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Phase 3 N=13,553 Randomized Quadruple-blind Prevention

A Study of mRNA-1283 Injection Compared With mRNA-1273 Injection in Participants ≥12 Years of Age to Prevent COVID-19

COVID-19

Enrolled (actual)
13,553
Serious AEs
3.2%
Results posted
May 2026
Primary outcome: Primary: Part 1: Geometric Mean (GM) of Omicron BA.4/5 at Day 29 — 2340.9; 1753.8 AU/mL

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
mRNA-1283.222 (Biological); mRNA-1273.222 (Biological); mRNA-1283.815 (Biological); mRNA-1273.815 (Biological)
Age
Pediatric, Adult, Older Adult · 12+ yrs
Sex
All
Sponsor
ModernaTX, Inc.
Primary completion
Apr 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Part 1: Geometric Mean (GM) of Omicron BA.4/5 at Day 29
2340.9; 1753.8
PRIMARY
Part 1: Seroresponse Rate (SRR) Omicron BA.4/5 at Day 29
79.9; 65.5
PRIMARY
Part 1: GM of the Ancestral Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) D614G at Day 29
10631.9; 8576.5
PRIMARY
Part 1: SRR of Ancestral SARS-CoV-2 D641G at Day 29
83.6; 72.9
PRIMARY
Part 1: Number of Participants With First Event of Centers for Disease Control and Prevention (CDC)-Defined COVID-19
560; 617 = 0.0005 sig
PRIMARY
Part 1: Number of Participants With Solicited Local and Systemic Adverse Reactions (ARs)
4571; 4781
PRIMARY
Part 3: Number of Participants With Solicited Local and Systemic ARs
767; 799
PRIMARY
Part 1: Number of Participants With Unsolicited Adverse Events (AEs)
706; 683
PRIMARY
Part 3: Number of Participants With Unsolicited AEs
73; 76
PRIMARY
Part 1: Number of Participants With Any Serious AEs (SAEs), Medically Attended AEs (MAAEs), AEs Leading to Withdrawal From Study, and AEs of Special Interest (AESIs)
203; 197; 2165; 2120; 11; 13
PRIMARY
Part 3: Number of Participants With Any SAEs, MAAEs, AEs Leading to Withdrawal From Study, and AESIs
15; 20; 140; 126; 1; 1
SECONDARY
Part 1: GMs of Omicron BA.4/5 and Ancestral SARS-CoV-2 D614G
1513.2; 1137.8; 1113.3; 863.7; 753.3; 625.9
SECONDARY
Part 1: SRR Against Omicron BA.4/5 and Ancestral SARS-CoV-2 D614G at Days 91, 181, and 365
59.5; 45.8; 45.7; 37.1; 30.0; 26.4
SECONDARY
Part 1: Number of Participants With a SARS-CoV-2 Infection (Symptomatic or Asymptomatic)
1249; 1290
SECONDARY
Part 3: GM of Omicron XBB.1.5 in Unvaccinated Participants
2571.1; 1896.8
SECONDARY
Part 3: GM of Omicron XBB.1.5 in All Study Participants
2747.3; 2027.0
SECONDARY
Part 3: SRR Against Omicron XBB.1.5 in Unvaccinated Participants
91.1; 87.0
SECONDARY
Part 3: SRR Against Omicron XBB.1.5 in All Study Participants
88.3; 81.2

Summary

The purpose of this study (Part 1 and Part 2) is to evaluate the relative vaccine efficacy (rVE), safety, reactogenicity, and immunogenicity of mRNA-1283.222 versus mRNA-1273.222 (Part 1) and mRNA-1283.815 versus mRNA-1273.815 (Part 2).

Eligibility Criteria

Key Inclusion Criteria

  • Investigator's assessment that the participant understands and is willing and physically able to comply with protocol-mandated follow-up, including all procedures.
  • 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 the first injection, and agreement to continue adequate contraception or abstinence through 90 days following the vaccine administration.
  • Part 1: Has previously received a primary series of an authorized/approved COVID-19 vaccine. For participants ≥18 years of age, at least 1 booster dose must have also been received. Proof of prior vaccination is required. A heterologous vaccine regimen is acceptable.

Part 2: No prior vaccination is required. For participants who have been previously vaccinated, proof of vaccination is required.

Key Exclusion Criteria

  • Has had close contact, as defined by the Centers for Disease Control and Prevention (CDC), with someone who had a SARS-CoV-2 infection in the past 14 days, or COVID-19 in the past 10 days.
  • Participant is acutely ill or febrile (temperature ≥38.0 degrees Celsius [°C]/100.4 degrees Fahrenheit [°F]) 72 hours prior to or at the Screening Visit or Day 1.
  • Any medical, psychiatric, or occupational condition, including reported history of substance abuse, that, in the opinion of the investigator, might pose additional risk due to participation in the study or could interfere with the interpretation of study results.
  • Has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 181 days prior to Screening (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.
  • Has received or plans to receive any licensed vaccine ≤60 days prior to the study injection (Day 1) or plans to receive a licensed vaccine within 60 days after the study injection.
  • Has received systemic immunoglobulins or blood products within 90 days prior to the Screening Visit or plans to receive during the study.
  • Has donated ≥450 milliliters (mL) of blood products within 28 days prior to the Screening Visit or plans to donate blood products during the study.
  • 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.

Note: Other inclusion and exclusion criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05815498). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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