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HealthyPhase 2NCT04453202

A Study to Evaluate a Range of Dose Levels of an Adenovirus Serotype 26 (Ad26.RSV.preF)-Based Vaccine in Older Adults

A Phase 2 study testing RSV Vaccine in people with Healthy, run by Janssen Vaccines & Prevention B.V. at 9 sites in United States.

Completed

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

Official record
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Trial summary

The purpose of this study is to explore the dose-response relationship of immune responses induced by different dose levels of an Ad26.RSV.preF based vaccine (Cohort 1) and to assess the safety and reactogenicity of different dose levels of the Ad26.RSV.preF-based vaccine (Cohorts 2 and 3). Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
RSV Vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
459 participants
Where
9 sitesUnited States
Study dates
16 Jul 2020to 9 Apr 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

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

  • Ages 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • In the investigator's clinical judgment, participants must be either in good or stable health. Participants may have underlying illnesses such as hypertension, type 2 diabetes mellitus, hyperlipoproteinemia, or hypothyroidism, as long as their signs and symptoms are stable and medically controlled in the judgment of the investigator. Participants will be included on the basis of medical history and of physical examination and vital signs performed at screening (all cohorts), and of physical examination and/or vital signs performed prevaccination on Day 1 (Cohorts 2 and 3)
  • A woman must be postmenopausal (defined as no menses for 12 months without an alternative medical cause) and not intending to conceive by any methods
  • Agree to not donate blood from the time of vaccination until 3 months after vaccination
  • Have a body mass index (BMI) less than (<) 40 kilogram per meter square (kg/m^2)
  • Be willing to provide verifiable identification and have means to be contacted and to contact the investigator during the study

Who cannot join

  • Has a contraindication to intramuscular injection (IM) injections and blood draws (example, bleeding disorders)
  • Known allergy or history of anaphylaxis or other serious adverse reactions to vaccines or vaccine components (including any of the constituents of the study vaccine)
  • History of chronic urticaria (recurrent hives), eczema, or atopic dermatitis
  • Has hepatitis B or C infection, including history of treated hepatitis C infection
  • Received an active RSV vaccine in a previous RSV vaccine study or an Ad26-vectored vaccine at any time prior to randomization

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • Clinical Research of South Florida, an AMR Company

    Coral Gables, Florida, 33134

  • Heartland Research Associates, an AMR Company

    El Dorado, Kansas, 67042

  • The Center for Pharmaceutical Research (CPR)

    Kansas City, Missouri, 64114

  • AMR New Orleans, Formerly New Orleans Center for Clinical Research - New Orleans, an AMR company

    Knoxville, Tennessee, 37920

  • Meridian Clinical Research, LLC

    Norfolk, Nebraska, 68701

  • Meridian Clinical Research - Omaha

    Omaha, Nebraska, 68134

  • Optimal Research

    Rockville, Maryland, 20850

  • Optimal Research

    San Diego, California, 92108

  • Tekton Research Inc.

    Yukon, Oklahoma, 73099

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Phase 2a Study to Evaluate a Range of Dose Levels of an Ad26.RSV.preF-based Vaccine in Adults Aged 60 Years and Older

The purpose of this study is to explore the dose-response relationship of immune responses induced by different dose levels of an Ad26.RSV.preF based vaccine (Cohort 1) and to assess the safety and reactogenicity of different dose levels of the Ad26.RSV.preF-based vaccine (Cohorts 2 and 3).

Conditions
Healthy
Being tested
RSV Vaccine, Placebo

What participants receive

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

  • RSV VaccineBiological

    Participants will receive a single IM injection of an Ad26-based RSV vaccine on Day 1.

  • PlaceboOther

    Participants will receive a single IM injection of placebo on Day 1.

Study groups in NCT04453202
Study groupRoleWhat they receive
Cohort 1 Group 1: RSV VaccineExperimentalParticipants will receive a single intramuscular (IM) injection of an Ad26-based RSV vaccine on Day 1.
Receives: Biological: RSV Vaccine
Cohort 1 Group 2: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine (low dose 1) on Day 1.
Receives: Biological: RSV Vaccine
Cohort 1 Group 3: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine (low dose 2) on Day 1.
Receives: Biological: RSV Vaccine
Cohort 1 Group 4: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine (low dose 3) on Day 1.
Receives: Biological: RSV Vaccine
Cohort 1 Group 5: PlaceboPlacebo comparatorParticipants will receive IM injection of placebo on Day 1.
Receives: Other: Placebo
Cohort 2 Group 6: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine on Day 1.
Receives: Biological: RSV Vaccine
Cohort 2 Group 7: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine (high dose 1) on Day 1.
Receives: Biological: RSV Vaccine
Cohort 2 Group 8: PlaceboPlacebo comparatorParticipants will receive IM injection of placebo on Day 1.
Receives: Other: Placebo
Cohort 3 Group 9: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine on Day 1.
Receives: Biological: RSV Vaccine
Cohort 3 Group 10: RSV VaccineExperimentalParticipants will receive a single IM injection of an Ad26-based RSV vaccine (high dose 2) on Day 1.
Receives: Biological: RSV Vaccine
Cohort 3 Group 11: PlaceboExperimentalParticipants will receive IM injection of placebo on Day 1.
Receives: Other: Placebo

