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OpenTrials
Completed

NCT Number: NCT05639894

Study of a Respiratory Syncytial Virus Candidate Encapsulated in a Lipid Nanoparticle Based Formulation in Adults Aged 18 to 50 Years and 60 Years and Older

Brief Summary of Stage 1:

The purpose Stage 1 (Phase I/IIa) is to assess the safety and immunogenicity of a single intramuscular (IM) injection of 3 dose-levels of an Respiratory Syncytial Virus (RSV) vaccine candidate formulated with 2 different lipid nanoparticles (LNPs) in healthy adult participants aged between 18 to 50 years, and 60 years and older. The primary objectives of this stage are to assess the safety and immunogenicity profiles across the dose-level groups (low, medium, and high doses) with 2 LNPs. This stage will evaluate the safety and immunogenicity of a booster vaccination administered 12 months after the primary vaccination in a subset of the study population.

Brief Summary of Stage 2:

The study also also incorporates a Stage 2 (Phase IIa, dose-ranging design) that includes adults aged 60 years and older to assess the safety and immunogenicity of different doses of RSV vaccine encapsulated in one of the LNPs. In the Phase IIa dose-ranging stage, eligible participants will be randomly assigned in a 1:1:1 ratio to receive a single IM administration of RSV vaccine candidate doses, or placebo. Multiple safety analyses will be performed, minimally at D07 and D28. Additional analyses may be performed as data are available.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Investigational Site Number : 0360003, Botany, New South Wales, Australia

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About this study

Stage 1:

The duration of each participant's participation is 12 months for the Sentinel and Main Cohorts, 24 months overall for the subset of participants enrolled in the Booster Cohort.

Treatment Duration:

  • Sentinel Cohort: 1 intra-muscular (IM) injection. Participants will be followed for 12 months post-vaccination.
  • Main Cohort: 1 IM injection. Participants will be followed for 12 months post-vaccination.
  • Booster Cohort: 1 IM injection 12 months after the primary vaccination. Participants will be followed for 12 months after administration of the booster dose.

Stage 2:

The duration of each participant's participation is approximately 6 months.

Treatment Duration:

1 IM injection. Participants will be followed for approximately 6 months post vaccination

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Sentinel Cohort Stage 1: Aged 18 to 50 years on the day of inclusion
  • Main Cohort Stage 1 and Stage 2: Aged 60 years or older on the day of inclusion

Stage 1 and Stage 2:

  • Sentinel Cohort: A female participant is eligible to participate if she is not pregnant or breastfeeding and:
  • Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be postmenopausal for at least 1 year or surgically sterile OR
  • Is of childbearing potential and agrees to use an effective contraceptive method or abstinence from at least 4 weeks prior to study intervention administration until at least 12 weeks after study intervention administration.
  • Main and Booster Cohorts: A female participant is eligible to participate if she is not pregnant or breastfeeding and:
  • Is of non-childbearing potential. To be considered of non-childbearing potential, a female must be postmenopausal for at least 1 year or surgically sterile.
  • Able to attend all scheduled visits and to comply with all study procedures
  • Informed consent form has been signed and dated

Exclusion criteria

  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
  • Known systemic hypersensitivity to any of the study intervention components (eg, polyethylene glycol, polysorbate); history of a life-threatening reaction to the study interventions used in the study or to a product containing any of the same substances; any allergic reaction (eg, anaphylaxis) after administration of mRNA COVID-19 vaccine
  • History of RSV-associated illness, diagnosed clinically, serologically, or microbiologically in the last 12 months
  • Previous history of myocarditis, pericarditis, and/or myopericarditis
  • Thrombocytopenia or bleeding disorder, contraindicating IM injection based on investigator's judgment
  • Bleeding disorder, or receipt of anticoagulants in the 3 weeks preceding inclusion, contraindicating intramuscular injection
  • Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
  • Alcohol, prescription drug, or substance abuse that, in the opinion of the investigator, might interfere with the study conduct or completion
  • Receipt of any vaccine other than mRNA vaccine in the 4 weeks preceding any study intervention administration or planned receipt of any vaccine other than mRNA vaccine in the 4 weeks following any study intervention administration
  • Receipt of any mRNA vaccine in the 60 days preceding any study intervention administration or planned receipt of any mRNA vaccine in the 60 days following any study intervention administration
  • Previous vaccination against RSV with an investigational vaccine
  • Receipt of immune globulins, blood, or blood-derived products in the past 3 months
  • Receipt of oral or injectable antibiotic therapy within 72 hours prior to the first blood draw
  • Participation at the time of study enrollment (or in the 4 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure
  • Deprived of freedom by an administrative or court order, or in an emergency setting, or hospitalized involuntarily
  • Self-reported or documented human immunodeficiency virus (HIV) detected by any FDA-approved/validated test, hepatitis B virus surface antigen (HBsAg), hepatits B core antibodies (HBcAb), or hepatitis C virus antibodies (HCV Abs), or positive SARS-CoV-2 RT-PCR or antigen test
  • Identified as an investigator or employee of the investigator or study center with direct involvement in the proposed study, or identified as an immediate family member (ie, parent, spouse, natural or adopted child) of the investigator or employee with direct involvement in the proposed study

The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Treatment and study plan

RSV vaccine candiate formulation 1

Biological

Pharmaceutical Form: Liquid frozen solution in a vial Route of Administration: Intramuscular injection

