Studie k vyhodnocení bezpečnosti a imunogenicity mRNA-1975 a mRNA-1982 proti lymské borelióze u účastníků ve věku 18 až 70 let
Randomizovaná, pozorovatelně zaslepená, placebem kontrolovaná studie s rozsahem dávek fáze 1/2 k vyhodnocení bezpečnosti a imunogenicity heptavalentní mRNA-1975 (SR1-7) a monovalentní mRNA-1982 (SR1) souběžně s lymskou boreliózou v Zdraví účastníci ve věku 18 až 70 let
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 2
- Fáze 1
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Moderna Clinical Trials Support Center
- Telefonní číslo: 1-877-777-7187
- E-mail: clinicaltrials@modernatx.com
Studijní místa
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Connecticut
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Milford, Connecticut, Spojené státy, 06460
- Clinical Research Consulting, LLC
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Stamford, Connecticut, Spojené státy, 06905
- Stamford Therapeutics Consortium
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Waterbury, Connecticut, Spojené státy, 06708
- Chase Medical Research, LLC
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Florida
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Jacksonville, Florida, Spojené státy, 32216
- Encore Research Group-Jacksonville Center for Clinical Research
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Lake Mary, Florida, Spojené státy, 32746
- University Clinical Research-DeLand, LLC d/b/a Accel Research Sites
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Georgia
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Stockbridge, Georgia, Spojené státy, 30281
- Clinical Research Atlanta, headlands LLC
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Kansas
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Lenexa, Kansas, Spojené státy, 66219
- Johnson County Clin-Trials, Inc. (JCCT)
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Maryland
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Columbia, Maryland, Spojené státy, 21045
- Centennial Medical Group
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Rockville, Maryland, Spojené státy, 20850
- Advanced Primary and Geriatric Care
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Massachusetts
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Brookline, Massachusetts, Spojené státy, 02445
- DM Clinical Research - Brookline
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Minnesota
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Minneapolis, Minnesota, Spojené státy, 55402
- Clinical Research Institute, Inc.
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Nebraska
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Omaha, Nebraska, Spojené státy, 68134
- Meridian Clinical Research - Omaha
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New Hampshire
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Newington, New Hampshire, Spojené státy, 03801
- ActivMed Research LLC
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New York
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Rochester, New York, Spojené státy, 14609
- Rochester Clinical Research, Inc.
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Oklahoma
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Oklahoma City, Oklahoma, Spojené státy, 73112
- Lynn Health Science Institute
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Pennsylvania
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Hatboro, Pennsylvania, Spojené státy, 19040
- Hatboro Medical Associates/CCT Research
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Rhode Island
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Providence, Rhode Island, Spojené státy, 02886
- Velocity Clinical Research Providence
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Texas
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Fort Worth, Texas, Spojené státy, 76135
- Benchmark Research
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Tomball, Texas, Spojené státy, 77375
- DM Clinical Research
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Virginia
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Charlottesville, Virginia, Spojené státy, 22911
- Charlottesville Medical Research Center, LLC
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
Kritéria pro zařazení:
- Index tělesné hmotnosti 18 až 39 kilogramů/metr čtvereční (včetně) při screeningové návštěvě.
- Do studie mohou být zapsáni účastníci s nedětským potenciálem.
- Pro ženy ve fertilním věku: negativní těhotenský test, přiměřená antikoncepce nebo se zdržely všech činností, které by mohly vést k těhotenství během období intervence ve studii, a souhlas s pokračováním v přiměřené antikoncepci nebo abstinenci po dobu 3 měsíců po poslední injekci studie.
Kritéria vyloučení:
- Máte chronické onemocnění související s lymskou boreliózou nebo aktivní symptomatickou infekci lymskou boreliózou podle podezření nebo diagnózy lékařem.
- Během předchozích 3 měsíců byl léčen na lymskou boreliózu.
- Měl předchozí očkování proti lymské borelióze nebo se v minulosti účastnil jakékoli studie vakcíny proti borelióze.
- Měl kousnutí klíštětem během 4 týdnů před návštěvou studijní injekce.
- Dermatologické stavy, které by mohly ovlivnit místní vyžádaná hodnocení AR (například tetování; psoriázové skvrny postihující kůži v oblasti deltového svalu).
- Dostával systémová imunosupresiva celkem >14 dní během 180 dnů před screeningovou návštěvou (u kortikosteroidů ≥10 miligramů/den prednisonu nebo ekvivalentu) nebo očekává potřebu systémové imunosupresivní léčby kdykoli během účasti ve studii.
- Anamnéza myokarditidy, perikarditidy nebo myoperikarditidy bez ohledu na načasování minulé anamnézy.
- Anafylaxe, kopřivka nebo jiná významná nežádoucí reakce vyžadující lékařskou intervenci v anamnéze po podání vakcíny nebo intervenci, která obsahuje jednu nebo více stejných složek obsažených ve studijní injekci.
