ClinicalTrials.gg
RecruitingNCT06810934CONTENDERUpdated Aug 18, 2026

A Phase 1/2A, Randomized Study of a T Follicular Helper (TFH)-Targeting Genetic Vaccine Strategy Designed to Induce Broad, Durable Immune Responses

A Phase 1/2 interventional study of CoTend-BXBB (SARS2-30404) and CoTend-s3BXBB (SARS2-17032) in COVID-19 and SARS-CoV-2 Infection, sponsored by Kara Chew. Recruiting at 2 sites in United States. Open to participants aged 40 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by Kara Chew · Phase 1/2, Interventional, and Prevention

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years to 64 Years
Sex
All
01

Study summary

The goal of this clinical trial is to test two investigational COVID-19 booster vaccines, called CoTend-s3BXBB and CoTend-BXBB, in healthy volunteers ages 40-64. The CoTend-s3BXBB vaccine includes a component called "s3", which was designed to improve the body's response to the vaccine. CoTend-BXBB is the same vaccine without s3.

The main questions the study aims to answer are: 1) Is the investigational vaccine safe? 2) Does "s3" lead to bigger, broader, and longer-lasting responses to the vaccine?

5 different doses of the vaccines will be studied. Participants will receive a single dose of either CoTend-s3BXBB, CoTend-BXBB, or placebo. Participants will be monitored for side effects. Saliva, nasal, and blood samples will be collected and immune responses to the vaccine will be measured.

02

Conditions studied

  • COVID-19
  • SARS-CoV-2 Infection

Keywords

  • COVID-19
  • SARS-CoV-2
  • Vaccine
  • Adjuvant
  • Virus
  • RNA Virus Infections
  • Prevention
  • Immunogenicity
  • Immunity
  • Viral infection
  • Coronavirus Infection
  • Infection
  • Coronavirus Infections
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 planned enrollment of 80 is below the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

This is the only study on the registry with Kara Chew as lead sponsor.

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

04

Who can participate

Ages eligible
40 Years to 64 Years
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

  1. Individuals 40 - 64 years of age
  2. Received at least two doses of a COVID-19 mRNA vaccine (Moderna or Pfizer) > 120 days before study entry
  3. Nasal SARS-CoV-2 negative by molecular (polymerase chain reaction, PCR) testing at screening
  4. The following laboratory criteria must be met at screening:

    1. Total white blood cell (WBC) count > 3500 cells/mm3
    2. (ANC) > 1500 cells/mm3
    3. > 13.5 g/dL if male sex and > 12.0 g/dL if female sex
    4. count > 140,000/uL
    5. Estimated (CrCl) > 50 mL/min by Cockroft-Gault equation
    6. Total ≤ 1.1x (ULN)
    7. (AST) ≤ 1.3x ULN
    8. Alanine aminotransferase (ALT) ≤ 1.3x ULN
  5. Individuals of must have a negative serum or urine beta-human chorionic gonadotropin (ß-HCG) test at screening and within 48 hours prior to entry.

    Reproductive potential is defined as:

    • Participants who have reached menarche
    • Participants who have not been for at least 12 consecutive months with follicle-stimulating hormone (FSH) ≥40 IU/mL or 24 consecutive months if an FSH is not available
    • Participants who have not undergone surgical (e.g., hysterectomy, bilateral oophorectomy, bilateral tubal ligation, or bilateral salpingectomy) NOTE: Participants who have undergone bilateral tubal ligation within the 24 weeks prior to screening are considered to be of reproductive potential and, if participating in sexual activity that could lead to pregnancy, contraception is required as per 5.2.2 exclusion criterion 2.
  6. Able and willing to provide

Exclusion criteria

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria are met:

  1. Pregnant or breastfeeding
  2. For participants capable of becoming pregnant and engaging in sexual activity that can lead to pregnancy, unwillingness to use during participation in the study. For participants capable of becoming pregnant, two of the following forms of contraception are required through 30 days following administration of study intervention, one of which must be a barrier method:

