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CVnCoV Vaccine

Phase 3

Coronavirus | Monoclonal antibody | Infectious Disease |BioNTech SE|Last Updated: Oct 6, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment2,357

FDA Designations

No designations recorded

Clinical trial landscape

CVnCoV Vaccine · 2 trials · 5 indications

Phase 3 1Phase 1 1
NCT04674189A Study to Evaluate the Safety and Immunogenicity of Vaccine CVnCoV in Healthy Adults in Germany for COVID-19Coronavirus
COMPLETED2,357 Analytics
PHASE3COMPLETED
A Study to Evaluate the Safety and Immunogenicity of Vaccine CVnCoV in Healthy Adults in Germany for COVID-19
CoronavirusUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Experienced a Medically Attended Adverse Event (AE) Occurring in the Following 6 Months After Dose 2
Up to 6 months after Dose 2 (Days 29 to 211)

Medically attended AEs were defined as AEs with medically attended visits that are not routine visits for physical examination or vaccination, such as visits for hospitalization, an emergency room visit, or an otherwise unscheduled visit to or from medical personnel (medical doctor) for any reason. The Investigator assessed the relationship between trial vaccine and occurrence of each AE.

Number of Participants Who Experienced a Serious Adverse Event (SAE)
Day 1 to Day 393

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator assessed the relationship between trial vaccine and occurrence of each AE.

Intensity of SAEs Per the Investigator's Assessment
Day 1 to Day 393

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator made an assessment of intensity for each AE reported during the trial and assigned it to one of the following categories: * Mild: an event that was easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities. * Moderate: an event that caused sufficient discomfort to interfere with normal everyday activities. * Severe: an event that prevented normal everyday activities.

Number of Participants Who Experienced an Adverse Event of Special Interest (AESI) Occurring in the Following 1 Year After Dose 2
Up to 1 year after Dose 2 (Days 29 to 393)

The following events were considered and collected as AESI throughout the trial: * AEs with a suspected immune-mediated etiology. * Other AEs relevant to SARS-CoV-2 vaccine development or the target disease. * COVID-19. The Investigator assessed the relationship between trial vaccine and occurrence of each AE.

Number of Participants Who Experienced Death Due to SAE
Day 1 to Day 393

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event.

Number of Participants Who Experienced an AE Leading to Vaccine Withdrawal Occurring in the Following 1 Year After Dose 2
Up to 1 year after Dose 2 (Days 29 to 393)
Number of Participants Who Experienced an AE Leading to Trial Discontinuation Occurring in the Following 1 Year After Dose 2
Up to 1 year after Dose 2 (Days 29 to 393)
Number of Participants Who Experienced an Unsolicited AE Occurring on the Day of Vaccination and the Following 28 Days After Any Dose
Day 1 to 28 days after Dose 2 (Day 57)

eDiaries were used for the collection of unsolicited AEs on each vaccination day and the following 28 days. The Investigator assessed the relationship between trial vaccine and occurrence of each AE.

Intensity of Unsolicited AEs Per the Investigator's Assessment Occurring on the Day of Vaccination and the Following 28 Days After Any Dose
Day 1 to 28 days after Dose 2 (Day 57)

eDiaries were used for the collection of unsolicited AEs on each vaccination day and the following 28 days. The Investigator made an assessment of intensity for each AE reported during the trial and assigned it to one of the following categories: * Mild: an event that was easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities. * Moderate: an event that caused sufficient discomfort to interfere with normal everyday activities. * Severe: an event that prevented normal everyday activities.

