Respiratory Tract InfectionPhase 3NCT04424316
A Trial to Evaluate the Efficacy and Safety of RSVpreF in Infants Born to Women Vaccinated During Pregnancy.
A Phase 3 study testing RSVpreF in people with Respiratory Tract Infection, run by Pfizer at 464 sites in 18 countries.
Trial summary
This randomized, double-blinded, placebo-controlled Phase 3 study is designed to evaluate the efficacy and safety of maternal immunization with RSVpreF against medically attended lower respiratory tract illness (MA-LRTI) in infants. Read more about this study
- Who is it for?
- Ages 0 to 49 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Respiratory Tract Infection
- What is being tested?
- RSVpreF
- Type of treatment
- Vaccines
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 14,727 participants
- Where
- 464 sitesin 18 countries
- Study dates
- 17 Jun 2020to 27 Oct 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 to 49 years
- Women only
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- Healthy women ≤49 years of age who are between 24 0/7 and 36 0/7 weeks of gestation on the day of planned vaccination, with an uncomplicated, singleton pregnancy, who are at no known increased risk for complications.
- Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
- Receiving prenatal standard of care based on country requirements.
- Had a fetal anomaly ultrasound examination performed at ≥18 weeks of pregnancy with no significant fetal abnormalities observed.
- Determined by medical history, physical examination, and clinical judgment to be appropriate for inclusion in the study.
- Documented negative HIV antibody test, syphilis test, and hepatitis B virus (HBV) surface antigen test during this pregnancy and prior to randomization (Visit 1).
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- Intention to deliver at a hospital or birthing facility where study procedures can be obtained.
- Expected to be available for the duration of the study and can be contacted by telephone during study participation.
- Participant is willing to give informed consent for her infant to participate in the study.
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent document (ICD) and in this protocol OR If the maternal participant is illiterate, a thumbprinted informed consent must be obtained, which must be signed and dated by an impartial witness who was present throughout the entire informed consent process confirming that the maternal participant has been informed of all pertinent aspects of the study.
- Evidence of a signed and dated ICD signed by the parent(s)/legal guardian(s) OR If the infant participant's maternal participant/parent(s)/legal guardian(s) is illiterate, a thumbprinted informed consent must have been obtained, which must have been signed and dated by an impartial witness who was present throughout the entire informed consent process confirming that the maternal participant/parent(s)/legal guardian(s) has been informed of all pertinent aspects of the study for herself (maternal participant) and her fetus/infant prior to taking part in the study.
- Parent(s)/legal guardian(s) willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
Who cannot join
- Prepregnancy body mass index (BMI) of >40 kg/m2. If prepregnancy BMI is not available, the BMI at the time of the first obstetric visit during the current pregnancy may be used.
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the investigational product or any related vaccine.
- Current pregnancy resulting from in vitro fertilization.
- Current pregnancy complications or abnormalities at the time of consent that will increase the risk associated with the participation in and completion of the study, including but not limited to the following:
- Preeclampsia, eclampsia, or uncontrolled gestational hypertension.
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- Placental abnormality.
- Polyhydramnios or oligohydramnios.
- Significant bleeding or blood clotting disorder.
- Endocrine disorders, including untreated hyperthyroidism or untreated hypothyroidism. This also includes disorders of glucose intolerance (eg, diabetes mellitus type 1 or 2) antedating pregnancy or occurring during pregnancy if uncontrolled at the time of consent.
- Any signs of premature labor with the current pregnancy or having ongoing intervention (medical/surgical) in the current pregnancy to prevent preterm birth.
- Prior pregnancy complications or abnormalities at the time of consent, based on the investigator's judgment, that will increase the risk associated with the participation in and completion of the study, including but not limited to the following:
- Prior preterm delivery ≤34 weeks' gestation.
- Prior stillbirth or neonatal death.
- Previous infant with a known genetic disorder or significant congenital anomaly.
- Major illness of the maternal participant or conditions of the fetus that, in the investigator's judgment, will substantially increase the risk associated with the maternal or infant participant's participation in, and completion of, the study or could preclude the evaluation of the maternal participant's response (includes positive serologic testing for regional endemic conditions assessed during routine maternal care, as per local standards of care and obstetric recommendations).
- Congenital or acquired immunodeficiency disorder, or rheumatologic disorder or other illness requiring chronic treatment with known immunosuppressant medications, including monoclonal antibodies, within the year prior to enrollment.
- Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study.
- Participation in other studies involving investigational drug(s) within 28 days prior to consent and/or during study participation.
- Receipt of monoclonal antibodies within the year prior to enrollment or the use of systemic corticosteroids for >14 days within 28 days prior to study enrollment. Permitted treatments include the receipt of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) monoclonal antibodies, prednisone doses of <20 mg/day for ≤14 days and, inhaled/nebulized, intra-articular, intrabursal, or topical (skin or eyes) corticosteroids.
- Current alcohol abuse or illicit drug use. Note: Marijuana use is not considered an exclusion criterion for the study when elicited in participant screening, though it may be considered illicit in some locales.
- Receipt of blood or plasma products or immunoglobulin (Ig), from 60 days before investigational product administration, or planned receipt through delivery, with 1 exception, Rho(D) immune globulin (eg, RhoGAM), which can be given at any time.
- Previous vaccination with any licensed or investigational RSV vaccine or planned. Note: Licensed COVID-19 vaccines or COVID-19 vaccines authorized for temporary or emergency use will not be prohibited during the course of this study.
- Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or Pfizer employees, including their family members, directly involved in the conduct of the study.
- Participants who are breastfeeding at the time of enrollment.
- o Infant who is a direct descendant (eg, child or grandchild) of the study personnel.
Trial locations and contacts
464 sites in 18 countries.
401 sites in 18 countries
United States300 sites
MedPharmics
Albuquerque, New Mexico, 87102
Presbyterian Hospital
Albuquerque, New Mexico, 87106
University of New Mexico Hospital
Albuquerque, New Mexico, 87106
Velocity Clinical Research, Albuquerque
Albuquerque, New Mexico, 87107
Lovelace Women's Hospital
Albuquerque, New Mexico, 87109
Alexandria Cardiology Clinic - Secondary Research Site
Alexandria, Louisiana, 71301
Cambridge Medical Trials - Main Research Site
Alexandria, Louisiana, 71301
Cambridge Medical Trials
Alexandria, Louisiana, 71301
Rabie Clinic for Women
Alexandria, Louisiana, 71301
Rapides Regional Medical Center Labor and Delivery
Alexandria, Louisiana, 71301
Mary Greeley Medical Center
Ames, Iowa, 50010
Mcfarland Clinic PC
Ames, Iowa, 50010
McFarland Clinic, P.C.
Ames, Iowa, 50010
The Iowa Clinic
Ankeny, Iowa, 50023
Texas Health Arlington Memorial Hospital
Arlington, Texas, 76012
Ventavia Research Group, LLC
Arlington, Texas, 76012
Medical City Arlington (Women's Hospital)
Arlington, Texas, 76015
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Emory Clinic
Atlanta, Georgia, 30322
Emory University Investigational Drug Service
Atlanta, Georgia, 30322
Emory University School of Medicine
Atlanta, Georgia, 30322
Children's Hospital Colorado
Aurora, Colorado, 80045
University of Colorado Anschutz Inpatient Pavilion 2
Aurora, Colorado, 80045
University of Colorado AO1
Aurora, Colorado, 80045
University of Colorado Hospital Inpatient Pavilion
Aurora, Colorado, 80045
University of Colorado Hospital Outpatient Pavilion
Aurora, Colorado, 80045
University of Colorado Hospital
Aurora, Colorado, 80045
University of Colorado Leprino Building
Aurora, Colorado, 80045
University of Colorado Research II Building
Aurora, Colorado, 80045
St. David's Medical Center
Austin, Texas, 78705
Tekton Research, Inc.
Austin, Texas, 78705
Center for Women''s Health and Birthcare
Beaumont, Texas, 77702
Christus St. Elizabeth Hospital
Beaumont, Texas, 77702
Gadolin Research, LLC
Beaumont, Texas, 77702
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
Bedford, Texas, 76022
Century Research Institute
Bellflower, California, 90706
Central Research Associates, Inc.
