A Study to Evaluate the Safety, Tolerability, and Immunogenicity of a Modified RNA Vaccine Against Influenza

Pfizer

Status and phase: Completed; Phase 2; Phase 1

Conditions: Influenza, Human

Treatments: Biological: QIV; Biological: qIRV; Biological: bIRV AB; Biological: bIRV BB; Biological: bIRV AA; Biological: mIRV

Study type: Interventional

Funder types: Industry

Identifiers

NCT05052697

C4781001

Details and patient eligibility

About

This study will be divided into two substudies - Substudy A (SSA) and Substudy B (SSB)

Substudy A This is a Phase 1 randomized substudy to evaluate the safety and immunogenicity of monovalent influenza modRNA vaccine (mIRV) and bivalent influenza modRNA vaccine (bIRV) at various dose levels, and quadrivalent influenza modRNA vaccine (qIRV), in participants 65 to 85 years of age. Participants will receive at Vaccination 1 either:

• 1 of 4 dose levels of mIRV (either A or B Strain),
• 1 of 4 dose levels of bIRV (containing both A and B strains),
• qIRV (at 1 dose level), or
• A licensed quadrivalent influenza vaccine (QIV).

At approximately 8 weeks following Vaccination 1, participants will be unblinded and QIV (Vaccination 2) administered to participants not having previously received this at Vaccination 1. Additionally, participants who previously received QIV at Vaccination 1 will receive one of the following for Vaccination 2:

• mIRV encoding A strain at dose level 4, or
• mIRV encoding B strain at dose level 4.

Substudy B

This is a randomized substudy to evaluate the safety and immunogenicity of the following vaccination schedules in participants 65 to 85 years of age:

2-Visit Schedules

• 2 doses of qIRV (at a dose level 1), administered 21 days apart.

• 2 doses of licensed QIV, administered 21 days apart (as a control group)

• A dose of licensed QIV following by a dose of bIRV encoding 2 A strains at dose level combination 1 or 2, administered 21 days apart.

  1-Visit Schedules

• A dose of licensed QIV administered concurrently in the opposite arm with bIRV encoding 2 A strains at dose level combination 1 or 2.

• A dose of bIRV encoding 2 A strains administered concurrently in the opposite arm with a dose of bIRV encoding 2 B strains.at dose level 1.

• A dose of qIRV encoding 2 A strains and 2 B strains at dose level 2 (at one of two possible dose level combinations).

• A dose of qIRV encoding 2 A strains and 2 B strains at dose level 3.

• 1 dose of licensed QIV (as a control group).

Substudy B

In participants 18 to 64 years of age:

-A dose of qIRV encoding 2 A strains and 2 B strains at a dose level combination 1 or 2.

Enrollment: 1,158 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Substudy A

Inclusion Criteria:

• Male or female participants 65 to 85 years of age.
• Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
• Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
• Male participant who is able to father children and willing to use an acceptable method of contraception; or female participant not of childbearing potential; or male participant not able to father children.
• Capable of giving signed informed consent.

Exclusion Criteria:

• Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
• History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
• Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
• Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
• Women who are pregnant or breastfeeding.
• Allergy to egg proteins (egg or egg products) or chicken proteins.
• Participant who has had significant exposure to laboratory-confirmed SARS-CoV-2 infection, COVID-19, or influenza in the past 14 days known prior to Visit 1
• Any participant who has a SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to Visit 1 that has not been confirmed as negative.
• Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
• Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
• Vaccination with any influenza vaccine within 6 months (175 days) before study intervention administration.
• Any participant who has received or plans to receive a modRNA-platform SARS-CoV-2 vaccine within 60 days of Visit 1
• Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
• Screening hematology/blood chemistry lab >=Grade 1 abnormality. Except Bilirubin, other stable Grade1 abnormalities may be considered eligible by Investigator.
• Screening ECG that is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or study results.
• Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
• Participation in strenuous or endurance exercise through Visit 3.
• Prior history of heart disease.

Substudy B

Inclusion Criteria:

• Male or female participants 65 to 85 years of age or .Male or female participants 18 to 64 years of age
• Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
• Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
• For participants 65 to 85 years of age at the time of enrollment, receipt of licensed influenza vaccination for the 2021-2022 northern hemisphere season >4 months (120 days) before study intervention administration.
• Capable of giving signed informed consent.

