A Study to Evaluate Safety and Effectiveness of mRNA-1273 COVID-19 Vaccine in Healthy Children Between 6 Months of Age and Less Than 12 Years of Age

NCT ID: NCT04796896

Last Updated: 2025-06-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

11942 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-15

Study Completion Date

2024-03-15

Brief Summary

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The primary goal for this study is to evaluate up to 3 dose levels of mRNA-1273 vaccine given to healthy children as intramuscular (IM) injection in 2 doses (in Parts 1 and 2) and 3 doses (in Part 3), and a third dose or an optional booster dose (BD) (in Parts 1 and 2).

Detailed Description

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This is a Phase 2/3, 3-part, open-label, dose-escalation, age de-escalation, randomized, observer-blind, placebo-controlled, expansion study intended to infer the effectiveness of mRNA-1273 in children aged 6 months to less than 12 years.

Please access http://www.kidcovestudy.com for additional information, such as Study Overview, Participation, Site Locations along with contact numbers for each location for the study.

Conditions

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SARS-CoV-2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Parts 1 and 3 are Open-label; Part 2 Randomized and Observer-blind

Study Groups

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mRNA-1273

Part 1: Participants will receive 2 IM injections of mRNA-1273 at doses pre-specified for this study, on Days 1 and 29. Participants will be offered an optional BD of mRNA-1273 lower than the dose chosen for primary series, ≥6 months after Dose 2. After protocol amendment (PA) 9, participants who have not yet received a BD will be offered a BD with mRNA-1273.214.

Part 2: Participants will receive 2 IM injections of mRNA-1273 at dose selected from Part 1 on Days 1 and 29. Participants (6 to \<12 year) will be offered an optional BD of mRNA-1273 lower than the dose chosen for primary series, ≥6 months after Dose 2. After PA 9, participants who have not yet received a BD will be offered a BD with mRNA-1273.214.

Part 3: Participants will receive 2 IM injections of mRNA-1273 on Days 1 and 29 as primary series then 1 IM injection as Dose 3, on Day 149 ≥3 months and ≤5 months after receipt of Dose 2 of primary series. All 3 injections will be administered at lower dose than that of Part 1.

Group Type EXPERIMENTAL

mRNA-1273

Intervention Type BIOLOGICAL

Sterile liquid for injection

mRNA-1273.214

Intervention Type BIOLOGICAL

Sterile liquid for injection

Placebo

Part 2 only: Participants will receive 2 IM injections of mRNA-1273-matching placebo on Day 1 and Day 29. Participants (6 to \<12 year old) will be offered an optional BD of mRNA-1273 at a dose lower than the dose that was chosen for the primary series for this age group, at least 6 months post-cross-over Dose 2. After PA 9, participants who have not yet received a BD will be offered a BD with mRNA-1273.214.

Group Type PLACEBO_COMPARATOR

mRNA-1273

Intervention Type BIOLOGICAL

Sterile liquid for injection

Placebo

Intervention Type BIOLOGICAL

0.9% sodium chloride (normal saline) injection

mRNA-1273.214

Intervention Type BIOLOGICAL

Sterile liquid for injection

Interventions

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mRNA-1273

Sterile liquid for injection

Intervention Type BIOLOGICAL

Placebo

0.9% sodium chloride (normal saline) injection

Intervention Type BIOLOGICAL

mRNA-1273.214

Sterile liquid for injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* For participants with chronic diseases (such as, asthma, diabetes mellitus, cystic fibrosis, human immunodeficiency virus \[HIV\] infection), the disease should be stable, per investigator assessment.
* Investigator assessment that the parent(s)/legally acceptable representatives understand and are willing and physically able to comply with protocol mandated follow-up, including all procedures, written informed consent is provided, and participants provide assent.
* For children 2 years of age or older has a body mass index at or above the third percentile according to World Health Organization (WHO) Child Growth Standards at the Screening Visit.
* For children 6 months to \<12 months of age: born at full-term with a minimum birth weight of 2.5 kilograms (kg).
* For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first injection, agreement to continue adequate contraception or abstinence through 3 months following the second injection (Day 29) and the third dose in Part 3 (Day 149/booster dose Day 1), and not currently breastfeeding.

