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Phase 1 N=60 Randomized Quadruple-blind Prevention

Evaluating the Infectivity, Safety and Immunogenicity of Respiratory Syncytial Virus Vaccines, RSV 6120/∆NS1 and RSV 6120/F1/G2/∆NS1, in RSV-Seropositive Children and RSV-Seronegative Infants and Children

RSV Infection

Enrolled (actual)
60
Serious AEs
0.0%
Results posted
Feb 2026
Primary outcome: Primary: Number of Participants With Solicited Adverse Events (AEs) by Grade (RSV-seropositive Participants) — 10; 9; 4; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
RSV 6120/∆NS1 (Biological); RSV 6120/F1/G2/∆NS1 (Biological); Placebo (Biological)
Age
Pediatric · 0+ yrs
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Apr 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Solicited Adverse Events (AEs) by Grade (RSV-seropositive Participants)
10; 9; 4; 0; 0; 0
PRIMARY
Number of Participants With Solicited Adverse Events (AEs) by Grade (RSV-seronegative Participants)
10; 12; 4; 1; 1; 1
PRIMARY
Number of Participants With Unsolicited AEs (RSV-seropositive Participants)
3; 2; 0
PRIMARY
Number of Participants With Unsolicited AEs (RSV-seronegative Participants)
3; 4; 0
PRIMARY
Number of Participants With Serious Adverse Events (SAEs) (RSV-seropositive Participants)
0; 0; 0
PRIMARY
Number of Participants With Serious Adverse Events (SAEs) (RSV-seronegative Participants)
0; 0; 0
PRIMARY
Frequency of Infection With RSV Vaccine Virus (RSV-seropositive Participants)
0; 0; 0; 0; 1; 0
PRIMARY
Frequency of Infection With RSV Vaccine Virus (RSV-seronegative Participants)
10; 9; 0; 7; 11; 0
PRIMARY
Peak Titer of Vaccine Virus Shed by Culture (RSV-seropositive Participants)
PRIMARY
Peak Titer of Vaccine Virus Shed by Culture (RSV-seronegative Participants)
1.4; 1.2
PRIMARY
Duration of Virus Shedding in Nasal Washes (RSV-seropositive Participants)
PRIMARY
Duration of Virus Shedding in Nasal Washes or Nasal Swabs (RSV-seronegative Participants)
9.8; 10.3; 13.0; 13.9
PRIMARY
Number of Participants With a Greater Than or Equal to 4-fold Rise in Serum RSV-Neutralizing Antibody Titers and/or Serum Antibody Titers to RSV F Glycoprotein (RSV-seropositive Participants)
0; 1; 0; 0; 1; 0
PRIMARY
Number of Participants With a Greater Than or Equal To 4-fold Rise in Serum RSV-Neutralizing Antibody Titers and/or Serum Antibody Titers to RSV F Glycoprotein (RSV-seronegative Participants)
7; 11; 0; 8; 10; 0
PRIMARY
RSV-Neutralizing Serum Antibody Titer and Immunoglobulin G (IgG) Antibody Responses to RSV F Glycoprotein (RSV-seropositive Participants)
8.5; 6.8; 7.7; 7.7; 7.1; 7.1
PRIMARY
RSV-neutralizing Serum Antibody Titer and Immunoglobulin G (IgG) Antibody Responses to RSV F Glycoprotein (RSV-seronegative Participants)
2.6; 2.7; 2.7; 4.6; 5.9; 2.3
PRIMARY
The Frequency of Study-related Product Lower Respiratory Tract Illness (LRIs) in RSV-seropositive Participants.
0; 0; 0
SECONDARY
Frequency of Symptomatic, Medically Attended Respiratory and Febrile Illness in the RSV-seronegative (Group 2) Vaccine and Placebo Recipients Who Experience Natural Infection With wt RSV During the RSV Season
1; 4; 2
SECONDARY
Severity of Symptomatic, Medically Attended Respiratory and Febrile Illness in the RSV-seronegative (Group 2) Vaccine and Placebo Recipients Who Experience Natural Infection With wt RSV During the RSV Season.
0; 1; 1; 0; 0; 1
SECONDARY
Serum RSV Antibody Titers and Immunoglobulin G (IgG) Serum Antibody Titers to RSV F Glycoprotein Enzyme-linked Immunosorbent Assay (ELISA) in RSV Seronegative Subjects (Group 2) Infected With Wt-RSV During the RSV Surveillance.
6.7; 4.7; 2.3; 8.6; 8.4; 4.7
SECONDARY
Number of Participants With Greater Than or Equal to 4-fold Rise in Serum RSV-neutralizing Antibody Titers and/or Serum Antibody Titers to RSV F Glycoprotein in RSV-seronegative Subjects (Group 2) Infected With Wt-RSV During the RSV Surveillance
1; 2; 2; 2; 2; 3

