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Phase 2 N=51 Prevention

A Study of Ad26.COV2.S in Healthy Pregnant Participants (COVID-19)

COVID-19 Prevention

Enrolled (actual)
51
Serious AEs
20.4%
Results posted
Nov 2024
Primary outcome: Primary: Number of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First Vaccination — 10; 5; 20 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Ad26.COV2.S (Biological)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
Janssen Vaccines & Prevention B.V.
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Adult Participants With Solicited Local Adverse Events (AEs) for 7 Days Post First Vaccination
10; 5; 20
PRIMARY
Number of Adult Participants With Solicited Systemic AEs for 7 Days Post First Vaccination
10; 4; 20
PRIMARY
Number of Adult Participants With Unsolicited AEs for 28 Days Post First Vaccination
7; 4; 10
PRIMARY
Number of Adult Participants With Serious Adverse Events (SAEs) From First Vaccination Until End of the Study (EOS)
4; 2; 3
PRIMARY
Number of Adult Participants With Adverse Events of Special Interest (AESIs) From First Vaccination Until EOS
0; 0; 0
PRIMARY
Number of Adult Participants With Medically Attended Adverse Events (MAAEs) Until 6 Months Post First Vaccination
6; 2; 7
PRIMARY
Number of Adult Participants With AEs Leading to Study Discontinuation
0; 0; 0
PRIMARY
Serological Response to Vaccination as Measured by S-Enzyme-linked Immunosorbent Assay (S-ELISA) in Adult Participants 28 Days Post First Vaccination
19179; 12335; 5906
SECONDARY
Group 4: Number of Adult Participants With Solicited Local AEs for 7 Days Post Booster Vaccination
6
SECONDARY
Group 4: Number of Adult Participants With Solicited Systemic AEs for 7 Days Post Booster Vaccination
7
SECONDARY
Group 4: Number of Adult Participants With Unsolicited AEs for 28 Days Post Booster Vaccination
2
SECONDARY
Group 4: Number of Adult Participants With SAEs Post Booster Vaccination Until EOS
SECONDARY
Group 4: Number of Adult Participants With AESIs Post Booster Vaccination Until EOS
SECONDARY
Group 4: Number of Adult Participants With MAAEs Until 6 Months Post Booster Vaccination
SECONDARY
Group 4: Number of Adult Participants With AEs Leading to Study Discontinuation Post Booster Vaccination Until EOS
SECONDARY
Number of Adult Participants With Pregnancy Outcomes
10; 7; 26; 0; 1; 3
SECONDARY
Number of Adult Participants With Pregnancy Related AEs Throughout Pregnancy
4; 2; 3; 1; 3; 1
SECONDARY
Serological Response to First Vaccination as Measured by S-ELISA in Adult Participants at All Blood Collection Timepoints Post First Vaccination
10977; 2927; 197; 19179; 12335; 5906
SECONDARY
Serological Response to First Vaccination as Measured by Virus Neutralization Assay (VNA) Titers, 28 Days in Adult Participants Post First Vaccination
7233; 5527; 1601
SECONDARY
Group 4: Serological Response to Booster Vaccination Measured by Binding (S-ELISA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster Vaccination
4204; 7213
SECONDARY
Group 4: Serological Response to Booster Vaccination Measured by Neutralizing (VNA) Antibody Titers in Adult Participants at Blood Collection Time Points Post Booster Vaccination
1299; 3203
SECONDARY
Serological Response to Vaccination as Measured by S-ELISA at Birth (That is, in Cord Blood) and at 2 Months and 6 Months of Age in Neonates and Infants Born to Adult Participants
17327; 11540; 4013; 4021; 3520; 2996
SECONDARY
Serological Response to Vaccination as Measured by VNA Titers at Birth (That is, in Cord Blood) in Neonates and Infants Born to Adult Participants
3788; 3756; 658
SECONDARY
Number of Neonates and Infants With SAEs (Including MIS-C) From Birth Up to 12 Months of Age in Neonates and Infants Born to Adult Participants
3; 4; 4
SECONDARY
Number of Neonates and Infants With AESIs From Birth Until 12 Months of Age in Neonates and Infants Born to Adult Participants
0; 0; 0
SECONDARY
Number of Neonates and Infants With MAAEs From Birth Until 6 Months of Age in Neonates and Infants Born to Adult Participants
5; 4; 5
SECONDARY
Number of Neonates and Infants With AEs Leading to Study Discontinuation From Birth Until Study Discontinuation
0; 0; 0
SECONDARY
Number of Neonates and Infants With Different Birth Outcomes From Birth Up to 12 Months of Age
9; 7; 25; 0; 0; 1

Summary

The purpose of this study is to assess the safety and reactogenicity of Ad26.COV2.S administered intramuscularly (IM) as a 1-dose schedule at the standard dose level in adult participants during the second and/or third trimester of pregnancy and (potentially) post-partum; to assess the humoral immune response in peripheral blood of adult participants to Ad26.COV2.S administered IM as a 1-dose schedule during the second and/or third trimester of pregnancy, 28 days after vaccination.

Eligibility Criteria

Inclusion Criteria

  • If on medication for a condition, the medication dose must have been stable for at least 4 weeks preceding vaccination
  • Participant must be healthy as confirmed by medical history, physical examination, vital signs, and obstetric history performed at Screening. Participant may have underlying illnesses, as long as the symptoms and signs are medically controlled
  • Participant will be at second or third trimester of pregnancy, that is, Week 16 to Week 38 of gestation (inclusive), at the time of vaccination, based on ultrasound at the time of screening (or not longer than 10 days prior to vaccination if performed elsewhere)
  • Participant agrees to not donate bone marrow, blood, and blood products from the first study vaccine administration until 3 months after receiving the last dose of study vaccine
  • Participant must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study
  • Participant either received their last COVID-19 vaccination with an authorized/licensed COVID-19 vaccine (at least 4 months prior to first study vaccination) or is COVID 19 vaccine-naïve

Exclusion Criteria

  • Participants with medical or obstetric histories that put them at higher risk for maternal or fetal complications (example, chronic pregnancy-related disorders, birth defects or genetic conditions during previous pregnancy)
  • Participant with abnormal pregnancy screening test (example, ultrasound fetal abnormalities, maternal blood screen)
  • Participant has a history of malignancy within 2 years before screening (exceptions are squamous, basal cell carcinomas of the skin, carcinoma in situ of the cervix, or malignancy, considered cured with minimal risk of recurrence)
  • Participant has a known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine)
  • Participant has a history of any serious, chronic, or progressive neurological disorders or seizures including Guillain-Barre syndrome, with the exception of febrile seizures during childhood
  • Participant has a positive diagnostic test result (polymerase chain reaction [PCR] based viral ribonucleic acid [RNA] detection) severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection at screening or Day 1 (if more than 4 days in between)
  • Participant has a history of thrombosis with thrombocytopenia syndrome (TTS), including cerebral venous sinus thrombosis (CVST), or heparin-induced thrombocytopenia (HIT)
  • Participant has a history of capillary leak syndrome (CLS)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04765384). 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.

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