A Study to Evaluate the Safety, Tolerability, and Immunogenicity of a Modified RNA Vaccine Against Influenza
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ClinicalTrials.gov Identifier: NCT05052697 |
Recruitment Status :
Completed
First Posted : September 22, 2021
Last Update Posted : March 6, 2023
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This study will be divided into two substudies - Substudy A (SSA) and Substudy B (SSB)
Substudy A This is a Phase 1 randomized substudy to evaluate the safety and immunogenicity of monovalent influenza modRNA vaccine (mIRV) and bivalent influenza modRNA vaccine (bIRV) at various dose levels, and quadrivalent influenza modRNA vaccine (qIRV), in participants 65 to 85 years of age. Participants will receive at Vaccination 1 either:
- 1 of 4 dose levels of mIRV (either A or B Strain),
- 1 of 4 dose levels of bIRV (containing both A and B strains),
- qIRV (at 1 dose level), or
- A licensed quadrivalent influenza vaccine (QIV).
At approximately 8 weeks following Vaccination 1, participants will be unblinded and QIV (Vaccination 2) administered to participants not having previously received this at Vaccination 1. Additionally, participants who previously received QIV at Vaccination 1 will receive one of the following for Vaccination 2:
- mIRV encoding A strain at dose level 4, or
- mIRV encoding B strain at dose level 4.
Substudy B
This is a randomized substudy to evaluate the safety and immunogenicity of the following vaccination schedules in participants 65 to 85 years of age:
2-Visit Schedules
- 2 doses of qIRV (at a dose level 1), administered 21 days apart.
- 2 doses of licensed QIV, administered 21 days apart (as a control group)
-
A dose of licensed QIV following by a dose of bIRV encoding 2 A strains at dose level combination 1 or 2, administered 21 days apart.
1-Visit Schedules
- A dose of licensed QIV administered concurrently in the opposite arm with bIRV encoding 2 A strains at dose level combination 1 or 2.
- A dose of bIRV encoding 2 A strains administered concurrently in the opposite arm with a dose of bIRV encoding 2 B strains.at dose level 1.
- A dose of qIRV encoding 2 A strains and 2 B strains at dose level 2 (at one of two possible dose level combinations).
- A dose of qIRV encoding 2 A strains and 2 B strains at dose level 3.
- 1 dose of licensed QIV (as a control group).
Substudy B
In participants 18 to 64 years of age:
-A dose of qIRV encoding 2 A strains and 2 B strains at a dose level combination 1 or 2.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Influenza, Human | Biological: mIRV Biological: bIRV AB Biological: qIRV Biological: QIV Biological: bIRV AA Biological: bIRV BB | Phase 1 Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 1168 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Masking Description: | SSA: observer-blinded, sponsor unblind SSB: single-blind, sponsor unblind |
Primary Purpose: | Prevention |
Official Title: | A PHASE 1/2 RANDOMIZED STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A MODIFIED RNA VACCINE AGAINST INFLUENZA IN HEALTHY INDIVIDUALS |
Actual Study Start Date : | September 13, 2021 |
Actual Primary Completion Date : | January 27, 2023 |
Actual Study Completion Date : | January 27, 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: SSA: mIRV A (dose level 1) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV A (dose level 2) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV A (dose level 3) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV A (dose level 4) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV B (dose level 1) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV B (dose level 2) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV B (dose level 3) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: mIRV B (dose level 4) + QIV |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: bIRV AB (dose level combination 1) + QIV |
Biological: bIRV AB
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: bIRV AB (dose level combination 2) + QIV |
Biological: bIRV AB
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: bIRV AB (dose level combination 3) + QIV |
Biological: bIRV AB
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: bIRV AB (dose level combination 4) + QIV |
Biological: bIRV AB
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: QIV + mIRV A strain (dose level 4) |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: qIRV (dose level 1) + QIV |
Biological: qIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSA: QIV + mIRV B strain (dose level 4) |
Biological: mIRV
Intramuscular injection Biological: QIV Intramuscular injection |
Experimental: SSB: 2 doses of qIRV (dose level 1), 2-visit schedule |
Biological: qIRV
Intramuscular injection |
Experimental: SSB: 2 doses of QIV, 2-visit schedule |
Biological: QIV
Intramuscular injection |
Experimental: SSB: QIV + bIRV AA (dose level combination 1), 2-visit schedule |
Biological: QIV
Intramuscular injection Biological: bIRV AA Intramuscular injection |
Experimental: SSB: QIV + bIRV AA (dose level combination 2), 2-visit schedule |
Biological: QIV
Intramuscular injection Biological: bIRV AA Intramuscular injection |
Experimental: SSB: QIV + bIRV AA (dose level combination 1), 1-visit schedule |
Biological: QIV
Intramuscular injection Biological: bIRV AA Intramuscular injection |
Experimental: SSB: QIV + bIRV AA (dose level combination 2), 1-visit schedule |
Biological: QIV
Intramuscular injection Biological: bIRV AA Intramuscular injection |
Experimental: SSB: qIRV (dose level 2, dose combination 1), 1-visit schedule
NOTE: Arm Description has not been entered.
