AzTrials
AzTrials

RSV InfectionPhase 1NCT04520659

Evaluating the Infectivity, Safety and Immunogenicity of a Recombinant Live-Attenuated Respiratory Syncytial Virus Vaccine, LID/ΔM2-2/1030s, in RSV-Seronegative Infants and Children 6 to 24 Months of Age

A Phase 1 study testing RSV LID/ΔM2-2/1030s in people with RSV Infection, run by National Institute of Allergy and Infectious Diseases (NIAID) at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the infectivity, safety, and immunogenicity of a single dose of a recombinant, live-attenuated respiratory syncytial virus (RSV) vaccine, LID/ΔM2-2/1030s, in RSV-seronegative infants and children 6 to 24 months of age. Read more about this study

Who is it for?
Ages 6 to 24 monthsHealthy volunteers can take part
Conditions the study is for
RSV Infection
What is being tested?
RSV LID/ΔM2-2/1030s
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
81 participants
Where
3 sitesUnited States
Study dates
16 Mar 2022to 18 Apr 2024
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 6 to 24 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • ≥ 6 months of age and <25 months of age at the time of inoculation
  • Screening and pre-inoculation serum specimens for respiratory syncytial virus (RSV)-neutralizing antibody are obtained no more than 42 days prior to inoculation
  • Seronegative for RSV antibody, defined as serum RSV-neutralizing antibody titer <1:40
  • In good health based on review of the medical record, history, and physical examination at the time of inoculation
  • Received routine immunizations appropriate for age based on the Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger
  • Growing normally for age as demonstrated on a World Health Organization (WHO) growth chart, AND
Show all 10Show fewer
  • If < 1 year of age: has a current height and weight above the 5th percentile for age
  • If ≥ 1 year of age: has a current height and weight above the 3rd percentile for age
  • Expected to be available for the duration of the study
  • Parent/guardian is willing and able to provide written informed consent

Who cannot join

  • ≤ 6 months of age and > 25 months of age at the time of inoculation
  • Born at less than 34 weeks gestation
  • Born at less than 37 weeks gestation, and at the date of inoculation less than 1 year of age
  • Maternal history of a positive HIV test before or during pregnancy
  • Evidence of chronic disease
  • Known or suspected infection or impairment of immunological functions
Show all 49Show fewer
  • Bone marrow/solid organ transplant recipient
  • Major congenital malformations, including congenital cleft palate or cytogenetic abnormalities
  • Suspected or documented developmental disorder, delay, or other developmental problem
  • Cardiac abnormality requiring treatment
  • Lung disease or reactive airway disease
  • More than one episode of medically diagnosed wheezing in the first year of life
  • Wheezing episode or received bronchodilator therapy within the past 12 months
  • Wheezing episode or received bronchodilator therapy after the age of 12 months
  • Previous receipt of supplemental oxygen therapy in a home setting
  • Previous receipt of an investigational RSV vaccine
  • Previous receipt or planned administration of anti-RSV antibody product including ribavirin, RSV Ig, or RSV mAb
  • Previous receipt of immunoglobulin or any antibody products within the past 6 months
  • Previous receipt of any blood products within the past 6 months
  • Previous anaphylactic reaction
  • Previous vaccine-associated adverse reaction that was Grade 3 or above
  • Known hypersensitivity to any study product component
  • Member of a household that contains an infant who is less than 6 months of age at the date of inoculation through the 28th day after inoculation
  • Member of a household that, at the date of inoculation through the 28th day after inoculation, contains an immunocompromised individual including but not limited to:
  • a person who is HIV-infected
  • a person who has cancer and has received chemotherapy within the 12 months prior to enrollment
  • a person living with a solid organ or bone marrow transplant
  • Attends a daycare facility that does not separate children by age and contains an infant <6 months of age at the date of inoculation through the 28th day after inoculation
  • Receipt of any of the following prior to enrollment:
  • inactivated influenza vaccine within 3 days prior, or
  • any other inactivated vaccine or live-attenuated rotavirus vaccine within the 14 days prior, or
  • any live vaccine, other than rotavirus vaccine, within the 28 days prior, or
  • another investigational vaccine or investigational drug within 28 days prior, or
  • salicylate (aspirin) or salicylate-containing products within the past 28 days
  • Scheduled administration of any of the following after planned inoculation
  • inactivated vaccine or live-attenuated rotavirus vaccine within the 14 days after, or
  • any live vaccine other than rotavirus in the 28 days after, or
  • another investigational vaccine or investigational drug in the 56 days after
  • Receipt of any of the following medications within 3 days of study enrollment:
  • systemic antibacterial, antiviral, antifungal, anti-parasitic, or antituberculous agents, whether for treatment or prophylaxis, or
  • intranasal medications, or
  • other prescription medications except the permitted concomitant medications listed below
  • Permitted concomitant medications (prescription or non-prescription) include nutritional supplements, medications for gastroesophageal reflux, eye drops, and topical medications, including (but not limited to) cutaneous (topical) steroids, topical antibiotics, and topical antifungal agents.
  • Any of the following events at the time of enrollment:
  • fever (temporal or rectal temperature of ≥100.4°F), or
  • upper respiratory signs or symptoms (rhinorrhea, cough, or pharyngitis) or
  • nasal congestion significant enough to interfere with successful inoculation, or
  • otitis media
  • contact with a person diagnosed with COVID-19 disease or active severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) infection within the preceding 10 days

