
  • Participants with impaired coagulation or any bleeding disorder in whom an IM injection or a blood draw is .
  • Foreseeable non-compliance with the trial procedure as judged by the Investigator.

Roll-over Criteria for the Open-label Phase:

  • Participants must have received at least 1 dose of CVnCoV during the randomized observer blinded phase.
  • Participants must provide additional written to be eligible for the open label phase.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
39,680 participants (actual)

Study arms

  • Experimental
    Randomized Observer-blinded Phase 2b: CVnCoV vaccine

    Participants will be vaccinated with CVnCoV 12 µg vaccine on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.

    Biological: CVnCoV

  • Placebo comparator
    Randomized Observer-blinded Phase 2b: Placebo

    Participants will be administered the matching placebo on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.

    Biological: Placebo

  • Experimental
    Randomized Observer-blinded Phase 3: CVnCoV vaccine

    Participants will be vaccinated with CVnCoV 12 µg vaccine on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.

    Biological: CVnCoV

  • Placebo comparator
    Randomized Observer-blinded Phase 3: Placebo

    Participants will be administered the matching placebo on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.

    Biological: Placebo

  • Experimental
    Open-label Phase

    After unblinding, the trial will shift from a randomized observer-blinded to an open-label design, and the following cohorts will be defined: Cohort A: participants who received at least 1 dose of CVnCoV in the randomized observer-blinded phases and choose to receive an authorized/licensed vaccine for preventing COVID-19 (AV) as standard of care through their national vaccination program. Cohort B: participants who received at least 1 dose of CVnCoV in the randomized observer-blinded phases and choose to remain in the trial without receiving any AV. Participants on the placebo arm will be withdrawn.

    Biological: Authorized/licensed vaccines for preventing COVID-19 (AV) as standard of care through their national vaccination program

Interventions

  • BiologicalCVnCoV

    Intramuscular (IM) injection.

    Also known as: CV07050101

  • BiologicalPlacebo

    Intramuscular (IM) injection.

  • BiologicalAuthorized/licensed vaccines for preventing COVID-19 (AV) as standard of care through their national vaccination program

    Intramuscular (IM) injection will be received as standard of care (SoC) outside the study.

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Experienced a First Episode of Virologically-confirmed {Reverse Transcription Polymerase Chain Reaction (RT-PCR) Positive} Case of COVID-19 of Any Severity

    A case of COVID-19 meeting the definition for primary efficacy analysis was defined as follows: * Virologically-confirmed case of COVID-19 (of any severity) defined as a positive SARS-CoV-2 specific RT-PCR test in a person with clinically symptomatic COVID-19. * Symptom onset ≥ 15 days after second trial vaccination. * First episode of virologically-confirmed COVID-19, i.e. the participant must not have had a history of virologically-confirmed COVID-19 illness at enrollment or have had developed a case of virologically-confirmed COVID-19 before 15 days after the second trial vaccination. * Participant was SARS-CoV-2 naïve at baseline and Day 43 (defined as seronegative to N protein in the blood samples collected at baseline and Day 43). * Primary efficacy cases were confirmed by an Adjudication Committee. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  2. Number of Participants Who Experienced One or More Medically-attended Adverse Events (AE)

    Medically-attended AEs were defined as AEs with medically-attended visits that were not routine visits for physical examination or vaccination, such as visits for hospitalization, an emergency room visit, or an otherwise unscheduled visit to or from medical personnel (medical doctor) for any reason. Clinic visits for COVID-19 testing resulting in negative test results were not considered as medically attended visits, if there is no confirmed diagnosis and no prescribed concomitant medication. The Investigator assessed the relationship between trial vaccine and occurrence of each AE. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 1 to Day 211

  3. Number of Participants Who Experienced One or More Serious AE (SAE)

    An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator assessed the relationship between trial vaccine and occurrence of each SAE. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 1 to Day 393

  4. Intensity of SAEs as Per Investigator Assessment

    An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator made an assessment of intensity of each SAE reported during the trial. Each SAE was graded from Mild (Grade 1) to Severe (Grade 3), where higher grades indicated a worse outcome. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 1 to Day 393

  5. Number of Participants Who Experienced One or More Adverse Event of Special Interest (AESI)

    AESIs included: * AEs with a suspected immune-medicated etiology. * Other AEs relevant to SARS-CoV-2 vaccine development or the target disease. The Investigator assessed the relationship between trial vaccine and occurrence of each AESI. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 1 to Day 393

  6. Number of Participants Who Experienced a Fatal SAE

    A fatal SAE was defined as an SAE that resulted in death. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 1 to Day 393

  7. Phase 2b Participants Only: Number of Participants Who Experienced One or More Solicited AE

    Solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) were recorded on the day of vaccination and the following 7 days using an eDiary. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Up to 7 days after vaccination (Days 1 to 7 and Days 29 to 36)

  8. Phase 2b Participants Only: Intensity of Solicited AEs as Per Investigator Assessment

    Solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) were recorded on the day of vaccination and the following 7 days using an eDiary. The Investigator made an assessment of intensity of each solicited AE reported during the trial. Each solicited AE was graded from Mild (Grade 1) to Severe (Grade 3), where higher grades indicated a worse outcome. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Up to 7 days after vaccination (Days 1 to 7 and Days 29 to 36)

  9. Phase 2b Participants Only: Duration of Solicited AEs

    Solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) were recorded on the day of vaccination and the following 7 days using an eDiary. Duration is calculated as consecutive days with a respective solicited AE regardless of the grade of the AE. AEs ongoing after Day 8 are included. In each case only the longest consecutive duration is displayed. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Up to 7 days after vaccination (Days 1 to 7 and Days 29 to 36)

