New mRNA vaccines for kids under 6 show promise in phase 3 trial
NCT ID NCT05436834
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two updated mRNA COVID-19 vaccines in over 1,800 children aged 6 months to under 6 years. The vaccines were given as a primary series or booster to see if they are safe and trigger a strong immune response against variants like Omicron. The goal is to protect young children from COVID-19.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mRNA-1273.214 and mRNA-1273.815 vaccines
- What this could lead to
- If successful, this could provide safe and effective COVID-19 vaccine options tailored for young children, including protection against newer variants.
- What could go wrong
- This is a completed phase 3 trial, but results are not yet published. The vaccines may not work as well against future variants, and side effects like fever or injection-site reactions are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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1,807 people
The number who actually took part.
- Started
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Jun 2022
- Finished
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Oct 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 months to 5 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The participant is 6 months to \<6 years for Parts 1, 2, and 3; 2 years to \<5 years for Part 4A; and 6 months to \<2 years for Part 4B at the time of consent (Screening Visit). Note: for Part 1, participant must be at least 6 months old and must not have reached 6 years of age at the time of administration of first dose. For Part 4B, the participant must be at least 6 months old and must not have reached 2 years of age at the time of administration of first dose. * If the participant has a chronic disease (that is, asthma, diabetes mellitus, cystic fibrosis, human immunodeficiency virus \[HIV\] infection), the disease should be stable, per investigator assessment, so that the participant can be considered eligible for inclusion. Stable diseases are those which have had no change in their status or in the medications required to control them in the 6 months prior to Screening Visit. Note: a change in medication for dose optimization (that is, insulin dose changes, adjustments for age-related weight gain), change within class of medication, or reduction in dose are not considered signs of instability. * In the investigator's opinion, the parent(s)/legally authorized representative(s) (LAR\[s\]) understand and are willing and physically able to comply with protocol-mandated follow-up, including all procedures and provide written informed consent. * The participant is 2 years or older and has a body mass index (BMI) at or above the second percentile according to World Health Organization (WHO) Child Growth Standards at the Screening Visit. OR * The participant is less than 2 years of age and the participant's height and weight are both at or above the second percentile according to WHO Child Growth Standards at the Screening Visit. Special inclusion criteria for participants aged 6 months to \< 12 months: * The participant was born at full-term (≥ 37 weeks gestation) with a minimum birth weight of 2.5 kilograms (kg). Inclusion criteria for Part 2: * The participant must have received 2 doses of mRNA-1273, approximately 28 to 35 days apart, as 25-μg primary series, and second dose was given at least 4 months prior to enrollment. Inclusion criteria for Part 3 only: \- The participant must have received an age-appropriate immunization series of an authorized/approved COVID-19 vaccine, with the last dose given at least 4 months prior to enrolment (Previous vaccines NOT allowed are: XBB.1.5-containing formulation). Exclusion Criteria: * Has a known history of SARS-CoV-2 infection (that is, reported AE of COVID-19 or asymptomatic SARS-CoV-2 infection during Study mRNA-1273-P204 at the time of rollover into mRNA-1273-P306 or during Part 1 at the time of rollover into Part 3) in the 90 days prior to dosing in this study. * Is acutely ill or febrile 24 hours prior to or at the Screening Visit. Fever is defined as a body temperature ≥ 38.0°Celsius (C)/≥ 100.4°Fahrenheit (F). Participants who meet this criterion may have visits rescheduled within the relevant study visit windows. Afebrile participants with minor illnesses can be enrolled at the discretion of the investigator. * For Parts 1 and 4, participant has previously been administered an investigational or approved CoV (that is, SARS-CoV-2, SARS-CoV, Middle East respiratory syndrome coronavirus \[MERS-CoV\]) vaccine. For Part 2, participant who received any approved/investigational CoV vaccine are ineligible to participate except for those who received mRNA-1273 (prototype) vaccine. * Has undergone treatment with investigational or approved agents for prophylaxis against COVID-19 (including receipt of SARS-CoV-2 monoclonal antibodies for prophylaxis or treatment) within 90 days prior to enrollment. * Has a known hypersensitivity to a component of the vaccine or its excipients. Hypersensitivity includes, but is not limited to, anaphylaxis or immediate allergic reaction of any severity to a previous dose of an mRNA COVID-19 vaccine or any of its components (including polyethylene glycol \[PEG\] or immediate allergic reaction of any severity to polysorbate). * Has a medical or psychiatric condition that, according to the investigator's judgment, may pose additional risk as a result of participation, interfere with safety assessments, or interfere with interpretation of results. * Has a history of diagnosis or condition that, in the judgment of the