A Phase 3 interventional study of mRNA-1010 and Fluarix Tetra in Seasonal Influenza, sponsored by ModernaTX, Inc.. Completed at 53 sites in 5 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-24.
Sponsored by ModernaTX, Inc. · Phase 3, Interventional, and Prevention
The primary objectives of this study are to evaluate the humoral immunogenicity of mRNA-1010 relative to that of an active comparator against vaccine-matched influenza A and B strains at Day 29, and to evaluate the safety and reactogenicity of mRNA-1010.
2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.
This study's enrollment of 6,102 is above the median of 238 across 1,853 interventional studies indexed under Influenza, Human.
Browse Influenza, Human studies →ModernaTX, Inc. is the lead sponsor of 112 studies on the registry; 14 are open to participants now.
Of its 60 completed or terminated interventional studies of FDA-regulated products, 32 (53%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Note: Other inclusion and exclusion criteria may apply.
Participants will receive a single dose of mRNA-1010 by intramuscular (IM) injection on Day 1.
Biological: mRNA-1010
Participants will receive a single dose of Fluarix Tetra by IM injection on Day 1.
Biological: Fluarix Tetra
Sterile liquid for injection
Also known as: Seasonal influenza vaccine
Sterile suspension for injection
Also known as: Licensed quadrivalent inactivated seasonal influenza vaccine, Fluarix Quadrivalent
Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-matched Influenza A and B Strains
Seasonal influenza A strains included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage.
Time frame: Day 29
Percentage of Participants Reaching Seroconversion at Day 29, as Measured by HAI Assay for Vaccine-matched Influenza A and B Strains
Seasonal influenza A strains included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion was defined as either a Baseline HAI titer \<1:10 and a post-Baseline titer ≥1:40 or a Baseline HAI titer ≥1:10 and a minimum 4-fold rise in post-Baseline HAI Ab titer.
Time frame: Day 29
Number of Participants With Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs)
Solicited ARs (local and systemic) were collected in an electronic diary (eDiary). Local ARs included: injection site pain, injection site erythema (redness), injection site swelling/induration (hardness), and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs included: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. All solicited ARs considered causally related to injection were graded 0-4 (per Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials); lower score indicates lower severity, and a higher score indicates greater severity. Note, not all solicited ARs were considered adverse events (AEs). The 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.
Time frame: 7 days post-vaccination
Number of Participants With Unsolicited AEs
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. Number of participants with unsolicited AEs (SAEs and non-serious AEs) up to 28 days post-vaccination are reported in this outcome measure.
Time frame: Up to 28 days post-vaccination
Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Discontinuation
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/permanent damage, was a congenital anomaly/birth defect, or was an important medical event. AESIs included thrombocytopenia, new onset of or worsening of the protocol specified neurologic diseases, anaphylaxis, and myocarditis/pericarditis. An MAAE is an AE that lead to an unscheduled visit to an healthcare practitioner. This included visits to a study site for unscheduled assessments (for example, abnormal laboratory follow-up, and/or coronavirus disease 2019 \[COVID-19\] and visits to healthcare practitioners external to the study site (for example, urgent care, primary care physician). Number of participants with SAEs, AESIs, MAAEs, and AEs leading to discontinuation up to the end of study (Day 361) are reported in this outcome measure.
Time frame: Day 1 through Day 361 (Month 12)
Number of Participants With First Episode of Reverse Transcription Polymerase Chain Reaction (RT-PCR)-Confirmed Protocol-Defined Influenza-Like Illness (ILI) Caused by Any Strain of Influenza Virus
A protocol-defined ILI was determined by the occurrence of at least 1 respiratory illness symptom concurrently with at least 1 systemic symptom, or the occurrence of any 2 or more respiratory symptoms. Respiratory symptoms included sore throat, cough/rhinorrhea/nasal congestion (≥1 of the 3 symptoms count as 1 respiratory symptom), sputum production, wheezing, or difficulty breathing. Systemic symptoms included body temperature \>37.2 degrees Celsius (°C) (\>99 degrees Fahrenheit \[°F\]), chills, tiredness, headache, myalgia, nausea/vomiting, or diarrhea.
