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Respiratory Syncytial Virus InfectionsPhase 1NCT06102174

A Study to Learn About the Amount of the Study Medicine (Sisunatovir) in Blood and Its Safety in Infants and Children With Pneumonia Caused by RSV

A Phase 1 study testing Active in people with Respiratory Syncytial Virus Infections, run by Pfizer at 9 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the study is to learn about the safety and amount of sisunatovir in the blood of infants and children up to age 60 months. These children have Lower Respiratory Tract Infection (LRTI) caused by Respiratory Syncytial Virus (RSV). LRTI is the infection to the lower airways such as lungs. Read more about this study

Who is it for?
Ages 1 day to 60 months
Conditions the study is for
Respiratory Syncytial Virus Infections
What is being tested?
Active
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
10 participants
Where
9 sitesin 3 countries
Study dates
15 Feb 2024to 3 Sep 2024
Phase
Phase 1
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 1 day to 60 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 1 day to ≤60 months of age and weight ≥2.5 kg to ≤23 kg
  • Positive RSV diagnostic test, antigen or molecular test
  • Evidence of Lower Respiratory Tract Infection (LRTI)

Who cannot join

  • Premature infants (gestational age less than 35 weeks) AND <1 year of post-natal age
  • Neonates with intrauterine growth restriction
  • Expected to receive an antiviral for another viral infection within 10 days of screening
  • Suspected or confirmed clinically significant moderate or severe bacterial infection that may interfere with the evaluation of response to the study intervention
  • Known to have significant comorbidities that would limit the ability to administer the study intervention or evaluate the safety or clinical response to the study intervention

Trial locations and contacts

9 sites in 3 countries.

9 sites in 3 countries

Japan4 sites
  • Nintenkai Kagoshima Children's Hospital

    Hioki, Kagoshima-ken, 899-2503

  • Yamanashi Prefectural Central Hospital

    Kofu, Yamanashi, 400-8506

  • Kojunkai Daido Hospital

    Nagoya, Aichi-ken, 457-8511

  • Osaka City General Hospital

    Osaka, 534-0021

Other trials in Japan

United States3 sites
  • Kaiser Permanente Los Angeles Medical center

    Los Angeles, California, 90027

  • Kaiser Permanente

    Los Angeles, California, 90027

  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

South Africa2 sites
  • University of Witwatersrand (WITS) - Vaccines and Infectious Diseases Analytics (VIDA)

    Johannesburg, Gauteng, 2013

  • Monti Clinical Research Centre

    Mdantsane, Eastern Cape, 5219

Other trials in South Africa

About this study

Official title: AN INTERVENTIONAL, PHASE 1b, RANDOMIZED, DOUBLE-BLIND, SPONSOR-OPEN, PLACEBO-CONTROLLED, MULTI-CENTER, DOSE-FINDING STUDY TO EVALUATE SAFETY, TOLERABILITY AND PHARMACOKINETICS OF SISUNATOVIR IN PEDIATRIC PARTICIPANTS UP TO AGE 60 MONTHS WITH RESPIRATORY SYNCYTIAL VIRUS (RSV) LOWER RESPIRATORY TRACT INFECTION (LRTI)

The purpose of the study is to learn about the safety and amount of sisunatovir in the blood of infants and children up to age 60 months. These children have Lower Respiratory Tract Infection (LRTI) caused by Respiratory Syncytial Virus (RSV). LRTI is the infection to the lower airways such as lungs.

This study will help inform the amount of sisunatovir to be used in future studies of sisunatovir in children.

Read more

This study is seeking for participants who:

  • Are 1 day to less than or equal to 60 months of age
  • weigh more than or equal to 2.5 kilograms to less than or equal to 23 kilograms.
  • Have been tested to have RSV by medical tests.
  • show signs of LRTI.

All participants in the study will receive many amounts of sisunatovir or placebo. Placebo is a pill that does not have any medicine in it.

Up to 7 visits are required for the study. Some of these visits include checking participants health over the phone and/or a visit at home.

The study will compare the experiences of infants and children receiving sisunatovir to identify the amount of sisunatovir to be used in future studies in infants and children.

Being tested
Placebo, Active
Keywords
Lower Respiratory Tract Infection
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

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

  • PlaceboDrug

    Placebo

  • ActiveDrug

    Also called PF-07923568, RV521

    Sisunatovir

Study groups in NCT06102174
Study groupRoleWhat they receive
PlaceboPlacebo comparatorOral or Nasogastric tube (NG)
Receives: Drug: Placebo
SisunatovirActive comparatorOral or NG tube
Receives: Drug: Active

What is being measured

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

  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    An adverse event (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 AE was considered a TEAE if the event started during the effective duration of treatment. All events that start on or after the first dose of study intervention, but before the end of the study were flagged as TEAEs. All AEs were included for evaluation.

