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A Study of mRNA-1010 Seasonal Influenza Vaccine in Healthy Adults

A Phase 1/2, Randomized, Stratified, Observer-Blind, Dose-Ranging Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of mRNA-1010 Seasonal Influenza Vaccine in Healthy Adults 18 Years and Older

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04956575
Enrollment
885
Registered
2021-07-09
Start date
2021-07-06
Completion date
2022-09-27
Last updated
2023-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Seasonal Influenza

Keywords

Influenza vaccine, mRNA-1010, Moderna

Brief summary

The study comprises 3 parts: Phase 1/2, Phase 2 Northern Hemisphere (NH), and Phase 2 extension. The primary objective of this study is to evaluate the safety, reactogenicity, and humoral immunogenicity of mRNA-1010 vaccine.

Interventions

BIOLOGICALmRNA-1010

Sterile liquid for injection

BIOLOGICALPlacebo

0.9% sodium chloride solution for injection

BIOLOGICALActive Comparator

0.5 milliliter (mL) intramuscular (IM) injection

Sponsors

ModernaTX, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: Phase 1/2: * Participant has a body mass index (BMI) of 18 kilograms (kg)/square meter (m\^2) to 35 kg/m\^2 (inclusive) at the Screening Visit. * Participant is in good health, in the opinion of the Investigator, based on review of medical history and physical examination performed at screening. * For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to Day 1, agreement to continue adequate contraception through 3 months following vaccine administration, and not currently breastfeeding. Phase 2 NH and Phase 2 Extension: * Participant is medically stable, in the opinion of the Investigator, based on review of medical history and physical examination performed at screening. * For female participants of childbearing potential: negative pregnancy test, adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to Day 1, agreement to continue adequate contraception through 3 months following vaccine administration, and not currently breastfeeding. Key

Exclusion criteria

Phase 1/2: * Participant has had significant exposure to someone with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, COVID-19, or influenza-like illness (ILI) in the past 14 days prior to the Screening Visit, as defined by the United States Centers for Disease Control and Prevention (CDC) as close contact with someone who has COVID-19. * Participant has a positive SARS-CoV-2 reverse transcriptase polymerase chain reaction (RT-PCR) or antigen test in the past 10 days prior to the Screening Visit. * 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. * Participant has a pre-existing medical condition that is not stable, at the discretion of the Investigator. * Participant has a medical, psychiatric, or occupational condition that may pose additional risk as a result of participation or that could interfere with safety assessments or interpretation of results according to the Investigator's judgment. * Participant has received systemic immunosuppressants or immune-modifying drugs for \>14 days in total within 6 months 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 or plans to receive any licensed vaccine ≤28 days prior to the investigational product (IP) injection (Day 1) or plans to receive a licensed vaccine within 28 days after the IP injection, with the exception of vaccines authorized or approved for the prevention of COVID-19 (regardless of type of vaccine) that become available to participants during the study. Efforts should be made to space study vaccination and COVID-19 vaccination by at least 7 and preferably 14 days, but COVID-19 vaccination should not be delayed. * Participant has received a seasonal influenza vaccine or any other investigational influenza vaccine after 01 January 2021. Phase 2 NH: * Participant has had close contact to someone with SARS-CoV-2 infection or COVID-19 as defined by the CDC (CDC 2021a) in the past 14 days prior to the Screening Visit, unless the participant has been fully vaccinated for COVID-19. * Participant is acutely ill or febrile (body temperature ≥ 38.0°C/100.4°F) 72 hours prior to or at the Screening Visit or Day 1. Participants meeting this criterion may be rescheduled within the 28-day screening window and will retain their initially assigned participant number. * Participant has a medical, psychiatric, occupational condition, or history of substance abuse that may pose additional risk as a result of participation or that could interfere with safety assessments or interpretation of results according to the Investigator's judgment. * Participant has a current or previous diagnosis of immunocompromising/immunosuppressive condition, immune mediated disease requiring immune-modifying therapy, asplenia, recurrent severe infections (human immunodeficiency virus \[HIV\] positive participants on antiretroviral therapy with cluster of differentiation \[CD\] 4 count ≥ 350 cells/mm3 and HIV RNA ≤ 500 copies/mL within the past 12 months are permitted). * Participant has received systemic immunosuppressants or immune-modifying drugs for \> 14 days in total within 6 months prior to Screening Visit (for corticosteroids ≥ 10 mg/day of prednisone or equivalent) or is anticipating the need for systemic immunosuppressive treatment at any time during participation in the study. * Participant has a history of anaphylaxis, urticaria, or other significant AR requiring medical intervention after receipt of a vaccine or any of the components contained in the mRNA 1010 or the comparator vaccine, which is an egg-based influenza vaccine. * Participant has received or plans to receive any licensed vaccine ≤ 28 days prior to the IP injection (Day 1) or plans to receive a licensed vaccine within 28 days after the IP injection, with the exception of vaccines authorized or approved for the prevention of COVID-19 (regardless of type of vaccine) that become available to participants during the study. Efforts should be made to space study vaccination and COVID-19 vaccination by at least 7 and preferably 14 days, but COVID-19 vaccination should not be delayed. * Participant has received a seasonal influenza vaccine or any other investigational influenza vaccine within 6 months prior to the Screening Visit. * Participant has tested positive for influenza by CDC-recommended testing methods within 6 months prior to the Screening Visit. * 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. Phase 2 Extension: * Participant has had close contact to someone with SARS-CoV-2 infection or COVID-19 as defined by the CDC in the past 10 days prior to the Screening Visit. * Participant is acutely ill or febrile (body temperature ≥ 38.0°C/100.4°F) 72 hours prior to or at the Screening Visit or Day 1. Participants meeting this criterion may be rescheduled within the 28-day screening window and will retain their initially assigned participant number. * Participant has a medical, psychiatric, occupational condition, or history of substance abuse that may pose additional risk as a result of participation or that could interfere with safety assessments or interpretation of results according to the Investigator's judgment. * Participant has a current or previous diagnosis of immunocompromising/immunosuppressive condition, immune-mediated disease requiring immune-modifying therapy, asplenia, recurrent severe infections (HIV-positive participants on antiretroviral therapy with CD 4 count ≥ 350 cells/mm\^3 and HIV-RNA ≤ 500 copies/mL within the past 365 days are permitted). * Participant has received systemic immunosuppressants or immune-modifying drugs for \>14 days in total within 180 days prior to Screening Visit (for corticosteroids ≥ 10 mg/day of prednisone or equivalent) or is anticipating the need for systemic immunosuppressive treatment at any time during participation in the study. * Participant has a history of anaphylaxis, urticaria, or other significant AR requiring medical intervention after receipt of a vaccine or any of the components contained in the mRNA-1010 or the comparator vaccine, which is an egg-based influenza vaccine. * Participant has received or plans to receive any licensed vaccine ≤ 28 days prior to the IP injection (Day 1) or plans to receive a licensed vaccine within 28 days after the IP injection, with the exception of vaccines authorized or approved for the prevention of COVID-19 (regardless of type of vaccine) that become available to participants during the study. Efforts should be made to space study vaccination and COVID-19 vaccination by at least 7 and preferably 14 days, but COVID-19 vaccination should not be delayed. * Participant has received a seasonal influenza vaccine or any other investigational influenza vaccine within 180 days prior to the randomization visit. * Participant had tested positive for influenza by CDC-recommended testing methods within 180 days prior to the Screening Visit. * 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/

