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Zika VirusPhase 2NCT04917861

A Study of Zika Vaccine mRNA-1893 in Adult Participants Living in Endemic and Non-Endemic Flavivirus Areas

A Phase 2 study testing mRNA-1893 in people with Zika Virus, run by ModernaTX, Inc. at 11 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This clinical study will evaluate the safety, tolerability, and reactogenicity of 2 dose levels of messenger RNA (mRNA)-1893 Zika vaccine in comparison to a placebo control in healthy participants who are flavivirus-seronegative and in participants who are flavivirus-seropositive. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Zika Virus
What is being tested?
mRNA-1893
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
808 participants
Where
11 sitesin 2 countries
Study dates
7 Jun 2021to 26 Jul 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Understands and agrees to comply with the study procedures and provides written informed consent.
  • According to investigator assessment, is in good general health and can comply with study procedures.
  • Female participants of childbearing potential may be enrolled in the study if the participant: has a negative pregnancy test at the Eligibility Visit and on the day of the first investigational product (IP) injection; has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first IP injection; has agreed to continue adequate contraception through 3 months following the last IP injection; and is not currently breastfeeding.

Who cannot join

  • Participant is acutely ill or febrile (temperature ≥38.0°Celsius/100.4°Farenheight) on the day of the first or second vaccination.
  • Participant had prior administration of a ZIKV vaccine candidate during a clinical study investigation.
  • Participant had prior administration of a marketed dengue vaccine or dengue vaccine candidate under clinical study investigation.
  • Participant has a body mass index (BMI) from ≤18 or ≥35 kilograms (kg)/square meter (m^2).
  • Participant has a history of myocarditis, pericarditis, or myopericarditis.
  • Participant has a history of a diagnosis or condition that, in the judgement of the investigator, is clinically unstable or may affect participant safety, assessment of safety endpoints, assessment of immune response, or adherence to study procedures. "Clinically unstable" is defined as a diagnosis or condition requiring significant changes in management or medication within the 2 months prior to screening and includes ongoing work-up of an undiagnosed illness that could lead to a new diagnosis or condition.
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  • Participant has any medical, psychiatric, or occupational condition, including reported history of drug or alcohol abuse, that in the opinion of the investigator, might pose a risk due to participation in the study or could interfere with the interpretation of study results.
  • Participant has as a history of anaphylaxis, urticaria, or other significant AR requiring medical intervention after receipt of a vaccine, including an mRNA vaccine or any components of an mRNA vaccine.
  • Participant has received or plans to receive a nonstudy vaccine (including authorized or approved vaccines for the prevention of COVID-19) ≤28 days prior to the first IP injection or within 28 days prior to or after any IP injection. Licensed influenza vaccine received within 14 days prior to the first IP injection or plans to receive a licensed influenza vaccine 14 days prior to through 14 days following each IP injection are not exclusionary.
  • Participant has received systemic immunoglobulins or blood products within 3 months prior to the day of enrollment.
  • Participant has donated ≥450 milliliters (mL) of blood products within 28 days of the Day 1 Visit.
  • Participant has participated in an interventional clinical study within 28 days prior to the day of enrollment or plans to do so while enrolled in this study.

Trial locations and contacts

11 sites in 2 countries.

11 sites in 2 countries

Puerto Rico8 sites
  • Clinical Research Puerto Rico, Inc.

    Guayama, PR, 00784

  • Ponce Medical School Foundation, Inc.

    Ponce, PR, 00713

  • Ponce Medical School Foundation, Inc.

    Ponce, PR, 00716

  • Clinical Research Puerto Rico, Inc.

    San Juan, PR, 00909

  • Latin Clinical Trial Center, Inc.

