The purpose of this phase 1/2 study is to investigate the safety and immunogenicity of different doses (high, medium and low) of a second generation structurally designed (SD2) H5 messenger ribonucleic acid (mRNA) vaccine against pandemic H5 influenza virus (pandemic flu H5 hemagglutinin (HA) mRNA SD2) in healthy younger and older adults. The study will aim to identify the appropriate dose for further clinical development of a potential pandemic response vaccine. The study also includes an extension phase for one of the 3 dose levels of the pandemic flu H5 HA mRNA SD2 vaccine to collect additional safety and the immunogenicity data for this specific dose of the vaccine. During this Extension Phase, an additional 480 participants will be randomized according to a 1:1 ratio and stratified by age (≥ 18 to \< 65 years and ≥ 65 years) to receive either the low dose of the pandemic flu H5 HA mRNA DS2 vaccine (Group 1) or placebo (Group 4). This extension will enhance the safety database and improve precision of the immunogenicity results for the selected dose while preserving the original study design integrity. The study duration per participant will be approximately 13 months. There will be two injections of placebo or pandemic flu H5 mRNA vaccine 21 days apart at high, medium and low doses. Study visits/contact include: 7 study visits and 1 telephone call. Vaccination visits (including blood samples) will occur at Day 01 and Day 22. Short-term follow-up visits (including blood samples) will occur 8 and 21 days after each injection. Participants will be also followed up (including blood samples) at 3 and 6 months after 2nd injection, and at 12 months after 2nd injection for safety.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
720
Pharmaceutical Form: Suspension in a vial Route of Administration: Intramuscular injection
Pharmaceutical Form: Liquid solution in a vial Route of Administration: Intramuscular injection
Velocity Clinical Research - San Diego- Site Number : 8400013
La Mesa, California, United States
Accel Research Sites Network - DeLand Clinical Research Unit- Site Number : 8400002
DeLand, Florida, United States
Accel Research Sites - Lakeland Clinical Research Unit- Site Number : 8400006
Lakeland, Florida, United States
Accel Research Sites - St. Petersburg - Largo- Site Number : 8400004
Largo, Florida, United States
Accel Research Site - NeuroStudies.net, LLC - ERN - PPDS- Site Number : 8400003
Decatur, Georgia, United States
QUEST Research Institute- Site Number : 8400014
Bingham Farms, Michigan, United States
Velocity Clinical Research - Norfolk- Site Number : 8400015
Norfolk, Nebraska, United States
Velocity Clinical Research - Omaha- Site Number : 8400012
Omaha, Nebraska, United States
Velocity Clinical Research - Springdale- Site Number : 8400010
Cincinnati, Ohio, United States
Coastal Carolina Research Center- Site Number : 8400001
North Charleston, South Carolina, United States
...and 3 more locations
Presence of immediate adverse events (AEs)
Number of participants with immediate AEs
Time frame: Within 30 minutes after each/any injection
Presence of solicited injection site reactions
Number of participants with solicited injection site reactions
Time frame: Through 7 days after each/any injection
Presence of solicited systemic reactions
Number of participants with solicited systemic reactions
Time frame: Through 7 days after each/any injection
Presence of unsolicited AEs
Number of participants with unsolicited AEs
Time frame: Through 21 days after the first injection through 28 days after the second injection
Presence of medically attended adverse events (MAAEs)
Number of participants with MAAEs
Time frame: Through 180 days after the last injection
Presence of adverse events of special interest (AESIs)
Number of participants with AESIs
Time frame: Throughout the study, approximately 13 months
Presence of serious adverse events (SAEs)
Number of participants with SAEs
Time frame: Throughout the study, approximately 13 months
Presence of out-of-range biological test results (including shift from baseline values)
Number of participants with out-of-range biological test results
Time frame: Through a maximum of 8 days after each injection
Geometric mean titers (GMTs) of antibodies (Abs) against investigational pandemic flu H5 HA mRNA SD2 vaccine
Ab titer measured by hemagglutination inhibition (HAI) assay
Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202
Individual HA titer ratio
Geometric mean ratio (GMR) HAI titers ratio
Time frame: Day22/Day01, Day43/Day01, Day112/Day01, and Day202/Day01
Seroconversion HAI Titer
Percentage of participants with seroconversion Seroconversion is defined by: HAI titer \< 10 \[1/dilution (dil)\] on Day 01 and post-injection titer ≥ 40 \[1/dil\] on Day 22 or Day 43; or defined as HAI titer ≥ 10 \[1/dil\] on D01 and a ≥ 4-fold increase in titer \[1/dil\]) on Day 22 or Day 43
Time frame: Day 01, Day 22 and Day 43
HAI titer ≥ 40 (1/dil)
Percentage of participants with HAI titer ≥ 40 (1/dil)
Time frame: Day 01, Day 22, Day 43, Day 112, and Day 202
Detectable HAI titer ≥ 10 (1/dil)
Percentage of participants with HAI titer ≥ 10 (1/dil)
Time frame: Day 01, Day 22, Day 43, Day 112, and Day 202
GMTs of Abs against investigational pandemic flu H5 HA mRNA SD2 vaccine
Ab titer measured by seroneutralization (SN) test
Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202
Individual SN titer ratio
GMR SN titers ratio
Time frame: Day 22/Day 02, Day 43/Day 01, Day 112/Day 01 and Day 202/Day 01
SN titer ≥ 20 (1/dil)
Percentage of participants with SN titer ≥ 20 (1/dil)
Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
SN titer ≥ 40 (1/dil)
Percentage of participants with SN titer ≥ 40 (1/dil)
Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202
SN titer ≥ 80 (1/dil)
Percentage of participants with SN titer ≥ 80 (1/dil)
Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202
Detectable SN titer ≥ 10 (1/dil)
Percentage of participants with SN titer ≥ 10 (1/dil)
Time frame: Day 01, Day 22, Day 43, Day 112, and Day 202
2-fold and 4-fold rise in SN titer
Percentage of participants with fold increase in SN Ab titer \[post-vaccination / pre- vaccination\] ≥ 2 and ≥ 4 on D22 and D43
Time frame: Day 22 and Day 43