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A Phase 1, Randomized, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety and Immunogenicity of mRNA 1325 Zika Vaccine in Healthy Adults in a Non-endemic Zika Region

Trial Profile

A Phase 1, Randomized, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety and Immunogenicity of mRNA 1325 Zika Vaccine in Healthy Adults in a Non-endemic Zika Region

Status: Completed
Phase of Trial: Phase I

Latest Information Update: 23 Aug 2024

At a glance

  • Drugs MRNA 1325 (Primary)
  • Indications Zika virus infection
  • Focus Adverse reactions; First in man
  • Sponsors Moderna Therapeutics; Valera LLC

Most Recent Events

  • 01 Jul 2019 Status changed from active, no longer recruiting to completed.
  • 24 Apr 2019 Planned End Date changed from 1 Apr 2019 to 1 May 2019.
  • 24 Apr 2019 Planned primary completion date changed from 1 Apr 2019 to 1 May 2019.

Trial Overview

Purpose

The clinical study will assess the safety, tolerability, and immunogenicity of mRNA-1325 in healthy adult subjects.

Primary Endpoints

Part A: Number of Participants With Solicited Adverse Events- Vaccination 1

description: Solicited adverse reactions (ARs) (local and systemic) were collected in the electronic diary (eDiary). Local ARs included: injection site pain, injection site erythema, and injection site induration/swelling. Systemic ARs included: body temperature (oral), generalized myalgia (muscle ache or pain), generalized arthralgia (joint ache or pain), headache, fatigue/malaise (unusual tiredness), nausea/vomiting, chills, and rash. Data for this outcome measure is reported up to 7 days after the first study vaccination only. A summary of all serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is in Reported "Adverse Events" section.
time_frame: Up to 7 days post-vaccination 1 (up to 8 days)

Part A: Number of Participants With Solicited Adverse Events: Vaccination 2

description: Solicited adverse reactions (ARs) (local and systemic) were collected in the electronic diary (eDiary). Local ARs included: injection site pain, injection site erythema, and injection site induration/swelling. Systemic ARs included: body temperature (oral), generalized myalgia (muscle ache or pain), generalized arthralgia (joint ache or pain), headache, fatigue/malaise (unusual tiredness), nausea/vomiting, chills, and rash. Data for this outcome measure is reported up to 7 days after the second study vaccination only. A summary of all serious AEs (SAEs) and all nonserious AEs ("Other"), regardless of causality, is in Reported "Adverse Events" section.
time_frame: Up to 7 days post-vaccination 2 (Day 29 to Day 36)

Part A: Number of Participants With Unsolicited Adverse Events

description: An unsolicited AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. The treatment-emergent AEs are defined as any event not present before exposure to study drug or any event already present that worsened in intensity or frequency after exposure. A summary of all SAEs and all nonserious AEs ("Other") reported up to the end of the study, regardless of causality, is located in the Reported "Adverse Events" section.
time_frame: Up to 1 year post-vaccination (Day 392)

Part A: Number of Participants With Medically-Attended Adverse Events (MAAEs)

description: An MAAE is an AE that leads to an unscheduled visit to an healthcare practitioner. A summary of all SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the Reported "Adverse Events" section.
time_frame: Up to 1 year post-vaccination (Day 392)

Part B: Number of Participants With Adverse Events of Special Interest (AESIs) and Serious Adverse Events (SAEs)

description: An SAE was defined as any AE that resulted in death, is life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions was a congenital anomaly/birth defect, or was an important medical event. AESIs included potentially immune-mediated medical conditions (autoimmune or autoinflammatory diseases) that may have the theoretical potential for association with novel vaccines. A summary of all SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the Reported "Adverse Events" section.
time_frame: Up to 1 year post-vaccination (Day 392)

Other Endpoints

Part A: Geometric Mean Titer of Neutralizing Serum Antibody (PRNT50) to Zika Virus

description: GMT 95% CI is calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.
time_frame: Baseline, 28 days post each vaccination (Days 29 and 57) [1]

