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RIV

Phase 1

COVID-19 Immunization | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: May 5, 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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment980
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06695130Study of a Combination Vaccine Comprised of Different Recombinant Spike Antigen Levels of a Matrix-M Adjuvanted Recombinant COVID-19 Vaccine and Recombinant Influenza Vaccine in Adult Participants 50 Years of Age and OlderPHASE1 COMPLETED 980Nov 18, 2024Apr 3, 2026May 5, 202612 United States
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Study Endpoints
Primary Endpoints
Number of participants with immediate adverse events (AEs)
Immediate adverse events are any unsolicited systemic adverse events reported in the 30 minutes after vaccination

Within the 30 minutes after vaccination

Number of participants with solicited injection site reactions
Up to 7 each days after vaccination

Solicited injection site reactions include injection site pain, erythema and swelling

Number of participants with solicited systemic reactions
Up to 7 days after each vaccination

Solicited systemic reactions include fever, headache, fatigue, myalgia and chills

Number of participants with unsolicited AEs
Up to 28 days after each vaccination

Unsolicited (spontaneously reported) AEs, not fulfilling criteria for solicited adverse reactions

Number of participants with adverse events of special interest (AESIs)
Up to 180 days after each vaccination

AESIs

Number of participants with medical attended adverse events (MAAEs)
Up to 180 days after each vaccination

MAAEs

Number of participants with MAAEs relating to predefined PIMDs
From Day 182 through 12 months following the last study vaccination

MAAEs relating to predefined PIMDs

Number of participants with serious adverse events (SAEs)
Up to 180 days after each vaccination

SAEs

Number of participants with related SAEs
From Day 182 through 12 months following the last study intervention

Related SAEs

Number of participants with MAAEs relating to predefined PIMDs that meet the criteria for SAEs
From Day 182 through 12 months following the last study vaccination

MAAEs relating to predefined PIMDs that meet the criteria for SAEs

Geometric mean (GM) of HAI titers in all participants
At Day 01 and Day 30

HAI titers

Geometric mean ratio (GMR) of HAI titers in all participants
At Day 01 and Day 30

Individual HAI titers ratio Day 30/Day 01

GM of SARS-CoV-2 neutralizing titers in all participants
At Day 01 and Day 30

SARS-CoV-2 neutralizing titers

GMR of SARS-CoV-2 neutralizing titers ratio D30/D01 in all participants
At Day 01 and Day 30

Individual SARS-CoV-2 neutralizingtiters ratio Day 30/Day 01

Secondary Endpoints
Percentage of participants with seroconversion in all participants
At Day 30
Percentage of participants with HAI titer ≥ 10 (1/dil) in all participants
At Day 01 and Day 30
Percentage of participants with HAI titer ≥ 40 (1/dil) in all participants
At Day 01 and Day 30
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group 1: RIV (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 2: rC19 (dose 1) (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 3: RIV (in right or left deltoid) and rC19 (dose 1) (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 4: RIV + rC19 (dose 1) (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Group 5: RIV + rC19 (dose 2) (in right or left deltoid) and placeboEXPERIMENTALtwo IM injections on D01
Group 6: RIV + rC19 (dose 3) (in right or left deltoid) and placeboEXPERIMENTALtwo IM injections on D01
Group 7: RIV + rC19 (dose 4) (in right or left deltoid) and placebo (in opposite deltoid)EXPERIMENTALtwo IM injections on D01
Interventions
NameTypeDescription
RIV (recombinant influenza vaccine)BIOLOGICALInfluenza, inactivated, split virus or surface antigen
rC19 (dose 1)BIOLOGICALProtein subunit
RIV + rC19 (dose 1)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
RIV + rC19 (dose 2)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
RIV + rC19 (dose 3)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
RIV + rC19 (dose 4)BIOLOGICALRIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
Placebo (0.9% NaCl)OTHERNormal saline
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites12

Inclusion Criteria: Inclusion criteria to be checked at Screening Visit: * Aged 50 years or older on the day of inclusion Informed consent * Informed consent form has been signed and dated. * Able to attend all scheduled visits and to comply with all study procedures. * Participant must be able to...

Countries:United States
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Recent Changes (Last 90 Days)
MEDIUMJun 5, 2026NCT06695130TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06695130TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06695130TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06695130TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06695130TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06695130TRIAL_REMOVED: changed
HIGHMay 26, 2026NCT06695130Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 24, 2026NCT06695130studyFirstPostDate: changed