A Study of mRNA-1345 Vaccine Targeting Respiratory Syncytial Virus (RSV) in Adults ≥50 Years of Age

NCT ID: NCT05330975

Last Updated: 2025-12-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

3317 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-01

Study Completion Date

2024-11-08

Brief Summary

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The main purposes of Part A of this study are to evaluate the safety, tolerability, and immunogenicity of mRNA-1345 coadministered with a seasonal influenza vaccine (Afluria® Quadrivalent); to evaluate the impact of coadministered influenza vaccine on the immune response to RSV-A; and to evaluate the impact of coadministered RSV vaccine on the immune response to influenza.

The main purposes of Part B of this study are to evaluate the safety, tolerability, and immunogenicity of mRNA-1345 coadministered with mRNA-1273.214; to evaluate the effect of coadministered mRNA-1273.214 on the immune response to RSV-A; and to evaluate the effect of coadministered RSV vaccine on the immune response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

The main purposes of Part C (single arm, open-label) of this study are to evaluate the safety and tolerability of a booster dose (BD) of mRNA-1345 administered at 1 Year following a primary dose; to evaluate the immune response to RSV-A of a BD of mRNA 1345 administered at 1 Year following a primary dose; and to evaluate the immune response to RSV-B of a BD of mRNA-1345 administered at 1 Year following a primary dose.

Detailed Description

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Conditions

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Respiratory Syncytial Virus

Keywords

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Viral Diseases Messenger RNA Moderna mRNA-1345 Respiratory syncytial virus Safety Vaccines 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 A and B are randomized, observer blind studies and Part C is a single-arm, open-label study.

Study Groups

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Part A: mRNA-1345 + Placebo

Single injection of mRNA-1345 and placebo, administered intramuscularly (IM), one in each arm on Day 1.

Group Type EXPERIMENTAL

Placebo

Intervention Type BIOLOGICAL

0.9% sodium chloride (normal saline) injection

mRNA-1345

Intervention Type BIOLOGICAL

Sterile liquid for injection

Part A: mRNA-1345 + Afluria® Quadrivalent

Single injection of mRNA-1345 and Afluria® quadrivalent, administered IM, one in each arm on Day 1.

Group Type EXPERIMENTAL

mRNA-1345

Intervention Type BIOLOGICAL

Sterile liquid for injection

Afluria® Quadrivalent

Intervention Type BIOLOGICAL

single-dose, pre-filled syringe for injection

Part A: Afluria® Quadrivalent + Placebo

Single injection of Afluria® quadrivalent and placebo, administered IM, one in each arm on Day 1.

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

0.9% sodium chloride (normal saline) injection

Afluria® Quadrivalent

Intervention Type BIOLOGICAL

single-dose, pre-filled syringe for injection

Part B: mRNA-1345 + Placebo

Single injection of mRNA-1345 and placebo, administered IM, one in each arm on Day 1. An additional injection of mRNA-1273.214, administered on Day 29.

Group Type EXPERIMENTAL

Placebo

Intervention Type BIOLOGICAL

0.9% sodium chloride (normal saline) injection

mRNA-1345

Intervention Type BIOLOGICAL

Sterile liquid for injection

mRNA-1273.214

Intervention Type BIOLOGICAL

Sterile liquid for injection

Part B: mRNA-1345 + mRNA-1273.214

Single injection of mRNA-1345 and mRNA-1273.214, administered IM, one in each arm on Day 1. An additional injection of placebo administered on Day 29.

Group Type EXPERIMENTAL

Placebo

Intervention Type BIOLOGICAL

0.9% sodium chloride (normal saline) injection

mRNA-1345

Intervention Type BIOLOGICAL

Sterile liquid for injection

mRNA-1273.214

Intervention Type BIOLOGICAL

Sterile liquid for injection

Part B: mRNA-1273.214 + Placebo

Single injection of mRNA-1273.214 and placebo, administered IM, one in each arm on Day 1. An additional injection of placebo administered on Day 29.

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

0.9% sodium chloride (normal saline) injection

mRNA-1273.214

Intervention Type BIOLOGICAL

Sterile liquid for injection

Part C: mRNA-1345

Single injection of mRNA-1345 administered IM on BD Day 1.

Group Type EXPERIMENTAL

mRNA-1345

Intervention Type BIOLOGICAL

Sterile liquid for injection

Interventions

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Placebo

0.9% sodium chloride (normal saline) injection

Intervention Type BIOLOGICAL

mRNA-1345

Sterile liquid for injection

Intervention Type BIOLOGICAL

Afluria® Quadrivalent

single-dose, pre-filled syringe for injection

Intervention Type BIOLOGICAL

mRNA-1273.214

Sterile liquid for injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

Parts A and B both:

* Adults ≥50 years of age on the day of the Randomization Visit (Day 1) who are primarily responsible for self-care and activities of daily living. Participants may have one or more chronic medical diagnoses, but should be medically stable as assessed by: Absence of changes in medical therapy within 1 month due to treatment failure or toxicity; Absence of medical events qualifying as SAEs within 1 month of the planned vaccination on Day 1; and absence of known, current, and life-limiting diagnoses which, in the opinion of the investigator, would make completion of the protocol unlikely.
* Able to comply with study requirements, including access to transportation for study visits.

