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Safety and Immunogenicity of mRNA-1653, a Combined Human Metapneumovirus (hMPV) and Parainfluenza Virus Type 3 (PIV3) Vaccine, in Healthy Adults, and Children 12 to 59 Months of Age With Serologic Evidence of Prior Exposure

Primary Purpose

Human Metapneumovirus and Human Parainfluenza Infection

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
mRNA-1653
Placebo
Sponsored by
ModernaTX, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Human Metapneumovirus and Human Parainfluenza Infection focused on measuring ModernaTX, mRNA-1653, human metapneumovirus, human parainfluenza, human parainfluenza vaccine, virus diseases, RNA virus infections, paramyxoviridae infections, mononegavirales infections

Eligibility Criteria

12 Months - 49 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Key Inclusion Criteria:

  • Adults 18 to 49 years of age and children 12 to 59 months of age at the time of consent who, in the opinion of the Investigator, are in good health based on review of medical history and screening physical examination
  • Adult participant or parent(s)/legal guardian(s) has provided written informed consent for participation in this trial, including all evaluations and procedures as specified by this protocol
  • Screening laboratory values Grade ≤1

Specific inclusion criteria for adults 18 to 49 years of age:

  • Body mass index (BMI) from ≥18 kg/m^2 and ≤35 kg/m^2
  • Female participants must be either of non-childbearing potential or if of childbearing potential may be enrolled if the participant: 1) has a negative pregnancy test at Screening and on the day of vaccination, and 2) has practiced adequate contraception or has abstained from all activities that could lead to pregnancy for 28 days prior to vaccination, and 3) has agreed to continue adequate contraception through 3 months following the last vaccination, and 4) is not currently breastfeeding

Specific inclusion criteria for children 12 to 59 months of age:

  • Seropositive for both hMPV and PIV3 neutralizing antibody at Screening
  • Has received routine immunizations appropriate for age per the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP)
  • Current height and weight above the third percentile for age

Key Exclusion Criteria:

Adult and pediatric participants eligible for this study must not meet any of the following criteria:

  • Acutely ill or febrile (temperature ≥38.0℃/100.4°F, regardless of route) on the day of the first vaccination
  • Any ongoing, symptomatic acute or chronic illness requiring medical or surgical care
  • Receipt of, or plans for receipt of an inactivated vaccine(s) 14 days prior to though 14 days following each study injection or a live virus vaccine(s) within 28 days prior to, or plans to through 28 days following each study injection. The exception is any COVID-19 vaccine (regardless of type of vaccine) that becomes available to the participant during the study; efforts should be made to space study vaccinations and COVID-19 vaccinations by at least 7 and preferably 14 days, but COVID-19 vaccinations should not be delayed.
  • Any chronic administration of an immunosuppressant or other immune modifying drug
  • Prior administration of investigational agent using lipid nanoparticle formulations
  • Donation of blood or blood products ≥450 mL within 28 days of the Screening visit (for the Adult Cohort)
  • Intravenous blood products (red cells, platelets, immunoglobulins) within 3 months prior to enrollment
  • Participated in an interventional clinical trial within 28 days prior to the day of enrollment, or plans to do so while enrolled in this trial
  • Has a family member or household contact who is an employee of the research center or otherwise involved with the conduct of the study

Sites / Locations

  • Central Research Associates Inc
  • Meridian Clinical Research
  • Clinical Research Prime
  • Heartland Research Associates LLC
  • Heartland Research Associates LLC
  • MedPharmics
  • Meridian Clinical Research, LLC
  • Meridian Clinical Research
  • Meridian Clinical Research, LLC
  • UHS Primary Care
  • Child Healthcare Associates
  • Child Healthcare Assoc.
  • Duke Vaccine and Trials Unit
  • Ohio Pediatric Research Assn Inc
  • Sanford Children's Hospital
  • Crossroads Clinical Research
  • University of Texas Medical Branch (UTMB)
  • Tekton Research Inc
  • Tanner Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

mRNA-1653, Adult participants

mRNA-1653 Pediatric participants

Placebo, Adult participants

Placebo, Pediatric participants

Arm Description

Participants will receive 1 of 2 doses of mRNA-1653, administered via intramuscular injection, on Day 1 and Day 57.

Participants will receive 1 of 2 possible doses of mRNA-1653, administered via intramuscular injection, on Day 1 and Day 57.

Participants will receive mRNA-1653-matching placebo, administered via intramuscular injection, on Day 1 and Day 57.

Participants will receive mRNA-1653-matching placebo, administered via intramuscular injection, on Day 1 and Day 57.

