Recruiting
Phase 1

Flu Vaccine

Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Code:

NCT07111078

Conditions

Influenza Prevention

Pandemic Influenza Prevention

Eligibility Criteria

Sex: All

Age: 18 - 50

Healthy Volunteers: Accepted

Interventions

VRC-FLUMOS0122-00-VP

ALFQ

Study Details

Brief summary:

Background:

Influenza (flu) is a contagious respiratory illness caused by viruses. Flu symptoms can range from mild to severe, and the illness can be fatal. Vaccines help the body learn to prevent or fight infections such as flu. Some vaccines are combined with adjuvants. Adjuvants are special salts or fats that help vaccines work better. Researchers are looking for ways to make flu vaccines more effective.

Objective:

To test a new flu vaccine with and without a new adjuvant.

Eligibility:

Healthy adults aged 18 to 50. They must have had at least 1 flu vaccine since 2020.

Design:

Participants will have 12 clinic visits over 15 months.

The vaccine is given as an injection into the muscle of the upper arm. Participants will be vaccinated during 2 visits spaced 4 months apart. Half will receive just the vaccine; half will receive the vaccine plus the adjuvant. They will be monitored for at least 30 minutes after each shot.

Participants will keep a diary for 7 days after each shot. They check their temperature every day and record any symptoms.

Participants will have 10 follow-up clinic visits plus 4 phone calls. They will have 4 to 10 tablespoons of blood drawn at each clinic visit. Fluid samples will be collected from their nose and mouth. They will be checked for any health changes.

Participants may opt to undergo apheresis: Blood will be taken from the body through a needle inserted into a vein. The blood will pass through a machine that separates out the white blood cells. The remaining blood will be returned to the body through a different needle.

Conditions

Influenza Prevention

Pandemic Influenza Prevention

Study ID

NCT07111078

Start date

Aug 27, 2025

Status verified date

Sep 4, 2026

Completion date

Aug 18, 2027

Anticipated

Primary completion date

Aug 18, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 50

Healthy Volunteers: Accepted

  • INCLUSION CRITERIA:

A participant must meet all of the following criteria:

  • Healthy adults between the ages of 18-50 years, inclusive
  • Based on history and physical examination, be in good general health and without a history of any of the conditions listed in the exclusion criteria
  • Received at least one licensed influenza vaccine from the 2020-2021 influenza season through the 2024-2025 influenza season
  • Able and willing to complete the informed consent process
  • The ability to read and comprehend English as all consent and recruitment materials are in English.
  • Available for clinic visits for 68 weeks after the first dose, including through the 2025-2026 influenza season
  • Able to provide proof of identity to the satisfaction of the study clinician completing the enrollment process
  • Physical examination and laboratory results without clinically significant findings and a Body Mass Index (BMI) <= 35 within the 56 days before enrollment
  • Agrees to not receive any licensed influenza vaccination during study participation due to potential confounding of study results
  • Willing to have blood and mucosal samples collected, stored indefinitely, and used for research purposes.

Laboratory Criteria within 56 days before enrollment:

  • WBC and differential within institutional normal range or accompanied by approval of the site Principal Investigator (PI) or designee
  • Total lymphocyte count >= 800 cells/microliter
  • Platelets = 125,000-400,000 cells/mircoliter
  • Hemoglobin within institutional normal range or accompanied by approval of the PI or designee
  • Alanine aminotransferase (ALT) <= 1.25 x institutional upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) <= 1.25 x institutional ULN
  • Alkaline phosphatase (ALP) < 1.1 x institutional ULN
  • Total bilirubin within institutional normal range or accompanied by approval of the PI or designee
  • Serum creatinine <= 1.1 x institutional ULN
  • Negative for HIV infection by an FDA-approved method of detection

Criteria applicable to women of childbearing potential:

  • Negative beta-human chorionic gonadotropin (beta-HCG) pregnancy test (urine or serum) on the day of enrollment
  • Agrees to use an effective means of birth control from at least 21 days prior to enrollment through the end of the study

EXCLUSION CRITERIA:

Participant will be excluded if one or more of the following conditions apply:

-Women who are breast-feeding or planning to become pregnant during the study

A participant has received any of the following substances:

  • Receipt of any licensed influenza vaccine or lab-confirmed influenza infection within 6 months prior to enrollment.
  • Plan to or are required to receive the 2025-2026 or 2026-2027 licensed influenza vaccines
  • Live attenuated vaccines within 4 weeks prior to enrollment
  • Inactivated vaccines within 2 weeks prior to enrollment
  • mRNA vaccines within 4 weeks prior to enrollment
  • Receipt of the HA ferritin influenza vaccine VRC-FLUNPF081-00-VP alone or in prime-boost regimens with VRC-FLUDNA082-00-VP (HA-F A/Sing, DNA A/Sing, VRC 316).
  • Receipt of the mosaic quadrivalent influenza vaccine VRC-FLUMOS0111-00-VP (FluMos-v1, VRC 325)
  • Receipt of the mosaic hexavalent influenza vaccine VRC-FLUMOS0116-00-VP (FluMos-v2, VRC 326)
  • More than 10 days of systemic immunosuppressive medications or cytotoxic medications within the 4 weeks prior to enrollment or any within the 14 days prior to enrollment
  • Blood products within 16 weeks prior to enrollment
  • Investigational research agents within 4 weeks prior to enrollment or planning to receive investigational products while on the study
  • Current allergy treatment with allergen immunotherapy with antigen injections, unless on maintenance schedule
  • Current anti-TB prophylaxis or therapy

