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InfluenzaPhase 1/2NCT05972174

A Study of mRNA-1018 Pandemic Influenza Candidate Vaccines in Healthy Adults

A Phase 1/2 study testing mRNA-1018 for H5N8, mRNA-1018 for H7N9 and mRNA-1018 for H5 Only in people with Influenza, run by ModernaTX, Inc. at 27 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

The purpose of this Phase 1/2 study is to generate sufficient safety and immunogenicity data of mRNA-1018 pandemic influenza candidate vaccines in healthy adults ≥18 years of age to enable the initiation of a large Phase 3 trial with one selected vaccine candidate. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
mRNA-1018 for H5N8, mRNA-1018 for H7N9 and mRNA-1018 for H5 Only
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,504 participants
Where
27 sitesin 2 countries
Study dates
10 Jul 2023to 16 Jul 2024
Phase
Phase 1/2
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and results of electrocardiogram testing.
  • Body mass index of 18 kilograms (kg)/square meter (m^2) to 39 kg/m^2 (inclusive) at the Screening visit.
  • For female participants of childbearing potential: negative pregnancy test, adequate contraception, and not currently breastfeeding.

Who cannot join

  • Participant is acutely ill or febrile (body temperature ≥ 38.0 degrees Celsius [°C]/100.4 degrees Fahrenheit [°F]) 72 hours prior to or at the Screening Visit or Day 1.
  • 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.
  • Any medical, psychiatric, or occupational condition, including reported history of substance abuse, that, in the opinion of the Investigator, might pose additional risk due to participation in the study or could interfere with the interpretation of study results.
  • Participant has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 180 days prior to Screening Visit (for corticosteroids ≥10 milligrams [mg]/day of prednisone equivalent) or is anticipating the need for immunosuppressive treatment at any time during participation in the study.
  • Participant has received any vaccine authorized or approved by local health agency including mRNA vaccine ≤28 days prior to study intervention (Day 1) or plans to receive a vaccine authorized or approved by local health agency within 28 days before or after the study intervention.
  • Participant has participated in an interventional clinical study within 28 days prior to the Screening visit based on the medical history interview or plans to do so while participating in this study.
  • Other inclusion/exclusion criteria may apply.

Trial locations and contacts

27 sites in 2 countries.

27 sites in 2 countries

United Kingdom18 sites
  • University Hospitals Birmingham

    Birmingham, London, B15 2TH

  • Bradford Teaching Hospitals NHS Foundation Trust

    Bradford, London, BD9 6RL

  • University Hospitals

    Bristol, London, Bs2 8DX

  • Cardiff and Vale University

    Cardiff, London, CF14 4XW

  • Lakeside Healthcare Research Unit

    Corby, Northamptonshire, NN17 2UR

  • Western Hospital Edinburgh

    Edinburgh, EH4 CXU

  • Royal Free Hospital

    London, NW3 2QG

  • Guy's and St Thomas' NHS Foundation Trust - St Thomas' Hospital

    London, SE1 7EH

  • Chelsea and Westminster Hospital

    London, SW10 9NH

  • St Georges Vaccine Institute Cranmer Terrace

    London, SW17 ORE

  • University College London Hospitals NHS Foundation Trust

    London, W1T 7HA

  • Royal Victoria Infirmary

    Newcastle upon Tyne, England, NE1 4LP

  • Velocity Clinical Research

    North Finchley, N12 8BU

  • Quadram Institute NNUH CRF

    Norwich, Norfolk, NR4 7UQ

  • Northern Care Alliance

    Salford, London, M6 8HD

  • Southampton General Hospital

    Southampton, England, SO16 6YD

  • Royal Cornwall Hospital

    Truro, London, TR1 3LJ

  • North Wales Clinical Research Centre

    Wrexham, London, LL13 7YP

Other trials in United Kingdom

United States9 sites
  • Velocity Clinical Research Providence

    East Greenwich, Rhode Island, 02818

  • CenExel RCA

    Hollywood, Florida, 33024

  • Johnson County Clin-Trials

    Lenexa, Kansas, 66219

  • Velocity Clinical Research

    Lincoln, Nebraska, 68510

  • Velocity Clinical Research

    Savannah, Georgia, 31406

  • J. Lewis Research, Inc/Jordan River Family Medicine

    South Jordan, Utah, 84095

  • DM Clinical Research

    Southfield, Michigan, 48076

  • DM Clinical Research

    Sugar Land, Texas, 77478

  • DM Clinical Research

    Tomball, Texas, 77375

Other trials in United States

About this study

Official title: Phase 1/2, Randomized, Observer-Blind, Parallel, Dose-Ranging Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of mRNA-1018 Pandemic Influenza Candidate Vaccines in Healthy Adults ≥18 Years of Age