Outcomes

Primary Outcome Measures

Proportion of Participants with Solicited Local and Systemic Adverse Reactions (ARs)
Proportion of Participants with Unsolicited Adverse Events (AEs)
Proportion of Participants with Serious Adverse Events (SAEs) and Medically-Attended AEs

Secondary Outcome Measures

Geometric mean titer (GMT) of Serum Anti-hMPV and Anti-PIV3 Neutralizing Antibodies
Geometric Mean Ratio (GMR) of Post-Baseline/Baseline Titers of Serum Anti-hMPV and Anti-PIV3 Neutralizing Antibodies
Proportion of Participants with ≥2-Fold and ≥4-Fold Increases in Serum Anti-hMPV or Anti-PIV3 Neutralizing Antibody Titer from Baseline

Full Information

First Posted
October 28, 2019
Last Updated
February 2, 2023
Sponsor
ModernaTX, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04144348
Brief Title
Safety and Immunogenicity of mRNA-1653, a Combined Human Metapneumovirus (hMPV) and Parainfluenza Virus Type 3 (PIV3) Vaccine, in Healthy Adults, and Children 12 to 59 Months of Age With Serologic Evidence of Prior Exposure
Official Title
A Phase 1b, Randomized, Observer-Blind, Placebo-Controlled, Dose Ranging Trial to Evaluate the Safety and Immunogenicity of mRNA-1653, a Combined Human Metapneumovirus (hMPV) and Parainfluenza Virus Type 3 (PIV3) Vaccine When Administered to Adults, and to Children 12 to 59 Months of Age With Serologic Evidence of Prior Exposure
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
November 4, 2019 (Actual)
Primary Completion Date
December 20, 2022 (Actual)
Study Completion Date
December 20, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ModernaTX, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This clinical study will assess the safety and immunogenicity of 2 dose levels of mRNA-1653, a combined human metapneumovirus and human parainfluenza virus type 3 vaccine, in healthy adults (18 to 49 years of age) and 2 dose levels in children (12 to 59 months of age) with serologic evidence of prior exposure. The safety profile of the adult cohort will permit enrollment of the pediatric cohort.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Human Metapneumovirus and Human Parainfluenza Infection
Keywords
ModernaTX, mRNA-1653, human metapneumovirus, human parainfluenza, human parainfluenza vaccine, virus diseases, RNA virus infections, paramyxoviridae infections, mononegavirales infections

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Parallel for the Adult Cohort, followed by Sequential Assignment for the Pediatric Cohort
Masking
ParticipantCare ProviderInvestigator
Masking Description
Observer blind
Allocation
Randomized
Enrollment
51 (Actual)

8. Arms, Groups, and Interventions

Arm Title
mRNA-1653, Adult participants
Arm Type
Experimental
Arm Description
Participants will receive 1 of 2 doses of mRNA-1653, administered via intramuscular injection, on Day 1 and Day 57.
Arm Title
mRNA-1653 Pediatric participants
Arm Type
Experimental
Arm Description
Participants will receive 1 of 2 possible doses of mRNA-1653, administered via intramuscular injection, on Day 1 and Day 57.
Arm Title
Placebo, Adult participants
Arm Type
Placebo Comparator
Arm Description
Participants will receive mRNA-1653-matching placebo, administered via intramuscular injection, on Day 1 and Day 57.
Arm Title
Placebo, Pediatric participants
Arm Type
Placebo Comparator
Arm Description
Participants will receive mRNA-1653-matching placebo, administered via intramuscular injection, on Day 1 and Day 57.
Intervention Type
Biological
Intervention Name(s)
mRNA-1653
Intervention Description
Sterile liquid for injection
Intervention Type
Biological
Intervention Name(s)
Placebo
Other Intervention Name(s)
saline
Intervention Description
Sterile liquid for injection
Primary Outcome Measure Information:
Title
Proportion of Participants with Solicited Local and Systemic Adverse Reactions (ARs)
Time Frame
Up to 7 days after each dose administration
Title
Proportion of Participants with Unsolicited Adverse Events (AEs)
Time Frame
Up to 28 days after each dose administration
Title
Proportion of Participants with Serious Adverse Events (SAEs) and Medically-Attended AEs
Time Frame
Up to 1 year after the last dose administration
Secondary Outcome Measure Information:
Title
Geometric mean titer (GMT) of Serum Anti-hMPV and Anti-PIV3 Neutralizing Antibodies
Time Frame
Day 29, 57, 85, and 224 for adults; Day 29 and 85 for pediatric participants
Title
Geometric Mean Ratio (GMR) of Post-Baseline/Baseline Titers of Serum Anti-hMPV and Anti-PIV3 Neutralizing Antibodies
Time Frame
Day 29, 57, 85, and 224 for adults; Day 29 and 85 for pediatric participants
Title
Proportion of Participants with ≥2-Fold and ≥4-Fold Increases in Serum Anti-hMPV or Anti-PIV3 Neutralizing Antibody Titer from Baseline
Time Frame
Day 29, 57, 85, and 224 for adults; Day 29 and 85 for pediatric participants

