Trial NCT04796896
Publication Anderson E, N Engl J Med, 2022
Dates: 2021-04-01 to 2021-06-30
Funding: Mixed (Biomedical Advanced Research and Development Authority and the National Institute of Allergy and Infectious Diseases. Authors’ affiliations that include Moderna: J.E.T., D.D., C.R., B.K., X.Z., W.D., H.Z., D.R.S., K.H., B.G., K.S., R.M., R.P., A.A., R.D., J.M.M., S.S.G.)
Conflict of interest: Yes
Methods | |
RCT | |
Location :
Multicenter / Canada, USA Follow-up duration (months): * | |
25 mcg mRNA-1273 (n=1762) Placebo (n=593) |
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Inclusion criteria |
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Exclusion criteria |
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Interventions | |
Intervention
2 IM doses of 25 mcg mRNA-1273, 28 days apart |
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Control
2 IM doses of 0.5mL normal saline, 28 days apart | |
Participants | |
Randomized 2355 participants | |
Characteristics of participants Type of participants: Children N=2355 1200 males Children: 2350 Pregnant women: 0 Mean age: Age range: NR | |
Description of participants Children 6 to 23 months of age, including healthy and those with stable chronic diseases in 87 centres in USA (79 sites) and Canada (8 sites). | |
Primary outcome | |
In the register 1)Number of Participants with Solicited Local and Systemic Adverse Reactions (ARs) [ Time Frame: Up to Day 156 (7 days after each injection) ]; 2)Number of Participants with Unsolicited Adverse Events (AEs) [ Time Frame: Up to Day 177 (28 days after each injection) ]; 3)Number of Participants with Medically-Attended AEs (MAAEs) [ Time Frame: Up to Day 514 (1 year after booster dose) ]; 4)Number of Participants with Serious Adverse Events (SAEs) [ Time Frame: Up to Day 514 (1 year after booster dose) ]; 5)Number of Participants with Adverse Events of Special Interest (AESIs), Including Multisystem Inflammatory Syndrome in Children (MIS-C), Myocarditis and/or Pericarditis [ Time Frame: Up to Day 514 (1 year after booster dose) ]; 6)Number of Participants with AEs Leading to Discontinuation From Study Post-Booster Dose Through the Last Day of Study Participation [ Time Frame: Day 149 (booster dose Day 1) through the last day of study participation (Day 514) ]; 7)Number of Participants with Serum Antibody Levels that Meet or Exceed the Threshold of Protection From COVID-19 [ Time Frame: Day 57 (1 month after second injection) ]; 8)Geometric Mean (GM) Value of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Specific Serum Antibody [ Time Frame: Day 57 (1 month after second injection) ]; 9)Seroresponse Rate of Vaccine Recipients [ Time Frame: Day 57 (1 month after second injection) ]; | |
In the report Safety and reactogenicity of mRNA-1273 and to infer efficacy on the basis of the noninferiority of the serum antibody geometric mean concentrations and serologic responses among these children as compared with those among young adults. | |
Documents available |
Protocol Yes. In English Statistical plan Yes Data-sharing stated:
No, As the trial is ongoing, access to patient-level data
and supporting clinical documents with qualified
external researchers may be available upon request
and subject to review once the trial is complete. |
Risk of bias Overall The overall risk of bias reported in the table corresponds to the highest risk of bias for the outcomes assessed for the systematic review |
Some concerns |
General comment | In addition to the published article, the study registry, protocol and supplementary appendix were used in data extraction and risk of bias assessment. The article presented preliminary analyses through the data-cutoff date of February 21, 2022 for a study with ongoing follow-up. There were no important differences between protocol/registry and published report in population, procedures, interventions or outcomes. |