Clinical trial • Phase III • Infectious Disease

534 for Respiratory syncytial virus infection

Phase III trial of 534 for Respiratory syncytial virus infection.

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Respiratory syncytial virus infection
Trial Stage
Phase III
Drug Modality
Vaccine
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
17-01-2024
First CTIS Authorization Date
06-05-2024

Trial design

Randomised, matched (placebo); product name 'matched' (pharmform: n/a). no dose or schedule details for the comparator provided in the record.-controlled Phase III trial across 19 sites in Germany, Spain, Finland.

Randomised
Yes
Comparator
Matched (placebo); product name 'Matched' (pharmForm: N/A). No dose or schedule details for the comparator provided in the record.
Target Sample Size
5960

Eligibility

Recruits 5960 paediatric patients.

Pregnancy Exclusion
Participant’s biological mother’s previous receipt or planned administration of an investigational RSV vaccine during pregnancy and/or breastfeeding.
Vulnerable Population
Participants are infants and toddlers (aged 6 months to <22 months) and are marked as a vulnerable population (isVulnerablePopulationSelected = true). Informed consent is obtained via parent(s)/legal guardian(s) (presence of a Main ICF document is listed). Assent is not applicable for this age group. Patient-facing and recruitment materials are available (documents include Finnish Main ICF and patient-facing materials in English, German and Spanish), indicating consent documents provided for parents/guardians and materials in multiple languages.

Inclusion criteria

  • {"criterion_text":"- Aged 6 months to < 22 months on the day of inclusion (means the day of the 6-month birthday to the day before the 22-month birthday)\n- Participants who are healthy as determined by medical evaluation including medical history\n- Born at full term of pregnancy (≥ 37 weeks)"}

Exclusion criteria

  • {"criterion_text":"- 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)\n- Receipt or planned receipt of any of the following vaccines prior to enrollment or after the first study intervention administration: •\tAny other intranasal live attenuated vaccine within the 28 days prior to and after Dose 1 study administration •\tUnless given on the day of Dose 1 study administration, any other injectable live attenuated vaccines within the 28 days prior to and after. Concomitant receipt on the day of Dose 1 study administration is allowed.\n- Previous receipt of an investigational RSV vaccine or receiving any anti-RSV product (such as ribavirin or RSV immune globulin) at the time of enrollment. Previous receipt of an RSV monoclonal antibody within 6 months prior to the first study vaccine administration.\n- Receipt of immune globulins, blood or blood-derived products in the past 3 months\n- Receipt of intranasal and intra-ocular medications within 3 days prior to study enrollment\n- Participation at the time of study enrollment or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure\n- Known systemic hypersensitivity to any of the study intervention components, or history of a life-threatening reaction to the study intervention used in the study or to a product containing any of the same substances\n- Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion\n- History of medically diagnosed wheezing\n- Any acute febrile illness in the past 48 hours that according to investigator judgment is significant enough to interfere with successful inoculation on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.\n- Probable or confirmed ongoing case of viral respiratory infection (including COVID-19, influenza, rhinovirus, etc.) at the time of enrollment. A prospective participant should not be included in the study until the respiratory infection has resolved.\n- Member of a household that contains an immunocompromised individual, including, but not limited to: •\ta person who is HIV infected •\ta person who has received chemotherapy within the 12 months prior to study enrollment •\ta person who has received (within the past 6 months) or is receiving (at the time of enrollment) immunosuppressant agents •\ta person living with a solid organ or bone marrow transplant\n- Potential close contact with other immunocompromised individual within 30 days after each vaccination as per investigator’s discretion\n- Participant’s biological mother’s previous receipt or planned administration of an investigational RSV vaccine during pregnancy and/or breastfeeding."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2","definition_or_measurement_approach":"RT-PCR confirmation of RSV associated lower respiratory tract disease (LRTD) assessed during RSV Season 1; event counted if occurring >21 days after dose 2."}

