Study of mRNA-1010 Seasonal Influenza Vaccine in Adults
Official Title
A Phase 3, Randomized, Stratified, Observer-Blind, Active-Controlled Study to Evaluate the Immunogenicity, Reactogenicity and Safety of mRNA-1010 Seasonal Influenza Vaccine in Adults 18 Years and Older
Acronym
IGNITE P303
Organization
ModernaTX, Inc.INDUSTRY
Status Module
Record Verification Date
Jun 2025
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Apr 17, 2023Actual
Primary Completion Date
Jun 24, 2024Actual
Completion Date
Jun 24, 2024Actual
First Submitted Date
Apr 13, 2023
First Submission Date that Met QC Criteria
Apr 13, 2023
First Posted Date
Apr 25, 2023Actual
Results Waived
Not provided
Results First Submitted Date
Jun 23, 2025
Results First Submitted that Met QC Criteria
Jun 23, 2025
Results First Posted Date
Jul 10, 2025Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Jun 23, 2025
Last Update Posted Date
Jul 10, 2025Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
ModernaTX, Inc.INDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study includes 3 parts: Parts A, B, and C. The purpose of this study is to evaluate the immunogenicity and safety of mRNA-1010 seasonal influenza vaccine in adults.
Detailed Description
Not provided
Conditions Module
Conditions
Seasonal Influenza
Keywords
mRNA-1010
Virus Diseases
Flu
Influenza vaccine
Moderna
mRNA vaccine
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
8,411Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
mRNA-1010
Experimental
Participants will receive a single dose of mRNA-1010 by intramuscular (IM) injection on Day 1.
Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibody Levels as Measured by Hemagglutination Inhibition (HAI)
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains. 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 converted to the ULOQ.
Day 29
Percentage of Participants Reaching Seroconversion, as Measured by HAI
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains. Seroconversion rate was defined as the percentage of participants with either a Baseline HAI titer <1:10 and a postbaseline titer ≥1:40 or a Baseline HAI titer ≥1:10 and a minimum 4-fold rise in postbaseline HAI antibody titer. Antibody values reported as below LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were converted to the ULOQ.
Day 29
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
Solicited ARs, representative of vaccine reactogenicity, 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. Per prespecified analysis, only solicited ARs that were assessed and confirmed by the Investigator as both serious and related to IP were recorded as an adverse event. These adverse events were recorded as a serious AE (SAE) and are included in the summary of SAEs in the "Reported Adverse Events" section.
Up to 7 days after study injection
Number of Participants With Unsolicited Adverse Events (AEs)
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Unsolicited AEs included any AE not collected as a solicited AR, and also included solicited ARs assessed and confirmed as both serious and related by the Investigator. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants With HAI Titer ≥1:40
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains.
Day 29
Geometric Mean Fold-Rise (GMFR) of Postinjection Anti-HA Antibodies for Influenza, as Measured by HAI Assay
Other Outcomes
Measure
Description
Time Frame
Number of Deaths Related to Study Drug
A death that occurred during the study or that came to the attention of the investigator during the study was reported to the Sponsor, whether or not it was considered related to study drug. The investigator assessed causality (that is, whether there is a reasonable possibility that the study drug caused the death). The relationship was characterized using the following classifications: Not related: There was not a reasonable possibility of a relationship to the study drug. The temporal sequence of the death relative to administration of the study drug was not reasonable AND/OR the death was more likely explained by a cause other than the study drug. Related: There was a reasonable possibility of a relationship to the study drug. There was evidence of exposure to the study drug. The temporal sequence of the death relative to the administration of the study drug was reasonable. The death was more likely explained by the study drug than by another cause.
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Investigator has assessed that the participant understands and is willing and physically able to comply with protocol mandated follow up, including all procedures.
For assigned females at birth and of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to Day 1, and agreement to continue adequate contraception through 90 days following vaccine administration.
Part A:
At least 18 years of age inclusive, at the time of signing the informed consent form (ICF).
Part B:
At least 18 and <65 years of age, at the time of signing the ICF.
Part C:
At least 65 years of age or older, at the time of signing the ICF.
Exclusion Criteria:
Participant has had close contact with someone with laboratory-confirmed influenza infection or with someone who has been treated with antiviral therapies for influenza (for example, Tamiflu®) within the past 5 days prior to Day 1.
