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SARS-CoV-2 rS/Matrix-M Adjuvant- Phase 1

Phase 3

SARS-CoV Infection | Monoclonal antibody | Infectious Disease |Novavax, Inc.|Last Updated: May 22, 2026

Target and mechanism

ModalityMonoclonal antibody

Also known as SARS-CoV-2 rS Vaccine with Matrix-M Adjuvant

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment33,000

FDA Designations

No designations recorded

Clinical trial landscape

SARS-CoV-2 rS/Matrix-M Adjuvant- Phase 1 · 4 trials · 4 indications

Phase 3 2Phase 2 2
NCT04611802A Study to Evaluate the Efficacy, Immune Response, and Safety of a COVID-19 Vaccine in Adults ≥ 18 Years With a Pediatric Expansion in Adolescents (12 to<18 Years) at Risk for SARS-CoV-2SARS-CoV Infection
COMPLETED33,000 Analytics
NCT04583995A Study Looking at the Effectiveness, Immune Response, and Safety of a COVID-19 Vaccine in Adults in the United KingdomSARS-CoV-2 Infection
COMPLETED15,185 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy, Immune Response, and Safety of a COVID-19 Vaccine in Adults ≥ 18 Years With a Pediatric Expansion in Adolescents (12 to<18 Years) at Risk for SARS-CoV-2
SARS-CoV InfectionUnlock trial analytics
PHASE3COMPLETED
A Study Looking at the Effectiveness, Immune Response, and Safety of a COVID-19 Vaccine in Adults in the United Kingdom
SARS-CoV-2 InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Adult Main Study and Pediatric Expansion: Participants with Symptomatic Mild, Moderate, or Severe Coronavirus Disease 2019 (COVID-19)
Day 28 to Day 750

Number of participants with first occurrence of positive (+) polymerase chain reaction (PCR)-confirmed SARS-CoV-2 illness with symptomatic mild, moderate, or severe COVID-19, with each symptom lasting for at least 2 consecutive days, with onset from Day 28 (7 days after second vaccination dose) through the length of the study.

Pediatric Expansion: Reactogenicity Incidence and Severity
Day 0 to Day 27

Reactogenicity incidence and severity (mild, moderate or severe) recorded by all participants on their electronic patient-reported outcome diary application (eDiary) on days of vaccination and subsequent 6 days (total 7 days after each vaccine injection).

Pediatric Expansion: Incidence and Severity of Medically Attended Adverse Events (MAAEs) Through Day 49
Day 0 to Day 49

Number of participants with mild, moderate, or severe MAAEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).

Pediatric Expansion: Incidence and Severity of Unsolicited Adverse Events (AEs) Through Day 49
Day 0 to Day 49

Number of participants with mild, moderate, or severe AEs through Day 49 i.e. 28 days after second injection of each set of vaccinations (initial and crossover).

Pediatric Expansion: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points
Day 90 to Day 750

Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine through specified time points approximately every 3 and 6 months.

Pediatric Expansion: Incidence and Severity of Serious Adverse Events (SAEs) Through Specified Time Points
Day 90 to Day 750

Number of participants with mild, moderate, or severe SAEs attributed to study vaccine through specified time points approximately every 3 and 6 months.

Pediatric Expansion: Incidence and Severity of Adverse Events of Special Interest (AESIs) Through Specified Time Points
Day 90 to Day 750

Number of participants with mild, moderate, or severe AESIs attributed to study vaccine through specified time points approximately every 3 and 6 months.

Pediatric Expansion: Incidence and Severity of SAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Day 90 to Day 750

Number of participants with mild, moderate, or severe SAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.

Pediatric Expansion: Incidence and Severity of MAAEs Attributed to Study Vaccine Through Specified Time Points until Month 24
Day 90 to Day 750

Number of participants with mild, moderate, or severe MAAEs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.

Pediatric Expansion: Incidence and Severity of AESIs Attributed to Study Vaccine Through Specified Time Points until Month 24
Day 90 to Day 750

Number of participants with mild, moderate, or severe AESIs attributed to study vaccine and AESIs through specified time points until Month 24 or the EoS.

Pediatric Expansion: Antibodies to SARS-CoV-2 Nucleoprotein (NP) at Specified Time Points
Day 35

Number of participants with antibodies to SARS-CoV-2 NP at Day 35 to determine natural infection and to determine the incidence of asymptomatic infection acquired during study follow-up.

Pediatric Expansion: Deaths Due to Any Cause
Day 0 to Day 750

Number of participants who died during the study due to any cause.