Secondary endpoints

  • {"endpoint_text":"- Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2\n- Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain leading to hospitalization > 21 days post-dose 2\n- Occurrence of severe LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2\n- Occurrence of urgent care visits, associated with an episode of LRTD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2\n- Occurrence of ARD (during RSV Season 1) associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2\n- Occurrence of hospitalizations, associated with an episode of ARD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post dose 2\n- Occurrence of urgent care visits, associated with an episode of ARD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2\n- Occurrence of LRTD (during RSV Season 1) associated with an RT-PCR confirmed RSV A or B strain > 21 days post-dose 2\n- Occurrence of URTD (during RSV Season 1) associated with an RT-PCR confirmed RSV A or B strain > 21 days post-dose 2\n- Occurrence of ARD (during RSV Season 1) associated with an RT PCR confirmed RSV A or B strain > 21 days post-dose 2\n- Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1\n- Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1\n- Occurrence of ARD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1\n- Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, in RSV-exposed participants\n- Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, by baseline serostatus\n- Occurrence of ARD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, by baseline serostatus\n- Occurrence of LRTD (during RSV Season 2), associated with any RT-PCR confirmed RSV strain\n- Occurrence of URTD (during RSV Season 2), associated with any RT-PCR confirmed RSV strain\n- Occurrence of ARD (during RSV Season 2), associated with any RT PCR confirmed RSV strain\n- Occurrence of LRTD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus\n- Occurrence of URTD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus\n- Occurrence of ARD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus\n- Presence of solicited administration site reactions within 21 days after each vaccination\n- Presence of solicited systemic reactions within 21 days after each vaccination\n- Presence of unsolicited systemic adverse events (AEs) reported in the 30 minutes after each vaccination\n- Presence of unsolicited AEs within 28 days after each vaccination\n- Presence of medically attended adverse events MAAEs throughout the study\n- Presence of serious adverse events (SAEs) throughout the study\n- Presence of adverse events of special interest (AESIs) throughout the study\n- RSV A serum neutralizing antibody titers at D01\n- RSV B serum neutralizing antibody titers at D01\n- RSV A serum neutralizing antibody titers at 28 days post-dose 2\n- RSV B serum neutralizing antibody titers at 28 days post-dose 2\n- RSV serum anti-F Immunoglobulin A (IgA) Electrochemiluminescence (ECL) antibody titers at D01\n- RSV serum anti-F IgG ECL antibody titers at D01\n- RSV serum anti-F Immunoglobulin A (IgA) ECL antibody titers at 28 days post-dose 2\n- RSV serum anti-F IgG ECL antibody titers at 28 days post-dose 2","definition_or_measurement_approach":"Most efficacy endpoints are RT-PCR confirmed RSV disease events (LRTD/URTD/ARD) assessed during specified RSV seasons; timing reference is >21 days post-dose 1 or post-dose 2 where specified. Safety endpoints include solicited local/systemic reactions (within 21 days), unsolicited AEs (30 minutes and 28 days windows), MAAEs, SAEs and AESIs captured throughout the study. Immunogenicity endpoints are serum neutralizing antibody titers and anti‑F IgA/IgG measured at baseline (D01) and 28 days post-dose 2 using specified assays (e.g., neutralization, ECL) as listed."}

Recruitment

Planned Sample Size
5960
Recruitment Window Months
28
Consent Approach
Informed consent is obtained from parent(s)/legal guardian(s) (Main ICF document is listed). A recruitment informed consent procedure document is present (Finnish). Patient-facing materials and eDiary materials are available in multiple languages (documents available in English, German, Spanish and Finnish), indicating multilingual participant/parent information and consent materials.

Geography

Total Number Of Sites
19
Total Number Of Participants
340

Germany

Earliest CTIS Part Ii Submission Date
08-04-2024
Latest Decision Or Authorization Date
13-05-2024
Processing Time Days
35
Number Of Sites
6
Number Of Participants
90

Sites

Site Name
Kinderarzt Dr Andreas Petri
Contact Person Name
Andreas Petri
Contact Person Email
dr.andreas.petri@gmail.com
Site Name
Kinderaztpraxis JS Iffland and Dr. Marineße
Contact Person Name
Friedrich Kaiser
Contact Person Email
friedrichkaiser67@gmail.com
Site Name
Kinderpneumologische Praxis Dr. Funck
Contact Person Name
Jürgen Funck
Contact Person Email
juergen.funck@arcor.de
Site Name
Kinderarztpraxis Leyental
Contact Person Name
Robert Primke
Contact Person Email
info@kinderarzt-primke.de
Site Name
Kinder- und Jugendarztpraxis, Praxiszentrum Triftplatz
Contact Person Name
Michael Horn
Contact Person Email
office@drhorn.de
Site Name
Praxis für Kinder und Jugendliche R Köllges
Contact Person Name
Ralph Köllges
Contact Person Email
rkoellges@t-online.de

