CClinicalTrials.gg
CompletedNCT05212948Updated Nov 28, 2025Results posted

A Study of S-268019 for the Prevention of COVID-19

A Phase 3 interventional study of S-268019-b and Placebo in SARS-CoV-2, sponsored by Shionogi. Completed at 1 site in Vietnam. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-28.

Sponsored by Shionogi · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
9,902
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to assess the efficacy of S-268019-b for the prevention of COVID-19 in the initial vaccination period prior to crossover in participants without evidence of infection before vaccination as compared to placebo.

Read the detailed description

Eligible participants will be randomized to receive either S-268019-b or placebo first and then will be crossed over to receive the opposite intervention. The study will consist of two treatment periods, an initial vaccination period (Day 1 to Day 224), and a crossover vaccination period (Day 225 to Day 435).

02

Conditions studied

  • SARS-CoV-2
03

In context

Lead sponsor

Shionogi is the lead sponsor of 104 studies on the registry; 10 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 21 (54%) have results posted.

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

Inclusion criteria

  • Agree not to participate in any other SARS-CoV-2 prevention trial during the study follow-up.
  • Capable of using Diary without difficulties (if applicable, with assistance by caregiver).

Exclusion criteria

Exclusion Criteria:

  • Current or history of a laboratory-confirmed diagnosis of SARS-CoV-2 infection or COVID-19.
  • Unstable current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disease that, in the opinion of the investigator or subinvestigator, would constitute a safety concern or confound data interpretation.
  • Immunosuppression (immunodeficiency, acquired immunodeficiency syndrome [AIDS], use of systemic steroids, use of immunosuppressants within the past 6 months prior to the first dose of study intervention, treatment for malignant tumors, other immunosuppressive therapy).
  • Previous vaccination against SARS-CoV-2.
  • Any inactivated vaccine received within 14 days prior to the first dose of study intervention.
  • Any live vaccine received within 28 days prior to the first dose of study intervention.
  • Immunoglobulin preparations, blood products, or a blood transfusion within 3 months prior to the first dose of study intervention.

Other inclusion and exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
9,902 participants (actual)

Study arms

  • Experimental
    S-268019-b, Then Placebo

    Participants will first receive a dose of S-268019-b via intramuscular (IM) injection on Day 1 and Day 29 during the initial vaccination period. After the initial vaccination period, participants will then receive a placebo IM injection (matching S-268019-b) on Day 225 and Day 253.

    Drug: S-268019-b · Drug: Placebo

  • Experimental
    Placebo, Then S-268019-b

    Participants will first receive a dose of placebo IM injection (matching S-268019-b) on Day 1 and Day 29 during the initial vaccination period. After the initial vaccination period, participants will then receive S-268019-b IM injection on Day 225 and Day 253.

    Drug: S-268019-b · Drug: Placebo

Interventions

  • DrugS-268019-b

    Solution for IM injection

  • DrugPlacebo

    Saline solution for IM injection

06

What researchers measure

Primary outcomes

  1. Number of Participants With First Occurrence of SARS-CoV-2 Reverse Transcription Polymerase Chain Reaction (RT-PCR)-Positive Symptomatic COVID-19 With Onset at Least 14 Days Following Second Vaccination During the Initial Vaccination Period

    Participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) were determined to have symptomatic COVID-19 when at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result were confirmed by the medical monitor within at least 14 days following the second vaccination. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

    Time frame: From Day 43 (14 days after the second dose administration) to Day 224

Secondary outcomes

  1. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination

    For participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) who were confirmed to have symptomatic COVID-19 within at least 14 days following the second vaccination, the investigator evaluated if the maximum intensity during the course of the disease met protocol-specified criteria for severe COVID-19.

    Time frame: From Day 43 (14 days after the second dose administration) to Day 224

  2. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period

    Participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) were determined to have symptomatic COVID-19 when at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result were confirmed by the medical monitor. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

    Time frame: Up to Day 224

  3. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period

    For participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) who were confirmed to have symptomatic COVID-19, the investigator evaluated if the maximum intensity during the course of the disease met the protocol-specified criteria for severe COVID-19.

