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    Clinical Trial Results:
    A Randomized, Observer-blind, Phase 2 Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Different Dose Levels of Ad26.COV2.S Administered as a One- or Two-dose Regimen in Healthy Adolescents From 12 to 17 Years Inclusive (HORIZON 2)

    Summary
    EudraCT number
    2020-005720-11
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    14 Aug 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Mar 2024
    First version publication date
    06 Mar 2024
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    VAC31518COV3006
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05007080
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Janssen Vaccines & Prevention B.V.
    Sponsor organisation address
    Newtonweg 1, Leiden, Netherlands, 2333 CP
    Public contact
    Clinical Registry Group, Janssen Vaccines & Prevention B.V., ClinicalTrialsEU@its.jnj.com
    Scientific contact
    Clinical Registry Group, Janssen Vaccines & Prevention B.V., ClinicalTrialsEU@its.jnj.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-002880-PIP01-20
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    14 Aug 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Aug 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary purpose of this study is to assess the safety, reactogenicity, and humoral immune response of Ad26.COV2.S administered intramuscularly (IM) as a 1-dose schedule or as a 2-dose schedule (56-day interval) in adolescents.
    Protection of trial subjects
    This study was conducted in accordance with the ethical principles that have their origin in the Declaration of Helsinki and that are consistent with Good Clinical Practices and applicable regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    27 Sep 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Argentina: 35
    Country: Number of subjects enrolled
    Brazil: 55
    Country: Number of subjects enrolled
    India: 108
    Country: Number of subjects enrolled
    Mexico: 37
    Country: Number of subjects enrolled
    South Africa: 64
    Worldwide total number of subjects
    299
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    299
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Of the 304 randomized subjects, 3 subjects were randomized to an arm that was closed prior to vaccination due to ethical reasons and one was not vaccinated. One subject was excluded from the analysis due to lack of a valid informed consent form and is not presented in the below table.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Single blind [1]
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo
    Arm description
    Subjects received a single dose of Ad26.COV.S 2.5*10^10 virus particle (vp) as intramuscular (IM) injection on Day 1 and placebo matching to Ad26.COV.S 2.5*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.
    Arm type
    Experimental

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received placebo matching to Ad26.COV2.S 2.5*10^10 vp administered as IM injection on Day 57.

    Investigational medicinal product name
    Ad26.COV2.S
    Investigational medicinal product code
    JNJ-78436735
    Other name
    Ad26COVS1, VAC31518
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received single dose of Ad26.COV2.S 2.5*10^10 vp administered as IM injection on Day 1 and Ad26.COV.S 2.5*10^10 vp as a booster vaccination on Day 184.

    Arm title
    Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo
    Arm description
    Subjects received a single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.
    Arm type
    Experimental

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received placebo matching to Ad26.COV2.S 1.25*10^10 administered as IM injection on Day 57.

    Investigational medicinal product name
    Ad26.COV2.S
    Investigational medicinal product code
    JNJ-78436735
    Other name
    Ad26COVS1, VAC31518
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received single dose of Ad26.COV2.S 1.25*10^10 vp administered as IM injection on Day 1 and Ad26.COV.S 2.5*10^10 vp as a booster vaccination on Day 184.

    Arm title
    Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Arm description
    Subjects received a single dose of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.
    Arm type
    Experimental

    Investigational medicinal product name
    Ad26.COV2.S
    Investigational medicinal product code
    JNJ-78436735
    Other name
    Ad26COVS1, VAC31518
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received single dose of Ad26.COV2.S 0.625*10^10 vp administered as IM injection on Day 1 and Ad26.COV.S 2.5*10^10 vp as a booster vaccination on Day 184.

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received placebo matching to Ad26.COV2.S 0.625*10^10 administered as IM injection on Day 57.

    Arm title
    Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp
    Arm description
    Subjects received a single dose of Ad26.COV2.S 2.5*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    Ad26.COV2.S
    Investigational medicinal product code
    JNJ-78436735
    Other name
    Ad26COVS1, VAC31518
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received 2 doses of Ad26.COV2.S 2.5*10^10 administered as IM injection on Day 1 and Day 57.

    Arm title
    Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp
    Arm description
    Subjects received a single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    Ad26.COV2.S
    Investigational medicinal product code
    JNJ-78436735
    Other name
    Ad26COVS1, VAC31518
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received 2 doses of Ad26.COV2.S 1.25*10^10 vp dministered as IM injection on Day 1 and Day 57.

    Arm title
    Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Arm description
    Subjects received a single dose of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination.
    Arm type
    Experimental

    Investigational medicinal product name
    Ad26.COV2.S
    Investigational medicinal product code
    JNJ-78436735
    Other name
    Ad26COVS1, VAC31518
    Pharmaceutical forms
    Suspension for injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Subjects received 2 doses Ad26.COV2.S 0.625*10^10 vp administered as IM injection on Day 1 and Day 57.

