Phase 3
Completed N=1,574
A Phase 3 Study to Evaluate the Safety, Tolerability, and Immunogenicity of Multiple Production Lots and Dose Levels of BNT162b2 RNA-Based COVID-19 Vaccines Against COVID-19 in Healthy Participants
Source: ClinicalTrials.gov NCT04713553 ↗Enrolled (actual)
1,574
Serious AEs
0.1%
Results posted
Dec 2022
Primary outcomePrimary: Geometric Mean Ratios (GMRs) of Full-Length S-Binding Immunoglobulin G (IgG) Concentrations Between Individual US Lots 1, 2, and 3 at 1 Month After Dose 2: Primary Study — 6299.5; 6231.9; 6774.8 Unit per milliliter
◆ Published Evidence
No publication linked
No peer-reviewed publication reporting this trial's results has been linked yet. This can indicate results are unpublished — a known publication-bias signal. We re-check periodically.
Summary
This is a Phase 3, randomized, observer-blind study in healthy individuals.
The primary study will evaluate the safety, tolerability, and immunogenicity of the SARS-CoV-2 RNA vaccine candidate (BNT162b2):
* As a 30-microgram dose, administered from 1 of 4 manufacturing lots (batches)
* As a 20-microgram dose, administered from 1 of the manufacturing lots
* As a 2-dose (separated by 21 days) schedule
* In people 12 through 50 years of age
The booster study will evaluate the safety, tolerability, and immunogenicity of 2 SARS-CoV-2 RNA vaccine candidates (BNT162b2 and BNT162b2.B.1.351):
* Each as a 30-microgram dose
* Each as a 1-dose booster vaccine, administered approximately 3 months after Dose 2
* In people 18 through 50 years of age
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Geometric Mean Ratios (GMRs) of Full-Length S-Binding Immunoglobulin G (IgG) Concentrations Between Individual US Lots 1, 2, and 3 at 1 Month After Dose 2: Primary Study |
6299.5; 6231.9; 6774.8 | — |
| PRIMARY Geometric Mean Ratios (GMRs) of Full-Length S-Binding IgG Concentrations Between EU Lot and Pooled US Lots at 1 Month After Dose 2: Primary Study |
6098.6; 6428.8 | — |
| PRIMARY Geometric Mean Ratios (GMRs) of SARS-CoV-2 Neutralizing Titers Between 20-microgram Dose and 30-microgram Dose at 1 Month After Dose 2: Primary Study |
906.3; 976.6 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Dose 1: Primary Study |
1.1; 2.0; 2.9; 2.0; 2.3; 2.0 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Dose 2: Primary Study |
3.7; 4.0; 4.4; 4.0; 2.9; 3.2 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Any Dose: Primary Study |
4.6; 5.4; 6.6; 5.5; 4.6; 4.6 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Dose 3: Booster Study |
9.7; 3.2; 6.5; 6.5; 90.3; 93.5 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Dose 1: Primary Study |
0.3; 0; 2.0; 0.8; 1.2; 0 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Dose 2: Primary Study |
7.2; 6.3; 6.7; 6.7; 8.7; 5.7 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Any Dose: Primary Study |
7.4; 6.3; 8.4; 7.3; 9.2; 5.7 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Dose 3: Booster Study |
3.2; 6.5; 0; 6.5; 3.2; 0 | — |
| PRIMARY Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) From Dose 1 to 1 Month After Dose 2: Primary Study |
5.4; 6.0; 5.2; 5.5; 10.4; 6.8 | — |
| PRIMARY Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) From Dose 3 to 1 Month After Dose 3: Booster Study |
6.5; 3.2; 0; 0 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 Reference-strain at Baseline: Booster Study |
20.5; 20.5 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 Reference-strain 1 Month After Dose 2: Booster Study |
971.4; 749.0 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 Reference-strain Before Dose 3: Booster Study |
263.5; 224.2 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 Reference-strain 1 Week After Dose 3: Booster Study |
2159.3; 1283.4 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 Reference-strain 1 Month After Dose 3: Booster Study |
2035.5; 943.3 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 B.1.351-strain at Baseline: Booster Study |
— | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 B.1.351-strain 1 Month After Dose 2: Booster Study |
— | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 B.1.351-strain Before Dose 3: Booster Study |
103.0; 94.0 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 B.1.351-strain 1 Week After Dose 3: Booster Study |
1614.1; 1729.8 | — |
| PRIMARY Geometric Mean Titers (GMTs) of SARS-CoV-2 B.1.351-strain 1 Month After Dose 3: Booster Study |
1358.4; 1411.1 | — |
| PRIMARY Geometric Mean Concentrations (GMCs) of Full-length S-binding IgG Levels at Baseline: Booster Study |
3.4; 3.4 | — |
| PRIMARY Geometric Mean Concentrations (GMCs) of Full-length S-binding IgG Levels 1 Month After Dose 2: Booster Study |
6529.1; 3796.9 | — |
| PRIMARY Geometric Mean Concentrations (GMCs) of Full-length S-binding IgG Levels Before Dose 3: Booster Study |
1834.5; 1851.6 | — |
| PRIMARY Geometric Mean Concentrations (GMCs) of Full-length S-binding IgG Levels 1 Week After Dose 3: Booster Study |
10756.9; 10412.3 | — |
| PRIMARY Geometric Mean Concentrations (GMCs) of Full-length S-binding IgG Levels 1 Month After Dose 3: Booster Study |
7983.0; 6676.9 | — |
| PRIMARY Geometric Mean Fold Rises (GMFRs) in Full-length S-binding IgG Levels From 1 Month After Dose 2 to 1 Week After Dose 3: Booster Study |
1.6; 2.7 | — |
| PRIMARY Geometric Mean Fold Rises (GMFRs) in Full-length S-binding IgG Levels From 1 Month After Dose 2 to 1 Month After Dose 3: Booster Study |
1.2; 1.8 | — |