Occurrence of Seroconversion for SARS-CoV-2 Receptor-Binding Domain (RBD) of Spike Protein Antibodies (IgG) on Day 29 and Day 43
Baseline (Day 1), Day 29 and Day 43

Titers of IgG antibodies directed against the SARS-CoV-2 RBD of Spike Protein antigen were measured by enzyme-linked immunosorbent assay (ELISA). Percentage with 95% confidence interval (CI) of participants for whom a seroconversion was observed is presented by group. Seroconversion was defined as a fold increase above 1 in SARS-CoV-2 Spike Protein RBD IgG antibody levels in participants seronegative at Baseline. Participants who tested positive for COVID-19 had their data included up to the point of a positive test result. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

SARS-CoV-2 RBD of Spike Protein Antibody (IgG) Levels on Days 1, 29 and 43
Day 1, Day 29 and Day 43

Titers of IgG antibodies directed against the SARS-CoV-2 RBD of Spike Protein antigen were measured by ELISA and expressed as geometric mean of titers (GMT) with 95% CI, by group. Individual values below the lower limit of quantification (LLOQ) were set to half of the LLOQ. Participants who tested positive for COVID-19 had their data included up to the point of a positive test result. Participants who received a licensed/authorized vaccine were censored at the day after receiving the licensed/authorized vaccine.

Number of Participants With Grade 3 Adverse Reactions or Any Serious Adverse Event (SAE) Considered Related to Trial Vaccine Within at Least 24 Hours After the First Vaccination
Up to 24 hours after vaccination on Day 1

Grade 3 refers to the highest grading on the FDA toxicity scale where a higher grade indicates a worse outcome. An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event.

Number of Participants With Grade 3 Adverse Reactions or Any Serious Adverse Event (SAE) Considered Related to Trial Vaccine Within at Least 60 Hours After the First Vaccination
Up to 60 hours after vaccination on Day 1

Grade 3 refers to the highest grading on the FDA toxicity scale where a higher grade indicates a worse outcome. An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event.

Number of Participants With Solicited Local Adverse Events
Up to 7 days after vaccination (Days 1 to 8 and Day 29 to 36)

Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) using paper diary cards.

Intensity of Solicited Local Adverse Events Per the FDA Toxicity Grading Scale
Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) using paper diary cards. Intensity of solicited local AEs and solicited systemic AEs were graded per the FDA Toxicity Grading Scale at Grades 1-3, where higher grades indicate a worse outcome.

Duration of Solicited Local Adverse Events
Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Reactogenicity was assessed daily via collection of solicited local AEs (injection site pain, redness, swelling, and itching) using paper diary cards. Duration was calculated as consecutive days with a respective solicited AE regardless of the grade of the AE.

Number of Participants With Solicited Systemic Adverse Events
Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Reactogenicity was assessed daily via collection of solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards.

Intensity of Solicited Systemic Adverse Events Per the FDA Toxicity Grading Scale
Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Reactogenicity was assessed daily via collection of solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. Intensity of solicited local AEs and solicited systemic AEs were graded per the FDA Toxicity Grading Scale at Grades 1-3, where higher grades indicate a worse outcome.

Duration of Solicited Systemic Adverse Events
Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Reactogenicity was assessed daily via collection of solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. Duration was calculated as consecutive days with a respective solicited AE regardless of the grade of the AE.

Number of Participants With Solicited Systemic Adverse Events Considered Related to Trial Vaccine
Up to 7 days after vaccination (Days 1 to 8 and Days 29 to 36)

Reactogenicity was assessed daily via collection of solicited systemic AEs (fever, headache, fatigue, chills, myalgia, arthralgia, nausea/vomiting, and diarrhea) using paper diary cards. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Number of Participants With Unsolicited Adverse Events
Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit.

Intensity of Unsolicited Adverse Events Assessed by the Investigator
Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit. Participants were included only once, at the maximum severity. The Investigator made an assessment of intensity for each AE reported during the trial and assigned it to one of the following categories: * Mild: an event that was easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities. * Moderate: an event that caused sufficient discomfort to interfere with normal everyday activities. * Severe: an event that prevented normal everyday activities.

Number of Participants With Unsolicited Adverse Events Considered Related to Trial Vaccine
Up to 28 days after vaccination (Days 1 to 29 and Days 29 to 57)

Diaries were used for collection of unsolicited AEs on each vaccination day and the following 28 days. In addition, participants were contacted by phone to verify whether they had any health concerns since the last visit. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Number of Participants With One or More Serious Adverse Events (SAEs)
Baseline to Day 393

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event.

