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Trial · NCT06060457

A Study to Evaluate the Safety and Immune Response of mRNA-1345, a Vaccine Targeting Respiratory Syncytial Virus (RSV), When Co-administered With a Fluzone HD, in Adults ≥65 Years of Age

NCT06060457, Phase 3, Completed, ModernaTX, Inc.; results first posted 2025-07-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Safety and Immune Response of mRNA-1345, a Vaccine Targeting Respiratory Syncytial Virus (RSV), When Co-administered With a Fluzone HD, in Adults ≥65 Years of Age. Trials, record NCT06060457. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT06060457

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Safety and Immune Response of mRNA-1345, a Vaccine Targeting Respiratory Syncytial Virus (RSV), When Co-administered With a Fluzone HD, in Adults ≥65 Years of Age
NCT number
NCT06060457
Status
Completed
Phases
Phase 3
Enrollment
1,900 participants, actual
Lead sponsor
ModernaTX, Inc.
Conditions
Respiratory Syncytial Virus
Interventions
Placebo, mRNA-1345, Fluzone HD
First posted
2023-09-29
Last updated
2025-07-30
Results first posted
2025-07-30

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 InjectionWithin 7 days after Day 1 injection
Solicited ARs were collected in an electronic diary (eDiary). Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered adverse events (AEs). Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of serious AEs (SAEs) and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
PrimaryNumber of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 22 InjectionWithin 7 days after Day 22 injection
Solicited ARs were collected in an eDiary. Local ARs: injection site pain, erythema (redness), swelling/induration (hardness); and axillary (underarm) swelling or tenderness ipsilateral to the side of injection. Systemic ARs: fever, headache, fatigue, myalgia, arthralgia, nausea/vomiting, and chills. Note, not all solicited ARs were considered AEs. Investigator reviewed whether the solicited AR was also to be recorded as an AE. A Summary of SAEs and nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
PrimaryNumber of Participants With Unsolicited Adverse Events (AEs) Up to 21 Days After Day 1 InjectionUp to 21 days after Day 1 injection
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time \[PT\]/partial thromboplastin time \[PTT\]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
PrimaryNumber of Participants With Unsolicited AEs Up to 21 Days After Day 22 InjectionUp to 21 days after Day 22 injection
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Any abnormal laboratory test result (hematology, clinical chemistry, or PT/PTT) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsened from baseline and was considered clinically significant in the medical and scientific judgment of the Investigator was recorded as an AE. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
PrimaryNumber of Participants With Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs), Serious Adverse Events (SAEs), and AEs Leading to DiscontinuationDay 1 through Day 202
A MAAE is an AE that leads to an unscheduled visit to a healthcare practitioner. An AESI is an AE (serious or nonserious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor are required. An SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability, was a congenital anomaly/birth defect, or was an important medical event. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
PrimaryGeometric Mean Titer (GMT) of Serum Respiratory Syncytial Virus Subtype A (RSV-A) and Respiratory Syncytial Virus Subtype B (RSV-B) Neutralizing Antibodies (nAbs)Day 22 (for Arm 1) and Day 43 (for Arm 2)
Antibody values reported as below lower limit of quantification (LLOQ) were replaced by 0.5\*LLOQ. Values greater than the upper limit of quantification (ULOQ) were replaced by the ULOQ. LLOQ was 13 international units (IU)/milliliter (mL) and ULOQ was 259061 IU/mL for RSV-A. LLOQ was 10 IU/mL and ULOQ was 112476 for RSV-B.
PrimaryGMT of Serum Anti-Hemagglutination (HA) Ab Level, as Measured by Hemagglutination Inhibition (HAI) AssayDay 22
Influenza A strains included H1N1 and H3N2 and influenza B strains included Austria and Phuket strains. Antibody values reported as below LLOQ were replaced by 0.5\*LLOQ. Values greater than the ULOQ were replaced by the ULOQ. LLOQ was 10 and ULOQ was 2560 for Influenza A. LLOQ was 10 and ULOQ was 640 for Influenza B.
SecondaryPercentage of Participants With Seroresponse for RSV-A and RSV-B nAbs, as Measured by HAI AssayBaseline to Day 22 (for Arm 1) or Day 43 (for Arm 2)
Seroresponse at a participant level was defined as a change from below the LLOQ to equal or above 4 \* LLOQ, or at least a 4-fold increase if baseline was equal to or above the LLOQ. LLOQ was 13 IU/mL and ULOQ was 259061 IU/mL for RSV-A. LLOQ was 10 IU/mL and ULOQ was 112476 for RSV-B.
SecondaryGeometric Mean Fold-Rise (GMFR) of Postinjection RSV-A and RSV-B nAbs Antibodies for Influenza, as Measured by HAI AssayDay 22 (for Arm 1) or Day 43 (for Arm 2)
95% CI for GMFR was calculated based on the t-distribution of the differences in the log-transformed values between analysis timepoint and baseline, then back transformed to the original scale for presentation.
SecondaryPercentage of Participants With ≥2-fold Increase in RSV-A and RSV-B nAbsDay 22 (Arm 1) or Day 43 (Arm 2)
