AzTrials
AzTrials

Respiratory Syncytial VirusPhase 1/2NCT03606512

A Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Adenovirus Serotype 26 Based Respiratory Syncytial Virus Pre-fusion (Ad26.RSV.Pre-F) Vaccine in RSV-Seronegative Toddlers 12 to 24 Months of Age

A Phase 1/2 study testing Ad26.RSV.preF and Nimenrix in people with Respiratory Syncytial Virus, run by Janssen Vaccines & Prevention B.V. at 25 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the safety and reactogenicity of an intramuscular regimen of 3 doses of 2.5*10^10 viral particles (vp) of adenovirus serotype 26 based respiratory syncytial virus pre-fusion protein (Ad26.RSV.preF) vaccine in RSV-seronegative toddlers aged 12 to 24 months. Read more about this study

Who is it for?
Ages 12 to 24 monthsHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus
What is being tested?
Ad26.RSV.preF and Nimenrix
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
38 participants
Where
25 sitesin 8 countries
Study dates
21 Jan 2019to 2 Nov 2021
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 24 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Participant who is seronegative for respiratory syncytial virus (RSV) within 42 days prior to dosing
  • Participant is the product of a normal term pregnancy greater than or equal to (>=)37 weeks, with a minimum birth weight of 2.5 kilogram (kg)
  • Participant must be in good health without any significant medical illness on the basis of physical examination, medical history, and vital signs performed at screening
  • Participant has received all routine immunizations appropriate for his or her age according to local guidelines
  • Each participant's parent(s)/legal guardian(s) must have access to a consistent means of contact either by telephone contact or email/computer

Who cannot join

  • Participant's weight is below tenth percentile according to World Health Organization (WHO) pediatric growth and weight charts
  • Participant has any clinically significant acute or chronic medical condition (for example, history of seizure disorders, bleeding/clotting disorder, autoimmune disease, active malignancy, systemic infections, congenital heart disease, history of any pulmonary condition requiring medication, atopy, reactive airway disease, medically-confirmed wheezing, bronchoconstriction or treatment with a beta 2 agonist, cystic fibrosis, bronchopulmonary dysplasia, chronic pulmonary disease, medically-confirmed apnea, hospitalization for respiratory illness, or mechanical ventilation for respiratory illness) that, in the opinion of the investigator, would preclude participation
  • Participant is in receipt of, or planning to receive, live attenuated vaccine (for example, measles, mumps and rubella [MMR] or varicella, but excluding rotavirus vaccine) within 28 days of each study vaccination (that is, before and after); other vaccines (for example, influenza, pertussis, polio or rotavirus) should be given at least 14 days before or 14 days after each study vaccination
  • Participant has known or suspected immunodeficiency, such as known human immunodeficiency virus (HIV) infection
  • Participant has a known allergy to vaccines or vaccine components (including any of the constituents of the study vaccine), or history of anaphylaxis or other serious adverse reactions to vaccines or vaccine components (including any of the constituents of the study vaccine). Participants with egg allergies can be enrolled

Trial locations and contacts

25 sites in 8 countries.

25 sites in 8 countries

Brazil4 sites
  • Complexo Hospital de Clinicas - UFPR

    Curitiba, 80030-110

  • Hospital Pequeno Principe

    Curitiba, 80250-060

  • Irmandade Santa Casa de Misericordia de Porto Alegre

    Porto Alegre, 90035-074

  • Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS

    Porto Alegre, 90610-000

Other trials in Brazil

Canada4 sites
  • Dalhousie University

    Halifax, Nova Scotia, B3K 6R8

  • Children's Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • McGill University Health Centre - Vaccine Study Centre

    Pierrefonds, Quebec, H9H 4Y6

  • CHU de Quebec Universite Laval

    Québec, Quebec, G1V 4G2

Other trials in Canada

Spain4 sites
  • Hosp. Gral. Univ. Gregorio Maranon

    Madrid, 28007

  • Hosp. Univ. 12 de Octubre

    Madrid, 28041

  • Hosp. Univ. La Paz

    Madrid, 28046

  • Hosp. Clinico Univ. de Santiago

    Santiago de Compostela, 15706

Other trials in Spain

Australia3 sites
  • Barwon Health

    Geelong, 3220

  • Telethon Kids Institute

    Nedlands, 6009

  • Murdoch Children's Research Institute

    Parkville, 3052

Other trials in Australia

Finland3 sites
  • Järvenpään rokotetutkimusklinikka

    Jarvenpaa, 04400

  • Tampereen rokotetutkimusklinikka

    Tampere, 33100

  • Turun rokotetutkimusklinikka

    Turku, 20520

Other trials in Finland

United Kingdom3 sites
  • Imperial College London

    London, W21PG

  • Royal Manchester Children's Hospital

    Manchester, M13 9WL

  • University Hospital Southampton NHS Foundation Trust

    Southampton, SO166YD

Other trials in United Kingdom

Poland2 sites
  • Jerzy Brzostek Prywatny Gabinet Lekarski

    Dębica, 39-200

  • Szpital im Swietej Jadwigi Slaskiej Oddzial Pediatryczny z Pododdzialem Niemowlecym

