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InfluenzaPhase 1/2NCT06744205

A Study on the Safety and Immunogenicity of Hexavalent Influenza mRNA Vaccine in Adult Participants 50 Years of Age and Older

A Phase 1/2 study testing Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1, TIV mRNA-neuraminidase (NA) and TIV mRNA-HA Vaccine 2 in people with Influenza and Healthy Volunteers, run by Sanofi Pasteur, a Sanofi Company at 24 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and immunogenicity of a single intramuscular injection of different formulations of a hexavalent influenza messenger ribonucleic acid (mRNA) vaccine composed of differing dose levels of trivalent (TIV) mRNA hemagglutinin (HA) in combination with TIV… Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza, Healthy Volunteers
What is being tested?
Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1, TIV mRNA-neuraminidase (NA) and TIV mRNA-HA Vaccine 2
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,162 participants
Where
24 sitesin 2 countries
Study dates
6 Jan 2025to 22 May 2026
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 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Participant aged 50 years on the day of inclusion
  • A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:
  • Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be postmenopausal for at least 1 year, or surgically sterile.
  • OR
  • Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to study intervention administration until at least 12 weeks after study intervention administration.
  • A female participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 8 hours prior to administration of study intervention.

Who cannot join

  • Participants are not eligible for the study if any of the following criteria are met:
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the study intervention components (eg, polyethylene glycol, polysorbate); history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances; any allergic reaction (eg, anaphylaxis) after administration of mRNA vaccine
  • Previous history of myocarditis, pericarditis, and/or myopericarditis
  • Known history of previous episodes of Guillain-Barré syndrome, neuritis (including Bell's palsy), convulsions, encephalitis, transverse myelitis, and vasculitis
  • Participants with an electrocardiogram that is consistent with possible myocarditis or pericarditis or, in the opinion of the investigator, demonstrates clinically relevant abnormalities that may affect participant safety or study results
Show all 18Show fewer
  • Self-reported thrombocytopenia, contraindicating intramuscular (IM) vaccination based on Investigator's judgment
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination based on Investigator's judgment
  • Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
  • Moderate or severe acute illness / infection (according to investigator's judgement) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
  • Alcohol, prescription drug, or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion
  • Participant who had acute infectious symptoms or a positive SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to the first visit (V01)
  • Receipt of any vaccine in the 4 weeks preceding study intervention administration or planned receipt of any vaccine in the 4 weeks following study intervention administration
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Previous vaccination against influenza in the previous 6 months with an investigational or marketed vaccine
  • Receipt of any mRNA vaccine/product in the 2 months preceding study intervention administration or planned receipt of any mRNA vaccine in the 2 months after study vaccination
  • Participation at the time of study enrollment (or in the 4 weeks preceding study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B virus, or hepatitis C virus

Trial locations and contacts

24 sites in 2 countries.

24 sites in 2 countries

United States21 sites
  • Accel Research Sites Network - Birmingham- Site Number : 8400008

    Birmingham, Alabama, 35216

  • Boston Clinical Trials- Site Number : 8400009

    Boston, Massachusetts, 02131

  • Charlottesville Medical Research- Site Number : 8400004

    Charlottesville, Virginia, 22911

  • AMR Miami- Site Number : 8400021

    Coral Gables, Florida, 33134

  • Accel Research Site - NeuroStudies.net, LLC - ERN - PPDS- Site Number : 8400001

    Decatur, Georgia, 30030-2627

  • Accel Research Sites Network - DeLand Clinical Research Unit- Site Number : 8400003

    DeLand, Florida, 32720

  • Quest Research Institute- Site Number : 8400010

    Farmington Hills, Michigan, 48334

  • Alliance for Multispeciality Research - Fort Myers- Site Number : 8400013

    Fort Myers, Florida, 33912

  • Alliance for Multispeciality Research - Kansas City- Site Number : 8400019

    Kansas City, Missouri, 64114

  • Alliance for Multispeciality Research - Knoxville- Site Number : 8400017

    Knoxville, Tennessee, 37920

  • AMR Las Vegas - Site Number : 8400016

    Las Vegas, Nevada, 89119

  • Alliance for Multispeciality Research - Lexington- Site Number : 8400018

    Lexington, Kentucky, 40509

  • Accel Research Sites - Maitland- Site Number : 8400007

    Maitland, Florida, 32751

  • ActivMed Practices & Research- Site Number : 8400005

    Methuen, Massachusetts, 03110

  • AMR Mobile- Site Number : 8400022

    Mobile, Alabama, 36608

  • Alliance for Multispeciality Research - Newton- Site Number : 8400020

    Newton, Kansas, 67114

  • Coastal Carolina Research Center - North Charleston- Site Number : 8400002

    North Charleston, South Carolina, 29405

  • AMR - Chicago- Site Number : 8400012

    Oak Brook, Illinois, 60532

  • Innovation Medical Research Center - Palmetto Bay- Site Number : 8400011

    Palmetto Bay, Florida, 33157

  • Alliance for Multispeciality Research - Clinical Research Consortium- Site Number : 8400015

