A Phase III, Double-blind, Randomized, Placebo-controlled Study to Evaluate the Safety, Reactogenicity and Immune Response of a Single Intramuscular Dose of Unadjuvanted RSV Maternal Vaccine, in High Risk Pregnant Women Aged 15 to 49 Years and Infants Born to the Vaccinated Mothers
ClinicalTrials.gov processed this data on January 11, 2024. Link to the current ClinicalTrials.gov record.Recruitment Status
TERMINATED - HAS RESULTS(See Contacts and Locations)
Verified January 2024 by GlaxoSmithKline
Sponsor
GlaxoSmithKlineInformation Provided by (Responsible Party)
GlaxoSmithKlineClinicaltrials.gov Identifier
NCT04980391Other Study ID Numbers: 214725
First Submitted: July 20, 2021
First Posted: July 28, 2021
Results First Posted: February 6, 2024
Last Update Posted: February 6, 2024
Last Verified: January 2024
History of Changes
Listing a study on this site does not mean it has been evaluated by the U.S. Federal Government. The safety and scientific validity of a study listed on ClinicalTrials.gov is the responsibility of the study sponsor and investigators. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating.
ClinicalTrials.gov, a resource provided by the U.S. National Library of Medicine (NLM), is a registry and results information database of clinical research studies sponsored or funded by a broad range of public and private organizations around the world. Not all studies listed on ClinicalTrials.gov are funded by the National Institutes of Health (NIH) or other agencies of the U.S. Federal Government. Not all listed studies are regulated and/or reviewed by the U.S. Food and Drug Administration or other governmental entities.
Information on ClinicalTrials.gov is provided by study sponsors and investigators, and they are responsible for ensuring that the studies follow all applicable laws and regulations. NLM staff do not verify the scientific validity or relevance of the submitted information beyond a limited quality control review for apparent errors, deficiencies, or inconsistencies.
Choosing to participate in a study is an important personal decision. Before you participate in a study, discuss all options with your health care provider and other trusted advisors. For more information about participating in clinical studies, see Learn About Clinical Studies, which includes questions that you might want to ask before deciding to participate in a study.
For more information about using the information on ClinicalTrials.gov, please also see Terms and Conditions.
See also the Web Policies and Notices for the NIH web site.
Study Description
Not ProvidedCondition or Disease | Intervention/Treatment |
---|---|
|
|
Study Design
Study Type | Interventional |
---|---|
Actual Enrollment | 384 participants |
Design Allocation | Randomized |
Interventional Model | Parallel Assignment |
Masking | None (Open Label) |
Primary Purpose | Prevention |
Official Title | A Phase III, Double-blind, Randomized, Placebo-controlled Study to Evaluate the Safety, Reactogenicity and Immune Response of a Single Intramuscular Dose of Unadjuvanted RSV Maternal Vaccine, in High Risk Pregnant Women Aged 15 to 49 Years and Infants Born to the Vaccinated Mothers |
Study Start Date | August 3, 2021 |
Actual Primary Completion Date | May 30, 2023 |
Actual Study Completion Date | May 30, 2023 |
Groups and Cohorts
Group/ Cohort | Intervention/ Treatment |
---|---|
|
|
|
|
| |
|
Outcome Measures
Primary Outcome Measures
- Percentage of Maternal Participants Reporting Any Solicited Administration Site Events [From Day 1 to Day 7 included] Assessed solicited administration site events included erythema, pain and swelling. Any pain = occurrence of the symptom regardless of intensity grade. Any erythema and swelling = symptom reported with a surface diameter greater than or equal to 20 millimeters.
- Percentage of Maternal Participants Reporting Any Solicited Systemic Events [From Day 1 to Day 7 included] Assessed solicited systemic events included abdominal pain, diarrhea, fatigue, headache, nausea, fever [temperature equal to or above (>=) 38 degrees Celsius (°C)/100.4 degrees Fahrenheit (°F), regardless of the location of measurement] and vomiting. Any = occurrence of the adverse event regardless of intensity grade or relation to study vaccination.