    Trzebnica, 55 100

Other trials in Poland

Sweden2 sites
  • Sachsska barn-och ungdomssjukhuset

    Stockholm, 11861

  • Norrlands Universitetssjukhus

    Umeå, 90185

Other trials in Sweden

About this study

Official title: A Randomized, Controlled, Observer-blind, Phase 1/2a Study to Evaluate the Safety, Reactogenicity, and Immunogenicity of Ad26.RSV.preF in RSV-seronegative Toddlers 12 to 24 Months of Age

The purpose of this study is to assess the safety and reactogenicity of an intramuscular regimen of 3 doses of 2.5*10^10 viral particles (vp) of adenovirus serotype 26 based respiratory syncytial virus pre-fusion protein (Ad26.RSV.preF) vaccine in RSV-seronegative toddlers aged 12 to 24 months.

Read the detailed description

RSV is considered the most important cause of serious acute respiratory illness in children under 5 years of age. Ad26.RSV.preF (JNJ-64400141) investigational vaccine is a replication-incompetent serotype 26 adenoviral vector (Ad26) containing a deoxyribonucleic acid (DNA) transgene that encodes for the F protein derived from the respiratory syncytial virus (RSV) A2 strain stabilized in the pre-fusion conformation (Ad26.RSV.preF). The study will evaluate whether Ad26.RSV.preF is safe, well-tolerated, and immunogenic in RSV-seronegative toddlers. The study will have 3 phases: a screening phase (up to 6 weeks before the first dose), a vaccination phase (34 weeks), and a safety follow-up phase through 2 RSV seasons after the first dose. RSV infection will be monitored by active and passive surveillance. The total duration of the study will be approximately 26 months.

Being tested
Ad26.RSV.preF, Placebo, Nimenrix

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ad26.RSV.preFBiological

    Also called JNJ-64400141

    Ad26.RSV.preF will be administered as IM injection at a dose of 2.5*10^10 vp.

  • PlaceboBiological

    Placebo will be administered as IM injection of sterile 0.9 percent (%) saline for injection.

  • NimenrixBiological

    Nimenrix will be administered as 0.5 milliliter (mL) solution for IM injection.

Study groups in NCT03606512
Study groupRoleWhat they receive
Group 1: RSV Seronegative Toddlers (Ad26.RSV.preF)ExperimentalRespiratory syncytial virus (RSV) seronegative toddlers will receive intramuscular (IM) injection of 2.5*10^10 viral particles (vp) of an adenovirus serotype 26- based vaccine encoding for the respiratory syncytial virus pre-fusion F-protein on Days 1, 29, and 57.
Receives: Biological: Ad26.RSV.preF
Group 2: RSV Seronegative Toddlers (Placebo/Nimenrix)Placebo comparatorRSV seronegative toddlers will receive IM injection of placebo on Days 1, 29 and 57. Placebo can be replaced with Nimenrix on Day 57 in countries where applicable.
Receives: Biological: Placebo; Biological: Nimenrix

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Solicited Local and Systemic Adverse Events (AEs) for 7 Days After First Vaccination

    An AE is any untoward medical event that occurs in a participants administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. Solicited local and systemic AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included injection-site pain/tenderness, injection-site erythema and injection-site swelling/induration. Solicited systemic AEs included fatigue, headache, nausea, myalgia and fever.

    Measured: Up to Day 8 (7 days after first vaccination on Day 1)

  2. Number of Participants With Solicited Local and Systemic AEs for 7 Days After Second Vaccination

    An AE is any untoward medical event that occurs in a participants administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. Solicited local and systemic AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included injection-site pain/tenderness, injection-site erythema and injection-site swelling/induration. Solicited systemic AEs included fatigue, headache, nausea, myalgia and fever.

    Measured: Up to Day 36 (7 days after second vaccination on Day 29)

  3. Number of Participants With Solicited Local and Systemic AEs for 7 Days After Third Vaccination

    An AE is any untoward medical event that occurs in a participants administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. Solicited local and systemic AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included injection-site pain/tenderness, injection-site erythema and injection-site swelling/induration. Solicited systemic AEs included fatigue, headache, nausea, myalgia and fever.

