The purpose of this study was to evaluate the safety and immunogenicity of a single intramuscular (IM) injection of different formulations of Quadrivalent Influenza Vaccine (QIV) messenger ribonucleic acid (mRNA) (MRT5421, MRT5424, and MRT5429) compared to an active control (QIV- standard 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.
Study duration per participant was approximately 12 months. * Treatment duration: 1 injection of one of the 7 QIV mRNA or one of the controls * Dose escalation with sequential enrollment
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
908
Pharmaceutical form:solution in a vial-Route of administration:Intramuscular injection
Pharmaceutical form:solution in a vial-Route of administration:Intramuscular injection
Pharmaceutical form:solution in a vial-Route of administration:Intramuscular Injection
Pharmaceutical form: suspension for injection in prefilled syringe -Route of administration:Intramuscular injection
Pharmaceutical form:suspension for injection in pre filled syringe -Route of administration:Intramuscular injection
Pharmaceutical form:suspension for injection in pre filled syringe-Route of administration:Intramuscular injection
California Research Foundation Site Number : 8400038
San Diego, California, United States
Indago Research and Health Center- Site Number : 8400032
Hialeah, Florida, United States
Cenexel Research Centers of America- Site Number : 8400037
Hollywood, Florida, United States
Brengle Family Medicine Site Number : 8400045
Indianapolis, Indiana, United States
AMR Lexington- Site Number : 8400042
Lexington, Kentucky, United States
Velocity Clinical Research- New Orleans Site Number : 8400053
New Orleans, Louisiana, United States
The Alliance for Multispecialty Research - KCM, LLC- Site Number : 8400034
Kansas City, Missouri, United States
Velocity Clinical Research Norfolk- Site Number : 8400046
Norfolk, Nebraska, United States
AMR Knoxville- Site Number : 8400043
Knoxville, Tennessee, United States
Clinical Trials of Texas, Inc. - PPDS- Site Number : 8400029
San Antonio, Texas, United States
...and 3 more locations
Number of Participants With Immediate Unsolicited Systemic Adverse Events (AEs) After Vaccine Administration
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. An unsolicited AE is an observed AE that does not fulfill the conditions of solicited reactions, that is, pre-listed in the case report form in terms of diagnosis and onset window post-vaccination. Systemic AEs are all AEs that were not injection or administration site reactions. Immediate events are recorded to capture medically relevant unsolicited systemic AEs which occur within the first 30 minutes after vaccination.
Time frame: Within 30 minutes after vaccine administration on Day 1
Number of Participants With Solicited Injection Site Reactions After Vaccine Administration
An adverse reaction (AR) is any noxious and unintended response to a study vaccine related to any dose. Solicited injection site reactions are reactions at and around the injection site of the vaccine observed and reported under the conditions (nature and onset) pre-listed in the protocol and case report form.
Time frame: Within 7 days after vaccine administration on Day 1
Number of Participants With Solicited Systemic Reactions After Vaccine Administration
An AR is any noxious and unintended response to a study vaccine related to any dose. Solicited systemic reactions are systemic AEs observed and reported under the conditions (nature and onset) pre-listed in the protocol and case report form.
Time frame: Within 7 days after vaccine administration on Day 1
Number of Participants With Unsolicited Adverse Events After Vaccine Administration
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. An unsolicited AE is an observed AE that does not fulfill the conditions of solicited reactions, that is, pre-listed in the case report form in terms of diagnosis and onset window post-vaccination.
Time frame: Within 28 days after vaccine administration on Day 1
Number of Participants With Medically Attended Adverse Events (MAAEs)
An MAAE is a new onset or a worsening of a condition that prompts the participant or participant's parent/legally acceptable representative to seek unplanned medical advice at a physician's office or emergency department.
