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Respiratory Syncytial VirusPhase 3NCT06067230

A Study to Investigate the Immunogenicity and Safety of mRNA-1345 Vaccine Targeting Respiratory Syncytial Virus (RSV) in High-risk Adults

A Phase 3 study testing mRNA-1345 in people with Respiratory Syncytial Virus, run by ModernaTX, Inc. at 44 sites in 4 countries.

Completed

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

Official record
Search all trials

Trial summary

The study is divided into 2 parts (Part A and Part B). Part A of the study will evaluate the safety and immune response to mRNA-1345 in high-risk adults aged ≥18 to <60 years. Part B of the study will evaluate the safety and immune response to mRNA-1345 in adults who received solid organ transplant (SOT). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Respiratory Syncytial Virus
What is being tested?
mRNA-1345
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,153 participants
Where
44 sitesin 4 countries
Study dates
6 Oct 2023to 24 Jul 2026
Phase
Phase 3
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Part A:
  • Adults ≥18 to <60 years of age at the time of consent who are primarily responsible for self-care and activities of daily living.
  • Documented confirmation by a physician of the diagnosis of at least one of the following conditions:
  • Coronary artery disease and/or congestive heart failure.
  • Chronic lung disease (for example, including but not limited to chronic obstructive pulmonary disease or persistent asthma).
  • Stable type 1 or type 2 diabetes mellitus controlled with at least 1 medication started 90 days or more prior to Day 1.
Show all 11Show fewer
  • Part B:
  • Adults ≥18 years of age at the time of consent who are primarily responsible for self-care and activities of daily living.
  • Recipient of an SOT (kidney, liver, or lung transplant) ≥180 days prior to day of consent and receiving chronic immunosuppressive therapy for the prevention of allograft rejection.
  • Parts A and B:
  • Able to comply with study requirements.

Who cannot join

  • Part A:
  • Participation in an another clinical research trial where the participant has received an investigational product 180 days prior to Day 1. Participation in an RSV trial at any time prior to Day 1 is exclusionary.
  • 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 anaphylaxis or severe hypersensitivity reaction after receipt of the mRNA-1345 injection or any components of the mRNA-1345 injection.
  • Chronic administration (defined as more than 14 continuous days) of immunosuppressants or other immune-modifying drugs within 180 days prior to Day 1.
  • History of myocarditis, pericarditis, or myopericarditis.
Show all 12Show fewer
  • Part B:
  • Previous treatment with alemtuzumab or rituximab within 2 years prior to Day 1.
  • Previous treatment with plasmapheresis within 30 days prior to Day 1.
  • A history of complications of immunosuppression.
  • A history of biopsy proven or clinically diagnosed rejection within 90 days prior to Day 1 or suspected active chronic rejection according to the Investigator's judgment.
  • Note: Other protocol-defined inclusion/exclusion criteria apply

Trial locations and contacts

44 sites in 4 countries.

44 sites in 4 countries

United States32 sites
  • Excel Medical Clinical Trials DBA Flourish

    Boca Raton, Florida, 33434

  • University of Chicago

    Chicago, Illinois, 60637-1443

  • Benchmark Research - Covington - HyperCore - PPDS

    Covington, Louisiana, 70433

  • Henry Ford Hospital

    Detroit, Michigan, 48202-2608

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Benchmark Research - Fort Worth - HyperCore - PPDS