Exclusion Criteria:

• Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
• History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention.
• Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
• Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
• Women who are pregnant or breastfeeding.
• Allergy to egg proteins (egg or egg products) or chicken proteins.
• Participant who has had significant exposure to laboratory-confirmed SARS-CoV-2 infection, COVID-19, or influenza in the past 14 days known prior to Visit 201
• Any participant who has a SARS-CoV-2 RT-PCR or antigen test in the past 10 days prior to Visit 201 that has not been confirmed as negative.
• Individuals who receive treatment with radiotherapy or immunosuppressive therapy, including cytotoxic agents or systemic corticosteroids, eg, for cancer or an autoimmune disease, or planned receipt throughout the study.
• Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
• Any participant who has received or plans to receive a modRNA-platform SARS-CoV-2 vaccine within 28 days of Visit 201
• Any participant who has received licensed influenza vaccination for the 2022-2023 northern hemisphere influenza season.
• Participation in other studies involving study intervention within 28 days prior to study entry and/or during study participation.
• Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
• Participation in strenuous or endurance exercise through Visit 205.
• Prior history of heart disease.
• Any abnormal screening troponin I laboratory value
• Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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1,158 participants in 28 patient groups

SSA: mIRV A (dose level 1) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV A (dose level 2) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV A (dose level 3) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV A (dose level 4) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV B (dose level 1) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV B (dose level 2) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV B (dose level 3) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: mIRV B (dose level 4) + QIV

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: bIRV AB (dose level combination 1) + QIV

Experimental group

Treatment:

Biological: bIRV AB

Biological: QIV

SSA: bIRV AB (dose level combination 2) + QIV

Experimental group

Treatment:

Biological: bIRV AB

Biological: QIV

SSA: bIRV AB (dose level combination 3) + QIV

Experimental group

Treatment:

Biological: bIRV AB

Biological: QIV

SSA: bIRV AB (dose level combination 4) + QIV

Experimental group

Treatment:

Biological: bIRV AB

Biological: QIV

SSA: QIV + mIRV A strain (dose level 4)

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSA: qIRV (dose level 1) + QIV

Experimental group

Treatment:

Biological: qIRV

Biological: QIV

SSA: QIV + mIRV B strain (dose level 4)

Experimental group

Treatment:

Biological: mIRV

Biological: QIV

SSB: 2 doses of qIRV (dose level 1), 2-visit schedule

Experimental group

Treatment:

Biological: qIRV

SSB: 2 doses of QIV, 2-visit schedule

Experimental group

Treatment:

Biological: QIV

SSB: QIV + bIRV AA (dose level combination 1), 2-visit schedule

Experimental group

Treatment:

Biological: bIRV AA

Biological: QIV

SSB: QIV + bIRV AA (dose level combination 2), 2-visit schedule

Experimental group

Treatment:

Biological: bIRV AA

Biological: QIV

SSB: QIV + bIRV AA (dose level combination 1), 1-visit schedule

Experimental group

Treatment:

Biological: bIRV AA

Biological: QIV

SSB: QIV + bIRV AA (dose level combination 2), 1-visit schedule

Experimental group

Treatment:

Biological: bIRV AA

Biological: QIV

SSB: qIRV (dose level 2, dose combination 1), 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered.

Treatment:

Biological: qIRV

SSB: qIRV (dose level 2, dose combination 2), 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered

Treatment:

Biological: qIRV

SSB: qIRV (dose level 3), 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered

Treatment:

Biological: qIRV

SSB: bIRV AA + bIRV BB (both dose level combination 1), 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered

Treatment:

Biological: bIRV AA

Biological: bIRV BB

SSB: 1 dose of QIV, 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered

Treatment:

Biological: QIV

SSB: qIRV (dose level 1), 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered.

Treatment:

Biological: qIRV

SSB: qIRV (dose level 2), 1-visit schedule

Experimental group

Description:

NOTE: Arm Description has not been entered.

Treatment:

Biological: qIRV