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SARS-CoV-2Phase 2BabyCOVENCT05584202

Study to Evaluate the Safety, Reactogenicity, and Effectiveness of mRNA-1273.214 SARS-CoV-2 (COVID-19) Vaccine in Infants

A Phase 2 study testing mRNA-1273.214 in people with SARS-CoV-2, run by ModernaTX, Inc. at 39 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The study evaluated the safety, tolerability, reactogenicity, and effectiveness of mRNA-1273.214 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine in infants aged 12 weeks to < 6 months. Read more about this study

Who is it for?
Ages 2 to 6 monthsHealthy volunteers can take part
Conditions the study is for
SARS-CoV-2
What is being tested?
mRNA-1273.214
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
39 sitesUnited States
Study dates
30 Sep 2022to 15 Nov 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 2 to 6 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Participant is male or female, between 2 and <6 months of age at the time of consent (Screening Visit), who is in good general health, in the opinion of the investigator, based on review of medical history and screening physical examination.
  • Participant must be at least 12 weeks completed age and must not have completed 6 months at the time of administration of first dose.
  • If the participant has a chronic, stable disease, they may be eligible to enroll in Part 2, but ineligible for Part 1. The chronic condition (for example, gastroesophageal reflux disease) should be stable, per investigator assessment, so that the participant can be considered eligible for inclusion in Part 2.
  • Participant was born at ≥37 weeks gestation (Part 1) or ≥34 weeks gestation (Part 2), with a minimum birth weight of 2.5 kilograms (kg), without fetal growth restriction, and the participant's height and weight are both at or above the second percentile for age according to the Centers for Disease Control and Prevention/World Health Organization Child Growth Standard at the Screening Visit.
  • In the investigator's opinion, the parent(s)/legally authorized representative(s) understand and are willing and physically able to comply with protocol-mandated follow-up, including all procedures, and provide written informed consent.

Who cannot join

  • Participant has a known history of SARS-CoV-2 infection within 2 weeks prior to administration of study drug or has a known close contact in the past 2 weeks to someone diagnosed with SARS-CoV-2 infection or coronavirus disease 2019 (COVID-19). Participants may be rescreened after 14 days provided that they remain asymptomatic.
  • Participant is acutely ill or febrile 72 hours prior to or at the Screening Visit. Fever is defined as a body temperature ≥38.0°Celcius/≥100.4°Farenheit. Participants who meet this criterion may have visits rescheduled within the relevant study visit windows. Afebrile participants with minor illnesses can be enrolled at the discretion of the investigator.
  • Participant has previously been administered an investigational or approved CoV (for example, SARS-CoV-2, SARS-CoV, Middle East respiratory syndrome [MERS]-CoV) vaccine.
  • Participant has undergone treatment with investigational or approved agents for prophylaxis against COVID-19 (for example, receipt of SARS-CoV-2 monoclonal antibodies) within 90 days prior to enrollment.
  • Participant has a known hypersensitivity to a component of the vaccine or its excipients. Hypersensitivity includes, but is not limited to, anaphylaxis or immediate allergic reaction of any severity to any of the components of messenger ribonucleic acid (mRNA) COVID-19 vaccines (including polyethylene glycol or immediate allergic reaction of any severity to polysorbate).
  • Participant has a medical, psychiatric, or occupational condition, that, according to the investigator's judgment, may pose additional risk as a result of participation, interfere with safety assessments, or interfere with interpretation of results.
Show all 13Show fewer
  • Participant has a history of diagnosis or condition that, in the judgment of the investigator, may affect study endpoint assessment or compromise participant safety.
  • Participant has received the following:
  • Any routine vaccination with inactivated or live vaccine(s) within 14 days prior to first or second vaccination or plans to receive such a vaccine within 14 days of any study vaccination.
  • Systemic immunosuppressants or immune-modifying drugs (including maternal use during pregnancy or lactation) for >14 days in total within 6 months prior to the day of enrollment (for corticosteroids, ≥ 1 milligrams (mg)/kg/day or, if participant weighs >10 kg: ≥10 mg/day prednisone equivalent). Participants may have visits rescheduled for enrollment if they no longer meet this criterion within the Screening Visit window. Inhaled, nasal, and topical steroids are allowed.
  • Intravenous or subcutaneous blood products (red blood cells, platelets, immunoglobulins) within 3 months prior to enrollment.
  • Participant has participated in an interventional clinical study within 28 days prior to the Screening Visit or plans to do so while participating in this study, or maternal participation in an interventional clinical study during pregnancy.
  • Note: Other inclusion and exclusion criteria may apply.

