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NCT Number: NCT06686654

Study of a Human Metapneumovirus/Respiratory Syncytial Virus mRNA Vaccine Candidate Encapsulated in a Lipid Nanoparticle-based Formulation in Adults Aged 60 Years and Older

The aim of this study is to evaluate the safety and immunogenicity of a human metapneumovirus (hMPV) / respiratory syncytial virus (RSV) mRNA vaccine candidate encapsulated in a lipid nanoparticle (LNP) based formulation (hereafter referred to as hMPV/RSV vaccine) for the prevention of lower respiratory tract disease (LRTD) caused by hMPV and/or RSV among adults aged 60 years and older.

The study will also evaluate the safety and immunogenicity of a booster vaccination using a bivalent hMPV/RSV mRNA vaccine candidate (hereafter referred to as RSV+hMPV mRNA vaccine candidate).

Overall, the study is designed to address the following goals:

* Assess the safety profile of the candidate formulations. * Describe the immunogenicity profile of the candidate formulations. * Select the vaccine formulations (dose) for future development. * Assess the safety and immunogenicity of a booster vaccination with the RSV + hMPV mRNA vaccine candidate administered 12 months after primary vaccination with a licensed RSV vaccine.

The study duration is as follows:

-Six months each for the Sentinel and Main Cohorts; up to 12 months for the Expansion Cohort, and 6 additional months for the Booster Cohort

Treatment duration:

* Stage 1 Sentinel Cohort: 1 intra-muscular (IM) injection. Participants will be followed for 6 months post vaccination * Stage 1 Main Cohort: 1 IM injection. Participants will be followed for 6 months post vaccination * Stage 2 Expansion Cohort: 1 IM injection. Participants in the licensed RSV vaccine arm will be followed for 12 months post-vaccination; the remainder of the participants will be followed up to 8 months post-vaccination * Stage 2 Booster Cohort: 1 IM injection 12 months post-primary vaccination. Participants will be followed for 6 months post-booster vaccination

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Velocity Clinical Research, Phoenix- Site Number : 8400025, Phoenix, Arizona, United States

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Aged 60 years or older on the day of inclusion
  • A female participant is eligible to participate if she is not pregnant or breastfeeding and is of non-childbearing potential. To be considered of non-childbearing potential, a female must be postmenopausal for at least 1 year or surgically sterile

Exclusion criteria

  • Any screening laboratory parameter with laboratory abnormality > Grade 1 deemed clinically significant by the investigator
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months). Of note, persons living with stable human immunodeficiency virus (HIV) are not excluded
  • Known systemic hypersensitivity to any of the study intervention components (eg, polyethylene glycol, polysorbate); history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances; any allergic reaction (eg, anaphylaxis) after administration of an mRNA vaccine
  • History of RSV and/or hMPV-associated illness, diagnosed serologically or microbiologically in the last 12 months
  • Previous history of myocarditis, pericarditis, and/or myopericarditis
  • Screening electrocardiogram that is consistent with possible myocarditis, pericarditis, and/or myopericarditis or, in the opinion of the investigator, demonstrates clinically relevant abnormalities that may affect participant safety or study results
  • Laboratory-confirmed thrombocytopenia, contraindicating IM injection, based on investigator's judgment
  • Bleeding disorder or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating IM injection, based on investigator's judgment
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
  • Receipt of any vaccine other than mRNA vaccine in the 28 days preceding any study intervention administration or planned receipt of any vaccine other than mRNA vaccine in the 28 days following any study intervention administration
  • Receipt of any mRNA vaccine in the 60 days preceding any study intervention administration or planned receipt of any mRNA vaccine in the 60 days following any study intervention administration
  • Previous vaccination against RSV and/or hMPV (with a licensed or investigational vaccine either as a monovalent vaccine or any combination of the antigens)
  • Receipt of immune globulins, blood, or blood-derived products in the past 3 months

Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Treatment and study plan

Investigational hMPV/RSV vaccine

Biological

Investigational hMPV/RSV vaccine administered intramuscularly

Investigational hMPV vaccine (monovalent)

Biological

Investigational hMPV vaccine (monovalent) administered intramuscularly

Investigational RSV vaccine (monovalent)

Biological

Investigational RSV vaccine (monovalent) administered intramuscularly

Licensed RSV Vaccine

Biological

Licensed RSV vaccine administered intramuscularly

Placebo

Biological

Placebo administered intramuscularly

Investigational RSV+hMPV vaccine

Biological

Investigational RSV+hMPV vaccine administered intramuscularly

Primary outcomes

  1. Presence of unsolicited immediate systemic adverse events (AEs) (Stage 1 and Stage 2 Expansion and Booster Cohorts)

    Time frame: Within 30 minutes after primary and booster vaccinations

    Number of participants reporting immediate unsolicited systemic AEs

  2. Presence of solicited injection site and systemic reactions (Stage 1 and Stage 2 Expansion and Booster Cohorts)

    Time frame: Up to 7 days after primary and booster vaccinations

    Number of participants reporting solicited injection site and systemic reactions

  3. Presence of unsolicited AEs (Stage 1 and Stage 2 Expansion and Booster Cohorts)

    Time frame: Up to 28 days after primary and booster vaccinations

    Number of participants reporting unsolicited AEs

  4. Presence of medically attended AEs (MAAEs) (Stage 1 and Stage 2 Expansion and Booster Cohorts)

    Time frame: Up to 6 months after primary and booster vaccinations

    Number of participants reporting MAAEs

  5. Presence of serious AEs (SAEs) and AEs of special interest (AESIs) (Stage 1 and Stage 2 Expansion and Booster Cohorts)

