COVID-19Phase 3NextCOVENCT05815498
A Study of mRNA-1283 Injection Compared With mRNA-1273 Injection in Participants ≥12 Years of Age to Prevent COVID-19
A Phase 3 study testing mRNA-1283.222, mRNA-1273.222 and mRNA-1283.815 in people with COVID-19, run by ModernaTX, Inc. at 230 sites in 4 countries.
Trial summary
The purpose of this study (Part 1 and Part 2) is to evaluate the relative vaccine efficacy (rVE), safety, reactogenicity, and immunogenicity of mRNA-1283.222 versus mRNA-1273.222 (Part 1) and mRNA-1283.815 versus mRNA-1273.815 (Part 2). Read more about this study
- Who is it for?
- Ages 12 years and olderHealthy volunteers can take part
- Conditions the study is for
- COVID-19
- What is being tested?
- mRNA-1283.222, mRNA-1273.222 and mRNA-1283.815
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 13,553 participants
- Where
- 230 sitesin 4 countries
- Study dates
- 28 Mar 2023to 12 Apr 2025
- Phase
- Phase 3
- 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 12 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Investigator's assessment that the participant understands and is willing and physically able to comply with protocol-mandated follow-up, including all procedures.
- For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first injection, and agreement to continue adequate contraception or abstinence through 90 days following the vaccine administration.
- Part 1: Has previously received a primary series of an authorized/approved COVID-19 vaccine. For participants ≥18 years of age, at least 1 booster dose must have also been received. Proof of prior vaccination is required. A heterologous vaccine regimen is acceptable.
- Part 2: No prior vaccination is required. For participants who have been previously vaccinated, proof of vaccination is required.
Who cannot join
- Has had close contact, as defined by the Centers for Disease Control and Prevention (CDC), with someone who had a SARS-CoV-2 infection in the past 14 days, or COVID-19 in the past 10 days.
- Participant is acutely ill or febrile (temperature ≥38.0 degrees Celsius [°C]/100.4 degrees Fahrenheit [°F]) 72 hours prior to or at the Screening Visit or Day 1.
- Any medical, psychiatric, or occupational condition, including reported history of substance abuse, that, in the opinion of the investigator, might pose additional risk due to participation in the study or could interfere with the interpretation of study results.
- Has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 181 days prior to Screening (for corticosteroids ≥10 milligrams (mg)/day of prednisone equivalent) or is anticipating the need for immunosuppressive treatment at any time during participation in the study.
- Has received or plans to receive any licensed vaccine ≤60 days prior to the study injection (Day 1) or plans to receive a licensed vaccine within 60 days after the study injection.
- Has received systemic immunoglobulins or blood products within 90 days prior to the Screening Visit or plans to receive during the study.
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- Has donated ≥450 milliliters (mL) of blood products within 28 days prior to the Screening Visit or plans to donate blood products during the study.
- Has participated in an interventional clinical study within 28 days prior to the Screening Visit based on the medical history interview or plans to do so while participating in this study.
- Note: Other inclusion and exclusion criteria may apply.
Trial locations and contacts
230 sites in 4 countries.
230 sites in 4 countries
United States161 sites
Velocity Clinical Research- New Mexico
Albuquerque, New Mexico, 87102
IMA Clinical Research
Albuquerque, New Mexico, 87109
Anaheim Clinical Trials, LLC
Anaheim, California, 92801
Synexus Clinical Research US, Inc
Anderson, South Carolina, 29621
Velocity Clinical Research-Anderson
Anderson, South Carolina, 29621
Delricht Research
Atlanta, Georgia, 30329
Atlanta Clinical Research Center
Atlanta, Georgia, 30342
Lynn Institute of Denver
Aurora, Colorado, 80012
Benchmark Research
Austin, Texas, 78705
Tekton Research Inc
Austin, Texas, 78745
Velocity Clinical Research, Banning
Banning, California, 92220
Meridian Clinical Research
Baton Rouge, Louisiana, 70809
Tekton Research - Beaumont
Beaumont, Texas, 77706
Brigham and Women's Hospital