Birmingham, Alabama, 35205
Endocrinology and Internal Medicine Associates, PC
Birmingham, Alabama, 35205
OB/GYN Associates of Alabama, PC
Birmingham, Alabama, 35205
Sharp and Stone OB/GYN PC
Birmingham, Alabama, 35205
St Vincent's Hospital
Birmingham, Alabama, 35205
Children's of Alabama
Birmingham, Alabama, 35233
UAB Women & Infants Center - UAB Medicine
Birmingham, Alabama, 35233
University of Alabama at Birmingham/Center for Women's Reproductive Health
Birmingham, Alabama, 35233
1st Choice Urgent Care & Family Medicine
Blackfoot, Idaho, 83221
Bingham Memorial Hospital
Blackfoot, Idaho, 83221
Elite Clinical Trials LLLP
Blackfoot, Idaho, 83221
Grove Creek Medical Center
Blackfoot, Idaho, 83221
ASR, LLC
Boise, Idaho, 83702
Saint Alphonsus Regional Medical Center
Boise, Idaho, 83706
St. Luke's Boise Medical Center
Boise, Idaho, 83712
Boston Medical Center
Boston, Massachusetts, 02118
Investigational Pharmacy Service
Boston, Massachusetts, 02118
Child Care Pediatrics, P.A.
Burleson, Texas, 76028
Ventavia Research Group LLC
Burleson, Texas, 76028
Boeson Research (BUT)
Butte, Montana, 59701
St James Healthcare
Butte, Montana, 59701
West Valley Medical Center
Caldwell, Idaho, 83605
Cooper University Hospital
Camden, New Jersey, 08103
Jaffe Family Womens Care Center
Camden, New Jersey, 08103
Pediatrics at Sheridan Pavilion- Three Cooper Plaza
Camden, New Jersey, 08103
UNC OB/GYN at Panther Creek (recruitment, randomization, administration of IP)
Cary, North Carolina, 27519
UNC Children's Hospital (Pediatric follow up)
Chapel Hill, North Carolina, 27514
UNC Healthcare (recruitment, randomization, administration of IP)
Chapel Hill, North Carolina, 27514
UNC OB/GYN at Weaver Crossing (recruitment, randomization, administration of IP)
Chapel Hill, North Carolina, 27514
Bon Secours St. Francis Hospital
Charleston, South Carolina, 29414
Charleston 0B/GYN
Charleston, South Carolina, 29414
Coastal Pediatric Research
Charleston, South Carolina, 29414
Cooper Faculty OBGYN at Cherry Hill
Cherry Hill, New Jersey, 08034
Chowchilla Medical Center
Chowchilla, California, 93610
The Christ Hospital
Cincinnati, Ohio, 45219
University of Cincinnati Medical Center Department of Obstetrics and Gynecology
Cincinnati, Ohio, 45219
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229
Premier Medical Group
Clarksville, Tennessee, 37040
Piedmont Columbus Regional Midtown
Columbus, Georgia, 31901
Columbus Regional Research Institute
Columbus, Georgia, 31904
Lakeview Regional Medical Center
Covington, Louisiana, 70433
St. Tammany Parish Hospital
Covington, Louisiana, 70433
Velocity Clinical Research
Covington, Louisiana, 70433
Cullman Clinical Research, Inc
Cullman, Alabama, 35058
Cullman Primary Care, PC
Cullman, Alabama, 35058
Cullman Regional
Cullman, Alabama, 35058
Texas Health Presbyterian Hospital Dallas
Dallas, Texas, 75231
Ventavia Research Group LLC
Dallas, Texas, 75231
Dayton Clinical Research
Dayton, Ohio, 45409
Wise Health System Dectaur
Decatur, Texas, 76243
Delta Memorial Hospital
Delta, Colorado, 81416
C.S. Mott Center
Detroit, Michigan, 48201
Hutzel-Harper Women's Hospital
Detroit, Michigan, 48201
University Health Center
Detroit, Michigan, 48201
Cline Pediatrics
Dickinson, Texas, 77539
Duke Children's Primary Care - Roxboro Street
Durham, North Carolina, 27704
Duke Regional Hospital
Durham, North Carolina, 27704
Duke University.
Durham, North Carolina, 27705
Duke University Hospital
Durham, North Carolina, 27710
Doctor's Hospital Womens Hospital
Edinburg, Texas, 78539
South Texas Health System- Edinburg
Edinburg, Texas, 78539
Alliance for Multispecialty Research, LLC
El Dorado, Kansas, 67042
HWC Women's Research Center, LLC
Englewood, Ohio, 45322
Allegheny Health and Wellness Pavilion
Erie, Pennsylvania, 16506
OBGYN Associates of Erie
Erie, Pennsylvania, 16507
Liberty Family Practice
Erie, Pennsylvania, 16508
Saint Vincent Hospital
Erie, Pennsylvania, 16544
New York Presbyterian of Queens Hospital
Flushing, New York, 11355
Theresa Lang Children's Ambulatory Center
Flushing, New York, 11355
Womack Army Medical Center
Fort Bragg, North Carolina, 28310
Dupont Pediatrics
Fort Wayne, Indiana, 46825
Women's Health Advantage
Fort Wayne, Indiana, 46825
8th Avenue Obstetrics & Gynecology
Fort Worth, Texas, 76104
Baylor Scott & White All Saints Medical Center
Fort Worth, Texas, 76104
Texas Health Harris Methodist Hospital Fort Worth
Fort Worth, Texas, 76104
Ventavia Research Group, LLC
Fort Worth, Texas, 76104
Texas Health Harris Methodist Hospital Southwest
Fort Worth, Texas, 76132
Fresh Meadows Family Health Center
Fresh Meadows, New York, 11365
Colorado Canyon's Hospital
Fruita, Colorado, 81521
University of Texas Medical Branch
Galveston, Texas, 77555
Chisholm Trail Pediatrics
Georgetown, Texas, 78626
FMC Science
Georgetown, Texas, 78626
St. David's Georgetown Hospital
Georgetown, Texas, 78626
Grand Island Regional Medical Center
Grand Island, Nebraska, 68801
CHI Health St. Francis
Grand Island, Nebraska, 68803
Meridian Clinical Research, LLC
Grand Island, Nebraska, 68803
Boeson Research
Grand Junction, Colorado, 81501
Dino-Peds
Grand Junction, Colorado, 81501
Women's Health Care of Western Colorado
Grand Junction, Colorado, 81501
Boeson Research
Grand Junction, Colorado, 81505
Community Hospital
Grand Junction, Colorado, 81505
SCL St. Mary's Medical Center
Grand Junction, Colorado, 81505
Baylor Scott & White of Grapevine (Hospital)
Grapevine, Texas, 76051
Ventavia Research Group, LLC
Grapevine, Texas, 76051
Benefis Health System
Great Falls, Montana, 59405
Origin Health GTF
Great Falls, Montana, 59405
Boeson Research (GTF)
Great Falls, Montana, 59804
Prisma Health-Upstate Office of Maternal Fetal Medicine
Greenville, South Carolina, 29605
Prisma Health
Greenville, South Carolina, 29605
Ochsner Health Center - West Bank
Gretna, Louisiana, 70056
Velocity Clinical Research
Gulfport, Mississippi, 39503
Marcus Daly Memorial Hospital
Hamilton, Montana, 59840
North Oaks Medical Center
Hammond, Louisiana, 70131
North Oaks Obstetrics & Gynecology
Hammond, Louisiana, 70403
North Oaks Rural Health Clinic
Hammond, Louisiana, 70403
Mary Lanning
Hastings, Nebraska, 68901
Meridian Clinical Research
Hastings, Nebraska, 68901
Boeson Research (HLN)
Helena, Montana, 59601
St Peters Health
Helena, Montana, 59601
Loma Linda University Pediatric Clinic - Highland
Highland, California, 92346
Hollis Women's Center
Hollis, New York, 11423
Hany H. Ahmed, MD
Houston, Texas, 77008
HG Pediatrics
Houston, Texas, 77008
Van Tran Family Clinic
Houston, Texas, 77008
Ventavia Research Group, LLC
Houston, Texas, 77008
Memorial Hermann Memorial City
Houston, Texas, 77024
UT Health Women's Research Center at Memorial City
Houston, Texas, 77024
HCA: The Women's Hospital of Texas
Houston, Texas, 77054
Javara Inc.