    San Juan, PR, 00909

  • GCM Medical Group, PSC

    San Juan, PR, 00917

  • Carribean Medical Research

    San Juan, PR, 00918

  • University of Puerto Rico

    San Juan, PR, 00935

Other trials in Puerto Rico

United States3 sites
  • Benchmark Research - Fort Worth

    Fort Worth, Texas, 76135

  • Johnson County Clin-Trials

    Lenexa, Kansas, 66219

  • Meridian Clinical Research (Sioux City, IA)

    Sioux City, Iowa, 51106

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Observer-Blind, Placebo-Controlled, Dose Confirmation Study to Evaluate the Safety, Tolerability, and Immunogenicity of Zika Vaccine mRNA-1893 in Adults Aged 18 Through 65 Years and Living in Endemic and Non-Endemic Flavivirus Areas

This clinical study will evaluate the safety, tolerability, and reactogenicity of 2 dose levels of messenger RNA (mRNA)-1893 Zika vaccine in comparison to a placebo control in healthy participants who are flavivirus-seronegative and in participants who are flavivirus-seropositive.

Conditions
Zika Virus
Being tested
mRNA-1893, Placebo
Keywords
Flavivirus, mRNA-1893, Zika vaccine, Moderna
Medical subject headings
Zika Virus Infection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • mRNA-1893Biological

    Also called Zika vaccine

    Solution for injection

  • PlaceboBiological

    0.9% sodium chloride solution for injection

Study groups in NCT04917861
Study groupRoleWhat they receive
mRNA-1893 Low Dose (2-Dose Regimen)ExperimentalParticipants will receive mRNA-1893 at a low dose level administered as a 2-dose regimen with 28-day (-3/+7 days) interval between vaccinations (administered on Day 1 and Day 29).
Receives: Biological: mRNA-1893
mRNA-1893 High Dose (2-Dose Regimen)ExperimentalParticipants will receive mRNA-1893 at a high dose level administered as a 2-dose regimen with 28-day (-3/+7 days) interval between vaccinations (administered on Day 1 and Day 29).
Receives: Biological: mRNA-1893
mRNA-1893 High Dose (1-Dose Regimen)ExperimentalParticipants will receive placebo matching to mRNA-1893 on Day 1 and mRNA-1893 at a high dose level administered as a 1-dose regimen (administered on Day 29). There will be 28-day (-3/+7 days) interval between vaccinations.
Receives: Biological: mRNA-1893; Biological: Placebo
PlaceboPlacebo comparatorParticipants will receive placebo matching to mRNA-1893 administered as a 2-dose regimen with 28-day (-3/+7 days) interval between vaccinations (administered on Day 1 and Day 29).
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs)

    Solicited ARs (local and systemic) were collected in the electronic diary. Local ARs included: pain, erythema (redness), swelling/induration (hardness). Systemic ARs included: headache, fatigue, myalgia (muscle aches all over the body), arthralgia (aching in several joints), nausea/vomiting, body temperature (potentially fever), and chills. A summary of all serious adverse events (SAEs) and all nonserious adverse events (AEs) ("Other"), regardless of causality, is in Reported "Adverse Events" section.

    Measured: Up to 7 days post-vaccination

  2. Number of Participants With Unsolicited Adverse Events (AEs)

    An unsolicited 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 were AEs that were not included in the protocol-defined solicited ARs. A treatment-emergent adverse event (TEAE) was defined as any AE not present before exposure to vaccine or any AE already present that worsened in intensity or frequency after exposure. A summary of all SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the Reported "Adverse Events" section.

    Measured: Up to 28 days post-vaccination

  3. Number of Participants With Serious Adverse Events (SAEs), AEs of Special Interest (AESIs)

    An SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, was a congenital anomaly/birth defect, or was an important medical event. 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 were required. A summary of all SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the Reported "Adverse Events" section.

    Measured: Day 1 through Day 196 for Main Study and Day 197 through Day 700 for Extension Period

  4. Number of Participants With Medically Attended AEs (MAAEs)

    An MAAE was an AE that led to an unscheduled visit to a healthcare practitioner. Note that the generation of the tables for the MAAE data for the Main Study occurred after the start of the Extension Period. Therefore, some of the MAAE data for this outcome measure may appear both in the Main Study and the Extension Period. A summary of all SAEs and all nonserious AEs ("Other"), regardless of causality, is located in the Reported "Adverse Events" section.

