SmallpoxPhase 1/2NCT05995275
A Study to Investigate The Safety, Tolerability, And Immune Response of a Range of Doses of mRNA-1769 Compared With Placebo in Healthy Participants From ≥18 Years of Age to <50 Years of Age
A Phase 1/2 study testing mRNA-1769 in people with Smallpox and Mpox, run by ModernaTX, Inc. at 12 sites in United Kingdom.
Trial summary
The goal of this study is to assess the safety, tolerability and immunogenicity of mRNA-1769 in healthy adult participants. Read more about this study
- Who is it for?
- Ages 18 to 49 yearsHealthy volunteers can take part
- What is being tested?
- mRNA-1769
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 351 participants
- Where
- 12 sitesUnited Kingdom
- Study dates
- 15 Aug 2023to 8 Jul 2025
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 49 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Has a body mass index (BMI) between ≥18 kilogram per square meter (kg/m^2) to ≤39 kg/m^2.
- For female participants of childbearing potential: must have a negative highly sensitive pregnancy test with 28 days before the first dose of study drug, uses approved contraception during the study intervention period and for at least 3 months after the last dose of study drug, and not currently breastfeeding.
Who cannot join
- History of smallpox vaccination, vaccination with any poxvirus-based vaccine, history of of/or recent exposure to Mpox (MPX) (defined as close contact with a confirmed case of MPX within the past 14 days).
- Participant should not have any significant, progressive, unstable, or uncontrolled clinical condition, including any condition that may affect participant safety, assessment of safety endpoints, assessment of immune response, or adherence to study procedures per Investigator judgement.
- Participant is undergoing investigations for a potential chronic medical disorder.
- Bleeding disorder considered a contraindication to IM injection or phlebotomy.
- Dermatologic conditions that could affect local solicited AR assessments.
- History of anaphylactic reaction or allergic reactions that required medical intervention following any vaccine.
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- Known or suspected allergy to any component of mRNA-1769.
- History of malignancy within previous 10 years (excluding non-melanoma skin cancer).
- Participant has any medical, psychiatric, or occupational condition, including reported history of drug or alcohol 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.
- Participant has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 6 months prior to Screening (for corticosteroids, ≥10 mg/day of prednisone or equivalent) or is anticipating the need for immunosuppressive treatment at any time during participation in the study. Topical tacrolimus is allowed if not used within 14 days prior to the day of enrolment. Participants may be rescheduled for enrolment if they no longer meet this criterion within the Screening Period. Inhaled, nasal, and topical steroids are allowed.
- Receipt or planned receipt of: Any vaccine(s), authorised or approved by local health agency, including mRNA vaccine, ≤28 days prior to the first injection through 28 days after the last dose of investigational (IMP).
- Intravenous blood products (red cells, platelets, immunoglobulins) within 3 months prior to the first injection up to the end of the study.
- Participated in an interventional study/received an investigational product within 28 days prior to the Screening Period or plans to do so while enroled in this study.
- Note: Other inclusion and exclusion criteria may apply.
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
United Kingdom12 sites
Bradford Teaching Hospitals NHS Foundation Trust
Bradford, BD9 6RJ
University Hospitals Bristol and Weston NHS Foundation Trust
Bristol, BS2 8DX
Lakeside Healthcare Research
Corby, NN17 2UR
University Hospitals of Leicester
Leicester, LE1 5WW
Liverpool University Hospitals NHS Foundation Trust
Liverpool, L7 8XP
Barts Health NHS Trust
London, E1 4DG
University College London Hospitals
London, NW1 2PG
Royal Free London NHS Foundation Trust
London, NW3 2QG
Chelsea and Westminster Hospital NHS Foundation Trust
London, SW10 9NH
Medicines Evaluation Unit
Manchester, M23 9QZ
Centre for Clinical Vaccinology and Tropical Medicine (CCVTM)
Oxford, OX3 7LE
North Wales Clinical Research Facility Centre
Wrexham, LL13 7YP
About this study
Official title: A Randomised, Placebo-Controlled, Dose-Ranging, Observer-Blind Phase 1/2 Study to Evaluate the Safety, Tolerability, and Immunogenicity of mRNA-1769 in Healthy Participants
The goal of this study is to assess the safety, tolerability and immunogenicity of mRNA-1769 in healthy adult participants.