    Notes
    [1] - The number of roles blinded appears inconsistent with a single blinded trial. It is expected that there will be one role blinded in a single blind trial.
    Justification: The sponsor was unblinded at the time of the primary analysis, then the blind was maintained at a participant and study site level up to the unblinding visit.
    Number of subjects in period 1
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Started
    51
    50
    51
    49
    49
    49
    Completed
    49
    46
    50
    45
    47
    45
    Not completed
    2
    4
    1
    4
    2
    4
         Adverse event, serious fatal
    -
    1
    -
    -
    -
    -
         Consent withdrawn by subject
    1
    2
    -
    2
    1
    1
         Other
    1
    -
    1
    1
    -
    2
         Lost to follow-up
    -
    1
    -
    1
    1
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo
    Reporting group description
    Subjects received a single dose of Ad26.COV.S 2.5*10^10 virus particle (vp) as intramuscular (IM) injection on Day 1 and placebo matching to Ad26.COV.S 2.5*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 2.5*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Reporting group title
    Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Reporting group title
    Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Reporting group values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp Total
    Number of subjects
    51 50 51 49 49 49 299
    Title for AgeCategorical
    Units: subjects
        Children (2-11 years)
    0 0 0 0 0 0 0
        Adolescents (12-17 years)
    51 50 51 49 49 49 299
        Adults (18-64 years)
    0 0 0 0 0 0 0
        From 65 to 84 years
    0 0 0 0 0 0 0
        85 years and over
    0 0 0 0 0 0 0
    Title for AgeContinuous
    Units: years
        arithmetic mean (standard deviation)
    14.1 ± 1.87 14 ± 1.82 14.3 ± 1.76 14.4 ± 1.75 14.2 ± 1.8 14.1 ± 1.84 -
    Title for Gender
    Units: subjects
        Female
    22 22 21 20 21 20 126
        Male
    29 28 30 29 28 29 173

    End points

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    End points reporting groups
    Reporting group title
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo
    Reporting group description
    Subjects received a single dose of Ad26.COV.S 2.5*10^10 virus particle (vp) as intramuscular (IM) injection on Day 1 and placebo matching to Ad26.COV.S 2.5*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 2.5*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Reporting group title
    Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Reporting group title
    Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Reporting group description
    Subjects received a single dose of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Local Adverse Events (AEs) at 7 Days Post-dose 2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Local Adverse Events (AEs) at 7 Days Post-dose 2 [1]
    End point description
    An AE is any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as local (at the injection site) AEs for which subjects were specifically asked and which were noted by subjects in their reactogenicity diary for 7 days post each vaccination. Solicited local AEs were: injection site pain/tenderness, erythema, swelling at the vaccination site. Safety analysis set included all subjects with at least one vaccine administration documented. Here "N" number of subjects that started the Arm, signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    7 days post-dose 2 on Day 57 (Day 64)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    50
    47
    49
    48
    Units: subjects
    8
    10
    3
    16
    9
    10
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Local Adverse Events (AEs) at 7 Days Post-dose 1

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Local Adverse Events (AEs) at 7 Days Post-dose 1 [2]
    End point description
    An AE is any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were pre-defined as local (at the injection site) AEs for which subjects were specifically asked and which were noted by subjects in their reactogenicity diary for 7 days post each vaccination. Solicited local AEs were: injection site pain/tenderness, erythema, swelling at the vaccination site. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    7 days post-dose 1 on Day 1 (Day 8)
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    51
    49
    49
    49
    Units: subjects
    13
    16
    17
    11
    12
    15
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Systemic AEs at 7 Days Post-dose 1

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Systemic AEs at 7 Days Post-dose 1 [3]
    End point description
    An AE is any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as systemic AES for which subjects were specifically asked and which were noted by subjects in their reactogenicity diary for 7 days post each vaccination. Subjects were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post-vaccination (day of vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    7 days post-dose 1 on Day 1 (Day 8)
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    51
    49
    49
    49
    Units: subjects
    20
    13
    18
    14
    16
    16
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Systemic AEs at 7 Days Post-dose 2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Solicited Systemic AEs at 7 Days Post-dose 2 [4]
    End point description
    An AE is any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs were used to assess the reactogenicity of the study vaccine and were predefined as systemic AES for which subjects were specifically asked and which were noted by subjects in their reactogenicity diary for 7 days post each vaccination. Subjects were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post-vaccination (day of vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, myalgia and pyrexia. Safety analysis set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    7 days post-dose 2 on Day 57 (Day 64)
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    50
    47
    49
    48
    Units: subjects
    11
    10
    4
    14
    10
    11
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Unsolicited AEs at 28 Days Post-dose 1

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Unsolicited AEs at 28 Days Post-dose 1 [5]
    End point description
    An AE is any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination were also considered unsolicited AEs. Unsolicited AEs were defined as AEs for which the subjects were not specifically questioned in the subject's reactogenicity diary. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    28 days post-dose 1 on Day 1 (Day 29)
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    51
    49
    49
    49
    Units: subjects
    9
    9
    5
    3
    8
    10
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Unsolicited AEs at 28 Days Post-dose 2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Unsolicited AEs at 28 Days Post-dose 2 [6]
    End point description
    An AE is any untoward medical occurrence in a subject participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited AEs that started within 7 days after vaccination but were ongoing after this 7-day window after each vaccination are also considered unsolicited AEs. Unsolicited AEs were defined as AEs for which the subjects were not specifically questioned in the subject's reactogenicity diary. Safety analysis set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    28 days post-dose 2 on Day 57 (Day 85)
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    50
    47
    49
    48
    Units: subjects
    7
    7
    8
    7
    7
    9
    No statistical analyses for this end point

