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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT06279871
Registration number
NCT06279871
Ethics application status
Date submitted
23/02/2024
Date registered
28/02/2024
Date last updated
5/06/2024
Titles & IDs
Public title
Immunogenicity and Safety Study of Self-amplifying mRNA COVID-19 Vaccine Administered With Influenza Vaccines in Adults
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Scientific title
A Phase 3, Multicenter, Observer-blind, Randomized, Controlled Study to Evaluate the Immunogenicity, Reactogenicity, and Safety of a Self-Amplifying RNA COVID-19 Vaccine (ARCT-2303), Administered Concomitantly With Quadrivalent Influenza Vaccines, in Adults
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Secondary ID [1]
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ARCT-2303-01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
COVID-19
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Condition category
Condition code
Infection
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Other infectious diseases
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - ARCT-2303
Other interventions - Influenza vaccine
Other interventions - Influenza vaccine, adjuvanted
Other interventions - Placebo
Experimental: Group 1a (ARCT-2303/Influenza vaccine) - Participants will receive one 0.5-mL IM (intramuscular) dose of ARCT-2303 and one 0.5-mL IM dose of influenza vaccine on Day 1 followed by a 0.5-mL IM dose of placebo on Day 29.
Experimental: Group 2a (ARCT-2303) - Participants will receive one 0.5-mL IM dose of ARCT-2303 and one 0.5-mL IM dose of placebo on Day 1 followed by a 0.5-mL IM dose of influenza vaccine on Day 29.
Active Comparator: Group 3a (Influenza vaccine) - Participants will receive one 0.5-mL IM dose of influenza vaccine and one 0.5-mL IM dose of placebo on Day 1 followed by a 0.5-mL IM dose of ARCT-2303 on Day 29.
Experimental: Group 1b (ARCT-2303/ Influenza vaccine) - Participants will receive one 0.5-mL IM dose of ARCT-2303 and one 0.5-mL IM dose of influenza vaccine on Day 1 followed by a 0.5-mL IM dose of placebo on Day 29.
Experimental: Group 2b (ARCT-2303) - Participants will receive one 0.5-mL IM dose of ARCT-2303 and one 0.5-mL IM dose of placebo on Day 1 followed by a 0.5-mL IM dose of influenza vaccine on Day 29.
Active Comparator: Group 3b (Influenza vaccine) - Participants will receive one 0.5-mL IM dose of influenza vaccine and one 0.5-mL IM dose of placebo on Day 1 followed by a 0.5-mL IM dose of ARCT-2303 on Day 29.
Other interventions: ARCT-2303
Self-Amplifying RNA COVID-19 vaccine (Omicron XBB.1.5)
Other interventions: Influenza vaccine
Licensed cell-based influenza vaccine
Other interventions: Influenza vaccine, adjuvanted
Licensed influenza vaccine, adjuvanted
Other interventions: Placebo
0.9% saline
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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SARS-CoV-2 neutralizing antibody titers
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Assessment method [1]
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Immune response as measured by geometric mean titers (GMTs) of neutralizing antibodies against Omicron XBB.1.5 subvariant (Groups 2a and 2b; a comparator group from a previous study)
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Timepoint [1]
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Day 29
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Primary outcome [2]
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SARS-CoV-2 neutralizing antibody seroconversion rates
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Assessment method [2]
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Immune response as measured by SARS-CoV-2 neutralizing antibody seroconversion rates against Omicron XBB.1.5 subvariant (Groups 2a and 2b; a comparator group from a previous study)
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Timepoint [2]
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Day 29
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Primary outcome [3]
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Hemagglutination Inhibition (HI) titers
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Assessment method [3]
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Immune response as measured by GMTs against influenza vaccine strains (Group 1a; Group 3a)
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Timepoint [3]
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Day 1, Day 29
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Primary outcome [4]
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SARS-CoV-2 neutralizing antibody titers
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Assessment method [4]
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Immune response as measured by GMTs of neutralizing antibodies against Omicron XBB.1.5 subvariant (Group 1a; Group 2a)
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Timepoint [4]
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Day 29
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Secondary outcome [1]
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SARS-CoV-2 neutralizing antibody titers
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Assessment method [1]
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GMTs of SARS-CoV-2 neutralizing antibody titers against Omicron XBB.1.5 subvariant (Groups 2a and 2b; a comparator group from a previous study)
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Timepoint [1]
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Day 29
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Secondary outcome [2]
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SARS-CoV-2 neutralizing antibody seroconversion rates
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Assessment method [2]
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SARS-CoV-2 neutralizing antibody seroconversion rates against Omicron XBB.1.5 subvariant (Groups 2a and 2b; a comparator group from a previous study)
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Timepoint [2]
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Day 29
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Secondary outcome [3]