Boston, Massachusetts, 02115
Cope Family Medicine
Bountiful, Utah, 84010
DM Clinical Research
Brookline, Massachusetts, 02445
PanAmerican Clinical Research, LLC
Brownsville, Texas, 78520
Headlands Research Brownsville
Brownsville, Texas, 78526
Baybol Research Institute
Chamblee, Georgia, 30341
Chandler Clinical Trials
Chandler, Arizona, 85224
Delricht Research
Charleston, South Carolina, 29407
Chicago Clinical Research Institute
Chicago, Illinois, 60607
Great Lakes Clinical Trials
Chicago, Illinois, 60640
Velocity Clinical Research- Chula Vista
Chula Vista, California, 91911
CTI Clinical Research Center
Cincinnati, Ohio, 45212
Velocity Clinical Research, Inc
Cincinnati, Ohio, 45219
Velocity Clinical Research
Cincinnati, Ohio, 45242
Velocity Clinical Research - Cincinnati
Cincinnati, Ohio, 45246
Velocity Clinical Research
Cleveland, Ohio, 44122
Benchmark Research
Colton, California, 92324
Velocity Clinical Research
Columbia, South Carolina, 29204
Centricity Research
Columbus, Georgia, 31904
Alliance for Multispeciality Research - Miami
Coral Gables, Florida, 33134
Benchmark Research
Covington, Louisiana, 70006
MedPharmics
Covington, Louisiana, 70433
Nature Coast Clinical Research
Crystal River, Florida, 34429
Beautiful Minds Clinical Research Center
Cutler Bay, Florida, 33157
Zenos Clinical Research
Dallas, Texas, 75230
Elite Research Network
Decatur, Georgia, 30030
Clinical Research Partners LLC
DeLand, Florida, 32720
Hillcrest Medical Research, LLC
DeLand, Florida, 32720
Velocity Clinical Research Denver
Denver, Colorado, 80209
Velocity Clinical Research, Syracuse
East Syracuse, New York, 13057
Accel Research Sites Lake Oconee
Eatonton, Georgia, 31024
Tekton Research- Edmond
Edmond, Oklahoma, 73013
Alliance for Multispecialty Research, LLC
El Dorado, Kansas, 67042
Centennial Medical Group
Eldridge, Maryland, 21075
Tekton Research - Fort Collins
Fort Collins, Colorado, 80525
Ventavia Research Group
Fort Worth, Texas, 76104
Benchmark Research
Fort Worth, Texas, 76135
CCT research/ Methodist Physicians Clinic- Prairie Fields
Fremont, Nebraska, 68025
Velocity Clinical Research
Grand Island, Nebraska, 68803
Velocity Clinical Research, Greenville
Greenville, South Carolina, 29615
Delricht Research
Gulfport, Mississippi, 39503
Velocity Clinical Research, Hallandale Beach
Hallandale, Florida, 33009
Delricht Research
Hendersonville, Tennessee, 37075
Sweet Hope Research Specialty, Inc.
Hialeah, Florida, 33016
CenExel Research Centers of America
Hollywood, Florida, 33024
DM Clinical Research
Houston, Texas, 77065
DM Clinical Research
Houston, Texas, 77081
Marvel Clinical Research 002, LLC
Huntington Beach, California, 92647
Velocity Clinical Research Huntington Park
Huntington Park, California, 90255
Optimal Research
Huntsville, Alabama, 35802
Nature Coast Clinical Research
Inverness, Florida, 34452
Encore Research Group-Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
Clinical Neuroscience Solutions, Inc
Jacksonville, Florida, 32256
Health Awareness INC
Jupiter, Florida, 33458
The Center for Pharmaceutical Research
Kansas City, Missouri, 64114
Ventavia Research Group
Keller, Texas, 76248
Velocity Clinical Research
La Mesa, California, 91942
Accel Clinical Research
Lakeland, Florida, 33803
Chemidox Clinical Trials
Lancaster, California, 93534
Accel Research Sites
Largo, Florida, 33709
Wr-Crcn, Llc
Las Vegas, Nevada, 89113
Johnson County Clin-Trials, Inc (JCCT)
Lenexa, Kansas, 66219
Alliance for Multispecialty Research-Lexington
Lexington, Kentucky, 40509
Meridian Clinical Research, LLC
Lincoln, Nebraska, 68510
Lynn Institute of the Ozarks
Little Rock, Arkansas, 72204
Long Beach Clinical Trials
Long Beach, California, 90806
Tekton Research, Inc- Longmont Center
Longmont, Colorado, 80501
Velocity Clinical Research- Westlake
Los Angeles, California, 90057
Acclaim Clinical Research
Maitland, Florida, 32751
DELRICHT RESEARCH at ZOMNIR FAMILY MEDICINE
McKinney, Texas, 75072
Velocity Clinical Research, Medford
Medford, Oregon, 97504
Velocity Clinical Research
Meridian, Idaho, 83642
Benchmark Research
Metairie, Louisiana, 70006
Suncoast Research Group, LLC
Miami, Florida, 33135
Clinical Trials of Florida
Miami, Florida, 33186
Suncoast Research Associates, LLC
Miami, Florida, 33713
Floridian Clinical Research
Miami Lakes, Florida, 33016
Global Health Research Center, Inc.
