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Respiratory Syncytial Virus InfectionsPhase 3MELODYNCT03979313

A Study to Evaluate the Safety and Efficacy of MEDI8897 for the Prevention of Medically Attended Lower Respiratory Tract Infection Due to Respiratory Syncytial Virus in Healthy Late Preterm and Term Infants (MELODY)

A Phase 3 study testing MEDI8897 in people with Respiratory Syncytial Virus Infections, run by AstraZeneca at 198 sites in 31 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics (PK), and antidrug antibody (ADA) response for MEDI8897 in healthy late preterm and term infants who are 35 weeks or greater gestational age and entering their first RSV season. Read more about this study

Who is it for?
Ages 0 years to 1 yearHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus Infections
What is being tested?
MEDI8897
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
3,012 participants
Where
198 sitesin 31 countries
Study dates
23 Jul 2019to 21 Mar 2023
Phase
Phase 3
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 0 years to 1 year
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy infants in their first year of life and born at or after 35 weeks 0 days GA
  • Infants who are entering their first RSV season at the time of screening

Who cannot join

  • Meets national or other local criteria to receive commercial palivizumab
  • Any fever (≥ 100.4°F [≥ 38.0°C], regardless of route) or acute illness within 7 days prior to randomization
  • Active RSV infection (a child with signs/symptoms of respiratory infection must have negative RSV testing) or known prior history of RSV infection
  • Receipt of palivizumab or other RSV monoclonal antibody or any RSV vaccine, including maternal RSV vaccination

Trial locations and contacts

198 sites in 31 countries.

198 sites in 31 countries

United States66 sites
  • Research Site

    Anaheim, California, 92804

  • Research Site

    Atlanta, Georgia, 30322

  • Research Site

    Aurora, Colorado, 80015

  • Research Site

    Bardstown, Kentucky, 40004

  • Research Site

    Baytown, Texas, 77521

  • Research Site

    Birmingham, Alabama, 35205

  • Research Site

    Boone, North Carolina, 28607

  • Research Site

    Charlottesville, Virginia, 22902

  • Research Site

    Chicago, Illinois, 60611

  • Research Site

    Cincinnati, Ohio, 45229

  • Research Site

    Cleveland, Ohio, 44109

  • Research Site

    Cleveland, Ohio, 44121

  • Research Site

    Colorado Springs, Colorado, 80922

  • Research Site

    Columbia, Missouri, 65212

  • Research Site

    Columbus, Ohio, 43205

  • Research Site

    Dallas, Texas, 75251

  • Research Site

    Dayton, Ohio, 45406

  • Research Site

    Dayton, Ohio, 45414

  • Research Site

    Downey, California, 90240

  • Research Site

    Edinburg, Texas, 78539

  • Research Site

    Erie, Pennsylvania, 16506

  • Research Site

    Fayetteville, Arkansas, 72703

  • Research Site

    Fort Defiance, Arizona, 86504

  • Research Site

    Fort Gordon, Georgia, 30905

  • Research Site

    Gainesville, Florida, 32653

  • Research Site

    Gallup, New Mexico, 87301

  • Research Site

    Hialeah, Florida, 33012

  • Research Site

    Indianapolis, Indiana, 46202

  • Research Site

    Jackson, Mississippi, 39216

  • Research Site

    Kingsport, Tennessee, 37660

  • Research Site

    Layton, Utah, 84041

  • Research Site

    League City, Texas, 77573

  • Research Site

    Lexington, Kentucky, 40517

  • Research Site

    Lincoln, Nebraska, 68504

  • Research Site

    Longview, Texas, 75605

  • Research Site

    Marshfield, Wisconsin, 54449

  • Research Site

    Memphis, Tennessee, 38103

  • Research Site

    Miami, Florida, 33142

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    National City, California, 91950

