Clinical trial • Phase II • Respiratory|Infectious Disease

RESPIRATORY SYNCYTIAL VIRUS, GLYCOPROTEIN F, RECOMBINANT, STABILISED IN THE PRE-FUSION CONFORMATION, ADJUVANTED WITH AS01E for Respiratory syncytial virus infection

Phase II trial of RESPIRATORY SYNCYTIAL VIRUS, GLYCOPROTEIN F, RECOMBINANT, STABILISED IN THE PRE-FUSION CONFORMATION, ADJUVANTED WITH AS01E for Respirato…

Overview

Trial Therapeutic Area
Respiratory|Infectious Disease
Trial Disease
Respiratory syncytial virus infection
Trial Stage
Phase II
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
02-06-2025
First CTIS Authorization Date
16-09-2025

Trial design

open-label, immunocompromised-1 (participants who received 1 dose of adjuvanted rsvpref3 in parent study) versus immunocompromised-2 (participants who received 2 doses in parent study); no active drug comparator, dose, or schedule comparator specified.-controlled Phase II trial across 15 sites in Germany, Spain, Italy.

Open Label
Yes
Comparator
Immunocompromised-1 (participants who received 1 dose of adjuvanted RSVPreF3 in parent study) versus Immunocompromised-2 (participants who received 2 doses in parent study); no active drug comparator, dose, or schedule comparator specified.
Target Sample Size
138
Trial Duration For Participant
365

Eligibility

Recruits 138 No vulnerable population selected. Consent requirement: "Written or witnessed informed consent obtained participant prior to performance of any study-specific procedure." Participant must be able to access and utilize a phone or other electronic communications (per inclusion criteria). Subject information / ICF documents and caregiver information letters are provided; electronic informed consent (Medable Digital Health Platform eICF) and privacy notice documents are included among submitted materials..

Pregnancy Exclusion
Pregnant or lactating female participant.
Vulnerable Population
No vulnerable population selected. Consent requirement: "Written or witnessed informed consent obtained participant prior to performance of any study-specific procedure." Participant must be able to access and utilize a phone or other electronic communications (per inclusion criteria). Subject information / ICF documents and caregiver information letters are provided; electronic informed consent (Medable Digital Health Platform eICF) and privacy notice documents are included among submitted materials.

Inclusion criteria

  • {"criterion_text":"- Participants of the RSV OA=ADJ-023 study from the Per Protocol Set, who received either 1 or 2 doses of the adjuvanted RSVPreF3 vaccine and for whom the immunogenicity data are available.\n- Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., completion of the paper diary cards (as applicable), return for follow-up visits, ability to access and utilize a phone or other electronic communications, have regular contact to allow evaluation during the study).\n- Written or witnessed informed consent obtained participant prior to performance of any study-specific procedure.\n- Female participants of nonchildbearing potential may be enrolled in the study. Non childbearing potential is defined as hysterectomy, bilateral oophorectomy, bilateral salpingectomy, and post-menopause. Refer to Protocol Section 10.4.1 for definitions of women of childbearing potential, menarche and menopause.\n- Female participants of childbearing potential may be enrolled in the study if the participant: \thas practiced adequate contraception from 1 month prior to study intervention administration, and \tagreed to continue adequate contraception until 1 month after study intervention, and \thas a negative pregnancy test on the day of and prior to study intervention administration. Refer to Protocol Section 10.4.2 for definition of adequate contraception.\n- Participant who has received an ABO compatible allogeneic kidney or lung transplant (allograft) more than 12 months (365 days) prior to the study intervention administration.\n- Participant receiving maintenance immunosuppressive therapy for the prevention of allograft rejection.\n- For kidney transplant patients - Participant with stable kidney function, stability defined as less than 20% variability between last two results of eGFR or in the opinion of the investigator after investigator review of more than the last two results of eGFRs and based on medical history.\n- For lung transplant patients - Participant with stable lung function, with stability defined as the stability in the FEV1 compared to post-transplant baseline FEV1 and based on medical history of the last 3 months, in the opinion of the investigator."}

