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Safety and Immunogenicity of Quadrivalent Influenza mRNA Vaccine MRT5410 in Adult Participants 18 Years of Age and Older

Phase 1
Completed
Conditions
Influenza Immunization
Interventions
Biological: Quadrivalent Inactivated Influenza High Dose QIV-HD
Biological: Quadrivalent Inactivated Influenza Standard Dose QIV-SD
Biological: Quadrivalent Recombinant Influenza vaccine RIV4
Registration Number
NCT05624606
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 mRNA Vaccine MRT5410 compared to an active control (QIV SD, QIV HD \[adults ≥ 65 years of age only\], or RIV4) in adults 18 years of age and older.

Detailed Description

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
  • 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 IM vaccination based on Investigator's judgment
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM 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 6: QIV-HDQuadrivalent Inactivated Influenza High Dose QIV-HDparticipants will receive a single dose of QIV -HD vaccine
Group 5: QIV-SDQuadrivalent Inactivated Influenza Standard Dose QIV-SDparticipants will receive a single dose of QIV-SD vaccine
Group 1: Quadrivalent Influenza mRNA Vaccine MRT5410 low doseQuadrivalent Influenza mRNA Vaccine MRT5410participants will receive a single dose (low) of QIV mRNA vaccine
Group 2: Quadrivalent Influenza mRNA Vaccine MRT5410 medium doseQuadrivalent Influenza mRNA Vaccine MRT5410participants will receive a single dose (medium) of QIV mRNA vaccine
Group 3: Quadrivalent Influenza mRNA Vaccine MRT5410 high doseQuadrivalent Influenza mRNA Vaccine MRT5410participants will receive a single dose (high) of QIV mRNA vaccine
Group 4: RIV4Quadrivalent Recombinant Influenza vaccine RIV4participants will receive a single dose of RIV4 vaccine
Primary Outcome Measures
NameTimeMethod
Percentage of participants with detectable antibody HAI titers greater than or equal to (≥) 10 [1/dil]Day 1 and Day 29
Number of participants with unsolicited AEsWithin 28 days after injection

AEs that do not fulfill the conditions of solicited reactions

Number of participants with serious adverse events (SAEs)From Day 1 until Day 366

SAEs reported throughout the study

Percentage of participants with 2-fold and 4-fold rise in HAI titersDay 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 medically attended adverse events (MAAE)sWithin 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

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

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

Individual Hemagglutination inhibition (HAI) titerDay 1 and Day 29

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

Number of participants with solicited injection site reactions or systemic reactionsWithin 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

Individual HAI titer ratioDay 1 and Day 29

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

Percentage of participants with antibody HAI titers greater than or equal to (≥) 40 [1/dil]Day 29
Number of participants archiving HAI seroconversion against AntigensDay 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

Secondary Outcome Measures
NameTimeMethod
Percentage of participants with 2-fold and 4-fold increase in neutralizing titersDay 1 and Day 29
Individual antibodies HAI titer ratioDay 1, Day 91, Day 181 and Day 366
Individual neutralizing antibodies titer ratioDay 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]Day 91, Day 181 and Day 366
Neutralizing Ab titersDay 1 and Day 29

Neutralizing Ab titers expressed as GMTs

Trial Locations

Locations (25)

Indago Research and Health Center Site Number : 8400002

🇺🇸

Hialeah, Florida, United States

Joint Clinical Trials Huntington Park Site Number : 8400032

🇺🇸

Huntington Park, California, United States

Velocity Clinical Research, North Hollywood Site Number : 8400063

🇺🇸

North Hollywood, California, United States

Velocity Clinical Research Site Number : 8400024

🇺🇸

Meridian, Idaho, United States

Martin Diagnostic Clinic Site Number : 8400058

🇺🇸

Tomball, Texas, United States

Investigational Site Number : 6300001

🇵🇷

San Juan, Puerto Rico

Research Centers of America Site Number : 8400011

🇺🇸

Hollywood, Florida, United States

Palm Beach Research Center Site Number : 8400041

🇺🇸

West Palm Beach, Florida, United States

Coastal Carolina Research Center - N Charleston Site Number : 8400007

🇺🇸

North Charleston, South Carolina, United States

Meridian Clinical Research Site Number : 8400017

🇺🇸

Norfolk, Nebraska, United States

DM Clinical Research Site Number : 8400046

🇺🇸

Humble, Texas, United States

Investigational Site Number : 6300002

🇵🇷

Barrio Sabana, Puerto Rico

Long Beach Clinical Trials Site Number : 8400056

🇺🇸

Long Beach, California, United States

California Research Foundation Site Number : 8400001

🇺🇸

San Diego, California, United States

Florida International Research Center Site Number : 8400009

🇺🇸

Miami, Florida, United States

Brengle Family Medicine Site Number : 8400040

🇺🇸

Indianapolis, Indiana, United States

WR-CRCN, LLC Site Number : 8400060

🇺🇸

Las Vegas, Nevada, United States

Clinical Trials of Texas, Inc. - PPDS Site Number : 8400043

🇺🇸

San Antonio, Texas, United States

AMR Knoxville Site Number : 8400021

🇺🇸

Knoxville, Tennessee, United States

DM Clinical Research - Sugar Land Site Number : 8400045

🇺🇸

Sugar Land, Texas, United States

Velocity Clinical Research Site Number : 8400034

🇺🇸

Omaha, Nebraska, United States

SIMEDHealth, LLC Site Number : 8400042

🇺🇸

Gainesville, Florida, United States

AMR Lexington Site Number : 8400035

🇺🇸

Lexington, Kentucky, United States

Elligo Health Research, Inc. Site Number : 8400037

🇺🇸

Austin, Texas, United States

Tekton Research, Inc Site Number : 8400051

🇺🇸

Austin, Texas, United States

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