- Being tested
- mRNA-1769, Placebo
- Keywords
- mRNA-1769 vaccine, mRNA-1769, Moderna
- Medical subject headings
- Smallpox, Mpox, Monkeypox
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mRNA-1769Biological
Sterile liquid for injection
PlaceboOther
0.9% sodium chloride injection (normal saline)
| Study group | Role | What they receive |
|---|---|---|
| mRNA-1769 Dose A | Experimental | Participants will receive intramuscular (IM) injection of mRNA-1769 at Dose A on Day 1 and Day 29. Receives: Biological: mRNA-1769 |
| mRNA-1769 Dose B | Experimental | Participants will receive IM injection of mRNA-1769 at Dose B on Day 1 and Day 29. Receives: Biological: mRNA-1769 |
| mRNA-1769 Dose C | Experimental | Participants will receive IM injection of mRNA-1769 at Dose C on Day 1 and Day 29. Receives: Biological: mRNA-1769 |
| Placebo | Placebo comparator | Participants will receive IM injection of placebo matched to mRNA-1769 on Day 1 and Day 29. Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs) Through 7 Days After Each Investigational Medicinal Product (IMP)
Measured: Up to Day 35
Number of Unsolicited Adverse Events (AEs) Through 7 Days After Each IMP
Measured: Up to Day 57
Number of Participants with Medically-Attended AEs (MAAEs)
Measured: Day 1 up to Day 395
Number of Participants with Adverse Events of Special Interest (AESIs)
Measured: Day 1 up to Day 395
Number of Participants with Serious Adverse Events (SAEs)
Measured: Day 1 up to Day 395
Number of Participants with AEs Leading to Study and/or Treatment Discontinuation
Measured: Day 1 up to Day 395
Secondary outcomes (8)
Geometric Mean Titer (GMT) of Neutralising Antibody (nAb) against Mpox Virus (MPXV) by Plaque reduction neutralisation test (PRNT)
Measured: Days 1 and 43
Percentage of Participants With Seroconversion Based on Neutralising Antibody Responses Against MPXV
Measured: Days 1 and 43
Geometric Mean Concentration of Binding Antibodies (bAbs) Against MPXV Antigens by Meso Scale Discovery (MSD) Assay
Measured: Days 1, 29, 43, and 57
Percentage of Participants With Seroconversion Based on Binding Antibodies (bAb) Responses against MPXV
Measured: Days 1, 29, 43, and 57
Geometric Mean Titer of Neutralising Antibody Against Vaccinia Virus (VACV) by Plaque Reduction Neutralisation Test (PRNT)
Measured: Days 1 and 43
Percentage of Participants With Seroconversion Based on Neutralising Antibody Responses Against Vaccinia Virus
Measured: Days 1 and 43
Geometric Mean Concentration of Binding Antibodies Against Vaccinia Virus Antigens by Meso Scale Discovery Assay
Measured: Days 1, 29, 43, and 57
Percentage of Participants With Seroconversion Based on Binding Antibodies Responses Against Vaccinia Virus
Measured: Days 1, 29, 43, and 57
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2023
- Study start15 Aug 2023
- Primary completion8 Jul 2025
- Study completion8 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SmallpoxStudies 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 1/2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 351 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
- NCT05995275
- Sponsor's protocol ID
- mRNA-1769-P101
- Status last verified
- Jul 2025
- First submitted
- 9 Aug 2023
- Last updated
- 16 Jul 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Placebo-Controlled, Dose-Ranging, Observer-Blind Phase 1/2 Study to Evaluate the Safety, Tolerability, and Immunogenicity of mRNA-1769 in Healthy Participants
- ClinicalTrials.gov ID
- NCT05995275
- Acronym / sponsor ID
- mRNA-1769-P101
- Keywords
- mRNA-1769 vaccine, mRNA-1769, Moderna
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 351 participants (actual)
- Lead sponsor
- ModernaTX, Inc.Industry (pharma, biotech, devices)
- Study start
- 15 Aug 2023 (actual)
- Primary completion
- 8 Jul 2025 (actual)
- Study completion
- 8 Jul 2025 (actual)
- First posted
- 16 Aug 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this study is to assess the safety, tolerability and immunogenicity of mRNA-1769 in healthy adult participants.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| mRNA-1769 Dose A | Experimental | Biological: mRNA-1769Participants will receive intramuscular (IM) injection of mRNA-1769 at Dose A on Day 1 and Day 29. |
| mRNA-1769 Dose B | Experimental | Biological: mRNA-1769Participants will receive IM injection of mRNA-1769 at Dose B on Day 1 and Day 29. |
| mRNA-1769 Dose C | Experimental | Biological: mRNA-1769Participants will receive IM injection of mRNA-1769 at Dose C on Day 1 and Day 29. |
| Placebo | Placebo comparator | Other: PlaceboParticipants will receive IM injection of placebo matched to mRNA-1769 on Day 1 and Day 29. |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Has a body mass index (BMI) between ≥18 kilogram per square meter (kg/m^2) to ≤39 kg/m^2.