Participant has a history of any of the following clinically significant conditions:

  • Serious reactions to vaccines that preclude receipt of the study vaccinations as determined by the PI or designee
  • Hereditary angioedema, acquired angioedema, or idiopathic forms of angioedema
  • Asthma that is not well controlled
  • Diabetes mellitus (type I or II), except for gestational diabetes
  • Thyroid disease that is not well controlled
  • Idiopathic urticaria within the past year
  • Immune-mediated diseases, such as autoimmune or autoinflammatory diseases, or immunodeficiencies
  • Hypertension that is not well controlled
  • Bleeding disorder diagnosed by a doctor (e.g., factor deficiency, coagulopathy, or platelet disorder requiring special precautions) or significant bruising or bleeding difficulties with IM injections or blood draws
  • Malignancy that is active or history of malignancy that is likely to recur during the period of the study
  • Seizure disorder other than 1) febrile seizures, 2) seizures secondary to alcohol withdrawal more than 3 years ago, or 3) seizures that have not required treatment within the last 3 years
  • Asplenia, functional asplenia or any condition resulting in the absence or removal of the spleen
  • Guillain-Barr(SqrRoot)(Copyright) Syndrome
  • Any medical, social condition, occupational reason, or other reason that, in the judgment of the PI or designee, is a contraindication to protocol participation or impairs a participant's ability to give informed consent, including but not limited to clinically significant forms of infectious diseases, drug or alcohol abuse, autoimmune diseases, psychiatric disorders, or heart disease.

Study Design

Enrollment

56 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Prevention

Interventions and Outcome Measures

Arms

experimental: Group 1

60 mcg of SteMos1 on Day 0 and Week 16

experimental: Group 2

180 mcg of SteMos1 on Day 0 and Week 16

experimental: Group 3

60 mcg of SteMos1 + 0.5 ml of ALFQ on Day 0 and Week 16

experimental: Group 4

180 mcg of SteMos1 + 0.5 ml of ALFQ on Day 0 and Week 16

experimental: Group 5- optional

SteMos1 \[dose TBD based on interim analysis of data from Groups 3-4\] + 0.5 ml of ALFQ on Day 0 and Week 16

Interventions

VRC-FLUMOS0122-00-VP

The VRC-FLUMOS0122-00-VP (SteMos1) is composed of de novo engineered pentamer assembled with de novo engineered trimeric domains to an icosahedral core, projecting 20 HA stabilized stem trimers from four influenza A strains representing both Group 1 (H2, H5) and Group 2 (H7, H10) viruses.

ALFQ

The ALFQ drug product is a sterile suspension that contains 240 mcg of monophosphoryl 3-deacyl Lipid A (3D-PHAD) and 120 mcg QS-21

Primary outcome measure

  • Safety and tolerability of 180 mg VRCFLUMOS0122-00-VP (SteMos1) vaccine with ALFQ adjuvant administered as a 2-dose regimen [ Time Frame: Though 52 weeks after the second vaccine administration ]
  • Safety and tolerability of 60 mg VRCFLUMOS0122-00-VP (SteMos1) vaccine with ALFQ adjuvant administered as a 2-dose regimen [ Time Frame: Though 52 weeks after the second vaccine administration ]
  • Safety and tolerability of 180 mg VRCFLUMOS0122-00-VP (SteMos1) vaccine without ALFQ adjuvant administered as a 2-dose regimen [ Time Frame: Though 52 weeks after the second vaccine administration ]
  • Safety and tolerability of 60 mg VRCFLUMOS0122-00-VP (SteMos1) vaccine without ALFQ adjuvant administered as a 2-dose regimen [ Time Frame: Though 52 weeks after the second vaccine administration ]

Central Contacts and Locations

Central contacts

Locations

National Institutes of Health Clinical Center

Recruiting

Bethesda, Maryland, United States, 20892

Contacts

More Information

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Last update posted

Sep 9, 2026

Last verified

Sep 4, 2026

Keywords

  • Dose-Escalation
  • INFLUENZA VIRUS
  • Immune Response
  • Respiratory Illness
  • Experimental Vaccine
  • Safety

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by National Institute of Allergy and Infectious Diseases (NIAID) on 2026-09-09.