Participants with Symptomatic Mild, Moderate, or Severe Coronavirus Disease 2019 (COVID-19)
From Day 28 to Day 386

Number of participants, testing serologically negative for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at baseline, with first occurrence of positive (+) polymerase chain reaction (PCR)-confirmed SARS-CoV-2 illness with symptomatic mild, moderate, or severe COVID-19 with onset from Day 28 through the length of the study.

Reactogenicity Incidence and Severity
Day 0 to Day 7

Reactogenicity incidence, duration, and severity (mild, moderate, severe, or potentially life-threatening) recorded by parent(s)/caregiver(s) on an electronic patient-reported outcome diary application (eDiary) on days of vaccination and subsequent 6 days (total 7 days after each vaccine injection).

Incidence and Severity of Medically Attended Adverse Events (MAAEs)
Day 0 to Day 28

Incidence and severity of MAAEs through 28 days after second injection of each set of vaccinations (initial and crossover), and after a booster dose.

Incidence and Severity of Unsolicited Adverse Events (AEs)
Day 0 to Day 28

Incidence and severity of unsolicited AEs through 28 days after second injection of each set of vaccinations (initial and crossover), and after a booster dose.

Incidence and Severity of MAAEs Attributed to Study Vaccine
Day 0 to Day 730

Incidence and severity of MAAEs attributed to study vaccine after initial vaccination at Day 0 through Month 24 or the EoS.

Incidence and Severity of Serious Adverse Events (SAEs)
Day 0 to Day 730

Incidence and severity of SAEs after initial vaccination at Day 0 through Month 24 or the EoS.

Incidence and Severity of Adverse Events of Special Interest (AESIs)
Day 0 to Day 730

Incidence and severity of AESIs (including multisystem inflammatory syndrome in children \[MIS-C\], and myocarditis and/or pericarditis) after initial vaccination at Day 0 through Month 24 or the EoS.

Death due to any cause
Day 0 to Day 730

Death due to any cause occurring from Day 0 to EoS.

Cohort 1: HIV- Participants with Symptomatic Mild, Moderate, or Severe COVID-19
Day 28 to Day 386

Number of human immunodeficiency virus negative (HIV-) participants with first occurrence of positive (+) polymerase chain reaction (PCR), (+) PCR-confirmed, SARS-CoV-2 illness with symptomatic mild, moderate, or severe COVID-19 assessed from Day 28 (7 days after second vaccination dose) through the length of the study.

Cohort 2: HIV + Participants with Symptomatic Mild, Moderate, or Severe COVID-19
Day 28 to Day 386

Number of HIV+ participants with first occurrence of (+) PCR-confirmed SARS-CoV-2 illness with symptomatic mild,moderate or severe COVID-19 assessed from Day 28 (7 days after second vaccination) through the length of the study.

Cohort 1: HIV- Participants with Solicited Adverse Events (AEs)
28 days

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

Cohort 1: HIV- Participants with Unsolicited AEs
35 days

Number of HIV- participants with unsolicited AEs (eg, treatment-emergent, serious, suspected unexpected serious, those of special interest, MAAEs) through Day 35 by Medical Dictionary for Regulatory Activities (MedDRA) classification, severity score, and relatedness.

Cohort 2: HIV+ Participants with Solicited AEs
28 days

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

Cohort 2: HIV+ Participants with Unsolicited AEs
35 days

Number of HIV+ participants with unsolicited AEs (eg, treatment-emergent, serious, suspected unexpected serious, those of special interest, MAAEs) through Day 35 by MedDRA classification, severity score, and relatedness.

Cohort 2: Serum Immunoglobulin G (IgG) Antibody Levels Expressed as Geometric Mean Titers (GMTs)
Day 35

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 at Day 35.

Cohort 2: Serum IgG Antibody Levels Expressed as Geometric Mean Fold Rises (GMFRs)
Day 35

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

Cohort 2: Serum IgG Antibody Levels Expressed as Seroconversion Rates (SCRs)
Day 35

Serum IgG antibody levels specific for the SARS-CoV-2 rS protein antigen(s) as detected by ELISA expressed as SCR at Day 35. SCR is defined as the percentage of participants with a post-vaccination titer ≥ 4 fold over naïve background and ≥ 2 fold over pre existing titer.

Healthcare Worker Expansion (Cohort 3): Participants with AESI's
Day 35

Number of healthy adult HCW, with AESIs for 14 days post second vaccination (Day 35) by severity score, duration, and peak intensity.

Healthcare Worker Expansion (Cohort 4): Participants with AESI's
Day 70

Number of healthy adult HCW, with AESIs for 14 days post second vaccination (Day 70) by severity score, duration, and peak intensity.