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SARS-CoV-2 neutralizing antibody response (Group 1a; Group 2a)
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Assessment method [3]
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SARS-CoV-2 neutralizing antibody responses against Omicron XBB.1.5 subvariant as measured by GMT, Geometric Mean Fold Rise (post/pre-vaccination), proportion of participants with seroconversion and proportion of participants with antibody titer = lower limit of quantitation (LLOQ) (Group 1a; Group 2a)
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Timepoint [3]
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Days 1, 29 and 181
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Secondary outcome [4]
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Hemagglutination Inhibition (HI) titers
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Assessment method [4]
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HI assay titers against influenza vaccine strains as measured by GMT, Geometric Mean Fold Rise (post/pre-vaccination), proportion of participants with seroconversion and proportion of participants with HI titers =1:40 (Group 1a; Group 3a)
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Timepoint [4]
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Day 1, Day 29
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Secondary outcome [5]
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SARS-CoV-2 neutralizing antibody responses
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Assessment method [5]
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SARS-CoV-2 neutralizing antibody responses against Omicron XBB.1.5 subvariant as measured by GMT, Geometric Mean Fold Rise (post/pre-vaccination), proportion of participants with seroconversion and proportion of participants with antibody titer = LLOQ (Group 1b; Group 2b)
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Timepoint [5]
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Day 181
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Secondary outcome [6]
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Hemagglutination Inhibition (HI) assay titers
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Assessment method [6]
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HI assay titers against influenza vaccine strains as measured by GMT, Geometric Mean Fold Rise (post/pre-vaccination), proportion of participants with seroconversion and proportion of participants with HI titers =1:40 (Group 1b; Group 3b)
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Timepoint [6]
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Day 29
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Secondary outcome [7]
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Local and systemic adverse events (AEs)
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Assessment method [7]
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Proportion of participants with local and systemic solicited AEs
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Timepoint [7]
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Day 1 to Day 8 after each vaccination
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Secondary outcome [8]
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Unsolicited AEs
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Assessment method [8]
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Proportion of participants with unsolicited AEs
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Timepoint [8]
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Day 1 to Day 29 after each vaccination
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Secondary outcome [9]
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SAE, Medically Attended Adverse Events (MAAE), Adverse Events of Special Interest (AESI), and AE leading to early termination
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Assessment method [9]
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Proportion of participants with SAE/MAAE/AESI/AE leading to early termination from study
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Timepoint [9]
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Day 1 to Day 181
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Eligibility
Key inclusion criteria
1, Individuals are male, female, or transgender adults =18 years of age.
2. Healthy participants or participants with pre-existing stable medical conditions.
3. Participant or legally authorized representatives must freely provide documented
informed consent prior to study procedures being performed.
4. Individuals must have been previously vaccinated with COVID-19 vaccines.
5. Individuals of childbearing potential must be willing to adhere to contraceptive
requirements.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Individuals with acute medical illness or febrile illness.
2. Individuals with a positive SARS-CoV-2 rapid antigen test at Screening.
3. Individuals with a history of COVID-19 or virologically confirmed SARS-CoV-2 infection
within the past 5 months or history of COVID-19 with ongoing sequelae.
4. Individuals with a known history of severe hypersensitivity reactions, including
anaphylaxis, or other significant adverse reactions to any components of mRNA vaccine,
or influenza vaccine, including egg protein.
5. Individuals who have a positive pregnancy test at the Screening visit or who intend to
become pregnant or breastfeed during the study.
6. Individuals with a history of myocarditis, pericarditis, myopericarditis or
cardiomyopathy.
7. Individuals with a history of Guillain-Barré syndrome, encephalomyelitis, or
transverse myelitis.
8. Individuals with a history of congenital or acquired immunodeficiency.
9. Individuals who have received immunomodulatory, immunostimulatory, or
immunosuppressant drugs within 3 months of Screening; or individuals requiring
systemic corticosteroids exceeding 10 mg/day of prednisone equivalent for =10 days
within 30 days of Screening.
10. Individuals who have received immunoglobulins and/or any blood or blood products
within the 3 months before the first vaccine administration or plan to receive such
products at any time during the study.
11. Individuals with a documented history of HIV infection, or who are currently known to
have active tuberculosis.