Miami Lakes, Florida, 33016
Clinical Research Institute
Minneapolis, Minnesota, 55402
Montana Medical Research, Inc
Missoula, Montana, 59808
Monroe Biomedical Research
Monroe, North Carolina, 28112
Tekton Research Inc
Moore, Oklahoma, 73160
Carolina Health Specialists
Myrtle Beach, South Carolina, 29572
Clinical Research Associates, Inc.
Nashville, Tennessee, 37203
Delricht Research
New Orleans, Louisiana, 70115
IMA Clinical Research
New York, New York, 10036
Health Research of Hampton Roads, Inc.
Newport News, Virginia, 23606
Georgia Clinic, PC/CCT Research
Norcross, Georgia, 30092
Coastal Carolina Research Center
North Charleston, South Carolina, 29464
Velocity Clinical Research-North Hollywood
North Hollywood, California, 90036
Las Vegas Clinical Trials
North Las Vegas, Nevada, 89030
Velocity Clinical Research
Omaha, Nebraska, 68134
Clinical Neuroscience Solutions (CNS Healthcare site)
Orlando, Florida, 32801
Headlands Research Orlando
Orlando, Florida, 32819
Innovation Medical Research Center
Palmetto Bay, Florida, 33157
Papillon Research Centre
Papillion, Nebraska, 68046
Pines Care Research Center, Inc.
Pembroke Pines, Florida, 33024
Suncoast Research Associates, LLC
Pembroke Pines, Florida, 33324
DM Clinical Research
Philadelphia, Pennsylvania, 19107
Phoenix Clinical Research LLC
Phoenix, Arizona, 85014
FRC - CCT Research
Phoenix, Arizona, 85244
Synexus
Pinellas Park, Florida, 33781
Research Your Health
Plano, Texas, 75093
Mountain View Ogden Clinic/CCT Research
Pleasant View, Utah, 84404
Empire Clinical Research
Pomona, California, 91786
Summit Research Headlands LLC
Portland, Oregon, 97210
Velocity Clinical Research
Portsmouth, Virginia, 23703
Delricht Clinical Research
Prairieville, Louisiana, 70769
Clinical Research Partners, LLC
Richmond, Virginia, 23226
CenExel - CITrials
Riverside, California, 82506
Artemis Institute for Clinical Research
Riverside, California, 92503
Rochester Clinical Research, Inc.
Rochester, New York, 14609
Peninsula Research Associates
Rolling Hills Estates, California, 90274
Be Well Clinical Studies
Round Rock, Texas, 78681
Benchmark Research
Sacramento, California, 95864
JBR Clinical Research
Salt Lake City, Utah, 84107
J. Lewis Research, Inc. / Foothill Family Clinic South
Salt Lake City, Utah, 84121
Clinical Trials of Texas, Inc.
San Antonio, Texas, 78229
Diagnostics Research Group
San Antonio, Texas, 78229
Tekton Research -San Antonio
San Antonio, Texas, 78240
Artemis Institute for Clinical Research
San Diego, California, 92103
Acclaim Clinical Research
San Diego, California, 92120
Headlands Research Sarasota
Scottsdale, Arizona, 85260
Great Lakes Research Institute
Southfield, Michigan, 48075
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
Velocity Clinical Research- Spartanburg
Spartanburg, South Carolina, 29303
Delricht Research
Springfield, Missouri, 65807
Sundance Clinical Research, LLC
St Louis, Missouri, 63141
Clinical Research Atlanta/Headlands
Stockbridge, Georgia, 30281
DM Clinical Research
Sugar Land, Texas, 77478
Precision Clinical Research
Sunrise, Florida, 33351
Global Health Research Center, Inc.
Tampa, Florida, 33615
Santos Research Center CORP
Tampa, Florida, 33615
Clinical Research Consortium
Tempe, Arizona, 85281
DM Clinical Research
Tomball, Texas, 77375
Delricht Research
Town and Country, Missouri, 63017
Noble Clinical Research, LLC
Tucson, Arizona, 85704
Del Sol research Management LLC.
