Efficacy Study of GSK's Investigational Respiratory Syncytial Virus (RSV) Vaccine in Adults Aged 60 Years and Above
Respiratory Syncytial Virus Infections
Bottom Line
View on ClinicalTrials.gov: NCT04886596 ↗Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Placebo (Biological); RSVPreF3 OA vaccine (Biological)
- Age
- Adult, Older Adult · 60+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Apr 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated Lower Respiratory Tract Disease (LRTD) During the First Season Following a Single Dose of the RSVPreF3 OA Vaccine |
7; 40 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD Over Several Seasons Following a Single Dose of the RSVPreF3 OA Vaccine |
30; 139; 48; 215 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD Over Several Seasons Following Annual Revaccination Doses of the RSVPreF3 OA Vaccine |
30; 139; 38; 192 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV Subtype A and Subtype B LRTD Over 3 Seasons Following a Single Dose of the RSVPreF3 OA Vaccine |
14; 80; 34; 135 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV Subtype A and Subtype B LRTD Over 3 Seasons Following a Single Dose of the RSVPreF3 OA Vaccine and Following 1 Annual Revaccination Dose |
17; 65; 21; 127 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed LRTD Caused by Human Metapneumovirus (hMPV) up to the End of Season 1 Following a Single Dose of the RSVPreF3 OA Vaccine |
53; 65 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD, by Age Categories Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
38; 156; 20; 98; 5; 13 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD by RSV Season Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
7; 36; 98; 19; 98; 22 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD by Year Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
10; 47; 106; 22; 106; 22 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and /or B Associated LRTD, Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
10; 47; 32; 154; 32; 154 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD by Baseline Comorbidities Using Charlson Comorbidity Index Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
24; 119; 24; 96; 18; 108 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD by Baseline Comorbidities According to Comorbidities of Interest Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
23; 99; 25; 116; 17; 85 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated LRTD by Baseline Frailty Status Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
2; 1; 12; 67; 34; 145 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated Severe LRTD Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
15; 75; 15; 75; 2; 7 | — |
| SECONDARY Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated ARI Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
131; 428; 103; 385 | — |
| SECONDARY Number of Participants With First Episode of Any ARI or Any LRTD Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
4858; 6096; 4731; 5914; 12450; 3352 | — |
| SECONDARY Number of Hospitalizations Due to RSV-confirmed Respiratory Diseases or Due to Complication Related to RSV-confirmed Respiratory Diseases, Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses up to End of Study |
2; 4; 2; 4; 0; 4 | — |
| SECONDARY Number of Hospitalizations Due to Any Respiratory Diseases or Due to a Complication Related to Any Respiratory Diseases, During the RSV Seasons Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses up to End of Study |
121; 174; 131; 180; 114; 163 | — |
| SECONDARY Number of Complications Related to RSV-confirmed ARI During the RSV Seasons Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses up to End of Study |
12; 50; 11; 46; 9; 43 | — |
| SECONDARY Number of Complications Related to Any ARI During the RSV Seasons Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses up to End of Study |
438; 695; 417; 660; 620; 863 | — |
| SECONDARY Maximum Influenza Patient-Reported Outcome (Flu-PRO) Chest Score for the Participants With RT-PCR-confirmed RSV A and/or B-associated ARI Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
1.60; 1.97; 1.50; 1.96 | — |
| SECONDARY Least Square Mean Flu-PRO Total Score for the Participants With RT-PCR-confirmed RSV A and/or B-associated ARI Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
0.85; 0.92; 0.81; 0.90 | — |
| SECONDARY EuroQol 5-dimension Health Questionnaire (EQ-5D) Utility Score for Participants With RT-PCR-confirmed RSV A and/or B-associated ARI Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
0.8164; 0.7886; 0.8377; 0.7966 | — |
| SECONDARY Least Square Mean of Short Form-12 (SF-12) Health Survey for Participants With RT-PCR Confirmed RSV A and/or B-associated ARI Following a Single Dose of the RSVPreF3 OA Vaccine and Following Annual Revaccination Doses |
59.43; 57.51; 63.65; 59.02 | — |
| SECONDARY Duration in Days of RT-PCR Confirmed RSV A and/or B ARI and LRTD Episodes |
12.0; 15.0; 15.5; 20.0; 16.0; 14.0 | — |
| SECONDARY Number of Participants With Each Reported Symptom/Sign and Supportive Therapy Use Associated With of RT-PCR Confirmed RSV A and/or B ARI Episodes During Season 1 |
28; 83; 32; 93; 26; 76 | — |
| SECONDARY Number of Participants With Each Reported Symptom/Sign and Supportive Therapy Use Associated With of RT-PCR Confirmed RSV A and/or B ARI Episodes During Season 2 |
162; 43; 31; 186; 52; 39 | — |
| SECONDARY Number of Participants With Each Reported Symptom/Sign and Supportive Therapy Use Associated With of RT-PCR Confirmed RSV A and/or B ARI Episodes During Season 3 |
101; 25; 15; 98; 26; 17 | — |
| SECONDARY Number of Participants With Each Reported Symptom/Sign and Supportive Therapy Use Associated With of RT-PCR Confirmed RSV A and/or B LRTD Episodes During Season 1 |
