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Safety and Immunogenicity of Quadrivalent Influenza mRNA Vaccine MRT5413 in Adult Participants18 Years of Age and Older

Phase 1
Completed
Conditions
Influenza Immunization
Interventions
Biological: Quadrivalent Influenza mRNA Vaccine MRT5413
Biological: Quadrivalent Influenza Standard Dose Vaccine
Biological: Quadrivalent Influenza High-Dose Vaccine
Registration Number
NCT05650554
Lead Sponsor
Sanofi Pasteur, a Sanofi Company
Brief Summary

The purpose of this study is to evaluate the safety and immunogenicity of a single intramuscular (IM) injection of up to 3 dose levels of Quadrivalent Influenza messenger ribonucleic acid (mRNA) Vaccine MRT5413 compared to an active control (QIVstandard-dose (SD), QIV high-dose (HD) \[adults ≥ 65 years of age only\], or quadrivalent recombinant influenza vaccine (RIV4)) in adults 18 years of age and older.

Detailed Description

Study duration is approximately 12 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
682
Inclusion Criteria
  • Aged 18 years on the day of inclusion (US) and aged 21 years on the day of inclusion (Puerto Rico)

  • 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 must be postmenopausal 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 study intervention administration until at least 12 weeks after study intervention administration.
Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Previous history of myocarditis, pericarditis, and / or myopericarditis
  • Self-reported thrombocytopenia, contraindicating Intramuscular vaccination based on Investigator's judgment
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating Intramuscular vaccination based on Investigator's judgment
  • Moderate or severe acute illness / infection (according to Investigator's judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B virus, or hepatitis C virus

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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 3: Quadrivalent Influenza mRNA Vaccine MRT5413 high doseQuadrivalent Influenza mRNA Vaccine MRT5413participants will receive a single dose of QIV mRNA vaccine (high dose)
Group 5: QIV-SDQuadrivalent Influenza Standard Dose Vaccineparticipants will receive a single dose of QIV-SD vaccine
Group 2: Quadrivalent Influenza mRNA Vaccine MRT5413 medium doseQuadrivalent Influenza mRNA Vaccine MRT5413participants will receive a single dose of QIV mRNA vaccine (medium dose)
Group 6: QIV-HDQuadrivalent Influenza High-Dose Vaccineparticipants will receive a single dose of QIV -HD vaccine (for elderly only)
Group 4: RIV4Quadrivalent Recombinant Influenza Vaccineparticipants will receive a single dose of RIV4 vaccine
Group 1: Quadrivalent Influenza mRNA Vaccine MRT5413 low doseQuadrivalent Influenza mRNA Vaccine MRT5413participants will receive a single dose of QIV mRNA vaccine (low dose)
Primary Outcome Measures
NameTimeMethod
Number of participants with unsolicited AEsUp to 28 days after injection

AEs that do not fulfill the conditions of solicited reactions

Number of participants with medically attended adverse events (MAAE)sUp to 180 days after injection

AEs with a new onset or a worsening of a condition that prompts the participant or participant to seek unplanned medical advice at a physician's office or Emergency Department

Percentage of participants with antibody HAI titers greater than or equal to (≥) 40 [1/dil]At Day 29
Percentage of participants with 2-fold and 4-fold rise in HAI titersAt Day 1 and Day 29
Individual Hemagglutination inhibition (HAI) titerAt Day 1 and Day 29

Antibody titers are expressed as GMTs at baseline and post-baseline

Individual HAI titer ratioAt Day 1 and Day 29

Ratios of antibody titers measured by HAI in each group before and after vaccination

Number of participants archiving HAI seroconversion against AntigensAt Day 1 and Day 29

Number of participants with titer \< 10 \[1/dil\] at Day 1 and post-vaccination titer ≥ 40 \[1/dil\] at Day 29, or titer ≥ 10 \[1/dil\] at Day 1 and a ≥ 4-fold-rise in titer \[1/dil\] at Day 29

Percentage of participants with detectable antibody HAI titers greater than or equal to (≥) 10 [1/dil]At Day 1 and Day 29
Number of participants with immediate adverse events (AEs)Within 30 minutes after injection

Unsolicited systemic AEs that occur within 30 minutes after vaccination

Number of participants with solicited injection site or systemic reactionsUp to 7 days after injection