≥2-fold increase from baseline at participant level was defined as a change from below the LLOQ to equal or above 2 \* LLOQ, or at least a 2-fold increase if baseline was equal to or above the LLOQ. LLOQ was 13 IU/mL and ULOQ was 259061 IU/mL for RSV-A. LLOQ was 10 IU/mL and ULOQ was 112476 for RSV-B.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 InjectionWithin 7 days after Day 1 injection
Day 1 Solicited Safety Set included all randomized participants who received any study intervention on Day 1 and contributed any solicited ARs data from the time of study injection on Day 1 through the following 6 days. Participants were included in the treatment arm corresponding to the study drug they actually received.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 22 InjectionWithin 7 days after Day 22 injection
Day 22 Solicited Safety Set included all randomized participants who received any study intervention on Day 22 and contributed any solicited ARs data from the time of study injection on Day 22 through the following 6 days. Participants were included in the treatment arm corresponding to the study drug they actually received.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Unsolicited Adverse Events (AEs) Up to 21 Days After Day 1 InjectionUp to 21 days after Day 1 injectionThe Safety Set included all randomized participants who received any study intervention. Participants were included in the treatment arm corresponding to the study drug they actually received.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Unsolicited AEs Up to 21 Days After Day 22 InjectionUp to 21 days after Day 22 injectionThe Safety Set included all randomized participants who received any study intervention. Participants were included in the treatment arm corresponding to the study drug they actually received.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs), Serious Adverse Events (SAEs), and AEs Leading to DiscontinuationDay 1 through Day 202The Safety Set included all randomized participants who received any study intervention. Participants were included in the treatment arm corresponding to the study drug they actually received.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYGeometric Mean Titer (GMT) of Serum Respiratory Syncytial Virus Subtype A (RSV-A) and Respiratory Syncytial Virus Subtype B (RSV-B) Neutralizing Antibodies (nAbs)Day 22 (for Arm 1) and Day 43 (for Arm 2)
The Per-protocol (PP) Set included all randomized participants who received the assigned study intervention dose according to protocol, complied with immunogenicity blood sampling to have a baseline and at least 1 post-injection assessment, and had no important protocol deviations that impacted the immune response. 'Overall number of participants analyzed' = participants evaluable for this endpoint. 'Number analyzed' = participants evaluable for specified category.
IU/mLGEOMETRIC_MEAN
PRIMARYGMT of Serum Anti-Hemagglutination (HA) Ab Level, as Measured by Hemagglutination Inhibition (HAI) AssayDay 22
The PP Set included all randomized participants who received the assigned study intervention dose according to protocol, complied with immunogenicity blood sampling to have a baseline and at least 1 post-injection assessment, and had no important protocol deviations that impacted the immune response. 'Overall number of participants analyzed' = participants evaluable for this endpoint.
titerGEOMETRIC_MEAN
SECONDARYPercentage of Participants With Seroresponse for RSV-A and RSV-B nAbs, as Measured by HAI AssayBaseline to Day 22 (for Arm 1) or Day 43 (for Arm 2)
The PP Set included all randomized participants who received the assigned study intervention dose according to protocol, complied with immunogenicity blood sampling to have a baseline and at least 1 post-injection assessment, and had no important protocol deviations that impacted the immune response. 'Overall number of participants analyzed' = participants evaluable for this endpoint. 'Number analyzed' = participants evaluable for specified category.
percentage of participantsNUMBER
SECONDARYGeometric Mean Fold-Rise (GMFR) of Postinjection RSV-A and RSV-B nAbs Antibodies for Influenza, as Measured by HAI AssayDay 22 (for Arm 1) or Day 43 (for Arm 2)
The PP Set included all randomized participants who received the assigned study intervention dose according to protocol, complied with immunogenicity blood sampling to have a baseline and at least 1 post-injection assessment, and had no important protocol deviations that impacted the immune response. 'Overall number of participants analyzed' = participants evaluable for this endpoint. 'Number analyzed' = participants evaluable for specified category.
ratioGEOMETRIC_MEAN
SECONDARYPercentage of Participants With ≥2-fold Increase in RSV-A and RSV-B nAbsDay 22 (Arm 1) or Day 43 (Arm 2)
The PP Set included all randomized participants who received the assigned study intervention dose according to protocol, complied with immunogenicity blood sampling to have a baseline and at least 1 post-injection assessment, and had no important protocol deviations that impacted the immune response. 'Overall number of participants analyzed' = participants evaluable for this endpoint. 'Number analyzed' = participants evaluable for specified category.
percentage of participantsNUMBER

