The aim of this study is to evaluate the safety, reactogenicity and immunogenicity of the Flu Pandemic messenger RNA (mRNA) vaccine (including dose-finding and dose-confirmation) administered in healthy adults 18 to 85 years of age.
Phase 1 (Ph1) of the study aims to evaluate the reactogenicity, safety, and immunogenicity of 5 dose levels of the investigational vaccine, compared with a placebo, in both younger adults (YA) and older adults (OA). Participants will receive two doses, 21 days apart, with safety data collected up to Day 29. The data from this phase will support the safety evaluation of the assessed dose levels and enable further assessment in higher number of participants in Phase 2 Part A. Phase 2 (Ph2) Part A will assess the immunogenicity, reactogenicity, and safety of the same 5 dose levels evaluated in Phase 1, with the aim of identifying the doses to proceed to Phase 2 Part B. Phase 2 Part B will descriptively characterize the dose level of the Flu Pandemic mRNA vaccine candidate selected from Phase 2 Part A, comparing it to an influenza vaccine in a 2-dose schedule. It will also assess safety, reactogenicity, and the immune response induced by the influenza vaccine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
991
2 doses of study intervention are administered to participants intramuscularly.
2 doses of study intervention are administered to participants intramuscularly.
2 doses of study intervention are administered to participants intramuscularly.
GSK Investigational Site
Anniston, Alabama, United States
GSK Investigational Site
Percentage of participants with solicited administration site events [Phase 1 and Phase 2 Part A]
The assessed solicited administration site events are pain at administration site, redness at administration site, swelling at administration site and lymphadenopathy.
Time frame: From Day 1 to Day 7
Percentage of participants with solicited administration site events [Phase 1 and Phase 2 Part A]
The assessed solicited administration site events are pain at administration site, redness at administration site, swelling at administration site and lymphadenopathy.
Time frame: From Day 22 to Day 28
Percentage of participants with solicited systemic events [Phase 1 and Phase 2 Part A]
The assessed solicited systemic events are fever, headache, myalgia, arthralgia, fatigue, and chills. Fever is defined as temperature greater than or equal to (\>=)38 degrees Celsius (°C)/ 100.4 Fahrenheit (°F) regardless the location of measurement.
Time frame: From Day 1 to Day 7
Percentage of participants with solicited systemic events [Phase 1 and Phase 2 Part A]
The assessed solicited systemic events are fever, headache, myalgia, arthralgia, fatigue and chills. Fever is defined as temperature greater than or equal to (\>=)38 degrees Celsius (°C)/ 100.4 Fahrenheit (°F) regardless the location of measurement.
Time frame: From Day 22 to Day 28
Percentage of participants with unsolicited adverse events (AEs) [Phase 1 and Phase 2 Part A]
An unsolicited AE is an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs include both serious and nonserious AEs.
Time frame: From Day 1 to Day 21
Percentage of participants with unsolicited adverse events (AEs) [Phase 1 and Phase 2 Part A]
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2 doses of study intervention are administered to participants intramuscularly.
2 doses of study intervention are administered to participants intramuscularly.
2 dose of study intervention is administered to participants intramuscularly.
2 doses of Influenza virus vaccine are administered to participants intramuscularly.
2 doses of Placebo are administered intramuscularly to participants in Phase 1 and Phase 2 Part A and 2 dose is administered to participants in Phase 2 Part B.
Little Rock, Arkansas, United States
GSK Investigational Site
Fort Collins, Colorado, United States
GSK Investigational Site
Fort Myers, Florida, United States
GSK Investigational Site
West Palm Beach, Florida, United States
GSK Investigational Site
Chamblee, Georgia, United States
GSK Investigational Site
El Dorado, Kansas, United States
GSK Investigational Site
Lenexa, Kansas, United States
GSK Investigational Site
Lexington, Kentucky, United States
GSK Investigational Site
Kansas City, Missouri, United States
...and 11 more locations
An unsolicited AE is an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs include both serious and nonserious AEs.
Time frame: From Day 22 to Day 42
Percentage of participants with medically attended adverse events (MAAEs) [Phase 1 and Phase 2 Part A]
An MAAE is defined as an unsolicited AE for which the participant receives medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
Time frame: From Day 1 to Day 203
Percentage of participants with serious adverse events (SAEs) [Phase 1 and Phase 2 Part A]
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, abnormal pregnancy outcomes, is a suspected transmission of any infectious agent via an authorized medicinal product.
Time frame: From Day 1 to Day 203
Percentage of participants with adverse events of special interest (AESIs) [Phase 1 and Phase 2 Part A]
Events considered as AESIs are severe hypersensitivity reactions and myocarditis/pericarditis.
