A Study on the Safety and Immunogenicity of Hexavalent Influenza mRNA Vaccine in Adult Participants 50 Years of Age and Older

NCT ID: NCT06744205

Last Updated: 2025-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

1162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-06

Study Completion Date

2026-04-16

Brief Summary

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The purpose of this study is to evaluate the safety and immunogenicity of a single intramuscular injection of different formulations of a hexavalent influenza messenger ribonucleic acid (mRNA) vaccine composed of differing dose levels of trivalent (TIV) mRNA hemagglutinin (HA) in combination with TIV mRNA-neuraminidase (NA) compared to an active control ((Fluzone standard-dose quadrivalent influenza vaccine (QIV-SD) or Fluzone high-dose quadrivalent influenza vaccine (QIV-HD) in adults 50 years of age and older.

Detailed Description

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Study details include the following:

* Study Duration: approximately 12 months for each participant
* Treatment: 1 injection of hexavalent vaccine, trivalent vaccine, or active control
* Visit frequency: Day (D) 01, D03, D09, D29, and D181; D366 (telephone call)
* Dose escalation with sequential enrollment of sentinel cohorts followed by parallel enrollment of the main cohort

Conditions

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Influenza Healthy Volunteers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Dose escalation with sequential enrollment of sentinel cohorts followed by parallel enrollment of the main cohort.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Modified double-blind (participants; sites, except for those preparing/administering study intervention; and Sponsor will be blinded. Sponsor's internal safety monitoring team could be unblinded if necessary)

Study Groups

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Group 1 - Hexavalent (Combination 1)

Participants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 1)

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 2 - Hexavalent (Combination 2)

Participants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 2)

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 3 - Hexavalent (Combination 3)

Participants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 3)

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 4 - Hexavalent (Combination 4)

Participants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 4)

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 5 - Hexavalent (Combination 5)

Participants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 5)

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 6 - Hexavalent (Combination 6)

Participants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 6)

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 7 - TIV mRNA-HA Vaccine 1

Participants will receive a single dose of TIV mRNA-HA Vaccine 1

Group Type EXPERIMENTAL

Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 8 - TIV mRNA-NA

Participants will receive a single dose of TIV mRNA-NA

Group Type EXPERIMENTAL

TIV mRNA-neuraminidase (NA)

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 9 - TIV mRNA-HA Vaccine 2

Participants will receive single dose of TIV mRNA-HA Vaccine 2

Group Type EXPERIMENTAL

TIV mRNA-HA Vaccine 2

Intervention Type BIOLOGICAL

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Group 10 - QIV-SD

Participants will receive single dose of QIV-SD vaccine (for participants 50 to 64 years of age only)

Group Type ACTIVE_COMPARATOR

Quadrivalent Influenza Standard Dose Vaccine

Intervention Type BIOLOGICAL

* Pharmaceutical form: Liquid suspension for injection in pre-filled syringe
* Route of administration: Intramuscular injection

Group 11 - QIV-HD

Participants will receive single dose of QIV-HD vaccine

Group Type ACTIVE_COMPARATOR

Quadrivalent Influenza Vaccine High Dose

Intervention Type BIOLOGICAL

* Pharmaceutical form: Liquid suspension for injection in pre-filled syringe
* Route of administration: Intramuscular injection

Interventions

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Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Intervention Type BIOLOGICAL

TIV mRNA-neuraminidase (NA)

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Intervention Type BIOLOGICAL

TIV mRNA-HA Vaccine 2

* Pharmaceutical form: solution for injection in a vial
* Route of administration: Intramuscular injection

Intervention Type BIOLOGICAL

Quadrivalent Influenza Standard Dose Vaccine

* Pharmaceutical form: Liquid suspension for injection in pre-filled syringe
* Route of administration: Intramuscular injection

Intervention Type BIOLOGICAL

Quadrivalent Influenza Vaccine High Dose

* Pharmaceutical form: Liquid suspension for injection in pre-filled syringe
* Route of administration: Intramuscular injection

Intervention Type BIOLOGICAL

Other Intervention Names

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Fluzone Qudrivalent® Fluzone High-Dose Quadrivalent®

Eligibility Criteria

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Inclusion Criteria

* Participant aged 50 years on the day of inclusion
* A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:

* Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be postmenopausal for at least 1 year, or surgically sterile.

OR

* Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to study intervention administration until at least 12 weeks after study intervention administration.

A female participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 8 hours prior to administration of study intervention.

