> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/a-safety-tolerability-and-immunogenicity-study-of-mrna-1345-052dcf45-abe4-428a-9ed4-3afd71c12084
> Record changed: 2026-10-13

# A Safety, Tolerability, and Immunogenicity Study of mRNA-1345 and mRNA-1365 in Participants Aged 5 Months to <24 Months

NCT05743881

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

Recruitment status

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

Participants

186

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

Lead sponsor

ModernaTX, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

Start date

2023-02-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

Number of sites

17

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Title and summary

**Summary**

The purpose of this study is to assess the safety and immunogenicity of mRNA-1365, an mRNA vaccine targeting respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) and mRNA-1345, an mRNA vaccine targeting RSV, in participants aged 5 months to \\<24 months.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Short title**

A Safety, Tolerability, and Immunogenicity Study of mRNA-1345 and mRNA-1365 in Participants Aged 5 Months to <24 Months

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Official title**

A Phase 1, Randomized, Observer-blind, Placebo-controlled, Age De-escalation Study of the Safety, Tolerability, and Immunogenicity of mRNA-1345 and mRNA-1365 in Participants Aged 5 Months to <24 Months

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Recruitment status**

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Dates

**Completion date**

2029-08-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**First posted**

2023-02-24

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Registry last updated**

2026-06-26

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Primary completion date**

2029-08-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Start date**

2023-02-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Size and sites

**Actual participants**

186

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Participants**

186

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Protocol amendments**

5

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Number of sites**

17

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Sponsor and oversight

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Lead sponsor**

ModernaTX, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Identifiers

**Registry ID**

NCT05743881

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**ClinicalTrials.gov ID**

NCT05743881

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Triple masking

**Masking description**

Parts A and B are blinded, and Part C is open-label. Part B Extension is unblinded.

**Masked roles**

Participants, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Outcomes

### Primary outcomes

1. Main Study: Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs)  
Timeframe: Up to Day 120 (7 days after each injection)
2. Main Study: Number of Participants with Unsolicited Adverse Events (AEs)  
Timeframe: Up to Day 141 (28 days after each injection)
3. Main Study: Number of Participants with Medically-Attended Adverse Events (MAAEs)  
Timeframe: Day 1 through Day 730
4. Main Study: Number of Participants with Adverse Event of Special Interests (AESIs), Serious Adverse Events (SAEs) and Adverse Events Leading to Discontinuation  
Timeframe: Day 1 through Day 730
5. Part B Extension: Number of Participants with MAAEs, AESIs and SAEs  
Timeframe: Day 1 of the Extension to end of study (EoS) (up to 3 years)
6. Part B Extension: Number of Participants with Lower Respiratory Tract Illness (LRTI), Severe LRTI, Very Severe LRTI, and Hospitalizations Associated with RSV or hMPV  
Timeframe: Day 1 of the Extension to EoS (up to 3 years)

### Secondary outcomes

1. Main Study: Number of Participants with Respiratory tract Illness (RTI), LRTI, Severe LRTI, Very Severe LRTI, and Hospitalizations Associated with RSV or hMPV  
Timeframe: Day 1 through Day 730
2. Main Study (Parts A and B): Geometric Mean Titer (GMT) of Serum RSV and hMPV Neutralizing Antibodies  
Timeframe: Baseline up to Month 12
3. Main Study (Part C): GMT of Serum RSV Neutralizing Antibodies  
Timeframe: Baseline up to Month 12
4. Main Study (Parts A and B): Geometric Mean Concentration (GMC) of Serum RSV F- and hMPV F-Binding Antibodies  
Timeframe: Baseline up to Month 12
5. Main Study (Part C): GMC of Serum RSV F-Binding Antibodies  
Timeframe: Baseline up to Month 12
6. Main Study: Geometric Mean Fold-Rise (GMFR) of Postbaseline/baseline Neutralizing Antibody Titers and Binding Antibody  
Timeframe: Month 12
7. Main Study: Number of Participants with Vaccine-specific T-cell Responses Measured by Flow Cytometry  
Timeframe: Baseline up to Month 12
8. Part B Extension: Geometric Mean Titer (GMT) of Serum RSV and hMPV Neutralizing Antibodies  
Timeframe: Day 1 of the Extension up to EoS (up to 3 years)
9. Part B Extension: Geometric Mean Concentration (GMC) of Serum RSV F- and hMPV F-Binding Antibodies  
Timeframe: Day 1 of the Extension up to EoS (up to 3 years)
10. Part B Extension: Geometric Mean Fold-Rise (GMFR) of Postbaseline/baseline Neutralizing Antibody Titers and Binding Antibody  
Timeframe: Day 1 of the Extension up to EoS (up to 3 years)
11. Part B Extension: Number of Participants with Vaccine-specific T-cell Responses Measured by Flow Cytometry  
Timeframe: Day 1 of the Extension up to EoS (up to 3 years)