  10. Phase 2b Participants Only: Number of Participants Who Experienced One or More Unsolicited AE

    eDiaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants received a prompt (by e.g., a phone call or text message) to verify whether the participants had any health concerns since the last visit. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

  11. Phase 2b Participants Only: Intensity of Unsolicited AEs as Per Investigator Assessment

    eDiaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants received a prompt (by e.g., a phone call or text message) to verify whether the participants had any health concerns since the last visit. The Investigator made an assessment of intensity of each unsolicited AE reported during the trial. Each unsolicited AE was graded from Mild (Grade 1) to Severe (Grade 3), where higher grades indicated a worse outcome. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

  12. Number of Participants Who Experienced One or More AEs Leading to Vaccine Withdrawal or Trial Discontinuation

    Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 1 to Day 393

Secondary outcomes

  1. Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Moderate to Severe Case of COVID-19

    Moderate cases defined by any 1 of the following: * Shortness of breath/difficulty breathing * Respiratory rate ≥20 to \<30 breaths per min * Abnormal SpO2 but still \>93% on room air at sea level * Clinical/radiographic evidence of lower respiratory tract disease * Radiologic evidence of DVT Severe cases defined by any 1 of the following: * Clinical signs at rest indicative of severe systemic illness (respiratory rate ≥ 30breaths per minute, heart rate ≥125 per minute, SpO2 ≤93% on room air at sea level or PaO2/FIO2 \<300 mm Hg) * Respiratory failure (defined as needing high flow-oxygen, noninvasive ventilation, mechanical ventilation or ECMO) * Evidence of shock (SBP \<90mm Hg, DBP \<60 mmHg or requiring vasopressors) * Significant renal, hepatic, or neurologic dysfunction * Admission to ICU * Death Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  2. Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Severe Case of COVID-19

    Severe COVID-19 cases were defined by any one of the following: * Clinical signs at rest indicative of severe systemic illness (respiratory rate ≥ 30 breaths per minute, heart rate ≥ 125 per minute, SpO2 ≤ 93% on room air at sea level or PaO2/FIO2 \< 300 mm Hg). * Respiratory failure (defined as needing high flow-oxygen, noninvasive ventilation, mechanical ventilation or ECMO). * Evidence of shock (SBP \< 90mm Hg, DBP \< 60 mmHg, or requiring vasopressors). * Significant renal, hepatic, or neurologic dysfunction * Admission to intensive care unit (ICU). * Death. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  3. Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity Due to Infection With "Wild Type" and "Alpha" SARS-CoV-2 Strains in SARS-CoV-2 Naïve Participants

    The characterization of SARS-CoV-2 variants were implemented by viral whole genome sequencing of nasopharyngeal swab samples of participants followed by comparison with previously sequenced and typified genomes. The following phylogenetic clustering was applied: 1. "Wild type" virus: WT/D614G, lineages A.1/B.1 without the variant of concerns (VOCs) (i.e., without B.1.1.7 \[Alpha\], B.1.351 \[Beta\], B.1.429 \[Epsilon\]). 2. "UK" VOC: B.1.1.7 (Alpha). A case of COVID-19 was defined as follows: * Virologically-confirmed case of COVID-19 defined as a positive SARS-CoV-2 specific RT-PCR test in a person with clinically symptomatic COVID-19. * Symptom onset ≥ 15 days after second vaccination. * First episode of virologically-confirmed COVID-19. * Participant was SARS-CoV-2 naïve at baseline and Day 43. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  4. Number of Participants Aged ≥ 61 Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity

    A case of COVID-19 was defined as follows: * Virologically-confirmed case of COVID-19 (of any severity) defined as a positive SARS-CoV-2 specific RT-PCR test in a person with clinically symptomatic COVID-19. * Symptom onset ≥ 15 days after second trial vaccination. * First episode of virologically-confirmed COVID-19, i.e. the participant must not have had a history of virologically-confirmed COVID-19 illness at enrollment or have had developed a case of virologically-confirmed COVID-19 before 15 days after the second trial vaccination. * Participant was SARS-CoV-2 naïve at baseline and Day 43 (defined as seronegative to N protein in the blood samples collected at baseline and Day 43). Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  5. Burden of Disease (BoD) Score #1 Based on First Episodes of Virologically-confirmed (RT-PCR Positive) Cases of COVID-19

    Score #1 was defined as no disease (not infected or asymptomatic infection) = 0; mild or moderate disease = 1; severe disease = 2. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  6. BoD Score #2 Based on First Episodes of Virologically-confirmed (RT-PCR Positive) Cases of COVID-19

    Score #2 was defined as no disease (not infected or asymptomatic infection) = 0; disease without hospitalization = 1; disease with hospitalization = 2; death = 3. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

    Time frame: Day 44 to Day 393

  7. SARS-CoV-2 Receptor Binding Domain (RBD) of Spike (S) Protein Antibody Levels on Days 1, 29, 43, 120 and 211

    Titers of IgG antibodies directed against the SARS-CoV-2 RBD of Spike Protein antigen were measured by enzyme- linked immunosorbent assay (ELISA) and expressed as geometric mean of titers (GMT) with 95% confidence interval (CI), by group. Individual values below the lower limit of quantification (LLOQ) were set to half of the LLOQ. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who tested positive for SARS-CoV-2 via PCR or N-protein antibodies had their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