    Primary: Groups 1, 2, and 3: Number of Subjects with MAAEs Leading to Discontinuation

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    End point title
    Groups 1, 2, and 3: Number of Subjects with MAAEs Leading to Discontinuation [7] [8]
    End point description
    Number of subjects with MAAEs leading to discontinuation were reported. MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for rest of the arms were reported as separate end points.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    51
    50
    51
    Units: subjects
    0
    0
    0
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with MAAEs 6 Months Post-Dose 2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with MAAEs 6 Months Post-Dose 2 [9]
    End point description
    MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not to be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Safety analysis set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    From the first vaccination (Day 1) until 6 months post-dose 2 on Day 57 (Up to Day 240)
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    50
    47
    49
    48
    Units: subjects
    4
    6
    2
    2
    4
    5
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 1

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Number of Subjects with Medically-attended Adverse Events (MAAEs) 6 Months Post-Dose 1 [10]
    End point description
    MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not to be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    From the first vaccination (Day 1) until 6 months post-dose 1 on Day 1 (Up to Day 184)
    Notes
    [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    51
    49
    49
    49
    Units: subjects
    2
    0
    0
    1
    0
    5
    No statistical analyses for this end point

    Primary: Groups 4, 5 and 6: Number of Subjects with SAEs

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    End point title
    Groups 4, 5 and 6: Number of Subjects with SAEs [11] [12]
    End point description
    SAE were defined as any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    From first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for rest of the arms were reported as separate end points.
    End point values
    Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    49
    49
    49
    Units: subjects
    0
    1
    0
    No statistical analyses for this end point

    Primary: Groups 1, 2, and 3: Number of Subjects with Serious Adverse Events (SAEs)

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    End point title
    Groups 1, 2, and 3: Number of Subjects with Serious Adverse Events (SAEs) [13] [14]
    End point description
    SAE were defined as any untoward medical occurrence that at any dose results in any of the following outcomes: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect; suspected transmission of any infectious agent via a medicinal product or medically important. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for rest of the arms were reported as separate end points.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    51
    50
    51
    Units: subjects
    1
    1
    0
    No statistical analyses for this end point

    Primary: Groups 4, 5 and 6: Number of Subjects with MAAEs Leading to Discontinuation

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    End point title
    Groups 4, 5 and 6: Number of Subjects with MAAEs Leading to Discontinuation [15] [16]
    End point description
    Number of subjects with MAAEs leading to discontinuation were reported. MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Safety analysis set included all subjects with at least one vaccine administration documented.
    End point type
    Primary
    End point timeframe
    From first vaccination on Day 1 up to Day 240 (6 months after second vaccination on Day 57)
    Notes
    [15] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for rest of the arms were reported as separate end points.
    End point values
    Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    49
    49
    49
    Units: subjects
    0
    0
    0
    No statistical analyses for this end point

    Primary: Groups 1, 2, and 3: Number of Subjects with Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C])

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    End point title
    Groups 1, 2, and 3: Number of Subjects with Adverse Events of Special Interest (AESI) (Including Multisystem Inflammatory Syndrome in Children [MIS-C]) [17] [18]
    End point description
    Number of subjects with AESI (including MIS-C) were reported. Thrombotic events (suspected deep vessel venous or arterial thrombotic events); Thrombocytopenia (platelet count below 150,000/μL) and MIS-C (a subject <21 years with fever, evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (≥2) organ involvement [cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological]; & No alternative diagnoses; & Positive for coronavirus disease 2019 [COVID-19] infection by Real-time reverse transcriptase-polymerase chain reaction [RT-PCR], serology, or antigen test; or COVID-19 exposure within 4 weeks prior to symptoms) were considered AESIs in this study. Safety analyses set included subjects who had at least one vaccine administration. Here "N" signifies the number of subjects evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)
    Notes
    [17] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for rest of the arms were reported as separate end points.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    13
    18
    15
    Units: subjects
    0
    0
    0
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 1

