New mRNA RSV vaccine shows promise for older adults in phase 3 trial
NCT ID NCT05330975
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 study tested an mRNA vaccine called mRNA-1345 to protect against respiratory syncytial virus (RSV) in adults aged 50 and older. Over 3,300 participants received the vaccine alone, with a flu shot, or with a COVID-19 booster. The trial also looked at a booster dose one year later. Researchers checked for side effects and measured immune responses to see if the vaccine is safe and works well when given with other vaccines.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mRNA-1345 (an mRNA vaccine targeting RSV)
- What this could lead to
- If successful, this could provide a safe and effective RSV vaccine for older adults, potentially reducing severe respiratory illness and hospitalizations.
- What could go wrong
- This is a phase 3 trial, but results are not yet published. The vaccine may cause side effects or not work as well when given with other vaccines. Long-term safety and effectiveness are still being studied.
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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3,317 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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Nov 2024
- 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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50 years and older
- 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.
Key Inclusion Criteria: Parts A and B both: * Adults ≥50 years of age on the day of the Randomization Visit (Day 1) who are primarily responsible for self-care and activities of daily living. Participants may have one or more chronic medical diagnoses, but should be medically stable as assessed by: Absence of changes in medical therapy within 1 month due to treatment failure or toxicity; Absence of medical events qualifying as SAEs within 1 month of the planned vaccination on Day 1; and absence of known, current, and life-limiting diagnoses which, in the opinion of the investigator, would make completion of the protocol unlikely. * Able to comply with study requirements, including access to transportation for study visits. Part B only: * Fully vaccinated for COVID-19 with an approved primary series according to the locally authorized or approved regimen. If the most recent COVID-19 vaccine was part of a primary series, it must be ≥ 150 days before (or less per local guidance) Day 1. If the most recent COVID-19 vaccine was a booster dose, it must be ≥ 120 days before (or less per local guidance) Day 1. Part C: * Participants at Part C study sites who have been enrolled in Part B (Groups 4 and 5) of this study; have immunogenicity blood sampling at Part B baseline and Day 29; completed the Day 211/end-of-study visits for Part B; were included in the per-protocol (PP) set; and received 1 dose of mRNA-1345 at least 12 months (but no later than 15 months) prior to the time of enrollment. * Able to comply with study requirements, including access to transportation for study visits. Key Exclusion Criteria: Part A: * Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤28 days prior to study injections (Day 1) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after the study injections. * Prior participation in research involving receipt of any investigational product (drug/biologic/device including any investigational RSV product) within 45 days before the planned date of the Day 1 study injection. * Participant has received a seasonal influenza vaccine or any other investigational influenza vaccine ≤180 days prior to the Randomization Visit (Day 1). * History of a serious reaction to any prior vaccination, or Guillain-Barré syndrome within 6 weeks of any prior influenza immunization. * 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. Part B: * Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤ 28 days prior to study injections (Day 1) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after the study injections (with the exception of SARS-Cov-2 vaccination). * Prior participation in research involving receipt of any investigational product (drug/biologic/device with the exception of RSV investigation products) within 45 days before the planned date of the Day 1 study injection. * Prior receipt of any investigational/approved RSV product within 1 year of the Day 1 study injection. * Has known history of SARS-CoV-2 infection within 90 days prior to enrollment. Parts A and B both: * Participant had significant exposure to someone with SARS-CoV-2 infection or COVID-19 in the past 10 days, as defined by the United States (US) Centers for Disease Control and Prevention (CDC) as a close contact of someone who has had COVID-19. Part C: * Participation in another interventional clinical research study where participant has received an investigational product (drug/biologic/device) within 6 months before the planned date of the BD Day 1 study injection. Any prior receipt of an investigational or approved vaccine against RSV, except as part of mRNA-1345 Study P302 Part B, is exclusionary. * Participant has received or plans to receive any vaccine authorized or approved by a local health agency ≤28 days prior to the study injection (BD Day 1) or plans to receive a vaccine authorized or approved by a local health agency within 28 days after the study injections. * History of a serious reaction to any prior vaccination or Guillain-Barré syndrome 6 weeks after any prior influenza immunization. Other inclusion and/or 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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Acclaim Clinical Research
San Diego, California, 92120, United States
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Ark Clinical Research
Long Beach, California, 90806, United States
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Ark Clinical Research
Tustin, California, 92780, United States
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Be Well Clinical Studies, LLC
Lincoln, Nebraska, 68516, United States
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Benchmark Research - Austin - HyperCore - PPDS
Austin, Texas, 78705, United States
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CCT Research at Springville Dermatology
Springville, Utah, 84663, United States
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CHEAR Center LLC - ClinEdge - PPDS
The Bronx, New York, 10455-3908, United States
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Central Research Associates Inc
Birmingham, Alabama, 35205, United States
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Central Valley Research, LLC
Modesto, California, 95350, United States
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Chase Medical Research LLC
Waterbury, Connecticut, 06708, United States
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Clinical Research Center of Nevada - ERN - PPDS
Las Vegas, Nevada, 89106, United States
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Clinical Research Institute, Inc - CRN - PPDS
Minneapolis, Minnesota, 55402, United States
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Clinical Trials of SWLA, LLC
Lake Charles, Louisiana, 70601, United States
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Cope Family Medicine - Ogden Clinic
Bountiful, Utah, 84010-4862, United States
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Del Sol Research Management - Clinedge - PPDS
Tucson, Arizona, 85715, United States
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Dolphin Medical Research
Doral, Florida, 33172, United States
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East-West Medical Research Institute
Honolulu, Hawaii, 96814, United States
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Empire Clinical Research
Pomona, California, 91786, United States
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Floridian Clinical Research - ClinEdge - PPDS
Miami Lakes, Florida, 33016, United States
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Georgia Clinic / CCT Research
Norcross, Georgia, 30092-4544, United States
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IMA Medical Research, PC.
