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A Study to Evaluate the Safety, Tolerability, and Immunogenicity of Combined Modified RNA Vaccine Candidates Against COVID-19 and Influenza

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05596734
Recruitment Status : Completed
First Posted : October 27, 2022
Last Update Posted : February 20, 2024
Sponsor:
Collaborator:
Pfizer
Information provided by (Responsible Party):
BioNTech SE

Brief Summary:

Substudy A: This is a Phase 1 randomized, open-label study to describe the safety and immunogenicity of up to 3 dose- level combinations of modRNA quadrivalent influenza vaccine (qIRV (22/23)) and bivalent BNT162b2 (original/Omi BA.4/BA.5). Participants will receive either:

  • qIRV (22/23)/bivalent BNT162b2 (original/Omi BA.4/BA.5), at 1 of the 3 dose-level combinations
  • qIRV (22/23) at dose level 1,
  • qIRV (22/23) at dose level 2, or
  • bivalent BNT162b2 (original/Omi BA.4/BA.5) at dose level 1 administered concurrently in the opposite arm to commercially licensed quadrivalent influenza vaccine (QIV).

Substudy B: This Phase 1/2 study will describe the safety, tolerability, and immunogenicity of quadrivalent influenza vaccine (qIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5), trivalent influenza vaccine (tIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5), and bivalent influenza vaccine (bIRV)/bivalent BNT162b2 (original/Omi BA.4/BA.5) when given concurrently with licensed quadrivalent influenza vaccine (QIV).


Condition or disease Intervention/treatment Phase
Influenza, Human COVID-19 Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5) Biological: qIRV (22/23) Biological: QIV Biological: bIRV Biological: tIRV Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1018 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Masking Description:

Substudy A: Open-label unblinded.

Substudy B: Participants are blinded to their assigned study intervention.

Primary Purpose: Prevention
Official Title: A PHASE 1/2 STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF COMBINED MODIFIED RNA VACCINE CANDIDATES AGAINST COVID-19 AND INFLUENZA IN HEALTHY INDIVIDUALS
Actual Study Start Date : October 28, 2022
Actual Primary Completion Date : December 28, 2023
Actual Study Completion Date : December 28, 2023

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: SSA: qIRV + bivalent BNT162b2 (dose level combination 1)
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSA: qIRV + bivalent BNT162b2 (dose level combination 2)
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSA: qIRV + bivalent BNT162b2 (dose level combination 3)
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSA: qIRV (dose level 1)
Administered intramuscularly into the deltoid muscle of the right arm
Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSA: qIRV (dose level 2)
Administered intramuscularly into the deltoid muscle of the right arm
Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSA: bivalent BNT162b2 (dose level 1) + QIV
BNT162b2 administered intramuscularly into the deltoid muscle of the right arm, QIV administered intramuscularly into the deltoid muscle of the left arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: QIV
Intramuscular injection

Experimental: SSB: QIV + bivalent BNT162b2 (original/Omi BA.4/BA.5)
BNT162b2 administered intramuscularly into the deltoid muscle of the right arm, QIV administered intramuscularly into the deltoid muscle of the left arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: QIV
Intramuscular injection

Experimental: SSB: QIV + bIRV/bivalent BNT162b2 (original/Omi BA.4/BA.5)
BNT162b2 administered intramuscularly into the deltoid muscle of the right arm, QIV administered intramuscularly into the deltoid muscle of the left arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: QIV
Intramuscular injection

Biological: bIRV
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 1
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 2
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 3
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 4
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 5
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 6
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 7
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: qIRV/bivalent BNT162b2 (original/ Omi BA.4/BA.5) at dose-level combination 8
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: qIRV (22/23)
Intramuscular injection

Experimental: SSB: tIRV/bivalent BNT162b2(original/Omi\BA.4/BA.5)
Administered intramuscularly into the deltoid muscle of the right arm
Biological: bivalent BNT162b2 (original/Omi BA.4/BA.5)
Intramuscular injection

Biological: tIRV
Intramuscular injection

Experimental: SSB: qIRV
Administered intramuscularly into the deltoid muscle of the right arm
Biological: qIRV (22/23)
Intramuscular injection




Primary Outcome Measures :
  1. SSA: Percentage of participants reporting local reactions [ Time Frame: For 7 days after vaccination ]
    Pain at the injection site, redness, and swelling, as self-reported in electronic diaries.

  2. SSA: Percentage of participants reporting systemic events [ Time Frame: For 7 days after vaccination ]
    Fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain, as self-reported in electronic diaries.

  3. SSA: Percentage of participants reporting adverse events [ Time Frame: For 4 weeks after vaccination ]
    As elicited by investigational site staff.

  4. SSA: Percentage of participants reporting serious adverse events [ Time Frame: For 6 months after vaccination ]
    As elicited by investigational site staff.