    Tempe, Arizona, 85281

  • Alliance for Multispeciality Research - Wichita East- Site Number : 8400014

    Wichita, Kansas, 67207

Other trials in United States

Australia3 sites
  • Investigational Site Number : 0360003

    Bayswater, Victoria, 3153

  • Investigational Site Number : 0360001

    Botany, New South Wales, 2019

  • Investigational Site Number : 0360002

    Melbourne, Victoria, 3124

Other trials in Australia

About this study

Official title: A Phase I/II, Randomized, Modified Double-blind Study to Investigate the Safety and Immunogenicity of Different Doses of Hexavalent Influenza mRNA HA + mRNA NA Vaccine in Adult Participants 50 Years of Age and Older

The purpose of this study is to evaluate the safety and immunogenicity of a single intramuscular injection of different formulations of a hexavalent influenza messenger ribonucleic acid (mRNA) vaccine composed of differing dose levels of trivalent (TIV) mRNA hemagglutinin (HA) in combination with TIV mRNA-neuraminidase (NA) compared to an active control ((Fluzone standard-dose quadrivalent influenza vaccine (QIV-SD) or Fluzone high-dose quadrivalent influenza vaccine (QIV-HD) in adults 50 years of age and older.

Read the detailed description

Study details include the following:

  • Study Duration: approximately 12 months for each participant
  • Treatment: 1 injection of hexavalent vaccine, trivalent vaccine, or active control
  • Visit frequency: Day (D) 01, D03, D09, D29, and D181; D366 (telephone call)
  • Dose escalation with sequential enrollment of sentinel cohorts followed by parallel enrollment of the main cohort
Being tested
Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1, TIV mRNA-neuraminidase (NA), TIV mRNA-HA Vaccine 2, Quadrivalent Influenza Standard Dose Vaccine, Quadrivalent Influenza Vaccine High Dose
Keywords
influenza, flu, vaccine, hexavalent
Medical subject headings
Influenza, Human

What participants receive

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

  • Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1Biological

    • Pharmaceutical form: solution for injection in a vial
    • Route of administration: Intramuscular injection
  • TIV mRNA-neuraminidase (NA)Biological

    • Pharmaceutical form: solution for injection in a vial
    • Route of administration: Intramuscular injection
  • TIV mRNA-HA Vaccine 2Biological

    • Pharmaceutical form: solution for injection in a vial
    • Route of administration: Intramuscular injection
  • Quadrivalent Influenza Standard Dose VaccineBiological

    Also called Fluzone Qudrivalent®

    • Pharmaceutical form: Liquid suspension for injection in pre-filled syringe
    • Route of administration: Intramuscular injection
  • Quadrivalent Influenza Vaccine High DoseBiological

    Also called Fluzone High-Dose Quadrivalent®

    • Pharmaceutical form: Liquid suspension for injection in pre-filled syringe
    • Route of administration: Intramuscular injection
Study groups in NCT06744205
Study groupRoleWhat they receive
Group 1 - Hexavalent (Combination 1)ExperimentalParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 1)
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1; Biological: TIV mRNA-neuraminidase (NA)
Group 2 - Hexavalent (Combination 2)ExperimentalParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 2)
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1; Biological: TIV mRNA-neuraminidase (NA)
Group 3 - Hexavalent (Combination 3)ExperimentalParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 3)
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1; Biological: TIV mRNA-neuraminidase (NA)
Group 4 - Hexavalent (Combination 4)ExperimentalParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 4)
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1; Biological: TIV mRNA-neuraminidase (NA)
Group 5 - Hexavalent (Combination 5)ExperimentalParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 5)
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1; Biological: TIV mRNA-neuraminidase (NA)
Group 6 - Hexavalent (Combination 6)ExperimentalParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 6)
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1; Biological: TIV mRNA-neuraminidase (NA)
Group 7 - TIV mRNA-HA Vaccine 1ExperimentalParticipants will receive a single dose of TIV mRNA-HA Vaccine 1
Receives: Biological: Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1
Group 8 - TIV mRNA-NAExperimentalParticipants will receive a single dose of TIV mRNA-NA
Receives: Biological: TIV mRNA-neuraminidase (NA)
Group 9 - TIV mRNA-HA Vaccine 2ExperimentalParticipants will receive single dose of TIV mRNA-HA Vaccine 2
Receives: Biological: TIV mRNA-HA Vaccine 2
Group 10 - QIV-SDActive comparatorParticipants will receive single dose of QIV-SD vaccine (for participants 50 to 64 years of age only)
Receives: Biological: Quadrivalent Influenza Standard Dose Vaccine
Group 11 - QIV-HDActive comparatorParticipants will receive single dose of QIV-HD vaccine
Receives: Biological: Quadrivalent Influenza Vaccine High Dose