- Percentage of Maternal Participants Reporting Any Unsolicited Adverse Events (AEs) [From Day 1 to Day 30 included] An unsolicited AE was defined as any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited AE. Any = occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
- Percentage of Maternal Participants Reporting Any Serious Adverse Events (SAEs) From Day 1 up to 42 Days Post-delivery [From Day 1 up to 42 days post-delivery, an average of 2 months] An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant or resulted in abnormal pregnancy outcomes or in other situations that were considered serious per medical or scientific judgment. Any = occurrence of any SAE regardless of intensity grade or relation to vaccination.
- Number of Maternal Participants Reporting (S)AEs Leading to Study Withdrawal From Day 1 up to 42 Days Post-delivery [From Day 1 up to 42 days post-delivery, an average of 2 months] A participant was considered to have withdrawn from the study if no new study procedure had been performed or no new information had been collected for her since the date of withdrawal/last contact. (S)AEs leading to study withdrawal were (S)AEs identified by the investigator to cause participant withdrawal until the resolution of the event. These participant withdrawals were considered different from participant withdrawals for other reasons.
- Percentage of Maternal Participants Reporting Medically Attended Adverse Events (MAEs) From Day 1 up to 42 Days Post-delivery [From Day 1 up to 42 days post-delivery, an average of 2 months] An MAE was defined as an unsolicited AE for which the participant received medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
- Percentage of Live Births With no Congenital Anomalies, Live Births With Minor Congenital Anomaly(Ies) and Live Births With at Least 1 Major Congenital Anomaly [From Day 1 up to 42 days post-delivery, an average of 2 months] The percentage of live births with no congenital anomalies, live births with minor congenital anomaly(ies) only and live births with at least 1 major congenital anomaly is reported.
- Percentage of Maternal Participants Reporting Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 up to 42 Days Post-delivery [From Day 1 up to 42 days post-delivery, an average of 2 months] Pregnancy-related AESIs included preterm labor, provider-initiated preterm birth, premature preterm rupture of membranes, pre-eclampsia, pre-eclampsia with severe features including eclampsia, gestational hypertension and fetal growth restriction.
- Percentage of Maternal Participants Reporting Worsening of Pre-existing Medical Conditions and/or Obstetric Complications From Day 1 up to 42 Days Post-delivery [From Day 1 up to 42 days post-delivery, an average of 2 months] Worsening of pre-existing medical condition and/or obstetric complication was considered by the investigator, using clinical judgment and the following criteria:
Change in medication and/or medication dose.
Medically attended event in relation to pre-existing condition and/or obstetric complication that are outside the routine management of the condition/complication.
SAE and/or hospitalization in relation to pre-existing condition and/or obstetric complication. - Percentage of Infant Participants Reporting Neonatal/Infant AESIs From Birth up to 42 Days Post-birth [From birth up to 42 days post-birth, an average of 2 months] Neonatal/infant AESIs included low birth weight (below [<] 2500 grams), very low birth weight (<1500 grams), extremely low birth weight (<1000 grams), preterm birth (<37 weeks of gestational age), small for gestational age (weight below 10th percentile for gestational age), congenital anomalies with internal structural defects and neonatal death in a preterm live birth (gestational age equal to or above [>=] 28 and <37 weeks).
- Percentage of Infant Participants Reporting Any SAEs From Birth up to 42 Days Post-birth [From birth up to 42 days post-birth, an average of 2 months] An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. Any = occurrence of any SAE regardless of intensity grade or relation to vaccination.
- Number of Infant Participants Reporting (S)AEs Leading to Study Withdrawal From Birth up to 42 Days Post-birth [From birth up to 42 days post-birth, an average of 2 months] A participant was considered to have withdrawn from the study if no new study procedure had been performed or no new information had been collected for her since the date of withdrawal/last contact. (S)AEs leading to study withdrawal were (S)AEs identified by the investigator to cause participant withdrawal until the resolution of the event. These participant withdrawals were considered different from participant withdrawals for other reasons.
- Percentage of Infant Participants Reporting MAEs From Birth up to 42 Days Post-birth [From birth up to 42 days post-birth, an average of 2 months] An MAE was defined as an unsolicited AE for which the participants received medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
- Percentage of Infant Participants Reporting Any SAEs From Birth up to 180 Days Post-birth [From birth up to 180 days post-birth] An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. Any = occurrence of any SAE regardless of intensity grade or relation to vaccination.