Secondary Endpoints

Adult Main Study and Pediatric Expansion: Participants with Symptomatic Moderate or Severe COVID-19
Day 28 to Day 750
Adult Main Study and Pediatric Expansion: Participants with Any Symptomatic COVID-19
Day 28 to Day 750
Adult Main Study and Pediatric Expansion: Neutralizing Antibody Activity Expressed as Geometric Mean Titers (GMTs)
Day 0 to Day 750
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposePREVENTION

Treatment Arms

ArmTypeDescription
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial vaccination)EXPERIMENTAL2 doses of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21 in Initial Vaccination Period.
Placebo (Initial Vaccination)PLACEBO_COMPARATOR2 doses of Placebo (Saline), 1 dose each on Days 0 and 21in Initial Vaccination Period.
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination)EXPERIMENTALOne dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 or Day 21 in Crossover Vaccination Period.
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)EXPERIMENTALOne dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 Booster Vaccination Period.
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster)EXPERIMENTALOne dose of 5 μg SARS-CoV-2 rS + 50 μg Matrix-M1 adjuvant (co-formulated) on Day 0 Second Booster Vaccination Period.
Placebo (Crossover Vaccination)PLACEBO_COMPARATOROne dose of Placebo (Saline) on Day 0 or Day 21 in Crossover Vaccination Period.
Cohort 1: SARS-CoV-2 rS/Matrix-M1 AdjuvantEXPERIMENTAL2 doses of 5 µg SARS-CoV-2 rS + 50 µg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21.
Cohort 1: PlaceboPLACEBO_COMPARATOR2 doses of Placebo (Saline), 1 dose each on Days 0 and 21.
Cohort 2: SARS-CoV-2 rS/Matrix-M1 Adjuvant Plus Licensed Seasonal Flu VaccineEXPERIMENTAL2 doses of 5 µg SARS-CoV-2 rS + 50 µg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21. 1 dose of licensed seasonal flu vaccine on Day 0.
Cohort 2: Placebo Plus Licensed Seasonal Flu VaccinePLACEBO_COMPARATOR2 doses of Placebo (Saline), 1 dose each on Days 0 and 21. 1 dose of licensed seasonal flu vaccine on Day 0.
Cohort-1(6 to < 12 y)-Part-1(Active Vaccine)EXPERIMENTALNVX-CoV2373 (SARS-CoV-2 rS: 5 µg + Matrix-M adjuvant: 50 µg in 0.5 mL)
Cohort-1(6 to < 12 y)-Part-1(Placebo)PLACEBO_COMPARATORPlacebo (normal saline)
Cohort-1(6 to < 12 y)-Part-2(Active Vaccine)EXPERIMENTALNVX-CoV2373 (SARS-CoV-2 rS: 5 µg + Matrix-M adjuvant: 50 µg in 0.5 mL)
Cohort-1(6 to < 12 y)-Part-2(Placebo)PLACEBO_COMPARATORPlacebo (normal saline)
Cohort-2(2 to < 6 y)-Part-1(Active Vaccine)EXPERIMENTALNVX-CoV2373 (SARS-CoV-2 rS: 5 µg + Matrix-M adjuvant: 50 µg in 0.5 mL)
Cohort-2(2 to < 6 y)-Part-1(Placebo)PLACEBO_COMPARATORPlacebo (normal saline)
Cohort-2(2 to < 6 y)-Part-2(Active Vaccine)EXPERIMENTALNVX-CoV2373 (SARS-CoV-2 rS: 5 µg + Matrix-M adjuvant: 50 µg in 0.5 mL)
Cohort-2(2 to < 6 y)-Part-2(Placebo)PLACEBO_COMPARATORPlacebo (normal saline)
Cohort-3(6 to < 24 m)-Part-1(Active Vaccine)EXPERIMENTALNVX-CoV2373 (SARS-CoV-2 rS: 5 µg + Matrix-M adjuvant: 50 µg in 0.5 mL)
Cohort-3(6 to < 24 m)-Part-1(Placebo)PLACEBO_COMPARATORPlacebo (normal saline)
Cohort-3(6 to < 24 m)-Part-2EXPERIMENTALNVX-CoV2373 (SARS-CoV-2 rS: 5 µg + Matrix-M adjuvant: 50 µg in 0.5 mL)
Cohort-3(6 to < 24 m)-Part-2(Placebo)PLACEBO_COMPARATORPlacebo (normal saline)
Cohort 1 (HIV negative) 5 μg SARS-CoV-2 rS/Matrix-M1 AdjuvantEXPERIMENTAL2 doses of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21.
Cohort 1 (HIV negative) PlaceboPLACEBO_COMPARATOR2 doses of Placebo (Saline), 1 dose each on Days 0 and 21.
Cohort 2 (HIV positive) 5 μg SARS-CoV-2 rS/Matrix-M1 AdjuvantEXPERIMENTAL2 doses of SARS-CoV-2 rS - 5 μg + 50 μg Matrix-M1 adjuvant (co-formulated), 1 dose each on Days 0 and 21.
Cohort 2 (HIV positive) PlaceboPLACEBO_COMPARATOR2 doses of Placebo (Saline), 1 dose each on Days 0 and 21.