What is being measured

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

  1. Cohort 1: Geometric Mean Antibody Titers to Respiratory Syncytial Virus (RSV) Prefusion Conformation-stabilized F (preF) Protein Using preF Enzyme-linked Immunosorbent Assay (ELISA) at 14 Days After Vaccination

    Geometric mean antibody titers (ELISA units per liter [EU/L]) to RSV preF protein using preF ELISA at 14 days after vaccination were reported.

    Measured: 14 days after vaccination on Day 1 (Day 15)

  2. Cohorts 2 and 3: Number of Participants With Solicited Local Adverse Events (AEs) Until 7 Days After Vaccination on Day 1

    Number of participants with solicited local AEs until 7 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited local AEs were pre-defined local (at the injection site) AEs for which participants were specifically questioned and which were noted by participants in their e-diary until 7 days after vaccination on Day 1 (day of vaccination and the subsequent 7 days). Solicited local AEs included: injection site pain/tenderness, erythema and swelling at the vaccination site.

    Measured: Until 7 days after Vaccination on Day 1 (Day 8)

  3. Cohorts 2 and 3: Number of Participants With Solicited Systemic Adverse Events (AEs) Until 7 Days After Vaccination on Day 1

    Number of participants with solicited systemic AEs until 7 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Participants were instructed on how to note signs and symptoms in their diary on a daily basis until 7 days post-vaccination (Day of vaccination and the subsequent 7 days) for solicited systemic AEs. Solicited systemic AEs included fatigue, headache, myalgia, nausea and fever (body temperature greater than or equal to [>=] 38 degree celsius).

    Measured: Until 7 days after Vaccination on Day 1 (Day 8)

  4. Cohorts 2 and 3: Number of Participants With Unsolicited AEs Until 28 Days After Vaccination on Day 1

    Unsolicited AEs were all AEs for which the participants were not specifically questioned in the participant diary. An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs included chills, injection site erythema, injection site pruritus Et cetera (etc).

    Measured: Until 28 days after Vaccination on Day 1 (Day 29)

Secondary outcomes (11)
  1. Cohort 1: Geometric Mean Antibody Titers to RSV preF Protein Using preF ELISA at 3 and 6 Months After Vaccination on Day 1

    Geometric mean antibody titers (EU/L) to RSV preF protein using preF ELISA at 3 and 6 months after vaccination on Day 1 were reported.

    Measured: At 3 and 6 months after vaccination on Day 1

  2. Cohort 1: Respiratory Syncytial Virus (RSV) A2 Strain Neutralizing Antibody Titers at 14 Days and 3 and 6 Months After Vaccination on Day 1

    RSV A2 strain neutralizing antibody titers at 14 days and 3 and 6 months after vaccination on Day 1 were reported. RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay. Data were expressed as 50% inhibitory concentration (IC50) units.

    Measured: At 14 days and 3 and 6 months after vaccination on Day 1

  3. Cohort 1: T-cell Interferon (IFN) Gamma Responses to Respiratory Syncytial Virus (RSV) F Protein Peptides

    T-cell IFN gamma responses to RSV F protein specific peptides at 14 days and 3 and 6 months after vaccination as measured by enzyme-linked immunospot (ELISpot) assay were reported. RSV F specific T-cell IFN gamma ELISpot responses were measured as counts of spot forming cells per million peripheral blood mononuclear cells (SFC/10^6 PBMCs).

    Measured: At 14 days and 3 and 6 months after vaccination on Day 1

  4. Cohort 1: Number of Participants With Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product.

    Measured: Baseline (Day1) up to 6 months

  5. Cohort 1: Number of Participants With Solicited Local Adverse Events (AEs) Until 7 Days After Vaccination on Day 1

    Number of participants with solicited local AEs until 7 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited local AEs were pre-defined local (at the injection site) AEs for which participants were specifically questioned and which were noted by participants in their e-diary until 7 days after vaccination on Day 1 (day of vaccination and the subsequent 7 days). Solicited local AEs included: injection site pain/tenderness, erythema and swelling at the vaccination site.