    1. Condoms (male or female) with or without a spermicidal agent
    2. Diaphragm or cervical cap with spermicide
    3. Intrauterine device (IUD)
    4. Hormone-based contraceptive such as oral birth control pills
  3. Known close contact with anyone with confirmed SARS-CoV-2 infection (defined as positive SARS-CoV-2 nucleic acid or antigen testing by laboratory-based or home self-test) within 2 weeks prior to expected study entry
  4. Plan to receive a non-study SARS-CoV-2 vaccine within 8 weeks after study entry
  5. infection
  6. core antibody or hepatitis B surface antigen positive at screening
  7. Current active . Participants must be hepatitis C virus (HCV) antibody negative or have evidence of cleared HCV infection. If the participant is HCV antibody positive or indeterminate, an unquantifiable HCV RNA result (below lower limit of quantification, either target detected or target not detected) within 42 days prior to study entry is required. Those who are currently receiving HCV antiviral therapy or those who have received HCV treatment in the last 3 months prior to study entry will be excluded.
  8. History of cirrhotic liver disease
  9. History of thrombosis with thrombocytopenia syndrome (TTS), immune thrombocytopenia, thromboembolic events, capillary leak syndrome, other thrombotic disease or known increased risk of thrombosis due to genetic disorders or
  10. History of or active disease that has required systemic or immunomodulatory therapy
  11. History of myocarditis, pericarditis, or myopericarditis
  12. Potential myocarditis or pericarditis identified at screening, defined as high-sensitivity troponin I (hsTnI) > or 12-lead compatible with pericarditis WITH compatible symptoms (regardless of troponin I level) at screening
  13. History of Guillain-Barré syndrome
  14. History of coagulopathy or bleeding disorder considered a to intramuscular injection or phlebotomy
  15. Symptomatic acute or chronic illness requiring ongoing medical or surgical care, including requirement for new medications, in the past 3 months. Transient illnesses or injuries that are resolved prior to screening are not exclusionary. Minor adjustments in stable therapy for chronic conditions such as hypertension are not exclusionary. Use of over-the-counter medications for any acute or chronic illness is also not exclusionary.
  16. Serious medical or psychiatric illness that, in the opinion of the site investigator, would interfere with the ability to adhere to study requirements or to give
  17. Treatment with systemic immunosuppressive or immunomodulatory drugs, and/or exposure to any immunosuppressive/immunomodulatory drug in the 30 days prior to study entry (e.g. therapy equal to or exceeding a dose of 20 mg/day of prednisone for more than 10 days, interleukins, interferons, methotrexate, rituximab, and cancer chemotherapy). Use of topical, inhaled, intra-articular, or nasal steroid use is not exclusionary.
  18. Active malignancy or history of malignancy within the 4 years prior to study entry. Non-melanoma skin cancers (such as basal or squamous cell skin cancers) and non-invasive cervical or anal intraepithelial lesions are not exclusionary.
  19. History of solid organ or hematopoietic stem cell transplantation
  20. History of primary immunodeficiency disorder
  21. Ongoing complications or morbidity associated with prior diagnoses of malignancies requiring continued medical or surgical intervention. Chronic stable complications or morbidity not requiring new medications or other medical or surgical intervention in the past 3 months are not exclusionary.
  22. Administration or planned administration of blood products or licensed non-SARS-CoV-2 vaccines \<14 days prior to or within 14 days after study entry
  23. Receipt of any antibody-based therapy ( or approved) for prophylaxis or treatment of COVID-19 in the preceding 6 months
  24. Receipt of immunoglobulin therapy in the year prior to study entry or scheduled or anticipated immunoglobulin administration during the study period.
  25. Prior receipt of any non-mRNA SARS-CoV-2 vaccine
  26. Receipt of any SARS-CoV-2 vaccination in the 120 days prior to study entry
  27. Documented SARS-CoV-2 infection in the 120 days prior to study entry
  28. History of anaphylaxis, urticaria, or other significant adverse reaction requiring medical intervention (medications requiring a prescription or surgical intervention) after receipt of a vaccine or intervention that includes one or more of the same components contained in the study product
  29. Have participated in an interventional clinical study within 28 days prior to screening (based on medical history interview) or plans to do so while participating in this study
  30. Any clinical concerns as determined by the investigator that might affect the potential participant's safety in the study.
Terms in these criteria, in plain language(21)

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask 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.