Exclusion criteria

  • {"criterion_text":"- Any history of dementia or any medical condition that moderately or severely impairs cognition.\n- Significant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study\n- History of any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention\n- Acute or chronic clinically significant cardiovascular or hepatic functional abnormality, as determined by physical examination or laboratory screening tests.\n- Recurrent or uncontrolled neurological disorders or seizures.\n- Any condition which, in the judgment of the investigator, would make IM injection unsafe.\n- Any other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the clinical study.\n- Vaccination with RSV-antigen containing vaccine after 1 or 2 doses received in the parent study\n- Use of any investigational or non-registered product (drug, vaccine, or medical device) other than the study intervention administration during the period beginning 30 days before the study intervention administration (Day -30 to Day 1), or their planned use during the study period\n- Planned or actual administration of a vaccine not foreseen by the study protocol in the period starting 30 days before the study intervention administration and ending 30 days after the study intervention administration. In the case of COVID-19 and inactivated/subunit/split influenza vaccines, this time window can be decreased to 14 days before and after study intervention administration.\n- Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational intervention\n- History of chronic alcohol consumption and/or drug abuse as deemed by the investigator to render the potential participant unable/unlikely to provide accurate safety reports or comply with study procedures.\n- Any study personnel or their immediate dependents, family, or household members.\n- Planned move during the study period that will prohibit participating in the study until study end.\n- Pregnant or lactating female participant.\n- Female participant planning to become pregnant or planning to discontinue contraceptive precautions.\n- More than one organ transplanted (i.e., kidney-liver or kidney-other organ(s) transplanted). Dual organ is allowed (double kidney or double lung).\n- History of events that, in the opinion of the investigator, may put the participant at increased risk for chronic allograft dysfunction.\n- Participant with an episode of allograft rejection within 3 months (90 days) prior to Visit 1.\n- Histologic evidence of chronic allograft injury.\n- Active treatment for acute rejection.\n- Current diagnosis of malignancy (except non-melanoma skin cancer that does not require systemic therapy).\n- Any autoimmune conditions or pIMDs that in the opinion of the investigator may put the participant at increased risk.\n- Any confirmed or suspected HIV infection or primary immunodeficiency disease or ongoing CMV infection with a viremia > 200 IU/mL\n- Use of anti-CD20 or other B-cell monoclonal antibody agents for the prevention of allograft rejection within 9 months prior to Visit 1.\n- Use of investigational and non-registered immunosuppressants\n- Evidence or suspicion of noncompliance or nonadherence to immunosuppressive therapy\n- Any clinically significant hematologic and/or biochemical laboratory abnormality\n- Previous allograft loss secondary to recurrent primary kidney disease\n- Evidence of significant proteinuria/albuminuria\n- Diagnosis of acute pulmonary infection within the 2 weeks\n- Chronic lung allograft dysfunction"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- RSV-A and RSV-B serum neutralizing titers expressed as GMT at Visit 1 in IC-1 and IC-2 groups.\n- RSV-A and RSV-B serum neutralizing titers expressed as MGI at Visit 1 in the current study over 30 days post last dose in the parent study in IC-1 and IC-2 groups.\n- RSV-A and RSV-B serum neutralizing titers expressed as GMT in IC-1 and IC-2 groups at Visit 2 and Visit 3.","definition_or_measurement_approach":"Measured as serum neutralizing antibody titers against RSV-A and RSV-B; results expressed as geometric mean titers (GMT) or mean geometric increase (MGI) at specified visits (Visit 1, Visit 2, Visit 3) and comparisons versus 30 days post last dose in the parent study, by study group (IC-1 and IC-2)."}

