Official Title
A Phase 2/3 Open-Label Study to Evaluate the Safety and Immunogenicity of an XBB.1.5 (Omicron Subvariant) SARS CoV-2 rS Vaccine Booster Dose in Previously mRNA COVID 19 Vaccinated and Baseline SARS CoV 2 Seropositive COVID-19 Vaccine Naïve Participants
Brief Summary

This is a Phase 2/3 open-label study to evaluate the safety and immunogenicity of abooster dose of the XBB.1.5 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)recombinant (r) spike (S) protein nanoparticle vaccine (SARS-CoV-2 rS) adjuvanted withMatrix-M™ in previously mRNA COVID-19 vaccinated adult participants ≥18 years of age andbaseline SARS CoV-2 seropositive COVID-19 vaccine naïve participants ≥18 years of age.

Detailed Description

Novavax, Inc. developed a recombinant prototype COVID-19 vaccine constructed from the
full-length ancestral (Wuhan) SARS CoV-2 S glycoprotein (GP) adjuvanted with the
saponin-based Matrix-M adjuvant (NVX-CoV2373). Subsequently, the SARS CoV 2 Omicron
variant and subvariants emerged with enhanced transmissibility and the most significant
number of mutations in any strain to date. Current evidence demonstrates that variant
strain mutations such as those in the Omicron XBB.1.5 sublineage confer the ability to
evade both natural and vaccine-induced neutralizing antibodies.

Part 1 of the study aims to investigate the safety and immunogenicity of the Novavax
XBB.1.5 SARS-CoV-2 rS vaccine (NVX-CoV2601) adjuvanted with Matrix-M in previously
COVID-19 mRNA vaccinated participants to determine if it induces superior antibody
responses compared to a historical control of the prototype vaccine (original Wuhan
strain), NVX-CoV2373.

Part 2 of the study aims to investigate the safety and immunogenicity of 1 dose of NVX
CoV2601 in baseline SARS-CoV-2 seropositive COVID-19 vaccine naïve participants to
determine if it induces non-inferior antibody responses compared to 1 booster dose of
NVX-CoV2601 in previously COVID-19 mRNA vaccinated individuals participating in Part 1.

Part 1:

Approximately 330 previously mRNA COVID-19 vaccinated participants will receive a booster
dose of XBB.1.5 Omicron subvariant vaccine (NVX-CoV2601) on Day 0. Immunogenicity and
28-day safety data will be used for an interim analysis, while participants remain on the
study for immunogenicity and safety data collection up to Day 180 post-vaccination.

Part 2:

After completion of Part 1, approximately 330 unvaccinated participants with a clinical
history of COVID-19-like disease during the previous year will receive a booster dose of
NVX-CoV2601 on Day 0. Immunogenicity and 28-day safety data will be used for an interim
analysis, while participants remain on the study for immunogenicity and safety data
collection up to Day 180 post vaccination.

Completed
COVID-19

Biological: XBB.1.5 Vaccine (Booster)

Omicron sub variant XBB.1.5 SARS-CoV-2 rS /Matrix-M Adjuvant the monovalent [5 μg/50 μg]
NVX-CoV2601) XBB.1.5 Vaccine (Booster)
Other Name: Omicron sub variant XBB.1.5 vaccine( booster) SARS-CoV-2 rS /Matrix-M Adjuvant

Biological: XBB.1.5 Vaccine (single dose)

Omicron sub variant XBB.1.5 SARS-CoV-2 rS /Matrix-M Adjuvant the monovalent [5 μg/50 μg]
NVX-CoV2601) XBB.1.5 Vaccine ( single dose)
Other Name: Omicron sub variant XBB.1.5 vaccine(single dose) SARS-CoV-2 rS /Matrix-M Adjuvant

Eligibility Criteria

Inclusion Criteria:

1. Adults ≥ 18 years of age at time of study vaccination.

2. Part 1: Previously vaccinated with ≥ 3 doses of the Moderna and/or Pfizer /BioNTech
prototype monovalent and/or BA.4/5 containing bivalent COVID-19 vaccines with the
last dose administered ≥ 90 days prior to study vaccination.

Part 2: Clinical history of COVID-19-like disease during the previous year.

3. Willing and able to give informed consent prior to study enrollment and to comply
with study procedures.

4. Female participants of childbearing potential (defined as any participant who has
experienced menarche and who is NOT surgically sterile [ie, hysterectomy, bilateral
tubal ligation, or bilateral oophorectomy] or postmenopausal [defined as amenorrhea
≥ 12 consecutive months]) must agree to be heterosexually in-active from at least 28
days prior to enrollment and through the end of the study OR agree to consistently
use a medically acceptable method of contraception listed below from ≥ 28 days prior
to enrollment and through the end of the study.

1. Condoms (male or female) with spermicide (if acceptable in country)

2. Diaphragm with spermicide

3. Cervical cap with spermicide

4. Intrauterine device

5. Oral or patch contraceptives

6. Norplant®, Depo-Provera®, or other in country regulatory approved contraceptive
method that is designed to protect against pregnancy.

7. Abstinence, as a form of contraception, is acceptable if in line with the
participant's lifestyle NOTE: Periodic abstinence (eg, calendar, ovulation,
sympto-thermal, post-ovulation methods) and withdrawal are not acceptable
methods of contraception.

5. Is medically stable, as determined by the investigator (based on review of health
status, vital signs [to include body temperature], medical history, and physical
examination [to include body weight]). Vital signs must be within medically
acceptable ranges prior to study vaccination.

