Phase 2
N=419
Study of Safety, Reactogenicity and Immunogenicity of GlaxoSmithKline's (GSK)Respiratory Syncytial Virus (RSV)Maternal Unadjuvanted Vaccine in Healthy Pregnant Women (Aged 18 to 40 Years) and Their Infants
Respiratory Syncytial Virus Infections
Bottom Line
View on ClinicalTrials.gov: NCT04126213 ↗Enrolled (actual)
419
Serious AEs
26.5%
Results posted
Dec 2021
Primary outcome: Primary: Percentage of Maternal Subjects With Any Solicited Administration Site Events — 57.1; 52; 15.2; 1.4 Percentage of maternal subjects
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- RSV MAT 60 µg (Biological); RSV MAT 120 µg (Biological); Placebo (Drug)
- Age
- Adult · 18+ yrs
- Sex
- Female
- Sponsor
- GlaxoSmithKline
- Primary completion
- Jul 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Maternal Subjects With Any Solicited Administration Site Events |
57.1; 52; 15.2; 1.4; 6.7; 0 | — |
| PRIMARY Percentage of Maternal Subjects With Any Solicited Systemic Events |
40; 34.7; 25.8; 34.3; 28; 19.7 | — |
| PRIMARY Number of Maternal Subjects With Any Haematological Laboratory Abnormalities at Day 8 by Baseline Ranges |
6; 5; 2; 6; 2; 4 | — |
| PRIMARY Number of Maternal Subjects With Any Biochemical Laboratory Abnormalities at Day 8 by Baseline Ranges |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Maternal Subjects With Any Unsolicited Adverse Events (AEs) |
30; 33.3; 33.8 | — |
| PRIMARY Percentage of Maternal Subjects With Any Serious Adverse Events (SAEs) |
22.9; 26.7; 22.1 | — |
| PRIMARY Percentage of Maternal Subjects With AEs Leading to Study Withdrawal |
0; 0; 0 | — |
| PRIMARY Percentage of Maternal Subjects With Any Medically Attended AEs (MAE) |
41.4; 48; 42.6 | — |
| PRIMARY Percentage of Maternal Subjects With Pregnancy Outcomes |
84.3; 81.3; 80.9; 12.9; 16; 16.2 | — |
| PRIMARY Percentage of Maternal Subjects With Pregnancy-related Adverse Events of Special Interest (AESIs) |
8.6; 12; 11.8; 4.3; 2.7; 1.5 | — |
| PRIMARY Percentage of Infant Subjects With Neonatal AESIs |
6; 6.8; 6.1; 3; 2.7; 7.6 | — |
| PRIMARY Percentage of Infant Subjects With Any SAEs |
22.4; 27.4; 28.8 | — |
| PRIMARY Percentage of Infant Subjects With AEs Leading to Study Withdrawal |
0; 0; 0 | — |
| PRIMARY Percentage of Infant Subjects With Any MAEs |
25.4; 35.6; 30.3 | — |
| PRIMARY RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations in Terms of Geometric Mean Concentrations (GMCs) in Maternal Subjects |
5681; 5837; 6147; 80986; 105138; 6597 | — |
| PRIMARY RSV-A Neutralizing Antibody Geometric Mean Titers (GMTs) in Maternal Subjects |
671.8; 694.7; 735.6; 9534.2; 10781.2; 799.1 | — |
| PRIMARY RSV MAT IgG Antibody GMCs in Infants Born to Maternal Subjects |
91606.9; 114529.8; 9272.3 | — |
| PRIMARY RSV-A Neutralizing Antibody GMTs in Infants Born to Maternal Subjects |
8414.7; 10262.5; 1244.7 | — |
| PRIMARY Geometric Mean Ratio Between Cord Blood and Maternal RSV MAT IgG-specific Antibody Concentrations |
1.62; 1.9; 1.6 | — |
| SECONDARY Percentage of Maternal Subjects With Any SAE From Day 1 to Day 181 Post Delivery |
22.9; 28; 22.1 | — |
| SECONDARY Percentage of Maternal Subjects With Any MAE From Day 1 to Day 181 Post Delivery |
47.1; 53.3; 47.1 | — |
| SECONDARY Percentage of Maternal Subjects With AE Leading to Study Withdrawal From Day 1 to Day 181 Post Delivery |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With Any SAE From Birth to Day 181 Post-birth |
25.4; 28.8; 30.3 | — |
| SECONDARY Percentage of Infant Subjects With AE Leading to Study Withdrawal From Birth to Day 181 Post-birth |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With Any MAE From Birth to Day 181 Post-birth |
40.3; 52.1; 39.4 | — |
| SECONDARY Percentage of Infant Subjects With Any SAE From Birth to Month 12 Post-birth |
25.4; 28.8; 31.8 | — |
| SECONDARY Percentage of Infant Subjects With Any AE Leading to Study Withdrawal From Birth to Month 12 Post-birth |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With Any MAE From Birth to Month 12 Post-birth |
43.3; 57.5; 43.9 | — |
| SECONDARY Percentage of Maternal Subjects With RSV-associated Medically Attended Respiratory Tract Illnesses (MA-RTI) |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With RSV-associated Lower Respiratory Tract Illness (LRTI) |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With RSV-associated Severe LRTI |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With RSV-associated Very Severe LRTI |
0; 0; 0 | — |
| SECONDARY Percentage of Infant Subjects With RSV-associated Hospitalisation |
0; 0; 0 | — |
| SECONDARY RSV MAT IgG Antibody GMCs in Maternal Subjects, at Day 43 Post-delivery |
61925; 62871; 8350 | — |
| SECONDARY RSV-A Neutralizing Antibody GMTs in Maternal Subjects, at Day 43 Post-delivery |
6451.3; 6290.7; 943.6 | — |
| SECONDARY RSV-B Neutralizing Antibody GMTs in Maternal Subjects |
1066.3; 1144.7; 969.5; 13766.2; 15849.4; 1065.8 | — |
| SECONDARY RSV MAT IgG Antibody GMCs in Infants Born to Maternal Subjects, at Day 43 After Birth |
30194.5; 39378.2; 2576.1 | — |
| SECONDARY RSV MAT IgG Antibody GMCs in Infants Born to Maternal Subjects, at Day 121 After Birth |
4292.9; 4656.9; 445.5 | — |
| SECONDARY RSV MAT IgG Antibody GMCs in Infants Born to Maternal Subjects, at Day 181 After Birth |
