> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/asset/elasomeran-7d917cbd-1f45-43e8-a188-fd6dec78e983
> Record changed: 2026-10-13

# Elasomeran

Highest phase reached

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

Drug type

Oligonucleotide

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

First approval year

2021

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

## Development status

**First approval year**

2021

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

**Listing at source**

Listed

**Highest phase reached**

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

## Names and chemistry

**Drug type**

Oligonucleotide

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

**Drug name**

Elasomeran

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

### Brand names (2)

- Spikevax (previously covid-19 vaccine moderna)
- spikevax previously covid 19 vaccine moderna

### Other names (36)

- biological mrna 1273
- Biological: mRNA-1273
- cx 024414
- Cx-024414
- CX-024414
- elasomeran
- Elasomeran
- elasomeran \[INN\]
- ELASOMERAN \[JAN\]
- Elasomeran \[WHO-DD\]
- elasomeran inn
- elasomeran jan
- elasomeran who dd
- m 1273
- M-1273
- MESSENGER RNA (MRNA), 5'-CAPPED, ENCODING A FULL-LENGTH, CODONOPTIMISED PRE-FUSION STABILISED CONFORMATION VARIANT (K986P AND V987P) OF THE SARS-COV-2 (SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2; GENBANK ID MN908947.3) SPIKE (S) GLYCOPROTEIN, FURTHER OPTIMIZED BY TWO ADDITIONAL STOP CODONS, FLANKED BY AN ARTIFICIAL 5' UNTRANSLATED REGION (UTR) AND A 3' UTR DERIVED FROM THE HUMAN ALPHA GLOBIN GENE (HBA1) AND TERMINATED BY A 3' POLY(A) TAIL; CONTAINS N1-METHYLPSEUDOURIDINE INSTEAD OF URIDINE (ALL-U>M1.PSI.)
- messenger rna mrna 5 capped encoding a full length codonoptimised pre fusion stabilised conformation variant k986p and v987p of the sars cov 2 severe acute respiratory syndrome coronavirus 2 genbank id mn908947 3 spike s glycoprotein further optimized by two additional stop codons flanked by an artificial 5 untranslated region utr and a 3 utr derived from the human alpha globin gene hba1 and terminated by a 3 poly a tail contains n1 methylpseudouridine instead of uridine all u m1 psi
- moderna covid 19 vaccine rna
- Moderna covid-19 vaccine rna
- mrna 1273
- mrna based vaccine encoding a pre fusion stabilized spike protein from the 2019 novel coronavirus 2019 ncov
- mRNA-1273
- Mrna-1273
- MRNA-1273
- mRNA-1273 (Moderna COVID-19 vaccine)

And 11 more, listed on the interactive page.

## Identifiers

**CAS registry numbers**

- 2430046-03-8

**ChEMBL ID**

CHEMBL4650491

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4650491)

**RxNorm IDs (RxCUI)**

- 2470232

**FDA ingredient codes (UNII)**

- EPK39PL4R4

## Regulatory information

### Other regulatory facts

**First in class**

No

**Orphan designation**

No

## Pharmacology

### Drug classification

**Drug name stem**

\-meran

### Mechanisms of action

- **Mechanism**  
Spike glycoprotein vaccine antigen

**Action type**  
VACCINE\_ANTIGEN

**Target**  
Spike glycoprotein

**Protein identifier**  
P0DTC2

### Open Targets mechanisms

- **Mechanism**  
Spike glycoprotein vaccine antigen

**Action type**  
VACCINE ANTIGEN

**Target**  
Spike glycoprotein

### Investigated indications (7)

- **Condition**  
Severe Acute Respiratory Syndrome

**Highest recorded phase**  
4

**Condition identifier**  
EFO:0000694

**Subject identifier**  
D045169
- **Condition**  
Pneumococcal Infections

**Highest recorded phase**  
3

**Condition identifier**  
EFO:0000772

**Subject identifier**  
D011008
- **Condition**  
Vaccination

**Highest recorded phase**  
4

**Condition identifier**  
EFO:0004292

**Subject identifier**  
D014611
- **Condition**  
Herpes Zoster

**Highest recorded phase**  
3

**Condition identifier**  
EFO:0006510

**Subject identifier**  
D006562
- **Condition**  
Respiratory Syncytial Virus Infections

**Highest recorded phase**  
3

**Condition identifier**  
EFO:1001413

**Subject identifier**  
D018357
- **Condition**  
COVID-19

**Highest recorded phase**  
4

**Condition identifier**  
MONDO:0100096

**Subject identifier**  
D000086382
- **Condition**  
Severe Acute Respiratory Syndrome

**Highest recorded phase**  
4

**Condition identifier**  
MONDO:0100096

**Subject identifier**  
D045169

### Open Targets indications (16)

- **Condition identifier**  
EFO\_0000694

**Highest recorded phase**  
3
- **Condition identifier**  
EFO\_0000772

**Highest recorded phase**  
3
- **Condition identifier**  
EFO\_0006510

**Highest recorded phase**  
3
- **Condition identifier**  
EFO\_1001413

**Highest recorded phase**  
3
- **Condition identifier**  
MONDO\_0005100

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0005109
- **Condition identifier**  
MONDO\_0005265
- **Condition identifier**  
MONDO\_0005301

