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Respiratory Syncytial VirusesCASSATTNCT06813872

Effectiveness of ABRYSVO® Maternal Respiratory Syncytial Virus (RSV) Vaccine Against RSV in Infants in Western Pennsylvania

An observational study of Respiratory Syncytial Viruses, run by Pfizer at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Globally, respiratory syncytial virus (RSV) is the leading cause of lower respiratory tract disease (LRTD) in infants and children. Pfizer has developed ABRYSVO-a bivalent RSV prefusion F protein-based vaccine (RSVpreF) composed of two prefusion F proteins to protect against both RSV-A and RSV-B. Read more about this study

Who is it for?
Ages 0 to 6 months
Conditions the study is for
Respiratory Syncytial Viruses
What is being tested?
ABRYSVO Vaccination
Type of treatment
Vaccines
How many people
1 participants
Where
1 siteUnited States
Study dates
24 Feb 2025to 31 Jul 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 6 months
  • All sexes
  • No healthy volunteers
  • Child

Study population: The study population will include infants who were hospitalized with ARI, have documented RSV test results and born to an individual eligible for ABRYSVO vaccination in pregnancy based on the timing of birth relative to the local seasonal ABRYSVO vaccination program.

Population included in ABYRSVO VE analyses:

  1. Infants ≤ 6 months (≤ 180 days) of age on the index date.
  2. Index date within the time period for data collection (approximately 01 October to 15 April in the 2023-2024, 2024-2025, 2025-2026, and 2026-2027 RSV seasons).
  3. Infants born at ≥32 weeks of gestation.
  4. Infants born to individuals who were expected (based on estimated date of delivery) to reach the indicated ABRYSVO vaccination window (320/7 to 366/7 weeks' gestation) during the local vaccination season.
  5. Infant's EHR links to the maternal EHR.
  6. Hospitalized at a UPMC facility during the RSV season (according to local hospital epidemiology) with acute respiratory tract illness symptoms meeting the protocol-defined clinical case, and for whom RSV testing results from a specimen collected 10 days prior to hospital admission through 3 days after hospital admission are known.
  7. Ability to document maternal ABRYSVO receipt or not.

Population excluded from ABYRSVO VE analyses:

  1. Infants who received any licensed or investigational RSV preventive product (e.g., RSV monoclonal antibodies, RSV vaccine (including investigational products or due to medication error)) since birth.
  2. Born to birth parent for whom ABRYSVO vaccination status cannot be verified in the maternal EHR or Pennsylvania Immunization Electronic Registry System (PIERS) system.
  3. Infants who were born to an individual vaccinated with ABRYSVO prior to the current pregnancy or vaccinated with more than one dose of ABRYSVO or vaccinated with any other licensed or investigational RSV vaccine during pregnancy.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Pfizer

    New York, New York, 10001

Other trials in United States

About this study

Globally, respiratory syncytial virus (RSV) is the leading cause of lower respiratory tract disease (LRTD) in infants and children. Pfizer has developed ABRYSVO-a bivalent RSV prefusion F protein-based vaccine (RSVpreF) composed of two prefusion F proteins to protect against both RSV-A and RSV-B. In the United States, ABRYSVO has been approved and recommended for active immunization of pregnant individuals from 320/7 to 366/7 weeks' gestational age for the prevention of LRTD and severe LRTD caused by RSV in infants from birth through 6 months of age. Post-licensure data from the United States and Argentina have also demonstrated real world effectiveness. Data from the US VISION and NVSN networks reported 79% (95% CI 55-90) and 70% (95% CI 28-88%) VE respectively against RSV-associated hospitalization among infants in the second RSV season and a study from Argentina reported 78.6% (95% CI 62.1-87.9) and 71.3% (95% CI 53.3-82.3) VE against RSV-associated LRTD leading to hospitalization among infants aged 0 to ≤3 and 0 to ≤6 months respectively.

To generate critical evidence to support vaccine policy and implementation, Pfizer will collaborate with University of Pittsburgh to study vaccine effectiveness (VE) of ABRYSVO vaccination during pregnancy against RSV-associated outcomes in infants. The study will take place in a real-world population in Western Pennsylvania over multiple seasons, beginning in the 2023-2024 season, and will use a test negative design (TND) approach.