- Number of Infant Participants Reporting (S)AEs Leading to Study Withdrawal From Birth up to 180 Days Post-birth [From birth up to 180 days post-birth] A participant was considered to have withdrawn from the study if no new study procedure had been performed or no new information had been collected for her since the date of withdrawal/last contact. (S)AEs leading to study withdrawal were (S)AEs identified by the investigator to cause participant withdrawal until the resolution of the event. These participant withdrawals were considered different from participant withdrawals for other reasons.
- Percentage of Infant Participants Reporting MAEs From Birth up to 180 Days Post-birth [From birth up to 180 days post-birth] An MAE was defined as an unsolicited AE for which the participants received medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
- Percentage of Infant Participants Reporting Any SAEs From Birth up to 365 Days Post-birth [From birth up to 365 days post-birth] An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. Any = occurrence of any SAE regardless of intensity grade or relation to vaccination.
- Number of Infant Participants Reporting (S)AEs Leading to Study Withdrawal From Birth up to 365 Days Post-birth [From birth up to 365 days post-birth] A participant was considered to have withdrawn from the study if no new study procedure had been performed or no new information had been collected for her since the date of withdrawal/last contact. (S)AEs leading to study withdrawal were (S)AEs identified by the investigator to cause participant withdrawal until the resolution of the event. These participant withdrawals were considered different from participant withdrawals for other reasons.
- Percentage of Infant Participants Reporting MAEs From Birth up to 365 Days Post-birth [From birth up to 365 days post-birth] An MAE was defined as an unsolicited AE for which the participants received medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
- RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations for Maternal Participants at Pre-dosing (Day 1) [At pre-dosing (Day 1)] RSV MAT IgG-specific antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs) in ELISA units per milliliter (ELU/mL).
- RSV MAT IgG-specific Antibody Concentrations for Maternal Participants at Delivery [At delivery] RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL.
- RSV-A Neutralizing Titers for Maternal Participants at Pre-dosing (Day 1) [At pre-dosing (Day 1)] RSV-A neutralizing titers were determined by neutralization assay and expressed as geometric mean titers (GMTs).
- RSV-A Neutralizing Titers for Maternal Participants at Delivery [At delivery] RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
- Geometric Mean Ratio (GMR) Between Cord Blood and Maternal RSV MAT IgG-specific Antibody Concentrations [At delivery (for maternal participants) or within 72 hours after birth (for infant participants)] The placental transfer ratio of IgG-specific antibody concentration was determined from cord blood (or infant blood sample collected within 72 hours after birth [if no cord blood could be obtained]) over that of the blood sample from mother at delivery (if no blood sample was collected during delivery).
- RSV MAT IgG-specific Antibody Concentrations for Infant Participants at Delivery or Within 72 Hours After Birth [At delivery or within 72 hours after birth] RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL. The antibody concentrations were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (if no cord blood sample could be obtained).
- RSV-A Neutralizing Titers for Infant Participants at Delivery or Within 72 Hours After Birth [At delivery or within 72 hours after birth] RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs. The titers were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (if no cord blood sample could be obtained).
Secondary Outcome Measures
- Percentage of Maternal Participants Reporting Any SAEs From Day 1 up to 180 Days Post-delivery [From Day 1 up to 180 days post-delivery] An SAE was defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant or resulted in abnormal pregnancy outcomes or in other situations that were considered serious per medical or scientific judgment. Any = occurrence of any SAE regardless of intensity grade or relation to vaccination.
- Number of Maternal Participants Reporting (S)AEs Leading to Study Withdrawal From Day 1 up to 180 Days Post-delivery [From Day 1 up to 180 days post-delivery] A participant was considered to have withdrawn from the study if no new study procedure had been performed or no new information had been collected for her since the date of withdrawal/last contact. (S)AEs leading to study withdrawal were (S)AEs identified by the investigator to cause participant withdrawal until the resolution of the event. These participant withdrawals were considered different from participant withdrawals for other reasons.
- Percentage of Maternal Participants Reporting MAEs From Day 1 up to 180 Days Post-delivery [From Day 1 up to 180 days post-delivery] An MAE was defined as an unsolicited AE for which the participants received medical attention such as hospitalization, or an emergency room visit, or visit to/by a health care provider.
- Percentage of Maternal Participants Reporting Worsening of Pre-existing Medical Conditions and/or Obstetric Complications From Day 1 up to 180 Days Post-delivery [From Day 1 up to 180 days post-delivery] Worsening of pre-existing medical condition and/or obstetric complication was considered by the investigator, using clinical judgement and the following criteria:
Change in medication and/or medication dose.
