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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04032093
Other study ID # C3671003
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date August 7, 2019
Est. completion date September 30, 2021

Study information

Verified date September 2022
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This Phase 2b study will evaluate the safety, tolerability, and immunogenicity of an RSV vaccine in pregnant participants who receive either one of 2 dose levels of the vaccine, formulated with or without aluminum hydroxide, or placebo, and investigate safety and characteristics of antibodies in their infants.


Description:

This Phase 2b, multicenter, randomized, placebo-controlled study will evaluate the safety, tolerability, and immunogenicity of a respiratory syncytial virus stabilized prefusion F subunit vaccine (RSV vaccine) in pregnant participants who receive either one of 2 dose levels of the vaccine, formulated with or without aluminum hydroxide, or placebo, as well as assess safety and characteristics of transplacentally transferred antibodies in their infants.


Recruitment information / eligibility

Status Completed
Enrollment 1153
Est. completion date September 30, 2021
Est. primary completion date September 30, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years to 49 Years
Eligibility Inclusion Criteria - Maternal participants: - Healthy women 18 to 49 years of age between 24 and 36 weeks of gestation on the day of planned vaccination, with an uncomplicated pregnancy, who are at no known increased risk for complications, and whose fetus has no significant abnormalities observed on ultrasound. - Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. - Receiving prenatal standard of care. - Had an ultrasound performed at >=18 weeks of pregnancy. - Had a negative urinalysis for protein and glucose at the screening visit. Trace protein in the urine is acceptable if the blood pressure is also normal. - Determined by medical history, physical examination, screening laboratory assessment, and clinical judgment to be appropriate for inclusion in the study. - Documented negative human immunodeficiency virus antibody, hepatitis B virus surface antigen, hepatitis C virus antibody, and syphilis tests at the screening visit. - Body mass index of </=40 kg/m2 at the time of the screening visit. - Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document and in this protocol. - Expected to be available for the duration of the study and willing to give informed consent for her infant to participate in the study. Inclusion Criteria - Infant Participants: - Evidence of a signed and dated ICD signed by the parent(s). - Parent(s) willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. Exclusion Criteria - Maternal Participants: - Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection. - History of severe adverse reaction associated with a vaccine and/or severe allergic reaction to any component of the investigational product or any related vaccine. - History of latex allergy. - History of any severe allergic reaction. - Participants with known or suspected immunodeficiency. - Current pregnancy resulting from in vitro fertilization or other assisted reproductive technology. - A prior history of or known current pregnancy complications or abnormalities that will increase the risk associated with the participant's participation in and completion of the study. - Major illness of the mother or conditions of the fetus that, in the investigator's judgment, will substantially increase the risk associated with the participant's participation in, and completion of, the study or could preclude the evaluation of the participant's response. - Participant with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention including but not limited to systemic or cutaneous lupus erythematosus, autoimmune arthritis/rheumatoid arthritis, Guillain-Barré syndrome, multiple sclerosis, Sjögren's syndrome, idiopathic thrombocytopenia purpura, glomerulonephritis, autoimmune thyroiditis, giant cell arteritis (temporal arteritis), psoriasis, and insulin-dependent diabetes mellitus (type 1). - Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study. - Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation. - Participants who receive treatment with immunosuppressive therapy including cytotoxic agents or systemic corticosteroids (such as for cancer or an autoimmune disease), or planned receipt of such treatment or agents during study participation. If systemic corticosteroids have been administered short term (<14 days) for treatment of an acute illness, participants should not be enrolled into the study until corticosteroid therapy has been discontinued for at least 30 days before investigational product administration. Inhaled/nebulized, intra articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted. - Current alcohol abuse or illicit drug use. - Receipt of blood or plasma products or immunoglobulin, from 60 days before investigational product administration, or planned receipt through delivery, with 1 exception, Rho(D) immune globulin (eg, RhoGAM), which can be given at any time. - Previous vaccination with any licensed or investigational RSV vaccine or planned receipt during study participation. - Laboratory test results at the screening visit outside the normal reference value for pregnant women according to their trimester in pregnancy. - Participants who are breastfeeding at the time of the screening visit. Exclusion Criteria - Infant Participants: • Infant who is a direct descendant (eg, child or grandchild) of the study personnel.