Participant is acutely ill or febrile (temperature ≥38.0℃elcius [100.4°Fahrenheit]) 72 hours prior to or at the Screening visit or Day 1. Participants meeting this criterion may be rescheduled within the 28-day screening window.
Participant has a history of a diagnosis or condition that, in the judgment of the investigator, is clinically unstable or may affect participant safety, assessment of safety endpoints, assessment of immune response, or adherence to study procedures.
Reported history of congenital or acquired immunodeficiency, immunosuppressive condition or immune-mediated disease, asplenia, or recurrent severe infections.
Participant has tested positive for influenza by local health authority-approved testing methods within 150 days (for Part A) or 180 days (for Parts B and C) prior to Day 1.
Reported history of anaphylaxis or severe hypersensitivity reaction after receipt of mRNA vaccines or any components of the mRNA-1010 or influenza vaccines, including egg protein.
Participant has received systemic immunosuppressants for >14 days in total within 180 days prior to Day 1 (for corticosteroids, ≥10 mg/day of prednisone or equivalent) or is anticipating the need for systemic immunosuppressive treatment at any time during participation in the study. Inhaled, nasal and topical steroids are allowed. Intra-articular and epidural steroid injections are not allowed within 28 days before and/or after study intervention dosing.
Participant has received any vaccine authorized or approved by local health agency ≤28 days prior to study intervention dosing (Day 1) or plans to receive a vaccine authorized or approved by local health agency within 28 days before or after study intervention dosing.
Participant has received a licensed seasonal influenza vaccine within 5 months (150 days) (for part A) or within 6 months (180 days) (for Parts B and C) prior to Day 1.
Participant has participated in any investigational seasonal influenza vaccine study within12 months prior to Day 1.
Participant is not aware whether they have received an influenza vaccine in the most recent influenza season (in the prior 12 months) (for Part A) or since September 2022 (for Parts B and C).
Participant has donated ≥450 milliliters (mL) of blood products within 28 days prior to Day 1 or plans to donate blood products during the study.
Note: Other inclusion and exclusion criteria may apply.
Soens M, Ananworanich J, Hicks B, Lucas KJ, Cardona J, Sher L, Livermore G, Schaefers K, Henry C, Choi A, Avanesov A, Chen R, Du E, Pucci A, Das R, Miller J, Nachbagauer R. A phase 3 randomized safety and immunogenicity trial of mRNA-1010 seasonal influenza vaccine in adults. Vaccine. 2025 Mar 19;50:126847. doi: 10.1016/j.vaccine.2025.126847. Epub 2025 Feb 7.
Number of Participants With Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs), SAEs, and AEs Leading to Discontinuation
An MAAE was an AE that led to an unscheduled visit to a healthcare practitioner. An AESI was 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 was 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.
Day 1 through Day 181
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains. The GMFR measured the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Fold-rise was calculated by dividing post-vaccination results by the baseline value. 95% confidence interval (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.
Baseline (Day 1) to Day 29
Day 1 through Day 181
Athens
Alabama
35611
United States
Cullman Research Center
Cullman
Alabama
35055
United States
Medical Affiliated Research Center Inc
Huntsville
Alabama
35801-6002
United States
Desert Clinical Research - CCT
Mesa
Arizona
85213
United States
Foothills Research Center - CCT
Phoenix
Arizona
85044
United States
Fiel Family & Sports Medicine - PC - CCT
Tempe
Arizona
85283
United States
Noble Clinical Research
Tucson
Arizona
85704
United States
Baptist Health Center for Clinical Research
Little Rock
Arkansas
72205
United States
Velocity Clinical Research, Banning
Banning
California
92220
United States
Synexus Clinical Research US, Inc. - Cerritos
Cerritos
California
90703
United States
Marvel Clinical Research 002, LLC
Huntington Beach
California
92647
United States
Velocity Clinical Research
La Mesa
California
91942
United States
Pasadena Clinical Trials
Pasadena
California
91105
United States
Artemis Institute For Clinical Research LLC - Riverside - Headlands
Riverside
California
92503
United States
Peninsula Research Associates - CRN
Rolling Hills Estates
California
90274
United States
Optimal Research, LLC
San Diego
California
92108
United States
Acclaim Clinical Research
San Diego
California
92120
United States
Optimus Medical Group
San Francisco
California
94102
United States
Chase Medical Research LLC - Waterbury
Waterbury
Connecticut
06708
United States
Velocity Clinical Research - Hallandale Beach
Hallandale
Florida
33009
United States
Indago Research and Health Center
Hialeah
Florida
33012
United States
NeoClinical Reseaarch
Hialeah
Florida
33016
United States
Jacksonville Center for Clinical Research
Jacksonville
Florida
32216
United States
Health Awareness Inc
Jupiter
Florida
33458
United States
Wr-Msra, Llc.