New York, New York, 10036-4103, United States
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Indago Research and Health Center
Hialeah, Florida, 33012, United States
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Javara Inc./Privia Medical Group INC
Forest, Virginia, 24551, United States
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Javara Research Inc. - Charlotte - Javara - PPDS
Charlotte, North Carolina, 28210, United States
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Lifeline Primary Care / CCT Research
Lilburn, Georgia, 30047-2832, United States
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Long Beach Clinical Trials, LLC (Site 1)
Long Beach, California, 90806, United States
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Long Beach Clinical Trials, LLC (Site 2)
Long Beach, California, 90806, United States
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M3 Wake Research, Inc - M3 WR - ERN - PPDS
Raleigh, North Carolina, 27612, United States
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Medical Center For Clinical Research - M3 WR - ERN - PPDS
San Diego, California, 92120, United States
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Meridian Clinical Research
Norfolk, Nebraska, 68701, United States
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Meridian Clinical Research (Baton Rouge-Louisiana) - Platinum - PPDS
Baton Rouge, Louisiana, 70809, United States
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Meridian Clinical Research (Endwell-New York) - Platinum - PPDS
Endwell, New York, 13760, United States
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Meridian Clinical Research (Grand Island) - Platinum - PPDS
Grand Island, Nebraska, 68803, United States
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Meridian Clinical Research (Omaha-Nebraska) - Platinum - PPDS
Omaha, Nebraska, 68134, United States
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Meridian Clinical Research (Rockville Maryland) - Platinum - PPDS
Rockville, Maryland, 20854-2957, United States
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Meridian Clinical Research (Savannah Georgia) - Platinum - PPDS
Savannah, Georgia, 31406, United States
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Meridian Clinical Research (Sioux City - Iowa)
Sioux City, Iowa, 51106, United States
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Meridian Clinical Research - Cincinnati - Platinum - PPDS
Springdale, Ohio, 45246, United States
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Meridian Clinical Research - Family Practice Ports - Portsmouth - Platinum - PPDS
Portsmouth, Virginia, 23703, United States
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Meridian Clinical Research, LLC (Lincoln Nebraska) - Platinum - PPDS
Lincoln, Nebraska, 68510, United States
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Meridian Clinical Research, LLC (Overland Park, Kansas) - Platinum - PPDS
Overland Park, Kansas, 66210-1863, United States
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Midwest Regional Health Services - CCT Research
Omaha, Nebraska, 68144, United States
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Milton Haber, M.D.
Laredo, Texas, 78041, United States
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New Phase Research & Development
Knoxville, Tennessee, 37909, United States
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Paragon Rx Clinical, Inc
Garden Grove, California, 92703-1811, United States
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Revival Research Corporation - Clinedge - PPDS
Doral, Florida, 33122, United States
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Santa Rosa Medical Centers of Nevada - CCT Research
Las Vegas, Nevada, 89119-5483, United States
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Sun Research Institute
San Antonio, Texas, 78215-1922, United States
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Suncoast Research Associates LLC - ERN - PPDS
Miami, Florida, 33173, United States
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Suncoast Research Group LLC - ERN-PPDS
Miami, Florida, 33135, United States
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Tekton Research
Moore, Oklahoma, 73160-1386, United States
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Tekton Research - Beaumont - Platinum - PPDS
Beaumont, Texas, 77706, United States
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Tekton Research - Georgia - Platinum - PPDS
Chamblee, Georgia, 30341, United States
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Teradan Clinical Trials
Brandon, Florida, 33511-4925, United States
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Trial Management Associates LLC - ERN - PPDS
Myrtle Beach, South Carolina, 29572-4612, United States
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Velocity Clinical Research - Anderson - ERN - PPDS
Anderson, South Carolina, 29621, United States
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Velocity Clinical Research - Cleveland - ERN - PPDS
Cleveland, Ohio, 44122, United States
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Velocity Clinical Research - Greenville - ERN - PPDS
Greenville, South Carolina, 29615, United States
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Velocity Clinical Research - Panorama City
Panorama City, California, 91402-3022, United States
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Velocity Clinical Research - Spartanburg - ERN - PPDS
Spartanburg, South Carolina, 29303-4225, United States
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Westside Center for Clinical Research - ERN - PPDS
Jacksonville, Florida, 32205, United States
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Zenos Clinical Research
Dallas, Texas, 75230, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- One shot, two viruses: vaccine aims to shield older adults from RSV and HMPV
- Can an mRNA vaccine shield the most vulnerable from RSV?
- Can an mRNA vaccine shield vulnerable children from RSV?
- Could a vaccine given during pregnancy shield infants from a deadly virus?
- Moderna's mRNA vaccine cocktail passes early safety check
- New RSV vaccine shows promise for seniors in korea