Interventions

NameTypeDescription
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Initial Vaccination Period)BIOLOGICALAlternating intramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Days 0 and 21 in Initial Vaccination Period.
Placebo (Initial Vaccination Period)OTHERAlternating intramuscular (deltoid) injections of placebo (0.5 mL) on Days 0 and 21 in Initial Vaccination Period.
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Crossover Vaccination period)BIOLOGICALIn Crossover Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0 or Day 21
Placebo (Crossover Vaccination period)OTHERIn Crossover Vaccination period, one dose of intramuscular (deltoid) injection of placebo (0.5 mL) on Day 0 or Day 21
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Booster Vaccination)BIOLOGICALIn Booster Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0
SARS-CoV-2 rS/Matrix-M1 Adjuvant (Second Booster Vaccination)BIOLOGICALIn Second Booster Vaccination period, one dose of intramuscular (deltoid) injection of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Day 0
SARS-CoV-2 rS/Matrix M1-AdjuvantBIOLOGICALAlternating intramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Days 0 and 21.
PlaceboOTHERAlternating intramuscular (deltoid) injections of placebo (0.5 mL) on Days 0 and 21.
Licensed seasonal influenza vaccineBIOLOGICALSingle intramuscular injection of licensed seasonal flu vaccine, administered ideally in opposite deltoid to SARS-CoV-2 rS with Matrix-M1 adjuvant or placebo injection on Day 0.
SARS-CoV-2 rS/Matrix-M1 AdjuvantBIOLOGICALAlternating intramuscular (deltoid) injections of SARS-CoV-2 rS co-formulated with Matrix-M1 adjuvant (0.5 mL) on Days 0 and 21.
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites154

Inclusion Criteria: Adult Participants : Each participant in the Adult Main Study and/or the Booster Amendment must meet all of the following criteria to be enrolled in this study: 1. Adults ≥ 18 years of age at screening who, by virtue of age, race, ethnicity or life circumstances, are considere...

Countries:United StatesMexicoPuerto RicoUnited KingdomColombiaDominican RepublicGuatemalaHondurasPhilippinesSouth AfricaSpain
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Recent Changes (Last 90 Days)

MEDIUMJun 22, 2026NCT05468736TRIAL_REMOVED: changed
MEDIUMJun 22, 2026NCT05468736TRIAL_REMOVED: changed
MEDIUMJun 22, 2026NCT05468736TRIAL_REMOVED: changed

Frequently asked questions about SARS-CoV-2 rS/Matrix-M Adjuvant- Phase 1

What is SARS-CoV-2 rS/Matrix-M1 Adjuvant used for?

SARS-CoV-2 rS/Matrix-M1 Adjuvant is an investigational vaccine being studied for the prevention of SARS-CoV-2 infection and COVID-19. It is currently in Phase 3 clinical development and is not yet approved by regulatory authorities.

Who makes SARS-CoV-2 rS/Matrix-M1 Adjuvant?

SARS-CoV-2 rS/Matrix-M1 Adjuvant is being developed by Novavax, Inc., a biotechnology company traded on the NASDAQ under the ticker symbol NVAX. The vaccine is currently in Phase 3 clinical trials for the prevention of COVID-19.

What phase is SARS-CoV-2 rS/Matrix-M1 Adjuvant in?

SARS-CoV-2 rS/Matrix-M1 Adjuvant is in Phase 3 clinical development. It is an investigational vaccine for SARS-CoV-2 infection and has completed two clinical trials, including a Phase 3 study in the United Kingdom. It is not yet FDA approved.

What clinical trials is SARS-CoV-2 rS/Matrix-M1 Adjuvant in?

SARS-CoV-2 rS/Matrix-M1 Adjuvant has completed two clinical trials. NCT04533399 was a Phase 2 study in South Africa with 4,422 participants, and NCT04583995 was a Phase 3 study in the United Kingdom with 15,185 participants. Both trials were randomized, double-blind, and placebo-controlled.

Is SARS-CoV-2 rS/Matrix-M1 Adjuvant the same as NVX-CoV2373?

SARS-CoV-2 rS/Matrix-M1 Adjuvant is the vaccine candidate developed by Novavax, Inc. It is also known by the code name NVX-CoV2373. The vaccine combines the SARS-CoV-2 spike protein with the Matrix-M1 adjuvant to enhance immune response.