    Measured: Up to Day 64 (7 days after third vaccination on Day 57)

  4. Number of Participants With Unsolicited AEs for 28 Days After First Vaccination

    An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. Unsolicited AEs were precisely defined events that participants were not asked about and which were not noted by participants in the diary.

    Measured: Up to Day 29 (28 days after first vaccination on Day 1)

  5. Number of Participants With Unsolicited AEs for 28 Days After Second Vaccination

    An AE is any untoward medical event that occurs in a participants administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. Unsolicited AEs were precisely defined events that participants were not asked about and which were not noted by participants in the diary.

    Measured: Up to Day 57 (28 days after second vaccination on Day 29)

  6. Number of Participants With Unsolicited AEs for 28 Days After Third Vaccination

    An AE is any untoward medical event that occurs in a participants administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. Unsolicited AEs were precisely defined events that participants were not asked about and which were not noted by participants in the diary.

    Measured: Up to Day 85 (28 days after third vaccination on Day 57)

  7. Number of Participants With Serious Adverse Events (SAEs)

    Number of participants with SAEs were reported. An AE is any untoward medical event that occurs in a participants administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a suspected transmission of any infectious agent via a medicinal product, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.

    Measured: Up to 2 year 10 months

Secondary outcomes (5)
  1. Titers of Neutralizing Antibodies to Respiratory Syncytial Virus (RSV) A2 Strain

    Neutralizing antibody titers assessed by virus neutralizing antibodies (VNA) against the RSV A2 strain were expressed as 50% inhibitory concentration (IC50) units.

    Measured: Days 1, 8, 85, and 267 (End of first RSV season)

  2. Pre-Fusion A Immunoglobulin G (IgG) Serum Antibody Response as Assessed by Enzyme-linked Immunosorbent Assay (ELISA)

    Pre-fusion A IgG serum antibody response was assessed by ELISA.

    Measured: Days 1, 8, 85, and 267 (End of first RSV season)

  3. Post-Fusion A IgG Serum Antibody Response as Assessed by ELISA

    Post-fusion A IgG serum antibody response as assessed by ELISA was reported.

    Measured: Days 1, 8, 85, and 267 (End of first RSV season)

  4. T-cell Response (Percent [%]) to RSV F Peptides for T-helper (Th) 1 and Th2 Subtyping as Measured by Flow Cytometry

    T-cell response (%) to RSV F peptides for T-helper Th1 and Th2 subtyping as measured by flow cytometry was planned to be assessed. Th1(% of Clusters of differentiation 4 [CD4]+ interferon gamma [IFN-g]+T cells; lower limit(s) of quantification [LLOQ]=0.05%) and Th2 (% of CD4+ interleukin [IL]-4+/IL-13+ and CD40L+T cells; LLOQ=0.07%) responses were determined by intracellular cytokines after RSV F peptide stimulation.

    Measured: Baseline (Day 1) and Day 85

  5. Number of Participants With Severe RSV-lower Respiratory Tract Infection (LRTI)

    Number of participants with severe RSV-LRTI were reported.

    Measured: Up to 2 year 10 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2018
  2. Study start21 Jan 2019
  3. Primary completion2 Nov 2021
  4. Study completion2 Nov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
38 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03606512
Sponsor's protocol ID
CR108465
Other IDs
2017-003859-36, VAC18194RSV2002, 2017
Status last verified
Jan 2025
First submitted
20 Jun 2018
Last updated
4 Feb 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Langley JM, Nolan TM, Ramet M, Richmond PC, Rosario Filho N, Haazen W, van den Berg SPH, Williams K, Bastian AR, Omoruyi E, Williams Durkin J, Salisch N, Van Geet G, van Duijnhoven W, Heijnen E, Callendret B. A Phase 1/2a Study Evaluating Safety and Immunogenicity of Ad26.RSV.preF in RSV-seronegative Toddlers Aged 12-24 Months. Open Forum Infect Dis. 2024 Aug 8;11(9):ofae453. doi: 10.1093/ofid/ofae453. eCollection 2024 Sep.

    PubMed 39220658

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Ad26.RSV.preF and Nimenrix in people with Respiratory Syncytial Virus, run by Janssen Vaccines & Prevention B.V. at 25 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Brazil, Canada, Spain, Australia, Finland and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Nov 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Solicited Local and Systemic Adverse Events (AEs) for 7 Days After First Vaccination (time frame: Up to Day 8 (7 days after first vaccination on Day 1)). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03606512, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Feb 2025.

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