Safety and Immunogenicity of Quadrivalent Influenza mRNA Vaccine MRT5410 in Adult Participants 18 Years of Age and Older

Sponsor
Sanofi Pasteur, a Sanofi Company (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05624606
Collaborator
(none)
690
1
6
14
49.2

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the safety and immunogenicity of a single intramuscular (IM) injection of up to 3 dose levels of Quadrivalent Influenza mRNA Vaccine MRT5410 compared to an active control (QIV SD, QIV HD [adults ≥ 65 years of age only], or RIV4) in adults 18 years of age and older.

Condition or Disease Intervention/Treatment Phase
  • Biological: Quadrivalent Influenza mRNA Vaccine MRT5410
  • Biological: Quadrivalent Recombinant Influenza vaccine RIV4
  • Biological: Quadrivalent Inactivated Influenza Standard Dose QIV-SD
  • Biological: Quadrivalent Inactivated Influenza High Dose QIV-HD
Phase 1/Phase 2

Detailed Description

Approximately 12 months

Study Design

Study Type:
Interventional
Anticipated Enrollment :
690 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Sentinel Cohort: Open label Main Cohort: Open label (Sponsor, except laboratory testing personnel) Blinded (Sites, except for those preparing/administering study intervention)Sentinel Cohort: Open labelMain Cohort:Open label (Sponsor, except laboratory testing personnel) Blinded (Sites, except for those preparing/administering study intervention)
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Masking Description:
This is a parallel-group prevention study with up to 6 arms that will be blinded to participants, investigators / sub-investigators, outcomes assessors, and laboratory personnel (with the exception of the sentinel safety portion of the study, which will be open-label). The Sponsor study staff will be unblinded (except laboratory testing personnel).
Primary Purpose:
Prevention
Official Title:
Safety and Immunogenicity of Quadrivalent Influenza mRNA Vaccine MRT5410 in Adults Aged 18 Years and Older
Actual Study Start Date :
Nov 28, 2022
Anticipated Primary Completion Date :
Jan 29, 2024
Anticipated Study Completion Date :
Jan 29, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Group 1: Quadrivalent Influenza mRNA Vaccine MRT5410 low dose

participants will receive a single dose (low) of QIV mRNA vaccine

Biological: Quadrivalent Influenza mRNA Vaccine MRT5410
Pharmaceutical form: Liquid frozen solution for injection in a vial Route of administration: Intramuscular

Experimental: Group 2: Quadrivalent Influenza mRNA Vaccine MRT5410 medium dose

participants will receive a single dose (medium) of QIV mRNA vaccine

Biological: Quadrivalent Influenza mRNA Vaccine MRT5410
Pharmaceutical form: Liquid frozen solution for injection in a vial Route of administration: Intramuscular

Experimental: Group 3: Quadrivalent Influenza mRNA Vaccine MRT5410 high dose

participants will receive a single dose (high) of QIV mRNA vaccine

Biological: Quadrivalent Influenza mRNA Vaccine MRT5410
Pharmaceutical form: Liquid frozen solution for injection in a vial Route of administration: Intramuscular

Active Comparator: Group 4: RIV4

participants will receive a single dose of RIV4 vaccine

Biological: Quadrivalent Recombinant Influenza vaccine RIV4
Pharmaceutical form: Liquid suspension for injection in prefilled syringe Route of administration: Intramuscular
Other Names:
  • Flublok Quadrivalent®
  • Active Comparator: Group 5: QIV-SD

    participants will receive a single dose of QIV-SD vaccine

    Biological: Quadrivalent Inactivated Influenza Standard Dose QIV-SD
    Pharmaceutical form: Liquid suspension for injection in prefilled syringe Route of administration: Intramuscular
    Other Names:
  • Fluzone Quadrivalent®
  • Active Comparator: Group 6: QIV-HD

    participants will receive a single dose of QIV -HD vaccine

    Biological: Quadrivalent Inactivated Influenza High Dose QIV-HD
    Pharmaceutical form: Liquid suspension for injection in prefilled syringe Route of administration: Intramuscular
    Other Names:
  • Fluzone High-Dose Quadrivalent®
  • Outcome Measures

