A Study to Learn About Variant-Adapted COVID-19 RNA Vaccine Candidate(s) in Healthy Children
Purpose
The purpose of this clinical trial is to learn about the safety, extent of the side effects, and immune responses of the study vaccine (called variant-adapted BNT162b2 RNA-based vaccine) in healthy children. The trial is divided into 5 individual studies or substudies based on age group and prior history of COVID-19 vaccinations. All participants in each of the 5 sub-studies will receive study vaccine as a shot depending on what group they are in. - Substudy A design: Phase 1 includes participants 6 months through less than 4 years 3 months of age who have not received a previous coronavirus vaccination (COVID-19 vaccine naïve) and will receive 3 doses of study vaccine as their initial series, followed by a fourth dose of study vaccine. Phase 2/3 includes participants 6 months through less than 5 years of age who have not received a previous coronavirus vaccination (COVID-19 vaccine naive) and will receive 1, 2, or 3 doses of study vaccine, depending on what group they are in. - Substudy B design: includes participants 6 months through less than 5 years of age who have either received 2 or 3 prior doses of BNT162b2 and will receive study vaccine as their third or fourth dose. - Substudy C design: Phase 1 includes participants 6 months through less than 5 years of age who have received 3 prior doses of BNT162b2 and will receive study vaccine as their fourth dose. - Substudy D design: includes participants 5 through less than12 years of age who have received 2 or 3 prior doses of BNT162b2 and will receive study vaccine as their third or fourth dose. - Substudy E design: includes participants 5 through less than 12 years of age who have not received a previous coronavirus vaccination (COVID-19 vaccine naive) and will receive a single dose of study vaccine.
Conditions
- SARS-CoV-2 Virus
- Severe Acute Respiratory Syndrome Coronavirus 2
- COVID-19
Eligibility
- Eligible Ages
- Between 6 Months and 11 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- Phase 1: Healthy male or female participants ≥6 months to <4 years 3 months of age, at the time of randomization. - Phase 2/3: Healthy male or female participants ≥6 months to <5 years of age at the time of randomization/enrollment.
Exclusion Criteria
- Previous or current diagnosis of multisystem inflammatory syndrome in children (MIS-C). - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). - Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy. - Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus. Note: Stable type 1 diabetes and hypothyroidism are permitted. - Any history of myocarditis or pericarditis. - Previous vaccination with any COVID-19 vaccine. - Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention. - Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study. Substudy B Inclusion Criteria: - Healthy male or female participants = ≥6 months to <5 years of age, at the time of enrollment. Exclusion Criteria: - Previous or current diagnosis of MIS-C. - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). - Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy. - Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus. - Prior receipt of any COVID 19 vaccine other than BNT162b2. - Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention. - Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study. Substudy C Inclusion Criteria: - Healthy male or female participants ≥6 months to <5 years of age, at the time of randomization/enrollment. Exclusion Criteria: - Previous or current diagnosis of MIS-C. - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). - Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy. - Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus. - Prior receipt of any COVID 19 vaccine other than BNT162b2. - Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention. - Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study. Substudy D Inclusion Criteria: - Healthy male or female participants ≥5 years to <12 years of age, at the time of enrollment. Exclusion Criteria: - Previous or current diagnosis of MIS-C. - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). - Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy. - Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus. - Female who is pregnant or breastfeeding. - Prior receipt of any COVID 19 vaccine other than BNT162b2. - Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention. - Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study. Substudy E Inclusion Criteria: - Healthy male or female participants ≥5 years to <12 years of age, at the time of enrollment. Exclusion Criteria: - Previous or current diagnosis of MIS-C. - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s). - Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy. - Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus. - Any history of myocarditis or pericarditis. - Female who is pregnant or breastfeeding. - Previous vaccination with any COVID 19 vaccine. - Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention. - Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study.