Part B only:

* Fully vaccinated for COVID-19 with an approved primary series according to the locally authorized or approved regimen. If the most recent COVID-19 vaccine was part of a primary series, it must be ≥ 150 days before (or less per local guidance) Day 1. If the most recent COVID-19 vaccine was a booster dose, it must be ≥ 120 days before (or less per local guidance) Day 1.

Part C:

* Participants at Part C study sites who have been enrolled in Part B (Groups 4 and 5) of this study; have immunogenicity blood sampling at Part B baseline and Day 29; completed the Day 211/end-of-study visits for Part B; were included in the per-protocol (PP) set; and received 1 dose of mRNA-1345 at least 12 months (but no later than 15 months) prior to the time of enrollment.
* Able to comply with study requirements, including access to transportation for study visits.

Exclusion Criteria

Part A:

* Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤28 days prior to study injections (Day 1) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after the study injections.
* Prior participation in research involving receipt of any investigational product (drug/biologic/device including any investigational RSV product) within 45 days before the planned date of the Day 1 study injection.
* Participant has received a seasonal influenza vaccine or any other investigational influenza vaccine ≤180 days prior to the Randomization Visit (Day 1).
* History of a serious reaction to any prior vaccination, or Guillain-Barré syndrome within 6 weeks of any prior influenza immunization.
* Participated in an interventional clinical study within 28 days prior to the Screening Visit based on the medical history interview or plans to do so while participating in this study.

Part B:

* Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤ 28 days prior to study injections (Day 1) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after the study injections (with the exception of SARS-Cov-2 vaccination).
* Prior participation in research involving receipt of any investigational product (drug/biologic/device with the exception of RSV investigation products) within 45 days before the planned date of the Day 1 study injection.
* Prior receipt of any investigational/approved RSV product within 1 year of the Day 1 study injection.
* Has known history of SARS-CoV-2 infection within 90 days prior to enrollment.

Parts A and B both:

* Participant had significant exposure to someone with SARS-CoV-2 infection or COVID-19 in the past 10 days, as defined by the United States (US) Centers for Disease Control and Prevention (CDC) as a close contact of someone who has had COVID-19.

Part C:

* Participation in another interventional clinical research study where participant has received an investigational product (drug/biologic/device) within 6 months before the planned date of the BD Day 1 study injection. Any prior receipt of an investigational or approved vaccine against RSV, except as part of mRNA-1345 Study P302 Part B, is exclusionary.
* Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤28 days prior to the study injection (BD Day 1) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after the study injections.
* History of a serious reaction to any prior vaccination or Guillain-Barré syndrome 6 weeks after any prior influenza immunization.
Minimum Eligible Age

50 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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Central Research Associates Inc

Birmingham, Alabama, United States

Site Status

Del Sol Research Management - Clinedge - PPDS

Tucson, Arizona, United States

Site Status

Paragon Rx Clinical, Inc

Garden Grove, California, United States

Site Status

Ark Clinical Research

Long Beach, California, United States

Site Status

Long Beach Clinical Trials, LLC (Site 1)

Long Beach, California, United States

Site Status

Long Beach Clinical Trials, LLC (Site 2)

Long Beach, California, United States

Site Status

Central Valley Research, LLC

Modesto, California, United States

Site Status

Velocity Clinical Research - Panorama City

Panorama City, California, United States

Site Status

Empire Clinical Research

Pomona, California, United States

Site Status

Acclaim Clinical Research

San Diego, California, United States

Site Status

Medical Center For Clinical Research - M3 WR - ERN - PPDS

San Diego, California, United States

Site Status

Ark Clinical Research

Tustin, California, United States

Site Status

Chase Medical Research LLC

Waterbury, Connecticut, United States

Site Status

Teradan Clinical Trials

Brandon, Florida, United States

Site Status

Revival Research Corporation - Clinedge - PPDS

Doral, Florida, United States

Site Status

Dolphin Medical Research

Doral, Florida, United States

Site Status

Indago Research and Health Center

Hialeah, Florida, United States

Site Status

Westside Center for Clinical Research - ERN - PPDS

Jacksonville, Florida, United States

Site Status

Suncoast Research Group LLC - ERN-PPDS

Miami, Florida, United States

Site Status

Suncoast Research Associates LLC - ERN - PPDS

Miami, Florida, United States

Site Status

Floridian Clinical Research - ClinEdge - PPDS

Miami Lakes, Florida, United States

Site Status

Tekton Research - Georgia - Platinum - PPDS

Chamblee, Georgia, United States

Site Status

Lifeline Primary Care / CCT Research

Lilburn, Georgia, United States

Site Status

Georgia Clinic / CCT Research

Norcross, Georgia, United States

Site Status

Meridian Clinical Research (Savannah Georgia) - Platinum - PPDS

Savannah, Georgia, United States

Site Status

East-West Medical Research Institute

Honolulu, Hawaii, United States

Site Status

Meridian Clinical Research (Sioux City - Iowa)