6. Agrees to not participate in any research involving receipt of investigational
products (drug/biologic/device) including other SARS-CoV-2 prevention or treatment
trials for the duration of the study.

NOTE: For participants who become hospitalized with COVID-19, participation in
investigational treatment studies is permitted.

Exclusion Criteria:

1. Received COVID-19 vaccines other than Moderna and/or Pfizer-BioNTech in the past,
inclusive of clinical trial COVID-19 vaccines.

2. Participation in research involving receipt of investigational products
(drug/biologic/device) within 90 days prior to study vaccination (Day 0).

3. Received influenza vaccination within 14 days prior to study vaccination, or any
other vaccine within 30 days prior to study vaccination.

4. Any known allergies to products contained in the investigational product.

5. Any history of anaphylaxis to any prior vaccine.

6. Autoimmune or immunodeficiency disease/condition (iatrogenic or congenital)
requiring ongoing immunomodulatory therapy.

NOTE: Stable endocrine disorders (eg, thyroiditis, pancreatitis), including stable
diabetes mellitus with no history of diabetic ketoacidosis are NOT excluded.

7. Chronic administration (defined as > 14 continuous days) of immunosuppressant,
systemic glucocorti-coids, or other immune-modifying drugs within 90 days prior to
study vaccination (Day 0).

NOTE: An immunosuppressant dose of glucocorticoid is defined as a systemic dose ≥ 10
mg of prednisone per day or equivalent. The use of topical or intranasal
glucocorticoids is permitted. Topical tacrolimus and ocular cyclosporin are
permitted. Use of inhaled glucocorticoids is prohibited.

8. Received any prohibited medication (see Section 7.4.1), immunoglobulin,
blood-derived products, or immunosuppressant drugs within 90 days prior to study
vaccination (Day 0).

9. Active cancer (malignancy) on chemotherapy within 3 years prior to first study
vaccination (with the exception of adequately treated non-melanomatous skin
carcinoma or lentigo malign and uterine cervical carcinoma in situ without evidence
of disease, at the discretion of the investigator).

10. Participants who are breastfeeding, pregnant, or who plan to become pregnant prior
to the end of study.

11. Suspected or known history of alcohol abuse or drug addiction within 2 years prior
to study vaccination that, in the opinion of the investigator, might interfere with
protocol compliance.

12. Any other condition that, in the opinion of the investigator, would pose a health
risk to the participant if enrolled or could interfere with evaluation of the study
vaccine or interpretation of study results (includ-ing neurologic or psychiatric
conditions likely to impair the quality of safety reporting).

13. Study team member or immediate family member of any study team member (inclusive of
Sponsor, clinical research organization [CRO], and study site personnel involved in
the conduct or planning of the study).

14. Known history of myocarditis or pericarditis.

15. Respiratory symptoms in the past 3 days (ie, cough, sore throat, difficulty
breathing).

16. Temperature of > 38°C within 24 hours of planned study vaccination (site measured or
participant meas-ured).

17. Blood pressure of ≥ 160/100 mmHg.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: 54 Years
Countries
United States
Locations

AMR
Mobile 4076598, Alabama 4829764, United States

Benchmark Research
Sacramento 5389489, California 5332921, United States

Lynn Institute of the Rockies
Colorado Springs 5417598, Colorado 5417618, United States

AMR LLC-Miami
Coral Gables 4151871, Florida 4155751, United States

AMR
Fort Myers 4155995, Florida 4155751, United States

Health Awareness,LLC
Jupiter 4160610, Florida 4155751, United States

Tekton Research
Lawrenceville 4205196, Georgia 4197000, United States

Alliance for Multispecialty RSCH
Newton 4276248, Kansas 4273857, United States

Tekton Research
Wichita 4281730, Kansas 4273857, United States

AMR New Orleans
New Orleans 4335045, Louisiana 4331987, United States

University of Maryland
Baltimore 4347778, Maryland 4361885, United States

AMR
Kansas City 4393217, Missouri 4398678, United States

Sundance Clinical Research
St Louis 4407066, Missouri 4398678, United States

Velocity Clinical Research
Norfolk 5073965, Nebraska 5073708, United States

AMR
Las Vegas 5506956, Nevada 5509151, United States

AXCES Research
Albuquerque 5454711, New Mexico 5481136, United States

Rochester Clinical Research
Rochester 5134086, New York 5128638, United States

Tekton Research
Yukon 4556165, Oklahoma 4544379, United States

DM Clinical Research
Philadelphia 4560349, Pennsylvania 6254927, United States

AMR
Knoxville 4634946, Tennessee 4662168, United States

Benchmark Research
Austin 4671654, Texas 4736286, United States

Tekton Research
Austin 4671654, Texas 4736286, United States

Tekton Research
Beaumont 4672989, Texas 4736286, United States

Pan American clinical Research,LLC
Brownsville 4676740, Texas 4736286, United States

Benchmark Research
Fort Worth 4691930, Texas 4736286, United States

Research For Your Health
Plano 4719457, Texas 4736286, United States

Tekton Research
San Antonio 4726206, Texas 4736286, United States

AMR Layton Research Centre
Layton 5777107, Utah 5549030, United States

Health Research of Hampton Roads
Newport News 4776024, Virginia 6254928, United States

University of Washington
Seattle 5809844, Washington 5815135, United States

Clinical Development, Study Director
Novavax, Inc.

NCT Number
Keywords
COVID-19, XBB.1.5
MeSH Terms
COVID-19
Immunization, Secondary