The purpose of this research study is to find out how well two different 2023-2024updated COVID-19 vaccines protect people from COVID-19 (the disease caused by theSARS-CoV-2 virus), and to determine if getting a 2023-2024 updated vaccine providesbetter protection from COVID-19 than not getting a vaccine.If the participant chooses to get a 2023-2024 updated COVID-19 vaccine as part of thisstudy, they will have a 50/50 chance of receiving either the Novavax or Pfizer mRNAvaccine.If the participant decides not to get a 2023-2024 updated COVID-19 vaccine, theparticipant can still participate in other study activities.STUDY ACTIVITIES: - An online enrollment survey - An in-person enrollment visit - Weekly online surveys for 20 weeks - Weekly COVID-19 tests for 20 weeks - Additional online surveys if you have COVID-19 symptoms or tested positive for COVID-19. - Additional COVID-19 tests if you have COVID-19 symptoms or tested positive. - Online survey questions in the middle and at the end of the study
For the BEEHIVE Study, UT seeks to enroll 1,500 participants living in the greater Salt
Lake City area during the upcoming 2023-2024 COVID-19 season. Participants who intend to
get vaccinated with the 2023-2024 updated COVID-19 vaccine (n=1200) will be randomized
into the NVX vaccine group or the Pfizer mRNA vaccine group. Participants will be
randomized 1:1 to receive 1 dose of the NVX vaccine versus 1 dose of the Pfizer mRNA
vaccine from October to December 2023 (dates may vary slightly based on vaccine
availability). Participants who decide not to receive a 2023-2024 updated COVID-19
vaccine during this period will be placed in a non-randomized comparison group (n=300).
Participants in all three study arms will complete an online enrollment survey and will
self-schedule an in-person enrollment visit. During the visit, all participants will
receive a supply of at-home rapid antigen tests for SARS-CoV-2 infection. Those who
choose to be in the vaccinated group will also receive either the Novavax vaccine or the
Pfizer mRNA vaccine at random. On the first, second, and seventh day after receiving the
vaccine, participants will complete an online post-vaccination survey. Beginning after
the enrollment visit for a period of 24 weeks, all participants will complete a weekly
rapid at-home test and a weekly online survey that surveils for COVID-like illness
(CLI)-associated SARS-CoV-2 virus infection, defined as symptoms in the past 7 days
including: fever; chills; malaise; fatigue; headache; cough; shortness of breath; sore
throat; runny nose or nasal congestion; nausea or vomiting; diarrhea; muscle or body
aches; or change in smell or taste. Participants will upload a photo of each weekly test
result to the study portal. Those who report new CLI symptoms and those who test positive
on their at-home test will complete additional online surveys concerning their illness,
as well as another at-home test on the first and third day after the original test.
Additionally, all participants will complete a mid- and end-of study survey about their
work, health, and opinions about COVID-19, and any COVID-19 and influenza vaccines
received. Finally, participants who tested positive for COVID-19 during the study or who
had COVID-19 symptoms but did not test positive will complete an online survey about the
duration of symptoms and impact on their health. By Summer 2024, study staff will inform
participants when the weekly surveys will end and when to stop testing. At the end of the
study, participants in the vaccinated group will be notified of which study vaccine they
received.
Biological: Novavax COVID-19 vaccine (2023-2024 formula XBB containing)
Participants will receive a single dose of the Novavax vaccine.
Biological: Pfizer COVID-19 mRNA vaccine (2023-2024 formula XBB containing)
Participants will receive a single dose of the Pfizer vaccine.
Inclusion Criteria:
- Age ≥18 years
- Previously received ≥ 2-doses of US FDA-authorized mRNA vaccines
- Comfortable reading and responding to text messages and emails sent in English or
having an interpreter assist them
- Plan to remain in the greater Salt Lake City area for the next 12 months
- Daily access to the internet (via cell phone, laptop, desktop, or tablet) and a
phone with text messaging capabilities
- Willingness to complete weekly symptom and illness surveillance surveys sent via
text and email
- Willingness to complete an online survey at enrollment, mid-study, and end-of-study
surveys
- Willingness to be contacted periodically by study staff via text, email, and/or
telephone as part of study activities
- Willingness to self-collect rapid antigen tests (RAT; approved by FDA EUA for
COVID-19 detection) weekly and when prompted for study purposes, and to send results
via the study portal
- Willingness to self-collect additional rapid antigen test (approved by FDA EUA for
COVID-19 detection) if experiencing a qualifying symptomatic illness or upon
RAT-confirmation of an asymptomatic infection
- Willingness to attend in-person visit to receive supply of rapid antigen tests and
training on their use (all participants) and to receive a COVID-19 booster (if in
randomized group)
Exclusion Criteria:
- Lives with another person who is already enrolled in this study as reported by the
subject on the Eligibility Survey (Appendix C. Eligibility Survey)
- Previous hypersensitivity reaction to the study vaccines as reported by the subject
on the Eligibility Survey (Appendix C. Eligibility Survey)
- Recent infection [Real time Reverse Transcription Polymerase Chain Reaction assay
(RT-PCR) and/or RAT confirmed infection ≤ 90 days of trial vaccine administration
- Receipt of a COVID-19 vaccine within ≤ 90 days of trial vaccine administration
- Participation in other vaccine trials
- Medical history of immunosuppression
- Receipt of J&J vaccine prior to study enrollment
- Receipt of any investigational prevention therapies for SARS-CoV-2 infections, such
as prophylactic antiviral medications or other immune system modifying interventions
within ≤ 90 days of trial vaccine administration
- Unwillingness to provide electronic consent
- Unwillingness to self-report occupation, work responsibilities, and prior COVID-19
illness.
University of Utah School of Medicine
Salt Lake City 5780993, Utah 5549030, United States
Sarang K Yoon, DO, Principal Investigator
University of Utah