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Respiratory Syncytial Virus (RSV)Phase 3NCT07839871

Study to Learn About a Respiratory Syncytial Virus Vaccine in Children at High Risk of RSV Disease

A Phase 3 study testing RSVpreF in people with Respiratory Syncytial Virus (RSV), run by Pfizer at 20 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of RSVpreF in children 5 to <18 years of age at high risk for RSV disease, including those who are immunocompromised. Read more about this study

Who is it for?
Ages 5 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus (RSV)
What is being tested?
RSVpreF
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
920 participants
Where
20 sitesin 4 countries
Study dates
22 Sep 2026to 30 Mar 2031
Phase
Phase 3
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 5 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Participants' age requirements for each study cohort at enrollment, respectively Cohort 1a (chronic medical conditions) 12 to <18 years of age Cohort 1b (chronic medical conditions) 5 to <12 years of age Cohort 2a (immunocompromising conditions) 12 to <18 years of age Cohort 2b (immunocompromising conditions) 5 to <12 years of age
  • Participants depending on the study cohort requirements, will be considered by the investigator to be at high risk of LRTI-RSV based on the following disease characteristics and definitions:
  • Chronic medical conditions:
  • Cystic fibrosis
  • Medically treated asthma
  • Other chronic respiratory diseases and malformations of the lung
Show all 21Show fewer
  • Trisomy 21 (Down syndrome)
  • Neuromuscular disease
  • Cerebral palsy
  • Hemodynamically significant or symptomatic congenital heart disease
  • Sickle cell disease
  • Confirmed stable HIV disease defined as documented viral load <50 copies/mL and CD4 count >200 cells/mm3 within 6 months before enrollment, and on stable antiretroviral therapy for at least 6 months
  • Immunocompromising conditions:
  • Immunomodulatory therapy: Is on an active immunosuppressive (including cytotoxic) or immunomodulatory therapy at a stable dose. Patients taking steroids as monotherapy must be on a dose of at least 2 mg/kg/day or 20 mg/day or greater OR
  • Primary immune deficiency: Has a diagnosed primary immunodeficiency disease OR
  • Cellular therapy: Has received a bone marrow or stem cell transplant at least 6 months (180 days) prior to enrollment with adequate immune reconstitution for immunization in the investigator's opinion or has received chimeric antigen receptor T cell (CAR-T) therapy more than 90 days prior to enrollment OR
  • Solid organ transplant: Has received a solid organ transplant at least 3 months prior and with no acute rejection episodes within 90 days prior to enrollment and is on ongoing immunosuppressive therapy OR
  • End-stage renal disease: Has end-stage renal disease (ESRD) on hemodialysis (HD)
  • Participants' weight must be:
  • Cohort 1a: ≥30.0 kg at enrollment Cohort 1b: ≥14.5 kg at enrollment Cohort 2a : ≥30 kg at enrollment Cohort 2b: ≥14.5 kg at enrollment
  • •The participant's parent(s)/legal guardian is capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in the protocol. Depending on the age of the participant and according to local requirements, participants will also be asked to provide assent as appropriate (verbal or written)

Who cannot join

  • Applicable to Cohort 1 (a and b) participants only: Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination
  • Applicable to Cohort 1 (a and b) participants only: Individuals with a history of autoimmune disease, past or present, requiring therapeutic intervention including, but not limited to, systemic lupus erythematosus. Note: Stable type 1 diabetes and hypothyroidism are permitted
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s)
  • Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection
  • Individuals with epilepsy or other seizure disorders that is uncontrolled/unstable, or a history of seizures and/or other neurological complications following vaccination
  • History of Guillain-Barré syndrome and/or acute polyneuropathy without an underlying etiology.
  • Individuals who are pregnant
  • Any medical or psychiatric condition, including any active suicidal ideation in the past year or suicidal behavior in the past 5 years or laboratory abnormality, that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study

Trial locations and contacts

20 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

20 sites in 4 countries

Poland8 sites, 8 recruiting
  • Uniwersytecki Dziecięcy Szpital Kliniczny im. L. Zamenhofa w Białymstoku

    Bialystok, 15-274

    Not yet recruiting
  • IN-VIVO Bydgoszcz

    Bydgoszcz, 85-048

    Not yet recruiting
  • Samodzielny Zespół Publiczny Zakładów Opieki Zdrowotnej im. Dzieci Warszawy w Dziekanowie Leśnym

    Dziekanów Leśny, 05-092

    Recruiting
  • Pro Familia Altera Sp. z o.o.

    Katowice, 40-648

    Not yet recruiting
  • Centrum Badań Klinicznych - Jagiellońskie Centrum Innowacji Sp. z o.o.

    Krakow, 30-348

    Recruiting
  • ZOZ Medyk Sp. z o.o.

    Milówka, Silesian Voivodeship, 34-360

    Not yet recruiting
  • ALERGO-MED Osrodek Badan Klinicznych Sp z o.o.