Design outcomes

Primary

MeasureTime frameDescription
Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BDay 29Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if LLOQ was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies. 95% CI was calculated using the Clopper-Pearson method
Phase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 29Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 95% CI was calculated based on the t-distribution of the log-transformed values then back transformed to the original scale for presentation.
Phase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 29Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 95% CI was calculated based on the t-distribution of the log-transformed values then back transformed to the original scale for presentation.
Phase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BDay 29Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if lower limit of quantification (LLOQ) was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies.
Phase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline), Day 29The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. 95% CI was calculated based on the difference in the log-transformed values for GMFR, then back transformed to the original scale for presentation.
Phase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BDay 29Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if LLOQ was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies. 95% CI was calculated using the Clopper-Pearson method
Number of Participants With Solicited Local and Systemic ARs7 days after vaccinationSolicited ARs (local and systemic) were collected in the electronic diary (eDiary). Local ARs included: pain at injection site, erythema (redness) at injection site, swelling/induration (hardness) at injection site, and localized axillary swelling or tenderness ipsilateral to the injection arm. Systemic ARs included: headache, fatigue, myalgia (muscle aches all over the body), arthralgia (aching in several joints), nausea/vomiting, rash, body temperature (potentially fever), and chills. Solicited ARs (local and systemic) considered causally related to injection were graded 0-4; lower score indicates lower severity and a higher score indicates greater severity. Note, not all solicited ARs were considered adverse events (AEs). The Investigator reviewed whether the solicited AR was also to be recorded as an AE. Summary of serious AEs (SAEs) and nonserious AEs (Other), regardless of causality, is in Reported Adverse Events section and presented by Phase/dose group.
Number of Participants With Unsolicited AEsUp to 28 days after vaccinationAn AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A treatment-emergent AE (TEAE) was defined as any event not present before exposure to vaccine or any event already present that worsens in intensity or frequency after exposure. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time \[PT\]/partial thromboplastin time \[PTT\]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsens from baseline and is considered clinically significant in the medical and scientific judgment of the Investigator. A summary of SAEs and all nonserious AEs (Other) reported up to the end of the study, regardless of causality, is located in the Reported Adverse Events section and presented by each Phase and dose group separately.
Number of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)Up to 6 months (end of study)An SAE was defined as any AE that resulted in death, is 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 included thrombocytopenia, new onset of or worsening of the protocol specified neurologic diseases, anaphylaxis, and myocarditis/pericarditis. An MAAE is an AE that leads to an unscheduled visit to an healthcare practitioner. This would include visits to a study site for unscheduled assessments (for example, abnormal laboratory follow-up, and/or COVID-19 and visits to healthcare practitioners external to the study site (for example, urgent care, primary care physician). A summary of SAEs and all nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section and presented by each Phase and dose group separately.
Phase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 29Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 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.

