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NCT03553940

H3N2 M2SR in Pediatric Population

Completed Phase 1 Results posted Last updated 21 October 2021
What this trial tests

Phase 1 trial testing Influenza Virus Monovalent A/H3N2/Bris 10 M2SR Live Vaccine in Influenza in 43 participants. Completed in 27 August 2020.

Timeline
15 August 2018
Primary endpoint
27 August 2020
27 August 2020

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment43
Start date15 August 2018
Primary completion27 August 2020
Estimated completion27 August 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Who can join

Adults 9 to 17, any sex, with Influenza or Influenza Immunisation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Adverse Events of Special Interest (AESIs) Primary · Day 1 through Day 92

Adverse Events of Special Interest (AESIs) included medically significant wheezing and otitis media. AESIs were collected from receipt of the first study vaccination through 3 months after first vaccination.

GroupValue95% CI
M2SR0
Placebo0
Number of Participants With New Onset Chronic Medical Conditions (NOCMCs) Primary · Day 1 through Day 92

Participants were queried at each visit for the occurrence of new onset chronic medical conditions (NOCMCs). NOCMCs were collected from receipt of the first study vaccination through 3 months after first vaccination.

GroupValue95% CI
M2SR0
Placebo0
Number of Participants With Serious Adverse Events (SAEs) Primary · Day 1 through Day 366

SAEs included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation or a congenital anomaly/birth defect.

GroupValue95% CI
M2SR0
Placebo0
Number of Participants With Solicited Reactogenicity Primary · Day 1 through Day 8

Reactogenicity assessments included an assessment of solicited AEs occurring from the time of first study vaccination through 7 days after first vaccination. For upper respiratory symptoms, this included an assessment of runny nose, stuffy nose/ congestion, sneezing, nasal pain/irritation/nasal dryness, nasal bleeding/epistaxis, sinus pressure/pain, sore throat/sore/scratchy, itchy or painful throat, cough, and trouble breathing/shortness of breath. For general systemic symptoms, this included an assessment of reactions including fever, feverishness (chills/shivering/sweating), fatigue (tiredn

Upper Respiratory Symptoms
GroupValue95% CI
M2SR5
Placebo7
Systemic Symptoms
GroupValue95% CI
M2SR11
Placebo10
Number of Participants With Unsolicited Non-Serious Adverse Events Primary · Day 1 through Day 22

Adverse events were defined as any untoward medical occurrence in a participant administered a pharmaceutical product regardless of its causal relationship to the study treatment. Non-serious AEs were collected from the time of first study vaccination through 21 days after first vaccination. Adverse events were MedDRA coded and are summarized by MedDRA System Organ Class (SOC).

GroupValue95% CI
M2SR6
Placebo5
Frequency of Conserved Internal Viral Protein-specific Spot Forming Cells Secondary · Day 1 through Day 113

Blood was collected for ELISpot assays conducted with a peptide library consisting of conserved immunogenic peptides of internal flu virus proteins as the antigen . Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10\^5 periphera

Day 1
GroupValue95% CI
M2SR17.212.6 – 23.3
Placebo23.012.8 – 41.2
Day 8
GroupValue95% CI
M2SR24.117.3 – 33.5
Placebo23.513.7 – 40.2
Day 22
GroupValue95% CI
M2SR24.517.1 – 35.0
Placebo20.211.2 – 36.2
Day 57
GroupValue95% CI
M2SR16.211.3 – 23.4
Placebo21.413.5 – 33.8
Day 92
GroupValue95% CI
M2SR16.39.7 – 27.3
Placebo17.09.6 – 30.1
Day 113
GroupValue95% CI
M2SR20.813.4 – 32.2
Placebo22.312.6 – 39.6
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 M2SR-like Virus A/Brisbane/10/2007 Secondary · Day 1 through Day 113

Blood was collected for ELISpot assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10\^5 peripheral blood mononuclear cells (SFC/3x10\^5 PBMCs).

Day 1
GroupValue95% CI
M2SR37.522.1 – 63.6
Placebo50.233.7 – 74.6
Day 8
GroupValue95% CI
M2SR48.926.0 – 91.8
Placebo59.035.5 – 98.1
Day 22
GroupValue95% CI
M2SR65.835.3 – 122.6
Placebo46.321.6 – 99.2
Day 57
GroupValue95% CI
M2SR41.822.8 – 76.9
Placebo45.126.5 – 76.8
Day 92
GroupValue95% CI
M2SR30.214.2 – 64.2
Placebo32.215.6 – 66.3
Day 113
GroupValue95% CI
M2SR34.018.4 – 62.7
Placebo50.429.3 – 86.5
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 QIV-like Virus A/North Carolina/04/2016 Secondary · Day 1 through Day 113

Blood was collected for ELISpot assays conducted with H3N2 QIV-like virus A/North Carolina/04/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10\^5 peripheral blood mononuclear cells (SFC/3x10\^5 PBMCs).

