A Phase 1/2, Randomized, Observer-blind, Placebo-controlled, Dose-ranging Study to Evaluate the Safety and Immunogenicity of Heptavalent mRNA-1975 (SR1-7) and Monovalent mRNA-1982 (SR1) in Parallel Against Lyme Disease in Healthy Participants 18 Through 70 Years of Age
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 807
- 试验地点
- 40
- 主要终点
- Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
研究概览
简要总结
The purpose of this study is to evaluate the safety and immunogenicity in parallel of heptavalent mRNA-1975 and monovalent mRNA-1982 against Lyme disease in healthy adult participants.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Body mass index of 18 to 39 kilograms/square meter (inclusive) at the Screening Visit.
- •Participants of nonchildbearing potential may be enrolled in the study.
- •For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy during the study intervention period, and agreement to continue adequate contraception or abstinence through 3 months following last study injection.
排除标准
- •Have chronic illness related to Lyme disease or an active symptomatic Lyme disease infection as suspected or diagnosed by a physician.
- •Received treatment for Lyme disease within the prior 3 months.
- •Had previous vaccination against Lyme disease or participated in the past in any vaccine study for Lyme disease.
- •Had a tick bite within 4 weeks prior to the study injection visit.
- •Dermatologic conditions that could affect local solicited AR assessments (for example, tattoos; psoriasis patches affecting skin over the deltoid areas).
- •Received systemic immunosuppressants for >14 days in total within 180 days prior to the Screening Visit (for corticosteroids, ≥10 milligrams/day of prednisone or equivalent) or is anticipating the need for systemic immunosuppressive treatment at any time during participation in the study.
- •History of myocarditis, pericarditis, or myopericarditis regardless of the timing of past medical history.
- •History of anaphylaxis, urticaria, or other significant adverse reaction requiring medical intervention after receipt of a vaccine or intervention that includes one or more of the same components contained in the study injection.
- •Has received systemic immunoglobulins, long-acting biological therapies that affect immune responses (for example, infliximab) or blood products within 90 days prior to the Screening Visit or plans to receive them during the study.
- •Note: Other inclusion and exclusion criteria may apply.
研究组 & 干预措施
mRNA-1982: Dose 2
Participants will receive 3 IM injections of the mRNA-1982 vaccine at Dose Level 2 on Days 1, 57, and 169.
干预措施: mRNA-1982 (Biological)
mRNA-1982: Dose 3
Participants will receive 3 IM injections of the mRNA-1982 vaccine at Dose level 3 on Days 1, 57, and 169.
干预措施: mRNA-1982 (Biological)
Placebo
Participants will receive 3 IM injections of vaccine-matching placebo on Days 1, 57, and 169.
干预措施: Placebo (Biological)
mRNA-1975: Dose 4
Participants will receive 3 IM injections of the mRNA-1975 vaccine at Dose level 4 on Days 1, 57, and 169.
干预措施: mRNA-1975 (Biological)
mRNA-1982: Dose 1
Participants will receive 3 IM injections of the mRNA-1982 vaccine at Dose Level 1 on Days 1, 57, and 169.
干预措施: mRNA-1982 (Biological)
mRNA-1975: Dose 1
Participants will receive 3 intramuscular (IM) injections of the mRNA-1975 vaccine at Dose Level 1 on Days 1, 57, and 169.
干预措施: mRNA-1975 (Biological)
mRNA-1975: Dose 2
Participants will receive 3 IM injections of the mRNA-1975 vaccine at Dose level 2 on Days 1, 57, and 169.
干预措施: mRNA-1975 (Biological)
mRNA-1975: Dose 3
Participants will receive 3 IM injections of the mRNA-1975 vaccine at Dose Level 3 on Days 1, 57, and 169.
干预措施: mRNA-1975 (Biological)
结局指标
主要结局
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
时间窗: Up to Day 175 (7 days after each study injection)
Number of Participants With Unsolicited Adverse Events (AEs)
时间窗: Up to Day 196 (28 days after each study injection)
Number of Participants With Medically Attended AEs
时间窗: Day 1 through Day 337 (6 months after the last study injection)
Number of Participants with AEs of Special Interest, Serious AEs, and AEs Leading to Discontinuation of Study Injection or Study Participation
时间窗: Day 1 through Day 505 (End of Study)
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 Injection
时间窗: Up to 7 days after Day 1 injection
Solicited ARs were collected in an electronic diary (eDiary). 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 serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 57 Injection
时间窗: Up to 7 days after Day 57 injection
Solicited ARs were collected in an eDiary. 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 AEs. Investigator reviewed whether the solicited AR was also to be recorded as an AE. A summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 169 Injection
时间窗: Up to 7 days after Day 169 injection
Solicited ARs were collected in an eDiary. 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 AEs. Investigator reviewed whether the solicited AR was also to be recorded as an AE. A summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Number of Participants With Unsolicited AEs
时间窗: Up to 28 days post any injection
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time \[PT\]/partial thromboplastin time \[PTT\]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Number of Participants With Medically Attended AEs (MAAEs), Adverse Events of Special Interest (AESIs), SAEs, and AEs Leading to Study Discontinuation
时间窗: Day 1 up to Month 18
A MAAE is an AE that led to an unscheduled visit to a healthcare practitioner. An SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability, was a congenital anomaly/birth defect, or was an important medical event. An AESI was an AE (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 were required. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
次要结局
- Geometric Mean Concentration of Anti-outer Surface Protein A (anti-OspA) Binding Immunoglobulin G (IgG) Antibodies Measured by Enzyme-linked Immunosorbent Assay or a Similar Method(Days 1, 29, 85, and 197)
- Geometric Mean Fold Rise of anti-OspA Binding IgG Antibody Concentration at Days 29, 85, and 197 Compared to Day 1 (Baseline)(Days 29, 85, and 197)
- Geometric Mean Concentration (GMC) of Anti-Outer Surface Protein (Anti-OspA) Binding Immunoglobulin (IgG) Antibodies for Serotype (SR-1) Antigen Measured by Enzyme-Linked Immunosorbent Assay (ELISA)(Days 1, 29, 85 and 197)
- GMC of Anti-OspA Binding IgG Antibodies for SR-2 Antigen Measured by ELISA(Days 1, 29, 85, and 197)
- GMC of Anti-OspA Binding IgG Antibodies for SR-3 Antigen Measured by ELISA(Days 1, 29, 85 and 197)
- GMC of Anti-OspA Binding IgG Antibodies for SR-4 Antigen Measured by ELISA(Days 1, 29, 85 and 197)
- GMC of Anti-OspA Binding IgG Antibodies for SR-5 Antigen Measured by ELISA(Days 1, 29, 85 and 197)
- GMC of Anti-OspA Binding IgG Antibodies for SR-6 Antigen Measured by ELISA(Days 1, 29, 85 and 197)
- GMC of Anti-OspA Binding IgG Antibodies for SR-7 Antigen Measured by ELISA(Days 1, 29, 85 and 197)
- Geometric Mean Fold Rise (GMFR) of Anti-OspA Binding IgG Antibody Concentration for SR-1 Antigen(Days 29, 85 and 197)
- GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-2 Antigen(Days 29, 85 and 197)
- GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-3 Antigen(Days 29, 85 and 197)
- GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-4 Antigen(Days 29, 85 and 197)
- GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-5 Antigen(Days 29, 85 and 197)
- GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-6 Antigen(Days 29, 85 and 197)
- GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-7 Antigen(Days 29, 85 and 197)