    Measured: Day 1 through Day 196 for Main Study and Day 197 through Day 700 for Extension Period

  5. Geometric Mean Titer (GMT) of Zika Virus (ZIKV)-Specific Neutralizing Antibodies (nAbs) at Day 57, as Measured by 50% Plaque Reduction Neutralization Test (PRNT50)

    Antibody values reported as below the lower limit of quantification (LLOQ) were replaced by 0.5 * LLOQ. Values that were greater than the upper limit of quantification (ULOQ) were converted to the ULOQ. LLOQ=91; ULOQ=24814. 95% confidence interval (CI) was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.

    Measured: Day 57

  6. GMT of ZIKV-specific nAbs at Day 57, as Measured by 80% Plaque Reduction Neutralization Test (PRNT80)

    Antibody values reported as below the LLOQ were replaced by 0.5 * LLOQ. Values that were greater than the ULOQ were converted to the ULOQ. LLOQ=91; ULOQ=24814. 95% CI was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.

    Measured: Day 57

  7. Percentage of Participants With Seroconversion at Day 57, as Measured by PRNT50

    Seroconversion was defined as an increase in ZIKV-specific nAb titer from below the LLOQ to a titer equal to or above LLOQ, or an increase of at least 4-fold in ZIKV-specific nAb titer in participants with pre-existing nAb titers. LLOQ=91; ULOQ=24814.

    Measured: Day 57

  8. Percentage of Participants With Seroconversion at Day 57, as Measured by PRNT80

    Seroconversion was defined as an increase in ZIKV-specific nAb titer from below the LLOQ to a titer equal to or above LLOQ, or an increase of at least 4-fold in ZIKV-specific nAb titer in participants with pre-existing nAb titers. LLOQ=91; ULOQ=24814.

    Measured: Day 57

Secondary outcomes (12)
  1. GMT of ZIKV-Specific nAbs at Days 1, 8, 29, and 36, as Measured by PRNT50 and PRNT80

    Antibody values reported as below the LLOQ were replaced by 0.5 * LLOQ. Values that were greater than the ULOQ were converted to the ULOQ. LLOQ=91; ULOQ=24814. 95% CI was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.

    Measured: Days 1, 8, 29, and 36

  2. GMT of ZIKV-Specific nAbs at Days 1, 8, 29, 36, and 57, as Measured by Microneutralization (MN)

    Antibody values reported as below the LLOQ were replaced by 0.5 * LLOQ. Values that were greater than the ULOQ were converted to the ULOQ. LLOQ=28; ULOQ=11589. 95% CI was calculated based on the t-distribution of the log-transformed values, then back transformed to the original scale for presentation.

    Measured: Days 1, 8, 29, 36, and 57

  3. Geometric Mean Fold Rise (GMFR) of ZIKV-Specific nAbs at Days 8, 29, 36, and 57, as Measured by PRNT50 and PRNT80

    Antibody values reported as below the LLOQ were replaced by 0.5 * LLOQ. Values that were greater than the ULOQ were converted to the ULOQ. LLOQ=91; ULOQ=248. 95% CI was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.

    Measured: Days 8, 29, 36, and 57

  4. GMFR of ZIKV-Specific nAbs at Days 8, 29, 36, and 57, as Measured by MN

    Antibody values reported as below the LLOQ were replaced by 0.5 * LLOQ. Values that were greater than the ULOQ were converted to the ULOQ. LLOQ=28; ULOQ=11589. 95% CI was calculated based on the t-distribution of the difference in the log-transformed values, then back transformed to the original scale for presentation.

