A Phase 3, Randomized, Observer-blind, Active-controlled, Case-driven Study to Investigate the Safety, Efficacy, and Immunogenicity of mRNA-1010 Candidate Seasonal Influenza Vaccine Compared With a Licensed Inactivated Seasonal Influenza Vaccine in Adults ≥50 Years of Age
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 40,805
- 试验地点
- 487
- 主要终点
- Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs)
研究概览
简要总结
The primary objectives of this study are to evaluate the safety and reactogenicity of mRNA-1010, and to evaluate relative vaccine efficacy (rVE) of mRNA-1010 versus an active comparator against reverse transcription polymerase chain reaction (RT-PCR)-confirmed protocol-defined influenza-like illness (ILI) caused by any influenza A or B strains.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
- •Participants who are assigned female at birth or can become pregnant are eligible to participate if:
- •The participant is a person of nonchildbearing potential (PONCBP) or
- •The participant is a person of childbearing potential (POCBP) who:
- •Is not breast/chest feeding.
- •Is using an acceptable contraceptive method at least 28 days prior to Day 1 (Baseline) to at least 90 days after Day 1 (Baseline).
- •Has a negative highly sensitive pregnancy test (urine or serum as required by local regulation or institutional review board [IRB]/independent ethics committee [IEC]) at the Screening Visit and before study intervention (if the Day 1 [Baseline] Visit is not on the same day as the Screening Visit).
排除标准
- •Acutely ill or febrile (temperature ≥38.0 degrees Celsius (℃) [100.4° Fahrenheit [F]]) within 72 hours prior to Day 1 (Baseline).
- •Close contact with someone with laboratory-confirmed influenza infection or with someone who has been treated with antiviral therapies for influenza (for example, Tamiflu®/oseltamivir) within 5 days prior to Day 1 (Baseline).
- •History of a diagnosis or condition that, in the judgment of the Investigator, is clinically unstable or may affect participant safety, assessment of study endpoints, assessment of immune response, or adherence to study procedures.
- •Reported history of congenital or acquired immunodeficiency, immunosuppressive condition, asplenia, or recurrent severe infections disease.
- •Tested positive for influenza by local health authority-approved testing methods within 180 days prior to Day 1 (Baseline).
- •History of anaphylaxis or severe hypersensitivity reaction requiring medical intervention after receipt of any of the following: mRNA vaccine or therapeutic; components of an mRNA vaccine or therapeutic; influenza vaccine; or components of an influenza vaccine, including egg protein.
- •Malignancy within 2 years prior to Day 1 (Baseline) (adequately treated basal cell carcinoma and squamous cell carcinoma are allowed).
- •Received corticosteroids at ≥10 milligram (mg)/day of prednisone or equivalent for >14 days in total within 90 days prior to Day 1 (Baseline) or is anticipating the need for corticosteroids at any time during the study.
- •Received systemic immunosuppressive treatment, including long-acting biological therapies that affect immune responses (for example, infliximab), within 180 days prior to Day 1 (Baseline) or plans to do so during the study.
- •Treated with antiviral therapies for influenza (for example, Tamiflu) within 180 days prior to Day 1 (Baseline).
- •Received any vaccine authorized or approved by local health agency within 28 days prior to Day 1 (Baseline) or plans to do so within 14 days after Day 1 (Baseline).
- •Received a licensed seasonal influenza vaccine within 180 days prior to Day 1 (Baseline) or plans to do so (outside of this study) at any time during the study.
- •Received an investigational seasonal influenza vaccine within 1 year prior to Day 1 (Baseline). Note: participants from mRNA-1010-P304 Season 1 are NOT eligible to re enroll into Season
- •Participated in a clinical study with investigational treatment within 90 days prior to Day 1 (Baseline) based on the medical history interview or plans to do so while participating in this study.
- •Is working or has worked as study personnel or is an immediate family member or house member of study personnel, study staff, or Sponsor personnel.
研究组 & 干预措施
Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra
Participants will receive a single injection of active comparator trivalent influenza vaccine (TIV) or quadrivalent influenza vaccine (QIV) (Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra) on Day 1.
干预措施: Fluarix® (Biological)
mRNA-1010
Participants will receive a single injection of mRNA-1010 on Day 1.
干预措施: mRNA-1010 (Biological)
Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra
Participants will receive a single injection of active comparator trivalent influenza vaccine (TIV) or quadrivalent influenza vaccine (QIV) (Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra) on Day 1.