Exclusion Criteria

* Known history of SARS-CoV-2 infection within 2 weeks prior to administration of vaccine or known close contact with anyone with laboratory-confirmed SARS-CoV-2 infection or COVID-19 within 2 weeks prior to administration of vaccine.
* Prior administration of an investigational or approved CoV (such as, SARS-CoV-2, SARS CoV, Middle East Respiratory Syndrome CoV) vaccine.
* Treatment with investigational or approved agents for prophylaxis against COVID 19 (such as, receipt of SARS-CoV-2 monoclonal antibodies) within 6 months prior to enrollment.
* Known hypersensitivity to a component of the vaccine or its excipients.
* A medical or psychiatric condition that, according to the investigator's judgment, may pose additional risk as a result of participation, interfere with safety assessments, or interfere with interpretation of results.
* History of a diagnosis or condition that, in the judgment of the investigator, may affect study endpoint assessment or compromise participant safety.
* Received any non-study vaccine within 14 days before or after any dose of vaccine (except for seasonal influenza vaccine, which is not permitted within 14 days before or after any dose of vaccine)
* Received intravenous or subcutaneous blood products (red blood cells, platelets, immunoglobulins) within 3 months prior to Day 1
* Participated in an interventional clinical study within 28 days prior to Day 0 or plans to donate blood products while participating in this study.
Minimum Eligible Age

6 Months

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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ModernaTX, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Children's of Alabama

Birmingham, Alabama, United States

Site Status

MedPharmics, LLC

Phoenix, Arizona, United States

Site Status

Emmaus Research Center Inc

Anaheim, California, United States

Site Status

Velocity Clinical Research - Banning - ERN- PPDS

Banning, California, United States

Site Status

SeraCollection Research Services LLC

El Monte, California, United States

Site Status

UCSD Altman Clinical and Translational Research Institute Building

La Jolla, California, United States

Site Status

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California, United States

Site Status

Center for Clinical Trials, LLC

Paramount, California, United States

Site Status

Rady Childrens Hospital San Diego - PIN

San Diego, California, United States

Site Status

Carey Chronis MD Pediatric, Infant and Adolescent Medicine - FOMAT

Ventura, California, United States

Site Status

Children's Hospital Colorado - (CRS)

Aurora, Colorado, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Prohealth Research Center

Doral, Florida, United States

Site Status

University of Florida Jacksonville

Jacksonville, Florida, United States

Site Status

Kissimmee Clinical Research (KCR)

Kissimmee, Florida, United States

Site Status

Allied Biomedical Research Institute

Miami, Florida, United States

Site Status

Pensacola Research Consultants Inc. d/b/a Avanza Medical Research Center

Pensacola, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

Iresearch Atlanta, LLC

Decatur, Georgia, United States

Site Status

iresearch Savannah

Savannah, Georgia, United States

Site Status

Velocity Clinical Research - Boise - ERN - PPDS

Meridian, Idaho, United States

Site Status

Ann and Robert H Lurie Childrens Hospital of Chicago

Chicago, Illinois, United States

Site Status

Alliance for Multispecialty Research -El Dorado

El Dorado, Kansas, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Michael W Simon, MD PSC

Lexington, Kentucky, United States

Site Status

Our Lady of the Lake Regional Medical Center

Baton Rouge, Louisiana, United States

Site Status

Pennington Biomedical Research Center

Baton Rouge, Louisiana, United States

Site Status

MedPharmics - Platinum

Metairie, Louisiana, United States

Site Status

Tulane Medical Center

New Orleans, Louisiana, United States

Site Status

University of Maryland School of Medicine

Baltimore, Maryland, United States

Site Status

Javara Inc.

