A Study to Evaluate the Safety, Tolerability, and Immunogenicity of Combined Modified RNA Vaccine Candidates Against COVID-19 and Influenza

NCT ID: NCT05596734

Last Updated: 2025-07-23

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

Total Enrollment

1019 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-28

Study Completion Date

2023-12-28

Brief Summary

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Substudy A: This is a Phase 1 randomized, open-label study to describe the safety and immunogenicity of up to 3 dose- level combinations of modRNA quadrivalent influenza vaccine (qIRV (22/23)) and bivalent BNT162b2 (original/Omi BA.4/BA.5). Participants will receive either:

* qIRV (22/23)/bivalent BNT162b2 (original/Omi BA.4/BA.5), at 1 of the 3 dose-level combinations
* qIRV (22/23) at dose level 1,
* qIRV (22/23) at dose level 2, or
* bivalent BNT162b2 (original/Omi BA.4/BA.5) at dose level 1 administered concurrently in the opposite arm to commercially licensed quadrivalent influenza vaccine (QIV).

Substudy B: This Phase 1/2 study will describe the safety, tolerability, and immunogenicity of quadrivalent influenza vaccine (qIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5), trivalent influenza vaccine (tIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5), and bivalent influenza vaccine (bIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5) when given concurrently with licensed quadrivalent influenza vaccine (QIV).

Detailed Description

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Conditions

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Influenza, Human COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Substudy A: Open-label unblinded.

Substudy B: Participants are blinded to their assigned study intervention.

Study Groups

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SSA: qIRV + bivalent BNT162b2 (dose level combination 1)

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSA: qIRV + bivalent BNT162b2 (dose level combination 2)

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSA: qIRV + bivalent BNT162b2 (dose level combination 3)

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSA: qIRV (dose level 1)

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSA: qIRV (dose level 2)

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSA: bivalent BNT162b2 (dose level 1) + QIV

BNT162b2 administered intramuscularly into the deltoid muscle of the right arm, QIV administered intramuscularly into the deltoid muscle of the left arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

QIV

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: QIV + bivalent BNT162b2 (original/Omi BA.4/BA.5)

BNT162b2 administered intramuscularly into the deltoid muscle of the right arm, QIV administered intramuscularly into the deltoid muscle of the left arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

QIV

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: QIV + bIRV/bivalent BNT162b2 (original/Omi BA.4/BA.5)

BNT162b2 administered intramuscularly into the deltoid muscle of the right arm, QIV administered intramuscularly into the deltoid muscle of the left arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

QIV

Intervention Type BIOLOGICAL

Intramuscular injection

bIRV

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 1

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 2

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 3

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 4

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 5

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 6

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 7

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 8

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: tIRV/bivalent BNT162b2(original/Omi\BA.4/BA.5)

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intervention Type BIOLOGICAL

Intramuscular injection

tIRV

Intervention Type BIOLOGICAL

Intramuscular injection

SSB: qIRV

Administered intramuscularly into the deltoid muscle of the right arm

Group Type EXPERIMENTAL

qIRV (22/23)

Intervention Type BIOLOGICAL

Intramuscular injection

Interventions

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bivalent BNT162b2 (original/Omi BA.4/BA.5)

Intramuscular injection

Intervention Type BIOLOGICAL

qIRV (22/23)

Intramuscular injection

Intervention Type BIOLOGICAL

QIV

Intramuscular injection

Intervention Type BIOLOGICAL

bIRV

Intramuscular injection

Intervention Type BIOLOGICAL

tIRV

Intramuscular injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Male or female participants 18 years of age and older
* Participants who are willing and able to comply with all scheduled visits, investigational 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.
* Capable of giving signed informed consent as described in the protocol.
* For participants 18 through 64 years of age: participants who have received 3 prior doses of 30 µg BNT162b2, with the last dose being 150 to 365 days before Visit 1 (Day 1).
* For participants 65 years of age and older: participants who have received 4 or 5 prior doses of a modRNA SARS-CoV-2 vaccine, with the last dose being a bivalent vaccine, 120 days to 365 days before Visit 1 (Day 1).
* For Participants 65 years of age and older: receipt of licensed influenza vaccination for the 2022-2023 northern hemisphere season 120 days or more before study intervention administration.


* Male or female participants 18 years of age and older
* Participants who are willing and able to comply with all scheduled visits, investigational 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.
* Capable of giving signed informed consent as described in the protocol.
* Participants who have received at least 3 prior US-authorized mRNA COVID-19 vaccines, with the last dose being an updated (bivalent) vaccine given at least 150 days before Day 1.

Exclusion Criteria

* History of severe adverse reaction associated with any vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
* Immunocompromised individuals with known or suspected immunodeficiency.
* Bleeding diathesis or condition associated with prolonged bleeding.
* Women who are pregnant or breastfeeding.
* Allergy to egg proteins (egg or egg products) or chicken proteins.
* 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.
* Receipt of chronic systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids), or radiotherapy, within 60 days before enrollment through conclusion of the study.
* Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
* For participants 18 through 64 years of age: vaccination with any investigational or licensed influenza vaccine within 6 months (175 days) before study intervention administration.
* Participation in other studies involving a study intervention within 28 days before randomization. Anticipated participation in other studies within 28 days after receipt of study intervention in this study.
* Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
* Participation in strenuous or endurance exercise through Visit 3 of the study.
* Prior history of heart disease.
* Any abnormal screening troponin I laboratory value.
* Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.