  5. SSA: Percentage of participants with abnormal troponin I laboratory values [ Time Frame: 2 days after vaccination ]
    As measured at the central laboratory

  6. SSA: Percentage of participants with abnormal troponin I laboratory values [ Time Frame: 1 week after vaccination ]
    As measured at the central laboratory

  7. SSA: Percentage of participants with new electrocardiogram (ECG) abnormalities [ Time Frame: 2 days after vaccination ]
    ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist

  8. SSA: Percentage of participants with new ECG abnormalities [ Time Frame: 1 week after vaccination ]
    ECG abnormalities consistent with probable or possible myocarditis or pericarditis, as judged by a cardiologist

  9. SSB Initial Enrollment: Percentage of participants with abnormal troponin I laboratory values [ Time Frame: 2 days after vaccination ]
    Measured at the central laboratory

  10. SSB Initial Enrollment: Percentage of participants with abnormal troponin I laboratory values [ Time Frame: 1 week after vaccination ]
    As measured at the central laboratory

  11. SSB Initial Enrollment: Percentage of participants with new electrocardiogram (ECG) abnormalities [ Time Frame: 2 days after vaccination ]
    ECG abnormalities consistent with probably or possible myocarditis or pericarditis as judged by a cardiologist

  12. SSB Initial Enrollment: Percentage of participants with new electrocardiogram (ECG) abnormalities [ Time Frame: 1 week after vaccination ]
    ECG abnormalities consistent with probably or possible myocarditis or pericarditis as judged by a cardiologist

  13. SSB: Percentage of participants reporting local reactions [ Time Frame: For 7 days after vaccination ]
    Pain at the injection site, redness, and swelling, as self-reported in electronic diaries.

  14. SSB: Percentage of participants reporting systemic events [ Time Frame: For 7 days after vaccination ]
    Fever, fatigue, headache, chills, vomiting, diarrhea, new or worsened muscle pain, and new or worsened joint pain, as self-reported in electronic diaries.

  15. SSB: Percentage of participants reporting adverse events [ Time Frame: For 4 weeks after vaccination ]
    As elicited by investigational site staff.

  16. SSB: Percentage of participants reporting serious adverse events [ Time Frame: For 6 months after vaccination ]
    As elicited by investigational site staff.


Secondary Outcome Measures :
  1. SSA: Geometric Mean Titers (GMTs) of hemagglutination inhibition (HAI) titers [ Time Frame: At baseline, and 1-, 4-, and 8-weeks after vaccination ]
    As measured at the central laboratory

  2. SSA: Geometric Mean Fold Rise (GMFRs) of HAI titers [ Time Frame: At baseline, and 1-, 4-, and 8-weeks after vaccination ]
    As measured at the central laboratory

  3. SSA: Proportion of participants achieving HAI seroconversion for each strain [ Time Frame: At 1-, 4-, and 8-weeks after vaccination ]
    As measured at the central laboratory

  4. SSA: Percentage of participants with HAI titers ≥ 1:40 for each strain [ Time Frame: Before vaccination and at 1-, 4-, 8-weeks after vaccination ]
    As measured at the central laboratory

  5. SSA: Percentage of participants achieving HAI seroconversion for all strains [ Time Frame: At 1-, 4-, 8-weeks after vaccination ]
    As measured at the central laboratory

  6. SSA: Percentage of participants with HAI ≥1:40 for all strains [ Time Frame: At 1-, 4-, 8-weeks after vaccination ]
    As measured at the central laboratory

  7. SSA: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)-neutralizing titers and SARS-CoV-2 reference-strain-neutralizing titers [ Time Frame: At 1-, 4-, and 8 weeks after vaccination ]
    As measured at the central laboratory

  8. SSA: GMFRs of SARS-CoV-2 Omicron (BA.4/BA.5)-neutralizing titers and SARS-CoV-2 reference-strain-neutralizing titers [ Time Frame: At 1-, 4-, and 8 weeks after vaccination ]
    As measured at the central laboratory

  9. SSA: Percentage of participants with seroresponse based on SARS-CoV-2 Omicron (BA.4/BA.5)-neutralizing titers and SARS-CoV-2 reference-strain-neutralizing titers [ Time Frame: At 1-, 4-, and 8 weeks after vaccination. ]
    As measured at the central laboratory

  10. SSB: Geometric Mean Titers (GMTs) of hemagglutination inhibition (HAI) titers [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  11. SSB: Geometric Mean Fold Rise (GMFRs) of HAI titers [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  12. SSB: Proportion of participants achieving HAI seroconversion for each strain [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  13. SSB: Percentage of participants with HAI titers ≥ 1:40 for each strain [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  14. SSB: Percentage of participants achieving HAI seroconversion for all strains [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  15. SSB: Percentage of participants with HAI ≥1:40 for all strains [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  16. SSB: GMTs of SARS-CoV-2 Omicron (BA.4/BA.5)-neutralizing titers and SARS-CoV-2 reference-strain-neutralizing titers [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  17. SSB: GMFRs of SARS-CoV-2 Omicron (BA.4/BA.5)-neutralizing titers and SARS-CoV-2 reference-strain-neutralizing titers [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory

