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Respiratory Syncytial VirusPhase 1NCT04528719

A Dose Escalation Study to Evaluate Safety, Reactogenicity, and Immunogenicity of mRNA-1345 in Healthy Adults and in Children Who Are Respiratory Syncytial Virus (RSV)-Seropositive

A Phase 1 study testing mRNA-1345 in people with Respiratory Syncytial Virus, run by ModernaTX, Inc. at 31 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objectives of this study are to evaluate the tolerability and reactogenicity of a single injection of up to 5 dose levels of mRNA-1345 in younger adults, women of child-bearing potential, and older adults including Japanese older adults; of 3 injections of the middle dose level of mRNA-1345 given 56 days… Read more about this study

Who is it for?
Ages 12 months to 79 yearsHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus
What is being tested?
mRNA-1345
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
651 participants
Where
31 sitesUnited States
Study dates
30 Sep 2020to 18 Jul 2024
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 months to 79 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Healthy young adults ≥18 to ≤49 years of age, women of child-bearing potential ≥18 to ≤40 years of age, healthy older adults ≥65 to <80 years of age, Japanese older adults ≥ 60 years of age, and children ≥12 to < 60 months of age.
  • Willing and physically able to comply with protocol-mandated follow-up, including all procedures.
  • Adult participant or parent(s)/legal guardian(s) of pediatric participants has provided written informed consent for participation in this study, including all evaluations and procedures as specified by the protocol.
  • Specific inclusion criteria for adults (younger adults, women of child-bearing potential, and older adults [including Japanese older adults]):
  • Has a body mass index (BMI) from ≥18 kilogram (kg)/meter (m)^2 to ≤35 kg/m^2.
  • Female participants of non-child-bearing potential. This criterion does not apply for women of child-bearing potential Cohorts 12, 13, and 14.
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  • Female participants of child-bearing potential may be enrolled in the study, if the participant: 1) has a negative urine pregnancy test at Screening and on the day of vaccination; 2) has practiced adequate contraception or has abstained from all activities that could lead to pregnancy for 28 days prior to vaccination; 3) has agreed to continue adequate contraception through 3 months following the last injection; and 4) is not currently breastfeeding.
  • Specific inclusion criteria for children 12 to 59 months of age:
  • Seropositive for RSV-neutralizing Abs at Screening.
  • Has received routine immunizations appropriate for age per local guidance.
  • Current height and weight above the third percentile for age.
  • Specific inclusion criteria for Japanese older adults:
  • Japanese participants are defined as individuals born in Japan, with both parents and 4 grandparents who were born in Japan.

Who cannot join

  • Has Screening laboratory values Grade ≥1 (younger adult, women of child-bearing potential, and pediatric participants) or >Grade 1 (older adult participants, including Japanese older adult participants).
  • Is acutely ill or febrile on the day of the first injection.
  • Has a significant medical history, including but not limited to:
  • Congenital or acquired immunodeficiency, including human immunodeficiency virus (HIV) infection.
  • Chronic hepatitis or suspected active hepatitis.
  • Bleeding disorder that is considered a contraindication to intramuscular (IM) injection or phlebotomy.
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  • Dermatologic conditions that could affect local solicited AR assessments.
  • Any history of allergic or anaphylactic reactions following a vaccination that required medical intervention.
  • Autoimmune disease except for Hashimoto's disease.
  • Systemic immunosuppressants or immune-modifying drugs for >14 days in total within 6 months prior to the day of enrollment. Topical tacrolimus is allowed if not used within 14 days prior to the day of enrollment. Inhaled, nasal, and topical steroids are allowed.
  • Intravenous blood products (red cells, platelets, and immunoglobulins [Ig]) within 3 months prior to enrollment.
  • Has received or plans to receive any licensed or authorized vaccine, to include COVID-19 vaccines, ≤ 28 days prior to the first injection (Day 1) or plans to receive a licensed vaccine within 28 days before or after any study vaccine injection, with the exception of licensed influenza vaccines, which may be received more than 14 days before or after any study vaccine injection. Nonstudy vaccinations should not be delayed.
  • Has a history of myocarditis, pericarditis, or myopericarditis.
  • Specific exclusion criteria for older adults (Cohorts 7-11 and 15):
  • Known history of poorly controlled hypertension (per determination of the Investigator) or systolic blood pressure >160 millimeters of mercury (mmHg) at the Screening visit.
  • Known history of hypotension or systolic blood pressure <85 mmHg at the Screening visit.
  • Poorly controlled diabetes mellitus (per determination of the Investigator).
  • Diagnosis of significant chronic pulmonary disease (per determination of the Investigator) (such as, chronic obstructive pulmonary disease, asthma).
  • Significant chronic cardiovascular disease (per determination of the Investigator).
  • Resides in a nursing home.
  • Anticipates the need for immunosuppressive treatment at any time during participation in the study.
  • Diagnosis of malignancy within previous 10 years (excluding non-melanoma skin cancer and cervical carcinoma in-situ).
  • Specific exclusion criteria for children 12 to 59 months of age (Cohorts 5 and 6):
  • Has received any monoclonal antibody at any time prior to Screening.
  • Prior hospitalization for RSV disease in the last 2 years.
  • Receipt of any prior systemic immunosuppressants or immune-modifying drugs.
  • Any history of febrile seizures (inclusive of single simple febrile seizure).
  • History of epilepsy.
  • History of meningitis.