|
Biological: qIRV
Intramuscular injection |
Experimental: SSB: qIRV (dose level 2, dose combination 2), 1-visit schedule
NOTE: Arm Description has not been entered
|
Biological: qIRV
Intramuscular injection |
Experimental: SSB: qIRV (dose level 3), 1-visit schedule
NOTE: Arm Description has not been entered
|
Biological: qIRV
Intramuscular injection |
Experimental: SSB: bIRV AA + bIRV BB (both dose level combination 1), 1-visit schedule
NOTE: Arm Description has not been entered
|
Biological: bIRV AA
Intramuscular injection Biological: bIRV BB Intramuscular injection |
Experimental: SSB: 1 dose of QIV, 1-visit schedule
NOTE: Arm Description has not been entered
|
Biological: QIV
Intramuscular injection |
Experimental: SSB: qIRV (dose level 1), 1-visit schedule
NOTE: Arm Description has not been entered.
|
Biological: qIRV
Intramuscular injection |
Experimental: SSB: qIRV (dose level 2), 1-visit schedule
NOTE: Arm Description has not been entered.
|
Biological: qIRV
Intramuscular injection |
- SSA: Percentage of participants reporting local reactions [ Time Frame: For 7 days after Vaccinations 1 and 2 ]Pain at the injection site, redness, and swelling, as self-reported in electronic diaries.
- SSA: Percentage of participants reporting systemic events [ Time Frame: For 7 days after Vaccinations 1 and 2 ]Fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain, as self reported in electronic diaries.
- SSA: Percentage of participants reporting adverse events [ Time Frame: From vaccination to 4 weeks after Vaccinations 1 and 2 ]As elicited by investigational site staff.
- SSA: Percentage of participants reporting serious adverse events [ Time Frame: From vaccination to 6 months after the last study vaccination ]As elicited by investigational site staff.
- SSA: Percentage of participants with abnormal hematology and chemistry laboratory values [ Time Frame: 2 days after Vaccination 1 ]As measured at the central laboratory
- SSA: Percentage of participants with abnormal hematology and chemistry laboratory values [ Time Frame: 1 week after Vaccination 1 ]As measured at the central laboratory
- SSA: Percentage of participants with grading shifts in hematology and chemistry laboratory assessments [ Time Frame: Between baseline and 2 days after Vaccination 1 ]As measured at the central laboratory
- SSA: Percentage of participants with grading shifts in hematology and chemistry laboratory assessments [ Time Frame: Between baseline and 1 week after Vaccination 1 ]As measured at the central laboratory
- SSA: Percentage of participants with new electrocardiogram (ECG) abnormalities [ Time Frame: 2 days after Vaccination 1 ]ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist
- SSA: Percentage of participants with new ECG abnormalities [ Time Frame: 1 week after Vaccination 1 ]ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist
- SSB: Percentage of participants reporting local reactions (18 to 64 and 65 to 85 years of age) [ Time Frame: For 7 days after each vaccination ]Pain at the injection site, redness, and swelling, as self-reported in electronic diaries.
- SSB: Percentage of participants reporting systemic events (18 to 64 and 65 to 85 years of age) [ Time Frame: For 7 days after each vaccination ]Fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain, as self reported in electronic diaries.
- SSB: Percentage of participants reporting adverse events (18 to 64 and 65 to 85 years of age) [ Time Frame: From Vaccination 1 to 4 weeks after the last vaccination ]As elicited by investigational site staff.