Day 1
GroupValue95% CI
M2SR30.717.7 – 53.4
Placebo42.527.0 – 66.9
Day 8
GroupValue95% CI
M2SR39.722.1 – 71.6
Placebo45.127.5 – 74.0
Day 22
GroupValue95% CI
M2SR49.526.0 – 94.2
Placebo40.019.0 – 84.0
Day 57
GroupValue95% CI
M2SR30.015.7 – 57.2
Placebo40.524.7 – 66.5
Day 92
GroupValue95% CI
M2SR18.57.5 – 45.4
Placebo30.015.0 – 60.1
Day 113
GroupValue95% CI
M2SR25.213.2 – 47.9
Placebo39.823.6 – 67.0
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 QIV-like Virus A/Singapore/INFIMH-16-0019/2016 Secondary · Day 1 through Day 113

Blood was collected for ELISpot assays conducted with H3N2 QIV-like virus A/Singapore/INFIMH-16-0019/2016 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10\^5 peripheral blood mononuclear cells (SFC/3x10\^5 PBMC

Day 1
GroupValue95% CI
M2SR31.518.9 – 52.5
Placebo42.127.8 – 63.6
Day 8
GroupValue95% CI
M2SR40.523.9 – 68.8
Placebo46.028.4 – 74.5
Day 22
GroupValue95% CI
M2SR50.926.5 – 97.8
Placebo40.219.4 – 83.3
Day 57
GroupValue95% CI
M2SR35.321.0 – 59.6
Placebo39.224.1 – 63.9
Day 92
GroupValue95% CI
M2SR26.213.8 – 49.6
Placebo29.616.0 – 54.9
Day 113
GroupValue95% CI
M2SR25.214.0 – 45.1
Placebo40.723.7 – 69.9
Frequency of Influenza H3 HA-specific Spot Forming Cells for the H3N2 QIV-like Virus A/Kansas/14/2017 Secondary · Day 1 through Day 113

Blood was collected for ELISpot assays conducted with H3N2 QIV-like virus A/Kansas/14/2017 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). Peripheral blood mononuclear cells (PBMCs) were harvested and retained from each whole blood collection. The geometric mean of each sample's replicate results was calculated from available results using spot forming cells per 3x10\^5 peripheral blood mononuclear cells (SFC/3x10\^5 PBMCs).

Day 1
GroupValue95% CI
M2SR5.33.8 – 7.4
Placebo5.33.5 – 7.9
Day 8
GroupValue95% CI
M2SR7.14.9 – 10.3
Placebo6.03.6 – 10.0
Day 22
GroupValue95% CI
M2SR5.43.6 – 8.1
Placebo6.63.9 – 11.3
Day 57
GroupValue95% CI
M2SR4.73.4 – 6.3
Placebo5.23.4 – 7.9
Day 92
GroupValue95% CI
M2SR4.32.9 – 6.5
Placebo4.32.7 – 6.8
Day 113
GroupValue95% CI
M2SR4.93.2 – 7.4
Placebo6.43.9 – 10.7
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 M2SR-like Virus A/Brisbane/10/2007 Secondary · Day 8 through Day 113

Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Geometric mean fold rise (GMFR) was calculated by dividing each post-baseline geometric mean titer by baseline geometric mean titer. The GMFR across samples was calculated wit

Day 8
GroupValue95% CI
M2SR1.10.4 – 2.9
Placebo1.20.5 – 3.3
Day 22
GroupValue95% CI
M2SR1.30.4 – 4.2
Placebo1.91.0 – 3.4
Day 57
GroupValue95% CI
M2SR0.80.2 – 3.1
Placebo1.90.7 – 5.1
Day 92
GroupValue95% CI
M2SR1.30.5 – 3.7
Placebo1.40.7 – 3.1
Day 113
GroupValue95% CI
M2SR1.80.6 – 5.6
Placebo4.92.3 – 10.6
Geometric Mean Fold Rise (GMFR) of Nasal Secretory Immunoglobulin A (sIgA) Responses Directed Against the H3N2 M2SR-like Virus A/Brisbane/10/2007 Normalized to Total sIgA Secondary · Day 8 through Day 113

Nasal swabs were collected for secretory immunoglobulin A (sIgA) assays conducted with H3N2 M2SR-like virus A/Brisbane/10/2007 as the antigen. Collection took place on Day 1 (pre-vaccination), Days 8, 22, and 57 after first vaccination, immediately prior to second vaccination (Day 92), and 21 days after second vaccination (Day 113). The geometric mean of each sample's replicate results was calculated from available results. Results were normalized to total sIgA by dividing each geometric mean titer by total sIgA concentration (ng/mL). Geometric mean fold rise (GMFR) was calculated by dividing