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

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.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Dose Cohort 1, Arm 1A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^6 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 1, Arm 1B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^6 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Experimental
    Dose Cohort 2, Arm 2A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^7 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 2, Arm 2B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^7 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Experimental
    Dose Cohort 3, Arm 3A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^8 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 3, Arm 3B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^8 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Experimental
    Dose Cohort 4, Arm 4A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^9 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 4, Arm 4B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^9 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Experimental
    Dose Cohort 5, Arm 5A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^10 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 5, Arm 5B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^10 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Experimental
    Dose Cohort 6, Arm 6A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^9 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 6, Arm 6B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^9 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Placebo comparator
    Dose Cohort 6, Arm 6C

    Intervention: Placebo (normal saline) Dose: 0.5mL IM once

    Biological: Placebo

  • Experimental
    Dose Cohort 7, Arm 7A

    Intervention: CoTend-s3BXBB (SARS2-17032) Dose: 1x10\^10 vp (0.5mL) IM once

    Biological: CoTend-s3BXBB (SARS2-17032)

  • Experimental
    Dose Cohort 7, Arm 7B

    Intervention: CoTend-BXBB (SARS2-30404) Dose: 1x10\^10 vp (0.5mL) IM once

    Biological: CoTend-BXBB (SARS2-30404)

  • Placebo comparator
    Dose Cohort 7, Arm 7C

    Intervention: Placebo (normal saline) Dose: 0.5mL IM once

    Biological: Placebo

Interventions

  • BiologicalCoTend-BXBB (SARS2-30404)

    Ad35-vectored SARS-CoV-2 RBD (XBB.1.5) vaccine

  • BiologicalCoTend-s3BXBB (SARS2-17032)

    Ad35-vectored s3-SARS-CoV-2 RBD (XBB.1.5) vaccine

  • BiologicalPlacebo

    Sterile sodium chloride 0.9% for injection, preservative free

06

What researchers measure

Primary outcomes

  1. Frequency of solicited local reactogenicity adverse events (AEs) within 7 days after dosing.

    Number of participants with solicited local reactogenicity AEs (injection site pain, erythema, or swelling) within 7 days after dosing. An AE is any untoward medical occurrence in a clinical investigation of a patient administered a pharmaceutical product and that does not necessarily have a causal relationship with the treatment.

    Time frame: 7 days

  2. Frequency of solicited systemic reactogenicity AEs within 7 days after dosing.

    Number of participants with solicited systemic reactogenicity AEs (malaise, participant-measured body temperature, fatigue, headache, chills, nausea, muscle aches/pain, joint pain) within 7 days after dosing.

    Time frame: 7 days

  3. Frequency of unsolicited AEs within 28 days after dosing.

    Number of participants with unsolicited AEs within 28 days after dosing. Unsolicited AEs are AEs that were not pre-defined as solicited.

    Time frame: 28 days

  4. Frequency of serious adverse events (SAEs) within 28 days after dosing.

    Number of participants with an SAE within 28 days after dosing. An SAE is defined as any adverse event that results in any of the following outcomes: death during a period of surveillance defined by the protocol, a life-threatening adverse experience, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant disability/incapacity, or a congenital anomaly/birth defect. The following are also considered SAEs for this study: severe COVID-19, defined as COVID-19 requiring hospitalization or supplemental oxygen, myocarditis or pericarditis within 6 weeks of study vaccination, and acute or new onset thrombosis or thromboembolism within 60 days of vaccination.

    Time frame: 28 days

  5. Frequency of adverse events of special interest (AESIs) within 28 days after dosing.

    Number of participants with AESIs. AESIs defined as: thrombotic or thromboembolic events, thrombosis with thrombocytopenia syndrome, immune thrombocytopenia, or capillary leak syndrome occurring within 60 days; new thrombocytopenia \<150 x 10\^9/L or below the lower laboratory limit of normal or worsening in grade of thrombocytopenia within 60 days after study vaccination; new D-dimer elevation \>2000 ng/mL within 60 days; laryngospasm, bronchospasm, or anaphylaxis assessed as at least possibly related; generalized urticaria assessed as related; any other grade allergic/ hypersensitivity reaction within 7 days; any ulceration, abscess, or necrosis at injection site assessed as possibly related; myocarditis or pericarditis occurring within 6 weeks; new diagnosis of Guillain-Barré syndrome occurring within 60 days; any new or worsened immune mediated medical condition; grade 3+ lab abnormality for which there is a reasonable possibility of causal relationship to study treatment.

