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NVX-CoV2373

Phase 3

COVID-19 | Monoclonal antibody | Infectious Disease |Novavax, Inc.|Last Updated: Apr 17, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment2,052
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05875701Phase 3 Study of Novavax Vaccine(s) as Booster Dose After mRNA VaccinesPHASE3 COMPLETED 147Mar 28, 2023Nov 11, 2023Jun 26, 20255 United States
NCT05463068Study to Compare the Immunogenicity and Safety of 3 Lots of NVX-CoV2373 in AdultsPHASE3 COMPLETED 911Jul 11, 2022Sep 1, 2022Apr 17, 202630 United States
NCT05925127Phase 2/3 Heterologous Boosting Study With Different Dose Levels of Monovalent SARS-CoV-2 rS VaccinesPHASE2 COMPLETED 994Oct 16, 2023May 21, 2024Dec 13, 202450 United States
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Study Endpoints
Primary Endpoints
Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Geometric Mean Titers (GMT)
Day 28

Neutralizing Antibody responses to ancestral strain Novavax vaccine (NVX-CoV2373) for the participants in the ancestral strain NVX-2373 group and NVX-CoV2540 group at Day 29

Serum Immunoglobulin G (IgG) Antibody Levels to the SARS-CoV-2 Spike Protein Expressed as Geometric Mean ELISA Unit [GMEUs]
Baseline (Day 1) and Day 29

Serum Immunoglobulin G (IgG) geometric mean ELISA unit concentrations (GMEU/mL) to the SARS-CoV-2 spike protein at Day 29 in each treatment arm.

Immunogenicity index-Neutralizing antibody expressed as geometric mean titer ratio[GMTR ]against the Omicron subvariant XBB.1.5
Day 28

Neutralizing antibody To determine if the combination of antigen and adjuvant levels of NVX-CoV2601 GMTR against the Omicron subvariant XBB.1.5 superior(LB of the 95% CI for GMTR \> 1.0) to that elicited by NVX-CoV2373

Immunogenicity index-Neutralizing antibody expressed as seroresponse rates (SRRs)against the Omicron subvariant XBB.1.5
Day 28

Neutralizing antibody SRR against the Omicron XBB.1.5 subvariant elicited by NVXCoV2601 is non-inferior (NI)to the SRR elicited by NVX-CoV2373in participants ≥ 50 years of age previously vaccinated with ≥ 3 doses of a COVID-19 prototype or bivalent licensed mRNA vaccine.

Secondary Endpoints
Neutralizing Antibody (Nab) for SARS-CoV-2 Wildtype Virus (Wuhan) Responses Expressed as Seroconversion Rate (SCR)
Day 28
Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as Geometric Mean ELISA Unit (GMEU)
Day 28
Serum Immunoglobulin G (IgG) ELISA Units to SARS-CoV-2 Spike Protein (Wuhan) Expressed as SCR
Day 28
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
NVX CoV2373 (Ancestral strain)EXPERIMENTAL1dose of NVX-COV2373 on Day 1
Updated COVID-19 VaccineEXPERIMENTAL1dose of updated COVID-19 vaccine on Day 1
Lot 1EXPERIMENTAL1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.
Lot 2EXPERIMENTAL1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.
Lot 3EXPERIMENTAL1 intramuscular (IM) injection of NVX-CoV2373 of 0.5 mL injection volume on Day 1.
Group-A Monovalent NVX-CoV2373 (5 μg)EXPERIMENTALThe Monovalent NVX-CoV2601 of 5 μg of antigen with 50 μg of Matrix-M adjuvant
Group-B Monovalent NVX-CoV2601 (5 μg)EXPERIMENTALMonovalent NVX-CoV2601 (5 μg of antigen with 50 μg of Matrix-M adjuvant)
Group-C Monovalent NVX-CoV2601 (5 μg)EXPERIMENTALMonovalent NVX-CoV2601 (5 μg of antigen with 75 μg of Matrix-M adjuvant)
Group-D Monovalent NVX-CoV2601 (35 μg)EXPERIMENTALMonovalent NVX-CoV2373 (35 μg of antigen with 50 μg of Matrix-M adjuvant)
Group-E Monovalent NVX-CoV2601(35)EXPERIMENTALMonovalent NVX-CoV2601 (35 μg of each antigen with a 75 μg of Matrix-M adjuvant)
Group-F Monovalent NVX-CoV2601 (50 μg)EXPERIMENTALMonovalent NVX-CoV2601 (50 μg of each antigen with a 100 μg of Matrix-M adjuvant)
Group-G Bivalent XBB.1.5EXPERIMENTALBivalent XBB.1.5 Omicron subvariant/prototype COVID-19 licensed mRNA vaccine
Interventions
NameTypeDescription
NVX-CoV2373BIOLOGICAL1 intramuscular (IM) injection of 5 µg SARS-CoV-2 rS + 50 µg Matrix-M1 adjuvant (0.5 mL) given on Day 1
SARS-CoV-2 rS antigen/Matrix-M AdjuvantBIOLOGICAL1 intramuscular (IM) injection of 5 µg SARS-CoV-2 rS antigen+ 50 µg Matrix-M1 adjuvant (0.5 mL) given on Day 1
NVX-CoV2373 (5μg)BIOLOGICALCoformulated prototype SARS-CoV-2 rS vaccine with Matrix-M adjuvant: supplied as a solution for preparation for injection, at a concentration of 10 μg/mL and 100 μg adjuvant per mL, respectively
NVX-CoV2601 (5μg)BIOLOGICALThe vaccination regimen will comprise one IM injection on Day 0 at a dose of 5 µg of antigen with 50 µg Matrix-M adjuvant.
NVX-CoV2601(5μg)BIOLOGICALThe vaccination regimen will comprise one IM injection on Day 0 at a dose of 5 µg of antigen with 75 µg Matrix-M adjuvant.
NVX-CoV2601 (35μg)BIOLOGICALThe vaccination regimen will comprise one IM injection on Day 0 at a dose of 35 µg of antigen with 50 µg Matrix-M adjuvant.
NVX-CoV2601(35μg)BIOLOGICALThe vaccination regimen will comprise one IM injection on Day 0 at a dose of 35 µg of antigen with 75 µg Matrix-M adjuvant.
NVX-CoV2601(50μg)BIOLOGICALThe vaccination regimen will comprise one IM injection on Day 0 at a dose of 50 µg of antigen with 100 µg Matrix-M adjuvant
Bivalent BA.4/5BIOLOGICALThe bivalent BA.4/5 (or recommended mRNA vaccine at the time of the conduct of this study) Omicron subvariant/prototype licensed mRNA vaccine will be procured and stored per the manufacturer's instructions. For this vaccine group, treatment will be administered open label as a single IM injection
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Eligibility Criteria
Age Range18 Years — 49 Years
SexALL
Healthy VolunteersYes
Study Sites5

Inclusion Criteria: To be included in this study, each individual must satisfy all the following criteria: 1. Adults 18 to 49 years (inclusive) of age at the time of vaccination in Study 307 who received two or three doses of mRNA prior to enrollment in Study 307, then one dose of ancestral strain...

Countries:United States
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