    Time frame: Days 1 (baseline), 29, 43, 120 and 211

  8. Percentage of Participants Seroconverting to SARS-CoV-2 RBD of S Protein Antibodies on Days 29, 43, 120 and 211

    Titers of IgG antibodies directed against the SARS-CoV-2 RBD of Spike Protein antigen were measured by ELISA. Percentage with 95% CI of participants for whom a seroconversion was observed is presented by group. In participants who tested seronegative to the N protein for SARS-CoV-2 at baseline, seroconversion was defined as a fold increase above 1 in antibody titer against SARS-CoV-2 RBD of S protein. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who tested positive for SARS-CoV-2 via PCR or N-protein antibodies had their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

    Time frame: Baseline and Days 29, 43, 120 and 211

  9. SARS-CoV-2 Viral Neutralizing Antibody Levels on Days 1, 29, 43, 120 and 211

    Titers of viral neutralizing antibodies were determined by an activity assay and expressed as GMT with 95% CI, by group. Individual values below the LLOQ were set to half of the LLOQ. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who have tested positive for SARS-CoV-2 via PCR or N-protein antibodies have their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

    Time frame: Days 1 (baseline), 29, 43, 120 and 211

  10. Percentage of Participants Seroconverting to SARS-CoV-2 Viral Neutralizing Antibodies on Days 29, 43, 120 and 211

    Titers of viral neutralizing antibodies were determined by an activity assay. Percentage with 95% CI of participants for whom a seroconversion was observed is presented by group. In participants who tested seronegative to the N protein for SARS-CoV-2 at baseline, seroconversion was defined as a fold increase above 1 in antibody titer against SARS-CoV-2 neutralizing antibody titer. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who have tested positive for SARS-CoV-2 via PCR or N-protein antibodies have their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

    Time frame: Baseline and Days 29, 43, 120 and 211

07

Results

Posted Apr 29, 2024

Participant flow

This trial was performed in Argentina, Belgium, Colombia, the Dominican Republic, Germany, Mexico, the Netherlands, Panama, Peru and Spain between 11 December 2020 and 10 June 2022.

Participant flow — Overall Study
MilestoneCVnCoV 12 μg VaccinePlacebo
Started1978719753
Phase 2b participants20071987
Phase 3 participants1778017766
Rolled over to open-label phase85130
Completed114514161
Not completed833615592
Withdrew: Adverse event1413
Withdrew: Subject received alternative authorised vaccine14076552
Withdrew: Physician decision7840
Withdrew: Study ended by sponsor6417
Withdrew: Withdrawal by subject46255594
Withdrew: Lost to follow-up20191082
Withdrew: Protocol specified withdrawal criterion met492230
Withdrew: Miscellaneous8064

Outcome measures

PrimaryNumber of Participants Who Experienced a First Episode of Virologically-confirmed {Reverse Transcription Polymerase Chain Reaction (RT-PCR) Positive} Case of COVID-19 of Any Severity

A case of COVID-19 meeting the definition for primary efficacy analysis was defined as follows: * Virologically-confirmed case of COVID-19 (of any severity) defined as a positive SARS-CoV-2 specific RT-PCR test in a person with clinically symptomatic COVID-19. * Symptom onset ≥ 15 days after second trial vaccination. * First episode of virologically-confirmed COVID-19, i.e. the participant must not have had a history of virologically-confirmed COVID-19 illness at enrollment or have had developed a case of virologically-confirmed COVID-19 before 15 days after the second trial vaccination. * Participant was SARS-CoV-2 naïve at baseline and Day 43 (defined as seronegative to N protein in the blood samples collected at baseline and Day 43). * Primary efficacy cases were confirmed by an Adjudication Committee. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a First Episode of Virologically-confirmed {Reverse Transcription Polymerase Chain Reaction (RT-PCR) Positive} Case of COVID-19 of Any Severity
ParticipantsCVnCoV 12 μg VaccinePlacebo
Number of Participants Who Experienced a First Episode of Virologically-confirmed {Reverse Transcription Polymerase Chain Reaction (RT-PCR) Positive} Case of COVID-19 of Any Severity83145
Statistical analysis
  • CVnCoV 12 μg Vaccine vs Placebo · Proportion: 0.364 · 95.826% CI 0.299 to 0.433Derived from an exact 2-sided 95.826% Pearson-Clopper confidence interval (CI) on proportion of cases coming from the CVnCoV group among all cases.
  • CVnCoV 12 μg Vaccine vs Placebo · Exact Binomial Test · p = 0.01600 (1-sided p-value from the exact binomial test on proportion of cases coming from the CVnCoV group among all cases (equivalent to a test on VE with H0: VE ≤30%). Statistically significant if lower than 0.02087.) · Vaccine efficacy: 48.2 · 95.826% CI 31.0 to 61.42-sided 95.826% CI on VE, derived from the exact 2-sided 95.826% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
PrimaryNumber of Participants Who Experienced One or More Medically-attended Adverse Events (AE)

Medically-attended AEs were defined as AEs with medically-attended visits that were not routine visits for physical examination or vaccination, such as visits for hospitalization, an emergency room visit, or an otherwise unscheduled visit to or from medical personnel (medical doctor) for any reason. Clinic visits for COVID-19 testing resulting in negative test results were not considered as medically attended visits, if there is no confirmed diagnosis and no prescribed concomitant medication. The Investigator assessed the relationship between trial vaccine and occurrence of each AE. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 1 to Day 211
Reported as:
Count of participants · Participants
Number of Participants Who Experienced One or More Medically-attended Adverse Events (AE)
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any Medically-attended AE25552084
Any Related Medically-attended AE505138
PrimaryNumber of Participants Who Experienced One or More Serious AE (SAE)