Chevy Chase, Maryland, United States

Site Status

The Pediatric Centre of Frederick

Frederick, Maryland, United States

Site Status

Tufts University - Boston - PPDS

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Pediatric Associates of Fall River

Fall River, Massachusetts, United States

Site Status

UMass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

University of Massachusetts Medical School

Worcester, Massachusetts, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

Clinical Research Institute, Inc - CRN - PPDS

Minneapolis, Minnesota, United States

Site Status

University of Minnesota Masonic Children's Hospital

Minneapolis, Minnesota, United States

Site Status

MediSync Clinical Research Hattiesburg Clinic

Petal, Mississippi, United States

Site Status

University of Missouri Health Care System

Columbia, Missouri, United States

Site Status

Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Meridian Clinical Research (Hastings, Nebraska)

Hastings, Nebraska, United States

Site Status

Meridian Clinical Research (Norfolk-Nebraska) - Platinum - PPDS

Norfolk, Nebraska, United States

Site Status

Quality Clinical Research - PPDS

Omaha, Nebraska, United States

Site Status

MedPharmics, LLC

Albuquerque, New Mexico, United States

Site Status

University of New Mexico

Albuquerque, New Mexico, United States

Site Status

Meridian Clinical Research (Endwell-New York) - Platinum - PPDS

Binghamton, New York, United States

Site Status

Certified Research Associates

Cortland, New York, United States

Site Status

Child Healthcare Associates - East Syracuse

East Syracuse, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Stony Brook University Medical Center

Stony Brook, New York, United States

Site Status

OnSite Clinical Solutions, LLC

Charlotte, North Carolina, United States

Site Status

Javara Inc. - Winston-Salem

Winston-Salem, North Carolina, United States

Site Status

Cincinnati Children's Hospital Medical Center - PIN

Cincinnati, Ohio, United States

Site Status

Lynn Health Science Institute - ERN - PPDS

Oklahoma City, Oklahoma, United States

Site Status

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status

Velocity Clinical Research - Providence - ERN - PPDS

Warwick, Rhode Island, United States

Site Status

Coastal Pediatric Associates

Charleston, South Carolina, United States

Site Status

Medical University of South Carolina- PPDS

Charleston, South Carolina, United States

Site Status

Palmetto Pediatrics

North Charleston, South Carolina, United States

Site Status

Meharry Medical College - Clinical and Translational Research Center & Meharry Medical College - Pediatric Department

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Tekton Research - Texas - Platinum - PPDS

Austin, Texas, United States

Site Status

BRCR Global Texas

Edinburg, Texas, United States

Site Status

Pininos Pediatric Services

El Paso, Texas, United States

Site Status

Ventavia Research Group - Platinum - PPDS

Houston, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

West Houston Clinical Research - Hunt

Houston, Texas, United States

Site Status

Texas Center for Drug Development, Inc

Houston, Texas, United States

Site Status

Cyfair Clinical Research Center - ERN- PPDS

Houston, Texas, United States

Site Status

Village Health Partners - HUNT

Plano, Texas, United States

Site Status

Victoria Clinical Research

Port Lavaca, Texas, United States

Site Status

Javara, Inc.

The Woodlands, Texas, United States

Site Status

Crossroads Clinical Research (Victoria)

Victoria, Texas, United States

Site Status

Tanner Clinic

Layton, Utah, United States

Site Status

Advanced Clinical Research/Velocity Clinical Research

West Jordan, Utah, United States

Site Status

PI-Coor Clinical Research, LLC

Burke, Virginia, United States

Site Status

Clinical Research Partners, LLC

Richmond, Virginia, United States

Site Status

University of Wisconsin - Madison

Madison, Wisconsin, United States

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

Children's and Women's Health Centre of British Columbia

Vancouver, British Columbia, Canada

Site Status

Winnipeg Children's Hospital, HSC-Winnipeg

Winnipeg, Manitoba, Canada

Site Status

Dalhousie University

Halifax, Nova Scotia, Canada

Site Status

Childrens Hospital of Eastern Ontario

Ottawa, Ontario, Canada

Site Status

The Hospital for Sick Children (SickKids)