Diseases Treated

Indication Qualifiers Patient Segments
Zika virus infection prevention -

Subjects

  • Subject Type volunteers
  • Number

    Planned: 90

    Actual: 90

  • Sex male & female
  • Age Group 18-49 years; adult

Patient Inclusion Criteria

Inclusion - 18 to 49 years of age - Body mass index between 18 and 35 kg/m2 - In good health as determined by medical history - Female subjects must be non pregnant and non lactating and meet one of the following criteria: a) post menopausal b) surgically sterile - Women of childbearing potential must agree to be heterosexually inactive or agree to consistently use any of the following methods of contraception from at least 21 days prior to enrollment and through 3 months after the final vaccination - Male subjects must use an acceptable method of birth control throughout the entire study and agree to refrain from donation of sperm from the time of first vaccination until 3 months following the last vaccination - Agrees to comply with the study procedures and provides written informed consent - Has access to a consistent and reliable means of telephone contact and agrees to stay in contact with the study site for the duration of the study, to provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study Exclusion - Any ongoing, symptomatic acute or chronic illness requiring medical or surgical care - A history of active cancer (malignancy) in the last 10 years - Female of childbearing potential and has a positive pregnancy test at screening or on the day of vaccination - Administration of an investigational product within 60 days, or 5 half-lives, whichever is longer - Administration of any live attenuated vaccines within 4 weeks before enrollment or inactive vaccines within 2 weeks before enrollment, or plans to receive any vaccine during the active vaccination period - Prior administration of a vaccine for Zika or dengue vaccine, a history of confirmed Zika or dengue infection, or has lived in or visited any Zika-endemic area greater than 4 weeks in duration - Prior administration of investigational agent using formulations similar to mRNA-1325 - A history of hypersensitivity or serious reactions to previous vaccinations - Any known or suspected autoimmune disease or immunosuppressive condition, acquired or congenital, as determined by medical history and/or physical examination - A history of inflammatory arthritis - Any neurologic disorder - A history of febrile disease with arthritis or arthralgia within 2 weeks of dose administration. - Prior administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study drug or plans to receive such products at any time during the study - Any chronic administration of an immunosuppressant or other immune modifying drug - Any acute illness at the time of enrollment - Any significant disorder of coagulation requiring ongoing or intermittent treatment - A history of idiopathic urticaria - A history of alcohol abuse or drug addiction - A positive test result for drugs of abuse - The subject has any abnormality or permanent body art (eg, tattoo) that, in the opinion of the investigator, would obstruct the ability to observe local reactions at the injection site - Any condition that, in the opinion of the investigator, would pose a health risk to the subject if enrolled or could interfere with evaluation of the study drug or interpretation of study results - A positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus types 1 or 2 antibodies - Donation of blood or blood products > 450 mL within 30 days of dosing. - Abnormal vital signs or screening safety laboratory test results including liver enzyme tests - Is an employee or first degree relative of the Sponsor, CRO, or study site personnel

Patient Exclusion Criteria

Inclusion - 18 to 49 years of age - Body mass index between 18 and 35 kg/m2 - In good health as determined by medical history - Female subjects must be non pregnant and non lactating and meet one of the following criteria: a) post menopausal b) surgically sterile - Women of childbearing potential must agree to be heterosexually inactive or agree to consistently use any of the following methods of contraception from at least 21 days prior to enrollment and through 3 months after the final vaccination - Male subjects must use an acceptable method of birth control throughout the entire study and agree to refrain from donation of sperm from the time of first vaccination until 3 months following the last vaccination - Agrees to comply with the study procedures and provides written informed consent - Has access to a consistent and reliable means of telephone contact and agrees to stay in contact with the study site for the duration of the study, to provide updated contact information as necessary, and has no current plans to move from the study area for the duration of the study Exclusion - Any ongoing, symptomatic acute or chronic illness requiring medical or surgical care - A history of active cancer (malignancy) in the last 10 years - Female of childbearing potential and has a positive pregnancy test at screening or on the day of vaccination - Administration of an investigational product within 60 days, or 5 half-lives, whichever is longer - Administration of any live attenuated vaccines within 4 weeks before enrollment or inactive vaccines within 2 weeks before enrollment, or plans to receive any vaccine during the active vaccination period - Prior administration of a vaccine for Zika or dengue vaccine, a history of confirmed Zika or dengue infection, or has lived in or visited any Zika-endemic area greater than 4 weeks in duration - Prior administration of investigational agent using formulations similar to mRNA-1325 - A history of hypersensitivity or serious reactions to previous vaccinations - Any known or suspected autoimmune disease or immunosuppressive condition, acquired or congenital, as determined by medical history and/or physical examination - A history of inflammatory arthritis - Any neurologic disorder - A history of febrile disease with arthritis or arthralgia within 2 weeks of dose administration. - Prior administration of immunoglobulins and/or any blood products within the 3 months preceding the administration of the study drug or plans to receive such products at any time during the study - Any chronic administration of an immunosuppressant or other immune modifying drug - Any acute illness at the time of enrollment - Any significant disorder of coagulation requiring ongoing or intermittent treatment - A history of idiopathic urticaria - A history of alcohol abuse or drug addiction - A positive test result for drugs of abuse - The subject has any abnormality or permanent body art (eg, tattoo) that, in the opinion of the investigator, would obstruct the ability to observe local reactions at the injection site - Any condition that, in the opinion of the investigator, would pose a health risk to the subject if enrolled or could interfere with evaluation of the study drug or interpretation of study results - A positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus types 1 or 2 antibodies - Donation of blood or blood products > 450 mL within 30 days of dosing. - Abnormal vital signs or screening safety laboratory test results including liver enzyme tests - Is an employee or first degree relative of the Sponsor, CRO, or study site personnel