Study Design


Intervention

Biological:
RSV vaccine
RSV vaccine
Placebo
Normal saline solution for injection (0.9% sodium chloride injection)

Locations

Country Name City State
Argentina Clinica Mayo De U.M.C.B. S.R.L. San Miguel de Tucuman Tucuman
Argentina Instituto de Maternidad y Ginecologia, Nuestra Senora de Las Mercedes San Miguel de Tucuman Tucuman
Chile Hospital Base San Jose de Osorno Osorno Región DE LOS Lagos
Chile Centro Internacional de Estudios Clinicos - CIEC Santiago Región Metropolitana
Chile Clinica Universidad de los Andes Santiago Región Metropolitana
Chile Grupo Estudios Clinicos Infectologia Respiratoria, Facultad de Medicina Universidad de Chile Santiago Región Metropolitana
Chile Hospital Clinico Universidad de Chile Santiago Region Metropolitana
Chile Hospital Padre Hurtado Santiago Region Metropolitana
Chile Hospital San Borja Arriaran Santiago RM
Chile Hospital San Jose Santiago Región Metropolitana
Chile Instituto de Investigaciones Materno Infantil (IDIMI) Santiago Región Metropolitana
New Zealand Christchurch Clinical Studies Trust Ltd Christchurch
New Zealand Christchurch Hospital (Canterbury District Health Board) Christchurch
South Africa Respiratory and Meningeal Pathogens Research Unit (RMPRU) Soweto Gauteng
United States MedPharmics Albuquerque New Mexico
United States Cambridge Medical Trials Alexandria Louisiana
United States The Iowa Clinic Ankeny Iowa
United States Emory Children's Center Atlanta Georgia
United States Children's Hospital Colorado Aurora Colorado
United States University of Colorado Anschutz Inpatient Pavilion 2 Aurora Colorado
United States University of Colorado AO1 Aurora Colorado
United States University of Colorado Hospital Inpatient Pavilion Aurora Colorado
United States University of Colorado Hospital Outpatient Pavilion Aurora Colorado
United States University of Colorado Leprino Building Aurora Colorado
United States University of Colorado Research II Building Aurora Colorado
United States Oshsner Medical Center - Hancock Bay Saint Louis Mississippi
United States Center for Women''s Health and Birthcare Beaumont Texas
United States CHRISTUS St. Elizabeth Hospital Beaumont Texas
United States Gadolin Research, LLC Beaumont Texas
United States Pediatric Clinic of Dr. Alvin H. Prause Beaumont Texas
United States Texas Health Harris Methodist Hurst-Euless-Bedford Hospital Bedford Texas
United States Join Clinical Trials Bellflower California
United States Merit Health Biloxi Biloxi Mississippi
United States Children's of Alabama Birmingham Alabama
United States UAB Women & Infants Center - UAB Medicine Birmingham Alabama
United States University of Alabama at Birmingham Birmingham Alabama
United States Bingham Memorial Hospital Blackfoot Idaho
United States Elite Clinical Trials LLLP Blackfoot Idaho
United States Grove Creek Medical Center Blackfoot Idaho
United States Allina Health Blaine Clinic Blaine Minnesota
United States Texas Health Huguley Hospital South Burleson Texas
United States St Lukes Hospital Chesterfield Missouri
United States Chowchilla Hospital Clinic Chowchilla California
United States Allina Health Coon Rapids Clinic Coon Rapids Minnesota
United States Allina Health Mercy Women's Clinic Coon Rapids Minnesota
United States Mercy Hospital (Allina Health) Coon Rapids Minnesota
United States The Mother Baby Center at Mercy with Children's (Allina Health) Coon Rapids Minnesota
United States Cullman Clinical Research, Inc Cullman Alabama
United States Cullman Primary Care, PC Cullman Alabama
United States Cullman Regional Cullman Alabama
United States Kettering Medical Center Dayton Ohio
United States Needmore Medical Center Dayton Ohio
United States Sugarcamp Family Practice Dayton Ohio
United States Duke Children's Primary Care - Roxboro Street Durham North Carolina
United States Duke Regional Hospital Durham North Carolina
United States Duke University Hospital Durham North Carolina
United States Duke University Medical Center Durham North Carolina
United States Alliance for Multispecialty Research, LLC El Dorado Kansas
United States HWC Women's Center Research Englewood Ohio
United States 8th Avenue Obstetrics and Gynecology Fort Worth Texas
United States Baylor Scott & White of Fort Worth Fort Worth Texas
United States Texas Health Harris Methodist Hospital FTW Fort Worth Texas
United States Texas Health Harris Methodist Hospital Southwest Fort Worth Texas
United States Ventavia Research Group, LLC Fort Worth Texas
United States Allina Health Fridley Clinic Fridley Minnesota
United States University of Texas Medical Branch Galveston Texas
United States Chisholm Trail Pediatrics Georgetown Texas
United States FMC Science, LLC Georgetown Texas
United States Georgetown OBGYN Georgetown Texas
United States St. David's Georgetown Hospital Georgetown Texas
United States Arrowhead Hospital Glendale Arizona
United States Abrazo West Campus Hospital Goodyear Arizona
United States Baylor Scott & White of Grapevine (Hospital) Grapevine Texas
United States Boeson Research Great Falls Montana
United States Gulfport Memorial Hospital Gulfport Mississippi
