ClinicalTrials.gg
Not yet recruitingNCT07790523DAN-COMBOUpdated Aug 27, 2026

Effectiveness of An Influenza/COVID-19 Vaccine (mCombriax [mRNA-1083]) in Adults ≥ 65 Years

A Phase 4 interventional study of mCombriax® (mRNA-1083) and Efluelda® (TIV-HD) and Spikevax® (mRNA-1273) in COVID-19 and Influenza, sponsored by Tor Biering-Sørensen. Not yet recruiting at 3 sites in 2 countries. Open to participants aged 65 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by Tor Biering-Sørensen · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
410,000
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

The purpose of this pragmatic randomized trials is to evaluate the comparative vaccine effectiveness (cVE) of mCombriax® (mRNA-1083) versus same day co-administration of the active comparators (i.e., high-dose influenza vaccine/Efluelda® and mRNA-1273/Spikevax®) among adults aged 65 years and older.

Read the detailed description

This Phase 4 randomized, active-comparator, pragmatic trial is designed to evaluate the effectiveness of a seasonal variant-containing formulation of mCombriax® (mRNA-1083) compared with same-day co-administration of authorized standalone enhanced influenza and COVID-19 vaccines in adults aged ≥65 years. The trial is designed to be conducted over two consecutive respiratory virus seasons to account for potential seasonal variation in virus circulation, vaccine composition, and effectiveness. The primary objective is to evaluate the comparative vaccine effectiveness (cVE) of the combination vaccine with respect to clinically relevant outcomes, including severe influenza and COVID-19. Demonstration of non-inferior protection in real-world setting, in combination with the potential programmatic advantages of a single-dose strategy, may support policy recommendations, reimbursement decisions, and broader implementation of combined seasonal respiratory vaccination strategies.

02

Conditions studied

  • COVID-19
  • Influenza

Keywords

  • COVID-19
  • Influenza
  • mCombriax
  • Pragmatic
  • Registry
  • Respiratory tract disease
  • Cardiovascular
  • Hospitalization
  • Vaccination
03

In context

COVID-19

7,990 studies on the registry are indexed under COVID-19; 466 are open to participants now.

This study's planned enrollment of 410,000 is above the median of 102 across 4,364 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Tor Biering-Sørensen is the lead sponsor of 22 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. Age ≥65 years at the time of vaccination
  2. Self-reported ability to understand written and spoken English or Danish (Denmark only) or Spanish or Galician (Spain only)
  3. form has been signed and dated

Exclusion criteria

Exclusion Criteria:

  • There are no specific exclusion criteria for this study
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
410,000 participants (estimated)

Study arms

  • Experimental
    mCombriax® (mRNA-1083)

    An authorized mRNA-based multicomponent vaccine encoding antigens targeting both seasonal influenza and SARS-CoV-2 viruses.

    Biological: mCombriax® (mRNA-1083)

  • Active comparator
    Efluelda® (TIV-HD) and Spikevax® (mRNA-1273)

    Same-day co-administration of an authorized high-dose trivalent influenza vaccine (TIV-HD; Efluelda®) and an authorized COVID-19 mRNA vaccine (Spikevax®, mRNA-1273)

    Biological: Efluelda® (TIV-HD) and Spikevax® (mRNA-1273)

Interventions

  • BiologicalmCombriax® (mRNA-1083)

    An authorized mRNA-based multicomponent vaccine encoding antigens targeting both seasonal influenza and SARS-CoV-2 viruses.

  • BiologicalEfluelda® (TIV-HD) and Spikevax® (mRNA-1273)

    Drug page: 2019-nCoV Vaccine mRNA-1273

    Same-day co-administration of an authorized high-dose trivalent influenza vaccine (TIV-HD; Efluelda®) and an authorized COVID-19 mRNA vaccine (Spikevax®, mRNA-1273)

06

What researchers measure

Primary outcomes

  1. Medically attended influenza and/or COVID-19

    Defined as a laboratory-confirmed positive influenza A/B test or positive SARS-CoV-2 test, regardless of healthcare setting, or influenza-related or COVID-19-related hospitalization, defined by ICD-10 codes.

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  2. Influenza and/or COVID-19 hospitalization

    Defined as hospitalization with a relevant ICD-10 code for influenza or COVID-19 infection or any hospitalization with a laboratory-confirmed positive influenza A/B test or SARS-CoV-2 test performed within 7 days prior to hospitalization or within 48 hours of hospital admission.

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

Secondary outcomes

  1. Medically attended influenza

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  2. Influenza hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  3. Medically attended COVID-19

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  4. COVID-19 hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  5. All-cause cardio-respiratory hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  6. All-cause respiratory tract disease hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  7. All-cause hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

Other outcomes

  1. Influenza-related cardio-respiratory hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  2. COVID-19-related cardio-respiratory hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  3. Influenza-related respiratory tract disease hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  4. COVID-19-related respiratory tract disease hospitalization

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  5. All-cause death

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  6. Influenza death

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  7. COVID-19 death

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  8. Laboratory-confirmed influenza

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  9. Laboratory-confirmed COVID-19

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  10. Total length of hospital stays due to influenza-related respiratory tract disease

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  11. Total length of hospital stays due to COVID-19-related respiratory tract disease

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  12. Composite of hospitalization for COVID-19 or pneumonia

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  13. Composite of hospitalization for influenza or pneumonia

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  14. Composite of hospitalization for influenza or COVID-19 (ICD-10 codes only)

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  15. Hospitalization for any cardiovascular disease

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  16. Hospitalization due to any infectious disease

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  17. Hospitalization requiring mechanical ventilation

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  18. Intensive care unit admission

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

  19. The burden and outcomes of influenza virus type and subtype (e.g., influenza A and B, including H1 and H3)

    Time frame: From Day 14 after vaccination through the end of follow-up, up to 8 months after vaccination

07

Study locations

3 sites
  • Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte
    Hellerup, 2900, Denmark
  • Danske Lægers Vaccinations Service
    Søborg, 2860, Denmark
    • Carsten S Larsen · Contactcarslars@rm.dk · +4540459708
    • Carsten S Larsen, MD, DMSc · Principal investigator
  • General Public Health Directorate of Galician Health Service
    Santiago de Compostela, A Coruña, Spain
    • Carmen Rodríguez-Tenreiro-Sánche · Contactcarmentenreiro@hotmail.es · 655 299 502
    • Federico M Torres, MD, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — In this trial, baseline and endpoint data will be collected from Danish administrative health registries, which are subject to Danish legislation and can only be made available to a third party under certain conditions. Please contact the sponsor-investigator in case of any inquiries.

Supporting information: Study protocol, Statistical analysis plan

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07790523
Lead sponsor
Tor Biering-Sørensen
Collaborators
ModernaTX, Inc.
Responsible party
Tor Biering-Sørensen (Professor, MD, MSc, MPH, PhD, Herlev and Gentofte Hospital) — Sponsor-investigator
First posted
Aug 27, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
May 31, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Aug 27, 2026

Study contacts

Lisa S Duus
Contact
lisa.steen.duus@regionh.dk
+4540639843
Tor Biering-Sørensen
Contact
tor.biering-soerensen@regionh.dk
+4528933590
Tor Biering-Sørensen
study chair · Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte

Oversight

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

Not currently enrolling

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

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