AzTrials
AzTrials

Influenza, HumanPhase 1/2NCT05052697

A Study to Evaluate the Safety, Tolerability, and Immunogenicity of a Modified RNA Vaccine Against Influenza

A Phase 1/2 study testing mIRV, bIRV AB and qIRV in people with Influenza, Human, run by Pfizer at 100 sites in United States.

Completed

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

Official record
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Trial summary

This study will be divided into two substudies - Substudy A (SSA) and Substudy B (SSB) Substudy A This is a Phase 1 randomized substudy to evaluate the safety and immunogenicity of monovalent influenza modRNA vaccine (mIRV) and bivalent influenza modRNA vaccine (bIRV) at various dose levels, and quadrivalent influenza… Read more about this study

Who is it for?
Ages 18 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Influenza, Human
What is being tested?
mIRV, bIRV AB and qIRV
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,158 participants
Where
100 sitesUnited States
Study dates
13 Sep 2021to 27 Jan 2023
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male or female participants 65 to 85 years of age.
  • Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
  • Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
  • Male participant who is able to father children and willing to use an acceptable method of contraception; or female participant not of childbearing potential; or male participant not able to father children.
  • Capable of giving signed informed consent.
  • Male or female participants 65 to 85 years of age or .Male or female participants 18 to 64 years of age
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  • Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
  • Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
  • For participants 65 to 85 years of age at the time of enrollment, receipt of licensed influenza vaccination for the 2021-2022 northern hemisphere season >4 months (120 days) before study intervention administration.
  • Capable of giving signed informed consent.

Who cannot join

  • Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
  • Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
  • Women who are pregnant or breastfeeding.
  • Allergy to egg proteins (egg or egg products) or chicken proteins.
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  • Participant who has had significant exposure to laboratory-confirmed SARS-CoV-2 infection, COVID-19, or influenza in the past 14 days known prior to Visit 1
  • Any participant who has a SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to Visit 1 that has not been confirmed as negative.
  • Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
  • Vaccination with any influenza vaccine within 6 months (175 days) before study intervention administration.
  • Any participant who has received or plans to receive a modRNA-platform SARS-CoV-2 vaccine within 60 days of Visit 1
  • Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
  • Screening hematology/blood chemistry lab >=Grade 1 abnormality. Except Bilirubin, other stable Grade1 abnormalities may be considered eligible by Investigator.
  • Screening ECG that is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or study results.
  • Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
  • Participation in strenuous or endurance exercise through Visit 3.
  • Prior history of heart disease.
  • Substudy B
  • Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
  • Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
  • Women who are pregnant or breastfeeding.
  • Allergy to egg proteins (egg or egg products) or chicken proteins.
  • Participant who has had significant exposure to laboratory-confirmed SARS-CoV-2 infection, COVID-19, or influenza in the past 14 days known prior to Visit 201
  • Any participant who has a SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to Visit 201 that has not been confirmed as negative.
  • Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
  • Any participant who has received or plans to receive a modRNA-platform SARS-CoV-2 vaccine within 28 days of Visit 201
  • Any participant who has received licensed influenza vaccination for the 2022-2023 northern hemisphere influenza season.
  • Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
  • Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
  • Participation in strenuous or endurance exercise through Visit 205.
  • Prior history of heart disease.
  • Any abnormal screening troponin I laboratory value
  • Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.

Trial locations and contacts

100 sites in 1 country.

100 sites in 1 country

United States100 sites
  • North Alabama Research Center

    Athens, Alabama, 35611

  • The Heart Center

    Athens, Alabama, 35611

  • Pediatrics-Infectious Diseases - Clinical Trials Center at University of Colorado Anschutz Medical C

    Aurora, Colorado, 80045

  • UCHealth Heart and Vascular Center - Anschutz Medical Campus

    Aurora, Colorado, 80045

  • Hassman Research Institute

    Berlin, New Jersey, 08009

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • Centricity Research Columbus Georgia Multispecialty

    Columbus, Georgia, 31904

  • IACT Health

    Columbus, Georgia, 31904

  • Aventiv Research Inc.

    Columbus, Ohio, 43213

  • Centricity Research Columbus Ohio Multispecialty

    Columbus, Ohio, 43213

  • Columbus Cardiovascular Associates, Inc

    Columbus, Ohio, 43213

  • Alliance for Multispecialty Research, LLC

    Coral Gables, Florida, 33134

  • Halifax Health Medical Center

    Daytona Beach, Florida, 32114

  • NYU Langone Cardiology Associates

    Delray Beach, Florida, 33484

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • M3-Emerging Medical Research, LLC

    Durham, North Carolina, 27704

  • Centennial Medical Group

    Elkridge, Maryland, 21075

  • Carolina Institute for Clinical Research

    Fayetteville, North Carolina, 28303

  • First Coast Heart & Vascular Center

    Fleming Island, Florida, 32003

  • Fleming Island Center for Clinical Research

    Fleming Island, Florida, 32003

  • Proactive Clinical Research,LLC

    Fort Lauderdale, Florida, 33308

  • Alliance for Multispecialty Research, LLC

    Fort Myers, Florida, 33912

  • Millennium Physician Group

    Fort Myers, Florida, 33912

  • Robert B. Pritt, DO

    Fort Myers, Florida, 33912

  • Sanjay Vohra, MD, F.A.C.C.

    Henderson, Nevada, 89074

  • Direct Helpers Research Center.

    Hialeah, Florida, 33012

  • Best Quality Research,Inc.

    Hialeah, Florida, 33016

  • Elixia Infectious Disease, LLC

    Hollywood, Florida, 33024

  • East-West Medical Research Institute

    Honolulu, Hawaii, 96814

  • Prolato Clinical Research Center

    Houston, Texas, 77054

  • DM Clinical Research

    Houston, Texas, 77065

  • DM Clinical Research

    Humble, Texas, 77338

  • University of Iowa

    Iowa City, Iowa, 52242

  • Cedar Health Research

    Irving, Texas, 75062

  • First Coast Heart & Vascular Center

    Jacksonville, Florida, 32216

  • Clinical Neuroscience Solutions, Inc. dba CNS Healthcare

    Jacksonville, Florida, 32256

  • First Coast Cardiovascular Institute

    Jacksonville, Florida, 32256

  • Pennsylvania Heart and Vascular Group

    Jenkintown, Pennsylvania, 19046

  • Wr-Crcn, Llc.

