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TIV mRNA-neuraminidase

Phase 1

Influenza | Monoclonal antibody | Infectious Disease |Sanofi|Last Updated: May 30, 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 Enrollment1,162
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06744205A Study on the Safety and Immunogenicity of Hexavalent Influenza mRNA Vaccine in Adult Participants 50 Years of Age and OlderPHASE1 ACTIVE NOT_RECRUITING 1,162Jan 6, 2025Apr 16, 2026May 30, 202524 United States, Australia
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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

Solicited injection site reactions pre-listed in the participant diary and in the case report form CRF

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

Solicited systemic reactions pre-listed in the participant diary and in the CRF

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)
SAEs throughout the study (Up to approximately 12 months)

Throughout the study

Number of participants with adverse events of special interest (AESIs)
AESIs throughout the study (Up to approximately 12 months)

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)

Hemagglutinin inhibition (HAI) titers
At Day 1 and Day 29

HAI titers at D01 and D29

Individual HAI antibody (Ab) titer ratio D29/D01
At Day 1 and Day 29

Individual HAI Ab titer ratio D29/D01

Seroconversion (HAI Ab titer)
At Day 1 and Day 29

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

HAI Ab titer ≥ 40 (1/dil)
At Day 29

HAI Ab titer ≥ 40 (1/dil) at D29

Neuraminidase inhibition (NAI) titers
At Day 1 and Day 29

NAI titers at D01 and D29

Individual NAI Ab titer ratio D29/D01
At Day 1 and Day 29
Seroconversion (NAI Ab titer)
At Day 1 and Day 29

Number of participants with NAI Ab titer \< 10 \[1/dil\] at D01 and post-injection titer ≥ 40 \[1/dil\] at D29, or titer ≥ 10 \[1/dil\] at D01 and a ≥ 4-fold increase in titer \[1/dil\] at D29)

NAI Ab titer ≥ 40 (1/dil)
At Day 29

NAI Ab titer ≥ 40 (1/dil) at D29

2-fold and 4-fold rise in NAI titers
Day 1 to Day 29

2-fold and 4-fold rise in NAI titers from D01 to D29

Secondary Endpoints
Neutralizing antibodies titers
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 to Day 29
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Group 1 - Hexavalent (Combination 1)EXPERIMENTALParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 1)
Group 2 - Hexavalent (Combination 2)EXPERIMENTALParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 2)
Group 3 - Hexavalent (Combination 3)EXPERIMENTALParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 3)
Group 4 - Hexavalent (Combination 4)EXPERIMENTALParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 4)
Group 5 - Hexavalent (Combination 5)EXPERIMENTALParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 5)
Group 6 - Hexavalent (Combination 6)EXPERIMENTALParticipants will receive single dose of hexavalent influenza mRNA vaccine composed of differing dose levels of TIV mRNA-HA Vaccine 1 in combination with TIV mRNA-NA (Combination 6)
Group 7 - TIV mRNA-HA Vaccine 1EXPERIMENTALParticipants will receive a single dose of TIV mRNA-HA Vaccine 1
Group 8 - TIV mRNA-NAEXPERIMENTALParticipants will receive a single dose of TIV mRNA-NA
Group 9 - TIV mRNA-HA Vaccine 2EXPERIMENTALParticipants will receive single dose of TIV mRNA-HA Vaccine 2
Group 10 - QIV-SDACTIVE_COMPARATORParticipants will receive single dose of QIV-SD vaccine (for participants 50 to 64 years of age only)
Group 11 - QIV-HDACTIVE_COMPARATORParticipants will receive single dose of QIV-HD vaccine
Interventions
NameTypeDescription
Trivalent (TIV) messenger ribonucleic acid (mRNA) hemagglutinin (HA) Vaccine 1BIOLOGICAL* Pharmaceutical form: solution for injection in a vial * Route of administration: Intramuscular injection
TIV mRNA-neuraminidase (NA)BIOLOGICAL* Pharmaceutical form: solution for injection in a vial * Route of administration: Intramuscular injection
TIV mRNA-HA Vaccine 2BIOLOGICAL* Pharmaceutical form: solution for injection in a vial * Route of administration: Intramuscular injection
Quadrivalent Influenza Standard Dose VaccineBIOLOGICAL* Pharmaceutical form: Liquid suspension for injection in pre-filled syringe * Route of administration: Intramuscular injection
Quadrivalent Influenza Vaccine High DoseBIOLOGICAL* Pharmaceutical form: Liquid suspension for injection in pre-filled syringe * Route of administration: Intramuscular injection
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites24

Inclusion Criteria: * Participant aged 50 years on the day of inclusion * A female participant is eligible to participate if she is not pregnant or breastfeeding and one of the following conditions applies: * Is of non-childbearing potential. To be considered of non-childbearing potential, a fem...

Countries:United StatesAustralia
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06744205primaryCompletionDate: changed
LOWMay 24, 2026NCT06744205studyFirstPostDate: changed