Phase 3
N=1,049
A Study to Learn About New COVD-19 RNA Vaccine Candidates for New Variants in Healthy Individuals
SARS-CoV-2 Infection · COVID-19
Bottom Line
View on ClinicalTrials.gov: NCT05997290 ↗Enrolled (actual)
1,049
Serious AEs
1.3%
Results posted
Apr 2026
Primary outcome: Primary: Percentage of Participants With Local Reactions Within 7 Days After Vaccination: SSA — 10.0; 4.0; 5.8; 5.4 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- BNT162b2 (Omi XBB.1.5) (Biological); BNT162b2 (Omi JN.1) (Biological); BNT162b2 (Omi KP.2) (Biological)
- Age
- Pediatric, Adult, Older Adult · 12+ yrs
- Sex
- All
- Sponsor
- BioNTech SE
- Primary completion
- Mar 2025
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Vaccination: SSA |
10.0; 4.0; 5.8; 5.4; 6.7; 3.4 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Vaccination: SSA |
16.7; 4.0; 3.9; 4.9; 10.0; 3.4 | — |
| PRIMARY Percentage of Participants With Adverse Events (AEs) From Vaccination Through 1 Month After Vaccination: SSA |
16.7; 7.5; 8.2; 8.5 | — |
| PRIMARY Percentage of Participants With SAEs From Vaccination Through 6 Months After the Study Vaccination: SSA |
3.3; 0; 1.9; 1.2 | — |
| PRIMARY Geometric Mean Titers (GMT) of SARS-CoV-2 Omi XBB.1.5-Neutralizing Titers at 1 Month After Vaccination: SSA and Historical Control of the Bivalent BNT162b2 (WT/Omi BA.4/BA.5) Group From Study C4591044 |
3632.1; 2503.6; 2606.8; 837.1; 615.5; 560.4 | — |
| PRIMARY GMT of SARS-CoV-2 Omi BA.4/BA.5-Neutralizing Titers at 1 Month After Vaccination: SSA and Historical Control of the Bivalent BNT162b2 (WT/Omi BA.4/BA.5) Group From Study C4591044 |
7903.6; 4831.8; 5046.1; 6376.3; 3868.2; 4122.7 | — |
| PRIMARY Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Omi XBB.1.5-Neutralizing Titers From Before Study Vaccination to 1 Month After Vaccination: SSA and Historical Control of Bivalent BNT162b2 (WT/Omi BA.4/BA.5) Group From Study C4591044 |
11.8; 10.7; 13.5; 7.1; 6.1; 5.2 | — |
| PRIMARY GMFR of SARS-CoV-2 Omi BA.4/BA.5-Neutralizing Titers From Before Vaccination to 1 Month After Vaccination: SSA and Historical Control of the Bivalent BNT162b2 (WT/Omi BA.4/BA.5) Group From Study C4591044 |
3.5; 4.3; 5.1; 5.7; 6.2; 7.4 | — |
| PRIMARY Percentage of Participants With Seroresponse to SARS-CoV-2 Omi XBB.1.5-Neutralizing Titers at 1 Month After Vaccination: SSA and Historical Control of the Bivalent BNT162b2 (WT/Omi BA.4/BA.5) Group From Study C4591044 |
74.1; 76.4; 71.7; 66.7; 52.4; 51.0 | — |
| PRIMARY Percentage of Participants With Seroresponse to SARS-CoV-2 Omi BA.4/BA.5-Neutralizing Titers at 1 Month After Vaccination: SSA and Historical Control of the Bivalent BNT162b2 (WT/Omi BA.4/BA.5) Group From Study C4591044 |
46.2; 43.7; 52.7; 73.3; 58.8; 65.0 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Vaccination: SSB |
0; 8.8; 2.0; 7.5; 0; 5.6 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Vaccination: SSB |
11.1; 2.4; 6.1; 3.2; 0; 0.8 | — |
| PRIMARY Percentage of Participants With AEs From Vaccination Through 1 Month After Vaccination: SSB |
0; 2.4; 2.0; 2.3 | — |
| PRIMARY Percentage of Participants With SAEs From Vaccination Through 6 Months After the Study Vaccination: SSB |
0; 0.8; 2.0; 1.0 | — |
