Co-administration Study of an Investigational Live-Attenuated Respiratory Syncytial Virus Vaccine in Infants and Toddlers

NCT ID: NCT06397768

Last Updated: 2025-01-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

2226 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-13

Study Completion Date

2025-09-30

Brief Summary

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This study is a Phase III, randomized, single-blind, placebo-controlled, multi-center study to be conducted in healthy infants and toddlers which will be enrolled at approximately 6 months of age (Cohort 1) and approximately 12 months of age (Cohort 2). The primary objective of the study will be to assess non-inferiority of the RSV infant and toddler (RSVt) vaccine antibody response when administered concomitantly with routine pediatric vaccines at 6 months of age (Diphtheria and Tetanus Toxoids and Acellular Pertussis, Inactivated Poliovirus, Haemophilus b Conjugate and Hepatitis B Vaccine \[Vaxelis® or Pentacel® and Recombivax HB®\] Prevnar 20®, and RotaTeq®), and 12 months of age (M-M-R II, VARIVAX, and Prevnar 20 or per local country recommendations) compared to when administered non-concomitantly.

Detailed Description

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The study duration is approximately 9 months for each participant.

* Cohort 1: Visits at 6, 7, and 8 and 9 months of age for both groups with visit at 10 months of age for Group 2 only
* Cohort 2: Visits at 12, 13, 14 and 15 months of age for both groups with visit at 16 months of age for Group 4 only
* Routine pediatric vaccines (authorized auxiliary medicinal products (AxMP) will be administered at 6 months in Cohort 1 and 12 months of age in Cohort 2, as per Advisory Committee on Immunization Practice (ACIP) or local country recommendations.

Conditions

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RSV Immunization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
* Blinding for vaccine group assignment: participants, parents or legally acceptable representatives (LAR) and laboratory personnel at the Sponsor
* No blinding for study staff who prepare and administer the study interventions, investigators or Sponsor study staff

Study Groups

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Cohort 1: Group 1- (RSVt vaccine concomitantly at 6 months)

Participants will be administered RSVt vaccine concomitantly with routine pediatric vaccines, 2 doses, at age 6 months. Vaccines administered at age 6 months: RSVt Vaxelis or Pentacel and Recombivax HB, Prevnar 20, and RotaTeq. Placebo will be administered non-concomitantly at 7 months of age

Group Type EXPERIMENTAL

RSVt vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Diphtheria, tetanus, pertussis, poliomyelitis , Haemophilus influenzae type b, and hepatitis B vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Diphtheria, tetanus, pertussis, Haemophilus influenzae type b and poliomyelitis vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Streptococcus pneumoniae vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Rotavirus vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Oral solution-Route of administration:Oral

Placebo

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Cohort 1: Group 2- (RSVt vaccine non-concomitantly at 7 months)

Participants will be administered RSVt vaccine non-concomitantly with routine pediatric vaccines, 2 doses, at age 7 months. Vaccines administered at age 6 months: Vaxelis or Pentacel and Recombivax HB, Prevnar 20, and RotaTeq. Placebo will be administered concomitantly at 6 months of age

Group Type EXPERIMENTAL

RSVt vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Diphtheria, tetanus, pertussis, poliomyelitis , Haemophilus influenzae type b, and hepatitis B vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Diphtheria, tetanus, pertussis, Haemophilus influenzae type b and poliomyelitis vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Hepatitis B vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Streptococcus pneumoniae vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Rotavirus vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Oral solution-Route of administration:Oral

Placebo

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Cohort 2: Group 3- (RSVt vaccine concomitantly at 12 months)

Participants will be administered RSVt vaccine concomitantly with routine pediatric vaccines, 2 doses, at age 12 months. Vaccines administered at age 6 months: M-M-R II, VARIVAX, and Prevnar 20. Placebo will be administered non-concomitantly at 13 months of age

Group Type EXPERIMENTAL

RSVt vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Streptococcus pneumoniae vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Measles, mumps, and rubella vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Lyophilized live virus for reconstitution -Route of administration:Subcutaneous or Intramuscular

Varicella virus vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Subcutaneous or Intramuscular

Placebo

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Cohort 2: Group 4- (RSVt vaccine non-concomitantly at 13 months)