Houston, Texas, 77054
Privia Medical Group Gulf Coast, PLLC
Houston, Texas, 77054
Texas Center for Drug Development, Inc
Houston, Texas, 77081
Cabell Huntington Hospital
Huntington, West Virginia, 25701
Marshall Health
Huntington, West Virginia, 25701
University Physicians and Surgeons dba Marshall Health Department of Obstetrics and Gynecology
Huntington, West Virginia, 25701
University Physicians and Surgeons dba Marshall Health Department of Pediatrics
Huntington, West Virginia, 25701
Century Research Institute
Huntington Park, California, 90255
Matrix Clinical Research
Huntington Park, California, 90255
Clinical Research Prime
Idaho Falls, Idaho, 83404
Eastern Idaho Regional Medical Center
Idaho Falls, Idaho, 83404
Mountain View Hospital
Idaho Falls, Idaho, 83404
The Pediatric Center
Idaho Falls, Idaho, 83404
Jackson Heights Family Health Center
Jackson Heights, New York, 11372
St. Bernards Medical Center
Jonesboro, Arkansas, 72401
St. Bernards OBGYN Associates
Jonesboro, Arkansas, 72401
The Children's Clinic of Jonesboro, P.A.
Jonesboro, Arkansas, 72401
The Children's Clinic of Jonesboro, PA
Jonesboro, Arkansas, 72401
Boeson Reseach (KAL)
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
University of Kansas Medical Center
Kansas City, Kansas, 66160
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
MedPharmics LLC
Lafayette, Louisiana, 70508
AdventHealth Family Medicine Rural Health Clinic, Inc.
Lampasas, Texas, 76550
FMC Science
Lampasas, Texas, 76550
Chemidox Clinical Trials
Lancaster, California, 93534
Leonard S. Kurian, M.D., A Medical Corporation
Lancaster, California, 93534
Women & Infants Pavilion, Antelope Valley Hospital
Lancaster, California, 93534
Maximos Ob/Gyn
League City, Texas, 77573
Midwest Children's Health Research Institute
Lincoln, Nebraska, 68504
Midwest Children's Health Research Institute.
Lincoln, Nebraska, 68505
Bryan Health
Lincoln, Nebraska, 68506
Midwest Childrens Health Research Institute
Lincoln, Nebraska, 68516
Women's Health Care Center of Williamsburg
Lincoln, Nebraska, 68516
Midwest Children's Health Research Institute
Lincoln, Nebraska, 68522
Loma Linda University Adventist Health Sciences Center
Loma Linda, California, 92354
Loma Linda University Faculty Medical Clinics
Loma Linda, California, 92354
Loma Linda University Pediatric Clinics
Loma Linda, California, 92354
Loma Linda Unversity Children's Hospital
Loma Linda, California, 92354
Long Beach Clinical Trials
Long Beach, California, 90806
Long Beach Memorial Medical Center
Long Beach, California, 90806
St Mary Medical Center
Long Beach, California, 90806
DCOL Center for Clinical Research
Longview, Texas, 75605
Diagnostic Clinic of Longview (Hollybrook)
Longview, Texas, 75605
Diagnostic Clinic of Longview (Medical Circle)
Longview, Texas, 75605
Longview Regional Medical Center
Longview, Texas, 75605
Century Research Institute
Los Angeles, California, 90006
Matrix Clinical Research..
Los Angeles, California, 90006
East LA Doctors Hospital
Los Angeles, California, 90023
Hollywood Presbyterian Medical Center
Los Angeles, California, 90027
Century Research Institute
Los Angeles, California, 90033
White Memorial Medical Center
Los Angeles, California, 90033
Peter Morton Medical Building
Los Angeles, California, 90095
Ronald Reagan UCLA Medical Center Drug Information Center Dept
Los Angeles, California, 90095
Ronald Reagan University of California Los Angeles Medical Center
Los Angeles, California, 90095
UCLA David Geffen School of Medicine
Los Angeles, California, 90095
Axcess Medical Research
Loxahatchee Groves, Florida, 33470
Affiliated Physician Practice
Madera, California, 93637
Charles E. Ugwu-Oju, M.D., F.A.C.O.G., Obstetrics & Gynecology
Madera, California, 93637
Madera Community Hospital
Madera, California, 93637
Madera Family Medical Group
Madera, California, 93637
Marshfield Medical Center - Marshfield
Marshfield, Wisconsin, 54449
Marshfield Medical Center
Marshfield, Wisconsin, 54449
Rio Grande Regional Hospital
McAllen, Texas, 78503
South Texas Health System- McAllen
McAllen, Texas, 78503
Dr. Ruben Aleman and Associates
McAllen, Texas, 78504
Saltzer Health
Meridian, Idaho, 83642
St. Luke's Meridian Medical Center
Meridian, Idaho, 83642
Crescent City Physicians and Obstetrics
Metairie, Louisiana, 70005
MedPharmics LLC
Metairie, Louisiana, 70006
North Shore Medical Center
Miami, Florida, 33150
NYU Langone Hospital - Long Island
Mineola, New York, 11501
Women's Contemporary Care
Mineola, New York, 11501
The Birth Center
Missoula, Montana, 59803
Boeson Research LLC
Missoula, Montana, 59804
Boeson Research
Missoula, Montana, 59804
Community Medical Center
Missoula, Montana, 59804
Community Physicians Group-Maternal Fetal Medicine
Missoula, Montana, 59804
University of South Alabama Children's and Women's Hospital
Mobile, Alabama, 36604
USA Health Strada Patient Care Center
Mobile, Alabama, 36604
Springhill Medical Center
Mobile, Alabama, 36608
Velocity Clinical Research, Gulfport
Mobile, Alabama, 36608
Monterey Park Hospital
Monterey Park, California, 91754
Montrose Memorial Hospital
Montrose, Colorado, 81401
Saltzer Health
Nampa, Idaho, 83686
ASR, LLC
Nampa, Idaho, 83687
Saltzer Health
Nampa, Idaho, 83687
St. Alphonsus Medical Center- Nampa
Nampa, Idaho, 83687
St. Luke's Nampa Medical Center
Nampa, Idaho, 83687
Saint Peters University Hospital
New Brunswick, New Jersey, 08901
Yale School Medicine Church Street Research Unit
New Haven, Connecticut, 06519
Ochsner Baptist Medical Center
New Orleans, Louisiana, 70115
Touro Infirmary
New Orleans, Louisiana, 70115
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Ochsner Health Center for Children
New Orleans, Louisiana, 70121
Women Under Study, LLC
New Orleans, Louisiana, 70125
Columbia Doctors
New York, New York, 10019
Audubon Clinic
New York, New York, 10032
Center for Prenatal Pediatrics
New York, New York, 10032
Columbia University Irving Medical Center
New York, New York, 10032
Herbert Irving Pavilion
New York, New York, 10032
Morgan Stanley Childrens Hospital
New York, New York, 10032
Alliance for Multispecialty Research, LLC
Newton, Kansas, 67114
Velocity Clinical Research, Norfolk
Norfolk, Nebraska, 68701
Sentara Leigh Hospital
Norfolk, Virginia, 23502
The Group for Women
Norfolk, Virginia, 23502
Tidewater Physicians for Women
Norfolk, Virginia, 23502
Clinical Research Partners, LLC
North Chesterfield, Virginia, 23235
Citadelle Clinical Research
North Miami Beach, Florida, 33162
A1 Imaging of Aventura
North Miami Beach, Florida, 33180
Owensboro Health Regional Hospital
Owensboro, Kentucky, 42303
Research Integrity, LLC
Owensboro, Kentucky, 42303
The Women's Pavillion, P.S.C
Owensboro, Kentucky, 42303
Lucile Packard Children's Hospital
Palo Alto, California, 94304
Stanford University
Palo Alto, California, 94304
Baldwin Pediatrics
Panama City, Florida, 32405
Emerald Coast Obstetrics and Gynecology
Panama City, Florida, 32405
Emerald Coast Pediatrics
Panama City, Florida, 32405