Trial locations and contacts

39 sites in 1 country.

39 sites in 1 country

United States39 sites
  • Medical Research Partners- Ammon

    Ammon, Idaho, 83406

  • Emory University School of Medicine

    Atlanta, Georgia, 30322

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Trinity Clinical Research, LLC - Bessemer

    Bessemer, Alabama, 35022

  • UAB Pediatrics

    Birmingham, Alabama, 35233

  • PI-Coor Clinical Research LLC

    Burke, Virginia, 22015

  • Coastal Pediatric Research

    Charleston, South Carolina, 29414

  • PAS Research

    Clearwater, Florida, 33756

  • South Texas Clinical Research - Corpus Christi

    Corpus Christi, Texas, 78404

  • MedPharmics - Platinum - PPDS

    Covington, Louisiana, 70433-7237

  • Cedar Health Research - Dedicated Research Facility

    Dallas, Texas, 75251

  • Prohealth Research Center

    Doral, Florida, 33166

  • Child Health Care Associates

    East Syracuse, New York, 13057

  • DM Clinical Research - Kool Kids Pediatrics - ERN - PPDS

    Houston, Texas, 77065-5471

  • University of Florida Jackonsville

    Jacksonville, Florida, 32209

  • Kissimmee Clinical Research

    Kissimmee, Florida, 34741

  • MedPharmics - Platinum - PPDS

    Lafayette, Louisiana, 70508

  • Tanner Clinic

    Layton, Utah, 84041

  • Be Well Clinical Studies

    Lincoln, Nebraska, 68516

  • Madera Family Medical Group

    Madera, California, 93637

  • Acevedo Clinical Research

    Miami, Florida, 33142-2946

  • D&amp;H National Research Centers

    Miami, Florida, 33155

  • Suncoast Research Associates LLC - ERN - PPDS

    Miami, Florida, 33173

  • Excellence Medical and Research LLC

    Miami Gardens, Florida, 33169

  • Clinical Research Institute, Inc

    Minneapolis, Minnesota, 55402

  • SeraCollection Research Services LLC

    Montebello, California, 90640

  • Center For Clinical Trials LLC

    Paramount, California, 90723

  • Advances In Health Inc

    Pearland, Texas, 77584

  • UPMC University Center

    Pittsburgh, Pennsylvania, 15123

  • Victoria Clinical Research Group

    Port Lavaca, Texas, 77979

  • Clinical Research Partners, LLC

    Richmond, Virginia, 23226

  • KM International Research Operation - Saint Cloud

    Saint Cloud, Florida, 34769

  • Stony Brook University Medical Center

    Stony Brook, New York, 11794

  • Wee Care Pediatrics

    Syracuse, Utah, 84075

  • PAS Research

    Tampa, Florida, 33613

  • Eclipse Clinical Research

    Tucson, Arizona, 85745

  • Meridian Clinical Research (Washington) - PPDS

    Washington D.C., District of Columbia, 20016

  • Velocity Clinical Research (Hastings - Nebraska) - PPDS

    Wilmington, North Carolina, 28401

  • UMass Memorial Medical Center

    Worcester, Massachusetts, 01655

Other trials in United States

About this study

Official title: A Phase 2, Two-Part Study (Open-Label [Part 1] Followed by Observer-Blind/Randomized [Part 2]) to Evaluate the Safety, Tolerability, Reactogenicity, and Effectiveness of mRNA-1273.214 SARS-CoV-2 Vaccine in Participants Aged 12 Weeks to < 6 Months

The study evaluated the safety, tolerability, reactogenicity, and effectiveness of mRNA-1273.214 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine in infants aged 12 weeks to < 6 months.