    Time frame: 28 days

  6. Frequency of medically attended adverse events (MAAEs) within 28 days after dosing.

    Number of participants with MAAEs (MAAE defined as an AE resulting in a hospitalization, emergency room visit, or otherwise unscheduled visit with medical personnel for any reason) within 28 days after dosing.

    Time frame: 28 days

  7. Geometric mean titers (GMTs) of serum anti-XBB.1.5 neutralizing antibodies (NAb) through week 8.

    Serum anti-XBB.1.5 NAb GMT

    Time frame: 8 weeks

  8. Proportion of participants achieving serum anti-XBB.1.5 NAb titers of 1:250 or better through week 8.

    Proportion of participants achieving serum anti-XBB.1.5 NAb titers of 1:250 or better

    Time frame: 8 weeks

  9. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-XBB.1.5 NAb responses.

    Geometric mean fold rise (GMFR) in serum anti-XBB.1.5 NAb levels

    Time frame: Pre-dose to 8 weeks

Secondary outcomes

  1. Serum anti-D614G NAb GMTs through week 8.

    Serum anti-D614G NAb GMTs

    Time frame: 8 weeks

  2. Serum anti-JN.1* NAb GMTs through week 8.

    Serum anti-JN.1\* NAb GMTs (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated)

    Time frame: 8 weeks

  3. Proportion of participants achieving anti-D614G NAb titers of 1:250 or better through week 8.

    Proportion of participants achieving anti-D614G NAb titers of 1:250 or better

    Time frame: 8 weeks

  4. Proportion of participants achieving anti-JN.1* NAb titers of 1:250 or better through week 8.

    Proportion of participants achieving serum anti-JN.1\* NAb GMTs of 1:250 or better (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated).

    Time frame: 8 weeks

  5. GMFR from pre-dose to week 8 in serum anti-D614G NAb responses.

    GMFR in serum anti-D614G NAb responses

    Time frame: Pre-dose to 8 weeks

  6. GMFR from pre-dose to week 8 in serum anti-JN.1* NAb responses.

    GMFR in serum anti-JN.1\* NAb responses (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated).

    Time frame: Pre-dose to 8 weeks

  7. Serum anti-XBB.1.5 RBD IgG binding antibody (bAb) GMTs through week 8.

    Serum anti-XBB.1.5 RBD IgG bAb GMTs

    Time frame: 8 weeks

  8. Serum anti-XBB.1.5 RBD IgA binding antibody GMTs through week 8.

    Serum anti-XBB.1.5 RBD IgA bAb GMTs

    Time frame: 8 weeks

  9. Serum anti-D614G RBD IgG binding antibody (bAb) GMTs through week 8.

    Serum anti-D614G RBD IgG bAb GMTs.

    Time frame: 8 weeks

  10. Serum anti-D614G RBD IgA binding antibody (bAb) GMTs through week 8.

    Serum anti-D614G RBD IgA bAb GMTs through week 8.

    Time frame: 8 weeks

  11. Serum anti-JN.1* RBD IgG binding antibody (bAb) GMTs through week 8.

    Serum anti-JN.1\* RBD IgG bAb GMTs (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated)

    Time frame: 8 weeks

  12. Serum anti-JN.1* RBD IgA binding antibody (bAb) GMTs through week 8.

    Serum anti-JN.1\* RBD IgA bAb GMTs (\*the most relevant SARS-CoV-2 variant at the time of analysis will be evaluated)

    Time frame: 8 weeks

  13. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-XBB.1.5 RBD IgG binding antibody responses.

    Time frame: Pre-dose to 8 weeks

  14. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-XBB.1.5 RBD IgA binding antibody responses.

    Time frame: Pre-dose to 8 weeks

  15. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-D614G RBD IgG binding antibody responses.

    Time frame: Pre-dose to 8 weeks

  16. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-D614G RBD IgA binding antibody responses.

    Time frame: Pre-dose to 8 weeks

  17. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-JN.1* RBD IgG binding antibody responses.