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Months
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Adults 18 to 49 years of age and children 12 to 59 months of age at the time of consent who, in the opinion of the Investigator, are in good health based on review of medical history and screening physical examination Adult participant or parent(s)/legal guardian(s) has provided written informed consent for participation in this trial, including all evaluations and procedures as specified by this protocol Screening laboratory values Grade ≤1 Specific inclusion criteria for adults 18 to 49 years of age: Body mass index (BMI) from ≥18 kg/m^2 and ≤35 kg/m^2 Female participants must be either of non-childbearing potential or if of childbearing potential may be enrolled if the participant: 1) has a negative pregnancy test at Screening and on the day of vaccination, and 2) has practiced adequate contraception or has abstained from all activities that could lead to pregnancy for 28 days prior to vaccination, and 3) has agreed to continue adequate contraception through 3 months following the last vaccination, and 4) is not currently breastfeeding Specific inclusion criteria for children 12 to 59 months of age: Seropositive for both hMPV and PIV3 neutralizing antibody at Screening Has received routine immunizations appropriate for age per the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) Current height and weight above the third percentile for age Key Exclusion Criteria: Adult and pediatric participants eligible for this study must not meet any of the following criteria: Acutely ill or febrile (temperature ≥38.0℃/100.4°F, regardless of route) on the day of the first vaccination Any ongoing, symptomatic acute or chronic illness requiring medical or surgical care Receipt of, or plans for receipt of an inactivated vaccine(s) 14 days prior to though 14 days following each study injection or a live virus vaccine(s) within 28 days prior to, or plans to through 28 days following each study injection. The exception is any COVID-19 vaccine (regardless of type of vaccine) that becomes available to the participant during the study; efforts should be made to space study vaccinations and COVID-19 vaccinations by at least 7 and preferably 14 days, but COVID-19 vaccinations should not be delayed. Any chronic administration of an immunosuppressant or other immune modifying drug Prior administration of investigational agent using lipid nanoparticle formulations Donation of blood or blood products ≥450 mL within 28 days of the Screening visit (for the Adult Cohort) Intravenous blood products (red cells, platelets, immunoglobulins) within 3 months prior to enrollment Participated in an interventional clinical trial within 28 days prior to the day of enrollment, or plans to do so while enrolled in this trial Has a family member or household contact who is an employee of the research center or otherwise involved with the conduct of the study
Facility Information:
Facility Name
Central Research Associates Inc
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Meridian Clinical Research
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20016
Country
United States
Facility Name
Clinical Research Prime
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
Heartland Research Associates LLC
City
El Dorado
State/Province
Kansas
ZIP/Postal Code
67042
Country
United States
Facility Name
Heartland Research Associates LLC
City
Newton
State/Province
Kansas
ZIP/Postal Code
67114
Country
United States
Facility Name
MedPharmics
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
Meridian Clinical Research, LLC
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68510
Country
United States
Facility Name
Meridian Clinical Research
City
Norfolk
State/Province
Nebraska
ZIP/Postal Code
68701
Country
United States
Facility Name
Meridian Clinical Research, LLC
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
UHS Primary Care
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Facility Name
Child Healthcare Associates
City
Liverpool
State/Province
New York
ZIP/Postal Code
13090
Country
United States
Facility Name
Child Healthcare Assoc.
City
Syracuse
State/Province
New York
ZIP/Postal Code
13057
Country
United States
Facility Name
Duke Vaccine and Trials Unit
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Ohio Pediatric Research Assn Inc
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45414
Country
United States
Facility Name
Sanford Children's Hospital
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57117
Country
United States
Facility Name
Crossroads Clinical Research
City
Corpus Christi
State/Province
Texas
ZIP/Postal Code
78413
Country
United States
Facility Name
University of Texas Medical Branch (UTMB)
City
Galveston
State/Province
Texas
ZIP/Postal Code
77555
Country
United States
Facility Name
Tekton Research Inc
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States
Facility Name
Tanner Clinic
City
Layton
State/Province
Utah
ZIP/Postal Code
84041
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety and Immunogenicity of mRNA-1653, a Combined Human Metapneumovirus (hMPV) and Parainfluenza Virus Type 3 (PIV3) Vaccine, in Healthy Adults, and Children 12 to 59 Months of Age With Serologic Evidence of Prior Exposure

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