    Tarnów, 33-100

    Not yet recruiting
  • Szpital im.Sw.Jadwigi Slaskiej w Trzebnicy

    Trzebnica, 55-100

    Not yet recruiting

Other trials in Poland

United States5 sites, 5 recruiting
  • Cincinnati Children's Hospital Medical Center Vaccine Research Center

    Cincinnati, Ohio, 45206

    Recruiting
  • Duke Vaccine and Trials Unit

    Durham, North Carolina, 27703

    Recruiting
  • Seattle Childrens Research Institute

    Seattle, Washington, 98101

    Recruiting
  • Seattle Children's Hospital

    Seattle, Washington, 98105

    Recruiting
  • Senders Pediatrics

    South Euclid, Ohio, 44121

    Recruiting

Other trials in United States

Spain4 sites, 4 recruiting
  • Servicio Andaluz de Salud (SAS) - Hospital de Antequera

    Antequera, 29200

    Not yet recruiting
  • Hospital Universitario La Paz

    Madrid, Madrid, Comunidad de, 28046

    Recruiting
  • Hospital Universitario HM Puerta del Sur

    Móstoles, 28938

    Not yet recruiting
  • Instituto Hispalense de Pediatria

    Seville, 41014

    Not yet recruiting

Other trials in Spain

Japan3 sites, 3 recruiting
  • Fukuwa Clinic

    Chuo-ku, Tokyo, 104-0031

    Recruiting
  • Maebashi Red Cross Hospital

    Maebashi, Gunma, 371-0811

    Recruiting
  • Saitama City Hospital

    Midori, Saitama, 336-8522

    Recruiting

Other trials in Japan

About this study

Official title: A PHASE 3 STUDY TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A RESPIRATORY SYNCYTIAL VIRUS VACCINE IN CHILDREN AT HIGH RISK OF RSV DISEASE

The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of RSVpreF in children 5 to <18 years of age at high risk for RSV disease, including those who are immunocompromised.

Read the detailed description

The study will first enroll immunocompetent, RSV-experienced participants before enrolling immunocompromised participants to allow for safety data review. Both Cohorts 1 (chronic conditions) and 2 (immunocompromising conditions) will be stratified into 2 age strata. Cohort 1a will enroll participants 12 to <18 years of age with chronic medical conditions and Cohort 1b will enroll participants 5 to <12 years of age with chronic medical conditions. Cohort 2a will enroll immunocompromised participants 12 to <18 years of age and Cohort 2b will enroll immunocompromised participants 5 to <12 years of age.

Being tested
RSVpreF, Placebo
Keywords
RSV, Vaccine, Pediatric

What participants receive

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

  • RSVpreFBiological

    RSVpreF Vaccine

  • PlaceboBiological

    Placebo

Study groups in NCT07839871
Study groupRoleWhat they receive
Cohort 1: RSVpreFExperimentalCohort 1 (a and b): Participants will receive a single dose of RSVpreF at the first study visit.
Receives: Biological: RSVpreF
Cohort 1: PlaceboPlacebo comparatorCohort 1 (a and b): Participants will receive a single dose of placebo at the first study visit.
Receives: Biological: Placebo
Cohort 2: RSVpreF/RSVpreFExperimentalCohort 2 (a and b): Participants will receive 1 dose of RSVpreF at the first study visit, and 1 dose of RSVpreF at the 12-month visit.
Receives: Biological: RSVpreF
Cohort 2: RSVpreF/PlaceboExperimentalCohort 2 (a and b): Participants will receive 1 dose of RSVpreF at the first study visit, and 1 dose of placebo at the 12-month visit.
Receives: Biological: RSVpreF; Biological: Placebo

What is being measured

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

  1. Cohort 1: Proportion of participants reporting pre-specified local reactions within 7 days following investigational product administration

    Describe pre-specified local reactions in children 5 to <18 years of age with chronic medical conditions

    Measured: Within 7 days

  2. Cohort 2: Proportion of participants reporting pre-specified local reactions within 7 days following each investigational product administration

    Describe pre-specified local reactions in children 5 to <18 years of age with immunocompromising conditions

    Measured: Within 7 days

  3. Cohort 1: Proportion of participants reporting pre-specified systemic events within 7 days following investigational product administration

    Describe pre-specified systemic events in children 5 to <18 years of age with chronic medical conditions

    Measured: Within 7 days

  4. Cohort 2: Proportion of participants reporting pre-specified systemic events within 7 days following each investigational product administration

    Describe pre-specified systemic events in children 5 to <18 years of age with immunocompromising conditions

    Measured: Within 7 days

  5. Cohort 1: Proportion of participants reporting adverse events (AEs) through 1 month following investigational product administration

    Describe AEs in children 5 to <18 years of age with chronic medical conditions

    Measured: From vaccination through 1 month after vaccination

  6. Cohort 2: Proportion of participants reporting adverse events (AEs) through 1 month following last investigational product administration

    Describe AEs in children 5 to <18 years of age with immunocompromising conditions