Trial Details

Identifiers

Identifier Owner
NCT03014089 ClinicalTrials.gov: US National Institutes of Health
mRNA1325P101 -
HHSO100201600029C -

Organisations

  • Sponsors Moderna Therapeutics; Valera LLC
  • Affiliations Moderna Therapeutics; Valera LLC

Trial Dates

  • Initiation Dates

    Actual : 21 Dec 2016

  • Primary Completion Dates

    Planned : 01 May 2019

    Actual : 31 Jul 2019

  • End Dates

    Planned : 01 May 2019

    Actual : 31 Jul 2019

Other Details

  • Design double-blind; multicentre; parallel; prospective; randomised
  • Phase of Trial Phase I
  • Location USA
  • Focus Adverse reactions; First in man

Interventions

Drugs Route Formulation Target
MRNA 1325
Primary Drug
Intramuscular Injection
-

mRNA-1325

Biological: mRNA-1325 (Escalating dose levels)

Placebo

0.9% sodium chloride
Other: Placebo

Trial Centres

Investigators

Investigator Centre Name Trial Centre Country
Moderna Medical Director
844-663-6762
show details
Moderna Therapeutics
-

Centres

Centre Name Location Trial Centre Country
- Melbourne, Florida USA
- Peoria, Illinois USA
- San Diego, California USA
Biomedical Advanced Research and Development Authority
-
-
Moderna Therapeutics
-
-

Trial History

Event Date Event Type Comment
23 Aug 2024 Other trial event Last checked against ClinicalTrials.gov record. Updated 23 Aug 2024
01 Jul 2019 Status change - completed Status changed from active, no longer recruiting to completed. Updated 08 Jul 2019
24 Apr 2019 Completion date Planned End Date changed from 1 Apr 2019 to 1 May 2019. Updated 29 Apr 2019
24 Apr 2019 Other trial event Planned primary completion date changed from 1 Apr 2019 to 1 May 2019. Updated 29 Apr 2019
29 Mar 2019 Completion date Planned End Date changed from 1 Feb 2019 to 1 Apr 2019. Updated 04 Apr 2019
29 Mar 2019 Other trial event Planned primary completion date changed from 1 Feb 2019 to 1 Apr 2019. Updated 04 Apr 2019
30 Oct 2018 Completion date Planned End Date changed from 1 Sep 2018 to 1 Feb 2019. Updated 12 Nov 2018
30 Oct 2018 Other trial event Planned primary completion date changed from 1 Sep 2018 to 1 Feb 2019. Updated 12 Nov 2018
22 Jan 2018 Other trial event Planned primary completion date changed from 1 Nov 2017 to 1 Sep 2018. Updated 29 Jan 2018
22 Jan 2018 Status change - active, no longer recruiting Status changed from recruiting to active, no longer recruiting. Updated 29 Jan 2018
13 Jan 2017 Other trial event New source identified and integrated (ClinicalTrials.gov: NCT03014089). Updated 13 Jan 2017
21 Sep 2016 New trial record New trial record Updated 21 Sep 2016

References

  1. ClinicalTrials.gov: US National Institutes of Health. Trial-Reg 2024;.

    Available from: URL: http://clinicaltrials.gov
  2. Moderna Therapeutics. Moderna Announces Funding Award from BARDA for $8 Million with Potential of up to $125 Million to Accelerate Development of Zika Messenger RNA (mRNA) Vaccine. Media-Rel 2016;.

    Media Release
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