A Study on the Safety and Immunogenicity of Hexavalent Influenza mRNA Vaccine in Adult Participants 50 Years of Age and Older

Phase
Phase 1/Phase 2
Recruitment status
Participants
Lead sponsor
Sanofi Pasteur, a Sanofi Company
Start date
Number of sites

Summary
The purpose of this study is to evaluate the safety and immunogenicity of a single intramuscular injection of different formulations of a hexavalent influenza messenger ribonucleic acid (mRNA) vaccine composed of differing dose levels of trivalent (TIV) mRNA hemagglutinin (HA) in combination with TIV mRNA-neuraminidase (NA) compared to an active control ((Fluzone standard-dose quadrivalent influenza vaccine (QIV-SD) or Fluzone high-dose quadrivalent influenza vaccine (QIV-HD) in adults 50 years of age and older.
Short title
A Study on the Safety and Immunogenicity of Hexavalent Influenza mRNA Vaccine in Adult Participants 50 Years of Age and Older
Official title
A Phase I/II, Randomized, Modified Double-blind Study to Investigate the Safety and Immunogenicity of Different Doses of Hexavalent Influenza mRNA HA + mRNA NA Vaccine in Adult Participants 50 Years of Age and Older

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Phase 1/Phase 2
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Sanofi Pasteur, a Sanofi Company
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Prevention
Masking
Quadruple masking
Masking description
Modified double-blind (participants; sites, except for those preparing/administering study intervention; and Sponsor will be blinded. Sponsor's internal safety monitoring team could be unblinded if necessary)
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Number of participants with immediate unsolicited systemic adverse events (AEs)

    Timeframe: Within 30 minutes after injection

    Unsolicited systemic AEs that occur within 30 minutes after vaccination

  2. Number of participants with solicited injection site reactions

    Timeframe: Up to 7 days after injection

    Solicited injection site reactions pre-listed in the participant diary and in the case report form CRF

  3. Number of participants with solicited systemic reactions

    Timeframe: Up to 7 days after injection

    Solicited systemic reactions pre-listed in the participant diary and in the CRF

  4. Number of participants with unsolicited AEs

    Timeframe: Up to 28 days after injection

    AEs that do not fulfill the conditions of solicited reactions

  5. Number of participants with medically attended adverse events (MAAEs)

    Timeframe: Up to 180 days after injection

    MAAEs reported up to 180 days after injection

  6. Number of participants with serious adverse events (SAEs)

    Timeframe: SAEs throughout the study (Up to approximately 12 months)

    Throughout the study

  7. Number of participants with adverse events of special interest (AESIs)

    Timeframe: AESIs throughout the study (Up to approximately 12 months)

    Throughout the study

  8. Number of participants with out-of-range biological test results

    Timeframe: Up to 8 days after injection

    Out-of-range biological test results (including shift from baseline values)

  9. Hemagglutinin inhibition (HAI) titers

    Timeframe: At Day 1 and Day 29

    HAI titers at D01 and D29

  10. Individual HAI antibody (Ab) titer ratio D29/D01

    Timeframe: At Day 1 and Day 29

    Individual HAI Ab titer ratio D29/D01

  11. Seroconversion (HAI Ab titer)

    Timeframe: At Day 1 and Day 29

    Number of participants with HAI Ab titer \< 10 \[1/dil\] at Day 1 and post-injection titer ≥ 40 \[1/dil\] at Day 29, or titer ≥ 10 \[1/dil\] at Day 1 and a ≥ 4-fold increase in titer \[1/dil\] at Day 29

  12. HAI Ab titer ≥ 40 (1/dil)

    Timeframe: At Day 29

    HAI Ab titer ≥ 40 (1/dil) at D29

  13. Neuraminidase inhibition (NAI) titers

    Timeframe: At Day 1 and Day 29

    NAI titers at D01 and D29

  14. Individual NAI Ab titer ratio D29/D01

    Timeframe: At Day 1 and Day 29

    Individual NAI Ab titer ratio D29/D01

  15. Seroconversion (NAI Ab titer)

    Timeframe: At Day 1 and Day 29

    Number of participants with NAI Ab titer \< 10 \[1/dil\] at D01 and post-injection titer ≥ 40 \[1/dil\] at D29, or titer ≥ 10 \[1/dil\] at D01 and a ≥ 4-fold increase in titer \[1/dil\] at D29)

