Clinical trial • Phase III • Infectious Disease

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
Trial Disease
Respiratory syncytial virus infection
Trial Stage
Phase III
Drug Modality
Vaccine

Key dates

Initial CTIS Submission Date
06-05-2024
First CTIS Authorization Date
04-06-2024

Trial design

Randomised, open-label Phase III trial across 16 sites in Finland, Germany.

Randomised
Yes
Open Label
Yes
Target Sample Size
912
Trial Duration For Participant
2160

Eligibility

Recruits 912 No vulnerable population selected. "Written or witnessed informed consent obtained from the participant prior to performance of any study specific procedure." Information letters and caregiver information documents (e.g., "L1_ICF_Information letter to caregiver") and multiple ICF addenda are provided for different participant groups..

Vulnerable Population
No vulnerable population selected. "Written or witnessed informed consent obtained from the participant prior to performance of any study specific procedure." Information letters and caregiver information documents (e.g., "L1_ICF_Information letter to caregiver") and multiple ICF addenda are provided for different participant groups.

Inclusion criteria

  • {"criterion_text":"- Male or female participants ≥60 YOA at first vaccination, who live in the community (CD participants) or in a LTCF (LTCF participants)."}
  • {"criterion_text":"- Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol (e.g., completion of the diary cards, attend regular phone calls/study site visits, ability to access and utilize a phone or other electronic communications)."}
  • {"criterion_text":"- Written or witnessed informed consent obtained from the participant prior to performance of any study specific procedure."}
  • {"criterion_text":"- Participants who are medically stable in the opinion of the investigator at the time of first vaccination. Patients with chronic stable medical conditions with or without specific treatment, such as diabetes, hypertension or cardiac disease, are allowed to participate in this study if considered by the investigator as medically stable."}

Exclusion criteria

  • {"criterion_text":"- Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease (e.g., current malignancy, human immunodeficiency virus) or immunosuppressive/cytotoxic therapy (e.g., medication used during cancer chemotherapy, organ transplantation, or to treat autoimmune disorders), based on medical history and physical examination"}
  • {"criterion_text":"- Recurrent or un-controlled neurological disorders or seizures. Participants with medically-controlled active or chronic neurological diseases can be enrolled in the study as per investigator assessment, provided that their condition will allow them to comply with the requirements of the protocol"}
  • {"criterion_text":"- Significant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Humoral immune response at pre-vaccination (Day 1), 30 days post-Dose 1 (Day 31), and at 6 and 12 months post-Dose 1 (Months 6 and 12), in a subset of participants: Neutralizing titers against RSV-A. Neutralizing titers against RSV-B.","definition_or_measurement_approach":"Measurement of neutralizing antibody titers against RSV-A and RSV-B at specified timepoints (Day 1, Day 31, Month 6, Month 12) in a subset of participants."}

Secondary endpoints

  • {"endpoint_text":"- Humoral immune response at pre-vaccination (Day 1), 30 days post-Dose 1 (Day 31), and at 6 and 12 months post-Dose 1 (Months 6 and 12), in a subset of participants: RSVPreF3-binding Immunoglobulin G (IgG) antibody concentrations.","definition_or_measurement_approach":"Measurement of RSVPreF3-binding IgG antibody concentrations at specified timepoints (Day 1, Day 31, Month 6, Month 12) in a subset of participants."}
  • {"endpoint_text":"- Humoral immune response at Months 18, 24, 30, 36, 42, 48, 54 and 60 post-Dose 1, and at 1 month after each revaccination dose (Months 13, 25, 37 and 49), in a subset of participants: Neutralizing titers against RSV-A and RSV-B RSVPreF3-binding IgG antibody concentrations.","definition_or_measurement_approach":"Longitudinal measurement of neutralizing titers against RSV-A and RSV-B and RSVPreF3-binding IgG antibody concentrations at extended timepoints through Month 60 and following revaccination doses."}
  • {"endpoint_text":"- CMI response at pre-vaccination (Day 1), 30 days post Dose 1 (Day 31), at Months 6, 12, 18, 24, 30, 36, 42, 48, 54 and 60 post-Dose 1, and after each revaccination dose (Months 13, 25, 37, 49, 61, 66 and 72), in a subset of participants: Frequency of RSVPreF3-specific CD4+ and/or CD8+ T cells expressing at least 2 activation markers including at least one cytokine among CD40L, 4-1BB, IL-2, TNF-, IFN-, IL-13, IL-17.","definition_or_measurement_approach":"Cell-mediated immunity assessed by measuring frequency of RSVPreF3-specific CD4+ and/or CD8+ T cells expressing ≥2 activation markers (including listed cytokines) at specified timepoints up to Month 72 in a subset."}
  • {"endpoint_text":"- •\tOccurrence of each solic. admin. site + systemic event during a 4-day Fup period (i.e., on the day of vaccination and 3 subsequent days) after each vaccination. •\tOccurrence of any unsolic. AE during a 30-day Fup period (i.e., on the day of vaccination and 29 subsequent days) after each vaccination. •\tOccurrence of all SAEs and pIMDs up to 6 months after each vaccination. •\tOccurrence of fatal SAEs, related SAEs and related pIMDs from first vaccination (D1) up to study end (M72).","definition_or_measurement_approach":"Safety and reactogenicity assessed via solicited local and systemic events (4-day follow-up), unsolicited AEs (30-day follow-up), SAEs and potential immune-mediated diseases up to 6 months post-vaccination, and fatal/related SAEs and related pIMDs from Day 1 to study end (Month 72)."}