    Fort Worth, Texas, 76135-5283

  • Lenzmeier Family Medicine - CCT - PPDS

    Glendale, Arizona, 85308-5093

  • Velocity Clinical Research - Hampton - PPDS

    Hampton, Virginia, 23666-6262

  • Indago Research and Health Center

    Hialeah, Florida, 33012-4170

  • CenExel RCA - Hollywood

    Hollywood, Florida, 33024-2709

  • DM Clinical Research - Cyfair Clinical Research Center

    Houston, Texas, 77065-5685

  • Snake River Research, PLLC

    Idaho Falls, Idaho, 83404-7573

  • Critical Care, Pulmonary and Sleep Associates / CCT Research

    Lakewood, Colorado, 80228

  • Velocity Clinical Research (Lincoln - Nebraska) - PPDS

    Lincoln, Nebraska, 68510

  • Baptist Health Center for Clinical Research

    Little Rock, Arkansas, 72205

  • David Geffen School of Medicine at UCLA

    Los Angeles, California, 90095-3075

  • Yale University School of Medicine

    New Haven, Connecticut, 06510-2483

  • AES - DRS - Optimal Research Illinois - Peoria

    Peoria, Illinois, 61614-4885

  • DM Clinical Research - Philadelphia - ERN - PPDS

    Philadelphia, Pennsylvania, 19107-1530

  • Foothills Research Center - CCT - PPDS

    Phoenix, Arizona, 85044-6097

  • University of Rochester - Rochester General Hospital - PPDS

    Rochester, New York, 14621-3011

  • Velocity Clinical Research (Rockville - Maryland) - PPDS

    Rockville, Maryland, 20854-2960

  • Benchmark Research - San Angelo - HyperCore - PPDS

    San Angelo, Texas, 76904-7610

  • Artemis Institute For Clinical Research LLC - San Diego - Headlands - PPDS

    San Diego, California, 92103-2209

  • DM Clinical Research - Southfield - ERN - PPDS

    Southfield, Michigan, 48076-5412

  • Springville Dermatology - CCT - PPDS

    Springville, Utah, 84663

  • Clinical Research Atlanta - Headlands - PPDS

    Stockbridge, Georgia, 30281-9054

  • Centricity Research Suffolk Family Medicine

    Suffolk, Virginia, 23435-3763

  • Velocity Clinical Research - Family Practice - Suffolk - PPDS

    Suffolk, Virginia, 23435

  • Fiel Family & Sports Medicine - PC - CCT - PPDS

    Tempe, Arizona, 85283-1528

  • Montefiore Medical Center - BRANY - PPDS

    The Bronx, New York, 10467-2401

  • DM Clinical Research - ERN - PPDS

    Tomball, Texas, 77375-6543

Other trials in United States

Canada6 sites
  • University of Alberta

    Edmonton, Alberta, T6G 2B7

  • Canadian Center for Vaccinology

    Halifax, Nova Scotia, L7 8XZ

  • OCT Research ULC (dba Okanagan Clinical Trials)

    Kelowna, British Columbia, V1Y 1Z9

  • Diex Recherche - Québec - PPDS

    Québec, G1V 4T3

  • Diex Recherche - Sherbrooke - PPDS

    Sherbrooke, Quebec, J1L 0H8

  • Colchester Research Group

    Truro, Nova Scotia, B2N 1L2

Other trials in Canada

United Kingdom5 sites
  • Aberdeen Royal Infirmary - PPDS

    Aberdeen, AB25 2ZD

  • Fylde Coast Clinical Research

    Blackpool, Lancashire, FY3 7EN

  • Royal Devon and Exeter Hospital

    Exeter, Devon, EX2 5DW

  • Liverpool School of Tropical Medicine

    Liverpool, Merseyside, L7 8XZ

  • The Royal Free Hospital

    London, NW3 2QG

Other trials in United Kingdom

Puerto Rico1 site
  • Caribbean Medical Research Center

    San Juan, 00918

Other trials in Puerto Rico

About this study

Official title: A Phase 3 Study to Evaluate the Immunogenicity and Safety of mRNA-1345, an mRNA Vaccine Targeting Respiratory Syncytial Virus, in High-Risk Adults

The study is divided into 2 parts (Part A and Part B). Part A of the study will evaluate the safety and immune response to mRNA-1345 in high-risk adults aged ≥18 to <60 years.

Part B of the study will evaluate the safety and immune response to mRNA-1345 in adults who received solid organ transplant (SOT).

Being tested
mRNA-1345
Keywords
Viral Diseases, Messenger RNA, Moderna, mRNA-1345, Respiratory syncytial virus, Safety, Vaccines, Immunocompromised, Organ transplant
Medical subject headings
Virus Diseases

What participants receive

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

  • mRNA-1345Biological

    Sterile liquid for injection

Study groups in NCT06067230
Study groupRoleWhat they receive
Part A: mRNA-1345 Dose 1ExperimentalSingle injection of mRNA-1345 administered intramuscularly (IM) on Day 1.
Receives: Biological: mRNA-1345
Part A: mRNA-1345 Dose 2ExperimentalSingle injection of mRNA-1345 administered IM on Day 1.
Receives: Biological: mRNA-1345
Part B: mRNA-1345 Dose 2ExperimentalTwo injections of mRNA-1345 administered IM on Day 1 and Day 57.
Receives: Biological: mRNA-1345

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: Day 1 through Day 7 (7 days post injection) for Part A and Day 1 through Day 64 (7 days post second injection) for Part B

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

    Measured: Day 1 through Day 28 (28 days post injection) for Part A and Day 1 through Day 84 (28 days post second injection) for Part B

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

    Measured: Day 1 through Month 6 (for Part A) and Day 1 through Month 9 (for Part B)

  4. Number of Participants With Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs), and AEs Leading to Discontinuation

    Measured: Day 1 through End of Study (Day 730)

  5. Part A: Geometric Mean Titer (GMT) of Serum Respiratory Syncytial Virus Subtype A (RSV-A) and Respiratory Syncytial Virus Subtype B (RSV-B) Neutralizing Antibodies (Abs) at Day 29

    Measured: Day 29

  6. Part B: GMT of Serum RSV-A and RSV-B Neutralizing Abs at Day 85

    Measured: Day 85

Secondary outcomes (21)
  1. Part A: Seroresponse Rate (SRR) of RSV-A and RSV-B Neutralizing Abs on Day 29