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator assessed the relationship between trial vaccine and occurrence of each SAE. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 1 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced One or More Serious AE (SAE)
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any SAE149111
Any Related SAE81
PrimaryIntensity of SAEs as Per Investigator Assessment

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator made an assessment of intensity of each SAE reported during the trial. Each SAE was graded from Mild (Grade 1) to Severe (Grade 3), where higher grades indicated a worse outcome. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 1 to Day 393
Reported as:
Count of participants · Participants
Intensity of SAEs as Per Investigator Assessment
ParticipantsCVnCoV 12 μg VaccinePlacebo
Mild (Grade 1)2110
Moderate (Grade 2)5035
Severe (Grade 3)7466
Missing40
PrimaryNumber of Participants Who Experienced One or More Adverse Event of Special Interest (AESI)

AESIs included: * AEs with a suspected immune-medicated etiology. * Other AEs relevant to SARS-CoV-2 vaccine development or the target disease. The Investigator assessed the relationship between trial vaccine and occurrence of each AESI. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 1 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced One or More Adverse Event of Special Interest (AESI)
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any AESI6447
Any Related AESI195
PrimaryNumber of Participants Who Experienced a Fatal SAE

A fatal SAE was defined as an SAE that resulted in death. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 1 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a Fatal SAE
ParticipantsCVnCoV 12 μg VaccinePlacebo
Number of Participants Who Experienced a Fatal SAE1112
PrimaryPhase 2b Participants Only: Number of Participants Who Experienced One or More Solicited AE

Solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) were recorded on the day of vaccination and the following 7 days using an eDiary. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Up to 7 days after vaccination (Days 1 to 7 and Days 29 to 36)
Reported as:
Count of participants · Participants
Phase 2b Participants Only: Number of Participants Who Experienced One or More Solicited AE
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any Solicited Local AE1699477
Any Solicited Systemic AE18811255
PrimaryPhase 2b Participants Only: Intensity of Solicited AEs as Per Investigator Assessment

Solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) were recorded on the day of vaccination and the following 7 days using an eDiary. The Investigator made an assessment of intensity of each solicited AE reported during the trial. Each solicited AE was graded from Mild (Grade 1) to Severe (Grade 3), where higher grades indicated a worse outcome. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Up to 7 days after vaccination (Days 1 to 7 and Days 29 to 36)
Reported as:
Count of participants · Participants
Phase 2b Participants Only: Intensity of Solicited AEs as Per Investigator Assessment
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any Solicited Local AEs — Mild (Grade 1)1226452
Any Solicited Local AEs — Moderate (Grade 2)44824
Any Solicited Local AEs — Severe (Grade 3)251
Any Solicited Systemic AEs — Mild (Grade 1)376708
Any Solicited Systemic AEs — Moderate (Grade 2)969487
Any Solicited Systemic AEs — Severe (Grade 3)53660
PrimaryPhase 2b Participants Only: Duration of Solicited AEs

Solicited local AEs (injection site pain, redness, swelling, and itching) and solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) were recorded on the day of vaccination and the following 7 days using an eDiary. Duration is calculated as consecutive days with a respective solicited AE regardless of the grade of the AE. AEs ongoing after Day 8 are included. In each case only the longest consecutive duration is displayed. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Up to 7 days after vaccination (Days 1 to 7 and Days 29 to 36)
Reported as:
Mean · days
Phase 2b Participants Only: Duration of Solicited AEs
daysCVnCoV 12 μg VaccinePlacebo
Solicited Local AEs - Injection Site Pain2.3 ± 1.241.5 ± 1.24
Solicited Local AEs - Redness2.2 ± 2.322.1 ± 1.99
Solicited Local AEs - Swelling1.7 ± 0.971.2 ± 0.56
Solicited Local AEs - Itching1.6 ± 1.201.4 ± 1.42
Solicited Systemic AEs - Fever1.3 ± 0.521.0 ± 0.00
Solicited Systemic AEs - Headache2.0 ± 1.411.8 ± 2.45
Solicited Systemic AEs - Fatigue2.3 ± 2.842.0 ± 2.25
Solicited Systemic AEs - Chills1.3 ± 0.671.4 ± 0.83
Solicited Systemic AEs - Myalgia1.8 ± 1.081.6 ± 1.13
Solicited Systemic AEs - Arthralgia1.6 ± 0.981.6 ± 1.19
Solicited Systemic AEs - Nausea/Vomiting1.5 ± 0.971.3 ± 0.82
Solicited Systemic AEs - Diarrhea1.4 ± 0.951.3 ± 0.90
PrimaryPhase 2b Participants Only: Number of Participants Who Experienced One or More Unsolicited AE

eDiaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants received a prompt (by e.g., a phone call or text message) to verify whether the participants had any health concerns since the last visit. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)
Reported as:
Count of participants · Participants
Phase 2b Participants Only: Number of Participants Who Experienced One or More Unsolicited AE
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any Unsolicited AE1016911
Any Related Unsolicited AE511269
PrimaryPhase 2b Participants Only: Intensity of Unsolicited AEs as Per Investigator Assessment

eDiaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants received a prompt (by e.g., a phone call or text message) to verify whether the participants had any health concerns since the last visit. The Investigator made an assessment of intensity of each unsolicited AE reported during the trial. Each unsolicited AE was graded from Mild (Grade 1) to Severe (Grade 3), where higher grades indicated a worse outcome. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)
Reported as:
Count of participants · Participants
Phase 2b Participants Only: Intensity of Unsolicited AEs as Per Investigator Assessment
ParticipantsCVnCoV 12 μg VaccinePlacebo
Mild (Grade 1)712641
Moderate (Grade 2)259225
Severe (Grade 3)4438
Missing17
PrimaryNumber of Participants Who Experienced One or More AEs Leading to Vaccine Withdrawal or Trial Discontinuation

Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 1 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced One or More AEs Leading to Vaccine Withdrawal or Trial Discontinuation
ParticipantsCVnCoV 12 μg VaccinePlacebo
Any AE Leading to Vaccine Withdrawal3233
Any AE Leading to Withdrawal From Trial1716
SecondaryNumber of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Moderate to Severe Case of COVID-19

Moderate cases defined by any 1 of the following: * Shortness of breath/difficulty breathing * Respiratory rate ≥20 to \<30 breaths per min * Abnormal SpO2 but still \>93% on room air at sea level * Clinical/radiographic evidence of lower respiratory tract disease * Radiologic evidence of DVT Severe cases defined by any 1 of the following: * Clinical signs at rest indicative of severe systemic illness (respiratory rate ≥ 30breaths per minute, heart rate ≥125 per minute, SpO2 ≤93% on room air at sea level or PaO2/FIO2 \<300 mm Hg) * Respiratory failure (defined as needing high flow-oxygen, noninvasive ventilation, mechanical ventilation or ECMO) * Evidence of shock (SBP \<90mm Hg, DBP \<60 mmHg or requiring vasopressors) * Significant renal, hepatic, or neurologic dysfunction * Admission to ICU * Death Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Moderate to Severe Case of COVID-19
ParticipantsCVnCoV 12 μg VaccinePlacebo
Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Moderate to Severe Case of COVID-191237
Statistical analysis
  • CVnCoV 12 μg Vaccine vs Placebo · Proportion: 0.245 · 95% CI 0.133 to 0.389Derived from an exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
  • CVnCoV 12 μg Vaccine vs Placebo · Vaccine efficacy: 70.7 · 95% CI 42.5 to 86.12-sided 95% CI on VE, derived from the exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
SecondaryNumber of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Severe Case of COVID-19

Severe COVID-19 cases were defined by any one of the following: * Clinical signs at rest indicative of severe systemic illness (respiratory rate ≥ 30 breaths per minute, heart rate ≥ 125 per minute, SpO2 ≤ 93% on room air at sea level or PaO2/FIO2 \< 300 mm Hg). * Respiratory failure (defined as needing high flow-oxygen, noninvasive ventilation, mechanical ventilation or ECMO). * Evidence of shock (SBP \< 90mm Hg, DBP \< 60 mmHg, or requiring vasopressors). * Significant renal, hepatic, or neurologic dysfunction * Admission to intensive care unit (ICU). * Death. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Severe Case of COVID-19
ParticipantsCVnCoV 12 μg VaccinePlacebo
Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Severe Case of COVID-19410
Statistical analysis
  • CVnCoV 12 μg Vaccine vs Placebo · Proportion: 0.286 · 95% CI 0.084 to 0.581Derived from an exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
  • CVnCoV 12 μg Vaccine vs Placebo · Vaccine efficacy: 63.8 · 95% CI -25.5 to 91.72-sided 95% CI on VE, derived from the exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
SecondaryNumber of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity Due to Infection With "Wild Type" and "Alpha" SARS-CoV-2 Strains in SARS-CoV-2 Naïve Participants

The characterization of SARS-CoV-2 variants were implemented by viral whole genome sequencing of nasopharyngeal swab samples of participants followed by comparison with previously sequenced and typified genomes. The following phylogenetic clustering was applied: 1. "Wild type" virus: WT/D614G, lineages A.1/B.1 without the variant of concerns (VOCs) (i.e., without B.1.1.7 \[Alpha\], B.1.351 \[Beta\], B.1.429 \[Epsilon\]). 2. "UK" VOC: B.1.1.7 (Alpha). A case of COVID-19 was defined as follows: * Virologically-confirmed case of COVID-19 defined as a positive SARS-CoV-2 specific RT-PCR test in a person with clinically symptomatic COVID-19. * Symptom onset ≥ 15 days after second vaccination. * First episode of virologically-confirmed COVID-19. * Participant was SARS-CoV-2 naïve at baseline and Day 43. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity Due to Infection With "Wild Type" and "Alpha" SARS-CoV-2 Strains in SARS-CoV-2 Naïve Participants
ParticipantsCVnCoV 12 μg VaccinePlacebo
Number of Participants Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity Due to Infection With "Wild Type" and "Alpha" SARS-CoV-2 Strains in SARS-CoV-2 Naïve Participants2956
Statistical analysis
  • CVnCoV 12 μg Vaccine vs Placebo · Proportion: 0.341 · 95% CI 0.242 to 0.452Derived from an exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
  • CVnCoV 12 μg Vaccine vs Placebo · Vaccine efficacy: 53.2 · 95% CI 25.4 to 71.22-sided 95% CI on VE, derived from the exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
SecondaryNumber of Participants Aged ≥ 61 Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity

A case of COVID-19 was defined as follows: * Virologically-confirmed case of COVID-19 (of any severity) defined as a positive SARS-CoV-2 specific RT-PCR test in a person with clinically symptomatic COVID-19. * Symptom onset ≥ 15 days after second trial vaccination. * First episode of virologically-confirmed COVID-19, i.e. the participant must not have had a history of virologically-confirmed COVID-19 illness at enrollment or have had developed a case of virologically-confirmed COVID-19 before 15 days after the second trial vaccination. * Participant was SARS-CoV-2 naïve at baseline and Day 43 (defined as seronegative to N protein in the blood samples collected at baseline and Day 43). Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
Number of Participants Aged ≥ 61 Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity
ParticipantsCVnCoV 12 μg VaccinePlacebo
Number of Participants Aged ≥ 61 Who Experienced a First Episode of Virologically-confirmed (RT-PCR Positive) Case of COVID-19 of Any Severity129
Statistical analysis
  • CVnCoV 12 μg Vaccine vs Placebo · Proportion: 0.571 · 95% CI 0.340 to 0.782Derived from an exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
  • CVnCoV 12 μg Vaccine vs Placebo · Vaccine efficacy: -11.8 · 95% CI -200.5 to 56.72-sided 95% CI on VE, derived from the exact 2-sided 95% Pearson-Clopper CI on proportion of cases coming from the CVnCoV group among all cases.
SecondaryBurden of Disease (BoD) Score #1 Based on First Episodes of Virologically-confirmed (RT-PCR Positive) Cases of COVID-19

Score #1 was defined as no disease (not infected or asymptomatic infection) = 0; mild or moderate disease = 1; severe disease = 2. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
Burden of Disease (BoD) Score #1 Based on First Episodes of Virologically-confirmed (RT-PCR Positive) Cases of COVID-19
ParticipantsCVnCoV 12 μg VaccinePlacebo
01276812066
179135
2410
SecondaryBoD Score #2 Based on First Episodes of Virologically-confirmed (RT-PCR Positive) Cases of COVID-19

Score #2 was defined as no disease (not infected or asymptomatic infection) = 0; disease without hospitalization = 1; disease with hospitalization = 2; death = 3. Participants were censored at the first day after unblinding or at the day after receiving the authorized/licensed vaccine, whichever was earlier.

Time frame:
Day 44 to Day 393
Reported as:
Count of participants · Participants
BoD Score #2 Based on First Episodes of Virologically-confirmed (RT-PCR Positive) Cases of COVID-19
ParticipantsCVnCoV 12 μg VaccinePlacebo
01276812066
182143
202
310
SecondarySARS-CoV-2 Receptor Binding Domain (RBD) of Spike (S) Protein Antibody Levels on Days 1, 29, 43, 120 and 211

Titers of IgG antibodies directed against the SARS-CoV-2 RBD of Spike Protein antigen were measured by enzyme- linked immunosorbent assay (ELISA) and expressed as geometric mean of titers (GMT) with 95% confidence interval (CI), by group. Individual values below the lower limit of quantification (LLOQ) were set to half of the LLOQ. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who tested positive for SARS-CoV-2 via PCR or N-protein antibodies had their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame:
Days 1 (baseline), 29, 43, 120 and 211
Reported as:
Geometric mean · titers
SARS-CoV-2 Receptor Binding Domain (RBD) of Spike (S) Protein Antibody Levels on Days 1, 29, 43, 120 and 211
titersCVnCoV 12 μg VaccinePlacebo
Day 150.791 (50.151 to 51.439)50.763 (50.079 to 51.456)
Day 2954.090 (52.213 to 56.034)50.734 (50.074 to 51.403)
Day 43734.657 (645.552 to 836.061)50.902 (50.082 to 51.737)
Day 120227.439 (203.647 to 254.011)57.357 (52.843 to 62.257)
Day 211371.341 (161.098 to 855.966)107.556 (23.919 to 483.648)
SecondaryPercentage of Participants Seroconverting to SARS-CoV-2 RBD of S Protein Antibodies on Days 29, 43, 120 and 211

Titers of IgG antibodies directed against the SARS-CoV-2 RBD of Spike Protein antigen were measured by ELISA. Percentage with 95% CI of participants for whom a seroconversion was observed is presented by group. In participants who tested seronegative to the N protein for SARS-CoV-2 at baseline, seroconversion was defined as a fold increase above 1 in antibody titer against SARS-CoV-2 RBD of S protein. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who tested positive for SARS-CoV-2 via PCR or N-protein antibodies had their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame:
Baseline and Days 29, 43, 120 and 211
Reported as:
Number · percentage of participants
Percentage of Participants Seroconverting to SARS-CoV-2 RBD of S Protein Antibodies on Days 29, 43, 120 and 211
percentage of participantsCVnCoV 12 μg VaccinePlacebo
Day 294.3 (2.7 to 6.4)0.4 (0.0 to 1.4)
Day 4387.1 (83.9 to 89.8)0.6 (0.1 to 1.8)
Day 12072.2 (67.7 to 76.4)4.9 (2.6 to 8.4)
Day 21166.7 (46.0 to 83.5)28.6 (3.7 to 71.0)
SecondarySARS-CoV-2 Viral Neutralizing Antibody Levels on Days 1, 29, 43, 120 and 211

Titers of viral neutralizing antibodies were determined by an activity assay and expressed as GMT with 95% CI, by group. Individual values below the LLOQ were set to half of the LLOQ. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who have tested positive for SARS-CoV-2 via PCR or N-protein antibodies have their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame:
Days 1 (baseline), 29, 43, 120 and 211
Reported as:
Geometric mean · titers
SARS-CoV-2 Viral Neutralizing Antibody Levels on Days 1, 29, 43, 120 and 211
titersCVnCoV 12 μg VaccinePlacebo
Day 1 (Baseline)5.016 (4.993 to 5.039)5.007 (4.994 to 5.020)
Day 295.141 (5.022 to 5.263)5.030 (4.995 to 5.066)
Day 4318.211 (16.394 to 20.230)5.049 (5.003 to 5.096)
Day 1207.105 (6.640 to 7.603)5.136 (5.008 to 5.267)
Day 21114.325 (7.183 to 28.565)6.729 (4.209 to 10.757)
SecondaryPercentage of Participants Seroconverting to SARS-CoV-2 Viral Neutralizing Antibodies on Days 29, 43, 120 and 211