Tucson, Arizona, 85715
Delricht Research
Tulsa, Oklahoma, 74133
Velocity Clinical Research Valparaiso
Valparaiso, Indiana, 46383
Versailles Family Medicine
Versailles, Kentucky, 40383
Accel Research Sites- Achieve Clinical Research
Vestavia Hills, Alabama, 35216
IMA Clinical Research
Warren Township, New Jersey, 07059
Palm Beach Research Center
West Palm Beach, Florida, 33409
Alliance for Multispecialty Research, LLC- Wichita
Wichita, Kansas, 67207
Tekton Research Inc
Wichita, Kansas, 67218
Trial Management Associates, LLC
Wilmington, North Carolina, 28403
Tekton Research- Yukon
Yukon, Oklahoma, 73099
United Kingdom45 sites
Barnsley Hospital
Barnsley
Royal United Hospital Bath NHS Trust - Royal United Hospital
Bath
Layton Medical Centre
Blackpool
Dorset Clinical Research Centre (Bournemouth Hospital)
Bournemouth
Bradford Teaching Hospitals NHS Foundation Trust - Bradford
Bradford
Lakeside Healthcare
Corby
Rotherham Doncaster and South Humber NHS Foundation Trust
Doncaster
University of Dundee - NHS Tayside - Ninewells Hospital & Me
Dundee
Western General Hospital
Edinburgh
Royal Devon & Exeter Hospital
Exeter
CPS Research
Glasgow
NHS Greater Glasgow & Clyde
Glasgow
Panthera Biopartners - Glasgow - multispeciality
Glasgow
Queen Elizabeth University Hospital
Glasgow
Gloucestershire Hospitals NHS Foundation Trust - Cheltenham
Gloucester
Velocity Clinical Research High Wycombe
High Wycombe
University Hospitals of Leicester-Leicester Royal Hospital
Leicester
Barts Health NHS Trust
London
Egin Research
London
Guys and St. Thomas NHS Foundation Trust
London
Hammersmith Medicines Research (HMR)
London
Panthera Biopartners - Enfield
London
Richford Gate Medical Practice
London
Royal Free London NHS Foundation Trust
London
St Georges Healthcare NHS Trust - University of London
London
Manchester University NHS Foundation Trust
Manchester
Bioluminux Clinical Research
Milton Keynes
Stemax Consult Healthcare Services Ltd
Milton Keynes
Newcastle University - Institute of Cellular Medicine (ICM)
Newcastle
Velocity Clinical Research
North London
Accellacare North London
Northwood
Nottingham University Hospitals NHS Trust - Queens Medical Centre (QMC) Campus
Nottingham
Wansford and Kings Cliffe Practice
Peterborough
University Hospitals Plymouth NHS Trust
Plymouth
Southampton General Hospital - Portsmouth Research Hub
Portsmouth
GST NHS Found
Preston
Panthera Biopartners Preston
Preston
Panthera Biopartners - Manchester - multispeciality
Rochdale
Warrington and Halton Teaching hospitals NHS Foundation Trust - Halton General Hospital
Runcorn
Panthera Biopartners - Sheffield - multispeciality
Sheffield
Royal Victoria Infirmary
Sheffield
Southampton University Hospital NHS Foundation Trust
Southampton
Pier Health Group
Weston-super-Mare
Weymouth Research Hub
Weymouth
North Wales Clinical Research Centre
Wrexham
Canada12 sites
Intermed groupe santé
Chicoutimi, Quebec, G7H 7Y8
Medicor Research Inc.
Greater Sudbury, Ontario, P3C 1X3
Hamilton Medical Research group
Hamilton, Ontario, L8M 1K7
Milestone Research Inc.
London, Ontario, N5W 6A2
Red Maple Trials Inc.
Ottawa, Ontario, K1H1E4
Centricity Research Pointe-Claire
Pointe-Claire, Quebec, H9R 4S3
Manna Research Inc.
Pointe-Claire, Quebec, H9R 4S3
Clinique spécialisée en allergie
Québec, G1V 4W2
Q&T Research Sherbrooke Inc.
Sherbrooke, Quebec, J1J 2G2
Winterberry Family Medicine
Stoney Creek, Ontario, L8J0B6
Dr. Anil K. Gupta Medicine Professional Corporation
Toronto, Ontario, M9V 4B4
Centricity Research Toronto Manna Multispecialty
Toronto, Ontario, M9W 4L6
Japan12 sites
Public Health Association.Inc
Aichi
Tenjin Sogo Clinic
Fukuoka
Yamasaki Family Clinic - internal medicine
Hyōgo
Motomachi Takatsuka Naika Clinic - Internal Medicine
Kanagawa
Arakawa Family Clinic
Nagano
Koseikai Yotsubashi Clinic - Internal Medicine
Osaka
Medical Corporation of Yamazaki Neurotology, Rhinolaryngology Clinic
Sapporo
Dojinkinenkai Meiwa Hospital
Tokyo
Medical Corporation Asbo Tokyo Asbo Clinic
Tokyo
Metropolitan Clinic - Internal Medicine
Tokyo
National Center for Global Health and Medicine
Tokyo
Shinei Medical Healthcare Clinic
Tokyo
About this study
Official title: A Randomized, Observer-Blind, Active-Controlled Phase 3 Study to Investigate the Safety, Immunogenicity, and Relative Vaccine Efficacy of mRNA-1283 Compared With mRNA-1273 in Participants Aged ≥12 Years for the Prevention of COVID-19
The purpose of this study (Part 1 and Part 2) is to evaluate the relative vaccine efficacy (rVE), safety, reactogenicity, and immunogenicity of mRNA-1283.222 versus mRNA-1273.222 (Part 1) and mRNA-1283.815 versus mRNA-1273.815 (Part 2).
