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Influenza, HumanPhase 1NCT06125691

Safety and Immunogenicity First-in-human Dose-ranging Study of Self-Amplifying RNA Seasonal Influenza Vaccine in Adults

A Phase 1 study testing ARCT-2138, Licensed Quadrivalent Vaccine for younger adults and Licensed Quadrivalent Vaccine for older adults in people with Influenza, Human, run by Arcturus Therapeutics, Inc. at 2 sites in Australia.

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 is a safety and Immunogenicity first-in-human dose-ranging study of self-amplifying RNA Seasonal Influenza Vaccine (ARCT-2138) in adults. 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?
ARCT-2138, Licensed Quadrivalent Vaccine for younger adults and Licensed Quadrivalent Vaccine for older adults
Could I receive a placebo?
No, everyone receives an active treatment
How many people
139 participants
Where
2 sitesAustralia
Study dates
22 Jan 2024to 7 Jan 2025
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

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

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

Who may be able to join

  • Individuals are male, female, or transgender adults 18 to 49 years of age or 65 to 85 years of age.
  • Healthy participants or participants with pre-existing stable medical conditions. Pre-existing stable medical condition means a subject who: has full capacity of daily activity and no major medication modification; has not undergone surgical or minimally invasive intervention or had any hospitalization/emergency room visit for the specific medical condition within 3 months prior to Day 1.
  • Participant or legally authorized representatives must freely provide documented informed consent prior to study procedures being performed.
  • Individuals who have not received influenza vaccine within 6 months prior to enrollment.
  • Individuals must agree to comply with all study visits and procedures (including blood tests, nasopharyngeal swabs, diary completion, receipt of telephone calls from the site, willingness to be available for Unscheduled Clinic Visits).
  • Individuals of childbearing potential must be willing to adhere to contraceptive requirements.

Who cannot join

  • Individuals with acute medical illness or febrile illness, including body temperature >100.4°F (>38.0°C) within 3 days prior to Randomization. These individuals may be offered the opportunity to enter the study after fever and illness has stabilized. Participants with suspected or confirmed influenza should be excluded and referred for medical care. Rescreening will be permitted for individuals who are presented with suspected influenza if another diagnosis is confirmed.
  • Individuals with any medical, neurological, or psychiatric condition that, in the opinion of the investigator, could place the participant at an unacceptable risk of injury or render the participant unable to comply with all study procedures and achieve successful completion of the trial.
  • Individuals with a known history of severe hypersensitivity reactions, including anaphylaxis, or other significant adverse reactions to any mRNA vaccine, influenza vaccine, or excipients.
  • Individuals who have a positive pregnancy test at the Screening visit or Day 1 or who intend to become pregnant or breastfeed during the study.
  • Individuals with a history of myocarditis, pericarditis, myopericarditis or cardiomyopathy.
  • Individuals with a history of Guillain-Barré syndrome, encephalomyelitis, or transverse myelitis.
Show all 19Show fewer
  • Individuals with a known bleeding disorder that would, in the opinion of the investigator, contraindicate intramuscular (I.M.) injection.
  • Individuals with a history of congenital or acquired immunodeficiency.
  • Individuals who have received immunomodulatory, immunostimulatory, or immunosuppressant drugs including interferon and cytotoxic drugs within 3 months of Screening/Day 1 or who plan to receive them during the study.
  • Individuals requiring systemic corticosteroids exceeding 10 mg/day of prednisone equivalent for ≥10 days within 30 days of Screening. The use of topical, ophthalmic, inhaled, and intranasal steroid preparations will be permitted.
  • Individuals who have received immunoglobulins and/or any blood or blood products within the 3 months before the first vaccine administration or plan to receive such products at any time during the study.
  • Individuals with an immunosuppressive or immunodeficient state, asplenia, or recurrent severe infections.
  • Individuals with a documented history of chronic infection including HIV, HBV, HCV, or who are currently known to have active tuberculosis.
  • Individuals with chronic illness that, in the opinion of the Investigator, are at a stage where it might interfere with trial participation or interpretation of study results.
  • Individuals receiving treatment with another investigational drug, biological agent, or device within 28 days of screening, or 5 half-lives of the investigational drug, whichever is longer; or are currently enrolled in or plan to participate in another clinical trial with an investigational agent during the study period.
  • Individuals who received any influenza vaccine within 6 months prior to enrollment. Individuals who plan to receive an influenza vaccine during the study period*.
  • Individuals who have received any other licensed vaccines within 14 days prior to enrollment in this study or who are planning to receive any vaccine up to 14 days after the study vaccination.
  • Individuals who are investigator site staff members, employees of the Sponsor or the Clinical Research Organization directly involved in the conduct of the study, or site staff members otherwise supervised by the investigator or immediate family members of any of the previously mentioned individuals.
  • Participants in the older adult group (Part 3) are allowed, following their Day 29 visit, to receive the authorized influenza vaccine as per country-specific recommendations.