    Time frame: Up to Day 224

  4. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline With Onset at Least 14 Days Following Second Vaccination

    A participant was determined to have symptomatic COVID-19 when at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result were confirmed by the medical monitor within at least 14 days following the second vaccination. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

    Time frame: From Day 43 (14 days after the second dose administration) to Day 224

  5. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination Regardless of Serostatus or PCR Status at Baseline

    For participants confirmed to have symptomatic COVID-19 within at least 14 days following the second vaccination, the investigator evaluated if the maximum intensity during the course of the disease met the protocol-specified criteria for severe COVID-19.

    Time frame: From Day 43 (14 days after the second dose administration) to Day 224

  6. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline

    A participant was determined to have symptomatic COVID-19 when the participant had at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result confirmed by the medical monitor. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

    Time frame: Up to Day 224

  7. Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline

    For participants confirmed to have symptomatic COVID-19, the investigator evaluated if the maximum intensity during the course of the disease met the protocol-specified criteria for severe COVID-19.

    Time frame: Up to Day 224

  8. Number of Participants With First Occurrence of Asymptomatic SARS-CoV-2 Infection in the Initial Vaccination Period

    For participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline), asymptomatic SARS-CoV-2 infection was defined as having a positive result of anti-SARS-CoV-2 N-protein antibody test beginning 14 days following the second vaccination and not meeting the protocol-specified criteria of symptomatic COVID-19. Antibodies to SARS-CoV-2 N-protein were used to determine both natural infection and the incidence of asymptomatic infection acquired during the initial vaccination period of the study.

    Time frame: From Day 43 (14 days after the second dose administration) to Day 224

  9. Percentage of Participants Experiencing Solicited Systemic Adverse Events

    An adverse event (AE) was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs were defined as the AEs that occurred within the first 7 days after each vaccination and were classified as one of the following: fever, nausea/vomiting, diarrhea, headache, fatigue, and myalgia. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

    Time frame: Up to Day 224

  10. Percentage of Participants Experiencing Solicited Local Adverse Events

    An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited local AEs were defined as the AEs that occurred within the first 7 days after each vaccination and were classified as one of the following: pain, erythema/redness, induration, and swelling. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

    Time frame: Up to Day 224

  11. Geometric Mean Titer (GMT) of SARS-CoV-2 Neutralizing Antibody

    Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 was measured by a live virus neutralization assay. The GMT was calculated by taking the back transformation of the arithmetic mean of log-transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the log-transformed values, then back transformed to the original scale.

    Time frame: Day 57

  12. Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Neutralizing Antibody

    Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 was measured by a live virus neutralization assay. The GMFR was calculated by taking the back transformation of the arithmetic mean of the change from baseline in log-transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the change from baseline in the log-transformed values, then back transformed to the original scale.

    Time frame: Day 57

  13. Seroconversion Rate of SARS-CoV-2 Neutralizing Antibody

    Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 was measured by a live virus neutralization assay. Seroconversion was defined as a 4-times or higher from baseline in SARS-CoV-2 neutralizing antibody titer, where titer values reported as below the lower limit of quantification (LLOQ) were replaced by 0.5\*LLOQ. Seroconversion rate was defined as the percentage of participants that underwent seroconversion. The 95% confidence interval was calculated using the Clopper-Pearson method.

    Time frame: Day 57

  14. GMT of Anti-SARS-CoV-2 S-protein Immunoglobulin G (IgG) Antibody

    Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 (anti-spike protein IgG antibody) was measured by a chemiluminescence immunoassay. The GMT was calculated by taking the back transformation of the arithmetic mean of log- transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the log-transformed values, then back transformed to the original scale.

    Time frame: Day 57

  15. GMFR of Anti-SARS-CoV-2 S-protein IgG Antibody

    Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The anti-spike protein IgG antibody was measured by a chemiluminescence immunoassay. The GMFR was calculated by taking the back transformation of the arithmetic mean of the change from baseline in log-transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the change from baseline in the log-transformed values, then back transformed to the original scale.