Number of Participants With One or More Serious Adverse Events (SAEs) Considered Related to Trial Vaccine
Baseline to Day 393

An SAE was defined as any untoward medical occurrence that, at any dose: * Resulted in death. * Was life-threatening. * Required inpatient hospitalization or prolongation of existing hospitalization. * Resulted in persistent disability/incapacity. * Was a congenital anomaly/birth defect in the offspring of the participant. * Was an important medical event. The Investigator assessed the relationship between trial vaccine and each occurrence of each AE.

Number of Participants With One or More Adverse Events of Special Interest (AESIs)
Day 1 to Day 393

The following events will be considered as AESIs: adverse events with a suspected immune-mediated etiology, COVID-19 disease and other adverse events relevant to SARS-CoV vaccine development or the target disease.

Secondary Endpoints

Occurrence of Seroconversion for SARS-CoV-2 Neutralizing Antibodies on Day 29 and Day 43
Baseline (Day 1), Day 29 and Day 43
SARS-CoV-2 Neutralizing Antibody Levels on Days 1, 29 and 43
Day 1, Day 29 and Day 43
Number of Participants Seroconverting for SARS-CoV-2 Spike Protein Antibodies
Day 8, Day 15, Day 29, Day 36, Day 43, Day 57, Day 120 and Day 211
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
CVnCoV: Group 1, Lot 1EXPERIMENTALParticipants in Group 1 will be vaccinated with CVnCoV 12 µg mRNA on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.
CVnCoV: Group 2, Lot 2EXPERIMENTALParticipants in Group 2 will be vaccinated with CVnCoV 12 µg mRNA on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.
PlaceboPLACEBO_COMPARATORParticipants will receive a placebo on Day 1 and Day 29 in the deltoid area, preferably in the non-dominant arm.
Dose Escalation CVnCoVEXPERIMENTALParticipants will be vaccinated with CVnCoV at escalating dose levels on Day 1 and Day 29. Safety data will inform the decision to continue enrolling at the current dose level, or to proceed to dose escalation. Initially, dose levels of 2, 4 and 8 μg will be evaluated. Dose levels of 2, 4, 6, 8 and 12µg will be evaluated with potential increase to dose levels up to 20 μg.
Dose Escalation PlaceboPLACEBO_COMPARATORParticipants will be given placebo on Day 1 and Day 29.

Interventions

NameTypeDescription
CVnCoV VaccineBIOLOGICALIntramuscular injection
PlaceboDRUGIntramuscular injection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Male or female participants 18 years of age or older. * Health care workers (HCWs), employees or students in clinical training. * Provide written informed consent prior to initiation of any trial procedures. * Expected compliance with protocol procedures and availability for c...

Countries:GermanyBelgium
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Frequently asked questions about CVnCoV Vaccine

What is CVnCoV used for?

CVnCoV is an investigational vaccine being developed for the prevention of COVID-19, which is caused by the SARS-CoV-2 coronavirus. It is also being studied for related conditions such as Severe Acute Respiratory Syndrome and Coronavirus infections. The vaccine is intended for use in healthy adults aged 18 years and older.

Who makes CVnCoV?

CVnCoV is being developed by BioNTech SE, a biotechnology company. BioNTech SE is publicly traded under the ticker symbol BNTX. The company has conducted clinical trials for this vaccine candidate in multiple countries, including Germany, Belgium, and the United States.

What phase is CVnCoV in?

CVnCoV has completed clinical trials in Phase 1, Phase 2, and Phase 3. The most advanced trial was a Phase 2b/3 study, which has been completed. As of the available data, CVnCoV is not yet approved by regulatory authorities and remains an investigational vaccine candidate.

What clinical trials is CVnCoV in?

CVnCoV has been studied in three completed clinical trials. NCT04449276 was a Phase 1 study in healthy adults in Belgium and Germany. NCT04652102 was a large Phase 2b/3 efficacy trial with 39,680 participants across multiple countries. NCT04674189 was a Phase 3 safety and immunogenicity study in Germany.

How does CVnCoV work?

CVnCoV is an mRNA-based vaccine that encodes the spike protein of the SARS-CoV-2 virus. When administered, it instructs cells to produce this protein, which triggers an immune response. This response is designed to protect against COVID-19 by generating antibodies and T-cells that recognize the virus.