Evidence map›Paper›PMID 42033146›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

A Phase 1/2 Dose-Ranging Safety and Immunogenicity Study of mRNA-Based Candidate Pandemic Influenza Vaccines in Healthy Adults.

Catherine A Cosgrove, Andrei Avanesov, Dondi Rust, Seun Osibajo, Kingston Kang, Brett Leav, ODYSSEY Study Group

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05972174 (Phase 1/2, Randomized, Observer-Blind, Parallel, Dose-Ranging Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of mRNA-1018 Pandemic Influenza Candidate Vaccines in Healthy Adults ≥18 Years of Age), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05972174 phase1 / phase2completednot on this map

Phase 1/2, Randomized, Observer-Blind, Parallel, Dose-Ranging Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of mRNA-1018 Pandemic Influenza Candidate Vaccines in Healthy Adults ≥18 Years of Age

TypeinterventionalSponsorModernaTX, Inc.Ran2023 to 2024Enrolled1,504ConditionsInfluenzaArmsmRNA-1018 for H5N8, mRNA-1018 for H7N9, mRNA-1018 for H5 Only, mRNA-1018 for H7 Only, mRNA-1018 for H5 Only-CG
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Catherine A CosgroveInstitute of Infection and Immunity & Vaccine Institute, City St George's, University of London, United Kingdom & St George's University Hospital NHS Trust, London, United Kingdom.ORCID 0000-0003-0295-6893
Andrei AvanesovClinical Operations and Clinical Biomarkers, Moderna, Inc., Cambridge, Massachusetts, USA.
Dondi RustClinical Operations and Clinical Biomarkers, Moderna, Inc., Cambridge, Massachusetts, USA.
Seun OsibajoClinical Operations and Clinical Biomarkers, Moderna, Inc., Cambridge, Massachusetts, USA.ORCID 0009-0007-6126-0489
Kingston KangClinical Operations and Clinical Biomarkers, Moderna, Inc., Cambridge, Massachusetts, USA.
Brett LeavClinical Operations and Clinical Biomarkers, Moderna, Inc., Cambridge, Massachusetts, USA.
ODYSSEY Study Group

Funding

Moderna, Inc
6 · The paper itself

Abstract

backgroundInfluenza A viruses pose a persistent pandemic threat. We report safety, reactogenicity, and immunogenicity findings for mRNA-1018 pandemic influenza vaccine candidates from a phase 1/2 study in healthy adults.

methodsIn part A, participants were randomized to receive 1 of 4 mRNA-1018 candidates at 1 of 3 dose levels across 2 influenza A groups: (1) H5N8/H5-only or (2) H7N9/H7-only. Part B participants were randomized to receive H5-only-CG. The primary objectives were to evaluate the safety and reactogenicity. The secondary objectives included evaluation of humoral immunogenicity through day 205 by hemagglutination inhibition (HAI), neuraminidase inhibition, and microneutralization assays.

resultsParts A and B comprised 1195 and 304 dosed participants, respectively. Overall, solicited local adverse reactions (ARs) within 7 days of vaccination occurred in 76.8% of participants across vaccine candidates and dose levels, most commonly injection-site pain. Solicited systemic ARs were reported in 62.8% of participants, most frequently fatigue and headache. Postvaccination immune responses, assessed absolutely, by HAI titers and dynamically, by seroconversion rates, tended to increase with vaccine dose. H5-based candidates induced stronger strain-specific HAI.

conclusionsVaccine candidates were sufficiently well tolerated and immunogenic. Further development of mRNA pandemic influenza vaccines is warranted.Clinical Trials Registration. NCT05972174.

Indexed as

Immunogenicity, VaccineInfluenza, HumanInfluenza VaccinesAdolescentAdultAntibodies, ViralFemaleHealthy VolunteersHemagglutination Inhibition TestsHumansInfluenza A virusMaleMiddle AgedPandemicsRNA, MessengerVaccinationAntibodies, ViralInfluenza VaccinesRNA, MessengerVaccines, Syntheticimmune responsemRNApandemic influenza vaccinephase 1/2 clinical trialsafety

Identifiers

PMID42033146
PMCPMC13644865

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.