    Time frame: Day 57

  16. Seroconversion Rate of Anti-SARS-CoV-2 S-protein IgG Antibody

    Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The anti-spike protein IgG antibody was measured by a chemiluminescence immunoassay. Seroconversion was defined as a 4-times or higher from baseline in anti-spike protein IgG antibody titer, where titer values reported as below the LLOQ are replaced by 0.5\*LLOQ and titer values reported as above the upper limit of quantification (ULOQ) are imputed at the ULOQ value. Seroconversion rate was defined as the percentage of participants that underwent seroconversion. The 95% confidence interval was calculated using the Clopper-Pearson method.

    Time frame: Day 57

07

Results

Posted Nov 28, 2025

Participant flow

Initial Vaccination Period
Participant flow — Initial Vaccination Period
MilestoneS-268019-b Then PlaceboPlacebo Then S-268019-b
Started66003302
Received at least 1 dose of study drug65813285
Modified intent to treat (mitt)55962805
Immunogenicity subset6434
Completed53152602
Not completed1285700
Withdrew: Withdrawal by subject409199
Withdrew: Suspected pregnancy10
Withdrew: Pregnancy2014
Withdrew: Physician decision686401
Withdrew: Lost to follow-up10642
Withdrew: Death2318
Withdrew: Coronavirus disease 2019 (covid-19)43
Withdrew: Adverse event3623
Crossover Vaccination Period
Participant flow — Crossover Vaccination Period
MilestoneS-268019-b Then PlaceboPlacebo Then S-268019-b
Started53152602
Received at least 1 dose of study drug51502502
Safety analysis set (sas)65813285
Completed51232503
Not completed19299
Withdrew: Withdrawal by subject9557
Withdrew: Pregnancy61
Withdrew: Physician decision4924
Withdrew: Lost to follow-up238
Withdrew: Death105
Withdrew: Adverse event94

Outcome measures

PrimaryNumber of Participants With First Occurrence of SARS-CoV-2 Reverse Transcription Polymerase Chain Reaction (RT-PCR)-Positive Symptomatic COVID-19 With Onset at Least 14 Days Following Second Vaccination During the Initial Vaccination Period

Participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) were determined to have symptomatic COVID-19 when at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result were confirmed by the medical monitor within at least 14 days following the second vaccination. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

Time frame:
From Day 43 (14 days after the second dose administration) to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 Reverse Transcription Polymerase Chain Reaction (RT-PCR)-Positive Symptomatic COVID-19 With Onset at Least 14 Days Following Second Vaccination During the Initial Vaccination Period
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 Reverse Transcription Polymerase Chain Reaction (RT-PCR)-Positive Symptomatic COVID-19 With Onset at Least 14 Days Following Second Vaccination During the Initial Vaccination Period323239
Statistical analysis
  • S-268019-b vs Placebo · Poisson Regression Model · p = 0.2409 (One-sided P-value was calculated to test the null hypothesis, vaccine efficacy ≤30%.) · Efficacy: 34.2 · 95% CI 21.9 to 44.6Robust Error Variance
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination

For participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) who were confirmed to have symptomatic COVID-19 within at least 14 days following the second vaccination, the investigator evaluated if the maximum intensity during the course of the disease met protocol-specified criteria for severe COVID-19.

Time frame:
From Day 43 (14 days after the second dose administration) to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination01
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period

Participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) were determined to have symptomatic COVID-19 when at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result were confirmed by the medical monitor. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

Time frame:
Up to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period457313
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period

For participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline) who were confirmed to have symptomatic COVID-19, the investigator evaluated if the maximum intensity during the course of the disease met the protocol-specified criteria for severe COVID-19.

Time frame:
Up to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period01
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline With Onset at Least 14 Days Following Second Vaccination

A participant was determined to have symptomatic COVID-19 when at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result were confirmed by the medical monitor within at least 14 days following the second vaccination. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

Time frame:
From Day 43 (14 days after the second dose administration) to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline With Onset at Least 14 Days Following Second Vaccination
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline With Onset at Least 14 Days Following Second Vaccination331242
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination Regardless of Serostatus or PCR Status at Baseline

For participants confirmed to have symptomatic COVID-19 within at least 14 days following the second vaccination, the investigator evaluated if the maximum intensity during the course of the disease met the protocol-specified criteria for severe COVID-19.