    Measured: From vaccination through 1 month after last vaccination

  7. Cohort 1: Proportion of participants reporting serious adverse events (SAEs) throughout the study

    Describe SAEs in children 5 to <18 years of age with chronic medical conditions

    Measured: From vaccination through 24 months after vaccination

  8. Cohort 2: Proportion of participants reporting serious adverse events (SAEs) throughout the study

    Describe SAEs in children 5 to <18 years of age with immunocompromising conditions

    Measured: From vaccination through 12 months after last vaccination

  9. Cohort 1: Proportion of participants reporting newly diagnosed chronic medical conditions (NDCMCs) throughout the study

    Describe NDCMCs in children 5 to <18 years of age with chronic medical conditions

    Measured: From vaccination through 24 months after vaccination

  10. Cohort 2: Proportion of participants reporting newly diagnosed chronic medical conditions (NDCMCs) throughout the study

    Describe NDCMCs in children 5 to <18 years of age with immunocompromising conditions

    Measured: From vaccination through 12 months after last vaccination

  11. Cohort 1: Geometric mean ratio (GMR), estimated by the ratio of the geometric mean titers (GMTs) for RSV A and RSV B serum neutralizing titers (NTs) 1 month after vaccination in participants in Study C3671017 Cohort 1 compared to those in Study C3671013

    Demonstrate that the immune responses elicited by RSVpreF in children 5 to <18 years of age with chronic medical conditions are noninferior to the immune responses in adults ≥60 years of age

    Measured: 1 month after vaccination

  12. Cohort 1: Seroresponse rate of RSV A and RSV B serum NTs at 1 month after vaccination

    Demonstrate that the immune responses elicited by RSVpreF in children 5 to <18 years of age with chronic medical conditions are noninferior to the immune responses in adults ≥60 years of age.

    Seroresponse is defined as a postvaccination NT ≥4 times the lower limit of quantitation (LLOQ) if the prevaccination titer is below the LLOQ; or a ≥4-fold rise from prevaccination if the prevaccination titer is ≥ LLOQ

    Measured: 1 month after vaccination

  13. Cohort 2: Neutralizing Titers (NTs) for RSV A and RSV B expressed as Geometric Mean Titers (GMT)

    Describe the immune responses elicited by 1 or 2 doses of RSVpreF in children 5 to <18 years of age with immunocompromising conditions

    Measured: Before each vaccination, 1 month after each vaccination, 12 months after last vaccination

  14. Cohort 2: NTs for RSV A and RSV B expressed as Geometric Mean Fold Rise (GMFR)

    Describe the immune responses elicited by 1 or 2 doses of RSVpreF in children 5 to <18 years of age with immunocompromising conditions

    Measured: 1 month after each vaccination, 12 months after last vaccination

  15. Cohort 2: NTs for RSV A and RSV B expressed as seroresponse rate

    Describe the immune responses elicited by 1 or 2 doses of RSVpreF in children 5 to <18 years of age with immunocompromising conditions

    Measured: 1 month after each vaccination, 12 months after last vaccination

Secondary outcomes (3)
  1. Cohort 1: NTs for RSV A and RSV B expressed as Geometric Mean Titers (GMT)

    Describe the immune responses elicited by RSVpreF in children 5 to <18 years of age with chronic medical conditions

    Measured: Before vaccination, 1 month after vaccination, 12 months after vaccination, 24 months after vaccination

  2. Cohort 1: NTs for RSV A and RSV B expressed as GMFR

    Describe the immune responses elicited by RSVpreF in children 5 to <18 years of age with chronic medical conditions

    Measured: 1 month after vaccination, 12 months after vaccination, 24 months after vaccination

  3. Cohort 1: NTs for RSV A and RSV B expressed as seroresponse rate

    Describe the immune responses elicited by RSVpreF in children 5 to <18 years of age with chronic medical conditions.

    Seroresponse is defined as a postvaccination NT ≥4 times the lower limit of quantitation (LLOQ) if the prevaccination titer is below the LLOQ; or a ≥4-fold rise from prevaccination if the prevaccination titer is ≥ LLOQ

    Measured: 1 month after vaccination, 12 months after vaccination, 24 months after vaccination

Timeline

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

  1. First posted24 Sep 2026
  2. Study start22 Sep 2026
  3. Primary completion30 Mar 2031 (estimated)
  4. Study completion30 Mar 2031 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
920 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07839871
Sponsor's protocol ID
C3671017
Other IDs
2026-525797-19-00
Status last verified
Oct 2026
First submitted
18 Sep 2026
Last updated
6 Nov 2026
Results posted
No
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing RSVpreF in people with Respiratory Syncytial Virus (RSV), run by Pfizer at 20 sites in 4 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 21 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Poland, United States, Spain, Japan. 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?

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?

Contact Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cohort 1: Proportion of participants reporting pre-specified local reactions within 7 days following investigational product administration (time frame: Within 7 days). The study lists 15 primary outcomes in all. 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 6 Nov 2026.

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