Secondary

MeasureTime frameDescription
Phase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline), Day 8 and Day 181The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. 95% CI was calculated based on the difference in the log-transformed values for GMT, then back transformed to the original scale for presentation.
Phase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Day 29
Phase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BDay 29Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if lower limit of quantification (LLOQ) was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies.
Phase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 29The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. 95% CI was calculated based on the difference in the log-transformed values for GMFR, then back transformed to the original scale for presentation.
Phase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline), Day 8 and Day 181Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 95% CI was calculated based on the t-distribution of the log-transformed values then back transformed to the original scale for presentation.

Countries

United States

Participant flow

Recruitment details

This study was conducted at 20 centers in the United States. The vaccines used in the study were based on the influenza virus strains recommended by the World Health Organization for the southern and northern hemispheres.

Pre-assignment details

For Phase 1/2, 1 participant who was randomly assigned to the 200 micrograms (ug) mRNA-1010 group received a dose of 100 ug and was therefore included in the 100 ug mRNA-1010 group in the Safety Set and the Solicited Safety Set. For Phase 2 Northern Hemisphere (NH), 1 participant randomly assigned to the 25 ug mRNA-1010 group received 50 ug mRNA-1010, and 1 participant randomly assigned to 50 ug mRNA-1010 received Afluria Quadrivalent.

Participants by arm

ArmCount
Phase 1/2: Placebo
Participants received placebo matching to mRNA-1010 by IM injection on Day 1.
45
Phase 1/2: mRNA-1010 50 ug
Participants received mRNA-1010 50 ug by IM injection on Day 1.
45
Phase 1/2: mRNA-1010 100 ug
Participants received mRNA-1010 100 ug by IM injection on Day 1.
46
Phase 1/2: mRNA-1010 200 ug
Participants received mRNA-1010 200 ug by IM injection on Day 1.
44
Phase 2 NH: Afluria Quadrivalent 60 ug
Participants received Afluria Quadrivalent 60 ug by IM injection on Day 1.
54
Phase 2 NH: mRNA-1010 25 ug
Participants received mRNA-1010 25 ug by IM injection on Day 1.
150
Phase 2 NH: mRNA-1010 50 ug
Participants received mRNA-1010 50 ug by IM injection on Day 1.
147
Phase 2 NH: mRNA-1010 100 ug
Participants received mRNA-1010 100 ug by IM injection on Day 1.
147
Phase 2 Extension: Afluria Quadrivalent 60 ug
Participants received Afluria Quadrivalent 60 ug by IM injection on Day 1
51
Phase 2 Extension: mRNA-1010 6.25 ug
Participants received mRNA-1010 6.25 ug by IM injection on Day 1.
50
Phase 2 Extension: mRNA-1010 12.5 ug
Participants received mRNA-1010 12.5 ug by IM injection on Day 1.
50
Phase 2 Extension: mRNA-1010 25 ug
Participants received mRNA-1010 25 ug by IM injection on Day 1.
49
Total878

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011
Overall StudyDeath100000010100
Overall StudyLost to Follow-up34231101174238
Overall StudyWithdrawal by Subject121428511031

Baseline characteristics

CharacteristicPhase 1/2: PlaceboPhase 1/2: mRNA-1010 50 ugPhase 1/2: mRNA-1010 100 ugPhase 1/2: mRNA-1010 200 ugPhase 2 NH: Afluria Quadrivalent 60 ugPhase 2 NH: mRNA-1010 25 ugPhase 2 NH: mRNA-1010 50 ugPhase 2 NH: mRNA-1010 100 ugPhase 2 Extension: Afluria Quadrivalent 60 ugPhase 2 Extension: mRNA-1010 6.25 ugPhase 2 Extension: mRNA-1010 12.5 ugPhase 2 Extension: mRNA-1010 25 ugTotal
Age, Continuous52.0 years48.2 years52.2 years48.9 years52.4 years50.4 years50.3 years49.9 years40.8 years40.4 years42.8 years38.9 years47.3 years
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants12 Participants9 Participants8 Participants12 Participants27 Participants32 Participants29 Participants17 Participants12 Participants14 Participants11 Participants188 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
39 Participants33 Participants37 Participants35 Participants42 Participants122 Participants114 Participants114 Participants34 Participants36 Participants35 Participants36 Participants677 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants0 Participants1 Participants0 Participants1 Participants1 Participants4 Participants0 Participants2 Participants1 Participants2 Participants13 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants0 Participants0 Participants1 Participants0 Participants1 Participants5 Participants
Race/Ethnicity, Customized
Asian
1 Participants1 Participants1 Participants0 Participants0 Participants2 Participants3 Participants2 Participants0 Participants0 Participants2 Participants0 Participants12 Participants
Race/Ethnicity, Customized
Black or African American
5 Participants5 Participants2 Participants10 Participants6 Participants17 Participants18 Participants18 Participants4 Participants4 Participants8 Participants4 Participants101 Participants
Race/Ethnicity, Customized
Multiple Race
0 Participants1 Participants0 Participants0 Participants2 Participants3 Participants1 Participants1 Participants0 Participants1 Participants1 Participants1 Participants11 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Other Race
0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants4 Participants
Race/Ethnicity, Customized
Race Not Reported
1 Participants0 Participants1 Participants2 Participants1 Participants1 Participants1 Participants2 Participants0 Participants0 Participants0 Participants1 Participants10 Participants
Race/Ethnicity, Customized
Race Unknown
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
38 Participants38 Participants41 Participants32 Participants45 Participants124 Participants120 Participants124 Participants47 Participants44 Participants39 Participants41 Participants733 Participants
Sex: Female, Male
Female
23 Participants19 Participants25 Participants33 Participants30 Participants89 Participants80 Participants86 Participants24 Participants34 Participants27 Participants30 Participants500 Participants
Sex: Female, Male
Male
22 Participants26 Participants21 Participants11 Participants24 Participants61 Participants67 Participants61 Participants27 Participants16 Participants23 Participants19 Participants378 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
deaths
Total, all-cause mortality
1 / 450 / 450 / 460 / 440 / 540 / 1500 / 1471 / 1470 / 511 / 500 / 500 / 49
other
Total, other adverse events
26 / 4539 / 4544 / 4642 / 4437 / 54130 / 150133 / 147133 / 14733 / 5145 / 5038 / 5045 / 49
serious
Total, serious adverse events
2 / 450 / 450 / 461 / 441 / 543 / 1505 / 1474 / 1471 / 512 / 500 / 500 / 49