Gulf Coast Regional Medical Center
Panama City, Florida, 32405
Rainbow Pediatrics
Panama City, Florida, 32405
Rainbow Pediatrics
Panama City Beach, Florida, 32407
American Research Centers of Florida
Pembroke Pines, Florida, 33027
Velocity Clinical Research - Pheonix
Phoenix, Arizona, 85006
Valleywise Comprehensive Health Center Women's Clinic
Phoenix, Arizona, 85008
Valleywise Health Medical Center
Phoenix, Arizona, 85008
FirstHealth Clinical Trials
Pinehurst, North Carolina, 28374
FirstHealth Moore Regional Hospital
Pinehurst, North Carolina, 28374
Medical City Plano
Plano, Texas, 75075
Texas Health Presbyterian Hospital Plano
Plano, Texas, 75093
Ventavia Research Group LLC
Plano, Texas, 75093
Pocatello Women's Health Clinic
Pocatello, Idaho, 83201
Portneuf Medical Center
Pocatello, Idaho, 83201
1st Choice Urgent Care
Pocatello, Idaho, 83204
Clinical Research Prime Rexburg
Rexburg, Idaho, 83440
Elite Clinical Trials LLLP
Rexburg, Idaho, 83440
Madison Memorial Hospital
Rexburg, Idaho, 83440
Virginia Commonwealth Univeristy Health Systems-Children's Pavilion
Richmond, Virginia, 23219
Virginia Commonwealth University Health System-Main Hospital
Richmond, Virginia, 23219
Virginia Commonwealth University Health System-Nelson Clinic
Richmond, Virginia, 23219
Clinical Research Partners, LLC
Richmond, Virginia, 23226
VCU Health Adult Outpatient Pavillion
Richmond, Virginia, 23298
Virginia Commonwealth University
Richmond, Virginia, 23298
The Pediatric Center
Rigby, Idaho, 83442
St Luke Community Clinic - Ronan
Ronan, Montana, 59864
Alpine Medical Group
Salt Lake City, Utah, 84102
Intermountain Medical Center
Salt Lake City, Utah, 84107
Japan12 sites
Hyogo Prefectural Amagasaki General Medical Center
Amagasaki, Hyōgo, 660-8550
National Hospital Organization Beppu Medical Center
Beppu, Oita Prefecture, 874-0011
Shonan Fujisawa Tokushukai Hospital
Fujisawa, Kanagawa, 251-0041
Fukui Aiiku Hospital
Fukui-shi, Fukui, 910-0833
Osaka Habikino Medical Center
Habikino, Osaka, 583-8588
Kuwana City Medical Center
Kuwana-shi, Mie-ken, 511-0061
Rakuwakai Otowa Hospital
Kyoto, Kyoto, 607-8062
National Hospital Organization Tokyo Medical Center
Meguro-ku, Tokyo, 152-8902
Social Medical Corporation KARIYUSHIKAI Heartlife Hospital
Nakagami-gun, Okinawa, 901-2492
Saitama City hospital
Saitama, 336-8522
Sendai City Hospital
Sendai, Miyagi, 982-8502
Shizuoka General Hospital
Shizuoka, 420-8527
South Africa11 sites
JOSHA Research
Bloemfontein, Free State, 9300
MRC Unit on Child and Adolescent Health
Cape Town, Western Cape, 7700
Kraaifontein Satellite site
Cape Town, 7570
Wits RHI Shandukani Research Centre
Johannesburg, Gauteng, 2001
Khayelitsha Satellite Site: Michael Mapongwana Community Health Centre
Khayelitsha, Western Cape, 7784
FAMCRU, University of Stellenbosch, Paediatric
Parow Valley, Western Cape, 7505
Into Research, West Wing Medical Centre
Pretoria, Gauteng, 0181
Setshaba Research Centre
Soshanguve, Gauteng, 0152
University of the Witwatersrand Vaccines & Infectious Diseases Analytics (VIDA)
Soweto, Gauteng, 1862
Limpopo Clinical Research Initiative
Thabazimbi, Limpopo, 0380
Worcester Satellite site
Worcester, 6850
Chile10 sites
Hospital Base San José de Osorno (Servicio de Obstetricia y Ginecología)
Osorno, Los Lagos Region, 5311523
Centro de Capacitación e Investigaciones Clínicas (CCIC)
Santiago, Santiago Metropolitan, 7510186
Clinica Universidad de los Andes
Santiago, Santiago Metropolitan, 7620157
Satellite (Deliveries): Hospital San Juan de Dios (Maternidad)
Santiago, Santiago Metropolitan, 8350488
Instituto de Investigaciones Materno Infantil (IDIMI)
Santiago, Santiago Metropolitan, 8360160
Deliveries (satellite): Hospital San Jose
Santiago, Santiago Metropolitan, 8380419
Grupo Estudios Clínicos Infectología Respiratoria
Santiago, Santiago Metropolitan, 8380453
Deliveries (satellite): Hospital Clínico Universidad de Chile
Santiago, Santiago Metropolitan, 8380456
Centro Internacional de Estudios Clinicos - CIEC
Santiago, Santiago Metropolitan, 8420383
Hospital Padre Hurtado
Santiago, Santiago Metropolitan, 8880465
New Zealand9 sites
Optimal Clinical Trials Ltd
Auckland, 1010
Aotearoa Clinical Trials Trust (ACTT)
Auckland, 2025
New Zealand Clinical Research (Christchurch)
Christchurch, Canterbury, 8011
Christchurch Hospital (Canterbury District Health Board)
Christchurch, 8011
Botany Downs Primary Birthing Unit
Golflands, Auckland, 2013
Papakura Primary Birthing Unit
Papakura North, Auckland, 2110
Middlemore Hospital
Papatoetoe, Auckland, 2025
Pukekohe Primary Birthing Unit
Pukekohe, Auckland, 2120
Capital, Coast and Hutt Valley District- Wellington Regional Hospital
Wellington, 6021
Argentina8 sites
Sanatorio Mater Dei
Buenos Aires, 1425
Centro de Investigación Clinica OSECAC
Buenos Aires, C1040 AAL
Hospital Militar Central Cirujano Mayor Dr. Cosme Argerich
CABA, C1426BOS
Clínica del Niño y la Madre
Mar del Plata, Buenos Aires, 7600
Hospital Italiano de Rosario
Rosario, Santa Fe Province, 2000
Hospital Publico Materno Infantil
Salta, 4400
Clinica Mayo de Urgencias Medicas Cruz Blanca S.R.L
San Miguel de Tucumán, Tucumán Province, 4000
Instituto de Maternidad y Ginecologia: "Nuestra Senora de las Mercedes"
San Miguel de Tucumán, Tucumán Province, 4000
Finland8 sites
MeVac
Helsinki, 00290
Kokkola Vaccine Research Clinic
Kokkola, 67100
Oulu Vaccine Research Clinic
Oulu, 90220
Tampereen yliopisto Oulun Rokotetutkimusklinikka
Oulu, 90220
Pori Vaccine Research Clinic
Pori, 28100
Seinajoki Vaccine Research Clinic
Seinäjoki, 60100
Tampere Vaccine Research Clinic
Tampere, 33100
Turku Vaccine Research Clinic
Turku, 20520
Spain6 sites
Hospital de Antequera
Antequera, Malaga, 29200
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Madrid Puerta del Sur Mostoles
Móstoles, 28938
CHUS - Hospital Clinico Universitario
Santiago de Compostela, A Coruna, 15706
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Australia5 sites
Monash Children's Hospital
Clayton, Victoria, 3168
Barwon Health, University Hospital Geelong
Geelong, Victoria, 3220
Telethon Kids Institute
Nedlands, Western Australia, 6009
Women's and Children's Hospital
North Adelaide, South Australia, 5006
St John of God Hospital Subiaco
Subiaco, Western Australia, 6008
Brazil5 sites
Hospital Universitario/GAMP - Grupo de Apoio a Medicina Preventiva e a Saude Publica
Canoas, Rio Grande do Sul, 92425-900
Maternidade Darcy Vargas
Joinville, Santa Catarina, 89202-190
Hospital Moinhos de Vento - HMV
Porto Alegre, Rio Grande do Sul, 90035-001
Hospital Moinhos de Vento - HMV
Porto Alegre, Rio Grande do Sul, 90560-030
Clinica de Alergia Martti Antila S/S Ltda./ CMPC - Consultoria Medica e Pesquisa Clinica
Sorocaba, São Paulo, 18040-425
Mexico5 sites
Arke SMO S.A. de C.V.
Cuauhtémoc, Mexico City, 06700
Hospital General de Durango
Durango, 34000
Hospital Universitario "Dr. Jose Eleuterio Gonzalez"
Monterrey, Nuevo León, 64460
Asociacion Mexicana para la Investigacion Clinica, A. C.
Pachuca, Hidalgo, 42070
Arke SMO S.A. de C.V.
