Sanofi's new COVID vaccine shows promise in large trial
NCT ID NCT04762680
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This completed study tested Sanofi's experimental COVID-19 vaccines in over 3,000 adults aged 18 and older. The vaccines use a recombinant protein plus an adjuvant to boost immune response. The trial evaluated safety and immune responses for both a two-dose primary series and a booster dose, including versions targeting original and variant strains.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SARS-CoV-2 recombinant protein vaccine with AS03 adjuvant
- What this could lead to
- If successful, this could provide an additional safe and effective COVID-19 vaccine option, including booster doses that protect against variants.
- What could go wrong
- This is a completed trial, but results may not show strong protection against newer variants. Vaccine effectiveness can vary by population and circulating strains.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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3,159 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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Jun 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: -Aged 18 years or older on the day of inclusion. - -A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies: Is of non-childbearing potential. To be considered of non-childbearing potential, a female mut be post-menopausal for at least 1 year or surgically sterile. OR Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to the first vaccination until at least 12 weeks after the last vaccination (ie, second dose of primary series or booster injection). A participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 4 hours before any dose of study intervention. - -Informed consent form has been signed and dated. Able to attend all scheduled visits and to comply with all study procedures. SARS-CoV-2 rapid serodiagnostic test performed at the time of enrollment to detect presence of SARS-CoV-2 antibodies (Original Phase 2 Cohort). For persons living with human immunodeficiency virus (HIV), stable HIV infection determined by participant currently on antiretrovirals with CD4 count \> 200/mm3. Does not intend to receive an authorized/approved COVID-19 vaccine from first vaccination to 3 weeks after the second vaccination despite encouragement by the investigator to receive the authorized vaccine available to them at the time of enrollment. Supplemental cohorts: for participants originally enrolled in the Phase II cohort of the study, informed consent has to be signed and dated for transitioning to Supplemental Cohort 2. Supplemental cohorts, Booster arms: received a complete primary vaccination series with an authorized/conditionally approved mRNA COVID-19 vaccine (mRNA-1273 \[Moderna\] or BNT162b2 \[Pfizer/BioNTech\]) or adenovirus-vectored COVID-19 vaccine (ChAdOx1 nCoV-19 \[Oxford University/AstraZeneca\] or Ad26.CoV2.S \[J\&J/Janssen\]), with the last dose administered a minimum of 4 months prior to inclusion but not longer than 10 months prior to inclusion. Exclusion Criteria: -Known systemic hypersensitivity to any of the vaccine components, or history of a life-threatening reaction to a vaccine containing any of the same substances. Dementia or any other cognitive condition at a stage that could interfere with following the trial procedures based on Investigator or designee's judgment. Self-reported thrombocytopenia, contraindicating intramuscular (IM) vaccination based on Investigator's judgment. Bleeding disorder, or receipt of anticoagulants in the past 21 days preceding inclusion, contraindicating IM vaccination based on Investigator's judgment. Unstable acute or chronic illness that in the opinion of the Investigator or designee poses additional risk as a result of participation or that could interfere with the study procedures. Receipt of solid-organ or bone marrow transplants in the past 180 days. Receipt of anti-cancer chemotherapy in the last 90 days. Receipt of immunoglobulins, blood, or blood-derived products in the past 3 months. Moderate or severe acute illness/infection (according to investigator judgment) on the day of vaccination or febrile illness (temperature ≥ 38.0°C \[≥ 100.4°F\]). A prospective participant should not be included in the trial until the condition has resolved or the febrile event has subsided. Receipt of any vaccine in the 30 days preceding or on the day of the first study vaccination or planned receipt of any vaccine between the first study vaccination and in the 30 days following the second study vaccination except for influenza vaccination, which may be received at any time in relation to study intervention. Applicable to Original Phase II Cohort, Supplemental Cohort 1 and Cohort 2 Comparator Group: Prior administration of a coronavirus vaccine (SARS-CoV-2, SARS-CoV, Middle East Respiratory Syndrome \[MERS-CoV\]). Participation at the time of study enrollment (or in the 30 days preceding the first study vaccination) or planned participation during the present study trial period in another clinical study investigating a vaccine, drug, medical device, or medical procedure. Exclusion criterion for the Supplemental Cohort 1 and Cohort 2 comparator group: positive rapid diagnostic test for SARS-CoV-2 antibodies at time of enrollment. Exclusion criterion for participants in Supplemental Cohort 2 who were primed as participant in the Original Phase II Cohort of the present study: Receipt of authorized/conditionally approved COVID-19 vaccine after enrollment in Original Phase 2 Cohort. Exclusion criterion for all Booster groups: Documented virologically-confirmed SARS-CoV-2 infection (by NAAT) after first dose of primary immunization.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AES Austin Site Number : 8400191
Austin, Texas, 78744, United States
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American Indian Clinical Trials Research Network Site Number : 8400204
Rapid City, South Dakota, 57701, United States
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Baptist Health Center for Clinical Research Site Number : 8400077
Little Rock, Arkansas, 72205, United States
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Brigham and Women's Hospital Site Number : 8400199
Boston, Massachusetts, 02115, United States
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Cenexel Research Centers of America Site Number : 8400089
Hollywood, Florida, 33024, United States
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Charles R. Drew University of Medicine and Science Site Number : 8400220
Los Angeles, California, 90059, United States
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Chicago Clinical Research Institute, Inc. Site Number : 8400269
Chicago, Illinois, 60607, United States
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Coastal Carolina Research Center Site Number : 8400097
North Charleston, South Carolina, 29405, United States
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Columbia University Irving Medical Center Site Number : 8400203
New York, New York, 10032, United States
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Emory University Decatur Site Number : 8400201
Decatur, Georgia, 30030, United States
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Holy Name Medical Center Site Number : 8400072
Teaneck, New Jersey, 07666, United States