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Spike-enzyme-linked Immunosorbent Assay (S-ELISA) at 28 Days Post-dose 1 [19]
    End point description
    Serological response to vaccination were measured by S-ELISA (ELISA Units/mL [EU/mL]) at 28 days post-dose 1. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value of less than or equal to the lower limit of quantification (<=LLOQ) and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. The Per Protocol Immunogenicity (PPI) set included all randomized and vaccinated subjects for whom immunogenicity data were available excluding data from subjects with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    28 days post-dose 1 on Day 1 (Day 29)
    Notes
    [19] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    44
    42
    43
    35
    39
    41
    Units: ELISA Unit/milliliter (EU/mL)
        geometric mean (confidence interval 95%)
    6533 (4341 to 9831)
    7812 (5120 to 11920)
    5881 (3719 to 9302)
    9273 (5596 to 15366)
    6758 (4344 to 10513)
    6069 (3780 to 9745)
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by S-ELISA at 14 Days Post-dose 2 [20]
    End point description
    Serological response to vaccination were measured by S-ELISA (ELISA Units/mL [EU/mL]) at 14 days post-dose 2. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value of <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. The PPI set included all randomized and vaccinated subjects for whom immunogenicity data were available excluding data from subjects with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    14 days post-dose 2 on Day 57 (Day 71)
    Notes
    [20] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    38
    31
    38
    30
    32
    37
    Units: EU/mL
        geometric mean (confidence interval 95%)
    4923 (3329 to 7282)
    4679 (2748 to 7967)
    4043 (2480 to 6590)
    8958 (6333 to 12671)
    8716 (6577 to 11550)
    6522 (4461 to 9533)
    No statistical analyses for this end point

    Primary: Groups 4, 5 and 6: Number of Subjects with AESI (Including MIS-C)

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    End point title
    Groups 4, 5 and 6: Number of Subjects with AESI (Including MIS-C) [21] [22]
    End point description
    Number of subjects with AESI (including MIS-C) were reported. Thrombotic events (suspected deep vessel venous or arterial thrombotic events); Thrombocytopenia (platelet count below 150,000/μL) and MIS-C (a subject <21 years with fever, evidence of inflammation, and evidence of clinically severe illness requiring hospitalization, with multisystem (≥2) organ involvement [cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic or neurological]; & No alternative diagnoses; & Positive for coronavirus disease 2019 [COVID-19] infection by RT-PCR, serology, or antigen test; or COVID-19 exposure within 4 weeks prior to symptoms) were considered as AESIs in this study. Safety analyses set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    From first vaccination up to Day 240 (6 months after second vaccination on Day 57)
    Notes
    [21] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for rest of the arms were reported as separate end points.
    End point values
    Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    46
    47
    47
    Units: subjects
    0
    0
    0
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 1

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Virus Neutralization Assay (VNA) Titers 28 Days Post-dose 1 [23]
    End point description
    Serological response to vaccination were measured by VNA titers 28 days post-dose 1. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value of <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. The PPI set included all randomized and vaccinated subjects for whom immunogenicity data were available excluding data from subjects with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    28 days post-dose 1 (Day 29)
    Notes
    [23] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    43
    42
    42
    35
    39
    41
    Units: 50% inhibitory concentration (IC50)
        geometric mean (confidence interval 95%)
    1325 (792 to 2216)
    1754 (988 to 3113)
    1392 (806 to 2403)
    2038 (1065 to 3897)
    1878 (1089 to 3240)
    1455 (864 to 2449)
    No statistical analyses for this end point

    Primary: Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by VNA Titers 14 Days Post-dose 2 [24]
    End point description
    Serological response to vaccination will be measured by VNA titers 14 days post-dose 2. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. The PPI set included all randomized and vaccinated subjects for whom immunogenicity data were available excluding data from subjects with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints.
    End point type
    Primary
    End point timeframe
    14 days post-dose 2 on Day 57 (Day 71)
    Notes
    [24] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No formal statistical testing was done. Only descriptive statistics was performed.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    38
    31
    38
    30
    32
    37
    Units: subjects
        geometric mean (confidence interval 95%)
    1187 (698 to 2018)
    1094 (517 to 2315)
    864 (471 to 1583)
    2386 (1453 to 3917)
    2670 (1816 to 3925)
    1742 (1064 to 2852)
    No statistical analyses for this end point

    Secondary: Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or individual SARS-CoV-2 S Proteins as Assessed by ELISA