Outcome results

Primary

Number of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)

An SAE was defined as any AE that resulted in death, is 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 included thrombocytopenia, new onset of or worsening of the protocol specified neurologic diseases, anaphylaxis, and myocarditis/pericarditis. An MAAE is an AE that leads to an unscheduled visit to an healthcare practitioner. This would include visits to a study site for unscheduled assessments (for example, abnormal laboratory follow-up, and/or COVID-19 and visits to healthcare practitioners external to the study site (for example, urgent care, primary care physician). A summary of SAEs and all nonserious AEs (Other), regardless of causality, is located in the Reported Adverse Events section and presented by each Phase and dose group separately.

Time frame: Up to 6 months (end of study)

Population: Safety Analysis Set: all randomly assigned participants who received the investigational product. Dose groups for Phase 1/2, Phase 2 NH, and Phase 2 Extension by dose group and Afluria Quadrivalent 60 ug groups were combined for this assessment as pre-specified by the protocol. Combined data for \>= 50 ug is also presented. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE10 Participants
PlaceboNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE2 Participants
PlaceboNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
Afluria Quadrivalent 60 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE2 Participants
Afluria Quadrivalent 60 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE27 Participants
Afluria Quadrivalent 60 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 6.25 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 6.25 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE2 Participants
mRNA-1010 6.25 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE18 Participants
mRNA-1010 12.5 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE15 Participants
mRNA-1010 12.5 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE0 Participants
mRNA-1010 12.5 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 25 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE3 Participants
mRNA-1010 25 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 25 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE58 Participants
mRNA-1010 50 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 50 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE5 Participants
mRNA-1010 50 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE50 Participants
mRNA-1010 100 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE62 Participants
mRNA-1010 100 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE4 Participants
mRNA-1010 100 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 200 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 200 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE12 Participants
mRNA-1010 200 ugNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE1 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)AESI0 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)MAAE124 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With SAEs, AEs of Special Interest (AESIs), Medically Attended AEs (MAAEs)SAE10 Participants
Primary

Number of Participants With Solicited Local and Systemic ARs

Solicited ARs (local and systemic) were collected in the electronic diary (eDiary). Local ARs included: pain at injection site, erythema (redness) at injection site, swelling/induration (hardness) at injection site, and localized axillary swelling or tenderness ipsilateral to the injection arm. Systemic ARs included: headache, fatigue, myalgia (muscle aches all over the body), arthralgia (aching in several joints), nausea/vomiting, rash, body temperature (potentially fever), and chills. Solicited ARs (local and systemic) considered causally related to injection were graded 0-4; lower score indicates lower severity and a higher score indicates greater severity. Note, not all solicited ARs were considered adverse events (AEs). The Investigator reviewed whether the solicited AR was also to be recorded as an AE. Summary of serious AEs (SAEs) and nonserious AEs (Other), regardless of causality, is in Reported Adverse Events section and presented by Phase/dose group.