- Conditions
- COVID-19
- Being tested
- mRNA-1283.222, mRNA-1273.222, mRNA-1283.815, mRNA-1273.815
- Keywords
- mRNA-1283.222, mRNA-1273.222, mRNA-1283.815, mRNA-1273.815, SARS-CoV-2, SARS-CoV-2 Vaccine, Coronavirus, Virus Diseases, Messenger RNA, COVID-19, COVID-19 Vaccine, Moderna
- Medical subject headings
- COVID-19, Coronavirus Infections, Virus Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mRNA-1283.222Biological
Sterile liquid for injection
mRNA-1273.222Biological
Sterile liquid for injection
mRNA-1283.815Biological
Sterile liquid for injection
mRNA-1273.815Biological
Sterile liquid for injection
| Study group | Role | What they receive |
|---|---|---|
| Part 1: mRNA-1283.222 | Experimental | Participants will receive single intramuscular (IM) injection of mRNA-1283.222 on Day 1. Receives: Biological: mRNA-1283.222 |
| Part 1: mRNA-1273.222 | Experimental | Participants will receive single IM injection of mRNA-1273.222 on Day 1. Receives: Biological: mRNA-1273.222 |
| Part 2: mRNA-1283.815 | Experimental | Participants will receive single IM injection of mRNA-1283.815 on Day 1. Receives: Biological: mRNA-1283.815 |
| Part 2: mRNA-1273.815 | Experimental | Participants will receive single IM injection of mRNA-1273.815 on Day 1. Receives: Biological: mRNA-1273.815 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Geometric Mean (GM) of Omicron BA.4/5 at Day 29
Antibody values reported as below the lower limit of quantification (LLOQ) were replaced by 0.5*LLOQ. Values greater than the upper limit of quantification (ULOQ) were replaced by the ULOQ if actual values were not available. LLOQ was 103 arbitrary units (AU)/milliliter (mL) and ULOQ was 28571 AU/mL.
Measured: Day 29
Part 1: Seroresponse Rate (SRR) Omicron BA.4/5 at Day 29
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to pre-booster. LLOQ was 103 AU/mL and ULOQ was 28571 AU/mL.
Measured: Day 29
Part 1: GM of the Ancestral Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) D614G at Day 29
Antibody values reported as below the LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL.
Measured: Day 29
Part 1: SRR of Ancestral SARS-CoV-2 D641G at Day 29
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to pre-booster. LLOQ was 10 AU/mL and ULOQ was 111433AU/mL.
Measured: Day 29
Part 1: Number of Participants With First Event of Centers for Disease Control and Prevention (CDC)-Defined COVID-19
CDC COVID-19 definition: the presence of at least 1 CDC listed symptom and positive reverse transcriptase polymerase chain reaction (RT-PCR) test on a respiratory sample.