    Las Vegas, Nevada, 89106

  • Excel Clinical Research, LLC

    Las Vegas, Nevada, 89109

  • Pioneer Heart Institute

    Lincoln, Nebraska, 68506

  • Main Street Physician's Care

    Little River, South Carolina, 29566

  • Premier Cardiology and Vascular Associates

    Maitland, Florida, 32751

  • LMG Research

    Miami, Florida, 33125

  • Millennium Clinical Research

    Miami, Florida, 33125

  • Optimus U Corporation

    Miami, Florida, 33125

  • Suncoast Research Group

    Miami, Florida, 33135

  • Schiff Center for Liver Diseases/University of Miami

    Miami, Florida, 33136

  • University of Miami Hospital

    Miami, Florida, 33136

  • Dr Gerardo A. Polanco, MD

    Miami, Florida, 33156

  • Research Institute of South Florida

    Miami, Florida, 33173

  • Entrust Clinical Research

    Miami, Florida, 33176

  • Jackson Medical Group Cardiac Care

    Miami, Florida, 33176

  • Miami Dade Medical Research Institute, LLC

    Miami, Florida, 33176

  • Monroe Biomedical Research

    Monroe, North Carolina, 28112

  • Inland Valley Cardiovascular Center

    Murrieta, California, 92563

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • Yale Cardiology

    New Haven, Connecticut, 06519

  • Yale University School of Medicine

    New Haven, Connecticut, 06519

  • NYU Langone - Center for the Prevention of Cardiovascular Disease

    New York, New York, 10016

  • NYU Langone Health

    New York, New York, 10016

  • Velocity Clinical Research, Norfolk

    Norfolk, Nebraska, 68701

  • Las Vegas Clinical Trials

    North Las Vegas, Nevada, 89030

  • Meridian Clinical Research - 3345 North 107th Street

    Omaha, Nebraska, 68134

  • Velocity Clinical Research, Omaha

    Omaha, Nebraska, 68134

  • Orange County Heart Institute

    Orange, California, 92868

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida, 32801

  • Central Florida Cardiology Group

    Orlando, Florida, 32803

  • Innovation Medical Research Center

    Palmetto Bay, Florida, 33157

  • DBC Research USA

    Pembroke Pines, Florida, 33029

  • Arizona Heart Rhythm Center

    Phoenix, Arizona, 85016

  • HOPE Research Institute

    Phoenix, Arizona, 85018

  • The Pain Center of Arizona

    Phoenix, Arizona, 85018

  • Harmony Heart Group

    Plano, Texas, 75093

  • Progressive Medical Research

    Port Orange, Florida, 32127

  • IACT Health

    Rincon, Georgia, 31326

  • Artemis Institute for Clinical Research

    Riverside, California, 92503

  • Rochester General Hospital Infectious Disease

    Rochester, New York, 14621

  • Rochester General Hospital

    Rochester, New York, 14621

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • Associates of Cardiology

    Silver Spring, Maryland, 20910

  • Penn Medicine

    Somers Point, New Jersey, 08244

  • South Jersey Infectious Disease

    Somers Point, New Jersey, 08244

  • My Cardiologist

    South Miami, Florida, 33143

  • Centricity Research Suffolk Primary Care

    Suffolk, Virginia, 23435

  • Sentara BelleHarbour

    Suffolk, Virginia, 23435

  • Mt Olympus Medical Research

    Sugar Land, Texas, 77479

  • Precision Clinical Research

    Sunrise, Florida, 33351

  • Upstate Health Care Center-University Cardiovascular Group of Syracuse

    Syracuse, New York, 13202

  • SUNY Upstate Medical University Global Health Research Unit

    Syracuse, New York, 13215

  • Genesis Clinical Research, LLC

    Tampa, Florida, 33603

  • DM Clinical Research

    Tomball, Texas, 77375

  • Northwest Heart Center

    Tomball, Texas, 77375

  • Noble Clinical Research

    Tucson, Arizona, 85704

  • Pima Heart and Vascular

    Tucson, Arizona, 85704

  • Orange County Research Center

    Tustin, California, 92780

  • Alliance for Multispecialty Research, LLC

    Wichita, Kansas, 67205

  • Alliance for Multispecialty Research, LLC

    Wichita, Kansas, 67207

  • Heartland Cardiology, LLC

    Wichita, Kansas, 67226

  • Conquest Research

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A PHASE 1/2 RANDOMIZED STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A MODIFIED RNA VACCINE AGAINST INFLUENZA IN HEALTHY INDIVIDUALS

This study will be divided into two substudies - Substudy A (SSA) and Substudy B (SSB)

Substudy A This is a Phase 1 randomized substudy to evaluate the safety and immunogenicity of monovalent influenza modRNA vaccine (mIRV) and bivalent influenza modRNA vaccine (bIRV) at various dose levels, and quadrivalent influenza modRNA vaccine (qIRV), in participants 65 to 85 years of age. Participants will receive at Vaccination 1 either:

Read more
  • 1 of 4 dose levels of mIRV (either A or B Strain),
  • 1 of 4 dose levels of bIRV (containing both A and B strains),
  • qIRV (at 1 dose level), or
  • A licensed quadrivalent influenza vaccine (QIV).

At approximately 8 weeks following Vaccination 1, participants will be unblinded and QIV (Vaccination 2) administered to participants not having previously received this at Vaccination 1. Additionally, participants who previously received QIV at Vaccination 1 will receive one of the following for Vaccination 2:

  • mIRV encoding A strain at dose level 4, or
  • mIRV encoding B strain at dose level 4.

Substudy B

This is a randomized substudy to evaluate the safety and immunogenicity of the following vaccination schedules in participants 65 to 85 years of age:

2-Visit Schedules

  • 2 doses of qIRV (at a dose level 1), administered 21 days apart.
  • 2 doses of licensed QIV, administered 21 days apart (as a control group)
  • A dose of licensed QIV following by a dose of bIRV encoding 2 A strains at dose level combination 1 or 2, administered 21 days apart. 1-Visit Schedules
  • A dose of licensed QIV administered concurrently in the opposite arm with bIRV encoding 2 A strains at dose level combination 1 or 2.
  • A dose of bIRV encoding 2 A strains administered concurrently in the opposite arm with a dose of bIRV encoding 2 B strains.at dose level 1.
  • A dose of qIRV encoding 2 A strains and 2 B strains at dose level 2 (at one of two possible dose level combinations).
  • A dose of qIRV encoding 2 A strains and 2 B strains at dose level 3.
  • 1 dose of licensed QIV (as a control group).

