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NCT04090658

A Study to Test GlaxoSmithKline's (GSK) Respiratory Syncytial Virus RSV Candidate Vaccine's Safety and Immune Response in Japanese Older Adults

Completed Phase 1 Results posted Last updated 25 February 2022
What this trial tests

Phase 1 trial testing RSV_PreF3 Vaccine (GSK3844766A) adjuvanted with AS01B in Respiratory Syncytial Virus Infections in 40 participants. Completed in 11 December 2020.

Timeline
25 September 2019
Primary endpoint
10 January 2020
11 December 2020

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment40
Start date25 September 2019
Primary completion10 January 2020
Estimated completion11 December 2020
Sites1 location across Japan

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 60 to 80, any sex, with Respiratory Syncytial Virus Infections. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Subjects With Solicited Local Adverse Events (AEs) After First Dose of Vaccination Primary · During a 7-day follow-up period (i.e. on the day of vaccination and 6 subsequent days) after first dose of vaccination administered at Day 1

Assessed solicited local AEs at injection site are pain, erythema and swelling. Any erythema/swelling is scored with a diameter larger than (\>) 20 millimeters (mm).

Erythema
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Pain
GroupValue95% CI
RSV_PreF3_AS01B Group17
Placebo Group1
Swelling
GroupValue95% CI
RSV_PreF3_AS01B Group2
Placebo Group0
Number of Subjects With Solicited Local AEs After Second Dose of Vaccination Primary · During a 7-day follow-up period (i.e. on the day of vaccination and 6 subsequent days) after second dose of vaccination administered at Day 61

Assessed solicited local AEs at injection site are pain, erythema and swelling. Any erythema/swelling was scored with a diameter larger than (\>) 20 millimeters (mm).

Erythema
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
Pain
GroupValue95% CI
RSV_PreF3_AS01B Group17
Placebo Group4
Swelling
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
Number of Subjects With Solicited General AEs After First Dose of Vaccination Primary · During a 7-day follow-up period (i.e. on the day of vaccination and 6 subsequent days) after first dose of vaccination administered at Day 1

Assessed solicited general AEs solicited were: arthralgia; fatigue; fever (any temperature greater than or equal to 38.0 °C - the preferred location for measuring temperature being the oral cavity); gastrointestinal symptoms (including nausea, vomiting, diarrhea and/or abdominal pain); headache; myalgia and shivering.

Arthralgia
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Fatigue
GroupValue95% CI
RSV_PreF3_AS01B Group9
Placebo Group2
Fever
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
Gastrointestinal symptoms
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group1
Headache
GroupValue95% CI
RSV_PreF3_AS01B Group2
Placebo Group2
Myalgia
GroupValue95% CI
RSV_PreF3_AS01B Group6
Placebo Group0
Shivering
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Number of Subjects With Solicited General AEs After Second Dose of Vaccination Primary · During a 7-day follow-up period (i.e. on the day of vaccination and 6 subsequent days) after second dose of vaccination administered at Day 61

Assessed solicited general AEs solicited are: arthralgia; fatigue; fever (any temperature greater than or equal to 38.0 °C - the preferred location for measuring temperature being the oral cavity); gastrointestinal symptoms including (nausea, vomiting, diarrhea and/or abdominal pain); headache; myalgia and shivering.

Arthralgia
GroupValue95% CI
RSV_PreF3_AS01B Group5
Placebo Group0
Fatigue
GroupValue95% CI
RSV_PreF3_AS01B Group9
Placebo Group1
Fever
GroupValue95% CI
RSV_PreF3_AS01B Group4
Placebo Group0
Gastrointestinal symptoms
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group1
Headache
GroupValue95% CI
RSV_PreF3_AS01B Group5
Placebo Group1
Myalgia
GroupValue95% CI
RSV_PreF3_AS01B Group5
Placebo Group1
Shivering
GroupValue95% CI
RSV_PreF3_AS01B Group4
Placebo Group0
Number of Subjects With Unsolicited AEs After Any Vaccination Primary · During a 30-day follow-up period (i.e., on the day of vaccination and 29 subsequent days) after any vaccination (across doses)

An unsolicited AE is 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.

