Trial NCT05289037
Publication Branche A, Clin. Infect. Dis., 2023
Dates: 2022-10-04 to 2022-10-28
Funding: Public/non profit (National Institute of Allergy and Infectious Diseases (NIAID), the National Cancer Institute (NCI), Infectious Diseases Clinical Research Consortium. (IDCRC); National Institutes of Health (NIH))
Conflict of interest: Yes
Methods | |
RCT | |
Location :
Multicenter / USA Follow-up duration (months): 1 | |
BNT162b2 Wildtype/Omicron BA.1 (n=101) BNT162b2 Omicron BA.4/5 (n=101) |
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Inclusion criteria |
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Exclusion criteria |
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Interventions | |
Intervention
1 IM dose of 30 mcg BNT162b2 bivalent Wildtype/Omicron BA.1 (2nd booster), at least 16 weeks following 1st boost+primary series with any FDA authorized COVID-19 vaccines. |
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Control
1 IM dose of 30 mcg BNT162b2 bivalent Wildtype/Omicron BA.4/5 (2nd booster), at least 16 weeks following 1st boost+primary series with any FDA authorized COVID-19 vaccines. | |
Participants | |
Randomized 202 participants | |
Characteristics of participants Type of participants: Adults including healthy or stable co-morbidities N=202 88 males Children: 0 Pregnant women: 0 Immunocompromized patients: 0 Mean age: Age range: 18-49 | |
Description of participants Adults 18-49 who are healthy or have stable co-morbidities in 20 centres in the USA. | |
Primary outcome | |
In the register 1) Change from baseline in Geometric Mean Fold Rise (GMFR) [ Time Frame: Day 1 through Day 366 ] As measured by Immunoglobin G (IgG) Enzyme-Linked Immunosorbent Assay (ELISA) or Multiplex Meso Scale Discovery (MSD) antibody binding assays to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) proteins. Neutralization titers will be calculated by neutralization assays using SARS-CoV-2 variant-specific S-pseudotyped viruses and different strains of live SARS-CoV-2. 2) Change from baseline in Geometric Mean Titers (GMT) [ Time Frame: Day 1 through Day 366 ] As measured by Immunoglobin G (IgG) Enzyme-Linked Immunosorbent Assay (ELISA) or Multiplex Meso Scale Discovery (MSD) antibody binding assays to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) proteins. Neutralization titers will be calculated by neutralization assays using SARS-CoV-2 variant-specific S-pseudotyped viruses and different strains of live SARS-CoV-2. 3) Change in Geometric Mean Ratio [ Time Frame: Day 1 through Day 366 ] As measured by Immunoglobin G (IgG) Enzyme-Linked Immunosorbent Assay (ELISA) or Multiplex Meso Scale Discovery (MSD) antibody binding assays to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) proteins. Neutralization titers will be calculated by neutralization assays using SARS-CoV-2 variant-specific S-pseudotyped viruses and different strains of live SARS-CoV-2 | |
In the report Evaluate the magnitude and breadth of SARS-CoV-2 specific antibody titers in serum samples by estimating 95% confidence intervals (CI) for the geometric mean titer (GMT) at each timepoint when samples are collected. | |
Documents available |
Protocol NR Statistical plan * Data-sharing stated:
Yes |
Risk of bias Overall The overall risk of bias reported in the table corresponds to the highest risk of bias for the outcomes assessed for the systematic review |
Some concerns |
General comment | In addition to the pre-print article, the study registry was used in data extraction and risk of bias assessment. The protocol, statistical analysis plan and supplementary appendix were not available. This was a brief report of preliminary results for a study with on-going follow up. Adverse events were reported in the registry, but not in the paper. Only immunologic results are reported, up to 28 days (after 2nd boost); adverse events are not reported. There is no change from the trial registration in the intervention and control treatments. The target sample size (n=200) specified in the registry was achieved (n=202). This trial was updated on May 2nd 2023, after publication of the study report. |