Purpose

Study VBT00002 is planned to be a Phase 1/2, randomized, modified double-blind, active-controlled, multi-center study to be conducted in approximately 980 adults aged 50 years and older in the United States. The purpose of the study is to assess the safety and immunogenicity of recombinant influenza vaccine (RIV) + adjuvanted recombinant COVID-19 vaccine (rC19) vaccine comprised of RIV combined with different recombinant Spike (rS) antigen levels of rC19 compared to RIV alone, rC19 (dose 1) alone, and RIV and rC19 (dose 1) (coadministered in opposite arms). Placebo will be coadministered in the RIV alone, rC19 (dose 1) alone, and RIV + rC19 study groups to control for the number of injections and to maintain observer blinding. Thus, each participant will receive two injections at enrollment, one in each deltoid muscle. Study details include: - The study duration will be approximately 12 months - Study intervention will be administered via a single intramuscular (IM) injection into the right and left deltoid muscles on Day(D) 01 - Dose escalation with sequential enrollment (sentinel cohort followed by main cohort for a given dose) - The visit frequency for participants will be D01 and D30, and D09-D366 (telephone call) Number of Participants: Approximately 980 participants are expected to be randomized.

Conditions

Eligibility

Eligible Ages
Over 50 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

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 receive an injection in the deltoid muscle of both arms. - Participant must have completed a primary vaccination series against SARS-CoV-2 and at least 1 booster with a locally authorized or approved COVID-19 vaccine. Inclusion criteria to be checked at Visit 1 (Day [D]01): - Aged 50 years or older on the day of inclusions - Participants who are healthy or with pre-existing stable condition (defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 12 weeks before enrollment), as determined by medical evaluation including medical history and physical examination. - A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies: - Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be post-menopausal for at least 1 year, or surgically sterile. OR • Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to study intervention administration until at least 4 weeks after study intervention administration. A female participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) on the day of enrollment before the first dose of study intervention. - 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 receive an injection in the deltoid muscle of both arms. - Participant must have completed a primary vaccination series against SARS-CoV-2 and at least 1 booster with a locally authorized or approved COVID-19 vaccine.

Exclusion Criteria

to be checked at Screening Visit and at Visit 1 (D01): - Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (for glucocorticoids, ≥ 10 milligrams/day of prednisone or equivalent for more than 2 consecutive weeks within the past 3 months). - Known systemic hypersensitivity to any of the study intervention components, or history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances . - Self-reported thrombocytopenia, contraindicating intramuscular injection, based on investigator's judgment. - Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular injection, based on investigator's judgment. - Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion . - Any illness that, in the opinion of the investigator, would pose a health risk to the participant if enrolled. - Moderate or severe acute illness/infection (according to investigator judgment) or febrile illness (temperature ≥ 100.4°F) on the day of study intervention administration. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided. - Alcohol, prescription drug, or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion. - History of serious adverse reaction to any influenza or COVID-19 vaccines. - Personal or family history of Guillain-Barré syndrome. - Prior history of myocarditis, pericarditis, or myopericarditis. - Prior history of stroke or stroke risk factors, which may include untreated/uncontrolled hypertension, hyperlipidemia, or diabetes; active smoking; obesity, based on investigator's judgment; history of thromboembolic disease; cardiac structural abnormality; atrial fibrillation; carotid stent placement; or family history of stroke. Prior/concomitant therapy - Receipt of any vaccine in the 4 weeks preceding study intervention administration or planned receipt of any vaccine prior to the second blood draw (ie, approximately in the 28 days following study intervention administration. - Previous vaccination against influenza (in the previous 6 months) with an investigational or marketed vaccine. - Previous vaccination against COVID-19 (in the previous 6 months) with an investigational or marketed vaccine OR history of COVID-19 in the previous 6 months. - Receipt of immune globulins, blood or blood-derived products in the past 3 months

