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CompletedNCT07834073SYS6006Updated Sep 22, 2026

Immunogenicity and Safety of a Single Dose of mRNA SARS-CoV-2 Vaccine in Chinese Adults With Hybrid Immunity

A Phase 4 interventional study of SYS6006 in COVID-19 and SARS-CoV-2 Infection, sponsored by Jiangsu Province Centers for Disease Control and Prevention. Completed at 1 site in China. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Jiangsu Province Centers for Disease Control and Prevention · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Registered 3 years 3 months after the study started (first participant enrolled May 2023, registered Sep 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
2,052
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicentre post-marketing cohort study to evaluate the immunogenicity and safety of a single dose of mRNA SARS-CoV-2 vaccine SYS6006 in Chinese adults predominantly with hybrid immunity. A total of 2,052 adults aged 18 years and older who received one dose of SYS6006 were monitored for serious adverse events (SAEs) for 6 months. The first 60 participants comprised an immunogenicity subgroup, with blood samples collected before vaccination and at day 14, month 3, and month 6 post-vaccination to assess humoral and cellular immune responses.

Read the detailed description

This study evaluated the immunogenicity and safety of a single dose of the mRNA SARS-CoV-2 vaccine SYS6006 (CSPC Megalith Biopharmaceutical Co., Ltd, Shijiazhuang, China) in Chinese adults aged 18 years and older predominantly with hybrid immunity against COVID-19. Between May and August 2023, 2,052 adults in five cities of Jiangsu Province, China (Taizhou, Changzhou, Lianyungang, Suqian, and Wuxi) received one intramuscular dose of SYS6006 (30 μg mRNA/0.3 mL) and were followed for 6 months to monitor serious adverse events (SAEs). The first 60 participants comprised the immunogenicity subgroup; serum and peripheral blood mononuclear cells (PBMCs) were collected before vaccination and at day 14, month 3, and month 6 post-vaccination. Immunogenicity assessments included pseudovirus neutralizing antibody geometric mean titres (GMTs) against wild-type (WT), BA.4/5, and XBB.1.16; receptor-binding domain (RBD)-specific IgG and IgA; ACE2-RBD binding inhibition; Fc-mediated effector functions (ADCP, ADCC, ADNP); and IFN-γ/IL-2 ELISpot responses.

02

Conditions studied

  • COVID-19
  • SARS-CoV-2 Infection

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Keywords

  • mRNA vaccine
  • COVID-19 vaccines
  • SYS6006
  • Omicron variant
  • Hybrid immunity
  • Post-marketing surveillance
  • Immunogenicity
  • Safety
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 2,052 is above the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Jiangsu Province Centers for Disease Control and Prevention is the lead sponsor of 77 studies on the registry; 5 are open to participants now.

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

  1. Adults aged 18 years and over, including the elderly over 60 years and those with general underlying diseases.
  2. At least 4 months since the last SARS-CoV-2 infection (or never infected), and at least 6 months since the last COVID-19 vaccination.
  3. Able and willing to comply with the study procedures and to provide written .

Exclusion criteria

Exclusion Criteria:

  1. Suspected COVID-19 symptoms on the day of enrollment (e.g., dry/sore throat, cough).
  2. Positive SARS-CoV-2 antigen rapid test at enrollment.
  3. Prior receipt of the first COVID-19 booster dose .
  4. History of severe adverse reactions or anaphylaxis related to vaccination, or known severe allergy to any vaccine component.
  5. Pregnant or lactating women.
  6. Any other condition that, in the investigator's judgment, makes the individual unsuitable for the study.

    -

Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2,052 participants (actual)

Study arms

  • Experimental
    SYS6006 single-dose recipients

    Participants in this arm received a single intramuscular dose of SYS6006 (CSPC Megalith Biopharmaceutical Co., Ltd, Shijiazhuang, China), a lipid nanoparticle (LNP)-encapsulated mRNA SARS-CoV-2 vaccine containing 30 μg mRNA in 0.3 mL. The vaccine encodes the full-length spike (S) protein of the SARS-CoV-2 Omicron variant and harbours key mutations from Delta, Omicron BA.4/5 and BF.7, and was administered via intramuscular injection into the deltoid muscle of the upper arm.

    Biological: SYS6006

Interventions

  • BiologicalSYS6006

    Lipid nanoparticle (LNP)-encapsulated mRNA SARS-CoV-2 vaccine, 30 μg mRNA/0.3 mL, single intramuscular dose.

06

What researchers measure

Primary outcomes

  1. Geometric mean titer (GMT) of neutralizing antibodies in the immunogenicity subgroup

    Measured in the immunogenicity subgroup at 14 days after booster immunization.

    Time frame: 14 days after booster immunization

  2. Incidence of serious adverse events (SAEs)

    Serious adverse events monitored for 6 months after the booster administration.

