Phase 3
N=1,403
Safety and Immunogenicity of RSVpreF Coadministered With SIIV in Adults ≥65 Years of Age
Respiratory Syncytial Virus
Bottom Line
View on ClinicalTrials.gov: NCT05301322 ↗Enrolled (actual)
1,403
Serious AEs
0.8%
Results posted
Oct 2023
Primary outcome: Primary: Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination With RSVpreF or Placebo — 10.1; 6.5; 7.6; 11.5 Percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- RSVpreF Vaccine (Biological); Placebo (Other); Seasonal Inactivated Influenza Vaccine (Biological)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- Pfizer
- Primary completion
- Oct 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Reporting Local Reactions Within 7 Days After Vaccination With RSVpreF or Placebo |
10.1; 6.5; 7.6; 11.5; 1.3; 0.9 | — |
| PRIMARY Percentage of Participants Reporting Systemic Events Within 7 Days After Vaccination With RSVpreF or Placebo |
1.1; 0.7; 0.9; 1.0; 0.3; 0.1 | — |
| PRIMARY Percentage of Participants Reporting Adverse Events (AEs) Within 1 Month After Vaccination 1 |
21.9; 19.3 | — |
| PRIMARY Percentage of Participants Reporting Adverse Events (AEs) Within 1 Month After Vaccination 2 |
17.0; 16.6 | — |
| PRIMARY Percentage of Participants Reporting Serious Adverse Events (SAEs) Within 1 Month After Vaccination 1 |
1.1; 0.9 | — |
| PRIMARY Percentage of Participants Reporting Serious Adverse Events (SAEs) Within 1 Month After Vaccination 2 |
0.3; 0.7 | — |
| PRIMARY Geometric Mean Ratio (GMR) of Neutralizing Titer (NTs) at 1 Month After Vaccination With RSVpreF for RSV Subfamily A and B in RSVpreF + SIIV Compared to RSVpreF Alone |
19709.9; 22817.1; 18384.5; 21621.4 | — |
| PRIMARY GMR of the Strain-Specific Hemagglutination Inhibition (HAI) Titers 1 Month After Vaccination With SIIV in the Coadministration Group to the Corresponding HAI Titers in the Sequential-Administration Group |
139.6; 162.2; 104.7; 136.4; 113.3; 126.3 | — |
| SECONDARY Geometric Mean of the Neutralizing Titers for RSV A and RSV B Before Vaccination and at 1 Month and 2 Months After Vaccination With RSVpreF |
1951.2; 1999.1; 19709.9; 22817.1; 15357.5; 1810.2 | — |
| SECONDARY Geometric Mean Fold Rise (GMFR) of the NTs for RSV A and RSV B Before Vaccination and at 1 Month and 2 Months After Vaccination With RSVpreF |
10.0; 11.4; 7.8; 10.1; 12.0; 7.6 | — |
| SECONDARY HAI Geometric Mean Titer (GMT) Before Vaccination and 1 Month After Vaccination With SIIV |
48.8; 43.3; 139.6; 162.2; 21.9; 21.7 | — |
| SECONDARY GMFR of Strain-Specific HAI Titers Before Vaccination and 1 Month After Vaccination With SIIV |
2.6; 3.3; 4.1; 5.4; 3.1; 3.5 | — |
Summary
The purpose of this study is to assess the safety and immunogenicity of RSVpreF when coadministered with SIIV compared to sequential administration of the vaccines when given 1 month apart (SIIV followed by RSVpreF). Additionally, the study will contribute data supporting the development of RSVpreF as a prophylactic vaccine against RSV disease in infants through maternal immunization and in older adults through active vaccination.
Eligibility Criteria
Inclusion Criteria
- Male and female participants ≥65 years of age at the time of consent.
- Participants who are willing and able to comply with scheduled visits, laboratory tests, lifestyle considerations, and other study procedures, including daily completion of the e diary for 7 days after each study vaccination.
- Healthy participants who are determined by medical history, physical examination and clinical judgment of the investigator to be eligible for inclusion in the study.
- Capable of giving signed informed consent
Exclusion Criteria
- Bleeding diathesis or condition associated with prolonged bleeding time that may contraindicate IM injection.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention or any related vaccine.
- Allergy to egg proteins (egg or egg products) or chicken proteins.
- History of Guillain-Barré syndrome.
- Serious chronic disorder, including metastatic malignancy, end-stage renal disease with or without dialysis, clinically unstable cardiac disease, or any other disorder that, in the investigator's opinion, excludes the participant from participating in the study.
- Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination.
- Other medical or psychiatric condition, including recent (within the past year) or active suicidal ideation/behavior, or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
- Previous vaccination with any licensed or investigational RSV vaccine at any time prior to enrollment, or planned receipt throughout the study of nonstudy RSV vaccine.
- Previous vaccination with any influenza vaccine within 6 months before study intervention administration, or planned receipt of any nonstudy licensed or investigational influenza vaccine during study participation.
- Receipt of any blood/plasma products or immunoglobulin, from 60 days before study intervention administration, or planned receipt throughout the study.
- Individuals who receive chronic treatment with immunosuppressive therapy, including cytotoxic agents, monoclonal antibodies, systemic corticosteroids, or radiotherapy, eg, for cancer or an autoimmune disease, from 60 days before study intervention administration or planned receipt throughout the study. If systemic corticosteroids (<20 mg/day of prednisone or equivalent) have been administered short term (<14 days) for treatment of an acute illness, participants should not be enrolled in the study until corticosteroid therapy has been discontinued for at least 28 days before study intervention administration. Inhaled/nebulized, intra articular, intrabursal, or topical (skin or eyes) corticosteroid use is permitted.
- Current alcohol abuse or illicit drug use.
- Current use of any prohibited concomitant medication(s) or those unwilling/unable to use a permitted concomitant medication(s)
- Participation in other studies involving investigational product(s) within 28 days prior to consent and/or during study participation
- Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members
Data sourced from ClinicalTrials.gov (NCT05301322). 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.