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0006594

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0007915

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0008054

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0008383

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0011429

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0016264
- **Condition identifier**  
MONDO\_0100096
- **Condition identifier**  
MONDO\_0100096

**Highest recorded phase**  
4

### Reported adverse events (25)

- **Event**  
chest pain

**Reports**  
9

**Reporting signal score**

12.7844
- **Event**  
chills

**Reports**  
5

**Reporting signal score**

6.47429
- **Event**  
chronic respiratory disease

**Reports**  
1

**Reporting signal score**

5.91932
- **Event**  
covid-19

**Reports**  
9

**Reporting signal score**

22.9454
- **Event**  
eosinopenia

**Reports**  
1

**Reporting signal score**

6.15092
- **Event**  
fibrin d dimer increased

**Reports**  
3

**Reporting signal score**

11.8129
- **Event**  
hepatosplenomegaly

**Reports**  
2

**Reporting signal score**

7.49043
- **Event**  
herpes zoster reactivation

**Reports**  
1

**Reporting signal score**

6.02842
- **Event**  
humoral immune defect

**Reports**  
4

**Reporting signal score**

27.4017
- **Event**  
hypersensitivity myocarditis

**Reports**  
3

**Reporting signal score**

21.9153
- **Event**  
icterus index increased

**Reports**  
1

**Reporting signal score**

8.18712
- **Event**  
immunisation reaction

**Reports**  
1

**Reporting signal score**

6.39587
- **Event**  
infectious mononucleosis

**Reports**  
2

**Reporting signal score**

8.04234
- **Event**  
interchange of vaccine products

**Reports**  
1

**Reporting signal score**

8.03299
- **Event**  
linear iga disease

**Reports**  
2

**Reporting signal score**

7.76137
- **Event**  
livedo reticularis

**Reports**  
2

**Reporting signal score**

7.76137
- **Event**  
myocarditis

**Reports**  
5

**Reporting signal score**

16.9312
- **Event**  
occipital lobe stroke

**Reports**  
1

**Reporting signal score**

8.36942
- **Event**  
pemphigoid

**Reports**  
7

**Reporting signal score**

27.0876
- **Event**  
peripheral embolism

**Reports**  
2

**Reporting signal score**

8.87191
- **Event**  
splinter

**Reports**  
1

**Reporting signal score**

5.97238
- **Event**  
throat irritation

**Reports**  
3

**Reporting signal score**

6.01238
- **Event**  
toxic epidermal necrolysis

**Reports**  
4

**Reporting signal score**

11.3304
- **Event**  
transplant rejection

**Reports**  
2

**Reporting signal score**

7.21402
- **Event**  
vaccination failure

**Reports**  
2

**Reporting signal score**

10.3652

### Trial references (34)

- NCT04283461  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04283461)
- NCT04405076  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04405076)
- NCT04470427  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04470427)
- NCT04677660  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04677660)
- NCT04748471  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04748471)
- NCT04785144  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04785144)
- NCT04796896  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04796896)
- NCT04813796  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04813796)
- NCT04885907  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04885907)
- NCT04889209  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04889209)
- NCT04894435  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04894435)
- NCT04927065  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04927065)
- NCT04930770  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04930770)
- NCT04952402  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04952402)
- NCT04969250  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04969250)
- NCT05137236  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05137236)
- NCT05197153  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05197153)
- NCT05228730  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05228730)
- NCT05249829  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05249829)
- NCT05280158  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05280158)
- NCT05289037  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05289037)
- NCT05324319  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05324319)
- NCT05345873  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05345873)
- NCT05543356  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05543356)
- NCT05584202  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584202)

And 9 more, listed on the interactive page.