- SSB: Percentage of participants reporting serious adverse events (18 to 64 and 65 to 85 years of age) [ Time Frame: From Vaccination 1 to 6 months after the last vaccination ]As elicited by investigational site staff.
- SSB: Percentage of participants with abnormal troponin I laboratory values (18 to 64 and 65 to 85 years of age) [ Time Frame: 2 days after the last vaccination ]As measured at the central laboratory
- SSB: Percentage of participants with new ECG abnormalities (18 to 64 and 65 to 85 years of age) [ Time Frame: 2 days after the last vaccination ]ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist
- SSA: Geometric mean titers (GMTs) of hemagglutination inhibition (HAI) titers [ Time Frame: At Baseline, and 1-, 4- and 8-weeks after Vaccination 1 ]As measured at the central laboratory
- SSA: Geometric mean fold rise (GMFR) in HAI titers from before vaccination to each subsequent timepoint [ Time Frame: At 1-, 4-, and 8-weeks after Vaccination 1 ]As measured at the central laboratory
- SSA: Proportion of participants achieving HAI seroconversion for each strain [ Time Frame: At 1-, 4-, and 8-weeks after Vaccination 1 ]As measured at the central laboratory
- SSA: Proportion of participants with HAI titer >=1:40 for each strain [ Time Frame: At Baseline, and 1-, 4-, and 8-weeks after Vaccination 1 ]As measured at the central laboratory.
- SSA: In participants who receive either qIRV or QIV at Vaccination 1, the proportion of participants achieving HAI seroconversion for all strains [ Time Frame: At 1-, 4-, and 8-weeks after Vaccination 1 ]As measured at the central laboratory
- SSA: In participants who receive either qIRV or QIV at Vaccination 1, the proportion of participants with HAI titer >=1:40 for all strains [ Time Frame: At Baseline, and 1-, 4-, and 8-weeks after Vaccination 1 ]As measured at the central laboratory.
- SSA: The geometric mean ratio (GMR) of the geometric mean of HAI titers from participants receiving qIRV to the geometric mean of HAI titers from participants receiving QIV [ Time Frame: At 4 weeks after Vaccination 1 ]As measured at the central laboratory
- SSA: The difference in percentage of participants achieving HAI seroconversion for each strain in qIRV recipients compared to licensed QIV recipients [ Time Frame: At 4 week after Vaccination 1 ]As measured at the central laboratory
- SSB: GMTs of HAI titers (65-85 years of age) [ Time Frame: At Baseline, prior to Vaccination 2 (if applicable), and 1-, 4- and 8-weeks after the last vaccination ]As measured at the central laboratory
- SSB: GMFR in HAI titers from before vaccination to each subsequent timepoint (65-85 years of age) [ Time Frame: Prior to Vaccination 2 (if applicable), and at 1-, 4-, and 8-weeks after the last vaccination ]As measured at the central laboratory
- SSB: Proportion of participants achieving HAI seroconversion for each strain (65-85 years of age) [ Time Frame: Prior to Vaccination 2 (if applicable), and at 1-, 4-, and 8-weeks after the last vaccination ]As measured at the central laboratory
- SSB: Proportion of participants with HAI titer >=1:40 for each strain (65-85 years of age) [ Time Frame: At Baseline, prior to Vaccination 2 (if applicable), and 1-, 4-, and 8-weeks after the last vaccination ]As measured at the central laboratory.
- SSB: In participants who receive either qIRV or QIV, the proportion of participants achieving HAI seroconversion for all strains (65-85 years of age) [ Time Frame: Prior to Vaccination 2 (if applicable), and at 1-, 4-, and 8-weeks after the last vaccination ]As measured at the central laboratory
- SSB: In participants who receive either qIRV or QIV at Vaccination 1, the proportion of participants with HAI titer >=1:40 for all strains (65-85 years of age) [ Time Frame: At Baseline, prior to Vaccination 2 (if applicable), and 1-, 4-, and 8-weeks after the last vaccination ]As measured at the central laboratory.