  • Research Site

    North Charleston, South Carolina, 29406

  • Research Site

    Oak Lawn, Illinois, 60453

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Omaha, Nebraska, 68114

  • Research Site

    Paramount, California, 90723

  • Research Site

    Pearland, Texas, 77584

  • Research Site

    Pittsburgh, Pennsylvania, 15213

  • Research Site

    Richmond, Virginia, 23219

  • Research Site

    Roy, Utah, 84067

  • Research Site

    Salt Lake City, Utah, 84107

  • Research Site

    Salt Lake City, Utah, 84123

  • Research Site

    San Antonio, Texas, 78240

  • Research Site

    San Antonio, Texas, 78249

  • Research Site

    Seattle, Washington, 98105

  • Research Site

    Shiprock, New Mexico, 87420

  • Research Site

    Shreveport, Louisiana, 71105

  • Research Site

    Sioux Falls, South Dakota, 57105

  • Research Site

    South Jordan, Utah, 84095

  • Research Site

    St. George, Utah, 84790

  • Research Site

    Syracuse, New York, 13210

  • Research Site

    Tomball, Texas, 77375

  • Research Site

    Tullahoma, Tennessee, 37388

  • Research Site

    Warwick, Rhode Island, 02886

  • Research Site

    Washington D.C., District of Columbia, 20016

  • Research Site

    West Covina, California, 91790

  • Research Site

    West Des Moines, Iowa, 50266

Other trials in United States

Spain16 sites
  • Research Site

    Alicante, 03010

  • Research Site

    Antequera, 29200

  • Research Site

    Castellon, 12004

  • Research Site

    Córdoba, 14004

  • Research Site

    Granada, 18014

  • Research Site

    Leganés, 28911

  • Research Site

    Lleida, 25198

  • Research Site

    Madrid, 28040

  • Research Site

    Málaga, 29004

  • Research Site

    Móstoles, 28938

  • Research Site

    Pozuelo de Alarcón, 28223

  • Research Site

    San Cristóbal de La Laguna, 38320

  • Research Site

    Sant Cugat del Vallès, 08190

  • Research Site

    Sant Joan d'Alacant, 03550

  • Research Site

    Santiago de Compostela, 15706

  • Research Site

    Valencia, 46017

Other trials in Spain

South Africa10 sites
  • Research Site

    Cape Town, 7505

  • Research Site

    Cape Town, 7530

  • Research Site

    Cape Town, 7800

  • Research Site

    Durban, 4091

  • Research Site

    Johannesburg, 2112

  • Research Site

    Johannesburg, 2193

  • Research Site

    Pretoria, 0087

  • Research Site

    Pretoria, 0101

  • Research Site

    Rondebosch, 7700

  • Research Site

    Soweto, 2013

Other trials in South Africa

Finland9 sites
  • Research Site

    Espoo, 02230

  • Research Site

    Helsinki, 00100

  • Research Site

    Jarvenpaa, 04400

  • Research Site

    Kokkola, 67100

  • Research Site

    Oulu, 90220

  • Research Site

    Pori, 28100

  • Research Site

    Seinäjoki, 60100

  • Research Site

    Tampere, 33100

  • Research Site

    Turku, 20520

Other trials in Finland

Bulgaria8 sites
  • Research Site

    Montana, 3400

  • Research Site

    Pazardzhik, 4400

  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4000

  • Research Site

    Plovdiv, 4002

  • Research Site

    Rousse, 7002

  • Research Site

    Sofia, 1407

  • Research Site

    Veliko Tarnovo, 5000

Other trials in Bulgaria

Japan8 sites
  • Research Site

    Fukuyama-shi, 721-8511

  • Research Site

    Kawasaki-shi, 210-0013

  • Research Site

    Maebashi, 371-0811

  • Research Site

    Okayama, 701-1192

  • Research Site

    Osaka, 556-0005

  • Research Site

    Sapporo, 062-0931

  • Research Site

    Shizuoka, 420-0005

  • Research Site

    Yokosuka-shi, 238-8558

Other trials in Japan

France7 sites
  • Research Site

    Amiens, 80054

  • Research Site

    Bordeaux, 33000

  • Research Site

    Brest, 29609

  • Research Site

    Bron, 69677

  • Research Site

    Caen, 14033

  • Research Site

    Créteil, 94010

  • Research Site

    Lille, 59020

Other trials in France

Colombia6 sites
  • Research Site

    Cali

  • Research Site

    Chía, 250002

  • Research Site

    Medellín, 50036