Medically attended event in relation to pre-existing condition and/or obstetric complication that are outside the routine management of the condition/complication.
SAE and/or hospitalization in relation to pre-existing condition and/or obstetric complication. - Number of Maternal Participants Reporting RSV-associated Medically Attended Respiratory Tract Illnesses (MA-RTIs) From Day 1 up to 180 Days Post-delivery [From Day 1 up to 180 days post-delivery] RSV-associated MA-RTI was defined as a medically attended visit for RTI symptoms and confirmed RSV infection.
- Percentage of Infant Participants Reporting Medically Assessed, RSV-associated Lower Respiratory Tract Illness (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth up to 365 Days Post-birth [From birth up to 365 days post-birth] An RSV-associated LRTI is characterized by a history of cough OR difficulty in breathing, AND a blood oxygen saturation by pulse oximetry (SpO2) lower than (<) 95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI meets the case definition of RSV-LRTI AND is additionally characterized by a SpO2 <93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious.
- Percentage of Infant Participants Reporting Medically Assessed, RSV-associated Hospitalizations From Birth up to 365 Days Post-birth [From birth up to 365 days post-birth] RSV-associated hospitalization was defined as a confirmed RSV infection and hospitalized for acute medical condition. Hospitalization was defined as admission for observation or treatment based on the judgment of a health care provider.
- RSV MAT IgG-specific Antibody Concentrations for Maternal Participants at Day 31 Post-dosing [At Day 31 post-dosing] RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL.
- RSV-A Neutralizing Titers for Maternal Participants at Day 31 Post-dosing [At Day 31 post-dosing] RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-B Neutralizing Titers for Maternal Participants at Pre-dosing (Day 1), Day 31 Post-dosing and Delivery [At pre-dosing (Day 1), Day 31 post-dosing and delivery] RSV-B neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-B Neutralizing Titers for Infant Participants at Delivery or Within 72 Hours After Birth [At delivery or within 72 hours after birth] RSV-B neutralizing titers were determined by neutralization assay and expressed as GMTs. The titers were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (if no cord blood sample could be obtained).
- RSV MAT IgG-specific Antibody Concentrations for Infant Participants at Day 43 Post-birth [At Day 43 post-birth] RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL.
- RSV MAT IgG-specific Antibody Concentrations for Infant Participants at Day 121 Post-birth [At Day 121 post-birth] RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL.
- RSV MAT IgG-specific Antibody Concentrations for Infant Participants at Day 181 Post-birth [At Day 181 post-birth] RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL.
- RSV-A Neutralizing Titers for Infant Participants at Day 43 Post-birth [At Day 43 post-birth] RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-A Neutralizing Titers for Infant Participants at Day 121 Post-birth [At Day 121 post-birth] RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-A Neutralizing Titers for Infant Participants at Day 181 Post-birth [At Day 181 post-birth] RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-B Neutralizing Titers for Infant Participants at Day 43 Post-birth [At Day 43 post-birth] RSV-B neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-B Neutralizing Titers for Infant Participants at Day 121 Post-birth [At Day 121 post-birth] RSV-B neutralizing titers were determined by neutralization assay and expressed as GMTs.
- RSV-B Neutralizing Titers for Infant Participants at Day 181 Post-birth [At Day 181 post-birth] RSV-B neutralizing titers were determined by neutralization assay and expressed as GMTs.
Eligibility Criteria
Ages Eligible for Study | 15 Years to 49 Years (Child, Adult) |
---|---|
Sexes Eligible for Study | Female |
Accepts Healthy Volunteers | Yes |
Inclusion Criteria |
|
Exclusion Criteria |
|
Contacts and Locations
Sponsors and Collaborators | GlaxoSmithKline |
---|---|
Locations |
|
Investigators |
Study Documents (Full Text)
- Documents Provided by GlaxoSmithKline: Study Protocol March 16, 2022
- Documents Provided by GlaxoSmithKline: Statistical Analysis Plan June 1, 2022
More Information
Additional Relevant MeSH Terms
- Respiratory Syncytial Virus Infections
- Virus Diseases
- Infections
- Pneumovirus Infections
- Paramyxoviridae Infections
- Mononegavirales Infections
- RNA Virus Infections