RSV vaccine candidate formulation 2

Biological

Pharmaceutical Form: Liquid frozen solution in a vial Route of Administration: Intramuscular injection

Placebo

Other

Pharmaceutical Form: Liquid Route of Administration: Intramuscular injection

Primary outcomes

  1. Presence of unsolicited systemic adverse events (AEs)

    Time frame: Within 30 minutes after vaccination

    Number of participants experienciing unsolicited systemic adverse events

  2. Presence of solicited injection site or systemic reactions

    Time frame: Within 7 days after vaccination

    Number of participants reporting:

    • injection site reactions: pain, erythema and swelling
    • systemic reactions: fever, headache, malaise, myalgia, arthralgia and chills
  3. Presence of unsolicited AEs

    Time frame: Within 28 days after vaccination

    Number of participants experiencing unsolicited AEs

  4. Presence of medically attended adverse events (MAAEs)

    Time frame: Within 28 days after vaccination

    Number of participants experiencing MAAEs

  5. Presence of serious adverse events (SAEs)

    Time frame: Month 12

    Number of participants experiencing SAEs

  6. Presence of adverse events of special interest (AESIs)

    Time frame: Month 12

    Number of participants experiencing AESIs

  7. Presence of out-of-range biological test results

    Time frame: Within 7 days after vaccination

    Number of participants with biological safety assessment values out of normal range (as per the laboratory performing the test)

  8. Geometric Mean Titers (GMTs) of neutralizing antibody (nAb) titers pre-vaccination at Day 1

    Time frame: Day 1

    Nab titers pre-vaccination

  9. Geometric Mean Titers (GMTs) of neutralizing antibody (nAb) titers post-primary vaccination at Day 29

    Time frame: Day 29

    Nab titers post-vaccination

Secondary outcomes

  1. Presence of immediate unsolicited systemic AEs (Stage 1)

    Time frame: Within 30 minutes after vaccination

    Number of participants experiencing immediate unsolicitied systemic AEs

  2. Presence of solicited injection site or systemic reactions post-booster vaccination (Stage 1)

    Time frame: Within 7 days after vaccination

    Number of participants reporting:

    • injection site reactions: pain, erythema and swelling
    • systemic reactions: fever, headache, malaise, myalgia, arthralgia and chills
  3. Presence of unsolicited AEs post-booster vaccination (Stage 1)

    Time frame: Within 28 days after vaccination

    Number of participants experiencing unsolicited AEs

  4. Presence of MAAEs (Stage 1)

    Time frame: Within 28 days after vaccination

    Number of participants experiencing MAAEs

  5. Presence of serious adverse events (SAEs) post-booster vaccination (Stage 1)

    Time frame: Throughout the booster study, approximately 12 months

    Number of participants experiencing SAEs

  6. Presence of adverse events of special interest post-booster vaccination (Stage 1)

    Time frame: Throughout the booster study, approximately 12 months

    Number of participants experiencing AESIs

  7. Presence of out-of-range biological test results post-booster vaccination (Stage 1)

    Time frame: Within 7 days after vaccination

    Number of participants with biological safety assessment values out of normal range (as per the laboratory performing the test)

  8. RSV-A serum nAb titers at pre-vaccination (D01) and 28 days post- primary vaccination (D29) (Stage 1)

    Time frame: Day 1, Day 29, Month 3, Month 6 and Month 12

    RSV-A serum nAb titers at pre-vaccination (D01), 28 days (D29), and 3, 6, and 12 months post-primary vaccination

  9. GMTs of serum anti-F immunoglobulin G (IgG) antibody (Ab) titers post-primary vaccination (Stage 1)

    Time frame: Day 1, Day 29, Month 3, Month 6 and Month 12

    Serum anti-F IgG Ab titers at pre-vaccination (D01), 28 days (D29), and 3, 6, and 12 months post-primary vaccination

  10. GMTs of RSV-A serum nAb post-booster vaccination (Stage 1)

    Time frame: Day 1, Day 29, Month 3, Month 6 and Month 12 post-booster

    RSV-A serum nAb titers at pre-booster vaccination, 28 days, and 3, 6, and 12 months post-booster vaccination

  11. GMTs of serum anti-F IgG Ab titers post-booster vaccination (Stage 1)

    Time frame: Day 1, Day 29, Month 3, Month 6 and Month 12 post-booster

    Serum anti-F IgG Ab titers at pre-booster vaccination, 28 days, and 3, 6, and 12 months post- booster vaccination

  12. GMTs of serum anti-F IgG Ab titers pre-vaccination (Stage 2)

    Time frame: Day 1

    Nab titers pre-primary vaccination

  13. GMTs of serum anti-F IgG Ab titers post-vaccination (Stage 2)

    Time frame: Day 29

    Nab titers post-vaccination

Sponsors and collaborators

Lead sponsor

Sanofi Pasteur, a Sanofi Company

Industry

Registry information

Official study title

A Phase I/IIa, Randomized, Placebo-controlled Multi-arm Dose-finding Study to Evaluate the Safety and Immunogenicity of a RSV Vaccine Candidate in Adult Participants 18 to 50 Years of Age in Phase I, and 60 Years and Older in Phase IIa

Important dates

Study start
2022
Primary completion
2025
Study completion
2025
First posted
Dec 7, 2022
Registry last updated
May 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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