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A Study To Learn About The Study Vaccine (Called Self-Amplifying Ribonucleic Acid (RNA)) For The Prevention of Influenza

Primary Purpose

Influenza, Human

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PF-07852352 Influenza saRNA 1
PF-07836391 Influenza saRNA
PF-07836394 Influenza saRNA
PF-07836395 Influenza saRNA
PF-07836396 Influenza saRNA
PF-07867246 Influenza saRNA
Placebo
Quadrivalent influenza vaccine (QIV)
PF-07871987 Influenza saRNA
PF-07914705 Influenza saRNA
PF-07915048 Influenza saRNA
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza, Human focused on measuring Grippe, Flu, Influenza, Vaccine, RNA vaccine, Self-amplifying

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female participants 18 to 49 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 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 infection), coronavirus disease 2019 (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 nucleoside-modified messenger ribonucleic acid (modRNA)-platform SARS-CoV-2 vaccine within 60 days of Visit 1
  • Previous vaccination with an saRNA or an alphavirus replicon vaccine preparation.
  • 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 electrocardiogram (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.

Sites / Locations

  • Arizona Heart Rhythm Center
  • Hope Research Institute
  • The Pain Center of Arizona
  • Diablo Clinical Research, Inc.
  • Finlay Medical Research
  • Mount Sinai Hospital
  • Panax Clinical Research
  • Advanced Pharma CR, LLC
  • Miami Clinical Research
  • Pines Care Research Center, LLC
  • Pinnacle Health Care Center
  • Comprehensive Cardiology Consultants
  • Great Lakes Clinical Trials - Andersonville
  • Pioneer Heart Institute
  • Meridian Clinical Research, LLC
  • Velocity Clinical Research, Omaha
  • NYU Langone Health
  • SUNY Upstate Medical University Global Health Laboratory
  • SUNY Upstate Medical University Institute for Global Health
  • SUNY Upstate Medical University
  • CTI Clinical Research Center
  • Coastal Carolina Research Center
  • Benchmark Research
  • Eric S. Tiblier, MD
  • DM Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm 15

Arm 16

Arm 17

Arm 18

Arm 19

Arm 20

Arm 21

Arm 22

Arm 23

Arm 24

Arm 25

Arm 26

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

PF-07852352 Influenza saRNA, low dose

PF-07852352 Influenza saRNA, mid dose

PF-07852352 Influenza saRNA, high dose

PF-07836391 Influenza saRNA, low dose

PF-07836391 Influenza saRNA, mid dose

PF-07836391 Influenza saRNA, high dose

PF-07836394 Influenza saRNA, low dose

PF-07836394 Influenza saRNA, mid dose

PF-07836394 Influenza saRNA, high dose

PF-07836395 Influenza saRNA, low dose

PF-07836395 Influenza saRNA, mid dose

PF-07836395 Influenza saRNA, high dose

PF-07836396 Influenza saRNA, low dose

PF-07836396 Influenza saRNA, mid dose

PF-07836396 Influenza saRNA, high dose

PF-07867246 Influenza saRNA, mid dose

PF-07867246 Influenza saRNA, low dose

PF-07867246 Influenza saRNA, high dose

Placebo

Quadrivalent influenza vaccine (QIV)

PF-07871987 Influenza saRNA, low dose

PF-07871987 Influenza saRNA, mid dose

PF-07871987 Influenza saRNA, high dose

PF-07914705 Influenza saRNA mid dose

PF-07914705 Influenza saRNA, high dose

PF-07915048 Influenza saRNA, high dose

Arm Description

Outcomes

Primary Outcome Measures

Percentage of participants reporting local reactions
Pain at the injection site, redness, and swelling, as self-reported in electronic diaries.
Percentage of participants reporting systemic events
Fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain, as self reported in electronic diaries.
Percentage of participants reporting adverse events
As elicited by investigational site staff.
Percentage of participants reporting serious adverse events
As elicited by investigational site staff.
Percentage of participants with abnormal hematology and chemistry laboratory values
As measured at the central laboratory
Percentage of participants with abnormal hematology and chemistry laboratory values
As measured at the central laboratory
Percentage of participants with grading shifts in hematology and chemistry laboratory assessments
As measured at the central laboratory.
Percentage of participants with grading shifts in hematology and chemistry laboratory assessments
As measured at the central laboratory
Percentage of participants with new electrocardiogram (ECG) abnormalities
ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist
Percentage of participants with new ECG abnormalities
ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist

Secondary Outcome Measures

Geometric mean titers (GMTs) of hemagglutination inhibition (HAI) titers
As measured at the central laboratory
Geometric mean fold rise (GMFR) in HAI titers from before vaccination to each subsequent timepoint
As measured at the central laboratory
Proportion of participants achieving HAI seroconversion for each strain
As measured at the central laboratory
Proportion of participants with HAI titer >=1:40 for each strain
As measured at the central laboratory

Full Information

First Posted
January 19, 2022
Last Updated
September 8, 2023
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT05227001
Brief Title
A Study To Learn About The Study Vaccine (Called Self-Amplifying Ribonucleic Acid (RNA)) For The Prevention of Influenza
Official Title
A PHASE 1, PLACEBO-CONTROLLED, RANDOMIZED, OBSERVER-BLIND, DOSE-FINDING STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF SELF-AMPLIFYING RNA VACCINE PREPARATIONS AGAINST INFLUENZA IN HEALTHY INDIVIDUALS
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
April 28, 2022 (Actual)
Primary Completion Date
August 4, 2023 (Actual)
Study Completion Date
August 4, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this clinical trial is to learn about the safety and effects of the study vaccine for the potential prevention of influenza. The study vaccine is called Self-Amplifying Ribonucleic Acid vaccine (saRNA vaccine). This study is seeking participants who: Are between the age of 18 to 49 years old. Are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. Are healthy as determined by medical history, physical examinations, and the study doctor. For male participants, can father children and willing to use an acceptable method of contraception. Female participants who are not of childbearing potential; or male participant not able to father children. Are capable of giving signed informed consent. Participants will receive either the saRNA vaccine, a licensed Influenza Vaccine (QIV) or a placebo. Participants will not know which vaccine they receive in advance. A placebo does not have any medicine in it but looks just like the study medicine. Participants will receive the study vaccines as a single shot in the arm. We will compare participant experiences to help us determine if the saRNA vaccine is safe and effective. Participants will take part in this study for 6 months. During this time, they will receive the study vaccine and participate in follow-up visits.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Human
Keywords
Grippe, Flu, Influenza, Vaccine, RNA vaccine, Self-amplifying