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • John Hopkins Bloomberg School of Public Health

    Baltimore, Maryland, 21205

  • Vanderbilt University

    Nashville, Tennessee, 37232

  • University of Rochester Medical Center

    Rochester, New York, 14642

Other trials in United States

About this study

Official title: Phase Ib Placebo-Controlled Study of the Infectivity, Safety and Immunogenicity of a Single Dose of a Recombinant Live-Attenuated Respiratory Syncytial Virus Vaccine, LID/ΔM2-2/1030s, Lot RSV#010A, Delivered as Nose Drops to RSV-Seronegative Infants and Children 6 to 24 Months of Age

The purpose of this study is to evaluate the infectivity, safety, and immunogenicity of a single dose of a recombinant, live-attenuated respiratory syncytial virus (RSV) vaccine, LID/ΔM2-2/1030s, in RSV-seronegative infants and children 6 to 24 months of age.

Read the detailed description

This study will evaluate the infectivity, safety, and immunogenicity of a single dose of a recombinant, live-attenuated respiratory syncytial virus (RSV) vaccine, LID/ΔM2-2/1030s, in RSV-seronegative infants and children 6 to 24 months of age.

Participants will be randomly assigned to one of two groups to receive a single dose of intranasal RSV LID/ΔM2-2/1030s vaccine or placebo at study entry (Day 0). Group 1 (intensive) and Group 2 (less intensive) will differ only in the frequency of study visits and nasal swab collections.

Participants will receive study product between April 1 and October 15, outside of the RSV season, and will remain on the study until they complete the post-RSV season visit between April 1 and April 30 in the calendar year following enrollment. Participants' total study duration is between 6 and 13 months, depending upon time of enrollment.

Participants will attend several study visits throughout the study, which may include blood collection, nasal swabs, and physical examinations. Some of these visits may be remote if a stay at home order is put in place after enrollment.

Conditions
RSV Infection
Being tested
RSV LID/ΔM2-2/1030s, Placebo
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

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

  • RSV LID/ΔM2-2/1030sBiological

    10^5 plaque-forming units (PFU); administered as nose drops

  • PlaceboBiological

    Administered as nose drops

Study groups in NCT04520659
Study groupRoleWhat they receive
Group 1: RSV LID/ΔM2-2/1030sExperimentalParticipants will receive a single dose of RSV LID/ΔM2-2/1030s vaccine at study entry (Day 0).
Receives: Biological: RSV LID/ΔM2-2/1030s
Group 1: PlaceboPlacebo comparatorParticipants will receive a single dose of placebo at study entry (Day 0).
Receives: Biological: Placebo
Group 2: RSV LID/ΔM2-2/1030sExperimentalParticipants will receive a single dose of RSV LID/ΔM2-2/1030s vaccine at study entry (Day 0).
Receives: Biological: RSV LID/ΔM2-2/1030s
Group 2: PlaceboPlacebo comparatorParticipants will receive a single dose of placebo at study entry (Day 0).
Receives: Biological: Placebo

What is being measured

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

  1. Frequency of Grade 1 or Higher Solicited Adverse Events (AEs) by Grade

    Solicited adverse events include fever; otitis media; upper respiratory illness (URI); lower respiratory illness (LRI) and cough (without LRI) as defined in Appendix III of the protocol document. The number of participants who experienced solicited adverse events was presented. A participant was only counted once in each solicited AE category, and that is in the line corresponding to the highest grade adverse event they had in that category. These events were graded (Grade 1-mild to Grade 4-life-threatening) following protocol-defined grading system outlined in Table 16 and Table 17 in the protocol document. Details regarding LRIs will be noted in Primary Outcome Measure #2.

    Measured: Measured through Day 28

  2. Frequency of Grade 2 or Higher Lower Respiratory Infections (LRI) by Grade

    LRI may include wheezing, pneumonia, laryngotracheobronchitis (croup), rhonchi and rales as defined in Appendix III of the protocol document. A participant was only counted once in each LRI category, and that is in the line corresponding to the highest grade adverse event they had in that category. These events were graded (Grade 1-mild to Grade 4-life-threatening) following protocol-defined grading system outlined in Table 16 and Table 17 in the protocol document.

    Measured: Measured through Day 28

  3. Number of Participants With Unsolicited Adverse Events (AEs) by Grade of Severity

    Unsolicited adverse events were other events, not included in the solicited AEs. The number of participants who experienced unsolicited adverse events was presented.

