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Safety, Tolerability, and Immunogenicity of Zika Vaccine mRNA-1893 in Healthy Flavivirus Seropositive and Seronegative Adults

Primary Purpose

Zika Virus

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
mRNA-1893
Placebo
Sponsored by
ModernaTX, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Zika Virus focused on measuring mRNA-1893, zika vaccine, Moderna

Eligibility Criteria

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

Inclusion Criteria:

  • Agrees to comply with the study procedures and provides written informed consent
  • 18 to 49 years of age
  • In the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., complete diary cards, return for follow-up visits, be available for safety telephone calls).
  • Is in good general health, as determined by medical history, clinical laboratory assessments, vital sign measurements, and physical examination at screening.
  • Negative urine pregnancy test at the Screening visit and at the day of each vaccination for females of childbearing potential.
  • Male participants must agree to practice adequate contraception from the time of the first vaccination and through 3 months following the last vaccination.
  • For flavivirus-seropositive group, has positive flavivirus test results (including dengue, West Nile, and Zika) as determined by ELISA or other commercially available serological assay.
  • For flavivirus-seronegative group, has negative flavivirus test results (including dengue, West Nile, and Zika) as determined by ELISA or other commercially available serological assay.

Exclusion Criteria:

  • Has any acute or chronic, Clinically Significant disease in the opinion of the investigator.
  • Has received a vaccine for dengue, Japanese encephalitis, tick-borne encephalitis, West Nile, Yellow Fever, or Zika.
  • Has a neurologic disorder
  • Has a body mass index that is ≤ 18 or ≥ 35 kg/m2.
  • Has elevated liver function tests
  • Has clinical laboratory test results (hematology, serum chemistry, or coagulation) with a toxicity score of Grade ≥ 1 at Screening.
  • Has a bleeding disorder that would contraindicate IM injections or phlebotomy.
  • Reports a diagnosis of congenital or acquired immunodeficiency (including HIV infection), or autoimmune disease.
  • Has a history of hypersensitivity or severe reactions to previous vaccinations or any component of the study vaccine.
  • Has a history of idiopathic urticaria.
  • Reports a previous diagnosis of hematologic malignancy or pre-malignancy or a diagnosis of any other malignancy within the previous 10 years (excluding nonmelanoma skin cancer).
  • Has a medical, psychiatric, or occupational condition that, in the opinion of the investigator, might pose an additional risk to the participant due to participation in the study or would interfere with the evaluation of the study vaccines or the interpretation of study results.
  • Is acutely ill or febrile on the day of screening (Day 0) or randomization (Day 1).
  • Has a history of inflammatory arthritis.
  • Has a history of febrile disease with arthritis or arthralgia within 2 weeks of administration of any study vaccine.
  • Has received an investigational or nonregistered product (drug or vaccine) within 30 days before the first dose of study vaccine or has plans for administration during the study period.
  • Has received or is scheduled to receive an inactivated vaccine within the period from 14 days before, or through 14 days after, administration of any study vaccination.
  • Has received or is scheduled to receive a live virus vaccine administered within the period from 28 days before, or through 28 days after, any dose of study vaccine.
  • Has received chronic administration (defined as > 14 total days) of immunosuppressants or other immune-modifying drugs within 6 months before the first study vaccine dose.
  • Has received immunoglobulins and/or blood products within the 3 months before the first study vaccine dose or has plans for administration during the study period.
  • Has a positive test result at the Screening Visit for hepatitis B surface antigen, hepatitis C virus antibody, or HIV type 1 or 2 antibodies.
  • Has donated > 450 mL of whole blood or blood products within 30 days of enrollment or plans to do so during the study period.
  • Is an immediate family member or household member of study personnel.
  • Previously participated in an investigational study involving LNPs.
  • Has a positive urine drug screen result at Screening for any of the following nonprescription drugs of abuse: amphetamines, benzodiazepines, cocaine, methadone, opiates, and phencyclidine.