Trial locations and contacts

2 sites in 1 country.

Australia2 sites
  • Nucleus Network Brisbane Clinic

    Brisbane, Queensland

  • Emeritus Research Camberwell

    Melbourne, Victoria, 3124

Other trials in Australia

About this study

Official title: A Phase 1, First-in-Human, Randomized, Observer-blind, Controlled, Dose-ranging Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of a Self-Amplifying mRNA Seasonal Influenza Vaccine (ARCT-2138), When Administered to Healthy Adults

This is a safety and Immunogenicity first-in-human dose-ranging study of self-amplifying RNA Seasonal Influenza Vaccine (ARCT-2138) in adults.

Read the detailed description

Phase 1, first-in-human, randomized, controlled, observer blind (open label Part 4 only), dose-escalation study, to assess the safety, tolerability, and immunogenicity of different dose levels of the ARCT-2138 vaccine, administered as a single dose to healthy young and older adults, in comparison with an inactivated influenza vaccine.

Study drug (ARCT-2138 or control) will be administered as an intramuscular (IM) injection. The study comprises of four parts. In Part 1, escalating dose levels of ARCT-2138 given as a single injection to younger adults will be evaluated sequentially.

Low, medium, and high dose levels of ARCT-2138 (as recommended by DSMB) will be further evaluated in younger adults in Part 2. Part 3 will evaluate low, medium, and high dose levels of ARCT-2138 (as recommended by DSMB) in older adults.

Part 4 (dose expansion phase) will administer a lower dose of ARCT-2138 in young adults.

Investigational Vaccine: ARCT-2138 (Part 1-3 only, no control vaccine for Part 4) Control Vaccines: licensed influenza vaccines (inactivated)

  • For younger adults: Flucelvax® Quad, Seqirus Pty Ltd.
  • For older adults: Fluad® Quad, Seqirus Pty Ltd.
Being tested
ARCT-2138, Licensed Quadrivalent Vaccine for younger adults, Licensed Quadrivalent Vaccine for older adults
Keywords
Influenza, 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.

  • ARCT-2138Biological

    Also called Self-Amplifying RNA seasonal Influenza vaccine

    Each participant will receive one 0.5 mL intramuscular (IM) dose into the deltoid muscle.

  • Licensed Quadrivalent Vaccine for younger adultsBiological

    Also called Influenza vaccine, surface antigen, inactivated, prepared in cell cultures

    Each participant will receive one 0.5 mL intramuscular (IM) dose into the deltoid muscle.

  • Licensed Quadrivalent Vaccine for older adultsBiological

    Also called Influenza vaccine, surface antigen, inactivated, adjuvanted

    Each participant will receive one 0.5 mL intramuscular (IM) dose into the deltoid muscle.