  18. SSB: Percentage of participants with seroresponse based on SARS-CoV-2 Omicron (BA.4/BA.5)-neutralizing titers and SARS-CoV-2 reference-strain-neutralizing titers [ Time Frame: Initial: At baseline and 4 weeks after vaccination. Expanded: At baseline, 4 weeks and 6 months after vaccination ]
    As measured at the central laboratory



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

SSA: Inclusion Criteria:

  • Male or female participants 18 years of age and older
  • Participants who are willing and able to comply with all scheduled visits, investigational plan, laboratory tests, lifestyle considerations, and other study procedures.
  • Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
  • Capable of giving signed informed consent as described in the protocol.
  • For participants 18 through 64 years of age: participants who have received 3 prior doses of 30 µg BNT162b2, with the last dose being 150 to 365 days before Visit 1 (Day 1).
  • For participants 65 years of age and older: participants who have received 4 or 5 prior doses of a modRNA SARS-CoV-2 vaccine, with the last dose being a bivalent vaccine, 120 days to 365 days before Visit 1 (Day 1).
  • For Participants 65 years of age and older: receipt of licensed influenza vaccination for the 2022-2023 northern hemisphere season 120 days or more before study intervention administration.

SSA: Exclusion Criteria:

  • History of severe adverse reaction associated with any vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency.
  • Bleeding diathesis or condition associated with prolonged bleeding.
  • Women who are pregnant or breastfeeding.
  • Allergy to egg proteins (egg or egg products) or chicken proteins.
  • Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  • Receipt of chronic systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids), or radiotherapy, within 60 days before enrollment through conclusion of the study.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
  • For participants 18 through 64 years of age: vaccination with any investigational or licensed influenza vaccine within 6 months (175 days) before study intervention administration.
  • Participation in other studies involving a study intervention within 28 days before randomization. Anticipated participation in other studies within 28 days after receipt of study intervention in this study.
  • Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
  • Participation in strenuous or endurance exercise through Visit 3 of the study.
  • Prior history of heart disease.
  • Any abnormal screening troponin I laboratory value.
  • Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.

SSB: Inclusion Criteria

  • Male or female participants 18 years of age and older
  • Participants who are willing and able to comply with all scheduled visits, investigational plan, laboratory tests, lifestyle considerations, and other study procedures.
  • Healthy participants who are determined by medical history, physical examination (if required), and clinical judgment of the investigator to be eligible for inclusion in the study.
  • Capable of giving signed informed consent as described in the protocol.
  • Participants who have received at least 3 prior US-authorized mRNA COVID-19 vaccines, with the last dose being an updated (bivalent) vaccine given at least 150 days before Day 1.

SSB: Exclusion Criteria

  • Medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality, that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  • History of severe adverse reaction associated with any vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s).
  • Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
  • Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection
  • Receipt of chronic systemic treatment with known immunosuppressant medications (including cytotoxic agents or systemic corticosteroids), or radiotherapy, within 60 days before enrollment through conclusion of the study.
  • Receipt of blood/plasma products, immunoglobulin, or monoclonal antibodies, from 60 days before study intervention administration, or planned receipt throughout the study.
  • Vaccination with any investigational or licensed influenza vaccine within 6 months (175 days) before study intervention administration, or ongoing receipt of chronic antiviral therapy with activity against influenza
  • Participation in other studies involving administration of a study intervention within 28 days prior to, and/or during, participation in this study.
  • Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
  • Initial enrollment only: Participation in strenuous or endurance exercise through Visit 3 (initial enrollment phase).
  • Initial enrollment only: Prior history of heart disease of concern
  • Initial enrollment only: Screening 12-lead ECG that, as judged by the investigator, is consistent with probable or possible myocarditis or pericarditis, or demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05596734


Locations
Show Show 57 study locations
Sponsors and Collaborators
BioNTech SE
Pfizer
Investigators
Layout table for investigator information
Study Director: Pfizer CT.gov Call Center Pfizer
Additional Information:
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Responsible Party: BioNTech SE
ClinicalTrials.gov Identifier: NCT05596734    
Other Study ID Numbers: C5261001
First Posted: October 27, 2022    Key Record Dates
Last Update Posted: February 20, 2024
Last Verified: February 2024
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by BioNTech SE:
SARS-Cov-2
COVID-19
Influenza
Grippe
Flu
Vaccine
RNA vaccine
Additional relevant MeSH terms:
Layout table for MeSH terms
COVID-19
Influenza, Human
Pneumonia, Viral
Pneumonia
Respiratory Tract Infections
Infections
Virus Diseases
Coronavirus Infections
Coronaviridae Infections
Nidovirales Infections
RNA Virus Infections
Lung Diseases
Respiratory Tract Diseases
Orthomyxoviridae Infections