E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The main objectives of this trial are to evaluate the safety, reactogenicity, and efficacy of up to 3 dose levels of mRNA-1273 vaccine administered as 2 doses 28 days apart in 3 age groups, evaluate the safety and effectiveness of the mRNA-1273 booster or third dose, and evaluate the safety of an mRNA-1273.214 booster dose. |
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E.2.2 | Secondary objectives of the trial |
• To evaluate the persistence of the immune response to mRNA-1273 vaccine. • To evaluate the incidence of SARS-CoV-2 infection after vaccination with mRNA-1273 or placebo. • To evaluate the incidence of asymptomatic SARS-CoV-2 infection after vaccination with mRNA-1273 or placebo. • To evaluate the incidence of coronavirus disease 2019 (COVID-19) after vaccination with mRNA-1273 or placebo. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Healthy children and those with stable chronic disease. • For children 2 years of age or older has a body mass index at or above the third percentile according to World Health Organization Child Growth Standards at the Screening Visit. • For children 6 months to <12 months of age: born at full-term with a minimum birth weight of 2.5 kilograms. |
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E.4 | Principal exclusion criteria |
• Known history of SARS-CoV-2 infection within 2 weeks prior to administration of vaccine or known close contact. • Prior administration of an investigational or approved CoV (such as, SARS-CoV-2, SARS CoV, Middle East Respiratory Syndrome CoV) vaccine. • Treatment with investigational or approved agents for prophylaxis against COVID 19 (such as, receipt of SARS-CoV-2 monoclonal antibodies) within 6 months prior to enrollment. • Known hypersensitivity to a component of the vaccine or its excipients. • Received intravenous or subcutaneous blood products (red blood cells, platelets, immunoglobulins) within 3 months prior to Day 1. • Participated in an interventional clinical study within 28 days prior to Day 0. |
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E.5 End points |
E.5.1 | Primary end point(s) |
• Number of Participants with Solicited Local and Systemic Adverse Reactions • Number of Participants with Unsolicited Adverse Events (AEs) • Number of Participants with Medically-Attended AEs • Number of Participants with Serious Adverse Events • Number of Participants with Adverse Events of Special Interest, Including Multisystem Inflammatory Syndrome in Children, Myocarditis and/or Pericarditis • Number of Participants with AEs Leading to Discontinuation From Study Post-Booster Dose Through the Last Day of Study Participation • Number of Participants with Serum Antibody Levels that Meet or Exceed the Threshold of Protection From COVID-19 • Geometric Mean (GM) Value of SARS-CoV-2 Specific Serum Antibody • Seroresponse Rate of Vaccine Recipients • GM Value of Post-Booster Dose SARS-CoV-2 Specific Serum Antibody • Seroresponse Rate of Post-Booster Dose of Vaccine Recipients |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
• Up to Day 156 (7 days after each injection) • Up to Day 177 (28 days after each injection) • Up to Day 514 (1 year after booster dose) • Up to Day 514 (1 year after booster dose) • Up to Day 514 (1 year after booster dose) • Day 149 (booster dose Day 1) through the last day of study participation (Day 514) • Day 57 (1 month after second injection) • Day 57 (1 month after second injection) • Day 57 (1 month after second injection) • Day 149 (post third dose) • Day 149 (post third dose) |
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E.5.2 | Secondary end point(s) |
• GM Value of SARS-CoV-2 S-Protein-Specific Binding Antibody (bAb) • GM Value of SARS-CoV-2-Specific Neutralizing Antibody (nAb) • Number of Participants with SARS-CoV-2 Infections Regardless of Symptomatology, as Assessed by Serology and/or Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) • Number of Participants with SARS-CoV-2 Infection Measured by RT-PCR and/or bAb Levels Against SARS-CoV-2 Nucleocapsid Protein in Participants with Negative SARS-CoV-2 at Baseline, in the Absence of Any COVID-19 Symptoms • Number of Participants with a First Occurrence of COVID-19 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
• Day 1, Day 57, Day 209, Day 394, booster dose Day 1, booster dose Day 29, booster dose Day 181, and booster dose Day 366 • Day 1, Day 57, Day 209, Day 394, booster dose Day 1, booster dose Day 29, booster dose Day 181, and booster dose Day 366 • Up to Day 394 • Up to Day 394 • Up to Day 394 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Parts 1 and 3 are open label; Part 2 is randomized and observer blind. |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Completion of the last visit of the last participant in the study or the last scheduled procedure for the last participant in the study. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 1 |
E.8.9.2 | In all countries concerned by the trial days | 0 |