Sioux City, Iowa, United States

Site Status

Meridian Clinical Research, LLC (Overland Park, Kansas) - Platinum - PPDS

Overland Park, Kansas, United States

Site Status

Meridian Clinical Research (Baton Rouge-Louisiana) - Platinum - PPDS

Baton Rouge, Louisiana, United States

Site Status

Clinical Trials of SWLA, LLC

Lake Charles, Louisiana, United States

Site Status

Meridian Clinical Research (Rockville Maryland) - Platinum - PPDS

Rockville, Maryland, United States

Site Status

Clinical Research Institute, Inc - CRN - PPDS

Minneapolis, Minnesota, United States

Site Status

Meridian Clinical Research (Grand Island) - Platinum - PPDS

Grand Island, Nebraska, United States

Site Status

Meridian Clinical Research, LLC (Lincoln Nebraska) - Platinum - PPDS

Lincoln, Nebraska, United States

Site Status

Be Well Clinical Studies, LLC

Lincoln, Nebraska, United States

Site Status

Meridian Clinical Research

Norfolk, Nebraska, United States

Site Status

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

Omaha, Nebraska, United States

Site Status

Midwest Regional Health Services - CCT Research

Omaha, Nebraska, United States

Site Status

Clinical Research Center of Nevada - ERN - PPDS

Las Vegas, Nevada, United States

Site Status

Santa Rosa Medical Centers of Nevada - CCT Research

Las Vegas, Nevada, United States

Site Status

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

Endwell, New York, United States

Site Status

IMA Medical Research, PC.

New York, New York, United States

Site Status

CHEAR Center LLC - ClinEdge - PPDS

The Bronx, New York, United States

Site Status

Javara Research Inc. - Charlotte - Javara - PPDS

Charlotte, North Carolina, United States

Site Status

M3 Wake Research, Inc - M3 WR - ERN - PPDS

Raleigh, North Carolina, United States

Site Status

Velocity Clinical Research - Cleveland - ERN - PPDS

Cleveland, Ohio, United States

Site Status

Meridian Clinical Research - Cincinnati - Platinum - PPDS

Springdale, Ohio, United States

Site Status

Tekton Research

Moore, Oklahoma, United States

Site Status

Velocity Clinical Research - Anderson - ERN - PPDS

Anderson, South Carolina, United States

Site Status

Velocity Clinical Research - Greenville - ERN - PPDS

Greenville, South Carolina, United States

Site Status

Trial Management Associates LLC - ERN - PPDS

Myrtle Beach, South Carolina, United States

Site Status

Velocity Clinical Research - Spartanburg - ERN - PPDS

Spartanburg, South Carolina, United States

Site Status

New Phase Research & Development

Knoxville, Tennessee, United States

Site Status

Benchmark Research - Austin - HyperCore - PPDS

Austin, Texas, United States

Site Status

Tekton Research - Beaumont - Platinum - PPDS

Beaumont, Texas, United States

Site Status

Zenos Clinical Research

Dallas, Texas, United States

Site Status

Milton Haber, M.D.

Laredo, Texas, United States

Site Status

Sun Research Institute

San Antonio, Texas, United States

Site Status

Cope Family Medicine - Ogden Clinic

Bountiful, Utah, United States

Site Status

CCT Research at Springville Dermatology

Springville, Utah, United States

Site Status

Javara Inc./Privia Medical Group INC

Forest, Virginia, United States

Site Status

Meridian Clinical Research - Family Practice Ports - Portsmouth - Platinum - PPDS

Portsmouth, Virginia, United States

Site Status

Countries

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United States

References

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Goswami J, Cardona JF, Caso J, Hsu DC, Simorellis AK, Wilson L, Dhar R, Wang X, Kapoor A, Collins A, Righi V, Lan L, Du J, Zhou H, Stoszek SK, Shaw CA, Reuter C, Wilson E, Das R. Safety, Tolerability, and Immunogenicity of Revaccination with mRNA-1345, an mRNA Vaccine Against RSV, Administered 12 Months Following a Primary Dose in Adults Aged >/=50 Years. Clin Infect Dis. 2025 Sep 23:ciaf515. doi: 10.1093/cid/ciaf515. Online ahead of print.

Reference Type DERIVED
PMID: 40988124 (View on PubMed)

Goswami J, Cardona JF, Hsu DC, Simorellis AK, Wilson L, Dhar R, Tomassini JE, Wang X, Kapoor A, Collins A, Righi V, Lan L, Du J, Zhou H, Stoszek SK, Shaw CA, Reuter C, Wilson E, Miller JM, Das R; study investigators. Safety and immunogenicity of mRNA-1345 RSV vaccine coadministered with an influenza or COVID-19 vaccine in adults aged 50 years or older: an observer-blinded, placebo-controlled, randomised, phase 3 trial. Lancet Infect Dis. 2025 Apr;25(4):411-423. doi: 10.1016/S1473-3099(24)00589-9. Epub 2024 Nov 25.

Reference Type DERIVED
PMID: 39608389 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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mRNA-1345-P302

Identifier Type: -

Identifier Source: org_study_id