Time frame: From Day 1 to Day 203
Phase 1: Percentage of participants with increase in FDA toxicity grading for hematology and clinical chemistry laboratory parameters from baseline to any level of FDA toxicity grading at Day 8
Time frame: Baseline (Day 1), Day 8
Phase 1: Percentage of participants with increase in FDA toxicity grading in hematology and clinical chemistry laboratory parameters from baseline to any level of FDA toxicity grading at Day 29
Time frame: Baseline (Day 1), Day 29
Phase 1: Percentage of participants with increase in haematology and clinical chemistry laboratory parameters from normal values at baseline to abnormal values at Day 8
Time frame: Baseline (Day 1), Day 8
Phase 1: Percentage of participants with increase in hematology and clinical chemistry laboratory parameters from normal values at baseline to abnormal values at Day 29
Time frame: Baseline (Day 1), Day 29
Percentage of participants with anti- hemagglutinin inhibition (HI) titers ≥ 1:40 at Day 43 [Phase 1 and Phase 2 Part A]
Time frame: At Day 43
Percentage of participants with solicited administration site events [Phase 2 Part B]
The assessed solicited administration site events are pain at administration site, redness at administration site, swelling at administration site and lymphadenopathy.
Time frame: From Day 1 to Day 7
Percentage of participants with solicited administration site events [Phase 2 Part B]
The assessed solicited administration site events are pain at administration site, redness at administration site, swelling at administration site and lymphadenopathy.
Time frame: From Day 22 to Day 28
Percentage of participants with solicited systemic events [Phase 2 Part B]
The assessed solicited systemic events are fever, headache, myalgia, arthralgia, fatigue, and chills. Fever is defined as temperature \>= 38°C/100.4°F regardless the location of measurement. The preferred location for measuring temperature is axillary.
Time frame: From Day 1 to Day 7
Percentage of participants with solicited systemic events [Phase 2 Part B]
The assessed solicited systemic events are fever, headache, myalgia, arthralgia, fatigue, and chills. Fever is defined as temperature \>= 38°C/100.4°F regardless the location of measurement. The preferred location for measuring temperature is axillary.
Time frame: From Day 22 to Day 28
Percentage of participants with unsolicited AEs [Phase 2 Part B]
An unsolicited AE is an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs include both serious and nonserious AEs.
Time frame: From Day 1 to Day 21
Percentage of participants with unsolicited AEs [Phase 2 Part B]
An unsolicited AE is an AE that was either not included in the list of solicited events or could be included in the list of solicited events but with an onset outside the specified period of follow-up for solicited events. Unsolicited AEs include both serious and nonserious AEs.
Time frame: From Day 22 to Day 42
Percentage of participants with MAAEs [Phase 2 Part B]
MAAE is defined as an unsolicited AE for which the participant receives medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
Time frame: From Day 1 to Day 203
Percentage of participants with SAEs [Phase 2 Part B]
An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, abnormal pregnancy outcomes, is a suspected transmission of any infectious agent via an authorized medicinal product.
Time frame: From Day 1 to Day 203
Percentage of participants with AESIs [Phase 2 Part B]
Events considered as AESIs are severe hypersensitivity reactions, Aminotransferase (AT) elevation and myocarditis/pericarditis.
Time frame: From Day 1 to Day 203
Percentage of participants with increase in FDA toxicity grading for clinical chemistry laboratory parameters from baseline to any level of FDA toxicity grading at Day 8 [Phase 2 Part B]
Time frame: Baseline (Day 1), Day 8
Percentage of participants with increase in FDA toxicity grading for clinical chemistry laboratory parameters from baseline to any level of FDA toxicity grading at Day 29 [Phase 2 Part B]
Time frame: Baseline (Day 1), Day 29
Percentage of participants with increase in clinical chemistry laboratory parameters from normal values at baseline to abnormal values at Day 8 [Phase 2 Part B]
Time frame: Baseline (Day 1), Day 8
Percentagev of participants with increase in clinical chemistry laboratory parameters from normal values at baseline to abnormal values at Day 29 [Phase 2 Part B]
Time frame: Baseline (Day 1), Day 29
Percentage of participants with anti-HI titers ≥ 1:40 at Day 43 [Phase 2 Part B]
Time frame: At Day 43
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 2 Part B]
HI seroconversion is defined as a post-dose titer ≥1:40 in the serum of participants with pre-dose titer below 1:10 or as a ≥4-fold rise in post dose HI titers with pre- dose titer ≥1:10.
Time frame: At Day 43 compared to pre-vaccination (Day 1, pre-dosing)
GMT Ratio of anti-HI antibody titers [Phase 2 Part B]
Time frame: At Day 43
Geometric mean titers (GMTs) of HI antibody titers [Phase 1 and Phase 2 Part A]
Time frame: At Day 1, Day 22, Day 29, Day 43, and Day 203
Geometric mean increase (GMI) of HI antibody titers [Phase 1 and Phase 2 Part A]
GMI is defined as the geometric mean of the ratios of the post-vaccination to the pre-vaccination titer.