Study Design
- Phase
- Phase 2/Phase 3
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental 3 microgram dose, 6 Months to <2 Years (Substudy A, Phase 1) |
Injection in the muscle at 0-, 3-, and 11-weeks and approximately 6-months post-Dose 3 |
|
Experimental 6 microgram dose, 6 Months to <2 Years (Substudy A, Phase 1) |
Injection in the muscle at 0-, 3-, and 11-weeks and approximately 6-months post-Dose 3 |
|
Experimental 10 microgram dose, 6 Months to <2 Years (Substudy A, Phase 1) |
Injection in the muscle at 0-, 3-, and 11-weeks and approximately 6-months post-Dose 3 |
|
Experimental 10 microgram dose, 6 Months to <2 Years (Substudy A, Phase 2/3, Group 1) - 0/8 week schedule |
Injection in the muscle at 0- and 8-weeks |
|
Experimental 10 microgram dose, 6 Months to <2 Years (Substudy A, Phase 2/3, Group 2) - 0/8 week schedule |
Injection in the muscle at 0- and 8-weeks |
|
Experimental 3 microgram dose, 6 Months to <4 Years 6 Months (Substudy B, Group 1) |
Injection in the muscle, 2 doses 2 months apart |
|
Experimental 3 microgram dose, 6 Months to <5 Years (Substudy B, Group 2) |
Injection in the muscle, 1 dose |
|
Experimental 3 microgram dose, 6 Months to <5 Years (Substudy B, Group 3) |
Injection in the muscle, 1 dose |
|
Experimental 6 microgram dose, 6 Months to <2 Years (Substudy C, Phase 1) |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 6 Months to <2 Years (Substudy C, Phase 1) |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 5 to <12 Years (Substudy D, Group 1) |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 5 to <12 Years (Substudy D, Group 2) |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 5 to <12 Years (Substudy D, Group 3) |
Injection in the muscle, 1 dose |
|
Experimental 3 microgram dose, 2 Years to <4 years 3 months (Substudy A, Phase 1) |
Injection in the muscle at 0-, 3-, and 11-weeks and approximately 6-months post-Dose 3 |
|
Experimental 6 microgram dose, 2 Years to <4 years 3 months (Substudy A, Phase 1) |
Injection in the muscle at 0-, 3-, and 11-weeks and approximately 6-months post-Dose 3 |
|
Experimental 10 microgram dose, 2 Years to <4 years 3 months (Substudy A, Phase 1) |
Injection in the muscle at 0-, 3-, and 11-weeks and approximately 6-months post-Dose 3 |
|
Experimental 6 microgram dose, 2 Years to <5 Years (Substudy C, Phase 1) |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 2 Years to <5 Years (Substudy C, Phase 1) |
Injection in the muscle, 1 dose |
|
Experimental 3 microgram dose, 6 Months to <2 Years (Substudy A, Phase 2/3, Group 3) - 0/3/11 week schedule |
Injection in the muscle at 0-, 3-, and 11-weeks |
|
Experimental 10 microgram dose, 2 to <5 Years (Substudy A, Phase 2/3, Group 4) - Single dose |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 2 to <5 Years (Substudy A, Phase 2/3, Group 5) - Single dose |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 5 Years to <12 Years (Substudy E, Group 2) |
Injection in the muscle, 1 dose |
|
Experimental 10 microgram dose, 6 months to <2 years (Substudy A Phase 2/3, Group 6) - 0/8 week schedule |
Injection in the muscle at 0- and 8-weeks |
|
Recruiting Locations
Anaheim 5323810, California 5332921 92805
La Mesa 5363990, California 5332921 91942
Oakland 5378538, California 5332921 94611
Palo Alto 5380748, California 5332921 94304
Sacramento 5389489, California 5332921 95815
San Diego 5391811, California 5332921 92108
Santa Clara 5393015, California 5332921 95051
Stanford 5398563, California 5332921 94305
New Haven 4839366, Connecticut 4831725 06519
Washington D.C. 4140963, District of Columbia 4138106 20009
Washington D.C. 4140963, District of Columbia 4138106 20009
Washington D.C. 4140963, District of Columbia 4138106 20011
Hialeah 4158476, Florida 4155751 33012
Miami 4164138, Florida 4155751 33144
Pensacola 4168228, Florida 4155751 32501
Pensacola 4168228, Florida 4155751 32503
Atlanta 4180439, Georgia 4197000 30322-
Atlanta 4180439, Georgia 4197000 30322
Atlanta 4180439, Georgia 4197000 30322
Atlanta 4180439, Georgia 4197000 30322
Atlanta 4180439, Georgia 4197000 30322
Ankeny 4846960, Iowa 4862182 50023
West Des Moines 4881346, Iowa 4862182 50266
West Des Moines 4881346, Iowa 4862182 50266
Shreveport 4341513, Louisiana 4331987 71101
Baltimore 4347778, Maryland 4361885 21224
Baltimore 4347778, Maryland 4361885 21224
Boston 4930956, Massachusetts 6254926 02118
New Brunswick 5101717, New Jersey 5101760 08901
New Brunswick 5101717, New Jersey 5101760 08901
Rochester 5134086, New York 5128638 14642
The Bronx 5110266, New York 5128638 10461
Cincinnati 4508722, Ohio 5165418 45229
Cleveland 5150529, Ohio 5165418 44121
Dayton 4509884, Ohio 5165418 45409
Dayton 4509884, Ohio 5165418 45429
Gresham 5729485, Oregon 5744337 97030
Erie 5188843, Pennsylvania 6254927 16506
Charleston 4574324, South Carolina 4597040 29414
Summerville 4597919, South Carolina 4597040 29486
Corpus Christi 4683416, Texas 4736286 78411
Edinburg 4688275, Texas 4736286 78539
Edinburg 4688275, Texas 4736286 78539
Frisco 4692559, Texas 4736286 75033
Galveston 4692883, Texas 4736286 77555
Houston 4699066, Texas 4736286 77030
Houston 4699066, Texas 4736286 77065
Plano 4719457, Texas 4736286 75024
Midlothian 4772943, Virginia 6254928 23114
Seattle 5809844, Washington 5815135 98101
Seattle 5809844, Washington 5815135 98105
Guayama 4565105, Puerto Rico 00784
San Juan 4568127, Puerto Rico 00935
More Details
- NCT ID
- NCT05543616
- Status
- Recruiting
- Sponsor
- BioNTech SE