Measured: From 14 days after injection up to Day 365
Part 1: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
Solicited ARs were recorded daily using electronic diaries (eDiaries). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Measured: Up to Day 7 (7-day follow-up after vaccination)
Part 3: Number of Participants With Solicited Local and Systemic ARs
Solicited ARs were recorded daily using eDiaries. Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered AEs. Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Measured: Up to Day 7 (7-day follow-up after vaccination)
Part 1: Number of Participants With Unsolicited Adverse Events (AEs)
An unsolicited AE was defined as any AE reported by the participant that was not specified as a solicited AR in the protocol. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Measured: Up to Day 28 (28-day follow-up after vaccination)
Part 3: Number of Participants With Unsolicited AEs
An unsolicited AE was defined as any AE reported by the participant that was not specified as a solicited AR in the protocol. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Measured: Up to Day 28 (28-day follow-up after vaccination)
Part 1: Number of Participants With Any Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal From Study, and AEs of Special Interest (AESIs)
SAEs were AEs that resulted in death, were life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was a medically important event. MAAEs were AEs that lead to an unscheduled visit to a healthcare provider. AESIs were AEs (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program for which ongoing monitoring and immediate notification by the investigator to the Sponsor was required. AEs leading to the withdrawal from study reported for this endpoint also include the AEs that led to death. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Measured: Day 1 up to Day 365
Part 3: Number of Participants With Any SAEs, MAAEs, AEs Leading to Withdrawal From Study, and AESIs
SAEs were AEs that resulted in death, were life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was a medically important event. MAAEs were AEs that lead to an unscheduled visit to a healthcare provider. AESIs were AEs (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program for which ongoing monitoring and immediate notification by the investigator to the Sponsor was required. AEs leading to the withdrawal from study reported for this endpoint also include the AEs that led to death. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Measured: Day 1 up to Day 181
Secondary outcomes (7)
Part 1: GMs of Omicron BA.4/5 and Ancestral SARS-CoV-2 D614G
Antibody values reported as below the LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. LLOQ was 103 AU/mL and ULOQ was 28571 AU/mL for Omicron BA.4/5. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL for ancestral SARS-CoV-2 D614G.
Measured: Days 91, 181, and 365
Part 1: SRR Against Omicron BA.4/5 and Ancestral SARS-CoV-2 D614G at Days 91, 181, and 365
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to pre-booster. LLOQ was 103 AU/mL and ULOQ was 28571 AU/mL for Omicron BA.4/5. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL for ancestral SARS-CoV-2 D614G.
Measured: Days 91, 181, and 365
Part 1: Number of Participants With a SARS-CoV-2 Infection (Symptomatic or Asymptomatic)
SARS-CoV-2 infection (symptomatic or asymptomatic) was defined as (1) negative binding antibody (bAb) level against SARS-CoV-2 nucleocapsid protein and negative RT-PCR at baseline that became positive bAb level against SARS-CoV-2 nucleocapsid protein post-baseline, or (2) positive RT-PCR post-baseline. Asymptomatic SARS-CoV-2 infection was characterized by the absence of COVID-19 symptoms.
Measured: From 14 days after injection up to Day 365
Part 3: GM of Omicron XBB.1.5 in Unvaccinated Participants
Antibody values reported as below the LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. LLOQ was 38 AU/mL and ULOQ was 6960 AU/mL.
Measured: Day 29
Part 3: GM of Omicron XBB.1.5 in All Study Participants
Antibody values reported as below the LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. LLOQ was 38 AU/mL and ULOQ was 6960 AU/mL.
Measured: Day 29
Part 3: SRR Against Omicron XBB.1.5 in Unvaccinated Participants
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to last non-missing measurement on or before study vaccination day. LLOQ was 38 AU/mL and ULOQ was 6960 AU/mL.
Measured: Day 29
Part 3: SRR Against Omicron XBB.1.5 in All Study Participants
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to last non-missing measurement on or before study vaccination day. LLOQ was 38 AU/mL and ULOQ was 6960 AU/mL.
Measured: Day 29
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Apr 2023
- Study start28 Mar 2023
- Primary completion12 Apr 2025
- Study completion12 Apr 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- More trials run by ModernaTX, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 13,553 participants (actual)
Sponsor and investigators
- Lead sponsor
- ModernaTX, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05815498
- Sponsor's protocol ID
- mRNA-1283-P301
- Other IDs
- 2023-000884-30, 2023
- Acronym
- NextCOVE
- Status last verified
- Apr 2026
- First submitted
- 13 Apr 2023
- Last updated
- 1 May 2026
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Chalkias S, Dennis P, Petersen D, Radhakrishnan K, Vaughan L, Handforth R, Rossi A, Wahid R, Edwards DK, Feng J, Deng W, Zhou H, De Windt E, Urdaneta V, Paila Y, Girard B, Faust SN, Walsh SR, Cosgrove CA, Miller J, Das R. Efficacy, immunogenicity, and safety of a next-generation mRNA-1283 COVID-19 vaccine compared with the mRNA-1273 vaccine (NextCOVE): results from a phase 3, randomised, observer-blind, active-controlled trial. Lancet Infect Dis. 2025 Nov;25(11):1230-1242. doi: 10.1016/S1473-3099(25)00236-1. Epub 2025 Jul 7.