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
442 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PF-07852352 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07852352 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07852352 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07836391 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07836391 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07836391 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07836394 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07836394 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07836394 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07836395 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07836395 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07836395 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07836396 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07836396 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07836396 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07867246 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07867246 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07867246 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
Quadrivalent influenza vaccine (QIV)
Arm Type
Active Comparator
Arm Title
PF-07871987 Influenza saRNA, low dose
Arm Type
Experimental
Arm Title
PF-07871987 Influenza saRNA, mid dose
Arm Type
Experimental
Arm Title
PF-07871987 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07914705 Influenza saRNA mid dose
Arm Type
Experimental
Arm Title
PF-07914705 Influenza saRNA, high dose
Arm Type
Experimental
Arm Title
PF-07915048 Influenza saRNA, high dose
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
PF-07852352 Influenza saRNA 1
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07836391 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07836394 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07836395 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07836396 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07867246 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
Quadrivalent influenza vaccine (QIV)
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07871987 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07914705 Influenza saRNA
Intervention Description
Intramuscular injection
Intervention Type
Biological
Intervention Name(s)
PF-07915048 Influenza saRNA
Intervention Description
Intramuscular injection
Primary Outcome Measure Information:
Title
Percentage of participants reporting local reactions
Description
Pain at the injection site, redness, and swelling, as self-reported in electronic diaries.
Time Frame
For 10 days after vaccination
Title
Percentage of participants reporting systemic events
Description
Fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain, as self reported in electronic diaries.
Time Frame
For 10 days after vaccination
Title
Percentage of participants reporting adverse events
Description
As elicited by investigational site staff.
Time Frame
From vaccination to 4 weeks after vaccination
Title
Percentage of participants reporting serious adverse events
Description
As elicited by investigational site staff.
Time Frame
From vaccination to 6 months after vaccination
Title
Percentage of participants with abnormal hematology and chemistry laboratory values
Description
As measured at the central laboratory
Time Frame
2 days after vaccination
Title
Percentage of participants with abnormal hematology and chemistry laboratory values
Description
As measured at the central laboratory
Time Frame
1 week after vaccination
Title
Percentage of participants with grading shifts in hematology and chemistry laboratory assessments
Description
As measured at the central laboratory.
Time Frame
Between baseline and 2 days after vaccination
Title
Percentage of participants with grading shifts in hematology and chemistry laboratory assessments
Description
As measured at the central laboratory
Time Frame
Between baseline and 1 week after vaccination
Title
Percentage of participants with new electrocardiogram (ECG) abnormalities
Description
ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist
Time Frame
2 days after vaccination
Title
Percentage of participants with new ECG abnormalities
Description
ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist
Time Frame
1 week after vaccination
Secondary Outcome Measure Information:
Title
Geometric mean titers (GMTs) of hemagglutination inhibition (HAI) titers
Description
As measured at the central laboratory
Time Frame
At Baseline, and 1-, 2- and 4-weeks after vaccination
Title
Geometric mean fold rise (GMFR) in HAI titers from before vaccination to each subsequent timepoint
Description
As measured at the central laboratory
Time Frame
At Baseline, and 1-, 2- and 4-weeks after vaccination
Title
Proportion of participants achieving HAI seroconversion for each strain
Description
As measured at the central laboratory
Time Frame
At 1-, 2-, and 4-weeks after vaccination
Title
Proportion of participants with HAI titer >=1:40 for each strain
Description
As measured at the central laboratory
Time Frame
At Baseline, and 1-, 2-, and 4-weeks after vaccination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female participants 18 to 49 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 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 infection), coronavirus disease 2019 (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 nucleoside-modified messenger ribonucleic acid (modRNA)-platform SARS-CoV-2 vaccine within 60 days of Visit 1 Previous vaccination with an saRNA or an alphavirus replicon vaccine preparation. 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 electrocardiogram (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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Heart Rhythm Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85016
Country
United States
Facility Name
Hope Research Institute
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
The Pain Center of Arizona
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Diablo Clinical Research, Inc.
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
Finlay Medical Research
City
Greenacres City
State/Province
Florida
ZIP/Postal Code
33467
Country
United States
Facility Name
Mount Sinai Hospital
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
Panax Clinical Research
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Advanced Pharma CR, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33147
Country
United States
Facility Name
Miami Clinical Research
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Pines Care Research Center, LLC
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Pinnacle Health Care Center
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Comprehensive Cardiology Consultants
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33028
Country
United States
Facility Name
Great Lakes Clinical Trials - Andersonville
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
Pioneer Heart Institute
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68506
Country
United States
Facility Name
Meridian Clinical Research, LLC
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
Velocity Clinical Research, Omaha
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
NYU Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
SUNY Upstate Medical University Global Health Laboratory
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
SUNY Upstate Medical University Institute for Global Health
City
Syracuse
State/Province
New York
ZIP/Postal Code
13215
Country
United States
Facility Name
SUNY Upstate Medical University
City
Syracuse
State/Province
New York
ZIP/Postal Code
13215
Country
United States
Facility Name
CTI Clinical Research Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45212
Country
United States
Facility Name
Coastal Carolina Research Center
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29405
Country
United States
Facility Name
Benchmark Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Eric S. Tiblier, MD
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
DM Clinical Research
City
Tomball
State/Province
Texas
ZIP/Postal Code
77375
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing 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.
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=C4861001
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

A Study To Learn About The Study Vaccine (Called Self-Amplifying Ribonucleic Acid (RNA)) For The Prevention of Influenza

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