1224.1; 1433.5; 179.6 | — |
| SECONDARY RSV-A Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Day 43 After Birth |
3384.2; 3509.6; 613.3 | — |
| SECONDARY RSV-A Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Day 121 After Birth |
762.3; 890.9; 91.2 | — |
| SECONDARY RSV-A Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Day 181 After Birth |
278.4; 324.8; 47.8 | — |
| SECONDARY RSV-B Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Birth |
13585.6; 18955; 1656.8 | — |
| SECONDARY RSV-B Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Day 43 After Birth |
5932.1; 6905.5; 548.2 | — |
| SECONDARY RSV-B Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Day 121 After Birth |
1119; 1367; 141.6 | — |
| SECONDARY RSV-B Neutralizing Antibody GMTs in Infants Born to Maternal Subjects, at Day 181 After Birth |
459.8; 574; 68.8 | — |
Summary
The purpose of this study was to evaluate the safety and immune response to a single intramuscular (IM) dose of GSK Biologicals' investigational RSV maternal vaccine (RSVPreF3) in healthy pregnant women 18-40 years of age and in infants born to vaccinated mothers.
Eligibility Criteria
Inclusion Criteria
Maternal subjects
- Subjects who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
- Subjects who give written or witnessed/thumb printed informed consent after the study has been explained according to local regulatory requirements, and before any study specific procedures are performed. The informed consent given at screening should (consistent with local regulations / guidelines) either:
- include consent for both the maternal subject's participation and participation of the infant after the infant's birth, or
- include consent for the maternal subject's participation and expressed willingness to consider permitting the infant to take part after the infant's birth.
- Both mother and father should consent if local regulations/guidelines require it.
- Age 18 to 40 years, inclusive, when informed consent is given.
- Pre-pregnancy BMI 18.5 to 34.9, inclusive
- Healthy as established by medical history and clinical examination before entering into the study.
- At 28^0/7 to 33^6/7 weeks of gestation at the time of study vaccination (Visit 1), as established by last menstrual period (LMP) date corroborated by first or second trimester ultrasound examination (U/S).
- If LMP and U/S do not correlate, default to U/S gestational age assessment. The level of diagnostic certainty of the gestational age should be established by using the Global Alignment of Immunisation safety Assessment in pregnancy gestation age assessment tool
- Subject satisfying screening requirements
- Singleton pregnancy
- HIV negative, as assessed by local standard of care serologic tests conducted during the current pregnancy and before enrolment (Visit 1).
- No fetal genetic abnormalities.
- No significant congenital malformations, as assessed by level 2 ultrasound (also known as a fetal anomaly ultrasound scan or fetal morphology assessment) conducted after 18 weeks of gestation
- Willing to provide cord blood
- Willing to have the infant followed-up after delivery for a period of 12 months
- Does not plan after delivery to give the infant for adoption or place the infant in care Note that women whose pregnancies resulted from Assisted Reproductive Technologies may be enrolled if they meet all inclusion criteria and none of the exclusion criteria.
Infant subjects
- Live-born from the study pregnancy.
- Re-signed (confirmed) written or witnessed/thumb printed informed consent for study participation of the infant obtained from the infant's mother and/or father and/or legally authorized representative, as applicable by local law, before performing any study specific procedure.
Exclusion Criteria
Maternal subjects
Medical conditions
- History of allergic disease or reactions likely to be exacerbated by any component of the RSV vaccine
- Hypersensitivity to latex
- Significant complications in the current pregnancy such as:
- Gestational hypertension at ≥20 weeks of gestation in the absence of proteinuria in a woman with a previously normal blood pressure
- Gestational diabetes which is not controlled by diet and exercise
- Pre-eclampsia
- Eclampsia during current pregnancy
- Intrauterine growth restriction
- Placenta previa
- Placental abruption, placenta accreta/percreta/increta, chorioamnionitis or any abnormalities that in the opinion of Investigator can impair the maternal-fetal circulation
- Polyhydramnios
- Oligohydramnios
- Cervical suture in place
- Preterm labour or history of preterm labour in the current pregnancy
- Ongoing medical intervention to prevent preterm delivery or medical treatment for suspected preterm delivery
- Cholestasis
- Other pregnancy-related complications that in the Investigator's judgement would preclude participation of the subjects in an investigational vaccine trial or might pose risk to the subject due to participation in the study
- Significant structural abnormalities of the uterus or cervix
- History of prior stillbirth or neonatal death
- Histor
Data sourced from ClinicalTrials.gov (NCT04126213). 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.