Titers of viral neutralizing antibodies were determined by an activity assay. Percentage with 95% CI of participants for whom a seroconversion was observed is presented by group. In participants who tested seronegative to the N protein for SARS-CoV-2 at baseline, seroconversion was defined as a fold increase above 1 in antibody titer against SARS-CoV-2 neutralizing antibody titer. Only participants seronegative at baseline with evaluable samples at each visit are included. Participants who have tested positive for SARS-CoV-2 via PCR or N-protein antibodies have their data included up to the point of positive test result or symptom onset. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Time frame:
Baseline and Days 29, 43, 120 and 211
Reported as:
Number · percentage of participants
Percentage of Participants Seroconverting to SARS-CoV-2 Viral Neutralizing Antibodies on Days 29, 43, 120 and 211
percentage of participantsCVnCoV 12 μg VaccinePlacebo
Day 291.5 (0.6 to 2.9)0.6 (0.1 to 1.7)
Day 4365.1 (60.8 to 69.2)1.0 (0.3 to 2.3)
Day 12024.8 (20.8 to 29.1)2.0 (0.7 to 4.7)
Day 21133.3 (16.5 to 54.0)28.6 (3.7 to 71.0)

Adverse events

Collected over Day 1 to Day 393. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CVnCoV 12 μg Vaccine17/19,787 (0.1%)149/19,787 (0.8%)3,144/19,787 (15.9%)
Placebo14/19,753 (0.1%)111/19,753 (0.6%)1,853/19,753 (9.4%)
Most frequent serious events
Showing 10 of 210
Most frequent serious events
EventCVnCoV 12 μg VaccinePlacebo
AppendicitisInfections and infestations8/197873/19753
COVID-19 pneumoniaInfections and infestations5/197874/19753
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)5/197870/19753
Abortion spontaneousPregnancy, puerperium and perinatal conditions1/197874/19753
NephrolithiasisRenal and urinary disorders1/197874/19753
Pregnancy on oral contraceptivePregnancy, puerperium and perinatal conditions4/197870/19753
Cholecystitis acuteHepatobiliary disorders4/197870/19753
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders4/197872/19753
COVID-19Infections and infestations1/197873/19753
Pregnancy with injectable contraceptivePregnancy, puerperium and perinatal conditions2/197873/19753
Most frequent other events
Most frequent other events
EventCVnCoV 12 μg VaccinePlacebo
HeadacheNervous system disorders2310/197871225/19753
Injection site painGeneral disorders2008/19787537/19753
FatigueGeneral disorders1893/197871019/19753
MyalgiaMusculoskeletal and connective tissue disorders1728/19787509/19753
ChillsGeneral disorders1439/19787240/19753
PyrexiaGeneral disorders1305/1978795/19753

Baseline characteristics

Safety Analysis Set: Included all participants randomized into Phase 2b or 3 who received at least one dose of CVnCoV or placebo.

Age, Continuous
Age, Continuous(years)CVnCoV 12 μg VaccinePlaceboTotal
Mean43.0 ± 14.4943.0 ± 14.5043.0 ± 14.50
Sex: Female, Male
Sex: Female, Male(Participants)CVnCoV 12 μg VaccinePlaceboTotal
Female8935893617871
Male108521081721669
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)CVnCoV 12 μg VaccinePlaceboTotal
Hispanic or Latino147321474029472
Not Hispanic or Latino496049329892
Unknown or Not Reported9581176
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)CVnCoV 12 μg VaccinePlaceboTotal
Race — White9012898918001
Race — Black or African American383356739
Race — Asian Indian181028
Race — Chinese212243
Race — Filipino134
Race — Japanese505
Race — Korean022
Race — Vietnamese9918
Race — American Indian or Alaska Native249224854977
Race — Other7797781215609
Race — Not Reported344478
Race — Unknown152136
08