    Time frame: Pre-dose to 8 weeks

  18. Geometric mean fold rise (GMFR) from pre-dose to week 8 in serum anti-JN.1* RBD IgA binding antibody responses.

    Time frame: Pre-dose to 8 weeks

  19. Frequency of grade 3 or higher AEs through week 26 visit.

    Number of participants with grade 3 or higher AEs through week 26 visit. Grade 3 AE is defined as severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. Grade 4 AE is defined as potentially life-threatening symptoms causing inability to perform basic self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death. All deaths related to an AE are classified as grade 5.

    Time frame: 26 weeks

  20. Frequency of SAEs through week 26 visit.

    Number of participants with SAEs through week 26 visit.

    Time frame: 26 weeks

  21. Frequency of AESIs through week 26 visit.

    Number of participants with AESIs through week 26 visit.

    Time frame: 26 weeks

  22. Frequency of MAAEs through week 26 visit.

    Number of participants with MAAEs through week 26 visit

    Time frame: 26 weeks

  23. Frequency of SAEs through end of study visit

    Number of participants with SAEs through their end of study visit

    Time frame: Through end of study visit (52 or 104 weeks)

  24. Frequency of AESIs through end of study visit

    Number of participants with AESIs through their end of study visit

    Time frame: Through end of study visit (52 or 104 weeks)

  25. Frequency of MAAEs through end of study visit

    Number of participants with MAAEs through their end of study visit

    Time frame: Through end of study visit (52 or 104 weeks)