Time frame: 7 days after vaccination

Population: Solicited Safety Set: Consisted of all participants in the Safety Set who contributed any solicited AR data. Dose groups for Phase 1/2, Phase 2 NH, and Phase 2 Extension by dose group and Afluria Quadrivalent 60 ug groups were combined for this assessment as pre-specified by the protocol. Combined data for \>= 50 ug is also presented. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Solicited Local and Systemic ARsGrade 31 Participants
PlaceboNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
PlaceboNumber of Participants With Solicited Local and Systemic ARsGrade 25 Participants
PlaceboNumber of Participants With Solicited Local and Systemic ARsGrade 112 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Solicited Local and Systemic ARsGrade 143 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Solicited Local and Systemic ARsGrade 216 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Solicited Local and Systemic ARsGrade 34 Participants
mRNA-1010 6.25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 217 Participants
mRNA-1010 6.25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 6.25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 122 Participants
mRNA-1010 6.25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 34 Participants
mRNA-1010 12.5 ugNumber of Participants With Solicited Local and Systemic ARsGrade 116 Participants
mRNA-1010 12.5 ugNumber of Participants With Solicited Local and Systemic ARsGrade 212 Participants
mRNA-1010 12.5 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 12.5 ugNumber of Participants With Solicited Local and Systemic ARsGrade 34 Participants
mRNA-1010 25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 176 Participants
mRNA-1010 25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 315 Participants
mRNA-1010 25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 281 Participants
mRNA-1010 25 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 50 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 50 ugNumber of Participants With Solicited Local and Systemic ARsGrade 165 Participants
mRNA-1010 50 ugNumber of Participants With Solicited Local and Systemic ARsGrade 270 Participants
mRNA-1010 50 ugNumber of Participants With Solicited Local and Systemic ARsGrade 331 Participants
mRNA-1010 100 ugNumber of Participants With Solicited Local and Systemic ARsGrade 345 Participants
mRNA-1010 100 ugNumber of Participants With Solicited Local and Systemic ARsGrade 144 Participants
mRNA-1010 100 ugNumber of Participants With Solicited Local and Systemic ARsGrade 286 Participants
mRNA-1010 100 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 200 ugNumber of Participants With Solicited Local and Systemic ARsGrade 217 Participants
mRNA-1010 200 ugNumber of Participants With Solicited Local and Systemic ARsGrade 318 Participants
mRNA-1010 200 ugNumber of Participants With Solicited Local and Systemic ARsGrade 17 Participants
mRNA-1010 200 ugNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Solicited Local and Systemic ARsGrade 40 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Solicited Local and Systemic ARsGrade 1116 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Solicited Local and Systemic ARsGrade 2173 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Solicited Local and Systemic ARsGrade 394 Participants
Primary

Number of Participants With Unsolicited AEs

An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A treatment-emergent AE (TEAE) was defined as any event not present before exposure to vaccine or any event already present that worsens in intensity or frequency after exposure. Any abnormal laboratory test result (hematology, clinical chemistry, or prothrombin time \[PT\]/partial thromboplastin time \[PTT\]) or other safety assessment (for example, electrocardiogram, radiological scan, vital sign measurement), including one that worsens from baseline and is considered clinically significant in the medical and scientific judgment of the Investigator. A summary of SAEs and all nonserious AEs (Other) reported up to the end of the study, regardless of causality, is located in the Reported Adverse Events section and presented by each Phase and dose group separately.

Time frame: Up to 28 days after vaccination

Population: Safety Analysis Set: all randomly assigned participants who received the investigational product. Dose groups for Phase 1/2, Phase 2 NH, and Phase 2 Extension by dose group and Afluria Quadrivalent 60 ug groups were combined for this assessment as pre-specified by the protocol. Combined data for \>= 50 ug is also presented. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Unsolicited AEsAll6 Participants
PlaceboNumber of Participants With Unsolicited AEsNonserious5 Participants
PlaceboNumber of Participants With Unsolicited AEsSerious1 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Unsolicited AEsNonserious20 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Unsolicited AEsSerious0 Participants
Afluria Quadrivalent 60 ugNumber of Participants With Unsolicited AEsAll20 Participants
mRNA-1010 6.25 ugNumber of Participants With Unsolicited AEsSerious1 Participants
mRNA-1010 6.25 ugNumber of Participants With Unsolicited AEsAll17 Participants
mRNA-1010 6.25 ugNumber of Participants With Unsolicited AEsNonserious16 Participants
mRNA-1010 12.5 ugNumber of Participants With Unsolicited AEsNonserious14 Participants
mRNA-1010 12.5 ugNumber of Participants With Unsolicited AEsAll14 Participants
mRNA-1010 12.5 ugNumber of Participants With Unsolicited AEsSerious0 Participants
mRNA-1010 25 ugNumber of Participants With Unsolicited AEsSerious0 Participants
mRNA-1010 25 ugNumber of Participants With Unsolicited AEsAll47 Participants
mRNA-1010 25 ugNumber of Participants With Unsolicited AEsNonserious47 Participants
mRNA-1010 50 ugNumber of Participants With Unsolicited AEsSerious1 Participants
mRNA-1010 50 ugNumber of Participants With Unsolicited AEsAll42 Participants
mRNA-1010 50 ugNumber of Participants With Unsolicited AEsNonserious41 Participants
mRNA-1010 100 ugNumber of Participants With Unsolicited AEsNonserious44 Participants
mRNA-1010 100 ugNumber of Participants With Unsolicited AEsAll46 Participants
mRNA-1010 100 ugNumber of Participants With Unsolicited AEsSerious2 Participants
mRNA-1010 200 ugNumber of Participants With Unsolicited AEsSerious0 Participants
mRNA-1010 200 ugNumber of Participants With Unsolicited AEsNonserious10 Participants
mRNA-1010 200 ugNumber of Participants With Unsolicited AEsAll10 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Unsolicited AEsSerious3 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Unsolicited AEsNonserious95 Participants
mRNA-1010 >= 50 ug OverallNumber of Participants With Unsolicited AEsAll98 Participants
Primary

Phase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B Strains

The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. 95% CI was calculated based on the difference in the log-transformed values for GMFR, then back transformed to the original scale for presentation.

