Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT06907511

Study to Evaluate the Safety and the Immunogenicity of a Second Generation Structurally Designed mRNA Vaccine Candidate Against Pandemic Influenza H5 HA Strain in Healthy Adult Participants Aged 18 Years and Older

The purpose of this phase 1/2 study is to investigate the safety and immunogenicity of different doses (high, medium and low) of a second generation structurally designed (SD2) H5 messenger ribonucleic acid (mRNA) vaccine against pandemic H5 influenza virus (pandemic flu H5 hemagglutinin (HA) mRNA SD2) in healthy younger and older adults.

The study will aim to identify the appropriate dose for further clinical development of a potential pandemic response vaccine.

The study also includes an extension phase for one of the 3 dose levels of the pandemic flu H5 HA mRNA SD2 vaccine to collect additional safety and the immunogenicity data for this specific dose of the vaccine. During this Extension Phase, an additional 480 participants will be randomized according to a 1:1 ratio and stratified by age (≥ 18 to < 65 years and ≥ 65 years) to receive either the low dose of the pandemic flu H5 HA mRNA DS2 vaccine (Group 1) or placebo (Group 4). This extension will enhance the safety database and improve precision of the immunogenicity results for the selected dose while preserving the original study design integrity.

The study duration per participant will be approximately 13 months. There will be two injections of placebo or pandemic flu H5 mRNA vaccine 21 days apart at high, medium and low doses.

Study visits/contact include: 7 study visits and 1 telephone call. Vaccination visits (including blood samples) will occur at Day 01 and Day 22. Short-term follow-up visits (including blood samples) will occur 8 and 21 days after each injection. Participants will be also followed up (including blood samples) at 3 and 6 months after 2nd injection, and at 12 months after 2nd injection for safety.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Velocity Clinical Research - San Diego- Site Number : 8400013, La Mesa, California, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Aged 18 years or older on the day of inclusion
  • A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies:
  • 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.

OR

  • Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to each study intervention administration until at least 12 weeks after the last study intervention administration
  • A female participant of childbearing potential must have a negative highly sensitive pregnancy test (urine or serum as required by local regulation) within 8 hours before the first dose of study intervention

Exclusion criteria

  • 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)
  • 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
  • Previous history of myocarditis, pericarditis, and/or myopericarditis
  • Known history of previous episodes of Guillain-Barré Syndrome (GBS), neuritis (including Bell's palsy), convulsions , encephalitis, transverse myelitis, and vasculitis
  • Participants with an electrocardiogram that is consistent with possible myocarditis or pericarditis or, in the opinion of the investigator, demonstrates clinically relevant abnormalities that may affect participant safety or study results
  • Self-reported 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
  • Moderate or severe acute illness / infection (according to investigator's judgment) or febrile illness (temperature ≥ 38.0°C [≥ 100.4°F]) on the day of study intervention. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided
  • Alcohol, prescription drug, or substance abuse that, in the opinion of the investigator, might interfere with the study conduct or completion
  • Participant who had acute infectious symptoms or a positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcriptase polymerase chain reaction (RT PCR) or antigen test in the past 10 days prior to the first visit (V)01
  • Receipt of any vaccine other than an mRNA vaccine in the 4 weeks preceding study intervention administration or planned receipt of any vaccine other than an mRNA vaccine in the 3 weeks following the second dose of the study intervention
  • Receipt of immune globulins, blood or blood-derived products in the past 3 months
  • Receipt of any mRNA vaccine/product in the 2 months preceding study intervention administration or planned receipt of any mRNA vaccine in the 2 months after the second dose of the study intervention
  • Participation at the time of study enrollment (or in the 4 weeks preceding study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Previous history of participation in an H5 influenza A vaccine study. This includes any influenza subtypes that contain H5 such as H5N1, H5N8, or H5N6

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

Treatment and study plan

Pandemic flu H5 HA mRNA SD2 vaccine

Biological

Pharmaceutical Form:

Suspension in a vial

Route of Administration:

Intramuscular injection

Placebo

Other

Pharmaceutical Form:

Liquid solution in a vial

Route of Administration:

