RecruitingPhase 2Phase 3NCT05543616

A Study to Learn About Variant-Adapted COVID-19 RNA Vaccine Candidate(s) in Healthy Children

A MASTER PHASE 1/2/3 PROTOCOL TO INVESTIGATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF VARIANT-ADAPTED BNT162b2 RNA-BASED VACCINE CANDIDATE(S) IN HEALTHY CHILDREN


Sponsor

BioNTech SE

Enrollment

4,292 participants

Start Date

Sep 23, 2022

Study Type

INTERVENTIONAL

Summary

The purpose of this clinical trial is to learn about the safety, extent of the side effects, and immune responses of the study vaccine (called variant-adapted BNT162b2 RNA-based vaccine) in healthy children. The trial is divided into 5 individual studies or substudies based on age group and prior history of COVID-19 vaccinations. All participants in each of the 5 sub-studies will receive study vaccine as a shot depending on what group they are in. * Substudy A design: Phase 1 includes participants 6 months through less than 4 years 3 months of age who have not received a previous coronavirus vaccination (COVID-19 vaccine naïve) and will receive 3 doses of study vaccine as their initial series, followed by a fourth dose of study vaccine. Phase 2/3 includes participants 6 months through less than 5 years of age who have not received a previous coronavirus vaccination (COVID-19 vaccine naive) and will receive 1, 2, or 3 doses of study vaccine, depending on what group they are in. * Substudy B design: includes participants 6 months through less than 5 years of age who have either received 2 or 3 prior doses of BNT162b2 and will receive study vaccine as their third or fourth dose. * Substudy C design: Phase 1 includes participants 6 months through less than 5 years of age who have received 3 prior doses of BNT162b2 and will receive study vaccine as their fourth dose. * Substudy D design: includes participants 5 through less than12 years of age who have received 2 or 3 prior doses of BNT162b2 and will receive study vaccine as their third or fourth dose. * Substudy E design: includes participants 5 through less than 12 years of age who have not received a previous coronavirus vaccination (COVID-19 vaccine naive) and will receive a single dose of study vaccine.


Eligibility

Min Age: 6 MonthsMax Age: 11 Years

Inclusion Criteria7

  • Substudy A
  • Phase 1: Healthy male or female participants ≥6 months to <4 years 3 months of age, at the time of randomization.
  • Phase 2/3: Healthy male or female participants ≥6 months to <5 years of age at the time of randomization/enrollment.
  • \- Healthy male or female participants = ≥6 months to <5 years of age, at the time of enrollment.
  • \- Healthy male or female participants ≥6 months to <5 years of age, at the time of randomization/enrollment.
  • \- Healthy male or female participants ≥5 years to <12 years of age, at the time of enrollment.
  • \- Healthy male or female participants ≥5 years to <12 years of age, at the time of enrollment.

Exclusion Criteria43

  • Previous or current diagnosis of multisystem inflammatory syndrome in children (MIS-C).
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy.
  • Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus. Note: Stable type 1 diabetes and hypothyroidism are permitted.
  • Any history of myocarditis or pericarditis.
  • Previous vaccination with any COVID-19 vaccine.
  • Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study.
  • Substudy B
  • Previous or current diagnosis of MIS-C.
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy.
  • Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus.
  • Prior receipt of any COVID 19 vaccine other than BNT162b2.
  • Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study.
  • Substudy C
  • Previous or current diagnosis of MIS-C.
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy.
  • Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus.
  • Prior receipt of any COVID 19 vaccine other than BNT162b2.
  • Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study.
  • Substudy D
  • Previous or current diagnosis of MIS-C.
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy.
  • Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus.
  • Female who is pregnant or breastfeeding.
  • Prior receipt of any COVID 19 vaccine other than BNT162b2.
  • Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study.
  • Substudy E
  • Previous or current diagnosis of MIS-C.
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination, or individuals who receive treatment with immunosuppressive therapy.
  • Individuals with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention, including but not limited to systemic lupus erythematosus.
  • Any history of myocarditis or pericarditis.
  • Female who is pregnant or breastfeeding.
  • Previous vaccination with any COVID 19 vaccine.
  • Receipt of systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids, eg, for cancer) or radiotherapy, within 60 days before enrollment through the conclusion of the study. Systemic corticosteroids (≥2 mg/kg of body weight or ≥20 mg/day of prednisone or equivalent for persons who weigh >10 kg) for ≥14 days is prohibited from 28 days prior to enrollment through 28 days after administration of study intervention.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies (except palivizumab), from 60 days before study intervention administration, or receipt of any passive antibody therapy specific to COVID-19 from 90 days before study intervention administration, or planned receipt throughout the study.