Time frame:
From Day 43 (14 days after the second dose administration) to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination Regardless of Serostatus or PCR Status at Baseline
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period With Onset at Least 14 Days Following Second Vaccination Regardless of Serostatus or PCR Status at Baseline01
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline

A participant was determined to have symptomatic COVID-19 when the participant had at least 1 protocol-specified COVID-19-related symptom and a positive RT-PCR test result confirmed by the medical monitor. RT-PCR testing was based upon nasopharyngeal swab sampling at protocol-specified timepoints.

Time frame:
Up to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Symptomatic COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline479324
SecondaryNumber of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline

For participants confirmed to have symptomatic COVID-19, the investigator evaluated if the maximum intensity during the course of the disease met the protocol-specified criteria for severe COVID-19.

Time frame:
Up to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of SARS-CoV-2 RT-PCR-Positive Severe COVID-19 in the Initial Vaccination Period Regardless of Serostatus or PCR Status at Baseline01
SecondaryNumber of Participants With First Occurrence of Asymptomatic SARS-CoV-2 Infection in the Initial Vaccination Period

For participants without evidence of infection before vaccination (that is, seronegative and PCR-negative at baseline), asymptomatic SARS-CoV-2 infection was defined as having a positive result of anti-SARS-CoV-2 N-protein antibody test beginning 14 days following the second vaccination and not meeting the protocol-specified criteria of symptomatic COVID-19. Antibodies to SARS-CoV-2 N-protein were used to determine both natural infection and the incidence of asymptomatic infection acquired during the initial vaccination period of the study.

Time frame:
From Day 43 (14 days after the second dose administration) to Day 224
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of Asymptomatic SARS-CoV-2 Infection in the Initial Vaccination Period
ParticipantsS-268019-bPlacebo
Number of Participants With First Occurrence of Asymptomatic SARS-CoV-2 Infection in the Initial Vaccination Period25431345
SecondaryPercentage of Participants Experiencing Solicited Systemic Adverse Events

An adverse event (AE) was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs were defined as the AEs that occurred within the first 7 days after each vaccination and were classified as one of the following: fever, nausea/vomiting, diarrhea, headache, fatigue, and myalgia. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Time frame:
Up to Day 224
Reported as:
Number · Percentage of Participants
Percentage of Participants Experiencing Solicited Systemic Adverse Events
Percentage of ParticipantsS-268019-bPlacebo
Percentage of Participants Experiencing Solicited Systemic Adverse Events32.7 (31.5 to 33.8)23.4 (22.0 to 24.9)
SecondaryPercentage of Participants Experiencing Solicited Local Adverse Events

An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited local AEs were defined as the AEs that occurred within the first 7 days after each vaccination and were classified as one of the following: pain, erythema/redness, induration, and swelling. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.

Time frame:
Up to Day 224
Reported as:
Number · Percentage of Participants
Percentage of Participants Experiencing Solicited Local Adverse Events
Percentage of ParticipantsS-268019-bPlacebo
Percentage of Participants Experiencing Solicited Local Adverse Events37.7 (36.5 to 38.9)14.6 (13.4 to 15.8)
SecondaryGeometric Mean Titer (GMT) of SARS-CoV-2 Neutralizing Antibody

Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 was measured by a live virus neutralization assay. The GMT was calculated by taking the back transformation of the arithmetic mean of log-transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the log-transformed values, then back transformed to the original scale.