    Measured: From start of study intervention on Day 1 up to 28 days after last dose of study intervention (maximum up to 33 days)

  2. Number of Participants Who Discontinued From Study Due to TEAEs

    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 AE was considered a TEAE if the event started during the effective duration of treatment. All events that start on or after the first dose of study intervention, but before the end of the study were flagged as TEAEs.

    Measured: From start of study intervention on Day 1 up to 28 days after last dose of study intervention (maximum up to 33 days)

  3. Number of Participants Who Discontinued From Study Due to Serious TEAEs

    An AE was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE was considered a TEAE if the event started during the effective duration of treatment. All events that start on or after the first dose of study intervention, but before the end of the study were flagged as TEAEs. A serious AE (SAE) was any untoward medical occurrence at any dose that: resulted in death; was life-threatening experience (immediate risk of death); required inpatient hospitalization or prolongation if existing hospitalization; resulted in persistent or significant disability/ incapacity; resulted in congenital anomaly/birth defect; other important event or situation as pre-specified in protocol.

    Measured: From start of study intervention on Day 1 up to 28 days after last dose of study intervention (maximum up to 33 days)

  4. Number of Participants With Clinically Significant Laboratory Abnormalities

    Following parameters were analyzed for laboratory examination: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, mean cell volume, mean cell hemoglobin \& concentration); chemistry: urea and creatinine, estimated glomerular filtration rate (eGFR), gamma-glutamyl transferase (GGT), calcium, sodium, potassium, chloride, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, alkaline phosphatase, albumin, total protein, cystatin C; urinalysis: pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, albumin, creatinine (urine), urine albumin to creatinine ratio. Clinically significant laboratory abnormalities findings were based on investigator discretion.

    Measured: From start of study intervention on Day 1 up to 28 days after last dose of study intervention (maximum up to 33 days)

  5. Number of Participants With Clinically Significant Vital Signs

    Vital signs included systolic and diastolic blood pressure, pulse rate/heart rate, temperature, respiratory rate, and oxygen saturation. Clinically significance vital signs findings were based on investigator discretion.

    Measured: From start of study intervention on Day 1 up to 28 days after last dose of study intervention (maximum up to 33 days)

Secondary outcomes (1)
  1. Plasma Concentrations Versus Time Summary of Sisunatovir

    Measured: Day 3: Pre-dose, T1 and T2 hours post-dose; Day 5: Pre-dose; where T1 is the first analysis time point post-dose while T2 is the second analysis time point post-dose

Timeline

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

  1. First posted26 Oct 2023
  2. Study start15 Feb 2024
  3. Primary completion3 Sep 2024
  4. Study completion3 Sep 2024

Why it stopped: Study discontinued due to business reasons. There were no safety concerns in the decision to stop study and no changes to sponsor's assessment of the risk-benefit profile for participants who received sisunatovir in the study

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06102174
Sponsor's protocol ID
C5241009
Other IDs
2023-504425-39-00, 2023
Status last verified
Dec 2025
First submitted
6 Oct 2023
Last updated
30 Dec 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: 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

  • Toussi SS, Calvo C, Haumann B, Thomas E, Franke RM, Kudela M, Zhang S, Banerjee A, Rees S, Shoji S, Welch H, Jordan I, Srisingh K, Daud M, Nemeth A, Rojo P, Toh TH, Ogunade I, Oku S, Amo K, Towner W, Newland J, Alami NN. Safety and Pharmacokinetics of the RSV Fusion Inhibitor Sisunatovir Across Two Early-phase Studies in Infants and Children With RSV Lower Respiratory Tract Infection. Pediatr Infect Dis J. 2026 Aug 1;45(8):724-732. doi: 10.1097/INF.0000000000005169. Epub 2026 Feb 12.

    PubMed 41673909

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Active in people with Respiratory Syncytial Virus Infections, run by Pfizer at 9 sites in 3 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 3 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: stopped early, as of the sponsor's last update on 30 Dec 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 Japan, United States, South Africa. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Dec 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?

Number of Participants With Treatment Emergent Adverse Events (TEAEs) (time frame: From start of study intervention on Day 1 up to 28 days after last dose of study intervention (maximum up to 33 days)). The study lists 5 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 NCT06102174, 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 30 Dec 2025.

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