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Interventions

BIOLOGICALBivalent BNT162b2 (original/Omicron BA.4/BA.5) 3 microgram dose

Injection in the muscle

BIOLOGICALBivalent BNT162b2 (original/Omicron BA.4/BA.5) 6 microgram dose

Injection in the muscle

BIOLOGICALBivalent BNT162b2 (original/Omicron BA.4/BA.5) 10 microgram dose

Injection in the muscle

BIOLOGICALVariant-adapted BNT162b2 (Omicron XBB.1.5) 3 microgram dose

Injection in the muscle

BIOLOGICALVariant-adapted BNT162b2 (Omicron XBB.1.5) 6 microgram dose

Injection in the muscle

BIOLOGICALVariant-adapted BNT162b2 (Omicron XBB.1.5) 10 microgram dose

injection in the muscle

BIOLOGICALVariant-adapted BNT162b2 (Omicron KP.2) 10 microgram dose

Injection in the muscle


Locations(134)

UAB Child Health Research Unit (CHRU)

Birmingham, Alabama, United States

UAB Child Health Research Unit (CHRU)

Birmingham, Alabama, United States

Phoenix Children's Hospital

Phoenix, Arizona, United States

Northwest Arkansas Pediatric Clinic

Fayetteville, Arkansas, United States

Advanced Research Center Inc.

Anaheim, California, United States

Paradigm Clinical Research Centers, Inc

La Mesa, California, United States

Hoag Medical Group Foothill Ranch

Lake Forest, California, United States

Kaiser Permanente

Los Angeles, California, United States

Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

Kaiser Permanente Oakland

Oakland, California, United States

Kaiser Permanente Oakland

Oakland, California, United States

Kaiser Permanente Oakland

Oakland, California, United States

Clinical and Translational Research Unit (CTRU) & Spectrum Biobank

Palo Alto, California, United States

Center for Clinical Trials, LLC

Paramount, California, United States

Peninsula Research Associates

Rolling Hills Estates, California, United States

Kaiser Permanente Sacramento

Sacramento, California, United States

Kaiser Permanente Sacramento

Sacramento, California, United States

Kaiser Permanente Sacramento

Sacramento, California, United States

Paradigm Clinical Research, LLC

San Diego, California, United States

Kaiser Permanente Santa Clara

Santa Clara, California, United States

Kaiser Permanente Santa Clara

Santa Clara, California, United States

Stanford University Medical Center

Stanford, California, United States

PediaClinic

Highlands Ranch, Colorado, United States

Yale University School of Medicine

New Haven, Connecticut, United States

Yale University School of Medicine

New Haven, Connecticut, United States

Yale University- Yale Center for Clinical Investigation

New Haven, Connecticut, United States

Emerson Clinical Research Institute - Washington - Connecticut Avenue

Washington D.C., District of Columbia, United States

Emerson Clinical Research Institute

Washington D.C., District of Columbia, United States

Children's National Medical Center

Washington D.C., District of Columbia, United States

Emerson Clinical Research Institute

Washington D.C., District of Columbia, United States

Meridian Clinical Research, LLC

Washington D.C., District of Columbia, United States

Indago Research & Health Center, Inc

Hialeah, Florida, United States

Clinical Neuroscience Solutions, Inc. dba CNS Healthcare

Jacksonville, Florida, United States

Acevedo Clinical Research Associates

Miami, Florida, United States

Bio-Medical Research LLC

Miami, Florida, United States

Clinical Neuroscience Solutions, Inc.

Orlando, Florida, United States

Accel Research Sites Network- Nona Pediatric Center

Orlando, Florida, United States

SEC Clinical Research

Pensacola, Florida, United States

SEC Clinical Research

Pensacola, Florida, United States

SEC Clinical Research

Pensacola, Florida, United States

Asclepes Research Center - Spring Hill

Spring Hill, Florida, United States

PAS Research

Tampa, Florida, United States

PAS Research

Tampa, Florida, United States

Emory University School of Medicine

Atlanta, Georgia, United States

Emory Children's Center Illness Pod

Atlanta, Georgia, United States

Emory Children's Center

Atlanta, Georgia, United States

Emory University Investigational Drug Service

Atlanta, Georgia, United States

Emory University School of Medicine

Atlanta, Georgia, United States

Rophe Adult and Pediatric Medicine/SKYCRNG

Union City, Georgia, United States

Saltzer Health

Nampa, Idaho, United States

The Iowa Clinic, P.C.

Ankeny, Iowa, United States

The Iowa Clinic, P.C.

West Des Moines, Iowa, United States

The Iowa Clinic

West Des Moines, Iowa, United States

Alliance for Multispecialty Research, LLC

Newton, Kansas, United States

Alliance for Multispecialty Research, LLC

Wichita, Kansas, United States

Louisiana State University Health Sciences Shreveport

Shreveport, Louisiana, United States

Center for Immunization Research Inpatient Unit

Baltimore, Maryland, United States

Johns Hopkins Center for Immunization Outpatient Clinic

Baltimore, Maryland, United States

Boston medical Center (investigational Pharmacy Services, IP delivery)

