To Evaluate the Safety, Tolerability, Efficacy and Immunogenicity of BNT162b2 Boosting Strategies Against COVID-19 in Participants ≥12 Years of Age.
Phase 3
Completed
NCT04955626
| Condition | SARS-CoV-2 Infection, COVID-19 |
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| Phase | Phase 3 |
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| Sponsor | BioNTech SE |
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| Status | Completed |
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| Enrollment | 16,372 participants |
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| Interventions | BNT162b2, BNT162b2 OMI, Combination BNT162b2 and BNT162b2 OMI, Combination (Bivalent) BNT162b2 and BNT162b2 OMI |
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| Start date | Jul 1, 2021 |
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| Completion date | May 25, 2023 |
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| Results posted | Nov 10, 2025 |
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Summary
Substudy A: The study will evaluate the safety, tolerability, and efficacy of a booster dose of BNT162b2 when administered to participants having previously received 2 doses of BNT162b2 at least 6 months prior to randomization. The study is designed to describe vaccine efficacy of a booster dose of BNT162b2 over time against COVID-19 * At a dose of 30µg (as studied in the Phase 2/3 study C4591001) * In healthy adults 16 years of age and older * The duration of the study for each participant will be up to approximately 12 months. * The study will be conducted in the United States, Brazil and South Africa Substudy B: The study will assess the safety and tolerability of a single dose of BNT162b2 as compared to placebo control, through the potential analysis of serum troponin levels, in participants ≥12 and ≤30 years of age who have received 2 or 3 prior doses of BNT162b2 (30-µg doses) with their last dose at least 4 months (120 days) prior to randomization. * Blood samples will be collected for troponin testing * The duration of the study for each participant will be up to approximately 2 months. * The study will be conducted in the United States, Germany, Poland and South Africa Subs
SSA: Occurrence of First COVID-19 Infection After Booster Dose Per 1000 Person-Years of Blinded Follow-up Without Evidence of Past SARS-CoV-2 Infection at Interim Analysis: Evaluable Efficacy Population
From 7 Days after booster vaccination to end of surveillance period, total surveillance time (in 1000 person-year [PY]) for BNT162b2 was 0.823 and for Placebo was 0.792 · Number of first Covid-19 cases/1000 PY
| SSA: BNT162b2 30 mcg: Blinded and Open Label Period | 7.290 Number of first Covid-19 cases/1000 PY |
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| SSA: Placebo: Blinded Period | 155.303 Number of first Covid-19 cases/1000 PY |
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| Adjusted Surveillance Time | 95.3 (95% CI 89.5–98.3) |
SSA: Occurrence of First COVID-19 Infection After Booster Dose Per 1000 Person-Years of Blinded Follow-up With and Without Evidence of Past SARS-CoV-2 Infection at Interim Analysis: Evaluable Efficacy Population
From 7 Days after booster vaccination to end of surveillance period, total surveillance time (in 1000 person-year) for BNT162b2 was 0.871 and for Placebo was 0.835 · Number of first Covid-19 cases/1000 PY
| SSA: BNT162b2 30 mcg: Blinded and Open Label Period | 8.037 Number of first Covid-19 cases/1000 PY |
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| SSA: Placebo: Blinded Period | 148.503 Number of first Covid-19 cases/1000 PY |
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| Adjusted Surveillance Time | 94.6 (95% CI 88.5–97.9) |
SSA: Occurrence of First COVID-19 Infection After Booster Dose Per 1000 Person-Years of Blinded Follow-up Without Evidence of Past SARS-CoV-2 Infection at Final Analysis: Evaluable Efficacy Population
From 7 Days after booster vaccination to end of surveillance period, total surveillance time (in 1000 person-year) for BNT162b2 was 1.098 and for Placebo was 0.932 · Number of first Covid-19 cases/1000 PY
| SSA: BNT162b2 30 mcg: Blinded and Open Label Period | 57.377 Number of first Covid-19 cases/1000 PY |
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| SSA: Placebo: Blinded Period | 158.798 Number of first Covid-19 cases/1000 PY |
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| Adjusted Surveillance Time | 63.9 (95% CI 51.1–73.5) |
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