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Head-to-Head: which COVID booster works better?

NCT ID NCT06065176

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested how well two different 2023-2024 updated COVID-19 vaccines (Novavax and Pfizer mRNA) protect adults from getting sick with COVID-19. About 1,200 adults who had already received at least two mRNA vaccine doses were randomly assigned to get either the Novavax or Pfizer booster, or no booster. Participants reported symptoms and took weekly COVID-19 tests for 20 weeks. The goal was to see which vaccine prevents symptomatic infections better and whether getting an updated booster is better than not getting one.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Novavax COVID-19 vaccine (2023-2024 formula) and Pfizer mRNA COVID-19 vaccine (2023-2024 formula)
What this could lead to
If this trial succeeds, it could show which updated COVID-19 vaccine offers better protection against symptomatic illness, helping guide future booster recommendations.
What could go wrong
This is a completed Phase 4 trial with 1,188 participants, so results are available but may not apply to everyone. Differences between vaccines might be small or not statistically significant.

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

Phase 4

Runs after approval, following long-term safety and how well the treatment works in everyday use.

Participants

1,188 people

The number who actually took part.

Started

Nov 2023

Finished

Sep 2024

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show 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: * Age ≥18 years * Previously received ≥ 2-doses of US FDA-authorized mRNA vaccines * Comfortable reading and responding to text messages and emails sent in English or having an interpreter assist them * Plan to remain in the greater Salt Lake City area for the next 12 months * Daily access to the internet (via cell phone, laptop, desktop, or tablet) and a phone with text messaging capabilities * Willingness to complete weekly symptom and illness surveillance surveys sent via text and email * Willingness to complete an online survey at enrollment, mid-study, and end-of-study surveys * Willingness to be contacted periodically by study staff via text, email, and/or telephone as part of study activities * Willingness to self-collect rapid antigen tests (RAT; approved by FDA EUA for COVID-19 detection) weekly and when prompted for study purposes, and to send results via the study portal * Willingness to self-collect additional rapid antigen test (approved by FDA EUA for COVID-19 detection) if experiencing a qualifying symptomatic illness or upon RAT-confirmation of an asymptomatic infection * Willingness to attend in-person visit to receive supply of rapid antigen tests and training on their use (all participants) and to receive a COVID-19 booster (if in randomized group) Exclusion Criteria: * Lives with another person who is already enrolled in this study as reported by the subject on the Eligibility Survey (Appendix C. Eligibility Survey) * Previous hypersensitivity reaction to the study vaccines as reported by the subject on the Eligibility Survey (Appendix C. Eligibility Survey) * Recent infection \[Real time Reverse Transcription Polymerase Chain Reaction assay (RT-PCR) and/or RAT confirmed infection ≤ 90 days of trial vaccine administration * Receipt of a COVID-19 vaccine within ≤ 90 days of trial vaccine administration * Participation in other vaccine trials * Medical history of immunosuppression * Receipt of J\&J vaccine prior to study enrollment * Receipt of any investigational prevention therapies for SARS-CoV-2 infections, such as prophylactic antiviral medications or other immune system modifying interventions within ≤ 90 days of trial vaccine administration * Unwillingness to provide electronic consent * Unwillingness to self-report occupation, work responsibilities, and prior COVID-19 illness.

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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

  • University of Utah School of Medicine

    Salt Lake City, Utah, 84108, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.