Substudy B

In participants 18 to 64 years of age:

-A dose of qIRV encoding 2 A strains and 2 B strains at a dose level combination 1 or 2.

Being tested
mIRV, bIRV AB, qIRV, QIV, bIRV AA
Keywords
Grippe, Flu, Influenza, Vaccine, RNA vaccine
Medical subject headings
Influenza, Human

What participants receive

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

  • mIRVBiological

    Intramuscular injection

  • bIRV ABBiological

    Intramuscular injection

  • qIRVBiological

    Intramuscular injection

  • QIVBiological

    Intramuscular injection

  • bIRV AABiological

    Intramuscular injection

  • bIRV BBBiological

    Intramuscular injection

Study groups in NCT05052697
Study groupRoleWhat they receive
SSA: mIRV A (dose level 1) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV A (dose level 2) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV A (dose level 3) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV A (dose level 4) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV B (dose level 1) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV B (dose level 2) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV B (dose level 3) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: mIRV B (dose level 4) + QIVExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: bIRV AB (dose level combination 1) + QIVExperimentalNot described
Receives: Biological: bIRV AB; Biological: QIV
SSA: bIRV AB (dose level combination 2) + QIVExperimentalNot described
Receives: Biological: bIRV AB; Biological: QIV
SSA: bIRV AB (dose level combination 3) + QIVExperimentalNot described
Receives: Biological: bIRV AB; Biological: QIV
SSA: bIRV AB (dose level combination 4) + QIVExperimentalNot described
Receives: Biological: bIRV AB; Biological: QIV
SSA: QIV + mIRV A strain (dose level 4)ExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSA: qIRV (dose level 1) + QIVExperimentalNot described
Receives: Biological: qIRV; Biological: QIV
SSA: QIV + mIRV B strain (dose level 4)ExperimentalNot described
Receives: Biological: mIRV; Biological: QIV
SSB: 2 doses of qIRV (dose level 1), 2-visit scheduleExperimentalNot described
Receives: Biological: qIRV
SSB: 2 doses of QIV, 2-visit scheduleExperimentalNot described
Receives: Biological: QIV
SSB: QIV + bIRV AA (dose level combination 1), 2-visit scheduleExperimentalNot described
Receives: Biological: QIV; Biological: bIRV AA
SSB: QIV + bIRV AA (dose level combination 2), 2-visit scheduleExperimentalNot described
Receives: Biological: QIV; Biological: bIRV AA
SSB: QIV + bIRV AA (dose level combination 1), 1-visit scheduleExperimentalNot described
Receives: Biological: QIV; Biological: bIRV AA
SSB: QIV + bIRV AA (dose level combination 2), 1-visit scheduleExperimentalNot described
Receives: Biological: QIV; Biological: bIRV AA
SSB: qIRV (dose level 2, dose combination 1), 1-visit scheduleExperimentalNOTE: Arm Description has not been entered.
Receives: Biological: qIRV
SSB: qIRV (dose level 2, dose combination 2), 1-visit scheduleExperimentalNOTE: Arm Description has not been entered
Receives: Biological: qIRV
SSB: qIRV (dose level 3), 1-visit scheduleExperimentalNOTE: Arm Description has not been entered
Receives: Biological: qIRV
SSB: bIRV AA + bIRV BB (both dose level combination 1), 1-visit scheduleExperimentalNOTE: Arm Description has not been entered
Receives: Biological: bIRV AA; Biological: bIRV BB
SSB: 1 dose of QIV, 1-visit scheduleExperimentalNOTE: Arm Description has not been entered
Receives: Biological: QIV
SSB: qIRV (dose level 1), 1-visit scheduleExperimentalNOTE: Arm Description has not been entered.
Receives: Biological: qIRV
SSB: qIRV (dose level 2), 1-visit scheduleExperimentalNOTE: Arm Description has not been entered.
Receives: Biological: qIRV

What is being measured

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

  1. Percentage of Participants Reporting Local Reactions After Vaccination 1: Substudy A

    Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 centimeter (cm). Redness and swelling were graded as mild (Grade 1): greater than (>) 2.0 cm to 5.0 cm; moderate (Grade 2): >5.0 cm to 10.0 cm; severe (Grade 3): >10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis (redness) and necrosis (swelling). Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Exact 2-sided confidence interval was based on the Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after Vaccination 1

  2. Percentage of Participants Reporting Local Reactions After Vaccination 2: Substudy A

    Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): >2.0 cm to 5.0 cm; moderate (Grade 2): >5.0 cm to 10.0 cm; severe (Grade 3): >10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Grade 4 reactions were classified by the investigator or medically qualified person. Exact 2-sided confidence interval was based on the Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after Vaccination 2

  3. Percentage of Participants Reporting Systemic Events After Vaccination 1: Substudy A

    Systemic events included fever, vomiting, diarrhea, headache,fatigue,chills,new/worsened muscle pain \& new/worsened joint pain \& recorded by participants in an electronic diary.Fever defined as oral temperature greater than equal to(>=)38.0 degrees Celsius(deg C) \& categorized as>=38.0 to 38.4 deg C, >38.4 to 38.9 deg C,>38.9 to 40.0 deg C \& >40.0 deg C. Vomiting graded as:Grade(G)1:1-2 times in 24 hours(h);G2:>2 times in 24h;G3:required Intravenous (IV) hydration.Diarrhea graded as: G1:2-3 loose stools in 24h;G2: 4-5 loose stools in 24h;G3: 6 or more loose stools in 24h.Headache,fatigue,chills, new/worsened muscle pain \& new/worsened joint pain:G1:didn't interfere with activity;G2: some interference with activity;G3:prevented daily routine activity.For all systemic events except fever, Grade 4=emergency room visit or hospitalization. Grade 4 events were classified by the investigator or medically qualified person.Exact 2-sided confidence interval based on Clopper and Pearson method.