Trial locations and contacts

31 sites in 1 country.

31 sites in 1 country

United States31 sites
  • Velocity Clinical Research (Albuquerque - New Mexico) - PPDS

    Albuquerque, New Mexico, 87102-3876

  • Velocity Clinical Research (Binghamton - New York) - PPDS

    Binghamton, New York, 13901-1046

  • Velocity Clinical Research - Columbia - PPDS

    Columbia, South Carolina, 29204

  • Centricity Research - Roswell - HyperCore - PPDS

    Columbus, Georgia, 31904-8946

  • IResearch Atlanta LLC

    Decatur, Georgia, 30030-3438

  • Accel Research Site - Angel Kids Pediatrics - ERN - PPDS

    DeLand, Florida, 32720-0834

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Velocity Clinical Research (Grand Island - Nebraska) - PPDS

    Grand Island, Nebraska, 68803

  • Velocity Clinical Research (Greenville - South Carolina) - PPDS

    Greenville, South Carolina, 29615-4833

  • Velocity Clinical Research (Hastings - Nebraska) - PPDS

    Hastings, Nebraska, 68901

  • East-West Medical Research Institute

    Honolulu, Hawaii, 96814-4526

  • Cyfair Clinical Research Center - ERN - PPDS

    Houston, Texas, 77065

  • Alliance for Multispecialty Research - Kansas City

    Kansas City, Missouri, 64114-4866

  • Paradigm Clinical Research Institute Inc - ClinEdge - PPDS

    La Mesa, California, 91942-3189

  • Velocity Clinical Research (Lafayette - Louisiana) - PPDS

    Lafayette, Louisiana, 70508-5173

  • Tanner Clinic

    Layton, Utah, 84041

  • Velocity Clinical Research - Medford - ERN - PPDS

    Medford, Oregon, 97504-9741

  • Velocity Clinical Research (Metaire - Louisiana) - PPDS

    Metairie, Louisiana, 70006

  • Michael W. Simon, M.D., PSC

    Nicholasville, Kentucky, 40517

  • Velocity Clinical Research (Norfolk - Nebraska) - PPDS

    Norfolk, Nebraska, 68701

  • Velocity Clinical Research (Omaha - Nebraska) - PPDS

    Omaha, Nebraska, 68134

  • Accel Research Sites - Nona Pediatric Center - ERN - PPDS

    Orlando, Florida, 32806-2908

  • Synexus - Optimal Research - Peoria

    Peoria, Illinois, 61614

  • Clinical Research Partners LLC

    Richmond, Virginia, 23226-3787

  • Flourish Research - San Antonio - PPDS

    San Antonio, Texas, 78229-3539

  • Velocity Clinical Research (Savannah - Georgia) - PPDS

    Savannah, Georgia, 31406-2675

  • Velocity Clinical Research (Sioux City - Iowa) - PPDS

    Sioux City, Iowa, 51106-4233

  • Velocity Clinical Research (Slidell - Louisiana) - PPDS

    Slidell, Louisiana, 70458-5334

  • DM Clinical Research

    Tomball, Texas, 77375-6543

  • Mills Clinical Research

    West Hollywood, California, 90046

  • Palm Beach Research - ClinEdge - PPDS

    West Palm Beach, Florida, 33409-3401

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Observer-Blind, Placebo-Controlled, Dose Escalation Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of mRNA-1345, an mRNA Vaccine Targeting Respiratory Syncytial Virus (RSV), in Healthy Younger Adults Aged 18 to 49 Years, Women of Child-Bearing Potential Aged 18 to 40 Years, Healthy Older Adults Aged 65 to 79 Years, Japanese Older Adults Aged ≥ 60 Years, and RSV-Seropositive Children Aged 12 to 59 Months

The primary objectives of this study are to evaluate the tolerability and reactogenicity of a single injection of up to 5 dose levels of mRNA-1345 in younger adults, women of child-bearing potential, and older adults including Japanese older adults; of 3 injections of the middle dose level of mRNA-1345 given 56 days apart in younger adults; of a booster injection of mRNA-1345 given approximately 12 and 24 months after the primary injection in older adults; and of 3 injections of 1 of 2 dose levels of mRNA-1345 given 56 days apart in children who are RSV-seropositive.