  26. Fraction of RBD-specific CD4+ T cells through week 8.

    Fraction of RBD-specific CD4+ T cells

    Time frame: 8 weeks

  27. Fraction of RBD-specific CD8+ T cells through week 8.

    Fraction of RBD-specific CD8+ T cells

    Time frame: 8 weeks

  28. NAb GMTs through week 26.

    Serum NAb GMTs

    Time frame: 26 weeks

  29. NAb GMTs through week 52.

    Serum NAb GMTs

    Time frame: 52 weeks

  30. NAb GMTs through week 104.

    Serum NAb GMTs

    Time frame: 104 weeks

  31. Binding Ab GMTs through week 26.

    Serum binding Ab GMTs

    Time frame: 26 weeks

  32. Binding Ab GMTs through week 52.

    Serum binding Ab GMTs

    Time frame: 52 weeks

  33. Binding Ab GMTs through week 104.

    Serum binding Ab GMTs

    Time frame: 104 weeks

  34. Proportion of participants achieving NAb titers of 1:250 or better through week 26.

    Proportion of participants achieving serum NAb titers of 1:250 or better

    Time frame: 26 weeks

  35. Proportion of participants achieving NAb titers of 1:250 or better through week 52.

    Proportion of participants achieving serum NAb titers of 1:250 or better

    Time frame: 52 weeks

  36. Proportion of participants achieving NAb titers of 1:250 or better through week 104.

    Proportion of participants achieving serum NAb titers of 1:250 or better

    Time frame: 104 weeks

  37. GMFR of NAb titers from pre-dose through week 26.

    GMFR of serum NAb titers

    Time frame: Pre-dose to 26 weeks

  38. GMFR of NAb titers from pre-dose through week 52.

    GMFR of serum NAb titers

    Time frame: Pre-dose to 52 weeks

  39. GMFR of NAb titers from pre-dose through week 104.

    GMFR of serum NAb titers

    Time frame: Pre-dose to 104 weeks

  40. GMFR of binding Ab titers from pre-dose through week 26.

    Time frame: Pre-dose to 26 weeks

  41. GMFR of binding Ab titers from pre-dose through week 52.

    Time frame: Pre-dose to 52 weeks

  42. GMFR of binding Ab titers from pre-dose through week 104.

    Time frame: Pre-dose to 104 weeks

  43. Fraction of RBD-specific CD4+ T cells through week 26.

    Fraction of RBD-specific CD4+ T cells

    Time frame: 26 weeks

  44. Fraction of RBD-specific CD4+ T cells through week 52.

    Fraction of RBD-specific CD4+ T cells

    Time frame: 52 weeks

  45. Fraction of RBD-specific CD4+ T cells through week 104.

    Fraction of RBD-specific CD4+ T cells

    Time frame: 104 weeks

  46. Fraction of RBD-specific CD8+ T cells through week 26.

    Fraction of RBD-specific CD8+ T cells

    Time frame: 26 weeks

  47. Fraction of RBD-specific CD8+ T cells through week 52.

    Fraction of RBD-specific CD8+ T cells

    Time frame: 52 weeks

  48. Fraction of RBD-specific CD8+ T cells through week 104.

    Fraction of RBD-specific CD8+ T cells

    Time frame: 104 weeks

07

Study locations

2 of 2 sites recruiting
  • UCLA Westwood
    Los Angeles, California 90095, United States
    Recruiting
  • UCSF Community and Clinical Research Center
    San Francisco, California 94110, United States
    Recruiting
    • Rebecca Hoh · ContactCONTENDER@ucsf.edu · 415-353-9599
    • Steven Deeks, MD · Principal investigator
08

References and documents

Publications

  • Bowen JE, Park YJ, Stewart C, Brown JT, Sharkey WK, Walls AC, Joshi A, Sprouse KR, McCallum M, Tortorici MA, Franko NM, Logue JK, Mazzitelli IG, Nguyen AW, Silva RP, Huang Y, Low JS, Jerak J, Tiles SW, Ahmed K, Shariq A, Dan JM, Zhang Z, Weiskopf D, Sette A, Snell G, Posavad CM, Iqbal NT, Geffner J, Bandera A, Gori A, Sallusto F, Maynard JA, Crotty S, Van Voorhis WC, Simmerling C, Grifantini R, Chu HY, Corti D, Veesler D. SARS-CoV-2 spike conformation determines plasma neutralizing activity elicited by a wide panel of human vaccines. Sci Immunol. 2022 Dec 23;7(78):eadf1421. doi: 10.1126/sciimmunol.adf1421. Epub 2022 Dec 23. PubMed 36356052 ↗
  • De Boer RJ, Perelson AS. How Germinal Centers Evolve Broadly Neutralizing Antibodies: the Breadth of the Follicular Helper T Cell Response. J Virol. 2017 Oct 27;91(22):e00983-17. doi: 10.1128/JVI.00983-17. Print 2017 Nov 15. PubMed 28878083 ↗
  • Wang Q, Iketani S, Li Z, Liu L, Guo Y, Huang Y, Bowen AD, Liu M, Wang M, Yu J, Valdez R, Lauring AS, Sheng Z, Wang HH, Gordon A, Liu L, Ho DD. Alarming antibody evasion properties of rising SARS-CoV-2 BQ and XBB subvariants. Cell. 2023 Jan 19;186(2):279-286.e8. doi: 10.1016/j.cell.2022.12.018. Epub 2022 Dec 14. PubMed 36580913 ↗