| PRIMARY Geometric Mean Ratio (GMR) of the SARS-CoV-2 XBB.1.5-Neutralizing Titers 1 Month After BNT162b2 (Omi XBB.1.5) COVID-19 Vaccine-Naive Participants in SSB Versus Vaccine-Experienced Participants in SSA |
4951.6; 2566.5 | — |
| PRIMARY Percentage of Participants and Difference in Percentage of Participants With Seroresponse to the XBB.1.5 Strain 1 Month After BNT162b2 (Omi XBB.1.5) COVID-19 Vaccine Naive Participants in SSB Versus Vaccine-Experienced Participants in SSA |
84.9; 73.9 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Vaccination: SSC Cohort 2; SSC Cohort 1 and 2 Combined |
11.1; 8.7; 9.4; 9.3; 5.6; 1.1 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Vaccination: SSC Cohort 2; SSC Cohort 1 and 2 Combined |
11.1; 4.3; 1.9; 3.7; 5.6; 2.2 | — |
| PRIMARY Percentage of Participants With AEs From Vaccination Through 1 Month After Vaccination: SSC Cohort 2; SSC Cohort 1 and 2 Combined |
5.6; 3.3; 8.5; 6.0 | — |
| PRIMARY Percentage of Participants With SAEs From Vaccination Through 6 Months After the Study Vaccination: SSC Cohort 2; SSC Cohort 1 and 2 Combined |
0; 1.1; 2.8; 1.9 | — |
| PRIMARY Percentage of Participants With Local Reactions Within 7 Days After Vaccination: SSC Cohort 3 |
5.9; 2.0; 3.9; 2.0; 2.0; 2.0 | — |
| PRIMARY Percentage of Participants With Systemic Events Within 7 Days After Vaccination: SSC Cohort 3 |
3.9; 3.9; 3.9; 3.9; 2.0; 2.9 | — |
| PRIMARY Percentage of Participants With AEs From Vaccination Through 1 Month After Vaccination: SSC Cohort 3 |
13.7; 5.9; 9.8 | — |
| PRIMARY Percentage of Participants With SAEs From Vaccination Through 6 Months After the Study Vaccination: SSC Cohort 3 |
0; 2.0; 1.0 | — |
| PRIMARY GMTs of SARS-CoV-2 Omi JN.1 and XBB.1.5 Variant-Neutralizing Titers at 1 Month After Vaccination in SSC Cohorts 1 + 2 Combined and Historical Control Group From SSA |
3920.4; 1895.8; 2275.2; 2203.3; 1979.1; 1060.1 | — |
| PRIMARY GMFR of SARS-CoV-2 Omi JN.1 and XBB.1.5 Variant-Neutralizing Titers From Before Vaccination to 1 Month After Vaccination in SSC Cohorts 1 + 2 Combined and Historical Control Group From SSA |
15.5; 11.2; 11.4; 11.6; 3.9; 5.8 | — |
| PRIMARY Percentage of Participants With Seroresponse to SARS-CoV-2 OMI JN.1 and XBB.1.5 Variant-Neutralizing Titers at 1 Month After Vaccination in SSC Cohorts 1 + 2 Combined and Historical Control Group From SSA |
70.6; 73.6; 68.0; 70.6; 47.1; 63.9 | — |
| PRIMARY GMTs of SARS-CoV-2 Omi KP.2 and Omi JN.1 Variant-Neutralizing Titers at 1 Month After Vaccination in SSC Cohort 3 and SSC Cohorts 1 + 2 Combined as Control |
2037.8; 2498.8; 2256.5; 890.4; 858.5; 873.3 | — |
| PRIMARY GMFR of SARS-CoV-2 Omi KP.2 and Omi JN.1 Variant-Neutralizing Titers From Before Vaccination to 1 Month After Vaccination in SSC Cohort 3 and Cohorts 1 + 2 Combined as Control |
8.9; 13.4; 11.0; 11.4; 10.9; 11.1 | — |
| PRIMARY Percentage of Participants With Seroresponse to SARS-CoV-2 Omi KP.2 and Omi JN.1 Variant-Neutralizing Titers at 1 Month After Vaccination in SSC Cohort 3 and Cohorts 1 + 2 Combined as Control |
77.6; 76.0; 76.8; 71.4; 63.1; 67.0 | — |
Summary
The purpose of this clinical protocol is to learn about the safety, tolerability, and immunogenicity of new BNT162b2 RNA-based vaccine candidates targeting new variants of SARS-CoV-2 in healthy people.
