Clinical trial Recruiting at 20 sites Phase 4 Interventional Ages 12 and up

Omicron-based COVID-19 vaccine with Matrix-M given as a single dose in older adults and high-risk individuals

Official title: A Phase 4 Open-label, Single-arm Study to Evaluate the Safety and Immunogenicity of an Omicron Subvariant-based SARS-CoV-2 Recombinant Spike (rS) Vaccine Adjuvanted With Matrix-M in Participants ≥ 65 Years of Age and Participants 12 Through 64 Years of Age Who Are at Increased Risk for Severe COVID-19 Illness

Run by Sanofi · NCT07861542 · Data updated 2026-11-12

A single-dose Omicron-subvariant vaccine with Matrix-M is tested to see if it is safe and can induce an immune response in adults 65+ and in younger adults with conditions that raise the risk of severe COVID-19, who were previously vaccinated.

Quick facts

PhasePhase 4
Study typeInterventional
Ages12 Years and up
SexAll
Enrollment660 (estimated)
SponsorSanofi
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations20 sites (Fair Oaks, California and 19 other locations)
StatusRecruiting
StartedOctober 1, 2026
Main results expectedNovember 26, 2026
Study endsJanuary 27, 2027
Registry record updatedOctober 15, 2026
Trial IDNCT07861542 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults ≥65 or adults 12–64 with one or more risk factors for severe COVID-19 who completed a prior COVID-19 vaccination at least 90 days before the study dose.

Probably not a fit

Individuals without prior vaccination or those without risk factors may derive less benefit from this specific booster approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, interventional study evaluates safety and immunogenicity of a single intramuscular dose of an Omicron-subvariant–based SARS-CoV-2 recombinant spike vaccine adjuvanted with Matrix-M. Eligible participants are adults 65 years and older or 12–64 years with at least one risk condition for severe COVID-19, who had a prior COVID-19 vaccination more than 90 days before vaccination. The study involves follow-up through Day 91 to monitor safety and immune response, with visits on Day 1, Day 9 (phone), Day 29, and Day 91 (phone). The primary endpoints focus on safety and immune response after a one-time dose, conducted at three U.S. sites under Sanofi sponsorship.

Why it matters

Potential benefit: If successful, the vaccine could provide a safe and effective booster option for older adults and at-risk individuals.

How similar studies have gone: Prior studies of variant-adapted vaccines with Matrix-M have shown favorable safety and immunogenicity signals, though results vary by population and variant.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

To be included in this study, each individual must satisfy all the following criteria:

* Participants ≥ 65 years of age, or participants 12 through 64 years of age who have at least 1 underlying condition that puts them at increased risk for severe outcomes from COVID-19 at the time of study vaccination.
* Previously vaccinated with a COVID-19 vaccine, with the last dose administered ≥ 90 days prior to study vaccination.
* Participants must not be pregnant or breastfeeding. Participants of childbearing potential must have a negative highly sensitive pregnancy test at enrollment and must agree to use an effective method of contraception or remain abstinent from ≥ 4 weeks before study vaccination through ≥ 4 weeks after vaccination.

Exclusion Criteria:

Participants are not eligible if any of the following criteria are met:

* Known or suspected congenital or acquired immunodeficiency; receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the past 6 months; or long-term use of systemic corticosteroids.
* History of virologically confirmed SARS-CoV-2 infection within 90 days before study vaccination.
* Known systemic hypersensitivity to any component of the study intervention or a history of a life-threatening reaction to the study intervention or to a product containing the same substances.
* Prior history of myocarditis, pericarditis, or myopericarditis.
* Receipt of any vaccine within 28 days before study vaccination, except for influenza vaccine, which may be administered at least 14 days before study vaccination.
* Receipt of an investigational or marketed COVID-19 vaccine within 90 days before study vaccination.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Where it's running

  • Site #: 8400005
    Fair Oaks, California, United States
    Recruiting
  • Site #: 8400002
    Doral, Florida, United States
    Recruiting
  • Site #: 8400008
    Atlanta, Georgia, United States
    Recruiting
  • Site #: 8400015
    Decatur, Georgia, United States
    Recruiting
  • Site #: 8400011
    Melrose Park, Illinois, United States
    Recruiting
  • Site #: 8400019
    Sioux City, Iowa, United States
    Recruiting
Show 14 more locations
  • Site #: 8400009
    Lenexa, Kansas, United States
    Recruiting
  • Site #: 8400001
    Lafayette, Louisiana, United States
    Recruiting
  • Site #: 8400003
    New Orleans, Louisiana, United States
    Recruiting
  • Site #: 8400024
    Rockville, Maryland, United States
    Recruiting
  • Site #: 8400012
    Southfield, Michigan, United States
    Recruiting
  • Site #: 8400023
    Grand Island, Nebraska, United States
    Recruiting
  • Site #: 8400004
    Omaha, Nebraska, United States
    Recruiting
  • Site #: 8400021
    Omaha, Nebraska, United States
    Recruiting
  • Site #: 8400016
    Cincinnati, Ohio, United States
    Recruiting
  • Site #: 8400007
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Site #: 8400018
    Austin, Texas, United States
    Recruiting
  • Site #: 8400017
    Frisco, Texas, United States
    Recruiting
  • Site #: 8400014
    Houston, Texas, United States
    Recruiting
  • Site #: 8400013
    Richmond, Virginia, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.