12. Individuals receiving treatment with another investigational drug, biological agent,
or device.
13. Individuals who have received any investigational COVID-19 vaccines.
14. Individuals who received any influenza vaccine within 6 months prior to enrollment or
plan to receive an influenza vaccine during the study period.
15. Individuals who have received any other licensed vaccines within 14 days prior to
enrollment in this study or who are planning to receive any vaccine up to 14 days
after the study vaccination.
16. Individuals who are investigator site staff members, employees of the Sponsor or the
Clinical Research Organization directly involved in the conduct of the study, or site
staff members otherwise supervised by the investigator or immediate family members of
any of the previously mentioned individuals.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
27/03/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2024
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Actual
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Sample size
Target
1680
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Paratus Clinical Canberra - Canberra
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Recruitment hospital [2]
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Paratus Clinical Central Coast - Central Coast
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Recruitment hospital [3]
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Sutherland Shire Clinical Research - Walski - Miranda
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Recruitment hospital [4]
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Australian Clinical Research Network (ACRN) - Sydney
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Recruitment hospital [5]
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Austrials - St. Leonards - Sydney
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Recruitment hospital [6]
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Emeritus Research Sydney - Sydney
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Recruitment hospital [7]
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Griffith University Clinical Trials Unit - Sydney
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Recruitment hospital [8]
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Northern Beaches Clinical Research - Walski - Sydney
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Recruitment hospital [9]
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Paratus Clinical Blacktown - Sydney
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Recruitment hospital [10]
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Wollongong Clinical Research - Wollongong
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Recruitment hospital [11]
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Nucleus Network Brisbane (Q-Pharm) - Brisbane
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Recruitment hospital [12]
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Paratus Clinical Brisbane - Brisbane
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Recruitment hospital [13]
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USC Southbank - Brisbane
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Recruitment hospital [14]
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USC Morayfield - Morayfield
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Recruitment hospital [15]
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USC Sippy Down - Sunshine Coast
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Recruitment hospital [16]
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CMAX - Adelaide
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Recruitment hospital [17]
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Austrials -Sunshine - Melbourne
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Recruitment hospital [18]
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Emeritus Research Melbourne - Melbourne
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Recruitment hospital [19]
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Nucleus Network - Melbourne
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Recruitment hospital [20]
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The Peter Doherty Institute for Infection and Immunity - Melbourne
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Recruitment hospital [21]
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Veritus Research - Melbourne
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Recruitment hospital [22]
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Clinitrials - Mount Site - Perth
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Recruitment postcode(s) [1]
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- Canberra
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Recruitment postcode(s) [2]
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- Central Coast
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Recruitment postcode(s) [3]
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- Miranda
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Recruitment postcode(s) [4]
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- Sydney
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Recruitment postcode(s) [5]
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- Wollongong
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Recruitment postcode(s) [6]
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- Brisbane
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Recruitment postcode(s) [7]
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- Morayfield
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Recruitment postcode(s) [8]
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- Sunshine Coast
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Recruitment postcode(s) [9]
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- Adelaide
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Recruitment postcode(s) [10]
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- Melbourne
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Recruitment postcode(s) [11]
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- Perth
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Recruitment outside Australia
Country [1]
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Costa Rica
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State/province [1]
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San Jose
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Country [2]
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Costa Rica
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State/province [2]
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San José
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Country [3]
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Honduras
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State/province [3]
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Comayagua
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Country [4]
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Honduras
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State/province [4]
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San Pedro Sula
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Country [5]
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Honduras
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State/province [5]
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Tegucigalpa
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Country [6]
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Philippines
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State/province [6]
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Muntinlupa City
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Country [7]
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Philippines
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State/province [7]
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Quezon City
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Arcturus Therapeutics, Inc.
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Address
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Country
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Other collaborator category [1]
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Commercial sector/Industry
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Name [1]
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Seqirus
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Address [1]
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Country [1]
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Other collaborator category [2]
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Commercial sector/Industry
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Name [2]
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Novotech (Australia) Pty Limited
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multicenter, observer-blind, randomized, controlled phase 3 study to evaluate the
immunogenicity, reactogenicity, and safety of an investigational self-amplifying RNA COVID-19
vaccine (ARCT-2303) administered concomitantly with quadrivalent influenza vaccines or
standalone in adults who previously received authorized COVID-19 vaccine.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT06279871
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Clinical Program Director
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Address
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Arcturus Therapeutics
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Clinical Trial Disclosure Manager
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Address
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Country
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Phone
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(858) 900-2660
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT06279871
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