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Binding Antibody Titers to Severe Acute Respiratory Syndrome Coronavirus(-2) (SARS-CoV-2) or individual SARS-CoV-2 S Proteins as Assessed by ELISA
    End point description
    Serological response to vaccination measured by binding antibody titers to SARS-CoV-2 or individual SARS-CoV-2 S proteins as assessed by ELISA were reported. For Vaccine-specific responses, a subject was defined as responder if: 1. a baseline sample value of <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. The PPI set included all randomized and vaccinated subjects for whom immunogenicity data were available excluding data from subjects with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Here "99999" signifies that the data were not collected or analyzed for the specified category.
    End point type
    Secondary
    End point timeframe
    Groups 1-3: Days 1, 29, 57, 71, 184, 198, and 366; Groups 4-6: Days 1, 29, 57, 71 and 240
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    51
    49
    49
    49
    Units: EU/mL
    geometric mean (confidence interval 95%)
        Day 1 (n=51, 50, 51, 49, 48, 49)
    255 (148 to 438)
    297 (156 to 563)
    338 (189 to 605)
    256 (144 to 455)
    200 (117 to 341)
    282 (151 to 528)
        Day 29 (n=44, 42, 43, 35, 39, 41)
    6533 (4341 to 9831)
    7812 (5120 to 11920)
    5881 (3719 to 9302)
    9273 (5596 to 15366)
    6758 (4344 to 10513)
    6069 (3780 to 9745)
        Day 57 (n=41, 40, 41, 33, 38, 38)
    5629 (3896 to 8133)
    7450 (4934 to 11249)
    4554 (2922 to 7099)
    7034 (4542 to 10891)
    5650 (3798 to 8405)
    4817 (3009 to 7710)
        Day 71 (n=38, 31, 38, 30, 32, 37)
    4923 (3329 to 7282)
    4679 (2748 to 7967)
    4043 (2480 to 6590)
    8958 (6333 to 12671)
    8716 (6577 to 11550)
    6522 (4461 to 9533)
        Day 184 (n=19, 11, 19, 0, 0, 0 )
    4131 (2431 to 7021)
    4765 (2048 to 11087)
    3861 (1826 to 8165)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
        Day 198 (n=27, 21, 31, 0, 0, 0)
    6782 (5230 to 8795)
    7656 (5317 to 11026)
    10506 (8227 to 13417)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
        Day 240 (n=0, 0, 0, 14, 16, 22)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
    4994 (3144 to 7932)
    5338 (3039 to 9377)
    3877 (2390 to 6289)
        Day 366 (25, 18, 31, 0, 0, 0)
    5087 (3809 to 6793)
    4934 (2856 to 8526)
    6585 (4907 to 8838)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
    99999 (9999 to 99999)
    No statistical analyses for this end point

    Secondary: Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2

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    End point title
    Groups 1, 2, 3, 4, 5 and 6: Serological Response to Vaccination Measured by Neutralizing Antibody Titers to SARS-CoV-2
    End point description
    Serological response to vaccination measured by neutralizing antibody titers to SARS-CoV-2 (VNA) were reported. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value of <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. The PPI set included all randomized and vaccinated subjects for whom immunogenicity data were available excluding data from subjects with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number analyzed) signifies number of subjects analyzed at specified timepoints. Here "99999" signifies that the data were not collected or analyzed for the specified arm. "-99" signifies a value <LLOQ.
    End point type
    Secondary
    End point timeframe
    Groups 1-3: Days 1, 29, 57, 71, 184, 198 and 366; Groups 4-6: Days 1, 29, 57, 71 and 240
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo Group 4: Ad26.COV2.S 2.5*10^10 vp + Ad26.COV2.S 2.5*10^10 vp Group 5: Ad26.COV2.S 1.25*10^10 vp + Ad26.COV2.S 1.25*10^10 vp Group 6: Ad26.COV2.S 0.625*10^10 vp+Ad26.COV2.S 0.625*10^10 vp
    Number of subjects analysed
    51
    50
    50
    48
    48
    49
    Units: IC50
    geometric mean (confidence interval 95%)
        Day 1 (n=51, 50, 50, 48, 48, 49))
    105 (-99 to 163)
    149 (88 to 250)
    114 (-99 to 186)
    112 (-99 to 184)
    83 (-99 to 121)
    127 (77 to 210)
        Day 29 (n= 43, 42, 42, 35, 39, 41)
    1325 (792 to 2216)
    1754 (988 to 3113)
    1392 (806 to 2403)
    2038 (1065 to 3897)
    1878 (1089 to 3240)
    1455 (864 to 2449)
        Day 57 (n=41, 40, 41, 33, 38, 38)
    1197 (710 to 2020)
    1743 (992 to 3065)
    993 (570 to 1730)
    1662 (923 to 2992)
    1434 (847 to 2427)
    1188 (649 to 2173)
        Day 71 (n= 38, 31, 38, 30, 32, 37)
    1187 (698 to 2018)
    1094 (517 to 2315)
    864 (471 to 1583)
    2386 (1453 to 3917)
    2670 (1816 to 3925)
    1742 (1064 to 2852)
        Day 184 (n=19, 11, 19, 0, 0, 0)
    1358 (773 to 2386)
    1702 (462 to 6273)
    860 (326 to 2267)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Day 198 (n=27, 21, 31, 0, 0, 0)
    2496 (1760 to 3539)
    2547 (1223 to 5303)
    4083 (3006 to 5547)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
        Day 240 (n= 0, 0, 0, 14, 16, 22)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
    1867 (944 to 3692)
    1900 (1035 to 3489)
    1134 (548 to 2347)
        Day 366 (n=25,18, 31, 0, 0, 0)
    1809 (1231 to 2656)
    1783 (691 to 4599)
    2274 (1521 to 3401)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
    99999 (-99999 to 99999)
    No statistical analyses for this end point

    Secondary: Groups 1, 2 and 3: Number of Subjects with Solicited Local AEs for 7 Days Post-booster Vaccination

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    End point title
    Groups 1, 2 and 3: Number of Subjects with Solicited Local AEs for 7 Days Post-booster Vaccination [25]
    End point description
    Solicited local AEs are pre-defined local (at the injection site) AEs for which subjects are specifically asked and which are noted by subjects in their reactogenicity diary for 7 days post booster vaccination. Solicited local AEs are: injection site pain/tenderness, erythema, swelling at the vaccination. Safety analyses set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point type
    Secondary
    End point timeframe
    From first vaccination on Day 1 up to Day 191 (7 days after booster vaccination on Day 184)
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    51
    48
    49
    Units: subjects
    19
    16
    17
    No statistical analyses for this end point

