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
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 660 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 20 sites (Fair Oaks, California and 19 other locations) |
| Status | Recruiting |
| Started | October 1, 2026 |
| Main results expected | November 26, 2026 |
| Study ends | January 27, 2027 |
| Registry record updated | October 15, 2026 |
| Trial ID | NCT07861542 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
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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
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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
- Study coordinator: Trial Transparency email recommended (Toll free number for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.