Day 8
GroupValue95% CI
M2SR1.90.9 – 4.1
Placebo1.60.8 – 3.5
Day 22
GroupValue95% CI
M2SR1.90.9 – 4.1
Placebo1.30.8 – 1.9
Day 57
GroupValue95% CI
M2SR1.00.4 – 2.4
Placebo1.20.5 – 2.5
Day 92
GroupValue95% CI
M2SR1.30.6 – 2.6
Placebo0.80.3 – 2.0
Day 113
GroupValue95% CI
M2SR1.10.7 – 1.8
Placebo1.60.7 – 3.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited reactogenicity events were reported from the time of experimental (first) study vaccination through Day 8 after vaccination. Unsolicited non-serious AEs were reported from the time of the first study vaccination through Day 22 after the first study vaccination. SAEs were reported from the time of the first study vaccination through Day 366 after the first vaccination. AESIs and NOCMCs were reported from the time of first study vaccination through Day 92 after first study vaccination.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

M2SR
Serious: 0/22 (0%)
Deaths: 0/22
Placebo
Serious: 0/21 (0%)
Deaths: 0/21
Other adverse events (15 terms — click to expand)

ReactionSystemM2SRPlacebo
HeadacheNervous system disorders
FatigueGeneral disorders
Nasal CongestionRespiratory, thoracic and mediastinal disorders
SneezingRespiratory, thoracic and mediastinal disorders
MalaiseGeneral disorders
Upper Respiratory Tract InfectionInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Abdominal PainGastrointestinal disorders
NauseaGastrointestinal disorders
Decreased AppetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Sinus PainRespiratory, thoracic and mediastinal disorders
Throat IrritationRespiratory, thoracic and mediastinal disorders
FlushingVascular disorders

Data from ClinicalTrials.gov NCT03553940 adverse events section.

Sponsor's own description

This is a Phase I double-blind, randomized, placebo-controlled study in 50 healthy adolescents and children, 9-17 years of age, inclusive, who are in good health and meet all eligibility criteria. This clinical trial is designed to assess the safety and immunogenicity of a prime-boost regimen of H3N2 M2SR intranasal influenza vaccine (manufactured by FluGen) followed by licensed inactivated Quadrivalent Influenza Vaccine (QIV) boost administered intramuscularly Subjects will be enrolled in one of two groups in a 1:1 ratio. Arm 1 will receive one dose of M2SR intranasally on Day 1 and one dose of QIV on Day 92. Arm 2 will receive one dose of placebo (saline) intranasally on Day 1, and one dose of QIV on Day 92. Study duration will be approximately 28 months with patient participation duration approximately 13 months. The primary study objective is to assess the safety and reactogenicity of a monovalent live attenuated influenza H3N2 M2SR vaccine.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. M2e-based universal influenza vaccines: a historical overview and new approaches to development.
    Mezhenskaya D, Isakova-Sivak I, Rudenko L. · · 2019 · cited 87× · PMID 31629405 · DOI 10.1186/s12929-019-0572-3
  2. Novel Approaches for The Development of Live Attenuated Influenza Vaccines.
    Blanco-Lobo P, Nogales A, Rodríguez L, Martínez-Sobrido L. · · 2019 · cited 43× · PMID 30813325 · DOI 10.3390/v11020190
  3. A Decade in Review: A Systematic Review of Universal Influenza Vaccines in Clinical Trials during the 2010 Decade.
    Corder BN, Bullard BL, Poland GA, Weaver EA. · · 2020 · cited 26× · PMID 33092070 · DOI 10.3390/v12101186
  4. Advancing influenza vaccines: A review of next-generation candidates and their potential for global health impact.
    Taaffe J, Ostrowsky JT, Mott J, Goldin S, et al · · 2024 · cited 24× · PMID 39369576 · DOI 10.1016/j.vaccine.2024.126408
  5. Recent Progress in Recombinant Influenza Vaccine Development Toward Heterosubtypic Immune Response.
    Carascal MB, Pavon RDN, Rivera WL. · · 2022 · cited 20× · PMID 35663997 · DOI 10.3389/fimmu.2022.878943
  6. Targeting Antigens for Universal Influenza Vaccine Development.
    Nguyen QT, Choi YK. · · 2021 · cited 17× · PMID 34073996 · DOI 10.3390/v13060973
  7. Update on Influenza Vaccines: Needs and Progress.
    Kennedy RB, Ovsyannikova IG, Poland GA. · · 2021 · cited 5× · PMID 34416408 · DOI 10.1016/j.jaip.2021.08.003
  8. Collaborative influenza vaccine innovation centers (CIVICs) program.
    Singleton KL, Post DJ, Augustine AD, Ison MG. · · 2025 · cited 2× · PMID 40286588 · DOI 10.1016/j.vaccine.2025.127118

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03553940.

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