What is being measured

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

  1. Number of participants with immediate unsolicited systemic adverse events (AEs)

    Unsolicited systemic AEs that occur within 30 minutes after vaccination

    Measured: Within 30 minutes after injection

  2. Number of participants with solicited injection site reactions

    Solicited injection site reactions pre-listed in the participant diary and in the case report form CRF

    Measured: Up to 7 days after injection

  3. Number of participants with solicited systemic reactions

    Solicited systemic reactions pre-listed in the participant diary and in the CRF

    Measured: Up to 7 days after injection

  4. Number of participants with unsolicited AEs

    AEs that do not fulfill the conditions of solicited reactions

    Measured: Up to 28 days after injection

  5. Number of participants with medically attended adverse events (MAAEs)

    MAAEs reported up to 180 days after injection

    Measured: Up to 180 days after injection

  6. Number of participants with serious adverse events (SAEs)

    Throughout the study

    Measured: SAEs throughout the study (Up to approximately 12 months)

  7. Number of participants with adverse events of special interest (AESIs)

    Throughout the study

    Measured: AESIs throughout the study (Up to approximately 12 months)

  8. Number of participants with out-of-range biological test results

    Out-of-range biological test results (including shift from baseline values)

    Measured: Up to 8 days after injection

  9. Hemagglutinin inhibition (HAI) titers

    HAI titers at D01 and D29

    Measured: At Day 1 and Day 29

  10. Individual HAI antibody (Ab) titer ratio D29/D01

    Individual HAI Ab titer ratio D29/D01

    Measured: At Day 1 and Day 29

  11. Seroconversion (HAI Ab titer)

    Number of participants with HAI Ab titer < 10 [1/dil] at Day 1 and post-injection titer ≥ 40 [1/dil] at Day 29, or titer ≥ 10 [1/dil] at Day 1 and a ≥ 4-fold increase in titer [1/dil] at Day 29

    Measured: At Day 1 and Day 29

  12. HAI Ab titer ≥ 40 (1/dil)

    HAI Ab titer ≥ 40 (1/dil) at D29

    Measured: At Day 29

  13. Neuraminidase inhibition (NAI) titers

    NAI titers at D01 and D29

    Measured: At Day 1 and Day 29

  14. Individual NAI Ab titer ratio D29/D01

    Individual NAI Ab titer ratio D29/D01

    Measured: At Day 1 and Day 29

  15. Seroconversion (NAI Ab titer)

    Number of participants with NAI Ab titer < 10 [1/dil] at D01 and post-injection titer ≥ 40 [1/dil] at D29, or titer ≥ 10 [1/dil] at D01 and a ≥ 4-fold increase in titer [1/dil] at D29)

    Measured: At Day 1 and Day 29

  16. NAI Ab titer ≥ 40 (1/dil)

    NAI Ab titer ≥ 40 (1/dil) at D29

    Measured: At Day 29

  17. 2-fold and 4-fold rise in NAI titers

    2-fold and 4-fold rise in NAI titers from D01 to D29

    Measured: Day 1 to Day 29

Secondary outcomes (3)
  1. Neutralizing antibodies titers

    Neutralizing antibodies titers at D01 and D29

    Measured: At Day 1 and Day 29

  2. Individual neutralizing antibodies titer ratio

    Individual neutralizing antibodies titer ratio D29/D01

    Measured: At Day 1 and Day 29

  3. 2-fold and 4-fold increase in neutralizing titers

    2-fold and 4-fold increase in neutralizing titers D01 through D29

    Measured: Day 1 to Day 29

Timeline

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

  1. First posted20 Dec 2024
  2. Study start6 Jan 2025
  3. Primary completion22 May 2026
  4. Study completion22 May 2026

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
Model description
Dose escalation with sequential enrollment of sentinel cohorts followed by parallel enrollment of the main cohort.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,162 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06744205
Sponsor's protocol ID
FBP00021
Other IDs
U1111-1303-3537
Status last verified
Jun 2026
First submitted
16 Dec 2024
Last updated
9 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1, TIV mRNA-neuraminidase (NA) and TIV mRNA-HA Vaccine 2 in people with Influenza and Healthy Volunteers, run by Sanofi Pasteur, a Sanofi Company at 24 sites in 2 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 6 inclusion and 18 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 9 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, 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 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 participants with immediate unsolicited systemic adverse events (AEs) (time frame: Within 30 minutes after injection). The study lists 17 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 9 Jun 2026.

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