Participants will be administered RSVt vaccine non-concomitantly with routine pediatric vaccines, 2 doses, at age 13 months. Vaccines administered at age 6 months: M-M-R II, VARIVAX, and Prevnar 20. Placebo will be administered concomitantly at 12 months of age

Group Type EXPERIMENTAL

RSVt vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Streptococcus pneumoniae vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Measles, mumps, and rubella vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Lyophilized live virus for reconstitution -Route of administration:Subcutaneous or Intramuscular

Varicella virus vaccine

Intervention Type BIOLOGICAL

Pharmaceutical form:Suspension for injection-Route of administration:Subcutaneous or Intramuscular

Placebo

Intervention Type BIOLOGICAL

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Interventions

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RSVt vaccine

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Intervention Type BIOLOGICAL

Diphtheria, tetanus, pertussis, poliomyelitis , Haemophilus influenzae type b, and hepatitis B vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

Diphtheria, tetanus, pertussis, Haemophilus influenzae type b and poliomyelitis vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

Hepatitis B vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

Streptococcus pneumoniae vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Intramuscular

Intervention Type BIOLOGICAL

Rotavirus vaccine

Pharmaceutical form:Oral solution-Route of administration:Oral

Intervention Type BIOLOGICAL

Measles, mumps, and rubella vaccine

Pharmaceutical form:Lyophilized live virus for reconstitution -Route of administration:Subcutaneous or Intramuscular

Intervention Type BIOLOGICAL

Varicella virus vaccine

Pharmaceutical form:Suspension for injection-Route of administration:Subcutaneous or Intramuscular

Intervention Type BIOLOGICAL

Placebo

Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Intervention Type BIOLOGICAL

Other Intervention Names

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534 Vaxelis® Pentacel® RECOMBIVAX HB® or alternate monovalent hepatitis B vaccine PREVNAR 20® RotaTeq® M-M-R® II VARIVAX®

Eligibility Criteria

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Inclusion Criteria

* Aged 6 months for Cohort 1 and 12 months for Cohort 2 on the day of inclusion ("6 months" means from the day of the 6-month birthday to the day before the 7-month birthday and "12 months" means from the day of the 12-month birthday to the day before the 13-month birthday)
* Participants who are healthy as determined by medical evaluation including medical history and physical examination
* For Cohort 1: Infant received doses of vaccines containing hepatitis B, diphtheria, tetanus, pertussis, Haemophilus influenzae type B (Hib), and inactivated poliovirus vaccine (IPV) antigens, with Advisory Committee on Immunization Practice (ACIP) recommended vaccines. The last dose(s) of these vaccines must be at least 28 days before the first study visit
* Infant received the recommended doses of a recommended pneumococcal conjugate vaccine (as per local schedule) at least 28 days before the first study visit.

Exclusion Criteria

* Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
* Known previous infection with diphtheria, tetanus, Hib, measles, mumps, rubella, rotavirus, pneumococcus, polio, hepatitis B virus
* Known systemic hypersensitivity to any of the study intervention components, or history of a life-threatening reaction to the study intervention used in the study or to a product containing any of the same substances
* Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
* History of medically diagnosed wheezing
* Any acute febrile illness in the past 48 hours that according to investigator judgment is significant enough to interfere with successful inoculation on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
* Probable or confirmed ongoing case of viral respiratory infection (including COVID 19, influenza, rhinovirus, etc.) at the time of enrollment. A prospective participant should not be included in the study until the respiratory infection has resolved.
* Member of a household that contains an immunocompromised individual, including, but not limited to:
* A person living with human immunodeficiency virus (HIV)
* A person who has received chemotherapy within the 12 months prior to study enrollment
* A person who has received (within the past 6 months) or is receiving (at the time of enrollment) immunosuppressant agents
* A person living with a solid organ or bone marrow transplant
* Potential close contact with other immunocompromised individual within 30 days after each vaccination as per investigator's discretion
* History of definitive contraindications to any of the concomitant vaccines that will be administered as part of the study protocol
* Participant's biological mother with previous receipt or planned administration of an investigational RSV vaccine during pregnancy and/or breastfeeding
* Receipt of any vaccine in the 4 weeks preceding RSVt vaccine administration or planned receipt of any vaccine outside of study protocol in the 4 weeks following RSVt vaccine administration, except for influenza and/or COVID-19 vaccination, which may be received at least 1 week before or 1 week after RSVt vaccine administration
* Previous receipt of an investigational RSV vaccine or receiving any anti RSV product (such as ribavirin or RSV immune globulin) at the time of enrollment
* Receipt of immune globulins, blood or blood-derived products in the past 3 months
* Receipt of intranasal and intra-ocular medications within 3 days prior to study enrollment
* Previous receipt of an RSV monoclonal antibody within 6 months prior to the first study vaccine administration or planned receipt for duration of the study
* For Cohort 1: Prior receipt of routine 6-month pediatric vaccine doses (as per local schedule)
* For Cohort 2: Prior receipt of routine 12-month pediatric vaccine doses (as per local schedule)
* Participation at the time of study enrollment (or in the 6 weeks preceding the first study intervention administration) or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure

Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
Minimum Eligible Age

6 Months

Maximum Eligible Age

12 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sanofi Pasteur, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Alabama Clinical Therapeutics - Birmingham - St. Vincent's Drive- Site Number : 8400007

Birmingham, Alabama, United States

Site Status

South Alabama Medical Clinic- Site Number : 8400065

Grand Bay, Alabama, United States

Site Status

MedPharmics - Mobile - Dauphin Street- Site Number : 8400017

Mobile, Alabama, United States

Site Status

Northwest Arkansas Pediatric Clinic- Site Number : 8400002

Fayetteville, Arkansas, United States

Site Status

Alliance Research Institute- Site Number : 8400040

Bell Gardens, California, United States

Site Status

Matrix Clinical Research - Huntington Park- Site Number : 8400018

Huntington Park, California, United States

Site Status

Paradigm Clinical Research Centers- Site Number : 8400059

La Mesa, California, United States

Site Status

Matrix Clinical Research - Los Angeles- Site Number : 8400008

Los Angeles, California, United States

Site Status

Kaiser Permanente - Oakland Medical Center- Site Number : 8400047

Oakland, California, United States

Site Status

Kaiser Permanente - Sierra Gardens- Site Number : 8400063

Roseville, California, United States

Site Status

Kaiser Permanente - Point West Medical Offices- Site Number : 8400064

Sacramento, California, United States

Site Status

Kaiser Permanente - San Jose Medical Center- Site Number : 8400060

San Jose, California, United States

Site Status

Kaiser Permanente - Santa Clara- Site Number : 8400061

Santa Clara, California, United States

Site Status

Integrated Clinical Research- Site Number : 8400036

Tarzana, California, United States

Site Status

Kaiser Permanente - Walnut Creek Medical Center- Site Number : 8400062

Walnut Creek, California, United States

Site Status

Velocity Clinical Research - Washington DC- Site Number : 8400050

Washington D.C., District of Columbia, United States

Site Status

The Medici Medical Research- Site Number : 8400055

Hollywood, Florida, United States

Site Status

Dade Research Center- Site Number : 8400014

Miami, Florida, United States

Site Status

Riveldi Biomedical Research and Associates - Miami- Site Number : 8400015

Miami, Florida, United States

Site Status

SEC Clinical Research- Site Number : 8400034

Pensacola, Florida, United States

Site Status

PAS Research- Site Number : 8400005

Tampa, Florida, United States

Site Status

Leavitt Women's Healthcare- Site Number : 8400009

Idaho Falls, Idaho, United States

Site Status

Velocity Clinical Research - Sioux City- Site Number : 8400054

Sioux City, Iowa, United States

Site Status

Alliance for Multispeciality Research - El Dorado- Site Number : 8400019

El Dorado, Kansas, United States

Site Status

University of Kentucky Chandler Medical Center- Site Number : 8400051

Lexington, Kentucky, United States

Site Status

Velocity Clinical Researchâ€" New Orleans- Site Number : 8400058

New Orleans, Louisiana, United States

Site Status

NOLA Research Works- Site Number : 8400044

New Orleans, Louisiana, United States

Site Status

MedPharmics - Biloxi- Site Number : 8400011

Biloxi, Mississippi, United States

Site Status

QPS Bio-Kinetic Clinical Applications- Site Number : 8400046

Springfield, Missouri, United States

Site Status

Boeson Research - Great Falls- Site Number : 8400041

Great Falls, Montana, United States

Site Status

Boeson Research - Missoula- Site Number : 8400006

Missoula, Montana, United States

Site Status

Velocity Clinical Research - Hastings- Site Number : 8400016

Hastings, Nebraska, United States

Site Status

Midwest Childrens Health Research Institute- Site Number : 8400038

Lincoln, Nebraska, United States