Time frame: 14 days post-vaccination through Day 181 (Month 6)
Number of Participants With First Episode of RT-PCR Confirmed Centers for Disease Control and Prevention (CDC)-Defined ILI Caused by Any Strain of Influenza Virus
A CDC-defined ILI was defined as body temperature ≥37.8°C (100°F) accompanied by cough and/or sore throat.
Time frame: 14 days post-vaccination through Day 181 (Month 6)
Number of Participants With First Episode of RT-PCR-Confirmed Protocol-Defined ILI Caused by Any Strain of Influenza Virus in Participants Aged 50 Years and Older or 65 Years and Older
A protocol-defined ILI was determined by the occurrence of at least 1 respiratory illness symptom concurrently with at least 1 systemic symptom, or the occurrence of any 2 or more respiratory symptoms. Respiratory symptoms included sore throat, cough/rhinorrhea/nasal congestion (≥1 of the 3 symptoms count as 1 respiratory symptom), sputum production, wheezing, or difficulty breathing. Systemic symptoms included body temperature \>37.2°C (\>99°F), chills, tiredness, headache, myalgia, nausea/vomiting, or diarrhea.
Time frame: 14 days post-vaccination through Day 181 (Month 6)
Percentage of Participants With HAI Titer ≥ 1:40 at Day 29
Seasonal influenza A strains included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage.
Time frame: Day 29
Geometric Mean Fold Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-matched Influenza A and B Strains
The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Fold-rise was calculated by dividing post-vaccination results by the baseline value. 95% confidence interval (CI) for GMFR was calculated based on the t distribution of the differences in the log-transformed values between analysis timepoint and baseline, then back transformed to the original scale for presentation.
Time frame: Baseline, Day 29
| Milestone | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Started | 3057 | 3045 |
| Received injection | 3048 | 3035 |
| Completed | 2824 | 2857 |
| Not completed | 233 | 188 |
| Withdrew: Death | 18 | 10 |
| Withdrew: Lost to follow-up | 72 | 64 |
| Withdrew: Physician decision | 5 | 5 |
| Withdrew: Protocol deviation | 1 | 0 |
| Withdrew: Withdrawal by subject | 129 | 101 |
| Withdrew: Other than specified | 8 | 8 |
Seasonal influenza A strains included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage.
| titer | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Influenza A H1N1 Antibody | 266.52 (256.16 to 277.29) | 268.94 (259.28 to 278.95) |
| Influenza A H3N2 Antibody | 175.06 (167.61 to 182.85) | 290.19 (277.90 to 303.02) |
| Influenza B/ Victoria Lineage | 127.50 (122.13 to 133.11) | 84.16 (80.66 to 87.80) |
| Influenza B/ Yamagata Lineage | 254.38 (245.52 to 263.57) | 169.98 (164.41 to 175.74) |
Seasonal influenza A strains included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion was defined as either a Baseline HAI titer \<1:10 and a post-Baseline titer ≥1:40 or a Baseline HAI titer ≥1:10 and a minimum 4-fold rise in post-Baseline HAI Ab titer.
| percentage of participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Influenza A H1N1 Antibody | 70.6 (68.89 to 72.30) | 76.4 (74.76 to 77.92) |
| Influenza A H3N2 Antibody | 63.2 (61.35 to 64.94) | 80.1 (78.56 to 81.52) |
| Influenza B/ Victoria Lineage | 49.7 (47.83 to 51.57) | 32.4 (30.63 to 34.11) |
| Influenza B/ Yamagata Lineage | 65.2 (63.36 to 66.91) | 49.5 (47.62 to 51.33) |
Solicited ARs (local and systemic) were collected in an electronic diary (eDiary). Local ARs included: injection site pain, injection site erythema (redness), injection site swelling/induration (hardness), and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs included: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. All solicited ARs considered causally related to injection were graded 0-4 (per Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials); lower score indicates lower severity, and a higher score indicates greater severity. Note, not all solicited ARs were considered adverse events (AEs). The 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.
| Participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Any | 1463 | 2137 |
| Grade 1 | 1051 | 1160 |
| Grade 2 | 309 | 659 |
| Grade 3 | 93 | 312 |
| Grade 4 | 10 | 6 |
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. Number of participants with unsolicited AEs (SAEs and non-serious AEs) up to 28 days post-vaccination are reported in this outcome measure.
| Participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Number of Participants With Unsolicited AEs | 749 | 800 |
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/permanent damage, was a congenital anomaly/birth defect, or was an important medical event. AESIs included thrombocytopenia, new onset of or worsening of the protocol specified neurologic diseases, anaphylaxis, and myocarditis/pericarditis. An MAAE is an AE that lead to an unscheduled visit to an healthcare practitioner. This included visits to a study site for unscheduled assessments (for example, abnormal laboratory follow-up, and/or coronavirus disease 2019 \[COVID-19\] and visits to healthcare practitioners external to the study site (for example, urgent care, primary care physician). Number of participants with SAEs, AESIs, MAAEs, and AEs leading to discontinuation up to the end of study (Day 361) are reported in this outcome measure.
| Participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| SAEs | 131 | 132 |
| AESIs | 13 | 9 |
| MAAEs | 1481 | 1422 |
| AEs Leading to Discontinuation | 17 | 10 |
A protocol-defined ILI was determined by the occurrence of at least 1 respiratory illness symptom concurrently with at least 1 systemic symptom, or the occurrence of any 2 or more respiratory symptoms. Respiratory symptoms included sore throat, cough/rhinorrhea/nasal congestion (≥1 of the 3 symptoms count as 1 respiratory symptom), sputum production, wheezing, or difficulty breathing. Systemic symptoms included body temperature \>37.2 degrees Celsius (°C) (\>99 degrees Fahrenheit \[°F\]), chills, tiredness, headache, myalgia, nausea/vomiting, or diarrhea.
| Participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Number of Participants With First Episode of Reverse Transcription Polymerase Chain Reaction (RT-PCR)-Confirmed Protocol-Defined Influenza-Like Illness (ILI) Caused by Any Strain of Influenza Virus | 54 | 64 |
A CDC-defined ILI was defined as body temperature ≥37.8°C (100°F) accompanied by cough and/or sore throat.
| Participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Number of Participants With First Episode of RT-PCR Confirmed Centers for Disease Control and Prevention (CDC)-Defined ILI Caused by Any Strain of Influenza Virus | 22 | 24 |
A protocol-defined ILI was determined by the occurrence of at least 1 respiratory illness symptom concurrently with at least 1 systemic symptom, or the occurrence of any 2 or more respiratory symptoms. Respiratory symptoms included sore throat, cough/rhinorrhea/nasal congestion (≥1 of the 3 symptoms count as 1 respiratory symptom), sputum production, wheezing, or difficulty breathing. Systemic symptoms included body temperature \>37.2°C (\>99°F), chills, tiredness, headache, myalgia, nausea/vomiting, or diarrhea.
| Participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| 50 Years and Older | 15 | 21 |
| 65 Years and Older | 3 | 5 |
Seasonal influenza A strains included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage.
| percentage of participants | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Influenza A H1N1 Antibody | 97.0 (96.30 to 97.60) | 97.6 (97.00 to 98.16) |
| Influenza A H3N2 Antibody | 92.1 (91.04 to 93.07) | 96.9 (96.21 to 97.52) |
| Influenza B/Victoria Lineage | 88.0 (86.78 to 89.22) | 80.7 (79.25 to 82.19) |
| Influenza B/Yamagata Lineage | 98.5 (97.99 to 98.92) | 96.7 (95.94 to 97.29) |
The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Fold-rise was calculated by dividing post-vaccination results by the baseline value. 95% confidence interval (CI) for GMFR was calculated based on the t distribution of the differences in the log-transformed values between analysis timepoint and baseline, then back transformed to the original scale for presentation.
