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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05829356
Registration number
NCT05829356
Ethics application status
Date submitted
6/04/2023
Date registered
25/04/2023
Titles & IDs
Public title
Substudy 01 - Safety and Immunogenicity of One Monovalent Modified mRNA Vaccine Encoding Influenza Hemagglutinin With LNP, in Adult Participants Aged 18 to 49 Years and 60 Years and Above
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Scientific title
A Phase I, Parallel, Randomized, Active-controlled, Multi-center, Dose-escalation Study With Early Safety Data Reviews to Assess Safety and Immunogenicity of One Monovalent Modified Influenza mRNA Vaccine Encapsulated in LNP, in Adults Aged 18 to 49 Years and 60 Years and Above.
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Secondary ID [1]
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U1111-1278-3835
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Secondary ID [2]
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VAV00019
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Influenza Immunization
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - H3 mRNA / LNP Vaccine
Treatment: Other - Quadrivalent recombinant influenza Vaccine (RIV4)
Experimental: Group 1: H3 mRNA /LNP dose 1 - Participants will receive one intramuscular (IM) dose of H3 mRNA/LNP at Day 01
Experimental: Group 2: H3 mRNA /LNP dose 2 - Participants will receive one IM dose of H3 mRNA/LNP at Day 01
Experimental: Group 3: H3 mRNA /LNP dose 3 - Participants will receive one IM dose of H3 mRNA/LNP at Day 01
Experimental: Group 4: H3 mRNA /LNP dose 4 - Participants will receive one IM dose of H3 mRNA/LNP at Day 01
Experimental: Group 5: H3 mRNA /LNP dose 5 - Participants will receive one IM dose of H3 mRNA/LNP at Day 01
Active comparator: Group 6 (Control Group): RIV4 dose - Participants will receive one IM dose of RIV4 at Day 01
Treatment: Other: H3 mRNA / LNP Vaccine
Pharmaceutical Form: Suspension for injection
Route of Administration: Intra-Muscular
Treatment: Other: Quadrivalent recombinant influenza Vaccine (RIV4)
Pharmaceutical Form: Solution for injection in a pre-filled syringe
Route of Administration: Intra-Muscular
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with immediate adverse events (AEs)
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Assessment method [1]
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Unsolicited systemic AEs that occur within 30 minutes after vaccination
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Timepoint [1]
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Within 30 minutes after vaccination
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Primary outcome [2]
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Number of participants with solicited injection site or systemic reaction
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Assessment method [2]
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Number of participants reporting Adverse reactions pre-listed in the protocol and case report form (CRF)
* Injection site reactions: pain, redness, swelling
* Systemic reactions: fever, headache, malaise, myalgia, arthralgia, chills
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Timepoint [2]
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Within 7 days from vaccination
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Primary outcome [3]
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Number of participants with unsolicited adverse events
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Assessment method [3]
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Unsolicited (spontaneously reported) adverse events not fulfilling criteria for solicited reactions
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Timepoint [3]
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Up to 28 days after injection
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Primary outcome [4]
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Presence of out-of-range biological test results
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Assessment method [4]
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Number of participants with biological safety assessment values out of normal range (as per the laboratory performing the test)
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Timepoint [4]
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At Day 3, Day 9 or Day 29
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Primary outcome [5]
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Presence of serious adverse events (SAEs)
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Assessment method [5]
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Number of participants experiencing SAEs
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Timepoint [5]
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Throughout Study (up to approximately Month 6)
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Primary outcome [6]
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Presence of adverse events of special interest (AESIs)
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Assessment method [6]
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Number of participants experiencing AESIs
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Timepoint [6]
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Throughout Study (up to approximately Month 6)
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Primary outcome [7]
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Hemagglutination inhibition (HAI) antibody (Ab) response to homologous strain
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Assessment method [7]
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Antibody are expressed as geometric mean titers (GMTs) at baseline and post-baseline
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Timepoint [7]
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Day 29
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Primary outcome [8]
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HAI titers at D01
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Assessment method [8]
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Antibody titers are expressed as GMTs at baseline and post-baseline
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Timepoint [8]
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Day 1
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Primary outcome [9]
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HAI titers at D29
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Assessment method [9]
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Antibody titers are expressed as GMTs at baseline and post-baseline
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Timepoint [9]
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Day 29
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Primary outcome [10]
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Individual HAI Ab titer ratio
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Assessment method [10]
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Individual HAI Ab titer ratio will be calculated as: D29/D01
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Timepoint [10]
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Day 1 through Day 29
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Primary outcome [11]
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Number of Participants with Vaccine Response or Seroconversion
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Assessment method [11]
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Seroconversion (HAI 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)
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Timepoint [11]
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Day 1 through Day 29
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Primary outcome [12]
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2-fold and 4-fold rise in HAI titers from D01 to D29
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Assessment method [12]
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Expressed as percentage post-baseline
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Timepoint [12]
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Day 1 to Day 29
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Primary outcome [13]
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Percentage of participants with detectable antibody HAI titers greater than or equal to (=) 40 [1/dil]
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Assessment method [13]
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Timepoint [13]
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Day 29
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Primary outcome [14]
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Geometric Mean Titers (GMTs) of neutralizing antibody (nAb) titers at Day 1
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Assessment method [14]
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Nab titers at Day 1
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Timepoint [14]
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Day 1
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Primary outcome [15]
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Geometric Mean Titers (GMTs) of neutralizing antibody (nAb) titers at Day 29
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Assessment method [15]
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Nab titers at Day 29
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Timepoint [15]
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Day 29
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Primary outcome [16]
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Individual nab titer ratio
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Assessment method [16]
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Individual nab titer ratio will be calculated as: D29/D01
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Timepoint [16]
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Day 1 through Day 29
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Primary outcome [17]
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2-fold and 4-fold increase in neutralizing Ab titers from D01 to D29
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Assessment method [17]
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Expressed as percentage post-baseline
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Timepoint [17]
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Day 1 to Day 29
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Eligibility
Key inclusion criteria
* Aged 18 years and above on the day of inclusion
*Aged 18 years to 49 years or 60 years and above on the day of inclusion (substudy 01)
* 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) at the screening visit.
