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A Study to Evaluate the Safety and Immune Response of mRNA-1345, a Vaccine Targeting Respiratory Syncytial Virus (RSV), When Co-administered With a Fluzone HD, in Adults ≥65 Years of Age

Phase 3
Completed
Conditions
Respiratory Syncytial Virus
Interventions
Biological: Placebo
Biological: mRNA-1345
Biological: Fluzone HD
Registration Number
NCT06060457
Lead Sponsor
ModernaTX, Inc.
Brief Summary

The main purpose of this study is to evaluate the safety and immunogenicity of mRNA-1345 RSV vaccine when coadministered with a high dose (HD) quadrivalent seasonal influenza vaccine (Fluzone HD) in adults ≥65 years of age. The study will examine the impact of Fluzone HD on the immune response to mRNA-1345 against RSV-A and RSV-B, as well as the impact of mRNA-1345 on the immune response to Fluzone HD against 4 vaccine-matched Influenza A and B strains.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1900
Inclusion Criteria
  • Participants may have one or more chronic medical diagnoses, but should be medically stable as assessed by:

    • Absence of changes in medical therapy within 60 days of Day 1 due to treatment failure or toxicity,
    • Absence of serious or significant medical events within 30 days of Day 1, and
    • Absence of known, current, and life-limiting diagnoses which, in the opinion of the Investigator, would make completion of the protocol unlikely.
  • A participant assigned female at birth is eligible to participate if they are postmenopausal or not a person of childbearing potential.

Key

Exclusion Criteria
  • Close contact with someone with laboratory-confirmed influenza and/or RSV infection or with someone who has been treated with antiviral therapies for influenza (for example, Tamiflu®) within the past 5 days prior to Day 1.
  • Reported history of congenital or acquired immunodeficiency, immunosuppressive condition or immune-mediated disease, asplenia, or recurrent severe infections.
  • Participant has tested positive for influenza or RSV by local health authority-approved testing methods ≤6 months prior to Day 1.
  • Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤28 days prior to study injections (Day 1 and Day 22) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after study injections.
  • Participant has received a seasonal influenza vaccine or any other investigational influenza vaccine ≤6 months prior to Day 1.
  • Participant has received any RSV vaccine (authorized/approved by local health agency or investigational) prior to Day 1.

Note: Other protocol-defined inclusion and/or exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Fluzone HD + mRNA-1345mRNA-1345Participants will receive Fluzone HD + mRNA-1345 by intramuscular (IM) injection on Day 1 followed by placebo by IM injection on Day 22.
Fluzone HD Followed by mRNA-1345PlaceboParticipants will receive Fluzone HD + placebo by IM injection on Day 1 followed by mRNA-1345 by IM injection on Day 22.
Fluzone HD + mRNA-1345PlaceboParticipants will receive Fluzone HD + mRNA-1345 by intramuscular (IM) injection on Day 1 followed by placebo by IM injection on Day 22.
Fluzone HD Followed by mRNA-1345mRNA-1345Participants will receive Fluzone HD + placebo by IM injection on Day 1 followed by mRNA-1345 by IM injection on Day 22.
Fluzone HD + mRNA-1345Fluzone HDParticipants will receive Fluzone HD + mRNA-1345 by intramuscular (IM) injection on Day 1 followed by placebo by IM injection on Day 22.
Fluzone HD Followed by mRNA-1345Fluzone HDParticipants will receive Fluzone HD + placebo by IM injection on Day 1 followed by mRNA-1345 by IM injection on Day 22.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Medically Attended AEs (MAAEs)Day 1 through end of study (EOS; Day 202)
Number of Participants with Unsolicited Adverse Events (AEs)21 days after each injection
Number of Participants With AEs Leading to DiscontinuationDay 1 through EOS (Day 202)
Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs)7 days after each injection
Number of Participants With Adverse Events of Special Interest (AESIs)Day 1 through EOS (Day 202)
Number of Participants With Serious Adverse Events (SAEs)Day 1 through EOS (Day 202)
Geometric Mean Titer (GMT) of Serum RSV-A and RSV-B Neutralizing Antibodies (Abs)Day 22 (for Arm 1) and Day 43 (for Arm 2)
GMT of Serum Ab Level, as Measured by Hemagglutination Inhibition (HAI) Assay for InfluenzaDay 22
Secondary Outcome Measures
NameTimeMethod
Geometric Mean Fold Rise (GMFR) of Postbaseline/Baseline Serum RSV-A and RSV-B Neutralizing AbsBaseline to Day 22 (for Arm 1) or 43 (for Arm 2)
Percentage of Participants With Seroresponse in RSV-A Neutralizing Abs From Baseline to Day 22 (for Arm 1) or Day 43 (for Arm 2)Baseline to Day 22 (for Arm 1) or 43 (for Arm 2)

Seroresponse is defined as postvaccination titers ≥4× lower limit of quantification (LLOQ) if baseline is \<LLOQ or a ≥4-fold increase from baseline if baseline is ≥LLOQ.

Percentage of Participants With ≥2-fold Increases From Baseline in RSV-A and RSV-B Neutralizing Ab Titers at Day 22 (for Arm 1) or Day 43 (for Arm 2)Baseline to Day 22 (for Arm 1) or 43 (for Arm 2)
Percentage of Participants with Seroconversion as Measured by HAI AssayBaseline to Day 22

Seroconversion is defined as postvaccination titer ≥1:40 if baseline is \<1:10 or a ≥4-fold rise in postvaccination HAI Ab titer if baseline is ≥1:10.

GMFR of Serum Ab Level, as Measured by HAI AssayBaseline to Day 22

Trial Locations

Locations (34)

Scottsdale Clinical Trials

🇺🇸

Scottsdale, Arizona, United States

Headlands Research, Inc.

🇺🇸

Scottsdale, Arizona, United States

West Coast Research LLC

🇺🇸

Dublin, California, United States

Artemis Institute for Clinical Research

🇺🇸

Riverside, California, United States

Peninsula Research Associates (PRA)

🇺🇸

Rolling Hills Estates, California, United States

Acclaim Clinical Research

🇺🇸

San Diego, California, United States

Neoclinical Research

🇺🇸

Hialeah, Florida, United States

Health Awareness INC

🇺🇸

Jupiter, Florida, United States

South Florida Research Center, Inc.

🇺🇸

Miami, Florida, United States

Suncoast Research Associates, LLC

🇺🇸

Miami, Florida, United States

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Scottsdale Clinical Trials
🇺🇸Scottsdale, Arizona, United States
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