Veracruz, 91910
Taiwan5 sites
Hsinchu MacKay Memorial Hospital
Hsinchu, 30071
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
National Taiwan University Hospital
Taipei, 100
Mackay Memorial Hospital
Taipei, 10449
Chang Gung Medical Foundation Linkou Chang Gung Memorial Hospital
Taoyuan, 333
Denmark4 sites
Aarhus Universitetshospital
Aarhus N, 8200
Nordsjællands Hospital
Hillerød, 3400
Hvidovre Hospital
Hvidovre, 2650
Odense Universitets Hospital
Odense, DK-5000
South Korea4 sites
Chonnam National University Hospital
Gwangju, 61469
Seoul National University Hospital
Seoul, 03080
Kyunghee University Hospital at Gangdong
Seoul, 05278
Korea University Guro Hospital
Seoul, 08308
Canada3 sites
Canadian Center for Vaccinology - IWK Health Centre
Halifax, Nova Scotia, B3K 6R8
CHU Sainte-Justine
Montreal, Quebec, H3T 1C5
CHU de Québec-Université Laval
Québec, Quebec, G1V 4G2
Netherlands3 sites
Spaarne Gasthuis (Kennemer Gasthuis)
Hoofddorp, 2134 TM
Diakonessenhuis Utrecht
Utrecht, 3582 KE
University Medical Center Utrecht
Utrecht, 3584 CX
The Gambia2 sites
Medical Research Council Unit the Gambia at the London School of Hygiene & Tropical Medicine
Fajara KMC
Medical Research Council Unit the Gambia at the London School of Hygiene & Tropical Medicine (LSHTM)
Sukuta
Philippines1 site
Asian Hospital and Medical Center
Muntinlupa City, National Capital Region, 1780
About this study
Official title: A PHASE 3, RANDOMIZED, DOUBLE-BLINDED, PLACEBO-CONTROLLED TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF A RESPIRATORY SYNCYTIAL VIRUS (RSV) PREFUSION F SUBUNIT VACCINE IN INFANTS BORN TO WOMEN VACCINATED DURING PREGNANCY
This randomized, double-blinded, placebo-controlled Phase 3 study is designed to evaluate the efficacy and safety of maternal immunization with RSVpreF against medically attended lower respiratory tract illness (MA-LRTI) in infants.
Read the detailed description
This is a Phase 3, multicenter, randomized, double-blinded, placebo-controlled study to assess the efficacy, safety, and immunogenicity of RSVpreF or placebo (1:1 randomization) in infants born to healthy women vaccinated during pregnancy, as well as the safety and immunogenicity in the pregnant women. This will be a global study which will span multiple RSV seasons.
- Conditions
- Respiratory Tract Infection
- Being tested
- RSVpreF, Placebo
- Keywords
- Respiratory Tract infection, RSV, Vaccine, Maternal
- Medical subject headings
- Respiratory Tract Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RSVpreFBiological
RSV vaccine (RSVpreF)
PlaceboBiological
Placebo
| Study group | Role | What they receive |
|---|---|---|
| RSVpreF vaccine | Experimental | RSVpreF Receives: Biological: RSVpreF |
| Placebo dose | Placebo comparator | Placebo Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Infant Participants With Medically Attended Lower Respiratory Tract Illness (MA-LRTI) Cases Due to RSV Occurring Within 90 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: infant with an MA-RTI visit with age related fast breathing (respiratory rate [RR] more than or equal to [>=] 60 breaths per minute [bpm] for less than [<] 2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or oxygen saturation (SpO2) <95 percent (%) or chest wall indrawing and RSV positive test results by reverse transcription-polymerase chain reaction (RT-PCR) testing of midturbinate nasal swab samples.
Measured: Within 90 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 120 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Measured: Within 120 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 150 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Measured: Within 150 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 180 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Measured: Within 180 days after birth
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 90 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or intensive care unit (ICU) admission for more than (>) 4 hours or failure to respond/unconscious.
Measured: Within 90 days after birth
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 120 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases were included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or ICU admission for >4 hours or failure to respond/unconscious.
Measured: Within 120 days after birth
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 150 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases were included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or ICU admission for >4 hours or failure to respond/unconscious.
Measured: Within 150 days after birth
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 180 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases were included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or ICU admission for >4 hours or failure to respond/unconscious.
Measured: Within 180 days after birth
Percentage of Infant Participants With Adverse Events of Special Interest (AESI) (Safety)
AESI are a subset of targeted medical events based on review of known pharmacology, toxicology findings, possible class effects, published literature, and signals arising from safety data assessments, and on population under study. AESIs were based on targeted medical events associated with pregnant maternal participants and their infants prior to/during delivery and at birth. For infant participants the following were considered as protocol defined AESIs: Preterm birth (born at <37 weeks gestation); birth weight 1001-2500 grams; developmental delay; positive viral (polymerase chain reaction [PCR] or antigen-based) testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), when not reported during MA-RTI visit, were reported as SARS-CoV-2 test positive. Extremely preterm birth (<28 weeks) and extremely low birth weight (=<1000 grams [g]) were reported as serious AESIs.
Measured: From birth to 24 months of age
Percentage of Infant Participants With Neonatal Deaths (Safety)
Neonatal death was defined as the death of a live-born infant that occurred within a month after birth.
Measured: Within 1 Month after birth
Percentage of Infant Participants With Congenital Malformations/Anomalies (Safety)
Congenital malformations/ anomalies were defined as structural or functional anomalies that occurred during intrauterine life and could be identified prenatally, at birth or later in life.
Measured: At birth
Percentage of Infant Participants With Other Neonatal Events (Safety)
Other Neonatal problem included dysmaturity, neonatal illness, hospitalization, drug therapies, and neonatal death.
Measured: Within 1 Month after birth
Number of Infant Participants According to Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) Score at 1 Minute After Birth (Safety)
APGAR was a fast evaluation technique used to evaluate a newborn baby's overall health. APGAR stands for (A) Appearance (skin coloration), (P) Pulse (heart rate), (G) Grimace (reflex response), (A) Activity (muscle tone) and (R) Respiration (breathing). Each component was given a score of 0, 1, or 2; after summing up scores for each component a total possible score was of 0 (worst condition) to 10 (best condition), where higher scores indicate better health. A score of 7 to 10 was good, 4 to <7 was moderate, and <4 was poor.
Measured: 1 minute after birth
Number of Infant Participants According to APGAR Score at 5 Minutes After Birth (Safety)
APGAR was a fast evaluation technique used to evaluate a newborn baby's overall health. APGAR stands for (A) Appearance (skin coloration), (P) Pulse (heart rate), (G) Grimace (reflex response), (A) Activity (muscle tone) and (R) Respiration (breathing). Each component was given a score of 0, 1, or 2; after summing up scores for each component a total possible score was of 0 (worst condition) to 10 (best condition), where higher scores indicate better health. A score of 7 to 10 was good, 4 to <7 was moderate, and <4 was poor.
Measured: 5 minutes after birth
Number of Infant Participants According to APGAR Score at 10 Minutes After Birth (Safety)
APGAR was a fast evaluation technique used to evaluate a newborn baby's overall health. APGAR stands for (A) Appearance (skin coloration), (P) Pulse (heart rate), (G) Grimace (reflex response), (A) Activity (muscle tone) and (R) Respiration (breathing). Each component was given a score of 0, 1, or 2; after summing up scores for each component a total possible score was of 0 (worst condition) to 10 (best condition), where higher scores indicate better health. A score of 7 to 10 was good, 4 to <7 was moderate, and <4 was poor.
Measured: 10 minutes after birth
Percentage of Infant Participants With Adverse Events (AEs) From Birth to 1 Month of Age (Safety)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: From birth to 1 month of age
Percentage of Infant Participants With Serious Adverse Events (SAEs) and Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Birth Through 6 Months of Age (Safety)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event. An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Measured: From birth to 6 months of age
Percentage of Infant Participants With SAEs and NDCMCs From Birth Through 12 Months of Age (Safety)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event. An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Measured: From birth to 12 months of age
Percentage of Infant Participants With SAEs and NDCMCs From Birth Through 24 Months of Age (Safety)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event. An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Measured: From birth to 24 months of age
Percentage of Maternal Participants With Prespecified Local Reactions Within 7 Days After Vaccination (Safety)
Local reactions included redness, swelling, and pain at injection site and were recorded in electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit= 0.5 centimetre (cm). Redness and swelling were graded as mild (>2.0 to 5.0 cm), moderate (>5.0 to 10.0 cm), severe (>10.0 cm) and grade 4 (necrosis or exfoliative dermatitis for redness and necrosis for swelling). Pain at injection site was graded as mild (did not interfere with activity), moderate (interfered with activity), severe (prevented daily activity) and grade 4 (emergency room visit or hospitalization for the severe pain at the injection site). Grade 4 reactions were classified by the investigator or medically qualified person.