干预措施: Influsplit® Tetra (Biological)
Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra
Participants will receive a single injection of active comparator trivalent influenza vaccine (TIV) or quadrivalent influenza vaccine (QIV) (Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra) on Day 1.
干预措施: Fluarix Tetra (Biological)
Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra
Participants will receive a single injection of active comparator trivalent influenza vaccine (TIV) or quadrivalent influenza vaccine (QIV) (Fluarix®, Fluarix Tetra, Influsplit® Tetra, Alpharix® Tetra) on Day 1.
干预措施: Alpharix® Tetra (Biological)
结局指标
主要结局
Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs)
时间窗: Day 1 to Day 7
Number of Participants with Unsolicited Adverse Events (AEs)
时间窗: Day 1 to Day 28
Number of Participants with Medically Attended AEs (MAAEs), AEs Leading to Discontinuation, Serious Adverse Events (SAEs), or Adverse Events of Special Interest (AESI)
时间窗: Day 1 to Day 181
Time to First Episode of RT-PCR Confirmed Protocol Defined ILI
时间窗: Day 14 up to End of Season (up to approximately Day 181)
ILI caused by any influenza A or B strains.
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
时间窗: Day 1 up to Day 7
Solicited ARs were recorded daily using electronic diaries (eDiaries). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A summary of all Serious Adverse Events (SAEs) and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Number of Participants With Unsolicited Adverse Events (AEs)
时间窗: Day 1 up to Day 28
An unsolicited AE was defined as any AE reported by the participant that was not specified as a solicited AR in the protocol. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A summary of all SAEs and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Number of Participants With Medically Attended AEs (MAAEs), AEs Leading to Study Discontinuation, SAEs, or Adverse Events of Special Interests (AESIs)
时间窗: Day 1 up to Day 181
MAAEs were AEs that led to an unscheduled visit to a healthcare provider. SAEs were AEs that resulted in death, were life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was a medically important event. AESIs were AEs (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program for which ongoing monitoring and immediate notification by the investigator to the Sponsor was required. A summary of all SAEs and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Number of Participants With First Episode of Reverse Tanscription Polymerase Chain Reaction (RT-PCR) Confirmed Protocol Defined Influenza-like Illness (ILI) Caused by Any Influenza A or B Strains
时间窗: Day 14 up to end of influenza season (up to 7.5 months)
Protocol-defined ILI: At least 1 systemic symptom (temperature \>37.2 degrees celsius \[°C\] \[\>99.0 degrees Fahrenheit {°F}\], chills, feverish, tiredness, headaches, or myalgia) and at least 1 respiratory symptom (sore throat, cough, sputum production, wheezing, or difficulty breathing).
次要结局
- Number of Participants with First Episode of RT-PCR Confirmed Modified US Centers for Disease Control and Prevention (CDC)-Defined ILI(Day 14 up to End of Season (up to approximately Day 181))
- Number of Participants with First Episode of RT-PCR Confirmed Protocol-Defined ILI or Modified CDC-Defined ILI(Day 14 up to End of Season (up to approximately Day 181))
- Number of Participants with an HAI Titer ≥1:40(Day 29)
- Geometric Mean Fold Rise (GMFR) of HAI Titers(Day 1, Day 29)
- HAI Titers(Day 29)
- Number of Participants with First Episode of RT-PCR-Confirmed Protocol-Defined ILI(Day 14 up to End of Season (up to approximately Day 181))
- Geometric Mean Titer (GMT) of Hemagglutination Inhibition (HAI)(Day 29)
- Number of Participants Reaching Seroconversion as Measured by HAI(Day 29)
- Number of Participants With First Episode of RT-PCR Confirmed Modified United States (US) Centers for Disease Control and Prevention (CDC)-Defined ILI Caused by Any Influenza A or B Strains(Day 14 up to end of influenza season (up to 7.5 months))
- Number of Participants With First Episode of RT-PCR-confirmed Protocol-defined ILI or Modified CDC-defined ILI Caused by Any Influenza A or B Strains With Antigenic Match to the Vaccine Strains(Day 14 up to end of influenza season (up to 7.5 months))
- Number of Participants With an HAI Titer ≥1:40(Day 29)
- Geometric Mean Fold Rise (GMFR) of HAI Titers(Baseline, Day 29)