Spain

Earliest CTIS Part Ii Submission Date
05-04-2024
Latest Decision Or Authorization Date
07-05-2024
Processing Time Days
32
Number Of Sites
5
Number Of Participants
100

Sites

Site Name
Hospital Universitario De Navarra
Department Name
Pediatria
Contact Person Name
Natividad Viguria Sanchez
Contact Person Email
nviguris@cfnavarra.es
Site Name
Hospital Quironsalud Barcelona
Department Name
Pediatria
Contact Person Name
Hector Boix
Contact Person Email
hector.boix@quironsalud.es
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
Pediatria
Contact Person Name
Federico Martinon Torres
Site Name
Instituto Hispalense De Pediatria S.L.
Department Name
Pediatria
Contact Person Name
Ignacio Salamanca de la Cueva
Site Name
Hospital Universitario Hm Puerta Del Sur
Department Name
Pediatria
Contact Person Name
Silvina Natalini Martinez
Contact Person Email
slnatalini@hmhospitales.com

Finland

Earliest CTIS Part Ii Submission Date
12-04-2024
Latest Decision Or Authorization Date
30-05-2025
Processing Time Days
413
Number Of Sites
8
Number Of Participants
150

Sites

Site Name
FVR Suomen rokotetutkimus Oy (Järvenpään Rokotetutkimusklinikka)
Department Name
Järvenpään Rokotetutkimusklinikka
Contact Person Name
Miia Virta
Contact Person Email
miia.virta@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Seinäjoen Rokotetutkimusklinikka)
Department Name
Seinäjoen Rokotetutkimusklinikka
Contact Person Name
Hilkka Liitsola
Contact Person Email
hilkka.liitsola@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Espoon Rokotetutkimusklinikka)
Department Name
Espoon Rokotetutkimusklinikka
Contact Person Name
Benita Ukkonen
Contact Person Email
benita.ukkonen@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Oulun Rokotetutkimusklinikka)
Department Name
Oulun Rokotetutkimusklinikka
Contact Person Name
Satu Kokko
Contact Person Email
satu.kokko@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Rokotetutkimusklinikka, Helsinki)
Department Name
Rokotetutkimusklinikka
Contact Person Name
Ulpu Elonsalo
Contact Person Email
ulpu.elonsalo@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Turun Rokotetutkimusklinikka)
Department Name
Turun Rokotetutkimusklinikka
Contact Person Name
Ulpu Elonsalo
Contact Person Email
lpu.elonsalo@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Kokkolan Rokotetutkimusklinikka)
Department Name
Kokkolan Rokotetutkimusklinikka
Contact Person Name
Pauliina Paavola
Contact Person Email
pauliina.paavola@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy (Tampereen Rokotetutkimusklinikka)
Department Name
Tampereen Rokotetutkimusklinikka
Contact Person Name
Oskari Pitkänen
Contact Person Email
oskari.pitkanen@fvr.fi

Sponsor

Primary sponsor

Full Name
Sanofi Pasteur Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
PPD Global Limited
Responsibilities
codes:1|13|14|15|2|3|5|6|7|9; includes safety reporting and other sponsor duties (see record)
Name
Azenta US Inc.
Responsibilities
code:4

Third parties

  • {"country":"United States","full_name":"Azenta US Inc.","duties_or_roles":"code:4","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"PPD Global Limited","duties_or_roles":"codes:1|13|14|15|2|3|5|6|7|9; note for code 15: Safety Reporting to Ethical Committees, Subject expense reimbursement (Spain only)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Azenta US Inc.","duties_or_roles":"code:4","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Live Attenuated Respiratory Syncytial Virus (RSV) ∆NS2/∆1313/I1314L vaccine
Active Substance
534
Modality
Vaccine
Routes Of Administration
NASAL USE
Route
NASAL USE
Frequency
2 doses
Maximum Dose
6.7 log10 PFU/dose
Investigational Product Name
Matched
Modality
Other

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