Study locations

46 sites
  • Instituto de Investigaciones Clinicas Quilmes
    Buenos Aires, 1878, Argentina
  • Hospital Interzonal General Agudos Prof. Dr. Ramon Carrillo
    Buenos Aires, B1702FWM, Argentina
  • Hospital Interzonal General de Agudos Vicente Lopez y Planes
    Buenos Aires, B1748, Argentina
  • Hospital Zonal General de Agudos Descentralizado Evita Pueblo de Berazategui
    Buenos Aires, B1884LAD, Argentina
  • Fundación Cenit Para La Investigación En Neurociencias
    Buenos Aires, C1125 ABD, Argentina
  • Instituto de Investigaciones Clínicas Mar del Plata
    Mar Del Plata, B7600FZN, Argentina
  • Sanatorio Parque
    Rosario, S2000, Argentina
  • Corporación Médica Sanatorio
    San Martín, B1650CSQ, Argentina
  • Instituto De Investigaciones Clinica Zarate
    Zárate, B2800DGH, Argentina
  • Cohezio - Bruxelles
    Brussels, 1000, Belgium
  • Mensura
    Brussel, 1030, Belgium
  • Universitair Ziekenhuis Gent
    Gent, 9000, Belgium
  • Clínica de la Costa
    Barranquilla, 80020, Colombia
  • CAIMED - Bogota Clinical Research Center
    Bogotá, 111621, Colombia
  • Centro de Estudios en Infectología Pediátrica (CEIP)
    Cali, 760042, Colombia
  • Fundacion Dominicana de Perinatologia Pro Bebe
    Santo Domingo, 10204, Dominican Republic
  • Instituto Dermatológico Dominicano y Cirugía de Piel Dr. Huberto Bogaert Díaz
    Santo Domingo, 10305, Dominican Republic
  • Clínica Cruz Jiminian
    Santo Domingo, 10501, Dominican Republic
  • Hospital General Regional Marcelino Vélez Santana
    Santo Domingo, 11001, Dominican Republic
  • Uniklinik Köln
    Köln, 50937, Germany
  • Ludwig-Maximilians-Universität München
    München, 80802, Germany
  • Universitätsklinikum Tübingen - Institut für Tropenmedizin, Reisemedizin und Humanparasitologie
    Tübingen, 72074, Germany
  • Instituto Nacional De Ciencias Medicas Y Nutricion Salvador Zubiran
    Ciudad de mexico, 14080, Mexico
  • CAIMED - México
    Ciudad de mexico, 6760, Mexico
  • Panamerican Clinical research Mexico (Guadalajara)
    Guadalajara, 44690, Mexico
  • Panamerican Clinical Research Mexico S.A. DE C.V.
    Juriquilla, 76226, Mexico
  • Unidad de Medicina Especializada SMA
    San Juan Del Río, 76800, Mexico
  • Centro Medico Zambrano Hellion TecSalud
    San Pedro Garza Garcia, 66278, Mexico
  • Noordwest Ziekenhuisgroep
    Alkmaar, 1815JD, Netherlands
  • Amsterdam Universitair Medische Centra - Academisch Medisch Centrum
    Amsterdam, 1105 AZ, Netherlands
  • The Julius Center - Utrecht Science Park - Stratenum
    Utrecht, 3584 CX, Netherlands
  • Centro De Vacunacion Internacional - CEVAXIN Chorreras
    Panama city, 07064, Panama
  • Centro De Vacunacion Internacional - CEVAXIN 24 Diciembre
    Panama City, 07113, Panama
  • Centro de Vacunacion Internacional - CEVAXIN Avenida Mexico
    Panama city, 10662, Panama
  • Instituto de Investigaciones Científicas y Servicios de Alta Tecnología
    Panamá, 07097, Panama
  • Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales
    Callao, 07006, Peru
  • Hospital de Chancay y Servicios básicos de Salud
    Chancay, 15131, Peru
  • Clinica Medica San Martin
    Ica, 11000, Peru
  • Instituto de Investigación Nutricional - Las Gardenias
    Lima, 15024, Peru
  • Instituto de Investigación Nutricional - San Carlos
    Lima, 15024, Peru
  • Instituto de Investigación Nutricional
    Lima, 15024, Peru
  • Asociación Civil Impacta Salud y Educación
    Lima, 15063, Peru
  • Centro de Investigación para ensayos Clínicos UPCH
    Lima, 15102, Peru
  • OSI Eskerraldea-Enkarterri-Cruces/Hospital Universitario Cruces
    Barakaldo, 48903, Spain
  • Hospital Universitario Donostia
    Donostia-San Sebastián, 20014, Spain
  • Hospital Clínico San Carlos
    Madrid, 28040, Spain
09

References and documents

Publications

  • Kremsner PG, Ahuad Guerrero RA, Arana-Arri E, Aroca Martinez GJ, Bonten M, Chandler R, Corral G, De Block EJL, Ecker L, Gabor JJ, Garcia Lopez CA, Gonzales L, Granados Gonzalez MA, Gorini N, Grobusch MP, Hrabar AD, Junker H, Kimura A, Lanata CF, Lehmann C, Leroux-Roels I, Mann P, Martinez-Resendez MF, Ochoa TJ, Poy CA, Reyes Fentanes MJ, Rivera Mejia LM, Ruiz Herrera VV, Saez-Llorens X, Schonborn-Kellenberger O, Schunk M, Sierra Garcia A, Vergara I, Verstraeten T, Vico M, Oostvogels L; HERALD Study Group. Efficacy and safety of the CVnCoV SARS-CoV-2 mRNA vaccine candidate in ten countries in Europe and Latin America (HERALD): a randomised, observer-blinded, placebo-controlled, phase 2b/3 trial. Lancet Infect Dis. 2022 Mar;22(3):329-340. doi: 10.1016/S1473-3099(21)00677-0. Epub 2021 Nov 23. PubMed 34826381 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2020 to primary completion in Jun 2022, 17 months.

Results were first posted in Apr 2024, 1 year 10 months after primary completion.

Of 73 industry-sponsored phase 2/3 interventional studies under COVID-19, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 18. This study's 17 months is above that.

Counting every sponsor, half of 168 studies reached it within 11 months; a quarter within 5 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 1, 2020
First posted
Dec 3, 2020
StartActual
Dec 11, 2020
Primary completionActual
Jun 10, 2022
CompletionActual
Jun 10, 2022
Results first posted
Apr 29, 2024
Last update
Apr 29, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04652102
Lead sponsor
CureVac
Responsible party
Sponsor
First posted
Dec 3, 2020
Start date
Dec 11, 2020
Primary completion
Jun 10, 2022
Completion
Jun 10, 2022
Results posted
Apr 29, 2024
Last update
Apr 29, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: CVnCoV COVID-19 vaccine

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