Secondary endpoints

  • {"endpoint_text":"- RSV-A and RSV-B serum neutralizing titers expressed as group GMT ratio IC-2 over IC-1 at Visit 1.","definition_or_measurement_approach":"Group comparison of serum neutralizing titers for RSV-A and RSV-B expressed as geometric mean titer (GMT) ratio (IC-2 / IC-1) at Visit 1."}
  • {"endpoint_text":"- RSV-A and RSV-B serum neutralizing titers expressed as MGI at Visit 2 and Visit 3 over Visit 1 in IC-1 and IC-2 groups.","definition_or_measurement_approach":"Mean geometric increase (MGI) of serum neutralizing titers for RSV-A and RSV-B at Visit 2 and Visit 3 relative to Visit 1, within IC-1 and IC-2 groups."}
  • {"endpoint_text":"- RSV-A and RSV-B serum neutralizing titers expressed as MGI at Visit 2 in the RSV-031 study over 30 days post last dose in the parent study in IC-1 and IC-2 groups.","definition_or_measurement_approach":"MGI of serum neutralizing titers at Visit 2 compared with 30 days post last dose in the parent study, for RSV-A and RSV-B, within IC-1 and IC-2 groups."}
  • {"endpoint_text":"- Percentage of participants reporting: - each solicited administration site event with onset within 7 days after receiving the re-vaccination dose - each solicited systemic event with onset within 7 days after receiving the re-vaccination dose • unsolicited AEs within 30 days after receiving the re-vaccination dose • any SAEs after receiving the re-vaccination dose up to Visit 3 (Month 6) • related SAEs after receiving the re-vaccination dose up to study end (Month 12)","definition_or_measurement_approach":"Safety/reactogenicity measured by percentage of participants reporting solicited local and systemic events within 7 days post-revaccination, unsolicited adverse events within 30 days, any serious adverse events up to Visit 3 (Month 6), and related SAEs up to study end (Month 12)."}
  • {"endpoint_text":"- Percentage of participants reporting: -fatal SAEs after receiving the re-vaccination dose of the adjuvanted RSVPreF3 vaccine up to study end (Month 12) -AESIs (AEs specific to kidney and lung SOT patients and pIMDs) after receiving the re-vaccination dose up to study end (Month 12)","definition_or_measurement_approach":"Safety endpoints expressed as percentage of participants with fatal serious adverse events and percentage with adverse events of special interest (AESIs) up to study end (Month 12)."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
138
Recruitment Window Months
19
Consent Approach
"Written or witnessed informed consent obtained participant prior to performance of any study-specific procedure." Electronic informed consent materials provided (Medable Digital Health Platform eICF screenshots and privacy notice in documents). Information letters and ICF addenda available, including versions for caregivers. Participants must be ≥18 years; no assent. Consent documents available in multiple language versions (English, Spanish, Italian, German as reflected in submitted protocol and diary/ICF documents).

Geography

Total Number Of Sites
15
Total Number Of Participants
71

Germany

Earliest CTIS Part Ii Submission Date
04-09-2025
Latest Decision Or Authorization Date
24-04-2026
Processing Time Days
232
Number Of Sites
1
Number Of Participants
8

Sites

Site Name
Justus-Liebig-Universitaet Giessen
Department Name
Klinik für Innere Medizin und Nephrologie
Principal Investigator Name
Hristos Karakizlis
Contact Person Name
Hristos Karakizlis

Spain

Earliest CTIS Part Ii Submission Date
27-08-2025
Latest Decision Or Authorization Date
20-04-2026
Processing Time Days
236
Number Of Sites
9
Number Of Participants
45

Sites

Site Name
Complexo Hospitalario Universitario A Coruna
Department Name
Preventive Medicine
Principal Investigator Name
María José Pereira Rodríguez
Principal Investigator Email
Maria.Jose.Pereira.Rodriguez@sergas.es
Contact Person Name
María José Pereira Rodríguez
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Nephrology
Principal Investigator Name
Sara Jiménez Álvaro
Principal Investigator Email
sjalvaro@salud.madrid.org
Contact Person Name
Sara Jiménez Álvaro
Contact Person Email
sjalvaro@salud.madrid.org
Site Name
Hospital Universitario Reina Sofia
Department Name
Nephrology
Principal Investigator Name
María Luisa Agüera Morales
Principal Investigator Email
marial.aguera.sspa@juntadeandalucia.es
Contact Person Name
María Luisa Agüera Morales
Site Name
Hospital Universitario Marques De Valdecilla
Department Name
Preventive Medicine
Principal Investigator Name
Henar Rebollo Rodrigo
Principal Investigator Email
mhenar.rebollo@scsalud.es
Contact Person Name
Henar Rebollo Rodrigo
Contact Person Email
mhenar.rebollo@scsalud.es
Site Name
Hospital Clinico San Carlos
Department Name
Nephrology
Principal Investigator Name
Ana Isabel Sánchez Fructuoso
Principal Investigator Email
sanchezfructuoso@gmail.com
Contact Person Name
Ana Isabel Sánchez Fructuoso
Contact Person Email
sanchezfructuoso@gmail.com
Site Name
Hospital Universitario 12 De Octubre
Department Name
Pediatric Clinical Trial Unit
Principal Investigator Name
Pablo Rojo Conejo
Principal Investigator Email
pablorojoconejo@netscape.net
Contact Person Name
Pablo Rojo Conejo
Contact Person Email
pablorojoconejo@netscape.net
Site Name
Hospital General Universitario Gregorio Maranon
Department Name
Nephrology
Principal Investigator Name
Mª Luisa Rodríguez Ferrero
Principal Investigator Email
mlrodriguezf@senefro.org
Contact Person Name
Mª Luisa Rodríguez Ferrero
Contact Person Email
mlrodriguezf@senefro.org
Site Name
Bellvitge University Hospital
Department Name
Preventive Medicine
Principal Investigator Name
Cristina Mauset Aumatell
Principal Investigator Email
cmasuet@bellvitgehospital.cat
Contact Person Name
Cristina Mauset Aumatell
Contact Person Email
cmasuet@bellvitgehospital.cat
Site Name
Hospital Clinic De Barcelona
Department Name
Nephrology
Principal Investigator Name
Fritz Diekmann
Principal Investigator Email
FDIEKMAN@clinic.cat
Contact Person Name
Fritz Diekmann
Contact Person Email
FDIEKMAN@clinic.cat