    Measured: From Day 1 to Day 7 After Vaccination 1

  4. Percentage of Participants Reporting Systemic Events After Vaccination 2: Substudy A

    Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new/worsened muscle pain \& new /worsened joint pain \& recorded by participants in electronic diary. Fever defined as oral temperature >=38.0 deg C \& categorized as >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C \& >40.0 deg C. Vomiting graded as: Grade(G) 1: 1-2 times in 24 h; G2: >2 times in 24 h; G3: required IV hydration. Diarrhea graded as: G1: 2-3 loose stools in 24 h; G2: 4-5 loose stools in 24 h; G3: 6 or more loose stools in 24 h. Headache, fatigue, chills, new/worsened muscle pain \& new/worsened joint pain: G1: didn't interfere with activity; G2: some interference with activity; G3: prevented daily routine activity. For all systemic events except fever, Grade 4= emergency room visit or hospitalization. Grade 4 events were classified by the investigator or medically qualified person. Exact 2-sided confidence interval based on Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after Vaccination 2

  5. Percentage of Participants Reporting Adverse Events After Vaccination 1: Substudy A

    An adverse event (AE) was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Only AEs collected by non-systematic assessment (i.e, excluding local reactions and systematic events) were reported in this outcome measure.

    Measured: From Day 1 up to 4 weeks After Vaccination 1

  6. Percentage of Participants Reporting Adverse Events After Vaccination 2: Substudy A

    An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. Exact 2-sided 95% CI was based on the Clopper and Pearson method. Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were reported in this outcome measure.

    Measured: From Day 1 up to 4 weeks After vaccination 2

  7. Percentage of Participants Reporting Serious Adverse Events (SAE) From First Vaccination to 6 Months After Last Vaccination: Substudy A

    An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.

    Measured: From vaccination 1 on day 1 up to 6 months after vaccination 2

  8. Percentage of Participants With Abnormal Hematology Values at 2 Days After Vaccination 1: Substudy A

    Hematology parameters included erythrocytes, lymphocytes, neutrophils, eosinophils/leukocytes, erythrocyte (ery) mean corpuscular volume, ery. mean corpuscular hemoglobin and ery. mean corpuscular hemoglobin concentration. The primary criteria were as follows erythrocytes, lymphocytes, neutrophils: <0.8*lower limit of normal (LLN); Lymphocytes/Leukocytes, Eosinophils/Leukocytes, Monocytes/Leukocytes: >1.2*upper limit of normal (ULN); Ery. Mean Corpuscular Volume:>1.1*ULN; Ery. Mean Corpuscular Hemoglobin and Ery.Mean Corpuscular hemoglobin Concentration: < 0.9*LLN. Also add 95% CI was based on Clopper and Pearson method.

    Measured: 2 days after vaccination 1

  9. Percentage of Participants With Abnormal Hematology Values at 1 Week After Vaccination 1: Substudy A

    Hematology parameters included erythrocytes, neutrophils, eosinophils/leukocytes, monocytes/leukocytes, ery mean corpuscular hemoglobin. The primary criteria were as follows erythrocytes and neutrophils: <0.8* LLN; Eosinophils/Leukocytes and Monocytes/Leukocytes: >1.2* ULN; Ery. Mean Corpuscular Hemoglobin:>1.1*ULN. 95% CI was based on Clopper and Pearson method.

    Measured: 1 week after vaccination 1

  10. Percentage of Participants With Abnormal Chemistry Values at 2 Days After Vaccination 1: Substudy A

    Chemistry parameters included blood urea nitrogen and C-reactive protein. The primary criteria were as follows Blood Urea Nitrogen: > 1.3*ULN; C Reactive Protein: > 1.1*ULN. 95% CI was based on Clopper and Pearson method.

    Measured: 2 days after vaccination 1

  11. Percentage of Participants With Abnormal Chemistry Values at 1 Week After Vaccination 1: Substudy A

    Chemistry parameters included blood urea nitrogen and C-reactive protein. The primary criteria were as follows Blood Urea Nitrogen: > 1.3*ULN; C Reactive Protein: > 1.1*ULN. Also add 95% CI was based on Clopper and Pearson method.

    Measured: 1 week after vaccination 1

  12. Percentage of Participants With Grade Shifts in Hematology Values at 2 Days After Vaccination 1: Substudy A

    Hematology parameters included hemoglobin, lymphocytes, neutrophils decrease, platelets decrease, white blood cells (WBC) decrease and WBC increase. Laboratory abnormalities were graded by Food and Drug Administration (FDA) toxicity grading scale for healthy adult volunteers enrolled in preventive vaccine clinical trials as grade 1=mild; grade 2=moderate; grade 3=severe and grade 4=potentially life-threatening. Percentage of participants with shift in hematology values were reported in this outcome measure. Categories with at least 1 non-zero data values showing any shift in Grade from baseline to 2 days after vaccination 1 were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported.

    Measured: From Baseline (prior to vaccination 1) to 2 days after vaccination 1

  13. Percentage of Participants With Grade Shifts in Hematology Values at 1 Week After Vaccination 1: Substudy A

    Hematology parameters included hemoglobin, lymphocytes, neutrophils decrease, WBC decrease and WBC increase. Laboratory abnormalities were graded by FDA toxicity grading scale for healthy adult volunteers enrolled in preventive vaccine clinical trials as grade 1=mild; grade 2=moderate; grade 3=severe and grade 4=potentially life-threatening. Percentage of participants with shift in hematology values were reported in this outcome measure. Categories with at least 1 non-zero data values showing any shift in Grade from baseline to 1 week after vaccination 1 were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported.

    Measured: From Baseline (prior to vaccination 1) to 1 week after vaccination 1

  14. Percentage of Participants With Grade Shifts in Chemistry Laboratory Values at 2 Days After Vaccination 1: Substudy A

    Chemistry abnormalities were graded by toxicity grading scale for healthy adult volunteers enrolled in preventive vaccine clinical trials as grade 1=mild; grade 2=moderate; grade 3=severe and grade 4=potentially life-threatening. Percentage of participants with shift in chemistry values were reported in this outcome measure. Categories with at least 1 non-zero data values showing any shift in Grade from baseline to 2 days after vaccination 1 (post-baseline) were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported. The parameters reported were - Alanine Aminotransferase Increased (ALP), Alkaline Phosphatase Increased (ALP), Aspartate Aminotransferase Increased (AST), Creatinine Increased and Urea Nitrogen.

