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Completed

NCT Number: NCT06143046

A Study of mRNA-1345 Vaccine Targeting Respiratory Syncytial Virus in Pregnant Women and in Infants Born to Vaccinated Mothers

The purpose of the study is to evaluate the reactogenicity, safety, and immunogenicity of an investigational respiratory syncytial virus (RSV) vaccine, mRNA-1345, in pregnant women, and safety and immunogenicity in infants born to vaccinated mothers.

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Key information

Age range

0 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Dalhousie University - 5820 University Ave, Halifax, Nova Scotia, Canada

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

Maternal Participants

  • Are adults ≥18 years to <40 years of age inclusive, at the time of signing the informed consent.
  • Will be 28 to 36 weeks pregnant at the time of vaccination (confirmed by an obstetric ultrasound report).
  • Intend to deliver at a maternity unit where study procedures can be performed.
  • Are willing and able to attend all study visits, to undergo all study procedures/or have their infant undergo all study procedures, and to comply with study requirements, including a means of communication (for example, phone, text message or email) with study site staff.
  • Have engaged with local antenatal care and will continue to do so through the remainder of their pregnancy.
  • Have had an antenatal obstetric ultrasound at ≥18 weeks of pregnancy or be willing to have an antenatal obstetric ultrasound at Screening if not already conducted.

Specific inclusion criteria for Japanese pregnant women:

  • Japanese participants are defined as individuals born in Japan, with both parents and 4 grandparents who were born in Japan.

Infant Participants

  • Have consent from infant participant's parent(s)/legally authorized representative (LAR) if required by local regulations.

Key Exclusion Criteria:

Maternal Participants

  • Acutely ill or febrile (temperature ≥38.0 degrees Celsius [℃]/100.4 degrees Fahrenheit [°F]) within 72 hours prior to or at the Screening Visit or Day 1.
  • Reported history of anaphylaxis or severe hypersensitivity reaction after receipt of any mRNA vaccine or therapeutic or any components of an mRNA-1345 vaccine.
  • Any medical, psychiatric, or occupational condition, including reported history of drug or alcohol abuse, that, in the opinion of the Investigator, might pose additional risk due to participation in the study or could interfere with the interpretation of study results.
  • Have conditions in the current pregnancy or in previous pregnancies that may affect participant safety, assessment of safety endpoints, assessment of immune response, or adherence to study procedures.
  • Received or plans to receive any mRNA vaccine or COVID-19 vaccine within 4 weeks before or after Day 1 and/or any other nonstudy vaccine within 2 weeks before or after Day 1.
  • Previous vaccination with any licensed or investigational RSV vaccine or planned receipt during study participation.
  • Intend for their infant to receive RSV monoclonal antibodies after delivery.

Infant Participants

  • Is a child who has been placed under the control or protection of an agency, organization, institution, or entity by the courts, the government, or a government body acting in accordance with powers conferred on them by laws and regulation (for example, foster care). This does not include a child who is adopted or has an appointed LAR.

Other inclusion and exclusion criteria may apply.

Treatment and study plan

mRNA-1345

Biological

Sterile liquid for injection

Placebo

Biological

0.9% sodium chloride (normal saline) injection

Primary outcomes

  1. Number of Maternal Participants with Solicited Local and Systemic Adverse Reactions (ARs)

    Time frame: Up to Day 7 (7 days post vaccination)

  2. Number of Maternal Participants with Unsolicited Adverse Events (AEs)

    Time frame: Up to Day 28 (28 days post vaccination)

  3. Number of Maternal Participants with Medically-Attended AEs (MAAEs)

    Time frame: Day 1 to Month 6 (6 months postdelivery)

  4. Number of Maternal Participants with Adverse Events of Special Interest (AESIs)

    Time frame: Day 1 to Month 12 (12 months postdelivery)

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

    Time frame: Day 1 to Month 12 (12 months postdelivery)

  6. Number of Maternal Participants with AEs Leading to Discontinuation

    Time frame: Day 1 to Month 12 (12 months postdelivery)

  7. Number of Maternal Participants With Pregnancy Outcomes

    Time frame: Day 1 to Month 12 (12 months postdelivery)

    Pregnancy outcomes will include stillbirth, live birth, vaginal delivery, and cesarean section delivery.

  8. Number of Infant Participants with MAAEs

    Time frame: Day 1 (birth) to Month 12

  9. Number of Infant Participants with AESIs

    Time frame: Day 1 (birth) to Month 12

  10. Number of Infant Participants with SAEs

    Time frame: Day 1 (birth) to Month 12

  11. Number of Infant Participants With Birth Outcomes

    Time frame: Day 1 (birth) to Month 12

    Birth outcomes will include gestational age and anthropometric measurements.

Secondary outcomes

  1. Geometric Mean Titer (GMT) of Serum RSV-A and RSV-B Neutralizing Antibodies in Maternal Participants

    Time frame: Day 1, Day 29, delivery, and Month 6 (6 months postdelivery)

  2. Geometric Mean Concentration (GMC) of Serum RSV-F Binding Antibodies in Maternal Participants

    Time frame: Day 1, Day 29, delivery, and Month 6 (6 months postdelivery)

  3. Geometric Mean Fold-Rise (GMFR) of Postbaseline/Baseline Neutralizing Antibody Titers and Binding Antibody Concentrations in Maternal Participants

    Time frame: Day 29, delivery, and Month 6 (6 months postdelivery)

  4. Percentage of Maternal Participants With ≥4-fold Increase From Baseline in Neutralizing Antibody Titers and Binding Antibody Concentrations

    Time frame: Baseline up to Month 6 (6 months postdelivery)

  5. GMT of Serum RSV-A and RSV-B Neutralizing Antibodies in Infant Participants

    Time frame: Day 1 (birth), and Months 2, 6, and 12

  6. GMC of Serum RSV-F Binding Antibodies in Infant Participants

    Time frame: Day 1 (birth), and Months 2, 6, and 12

Sponsors and collaborators

Lead sponsor

ModernaTX, Inc.

Industry

Registry information

Official study title

A Phase 2, Randomized, Observer-Blind, Placebo-Controlled, Dose-Escalation Study to Evaluate the Reactogenicity, Safety, and Immunogenicity of mRNA-1345, an mRNA Vaccine Targeting Respiratory Syncytial Virus, in Pregnant Women, and Safety and Immunogenicity in Infants Born to Vaccinated Mothers

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Nov 22, 2023
Registry last updated
Jun 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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