GroupValue95% CI
RSV_PreF3_AS01B Group7
Placebo Group6
Number of Subjects Presenting Change From Baseline in Hematology and Biochemistry With Respect of Normal Laboratory Ranges, After First Vaccine Dose When Compared to Day 1 Primary · At 7 days after the first vaccine dose (i.e. at Day 8 versus Day 1)

Assessed hematological laboratory parameters include basophils, eosinophils, erythrocytes, hemoglobin, lymphocytes, monocytes, neutrophils, platelets, white blood cells. Biochemical laboratory parameters include alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\], creatinine, urea nitrogen and uric acid. Categories reported when comparing Day 1 (pre-vaccination dose 1=baseline) and Day 8 hematological and biochemical laboratory results are defined as follows: \<parameter\>-\<range at baseline\>-\<range at timing\> (e.g. ALT-Within-Within). Ranges level being classified as belo

ALT-Above-Above
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
ALT-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group19
Placebo Group20
AST-Within-Above
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group1
AST-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group20
Placebo Group19
Basophils-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group20
Placebo Group20
Creatinine-Within-Below
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Creatinine-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group19
Placebo Group20
Eosinophils-Below-Below
GroupValue95% CI
RSV_PreF3_AS01B Group3
Placebo Group1
Number of Subjects Presenting Change From Baseline in Hematology and Biochemistry With Respect of Normal Laboratory Ranges, After Second Vaccine Dose When Compared to Day 61 Primary · At 7 days after the second vaccine dose (i.e at Day 68 versus Day 61)

Assessed hematological laboratory parameters include basophils, eosinophils, erythrocytes, hemoglobin, lymphocytes, monocytes, neutrophils, platelets, white blood cells. Biochemical laboratory parameters include alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\], creatinine, urea nitrogen and uric acid. Categories reported when comparing Day 61 (pre-vaccination dose 2=baseline) and Day 68 hematological and biochemical laboratory results are defined as follows: \<parameter\>-\<range at baseline\>-\<range at timing\> (e.g. ALT-Within-Within). Ranges level being classified as be

ALT-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group20
Placebo Group20
AST-Within-Above
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group1
AST-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group20
Placebo Group19
Basophils-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group20
Placebo Group20
Creatinine-Below-Below
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group1
Creatinine-Within-Above
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group1
Creatinine-Within-Below
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Creatinine-Within-Within
GroupValue95% CI
RSV_PreF3_AS01B Group19
Placebo Group18
Number of Subjects With Any Grade 3 Non-serious AEs (Solicited and Unsolicited) After First Dose of Vaccination Primary · During a 30-day follow-up period (i.e., on the day of vaccination at Day 1, and 29 subsequent days) after first vaccination

A Grade 3 AE is any AE assessed as severe, i.e. which prevents normal, everyday activities. In adults, such an AE would, for example, prevent attendance at work and would necessitate the administration of corrective therapy.

Any adverse event
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
General adverse event
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
Local adverse event
GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
Number of Subjects With Any Grade 3 Non-serious AEs (Solicited and Unsolicited) After Second Dose of Vaccination Primary · During a 30-day follow-up period (i.e., on the day of vaccination at Day 61, and 29 subsequent days) after second vaccination

A Grade 3 AE is any AE assessed as severe, i.e. which prevents normal, everyday activities. In adults, such an AE would, for example, prevent attendance at work and would necessitate the administration of corrective therapy.

Any adverse event
GroupValue95% CI
RSV_PreF3_AS01B Group2
Placebo Group0
General adverse event
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Local adverse event
GroupValue95% CI
RSV_PreF3_AS01B Group1
Placebo Group0
Number of Subjects With Any Serious Adverse Events (SAEs) up to 30 Days After the Second Vaccination Primary · From Day 1 up to 30 days after the second vaccination (Day 91)

A SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization or results in disability/incapacity.

GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group1
Number of Subjects With Any Potential Immune-mediated Diseases (pIMDs) up to 30 Days After the Second Vaccination Primary · From Day 1 up to 30 days after the second vaccination (Day 91)

pIMDs are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology

GroupValue95% CI
RSV_PreF3_AS01B Group0
Placebo Group0
Humoral Immune Response With Respect to Components of the Investigational Vaccine in Terms of Neutralizing Antibody Titers Against RSV- Serotype A Secondary · At pre-vaccination (Day 1), 30 days post-Dose 1 (Day 31), on the day of second vaccination (Day 61) and 30 days post-Dose 2 (Day 91)

Serological assays for the determination of functional antibodies against RSV-A were performed by neutralization assay. Anti RSV-A neutralizing antibody titers are given as geometric mean titers (GMTs) and expressed as Estimated Dose: serum dilution giving a 60% reduction of the signal compared to a control without serum (ED60). The cut-off of the assay is 18 ED60.