Lake City
Florida
32055
United States
Sandhill Research, LLC d/b/a Accel Research Sites Network
Lake Mary
Florida
32746
United States
Sandhill Research, LLC d/b/a Accel Research Sites
Lake Mary
Florida
32746
United States
University Clinical Research-DeLand, LLC d/b/a Accel Research
Lake Mary
Florida
32746
United States
South Florida Research Center, Inc
Miami
Florida
33135
United States
Miami Clinical Research
Miami
Florida
33155
United States
Suncoast Research Associates, LLC
Miami
Florida
33173
United States
Clinical Site Partners, LLC dba Flourish Research
Miami
Florida
33186
United States
Floridian Clinical Research
Miami Lakes
Florida
33016
United States
Innovation Medical Group, LLC.
Palmetto Bay
Florida
33157
United States
Suncoast Research Associates, LLC
Pembroke Pines
Florida
33024
United States
St. Johns Center for Clinical Research - ERN
Saint Augustine
Florida
32086
United States
New Tampa Health, Inc.
Tampa
Florida
33603
United States
Synexus Clinical Research US, Inc. - The Villages
The Villages
Florida
32162
United States
Synexus Clinical Research US, Inc. - Atlanta
Atlanta
Georgia
30328
United States
CenExel iResearch, LLC
Decatur
Georgia
30030
United States
Javara, Inc.
Fayetteville
Georgia
30214
United States
Velocity Clinical Research, Savannah
Savannah
Georgia
31406
United States
CRA, Headlands LLC
Stockbridge
Georgia
30281
United States
Synexus Clinical Research US, Inc. - Chicago
Chicago
Illinois
60602
United States
Great Lakes Clinical Trials- Ravenswood
Chicago
Illinois
60640
United States
DM Clinical Research
River Forest
Illinois
60305
United States
Velocity Clinical Research - Valparaiso
Valparaiso
Indiana
46383
United States
Johnson County Clin-Trials (JCCT)
Lenexa
Kansas
66219
United States
Alliance for Multispecialty Research, LLC
Newton
Kansas
67114
United States
Velocity Clinical Research, Inc.
Overland Park
Kansas
66210
United States
Alliance for Multispecialty Research, LLC
Wichita
Kansas
67205
United States
Velocity Clinic Research, Inc.
Baton Rouge
Louisiana
70809
United States
Velocity Clinical Research, Covington
Covington
Louisiana
70433
United States
DelRicht Research
New Orleans
Louisiana
70115
United States
Javara Inc.
Annapolis
Maryland
21401
United States
Velocity Clinical Research, Rockville
Rockville
Maryland
20854
United States
Oakland Medical Research
Troy
Michigan
48085
United States
Clinical Research Institute, Inc - CRN
Minneapolis
Minnesota
55402
United States
DelRicht Research
Gulfport
Mississippi
39503
United States
Velocity Clinical Research, Gulfport
Gulfport
Mississippi
39503
United States
Bio-Kinetic Clinical Applications, LLC dba QPS-MO
Springfield
Missouri
65802
United States
Sundance Clinical Research, LLC
St Louis
Missouri
63141
United States
Methodist Physicians Clinic - CCT Research
Fremont
Nebraska
68025
United States
Velocity Clinical Research- Grand Island
Grand Island
Nebraska
68803
United States
Velocity Clinical Research (Norfolk - Nebraska) - PPDS
Norfolk
Nebraska
68701
United States
Velocity Clinical Research (Omaha - Nebraska) - PPDS
Omaha
Nebraska
68134
United States
Velocity Clinical Research, Inc.