PubMed 40639387
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Observer-Blind, Active-Controlled Phase 3 Study to Investigate the Safety, Immunogenicity, and Relative Vaccine Efficacy of mRNA-1283 Compared With mRNA-1273 in Participants Aged ≥12 Years for the Prevention of COVID-19
- ClinicalTrials.gov ID
- NCT05815498
- Acronym / sponsor ID
- NextCOVE / mRNA-1283-P301
- Conditions
- COVID-19
- Keywords
- mRNA-1283.222, mRNA-1273.222, mRNA-1283.815, mRNA-1273.815, SARS-CoV-2, SARS-CoV-2 Vaccine, Coronavirus, Virus Diseases
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13,553 participants (actual)
- Lead sponsor
- ModernaTX, Inc.Industry (pharma, biotech, devices)
- Study start
- 28 Mar 2023 (actual)
- Primary completion
- 12 Apr 2025 (actual)
- Study completion
- 12 Apr 2025 (actual)
- First posted
- 18 Apr 2023 (actual)
- Results
- Posted 1 May 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study (Part 1 and Part 2) is to evaluate the relative vaccine efficacy (rVE), safety, reactogenicity, and immunogenicity of mRNA-1283.222 versus mRNA-1273.222 (Part 1) and mRNA-1283.815 versus mRNA-1273.815 (Part 2).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Part 1: mRNA-1283.222 | Experimental | Biological: mRNA-1283.222Participants will receive single intramuscular (IM) injection of mRNA-1283.222 on Day 1. |
| Part 1: mRNA-1273.222 | Experimental | Biological: mRNA-1273.222Participants will receive single IM injection of mRNA-1273.222 on Day 1. |
| Part 2: mRNA-1283.815 | Experimental | Biological: mRNA-1283.815Participants will receive single IM injection of mRNA-1283.815 on Day 1. |
| Part 2: mRNA-1273.815 | Experimental | Biological: mRNA-1273.815Participants will receive single IM injection of mRNA-1273.815 on Day 1. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Investigator's assessment that the participant understands and is willing and physically able to comply with protocol-mandated follow-up, including all procedures.
- For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first injection, and agreement to continue adequate contraception or abstinence through 90 days following the vaccine administration.
- Part 1: Has previously received a primary series of an authorized/approved COVID-19 vaccine. For participants ≥18 years of age, at least 1 booster dose must have also been received. Proof of prior vaccination is required. A heterologous vaccine regimen is acceptable.
- Part 2: No prior vaccination is required. For participants who have been previously vaccinated, proof of vaccination is required.
Key exclusion criteria (9 listed)
- Has had close contact, as defined by the Centers for Disease Control and Prevention (CDC), with someone who had a SARS-CoV-2 infection in the past 14 days, or COVID-19 in the past 10 days.
- Participant is acutely ill or febrile (temperature ≥38.0 degrees Celsius [°C]/100.4 degrees Fahrenheit [°F]) 72 hours prior to or at the Screening Visit or Day 1.
- Any medical, psychiatric, or occupational condition, including reported history of substance abuse, that, in the opinion of the investigator, might pose additional risk due to participation in the study or could interfere with the interpretation of study results.
- Has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 181 days prior to Screening (for corticosteroids ≥10 milligrams (mg)/day of prednisone equivalent) or is anticipating the need for immunosuppressive treatment at any time during participation in the study.
- Has received or plans to receive any licensed vaccine ≤60 days prior to the study injection (Day 1) or plans to receive a licensed vaccine within 60 days after the study injection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| mRNA-1283.222Sterile liquid for injection | Biological | Part 1: mRNA-1283.222 |
| mRNA-1273.222Sterile liquid for injection | Biological | Part 1: mRNA-1273.222 |
| mRNA-1283.815Sterile liquid for injection | Biological | Part 2: mRNA-1283.815 |
| mRNA-1273.815Sterile liquid for injection | Biological | Part 2: mRNA-1273.815 |
Primary outcome
Part 1: Geometric Mean (GM) of Omicron BA.4/5 at Day 29
Time frame: Day 29
Antibody values reported as below the lower limit of quantification (LLOQ) were replaced by 0.5*LLOQ. Values greater than the upper limit of quantification (ULOQ) were replaced by the ULOQ if actual values were not available. LLOQ was 103 arbitrary units (AU)/milliliter (mL) and ULOQ was 28571 AU/mL.
Part 1: Seroresponse Rate (SRR) Omicron BA.4/5 at Day 29
Time frame: Day 29
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to pre-booster. LLOQ was 103 AU/mL and ULOQ was 28571 AU/mL.
Part 1: GM of the Ancestral Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) D614G at Day 29
Time frame: Day 29
Antibody values reported as below the LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. LLOQ was 10 AU/mL and ULOQ was 111433 AU/mL.