  • Research Site

    Medellín, 500515

  • Research Site

    Montería, 230002

  • Research Site

    Soledad, 083001

Other trials in Colombia

Poland6 sites
  • Research Site

    Krakow, 30-348

  • Research Site

    Krakow, 30-363

  • Research Site

    Łęczna, 21-010

  • Research Site

    Torun, 87-100

  • Research Site

    Wroclaw, 51-169

  • Research Site

    Wroclaw, 53-149

Other trials in Poland

Belgium5 sites
  • Research Site

    Bruges, 8000

  • Research Site

    Brussels, 1000

  • Research Site

    Brussels, 1070

  • Research Site

    Brussels, 1090

  • Research Site

    Ghent, 9000

Other trials in Belgium

Estonia5 sites
  • Research Site

    Paide, 72713

  • Research Site

    Tallinn, 10117

  • Research Site

    Tallinn, 10617

  • Research Site

    Tallinn, 13419

  • Research Site

    Tartu, 50406

Other trials in Estonia

Latvia5 sites
  • Research Site

    Jēkabpils, LV-5201

  • Research Site

    Riga, 1004

  • Research Site

    Riga, LV1002

  • Research Site

    Valmiera, 4200

  • Research Site

    Valmiera, LV-4201

Other trials in Latvia

Ukraine5 sites
  • Research Site

    Chernivtsі, 58001

  • Research Site

    Dnipro, 49027

  • Research Site

    Kyiv, 04050

  • Research Site

    Sumy, 40022

  • Research Site

    Vinnytsia, 21021

Other trials in Ukraine

New Zealand4 sites
  • Research Site

    Christchurch, 8011

  • Research Site

    Grafton, 1023

  • Research Site

    Papatoetoe, 2025

  • Research Site

    Wellington, 6021

Other trials in New Zealand

Panama4 sites
  • Research Site

    Cuidad de Panama

  • Research Site

    David

  • Research Site

    La Chorrera

  • Research Site

    Panama City

Other trials in Panama

Russia4 sites
  • Research Site

    Perm, 614066

  • Research Site

    Saint Petersburg, 191025

  • Research Site

    Saint Petersburg, 193312

  • Research Site

    Saint Petersburg, 196084

Other trials in Russia

Turkey (Türkiye)4 sites
  • Research Site

    Adana, 01330

  • Research Site

    Ankara, 06100

  • Research Site

    Izmir, 35100

  • Research Site

    Kocaeli, 41380

Other trials in Turkey (Türkiye)

Canada3 sites
  • Research Site

    Calgary, Alberta, T3B 6A8

  • Research Site

    Pierrefonds, Quebec, H9H 4Y6

  • Research Site

    Vancouver, British Columbia, V6H 3V4

Other trials in Canada

Germany3 sites
  • Research Site

    Frankenthal, 67227

  • Research Site

    Leipzig, 04103

  • Research Site

    Mannheim, 68161

Other trials in Germany

Argentina2 sites
  • Research Site

    San Miguel de Tucumán, 4000

  • Research Site

    San Miguel de Tucumán, T4000NWB

Other trials in Argentina

Australia2 sites
  • Research Site

    Clayton, 3168

  • Research Site

    Nedlands, 6009

Other trials in Australia

Austria2 sites
  • Research Site

    Graz, 8036

  • Research Site

    Vienna, 1090

Other trials in Austria

Israel2 sites
  • Research Site

    Beersheba, 84001

  • Research Site

    Netanya, 4244916

Other trials in Israel

Lithuania2 sites
  • Research Site

    Kaunas, 48259

  • Research Site

    Kaunas, 50161

Other trials in Lithuania

South Korea2 sites
  • Research Site

    Incheon, 22332

  • Research Site

    Seoul, 03722

Other trials in South Korea

Sweden2 sites
  • Research Site

    Linköping, 587 58

  • Research Site

    Stockholm, 118 83

Other trials in Sweden

United Kingdom2 sites
  • Research Site

    Liverpool, L12 2AP

  • Research Site

    London, SW17 0RE

Other trials in United Kingdom

Chile1 site
  • Research Site

    Santiago, 8880465

Other trials in Chile

Czechia1 site
  • Research Site

    Havlíčkův Brod, 580 22

Other trials in Czechia

Italy1 site
  • Research Site

    Roma, 00137

Other trials in Italy

Mexico1 site
  • Research Site

    México, 06720

Other trials in Mexico

About this study

Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of MEDI8897, a Monoclonal Antibody With an Extended Half-life Against Respiratory Syncytial Virus, in Healthy Late Preterm and Term Infants (MELODY)