    Secondary: Groups 1, 2 and 3: Number of Subjects with Solicited Systemic AEs for 7 Days Post-booster Vaccination

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    End point title
    Groups 1, 2 and 3: Number of Subjects with Solicited Systemic AEs for 7 Days Post-booster Vaccination [26]
    End point description
    Subjects were instructed on how to note signs and symptoms in the diary on a daily basis for 7 days post-booster vaccination (day of vaccination and the subsequent 7 days) for the following solicited systemic AEs: fatigue, headache, nausea, and myalgia and pyrexia. Safety analyses set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point type
    Secondary
    End point timeframe
    From first vaccination on Day 1 up to Day 191 (7 days after booster vaccination on Day 184)
    Notes
    [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    51
    48
    49
    Units: Subjects
    16
    14
    15
    No statistical analyses for this end point

    Secondary: Groups 1, 2 and 3: Number of Subjects with Unsolicited AEs for 28 Days Post-booster Vaccination

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    End point title
    Groups 1, 2 and 3: Number of Subjects with Unsolicited AEs for 28 Days Post-booster Vaccination [27]
    End point description
    Unsolicited AEs were all AEs for which the subject was not specifically questioned in the subject's reactogenicity diary. Safety analyses set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point type
    Secondary
    End point timeframe
    From first vaccination on Day 1 up to Day 212 (28 days after booster Vaccination on Day 184)
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    51
    48
    49
    Units: subjects
    6
    8
    10
    No statistical analyses for this end point

    Secondary: Groups 1, 2 and 3: Number of Subjects with MAAEs Until 6 Months Post-booster Vaccination

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    End point title
    Groups 1, 2 and 3: Number of Subjects with MAAEs Until 6 Months Post-booster Vaccination [28]
    End point description
    MAAEs were defined as AEs with medically-attended visits including hospital, emergency room, urgent care clinic, or other visits to or from medical personnel for any reason. Routine study visits were not be considered medically-attended visits. New onset of chronic diseases were collected as part of the MAAEs. Safety analyses set included all subjects with at least one vaccine administration documented. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point type
    Secondary
    End point timeframe
    From first vaccination on Day 1 up to Day 366 (6 months after booster vaccination on Day 184)
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    51
    48
    49
    Units: subjects
    1
    2
    2
    No statistical analyses for this end point

    Secondary: Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody Titers

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    End point title
    Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Binding (S-ELISA) Antibody Titers [29]
    End point description
    Serological response to post-booster vaccination measured by binding (S-ELISA and/or equivalent assay) antibody titers were reported. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value of <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. PPI set: All randomized and vaccinated participants with available immunogenicity data excluding data from participants with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point type
    Secondary
    End point timeframe
    Days 184, 198 and 366
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    27
    21
    31
    Units: EU/mL
    geometric mean (confidence interval 95%)
        Day 184 (n=19, 11, 19)
    4131 (2431 to 7021)
    4765 (2048 to 11087)
    3861 (1826 to 8165)
        Day 198 (n=27, 21, 31)
    6782 (5230 to 8795)
    7656 (5317 to 11026)
    10506 (8227 to 13417)
        Day 366 (n=25, 18, 31)
    5087 (3809 to 6793)
    4934 (2856 to 8526)
    6585 (4907 to 8838)
    No statistical analyses for this end point