Part 1: SRR of Ancestral SARS-CoV-2 D641G at Day 29
Time frame: Day 29
Seroresponse was defined as an antibody value change from baseline below the LLOQ to ≥4*LLOQ, or at least a 4-fold rise if baseline was ≥LLOQ and <4*LLOQ, or at least a 2-fold rise if baseline was ≥4*LLOQ, where baseline referred to pre-booster. LLOQ was 10 AU/mL and ULOQ was 111433AU/mL.
Part 1: Number of Participants With First Event of Centers for Disease Control and Prevention (CDC)-Defined COVID-19
Time frame: From 14 days after injection up to Day 365
CDC COVID-19 definition: the presence of at least 1 CDC listed symptom and positive reverse transcriptase polymerase chain reaction (RT-PCR) test on a respiratory sample.
Part 1: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
Time frame: Up to Day 7 (7-day follow-up after vaccination)
Solicited ARs were recorded daily using electronic diaries (eDiaries). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Part 3: Number of Participants With Solicited Local and Systemic ARs
Time frame: Up to Day 7 (7-day follow-up after vaccination)
Solicited ARs were recorded daily using eDiaries. Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered AEs. Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Part 1: Number of Participants With Unsolicited Adverse Events (AEs)
Time frame: Up to Day 28 (28-day follow-up after vaccination)
An unsolicited AE was defined as any AE reported by the participant that was not specified as a solicited AR in the protocol. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Part 3: Number of Participants With Unsolicited AEs
Time frame: Up to Day 28 (28-day follow-up after vaccination)
An unsolicited AE was defined as any AE reported by the participant that was not specified as a solicited AR in the protocol. An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Part 1: Number of Participants With Any Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal From Study, and AEs of Special Interest (AESIs)
Time frame: Day 1 up to Day 365
SAEs were AEs that resulted in death, were life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was a medically important event. MAAEs were AEs that lead to an unscheduled visit to a healthcare provider. AESIs were AEs (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program for which ongoing monitoring and immediate notification by the investigator to the Sponsor was required. AEs leading to the withdrawal from study reported for this endpoint also include the AEs that led to death. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Part 3: Number of Participants With Any SAEs, MAAEs, AEs Leading to Withdrawal From Study, and AESIs
Time frame: Day 1 up to Day 181
SAEs were AEs that resulted in death, were life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly or birth defect, or was a medically important event. MAAEs were AEs that lead to an unscheduled visit to a healthcare provider. AESIs were AEs (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program for which ongoing monitoring and immediate notification by the investigator to the Sponsor was required. AEs leading to the withdrawal from study reported for this endpoint also include the AEs that led to death. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
7 secondary outcomes
Part 1: GMs of Omicron BA.4/5 and Ancestral SARS-CoV-2 D614G
Time frame: Days 91, 181, and 365
Part 1: SRR Against Omicron BA.4/5 and Ancestral SARS-CoV-2 D614G at Days 91, 181, and 365
Time frame: Days 91, 181, and 365
Part 1: Number of Participants With a SARS-CoV-2 Infection (Symptomatic or Asymptomatic)
Time frame: From 14 days after injection up to Day 365
Part 3: GM of Omicron XBB.1.5 in Unvaccinated Participants
Time frame: Day 29
Part 3: GM of Omicron XBB.1.5 in All Study Participants
Time frame: Day 29
Part 3: SRR Against Omicron XBB.1.5 in Unvaccinated Participants
Time frame: Day 29
Part 3: SRR Against Omicron XBB.1.5 in All Study Participants
Time frame: Day 29
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40639387Chalkias S, Dennis P, Petersen D, Radhakrishnan K, Vaughan L, Handforth R, Rossi A, Wahid R, Edwards DK, Feng J, Deng W, Zhou H, De Windt E, Urdaneta V, Paila Y, Girard B, Faust SN, Walsh SR, Cosgrove CA, Miller J, Das R. Efficacy, immunogenicity, and safety of a next-generation mRNA-1283 COVID-19 vaccine compared with the mRNA-1273 vaccine (NextCOVE): results from a phase 3, randomised, observer-blind, active-controlled trial. Lancet Infect Dis. 2025 Nov;25(11):1230-1242. doi: 10.1016/S1473-3099(25)00236-1. Epub 2025 Jul 7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
230 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing mRNA-1283.222, mRNA-1273.222 and mRNA-1283.815 in people with COVID-19, run by ModernaTX, Inc. at 230 sites in 4 countries.
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 4 inclusion and 9 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 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 230 sites in United States, United Kingdom, Canada, Japan. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 1 May 2026). 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?
Part 1: Geometric Mean (GM) of Omicron BA.4/5 at Day 29 (time frame: Day 29). The study lists 11 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 NCT05815498, 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 1 May 2026.