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Eligibility

**Sex**

All

**Age groups**

Children

**Minimum age**

5 Months

**Maximum age**

24 Months

**Healthy volunteers**

No

### Inclusion criteria

- The participant is 8 months to <24 months (Part A), 5 months to <8 months (Part B), or 8 months to <12 months (Part C) of age at the time of randomization (Day 1/Baseline visit), who is in good general health, in the opinion of the Investigator, based on review of medical history and screening physical examination.
- In the Investigator's opinion, the parent(s)/ legally authorized representative (LAR)(s) understand and are willing and physically able to comply with protocol-mandated follow up, including all procedures, and provide written informed consent.
- The participant is growing normally for age in the opinion of the site clinician in the months prior to enrollment.
- The participant was born at full-term (≥37 weeks gestation) with a minimum birth weight of 2.5 kilograms (kg).
- For Part C Cohort 7: participant must have received nirsevimab ≥6 months prior to Day 1 Visit.
- For Part C Cohort 8: participant was eligible at any time since birth, according to national guidelines, to receive nirsevimab prior to Day 1 Visit but did not do so.

### Exclusion criteria

- Has a known history of symptomatic RSV (Part A: within 3 months; Part B and Part C: since birth) or hMPV infection (Part A: within 3 months; Part B: since birth) prior to administration of the first dose of investigational product (IP) or has a known close contact with anyone with laboratory-confirmed RSV (Parts A, B, and C) or hMPV infection (Parts A or B) within 14 days prior to administration of the first dose of IP.
- Is acutely ill or febrile 24 hours prior to or at the screening visit. Fever is defined as a body temperature ≥38.0°Celsius/≥100.4°Fahrenheit. Participants who meet this criterion may have visits rescheduled within the relevant study visit windows.
- Has previously been administered an investigational or approved vaccine for prevention of RSV (Parts A, B, and C) or hMPV (Parts A and B) infection or if the participant's mother received an investigational or approved vaccine for the prevention of RSV (Parts A, B, and C) or hMPV (Parts A and B) infection during pregnancy.
- Has received investigational or approved agents for prophylaxis against RSV or hMPV (for example, monoclonal antibodies) or is intending to receive these during the course of the study. For Part C (Cohort 7 only), use of nirsevimab ≥6 months before Day 1 Visit is allowed.
- Has a known hypersensitivity to a component of the vaccine or its excipients. Hypersensitivity includes, but is not limited to, anaphylaxis or immediate allergic reaction of any severity to a previous dose of an mRNA vaccine or any of its components (including polyethylene glycol or immediate allergic reaction of any severity to polysorbate).
- Has a medical condition that, according to the Investigator's judgment, may pose additional risk as a result of participation, interfere with safety assessments, or interfere with interpretation of results.

Note: Other protocol-defined inclusion/exclusion criteria apply.

### Inclusion criteria

- For Part B Extension: participants enrolled and dosed in Part B (Cohorts 3 to 6); either reached the end of study of the Main Study or were dosed and subsequently discontinued from the Main Study. This includes participants who were lost to follow-up, if they can be re-engaged.
- For Part B Extension: participant's parent(s)/LAR(s) has provided written informed consent for participation in Part B of the Main Study and the Part B Extension.

### Exclusion criteria

• For Part B Extension, there are no specific exclusion criteria.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Sites

- Matrix Clinical ResearchLos Angeles, United States
- Meridian Clinical ResearchWashington D.C., United States
- DM Clinical Research- River ForestMelrose Park, United States
- MedPharmics - Platinum - PPDSLafayette, United States
- Duke Vaccine and Trials UnitDurham, United States
- Velocity Clinical Research - ProvidenceProvidence, United States
- Palmetto Pediatrics, PANorth Charleston, United States
- Vanderbilt Vaccine Research ProgramNashville, United States
- CyFairHouston, United States
- Pediatric AssociatesHouston, United States
- Village PediatricsPlano, United States
- Pediatric CenterRichmond, United States
- CEVAXIN DavidDavid, Panama
- CEVAXIN ChorreraLa Chorrera, Panama
- CEVAXIN Avenida MexicoPanama City, Panama
- CEVAXIN 24 de DiciembrePanama City, Panama
- Norfolk and Norwich University HospitalsNorwich, United Kingdom

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## References

- PubMed 39608233  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/39608233/)
Related publication

### Other registry identifiers (2)

- 2022-502022-41-00
- 2022-502022-41

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05743881)

## Related records

### Drugs (1)

- [Neisseria meningitidis polysaccharide conjugated to tetanus toxoid](https://trialight.com/data/asset/neisseria-meningitidis-polysaccharide-conjugated-to-tetanus-302abcc3-57a8-4a46-915e-9bd6f28a7ec6.md)

### Lead sponsors (1)

- [ModernaTX, Inc.](https://trialight.com/data/company/modernatx-inc-8ece6782-e44c-4999-be6a-0b94e61dfff5.md)

---

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