  16. NAI Ab titer ≥ 40 (1/dil)

    Timeframe: At Day 29

    NAI Ab titer ≥ 40 (1/dil) at D29

  17. 2-fold and 4-fold rise in NAI titers

    Timeframe: Day 1 to Day 29

    2-fold and 4-fold rise in NAI titers from D01 to D29

  1. Neutralizing antibodies titers

    Timeframe: At Day 1 and Day 29

    Neutralizing antibodies titers at D01 and D29

  2. Individual neutralizing antibodies titer ratio

    Timeframe: At Day 1 and Day 29

    Individual neutralizing antibodies titer ratio D29/D01

  3. 2-fold and 4-fold increase in neutralizing titers

    Timeframe: Day 1 to Day 29

    2-fold and 4-fold increase in neutralizing titers D01 through D29

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
50 Years
Healthy volunteers
Yes

  • Participant aged 50 years on the day of inclusion

  • A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:

    • Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be postmenopausal for at least 1 year, or surgically sterile.

OR

  • Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to study intervention administration until at least 12 weeks after study intervention administration.

A female participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 8 hours prior to administration of study intervention.

Participants are not eligible for the study if any of the following criteria are met:

  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the study intervention components (eg, polyethylene glycol, polysorbate); history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances; any allergic reaction (eg, anaphylaxis) after administration of mRNA vaccine
  • Previous history of myocarditis, pericarditis, and/or myopericarditis
  • Known history of previous episodes of Guillain-Barré syndrome, neuritis (including Bell's palsy), convulsions, encephalitis, transverse myelitis, and vasculitis
  • Participants with an electrocardiogram that is consistent with possible myocarditis or pericarditis or, in the opinion of the investigator, demonstrates clinically relevant abnormalities that may affect participant safety or study results
  • Self-reported thrombocytopenia, contraindicating intramuscular (IM) vaccination based on Investigator's judgment
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination based on Investigator's judgment
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness / infection (according to investigator's judgement) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
  • Alcohol, prescription drug, or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion
  • Participant who had acute infectious symptoms or a positive SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to the first visit (V01)
  • Receipt of any vaccine in the 4 weeks preceding study intervention administration or planned receipt of any vaccine in the 4 weeks following study intervention administration
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Previous vaccination against influenza in the previous 6 months with an investigational or marketed vaccine
  • Receipt of any mRNA vaccine/product in the 2 months preceding study intervention administration or planned receipt of any mRNA vaccine in the 2 months after study vaccination
  • Participation at the time of study enrollment (or in the 4 weeks preceding study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B virus, or hepatitis C virus
Sources for eligibility

  • Accel Research Sites Network - Birmingham- Site Number : 8400008Birmingham, United States
  • AMR Mobile- Site Number : 8400022Mobile, United States
  • Alliance for Multispeciality Research - Clinical Research Consortium- Site Number : 8400015Tempe, United States
  • AMR Miami- Site Number : 8400021Coral Gables, United States
  • Accel Research Sites Network - DeLand Clinical Research Unit- Site Number : 8400003DeLand, United States
  • Alliance for Multispeciality Research - Fort Myers- Site Number : 8400013Fort Myers, United States
  • Accel Research Sites - Maitland- Site Number : 8400007Maitland, United States
  • Innovation Medical Research Center - Palmetto Bay- Site Number : 8400011Palmetto Bay, United States
  • Accel Research Site - NeuroStudies.net, LLC - ERN - PPDS- Site Number : 8400001Decatur, United States
  • AMR - Chicago- Site Number : 8400012Oak Brook, United States
  • Alliance for Multispeciality Research - Newton- Site Number : 8400020Newton, United States
  • Alliance for Multispeciality Research - Wichita East- Site Number : 8400014Wichita, United States
  • Alliance for Multispeciality Research - Lexington- Site Number : 8400018Lexington, United States
  • Boston Clinical Trials- Site Number : 8400009Boston, United States
  • ActivMed Practices & Research- Site Number : 8400005Methuen, United States
  • Quest Research Institute- Site Number : 8400010Farmington Hills, United States
  • Alliance for Multispeciality Research - Kansas City- Site Number : 8400019Kansas City, United States
  • AMR Las Vegas - Site Number : 8400016Las Vegas, United States
  • Coastal Carolina Research Center - North Charleston- Site Number : 8400002North Charleston, United States
  • Alliance for Multispeciality Research - Knoxville- Site Number : 8400017Knoxville, United States
  • Charlottesville Medical Research- Site Number : 8400004Charlottesville, United States
  • Investigational Site Number : 0360001Botany, Australia
  • Investigational Site Number : 0360003Bayswater, Australia
  • Investigational Site Number : 0360002Melbourne, Australia
Sources for sites

Other registry identifiers

  • U1111-1303-3537
Sources for references

Related records

Drugs (2)

Lead sponsors (1)

Conditions (1)

Targets (3)