Measured: From Day 1 to Day 7 after vaccination
Percentage of Maternal Participants With Prespecified Systemic Events Within 7 Days After Vaccination (Safety)
Systemic events included: fever, fatigue, headache, nausea, muscle pain, joint pain, vomiting and diarrhea and were recorded by participants in an e-diary. Fever was defined as an oral temperature >=38.0 degree Celsius [C]) and classified as mild (38.0 to 38.4), moderate (38.5 to 38.9), severe (39.0 to 40.0) and grade 4 (>40.0 degree C). Headache, nausea, fatigue, muscle pain and joint pain were graded as mild (did not interfere with activity), moderate (some interference with activity), severe (prevented daily activity). Vomiting: mild (1-2 times in 24 hours [H]), moderate (>2 times in 24 H), severe (required intravenous [IV] hydration). Diarrhea: mild (2-3 loose stools in 24 H), moderate (4-5 loose stools in 24 H), severe (>=6 in 24 H). For all systemic events except fever, Grade 4= emergency room visit or hospitalization. Grade 4 events were classified by investigator or medically qualified person.
Measured: From Day 1 to Day 7 after vaccination
Percentage of Maternal Participants With AEs From the Time of Vaccination Through 1 Month After Vaccination (Safety)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were included in this outcome measure.
Measured: From vaccination on Day 1 up to 1 month after vaccination
Percentage of Maternal Participants With SAEs Throughout the Study Period (Safety)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event.
Measured: From vaccination on Day 1 up to 6 months after delivery (maximum up to 10 months)
Secondary outcomes (3)
Percentage of Infant Participants With Cases of Hospitalization Due to RSV Within 90, 120, 150, 180 and 360 Days After Birth (Efficacy)
Results are reported as confirmed by endpoint adjudication committee.
Measured: Within 90, 120, 150, 180 and 360 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to Any Cause With Protocol Defined Criteria Occurring Within 90, 120, 150, 180 and 360 Days After Birth (Efficacy)
MA-LRTI cases due to any cause was defined as an infant with a MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing.
Measured: Within 90, 120, 150, 180 and 360 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 210, 240, 270 and 360 Days After Birth (Efficacy)
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Measured: Within 210, 240, 270 and 360 days after birth
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jun 2020
- Study start17 Jun 2020
- Primary completion27 Oct 2023
- Study completion27 Oct 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Respiratory Tract InfectionStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 14,727 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04424316
- Sponsor's protocol ID
- C3671008
- Other IDs
- 2019-002943-85, 2019
- Status last verified
- Jan 2025
- First submitted
- 3 Jun 2020
- Last updated
- 11 Feb 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Shittu E, Pahud BA, Radley D, Gurtman A, Munjal I. Efficacy and safety outcomes from the MATISSE phase 3 trial of maternal bivalent RSVpreF vaccination among pregnant women vaccinated at 32 to 36 weeks of gestation. Swiss Med Wkly. 2026 Jan 31;156:4711. doi: 10.57187/4711.
PubMed 41962084Bolanos 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 40958705Ilangovan K, Radley D, Patton M, Shittu E, Lino MM, Goulas C, Swanson KA, Anderson AS, Gurtman A, Munjal I. Integrated Analysis of the Safety Experience in Adults with the Bivalent Respiratory Syncytial Virus Prefusion F Vaccine. Vaccines (Basel). 2025 Aug 1;13(8):827. doi: 10.3390/vaccines13080827.
PubMed 40872913Simoes EAF, Pahud BA, Madhi SA, Kampmann B, Shittu E, Radley D, Llapur C, Baker J, Perez Marc G, Barnabas SL, Fausett M, Adam T, Perreras N, Van Houten MA, Kantele A, Huang LM, Bont LJ, Otsuki T, Vargas SL, Gullam J, Tapiero B, Stein RT, Polack FP, Zar HJ, Staerke NB, Padilla MD, Richmond PC, Sarwar UN, Baber J, Koury K, Lino MM, Kalinina EV, Li W, Cooper D, Anderson AS, Swanson KA, Gurtman A, Munjal I; MATISSE (Maternal Immunization Study for Safety and Efficacy) Clinical Trial Group. Efficacy, Safety, and Immunogenicity of the MATISSE (Maternal Immunization Study for Safety and Efficacy) Maternal Respiratory Syncytial Virus Prefusion F Protein Vaccine Trial. Obstet Gynecol. 2025 Feb 1;145(2):157-167. doi: 10.1097/AOG.0000000000005816. Epub 2025 Jan 2.
PubMed 39746212Madhi SA, Kampmann B, Simoes EAF, Zachariah P, Pahud BA, Radley D, Sarwar UN, Shittu E, Llapur C, Perez Marc G, Maldonado Y, Kachikis A, Zar HJ, Swanson KA, Lino MM, Anderson AS, Gurtman A, Munjal I. Preterm Birth Frequency and Associated Outcomes From the MATISSE (Maternal Immunization Study for Safety and Efficacy) Maternal Trial of the Bivalent Respiratory Syncytial Virus Prefusion F Protein Vaccine. Obstet Gynecol. 2025 Feb 1;145(2):147-156. doi: 10.1097/AOG.0000000000005817. Epub 2025 Jan 2.
PubMed 39746206Nazareno AL, Wood JG, Muscatello DJ, Homaira N, Hogan AB, Newall AT. Estimating the cost-effectiveness of maternal respiratory syncytial virus (RSV) vaccination in Australia: A dynamic and economic modelling analysis. Vaccine. 2025 Feb 6;46:126651. doi: 10.1016/j.vaccine.2024.126651. Epub 2024 Dec 28.
PubMed 39733477Otsuki T, Akada S, Anami A, Kosaka K, Munjal I, Baber J, Shoji Y, Aizawa M, Swanson KA, Gurtman A. Efficacy and safety of bivalent RSVpreF maternal vaccination to prevent RSV illness in Japanese infants: Subset analysis from the pivotal randomized phase 3 MATISSE trial. Vaccine. 2024 Sep 17;42(22):126041. doi: 10.1016/j.vaccine.2024.06.009. Epub 2024 Jun 8.
PubMed 38853036Kampmann B, Madhi SA, Munjal I, Simoes EAF, Pahud BA, Llapur C, Baker J, Perez Marc G, Radley D, Shittu E, Glanternik J, Snaggs H, Baber J, Zachariah P, Barnabas SL, Fausett M, Adam T, Perreras N, Van Houten MA, Kantele A, Huang LM, Bont LJ, Otsuki T, Vargas SL, Gullam J, Tapiero B, Stein RT, Polack FP, Zar HJ, Staerke NB, Duron Padilla M, Richmond PC, Koury K, Schneider K, Kalinina EV, Cooper D, Jansen KU, Anderson AS, Swanson KA, Gruber WC, Gurtman A; MATISSE Study Group. Bivalent Prefusion F Vaccine in Pregnancy to Prevent RSV Illness in Infants. N Engl J Med. 2023 Apr 20;388(16):1451-1464. doi: 10.1056/NEJMoa2216480. Epub 2023 Apr 5.
PubMed 37018474Ginsburg 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
Study at a glance
From the registry record, last updated by the sponsor on 11 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, RANDOMIZED, DOUBLE-BLINDED, PLACEBO-CONTROLLED TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF A RESPIRATORY SYNCYTIAL VIRUS (RSV) PREFUSION F SUBUNIT VACCINE IN INFANTS BORN TO WOMEN VACCINATED DURING PREGNANCY
- ClinicalTrials.gov ID
- NCT04424316
- Acronym / sponsor ID
- C3671008
- Conditions
- Respiratory Tract Infection
- Keywords
- Respiratory Tract infection, RSV, Vaccine, Maternal
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 14,727 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 17 Jun 2020 (actual)
- Primary completion
- 27 Oct 2023 (actual)
- Study completion
- 27 Oct 2023 (actual)
- First posted
- 9 Jun 2020 (actual)
- Results
- Posted 11 Feb 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, double-blinded, placebo-controlled Phase 3 study is designed to evaluate the efficacy and safety of maternal immunization with RSVpreF against medically attended lower respiratory tract illness (MA-LRTI) in infants.
