Phase 3
N=1,899
Immunogenicity and Safety Study of Self-amplifying mRNA COVID-19 Vaccine Administered With Influenza Vaccines in Adults
COVID-19
Bottom Line
View on ClinicalTrials.gov: NCT06279871 ↗Enrolled (actual)
1,899
Serious AEs
1.9%
Results posted
Dec 2025
Primary outcome: Primary: Groups 2a and 2b and ARCT-154-J01 Historical Control: Geometric Mean Titers (GMT) of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing Antibody Titers Against Omicron XBB.1.5 Subvariant at Day 29 — 718; 263 Titer
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- ARCT-2303 (Biological); Influenza vaccine (Biological); Influenza vaccine, adjuvanted (Biological); Placebo (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Arcturus Therapeutics, Inc.
- Primary completion
- Oct 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Groups 2a and 2b and ARCT-154-J01 Historical Control: Geometric Mean Titers (GMT) of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing Antibody Titers Against Omicron XBB.1.5 Subvariant at Day 29 |
718; 263 | — |
| PRIMARY Groups 2a and 2b and ARCT-154-J01 Historical Control: Number of Participants With Seroconversion to SARS-CoV-2 Neutralizing Antibody Against Omicron XBB.1.5 Subvariant at Day 29 |
349; 175 | — |
| PRIMARY Groups 1a and 3a: Adjusted Hemagglutination Inhibition (HI) GMTs Against Influenza Vaccine Strains at Day 29 |
338; 354; 280; 269; 109; 99 | — |
| PRIMARY Groups 1a and 2a: Adjusted GMTs of SARS-CoV-2 Neutralizing Antibody Against Omicron XBB.1.5 Subvariant at Day 29 |
768; 954 | — |
| SECONDARY Groups 1a and 2a: GMT of SARS-CoV-2 Neutralizing Antibodies Against Omicron XBB.1.5 Subvariant at Days 1, 29 and 181 |
118; 140; 789; 1072; 794 | — |
| SECONDARY Groups 1a and 2a: Geometric Mean Fold Rise (GMFR) of SARS-CoV-2 Neutralizing Antibodies Against Omicron XBB.1.5 Subvariant at Days 29 and 181 |
6.7; 7.7; 5.3 | — |
| SECONDARY Groups 1a and 2a: Number of Participants With Seroconversion of SARS-CoV-2 Neutralizing Antibodies Against Omicron XBB.1.5 Subvariant at Day 29 |
242; 279 | — |
| SECONDARY Groups 1a and 2a: Number of Participants With SARS-CoV-2 Neutralizing Antibody Against Omicron XBB.1.5 Subvariant Titer ≥ LLOQ at Days 1 and 29 |
331; 344; 375; 378 | — |
| SECONDARY Groups 1a and 3a: GMTs of HI Assay Titers Against Influenza Vaccine Strains at Days 1 and 29 |
38; 37; 429; 433; 32; 36 | — |
| SECONDARY Groups 1a and 3a: GMFR of HI Assay Titers Against Influenza Vaccine Strains at Day 29 |
11.2; 11.6; 10.3; 9.2; 8.1; 6.9 | — |
| SECONDARY Groups 1a and 3a: Number of Participants With Seroconversion of HI Assay Titers Against Influenza Vaccine Strains at Day 29 |
267; 259; 266; 266; 233; 215 | — |
| SECONDARY Groups 1a and 3a: Number of Participants With HI Titer ≥1:40 at Days 1 and 29 |
197; 195; 354; 367; 178; 200 | — |
| SECONDARY Groups 1b and 2b: GMTs of SARS-CoV-2 Neutralizing Antibodies Against Omicron XBB.1.5 Subvariant at Days 1, 29 and 181 |
138; 206; 932; 1420; 878 | — |
| SECONDARY Groups 1b and 2b: GMFRs of SARS-CoV-2 Neutralizing Antibodies Against Omicron XBB.1.5 Subvariant at Days 29 and 181 |
6.8; 6.9; 4.3 | — |
| SECONDARY Groups 1b and 2b: Number of Participants With Seroconversion of SARS-CoV-2 Neutralizing Antibodies Against Omicron XBB.1.5 Subvariant at Day 29 |
66; 70 | — |
| SECONDARY Groups 1b and 2b: Number of Participants With SARS-CoV-2 Neutralizing Antibody Against Omicron XBB.1.5 Subvariant Titer ≥ LLOQ at Days 1 and 29 |
84; 90; 92; 95 | — |
| SECONDARY Groups 1b and 3b: GMTs of HI Assay Titers Against Influenza Vaccine Strains at Days 1 and 29 |
115; 109; 1064; 961; 78; 92 | — |
| SECONDARY Groups 1b and 3b: GMFRs of of HI Assay Titers Against Influenza Vaccine Strains at Day 29 |
9.2; 8.8; 6.0; 4.9; 6.2; 4.6 | — |
| SECONDARY Groups 1b and 3b: Number of Participants With Seroconversion of HI Assay Titers Against Influenza Vaccine Strains at Day 29 |