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Prevention
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description
This study is modified double-blind: - Investigator, participants, and laboratory personnel will be blinded - Clinical site staff preparing/administering the study vaccines will be unblinded - Sponsor study staff will be blinded, except for dedicated staff involved in interim analysis, who will be unblinded at the time of interim analysis, and for dedicated staff involved in assessing criteria for safety surveillance

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Group 1: RIV (in right or left deltoid) and placebo (in opposite deltoid)
two IM injections on D01
  • Biological: RIV (recombinant influenza vaccine)
    Influenza, inactivated, split virus or surface antigen
    Other names:
    • Recombinant influenza vaccine
  • Other: Placebo (0.9% NaCl)
    Normal saline
Experimental
Group 2: rC19 (dose 1) (in right or left deltoid) and placebo (in opposite deltoid)
two IM injections on D01
  • Biological: rC19 (dose 1)
    Protein subunit
    Other names:
    • Novavax's adjuvanted recombinant COVID-19
  • Other: Placebo (0.9% NaCl)
    Normal saline
Experimental
Group 3: RIV (in right or left deltoid) and rC19 (dose 1) (in opposite deltoid)
two IM injections on D01
  • Biological: RIV (recombinant influenza vaccine)
    Influenza, inactivated, split virus or surface antigen
    Other names:
    • Recombinant influenza vaccine
  • Biological: rC19 (dose 1)
    Protein subunit
    Other names:
    • Novavax's adjuvanted recombinant COVID-19
Experimental
Group 4: RIV + rC19 (dose 1) (in right or left deltoid) and placebo (in opposite deltoid)
two IM injections on D01
  • Biological: RIV + rC19 (dose 1)
    RIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
  • Other: Placebo (0.9% NaCl)
    Normal saline
Experimental
Group 5: RIV + rC19 (dose 2) (in right or left deltoid) and placebo
two IM injections on D01
  • Biological: RIV + rC19 (dose 2)
    RIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
  • Other: Placebo (0.9% NaCl)
    Normal saline
Experimental
Group 6: RIV + rC19 (dose 3) (in right or left deltoid) and placebo
two IM injections on D01
  • Biological: RIV + rC19 (dose 3)
    RIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
  • Other: Placebo (0.9% NaCl)
    Normal saline
Experimental
Group 7: RIV + rC19 (dose 4) (in right or left deltoid) and placebo (in opposite deltoid)
two IM injections on D01
  • Biological: RIV + rC19 (dose 4)
    RIV component: Influenza, inactivated, split virus or surface antigen NVXC19 component: Protein subunit
  • Other: Placebo (0.9% NaCl)
    Normal saline

Recruiting Locations

Central Phoenix Medical Clinic- Site Number : 8400009
Phoenix, Arizona 85020

Synexus Clinical Research US, Inc. - Cerritos- Site Number : 8400002
Cerritos, California 90704

Synexus Clinical Research US - Vista- Site Number : 8400010
Vista, California 92083

Optimal Research - Florida- Site Number : 8400006
Melbourne, Florida 32934

Synexus Clinical Research US - Orlando- Site Number : 8400007
Orlando, Florida 32806

AES - DRS - Optimal Research Illinois - Peoria- Site Number : 8400008
Peoria, Illinois 61614-4885

Synexus Clinical Research US - Evansville- Site Number : 8400004
Evansville, Indiana 47714

Walgreens Clinical Trials-Malden- Site Number : 8400012
Malden, Massachusetts 02148

Synexus Clinical Research US, Inc. - Minneapolis- Site Number : 8400011
Richfield, Minnesota 55423

Synexus-Las Vegas - Site Number : 8400005
Las Vegas, Nevada 89113

Synexus Clinical Research US - Cincinnati- Site Number : 8400003
Cincinnati, Ohio 45236

Synexus Clinical Research US - Anderson- Site Number : 8400001
Anderson, South Carolina 29621

More Details

NCT ID
NCT06695130
Status
Recruiting
Sponsor
Sanofi

Study Contact

Trial Transparency email recommended (Toll free for US & Canada)
800-633-1610
Contact-US@sanofi.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.