BENITIONSClinical Trial Intelligence

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

ConditionSARS-CoV-2 Infection, COVID-19
PhasePhase 3
SponsorBioNTech SE
StatusCompleted
Enrollment16,372 participants
InterventionsBNT162b2, BNT162b2 OMI, Combination BNT162b2 and BNT162b2 OMI, Combination (Bivalent) BNT162b2 and BNT162b2 OMI
Start dateJul 1, 2021
Completion dateMay 25, 2023
Results postedNov 10, 2025

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 Period7.290 Number of first Covid-19 cases/1000 PY
SSA: Placebo: Blinded Period155.303 Number of first Covid-19 cases/1000 PY
Adjusted Surveillance Time95.3 (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 Period8.037 Number of first Covid-19 cases/1000 PY
SSA: Placebo: Blinded Period148.503 Number of first Covid-19 cases/1000 PY
Adjusted Surveillance Time94.6 (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 Period57.377 Number of first Covid-19 cases/1000 PY
SSA: Placebo: Blinded Period158.798 Number of first Covid-19 cases/1000 PY
Adjusted Surveillance Time63.9 (95% CI 51.1–73.5)

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