Sites / Locations

  • Meridan Clinical Research
  • Benchmark Research
  • Benchmark Research
  • Ponce School of Medicine - CAIMED Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

mRNA-1893

Placebo

Arm Description

0.9% sodium chloride

Outcomes

Primary Outcome Measures

Frequency and grade of each solicited local and systemic reactogenicity adverse event (AE)
Frequency and grade of any unsolicited AEs
Frequency of any medically attended adverse event (MAAE), serious adverse event (SAE), and adverse event of special interest (AESI)

Secondary Outcome Measures

Geometric mean titer (GMT) of serum neutralizing antibodies (nAb) against zika virus (ZIKV) as measured by Plaque Reduction Neutralization Test (PRNT)
GMT of nAb in initially seronegative participants against ZIKV as measured by PRNT
GMT of nAb in initially seropositive participants against ZIKV as measured by PRNT
Percentage of participants who seroconverted
A seroconversion is defined as a change of PRNT from below the LOQ to a PRNT equal to or above 1:10, or a multiplication by at least 4 in subjects with pre-existing PRNT titers
Proportion of initially seronegative participants with a seroresponse as measured by PRNT
Proportion of initially seropositive participants with a 2-fold or 4-fold increase in nAb titers as compared with baseline as measured by PRNT

Full Information

First Posted
August 20, 2019
Last Updated
April 20, 2021
Sponsor
ModernaTX, Inc.
Collaborators
Biomedical Advanced Research and Development Authority
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1. Study Identification

Unique Protocol Identification Number
NCT04064905
Brief Title
Safety, Tolerability, and Immunogenicity of Zika Vaccine mRNA-1893 in Healthy Flavivirus Seropositive and Seronegative Adults
Official Title
A Phase 1, Randomized, Observer-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety, Tolerability, and Immunogenicity of Zika Vaccine mRNA-1893 in Healthy Flavivirus Seropositive and Seronegative Adults
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
July 30, 2019 (Actual)
Primary Completion Date
March 22, 2021 (Actual)
Study Completion Date
March 22, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ModernaTX, Inc.
Collaborators
Biomedical Advanced Research and Development Authority

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 evaluate the safety, tolerability and reactogenicity of mRNA-1893 Zika vaccines in flavivirus seronegative and flavivirus seropositive participants

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Zika Virus
Keywords
mRNA-1893, zika vaccine, Moderna

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigator
Masking Description
Observer blind
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
mRNA-1893
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
0.9% sodium chloride
Intervention Type
Biological
Intervention Name(s)
mRNA-1893
Intervention Description
Zika vaccine
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
0.9% sodium chloride
Primary Outcome Measure Information:
Title
Frequency and grade of each solicited local and systemic reactogenicity adverse event (AE)
Time Frame
7-day follow-up period after each vaccination
Title
Frequency and grade of any unsolicited AEs
Time Frame
28-day follow-up period after each vaccination
Title
Frequency of any medically attended adverse event (MAAE), serious adverse event (SAE), and adverse event of special interest (AESI)
Time Frame
Day 1 to the end of study (EOS) Visit at Month 13
Secondary Outcome Measure Information:
Title
Geometric mean titer (GMT) of serum neutralizing antibodies (nAb) against zika virus (ZIKV) as measured by Plaque Reduction Neutralization Test (PRNT)
Time Frame
Day 1, Day 29, Day 57, Month 7, and Month 13
Title
GMT of nAb in initially seronegative participants against ZIKV as measured by PRNT
Time Frame
Day 1, Day 29, Day 57, Month 7, and Month 13
Title
GMT of nAb in initially seropositive participants against ZIKV as measured by PRNT
Time Frame
Day 1, Day 29, Day 57, Month 7, and Month 13
Title
Percentage of participants who seroconverted
Description
A seroconversion is defined as a change of PRNT from below the LOQ to a PRNT equal to or above 1:10, or a multiplication by at least 4 in subjects with pre-existing PRNT titers
Time Frame
Day 1 (baseline) to Day 29, from Day 1 to Day 57, from Day 1 to Month 7, and from Day 1 to Month 13
Title
Proportion of initially seronegative participants with a seroresponse as measured by PRNT
Time Frame
Day 29, Day 57, Month 7, and Month 13
Title
Proportion of initially seropositive participants with a 2-fold or 4-fold increase in nAb titers as compared with baseline as measured by PRNT
Time Frame
Day 29, Day 57, Month 7, and Month 13