Being tested
mRNA-1345, Placebo
Keywords
Viral Diseases, Messenger RNA, Moderna, mRNA-1345, Respiratory syncytial virus, RSV Seropositive, Safety, Pediatric, Vaccines
Medical subject headings
Virus Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • mRNA-1345Biological

    Formulation for injection

  • PlaceboDrug

    0.9% sodium chloride (normal saline) injection

Study groups in NCT04528719
Study groupRoleWhat they receive
Cohort 1: Dose A in Younger AdultsExperimentalSingle injection of Dose A of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 2: Dose B in Younger AdultsExperimentalSingle injection of Dose B of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 3: Dose B in Younger AdultsExperimentalThree total injections, 1 injection of either Dose B of mRNA-1345 or matching-placebo per day on Day 1, Day 57, and Day 113.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 4: Dose C in Younger AdultsExperimentalSingle injection of Dose C of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 5: Dose D in ChildrenExperimentalThree total injections, 1 injection of either Dose D of mRNA-1345 or matching-placebo per day on Day 1, Day 57, and Day 113.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 6: Dose G in ChildrenExperimentalThree total injections, 1 injection of either Dose G of mRNA-1345 or matching-placebo per day on Day 1, Day 57, and Day 113.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 7: Dose A in Older AdultsExperimentalTwo total injections, 1 injection of either Dose A of mRNA-1345 or matching-placebo per day on Day 1 and approximately 12 months later. Participants will receive second booster injection of Dose A of mRNA-1345 at Month 24.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 8: Dose B in Older AdultsExperimentalTwo total injections, 1 injection of either Dose B of mRNA-1345 or matching-placebo per day on Day 1 and approximately 12 months later. Participants will receive second booster injection of Dose A of mRNA-1345 at Month 24.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 9: Dose C in Older AdultsExperimentalTwo total injections, 1 injection of either Dose C of mRNA-1345 or matching-placebo per day on Day 1 and approximately 12 months later. Participants will receive second booster injection of Dose A of mRNA-1345 at Month 24.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 10: Dose E in Older AdultsExperimentalTwo total injections, 1 injection of either Dose E of mRNA-1345 or matching-placebo per day on Day 1 and approximately 12 months later. Participants will receive second booster injection of Dose A of mRNA-1345 at Month 24.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 11: Dose F in Older AdultsExperimentalTwo total injections, 1 injection of either Dose F of mRNA-1345 or matching-placebo per day on Day 1 and approximately 12 months later. Participants will receive second booster injection of Dose A of mRNA-1345 at Month 24.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 12: Dose E in Women of Child-Bearing PotentialExperimentalSingle injection of Dose E of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 13: Dose F in Women of Child-Bearing PotentialExperimentalSingle injection of Dose F of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 14: Dose A in Women of Child-Bearing PotentialExperimentalSingle injection of Dose A of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo
Cohort 15: Dose B in Japanese Older AdultsExperimentalSingle injection of Dose B of mRNA-1345 or matching-placebo on Day 1.
Receives: Biological: mRNA-1345; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs)