Site Status

Velocity Clinical Research - Omaha- Site Number : 8400001

Omaha, Nebraska, United States

Site Status

PAS Research- Site Number : 8400049

Henderson, Nevada, United States

Site Status

Summerwood Pediatrics- Site Number : 8400021

Liverpool, New York, United States

Site Status

SUNY Upstate Medical University - Syracuse- Site Number : 8400029

Syracuse, New York, United States

Site Status

Dayton Clinical Research- Site Number : 8400030

Dayton, Ohio, United States

Site Status

Ohio Pediatrics - Dayton- Site Number : 8400033

Dayton, Ohio, United States

Site Status

Senders Pediatrics- Site Number : 8400022

South Euclid, Ohio, United States

Site Status

Cyn3rgy Research- Site Number : 8400053

Gresham, Oregon, United States

Site Status

Square-1 Clinical Research- Site Number : 8400031

Erie, Pennsylvania, United States

Site Status

Pas Research - Pittsburgh- Site Number : 8400043

Pittsburgh, Pennsylvania, United States

Site Status

Tribe Clinical Research - 525 Verdae Boulevard- Site Number : 8400012

Greenville, South Carolina, United States

Site Status

South Texas Clinical Research- Site Number : 8400004

Corpus Christi, Texas, United States

Site Status

Javara - Privia Medical Group North Texas - Dallas- Site Number : 8400003

Dallas, Texas, United States

Site Status

PAS RESEARCH- Site Number : 8400035

Edinburg, Texas, United States

Site Status

Ventavia Research Group - Fort Worth- Site Number : 8400020

Fort Worth, Texas, United States

Site Status

Ventavia Research Group - Houston - North Loop West- Site Number : 8400010

Houston, Texas, United States

Site Status

UTHealth Houston- Site Number : 8400037

Houston, Texas, United States

Site Status

DM Clinical Research - Houston - Jones Road- Site Number : 8400052

Houston, Texas, United States

Site Status

Mercury Clinical Research - Houston - Savoy Drive- Site Number : 8400045

Houston, Texas, United States

Site Status

Chemidox Clinical Trials- Site Number : 8400039

Houston, Texas, United States

Site Status

Houston Clinical Research Associates- Site Number : 8400013

Houston, Texas, United States

Site Status

University of Texas Medical Branch at Galveston- Site Number : 8400057

League City, Texas, United States

Site Status

Maximos Ob/Gyn- Site Number : 8400024

League City, Texas, United States

Site Status

Research Your Health- Site Number : 8400066

Plano, Texas, United States

Site Status

Pediatric Center - Richmond- Site Number : 8400032

Richmond, Texas, United States

Site Status

North Houston Internal Medicine and Pediatric Center- Site Number : 8400025

Tomball, Texas, United States

Site Status

Utah Valley Pediatrics - Orem- Site Number : 8400067

Orem, Utah, United States

Site Status

Ogden Clinic - Mountain View - CCT Research- Site Number : 8400056

Pleasant View, Utah, United States

Site Status

Investigational Site Number : 4840001

Mexico City, Mexico City, Mexico

Site Status

Investigational Site Number : 4840002

Temixco, Morelos, Mexico

Site Status

Investigational Site Number : 4840004

Mexico City, , Mexico

Site Status

Investigational Site Number : 6300001

Caguas, , Puerto Rico

Site Status

Investigational Site Number : 6300003

Ponce, , Puerto Rico

Site Status

Investigational Site Number : 6300004

Trujillo Alto, , Puerto Rico

Site Status

Countries

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United States Mexico Puerto Rico

Other Identifiers

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VAD00016

Identifier Type: OTHER

Identifier Source: secondary_id

U1111-1290-7356

Identifier Type: REGISTRY

Identifier Source: secondary_id

2024-000262-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VAD00016

Identifier Type: -

Identifier Source: org_study_id

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