Clinical trial • Phase III • Infectious Disease | Respiratory

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

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

Overview

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

Key dates

Initial CTIS Submission Date
11-04-2025
First CTIS Authorization Date
01-07-2025

Trial design

open-label, none/not specified-controlled Phase III trial across 2 sites in Sweden.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
70
Trial Duration For Participant
183

Eligibility

Recruits 70 No vulnerable population selected. Participants must be able to understand and read Swedish and provide written informed consent themselves. Individuals with mental inability, reluctance or language difficulties that result in difficulty understanding participation are excluded. No assent process for minors is described (study population is elderly adults)..

Vulnerable Population
No vulnerable population selected. Participants must be able to understand and read Swedish and provide written informed consent themselves. Individuals with mental inability, reluctance or language difficulties that result in difficulty understanding participation are excluded. No assent process for minors is described (study population is elderly adults).

Inclusion criteria

  • {"criterion_text":"- Male or female individuals who were born between 1965 and 1960 or 1945 and before, at the time of the first vaccination, who live in the community or in a long-term care facility.\n- Individuals who can understand and read Swedish.\n- Individuals who can provide written consent and agree (by written consent) to receive the Arexvy vaccine.\n- Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol.\n- Participants who are medically stable in the opinion of the investigator at the time of first vaccination.\n- Participants with chronic stable medical conditions with or without specific treatment, such as diabetes, hypertension or cardiac disease, are allowed to participate if considered by the investigator as medically stable."}

Exclusion criteria

  • {"criterion_text":"- Individuals who are medically immunocompromised, less than 2 years since hematopoietic stem cell transplantation (HSCT) or graft-versus-host disease (GVHD), solid-organ transplanted, other immunosuppressive drugs for treatment of cancer and inflammatory mediated or autoimmune conditions, as judged by the Investigator.\n- Co-administration of other vaccines less than 14 days before or after study vaccination. A period of less than 30 days before or after study vaccination applies in the case of Shingrix.\n- Individuals who have already received an RSV vaccine dose at any time in the past.\n- Any known or suspected reaction, hypersensitivity or allergies to be exacerbated by any product or component included in the vaccine and trial\n- Mental inability, reluctance or language difficulties that result in difficulty understanding the meaning of participation in the trial.\n- Treatment or disease which, according to the investigator, can affect treatment or trial results.\n- Any of the following medical conditions: -\tUnstable chronic illness -\tRecurrent or un-controlled neurological disorders or seizures -\tSignificant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study -\tAny other medical condition that in the judgment of the investigator would make intramuscular injection unsafe -\tAny other clinical condition that, in the opinion of the investigator, might pose additional risk to the participant due to participation in the study -\tAny history of dementia or any medical condition that moderately or severely impairs cognition and understanding of the informed consent form and/or study procedures -\tHistory 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- Participation in another clinical trial during the study period, or any previous clinical trials with RSV- or hMPV-vaccine or other prophylaxis.\n- Planned move during the study period that will prohibit participating in the study until study end.\n- Participation of any study personnel or their immediate dependents, family or household members as well as any family relations to Sponsor or PI."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To describe the neutralizing antibody titers against RSV A and B one month after the prime dose (day 31) of Arexvy in study participants 60 65 years old and ≥80 years old.","definition_or_measurement_approach":"Measurement of neutralizing antibody titers against RSV A and B at day 31 (one month after the prime dose)."}

Secondary endpoints

  • {"endpoint_text":"- Occurrence, intensity and duration of solicited AEs in the study participants at the administration site and solicited systemic AEs with an onset during the 4-day follow-up period after each vaccination.","definition_or_measurement_approach":"Solicited local and systemic adverse events recorded with onset within a 4-day follow-up period after each vaccination; intensity and duration to be collected (diary card)."}
  • {"endpoint_text":"- Incidence of unsolicited AEs in the study participants with an onset during the 30 day follow-up period after each vaccination.","definition_or_measurement_approach":"Recording incidence of unsolicited adverse events with onset within 30 days after each vaccination."}
  • {"endpoint_text":"- Incidence of SAEs or pIMDs in the study participants from the day of vaccination until 6 months.","definition_or_measurement_approach":"Recording incidence of serious adverse events (SAEs) and potential immune-mediated diseases (pIMDs) from vaccination day through 6 months of follow-up."}
  • {"endpoint_text":"- Occurrence of any fatal SAEs from day 1 up to study end.","definition_or_measurement_approach":"Recording any fatal serious adverse events from day 1 through study end."}

Recruitment

Digital Remote Recruitment
True, recruitment materials include social media text and digital advertisement copy for outreach to potential participants.
Planned Sample Size
70
Recruitment Window Months
26
Consent Approach
Written informed consent is required from participants themselves. Participant information and consent documents are provided (document: RISE_Information till forsoksperson_V1_08-04-2025_Final); participants must be able to understand and read Swedish. No assent process for minors (study population is elderly).

Methods

  • Recruitment materials and advertisement text (Annonstext broschyr / Annonstext kort / Annonstext lang) — printed brochures targeted to the elderly and residents of long-term care facilities (SÄBO) in Sweden.
  • Posters (Annonstext poster) — local poster campaigns at study sites and community locations in Sweden.
  • Social media text (Annonstext sociala medier) — use of social media channels to reach older adult populations in Sweden.
  • Study unit outreach (Studieenheten) materials — central study unit advertisement and recruitment communications in Stockholm/region; local site contacts provided.

Geography

Total Number Of Sites
2
Total Number Of Participants
70

Sweden

Earliest CTIS Part Ii Submission Date
16-06-2025
Latest Decision Or Authorization Date
01-07-2025
Processing Time Days
15
Number Of Sites
2
Number Of Participants
70

Sites

Site Name
Familjeläkarna
Department Name
Familjeläkarna SÄBO
Principal Investigator Name
Christian Molnar
Principal Investigator Email
christian.molnar@famlak.se
Contact Person Name
Christian Molnar
Contact Person Email
christian.molnar@famlak.se
Site Name
Studieenheten Akademiskt
Department Name
Akademiskt specialistcentrum Studieenheten
Principal Investigator Name
Helena Hervius Askling
Principal Investigator Email
helena.hervius.askling@ki.se
Contact Person Name
Helena Hervius Askling
Contact Person Email
helena.hervius.askling@ki.se

Sponsor

Primary sponsor

Full Name
Karolinska Institutet
Organisation Type
Educational Institution
Country Of Registered Address
Sweden

Investigational products

Investigational Product Name
RESPIRATORY SYNCYTIAL VIRUS VACCINES (RSVPreF3, adjuvanted with AS01E / Arexvy)
Active Substance
RESPIRATORY SYNCYTIAL VIRUS, GLYCOPROTEIN F, RECOMBINANT, STABILISED IN THE PRE-FUSION CONFORMATION, ADJUVANTED WITH AS01E
Modality
Vaccine
Routes Of Administration
Injection (intramuscular)
Route
Injection
Authorisation Status
Authorised
Starting Dose
0.5 ml
Maximum Dose
1.0 ml

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