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Investigational Site Number : 0360001
South Brisbane, Queensland, 4101, Australia
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Investigational Site Number : 0360002
Southport, 4215, Australia
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Investigational Site Number : 0360003
Norwood, 5067, Australia
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Investigational Site Number : 0360004
Woodville, 5011, Australia
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Investigational Site Number : 0360005
Westmead, 2145, Australia
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Investigational Site Number : 2500002
Tours, 37044, France
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Investigational Site Number : 2500003
Pessac, 33600, France
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Investigational Site Number : 2500004
Rennes, 35033, France
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Investigational Site Number : 2500005
Paris, 75679, France
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Investigational Site Number : 2500006
Nantes, 44093, France
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Investigational Site Number : 2500007
Pierre-Bénite, 69495, France
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Investigational Site Number : 2500008
Limoges, 87042, France
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Investigational Site Number : 2500013
Dijon, 21079, France
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Investigational Site Number : 2500014
Lyon, 69004, France
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Investigational Site Number : 2500015
Marseille, 13005, France
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Investigational Site Number : 2500016
Marseille, 13005, France
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Investigational Site Number : 3400001
San Pedro Sula, 21104, Honduras
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Investigational Site Number : 3400002
Municipio Del Distrito Central, 11101, Honduras
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Investigational Site Number : 5540001
Rotorua, 3010, New Zealand
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Investigational Site Number : 5540002
Christchurch, 8013, New Zealand
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Investigational Site Number : 5540005
New Lynn, Auckland, 0600, New Zealand
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Investigational Site Number : 5540007
Nawton, 3243, New Zealand
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Investigational Site Number : 5540010
Nelson, 7011, New Zealand
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Investigational Site Number : 7240003
Vigo, 36312, Spain
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Investigational Site Number : 7240008
Valencia, 46020, Spain
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Investigational Site Number : 7240009
Madrid, 28041, Spain
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Investigational Site Number : 7240013
Santiago de Compostela, Galicia [Galicia], 15706, Spain
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Investigational Site Number : 7240016
Majadahonda, Madrid, 28222, Spain
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Investigational Site Number : 8260010
Harrow, HA1 3UJ, United Kingdom
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Investigational Site Number : 8260011
Runcorn, Halton, WA7 2DA, United Kingdom
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Investigational Site Number : 8260012
Southampton, SO16 6YD, United Kingdom
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Investigational Site Number : 8260013
Surrey, Sutton, SM2 5PT, United Kingdom
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Investigational Site Number : 8260014
Doncaster, DN4 8QN, United Kingdom
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Investigational Site Number : 8260015
London, SW10 0LR, United Kingdom
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Investigational Site Number : 8260016
Gloucester, GL1 3NN, United Kingdom
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Investigational Site Number : 8260017
Bath, Somerset, BA1 3NG, United Kingdom
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NYU VC-Augustana Site Number : 8400267
Brooklyn, New York, 11220, United States
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New York University Langone Vaccine Center Site Number : 8400230
New York, New York, 10016, United States
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Optimal Research Site Number : 8400173
San Diego, California, 92108, United States
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Optimal Research Site Number : 8400187
Peoria, Illinois, 61614, United States
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Optimal Research, LLC Rockville Site Number : 8400048
Rockville, Maryland, 20850, United States
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Optimal Research, LLC Site Number : 8400057
Melbourne, Florida, 32934, United States
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Peninsula Research Associates, Inc. Site Number : 8400094
Rolling Hills Estates, California, 90274, United States
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Research Works INC Site Number : 8400045
New Orleans, Louisiana, 70125, United States
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Synexus - Clinical Research Advantage, Inc. Site Number : 8400270
Birmingham, Alabama, 35205, United States
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Synexus - Glendale. Site Number : 8400271
Glendale, Arizona, 85306, United States
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Synexus Chandler Site Number : 8400251
Chandler, Arizona, 85225, United States
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Synexus Clinical Research Evansville Site Number : 8400272
Evansville, Indiana, 47714, United States
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Synexus Clinical Research US, Inc. - Orlando Site Number : 8400179
Orlando, Florida, 32806, United States
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Synexus St. Louis Site Number : 8400100
St Louis, Missouri, 63141, United States
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The George Washington University Site Number : 8400212
Washington D.C., District of Columbia, 20037, United States
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University of Pittsburgh Site Number : 8400233
Pittsburgh, Pennsylvania, 15213, United States
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University of Rochester Site Number : 8400207
Rochester, New York, 14642, United States
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Velocity Clinical Research, Omaha Site Number : 8400030
Omaha, Nebraska, 68134, United States
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Yale University Site Number : 8400239
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Blood samples and health records could reveal why some COVID-19 cases turn severe
- Home antibody tests put to the test: can you read your own COVID-19 result?
- Can lung ultrasound reveal COVID-19's signature in the lungs?
- When the immune system Can't fight back: tracking three respiratory viruses
- The household maze: how does COVID-19 move between family members?