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics (PK), and antidrug antibody (ADA) response for MEDI8897 in healthy late preterm and term infants who are 35 weeks or greater gestational age and entering their first RSV season.

Read the detailed description

This pivotal Phase 3 study will determine if MEDI8897 will prevent medically attended RSV-confirmed lower respiratory tract infections (LRTI) in healthy infants entering their first RSV season. The population to be enrolled is healthy late preterm and term infants born 35 weeks 0 days or greater gestational age (GA) who would not be eligible to receive RSV prophylaxis. A total of approximately 3,000 infants will be randomized 2:1 to receive either MEDI8897 or placebo. All subjects will be followed for approximately 510 days after dosing. Enrollment is planned at approximately 350 sites across the USA, Canada, Europe, Asia, and Southern Hemisphere.

Being tested
MEDI8897, Placebo
Keywords
Respiratory Syncytial Virus, RSV, Late Preterm Infants, Healthy Infants, Lower Respiratory Tract Infection
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

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

  • MEDI8897Drug

    Anti-RSV monoclonal antibody with an extended half-life

  • PlaceboDrug

    Commercially available 0.9% (w/v) saline

Study groups in NCT03979313
Study groupRoleWhat they receive
MEDI8897ExperimentalAnti-RSV monoclonal antibody with an extended half-life
Receives: Drug: MEDI8897
PlaceboPlacebo comparatorCommercially available 0.9% (w/v) saline
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants With MA RSV LRTI Through 150 Days Post Dose (Primary Cohort)

    Primary Endpoint Analysed on Primary Cohort Through 150 Days (N=1490 Participants)

    Measured: Through 150 Days Post Dose

Secondary outcomes (3)
  1. Number of Participants With MA RSV LRTI With Hospitalisation Through 150 Days Post Dose (Primary Cohort)

    Hospitalization Analysed on Primary Cohort Through 150 Days (N=1490 Participants)

    Measured: Through 150 Days Post Dose

  2. Summary of Serum Concentrations (ug/mL) of MEDI8897 by Group

    Number of Subjects with at Least one Assessment

    Measured: By visit until day 360 post dose

  3. Anti-drug Antibody Results by Visit (As Treated Population)

    Number of subjects with a positive result and a valid titer result at the specific visit

    Measured: From baseline to 360 day post dose visit

Timeline

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

  1. First posted7 Jun 2019
  2. Study start23 Jul 2019
  3. Primary completion11 Mar 2021
  4. Study completion21 Mar 2023

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3,012 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03979313
Sponsor's protocol ID
D5290C00004
Other IDs
2019-000114-11, 2019
Acronym
MELODY
Status last verified
Feb 2024
First submitted
30 May 2019
Last updated
28 Feb 2024
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Publications

  • Bolanos R, Araos R, Gonzalez C, Sepulveda D, Falconi JF, Averin A, Atwood M, Quinn E, Law AW, Mendes D. Cost-effectiveness of strategies using preventive interventions to protect infants in Chile from respiratory syncytial virus. Expert Rev Vaccines. 2025 Dec;24(1):904-913. doi: 10.1080/14760584.2025.2562201. Epub 2025 Oct 2.

    PubMed 40958705
  • Arbetter D, Gopalakrishnan V, Aksyuk AA, Ahani B, Chang Y, Dagan R, Esser MT, Hammitt LL, Mankad VS, Saez-Llorens X, Shen D, Leach A, Kelly EJ, Villafana T, Wilkins D. Lower Respiratory Tract Infections Following Respiratory Syncytial Virus Monoclonal Antibody Nirsevimab Immunization Versus Placebo: Analysis From a Phase 3 Randomized Clinical Trial (MELODY). Clin Infect Dis. 2025 Oct 6;81(3):634-644. doi: 10.1093/cid/ciae596.