Time frame: Within 180 days after vaccine administration on Day 1
Number of Participants With Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESIs)
An SAE is any untoward medical occurrence that at any dose results in death or is life-threatening or requires inpatient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect or is an important medical event. An AESI (serious or non-serious) is 1 of scientific and medical concern specific to the Sponsor's study vaccine or program, for which ongoing monitoring and rapid communication by the investigator to the Sponsor can be appropriate. The AESIs was defined as anaphylactic reactions (including bronchospasms, and laryngeal spasms), Guillain-Barré syndrome, neuritis (including Bell's palsy), myocarditis, pericarditis, myopericarditis and vasculitis.
Time frame: From the vaccine administration (Day 1) until 12 months after vaccine administration, approximately 366 days
Number of Participants With Abnormal Biological Test Results
Blood samples were collected for the assessment of abnormal hematology and clinical chemistry parameters. Only participants with outside the normal range hematology and clinical chemistry parameters are reported.
Time frame: Within 8 days after vaccine administration on Day 1
Geometric Mean of Hemagglutination Inhibition (HAI) Antibody (Ab) Titer at Day 1
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The 95% confidence interval (CI) was based on the Clopper-Pearson method.
Time frame: Day 1
Geometric Mean of Hemagglutination Inhibition Antibody Titer at Day 29
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The 95% CI was based on the Clopper-Pearson method.
Time frame: Day 29
Percentage of Participants With Detectable Hemagglutination Inhibition Antibody Titer >=1:10 at Day 1
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The 95% CI for the single percentage was based on the Clopper-Pearson method. The percentages are rounded off to the tenth decimal place.
Time frame: Day 1
Percentage of Participants With Detectable Hemagglutination Inhibition Antibody Titer >=1:10 at Day 29
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The 95% CI for the single percentage was based on the Clopper-Pearson method. The percentages are rounded off to the tenth decimal place.
Time frame: Day 29
Geometric Mean Ratio of Hemagglutination Inhibition Antibody Titer at Day 29
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The geometric mean ratio of antibody titer at post-vaccination over pre-vaccination is reported. The 95% CI was based on the Clopper-Pearson method.
Time frame: Days 1 and 29
Percentage of Participants With Seroconversion of Hemagglutination Inhibition Antibody Titer at Day 29
The seroconversion was defined as titer \<10 on Day 1 and post-injection titer \>=40 on Day 29; or defined as titer \>=10 on Day 1 and a \>=4-fold increase in titer on Day 29. The 95% CI for the single percentage was based on the Clopper-Pearson method. The percentages are rounded off to the tenth decimal place.
Time frame: Day 29
Percentage of Participants With Hemagglutination Inhibition Antibody Titer >=1:40 at Day 29
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The 95% CI for the single percentage was based on the Clopper-Pearson method. The percentages are rounded off to the tenth decimal place.
Time frame: Day 29
Percentage of Participants With >=2 and >=4 Fold Increase in Hemagglutination Inhibition Antibody Titer at Day 29
The HAI Ab was measured by hemagglutinin inhibition using quality control sera (sheep, ferret and/or human sera) measurement method. The 95% CI for the single percentage was based on the Clopper-Pearson method. The percentages are rounded off to the tenth decimal place.
Time frame: Days 1 and 29
Geometric Mean of Neutralization Test (NT) Antibody Titer at Days 1 and 29
The NT Ab was planned to be measured using seroneutralization (SN) measurement method. The 95% CI was planned to be calculated using the Clopper-Pearson method.
Time frame: Days 1 and 29
Geometric Mean Ratio of Neutralization Test Antibody Titer at Day 29
The NT Ab was planned to be measured using SN measurement method. The geometric mean ratio of antibody titer at post-vaccination over pre-vaccination was planned to be reported. The 95% CI was planned to be calculated using the Clopper-Pearson method.
Time frame: Days 1 and 29
Percentage of Participants With >=2 and >=4 Fold Increase in Neutralization Test Antibody Titer at Day 29
The NT Ab was planned to be measured using SN measurement method. The 95% CI for the single percentage was planned to be calculated using the Clopper-Pearson method.
Time frame: Days 1 and 29
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