United States Gulfport OB-GYN Gulfport Mississippi
United States MedPharmics, LLC Gulfport Mississippi
United States Singing River Health System Gulfport Mississippi
United States Winthrop Women's Wellness Hempstead New York
United States Biopharma Informatic, LLC Houston Texas
United States Dr Van Tran Family Practice Houston Texas
United States HG Pediatrics Houston Texas
United States Memorial Herman Greater Heights Hospital Houston Texas
United States Texas Center for Drug Development, Inc. Houston Texas
United States Ventavia Research Group, LLC Houston Texas
United States Cabell Huntington Hospital Huntington West Virginia
United States Marshall Health dba University Pediatrics Huntington West Virginia
United States Marshall Health Department of Obstetrics and Gynecology Huntington West Virginia
United States Translational Genomic Research Institute Huntington West Virginia
United States Join Clinical Trials Huntington Park California
United States Matrix Clinical Research Huntington Park California
United States Hutchinson Clinic, P.A. Hutchinson Kansas
United States Hutchinson Regional Medical Center Hutchinson Kansas
United States Clinical Research Prime Idaho Falls Idaho
United States Eastern Idaho Regional Medical Center Idaho Falls Idaho
United States Family First Medical Center Idaho Falls Idaho
United States Mountain View Hospital Idaho Falls Idaho
United States Snake River Research, PLLC Idaho Falls Idaho
United States The Pediatric Center Idaho Falls Idaho
United States Sante Comprehensive Women's Healthcare Johnson City New York
United States AdventHealth Family Medicine Rural Health Clinic, Inc. Lampasas Texas
United States FMC Science Lampasas Texas
United States Bryan Health Lincoln Nebraska
United States Bryan Women's Care Physicians Lincoln Nebraska
United States Midwest Childrens Health Research Institute Lincoln Nebraska
United States DCOL Center For Clinical Research Longview Texas
United States Diagnostic Clinic of Longview Longview Texas
United States Longview Regional Medical Center Longview Texas
United States East Los Angeles Doctors Hospital Los Angeles California
United States Join Clinical Trials Los Angeles California
United States Join Clinical Trials Los Angeles California
United States Matrix Clinical Research Los Angeles California
United States White Memorial Medical Center Los Angeles California
United States Affiliated Physician Practice Madera California
United States Charles E. Ugwu-Oju, MD, FACOG Madera California
United States Madera Community Hospital Madera California
United States Madera Family Medical Group Madera California
United States Dr. Ruben Aleman and Associates McAllen Texas
United States MedPharmics, LLC Metairie Louisiana
United States NYU Winthrop Hospital Mineola New York
United States NYU Winthrop Hospital, Research Pharmacy Mineola New York
United States NYU Winthrop Pediatric Infectious Diseases Mineola New York
United States Women's Contemporary Care Associates Mineola New York
United States Abbott Northwestern Hospital (Allina Health) Minneapolis Minnesota
United States Infectious Disease Research Minneapolis Minnesota
United States Boeson Research Missoula Montana
United States Monterey Park Hospital Monterey Park California
United States Intermountain Medical Center Murray Utah
United States ASR, LLC Nampa Idaho
United States Saltzer Medical Group Nampa Idaho
United States Saltzer Medical Group Nampa Idaho
United States Meridian Clinical Research, LLC Norfolk Nebraska
United States Exygon Clinical Research Pharr Texas
United States MedPharmics, LLC Phoenix Arizona
United States St. Joseph Hospital Phoenix Arizona
United States Texas Health Presbyterian Hospital Plano Texas
United States Ventavia Research Group LLC Plano Texas
United States Pocatello Women's Health Clinic Pocatello Idaho
United States Portneuf Medical Center Pocatello Idaho
United States Clinical Research Partners, LLC Richmond Virginia
United States Johnston Willis Hospital Richmond Virginia
United States The Pediatric Center Rigby Idaho
United States University of Rochester Medical Center Rochester New York
United States University of Rochester Obstetrics and Gynecology Rochester New York
United States Ascension Seton Williamson Round Rock Texas
United States Baer Pediatrics Saint Louis Missouri
United States KDB Enterprises Saint Louis Missouri
United States Mercy Hospital St. Louis Saint Louis Missouri
United States Sundance Clinical Research, LLC Saint Louis Missouri
United States JBR Clinical Research Salt Lake City Utah
United States Old Farm Obstetrics & Gynecology, LLC Salt Lake City Utah
United States St. Marks Hospital Salt Lake City Utah
United States Coastal Pediatric Research Summerville South Carolina
United States Lowcountry Womens Specialists Summerville South Carolina
United States Summerville Medical Center Summerville South Carolina
United States Mesquite Pediatrics Tucson Arizona
United States Watching Over Mothers and Babies Tucson Arizona
United States Methodist West Hospital West Des Moines Iowa
United States The Iowa Clinic West Des Moines Iowa