Adverse reactions pre-listed in the protocol and case report form (CRF) Injection site reactions: pain, redness, swelling, hardening, bruising Systemic reactions: fever, headache, malaise, myalgia, arthralgia, chills

Number of participants with serious adverse events (SAEs)From Day one to Day 366

SAEs reported throughout the study

Number of participants with out-of-range biological test resultsUp to 8 days after injection

Out-of-range biological test results (including shift from baseline values)

Secondary Outcome Measures
NameTimeMethod
Neutralizing Ab titersAt Day 1 and Day 29

Neutralizing Ab titers expressed as GMTs

Percentage of participants with 2-fold and 4-fold increase in neutralizing titersAt Day 1 and Day 29
Individual HAI Ab titer ratioDay 1, Day 91, Day 181 and Day 366
Percentage of participants with antibody HAI titers greater than or equal to (≥) 40 [1/dil]At Day 91, Day 181 and Day 366
Individual antibodies HAI titer ratioDay 1, Day 91, Day 181 and Day 366
Individual neutralizing antibodies titer ratioAt Day 1 and Day 29

Trial Locations

Locations (35)

Velocity Clinical Research-Chula Vista Site Number : 8400061

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Chula Vista, California, United States

Velocity Gardena Site Number : 8400062

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Gardena, California, United States

Long Beach Clinical Trials Site Number : 8400052

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Long Beach, California, United States

Indago Research and Health Center Site Number : 8400044

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Hialeah, Florida, United States

Velocity Clinical Research, North Hollywood Site Number : 8400051

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North Hollywood, California, United States

California Research Foundation Site Number : 8400006

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San Diego, California, United States

Accel Clinical Research-Deland Clinical Research Unit Site Number : 8400032

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DeLand, Florida, United States

Velocity New Smyrna Beach Site Number : 8400063

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Edgewater, Florida, United States

SIMEDHealth, LLC Site Number : 8400014

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Gainesville, Florida, United States

Cenexel Research Centers of America Site Number : 8400011

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Hollywood, Florida, United States

Florida Pulmonary Research Center Site Number : 8400036

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Winter Park, Florida, United States

Meridian Clinical Research Site Number : 8400022

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Savannah, Georgia, United States

Florida International Research Center Site Number : 8400045

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Miami, Florida, United States

Suncoast Research Associates, LLC Site Number : 8400060

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Miami, Florida, United States

Velocity Clinical Research Site Number : 8400024

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Meridian, Idaho, United States

DM Clinical Research - Chicago Site Number : 8400025

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River Forest, Illinois, United States

Brengle Family Medicine Site Number : 8400039

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Indianapolis, Indiana, United States

Velocity Clinical Research Lincoln Site Number : 8400049

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Lincoln, Nebraska, United States

Meridian Clinical Research Site Number : 8400017

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Norfolk, Nebraska, United States

Velocity Clinical Research Site Number : 8400008

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Omaha, Nebraska, United States

Rochester Clinical Research. Inc. Site Number : 8400027

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Rochester, New York, United States

Velocity Clinical Research Site Number : 8400001

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Cleveland, Ohio, United States

Velocity Clinical Research - Providence Site Number : 8400019

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East Greenwich, Rhode Island, United States

Coastal Carolina Research Center Site Number : 8400042

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North Charleston, South Carolina, United States

ClinSearch Site Number : 8400013

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Chattanooga, Tennessee, United States

Elligo Health Research, Inc. Site Number : 8400002

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Austin, Texas, United States

DM Clinical Research- Bellaire Site Number : 8400026

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Houston, Texas, United States

Clinical Trials of Texas, Inc. - PPDS Site Number : 8400016

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San Antonio, Texas, United States

Investigational Site Number : 0360004

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Darlinghurst, New South Wales, Australia

Investigational Site Number : 0360005

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Kanwal, New South Wales, Australia

Investigational Site Number : 0360003

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Maroubra, New South Wales, Australia

Investigational Site Number : 0360001

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Morayfield, Queensland, Australia

Investigational Site Number : 0360002

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North Melbourne, Victoria, Australia

Investigational Site Number : 6300001

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Barrio Sabana, Puerto Rico

Investigational Site Number : 6300002

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San Juan, Puerto Rico

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