    Secondary: Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody Titers

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    End point title
    Groups 1, 2 and 3: Serological Response to Post-booster Vaccination Measured by Neutralizing (VNA) Antibody Titers [30]
    End point description
    Serological response to post-booster vaccination measured by neutralizing (VNA) antibody titers were reported. For Vaccine-specific responses, a subject was defined as a responder if: 1. a baseline sample value of <=LLOQ and a postbaseline sample strictly greater than the LLOQ; or 2. a baseline sample value strictly >LLOQ and a postbaseline sample value representing an at least 4-fold increase from the baseline sample value, was reported. PPI set: All randomized and vaccinated participants with available immunogenicity data excluding data from participants with major protocol deviations expected to impact the immunogenicity outcomes. Here "N" signifies the number of subjects that were evaluable for this endpoint and "n"(number of subjects analyzed) signifies number of subjects analyzed at specified timepoints. Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point type
    Secondary
    End point timeframe
    Days 184, 198 and 366
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Data for this outcome measure was not planned to be collected and analyzed for groups 4, 5 and 6 as pre-specified in protocol.
    End point values
    Group 1: Ad26.COV2.S 2.5*10^10 vp + Placebo Group 2: Ad26.COV2.S 1.25*10^10 vp + Placebo Group 3: Ad26.COV2.S 0.625*10^10 vp + Placebo
    Number of subjects analysed
    27
    21
    31
    Units: IC50
    geometric mean (confidence interval 95%)
        Day 184 (n=19, 11, 19)
    1358 (773 to 2386)
    1702 (462 to 6273)
    860 (326 to 2267)
        Day 198 (n=27, 21, 31)
    2496 (1760 to 3539)
    2547 (1223 to 5303)
    4083 (3006 to 5547)
        Day 366 (n=25, 18, 31)
    1809 (1231 to 2656)
    1783 (691 to 4599)
    2274 (1521 to 3401)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Groups 1 to 3:From first vaccination on Day 1 until 6 months after booster vaccination on Day 184 (end of study) (up to Day 366) Groups 4 to 6:From first vaccination on Day 1 until 6 months after second vaccination on Day 57 (end of study) (up to Day 240)
    Adverse event reporting additional description
    Safety analyses included all subjects with at least one vaccine administration documented.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    25.0
    Reporting groups
    Reporting group title
    Group 1: Ad26.COV2.S 2.5*10^10 + Placebo
    Reporting group description
    Subjects received single dose of Ad26.COV.S 2.5*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV.S 2.5*10^10 vp on Day 57. Subjects were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Subjects received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 2: Ad26.COV2.S 1.25*10^10 + Placebo
    Reporting group description
    Participants received single dose of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and placebo matching to Ad26.COV2.S 1.25*10^10 vp on Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Participants received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 3: Ad26.COV2.S 0.625*10^10 + Placebo
    Reporting group description
    Participants received single dose of Ad26.COV2.S 0.625*10^10 virus particle (vp) as intramuscular (IM) injection on Day 1 and placebo matching to Ad26.COV2.S 0.625*10^10 vp on Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination. Participants received booster vaccination with Ad26.COV.S 2.5*10^10 vp on Day 184.

    Reporting group title
    Group 4: Ad26.COV2.S 2.5*10^10 + Ad26.COV2.S 2.5*10^10
    Reporting group description
    Participants received 2-doses of Ad26.COV2.S 2.5*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Reporting group title
    Group 5: Ad26.COV2.S 1.25*10^10 + Ad26.COV2.S 1.25*10^10
    Reporting group description
    Participants received 2-doses of Ad26.COV2.S 1.25*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination

    Reporting group title
    Group 6: Ad26.COV2.S 0.625*10^10 + Ad26.COV2.S 0.625*10^10
    Reporting group description
    Participants received 2-doses of Ad26.COV2.S 0.625*10^10 vp as IM injection on Day 1 and Day 57. Participants were unblinded to the primary vaccination regimen at 6 months after the first vaccination.