Omaha
Nebraska
68134
United States
Midwest Regional Health Services - LLC - CCT
Omaha
Nebraska
68144
United States
Alliance for Multispecialty Research, LLC
Las Vegas
Nevada
89119
United States
Velocity Clinical Research (Binghamton - New York) - PPDS
Binghamton
New York
13905
United States
Velocity Clinical Research, Syracuse
East Syracuse
New York
13057
United States
Rochester Clinical Research, Inc
Rochester
New York
14609
United States
Velocity Clinical Research, Inc.
Vestal
New York
13850
United States
Javara Inc.
Charlotte
North Carolina
28210
United States
Lucas Research Inc.
Morehead City
North Carolina
28557
United States
M3 Wake Research, Inc
Raleigh
North Carolina
27612
United States
CTI Clinical Research Center
Cincinnati
Ohio
45212
United States
Velocity Clinical Research, Mt. Auburn
Cincinnati
Ohio
45219
United States
Velocity Clinical Research, Inc.
Cincinnati
Ohio
45246
United States
DelRicht Research
Tulsa
Oklahoma
74133
United States
Velocity Clinical Research - Grants Pass
Grants Pass
Oregon
97527
United States
DM Clinical Research - Philadelphia - ERN
Philadelphia
Pennsylvania
19107
United States
Velocity Clinical Research - Columbia
Columbia
South Carolina
29204
United States
Velocity Clinical Research - Gaffney
Gaffney
South Carolina
29340
United States
Spartanburg Medical Research
Spartanburg
South Carolina
29303
United States
DelRicht Research
Hendersonville
Tennessee
37075
United States
Tekton Research - Austin - PPDS
Austin
Texas
78745
United States
Tekton Research, LLC.
Beaumont
Texas
77706
United States
Javara Inc.
Conroe
Texas
77384
United States
Epic Medical Research - DeSoto
DeSoto
Texas
75115
United States
DM Clinical Research
Houston
Texas
77065
United States
DM Clinical Research
Humble
Texas
77338
United States
Epic Clinical Research
Lewisville
Texas
75057
United States
Clinical Trials of Texas, Inc.
San Antonio
Texas
78229
United States
DM Clinical Research
Sugar Land
Texas
77478
United States
Javara Inc.
Sugar Land
Texas
77478
United States
DM Clinical Research
Tomball
Texas
77375
United States
Cope Family Medicine - CCT
Bountiful
Utah
84010
United States
J. Lewis Research, Inc., Foothill Family Clinic
Salt Lake City
Utah
84109
United States
Olympus Family Medicine - CCT Research
Salt Lake City
Utah
84117
United States
South Ogden Family Medicine Ogden Clinic/CCT Research
South Ogden
Utah
84405
United States
Clinical Research Partners LLC - Richmond - ERN
Richmond
Virginia
23226
United States
FG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
FG003
Part B: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
FG004
Part C: Fluzone High Dose (HD) QIV
Participants received a single dose of Fluzone HD QIV by IM injection on Day 1.
FG005
Part C: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
FG0001189 subjects
FG0011225 subjects
FG0021494 subjects
FG0031500 subjects
FG0041496 subjects
FG0051507 subjects
Safety Set
All randomized participants who received any study intervention. Participants were included in the group corresponding to the study intervention that they actually received.
FG0001180 subjects
FG0011220 subjects
FG0021488 subjects
FG0031492 subjects
FG0041490 subjects
FG0051502 subjects
COMPLETED
FG0001106 subjects
FG0011113 subjects
FG0021425 subjects
FG0031434 subjects
FG0041456 subjects
FG0051484 subjects
NOT COMPLETED
FG00083 subjects
FG001112 subjects
FG00269 subjects
FG00366 subjects
FG00440 subjects
FG00523 subjects
Type
Comment
Reasons
Adverse Event
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG0040 subjects
FG0050 subjects
Death
FG0001 subjects
FG0015 subjects
FG0022 subjects
FG0033 subjects
FG004
Lost to Follow-up
FG00057 subjects
FG00188 subjects
FG00254 subjects
FG00347 subjects
FG004
Noncompliance with Study Procedures
FG0000 subjects
FG0011 subjects
FG0021 subjects
FG0031 subjects
FG004
Physician Decision
FG0002 subjects
FG0010 subjects
FG0021 subjects
FG0032 subjects
FG004
Protocol Violation
FG0005 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG00017 subjects
FG00116 subjects
FG00210 subjects
FG00312 subjects
FG004
Other Than Specified
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Randomization set included all participants who were randomly assigned to the study intervention, regardless of the participants' study intervention status in the study. Participants were analyzed according to the group to which they were randomized.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
BG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
BG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
BG003
Part B: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
BG004
Part C: Fluzone HD QIV
Participants received a single dose of Fluzone HD QIV by IM injection on Day 1.
