Phase 2
N=51
A Study of Ad26.COV2.S in Healthy Pregnant Participants (COVID-19)
COVID-19 Prevention
Bottom Line
View on ClinicalTrials.gov: NCT04765384 ↗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
| Outcome | Result | p-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)
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.