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SARS-CoV-2 rS/Matrix-M1 Adjuvant

Phase 3

SARS-CoV-2 Infection | Monoclonal antibody | Infectious Disease |Novavax, Inc.|Last Updated: May 8, 2025

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 Trials2
Total Enrollment19,607
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04583995A Study Looking at the Effectiveness, Immune Response, and Safety of a COVID-19 Vaccine in Adults in the United KingdomPHASE3 COMPLETED 15,185Sep 28, 2020Mar 29, 2022May 8, 202533 United Kingdom
NCT04533399A Study Looking at the Effectiveness and Safety of a COVID-19 Vaccine in South African AdultsPHASE2 COMPLETED 4,422Aug 17, 2020Jan 19, 2022Feb 17, 202214 South Africa
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Study Endpoints
Primary Endpoints
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.

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
Participants with Symptomatic Moderate or Severe COVID-19
From Day 28 to Day 386
Participants with Symptomatic Severe COVID-19
From Day 28 to Day 386
Participants with Symptomatic Mild, Moderate, or Severe COVID-19 Regardless of Baseline Serostatus
From Day 28 to Day 386
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
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 (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-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 Range18 Years — 84 Years
SexALL
Healthy VolunteersYes
Study Sites33

Inclusion Criteria: * Able and willing to comply with all study requirements. * Willing to allow investigators to discuss medical history with their General Practitioner and access all relevant medical records. * Willing and able to give informed consent. * Women of child-bearing potential must agr...

Countries:United KingdomSouth Africa
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