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: Agrees to comply with the study procedures and provides written informed consent 18 to 49 years of age In the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., complete diary cards, return for follow-up visits, be available for safety telephone calls). Is in good general health, as determined by medical history, clinical laboratory assessments, vital sign measurements, and physical examination at screening. Negative urine pregnancy test at the Screening visit and at the day of each vaccination for females of childbearing potential. Male participants must agree to practice adequate contraception from the time of the first vaccination and through 3 months following the last vaccination. For flavivirus-seropositive group, has positive flavivirus test results (including dengue, West Nile, and Zika) as determined by ELISA or other commercially available serological assay. For flavivirus-seronegative group, has negative flavivirus test results (including dengue, West Nile, and Zika) as determined by ELISA or other commercially available serological assay. Exclusion Criteria: Has any acute or chronic, Clinically Significant disease in the opinion of the investigator. Has received a vaccine for dengue, Japanese encephalitis, tick-borne encephalitis, West Nile, Yellow Fever, or Zika. Has a neurologic disorder Has a body mass index that is ≤ 18 or ≥ 35 kg/m2. Has elevated liver function tests Has clinical laboratory test results (hematology, serum chemistry, or coagulation) with a toxicity score of Grade ≥ 1 at Screening. Has a bleeding disorder that would contraindicate IM injections or phlebotomy. Reports a diagnosis of congenital or acquired immunodeficiency (including HIV infection), or autoimmune disease. Has a history of hypersensitivity or severe reactions to previous vaccinations or any component of the study vaccine. Has a history of idiopathic urticaria. Reports a previous diagnosis of hematologic malignancy or pre-malignancy or a diagnosis of any other malignancy within the previous 10 years (excluding nonmelanoma skin cancer). Has a medical, psychiatric, or occupational condition that, in the opinion of the investigator, might pose an additional risk to the participant due to participation in the study or would interfere with the evaluation of the study vaccines or the interpretation of study results. Is acutely ill or febrile on the day of screening (Day 0) or randomization (Day 1). Has a history of inflammatory arthritis. Has a history of febrile disease with arthritis or arthralgia within 2 weeks of administration of any study vaccine. Has received an investigational or nonregistered product (drug or vaccine) within 30 days before the first dose of study vaccine or has plans for administration during the study period. Has received or is scheduled to receive an inactivated vaccine within the period from 14 days before, or through 14 days after, administration of any study vaccination. Has received or is scheduled to receive a live virus vaccine administered within the period from 28 days before, or through 28 days after, any dose of study vaccine. Has received chronic administration (defined as > 14 total days) of immunosuppressants or other immune-modifying drugs within 6 months before the first study vaccine dose. Has received immunoglobulins and/or blood products within the 3 months before the first study vaccine dose or has plans for administration during the study period. Has a positive test result at the Screening Visit for hepatitis B surface antigen, hepatitis C virus antibody, or HIV type 1 or 2 antibodies. Has donated > 450 mL of whole blood or blood products within 30 days of enrollment or plans to do so during the study period. Is an immediate family member or household member of study personnel. Previously participated in an investigational study involving LNPs. Has a positive urine drug screen result at Screening for any of the following nonprescription drugs of abuse: amphetamines, benzodiazepines, cocaine, methadone, opiates, and phencyclidine.
Facility Information:
Facility Name
Meridan Clinical Research
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
Benchmark Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Benchmark Research
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76135
Country
United States
Facility Name
Ponce School of Medicine - CAIMED Center
City
Ponce
ZIP/Postal Code
00716
Country
Puerto Rico

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety, Tolerability, and Immunogenicity of Zika Vaccine mRNA-1893 in Healthy Flavivirus Seropositive and Seronegative Adults

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