Summary

The purpose of this study is to evaluate the infectivity, safety, and immunogenicity of a single dose of recombinant, live-attenuated respiratory syncytial virus (RSV) vaccines (RSV 6120/∆NS1 or RSV 6120/F1/G2/∆NS1) in RSV-seropositive children 12 to 59 months of age and RSV-seronegative infants and children 6 to 24 months of age.

Eligibility Criteria

INCLUSION CRITERIA FOR RSV-SEROPOSITIVE CHILDREN

  • Greater than or equal to 12 months of age and less than 60 months of age at the time of inoculation
  • Screening serum specimen for RSV-neutralizing antibody is obtained within the calendar year of inoculation
  • Seropositive for RSV antibody, defined as serum RSV-neutralizing antibody titer greater than or equal to 1:40
  • Pre-inoculation serum sample for RSV-neutralizing antibody specimen is obtained no more than 56 days prior to inoculation
  • In good health based on review of the medical record, history, and physical examination (PE) at the time of inoculation
  • Received routine immunizations appropriate for age based on the Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger
  • Growing normally for age as demonstrated on a standard growth chart and has a current height and weight above the 3rd percentile for age
  • Expected to be available for the duration of the study
  • Parent/guardian is willing and able to provide written informed consent

EXCLUSION CRITERIA FOR RSV-SEROPOSITIVE CHILDREN

  • Born at less than 34 weeks gestation
  • Maternal history of positive human immunodeficiency virus (HIV) test
  • Evidence of chronic disease
  • Known or suspected impairment of immune function
  • Bone marrow/solid organ transplant recipient
  • Major congenital malformations, including congenital cleft palate or cytogenetic abnormalities
  • Suspected or documented developmental disorder, delay, or other developmental problem
  • Cardiac abnormality requiring treatment
  • Lung disease or reactive airway disease
  • More than one episode of wheezing in the first year of life
  • Wheezing episode or received bronchodilator therapy within the past 12 months
  • Wheezing episode or received bronchodilator therapy after the age of 12 months
  • Previous receipt of supplemental oxygen therapy in a home setting
  • Previous receipt of an investigational RSV vaccine
  • Previous receipt or planned administration of anti-RSV antibody product including ribavirin, RSV Ig or RSV mAb
  • Previous receipt of immunoglobulin or any antibody products within the past 6 months
  • Previous receipt of any other blood products within the past 6 months
  • Previous anaphylactic reaction
  • Previous vaccine-associated adverse reaction that was Grade 3 or above
  • Known hypersensitivity to any vaccine component
  • Member of a household that contains an infant who is less than 12 months of age at the date of inoculation through the 10th day after inoculation
  • Member of a household that, at the date of inoculation through the 10th day after inoculation, contains an immunocompromised individual including but not limited to:
  • a person who is HIV-infected
  • a person who has received chemotherapy within the 12 months prior to enrollment
  • a person receiving immunosuppressant agents
  • a person living with a solid organ or bone marrow transplant
  • Will attend a daycare facility that does not separate children by age and contains an infant who is less than 12 months of age at the date of inoculation through the 10th day after inoculation
  • Receipt of any of the following prior to enrollment:
  • any inactivated vaccine or live-attenuated rotavirus vaccine within the 14 days prior, or
  • any live vaccine, other than rotavirus vaccine, within the 28 days prior, or
  • another investigational vaccine or investigational drug within 28 days prior, or
  • salicylate (aspirin) or salicylate-containing products within the past 28 days
  • Scheduled administration of any of the following after planned inoculation:
  • inactivated vaccine or live-attenuated rotavirus vaccine within the 14 days after, or
  • any live vaccine other than rotavirus within the 28 days after, or
  • another investigational vaccine or investigational drug within the 28 days after
  • Receipt of any of the following medications within 3 days of study enrollment:
  • systemic antibacterial, antiviral, antifungal,
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03596801). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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