* 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 any vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
* 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
* Receipt of chronic systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids), or radiotherapy, within 60 days before enrollment through conclusion of 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 investigational or licensed influenza vaccine within 6 months (175 days) before study intervention administration, or ongoing receipt of chronic antiviral therapy with activity against influenza
* Participation in other studies involving administration of a study intervention within 28 days prior to, and/or during, participation in this study.
* Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
* Initial enrollment only: Participation in strenuous or endurance exercise through Visit 3 (initial enrollment phase).
* Initial enrollment only: Prior history of heart disease of concern
* Initial enrollment only: Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

BioNTech SE

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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North Alabama Research Center

Athens, Alabama, United States

Site Status

The Heart Center

Athens, Alabama, United States

Site Status

HOPE Research Institute

Phoenix, Arizona, United States

Site Status

The Pain Center of Arizona

Phoenix, Arizona, United States

Site Status

Orange County Research Center

Lake Forest, California, United States

Site Status

Orange County Heart Institute

Orange, California, United States

Site Status

California Research Foundation

San Diego, California, United States

Site Status

Orange County Research Center

Tustin, California, United States

Site Status

Proactive Clinical Research,LLC

Fort Lauderdale, Florida, United States

Site Status

Finlay Medical Research

Greenacres City, Florida, United States

Site Status

Indago Research & Health Center, Inc

Hialeah, Florida, United States

Site Status

Research Centers of America ( Hollywood )

Hollywood, Florida, United States

Site Status

Angels Clinical Research Institute

Miami, Florida, United States

Site Status

Miami Clinical Research

Miami, Florida, United States

Site Status

Gerardo Polanco, MD

Miami, Florida, United States

Site Status

Research Institute of South Florida

Miami, Florida, United States

Site Status

Entrust Clinical Research

Miami, Florida, United States

Site Status

Jackson Medical Group Cardiac Care

Miami, Florida, United States

Site Status

Miami Dade Medical Research Institute, LLC

Miami, Florida, United States

Site Status

Palm Springs Community Health Center

Miami Lakes, Florida, United States

Site Status

Panax Clinical Research

Miami Lakes, Florida, United States

Site Status

Palm Springs Community Health Center

Miami Lakes, Florida, United States

Site Status

Innovation Medical Research Center

Palmetto Bay, Florida, United States

Site Status

DBC Research USA

Pembroke Pines, Florida, United States

Site Status

United Medical Research

Port Orange, Florida, United States

Site Status

Velocity Clinical Research, Savannah

Savannah, Georgia, United States

Site Status

Savannah Medical Group

Savannah, Georgia, United States

Site Status

Clinical Research Atlanta

Stockbridge, Georgia, United States

Site Status

East-West Medical Research Institute

Honolulu, Hawaii, United States

Site Status

Great Lakes Clinical Trials - Ravenswood

Chicago, Illinois, United States

Site Status

Retina Associates

Elmhurst, Illinois, United States

Site Status

Affinity Health

Oak Brook, Illinois, United States

Site Status

Alliance for Multispecialty Research, LLC

Oak Brook, Illinois, United States

Site Status

Alliance for Multispecialty Research, LLC

Wichita, Kansas, United States

Site Status

Jadestone Clinical Research

Silver Spring, Maryland, United States

Site Status

Michigan Center of Medical Research (MICHMER)

Farmington Hills, Michigan, United States

Site Status

Pradeep Chandra, DO, FACC

Bridgeton, Missouri, United States

Site Status

Clinical Research Professionals

Chesterfield, Missouri, United States

Site Status

Sundance Clinical Research

St Louis, Missouri, United States

Site Status

Pioneer Heart Institute

Lincoln, Nebraska, United States

Site Status

Quality Clinical Research

Omaha, Nebraska, United States

Site Status

Velocity Clinical Research, Omaha

Omaha, Nebraska, United States

Site Status

ActivMed Practices & Research, LLC.

Portsmouth, New Hampshire, United States

Site Status

SUNY Upstate Medical University Institute for Global Health

Syracuse, New York, United States

Site Status

Monroe Biomedical Research

Monroe, North Carolina, United States

Site Status

M3 Wake Research, Inc.

Raleigh, North Carolina, United States

Site Status

CTI Clinical Research Center

Cincinnati, Ohio, United States

Site Status

Centricity Research Columbus Ohio Multispecialty

Columbus, Ohio, United States

Site Status

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status

Velocity Clinical Research, Providence

East Greenwich, Rhode Island, United States

Site Status

Main Street Physician's Care

Little River, South Carolina, United States

Site Status

McLeod Cardiology Associates - Little River

Little River, South Carolina, United States

Site Status

Alliance for Multispecialty Research, LLC

Knoxville, Tennessee, United States

Site Status

Alliance for Multispecialty Research, LLC

Knoxville, Tennessee, United States

Site Status

University of Texas Medical Branch

Galveston, Texas, United States

Site Status

Prolato Clinical Research Center

Houston, Texas, United States

Site Status

DM Clinical Research, Martin Diagnostic Clinic

Tomball, Texas, United States

Site Status

DM Clinical Research

Tomball, Texas, United States

Site Status

Charlottesville Medical Research

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C5261001

To obtain contact information for a study center near you, click here.

Other Identifiers

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NCT05596734

Identifier Type: REGISTRY

Identifier Source: secondary_id

C5261001

Identifier Type: -

Identifier Source: org_study_id

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