The purpose of this Phase 1/2 study is to generate sufficient safety and immunogenicity data of mRNA-1018 pandemic influenza candidate vaccines in healthy adults ≥18 years of age to enable the initiation of a large Phase 3 trial with one selected vaccine candidate. The study will be conducted in 2 Parts (Part A and Part B) that will enroll and run concurrently. Part A of the study will evaluate 4 vaccine candidates (H5N8, H7N9, H5 only, and H7 only). Part B of the study will evaluate a single vaccine candidate (H5 only-CG).

Conditions
Influenza
Being tested
mRNA-1018 for H5N8, mRNA-1018 for H7N9, mRNA-1018 for H5 Only, mRNA-1018 for H7 Only, mRNA-1018 for H5 Only-CG
Keywords
Influenza vaccine, Moderna, mRNA-1018, Virus Diseases, Vaccines, Pandemic influenza
Medical subject headings
Influenza, Human, Virus Diseases

What participants receive

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

  • mRNA-1018 for H5N8Biological

    Sterile liquid for injection

  • mRNA-1018 for H7N9Biological

    Sterile liquid for injection

  • mRNA-1018 for H5 OnlyBiological

    Sterile liquid for injection

  • mRNA-1018 for H7 OnlyBiological

    Sterile liquid for injection

  • mRNA-1018 for H5 Only-CGBiological

    Sterile liquid for injection

Study groups in NCT05972174
Study groupRoleWhat they receive
Part A Group 1 Vaccine: mRNA-1018 for H5N8 Dose Level 1ExperimentalParticipants will receive mRNA-1018 for H5N8 at dose level 1 by intramuscular (IM) injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5N8
Part A Group 1 Vaccine: mRNA-1018 for H5N8 Dose Level 2ExperimentalParticipants will receive mRNA-1018 for H5N8 at dose level 2 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5N8
Part A Group 1 Vaccine: mRNA-1018 for H5N8 Dose Level 3ExperimentalParticipants will receive mRNA-1018 for H5N8 at dose level 3 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5N8
Part A Group 1 Vaccine: mRNA-1018 for H5 Only Dose Level 1ExperimentalParticipants will receive mRNA-1018 for H5 only at dose level 1 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5 Only
Part A Group 1 Vaccine: mRNA-1018 for H5 Only Dose Level 2ExperimentalParticipants will receive mRNA-1018 for H5 only at dose level 2 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5 Only
Part A Group 1 Vaccine: mRNA-1018 for H5 Only Dose Level 3ExperimentalParticipants will receive mRNA-1018 for H5 only at dose level 3 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5 Only
Part A Group 2 Vaccine: mRNA-1018 for H7N9 Dose Level 1ExperimentalParticipants will receive mRNA-1018 for H7N9 at dose level 1 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H7N9
Part A Group 2 Vaccine: mRNA-1018 for H7N9 Dose Level 2ExperimentalParticipants will receive mRNA-1018 for H7N9 at dose level 2 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H7N9
Part A Group 2 Vaccine: mRNA-1018 for H7N9 Dose Level 3ExperimentalParticipants will receive mRNA-1018 for H7N9 at dose level 3 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H7N9
Part A Group 2 Vaccine: mRNA-1018 for H7 Only Dose Level 1ExperimentalParticipants will receive mRNA-1018 for H7 only at dose level 1 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H7 Only
Part A Group 2 Vaccine: mRNA-1018 for H7 Only Dose Level 2ExperimentalParticipants will receive mRNA-1018 for H7 only at dose level 2 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H7 Only
Part A Group 2 Vaccine: mRNA-1018 for H7 Only Dose Level 3ExperimentalParticipants will receive mRNA-1018 for H7 only at dose level 3 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H7 Only
Part B Group 1 Vaccine: mRNA-1018 for H5 Only-CG Dose Level 1ExperimentalParticipants will receive mRNA-1018 for H5 Only-CG at dose level 1 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5 Only-CG
Part B Group 1 Vaccine: mRNA-1018 for H5 Only-CG Dose Level 2ExperimentalParticipants will receive mRNA-1018 for H5 Only-CG at dose level 2 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5 Only-CG
Part B Group 1 Vaccine: mRNA-1018 for H5 Only-CG Dose Level 3ExperimentalParticipants will receive mRNA-1018 for H5 Only-CG at dose level 3 by IM injection on Day 1 and Day 22.
Receives: Biological: mRNA-1018 for H5 Only-CG

