Phase 1 Randomized Controlled Trial of the Safety and Immunogenicity of the SARS-CoV-2 (Omicron BA.5) mRNA-CR-04 Vaccine in Adults 18–49 Years of Age - Summary - MDSpire

Phase 1 Randomized Controlled Trial of the Safety and Immunogenicity of the SARS-CoV-2 (Omicron BA.5) mRNA-CR-04 Vaccine in Adults 18–49 Years of Age

  • By

  • Abdi Naficy

  • Mireille Venken

  • Yingmei Xi

  • Mark Loughrey

  • Giulietta Maruggi

  • Hema Sharma

  • Kunal Aggarwal

  • Daniel Brune

  • Bach-Yen Nguyen

  • November 26, 2025

  • 0 min

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Objective:

To evaluate the safety and immunogenicity of the mRNA-CR-04 vaccine in adults aged 18 to 49, including the assessment of neutralizing titers.

Key Findings:
  • The mRNA-CR-04 vaccine was generally well tolerated with mostly mild to moderate adverse events, indicating a favorable safety profile.
  • Grade 3 reactogenicity was observed only in the 100 µg group (16.7%), suggesting dose-dependent effects.
  • All doses elicited significant neutralizing titers against the BA.5 variant and cross-neutralizing titers against the wild type variant, highlighting the vaccine's potential effectiveness.
  • Neutralizing titers waned by Month 6 but remained above baseline levels, indicating sustained immune response.
Interpretation:

The mRNA-CR-04 vaccine demonstrated a favorable safety profile and robust immune response, supporting further investigation.

Limitations:
  • The study involved a small sample size, which may limit the generalizability of the findings.
  • Long-term safety and efficacy data are still needed to fully understand the vaccine's performance.
Conclusion:

The mRNA-CR-04 vaccine is a promising candidate for further development against SARS-CoV-2 variants.

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