BG005
Part C: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
BG006
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0001189
BG0011225
BG0021494
BG0031500
BG0041496
BG0051507
BG0068411
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Categorical
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
<=18 years
BG0000
BG0010
BG0020
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG000627
BG001663
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG000226
BG001262
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Race
Title
Measurements
White
BG000856
BG001922
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibody Levels as Measured by Hemagglutination Inhibition (HAI)
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains. 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 converted to the ULOQ.
The Per-Protocol Immunogenicity Set (PPIS) included all randomized participants who received the planned dose of study intervention, complied with the immunogenicity testing schedule for Baseline and Day 29, and had no significant protocol deviations that impacted key or critical data. Participants were analyzed according to the group to which they were randomized.
Posted
Geometric Mean
95% Confidence Interval
titer
Day 29
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG003
Part B: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG004
Part C: Fluzone HD QIV
Participants received a single dose of Fluzone HD QIV by IM injection on Day 1.
OG005
Part C: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
Units
Counts
Participants
OG0001135
OG0011185
OG0021426
OG003
Title
Denominators
Categories
Influenza A H1N1 Antibody
Title
Measurements
OG000147.49(138.07 to 157.55)
OG001220.17(207.30 to 233.84)
OG002137.90(129.89 to 146.40)
Primary
Percentage of Participants Reaching Seroconversion, as Measured by HAI
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains. Seroconversion rate was defined as the percentage of participants with either a Baseline HAI titer <1:10 and a postbaseline titer ≥1:40 or a Baseline HAI titer ≥1:10 and a minimum 4-fold rise in postbaseline HAI antibody titer. Antibody values reported as below LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were converted to the ULOQ.
The PPIS included all randomized participants who received the planned dose of study intervention, complied with the immunogenicity testing schedule for Baseline and Day 29, and had no significant protocol deviations that impacted key or critical data. Participants were analyzed according to the group to which they were randomized.
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
Primary
Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
Solicited ARs, representative of vaccine reactogenicity, 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. Per prespecified analysis, only solicited ARs that were assessed and confirmed by the Investigator as both serious and related to IP were recorded as an adverse event. These adverse events were recorded as a serious AE (SAE) and are included in the summary of SAEs in the "Reported Adverse Events" section.
Solicited Safety Set included all randomized participants who received any study intervention and contributed any solicited AR data. Participants were included in the group corresponding to the study intervention that they actually received.
Posted
Count of Participants
Participants
Up to 7 days after study injection
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG002
Primary
Number of Participants With Unsolicited Adverse Events (AEs)
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. Unsolicited AEs included any AE not collected as a solicited AR, and also included solicited ARs assessed and confirmed as both serious and related by the Investigator. A summary of SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the "Reported Adverse Events" section.
Safety Set included all randomized participants who received any study intervention. Participants were included in the group corresponding to the study intervention that they actually received.
Posted
Count of Participants
Participants
Up to 28 days after study injection
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
Primary
Number of Participants With Medically Attended Adverse Events (MAAEs), Adverse Events of Special Interest (AESIs), SAEs, and AEs Leading to Discontinuation
An MAAE was an AE that led to an unscheduled visit to a healthcare practitioner. An AESI was 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 was 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.
Safety Set included all randomized participants who received any study intervention. Participants were included in the group corresponding to the study intervention that they actually received.
Posted
Count of Participants
Participants
Day 1 through Day 181
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG002
Secondary
Percentage of Participants With HAI Titer ≥1:40
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains.
The PPIS included all randomized participants who received the planned dose of study intervention, complied with the immunogenicity testing schedule for Baseline and Day 29, and had no significant protocol deviations that impacted key or critical data. Participants were analyzed according to the group to which they were randomized.