Detailed description
This is a Phase 3, multicenter, randomized, double-blinded, placebo-controlled study to assess the efficacy, safety, and immunogenicity of RSVpreF or placebo (1:1 randomization) in infants born to healthy women vaccinated during pregnancy, as well as the safety and immunogenicity in the pregnant women. This will be a global study which will span multiple RSV seasons.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| RSVpreF vaccine | Experimental | Biological: RSVpreFRSVpreF |
| Placebo dose | Placebo comparator | Biological: PlaceboPlacebo |
Who may qualify
- Ages
- 0 to 49 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (12 listed)
- Healthy women ≤49 years of age who are between 24 0/7 and 36 0/7 weeks of gestation on the day of planned vaccination, with an uncomplicated, singleton pregnancy, who are at no known increased risk for complications.
- Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
- Receiving prenatal standard of care based on country requirements.
- Had a fetal anomaly ultrasound examination performed at ≥18 weeks of pregnancy with no significant fetal abnormalities observed.
- Determined by medical history, physical examination, and clinical judgment to be appropriate for inclusion in the study.
Key exclusion criteria (26 listed)
- Prepregnancy body mass index (BMI) of >40 kg/m2. If prepregnancy BMI is not available, the BMI at the time of the first obstetric visit during the current pregnancy may be used.
- Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection.
- History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the investigational product or any related vaccine.
- Current pregnancy resulting from in vitro fertilization.
- Current pregnancy complications or abnormalities at the time of consent that will increase the risk associated with the participation in and completion of the study, including but not limited to the following:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RSVpreFRSV vaccine (RSVpreF) | Biological | RSVpreF vaccine |
| PlaceboPlacebo | Biological | Placebo dose |
Primary outcome
Percentage of Infant Participants With Medically Attended Lower Respiratory Tract Illness (MA-LRTI) Cases Due to RSV Occurring Within 90 Days After Birth (Efficacy)
Time frame: Within 90 days after birth
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: infant with an MA-RTI visit with age related fast breathing (respiratory rate [RR] more than or equal to [>=] 60 breaths per minute [bpm] for less than [<] 2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or oxygen saturation (SpO2) <95 percent (%) or chest wall indrawing and RSV positive test results by reverse transcription-polymerase chain reaction (RT-PCR) testing of midturbinate nasal swab samples.
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 120 Days After Birth (Efficacy)
Time frame: Within 120 days after birth
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 150 Days After Birth (Efficacy)
Time frame: Within 150 days after birth
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 180 Days After Birth (Efficacy)
Time frame: Within 180 days after birth
Results are presented as confirmed by endpoint adjudication committee. MA-LRTI case: Infant with an MA-RTI visit with age related fast breathing (RR >=60 bpm for <2 months of age [<60 days of age], >=50 bpm for >=2 months to <12 months of age, or >=40 bpm for >=12 months to 24 months of age) or SpO2 <95% or chest wall indrawing and RSV positive test results by RT-PCR testing of midturbinate nasal swab samples.
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 90 Days After Birth (Efficacy)
Time frame: Within 90 days after birth
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or intensive care unit (ICU) admission for more than (>) 4 hours or failure to respond/unconscious.
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 120 Days After Birth (Efficacy)
Time frame: Within 120 days after birth
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases were included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or ICU admission for >4 hours or failure to respond/unconscious.
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 150 Days After Birth (Efficacy)
Time frame: Within 150 days after birth
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases were included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or ICU admission for >4 hours or failure to respond/unconscious.
Percentage of Infant Participants With Severe MA-LRTI Cases Due to RSV Occurring Within 180 Days After Birth (Efficacy)
Time frame: Within 180 days after birth
Results are presented as confirmed by endpoint adjudication committee. Severe MA-LRTI cases were a subset of MA-LRTI cases, and all severe MA-LRTI cases were included MA-LRTI cases. Severe MA-LRTI case was an RSV positively adjudicated event which met the following defined criteria: an infant with an MA-RTI visit and aged associated fast breathing (RR >=70 bpm for <2 months of age [<60 days of age], >=60 bpm for >=2 months to <12 months of age, or >=50 bpm for >=12 months to 24 months of age) or SpO2 <93% or high-flow nasal cannula or mechanical ventilation (i.e., invasive or non-invasive) or ICU admission for >4 hours or failure to respond/unconscious.
Percentage of Infant Participants With Adverse Events of Special Interest (AESI) (Safety)
Time frame: From birth to 24 months of age
AESI are a subset of targeted medical events based on review of known pharmacology, toxicology findings, possible class effects, published literature, and signals arising from safety data assessments, and on population under study. AESIs were based on targeted medical events associated with pregnant maternal participants and their infants prior to/during delivery and at birth. For infant participants the following were considered as protocol defined AESIs: Preterm birth (born at <37 weeks gestation); birth weight 1001-2500 grams; developmental delay; positive viral (polymerase chain reaction [PCR] or antigen-based) testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), when not reported during MA-RTI visit, were reported as SARS-CoV-2 test positive. Extremely preterm birth (<28 weeks) and extremely low birth weight (=<1000 grams [g]) were reported as serious AESIs.
Percentage of Infant Participants With Neonatal Deaths (Safety)
Time frame: Within 1 Month after birth
Neonatal death was defined as the death of a live-born infant that occurred within a month after birth.
Percentage of Infant Participants With Congenital Malformations/Anomalies (Safety)
Time frame: At birth
Congenital malformations/ anomalies were defined as structural or functional anomalies that occurred during intrauterine life and could be identified prenatally, at birth or later in life.
Percentage of Infant Participants With Other Neonatal Events (Safety)
Time frame: Within 1 Month after birth
Other Neonatal problem included dysmaturity, neonatal illness, hospitalization, drug therapies, and neonatal death.
Number of Infant Participants According to Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) Score at 1 Minute After Birth (Safety)
Time frame: 1 minute after birth
APGAR was a fast evaluation technique used to evaluate a newborn baby's overall health. APGAR stands for (A) Appearance (skin coloration), (P) Pulse (heart rate), (G) Grimace (reflex response), (A) Activity (muscle tone) and (R) Respiration (breathing). Each component was given a score of 0, 1, or 2; after summing up scores for each component a total possible score was of 0 (worst condition) to 10 (best condition), where higher scores indicate better health. A score of 7 to 10 was good, 4 to <7 was moderate, and <4 was poor.
Number of Infant Participants According to APGAR Score at 5 Minutes After Birth (Safety)
Time frame: 5 minutes after birth
APGAR was a fast evaluation technique used to evaluate a newborn baby's overall health. APGAR stands for (A) Appearance (skin coloration), (P) Pulse (heart rate), (G) Grimace (reflex response), (A) Activity (muscle tone) and (R) Respiration (breathing). Each component was given a score of 0, 1, or 2; after summing up scores for each component a total possible score was of 0 (worst condition) to 10 (best condition), where higher scores indicate better health. A score of 7 to 10 was good, 4 to <7 was moderate, and <4 was poor.
Number of Infant Participants According to APGAR Score at 10 Minutes After Birth (Safety)
Time frame: 10 minutes after birth
APGAR was a fast evaluation technique used to evaluate a newborn baby's overall health. APGAR stands for (A) Appearance (skin coloration), (P) Pulse (heart rate), (G) Grimace (reflex response), (A) Activity (muscle tone) and (R) Respiration (breathing). Each component was given a score of 0, 1, or 2; after summing up scores for each component a total possible score was of 0 (worst condition) to 10 (best condition), where higher scores indicate better health. A score of 7 to 10 was good, 4 to <7 was moderate, and <4 was poor.
Percentage of Infant Participants With Adverse Events (AEs) From Birth to 1 Month of Age (Safety)
Time frame: From birth to 1 month of age
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Infant Participants With Serious Adverse Events (SAEs) and Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Birth Through 6 Months of Age (Safety)
Time frame: From birth to 6 months of age
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event. An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Infant Participants With SAEs and NDCMCs From Birth Through 12 Months of Age (Safety)
Time frame: From birth to 12 months of age
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event. An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Infant Participants With SAEs and NDCMCs From Birth Through 24 Months of Age (Safety)
Time frame: From birth to 24 months of age
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event. An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects.