Results by group60

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 InjectionFluzone HD + mRNA-1345 Followed by Placebo689Participants
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 InjectionFluzone HD + Placebo Followed by mRNA-1345547Participants
Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 22 InjectionFluzone HD + mRNA-1345 Followed by Placebo251Participants
Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 22 InjectionFluzone HD + Placebo Followed by mRNA-1345557Participants
Number of Participants With Unsolicited Adverse Events (AEs) Up to 21 Days After Day 1 InjectionFluzone HD + mRNA-1345 Followed by Placebo72Participants
Number of Participants With Unsolicited Adverse Events (AEs) Up to 21 Days After Day 1 InjectionFluzone HD + Placebo Followed by mRNA-134572Participants
Number of Participants With Unsolicited AEs Up to 21 Days After Day 22 InjectionFluzone HD + mRNA-1345 Followed by Placebo60Participants
Number of Participants With Unsolicited AEs Up to 21 Days After Day 22 InjectionFluzone HD + Placebo Followed by mRNA-134571Participants
Number of Participants With Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs), Serious Adverse Events (SAEs), and AEs Leading to DiscontinuationFluzone HD + mRNA-1345 Followed by PlaceboMAAEs194Participants
Number of Participants With Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs), Serious Adverse Events (SAEs), and AEs Leading to DiscontinuationFluzone HD + Placebo Followed by mRNA-1345MAAEs191Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDFluzone HD + mRNA-1345 Followed by Placebo950
Overall StudySTARTEDFluzone HD + Placebo Followed by mRNA-1345950
Overall StudyReceived Day 1 InjectionFluzone HD + mRNA-1345 Followed by Placebo946
Overall StudyReceived Day 1 InjectionFluzone HD + Placebo Followed by mRNA-1345947
Overall StudyReceived Day 22 InjectionFluzone HD + mRNA-1345 Followed by Placebo919
Overall StudyReceived Day 22 InjectionFluzone HD + Placebo Followed by mRNA-1345911
Overall StudySafety SetFluzone HD + mRNA-1345 Followed by Placebo947
Overall StudySafety SetFluzone HD + Placebo Followed by mRNA-1345946
Overall StudyCOMPLETEDFluzone HD + mRNA-1345 Followed by Placebo914
Overall StudyCOMPLETEDFluzone HD + Placebo Followed by mRNA-1345909

Adverse events134

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousBacterial sepsisInfections and infestationsFluzone HD + mRNA-1345 Followed by Placebo09470
seriousBacterial sepsisInfections and infestationsFluzone HD + Placebo Followed by mRNA-134519461
seriousCOVID-19Infections and infestationsFluzone HD + mRNA-1345 Followed by Placebo09470
seriousCOVID-19Infections and infestationsFluzone HD + Placebo Followed by mRNA-134519461
seriousCellulitisInfections and infestationsFluzone HD + mRNA-1345 Followed by Placebo19471
seriousCellulitisInfections and infestationsFluzone HD + Placebo Followed by mRNA-134509460
seriousGangreneInfections and infestationsFluzone HD + mRNA-1345 Followed by Placebo09470
seriousGangreneInfections and infestationsFluzone HD + Placebo Followed by mRNA-134519461
seriousGastrointestinal infectionInfections and infestationsFluzone HD + mRNA-1345 Followed by Placebo09470
seriousGastrointestinal infectionInfections and infestationsFluzone HD + Placebo Followed by mRNA-134519461

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityFluzone HD + mRNA-1345 Followed by Placebo2950
Total, all-cause mortalityFluzone HD + Placebo Followed by mRNA-13452950
Total, other adverse eventsFluzone HD + mRNA-1345 Followed by Placebo0947
Total, other adverse eventsFluzone HD + Placebo Followed by mRNA-13450946
Total, serious adverse eventsFluzone HD + mRNA-1345 Followed by Placebo23947
Total, serious adverse eventsFluzone HD + Placebo Followed by mRNA-134533946

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
42048601DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons6

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Fluzone HD + mRNA-1345 Followed by Placebo vs Fluzone HD + Placebo Followed by mRNA-1345: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs) Within 7 Days After Day 1 Injection
Trial comparisons
Fluzone HD + mRNA-1345 Followed by Placebo vs Fluzone HD + Placebo Followed by mRNA-1345: Number of Participants With Unsolicited AEs Up to 21 Days After Day 22 InjectionTrial comparisons
Fluzone HD + mRNA-1345 Followed by Placebo vs Fluzone HD + Placebo Followed by mRNA-1345: Number of Participants With Solicited Local and Systemic ARs Within 7 Days After Day 22 InjectionTrial comparisons
Fluzone HD + mRNA-1345 Followed by Placebo vs Fluzone HD + Placebo Followed by mRNA-1345: deaths from any causeTrial comparisons
Fluzone HD + mRNA-1345 Followed by Placebo vs Fluzone HD + Placebo Followed by mRNA-1345: Number of Participants With Unsolicited Adverse Events (AEs) Up to 21 Days After Day 1 InjectionTrial comparisons
Fluzone HD + mRNA-1345 Followed by Placebo vs Fluzone HD + Placebo Followed by mRNA-1345: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT06060457

GET https://conductscience.org/api/trials/v1/NCT06060457/results?page=2