    Measured: From Baseline (prior to vaccination 1) to 2 days after vaccination 1

  15. Percentage of Participants With Grade Shifts in Chemistry Laboratory Values at 1 Week After Vaccination 1: Substudy A

    Chemistry abnormalities were graded by toxicity grading scale for healthy adult volunteers enrolled in preventive vaccine clinical trials as grade 1=mild; grade 2=moderate; grade 3=severe and grade 4=potentially life-threatening. Percentage of participants with shift in chemistry values were reported in this outcome measure. Categories with at least 1 non-zero data values showing any shift in Grade from baseline to 1 week after vaccination 1 (post-baseline) were reported. Participants whose grade category was unchanged (e.g. normal to normal) were not reported. The parameters reported were - Alanine Aminotransferase Increased, Alkaline Phosphatase Increased, Aspartate Aminotransferase Increased, Creatinine Increased and Urea Nitrogen.

    Measured: From Baseline (prior to vaccination 1) to 1 week after vaccination 1

  16. Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 2 Days After Vaccination 1: Substudy A

    An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: Sustained atrial or ventricular arrhythmias, Second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and Diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

    Measured: 2 days after vaccination 1

  17. Percentage of Participants With New Electrocardiogram (ECG) Abnormalities at 1 Week After Vaccination 1: Substudy A

    An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: Sustained atrial or ventricular arrhythmias, Second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and Diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

    Measured: 1 week after vaccination 1

  18. Percentage of Participants Reporting Local Reactions After Vaccination for 1-Visit Schedule (Initial Enrollment): Substudy B

    Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): >2.0 cm to 5.0 cm; moderate (Grade 2): >5.0 cm to 10.0 cm; severe (Grade 3): >10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Exact 2-sided confidence interval was based on the Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination

  19. Percentage of Participants Reporting Local Reactions After Vaccination 1 for 2- Visit Schedule (Initial Enrollment): Substudy B

    Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): >2.0 cm to 5.0 cm; moderate (Grade 2): >5.0 cm to 10.0 cm; severe (Grade 3): >10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Exact 2-sided confidence interval was based on the Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination 1

  20. Percentage of Participants Reporting Local Reactions After Vaccination 2 for 2- Visit Schedule (Initial Enrollment): Substudy B

    Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): >2.0 cm to 5.0 cm; moderate (Grade 2): >5.0 cm to 10.0 cm; severe (Grade 3): >10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Exact 2-sided confidence interval was based on the Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination 2

  21. Percentage of Participants Reporting Local Reactions After Vaccination for Expanded Enrollment: Substudy B

    Local reactions included pain at the injection site, redness and swelling and were recorded by participants in an electronic diary. Redness and swelling were measured and recorded in measuring device units, where 1 measuring device unit=0.5 cm. Redness and swelling were graded as mild (Grade 1): >2.0 cm to 5.0 cm; moderate (Grade 2): >5.0 cm to 10.0 cm; severe (Grade 3): >10 cm; potentially life-threatening (Grade 4): necrosis or exfoliative dermatitis. Pain at injection site was graded as mild (Grade 1): did not interfere with activity; moderate (Grade 2): interfered with activity; severe (Grade 3): prevented daily activity and potentially life-threatening (Grade 4): emergency room visit or hospitalization for severe pain. Exact 2-sided confidence interval was based on the Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination 1 for all arms; From Day 1 to Day 7 after vaccination 2 for 2 doses of qIRV (dose level 1), 2-visit schedule arm

  22. Percentage of Participants Reporting Systemic Events After Vaccination for 1-Visit Schedule (Initial Enrollment): Substudy B

    Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new/worsened muscle pain \& new /worsened joint pain \& recorded by participants in electronic diary. Fever defined as oral temperature >=38.0 deg C \& categorized as >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C \& >40.0 deg C. Vomiting graded as: G 1: 1-2 times in 24 hrs; G 2: >2 times in 24 hrs; G 3: required IV hydration; G 4: emergency room visit/ hospitalization for hypotensive shock. Diarrhea graded as: G 1: 2-3 loose stools in 24 hrs; G 2: 4-5 loose stools in 24 hrs; G 3: 6 or more loose stools in 24 hrs \& G 4: emergency room visit/ hospitalization. Headache, fatigue, chills, new/worsened muscle pain \& new/worsened joint pain: G 1: didn't interfere with activity; G 2: some interference with activity; G 3: prevented daily routine activity \& G 4: emergency room visit/ hospitalization. Exact 2-sided confidence interval based on Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination

  23. Percentage of Participants Reporting Systemic Events After Vaccination 1 for 2- Visit Schedule (Initial Enrollment): Substudy B

    Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new/worsened muscle pain \& new /worsened joint pain \& recorded by participants in electronic diary. Fever defined as oral temperature >=38.0 deg C \& categorized as >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C \& >40.0 deg C. Vomiting graded as: G 1: 1-2 times in 24 hrs; G 2: >2 times in 24 hrs; G 3: required IV hydration; G 4: emergency room visit/ hospitalization for hypotensive shock. Diarrhea graded as: G 1: 2-3 loose stools in 24 hrs; G 2: 4-5 loose stools in 24 hrs; G 3: 6 or more loose stools in 24 hrs \& G 4: emergency room visit/ hospitalization. Headache, fatigue, chills, new/worsened muscle pain \& new/worsened joint pain: G 1: didn't interfere with activity; G 2: some interference with activity; G 3: prevented daily routine activity \& G 4: emergency room visit/ hospitalization. Exact 2-sided confidence interval based on Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination 1

  24. Percentage of Participants Reporting Systemic Events After Vaccination 2 for 2-Visit Schedule (Initial Enrollment) : Substudy B

    Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new/worsened muscle pain \& new /worsened joint pain \& recorded by participants in electronic diary. Fever defined as oral temperature >=38.0 deg C \& categorized as >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C \& >40.0 deg C. Vomiting graded as: G 1: 1-2 times in 24 hrs; G 2: >2 times in 24 hrs; G 3: required IV hydration; G 4: emergency room visit/ hospitalization for hypotensive shock. Diarrhea graded as: G: 1: 2-3 loose stools in 24 hrs; G 2: 4-5 loose stools in 24 hrs; G 3: 6 or more loose stools in 24 hrs \& G 4: emergency room visit/ hospitalization. Headache, fatigue, chills, new/worsened muscle pain \& new/worsened joint pain: G 1: didn't interfere with activity; G 2: some interference with activity; G 3: prevented daily routine activity \& G 4: emergency room visit/ hospitalization. Exact 2-sided confidence interval based on Clopper and Pearson method.