Percentage of Maternal Participants With Prespecified Local Reactions Within 7 Days After Vaccination (Safety)
Time frame: From Day 1 to Day 7 after vaccination
Local reactions included redness, swelling, and pain at injection site and were recorded in electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit= 0.5 centimetre (cm). Redness and swelling were graded as mild (>2.0 to 5.0 cm), moderate (>5.0 to 10.0 cm), severe (>10.0 cm) and grade 4 (necrosis or exfoliative dermatitis for redness and necrosis for swelling). Pain at injection site was graded as mild (did not interfere with activity), moderate (interfered with activity), severe (prevented daily activity) and grade 4 (emergency room visit or hospitalization for the severe pain at the injection site). Grade 4 reactions were classified by the investigator or medically qualified person.
Percentage of Maternal Participants With Prespecified Systemic Events Within 7 Days After Vaccination (Safety)
Time frame: From Day 1 to Day 7 after vaccination
Systemic events included: fever, fatigue, headache, nausea, muscle pain, joint pain, vomiting and diarrhea and were recorded by participants in an e-diary. Fever was defined as an oral temperature >=38.0 degree Celsius [C]) and classified as mild (38.0 to 38.4), moderate (38.5 to 38.9), severe (39.0 to 40.0) and grade 4 (>40.0 degree C). Headache, nausea, fatigue, muscle pain and joint pain were graded as mild (did not interfere with activity), moderate (some interference with activity), severe (prevented daily activity). Vomiting: mild (1-2 times in 24 hours [H]), moderate (>2 times in 24 H), severe (required intravenous [IV] hydration). Diarrhea: mild (2-3 loose stools in 24 H), moderate (4-5 loose stools in 24 H), severe (>=6 in 24 H). For all systemic events except fever, Grade 4= emergency room visit or hospitalization. Grade 4 events were classified by investigator or medically qualified person.
Percentage of Maternal Participants With AEs From the Time of Vaccination Through 1 Month After Vaccination (Safety)
Time frame: From vaccination on Day 1 up to 1 month after vaccination
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention Only AEs collected by non-systematic assessment (i.e. excluding local reactions and systemic events) were included in this outcome measure.
Percentage of Maternal Participants With SAEs Throughout the Study Period (Safety)
Time frame: From vaccination on Day 1 up to 6 months after delivery (maximum up to 10 months)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in congenital anomaly/birth defect or that was considered an important medical event.
3 secondary outcomes
Percentage of Infant Participants With Cases of Hospitalization Due to RSV Within 90, 120, 150, 180 and 360 Days After Birth (Efficacy)
Time frame: Within 90, 120, 150, 180 and 360 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to Any Cause With Protocol Defined Criteria Occurring Within 90, 120, 150, 180 and 360 Days After Birth (Efficacy)
Time frame: Within 90, 120, 150, 180 and 360 days after birth
Percentage of Infant Participants With MA-LRTI Cases Due to RSV Occurring Within 210, 240, 270 and 360 Days After Birth (Efficacy)
Time frame: Within 210, 240, 270 and 360 days after birth
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Feb 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41962084Shittu E, Pahud BA, Radley D, Gurtman A, Munjal I. Efficacy and safety outcomes from the MATISSE phase 3 trial of maternal bivalent RSVpreF vaccination among pregnant women vaccinated at 32 to 36 weeks of gestation. Swiss Med Wkly. 2026 Jan 31;156:4711. doi: 10.57187/4711.
- Derived from this study: PubMed 40958705Bolanos 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.
- Derived from this study: PubMed 40872913Ilangovan K, Radley D, Patton M, Shittu E, Lino MM, Goulas C, Swanson KA, Anderson AS, Gurtman A, Munjal I. Integrated Analysis of the Safety Experience in Adults with the Bivalent Respiratory Syncytial Virus Prefusion F Vaccine. Vaccines (Basel). 2025 Aug 1;13(8):827. doi: 10.3390/vaccines13080827.
- Derived from this study: PubMed 39746212Simoes EAF, Pahud BA, Madhi SA, Kampmann B, Shittu E, Radley D, Llapur C, Baker J, Perez Marc G, Barnabas SL, Fausett M, Adam T, Perreras N, Van Houten MA, Kantele A, Huang LM, Bont LJ, Otsuki T, Vargas SL, Gullam J, Tapiero B, Stein RT, Polack FP, Zar HJ, Staerke NB, Padilla MD, Richmond PC, Sarwar UN, Baber J, Koury K, Lino MM, Kalinina EV, Li W, Cooper D, Anderson AS, Swanson KA, Gurtman A, Munjal I; MATISSE (Maternal Immunization Study for Safety and Efficacy) Clinical Trial Group. Efficacy, Safety, and Immunogenicity of the MATISSE (Maternal Immunization Study for Safety and Efficacy) Maternal Respiratory Syncytial Virus Prefusion F Protein Vaccine Trial. Obstet Gynecol. 2025 Feb 1;145(2):157-167. doi: 10.1097/AOG.0000000000005816. Epub 2025 Jan 2.
- Derived from this study: PubMed 39746206Madhi SA, Kampmann B, Simoes EAF, Zachariah P, Pahud BA, Radley D, Sarwar UN, Shittu E, Llapur C, Perez Marc G, Maldonado Y, Kachikis A, Zar HJ, Swanson KA, Lino MM, Anderson AS, Gurtman A, Munjal I. Preterm Birth Frequency and Associated Outcomes From the MATISSE (Maternal Immunization Study for Safety and Efficacy) Maternal Trial of the Bivalent Respiratory Syncytial Virus Prefusion F Protein Vaccine. Obstet Gynecol. 2025 Feb 1;145(2):147-156. doi: 10.1097/AOG.0000000000005817. Epub 2025 Jan 2.
- Derived from this study: PubMed 39733477Nazareno AL, Wood JG, Muscatello DJ, Homaira N, Hogan AB, Newall AT. Estimating the cost-effectiveness of maternal respiratory syncytial virus (RSV) vaccination in Australia: A dynamic and economic modelling analysis. Vaccine. 2025 Feb 6;46:126651. doi: 10.1016/j.vaccine.2024.126651. Epub 2024 Dec 28.
- Derived from this study: PubMed 38853036Otsuki T, Akada S, Anami A, Kosaka K, Munjal I, Baber J, Shoji Y, Aizawa M, Swanson KA, Gurtman A. Efficacy and safety of bivalent RSVpreF maternal vaccination to prevent RSV illness in Japanese infants: Subset analysis from the pivotal randomized phase 3 MATISSE trial. Vaccine. 2024 Sep 17;42(22):126041. doi: 10.1016/j.vaccine.2024.06.009. Epub 2024 Jun 8.
- Derived from this study: PubMed 37018474Kampmann B, Madhi SA, Munjal I, Simoes EAF, Pahud BA, Llapur C, Baker J, Perez Marc G, Radley D, Shittu E, Glanternik J, Snaggs H, Baber J, Zachariah P, Barnabas SL, Fausett M, Adam T, Perreras N, Van Houten MA, Kantele A, Huang LM, Bont LJ, Otsuki T, Vargas SL, Gullam J, Tapiero B, Stein RT, Polack FP, Zar HJ, Staerke NB, Duron Padilla M, Richmond PC, Koury K, Schneider K, Kalinina EV, Cooper D, Jansen KU, Anderson AS, Swanson KA, Gruber WC, Gurtman A; MATISSE Study Group. Bivalent Prefusion F Vaccine in Pregnancy to Prevent RSV Illness in Infants. N Engl J Med. 2023 Apr 20;388(16):1451-1464. doi: 10.1056/NEJMoa2216480. Epub 2023 Apr 5.
- Derived from this study: PubMed 34774184Ginsburg 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.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
464 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing RSVpreF in people with Respiratory Tract Infection, run by Pfizer at 464 sites in 18 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 12 inclusion and 26 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 11 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 464 sites in United States, Japan, South Africa, Chile, New Zealand and 13 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 11 Feb 2025). 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?
Percentage of Infant Participants With Medically Attended Lower Respiratory Tract Illness (MA-LRTI) Cases Due to RSV Occurring Within 90 Days After Birth (Efficacy) (time frame: Within 90 days after birth). The study lists 23 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 NCT04424316, 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 11 Feb 2025.