Recruitment

Planned Sample Size
912
Recruitment Window Months
63
Consent Approach
Written or witnessed informed consent obtained from the participant prior to performance of any study specific procedure. Multiple ICF documents, addenda and information letters are provided (including caregiver information letters). ICF documents are available in local languages as indicated by document filenames (e.g., DE, FI) and addenda for different participant groups/schedules.

Methods

  • Site-based recruitment at participating clinics and research centers (local FVR clinics and participating study centers listed in country Part II trialSites).
  • Decentralised clinical trial support / mobile nursing provided by Accellacare Limited ("Decentralised Clinical Trial - Mobile nursing").
  • Patient recruitment and retention materials provided by Matthews Media Group Inc.
  • Use of recruitment arrangements materials (K1 recruitment brochure/poster/blurb documents) and local recruitment texts (K2 Local texts for recruitment_redacted).

Geography

Total Number Of Sites
16
Total Number Of Participants
738

Finland

Earliest CTIS Part Ii Submission Date
22-05-2024
Latest Decision Or Authorization Date
03-10-2025
Processing Time Days
499
Number Of Sites
8
Number Of Participants
350

Sites

Site Name
FVR Suomen rokotetutkimus Oy - SEINÄJOKI CLINIC
Department Name
FVR, SEINÄJOKI CLINIC
Principal Investigator Name
Hilkka Liitsola
Principal Investigator Email
rokotetutkimus.seinajoki@fvr.fi
Contact Person Name
Hilkka Liitsola
Site Name
FVR Suomen rokotetutkimus Oy - JÄRVENPÄÄ CLINIC
Department Name
FVR, JÄRVENPÄÄ CLINIC
Principal Investigator Name
Miia Virta
Principal Investigator Email
rokotetutkimus.jarvenpaa@fvr.fi
Contact Person Name
Miia Virta
Site Name
FVR Suomen rokotetutkimus Oy - OULU CLINIC
Department Name
FVR, OULU CLINIC
Principal Investigator Name
Satu Kokko
Principal Investigator Email
rokotetutkimus.oulu@fvr.fi
Contact Person Name
Satu Kokko
Contact Person Email
rokotetutkimus.oulu@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy - ESPOO CLINIC
Department Name
FVR, ESPOO CLINIC
Principal Investigator Name
Benita Ukkonen
Principal Investigator Email
rokotetutkimus.espoo@fvr.fi
Contact Person Name
Benita Ukkonen
Contact Person Email
rokotetutkimus.espoo@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy - TURKU CLINIC
Department Name
FVR, TURKU CLINIC
Principal Investigator Name
Ulpu Elonsalo
Principal Investigator Email
rokotetutkimus.turku@fvr.fi
Contact Person Name
Ulpu Elonsalo
Contact Person Email
rokotetutkimus.turku@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy - HELSINKI SOUTH CLINIC
Department Name
FVR, HELSINKI SOUTH CLINIC
Principal Investigator Name
Ulpu Elonsalo
Principal Investigator Email
rokotetutkimus.etela-helsinki@fvr.fi
Contact Person Name
Ulpu Elonsalo
Site Name
FVR Suomen rokotetutkimus Oy - KOKKOLA CLINIC
Department Name
FVR, KOKKOLA CLINIC
Principal Investigator Name
Pauliina Paavola
Principal Investigator Email
rokotetutkimus.kokkola@fvr.fi
Contact Person Name
Pauliina Paavola
Contact Person Email
rokotetutkimus.kokkola@fvr.fi
Site Name
FVR Suomen rokotetutkimus Oy - TAMPERE CLINIC
Department Name
FVR, TAMPERE CLINIC
Principal Investigator Name
Oskari Pitkänen
Principal Investigator Email
rokotetutkimus.tampere@fvr.fi
Contact Person Name
Oskari Pitkänen
Contact Person Email
rokotetutkimus.tampere@fvr.fi