    Measured: From day 1 to day 7 of vaccination 2

  25. Percentage of Participants Reporting Systemic Events After Vaccination for Expanded Enrollment: Substudy B

    Systemic events included fever, vomiting, diarrhea, headache, fatigue, chills, new/worsened muscle pain \& new /worsened joint pain \& recorded by participants in electronic diary. Fever defined as oral temperature >=38.0 deg C \& categorized as >=38.0 to 38.4 deg C, >38.4 to 38.9 deg C, >38.9 to 40.0 deg C \& >40.0 deg C. Vomiting graded as: G 1: 1-2 times in 24 hrs; G 2: >2 times in 24 hrs; G 3: required IV hydration; G 4: emergency room visit/ hospitalization for hypotensive shock. Diarrhea graded as: G 1: 2-3 loose stools in 24 hrs; G 2: 4-5 loose stools in 24 hrs; G 3: 6 or more loose stools in 24 hrs \& G 4: emergency room visit/ hospitalization. Headache, fatigue, chills, new/worsened muscle pain \& new/worsened joint pain: G 1: didn't interfere with activity; G 2: some interference with activity; G 3: prevented daily routine activity \& G 4: emergency room visit/ hospitalization. Exact 2-sided confidence interval based on Clopper and Pearson method.

    Measured: From Day 1 to Day 7 after vaccination 1 for all arms; From Day 1 to Day 7 after vaccination 2 for 2 doses of qIRV (dose level 1), 2-visit schedule arm

  26. Percentage of Participants Reporting Adverse Events From First Vaccination Until 4 Weeks After Last Vaccination: Substudy B

    An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of study intervention, whether or not considered related to the study intervention. Only AEs collected by non-systematic assessment (i.e, excluding local reactions and systematic events) were reported in this outcome measure.

    Measured: From first vaccination to 4 weeks after last vaccination (i.e., Vaccination 1 for 1-visit schedule arms and Vaccination 2 for 2-visit schedule arms)

  27. Percentage of Participants Reporting Serious Adverse Events From First Vaccination Until 6 Months After Last Vaccination: Substudy B

    An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and was a suspected transmission via a Pfizer product of an infectious agent, pathogenic or non-pathogenic and other important medical event.

    Measured: From first vaccination to 6 month after last vaccination (i.e., Vaccination 1 for 1-visit schedule arms and Vaccination 2 for 2-visit schedule arms)

  28. Percentage of Participants Reporting Abnormal Troponin I Laboratory Values 2 Days After Vaccination 1 for 2-Visit Schedule (Initial Enrollment): Substudy B

    Percentage of participants reporting abnormal troponin I laboratory values 2 days after vaccination 1 were reported in this outcome measure.

    Measured: 2 days after vaccination 1

  29. Percentage of Participants Reporting Abnormal Troponin I Laboratory Values 2 Days After Vaccination 2 for 2-Visit Schedule (Initial Enrollment): Substudy B

    Percentage of participants reporting abnormal troponin I laboratory values 2 days after vaccination 2 were reported in this outcome measure.

    Measured: 2 days after vaccination 2

  30. Percentage of Participants Reporting Abnormal Troponin I Laboratory Values 2 Days After Vaccination for 1-Visit Schedule (Initial Enrollment): Substudy B

    Percentage of participants reporting abnormal troponin I laboratory values 2 days after vaccination were reported in this outcome measure.

    Measured: 2 days after vaccination

  31. Percentage of Participants Reporting Abnormal Troponin I Laboratory Values 2 Days After Vaccination for Expanded Enrollment: Substudy B

    Percentage of participants reporting abnormal troponin I laboratory values 2 days after vaccination were reported in this outcome measure.

    Measured: 2 days after last vaccination (i.e., Vaccination 1 for 1-visit schedule arms and Vaccination 2 for 2-visit schedule arms)

  32. Percentage of Participants Reporting New ECG Abnormalities 2 Days After Vaccination 1 for 2-Visit Schedule (Initial Enrollment): Substudy B

    Twelve lead ECGs were performed after the participant had rested quietly for at least 10 minutes in a supine position. An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: Sustained atrial or ventricular arrhythmias, Second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and Diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

    Measured: 2 days after vaccination 1

  33. Percentage of Participants Reporting New ECG Abnormalities 2 Days After Vaccination 2 for 2-Visit Schedule (Initial Enrollment): Substudy B

    Twelve lead ECGs were performed after the participant had rested quietly for at least 10 minutes in a supine position. An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: Sustained atrial or ventricular arrhythmias, Second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and Diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

    Measured: 2 days after vaccination 2

  34. Percentage of Participants Reporting New ECG Abnormalities 2 Days After Vaccination 1 for 1-Visit Schedule (Initial Enrollment): Substudy B

    Twelve lead ECGs were performed after the participant had rested quietly for at least 10 minutes in a supine position. An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: Sustained atrial or ventricular arrhythmias, Second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and Diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

    Measured: 2 days after vaccination 1

  35. Percentage of Participants Reporting New ECG Abnormalities 2 Days After Vaccination for Expanded Enrollment: Substudy B

    Twelve lead ECGs were performed after the participant had rested quietly for at least 10 minutes in a supine position. An ECG abnormality was defined as any new abnormality that, as judged by a cardiologist, was consistent with probable or possible myocarditis or pericarditis, including: Sustained atrial or ventricular arrhythmias, Second-degree Mobitz Type II or worse atrioventricular block, new bundle branch block and Diffuse ST-segment elevation or PR-segment inversion, compatible with pericarditis.

    Measured: 2 days after last vaccination (i.e., Vaccination 1 for 1-visit schedule arms and Vaccination 2 for 2-visit schedule arms)

Secondary outcomes (26)
  1. Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HAI) Titers at Weeks 1, 4 and 8 After Vaccination 1: Substudy A

    GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the lower limit of quantitation (LLOQ) were set to 0.5*LLQ.

    Measured: Weeks 1, 4 and 8 after vaccination 1

  2. Geometric Mean Fold Rise (GMFR) in HAI Titers From Before Vaccination to 1, 4, and 8 Weeks After Vaccination 1: Substudy A

    Geometric mean fold rise (GMFR) was defined as ratios of the results after vaccination to the results before vaccination. GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5*LLOQ. When prevaccination assay results were lower than the LLOQ and the postvaccination results were greater than or equal to the LLOQ, the prevaccination assay results were set to LLOQ for the GMFR calculation.