Italy

Earliest CTIS Part Ii Submission Date
05-08-2025
Latest Decision Or Authorization Date
08-05-2026
Processing Time Days
276
Number Of Sites
5
Number Of Participants
18

Sites

Site Name
Istituto Mediterraneo Per I Trapianti E Terapie Ad Alta Specializzazione S.r.l. I.S.M.E.T.T. S.r.l.
Department Name
Unità di Pneumologia
Principal Investigator Name
Lavinia Martino
Principal Investigator Email
lmartino@ismett.edu
Contact Person Name
Lavinia Martino
Contact Person Email
lmartino@ismett.edu
Site Name
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Department Name
SC Pneumologia e Fibrosi Cistica
Principal Investigator Name
Letizia Corinna Morlacchi
Principal Investigator Email
letizia.morlacchi@policlinico.mi.it
Contact Person Name
Letizia Corinna Morlacchi
Site Name
Azienda Ospedaliero-Universitaria Senese
Department Name
UOC Malattie dell’Apparato Respiratorio
Principal Investigator Name
David Bennett
Principal Investigator Email
david.bennett@ao-siena.toscana.it
Contact Person Name
David Bennett
Site Name
Ospedale San Raffaele S.r.l.
Department Name
UO Medicina Rigenerativa e dei Trapianti
Principal Investigator Name
Rossana Caldara
Principal Investigator Email
caldara.rossana@hsr.it
Contact Person Name
Rossana Caldara
Contact Person Email
caldara.rossana@hsr.it
Site Name
Fondazione IRCCS Policlinico San Matteo
Department Name
SC Pneumologia
Principal Investigator Name
Valentina Vertui
Principal Investigator Email
v.vertui@smatteo.pv.it
Contact Person Name
Valentina Vertui
Contact Person Email
v.vertui@smatteo.pv.it

Sponsor

Primary sponsor

Full Name
GlaxoSmithKline Biologicals
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Sermes CRO
Responsibilities
Patient fee reimbursement
Name
IQVIA Limited
Name
Trial Form Support S.L.
Responsibilities
Site Coordination Services, including data management

Third parties

  • {"country":"Spain","full_name":"Alcura Health Espana S.A.","duties_or_roles":"Medicine product destruction","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"Akkodis Belgium","duties_or_roles":"IDMC Secretary","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"DHL Supply Chain (Ireland) Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"HCL Technologies UK Limited","duties_or_roles":"Sample management support (Site2Test)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Spain","full_name":"Trial Form Support S.L.","duties_or_roles":"Site Coordination Services, including data management","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Fisher Clinical Services UK Limited","duties_or_roles":"Clinical Trial Ancillary supplies","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"ZALARIS Deutschland GmbH","duties_or_roles":"Patient Reimbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Medable Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Spain","full_name":"Sermes CRO","duties_or_roles":"Patient fee reimbursement","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Arexvy powder and suspension for suspension for injection Respiratory Syncytial Virus (RSV) vaccine (recombinant, adjuvanted)
Active Substance
RESPIRATORY SYNCYTIAL VIRUS, GLYCOPROTEIN F, RECOMBINANT, STABILISED IN THE PRE-FUSION CONFORMATION, ADJUVANTED WITH AS01E
Modality
Vaccine
Routes Of Administration
Intramuscular
Route
Intramuscular
Authorisation Status
Marketing authorised (has EU marketing authorisation EU/1/23/1740/001)
Frequency
Single revaccination dose in this extension study (no repeated dosing schedule specified)
Maximum Dose
120 µg

Related trials

Other published trials that may interest you.