| PRIMARY Geometric Mean Fold Rises (GMFRs) in Full-length S-binding IgG Levels Before Dose 3 to 1 Week After Dose 3: Booster Study |
5.9; 5.6 | — |
| PRIMARY Geometric Mean Fold Rises (GMFRs) in Full-length S-binding IgG Levels Before Dose 3 to 1 Month After Dose 3: Booster Study |
4.4; 3.6 | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 Reference-strain From 1 Month After Dose 2 to 1 Week After Dose 3: Booster Study |
2.2; 1.7 | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 Reference-strain From 1 Month After Dose 2 to 1 Month After Dose 3: Booster Study |
2.1; 1.2 | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 Reference-strain Before Dose 3 to 1 Week After Dose 3: Booster Study |
8.2; 5.7 | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 Reference-strain Before Dose 3 to 1 Month After Dose 3: Booster Study |
7.7; 4.2 | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 B.1.351-strain From 1 Month After Dose 2 to 1 Week After Dose 3: Booster Study |
— | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 B.1.351-strain From 1 Month After Dose 2 to 1 Month After Dose 3: Booster Study |
— | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 B.1.351-strain Before Dose 3 to 1 Week After Dose 3: Booster Study |
15.7; 18.4 | — |
| PRIMARY Geometric Mean Fold Rise (GMFRs) in SARS-CoV-2 B.1.351-strain Before Dose 3 to 1 Month After Dose 3: Booster Study |
13.2; 15.0 | — |
| PRIMARY Percentage of Participants With Seroresponse to Reference Strain at 1 Month After Dose 2: Booster Study |
100; 100 | — |
| PRIMARY Percentage of Participants With Seroresponse to Reference Strain Before Dose 3: Booster Study |
92.6; 92.0 | — |
| PRIMARY Percentage of Participants With Seroresponse to Reference Strain 1 Week After Dose 3: Booster Study |
100.0; 100.0 | — |
| PRIMARY Percentage of Participants With Seroresponse to Reference Strain 1 Month After Dose 3: Booster Study |
100.0; 100.0 | — |
| PRIMARY Percentage of Participants With Seroresponse to B.1.351 Variant Strain at 1 Month After Dose 2: Booster Study |
— | — |
| PRIMARY Percentage of Participants With Seroresponse to B.1.351 Variant Strain Before Dose 3: Booster Study |
— | — |
| PRIMARY Percentage of Participants With Seroresponse to B.1.351 Variant Strain 1 Week After Dose 3: Booster Study |
— | — |
| PRIMARY Percentage of Participants With Seroresponse to B.1.351 Variant Strain 1 Month After Dose 3: Booster Study |
— | — |
| SECONDARY Geometric Mean Concentrations (GMCs) of Full-Length S-Binding IgG Levels at Baseline and 1 Month After Dose 2 for 30 mcg Dose of BNT162b2: Primary Study |
3.1; 2.6; 2.6; 2.8; 2.6; 6269.8 | — |
| SECONDARY Geometric Mean Fold Rises (GMFRs) in Full-Length S-Binding lgG Levels From Baseline to 1 Month After Dose 2 for 30 mcg Dose of BNT162b2: Primary Study |
2036.6; 2367.1; 2645.2; 2331.9; 2373.8 | — |
| SECONDARY Geometric Mean Titers (GMT) of SARS-CoV-2 Neutralizing Titers at Baseline and 1 Month After Dose 2 for 20 mcg and 30 mcg Dose of BNT162b2 From US Lot 1: Primary Study |
20.5; 20.5; 969.6; 913.0 | — |
| SECONDARY Geometric Mean Fold Rises (GMFRs) in SARS-CoV-2 Neutralizing Titers From Baseline to 1 Month After Dose 2 for 20 mcg and 30 mcg Dose of BNT162b2 From US Lot 1: Primary Study |
47.3; 44.5 | — |
Eligibility Criteria
Inclusion Criteria
- Primary study: Male or female participants between the ages of 12 and 50 years, inclusive, at randomization.
- Booster study: Male or female participants between the ages of 18 and 50 years, inclusive, at rerandomization.
- Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
- Capable of giving personal signed informed consent/have parent(s)/legal guardian capable of giving signed informed consent.
Exclusion Criteria
- Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- Known infection with HIV, HCV, or HBV.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
- Previous clinical (based on COVID-19 symptoms/signs alone, if a SARS-CoV-2 NAAT result was not available) or microbiological (based on COVID-19 symptoms/signs and a positive SARS-CoV-2 NAAT result) diagnosis of COVID 19.
. Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- Women who are pregnant or breastfeeding.
- Primary study: Previous vaccination with any coronavirus vaccine.
- Booster study: Previous vaccination with any coronavirus vaccine outside of this study.
- Receipt of medications intended to prevent COVID-19.
- Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
- Receipt of blood/plasma products or immunoglobulin, from 60 days before study intervention administration or planned receipt throughout the study.
- Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
- Previous participation in other studies involving study intervention containing lipid nanoparticles.
- Investigator site staff or Pfizer/BioNTech employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
Additional Exclusion Criteria for the Booster study:
- Current febrile illness (body temperature ≥100.4°F [≥38.0°C]) or other acute illness within 48 hours before study intervention administration.
- Receipt of any seasonal or pandemic influenza vaccine within 14 days, or any other nonstudy vaccine within 28 days, before or after study intervention administration.
- Receipt of short-term (<14 days) systemic corticosteroids. Inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted.
Data sourced from ClinicalTrials.gov (NCT04713553). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.