- For female participants of childbearing potential: must have a negative highly sensitive pregnancy test with 28 days before the first dose of study drug, uses approved contraception during the study intervention period and for at least 3 months after the last dose of study drug, and not currently breastfeeding.
Key exclusion criteria (14 listed)
- History of smallpox vaccination, vaccination with any poxvirus-based vaccine, history of of/or recent exposure to Mpox (MPX) (defined as close contact with a confirmed case of MPX within the past 14 days).
- Participant should not have any significant, progressive, unstable, or uncontrolled clinical condition, including any condition that may affect participant safety, assessment of safety endpoints, assessment of immune response, or adherence to study procedures per Investigator judgement.
- Participant is undergoing investigations for a potential chronic medical disorder.
- Bleeding disorder considered a contraindication to IM injection or phlebotomy.
- Dermatologic conditions that could affect local solicited AR assessments.
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-1769Sterile liquid for injection | Biological | mRNA-1769 Dose A, mRNA-1769 Dose B, mRNA-1769 Dose C |
| Placebo0.9% sodium chloride injection (normal saline) | Other | Placebo |
Primary outcome
Number of Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs) Through 7 Days After Each Investigational Medicinal Product (IMP)
Time frame: Up to Day 35
Number of Unsolicited Adverse Events (AEs) Through 7 Days After Each IMP
Time frame: Up to Day 57
Number of Participants with Medically-Attended AEs (MAAEs)
Time frame: Day 1 up to Day 395
Number of Participants with Adverse Events of Special Interest (AESIs)
Time frame: Day 1 up to Day 395
Number of Participants with Serious Adverse Events (SAEs)
Time frame: Day 1 up to Day 395
Number of Participants with AEs Leading to Study and/or Treatment Discontinuation
Time frame: Day 1 up to Day 395
8 secondary outcomes
Geometric Mean Titer (GMT) of Neutralising Antibody (nAb) against Mpox Virus (MPXV) by Plaque reduction neutralisation test (PRNT)
Time frame: Days 1 and 43
Percentage of Participants With Seroconversion Based on Neutralising Antibody Responses Against MPXV
Time frame: Days 1 and 43
Geometric Mean Concentration of Binding Antibodies (bAbs) Against MPXV Antigens by Meso Scale Discovery (MSD) Assay
Time frame: Days 1, 29, 43, and 57
Percentage of Participants With Seroconversion Based on Binding Antibodies (bAb) Responses against MPXV
Time frame: Days 1, 29, 43, and 57
Geometric Mean Titer of Neutralising Antibody Against Vaccinia Virus (VACV) by Plaque Reduction Neutralisation Test (PRNT)
Time frame: Days 1 and 43
Percentage of Participants With Seroconversion Based on Neutralising Antibody Responses Against Vaccinia Virus
Time frame: Days 1 and 43
Geometric Mean Concentration of Binding Antibodies Against Vaccinia Virus Antigens by Meso Scale Discovery Assay
Time frame: Days 1, 29, 43, and 57
Percentage of Participants With Seroconversion Based on Binding Antibodies Responses Against Vaccinia Virus
Time frame: Days 1, 29, 43, and 57
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2025.
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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.
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing mRNA-1769 in people with Smallpox and Mpox, run by ModernaTX, Inc. at 12 sites in United Kingdom.
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 2 inclusion and 14 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 16 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in United Kingdom. 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. Some participants in this study may receive a placebo. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs) Through 7 Days After Each Investigational Medicinal Product (IMP) (time frame: Up to Day 35). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 16 Jul 2025.