    Measured: Measured through Day 28

  4. Number of Participants Who Experienced Serious Adverse Events (SAEs)

    A Serious Adverse Event (SAE) is an AE, whether considered related to the study product or not, that:

    Results in death during the period of protocol-defined surveillance; Is life threatening: defined as an event in which the patient was at immediate risk of death at the time of the event; it does not refer to an event that hypothetically might have caused death were it more severe; Requires inpatient hospitalization (or prolongation of existing hospitalization): defined as at least an overnight stay in the hospital or emergency ward for treatment that would have been inappropriate if administered in the outpatient setting; Results in a persistent or significant disability/incapacity; Is a congenital anomaly or birth defect, OR Is an important medical event that may not be immediately life threatening or result in death or hospitalization but may jeopardize the patient or may require intervention to prevent one of the outcomes listed above.

    Measured: Measured Day 0 through Day 56 after inoculation and During the RSV Surveillance Season (Date of seasonal pause in enrollment in year of inoculation through March 31)

  5. Percentage of Vaccinees With a ≥4-fold Rise in Serum RSV-neutralizing Antibody Titer

    Serum RSV-neutralizing antibody titers were assessed by 60% RSV-plaque reduction neutralization titer (RSV-PRNT) assay. Antibody responses were defined as a greater than or equal to 4-fold increase in titer in paired specimens, between pre-inoculation and post-inoculation time points.

    Measured: Measured at Day 0 and Day 56

  6. Peak Titer of Vaccine Virus Shed by Reverse Transcription Polymerase Chain Reaction (RT-qPCR) (Group 1 Only)

    This is the mean of the highest value per participant of the titer of vaccine virus shed. It was measured by RT-qPCR. Group 1 participants only. Only participants who met the definition of infection with vaccine virus were included.

    Measured: Measured at Days 5, 7, 10, 12 and additional illness visits between Days 0 and 28.

  7. Number of Vaccinees Infected With RSV Vaccine Virus in Group 1

    Defined as shedding vaccine virus, detected by RT-qPCR, and/or ≥4-fold rise in RSV-specific serum antibodies, detected by enzyme-linked immunosorbent assay (ELISA) against the RSV F protein and/or an RSV-PRNT from study entry to Study Day 56

    Measured: Measured through Day 56

Secondary outcomes (3)
  1. Frequency of RSV-medically Attended Acute Respiratory Illness (MAARI) by Grade in Vaccine and Placebo Recipients Who Experience Natural Infection With Wild Type RSV During the Subsequent RSV Season

    The number of participants who had RSV-associated, symptomatic, medically attended respiratory and febrile illness (MAARI) among those who had indicators of natural infection with wt RSV were presented. Natural infection with wt RSV during the RSV season surveillance was defined as having either RSV detected in nasal swabs collected during illness visits for MAARI events or a > 2.5-fold rise in serum antibodies from pre- to post-RSV season in the absence of RSV-associated medical events. A participant was only counted once in each solicited AE category, and that is in the line corresponding to the highest grade adverse event they had in that category. These events were graded (Grade 1-mild to Grade 4-life-threatening) following protocol-defined grading system outlined in Table 16 and Table 17 in the protocol document.

    Measured: Measured during RSV season (from date of seasonal pause in enrollment in the year of inoculation through March 31)

  2. Frequency of RSV-medically Attended Acute Lower Respiratory Illness (MAALRI) by Grade in Vaccine and Placebo Recipients Who Experience Natural Infection With Wild Type RSV During the Subsequent RSV Season

    The number of participants who had RSV-associated, symptomatic, medically attended acute lower respiratory illness (MAALRI) among those who had indicators of natural infection with wt RSV were presented. Natural infection with wt RSV during the RSV season surveillance was defined as having either RSV detected in nasal swabs collected during illness visits for MAALRI events or a ≥ 2.5-fold rise in serum antibodies from pre- to post-RSV season in the absence of RSV-associated medical events. A participant was only counted once in each LRI category, and that is in the line corresponding to the highest grade adverse event they had in that category. These events were graded (Grade 1-mild to Grade 4-life-threatening) following protocol-defined grading system outlined in Table 16 and Table 17 in the protocol document.

    Measured: Measured during RSV season (from date of seasonal pause in enrollment in the year of inoculation through March 31)

  3. Percentage of Vaccinees With a ≥4-fold Rise in Serum RSV preF IgG and/or RSV postF IgG

    Serum RSV preF IgG titers and RSV postF IgG titers were assessed by an Enzyme-linked Immunosorbent Assay (ELISA). Antibody responses were defined as a ≥4-fold increase in titer in paired specimens, between pre-inoculation and post-inoculation time points.

    Measured: Measured at Day 0 and Day 56

Timeline

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

  1. First posted20 Aug 2020
  2. Study start16 Mar 2022
  3. Primary completion18 Apr 2024
  4. Study completion18 Apr 2024

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 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
81 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04520659
Sponsor's protocol ID
CIR 335
Status last verified
Jul 2026
First submitted
13 Aug 2020
Last updated
20 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to IPD that underlie results in a publication. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RSV LID/ΔM2-2/1030s in people with RSV Infection, run by National Institute of Allergy and Infectious Diseases (NIAID) at 3 sites in United States.

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 10 inclusion and 49 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: finished, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of Grade 1 or Higher Solicited Adverse Events (AEs) by Grade (time frame: Measured through Day 28). The study lists 7 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 20 Jul 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in