Time frame: At Day 22 compared to pre-vaccination (Day 1, pre-dosing)
Geometric mean increase (GMI) of anti-HI antibody titers [Phase 1 and Phase 2 Part A]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 29 compared to pre-vaccination (Day 1, pre-dosing)
Geometric mean increase (GMI) of anti-HI antibody titers [Phase 1 and Phase 2 Part A]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 43 compared to pre-vaccination (Day 1, pre-dosing)
Geometric mean increase (GMI) of anti-HI antibody titers [Phase 1 and Phase 2 Part A]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 203 compared to pre-vaccination (Day 1, pre-dosing)
Percentage of participants with HI antibody Seroconversion rate (SCR) [Phase 1 and Phase 2 Part A]
HI seroconversion is defined as a post-dose titer ≥1:40 in the serum of participants with pre-dose titer below 1:10 or as a ≥4-fold rise in post dose HI titers with pre- dose titer ≥1:10.
Time frame: At Day 22 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 1 and Phase 2 Part A]
HI seroconversion is defined as a post-dose titer ≥1:40 in the serum of participants with pre-dose titer below 1:10 or as a ≥4-fold rise in post dose HI titers with pre- dose titer ≥1:10.
Time frame: At Day 29 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 1 and Phase 2 Part A]
HI seroconversion is defined as a post-dose titer ≥1:40 in the serum of participants with pre-dose titer below 1:10 or as a ≥4-fold rise in post dose HI titers with pre- dose titer ≥1:10.
Time frame: At Day 43 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 1 and Phase 2 Part A]
HI seroconversion is defined as a post-dose titer ≥1:40 in the serum of participants with pre-dose titer below 1:10 or as a ≥4-fold rise in post dose HI titers with pre- dose titer ≥1:10.
Time frame: At Day 203 compared to pre-vaccination (Day 1, pre-dosing)
Percentage of participants with anti-HI antibody titers >= 1:40 [Phase 1 and Phase 2 Part A]
Time frame: At Day 22, Day 29, and Day 203
Percentage of seropositive participants for the HA antibody titers [Phase 1 and Phase 2 Part A]
Seropositivity is defined as titers ≥ lower limit of quantification (LLOQ) at the defined timepoints.
Time frame: At Day 1, Day 22, Day 29, Day 43, and Day 203
GMT of Anti-HI antibody titers [Phase 2 Part B]
Time frame: At Day 1, Day 22, Day29, Day 43 and Day 203
GMI of anti-HI antibody titers [Phase 2 Part B]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 22 compared to pre-vaccination (Day 1, pre-dosing)
GMI of anti-HI antibody titers [Phase 2 Part B]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 29 compared to pre-vaccination (Day 1, pre-dosing)
GMI of anti-HI antibody titers [Phase 2 Part B]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 43 compared to pre-vaccination (Day 1, pre-dosing)
GMI of anti-HI antibody titers [Phase 2 Part B]
GMI is defined as the geometric mean of the within participant ratios of the post-vaccination anti-HI antibody titer to the pre-vaccination anti-HI antibody titer.
Time frame: At Day 203 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 2 Part B]
HI seroconversion is defined as a post-dose titer \>=1:40 in the serum of participants with pre-dose titer below 1:10 or as a ≥4-fold rise in post dose HI titers with pre- dose titer \>=1:10.
Time frame: At Day 22 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 2 Part B]
HI seroconversion is defined as a post-dose titer \>=1:40 in the serum of participants with pre-dose titer below 1:10 or as a \>=4-fold rise in post dose HI titers with pre- dose titer \>=1:10.
Time frame: At Day 29 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 2 Part B]
HI seroconversion is defined as a post-dose titer \>=1:40 in the serum of participants with pre-dose titer below 1:10 or as a \>=4-fold rise in post dose HI titers with pre- dose titer \>=1:10.
Time frame: At Day 43 compared to pre-vaccination (Day 1, pre-dosing)
Seroconversion rate (SCR) of anti-HI antibody titers [Phase 2 Part B]
HI seroconversion is defined as a post-dose titer \>=1:40 in the serum of participants with pre-dose titer below 1:10 or as a \>=4-fold rise in post dose HI titers with pre- dose titer \>=1:10.
Time frame: At Day 203 compared to pre-vaccination (Day 1, pre-dosing)
Percentage of participants with anti-HI antibody >= 1:40 [Phase 2 Part B]
Time frame: At Day 1, Day 22, Day 29, Day 43 and Day 203
Percentage of participants with seropositivity of anti-HI antibody titers [Phase 2 Part B]
Seropositivity is defined as titers ≥ LLOQ at the defined timepoints.
Time frame: At Day 1, Day 22, Day 29, Day 43 and Day 203