Intramuscular injection

Primary outcomes

  1. Presence of immediate adverse events (AEs)

    Time frame: Within 30 minutes after each/any injection

    Number of participants with immediate AEs

  2. Presence of solicited injection site reactions

    Time frame: Through 7 days after each/any injection

    Number of participants with solicited injection site reactions

  3. Presence of solicited systemic reactions

    Time frame: Through 7 days after each/any injection

    Number of participants with solicited systemic reactions

  4. Presence of unsolicited AEs

    Time frame: Through 21 days after the first injection through 28 days after the second injection

    Number of participants with unsolicited AEs

  5. Presence of medically attended adverse events (MAAEs)

    Time frame: Through 180 days after the last injection

    Number of participants with MAAEs

  6. Presence of adverse events of special interest (AESIs)

    Time frame: Throughout the study, approximately 13 months

    Number of participants with AESIs

  7. Presence of serious adverse events (SAEs)

    Time frame: Throughout the study, approximately 13 months

    Number of participants with SAEs

  8. Presence of out-of-range biological test results (including shift from baseline values)

    Time frame: Through a maximum of 8 days after each injection

    Number of participants with out-of-range biological test results

Secondary outcomes

  1. Geometric mean titers (GMTs) of antibodies (Abs) against investigational pandemic flu H5 HA mRNA SD2 vaccine

    Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202

    Ab titer measured by hemagglutination inhibition (HAI) assay

  2. Individual HA titer ratio

    Time frame: Day22/Day01, Day43/Day01, Day112/Day01, and Day202/Day01

    Geometric mean ratio (GMR) HAI titers ratio

  3. Seroconversion HAI Titer

    Time frame: Day 01, Day 22 and Day 43

    Percentage of participants with seroconversion

    Seroconversion is defined by:

    HAI titer < 10 [1/dilution (dil)] on Day 01 and post-injection titer ≥ 40 [1/dil] on Day 22 or Day 43; or defined as HAI titer ≥ 10 [1/dil] on D01 and a ≥ 4-fold increase in titer [1/dil]) on Day 22 or Day 43

  4. HAI titer ≥ 40 (1/dil)

    Time frame: Day 01, Day 22, Day 43, Day 112, and Day 202

    Percentage of participants with HAI titer ≥ 40 (1/dil)

  5. Detectable HAI titer ≥ 10 (1/dil)

    Time frame: Day 01, Day 22, Day 43, Day 112, and Day 202

    Percentage of participants with HAI titer ≥ 10 (1/dil)

  6. GMTs of Abs against investigational pandemic flu H5 HA mRNA SD2 vaccine

    Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202

    Ab titer measured by seroneutralization (SN) test

  7. Individual SN titer ratio

    Time frame: Day 22/Day 02, Day 43/Day 01, Day 112/Day 01 and Day 202/Day 01

    GMR SN titers ratio

  8. SN titer ≥ 20 (1/dil)

    Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202

    Percentage of participants with SN titer ≥ 20 (1/dil)

  9. SN titer ≥ 40 (1/dil)

    Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202

    Percentage of participants with SN titer ≥ 40 (1/dil)

  10. SN titer ≥ 80 (1/dil)

    Time frame: Day 01, Day 22, Day 43, Day 112 and Day 202

    Percentage of participants with SN titer ≥ 80 (1/dil)

  11. Detectable SN titer ≥ 10 (1/dil)

    Time frame: Day 01, Day 22, Day 43, Day 112, and Day 202

    Percentage of participants with SN titer ≥ 10 (1/dil)

  12. 2-fold and 4-fold rise in SN titer

    Time frame: Day 22 and Day 43

    Percentage of participants with fold increase in SN Ab titer [post-vaccination / pre- vaccination] ≥ 2 and ≥ 4 on D22 and D43

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Phase 1/2, Parallel-group, Randomized, Modified Double-blind, Placebo-controlled, Multi-center, Dose Ranging Study to Evaluate the Safety and Immunogenicity of a Second Generation Structurally Designed Pandemic Influenza H5 HA mRNA Vaccine in Healthy Adults Aged 18 Years and Older

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Apr 2, 2025
Registry last updated
Jan 16, 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.

Published trials that share one or more normalized conditions with this study.