    PubMed 39656748
  • Mankad VS, Leach A, Chang Y, Wahlby Hamren U, Kiazand A, Kubiak RJ, Takas T, Villafana T, Shroff M. Comprehensive Summary of Safety Data on Nirsevimab in Infants and Children from All Pivotal Randomized Clinical Trials. Pathogens. 2024 Jun 13;13(6):503. doi: 10.3390/pathogens13060503.

    PubMed 38921800
  • Langer S, Holzapfel S, August L, Badura A, Wellmann S, Mack I. Parental knowledge and attitudes to infant immunization in the context of RSV: All about confidence? Vaccine. 2024 Oct 3;42(23):126050. doi: 10.1016/j.vaccine.2024.06.018. Epub 2024 Jun 19.

    PubMed 38902186
  • Dagan R, Hammitt LL, Seoane Nunez B, Baca Cots M, Bosheva M, Madhi SA, Muller WJ, Zar HJ, Chang Y, Currie A, Grenham A, Shroff M, Takas T, Mankad VS, Leach A, Villafana T. Infants Receiving a Single Dose of Nirsevimab to Prevent RSV Do Not Have Evidence of Enhanced Disease in Their Second RSV Season. J Pediatric Infect Dis Soc. 2024 Feb 26;13(2):144-147. doi: 10.1093/jpids/piad113.

    PubMed 38219024
  • Ahani B, Tuffy KM, Aksyuk AA, Wilkins D, Abram ME, Dagan R, Domachowske JB, Guest JD, Ji H, Kushnir A, Leach A, Madhi SA, Mankad VS, Simoes EAF, Sparklin B, Speer SD, Stanley AM, Tabor DE, Hamren UW, Kelly EJ, Villafana T. Molecular and phenotypic characteristics of RSV infections in infants during two nirsevimab randomized clinical trials. Nat Commun. 2023 Jul 19;14(1):4347. doi: 10.1038/s41467-023-40057-8.

    PubMed 37468530
  • Muller WJ, Madhi SA, Seoane Nunez B, Baca Cots M, Bosheva M, Dagan R, Hammitt LL, Llapur CJ, Novoa JM, Saez Llorens X, Grenham A, Kelly EJ, Mankad VS, Shroff M, Takas T, Leach A, Villafana T; MELODY Study Group. Nirsevimab for Prevention of RSV in Term and Late-Preterm Infants. N Engl J Med. 2023 Apr 20;388(16):1533-1534. doi: 10.1056/NEJMc2214773. Epub 2023 Apr 5. No abstract available.

    PubMed 37018470
  • Hammitt LL, Dagan R, Yuan Y, Baca Cots M, Bosheva M, Madhi SA, Muller WJ, Zar HJ, Brooks D, Grenham A, Wahlby Hamren U, Mankad VS, Ren P, Takas T, Abram ME, Leach A, Griffin MP, Villafana T; MELODY Study Group. Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants. N Engl J Med. 2022 Mar 3;386(9):837-846. doi: 10.1056/NEJMoa2110275.

    PubMed 35235726
  • Ginsburg AS, Srikantiah P. Respiratory syncytial virus: promising progress against a leading cause of pneumonia. Lancet Glob Health. 2021 Dec;9(12):e1644-e1645. doi: 10.1016/S2214-109X(21)00455-1. Epub 2021 Nov 11. No abstract available.

    PubMed 34774184

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing MEDI8897 in people with Respiratory Syncytial Virus Infections, run by AstraZeneca at 198 sites in 31 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 2 inclusion and 4 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 28 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 198 sites in United States, Spain, South Africa, Finland, Bulgaria and 26 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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 28 Feb 2024). 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 MA RSV LRTI Through 150 Days Post Dose (Primary Cohort) (time frame: Through 150 Days Post Dose). 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 NCT03979313, which also lists 9 linked publications.

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 28 Feb 2024.

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