    Measured: Days 8, 29, 36, and 57

  5. Percentage of Participants With Seroconversion at Days 8, 29, and 36, as Measured by PRNT50 and PRNT80

    Seroconversion was defined as an increase in ZIKV-specific nAb titer from below the LLOQ to a titer equal to or above LLOQ, or an increase of at least 4-fold in ZIKV-specific nAb titer in participants with pre-existing nAb titers. LLOQ=91; ULOQ=24814.

    Measured: Days 8, 29, and 36

  6. Percentage of Participants With Seroconversion at Days 8, 29, 36, and 57, as Measured by MN

    Seroconversion was defined as an increase in ZIKV-specific nAb titer from below the LLOQ to a titer equal to or above LLOQ, or an increase of at least 4-fold in ZIKV-specific nAb titer in participants with pre-existing nAb titers. LLOQ=28; ULOQ=11589.

    Measured: Days 8, 29, 36, and 57

  7. Percentage of Initially Seronegative Participants With a Seroresponse at Days 8, 29, and 36, as Measured by PRNT50 and PRNT80

    Seroresponse was defined as an increase in ZIKV-specific nAb titer from below the LLOQ to greater than or equal to the LLOQ. LLOQ=91; ULOQ=24814.

    Measured: Days 8, 29, and 36

  8. Percentage of Initially Seronegative Participants With a Seroresponse at Days 8, 29, 36, and 57, as Measured by MN

    Seroresponse was defined as an increase in ZIKV-specific nAb titer from below the LLOQ to greater than or equal to the LLOQ. LLOQ=28; ULOQ=11589.

    Measured: Days 8, 29, 36, and 57

  9. Percentage of Initially Seropositive Participants With a 2-Fold Increase in ZIKV-Specific nAb Titers as Compared With Baseline, as Measured by PRNT50 and PRNT80

    ≥2-fold increase from baseline was defined as a ≥2 * LLOQ for participants with baseline undetectable antibody titer, or a 2-times or higher ratio in participants with pre-existing nAb titers. LLOQ=91

    Measured: Days 8, 29, 36, and 57

  10. Percentage of Initially Seropositive Participants With a 4-Fold Increase in ZIKV-Specific nAb Titers as Compared With Baseline, as Measured by PRNT50 and PRNT80

    ≥4-fold increase from baseline was defined as a ≥4 * LLOQ for participants with baseline undetectable antibody titer, or a 4-times or higher ratio in participants with pre-existing nAb titers. LLOQ=91

    Measured: Days 8, 29, 36, and 57

  11. Percentage of Initially Seropositive Participants With a 2-Fold Increase in ZIKV-Specific nAb Titers as Compared With Baseline, as Measured by MN

    ≥2-fold increase from baseline was defined as a ≥2 * LLOQ for participants with baseline undetectable antibody titer, or a 2-times or higher ratio in participants with pre-existing nAb titers. LLOQ=28.

    Measured: Days 8, 29, 36, and 57

  12. Percentage of Initially Seropositive Participants With a 4-Fold Increase in ZIKV-Specific nAb Titers as Compared With Baseline, as Measured by MN

    ≥4-fold increase from baseline was defined as a ≥4 * LLOQ for participants with baseline undetectable antibody titer, or a 4-times or higher ratio in participants with pre-existing nAb titers. LLOQ=28.

    Measured: Days 8, 29, 36, and 57

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jun 2021
  2. Study start7 Jun 2021
  3. Primary completion26 Jul 2024
  4. Study completion26 Jul 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
808 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04917861
Sponsor's protocol ID
mRNA-1893-P201
Other IDs
HHSO100201600029C
Status last verified
Aug 2025
First submitted
2 Jun 2021
Last updated
25 Sep 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing mRNA-1893 in people with Zika Virus, run by ModernaTX, Inc. at 11 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Puerto Rico, United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Solicited Local and Systemic Reactogenicity Adverse Reactions (ARs) (time frame: Up to 7 days post-vaccination). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2025.

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