Day 1
GroupValue95% CI
RSV_PreF3_AS01B Group727.3445.6 – 1187.3
Placebo Group656464.7 – 926.2
Day 31
GroupValue95% CI
RSV_PreF3_AS01B Group53153452.8 – 8181.5
Placebo Group582.3372.1 – 911.2
Day 61
GroupValue95% CI
RSV_PreF3_AS01B Group4382.82828.1 – 6792.1
Placebo Group646.1442.6 – 943.1
Day 91
GroupValue95% CI
RSV_PreF3_AS01B Group4605.23031.2 – 6996.4
Placebo Group529.9352.4 – 796.9

Adverse events — posted to ClinicalTrials.gov

Time frame: Solicited AEs were collected during the 7-day follow-up period after each vaccination. Unsolicited AEs were collected during the 30-day follow-up period after any vaccination. SAEs were collected during the whole study period, from Day 1 till Month 14.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RSV_PreF3_AS01B Group
Serious: 0/20 (0%)
Deaths: 0/20
Placebo Group
Serious: 1/20 (5%)
Deaths: 0/20

Serious adverse events (2 terms)

ReactionSystemRSV_PreF3_AS01B GroupPlacebo Group
Radius fractureInjury, poisoning and procedural complications
Ulna fractureInjury, poisoning and procedural complications
Other adverse events (21 terms — click to expand)

ReactionSystemRSV_PreF3_AS01B GroupPlacebo Group
Injection site painGeneral disorders
FatigueGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
ChillsGeneral disorders
PyrexiaGeneral disorders
Injection site swellingGeneral disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Gastrointestinal disorderGastrointestinal disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders
SneezingRespiratory, thoracic and mediastinal disorders
Abdominal discomfortGastrointestinal disorders
ConstipationGastrointestinal disorders
ToothacheGastrointestinal disorders
NasopharyngitisInfections and infestations
RhinitisInfections and infestations
TonsillitisInfections and infestations
Eosinophil count increasedInvestigations
ErythemaSkin and subcutaneous tissue disorders

Most-reported serious reactions: Radius fracture, Ulna fracture.

Data from ClinicalTrials.gov NCT04090658 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety, reactogenicity and immunogenicity of 2 doses of GSK Biologicals' RSV candidate vaccine adjuvanted with AS01B for the prevention of lower respiratory tract diseases caused by RSV in ethnic Japanese adults 60-80 years of age.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Respiratory syncytial virus prevention within reach: the vaccine and monoclonal antibody landscape.
    Mazur NI, Terstappen J, Baral R, Bardají A, et al · · 2023 · cited 294× · PMID 35952703 · DOI 10.1016/s1473-3099(22)00291-2
  2. Respiratory Syncytial Virus Vaccines: A Review of the Candidates and the Approved Vaccines.
    Topalidou X, Kalergis AM, Papazisis G. · · 2023 · cited 84× · PMID 37887775 · DOI 10.3390/pathogens12101259
  3. Recent Advances in the Development of Toll-like Receptor Agonist-Based Vaccine Adjuvants for Infectious Diseases.
    Yang JX, Tseng JC, Yu GY, Luo Y, et al · · 2022 · cited 81× · PMID 35214155 · DOI 10.3390/pharmaceutics14020423
  4. Respiratory syncytial virus: from pathogenesis to potential therapeutic strategies.
    Shang Z, Tan S, Ma D. · · 2021 · cited 74× · PMID 34671221 · DOI 10.7150/ijbs.64762
  5. Current State and Challenges in Developing Respiratory Syncytial Virus Vaccines.
    Biagi C, Dondi A, Scarpini S, Rocca A, et al · · 2020 · cited 45× · PMID 33187337 · DOI 10.3390/vaccines8040672
  6. Efficacy, immunogenicity and safety of respiratory syncytial virus prefusion F vaccine: systematic review and meta-analysis.
    Pang Y, Lu H, Cao D, Zhu X, et al · · 2024 · cited 15× · PMID 38711074 · DOI 10.1186/s12889-024-18748-8
  7. Safety and immunogenicity of a respiratory syncytial virus prefusion F protein (RSVPreF3) candidate vaccine in older Japanese adults: A phase I, randomized, observer-blind clinical trial.
    Kotb S, Haranaka M, Folschweiller N, Nakanwagi P, et al · · 2023 · cited 13× · PMID 36641341 · DOI 10.1016/j.resinv.2022.11.003
  8. Global progress in clinical research on human respiratory syncytial virus vaccines.
    Peng R, Chen C, Chen Q, Zhang Y, et al · · 2024 · cited 8× · PMID 39286350 · DOI 10.3389/fmicb.2024.1457703

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