  • Havervall S, Marking U, Svensson J, Greilert-Norin N, Bacchus P, Nilsson P, Hober S, Gordon M, Blom K, Klingstrom J, Aberg M, Smed-Sorensen A, Thalin C. Anti-Spike Mucosal IgA Protection against SARS-CoV-2 Omicron Infection. N Engl J Med. 2022 Oct 6;387(14):1333-1336. doi: 10.1056/NEJMc2209651. Epub 2022 Sep 14. No abstract available. PubMed 36103621 ↗
  • Balachandran H, Phetsouphanh C, Agapiou D, Adhikari A, Rodrigo C, Hammoud M, Shrestha LB, Keoshkerian E, Gupta M, Turville S, Christ D, King C, Sasson SC, Bartlett A, Grubor-Bauk B, Rawlinson W, Aggarwal A, Stella AO, Klemm V, Mina MM, Post JJ, Hudson B, Gilroy N, Konecny P, Ahlenstiel G, Dwyer DE, Sorrell TC, Kelleher A, Tedla N, Lloyd AR, Martinello M, Bull RA; COSIN Study Group. Maintenance of broad neutralizing antibodies and memory B cells 1 year post-infection is predicted by SARS-CoV-2-specific CD4+ T cell responses. Cell Rep. 2022 Feb 8;38(6):110345. doi: 10.1016/j.celrep.2022.110345. Epub 2022 Jan 19. PubMed 35090598 ↗
  • Fuchs JD, Bart PA, Frahm N, Morgan C, Gilbert PB, Kochar N, DeRosa SC, Tomaras GD, Wagner TM, Baden LR, Koblin BA, Rouphael NG, Kalams SA, Keefer MC, Goepfert PA, Sobieszczyk ME, Mayer KH, Swann E, Liao HX, Haynes BF, Graham BS, McElrath MJ; NIAID HIV Vaccine Trials Network. Safety and Immunogenicity of a Recombinant Adenovirus Serotype 35-Vectored HIV-1 Vaccine in Adenovirus Serotype 5 Seronegative and Seropositive Individuals. J AIDS Clin Res. 2015 May;6(5):461. doi: 10.4172/2155-6113.1000461. Epub 2015 May 23. PubMed 26587311 ↗
  • Nwanegbo E, Vardas E, Gao W, Whittle H, Sun H, Rowe D, Robbins PD, Gambotto A. Prevalence of neutralizing antibodies to adenoviral serotypes 5 and 35 in the adult populations of The Gambia, South Africa, and the United States. Clin Diagn Lab Immunol. 2004 Mar;11(2):351-7. doi: 10.1128/cdli.11.2.351-357.2004. PubMed 15013987 ↗
  • Qu P, Faraone JN, Evans JP, Zheng YM, Yu L, Ma Q, Carlin C, Lozanski G, Saif LJ, Oltz EM, Gumina RJ, Liu SL. Durability of Booster mRNA Vaccine against SARS-CoV-2 BA.2.12.1, BA.4, and BA.5 Subvariants. N Engl J Med. 2022 Oct 6;387(14):1329-1331. doi: 10.1056/NEJMc2210546. Epub 2022 Sep 7. No abstract available. PubMed 36069925 ↗
  • Gilboa M, Regev-Yochay G, Mandelboim M, Indenbaum V, Asraf K, Fluss R, Amit S, Mendelson E, Doolman R, Afek A, Freedman LS, Kreiss Y, Lustig Y. Durability of Immune Response After COVID-19 Booster Vaccination and Association With COVID-19 Omicron Infection. JAMA Netw Open. 2022 Sep 1;5(9):e2231778. doi: 10.1001/jamanetworkopen.2022.31778. PubMed 36107426 ↗
  • Chen Y, Tong P, Whiteman NB, et al. Differential antibody dynamics to SARS-CoV-2 infection and vaccination. bioRxiv 2021:2021.09.09.459504.
  • Planas D, Veyer D, Baidaliuk A, Staropoli I, Guivel-Benhassine F, Rajah MM, Planchais C, Porrot F, Robillard N, Puech J, Prot M, Gallais F, Gantner P, Velay A, Le Guen J, Kassis-Chikhani N, Edriss D, Belec L, Seve A, Courtellemont L, Pere H, Hocqueloux L, Fafi-Kremer S, Prazuck T, Mouquet H, Bruel T, Simon-Loriere E, Rey FA, Schwartz O. Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization. Nature. 2021 Aug;596(7871):276-280. doi: 10.1038/s41586-021-03777-9. Epub 2021 Jul 8. PubMed 34237773 ↗

Individual participant data

Plan to share: Yes — De-identified data.

Time frame: After completion of the study analyses and publications.

Access criteria: There will be a managed access process with requirement of a data use agreement.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06810934
Lead sponsor
Kara Chew
Responsible party
Kara Chew (Associate Professor of Medicine, University of California, Los Angeles) — Sponsor-investigator
First posted
Feb 6, 2025
Start date
Oct 21, 2025
Primary completion
Dec 2027 (estimated)
Completion
Oct 2029 (estimated)
Last update
Aug 18, 2026

Study contacts

Kara Chew, MD, MS
Contact
kchew@mednet.ucla.edu
310-825-0796
Stephanie Buchbinder, MPH
Contact
SBuchbinder@mednet.ucla.edu
310-825-5147
Kara Chew, MD, MS
principal investigator · University of California, Los Angeles
Steven Deeks, MD
principal investigator · University of California, San Francisco
Dennis Hartigan-O'Connor, MD, PhD
principal investigator · University of California, Davis

Oversight

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

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