## Chemical properties

**Prodrug**

No

**Chirality**

Single enantiomer

**Inorganic**

No

**Natural product**

No

## Related records

### Trials (92)

- [A Safety, Reactogenicity, and Immunogenicity Study of mRNA-1045 (Influenza and Respiratory Syncytial Virus \[RSV\]) or mRNA-1230 (Influenza, RSV, and Severe Acute Respiratory Syndrome Coronavirus 2 \[SARS-CoV-2\]) Vaccine in Adults 50 to 75 Years Old](https://trialight.com/data/trial/a-safety-reactogenicity-and-immunogenicity-study-of-mrna-736a3820-9ace-408f-8aa1-d5c88fb15cf6.md)
- [A Safety, Reactogenicity, and Immunogenicity Study of mRNA-1073 (COVID-19/Influenza) Vaccine in Adults 18 to 75 Years Old](https://trialight.com/data/trial/a-safety-reactogenicity-and-immunogenicity-study-of-mrna-fc96c2c2-fcd3-440b-906b-73ca1ae37212.md)
- A Study of an Investigational mRNA-1273.815 COVID-19 Vaccine in Previously Vaccinated Adults
- [A Study of Modified mRNA Vaccines in Healthy Adults](https://trialight.com/data/trial/a-study-of-modified-mrna-vaccines-in-healthy-adults-a1c26132-f84a-4628-8474-a84e00236e23.md)
- [A Study of mRNA-1283 Injection Compared With mRNA-1273 Injection in Participants ≥12 Years of Age to Prevent COVID-19](https://trialight.com/data/trial/a-study-of-mrna-1283-injection-compared-with-mrna-1273-fc016ec0-43c6-4fa9-b41a-ce927329718d.md)
- [A Study of mRNA-1345 Vaccine Targeting Respiratory Syncytial Virus (RSV) in Adults ≥50 Years of Age](https://trialight.com/data/trial/a-study-of-mrna-1345-vaccine-targeting-respiratory-syncytial-7205ffb0-7a66-4193-8750-f0493b180274.md)
- A Study of SARS CoV-2 Infection and Potential Transmission in Individuals Immunized With Moderna COVID-19 Vaccine
- A Study of TAK-919 in Healthy Japanese Adults (COVID-19)
- A Study on the Clinical Course, Outcomes and Risk Factors of Myocarditis and Pericarditis After Moderna COVID-19 Vaccine
- A Study on the Immune Response and Safety of the Shingles Vaccine and the Influenza Vaccine When Either is Given to Healthy Adults at the Same Time or Following a COVID-19 Booster Vaccine
- A Study to Evaluate Efficacy, Safety, and Immunogenicity of mRNA-1273 Vaccine in Adults Aged 18 Years and Older to Prevent COVID-19
- A Study to Evaluate Safety and Effectiveness of mRNA-1273 COVID-19 Vaccine in Healthy Children Between 6 Months of Age and Less Than 12 Years of Age
- A Study to Evaluate Safety and Immunogenicity of mRNA-1273 Vaccine to Prevent COVID-19 in Adult Organ Transplant Recipients and in Healthy Adult Participants
- A Study to Evaluate Safety, Reactogenicity, and Immunogenicity of mRNA-1283 and mRNA-1273 Vaccines in Healthy Adults Between 18 Years and 55 Years of Age to Prevent COVID-19
- A Study to Evaluate the Efficacy and Safety of mRNA-1283 and mRNA-1273 in Participants 50 to 64 Years of Age Without High-Risk Conditions for Severe Coronavirus Disease 2019 (COVID-19)
- [A Study to Evaluate the Immunogenicity and Safety of a Recombinant Protein COVID-19 Vaccine as a Booster Dose in Population Aged 12-17 Years](https://trialight.com/data/trial/a-study-to-evaluate-the-immunogenicity-and-safety-of-a-25fdca5f-3c17-4b0b-bba0-5314de303dc7.md)
- A Study to Evaluate the Immunogenicity and Safety of mRNA Vaccine Boosters for SARS-CoV-2 (COVID-19) Variants
- [A Study to Evaluate the Immunogenicity and Safety of mRNA-1283 COVID-19 Vaccine Boosters](https://trialight.com/data/trial/a-study-to-evaluate-the-immunogenicity-and-safety-of-mrna-9c82dce3-a971-42d8-98ab-9121747cd552.md)
- [A Study to Evaluate the Immunogenicity and Safety of Omicron Variant Vaccines in Comparison With mRNA-1273 Booster Vaccine for COVID-19](https://trialight.com/data/trial/a-study-to-evaluate-the-immunogenicity-and-safety-of-omicron-f1e8cecb-c4a1-42bc-ad07-3dde5900e2c9.md)
- [A Study to Evaluate the Safety and Immunogenicity of Booster With AZD1222, mRNA-1273, or MVC-COV1901 Against COVID-19](https://trialight.com/data/trial/a-study-to-evaluate-the-safety-and-immunogenicity-of-booster-61bfffa3-cc41-4833-82bf-65eeef229ffc.md)

### Approved for (2)

- [COVID-19](https://trialight.com/data/condition/covid-19-13f0ebf3-c291-557d-bdef-93563d077103.md)
- [Severe acute respiratory syndrome](https://trialight.com/data/condition/severe-acute-respiratory-syndrome-7654d02a-f750-52a0-bec2-afe3b4b3c224.md)

### In development for (3)

- [Herpes zoster](https://trialight.com/data/condition/herpes-zoster-b5c04cf4-ae28-5154-8254-f4f1fde4c3c9.md) Phase 3
- [Pneumococcal infection](https://trialight.com/data/condition/pneumococcal-infection-b3a7fc66-25ac-57f8-8fb4-073403fe8b1b.md) Phase 3
- [Respiratory syncytial virus infectious disease](https://trialight.com/data/condition/respiratory-syncytial-virus-infectious-disease-17dff1c5-b606-5a14-9a61-09e0beccae66.md) Phase 3

---

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