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Quadrivalent Influenza mRNA Vaccine MRT5421

Phase 1

Influenza Immunization | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: Jun 19, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment910
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06361875A Study to Investigate the Safety and Immunogenicity of the Quadrivalent Influenza mRNA Vaccines in Adults Aged 18 Years and AbovePHASE1 COMPLETED 910Apr 1, 2024Jun 9, 2025Jun 19, 202520 United States, Honduras +1
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Study Endpoints
Primary Endpoints
Number of participants with immediate unsolicited systemic adverse events (AEs)
Within 30 minutes after injection

Unsolicited systemic AEs that occur within 30 minutes after vaccination

Number of participants with solicited injection site reactions
Up to 7 days after injection

Adverse reactions pre-listed in the protocol and case report form (CRF) Injection site reactions: Injection site pain, Injection site erythema, and Injection site swelling

Number of participants with solicited systemic reactions
Up to 7 days after injection

Adverse reactions pre-listed in the protocol and case report form (CRF) Systemic reactions: fever, headache, fatigue, myalgia, arthralgia, chills

Number of participants with unsolicited AEs
Up to 28 days after injection

AEs that do not fulfill the conditions of solicited reactions

Number of participants with medically attended adverse events (MAAEs)
Up to 180 days after injection

MAAEs reported up to 180 days after injection

Number of participants with serious adverse events (SAEs)
Throughout the study (approximately 12 months)

SAEs reported throughout the study

AESIs reported throughout the study
AESIs reported throughout the study (approximatley 12 months)

AESIs reported throughout the study (approximately 12 months)

Number of participants with adverse events of special interests (AESIs)
Throughout the study (approximately 12 months)

AESIs reported throughout the study

Number of participants with out-of-range biological test results
Up to 8 days after injection

Out-of-range biological test results (including shift from baseline values)

Geometric Mean Titer (GMT)
At Day 1 and Day 29

Hemagglutinin inhibition (HAI) antibody (Ab) titers at D01 and D29

Geometric Mean of individual Titer Ratio (GMTR)
At Day 1 and Day 29

Individual HAI Ab titer ratio D29/D01

Seroconversion
At Day 1 and Day 29

Number of participants with HAI Ab titer \< 10 \[1/dil\] at Day 1 and post-vaccination titer ≥ 40 \[1/dil\] at Day 29, or titer ≥ 10 \[1/dil\] at Day 1 and a ≥ 4-fold-rise in titer \[1/dil\] at Day 29

HAI Ab titer ≥ 40 (1/dil)
Day 29

HAI Ab titer ≥ 40 (1/dil) at D29

Secondary Endpoints
Neutralizing Ab titers at D01 and D29
At Day 1 and Day 29
Individual neutralizing antibodies titer ratio
At Day 1 and Day 29
2-fold and 4-fold increase in neutralizing titers
Day 1 through Day 29
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Quadrivalent Influenza mRNA Vaccine MRT5421 Dose 1EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5421
Quadrivalent Influenza mRNA Vaccine MRT5429 Dose 1EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5429
Quadrivalent Influenza mRNA Vaccine MRT5429 Dose 2EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5429
Quadrivalent Influenza mRNA Vaccine MRT5429 Dose 3EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5429
Quadrivalent Influenza mRNA Vaccine MRT5429 Dose 4EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5429
Quadrivalent Influenza mRNA Vaccine MRT5424 Dose 1EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5424
Quadrivalent Influenza mRNA Vaccine MRT5424 Dose 2EXPERIMENTALparticipants will receive a single dose of QIV mRNA vaccine MRT5424
Quadrivalent Influenza SD VaccineACTIVE_COMPARATORparticipants will receive a single dose of QIV-SD vaccine
Quadrivalent Influenza HD VaccineACTIVE_COMPARATORparticipants will receive a single dose of QIV -HD vaccine (for adults ≥ 65 years of age only)
Quadrivalent Influenza RIV4 VaccineACTIVE_COMPARATORparticipants will receive a single dose of RIV4 vaccine
Interventions
NameTypeDescription
Quadrivalent Influenza mRNA Vaccine MRT5421BIOLOGICALPharmaceutical form:solution in a vial-Route of administration:Intramuscular injection
Quadrivalent Influenza mRNA Vaccine MRT5424BIOLOGICALPharmaceutical form:solution in a vial-Route of administration:Intramuscular injection
Quadrivalent Influenza mRNA Vaccine MRT5429BIOLOGICALPharmaceutical form:solution in a vial-Route of administration:Intramuscular Injection
Quadrivalent Influenza Standard Dose VaccineBIOLOGICALPharmaceutical form: suspension for injection in prefilled syringe -Route of administration:Intramuscular injection
Quadrivalent Influenza High-Dose VaccineBIOLOGICALPharmaceutical form:suspension for injection in pre filled syringe -Route of administration:Intramuscular injection
Quadrivalent Recombinant Influenza VaccineBIOLOGICALPharmaceutical form:suspension for injection in pre filled syringe-Route of administration:Intramuscular injection
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites20

Inclusion Criteria: - Aged from 18 years on the day of inclusion or aged from 21 years on the days of inclusion, depending on the countries. * A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies: * Is of non-childbea...

Countries:United StatesHondurasPuerto Rico
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