Time frame: Day 1 (Baseline), Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N11.08 ratio
PlaceboPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N21.05 ratio
PlaceboPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage0.98 ratio
PlaceboPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage0.92 ratio
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N27.16 ratio
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage1.95 ratio
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.04 ratio
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N17.50 ratio
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage1.86 ratio
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N26.43 ratio
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.78 ratio
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N18.69 ratio
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.55 ratio
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N27.13 ratio
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N111.05 ratio
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Fold-Rise (GMFR) of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage2.03 ratio
Primary

Phase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B Strains

Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 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.

Time frame: Day 29

Population: Per-Protocol (PP) Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
PlaceboPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N158.50 Titer
PlaceboPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N256.49 Titer
PlaceboPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage111.14 Titer
PlaceboPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage103.94 Titer
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2376.02 Titer
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage237.44 Titer
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage379.02 Titer
Afluria Quadrivalent 60 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1410.71 Titer
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage169.92 Titer
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2325.07 Titer
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage319.07 Titer
mRNA-1010 6.25 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1331.06 Titer
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage456.36 Titer
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2537.26 Titer
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1598.22 Titer
mRNA-1010 12.5 ugPhase 1/2: Geometric Mean Titer (GMT) of Anti-Hemagglutinin (HA) Antibodies at Day 29, as Measured by Hemagglutination Inhibition (HAI) Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage281.00 Titer
Primary

Phase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B

Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if lower limit of quantification (LLOQ) was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies.

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N14.9 percentage of participants
PlaceboPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N22.4 percentage of participants
PlaceboPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage2.4 percentage of participants
PlaceboPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage2.4 percentage of participants
Afluria Quadrivalent 60 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N281.4 percentage of participants
Afluria Quadrivalent 60 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage14.0 percentage of participants
Afluria Quadrivalent 60 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage41.9 percentage of participants
Afluria Quadrivalent 60 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N167.4 percentage of participants
mRNA-1010 6.25 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage15.9 percentage of participants
mRNA-1010 6.25 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N275.0 percentage of participants
mRNA-1010 6.25 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage50.0 percentage of participants
mRNA-1010 6.25 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N181.8 percentage of participants
mRNA-1010 12.5 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage51.2 percentage of participants
mRNA-1010 12.5 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N275.6 percentage of participants
mRNA-1010 12.5 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N190.2 percentage of participants
mRNA-1010 12.5 ugPhase 1/2: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage25.0 percentage of participants
Primary

Phase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B Strains

Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 95% CI was calculated based on the t-distribution of the log-transformed values then back transformed to the original scale for presentation.

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
PlaceboPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1253.07 Titer
PlaceboPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2114.21 Titer
PlaceboPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage155.07 Titer
PlaceboPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage193.16 Titer
Afluria Quadrivalent 60 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2161.58 Titer
Afluria Quadrivalent 60 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage55.76 Titer
Afluria Quadrivalent 60 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage119.54 Titer
Afluria Quadrivalent 60 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1228.02 Titer
mRNA-1010 6.25 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage71.12 Titer
mRNA-1010 6.25 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2216.32 Titer
mRNA-1010 6.25 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage178.43 Titer
mRNA-1010 6.25 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1316.53 Titer
mRNA-1010 12.5 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage144.13 Titer
mRNA-1010 12.5 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2301.53 Titer
mRNA-1010 12.5 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1471.56 Titer
mRNA-1010 12.5 ugPhase 2 Extension: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage83.46 Titer
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [0.57, 1.44]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [0.78, 2]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent. against H1N1 at Day 29.95% CI: [1.16, 2.99]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [0.91, 2.21]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [1.21, 2.97]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [1.68, 4.14]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [0.26, 0.5]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [0.33, 0.64]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [0.38, 0.76]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [0.43, 0.9]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [0.63, 1.35]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [0.51, 1.09]
Primary

Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B

Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if LLOQ was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies. 95% CI was calculated using the Clopper-Pearson method