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)

    Measured: Up to Day 29 (7 days after each injection)

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

    Measured: Up to Day 43 (21 days after each injection)

  3. Number of Participants with AEs Leading to Discontinuation From Study

    Measured: Day 1 to Day 205 (end of study [EoS])

  4. Number of Participants with Medically-Attended AEs (MAAEs)

    Measured: Day 1 to Day 205 (EoS)

  5. Number of Participants with Serious Adverse Events (SAEs)

    Measured: Day 1 to Day 205 (EoS)

  6. Number of Participants with Adverse Events of Special Interest (AESIs)

    Measured: Day 1 to Day 205 (EoS)

Secondary outcomes (7)
  1. Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Days 22, 29, and 43, as Measured by Hemagglutination Inhibition (HAI) Assay

    Measured: Days 22, 29, and 43

  2. Geometric Mean Fold Rise (GMFR) of Anti-HA Antibodies From Baseline to Days 22, 29, and 43, as Measured by HAI Assay

    Measured: Baseline (Day 1), Days 22, 29, and 43

  3. Number of Participants With Seroconversion at Days 22, 29, and 43, as Measured by HAI Assay

    Seroconversion is defined as a Day 22, 29, or 43 titer ≥1:40 if baseline is <1:10 or a 4-fold or greater rise if baseline is ≥1:10 in anti-HA antibodies measured by HAI assay.

    Measured: Baseline (Day 1) to Days 22, 29, and 43

  4. Number of Participants With HAI Titer ≥ 1:40 at Days 22, 29, and 43

    Measured: Days 22, 29, and 43

  5. GMT of Anti-Neuraminidase (NA) Antibodies at Days 22, 29, and 43, as Measured by Neuraminidase Inhibition (NAI) Assay

    Measured: Days 22, 29, and 43

  6. GMFR of Anti-NA Antibodies From Baseline to Days 22, 29, and 43, as Measured by NAI Assay

    Measured: Baseline (Day 1), Days 22, 29, and 43

  7. Number of Participants with a Change in the Days 22, 29, and 43 NAI Titer of at Least 2-/3-/4-Fold Rise

    Number of participants with a change in the Days 22, 29, or 43 NAI titer of at least 2-/3-/4-fold rise, defined as ≥2-/3-/4-fold of the lower level of quantitation (LLOQ) if the Day 1 titer is <LLOQ; or ≥2-/3-/4-fold of the Day 1 titer if the Day 1 titer is ≥LLOQ.

    Measured: Baseline (Day 1) to Days 22, 29, and 43

Timeline

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

  1. First posted2 Aug 2023
  2. Study start10 Jul 2023
  3. Primary completion16 Jul 2024
  4. Study completion16 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 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
1,504 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05972174
Sponsor's protocol ID
mRNA-1018-P101
Status last verified
Jun 2025
First submitted
25 Jul 2023
Last updated
16 Jul 2025
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Cosgrove CA, Avanesov A, Rust D, Osibajo S, Kang K, Leav B; ODYSSEY Study Group. A Phase 1/2 Dose-Ranging Safety and Immunogenicity Study of mRNA-Based Candidate Pandemic Influenza Vaccines in Healthy Adults. Clin Infect Dis. 2026 Oct 7;83(3):e598-e610. doi: 10.1093/cid/ciag278.

    PubMed 42033146

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing mRNA-1018 for H5N8, mRNA-1018 for H7N9 and mRNA-1018 for H5 Only in people with Influenza, run by ModernaTX, Inc. at 27 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 7 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 16 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United Kingdom, 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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) (time frame: Up to Day 29 (7 days after each injection)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05972174, which also lists 1 linked publication.

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 16 Jul 2025.

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