Phase 2
N=1,153
A PHASE 2B PLACEBO-CONTROLLED, RANDOMIZED STUDY OF A RESPIRATORY SYNCYTIAL VIRUS (RSV) VACCINE IN PREGNANT WOMEN
Respiratory Tract Infection
Bottom Line
View on ClinicalTrials.gov: NCT04032093 ↗Enrolled (actual)
1,153
Serious AEs
23.2%
Results posted
Oct 2022
Primary outcome: Primary: Percentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After Vaccination — 3.5; 2.6; 5.2; 0.9 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- RSV vaccine (Biological); Placebo (Biological)
- Age
- Adult · 18+ yrs
- Sex
- Female
- Sponsor
- Pfizer
- Primary completion
- Sep 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After Vaccination |
3.5; 2.6; 5.2; 0.9; 0; 0.9 | — |
| PRIMARY Percentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After Vaccination |
2.6; 0.9; 0.0; 0.0; 0.0; 0.9 | — |
| PRIMARY Percentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination |
22.6; 23.9; 30.2; 22.8; 24.8 | — |
| PRIMARY Percentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric Complications |
6.1; 12.8; 12.9; 16.7; 12.0; 20.0 | — |
| PRIMARY Percentage of Infant Participants With Specific Birth Complications |
7.9; 10.3; 8.8; 8.0; 9.5 | — |
| PRIMARY Percentage of Infant Participants With Any AE Within 1 Month of Age |
50.9; 47.0; 46.9; 49.1; 50.9 | — |
| PRIMARY Percentage of Infant Participants With MAEs and SAEs Within 12 Months of Age |
22.8; 29.9; 30.1; 38.4; 31.9; 36.0 | — |
| PRIMARY Percentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental Delay |
9.6; 4.3; 1.8; 1.8; 6.0; 0 | — |
| SECONDARY Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal Participants |
1574; 1577; 1432; 1521; 1450; 31871 | — |
| SECONDARY Geometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal Participants |
19.8; 20.4; 23.3; 25.3; 1.1; 14.9 | — |
| SECONDARY Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant Participants |
22904; 23281; 20530; 24290; 2150; 13532 | — |
Summary
This Phase 2b study will evaluate the safety, tolerability, and immunogenicity of an RSV vaccine in pregnant participants who receive either one of 2 dose levels of the vaccine, formulated with or without aluminum hydroxide, or placebo, and investigate safety and characteristics of antibodies in their infants.
Eligibility Criteria
Inclusion Criteria - Maternal participants:
- Healthy women 18 to 49 years of age between 24 and 36 weeks of gestation on the day of planned vaccination, with an uncomplicated pregnancy, who are at no known increased risk for complications, and whose fetus has no significant abnormalities observed on ultrasound.
- Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
- Receiving prenatal standard of care.
- Had an ultrasound performed at >=18 weeks of pregnancy.
- Had a negative urinalysis for protein and glucose at the screening visit. Trace protein in the urine is acceptable if the blood pressure is also normal.
- Determined by medical history, physical examination, screening laboratory assessment, and clinical judgment to be appropriate for inclusion in the study.
- Documented negative human immunodeficiency virus antibody, hepatitis B virus surface antigen, hepatitis C virus antibody, and syphilis tests at the screening visit.
- Body mass index of </=40 kg/m2 at the time of the screening visit.
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document and in this protocol.
- Expected to be available for the duration of the study and willing to give informed consent for her infant to participate in the study.
Inclusion Criteria - Infant Participants:
- Evidence of a signed and dated ICD signed by the parent(s).
- Parent(s) willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
Exclusion Criteria - Maternal Participants:
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction to any component of the investigational product or any related vaccine.
- History of latex allergy.
- History of any severe allergic reaction.
- Participants with known or suspected immunodeficiency.
- Current pregnancy resulting from in vitro fertilization or other assisted reproductive technology.
- A prior history of or known current pregnancy complications or abnormalities that will increase the risk associated with the participant's participation in and completion of the study.
- Major illness of the mother or conditions of the fetus that, in the investigator's judgment, will substantially increase the risk associated with the participant's participation in, and completion of, the study or could preclude the evaluation of the participant's response.
- Participant with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention including but not limited to systemic or cutaneous lupus erythematosus, autoimmune arthritis/rheumatoid arthritis, Guillain-Barré syndrome, multiple sclerosis, Sjögren's syndrome, idiopathic thrombocytopenia purpura, glomerulonephritis, autoimmune thyroiditis, giant cell arteritis (temporal arteritis), psoriasis, and insulin-dependent diabetes mellitus (type 1).
- Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation.
- Participants who receive treatment with immunosuppressive therapy including cytotoxic agents or systemic corticosteroids (such as for cancer or an autoimmune disease), or planned receipt of such treatment or agents during study participation. If systemic corticost
Data sourced from ClinicalTrials.gov (NCT04032093). 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.