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage47.9 percentage of participants
PlaceboPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage47.9 percentage of participants
PlaceboPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N150.0 percentage of participants
PlaceboPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N243.8 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N244.9 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N159.2 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage10.2 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage24.5 percentage of participants
mRNA-1010 6.25 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage21.7 percentage of participants
mRNA-1010 6.25 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage43.5 percentage of participants
mRNA-1010 6.25 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N266.0 percentage of participants
mRNA-1010 6.25 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N168.1 percentage of participants
mRNA-1010 12.5 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage39.1 percentage of participants
mRNA-1010 12.5 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N173.9 percentage of participants
mRNA-1010 12.5 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N280.4 percentage of participants
mRNA-1010 12.5 ugPhase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage28.3 percentage of participants
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [-10.62, 28.31]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [-1.81, 36.61]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [4.2, 41.86]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [-18.41, 20.6]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [2.09, 40.6]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [17.38, 53.36]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [-53.36, -20.45]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [-43.66, -6.9]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [-37.95, 0.11]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [-41.09, -4.26]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of against Afluria Quadrivalent Yamagata-lineage at Day 29.95% CI: [-24.09, 15.59]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [-28.13, 11.27]
Primary

Phase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B Strains

Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 95% CI was calculated based on the t-distribution of the log-transformed values then back transformed to the original scale for presentation.

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
PlaceboPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1164.00 titer
PlaceboPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N285.54 titer
PlaceboPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage147.47 titer
PlaceboPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage193.08 titer
Afluria Quadrivalent 60 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2153.43 titer
Afluria Quadrivalent 60 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage100.51 titer
Afluria Quadrivalent 60 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage215.19 titer
Afluria Quadrivalent 60 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1298.88 titer
mRNA-1010 6.25 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage129.56 titer
mRNA-1010 6.25 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2187.08 titer
mRNA-1010 6.25 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage230.66 titer
mRNA-1010 6.25 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1422.24 titer
mRNA-1010 12.5 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage231.44 titer
mRNA-1010 12.5 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N2215.23 titer
mRNA-1010 12.5 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N1443.62 titer
mRNA-1010 12.5 ugPhase 2 NH: GMT of HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage123.17 titer
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [1.27, 2.61]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [1.79, 3.7]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [1.88, 3.88]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [1.29, 2.5]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [1.57, 3.05]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [1.81, 3.5]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [0.54, 0.87]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [0.69, 1.12]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [0.66, 1.06]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [0.86, 1.44]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [0.93, 1.54]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [0.93, 1.55]
Primary

Phase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B

Humoral immunogenicity relative to that of the active comparator (afluria quadrivalent) was assessed against vaccine-matched Influenza A and B strains at Day 29. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if LLOQ was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies. 95% CI was calculated using the Clopper-Pearson method

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N159.6 percentage of participants
PlaceboPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N240.4 percentage of participants
PlaceboPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage32.7 percentage of participants
PlaceboPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage32.7 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N266.0 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage22.9 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage41.7 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N172.2 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage33.3 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N271.7 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage47.8 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N184.8 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage51.8 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N278.7 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N185.8 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage37.1 percentage of participants
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [12.33, 40.84]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [-2, 27.93]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H1N1 at Day 29.95% CI: [11.18, 39.89]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [9.82, 40.13]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [15.66, 45.73]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against H3N2 at Day 29.95% CI: [22.98, 52.3]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [-24.83, 3.79]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [-14.91, 14.73]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Victoria-lineage at Day 29.95% CI: [-11.19, 18.59]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [-6.72, 23.09]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent against Yamagata-lineage at Day 29.95% CI: [-0.74, 29.37]
Comparison: Humoral immunogenicity of mRNA-1010 relative to that of Afluria Quadrivalent. against Yamagata-lineage at Day 29.95% CI: [3.22, 33.22]
Secondary

Phase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B Strains

The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. 95% CI was calculated based on the difference in the log-transformed values for GMT, then back transformed to the original scale for presentation.

Time frame: Day 1 (Baseline), Day 8 and Day 181

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N10.78 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N11.21 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N20.96 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N21.27 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage0.30 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage0.34 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage0.48 ratio
PlaceboPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage0.53 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage0.54 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage0.77 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N12.99 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage0.77 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage0.98 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N23.24 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N24.21 ratio
Afluria Quadrivalent 60 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N13.48 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage1.38 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N24.37 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N23.27 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage1.24 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage0.82 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage0.96 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N14.30 ratio
mRNA-1010 6.25 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N12.18 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N24.58 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N23.09 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N12.92 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N15.91 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage0.85 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage0.85 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage1.51 ratio
mRNA-1010 12.5 ugPhase 1/2: GMFR of Anti-HA Antibodies at Days 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage0.48 ratio
Secondary

Phase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B Strains

Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. GMT 95% CI was calculated based on the t-distribution of the log-transformed values then back transformed to the original scale for presentation.

