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SARS-CoV-2 rS - Phase 1

Phase 1

COVID-19 | Monoclonal antibody | Infectious Disease |Novavax, Inc.|Last Updated: Apr 10, 2023

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,419
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04368988Evaluation of the Safety and Immunogenicity of a SARS-CoV-2 rS Nanoparticle Vaccine With/Without Matrix-M AdjuvantPHASE1 COMPLETED 1,419May 25, 2020Jun 1, 2022Apr 10, 202318 United States, Australia
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Study Endpoints
Primary Endpoints
Participants with Solicited Adverse Events (AEs) - Phase 1
28 days

Percentage of participants with solicited AEs (local, systemic) for 7 days following each primary vaccination (Days 0, 21) by severity score, duration, and peak intensity.

Safety Laboratory Values (Serum Chemistry, Hematology) - Phase 1
28 days

Safety laboratory values (serum chemistry, hematology) by FDA toxicity scoring (absolute and change from baseline where identified) at 7 days after each vaccination.

Serum Immunoglobulin G (IgG) Antibody Levels Expressed as Geometric Mean Titers (GMTs) - Phase 1
21 days

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by enzyme-linked immunosorbent assay (ELISA) expressed as GMTs through Day 21.

Serum IgG Antibody Levels Expressed as Geometric Mean Fold Rises (GMFRs) - Phase 1
35 days

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs through Day 35.

Serum IgG Antibody Levels Expressed as Seroconversion Rates (SCRs) - Phase 1
35 days

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs through Day 35. SCR is the proportion of participants with ≥4-fold rises in ELISA units.

Serum IgG Antibody Levels Expressed as GMEUs - Phase 2
Day 35

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMTs for the two-dose regimens by dose at Day 35 regardless of baseline immune status and stratified by baseline immune status.

Serum IgG Antibody Levels Expressed as GMFRs - Phase 2
Day 35

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as GMFRs for the two-dose regimens by dose at Day 35 regardless of baseline immune status and stratified by baseline immune status.

Serum IgG Antibody Levels Expressed as SCRs - Phase 2
Day 35

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCRs (≥4-fold rises) for the two-dose regimens by dose at Day 35 regardless of baseline immune status and stratified by baseline immune status.

Participants with Solicited Adverse Events (AEs) - Phase 2
28 days

Percentage of participants with solicited AEs (local, systemic) for 7 days following each primary vaccination (Days 0 and 21) by severity score, duration, and peak intensity.

Participants with Unsolicited AEs - Phase 2
35 days

Percentage of participants with unsolicited AEs (eg, treatment-emergent, serious, suspected unexpected serious, those of special interest, all medically attended adverse events \[MAAEs\]) through the 35 days by Medical Dictionary of Regulatory Activities (MedDRA) classification, severity score, and relatedness.

Secondary Endpoints
Participants with Unsolicited AEs - Phase 1
49 days
Participants with Abnormal Vital Signs - Phase 1
21 days
Changes from Baseline in Body Temperature - Phase 1
189 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Placebo - Phase 1PLACEBO_COMPARATOR2 doses of Placebo (Saline), 1 dose each on Days 0 and 21.
SARS-CoV-2 rS - 25 μg without Matrix-M - Phase 1EXPERIMENTAL2 doses of SARS-CoV-2 rS - 25 μg, 1 dose each on Days 0 and 21.
SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M - Phase 1EXPERIMENTAL2 doses of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M (mixed together for each injection), 1 dose each on Days 0 and 21.
SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M - Phase 1EXPERIMENTAL2 doses of SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M (mixed together for each injection), 1 dose each on Days 0 and 21.
SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M then Placebo - Phase 1EXPERIMENTAL1 dose of SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M (mixed together for injection), on Day 0 followed by 1 dose of Placebo on Day 21.
Placebo - Phase 2PLACEBO_COMPARATOR3 doses of Placebo (Saline), 1 dose each on Days 0, 21, and 189.
SARS-CoV-2 rS - 5/5 μg + 50 μg Matrix-M - Phase 2EXPERIMENTAL2 doses of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M (co-formulated), 1 dose each on Days 0 and 21, followed by 1 dose of Placebo on Day 189.
SARS-CoV-2 rS - Alternating 5/5 μg + 50 μg Matrix-M - Phase 2EXPERIMENTAL1 dose of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M (co-formulated) on Day 0 then 1 dose of Placebo on Day 21 followed by 1 dose of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M (co-formulated) on Day 189.
SARS-CoV-2 rS - 25/25 μg + 50 μg Matrix-M - Phase 2EXPERIMENTAL2 doses of SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M (co-formulated), 1 dose each on Days 0 and 21, followed by 1 dose of Placebo on Day 189.
SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M - Phase 2EXPERIMENTAL1 dose of SARS-CoV-2 rS - 25 μg + 50 μg Matrix-M (co-formulated) on Day 0 then 2 doses of Placebo, 1 dose each on Days 21 and 189.
SARS-CoV-2 rS - 5/5/5 μg + 50 μg Matrix-M - Phase 2EXPERIMENTAL3 doses of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M (co-formulated), 1 dose each on Day 0, Day 21, and Day 189.
SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M - Phase 2EXPERIMENTAL1 dose of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M (co-formulated) on Day 0 then 2 doses of Placebo, 1 dose each on Days 21 and 189.
Interventions
NameTypeDescription
SARS-CoV-2 rS - Phase 1BIOLOGICALAlternating intramuscular (deltoid) injections of SARS-CoV-2 rS (0.6 mL) on Days 0 and 21.
SARS-CoV-2 rS/Matrix-M Adjuvant - Phase 1BIOLOGICALAlternating intramuscular (deltoid) injections of SARS-CoV-2 rS mixed with Matrix-M adjuvant (0.6 mL) on Days 0 and 21.
Normal saline solution (NSS), Placebo - Phase 1OTHERAlternating intramuscular (deltoid) injections of placebo (0.6 mL) on Days 0 and 21.
Normal saline solution (NSS), Placebo - Phase 2OTHERIntramuscular (deltoid) injections of placebo (0.5 mL).
SARS-CoV-2 rS/Matrix-M Adjuvant, Day 0 - Phase 1BIOLOGICALIntramuscular (deltoid) injection of SARS-CoV-2 rS mixed with Matrix-M adjuvant (0.6 mL) on Day 0.
Normal saline solution (NSS), Placebo, Day 21 - Phase 1OTHERIntramuscular injection of placebo (0.6 mL) in alternate deltoid on Day 21.
SARS-CoV-2 rS/Matrix-M Adjuvant - Phase 2BIOLOGICALIntramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M adjuvant (0.5 mL).
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Eligibility Criteria
Age Range18 Years — 84 Years
SexALL
Healthy VolunteersYes
Study Sites18

Inclusion Criteria (Part 1): * Healthy adult males or females between 18 and 59 years of age, inclusive, at screening. Healthy status will be determined by the investigator based on medical history, clinical laboratory results, vital sign measurements, and physical examination at screening. * The p...

Countries:United StatesAustralia
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