Substudy A:
* This study will evaluate the safety, tolerability, and immunogenicity of BNT162b2 (Omi XBB.1.5) given as a single 30 µg dose,
* in people who are 12 years of age and older,
* who previously received at least 3 doses of a US-authorized mRNA COVID-19 vaccine, with the most recent dose being an Omicron BA.4/BA.5-adapted bivalent vaccine received at least 150 days before the study vaccination (Visit 1).
* The study is about 6 months long for each participant.
* Participants will have at least 5 visits to the clinic.
* At each clinic visit a blood sample will be taken.
* At least 1 nasal swab will taken.
Substudy B:
* This study will evaluate the safety, tolerability, and immunogenicity of BNT162b2 (Omi XBB.1.5) given as a single 30 µg dose,
* in people who are 12 years of age and older,
* who are COVID-19 vaccine-naïve
* who have had any positive SARS-CoV-2 test result >28 days before study vaccine administration.
* The study is about 6 months long for each participant.
* Participants will have at least 5 visits to the clinic.
* At each clinic visit a blood sample will be taken.
* At least 1 nasal swab will taken.
Substudy C:
* This study will evaluate the safety, tolerability, and immunogenicity of BNT162b2 (Omi JN.1) and BNT162b2 (Omi KP.2) given as a single 30 µg dose to:
* Cohort 1: people who are 18 years of age and older, who will receive BNT162b2 (Omi JN.1), and,
* Cohort 2: people who are 12 years of age and older, who will receive BNT162b2 (Omi JN.1), and,
* Cohort 3: people who are 18 years of age and older who will receive BNT162b2 (Omi KP.2).
* Participants may have never received a COVID-19 vaccine or, may have previously received COVID-19 vaccine(s), with the most recent dose received at least 150 days before the study vaccination (Visit 1).
* The study is about 6 months long for each participant.
* Participants will have at least 6 visits (Cohorts 1 and 3) or at least 5 visits (Cohort 2) to the clinic.
* At each clinic visit a blood sample will be taken.
* At least 1 nasal swab will taken.
Eligibility Criteria
SSA
Inclusion Criteria
- Received at least 3 prior doses of a US-authorized mRNA COVID-19 vaccine, with the most recent dose being a US-authorized Omicron BA.4/BA.5-adapted bivalent vaccine received at least 150 days before Visit 1 (Day 1).
- 12 years of age and older
- Healthy participants (stable pre-existing disease permitted).
- Willing and able to comply with all scheduled visits/contacts, study procedures and lifestyle considerations.
- Capable of giving, or parent(s)/legal guardian capable of giving, signed informed consent.
Exclusion Criteria
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study vaccines.
- Immunocompromised 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.
- Any medical or psychiatric condition, or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- History of myocarditis or pericarditis.
- Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease), or radiotherapy, within 60 days before enrollment or planned receipt through conclusion of the study.
- Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, used for the treatment or prevention of COVID-19 or those that are considered immunosuppressive, from 60 days before study vaccination or planned receipt throughout the study.
- Participation in other studies involving receipt of other study intervention within 28 days before enrollment. Anticipated participation in other studies involving other study intervention from enrollment through the end of this study.
- Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
SSB
Inclusion Criteria
- COVID-19 vaccine-naïve.
- Any positive SARS-CoV-2 test result >28 days before study intervention administration.
- 12 years of age and older.
- Healthy participants (stable pre-existing disease permitted).
- Willing and able to comply with all scheduled visits/contacts, study procedures and lifestyle considerations.
- Capable of giving or parent(s)/legal guardian capable of giving, signed informed consent.
Exclusion Criteria
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study vaccines.
- 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.
- Any 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.
- History of myocarditis or pericarditis.
- Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids*, eg, for cancer or an autoimmune disease), or radiotherapy, within 60 days before enrollment or planned receipt through conclusion of the study.
- Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies used for the treatment or prevention of COVID-19 or tho
Data sourced from ClinicalTrials.gov (NCT05997290). 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.