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Active, not recruitingNCT05683457Updated Aug 10, 2026

A Study to Evaluate the Efficacy, Safety, and Immunogenicity of mRNA-1647 Cytomegalovirus (CMV) Vaccine in Allogenic Hematopoietic Cell Transplantation (HCT) Participants.

A Phase 2 interventional study of mRNA-1647 and Placebo in Cytomegalovirus Infection, sponsored by ModernaTX, Inc.. Active, not recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by ModernaTX, Inc. (part of Moderna, Inc.) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of the study is to evaluate the efficacy and safety of mRNA-1647 compared to placebo to prevent first clinically significant cytomegalovirus infection (CS-CMVi) in the period following cessation of CMV prophylactic treatment (for example, letermovir) on Day 100 post-HCT through Month 9 post-HCT.

02

Conditions studied

  • Cytomegalovirus Infection

Keywords

  • Human cytomegalovirus
  • Human Herpesvirus
  • mRNA-1647
  • Moderna
  • CMV
  • Cytomegalovirus Vaccine
  • Cytomegalovirus Infections
  • Cytomegalovirus Congenital
  • Virus Disease
  • Infection Viral
  • DNA Virus Infections
  • Messenger RNA
  • Hematopoietic cell transplantation
03

In context

Cytomegalovirus Infections

370 studies on the registry are indexed under Cytomegalovirus Infections; 57 are open to participants now.

This study's enrollment of 84 is above the median of 64 across 240 interventional studies indexed under Cytomegalovirus Infections.

Browse Cytomegalovirus Infections studies →

Lead sponsor

ModernaTX, Inc. is the lead sponsor of 119 studies on the registry; 18 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 35 (55%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Receipt of an HCT.
  • CMV-seropositive, defined as a documented positive test for anti-CMV IgG.
  • High-risk for CMV: HCT from related, unrelated, or haploidentical donor with post-transplant cyclophosphamide for graft-versus-host-disease () prophylaxis; or HCT from related or unrelated donor with at least one mismatch at any of the following human leukocyte antigen (HLA) gene loci (HLA-A, B, C, and DRB1); or HCT from related or unrelated donor with myeloablative conditioning.
  • Persons of nonchildbearing potential or of with negative urine or serum pregnancy test on the day of first study injection.
  • Persons of childbearing potential who have practiced adequate or have abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose.
  • Persons of childbearing potential who have agreed to continue adequate contraception or abstain from all activities that could result in pregnancy through 3 months after last study injection.
  • Persons who are not currently breast/chestfeeding.
  • Willingness to comply with study procedures and provide written .

Exclusion criteria

Exclusion Criteria:

  • History of a diagnosis or condition that, in the judgment of the Investigator, may affect participant safety, assessment of safety endpoints, assessment of immune response, or adherence to study procedures.
  • A documented positive (HIV) test.
  • Treatment with alemtuzumab (Campath®), antithymocyte globulin (ATG), or any equivalent in-vivo T cell depleting agent within 12 months.
  • HCT with ex-vivo T cell depletion.
  • Low risk for CMV: HCT from related or unrelated donor with reduced intensity conditioning (RIC) and no other high-risk features.
  • History of prior hematopoietic cell transplantation within 12 months.
  • Receipt of prior CMV vaccines or participation in another CMV therapeutic study that may interfere with study outcome measures as determined by the Investigator.
  • Suspected or known allergic reaction to any component of any mRNA vaccine or its .
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    mRNA-1647

    Participants will receive mRNA-1647 by intramuscular (IM) injection on Day 42, Day 67, and Day 92, and a booster dose on Day 180.

    Biological: mRNA-1647

  • Placebo comparator
    Placebo

    Participants will receive mRNA-1647 matching placebo by IM injection on Day 42, Day 67, and Day 92, and a booster dose on Day 180.

    Biological: Placebo

Interventions

  • BiologicalmRNA-1647

    Lyophilized product that is reconstituted with 0.9% sodium chloride (normal saline).

  • BiologicalPlacebo

    0.9% sodium chloride (normal saline) injection

06

What researchers measure

Primary outcomes

  1. Time to the First Occurrence of an CS-CMVi Event as Measured by initiation of anti-CMV Antiviral Therapy

    Time frame: Day 100 to Month 9

  2. Number of Participants with Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs)

    Time frame: Up to Day 187 (7 days after last study injection)

  3. Number of Unsolicited Adverse Events (AEs)

    Time frame: Up to Day 205 (25 days after last study injection)

  4. Number of Participants with Severe AEs

    Time frame: Up to Day 365

  5. Number of Participants with Serious Adverse Events (SAEs)

    Time frame: Up to Day 365

  6. Number of Participants with Grade ≥3 Acute Graft-Versus-Host Disease (GVHD)

    Time frame: Up to Day 365

Secondary outcomes

  1. Number of Participants with First Occurrence of All CS-CMVi Events as Measured by Initiation of Anti-CMV Antiviral and/or End-Organ Disease

    Time frame: Day 100 to Month 9

  2. Number of Participants with an Occurrence of CMV Viremia

    CMV Viremia is defined as ≥300 international units/milliliters (IU/mL).

    Time frame: Day 100 to Month 9

  3. Number of Participants with CMV End-Organ Disease

    Time frame: Day 100 to Month 9

  4. Duration of CMV Viremia

    Time frame: Day 100 to Month 9

  5. Duration of CMV Treatment

    Time frame: Day 100 to Month 9

  6. Number of Participants with Non-Relapse Mortality at 9 Months Post-HCT.

    Time frame: Month 9

  7. Titer of CMV-Specific Neutralizing Antibody (nAb)

    Time frame: Days 42, 67, 92, 117, 180, 205 and 270

  8. Geometric Mean Titer (GMT) of Anti-gB-Specific Immunoglobulin G (IgG) and Anti-Pentamer-Specific IgG as Measured by Enzyme-Linked Immunosorbent Assay (ELISA)

    Time frame: Days 42, 67, 92, 117, 180, 205 and 270

  9. Geometric Mean Concentration (GMC) of Anti-gB-Specific Immunoglobulin G (IgG) and Anti-Pentamer-Specific IgG as Measured by Enzyme-Linked Immunosorbent Assay (ELISA)

    Time frame: Days 42, 67, 92, 117, 180, 205 and 270

  10. Geometric Mean Fold Rise (GMFR) of Postbaseline/Baseline GMTs or GMCs

    Time frame: Days 42, 67, 92, 117, 180, 205 and 270

07

Study locations

3 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for Mar 2027, 47 months after the start.

Of 29 phase 2 interventional studies under Cytomegalovirus Infections, half reached primary completion within 44 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 62. This study's planned 47 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 4, 2023
First posted
Jan 13, 2023
StartActual
Apr 5, 2023
Primary completionEst.
Mar 6, 2027
CompletionEst.
Mar 6, 2027
Last update
Aug 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05683457
Lead sponsor
ModernaTX, Inc.
Responsible party
Sponsor
First posted
Jan 13, 2023
Start date
Apr 5, 2023
Primary completion
Mar 6, 2027 (estimated)
Completion
Mar 6, 2027 (estimated)
Last update
Aug 10, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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