- SSB: GMTs of HAI titers (18-64 years of age) [ Time Frame: At Baseline, prior to Vaccination and 1-, 4- and 8-weeks after vaccination ]As measured at the central laboratory
- SSB: GMFR in HAI titers from before vaccination to each subsequent timepoint (18-64years of age) [ Time Frame: Prior to Vaccination, and at 1-, 4-, and 8-weeks after vaccination ]As measured at the central laboratory
- SSB: Proportion of participants achieving HAI seroconversion for each strain (18-64 years of age) [ Time Frame: Prior to Vaccination, and at 1-, 4-, and 8-weeks after vaccination ]As measured at the central laboratory
- SSB: Proportion of participants with HAI titer >=1:40 for each strain (18-64 years of age) [ Time Frame: At Baseline, prior to Vaccination, and 1-, 4-, and 8-weeks after vaccination ]As measured at the central laboratory.
- SSB: In participants who receive either qIRV or QIV, the proportion of participants achieving HAI seroconversion for all strains (18-64 years of age) [ Time Frame: Prior to Vaccination, and at 1-, 4-, and 8-weeks after vaccination ]As measured at the central laboratory
- SSB: In participants who receive either qIRV or QIV at Vaccination 1, the proportion of participants with HAI titer >=1:40 for all strains (18-64 years of age) [ Time Frame: At Baseline, prior to Vaccination, and 1-, 4-, and 8-weeks after vaccination ]As measured at the central laboratory.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years to 85 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Substudy A
Inclusion Criteria:
- Male or female participants 65 to 85 years of age.
- Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
- Male participant who is able to father children and willing to use an acceptable method of contraception; or female participant not of childbearing potential; or male participant not able to father children.
- Capable of giving signed informed consent.
Exclusion Criteria:
- Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
- Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- Women who are pregnant or breastfeeding.
- Allergy to egg proteins (egg or egg products) or chicken proteins.
- Participant who has had significant exposure to laboratory-confirmed SARS-CoV-2 infection, COVID-19, or influenza in the past 14 days known prior to Visit 1
- Any participant who has a SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to Visit 1 that has not been confirmed as negative.
- Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
- Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
- Vaccination with any influenza vaccine within 6 months (175 days) before study intervention administration.
- Any participant who has received or plans to receive a modRNA-platform SARS-CoV-2 vaccine within 60 days of Visit 1
- Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
- Screening hematology/blood chemistry lab >=Grade 1 abnormality. Except Bilirubin, other stable Grade1 abnormalities may be considered eligible by Investigator.
- Screening ECG that is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or study results.
- Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
- Participation in strenuous or endurance exercise through Visit 3.
- Prior history of heart disease.
Substudy B
Inclusion Criteria:
- Male or female participants 65 to 85 years of age or .Male or female participants 18 to 64 years of age
- Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
- For participants 65 to 85 years of age at the time of enrollment, receipt of licensed influenza vaccination for the 2021-2022 northern hemisphere season >4 months (120 days) before study intervention administration.
- Capable of giving signed informed consent.
Exclusion Criteria:
- Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
- Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- Women who are pregnant or breastfeeding.
- Allergy to egg proteins (egg or egg products) or chicken proteins.
- Participant who has had significant exposure to laboratory-confirmed SARS-CoV-2 infection, COVID-19, or influenza in the past 14 days known prior to Visit 201
- Any participant who has a SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to Visit 201 that has not been confirmed as negative.
- Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
- Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
- Any participant who has received or plans to receive a modRNA-platform SARS-CoV-2 vaccine within 28 days of Visit 201
- Any participant who has received licensed influenza vaccination for the 2022-2023 northern hemisphere influenza season.
- Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
- Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
- Participation in strenuous or endurance exercise through Visit 205.
- Prior history of heart disease.
- Any abnormal screening troponin I laboratory value
- Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05052697

Study Director: | Pfizer CT.gov Call Center | Pfizer |
Responsible Party: | Pfizer |
ClinicalTrials.gov Identifier: | NCT05052697 |
Other Study ID Numbers: |
C4781001 |
First Posted: | September 22, 2021 Key Record Dates |
Last Update Posted: | March 6, 2023 |
Last Verified: | March 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests. |
URL: | https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Grippe Flu Influenza Vaccine RNA vaccine |
Influenza, Human Respiratory Tract Infections Infections Orthomyxoviridae Infections |
RNA Virus Infections Virus Diseases Respiratory Tract Diseases |