Time frame:
Day 57
Reported as:
Geometric mean · Titer
Geometric Mean Titer (GMT) of SARS-CoV-2 Neutralizing Antibody
TiterS-268019-bPlacebo
Geometric Mean Titer (GMT) of SARS-CoV-2 Neutralizing Antibody34.66 (27.04 to 44.41)2.69 (2.31 to 3.14)
SecondaryGeometric Mean Fold Rise (GMFR) of SARS-CoV-2 Neutralizing Antibody

Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 was measured by a live virus neutralization assay. The GMFR was calculated by taking the back transformation of the arithmetic mean of the change from baseline in log-transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the change from baseline in the log-transformed values, then back transformed to the original scale.

Time frame:
Day 57
Reported as:
Geometric mean · Fold Rise
Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Neutralizing Antibody
Fold RiseS-268019-bPlacebo
Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Neutralizing Antibody13.86 (10.82 to 17.76)1.08 (0.92 to 1.25)
SecondarySeroconversion Rate of SARS-CoV-2 Neutralizing Antibody

Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 was measured by a live virus neutralization assay. Seroconversion was defined as a 4-times or higher from baseline in SARS-CoV-2 neutralizing antibody titer, where titer values reported as below the lower limit of quantification (LLOQ) were replaced by 0.5\*LLOQ. Seroconversion rate was defined as the percentage of participants that underwent seroconversion. The 95% confidence interval was calculated using the Clopper-Pearson method.

Time frame:
Day 57
Reported as:
Number · Percentage of Participants
Seroconversion Rate of SARS-CoV-2 Neutralizing Antibody
Percentage of ParticipantsS-268019-bPlacebo
Seroconversion Rate of SARS-CoV-2 Neutralizing Antibody93.1 (83.3 to 98.1)3.6 (0.1 to 18.3)
SecondaryGMT of Anti-SARS-CoV-2 S-protein Immunoglobulin G (IgG) Antibody

Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The serum neutralizing antibody level against SARS-CoV-2 (anti-spike protein IgG antibody) was measured by a chemiluminescence immunoassay. The GMT was calculated by taking the back transformation of the arithmetic mean of log- transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the log-transformed values, then back transformed to the original scale.

Time frame:
Day 57
Reported as:
Geometric mean · Titer
GMT of Anti-SARS-CoV-2 S-protein Immunoglobulin G (IgG) Antibody
TiterS-268019-bPlacebo
GMT of Anti-SARS-CoV-2 S-protein Immunoglobulin G (IgG) Antibody25209.25 (17163.57 to 37026.44)6.39 (3.10 to 13.19)
SecondaryGMFR of Anti-SARS-CoV-2 S-protein IgG Antibody

Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The anti-spike protein IgG antibody was measured by a chemiluminescence immunoassay. The GMFR was calculated by taking the back transformation of the arithmetic mean of the change from baseline in log-transformed titers. The 95% confidence interval was calculated based on the Student's t distribution of the change from baseline in the log-transformed values, then back transformed to the original scale.

Time frame:
Day 57
Reported as:
Geometric mean · Fold Rise
GMFR of Anti-SARS-CoV-2 S-protein IgG Antibody
Fold RiseS-268019-bPlacebo
GMFR of Anti-SARS-CoV-2 S-protein IgG Antibody6710.95 (4556.29 to 9884.54)1.46 (0.75 to 2.85)
SecondarySeroconversion Rate of Anti-SARS-CoV-2 S-protein IgG Antibody

Blood samples for immunogenicity assessments were collected during protocol-specified study visits. The anti-spike protein IgG antibody was measured by a chemiluminescence immunoassay. Seroconversion was defined as a 4-times or higher from baseline in anti-spike protein IgG antibody titer, where titer values reported as below the LLOQ are replaced by 0.5\*LLOQ and titer values reported as above the upper limit of quantification (ULOQ) are imputed at the ULOQ value. Seroconversion rate was defined as the percentage of participants that underwent seroconversion. The 95% confidence interval was calculated using the Clopper-Pearson method.

