Study to Assess the Safety and Immunogenicity of Monovalent mRNA NA Vaccine in Adult Participants 18 Years of Age and Older

September 9, 2025 updated by: Sanofi Pasteur, a Sanofi Company

Phase I, Randomized, Modified Double-blind, Parallel-group, Active-controlled, Multi-arm, Dose-escalation Study to Assess the Safety and Immunogenicity of Monovalent mRNA NA Vaccine in Adult Participants 18 Years of Age and Older

This is a Phase I, first-in-human, randomized, modified double-blind, active-controlled, dose-escalation study to assess the safety and immunogenicity of up to 3 dose levels of mRNA NA vaccines, administered as a single IM injection in healthy adults aged 18 years and older. Two age groups, 18 to 64 years and ≥65 years, will be included in this study.

Study Overview

Detailed Description

This study will include a screening visit, 6 study visits occurring on Days 1, 3, 9, 29, 91, and 181, and a safety follow-up telephone call on Day 366.

Study Type

Interventional

Enrollment (Actual)

233

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Alabama
      • Huntsville, Alabama, United States, 35802
        • AES - DRS - Optimal Research_Site 8400007
    • Arizona
      • Phoenix, Arizona, United States, 85020
        • Central Phoenix Medical Clinic, LLC_Site: 8400010
    • California
      • San Diego, California, United States, 92108
        • Optimal Research San Diego, LLC_Site: 8400009
    • Florida
      • Melbourne, Florida, United States, 32934-8172
        • AES - DRS - Optimal Research_Site 8400002
    • Illinois
      • Peoria, Illinois, United States, 61614-4885
        • AES - DRS - Optimal Research_Site 8400001
    • Ohio
      • Cincinnati, Ohio, United States, 45236
        • Synexus Clinical Research_Site 8400003

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Aged 18 years or older 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:

    1. 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
    2. 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 before administration of study intervention.
  • Informed consent form has been signed and dated.

Exclusion Criteria:

  • 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; history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances
  • Moderate or severe acute illness/infection (according to investigator judgement) or febrile illness (temperature ≥100.4°F) on the day of study intervention administration.
  • Have known or recently active (12 months) neoplastic disease or a history of any hematologic malignancy.
  • Have any diagnosis, current or past, of autoimmune disease.
  • Body mass index of 40 kg/m2 or higher.
  • Receipt of immune globulins, blood, or blood-derived products in the past 3 months.
  • Have taken high-dose inhaled corticosteroid (≥500 μg of fluticasone) within 6 months prior to study vaccination.
  • Self-reported or documented seropositivity for HIV, hepatitis B virus, or hepatitis C virus.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group 1 mRNA NA: Low dose Level
Participants will receive a low dose of mRNA vaccine
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Experimental: Group 2 mRNA NA: Medium dose level
Participants will receive a medium dose of mRNA vaccine
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Experimental: Group 3 mRNA NA: High dose level
Participants will receive a high dose of mRNA vaccine
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Active Comparator: Group 4: QIV-HD
Participants will receive QIV-HD (high dose quadrivalent influenza) vaccine
Pharmaceutical form: Suspension for injection Route of administration: Intramuscular
Other Names:
  • Fluzone HD

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of participants with immediate adverse events
Time Frame: Within 30 minutes after vaccination
Immediate adverse events are unsolicited systemic adverse events reported in the 30 minutes after vaccination
Within 30 minutes after vaccination
Number of participants with solicited injection site or systemic reaction
Time Frame: From Day 1 to Day 8
From Day 1 to Day 8
Number of participants with unsolicited adverse events
Time Frame: From Day 1 to Day 29
Unsolicited (spontaneously reported) adverse events not fulfilling criteria for solicited reactions
From Day 1 to Day 29
Number of participants with serious adverse events
Time Frame: From Day 1 to Day 366
Serious adverse events are collected throughout the study
From Day 1 to Day 366
Number of participants with adverse events of special interest
Time Frame: From Day 1 to Day 366
Adverse events of special interest are collected throughout the study
From Day 1 to Day 366
Number of patients with clinically significant changes in clinical laboratory tests
Time Frame: From Day 1 to Day 8
Laboratory tests include hematology: complete blood count (CBC) with differential, platelet count, coagulation panel (prothrombin time and PTT) and serum chemistry: alanine aminotransferase (ALT), aspartate aminotransferase (AST), total and fractionated bilirubin, C-reactive protein, serum creatinine, and blood urea nitrogen
From Day 1 to Day 8

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Neuraminidase inhibition (NAI) Antibodies at Day 1 and 29
Time Frame: Day 1 and 29
Antibody are expressed as GMTs at baseline and post-baseline
Day 1 and 29
Individual Neuraminidase inhibition (NAI) titer
Time Frame: Day 1 and Day 29
Antibody titers are expressed as GMTs at baseline and post-baseline
Day 1 and Day 29
2-fold and 4-fold rise in NAI antibody titers
Time Frame: From Day 1 to Day 29
Expressed as percentage post-baseline
From Day 1 to Day 29
Percentage of participants with detectable antibody titers greater than or equal to (≥) 10 [1/dil]
Time Frame: Day 1 and Day 29
Expressed as percentage at baseline and post-baseline
Day 1 and Day 29

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Clinical Sciences & Operations, Sanofi

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 9, 2022

Primary Completion (Actual)

January 3, 2024

Study Completion (Actual)

January 3, 2024

Study Registration Dates

First Submitted

June 8, 2022

First Submitted That Met QC Criteria

June 16, 2022

First Posted (Actual)

June 21, 2022

Study Record Updates

Last Update Posted (Estimated)

September 15, 2025

Last Update Submitted That Met QC Criteria

September 9, 2025

Last Verified

September 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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