Boston, Massachusetts, United States

Boston Medical Center

Boston, Massachusetts, United States

Boston Medical Center Crosstown Building

Boston, Massachusetts, United States

SKY Integrative Medical Center/SKYCRNG

Ridgeland, Mississippi, United States

Velocity Clinical Research, Hastings

Hastings, Nebraska, United States

Velocity Clinical Research, Lincoln

Lincoln, Nebraska, United States

Midwest Children's Health Research Institute

Lincoln, Nebraska, United States

Children's Hospital & Medical Center

Omaha, Nebraska, United States

Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Rutgers University

New Brunswick, New Jersey, United States

Meridian Clinical Research, LLC

Binghamton, New York, United States

SUNY Downstate Health Sciences University

Brooklyn, New York, United States

Rochester Clinical Research, LLC

Rochester, New York, United States

University of Rochester Medical Center

Rochester, New York, United States

Jacobi Medical Center

The Bronx, New York, United States

Atrium Health - Carolinas Medical Center

Charlotte, North Carolina, United States

Duke University - Main Hospital and Clinics

Durham, North Carolina, United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Senders Pediatrics

Cleveland, Ohio, United States

Velocity Clinical Research, Cleveland

Cleveland, Ohio, United States

Centricity Research Columbus Ohio Multispecialty

Columbus, Ohio, United States

Dayton Clinical Research

Dayton, Ohio, United States

PriMED Clinical Research

Dayton, Ohio, United States

Cyn3rgy Research

Gresham, Oregon, United States

Allegheny Health and Wellness Pavilion

Erie, Pennsylvania, United States

Velocity Clinical Research, Providence

East Greenwich, Rhode Island, United States

Coastal Pediatric Research

Charleston, South Carolina, United States

Coastal Pediatric Research

Charleston, South Carolina, United States

Tribe Clinical Research, LLC

Greenville, South Carolina, United States

Coastal Pediatric Research

Summerville, South Carolina, United States

Coastal Pediatric Research

Summerville, South Carolina, United States

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Clinical Research Associates Inc

Nashville, Tennessee, United States

Driscoll Children's Hospital

Corpus Christi, Texas, United States

Cedar Health Research

Dallas, Texas, United States

Proactive Clinical Research LLC

Edinburg, Texas, United States

Proactive Clinical Research, LLC

Edinburg, Texas, United States

ACRC TRIALS / Catalyst Physician Group / Frisco Medical Village

Frisco, Texas, United States

University of Texas Medical Branch

Galveston, Texas, United States

Texas Children's Hospital

Houston, Texas, United States

DM Clinical Research- Cyfair

Houston, Texas, United States

DM Clinical Research

Houston, Texas, United States

Dr. Ruben Aleman and Associates

McAllen, Texas, United States

ACRC Trials (Administrative Site)

Plano, Texas, United States

Alliance for Multispecialty Research, LLC

Syracuse, Utah, United States

Pediatric Research of Charlottesville, LLC

Charlottesville, Virginia, United States

Virginia Research Center

Midlothian, Virginia, United States

Virginia Research Center

Midlothian, Virginia, United States

Seattle Children's- Building Cure

Seattle, Washington, United States

Seattle Children's Hospital

Seattle, Washington, United States

Obras Sociais Irma Dulce

Salvador, Estado de Bahia, Brazil

Consultoria em Controle de Infecção Hospitalar

Belo Horizonte, Minas Gerais, Brazil

Centro Médico São Francisco

Curitiba, Paraná, Brazil

Centro Médico São Francisco

Curitiba, Paraná, Brazil

Centro de Estudos e Pesquisa em Molestias Infecciosas - CPCLIN/RN

Natal, Rio Grande do Norte, Brazil

Hospital de Clínicas de Porto Alegre - Escritório de Projetos e Parcerias Estratégicas

Porto Alegre, Rio Grande do Sul, Brazil

Hospital de Clinicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Fundação Faculdade Regional de Medicina de São José do Rio Preto

São José do Rio Preto, São Paulo, Brazil

CEPIC - Centro Paulista de Investigação Clínica

São Paulo, Brazil

Clinical Research Puerto Rico

Guayama, Puerto Rico

University of Puerto Rico - Medical Sciences Campus

San Juan, Puerto Rico

Synergy Biomed Research Institute

East London, Eastern Cape, South Africa

Jaymed Research

Welkom, Free State, South Africa

REIMED Reiger Park

Boksburg, Gauteng, South Africa

Wits RHI

Johannesburg, Gauteng, South Africa

University of Witwatersrand (WITS) - Vaccines and Infectious Diseases Analytics (VIDA)

Johannesburg, Gauteng, South Africa

Wits VIDA Nkanyezi Research Unit

Johannesburg, Gauteng, South Africa

Newtown Clinical Research

Johannesburg, Gauteng, South Africa

Botho Ke Bontle Health Services

Pretoria, Gauteng, South Africa

Sandton Medical Research Centre

Sandton, Gauteng, South Africa

Gole Biomed Research Centre

Polokwane, Limpopo, South Africa

Gole Biomed Research Centre

Polokwane, Limpopo, South Africa

Merclinco

Middelburg, Mpumalanga, South Africa

Perinatal HIV Research Unit (PHRU)

Klerksdorp, North West, South Africa

TREAD Research

Cape Town, Western Cape, South Africa

Tsitsikamma Clinical Research Initiative (TCRI)

Plettenberg Bay, Western Cape, South Africa

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NCT05543616