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Argentina,  Chile,  New Zealand,  South Africa, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After Vaccination Local reactions included pain at injection site, redness and swelling and were recorded by participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm) and graded as mild: greater than (>) 2.0 to 5.0 cm, moderate: >5.0 to 10.0 cm and severe: >10.0 cm. Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity and severe: prevented daily activity. The maximum severity was defined as highest grading of each local reaction within 7 days of vaccination. Within 7 days after vaccination
Primary Percentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After Vaccination Systemic events included fever, fatigue, headache, nausea, muscle pain, joint pain, vomiting, diarrhea and were recorded by participants in an e-diary. Fever was categorized as: grade 1: mild (>=38.0 to 38.4 degrees [deg] Celsius [C]), grade 2: moderate (>38.4 to 38.9 deg C), grade 3: severe (>38.9 to 40.0 deg C) and grade 4 (>40.0 deg C). Fatigue, headache, nausea, muscle pain and joint pain were graded as mild: did not interfere with activity, moderate: some interference with activity and severe: prevented daily routine activity. Vomiting was graded as mild: 1 to 2 times in 24 hours(h), moderate: >2 times in 24h and severe: required intravenous hydration. Diarrhea was graded as mild: 2 to 3 loose stools in 24h, moderate: 4 to 5 loose stools in 24h and severe: 6 or more loose stools in 24h. The maximum severity was defined as highest grading of each systemic event within 7 days of vaccination. Within 7 days after vaccination
Primary Percentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Within 1 month after vaccination
Primary Percentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric Complications MAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Obstetric complications were determined as per the study clinician's judgement. From day of vaccination (Day 1) up to 12 months post-delivery
Primary Percentage of Infant Participants With Specific Birth Complications Specific birth complications included clavicle fracture, torticollis, cephalhematoma, premature baby, acute respiratory failure, meconium aspiration syndrome, neonatal pneumothorax, neonatal respiratory depression, neonatal respiratory distress, neonatal respiratory distress syndrome, neonatal respiratory failure, pneumothorax, respiratory distress, transient tachypnea of the newborn and subgaleal hemorrhage. Percentage of participants with any specific birth complications were reported in this outcome measure. At birth
Primary Percentage of Infant Participants With Any AE Within 1 Month of Age An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Within 1 month after birth
Primary Percentage of Infant Participants With MAEs and SAEs Within 12 Months of Age MAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Within 12 months after birth
Primary Percentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental Delay AEs of special interest for infant participants included congenital anomalies and developmental delays. Congenital anomalies were defined as structural or functional anomalies that occurred during intrauterine life and could be identified prenatally, at birth or later in life. Severity was assessed based on the study investigator's judgement and graded as grade 1= mild (does not interfere with participant's usual function); grade 2= moderate (interferes to some extent with participant's usual function); grade 3= severe (interferes significantly with participant's usual function) and grade 4= life-threatening (life-threatening consequences; urgent intervention indicated). Percentage of infant participants with AEs of special interest of at least moderate severity were presented. Within 12 months after birth
Secondary Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal Participants GMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% confidence interval (CI) was based on the Student t distribution. Geometric mean ratios (GMRs) of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis. Before vaccination, 2 weeks and 1 month after vaccination and at delivery
Secondary Geometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal Participants GMFRs for RSV A and RSV B neutralizing antibody titers from before vaccination to each available time point after vaccination were calculated by exponentiating the mean logarithm of the fold rises. Corresponding 95% CI was based on the Student t distribution. Data for this outcome measure was planned to be analyzed for maternal participants only. 2 weeks and 1 month after vaccination, at delivery
Secondary Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant Participants GMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% CI was based on the Student t distribution. GMRs of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis. At birth and at 1, 2, 4, 6 months after birth
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