Study groups in NCT06125691
Study groupRoleWhat they receive
Cohort 1 of ARCT-2138, younger adultsExperimentalDose Level 1 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
Cohort 2 of ARCT-2138, younger adultsExperimentalDose Level 2 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
Cohort 3 of ARCT-2138, younger adultsExperimentalDose Level 3 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
Cohort 4 of ARCT-2138, younger adultsExperimentalDose Level 4 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
Low Dose, younger and older adultsExperimentalLow dose level of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
Medium Dose, younger and older adultsExperimentalMedium dose level of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
High Dose, younger and older adultsExperimentalHigh dose level of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Receives: Biological: ARCT-2138
Control Dose, younger adultsActive comparatorLicensed Quadrivalent Vaccine administered through intramuscular injection in the deltoid muscle. Interventions: Control Vaccine: Licensed Quadrivalent Vaccine for younger adults
Receives: Biological: Licensed Quadrivalent Vaccine for younger adults
Control Dose, older adultsActive comparatorLicensed Quadrivalent Vaccine administered through intramuscular injection in the deltoid muscle. Interventions: Control Vaccine: Licensed Quadrivalent Vaccine for older adults
Receives: Biological: Licensed Quadrivalent Vaccine for older adults

What is being measured

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

  1. Percentage of participants reporting local Adverse Events

    Solicited local AEs include injection-site pain, erythema and swelling

    Measured: 14 Days following study vaccination

  2. Percentage of participants reporting systemic Adverse Events

    Solicited systemic AEs include fatigue, headache, myalgia, arthralgia, nausea, chills, and fever.

    Measured: 14 Days following study vaccination

  3. Percentage of participants reporting unsolicited Adverse Events

    Spontaneously reported adverse events and as elicited by investigational site staff

    Measured: 29 Days following study vaccination

  4. Percentage of participants reporting laboratory or vital signs abnormalities

    Abnormal clinically significant values

    Measured: 29 Days following study vaccination

  5. Percentage of participants reporting serious adverse events, medically attended adverse events adverse events of special interest and adverse events leading early termination

    Spontaneously reported adverse events and as elicited by investigational site staff

    Measured: 29 Days following study vaccination

  6. Serum hemagglutination inhibition (HAI) antibody levels against the HA glycoprotein.

    HAI antibody levels expressed as GMT, GMFI, SCRs and HAI titers.

    Measured: 29 days following study vaccination

  7. Serum neuraminidase enzyme-linked lectin (ELLA) assay antibody levels against the NA glycoproteins.

    ELLA antibody levels expressed as GMT, GMFI, SCRs and HAI titers.

    Measured: 29 days following study vaccination

Secondary outcomes (3)
  1. Percentage of participants reporting serious adverse events, medically attended adverse events adverse events of special interest and adverse events leading early termination

    Spontaneously reported adverse events and as elicited by investigational site staff

    Measured: 181 days following study vaccination

  2. Serum hemagglutination inhibition (HAI) antibody levels against the HA glycoprotein.

    HAI antibody levels expressed as GMT, GMFI, SCRs and HAI titers.

    Measured: 181 days following study vaccination

  3. Serum neuraminidase enzyme-linked lectin (ELLA) assay antibody levels against the NA glycoproteins.

    ELLA antibody levels expressed as GMT, GMFI, SCRs and HAI titers.

    Measured: 181 days following study vaccination

Timeline

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

  1. First posted9 Nov 2023
  2. Study start22 Jan 2024
  3. Primary completion10 Aug 2024
  4. Study completion7 Jan 2025

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
139 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06125691
Sponsor's protocol ID
ARCT-2138-01
Status last verified
Sep 2025
First submitted
5 Nov 2023
Last updated
3 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will only be made available to study investigators at this time.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ARCT-2138, Licensed Quadrivalent Vaccine for younger adults and Licensed Quadrivalent Vaccine for older adults in people with Influenza, Human, run by Arcturus Therapeutics, Inc. at 2 sites in Australia.

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 6 inclusion and 19 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 3 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

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

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

Are results available for this study?

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

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

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

What does the primary outcome measure?

Percentage of participants reporting local Adverse Events (time frame: 14 Days following study vaccination). The study lists 7 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 3 Oct 2025.

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