Germany

Earliest CTIS Part Ii Submission Date
22-05-2024
Latest Decision Or Authorization Date
04-09-2025
Processing Time Days
470
Number Of Sites
8
Number Of Participants
388

Sites

Site Name
Klinikum Wuerzburg Mitte gGmbH
Department Name
Institut fuer Labormedizin und Impfzentrum
Principal Investigator Name
Timo Schwarz
Principal Investigator Email
tino.schwarz@kwm-klinikum.de
Contact Person Name
Timo Schwarz
Contact Person Email
tino.schwarz@kwm-klinikum.de
Site Name
Medizentrum Essen Borbeck
Department Name
Dres. Preuße/Sanuri/Schaefer
Principal Investigator Name
Axel Schaefer
Principal Investigator Email
axel.schaefer@mzeb.de
Contact Person Name
Axel Schaefer
Contact Person Email
axel.schaefer@mzeb.de
Site Name
medicoKIT GmbH
Department Name
Institut für klinische Arzneimittelpruefung
Principal Investigator Name
Thorsten Krause
Principal Investigator Email
TK@medicokit-goch.de
Contact Person Name
Thorsten Krause
Contact Person Email
TK@medicokit-goch.de
Site Name
Uhz Klinische Forschung
Department Name
Gemeinschaftspraxis
Principal Investigator Name
Georg Plassmann
Principal Investigator Email
georg-plassmann@uhz-klifo.de
Contact Person Name
Georg Plassmann
Contact Person Email
georg-plassmann@uhz-klifo.de
Site Name
Velocity Clinical Research Hamburg GmbH
Principal Investigator Name
Nazila Shahidi
Principal Investigator Email
nschahidi@velocityclinical.com
Contact Person Name
Nazila Shahidi
Contact Person Email
nschahidi@velocityclinical.com
Site Name
Studienpraxis Heimeranplatz
Principal Investigator Name
Tamara Eckermann
Principal Investigator Email
dres.eckermann@web.de
Contact Person Name
Tamara Eckermann
Contact Person Email
dres.eckermann@web.de
Site Name
Gemeinschaftspraxis Drs. Grosskopf
Principal Investigator Name
Wilma Grosskopf
Principal Investigator Email
dr.w.grosskopf@drs-grosskopf.de
Contact Person Name
Wilma Grosskopf
Site Name
Studienzentrum Mainz Mitte
Department Name
Dres. B. Schmitt & S. Regner
Principal Investigator Name
Bernhard Schmitt
Principal Investigator Email
dr.schmitt@ghcm.de
Contact Person Name
Bernhard Schmitt
Contact Person Email
dr.schmitt@ghcm.de

Sponsor

Primary sponsor

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

Third parties

  • {"country":"Germany","full_name":"Labor Berlin Charite Vivantes GmbH","duties_or_roles":"PBMC preparation lab","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Finland","full_name":"Tamro Oyj","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Accellacare Limited","duties_or_roles":"Decentralised Clinical Trial - Mobile nursing","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Q Squared Solutions Limited","duties_or_roles":"Sample Management","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"Azenta Germany GmbH","duties_or_roles":"PBMC preparation lab","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Matthews Media Group Inc.","duties_or_roles":"Patient recruitment and retention materials","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Meeting Organization","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 USE
Route
Intramuscular
Authorisation Status
Marketing authorised (EU MA number EU/1/23/1740/002)
Frequency
Single dose primary vaccination with revaccination schedules depending on group: RSV_annual (revaccination at 12 and 24 months), RSV_flexible (revaccination at 24 and 48 months), RSV_1dose_M36 (revaccination at 36 months), RSV_1dose_flexible (revaccination at 60 months).
Maximum Dose
120 Aµg microgram(s)

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