Read the detailed description

The purpose of this pediatric study was to confirm safety and effectiveness of mRNA-1273.214 in infants between 12 weeks to < 6 months of age by comparing the immune response of infants in this study to adults (>18 years of age) enrolled in the mRNA-1273-P301 study [NCT04470427]).

The study was planned to be conducted in 2 parts. Part 1 was open-label and evaluated 2 dose levels. The dose level selected from Part 1 was planned to be further evaluated in Part 2. However, data from the dose finding part of the trial (Part 1) did not support further evaluation of effectiveness of mRNA-1273 and accordingly, Part 2 of the study was not conducted and the trial was terminated. There were no safety concerns.

Conditions
SARS-CoV-2
Being tested
mRNA-1273.214, Placebo
Keywords
mRNA-1273, mRNA-1273 vaccine, mRNA-1273.214 vaccine, mRNA-1273.214, SARS-CoV-2, SARS-CoV-2 Vaccine, Coronavirus, Virus Diseases, Messenger RNA, COVID 19, COVID 19 Vaccine, Moderna, Bivalent omicron vaccine, Omicron vaccine
Medical subject headings
Coronavirus Infections, Virus Diseases, COVID-19

What participants receive

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

  • mRNA-1273.214Biological

    Sterile liquid for injection

  • PlaceboOther

    Also called normal saline

    0.9% sodium chloride

Study groups in NCT05584202
Study groupRoleWhat they receive
Part 1: mRNA-1273.214 Dose AExperimentalParticipants will receive 2 doses of mRNA-1273.214 Dose A by intramuscular (IM) injection approximately 8 weeks apart (Day 1 and Day 57).
Receives: Biological: mRNA-1273.214
Part 1: mRNA-1273.214 Dose BExperimentalParticipants will receive 2 doses of mRNA-1273.214 Dose B by IM injection approximately 8 weeks apart (Day 1 and Day 57).
Receives: Biological: mRNA-1273.214
Part 2: mRNA-1273.214ExperimentalParticipants will receive 2 doses of mRNA-1273.214 by IM injection approximately 8 weeks apart (Day 1 and Day 57).
Receives: Biological: mRNA-1273.214
Part 2: PlaceboPlacebo comparatorParticipants will receive 2 doses of placebo by IM injection approximately 8 weeks apart (Day 1 and Day 57).
Receives: Other: 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 Adverse Reactions (ARs) After First Injection

    Solicited ARs (local and systemic) were collected in an electronic diary (eDiary). Local ARs included injection site pain/tenderness, injection site erythema (redness), injection site swelling/induration (hardness), and groin or underarm swelling or tenderness ipsilateral to the side of injection. Systemic ARs included fever, irritability/crying, sleepiness, and loss of appetite. Solicited AR severity was graded according to a modified version (relevant to age 12 weeks to <6 months) of the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventative Vaccine Clinical Trials. ARs graded 1-4 are presented. Lower scores indicated lower severity, and higher scores indicated greater severity. A summary of serious adverse events (SAEs) and nonserious adverse events (AEs) (Safety Set), regardless of causality, is located in the AE section.

    Measured: Day 1 up to 7 days after first vaccination (up to Day 8)

  2. Number of Participants With Solicited Local and Systemic ARs After Second Injection

    Solicited ARs (local and systemic) were collected in eDiary. Local ARs included injection site pain/tenderness, injection site erythema (redness), injection site swelling/induration (hardness), and groin or underarm swelling or tenderness ipsilateral to the side of injection. Systemic ARs included fever, irritability/crying, sleepiness, and loss of appetite. Solicited AR severity was graded according to a modified version (relevant to age 12 weeks to <6 months) of the Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventative Vaccine Clinical Trials. ARs graded 1-4 are presented. Lower scores indicated lower severity, and higher scores indicated greater severity. A summary of SAEs and nonserious AEs (Safety Set), regardless of causality, is located in the AE section.