    Measured: Day 29

  2. Part A: Geometric Mean Concentration (GMC) of Serum RSV Prefusion Conformation of the F Protein (Pre-F) Binding Abs

    Measured: Up to End of Study (Day 730)

  3. Part A: Geometric Mean Fold-Rise (GMFR) of Serum RSV Pre-F Binding Abs

    Measured: Up to End of Study (Day 730)

  4. Part A: SRR of Serum RSV Pre-F Binding Abs at Postbaseline/Baseline Levels

    Measured: Baseline up to Day 730

  5. Part A: Number of Participants with ≥2-Fold Increase in RSV Pre-F Binding Abs

    Measured: Up to End of Study (Day 730)

  6. Part A: GMT of Serum RSV-A and RSV-B Neutralizing Abs at Day 29

    Measured: Day 29

  7. Part A: GMT of Postinjection/Baseline Titers to RSV-A and RSV-B Neutralizing Abs

    Measured: Baseline up to Day 730

  8. Part A: GMFR of Postinjection/Baseline Titers to RSV-A and RSV-B Neutralizing Abs

    Measured: Baseline up to Day 730

  9. Part A: SRR of Serum RSV-A and RSV-B Neutralizing Abs

    Measured: Up to End of Study (Day 730)

  10. Part A: Number of Participants with ≥2-Fold Increase in RSV-A and RSV-B Neutralizing Abs Titers

    Measured: Up to End of Study (Day 730)

  11. Part B: GMT of Serum RSV-A and RSV-B Neutralizing Abs at Day 29

    Measured: Day 29

  12. Part B: SRR of Serum RSV-A and RSV-B Neutralizing Abs on Day 29

    Measured: Day 29

  13. Part B: SRR of Serum RSV-A and RSV-B Neutralizing Abs on Day 85

    Measured: Day 85

  14. Part B: GMT of Serum RSV-A and RSV-B Neutralizing Abs

    Measured: Up to End of Study (Day 730)

  15. Part B: GMFR of Serum RSV-A and RSV-B Neutralizing Abs

    Measured: Up to End of Study (Day 730)

  16. Part B: SRR of Serum RSV-A and RSV-B Neutralizing Abs at Postbaseline/Baseline Levels

    Measured: Baseline up to Day 730

  17. Part B: Number of Participants with ≥2-Fold Increase in RSV-A and RSV-B Neutralizing Abs

    Measured: Up to End of Study (Day 730)

  18. Part B: GMC of Serum RSV Pre-F Binding Abs

    Measured: Up to End of Study (Day 730)

  19. Part B: GMFR of Serum RSV Pre-F Binding Abs

    Measured: Up to End of Study (Day 730)

  20. Part B: SRR of Serum RSV Pre-F Binding Abs at Postbaseline/Baseline Levels

    Measured: Baseline up to End of Study (Day 730)

  21. Part B: Number of Participants with ≥2-Fold Increase in RSV Pre-F Binding Abs

    Measured: Up to End of Study (Day 730)

Timeline

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

  1. First posted4 Oct 2023
  2. Study start6 Oct 2023
  3. Primary completion24 Jul 2026
  4. Study completion24 Jul 2026

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Part A participants will be randomized into 2 treatment dose groups at a 1:1 ratio. Part B is non-randomized.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,153 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06067230
Sponsor's protocol ID
mRNA-1345-P303
Status last verified
Aug 2026
First submitted
27 Sep 2023
Last updated
20 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Mayer EF, Falsey AR, Wolfe CR, Herc E, Burns F, Kabbani D, Kumar D, Mannan A, She F, Lan L, McGrath S, Kapoor A, Priddy F. Respiratory Syncytial Virus Vaccination in Solid Organ Transplant Recipients: Interim Findings From a Phase 3 Trial of mRNA-1345. Clin Infect Dis. 2026 May 20;82(5):e1112-e1121. doi: 10.1093/cid/ciag108.

    PubMed 41711453
  • Mayer EF, Falsey AR, Clark R, Ferguson M, Cardona J, She F, Jones B, Reuter C, Collins A, Mannan A, Kapoor A, Slobod K, Stoszek SK, Du J, Mou J, Lan L, Zhou H, Wilson E, Goswami J, Das R, Priddy F. Safety, Tolerability, and Immunogenicity of mRNA-1345 in Adults at Increased Risk for Respiratory Syncytial Virus Disease Aged 18-59 Years. Clin Infect Dis. 2026 Feb 4;81(6):e708-e716. doi: 10.1093/cid/ciaf292.

    PubMed 40464662

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing mRNA-1345 in people with Respiratory Syncytial Virus, run by ModernaTX, Inc. at 44 sites in 4 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 11 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 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Canada, United Kingdom, Puerto Rico. 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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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: Day 1 through Day 7 (7 days post injection) for Part A and Day 1 through Day 64 (7 days post second injection) for Part B). 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 NCT06067230, which also lists 2 linked publications.

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 20 Aug 2026.

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