Time frame:
Day 57
Reported as:
Number · Percentage of Participants
Seroconversion Rate of Anti-SARS-CoV-2 S-protein IgG Antibody
Percentage of ParticipantsS-268019-bPlacebo
Seroconversion Rate of Anti-SARS-CoV-2 S-protein IgG Antibody98.2 (90.6 to 100.0)7.1 (0.9 to 23.5)

Adverse events

Collected over Day 1 (Baseline) through Day 435. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
S-268019-b29/9,083 (0.3%)154/9,083 (1.7%)3,647/9,083 (40.2%)
Placebo29/8,435 (0.3%)136/8,435 (1.6%)1,548/8,435 (18.4%)
Most frequent serious events
Showing 10 of 182
Most frequent serious events
EventS-268019-bPlacebo
PneumoniaInfections and infestations8/90839/8435
DeathGeneral disorders9/90833/8435
COVID-19Infections and infestations8/90837/8435
Abortion spontaneousPregnancy, puerperium and perinatal conditions2/29782/2781
BronchitisInfections and infestations5/90834/8435
Vestibular disorderEar and labyrinth disorders2/90834/8435
GastritisGastrointestinal disorders3/90834/8435
Multiple injuriesInjury, poisoning and procedural complications4/90834/8435
AppendicitisInfections and infestations4/90832/8435
Angina pectorisCardiac disorders4/90830/8435
Most frequent other events
Most frequent other events
EventS-268019-bPlacebo
PainGeneral disorders1689/9083290/8435
FatigueGeneral disorders1405/9083468/8435
HeadacheNervous system disorders1235/9083446/8435
MyalgiaMusculoskeletal and connective tissue disorders1029/9083255/8435
Injection site painGeneral disorders923/9083219/8435
PyrexiaGeneral disorders676/9083185/8435

Baseline characteristics

Full Analysis Set (FAS): all randomized participants who received at least 1 dose of the study intervention during the Initial Vaccination Period.

Age, Customized
Age, Customized(Participants)S-268019-b Then PlaceboPlacebo Then S-268019-bTotal
<30 years old18639542817
≥30 to <40 years old15597172276
≥40 to <50 years old11946161810
≥50 to <60 years old10175211538
≥60 to <65 years old418215633
≥65 years old530262792
Sex: Female, Male
Sex: Female, Male(Participants)S-268019-b Then PlaceboPlacebo Then S-268019-bTotal
Female215111313282
Male443021546584
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)S-268019-b Then PlaceboPlacebo Then S-268019-bTotal
Hispanic or Latino18523
Not Hispanic or Latino655232699821
Unknown or Not Reported111122
Race (NIH/OMB)
Race (NIH/OMB)(Participants)S-268019-b Then PlaceboPlacebo Then S-268019-bTotal
American Indian or Alaska Native202
Asian656932759844
Native Hawaiian or Other Pacific Islander000
Black or African American011
White000
More than one race000
Unknown or Not Reported10919
anti-Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) N-protein Antibody Test
anti-Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) N-protein Antibody Test(Participants)S-268019-b Then PlaceboPlacebo Then S-268019-bTotal
Positive8164091225
Negative571928608579
08

Study locations

1 site
  • Buon Ma Thuot City Medical Center
    Buon Ma Thuot, Dak Lak, Vietnam
09

References and documents

Publications

  • Dinh Thiem V, Van Anh PT, Van Men C, Hung DT, Pollard AJ, Kamitani A, Tada Y, Fukuyama H, Iwasaki Y, Ariyasu M, Sonoyama T. A SARS-CoV-2 recombinant spike protein vaccine (S-268019-b) for COVID-19 prevention during the Omicron-dominant period: A phase 3, randomised, placebo-controlled clinical trial. Vaccine. 2024 Jun 20;42(17):3699-3709. doi: 10.1016/j.vaccine.2024.04.084. Epub 2024 May 10. PubMed 38734495 ↗

Study documents

  • Study protocol · Jul 8, 2022
  • Statistical analysis plan · Sep 25, 2023

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05212948
Lead sponsor
Shionogi
Responsible party
Sponsor
First posted
Jan 28, 2022
Start date
Dec 25, 2021
Primary completion
Dec 19, 2022
Completion
Jul 19, 2023
Results posted
Nov 28, 2025
Last update
Nov 28, 2025

Oversight

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 2025. You cannot join it, but the record below documents what was studied.

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