investigator, may affect study endpoint assessment or compromise participant safety, specifically the following: * Congenital or acquired immunodeficiency, other than well-controlled HIV infection. * Chronic hepatitis or suspected active hepatitis * A bleeding disorder that is considered a contraindication to IM injection or phlebotomy * Dermatologic conditions that could affect local solicited AR assessments * Any prior diagnosis of malignancy (excluding nonmelanoma skin cancer) * Has received the following: * Any routine vaccination with inactivated or live vaccine(s) within 14 days prior to study vaccination or plans to receive such a vaccine through 14 days following study vaccination. Note: This excludes influenza vaccine that may be given anytime, but ideally at least 7 days before study dose. If a participant receives an influenza vaccine, this should be captured within the concomitant medication electronic case report form (eCRF). * Systemic immunosuppressants or immune-modifying drugs for \>14 days in total within 6 months prior to the day of enrollment (for corticosteroids, ≥1 milligrams (mg)/kg/day or ≥ 10 mg/day prednisone equivalent, if participant weighs \>10 kg). Participants may have visits rescheduled for enrollment if they no longer meet this criterion within the Screening Visit window. Inhaled, nasal, and topical steroids, and palivizumab are allowed. * Intravenous (IV) or subcutaneous (SC) blood products (red cells, platelets, immunoglobulins) within 3 months prior to enrollment. Note: Other inclusion and exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AES - AS - Centro de Investigación Clínica CIC S.A.S (CECIC) Medellín
Medellín, Antioquia, 050021, Colombia
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AES - AS - Clinica Mayo de Urgencias
San Miguel de Tucumán, Tucumán Province, T4000CAM, Argentina
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AES - AS - Glenny Corp. S.A. Buenos Aires
CABA, Buenos Aires F.D., C1430CKE, Argentina
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AES- AS- Solano & Terront Servicios Médicos LTDA (UNIENDO) Bogotá
Bogotá, Bogota D.C., 110221, Colombia
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BRCR Global Texas
Edinburg, Texas, 78539, United States
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Be Well Clinical Studies, LLC - Lincoln - ERN - PPDS
Lincoln, Nebraska, 68516, United States
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CAENSA Clinical Trial
Panama City, Panama
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CEVAXIN 24 de diciembre - PPDS
Panama City, Panama
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CEVAXIN Avenida México - PPDS
Panama City, Panama
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CEVAXIN Chorrera - PPDS
Panama City, Panama
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Caimed Dominicana S.A.S - CAIMED - PPDS
Santo Domingo, Distrito NacionalSanto Domingo, 11903, Dominican Republic
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Caribbean Medical Research Center
San Juan, 00918, Puerto Rico
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Center For Clinical Trials LLC -Paramount
Paramount, California, 90723, United States
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Centro De Vacunacion Internacional, S.A. - David - Cevaxin - PPDS
Panama City, Panama
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Centro de Atencion e Investigacion Medica S.A - Yopal - CAIMED
Yopal, Casanare Department, 850001, Colombia
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Centro de Atencion e Investigacion Medica S.A.S. - CAIMED Aguazul
Aguazul, Casanare Department, 856010, Colombia
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Centro de Atención e Investigación Médica S.A.S.- CAIMED - S.A.S. Sede Acacias
Acacías, Meta Department, 507001, Colombia
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Centro de Estudios Clinicos e Investigaciones Medicas (CECIM)
Santiago, Santiago Metropolitan, 8320000, Chile
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Child Healthcare Associates - East Syracuse
East Syracuse, New York, 13057, United States
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Clinical Research Institute
Minneapolis, Minnesota, 55402, United States
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Clinical Research Partners
Richmond, Virginia, 23226, United States
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Clínica de Costa S.A.S
Barranquilla, Atlántico, 80020, Colombia
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Clínica de la Costa S.A.S- Sede Cartagena
Cartagena, Departamento de Bolívar, 130011, Colombia
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Coastal Pediatric Associates
Charleston, South Carolina, 29414, United States
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Consultorios Médicos Dr. Doreski - PPDS
Buenos Aires, C1426ABP, Argentina
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Curaex Clinical Trial
Panama City, Panama
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Cyfair Clinical Reseach Center
Houston, Texas, 77065, United States
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Hospital General Regional Dr. Marcelino Velez Santana
Santo Domingo Iesta, Santo Domingo Province, 11117, Dominican Republic
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Hospital Materno Infantil San Lorenzo de Los Mina
Santo Domingo Este, Santo Domingo Province, 11901, Dominican Republic
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Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich
Buenos Aires, Ciudad Autónoma de BuenosAires, C1426BOS, Argentina
