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Effectiveness of mRNA-1273 Variant-Containing Vaccine Formulation Against Severe Outcomes in Adults Aged 50-64 Years Without Risk Factors for Severe COVID-19

A Phase 4 Pragmatic, Randomized Trial to Evaluate the Effectiveness of mRNA-1273 Variant-Containing Vaccine Formulation Against Severe Outcomes in Adults Aged 50-64 Years Without Risk Factors for Severe COVID-19

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07279766
Acronym
DAN-COVID
Enrollment
285000
Registered
2025-12-12
Start date
2025-12-11
Completion date
2026-08-01
Last updated
2026-03-16

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

Conditions

COVID-19

Keywords

COVID-19, Vaccination, Pragmatic, Registry, Respiratory tract disease, Respiratory, Cardiovascular

Brief summary

The purpose of this pragmatic randomized trial is to evaluate the vaccine effectiveness of the COVID-19 vaccine, mRNA-1273, in adults aged 50-64 years without known risk factors for severe COVID-19 infection. Participants will be randomized 1:1 to either COVID-19 vaccine or no COVID-19 vaccine.

Detailed description

The study is a pragmatic, registry-based, open-label, individually randomized trial. The Danish nationwide administrative health registries will be used for data collection including baseline information, follow-up data, and safety monitoring. The study aims to randomize a total of 285,000 participants. Participants will be individually randomized 1:1 to receive either a COVID-19 vaccine or no COVID-19 vaccine. The study is designed to assess the vaccine effectiveness of the COVID-19 vaccine vs. no COVID-19 vaccine on the risk of medically attended COVID-19 infection.

Interventions

For this arm, the current variant formulation of Spikevax (mRNA-1273) vaccine will be used.

Sponsors

Tor Biering-Sørensen
Lead SponsorOTHER
ModernaTX, Inc.
CollaboratorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
50 Years to 64 Years
Healthy volunteers
Yes

Inclusion criteria

* Age 50-64 years * Informed consent form has been signed and dated

Exclusion criteria

* Medical conditions that increase the risk of severe COVID-19, which will be assessed through self-reporting. These medical conditions include: 1. Asthma 2. Cancer (excluding non-melanoma skin cancer) 3. Cardiomyopathies 4. Cerebrovascular disease 5. Chronic kidney disease 6. Chronic lung disease 7. Cystic Fibrosis 8. Dementia 9. Diabetes 10. Down syndrome 11. Heart failure 12. Human Immunodeficiency Virus 13. Immunosuppressive therapy 14. Ischemic heart disease 15. Liver disease 16. Neurological/neuromuscular disease 17. Psychiatric disease (psychotic, schizophrenic, schizotypal, depressive, and bipolar (affective) disorders). 18. Severe obesity (body mass index \>35 kg/m2) 19. Severe substance abuse 20. Short bowel syndrome 21. Solid organ transplant or hematological transplant * Apart from these, there are no specific

Design outcomes

Primary

MeasureTime frameDescription
Medically attended COVID-19≥14 days after initially booked study visit date until 6 months after initially booked study visit dateDefined as a positive PCR test for SARS-CoV-2 or hospitalization for COVID-19-related respiratory tract disease

Secondary

MeasureTime frame
COVID-19-related hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
COVID-19-related respiratory tract disease hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
COVID-19-related cardio-respiratory disease hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
All-cause respiratory tract disease hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
All-cause cardio-respiratory hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
All-cause lower respiratory tract disease hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
All-cause hospitalization≥14 days after initially booked study visit date until 6 months after initially booked study visit date
COVID-19 death≥14 days after initially booked study visit date until 6 months after initially booked study visit date
All-cause death≥14 days after initially booked study visit date until 6 months after initially booked study visit date

Countries

Denmark

Contacts

STUDY_CHAIRTor Biering-Sørensen, MD, MSc, MPH, PhD

Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 17, 2026