    Serious adverse events
    Group 1: Ad26.COV2.S 2.5*10^10 + Placebo Group 2: Ad26.COV2.S 1.25*10^10 + Placebo Group 3: Ad26.COV2.S 0.625*10^10 + Placebo Group 4: Ad26.COV2.S 2.5*10^10 + Ad26.COV2.S 2.5*10^10 Group 5: Ad26.COV2.S 1.25*10^10 + Ad26.COV2.S 1.25*10^10 Group 6: Ad26.COV2.S 0.625*10^10 + Ad26.COV2.S 0.625*10^10
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 49 (0.00%)
    1 / 49 (2.04%)
    0 / 49 (0.00%)
         number of deaths (all causes)
    0
    1
    0
    0
    0
    0
         number of deaths resulting from adverse events
    Injury, poisoning and procedural complications
    Femur Fracture
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    0 / 49 (0.00%)
    0 / 49 (0.00%)
    0 / 49 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Intentional Overdose
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 50 (2.00%)
    0 / 51 (0.00%)
    0 / 49 (0.00%)
    0 / 49 (0.00%)
    0 / 49 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Vaginal Cyst Excision
         subjects affected / exposed
    0 / 51 (0.00%)
    0 / 50 (0.00%)
    0 / 51 (0.00%)
    0 / 49 (0.00%)
    1 / 49 (2.04%)
    0 / 49 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Group 1: Ad26.COV2.S 2.5*10^10 + Placebo Group 2: Ad26.COV2.S 1.25*10^10 + Placebo Group 3: Ad26.COV2.S 0.625*10^10 + Placebo Group 4: Ad26.COV2.S 2.5*10^10 + Ad26.COV2.S 2.5*10^10 Group 5: Ad26.COV2.S 1.25*10^10 + Ad26.COV2.S 1.25*10^10 Group 6: Ad26.COV2.S 0.625*10^10 + Ad26.COV2.S 0.625*10^10
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    35 / 51 (68.63%)
    32 / 50 (64.00%)
    34 / 51 (66.67%)
    26 / 49 (53.06%)
    29 / 49 (59.18%)
    35 / 49 (71.43%)
    Nervous system disorders
    Headache(Solicited)
         subjects affected / exposed
    16 / 51 (31.37%)
    20 / 50 (40.00%)
    17 / 51 (33.33%)
    12 / 49 (24.49%)
    17 / 49 (34.69%)
    16 / 49 (32.65%)
         occurrences all number
    28
    26
    20
    17
    21
    18
    General disorders and administration site conditions
    Vaccination Site Swelling(Solicited)
         subjects affected / exposed
    5 / 51 (9.80%)
    7 / 50 (14.00%)
    3 / 51 (5.88%)
    4 / 49 (8.16%)
    2 / 49 (4.08%)
    4 / 49 (8.16%)
         occurrences all number
    7
    8
    3
    4
    2
    5
    Vaccination Site Pain(Solicited)
         subjects affected / exposed
    23 / 51 (45.10%)
    22 / 50 (44.00%)
    24 / 51 (47.06%)
    19 / 49 (38.78%)
    15 / 49 (30.61%)
    19 / 49 (38.78%)
         occurrences all number
    38
    39
    34
    26
    18
    22
    Vaccination Site Erythema(Solicited)
         subjects affected / exposed
    4 / 51 (7.84%)
    5 / 50 (10.00%)
    2 / 51 (3.92%)
    3 / 49 (6.12%)
    4 / 49 (8.16%)
    3 / 49 (6.12%)
         occurrences all number
    4
    8
    2
    3
    4
    3
    Fatigue(Solicited)
         subjects affected / exposed
    20 / 51 (39.22%)
    11 / 50 (22.00%)
    12 / 51 (23.53%)
    16 / 49 (32.65%)
    10 / 49 (20.41%)
    14 / 49 (28.57%)
         occurrences all number
    26
    17
    14
    21
    11
    16
    Pyrexia(Solicited)
         subjects affected / exposed
    10 / 51 (19.61%)
    2 / 50 (4.00%)
    7 / 51 (13.73%)
    7 / 49 (14.29%)
    2 / 49 (4.08%)
    5 / 49 (10.20%)
         occurrences all number
    12
    4
    7
    7
    2
    5
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 50 (4.00%)
    1 / 51 (1.96%)
    0 / 49 (0.00%)
    0 / 49 (0.00%)
    2 / 49 (4.08%)
         occurrences all number
    3
    2
    1
    0
    0
    2
    Nausea(Solicited)
         subjects affected / exposed
    8 / 51 (15.69%)
    5 / 50 (10.00%)
    11 / 51 (21.57%)
    6 / 49 (12.24%)
    7 / 49 (14.29%)
    2 / 49 (4.08%)
         occurrences all number
    8
    6
    13
    7
    8
    3
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 50 (2.00%)
    1 / 51 (1.96%)
    1 / 49 (2.04%)
    3 / 49 (6.12%)
    0 / 49 (0.00%)
         occurrences all number
    2
    1
    1
    1
    3
    0
    Musculoskeletal and connective tissue disorders
    Myalgia(Solicited)
         subjects affected / exposed
    18 / 51 (35.29%)
    11 / 50 (22.00%)
    14 / 51 (27.45%)
    13 / 49 (26.53%)
    9 / 49 (18.37%)
    5 / 49 (10.20%)
         occurrences all number
    21
    15
    18
    16
    11
    6
    Infections and infestations
    Gastroenteritis
         subjects affected / exposed
    2 / 51 (3.92%)
    3 / 50 (6.00%)
    0 / 51 (0.00%)
    1 / 49 (2.04%)
    2 / 49 (4.08%)
    3 / 49 (6.12%)
         occurrences all number
    2
    4
    0
    1
    2
    3
    Covid-19
         subjects affected / exposed
    7 / 51 (13.73%)
    4 / 50 (8.00%)
    4 / 51 (7.84%)
    4 / 49 (8.16%)
    7 / 49 (14.29%)
    6 / 49 (12.24%)
         occurrences all number
    7
    4
    4
    4
    7
    6
    Upper Respiratory Tract Infection
         subjects affected / exposed
    2 / 51 (3.92%)
    5 / 50 (10.00%)
    2 / 51 (3.92%)
    0 / 49 (0.00%)
    0 / 49 (0.00%)
    4 / 49 (8.16%)
         occurrences all number
    2
    7
    2
    0
    0
    6
    Rhinitis
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 50 (2.00%)
    1 / 51 (1.96%)
    0 / 49 (0.00%)
    1 / 49 (2.04%)
    1 / 49 (2.04%)
         occurrences all number
    3
    1
    1
    0
    1
    1
    Influenza
         subjects affected / exposed
    5 / 51 (9.80%)
    3 / 50 (6.00%)
    6 / 51 (11.76%)
    2 / 49 (4.08%)
    0 / 49 (0.00%)
    5 / 49 (10.20%)
         occurrences all number
    6
    3
    10
    3
    0
    5

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    15 Aug 2022
    The overall rationale for the protocol amendment 4 was the removal of Part 2 of this study. The Part 1 of Study VAC31518COV3006 has been ongoing since 29 September 2021. Since the start of enrollment, there has been a slower than desired participant enrollment rate mainly due to the success of the national vaccination programs in the countries where Part 1 is being conducted and a high number of participants being seropositive for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) at screening/randomization. Thus, the current design of Part 2 in vaccine naïve participants is no longer feasible nor relevant and will, therefore, be removed from this study. However, Part 1 will continue as planned and the results may yield a preferred dose to be used in potential future studies.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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