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IResearch
Decatur, Georgia, 30030, United States
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Instituto de Investigaciones Científicas y Servicios de Alta Tecnología Asociación de Interés Panama
Panama City, Panama
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Kissimmee Clinical Research
Kissimmee, Florida, 34741, United States
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Le Bonheur Childrens Hospital
Memphis, Tennessee, 38105, United States
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Lurie Childrens Hospital
Chicago, Illinois, 60611, United States
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Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112, United States
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MUSC
Charleston, South Carolina, 29425, United States
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Med-Care Research
Miami, Florida, 33125, United States
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MedPharmics
Metairie, Louisiana, 70006, United States
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Meridian Clinical Research
Washington D.C., District of Columbia, 20016, United States
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Meridian Clinical Research
Macon, Georgia, 31210, United States
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Meridian Clinical Research
Overland Park, Kansas, 66210, United States
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Meridian Clinical Research
Hastings, Nebraska, 68901, United States
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Meridian Clinical Research
Lincoln, Nebraska, 68510, United States
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Meridian Clinical Research
Binghamton, New York, 13901, United States
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Meridian Clinical Research
Charleston, South Carolina, 29414, United States
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Michael W. Simon MD, PSC
Lexington, Kentucky, 40517, United States
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PI Coor Clinical Research LLC
Burke, Virginia, 22015, United States
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Policlínico Social del Norte
Bogotá, Cundinamarca, 110131, Colombia
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Prohealth Research Center
Doral, Florida, 33166, United States
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Quality Clinical Research
Omaha, Nebraska, 68114, United States
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REX Clinical Trials, LLC Beaumont
Beaumont, Texas, 77701-3739, United States
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Registrum- La Altagracia
Salvaleón de Higüey, La Altagracia Province, 23000, Dominican Republic
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Sera Collection Research Services
Montebello, California, 90640, United States
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Texas Center for Drug Development
Houston, Texas, 77081, United States
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Trinity Clinical Research, LLC
Bessemer, Alabama, 34020, United States
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Unidad de Vacunas e Investigación Instituto Dermatologico Dominicano y Cirugía de Piel Dr. Huberto B
Santo Domingo, 10305, Dominican Republic
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University of Colorado
Aurora, Colorado, 80045, United States
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University of Florida Jacksonville
Jacksonville, Florida, 32209, United States
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University of Kentucky
Lexington, Kentucky, 40536, United States
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University of Missouri Health Care
Columbia, Missouri, 65212, United States
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University of South Florida
Tampa, Florida, 33612, United States
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Velcocity Clinical Research
Banning, California, 92220, United States
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Velcocity Clinical Research
Meridian, Idaho, 83642, United States
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Velcocity Clinical Research
East Greenwich, Rhode Island, 02818, United States
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Velcocity Clinical Research
Cedar Park, Texas, 78613, United States
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Velocity Clinical Research
Albuquerque, New Mexico, 87102, United States
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Velocity Clinical Research - Covington - PPDS
Metairie, Louisiana, 70006, United States
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Velocity Clinical Research - Lafayette - PPDS
Lafayette, Louisiana, 70508, United States
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Velocity Clinical Research Austin
Austin, Texas, 78759, United States
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Ventavia Research Group
Houston, Texas, 77008, United States
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Victoria Clinical Research Group
Victoria, Texas, 77901, United States
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Village Health Partners - Frisco Medical Village
Frisco, Texas, 75033, United States
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WellNow Urgent Care Clinical Research
East Amherst, New York, 14051, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Millions of vaccine records scoured for rare side effects
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