| ratio | Fluarix Tetra | mRNA-1010 |
|---|---|---|
| Influenza A H1N1 Antibody | 7.27 (6.93 to 7.62) | 7.42 (7.13 to 7.73) |
| Influenza A H3N2 Antibody | 4.92 (4.73 to 5.12) | 8.15 (7.83 to 8.48) |
| Influenza B/Victoria Lineage | 3.59 (3.44 to 3.73) | 2.38 (2.30 to 2.46) |
| Influenza B/Yamagata Lineage | 5.27 (5.07 to 5.48) | 3.46 (3.35 to 3.56) |
Collected over All-cause mortality and serious adverse events were collected throughout the entire period of the study (from Day 1 up to the end of study [Day 361]). Other (not including serious) adverse events were collected for 28 days after the vaccination.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Fluarix Quadrivalent 60 ug | 18/3,057 (0.6%) | 131/3,048 (4.3%) | 809/3,048 (26.5%) |
| mRNA-1010 50 ug | 10/3,045 (0.3%) | 132/3,035 (4.3%) | 803/3,035 (26.5%) |
| Event | Fluarix Quadrivalent 60 ug | mRNA-1010 50 ug |
|---|---|---|
| Urinary tract infectionInfections and infestations | 1/3048 | 12/3035 |
| PneumoniaInfections and infestations | 8/3048 | 9/3035 |
| CholelithiasisHepatobiliary disorders | 7/3048 | 7/3035 |
| Acute myocardial infarctionCardiac disorders | 6/3048 | 4/3035 |
| Septic shockInfections and infestations | 1/3048 | 4/3035 |
| Ischaemic strokeNervous system disorders | 4/3048 | 2/3035 |
| Umbilical herniaGastrointestinal disorders | 4/3048 | 0/3035 |
| AppendicitisInfections and infestations | 1/3048 | 3/3035 |
| Type 2 diabetes mellitusMetabolism and nutrition disorders | 0/3048 | 3/3035 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/3048 | 3/3035 |
| Event | Fluarix Quadrivalent 60 ug | mRNA-1010 50 ug |
|---|---|---|
| COVID-19Infections and infestations | 424/3048 | 442/3035 |
| Upper respiratory tract infectionInfections and infestations | 205/3048 | 200/3035 |
| Influenza like illnessGeneral disorders | 168/3048 | 165/3035 |
| Rhinovirus infectionInfections and infestations | 150/3048 | 167/3035 |
The Randomization Set included all participants who were randomly assigned to treatment, regardless of the participants' vaccination status in the study.
| Age, Continuous(years) | Fluarix Tetra | mRNA-1010 | Total |
|---|---|---|---|
| Mean | 48.0 ± 16.49 | 48.0 ± 16.41 | 48.0 ± 16.45 |
| Sex: Female, Male(Participants) | Fluarix Tetra | mRNA-1010 | Total |
|---|---|---|---|
| Female | 1742 | 1787 | 3529 |
| Male | 1315 | 1258 | 2573 |
| Ethnicity (NIH/OMB)(Participants) | Fluarix Tetra | mRNA-1010 | Total |
|---|---|---|---|
| Hispanic or Latino | 2222 | 2209 | 4431 |
| Not Hispanic or Latino | 812 | 819 | 1631 |
| Unknown or Not Reported | 23 | 17 | 40 |
| Race/Ethnicity, Customized(Participants) | Fluarix Tetra | mRNA-1010 | Total |
|---|---|---|---|
| Race — White | 1745 | 1733 | 3478 |
| Race — Black or African American | 18 | 15 | 33 |
| Race — Asian | 706 | 708 | 1414 |
| Race — American Indian or Alaska Native | 320 | 305 | 625 |
| Race — Native Hawaiian or Other Pacific Islander | 3 | 10 | 13 |
| Race — Multiple | 216 | 220 | 436 |
| Race — Other | 2 | 3 | 5 |
| Race — Not Reported | 3 | 3 | 6 |
| Race — Unknown | 42 | 46 | 88 |
| Race — Missing | 2 | 2 | 4 |
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ModernaTX, Inc.