    Measured: Day 57 up to 7 days after second vaccination (up to Day 64)

  3. Number of Participants With Unsolicited Adverse Events (AEs) After Any Injection

    An unsolicited AE was any AE reported by the participant that was not specified as a solicited AR in the protocol or was specified as a solicited AR but started outside the protocol-defined period for reporting solicited ARs (onset after Day 7 of dosing). 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 or other safety assessment, including one that worsened from baseline and was considered clinically significant by the Investigator was recorded as an AE. A summary of SAEs and nonserious AEs (Safety Set), regardless of causality, is located in the AE section. COVID-19/SARS-CoV-2 infections were considered clinical events and not AEs.

    Measured: Day 1 up to 28 days after any vaccination (up to Day 85)

  4. Number of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs), and AEs Leading to Study or Treatment Discontinuation

    SAE was defined as any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in disability/permanent damage, was a congenital anomaly/birth defect, or was an important medical event. AESIs were identified based upon medical concepts that may be related to COVID-19 or were of interest in COVID-19 vaccine safety surveillance. MAAE was an AE that led to an unscheduled visit to a healthcare practitioner, included visits to a study site for unscheduled assessments (for example, abnormal laboratory follow-up, and visits to healthcare practitioners external to the study site [for example, urgent care, primary care physician]). A summary of SAEs and nonserious AEs (Safety Set), regardless of causality, is located in the AE section. COVID-19/SARS-CoV-2 infections were considered clinical events and not AEs.

    Measured: Day 1 up to Day 422

Secondary outcomes (2)
  1. Geometric Mean Concentration (GMC) of Serum Pseudovirus Neutralizing Antibod (nAb) Titers Against SARS-CoV-2 Omicron BA.1 Variant (B.1.1.529) After Second Dose of mRNA-1273.214

    Pseudovirus nAb were measured using pseudovirus neutralization assay (PsVNA). Antibody values reported as below the 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 if actual values were not available. VAC122 nAb against the SARS-CoV-2 B.1.1.529 variant (LLOQ: 8 arbitrary unit (AU)/milliliter (mL), ULOQ: 24503 AU/mL).

    Measured: Baseline and 28 days after second dose (Day 85)

  2. GMC of Serum Pseudovirus nAb Titers Against SARS-CoV-2 Original Strain (D614G) After Second Dose of mRNA-1273.214

    Pseudovirus nAb were measured using PsVNA assay. Antibody values reported as below the LLOQ were replaced by 0.5*LLOQ. Values greater than the ULOQ were replaced by the ULOQ if actual values were not available. VAC62 Neutralizing Antibody against D614G (LLOQ: 10 AU/mL, ULOQ: 111433 AU/mL).

    Measured: Baseline and 28 days after second dose (Day 85)

Timeline

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

  1. First posted18 Oct 2022
  2. Study start30 Sep 2022
  3. Primary completion15 Nov 2024
  4. Study completion15 Nov 2024

Why it stopped: The trial was terminated because data from the dose finding part of the trial did not support further evaluation of effectiveness of mRNA-1273. There were no safety concerns.

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
Sequential
Model description
Part 1: sequential Part 2: parallel
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05584202
Sponsor's protocol ID
mRNA-1273-P206
Acronym
BabyCOVE
Status last verified
Nov 2025
First submitted
14 Oct 2022
Last updated
26 Nov 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-1273.214 in people with SARS-CoV-2, run by ModernaTX, Inc. at 39 sites in United States.

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 5 inclusion and 13 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: stopped early, as of the sponsor's last update on 26 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in 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 26 Nov 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 Adverse Reactions (ARs) After First Injection (time frame: Day 1 up to 7 days after first vaccination (up to Day 8)). The study lists 4 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 26 Nov 2025; AzTrials last refreshed its copy on 26 Oct 2026.

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