Exclusion Criteria

Participants are not eligible for the study if any of the following criteria are met:

* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
* Known systemic hypersensitivity to any of the study intervention components (eg, polyethylene glycol, polysorbate); history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances; any allergic reaction (eg, anaphylaxis) after administration of mRNA vaccine
* Previous history of myocarditis, pericarditis, and/or myopericarditis
* Known history of previous episodes of Guillain-Barré syndrome, neuritis (including Bell's palsy), convulsions, encephalitis, transverse myelitis, and vasculitis
* Participants with an electrocardiogram that is consistent with possible myocarditis or pericarditis or, in the opinion of the investigator, demonstrates clinically relevant abnormalities that may affect participant safety or study results
* Self-reported thrombocytopenia, contraindicating intramuscular (IM) vaccination based on Investigator's judgment
* Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM vaccination based on Investigator's judgment
* Chronic illness that, in the opinion of the Investigator, is at a stage where it might interfere with study conduct or completion
* Moderate or severe acute illness / infection (according to investigator's judgement) or febrile illness (temperature ≥ 38.0°C \[≥ 100.4°F\]) on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
* Alcohol, prescription drug, or substance abuse that, in the opinion of the Investigator, might interfere with the study conduct or completion
* Participant who had acute infectious symptoms or a positive SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to the first visit (V01)
* Receipt of any vaccine in the 4 weeks preceding study intervention administration or planned receipt of any vaccine in the 4 weeks following study intervention administration
* Receipt of immune globulins, blood or blood-derived products in the past 3 months
* Previous vaccination against influenza in the previous 6 months with an investigational or marketed vaccine
* Receipt of any mRNA vaccine/product in the 2 months preceding study intervention administration or planned receipt of any mRNA vaccine in the 2 months after study vaccination
* Participation at the time of study enrollment (or in the 4 weeks preceding study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
* Self-reported or documented seropositivity for human immunodeficiency virus, hepatitis B virus, or hepatitis C virus
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Accel Research Sites Network - Birmingham- Site Number : 8400008

Birmingham, Alabama, United States

Site Status

AMR Mobile- Site Number : 8400022

Mobile, Alabama, United States

Site Status

Alliance for Multispeciality Research - Clinical Research Consortium- Site Number : 8400015

Tempe, Arizona, United States

Site Status

AMR Miami- Site Number : 8400021

Coral Gables, Florida, United States

Site Status

Accel Research Sites Network - DeLand Clinical Research Unit- Site Number : 8400003

DeLand, Florida, United States

Site Status

Alliance for Multispeciality Research - Fort Myers- Site Number : 8400013

Fort Myers, Florida, United States

Site Status

Accel Research Sites - Maitland- Site Number : 8400007

Maitland, Florida, United States

Site Status

Innovation Medical Research Center - Palmetto Bay- Site Number : 8400011

Palmetto Bay, Florida, United States

Site Status

Accel Research Site - NeuroStudies.net, LLC - ERN - PPDS- Site Number : 8400001

Decatur, Georgia, United States

Site Status

AMR - Chicago- Site Number : 8400012

Oak Brook, Illinois, United States

Site Status

Alliance for Multispeciality Research - Newton- Site Number : 8400020

Newton, Kansas, United States

Site Status

Alliance for Multispeciality Research - Wichita East- Site Number : 8400014

Wichita, Kansas, United States

Site Status

Alliance for Multispeciality Research - Lexington- Site Number : 8400018

Lexington, Kentucky, United States

Site Status

Boston Clinical Trials- Site Number : 8400009

Boston, Massachusetts, United States

Site Status

ActivMed Practices & Research- Site Number : 8400005

Methuen, Massachusetts, United States

Site Status

Quest Research Institute- Site Number : 8400010

Farmington Hills, Michigan, United States

Site Status

Alliance for Multispeciality Research - Kansas City- Site Number : 8400019

Kansas City, Missouri, United States

Site Status

AMR Las Vegas - Site Number : 8400016

Las Vegas, Nevada, United States

Site Status

Coastal Carolina Research Center - North Charleston- Site Number : 8400002

North Charleston, South Carolina, United States

Site Status

Alliance for Multispeciality Research - Knoxville- Site Number : 8400017

Knoxville, Tennessee, United States

Site Status

Charlottesville Medical Research- Site Number : 8400004

Charlottesville, Virginia, United States

Site Status

Investigational Site Number : 0360001

Botany, New South Wales, Australia

Site Status

Investigational Site Number : 0360003

Bayswater, Victoria, Australia

Site Status

Investigational Site Number : 0360002

Melbourne, Victoria, Australia

Site Status

Countries

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United States Australia

Other Identifiers

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U1111-1303-3537

Identifier Type: REGISTRY

Identifier Source: secondary_id

FBP00021

Identifier Type: -

Identifier Source: org_study_id

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