Read more

There will be no active enrollment of study participants, no direct contact with study participants, and no collection of any primary data outside of the Standard of Care (SOC).

This study will use a TND to evaluate real-world VE of maternal ABRYSVO against RSV-associated outcomes in infants. Additionally, we will describe RSV-associated medically-attended visits for infants exposed to ABRYSVO and RSV monoclonal antibodies (e.g., Beyfortus and Enflonsia).

Being tested
ABRYSVO Vaccination

What participants receive

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

  • ABRYSVO VaccinationBiological

    The primary exposure of interest for the TND study is maternal history of vaccination with Pfizer's ABRYSVO vaccine during pregnancy with the infant who presented for care. Infants will be considered "exposed to ABRYSVO" if their birth parent has documented evidence of receiving ABRYSVO ≥14 days before the date of the infant's birth, during the licensed gestational age window of 32 0/7 to 36 6/7 weeks.

Study groups in NCT06813872
Study groupRoleWhat they receive
CaseCases for the primary objective will be infants meeting the outcome definition who had any positive laboratory-confirmed RSV test from a respiratory sample collected within 10 days prior to hospital admission through 3 days after hospital admission.
Receives: Biological: ABRYSVO Vaccination
ControlControls for the primary objective will be infants meeting the outcome definition who had a laboratory-confirmed negative RSV test from a respiratory sample collected within 10 days prior to hospital admission through 3 days after hospital admission.
Receives: Biological: ABRYSVO Vaccination

What is being measured

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

  1. RSV-positive ARI hospitalization confirmed by ³1 ARI symptom, laboratory testing, and hospitalization occurring 0 to ≤ 90 days of life during RSV season based on local epidemiology.

    Measured: 0 to ≤ 90 days of life

Secondary outcomes (7)
  1. RSV-positive ARI hospitalization confirmed by ³1 ARI symptom, laboratory testing, and hospitalization occurring 0 to ≤ 180 days of life during RSV season based on local epidemiology.

    Measured: 0 to ≤180 days of life

  2. RSV-positive ARI hospitalization confirmed by ≥ 1 ARI symptom, laboratory testing, and hospitalization occurring 91 to ≤180 days of life during the RSV season based on local epidemiology

    Measured: 91 to ≤180 days of life

  3. RSV-positive ARI hospitalization with study-defined LRTD occurring 0 to ≤ 90 days of life during RSV season based on local epidemiology.

    Measured: 0 to ≤90 days of life

  4. RSV-positive hospitalization with study-defined LRTD occurring 0 to ≤180 days of life during the RSV season based on local epidemiology.

    Measured: 0 to ≤180 days of life

  5. RSV-positive ARI hospitalization with study-defined LRTD occurring 91 to ≤ 180 days of life during RSV season based on local epidemiology.

    Measured: 91 to ≤ 180 days of life

  6. Number, age and characteristics of infants whose birth parent received ABRYSVO during pregnancy who present for a medical visit (outpatient, urgent care, emergency room, hospital) and have laboratory confirmed RSV between 0 to ≤ 90 days of life

    Measured: 0 to ≤90 days of life

  7. Number, age and characteristics of infants who received Beyfortus or Enflonsia between 0 to <7 days of life who present for a medical visit and have laboratory confirmed RSV between 1 to ≤ 96 days post-B

    Measured: 1 to ≤96 days post-Beyfortus/Enflonsia exposure

Timeline

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

  1. First posted7 Feb 2025
  2. Study start24 Feb 2025
  3. Primary completion31 Jul 2027 (estimated)
  4. Study completion31 Jul 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Retrospective
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06813872
Sponsor's protocol ID
C3671074
Other IDs
CASSATT
Acronym
CASSATT
Status last verified
Jan 2026
First submitted
31 Jan 2025
Last updated
3 Feb 2026
Results posted
No
Data monitoring committee
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.

Questions about this trial

What is this clinical trial studying?

An observational study of Respiratory Syncytial Viruses, run by Pfizer at 1 site 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?

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: under way, not looking for participants, as of the sponsor's last update on 3 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

RSV-positive ARI hospitalization confirmed by ³1 ARI symptom, laboratory testing, and hospitalization occurring 0 to ≤ 90 days of life during RSV season based on local epidemiology. (time frame: 0 to ≤ 90 days of life). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Feb 2026.

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