    Measured: Until 7 days after vaccination on Day 1 (Day 8)

  6. Cohort 1: Number of Participants With Solicited Systemic Adverse Events (AEs) Until 7 Days After Vaccination on Day 1

    Number of participants with solicited systemic AEs until 7 days after vaccination on Day 1 were reported. An AE was any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Participants were instructed on how to note signs and symptoms in their diary on a daily basis until 7 days post-vaccination (Day of vaccination and the subsequent 7 days) for solicited systemic AEs. Solicited systemic AEs included fatigue, headache, myalgia, nausea and fever (body temperature >=38 degree celsius).

    Measured: Until 7 days after vaccination on Day 1 (Day 8)

  7. Cohort 1: Number of Participants With Unsolicited AEs Until 28 Days After Vaccination on Day 1

    Unsolicited AEs were all AEs for which the participants were not specifically questioned in the participant diary. Unsolicited AEs included chills, injection site erythema, injection site pruritus Et cetera (etc).

    Measured: Until 28 days after vaccination on Day 1 (Day 29)

  8. Cohort 2 and 3: Geometric Mean Antibody Titers to RSV preF Protein Using preF ELISA at 14 Days and 3 and 6 Months After Vaccination on Day 1

    Geometric mean antibody titers (EU/L) to RSV preF protein using preF ELISA at 14 days and 3 and 6 months after vaccination on Day 1 were reported.

    Measured: At 14 days and 3 and 6 months after vaccination on Day 1

  9. Cohort 2 and 3: Respiratory Syncytial Virus (RSV) A2 Strain Neutralizing Antibody Titers at 14 Days and 3 and 6 Months After Vaccination on Day 1

    RSV A2 neutralizing antibody titers at 14 days and 3 and 6 months after vaccination on Day 1 were reported. RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay. Data were expressed as 50% IC50 units.

    Measured: At 14 days and 3 and 6 months after vaccination on Day 1

  10. Cohort 2 and 3: T-cell Interferon (IFN) Gamma Responses to Respiratory Syncytial Virus (RSV) F Protein Peptides at 14 Days and 3 and 6 Months After Vaccination on Day 1

    T-cell IFN gamma responses to RSV F protein specific peptides at 14 days and 3 and 6 months after vaccination as measured by ELISpot assay were reported. RSV F specific T-cell IFN gamma ELISpot responses were measured as counts of spot forming cells per million peripheral blood mononuclear cells (SFC/10^6 PBMCs).

    Measured: At 14 days and 3 and 6 months after vaccination on Day 1

  11. Cohort 2 and 3: Number of Participants With Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence that at any dose resulted in death, was life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a suspected transmission of any infectious agent via a medicinal product.

    Measured: Baseline (Day1 ) up to 6 months

Timeline

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

  1. First posted1 Jul 2020
  2. Study start16 Jul 2020
  3. Primary completion24 Sep 2020
  4. Study completion9 Apr 2021

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
459 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04453202
Sponsor's protocol ID
CR108835
Other IDs
VAC18193RSV2005
Status last verified
May 2025
First submitted
29 Jun 2020
Last updated
25 May 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • van Heesbeen R, Bastian AR, Omoruyi E, Rosen J, Comeaux CA, Callendret B, Heijnen E. Immunogenicity and safety of different dose levels of Ad26.RSV.preF/RSV preF protein vaccine in adults aged 60 years and older: A randomized, double-blind, placebo-controlled, phase 2a study. Vaccine. 2024 Dec 2;42(26):126273. doi: 10.1016/j.vaccine.2024.126273. Epub 2024 Sep 13.

    PubMed 39276619

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing RSV Vaccine in people with Healthy, run by Janssen Vaccines & Prevention B.V. at 9 sites in United States.

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

Who may be eligible to take part?

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

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Oct 2023). 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?

Cohort 1: Geometric Mean Antibody Titers to Respiratory Syncytial Virus (RSV) Prefusion Conformation-stabilized F (preF) Protein Using preF Enzyme-linked Immunosorbent Assay (ELISA) at 14 Days After Vaccination (time frame: 14 days after vaccination on Day 1 (Day 15)). The study lists 4 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 NCT04453202, which also lists 1 linked publication.

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

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

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2025.

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