    Time frame: Up to 6 months after primary and booster vaccinations

    Number of participants reporting SAEs and AESIs

  6. Presence of related SAEs, related AESIs, and fatal SAEs (regardless of causality) (Stage 1 and Stage 2 Expansion and Booster Cohorts)

    Time frame: Throughout the duration of the study (up to approximately 24 months)

    Number of participants reporting related SAEs, related AESIs, and fatal SAEs

  7. Presence of out-of-range biological test results (Stage 1)

    Time frame: Up to 7 days after primary vaccination

    Number of participants with out-of-range biological tests

  8. Presence of out-of-range biological test results (Stage 2 Booster Cohort)

    Time frame: Up to 7 days after booster vaccination

    Number of participants with out-of-range biological tests

  9. hMPV A serum neutralizing antibodies (nAb) titers in Stage 1 Sentinel and Main Cohorts

    Time frame: At pre-vaccination (Day 01) and 28 days post-primary vaccination (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  10. hMPV B serum neutralizing antibodies (nAb) titers in Stage 1 Sentinel and Main Cohorts

    Time frame: At pre-vaccination (Day 01) and 28 days post-primary vaccination (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  11. RSV A serum nAb titers in Stage 1 Sentinel and Main Cohorts

    Time frame: At pre vaccination (D01) and 28 days post-primary vaccination (D29)

    nAb titers expressed as geometric mean titers (GMTs)

  12. RSV B serum nAb titers in Stage 1 Sentinel and Main Cohorts

    Time frame: At pre vaccination (D01) and 28 days post-primary vaccination (D29)

    nAb titers expressed as geometric mean titers (GMTs)

  13. hMPV A serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the hMPV/RSV vaccine candidate (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  14. hMPV B serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the hMPV/RSV vaccine candidate (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  15. RSV A serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the hMPV/RSV vaccine candidate (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  16. RSV B serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the hMPV/RSV vaccine candidate (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  17. hMPV A serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the hMPV standalone vaccine (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  18. hMPV B serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the hMPV standalone vaccine (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  19. RSV A serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the RSV standalone vaccine (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

  20. RSV B serum neutralizing antibodies (nAb) titers in Stage 2 Expansion Chort

    Time frame: At (Day 01) pre-vaccination and 28 days after the injection of the RSV standalone vaccine (Day 29)

    nAb titers expressed as geometric mean titers (GMTs)

Secondary outcomes

  1. hMPV serum anti-F immunoglobulin G (IgG) antibody (Ab) titers (Stage 1)

    Time frame: At pre-vaccination (Day 01) and 28 days (D29) post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  2. RSV serum anti-F IgG Ab titers (Stage 1)

    Time frame: At pre-vaccination (Day 01) and 28 days (D29) post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  3. hMPV A serum nAb titers (Stage 2 Expansion Cohort)

    Time frame: At pre-vaccination (Day 01), 28 days (D29), and 3 and 6 months post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  4. hMPV B serum nAb titers (Stage 2 Expansion Cohort)

    Time frame: At pre-vaccination (Day 01), 28 days (D29), and 3 and 6 months post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  5. hMPV A serum anti-F IgG Ab titers (Stage 2 Expansion Cohort)

    Time frame: At pre-vaccination (Day 01), 28 days (D29), and 3 and 6 months post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  6. RSV A serum nAb titers (Stage 2 Expansion Cohort)

    Time frame: At pre-vaccination (Day 01), 28 days (D29), and 3 and 6 months post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  7. RSV B serum nAb titers (Stage 2 Expansion Cohort)

    Time frame: At pre-vaccination (Day 01), 28 days (D29), and 3 and 6 months post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

  8. RSV serum anti-F IgG Ab titers (Stage 2 Expansion Cohort)

    Time frame: At pre-vaccination (Day 01), 28 days (D29), and 3 and 6 months post-primary vaccination

    Ab titers expressed as geometric mean titers (GMTs)

Sponsors and collaborators

Lead sponsor

Sanofi Pasteur, a Sanofi Company

Industry

Registry information

Official study title

A Phase 1/2, Randomized, Observer-blind, Placebo-controlled Multi-arm Study to Evaluate the Safety and Immunogenicity of an hMPV/RSV mRNA Vaccine Candidate in Adult Participants Aged 60 Years and Older

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Nov 13, 2024
Registry last updated
Dec 11, 2025

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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