* Inclusion Criteria to be Checked at Visit 1 (Day 1)
Participants are eligible for the study only if all of the following criteria are met:
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 before the first dose of study intervention.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Previous vaccination against influenza in the previous 6 months with an investigational or marketed vaccine
* Any screening laboratory parameter with laboratory abnormalities that are greater than Grade 1 or deemed clinically significant in the opinion of the Investigator
* OR, any screening Liver Function Test (ALT, AST, Bilirubin) > 1.2x Upper Limit of Normal or any other screening laboratory parameter outside of the range of normal limits for age and gender
* Positive test for human immunodeficiency virus (HIV) antigen and/or antibodies (Abs), hepatitis B (HB) virus surface antigen (HBsAg), hepatitis B core antibodies (HBcAb), or hepatitis C virus antibodies (HCV Abs)
* 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 [PEG], 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 COVID-19 vaccine
* Previous history of myocarditis, pericarditis, and/or myopericarditis
* Screening electrocardiogram (ECG) or troponin value that is consistent with probable or possible myocarditis, pericarditis, and/or myopericarditis or screening ECG that demonstrates clinically relevant abnormalities that may affect participant safety or study results
* Self-reported thrombocytopenia, contraindicating intramuscular vaccination based on Investigator's judgment
* Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular 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
* Alcohol, prescription drug, or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion
* Receipt of any vaccine in the 4 weeks preceding study enrollment or planned receipt of any vaccine in the 4 weeks following study intervention administration
* Receipt of any mRNA vaccine/product in the 2 months preceding study enrollment or planned receipt of any mRNA vaccine/product within the 2 months following study intervention administration
* Receipt of immune globulins, blood or blood-derived products in the past 3 months -Participation at the time of study enrollment (or in the 4 weeks preceding study enrollment or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
* Previous vaccination against influenza in the previous 6 months with an investigational or marketed vaccine
* Exclusion criteria to be checked at Visit 1 Day 1:
* Moderate or severe acute illness/infection (according to Investigator's judgment) 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.
The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/04/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
14/03/2024
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Sample size
Target
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Accrual to date
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Final
159
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Recruitment hospital [1]
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Investigational Site Number : 0360004 - Herston
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Recruitment hospital [2]
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Investigational Site Number : 0360001 - Morayfield
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Recruitment hospital [3]
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Investigational Site Number : 0360002 - Camberwell
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Recruitment hospital [4]
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Investigational Site Number : 0360003 - Adelaide
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Recruitment postcode(s) [1]
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4006 - Herston
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Recruitment postcode(s) [2]
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4506 - Morayfield
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Recruitment postcode(s) [3]
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3124 - Camberwell
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Recruitment postcode(s) [4]
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5000 - Adelaide
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Recruitment outside Australia
Country [1]
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United Kingdom
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State/province [1]
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Leicestershire
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Country [2]
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United Kingdom
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State/province [2]
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London, City Of
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Country [3]
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United Kingdom
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State/province [3]
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Sheffield
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sanofi Pasteur, a Sanofi Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 1, parallel, randomized, active-controlled, multi-center, dose-esclation study with a Master Protocol design which will include several substudies that are developed to evaluate the safety and immunogenicity of different dose levels of modified messenger ribonucleic acid (mRNA) vaccines encoding full length hemagglutinin (HA) sequence of influenza virus encapsulated in lipid nanoparticles (LNPs) (hereafter referred to as HA mRNA vaccines) compared to control(s). The HA mRNA vaccine candidates and control(s) are presented in the substudy protocols. The aim is to generate clinical data across different substudies to provide learnings regarding the mRNA technology to support optimization of the mRNA platform including mRNA and LNP design and to support the decision of LNP and dose selection for future projects using mRNA technology. The purpose of this Substudy 01 is to evaluate the safety and immunogenicity of a single IM injection of up to 5 dose levels of a monovalent modified mRNA encoding the full-length HA sequence of A/Tasmania/503/2020 (H3N2) influenza virus encapsulated in LNP (hereafter referred to as H3 mRNA /LNP) administered as a single intramuscular (IM) injection in adults 18 to 49 years of age and 60 years of age and above, compared to the following active control: a quadrivalent recombinant influenza vaccine (RIV4).
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Trial website
https://clinicaltrials.gov/study/NCT05829356
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Clinical Sciences & Operations
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Address
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Sanofi Pasteur, a Sanofi Company
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
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
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05829356