- Dostal systémové imunoglobuliny, dlouhodobě působící biologické terapie, které ovlivňují imunitní reakce (například infliximab) nebo krevní produkty během 90 dnů před screeningovou návštěvou, nebo je plánuje dostávat během studie.
Poznámka: Mohou platit jiná kritéria pro zařazení a vyloučení.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Dvojnásobek
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Experimentální: mRNA-1975: Dávka 1
Účastníci dostanou 3 intramuskulární (IM) injekce vakcíny mRNA-1975 v dávce 1 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Experimentální: mRNA-1975: Dávka 2
Účastníci obdrží 3 IM injekce vakcíny mRNA-1975 v dávce 2 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Experimentální: mRNA-1975: Dávka 3
Účastníci obdrží 3 IM injekce vakcíny mRNA-1975 v dávce 3 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Experimentální: mRNA-1975: Dávka 4
Účastníci obdrží 3 IM injekce vakcíny mRNA-1975 v dávce 4 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Experimentální: mRNA-1982: Dávka 1
Účastníci obdrží 3 IM injekce vakcíny mRNA-1982 v dávce 1 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Experimentální: mRNA-1982: Dávka 2
Účastníci obdrží 3 IM injekce vakcíny mRNA-1982 v dávce 2 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Experimentální: mRNA-1982: Dávka 3
Účastníci obdrží 3 IM injekce vakcíny mRNA-1982 v dávce 3 ve dnech 1, 57 a 169.
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Disperze doručena IM
Ostatní jména:
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Komparátor placeba: Placebo
Účastníci dostanou 3 IM injekce placeba odpovídající vakcíně ve dnech 1, 57 a 169.
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Řešení doručeno IM
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 Injection
Časové okno: Up to 7 days after Day 1 injection
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Solicited ARs were collected in an electronic diary (eDiary).
Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection.
Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills.
Note, not all solicited ARs were considered adverse events (AEs).
Investigator reviewed whether the solicited AR was also to be recorded as an AE.
A summary of serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
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Up to 7 days after Day 1 injection
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Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 57 Injection
Časové okno: Up to 7 days after Day 57 injection
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Solicited ARs were collected in an eDiary.
Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection.
Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills.
Note, not all solicited ARs were considered AEs.
Investigator reviewed whether the solicited AR was also to be recorded as an AE.
A summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
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Up to 7 days after Day 57 injection
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Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 169 Injection
Časové okno: Up to 7 days after Day 169 injection
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Solicited ARs were collected in an eDiary.
Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection.
Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills.
Note, not all solicited ARs were considered AEs.
Investigator reviewed whether the solicited AR was also to be recorded as an AE.
A summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
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Up to 7 days after Day 169 injection
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Number of Participants With Unsolicited AEs
Časové okno: Up to 28 days post any injection
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An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related.
Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time [PT]/partial thromboplastin time [PTT]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE.
A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
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Up to 28 days post any injection
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Number of Participants With Medically Attended AEs (MAAEs), Adverse Events of Special Interest (AESIs), SAEs, and AEs Leading to Study Discontinuation
Časové okno: Day 1 up to Month 18
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A MAAE is an AE that led to an unscheduled visit to a healthcare practitioner.
An SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability, was a congenital anomaly/birth defect, or was an important medical event.
An AESI was an AE (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor were required.
A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
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Day 1 up to Month 18
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Geometric Mean Concentration (GMC) of Anti-Outer Surface Protein (Anti-OspA) Binding Immunoglobulin (IgG) Antibodies for Serotype (SR-1) Antigen Measured by Enzyme-Linked Immunosorbent Assay (ELISA)
Časové okno: Days 1, 29, 85 and 197
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Antibody values reported as below lower limit of quantification (LLOQ) were replaced by 0.5*LLOQ.
Values reported greater than upper limit of quantification (ULOQ) were replaced by the ULOQ.
LLOQ was 41.4 nanograms (ng)/milliliter (mL) and ULOQ was 428000 ng/mL for manual assay; LLOQ was 47.6 ng/mL and 583000 ng/mL for automated assay for SR-1 IgG antibody.
95% confidence interval (CI) for GM value was calculated based on the t-distribution of the log-transformed values , then back transformed to the original scale for presentation.
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Days 1, 29, 85 and 197
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GMC of Anti-OspA Binding IgG Antibodies for SR-2 Antigen Measured by ELISA
Časové okno: Days 1, 29, 85, and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 30 ng/mL and ULOQ was 214000 ng/mL for manual assay; LLOQ was 66.6 ng/mL and 215000 ng/mL for automated assay for SR-2 IgG antibody.
95% CI for GM value was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 1, 29, 85, and 197
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GMC of Anti-OspA Binding IgG Antibodies for SR-3 Antigen Measured by ELISA
Časové okno: Days 1, 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 14.5 ng/mL and ULOQ was 299000 ng/mL for manual assay; LLOQ was 62.5 ng/mL and 296000 ng/mL for automated assay for SR-3 IgG antibody.