    Time frame: Within 6 months after the booster administration

Secondary outcomes

  1. Geometric mean concentration (GMC) of serum RBD-specific IgG

    GMC of serum RBD-specific IgG antibodies against WT and Omicron variants, measured by ELISA after booster immunization

    Time frame: Day 14 after booster immunization

  2. Geometric mean concentration (GMC) of serum RBD-specific IgG

    GMC of serum RBD-specific IgG antibodies against WT and Omicron variants, measured by ELISA after booster immunization

    Time frame: Month 3 after booster immunization

  3. Geometric mean concentration (GMC) of serum RBD-specific IgG

    GMC of serum RBD-specific IgG antibodies against WT and Omicron variants, measured by ELISA after booster immunization

    Time frame: Month 6 after booster immunization

  4. Geometric mean concentration (GMC) of serum RBD-specific IgA

    GMC of serum RBD-specific IgA antibodies against WT and Omicron variants, measured by ELISA after booster immunization

    Time frame: Day 14 after booster immunization

  5. Geometric mean concentration (GMC) of serum RBD-specific IgA

    GMC of serum RBD-specific IgA antibodies against WT and Omicron variants, measured by ELISA after booster immunization

    Time frame: Month 3 after booster immunization

  6. Geometric mean concentration (GMC) of serum RBD-specific IgA

    GMC of serum RBD-specific IgA antibodies against WT and Omicron variants, measured by ELISA after booster immunization

    Time frame: Month 6 after booster immunization

  7. ACE2-RBD binding inhibition rate

    Rate of inhibition of ACE2-RBD binding in serum, measured by surrogate virus neutralization / competitive binding assay after booster immunization.

    Time frame: Day 14 after booster immunization

  8. ACE2-RBD binding inhibition rate

    Rate of inhibition of ACE2-RBD binding in serum, measured by surrogate virus neutralization / competitive binding assay after booster immunization.

    Time frame: Month 3 after booster immunization

  9. ACE2-RBD binding inhibition rate

    Rate of inhibition of ACE2-RBD binding in serum, measured by surrogate virus neutralization / competitive binding assay after booster immunization.

    Time frame: Month 6 after booster immunization

  10. Antigen-specific T-cell response measured by ELISpot

    Frequency of antigen-specific T cells (spot-forming cells) in peripheral blood measured by ELISpot assay after booster immunization.

    Time frame: Day 14 after booster immunization

  11. Antigen-specific T-cell response measured by ELISpot

    Frequency of antigen-specific T cells (spot-forming cells) in peripheral blood measured by ELISpot assay after booster immunization.

    Time frame: Month 3 after booster immunization

  12. Antigen-specific T-cell response measured by ELISpot

    Frequency of antigen-specific T cells (spot-forming cells) in peripheral blood measured by ELISpot assay after booster immunization.

    Time frame: Month 6 after booster immunization

Other outcomes

  1. Antibody-dependent cellular phagocytosis (ADCP)

    ADCP activity induced by booster immunization against WT and Omicron variants, measured by bead-based phagocytosis assay.

    Time frame: Day 14 after booster immunization

  2. Antibody-dependent cellular phagocytosis (ADCP)

    ADCP activity induced by booster immunization against WT and Omicron variants, measured by bead-based phagocytosis assay.

    Time frame: Month 3 after booster immunization

  3. Antibody-dependent cellular phagocytosis (ADCP)

    ADCP activity induced by booster immunization against WT and Omicron variants, measured by bead-based phagocytosis assay.

    Time frame: Month 6 after booster immunization

  4. Antibody-dependent neutrophil phagocytosis (ADNP)

    ADNP activity induced by booster immunization against WT and Omicron variants, measured by neutrophil-based phagocytosis assay.

    Time frame: Day 14 after booster immunization

  5. Antibody-dependent neutrophil phagocytosis (ADNP)

    ADNP activity induced by booster immunization against WT and Omicron variants, measured by neutrophil-based phagocytosis assay.

    Time frame: Month 3 after booster immunization

  6. Antibody-dependent neutrophil phagocytosis (ADNP)

    ADNP activity induced by booster immunization against WT and Omicron variants, measured by neutrophil-based phagocytosis assay.

    Time frame: Month 6 after booster immunization

  7. Antibody-dependent cellular cytotoxicity (ADCC)

    ADCC activity induced by booster immunization against WT and Omicron variants, measured by reporter/effector-cell assay.

    Time frame: Day 14 after booster immunization

  8. Antibody-dependent cellular cytotoxicity (ADCC)

    ADCC activity induced by booster immunization against WT and Omicron variants, measured by reporter/effector-cell assay.

    Time frame: Month 3 after booster immunization

  9. Antibody-dependent cellular cytotoxicity (ADCC)

    ADCC activity induced by booster immunization against WT and Omicron variants, measured by reporter/effector-cell assay.

    Time frame: Month 6 after booster immunization

07

Study locations

1 site
  • Jiangsu Provincial Center for Disease Control and Prevention
    Nanjing, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 May 2023 to primary completion in Feb 2024, 9 months.

Of 145 non-industry phase 4 interventional studies under COVID-19, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 19. This study's 9 months is close to that.

Counting every sponsor, half of 188 studies reached it within 8 months; a quarter within 4 and three quarters within 16.

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

Registered
Sep 17, 2026
First posted
Sep 22, 2026
StartActual
May 23, 2023
Primary completionActual
Feb 28, 2024
CompletionActual
Feb 28, 2024
Last update
Sep 22, 2026
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 Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07834073
Lead sponsor
Jiangsu Province Centers for Disease Control and Prevention
Responsible party
Sponsor
First posted
Sep 22, 2026
Start date
May 23, 2023
Primary completion
Feb 28, 2024
Completion
Feb 28, 2024
Last update
Sep 22, 2026

Oversight

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

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