Time frame: Day 1 (Baseline), Day 8 and Day 181

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage54.68 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H1N154.16 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage37.59 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N142.05 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Yamagata-lineage113.13 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H3N253.68 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N251.46 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N167.55 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage55.08 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N267.50 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Victoria-lineage113.97 titer
PlaceboPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage34.65 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N1167.28 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage91.27 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N2211.76 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Yamagata-lineage124.60 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage118.85 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage76.56 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N1185.61 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Victoria-lineage121.61 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N2186.06 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H3N252.52 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H1N154.73 titer
Afluria Quadrivalent 60 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage106.23 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage72.27 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N1163.84 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N174.14 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H3N250.59 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N2220.95 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N2158.74 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Victoria-lineage91.41 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage113.14 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Yamagata-lineage84.47 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage116.79 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage69.87 titer
mRNA-1010 6.25 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H1N138.12 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Victoria-lineage137.99 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H3N2235.10 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H1N1319.86 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Yamagata-lineage194.38 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: H3N2345.29 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H3N275.31 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): H1N154.12 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Yamagata-lineage112.06 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: Victoria-lineage70.62 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 8: Victoria-lineage122.10 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 181: H1N1159.95 titer
mRNA-1010 12.5 ugPhase 1/2: GMT of Anti-HA Antibodies at Days 1, 8 and 181, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsDay 1 (Baseline): Yamagata-lineage128.43 titer
Secondary

Phase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B Strains

The GMFR measures the changes in immunogenicity titers or levels from Baseline within participants. Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. 95% CI was calculated based on the difference in the log-transformed values for GMFR, then back transformed to the original scale for presentation.

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N14.19 ratio
PlaceboPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N23.17 ratio
PlaceboPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage3.30 ratio
PlaceboPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.07 ratio
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.33 ratio
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N26.28 ratio
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N17.64 ratio
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage2.27 ratio
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N112.15 ratio
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.73 ratio
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N28.17 ratio
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage3.06 ratio
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N111.96 ratio
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N28.70 ratio
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage2.79 ratio
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.67 ratio
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.72 ratio
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage3.91 ratio
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N23.78 ratio
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N16.08 ratio
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage2.29 ratio
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage1.69 ratio
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N24.51 ratio
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N16.03 ratio
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.03 ratio
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N17.21 ratio
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage1.84 ratio
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N26.66 ratio
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH3N29.30 ratio
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsVictoria-lineage2.47 ratio
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsYamagata-lineage3.08 ratio
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: GMFR of Anti-HA Antibodies at Day 29, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B StrainsH1N112.58 ratio
Secondary

Phase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N192.3 percentage of participants
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N290.4 percentage of participants
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage96.2 percentage of participants
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage96.2 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage99.3 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N291.0 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N197.2 percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage91.7 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N197.1 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage96.4 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N291.3 percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage90.6 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N198.6 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N291.5 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage91.4 percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage97.2 percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage97.9 percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage100.0 percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N281.3 percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N195.8 percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage93.9 percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage75.5 percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N289.8 percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N193.9 percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage95.7 percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N195.7 percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage89.1 percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N293.6 percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H3N297.8 percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Victoria-lineage82.6 percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29Yamagata-lineage91.3 percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With HAI Titer ≥1:40 at Day 29H1N197.8 percentage of participants
Secondary

Phase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and B

Seasonal influenza A included H1N1 and H3N2 and seasonal influenza B strains included Victoria-lineage and Yamagata-lineage. Seroconversion at a participant level was defined as (a) if lower limit of quantification (LLOQ) was 1:10, a post-baseline titer ≥1:40 if baseline was \<1:10 or a 4-fold or greater rise from baseline if baseline was ≥1:10 in anti-HA antibodies; or (b) if LLOQ was \>1:10, a post-baseline titer ≥4 x LLOQ if baseline was \<LLOQ, or 4-fold or greater increase from baseline if baseline was ≥LLOQ in anti-HA antibodies.

Time frame: Day 29

Population: PP Set: consisted of all participants who received the investigational product and who complied with the injection schedule and timing of immunogenicity blood sampling, did not have influenza infection at baseline through Day 29, and had no major protocol deviations that impacted the immune response. Number Analyzed = participants who were evaluable at specified timepoints.

ArmMeasureGroupValue (NUMBER)
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N159.6 Percentage of participants
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N240.4 Percentage of participants
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage32.7 Percentage of participants
PlaceboPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage32.7 Percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage41.7 Percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N266.0 Percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N172.2 Percentage of participants
Afluria Quadrivalent 60 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage22.9 Percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N184.8 Percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage47.8 Percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N271.7 Percentage of participants
mRNA-1010 6.25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage33.3 Percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N185.8 Percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N278.7 Percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage37.1 Percentage of participants
mRNA-1010 12.5 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage51.8 Percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage47.9 Percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage47.9 Percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N243.8 Percentage of participants
mRNA-1010 25 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N150.0 Percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage24.5 Percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage10.2 Percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N244.9 Percentage of participants
mRNA-1010 50 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N159.2 Percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage43.5 Percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N168.1 Percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage21.7 Percentage of participants
mRNA-1010 100 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N266.0 Percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH3N280.4 Percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BVictoria-lineage28.3 Percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BYamagata-lineage39.1 Percentage of participants
mRNA-1010 200 ugPhase 2 NH and Phase 2 Extension: Percentage of Participants With Seroconversion, as Measured by HAI Assay for Vaccine-Matched Seasonal Influenza A and BH1N173.9 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026