7; 38; 9; 38; 5; 33 | — |
| SECONDARY Number of Participants With Each Reported Symptom/Sign and Supportive Therapy Use Associated With of RT-PCR Confirmed RSV A and/or B LRTD Episodes During Season 2 |
90; 20; 15; 96; 20; 19 | — |
| SECONDARY Number of Participants With Each Reported Symptom/Sign and Supportive Therapy Use Associated With of RT-PCR Confirmed RSV A and/or B LRTD Episodes During Season 3 |
54; 13; 4; 50; 14; 4 | — |
| SECONDARY Number of Participants With RT-PCR Confirmed RSV A and/or B ARI and LRTD Episodes According to Severity |
16; 49; 29; 138; 3; 28 | — |
| SECONDARY RSVPreF3 Specific Immunoglobulin G(IgG) Antibody Concentrations |
7090.2; 6956.5; 7101.1; 7053.2; 89361.9; 93769.5 | — |
| SECONDARY RSV A Neutralizing Antibody Titers |
933.5; 899.8; 929.3; 880.8; 8915.5; 9652.4 | — |
| SECONDARY RSV B Neutralizing Antibody Titers |
1249.7; 1189.9; 1187.2; 1262.4; 9928.9; 10253.4 | — |
| SECONDARY Number of Participants With Any and Grade 3 Solicited Administration Site Adverse Events |
10; 41; 30; 0; 0; 2 | — |
| SECONDARY Number of Participants With Any and Grade 3 Solicited Systemic Adverse Events |
56; 74; 84; 5; 5; 6 | — |
| SECONDARY Number of Days With Solicited Administration Site Adverse Events |
4.0; 3.0; 3.0; 4.0; 2.0; 3.0 | — |
| SECONDARY Number of Days With Solicited Systemic Adverse Events |
2.5; 2.0; 2.0; 2.0; 2.0; 1.0 | — |
| SECONDARY Number of Participants With Any Unsolicited AEs |
2334; 2149; 2136; 1570; 824; 1456 | — |
| SECONDARY Number of Participants With Serious Adverse Events (SAEs) |
541; 280; 268; 497; 239; 229 | — |
| SECONDARY Number of Participants With Potential Immune Mediated Diseases (pIMDs) |
39; 27; 19; 39; 19; 14 | — |
| SECONDARY Number of Participants With Related SAEs |
12; 8; 12 | — |
| SECONDARY Number of Participants With Fatal SAEs |
265; 111; 120 | — |
| SECONDARY Number of Participants With Related pIMDs |
9; 7; 5 | — |
Summary
Eligibility Criteria
Inclusion Criteria
- A male or female ≥ 60 YOA at the time of first vaccination, who live in the community (community dwelling participants) or in a long-term care facility (LTCF participants).
- Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol.
Note: In case of physical incapacity that would preclude the self-completion of the diary cards and/or questionnaires, either site staff can assist the participant (for activities performed during site visits) or the participant may assign a caregiver to assist him/her with this activity (for activities performed at home or in the LTCF). However, at no time, the site staff or caregiver will evaluate the participant's health status while answering diaries and/or questionnaires or make decisions on behalf of the participant
- Written or witnessed informed consent obtained from the participant prior to performance of any study specific procedure.
- Participants who are medically stable in the opinion of the investigator at the time of first vaccination. Participants with chronic stable medical conditions with or without specific treatment, such as diabetes, hypertension or cardiac disease, are allowed to participate in this study if considered by the investigator as medically stable.
Exclusion Criteria
Medical conditions
- Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease or immunosuppressive/cytotoxic therapy, based on medical history and physical examination (no laboratory testing required).
- History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine.
- Hypersensitivity to latex.
- Serious or unstable chronic illness.
- Any history of dementia or any medical condition that moderately or severely impairs cognition.
Note: If deemed necessary for clinical evaluation, the investigator can use tools such as Mini-Mental State Exam (MMSE), Mini-Cog or Montreal Cognitive Assessment (MoCA) to determine cognition levels of the participant.
- Recurrent or un-controlled neurological disorders or seizures. Participants with medically-controlled active neurological diseases can be enrolled in the study as per investigator assessment, provided that their condition will allow them to comply with the requirements of the protocol.
- Significant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study.
- Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe.
Prior/Concomitant therapy
- Use of any investigational or non-registered product (drug, vaccine or medical device) other than the study vaccine during the period beginning 30 days before the first study vaccine administration, or planned use during the study period.
- Planned or actual administration of a vaccine not foreseen by the study protocol in the period starting 30 days before each dose and ending 30 days after each dose of study vaccine administration, with the exception of inactivated and subunit influenza vaccines which can be administered up to 14 days before or from 14 days after each study vaccination.
- Previous vaccination with an RSV vaccine.
- Administration of long-acting immune-modifying drugs or planned administration at any time during the study period.
- Administration of immunoglobulins and/or any blood products or plasma derivatives during the period starting 90 days before the first study vaccine or planned administration during the study period.
- Chronic administration (defined as more than 14 consecutive days in total) of immunosuppressants or other immune-modifying drugs during the period starting 90 days prior to the first study vaccine administration or planned administration during the study period. For corticosteroids, this will mean prednisone ≥20 mg/day, or equivalent. Inhaled and topical steroids are allowed.
Prior/Concurrent clinical study experie
Data sourced from ClinicalTrials.gov (NCT04886596). 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.