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
OG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG003
Part B: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
Secondary
Geometric Mean Fold-Rise (GMFR) of Postinjection Anti-HA Antibodies for Influenza, as Measured by HAI Assay
Influenza A strains included H1N1 and H3N2 and influenza B strains included Victoria and Yamagata strains. The GMFR measured the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Fold-rise was calculated by dividing post-vaccination results by the baseline value. 95% confidence interval (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.
The PPIS included all randomized participants who received the planned dose of study intervention, complied with the immunogenicity testing schedule for Baseline and Day 29, and had no significant protocol deviations that impacted key or critical data. Participants were analyzed according to the group to which they were randomized.
Posted
Geometric Mean
95% Confidence Interval
ratio
Baseline (Day 1) to Day 29
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
Other Pre-specified
Number of Deaths Related to Study Drug
A death that occurred during the study or that came to the attention of the investigator during the study was reported to the Sponsor, whether or not it was considered related to study drug. The investigator assessed causality (that is, whether there is a reasonable possibility that the study drug caused the death). The relationship was characterized using the following classifications: Not related: There was not a reasonable possibility of a relationship to the study drug. The temporal sequence of the death relative to administration of the study drug was not reasonable AND/OR the death was more likely explained by a cause other than the study drug. Related: There was a reasonable possibility of a relationship to the study drug. There was evidence of exposure to the study drug. The temporal sequence of the death relative to the administration of the study drug was reasonable. The death was more likely explained by the study drug than by another cause.
Randomization set included all participants who were randomly assigned to the study intervention, regardless of the participants' study intervention status in the study. Participants were analyzed according to the group to which they were randomized.
Posted
Count of Participants
Participants
Day 1 through Day 181
ID
Title
Description
OG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
OG001
Part A: mRNA-1010
Time Frame
All-cause mortality and serious adverse events were collected from Day 1 through Day 181. Other (not including serious) unsolicited adverse events were collected up to 28 days after study injection (that is, Day 1 up to Day 29)
Description
The all-cause mortality was based on the randomization set. The serious and other (not including serious) adverse events were based on the safety set which consisted of all randomized participants who received any study intervention. Participants were included in the group corresponding to the study intervention that they actually received.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Part A: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
1
1,189
21
1,180
0
1,180
EG001
Part A: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
5
1,225
27
1,220
0
1,220
EG002
Part B: Fluarix QIV
Participants received a single dose of Fluarix QIV by IM injection on Day 1.
2
1,494
22
1,488
0
1,488
EG003
Part B: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
3
1,500
25
1,492
0
1,492
EG004
Part C: Fluzone HD QIV
Participants received a single dose of Fluzone HD QIV by IM injection on Day 1.
1
1,496
38
1,490
0
1,490
EG005
Part C: mRNA-1010
Participants received a single dose of mRNA-1010 by IM injection on Day 1.
3
1,507
41
1,502
0
1,502
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Abortion infected
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG0031 events1 affected1,492 at risk
EG0040 events0 affected1,490 at risk
EG0050 events0 affected1,502 at risk
Alpha haemolytic streptococcal infection
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Anal abscess
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0011 events1 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Bacteraemia
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Bacterial colitis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Breast abscess
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0011 events1 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Bursitis infective
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
COVID-19
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0012 events2 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Complicated appendicitis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Cystitis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Escherichia bacteraemia
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Implant site infection
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Influenza
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Lung abscess
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Metapneumovirus pneumonia
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0003 events3 affected1,180 at risk
EG0011 events1 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Pneumonia streptococcal
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Sepsis
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Septic shock
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Staphylococcal infection
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0011 events1 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
B-cell lymphoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Benign neoplasm of thyroid gland
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Endometrial cancer metastatic
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Gastric cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Gastric cancer stage IV
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Intraductal proliferative breast lesion
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Invasive ductal breast carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Leukaemia
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0001 events1 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Lung adenocarcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Lung neoplasm malignant
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Oesophageal carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0011 events1 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Ovarian adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Ovarian cancer stage III
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0021 events1 affected1,488 at risk
EG003
Plasma cell myeloma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Prostate cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0011 events1 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Prostate cancer metastatic
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Superficial spreading melanoma stage unspecified
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Tonsil cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 25.0
Systematic Assessment
EG0000 events0 affected1,180 at risk
EG0010 events0 affected1,220 at risk
EG0020 events0 affected1,488 at risk
EG003
Transitional cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)