59; 59; 50; 42; 47; 45 | — |
| SECONDARY Groups 1b and 3b: Number of Participants With HI Titer ≥1:40 at Days 1 and 29 |
75; 71; 92; 93; 62; 70 | — |
| SECONDARY Number of Participants With Local and Systemic Adverse Events (AEs) |
283; 296; 167; 41; 30; 20 | — |
| SECONDARY Number of Participants With Unsolicited AEs |
79; 81; 68; 13; 8; 16 | — |
| SECONDARY Number of Participants With Serious Adverse Events (SAEs), AEs Leading to Early Termination From Study, Medically Attended Adverse Event (MAAEs), and Adverse Event of Special Interest (AESIs) |
7; 5; 6; 2; 3; 5 | — |
Summary
This is a multicenter, observer-blind, randomized, controlled phase 3 study to evaluate the immunogenicity, reactogenicity, and safety of an investigational self-amplifying RNA COVID-19 vaccine (ARCT-2303) administered concomitantly with quadrivalent influenza vaccines or standalone in adults who previously received authorized COVID-19 vaccine.
Eligibility Criteria
Inclusion Criteria
1, Individuals are male, female, or transgender adults ≥18 years of age.
- Healthy participants or participants with pre-existing stable medical conditions.
- Participant or legally authorized representatives must freely provide documented informed consent prior to study procedures being performed.
- Individuals must have been previously vaccinated with COVID-19 vaccines.
- Individuals of childbearing potential must be willing to adhere to contraceptive requirements.
Exclusion Criteria
- Individuals with acute medical illness or febrile illness.
- Individuals with a positive SARS-CoV-2 rapid antigen test at Screening.
- Individuals with a history of COVID-19 or virologically confirmed SARS-CoV-2 infection within the past 5 months or history of COVID-19 with ongoing sequelae.
- Individuals with a known history of severe hypersensitivity reactions, including anaphylaxis, or other significant adverse reactions to any components of mRNA vaccine, or influenza vaccine, including egg protein.
- Individuals who have a positive pregnancy test at the Screening visit or who intend to become pregnant or breastfeed during the study.
- Individuals with a history of myocarditis, pericarditis, myopericarditis or cardiomyopathy.
- Individuals with a history of Guillain-Barré syndrome, encephalomyelitis, or transverse myelitis.
- Individuals with a history of congenital or acquired immunodeficiency.
- Individuals who have received immunomodulatory, immunostimulatory, or immunosuppressant drugs within 3 months of Screening; or individuals requiring systemic corticosteroids exceeding 10 mg/day of prednisone equivalent for ≥10 days within 30 days of Screening.
- Individuals who have received immunoglobulins and/or any blood or blood products within the 3 months before the first vaccine administration or plan to receive such products at any time during the study.
- Individuals with a documented history of HIV infection, or who are currently known to have active tuberculosis.
- Individuals receiving treatment with another investigational drug, biological agent, or device.
- Individuals who have received any investigational COVID-19 vaccines.
- Individuals who received any influenza vaccine within 6 months prior to enrollment or plan to receive an influenza vaccine during the study period.
- Individuals who have received any other licensed vaccines within 14 days prior to enrollment in this study or who are planning to receive any vaccine up to 14 days after the study vaccination.
- Individuals who are investigator site staff members, employees of the Sponsor or the Clinical Research Organization directly involved in the conduct of the study, or site staff members otherwise supervised by the investigator or immediate family members of any of the previously mentioned individuals.
Data sourced from ClinicalTrials.gov (NCT06279871). 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.