    Measured: Before vaccination to 1, 4 and 8 weeks after vaccination 1

  3. Percentage of Participants Achieving HAI Seroconversion for Each Strain At 1, 4, and 8 Weeks After Vaccination 1: Substudy A

    Seroconversion was defined as an HAI titer <1:10 prior to vaccination and >=1:40 at the time point of interest, or an HAI titer of >=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method.

    Measured: At 1, 4 and 8 Weeks after vaccination 1

  4. Percentage of Participants With HAI Titer >=1:40 for Each Strain Before Vaccination 1 and at 1, 4, and 8 Weeks After Vaccination 1: Substudy A

    Percentage of participants with HAI titer >=1:40 for each strain before vaccination 1 and at 1, 4 and 8 weeks after vaccination 1 is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method.

    Measured: Before vaccination 1 on day 1 and 1, 4 and 8 weeks after vaccination 1

  5. Percentage of Participants Who Achieved HAI Seroconversion for All Strains at 1, 4, and 8 Weeks After Vaccination 1: qIRV Versus Licensed QIV, Substudy A

    Seroconversion was defined as an HAI titer <1:10 prior to vaccination and >=1:40 at the time point of interest, or an HAI titer of >=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided 95% CI was based on the Clopper and Pearson method.

    Measured: At 1, 4, and 8 weeks After vaccination 1

  6. Percentage of Participants With HAI Titers>=1:40 for All Strains Before Vaccination and at 1, 4, and 8 Weeks After Vaccination 1: qIRV Versus Licensed QIV, Substudy A

    Percentage of participants with HAI titer >=1:40 for all strains before vaccination 1 and 1, 4 and 8 weeks after vaccination 1 is presented in this outcome measure. Exact 2-sided 95% CI was based on the Clopper and Pearson method.

    Measured: Before vaccination 1 on day 1 and 1, 4, and 8 weeks after vaccination 1

  7. Geometric Mean Ratio (GMR) of HAI Titers for Each Strain at 4 Weeks After Vaccination 1: qIRV Versus Licensed QIV, Substudy A

    GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution) and were reported in the descriptive section. GMRs were estimated by the ratio of the GMTs between vaccine groups, using licensed QIV group as reference and were reported in the statistical analysis section.

    Measured: 4 weeks After vaccination 1

  8. Difference in Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination 1: qIRV Versus Licensed QIV, Substudy A

    Seroconversion was defined as an HAI titer <1:10 prior to vaccination and >=1:40 at the time point of interest, or an HAI titer of >=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Percentage of participants achieving seroconversion for each strain at 4 weeks after vaccination 1 and exact 2-sided 95% CI based on the Clopper and Pearson method is presented in the descriptive section. Difference in percentage of participants achieving HAI seroconversion for each strain at 4 weeks after vaccination 1 is presented in the statistical analysis section.

    Measured: 4 weeks after vaccination 1

  9. HAI GMTs Before Vaccination 1 and 2 and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85): Expanded Enrollment: Substudy B

    GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5*LLOQ.

    Measured: Before vaccination 1, 2 and, 1, 4, and 8 weeks after the last vaccination (i.e. after vaccination 1 for 1-vist schedule arms and after vaccination 2 for 2-visit schedule arms)

  10. HAI GMTs Before Vaccination 1 and 2, and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years of Age): Initial Enrollment: Substudy B

    GMTs and 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the concentrations and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5 × LLOQ.

    Measured: Prior to vaccination 1 and 2, and at 1, 4, and 8 weeks after the last vaccination (i.e. after vaccination 1 for 1-vist schedule arms and after vaccination 2 for 2-visit schedule arms)

  11. HAI GMFR From Before Vaccination 2 to 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Expanded Enrollment: Substudy B

    GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5* LLOQ. When prevaccination assay results were lower than the LLOQ and the postvaccination results were greater than or equal to the LLOQ, the prevaccination assay results were set to LLOQ for the GMFR calculation.

    Measured: From before vaccination 2 to 1, 4, and 8 weeks after the last vaccination

  12. HAI GMFR From Before Vaccination 1 to Prior to Vaccination 2 and to 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Initial Enrollment: Substudy B

    GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5*LLOQ. When prevaccination assay results were lower than the LLOQ and the postvaccination results were greater than or equal to the LLOQ, the prevaccination assay results were set to LLOQ for the GMFR calculation.

    Measured: From before vaccination 1 to prior to vaccination 2, 1, 4, and 8 weeks after the last vaccination (i.e., vaccination 1 and 2 for 1-visit schedule and 2 visit schedule, respectively)

  13. Percentage of Participants Achieving HAI Seroconversion for Each Strain Prior to Vaccination 2 and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Expanded Enrollment: Substudy B

    Seroconversion was defined as an HAI titer <1:10 prior to vaccination and >=1:40 at the time point of interest, or an HAI titer >=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Prior to vaccination 2 and at 1, 4, and 8 Weeks After last Vaccination

  14. Percentage of Participants Achieving HAI Seroconversion for Each Strain Prior to Vaccination 2 and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Initial Enrollment: Substudy B

    Seroconversion was defined as an HAI titer<1:10 prior to vaccination and>=1:40 at the time point of interest,or an HAI titer>=1:10 prior to vaccination with a 4-fold rise at the time point of interest.Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Prior to vaccination 2 (2-visit arms only), 1, 4 and 8 weeks after last vaccination (i.e., vaccination 1 for 1 visit and vaccination 2 for 2 visit)

  15. Percentage of Participants With HAI Titers >=1:40 for Each Strain Before Vaccinations 1 and 2, and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Expanded Enrollment: Substudy B

    Proportion of participants achieving HAI titers >= 1:40 for each strain before vaccination and at 1, 4 and 8 weeks after vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Before vaccination 1 and 2 and at 1, 4 and 8 weeks after last vaccination (i.e. after vaccination 1 for 1-vist schedule arms and after vaccination 2 for 2-visit schedule arms)

  16. Percentage of Participants With HAI Titers >=1:40 for Each Strain Before Vaccinations 1 and 2 and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Initial Enrollment: Substudy B