    Primary Outcome Measures

    1. Number of participants with immediate adverse events (AEs) [Within 30 minutes after injection]

      Unsolicited systemic AEs that occur within 30 minutes after vaccination

    2. Number of participants with solicited injection site reactions or systemic reactions [Within 7 days after injection]

      Adverse reactions pre-listed in the protocol and case report form (CRF) Injection site reactions: pain, redness, swelling, hardening, bruising Systemic reactions: fever, headache, malaise, myalgia, arthralgia, chills

    3. Number of participants with unsolicited AEs [Within 28 days after injection]

      AEs that do not fulfill the conditions of solicited reactions

    4. Number of participants with medically attended adverse events (MAAE)s [Within 180 days after injection]

      AEs with a new onset or a worsening of a condition that prompts the participant or participant to seek unplanned medical advice at a physician's office or Emergency Department

    5. Number of participants with serious adverse events (SAEs) [From Day 1 until Day 366]

      SAEs reported throughout the study

    6. Number of participants with out-of-range biological test results [Within 8 days after injection]

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

    7. Individual Hemagglutination inhibition (HAI) titer [Day 1 and Day 29]

      Antibody titers are expressed as GMTs at baseline and post-baseline

    8. Percentage of participants with detectable antibody HAI titers greater than or equal to (≥) 10 [1/dil] [Day 1 and Day 29]

    9. Individual HAI titer ratio [Day 1 and Day 29]

      Ratios of antibody titers measured by HAI in each group before and after vaccination

    10. Number of participants archiving HAI seroconversion against Antigens [Day 1 and Day 29]

      Number of participants with titer < 10 [1/dil] at Day 1 and post-vaccination titer ≥ 40 [1/dil] at Day 29, or titer ≥ 10 [1/dil] at Day 1 and a ≥ 4-fold-rise in titer [1/dil] at Day 29

    11. Percentage of participants with antibody HAI titers greater than or equal to (≥) 40 [1/dil] [Day 29]

    12. Percentage of participants with 2-fold and 4-fold rise in HAI titers [Day 1 and Day 29]

    Secondary Outcome Measures

    1. Neutralizing Ab titers [Day 1 and Day 29]

      Neutralizing Ab titers expressed as GMTs

    2. Individual neutralizing antibodies titer ratio [Day 1 and Day 29]

    3. Percentage of participants with 2-fold and 4-fold increase in neutralizing titers [Day 1 and Day 29]

    4. Individual HAI Ab titer ratio [Day 1, Day 91, Day 181 and Day 366]

    5. Percentage of participants with antibody HAI titers greater than or equal to (≥) 40 [1/dil] [Day 91, Day 181 and Day 366]

    6. Individual antibodies HAI titer ratio [Day 1, Day 91, Day 181 and Day 366]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Aged 18 years on the day of inclusion (US) and aged 21 years on the day of inclusion (Puerto Rico)

    • 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.

    Exclusion Criteria:
    • 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)

    • Previous history of myocarditis, pericarditis, and / or myopericarditis

    • Self-reported thrombocytopenia, contraindicating 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

    • Moderate or severe acute illness / infection (according to Investigator's judgment) 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

    • Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B virus, or hepatitis C virus NOTE: The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Brengle Family Medicine-Site Number:8400040 Indianapolis Indiana United States 46260

    Sponsors and Collaborators

    • Sanofi Pasteur, a Sanofi Company

    Investigators

    • Study Director: Clinical Sciences & Operations, Sanofi

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Sanofi Pasteur, a Sanofi Company
    ClinicalTrials.gov Identifier:
    NCT05624606
    Other Study ID Numbers:
    • VAV00020
    • U1111-1275-1516
    First Posted:
    Nov 22, 2022
    Last Update Posted:
    Dec 1, 2022
    Last Verified:
    Nov 30, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    Yes
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Dec 1, 2022