Toronto, Ontario, Canada

Site Status

Dr. Anil K. Gupta Medicine Professional Corporation - Clinic/Outpatient Facility

Toronto, Ontario, Canada

Site Status

McGill University Health Centre-Vaccine Study Centre

Pierrefonds, Quèbec, Canada

Site Status

Countries

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United States Canada

References

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Rostad CA, Campbell JD, Paulsen GC, Ghamloush SS, Xu W, Zheng L, McElrath MJ, De Rosa SC, Girard B, Das R, Anderson EJ, Creech CB. Evaluation of Cellular Immune Responses After mRNA-1273 Vaccination in Children 6 Months to 11 Years of Age. J Infect Dis. 2025 Jun 2;231(5):e945-e955. doi: 10.1093/infdis/jiaf144.

Reference Type DERIVED
PMID: 40119775 (View on PubMed)

Berthaud V, Creech CB, Rostad CA, Carr Q, de Leon L, Dietrich M, Gupta A, Javita D, Nachman S, Pinninti S, Rathore M, Rodriguez CA, Luzuriaga K, Towner W, Yeakey A, Brown M, Zhao X, Deng W, Xu W, Zhou H, Girard B, Kelly R, Slobod K, Anderson EJ, Das R, Miller J, Schnyder Ghamloush S. Safety and Immunogenicity of an mRNA-1273 Booster in Children. Clin Infect Dis. 2024 Dec 17;79(6):1524-1532. doi: 10.1093/cid/ciae420.

Reference Type DERIVED
PMID: 39158584 (View on PubMed)

Anderson EJ, Creech CB, Berthaud V, Piramzadian A, Johnson KA, Zervos M, Garner F, Griffin C, Palanpurwala K, Turner M, Gerber J, Bennett RL, Ali K, Ampajwala M, Berman G, Nayak J, Chronis C, Rizzardi B, Muller WJ, Smith CA, Fuchs G, Hsia D, Tomassini JE, DeLucia D, Reuter C, Kuter B, Zhao X, Deng W, Zhou H, Ramirez Schrempp D, Hautzinger K, Girard B, Slobod K, McPhee R, Pajon R, Aunins A, Das R, Miller JM, Schnyder Ghamloush S; KidCOVE Study Group. Evaluation of mRNA-1273 Vaccine in Children 6 Months to 5 Years of Age. N Engl J Med. 2022 Nov 3;387(18):1673-1687. doi: 10.1056/NEJMoa2209367. Epub 2022 Oct 19.

Reference Type DERIVED
PMID: 36260859 (View on PubMed)

Creech CB, Anderson E, Berthaud V, Yildirim I, Atz AM, Melendez Baez I, Finkelstein D, Pickrell P, Kirstein J, Yut C, Blair R, Clifford RA, Dunn M, Campbell JD, Montefiori DC, Tomassini JE, Zhao X, Deng W, Zhou H, Ramirez Schrempp D, Hautzinger K, Girard B, Slobod K, McPhee R, Pajon R, Das R, Miller JM, Schnyder Ghamloush S; KidCOVE Study Group. Evaluation of mRNA-1273 Covid-19 Vaccine in Children 6 to 11 Years of Age. N Engl J Med. 2022 May 26;386(21):2011-2023. doi: 10.1056/NEJMoa2203315. Epub 2022 May 11.

Reference Type DERIVED
PMID: 35544369 (View on PubMed)

Lynch LR, Clifford H, Ko R, Hache M, Sun W. Primer of COVID-19 Vaccines for the Perioperative Physician. J Neurosurg Anesthesiol. 2022 Jan 1;34(1):101-106. doi: 10.1097/ANA.0000000000000802.

Reference Type DERIVED
PMID: 34870630 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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http://www.kidcovestudy.com

Click here to access the website, http://www.kidcovestudy.com, for additional information for the study, such as Study Overview, Participation, Site Locations, along with contact numbers for each location for the study.

Other Identifiers

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mRNA-1273-P204

Identifier Type: -

Identifier Source: org_study_id

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