    Measured: Up to Day 737 (7 days after each injection)

  2. Number of Participants with Unsolicited Adverse Events (AEs)

    Measured: Up to Day 758 (28 days after the last injection)

  3. Number of Participants with Serious AEs or Medically Attended AEs (MAAEs)

    Measured: Up to Day 1095 (End of Study)

Secondary outcomes (3)
  1. Geometric Mean Titer (GMT) of Serum RSV Neutralizing and Binding Antibodies (Abs)

    Measured: Up to Day 141 (Cohorts 5 and 6), up to Day 169 (Cohorts 1, 2, 4, 12, 13, 14, and 15), up to Day 281 (Cohort 3), and up to Day 1095 (Cohorts 7, 8, 9, 10, and 11)

  2. Geometric Mean Fold-Rise of Postbaseline/Baseline Ab Titers

    Measured: Up to Day 141 (Cohorts 5 and 6), up to Day 169 (Cohorts 1, 2, 4, 12, 13, 14, and 15), up to Day 281 (Cohort 3), and up to Day 1095 (Cohorts 7, 8, 9, 10, and 11)

  3. Proportion of Participants with ≥2-fold and ≥4-fold Increases in Ab Titers from Baseline

    Measured: Up to Day 141 (Cohorts 5 and 6), up to Day 169 (Cohorts 1, 2, 4, 12, 13, 14, and 15), up to Day 281 (Cohort 3), and up to Day 1095 (Cohorts 7, 8, 9, 10, and 11)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Aug 2020
  2. Study start30 Sep 2020
  3. Primary completion18 Jul 2024
  4. Study completion18 Jul 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
651 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04528719
Sponsor's protocol ID
mRNA-1345-P101
Status last verified
Aug 2024
First submitted
20 Aug 2020
Last updated
7 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Schnyder Ghamloush S, Fanning S, Essink B, Eder F, Snape MD, Stoszek SK, Guo R, Dhar R, Righi V, Morsy L, Kapoor A, El Asmar L, Shaw CA. Safety and immunogenicity of an mRNA-based RSV vaccine in seropositive children aged 12-59 months. Hum Vaccin Immunother. 2025 Dec;21(1):2557676. doi: 10.1080/21645515.2025.2557676. Epub 2025 Sep 15.

    PubMed 40953212
  • Fitz-Patrick D, Mihara H, Mills A, Mithani R, Kapoor A, Dhar R, Wilson L, Guo R, Simorellis AK, Panozzo CA, Reuter C, Wilson E, Chen GL, Stoszek SK, Shaw CA, Goswami J. Safety and immunogenicity of an mRNA-based RSV vaccine in Japanese older adults aged >/=60 years: A phase 1, randomized, observer-blind, placebo-controlled trial. Respir Investig. 2024 Nov;62(6):1037-1043. doi: 10.1016/j.resinv.2024.08.011. Epub 2024 Sep 9.

    PubMed 39255587
  • Shaw CA, Essink B, Harper C, Mithani R, Kapoor A, Dhar R, Wilson L, Guo R, Panozzo CA, Wilson E, Simorellis AK, Reuter C, Stoszek SK, Chen GL, Das R, Goswami J. Safety and Immunogenicity of an mRNA-Based RSV Vaccine Including a 12-Month Booster in a Phase 1 Clinical Trial in Healthy Older Adults. J Infect Dis. 2024 Sep 23;230(3):e647-e656. doi: 10.1093/infdis/jiae081.

    PubMed 38385566
  • Shaw CA, Mithani R, Kapoor A, Dhar R, Wilson L, El Asmar L, Schnyder-Ghamloush S, Schaefers K, August A, Stoszek SK, Chen GL. Safety, Tolerability, and Immunogenicity of an mRNA-Based Respiratory Syncytial Virus Vaccine in Healthy Young Adults in a Phase 1 Clinical Trial. J Infect Dis. 2024 Sep 23;230(3):e637-e646. doi: 10.1093/infdis/jiae035.

    PubMed 38298125

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing mRNA-1345 in people with Respiratory Syncytial Virus, run by ModernaTX, Inc. at 31 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs) (time frame: Up to Day 737 (7 days after each injection)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04528719, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Aug 2024.

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