    Percentage of participants achieving HAI titers >= 1:40 for each strain before vaccinations 1 and 2 and at 1, 4 and 8 weeks after last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Before vaccination 1 and 2 (for 2-visit only), and 1, 4 and 8 weeks after last vaccination (i.e., vaccination 1 for 1-visit arms and vaccination 2 for 2-visit arms)

  17. Percentage of Participants Achieving HAI Seroconversion for All Strains Prior to Vaccination 2, and at 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Expanded Enrollment: Substudy B

    Seroconversion was defined as an HAI titer<1:10 prior to vaccination and>=1:40 at the time point of interest,or an HAI titer>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Prior to vaccination 2 (for 2-visit schedule only) and at 1, 4, and 8 weeks after last vaccination (after vaccination 1 for 1-visit schedule and after vaccination 2 for 2-visit schedule)

  18. Percentage of Participants Achieving HAI Seroconversion for All Strains Prior to Vaccination 2 and at 1, 4, and 8 Weeks the Last Vaccination (Participants Aged 65-85 Years): Initial Enrollment: Substudy B

    Seroconversion was defined as an HAI titer<1:10 prior to vaccination and>=1:40 at the time point of interest,or an HAI titer>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Prior to vaccination 2 (for 2-visit schedule only) and at 1, 4, and 8 weeks after last vaccination (after vaccination 1 for 1-visit schedule and after vaccination 2 for 2-visit schedule)

  19. Percentage of Participants With HAI Titers >=1:40 for All Strains Before Vaccinations 1 and 2 and 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Expanded Enrollment: Substudy B

    Percentage of participants with HAI titers >=1:40 for all strains before vaccinations 1 and 2 and 1, 4, and 8 weeks after the last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Prior to vaccination 1 and 2, and at 1, 4, and 8 weeks after last vaccination (after vaccination 1 for 1-visit schedule and after vaccination 2 for 2-visit schedule)

  20. Percentage of Participants With HAI Titers >=1:40 for All Strains Before Vaccinations 1 and 2 and 1, 4, and 8 Weeks After the Last Vaccination (Participants Aged 65-85 Years): Initial Enrollment: Substudy B

    Percentage of participants with HAI titers >=1:40 for all strains before vaccinations 1 and 2 and 1, 4, and 8 weeks after the last vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Prior to vaccination 1 and 2 and at 1, 4, and 8 Weeks After the Last Vaccination (after vaccination 1 for 1-visit schedule and after vaccination 2 for 2-visit schedule)

  21. HAI GMTs Before Vaccination and at 1, 4, and 8 Weeks After Vaccination (Participants Aged 18-64 Years): Substudy B

    HAI GMT before vaccination and at 1, 4, and 8 weeks after vaccination was described in this outcome measure. GMTs and the corresponding 2-sided CIs were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on Student's t distribution).

    Measured: Before vaccination and 1, 4, and 8 Weeks After the Vaccination

  22. HAI GMFR From Before Vaccination to 1, 4, and 8 Weeks After Vaccination (Participants Aged 18-64 Years): Substudy B

    GMFRs and the corresponding 2-sided 95% CIs were calculated by exponentiating the mean logarithm of the fold rises and the corresponding CIs (based on the Student t distribution). Assay results below the LLOQ were set to 0.5*LLOQ. When prevaccination assay results were lower than the LLOQ and the postvaccination results were greater than or equal to the LLOQ, the pre vaccination assay results were set to LLOQ for the GMFR calculation.

    Measured: Before vaccination to 1, 4, and 8 Weeks After Vaccination

  23. Percentage of Participants Achieving HAI Seroconversion for Each Strain at 1, 4, and 8 Weeks After Vaccination (Participants Aged 18-64 Years): Substudy B

    Seroconversion was defined as an HAI titer<1:10 prior to vaccination and>=1:40 at the time point of interest,or an HAI titer>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: 1, 4, and 8 Weeks After Vaccination

  24. Percentage of Participants With HAI Titers >=1:40 for Each Strain Before Vaccination and at 1, 4, and 8 Weeks After Vaccination (Participants Aged 18-64 Years): Substudy B

    Percentage of participants with HAI titers >=1:40 for each strain before vaccination and 1, 4, and 8 weeks after vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Before vaccination and 1, 4, and 8 Weeks After Vaccination

  25. Percentage of Participants Achieving HAI Seroconversion for All Strains at 1, 4, and 8 Weeks After Vaccination (Participants Aged 18-64 Years): Substudy B

    Seroconversion was defined as an HAI titer<1:10 prior to vaccination and>=1:40 at the time point of interest,or an HAI titer>=1:10 prior to vaccination with a 4-fold rise at the time point of interest. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: 1, 4, and 8 Weeks After Vaccination

  26. Percentage of Participants With HAI Titers >=1:40 for All Strains Before Vaccination and 1, 4, and 8 Weeks After Vaccination (Participants Aged 18-64 Years): Substudy B

    Percentage of participants with HAI titers >=1:40 for all strains before vaccination and 1, 4, and 8 weeks after vaccination is reported in this outcome measure. Exact 2-sided CI was based on the Clopper and Pearson method.

    Measured: Before vaccination and 1, 4, and 8 Weeks After Vaccination

Timeline

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

  1. First posted22 Sep 2021
  2. Study start13 Sep 2021
  3. Primary completion27 Jan 2023
  4. Study completion27 Jan 2023

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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,158 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05052697
Sponsor's protocol ID
C4781001
Status last verified
Mar 2024
First submitted
28 Jun 2021
Last updated
12 Mar 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Branche A, Mulligan MJ, Maniar A, Puente O, Oladipupo I, Crowther G, Zareba AM, Yi Z, Scully I, Gomme E, Koury K, Kitchin N, Allen PS, Anderson AS, Gurtman A, Lindert K. A Phase 1/2 Randomized Study to Evaluate the Safety, Tolerability, and Immunogenicity of Nucleoside-Modified Messenger RNA Influenza Vaccines in Healthy Adults. Vaccines (Basel). 2025 Apr 3;13(4):383. doi: 10.3390/vaccines13040383.

    PubMed 40333267

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing mIRV, bIRV AB and qIRV in people with Influenza, Human, run by Pfizer at 100 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 10 inclusion and 37 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 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 100 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants Reporting Local Reactions After Vaccination 1: Substudy A (time frame: From Day 1 to Day 7 after Vaccination 1). The study lists 35 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 NCT05052697, which also lists 1 linked publication.

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 12 Mar 2024.

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