95% CI for GM value was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 1, 29, 85 and 197
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GMC of Anti-OspA Binding IgG Antibodies for SR-4 Antigen Measured by ELISA
Časové okno: Days 1, 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 32.6 ng/mL and ULOQ was 292000 ng/mL for manual assay; LLOQ was 59.7 ng/mL and 264000 ng/mL for automated assay for SR-4 IgG antibody.
95% CI for GM value was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 1, 29, 85 and 197
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GMC of Anti-OspA Binding IgG Antibodies for SR-5 Antigen Measured by ELISA
Časové okno: Days 1, 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 45.5 ng/mL and ULOQ was 298000 ng/mL for manual assay; LLOQ was 84.2 ng/mL and 319000 ng/mL for automated assay for SR-5 IgG antibody.
95% CI for GM value was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 1, 29, 85 and 197
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GMC of Anti-OspA Binding IgG Antibodies for SR-6 Antigen Measured by ELISA
Časové okno: Days 1, 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 18.1 ng/mL and ULOQ was 203000 ng/mL for manual assay; LLOQ was 68.7 ng/mL and 248000 ng/mL for automated assay for SR-6 IgG antibody.
95% CI for GM value was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 1, 29, 85 and 197
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GMC of Anti-OspA Binding IgG Antibodies for SR-7 Antigen Measured by ELISA
Časové okno: Days 1, 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 13 ng/mL and ULOQ was 197000 ng/mL for manual assay; LLOQ was 78.9 ng/mL and 174000 ng/mL for automated assay for SR-7 IgG antibody.
95% CI for GM value was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 1, 29, 85 and 197
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Geometric Mean Fold Rise (GMFR) of Anti-OspA Binding IgG Antibody Concentration for SR-1 Antigen
Časové okno: Days 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 41.4 ng/mL and ULOQ was 428000 ng/mL for manual assay; LLOQ was 47.6 ng/mL and 583000 ng/mL for automated assay for SR-1 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
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Days 29, 85 and 197
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GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-2 Antigen
Časové okno: Days 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 30 ng/mL and ULOQ was 214000 ng/mL for manual assay; LLOQ was 66.6 ng/mL and 215000 ng/mL for automated assay for SR-2 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 29, 85 and 197
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GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-3 Antigen
Časové okno: Days 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 14.5 ng/mL and ULOQ was 299000 ng/mL for manual assay; LLOQ was 62.5 ng/mL and 296000 ng/mL for automated assay for SR-3 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 29, 85 and 197
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GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-4 Antigen
Časové okno: Days 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 32.6 ng/mL and ULOQ was 292000 ng/mL for manual assay; LLOQ was 59.7 ng/mL and 264000 ng/mL for automated assay for SR-4 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 29, 85 and 197
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GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-5 Antigen
Časové okno: Days 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 45.5 ng/mL and ULOQ was 298000 ng/mL for manual assay; LLOQ was 84.2 ng/mL and 319000 ng/mL for automated assay for SR-5 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 29, 85 and 197
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GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-6 Antigen
Časové okno: Days 29, 85 and 197
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Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 18.1 ng/mL and ULOQ was 203000 ng/mL for manual assay; LLOQ was 68.7 ng/mL and 248000 ng/mL for automated assay for SR-6 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 29, 85 and 197
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GMFR of Anti-OspA Binding IgG Antibody Concentration for SR-7 Antigen
Časové okno: Days 29, 85 and 197
|
Antibody values reported as below LLOQ were replaced by 0.5*LLOQ.
Values reported greater than ULOQ were replaced by the ULOQ.
LLOQ was 13 ng/mL and ULOQ was 197000 ng/mL for manual assay; LLOQ was 78.9 ng/mL and 174000 ng/mL for automated assay for SR-7 IgG antibody.
95% CI for GMFR value was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.
Since mRNA-1982 was designed to elicit antibodies against SR-1 antigen only, the data for this outcome measure has been reported for mRNA-1975 and placebo arms only.
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Days 29, 85 and 197
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Další výstupní opatření
Další výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Number of Deaths Related to Study Drug
Časové okno: Day 1 up to Month 18
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A death that occurred during the study or that came to the attention of the investigator during the study was reported to the Sponsor, whether or not it was considered related to study drug.
The investigator assessed causality (that is, whether there is a reasonable possibility that the study drug caused the death).
The relationship was characterized using the following classifications: Not related: There was not a reasonable possibility of a relationship to the study drug.
The temporal sequence of the death relative to administration of the study drug was not reasonable AND/OR the death was more likely explained by a cause other than the study drug.
Related: There was a reasonable possibility of a relationship to the study drug.
There was evidence of exposure to the study drug.
The temporal sequence of the death relative to the administration of the study drug was reasonable.
The death was more likely explained by the study drug than by another cause.
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Day 1 up to Month 18
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- mRNA-1975/1982-P101
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Studuje lékový produkt regulovaný americkým FDA
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