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Respiratory Syncytial Virus Infection PreventionPhase 3NCT05070546

A Study of an Ad26.RSV. preF-based Vaccine in Adults Aged 18 to 59 Years, Including Adults at High Risk for Severe RSV Infection

A Phase 3 study testing Ad26.RSV.preF-based Vaccine in people with Respiratory Syncytial Virus Infection Prevention, run by Janssen Vaccines & Prevention B.V. at 23 sites in 5 countries.

Completed

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

Official record
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Trial summary

The purpose of the study is to investigate the safety and immunogenicity of the Ad26.RSV.preF based vaccine in adults 18 to 59 years of age who are healthy or at risk for severe Respiratory Syncytial Virus (RSV) disease, compared to adults 65 years and above. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Ad26.RSV.preF-based Vaccine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,124 participants
Where
23 sitesin 5 countries
Study dates
29 Sep 2021to 12 Aug 2022
Phase
Phase 3
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Participants must be of a) non child bearing potential or b) of child bearing potential and practicing an acceptable and effective of contraception
  • All participants of childbearing potential must: have a negative highly sensitive urine beta-human chorionic gonadotropin (beta-hCG) pregnancy test at screening; and have a negative highly sensitive urine beta-hCG pregnancy test immediately prior to each study vaccination (if screening and vaccination are not performed on the same day) Cohorts 1 and 2
  • Participant is aged 18 to 59 years (inclusive) on the day of signing the informed consent form (ICF) and expected to be available for the duration of the study Cohort 2
  • Has an existing chronic heart or lung condition, without hospitalizations or major medication class change (that is, new or stopped medications) within 30 days prior to screening, meeting the following criteria; a) cardiac disease: at least Class II symptoms per New York Heart Association classification or similar guidelines according to local practice, b) pulmonary disease: activity-restricting symptoms or use of long-term medications Cohort 3
  • Participant is aged 65 years or older on the day of signing the ICF and expected to be available for the duration of the study
  • Participant may have underlying illnesses such as hypertension, congestive heart failure, chronic obstructive pulmonary disease (COPD), type 2 diabetes, hyperlipoproteinemia, or hypothyroidism, as long as their symptoms and signs are stable at the time of vaccination, and these conditions receive routine follow-up by the participant's healthcare provider

Who cannot join

  • Known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine)
  • Abnormal function of immune system due to a clinical condition or treatment
  • History of thrombosis with thrombocytopenia syndrome (TTS) or heparin-induced thrombocytopenia and thrombosis (HITT).
  • Participant received or plans to receive: (a) licensed live attenuated vaccines - within 28 days before or after planned administration of study vaccine; and (b) other licensed (not live) vaccines - within 14 days before or after planned administration of study vaccine
  • Received an respiratory syncytial virus (RSV) vaccine in a previous RSV vaccine study
  • History of acute polyneuropathy (example, Guillain-Barre syndrome) or chronic idiopathic demyelinating polyneuropathy

Trial locations and contacts

23 sites in 5 countries.

23 sites in 5 countries

United States7 sites
  • Alliance for Multispeciality Research

    Coral Gables, Florida, 33134

  • Heartland Research Associates, an AMR Company

    El Dorado, Kansas, 67042

  • Alliance for Multispeciality Research

    Knoxville, Tennessee, 37909

  • Research Institute of South Florida Inc

    Miami, Florida, 33173

  • AMR New Orleans, Formerly New Orleans Center for Clinical Research - New Orleans, an AMR company

    New Orleans, Louisiana, 70119

  • Meridian Clinical Research, LLC

    Rockville, Maryland, 20854

  • Tekton Research Inc.

    Yukon, Oklahoma, 73099

Other trials in United States

Germany7 sites
  • Emovis GmbH

    Berlin, 10629

  • Klinische Forschung Berlin GbR

    Berlin, 10787

  • Zentrum fuer klinische Forschung

    Cologne, 51069

  • Klinische Forschung Dresden GmbH

    Dresden, 01069

  • Clinical Research HamburggmbH

    Hamburg, 22143

  • SIBAmed GmbH & Co. KG

    Leipzig, 04103

  • Klinische Forschung Schwerin GmbH

    Schwerin, 19055

Other trials in Germany

Sweden4 sites
  • ProbarE i Lund AB

    Lund, 22222

  • ClinSmart Sweden AB

    Solna, 171 64

  • ProbarE i Stockholm AB

    Stockholm, 113 29

  • Studieenheten Akademiskt Specialistcentrum Stockholm

    Stockholm, 11361

Other trials in Sweden

Belgium3 sites
  • Anima

    Alken, 3570

  • C.H.U. St Pierre / Maladies Infectieuses

    Brussels

  • Private Practice RESPISOM Namur

    Namur, 5101

Other trials in Belgium

Spain2 sites
  • Hosp Reina Sofia

    Córdoba, 14004

  • Hosp Virgen de La Victoria

    Málaga, 29010

Other trials in Spain

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Phase 3 Study to Evaluate the Safety and Immunogenicity of an Ad26.RSV.preF-based Vaccine in Adults Aged 18 to 59 Years, Including Those at High-risk for Severe RSV

The purpose of the study is to investigate the safety and immunogenicity of the Ad26.RSV.preF based vaccine in adults 18 to 59 years of age who are healthy or at risk for severe Respiratory Syncytial Virus (RSV) disease, compared to adults 65 years and above.

Read the detailed description

RSV is an important cause of serious respiratory infections in adults aged 60 years and older, immunocompromised individuals, and those with underlying chronic cardiopulmonary conditions. The current study assess the safety and immunogenicity of the RSV vaccine in adults 18 to 59 years of age, including those who are at risk for severe RSV disease. The study comprises screening (pre-vaccination) and vaccination for each participant on Day 1, and a 6- month safety and immunogenicity follow-up period. The study duration will be up to 6 months per participant. Assessments like immunogenicity (such as humoral and cellular immune responses), safety (such as monitoring of AEs, physical examinations, and vital signs) and reactogenicity will be performed in this study.

Being tested
Ad26.RSV.preF-based Vaccine, Placebo

What participants receive

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

  • Ad26.RSV.preF-based VaccineBiological

    Participants will receive a single IM injection of an RSV vaccine.

  • PlaceboOther

    Participants will receive a single IM injection of matching placebo.

Study groups in NCT05070546
Study groupRoleWhat they receive
Cohort (C)1 Group (G)1: Healthy Adults, 18-59 Years (Respiratory Syncytial Virus [RSV] vaccine)ExperimentalParticipants will receive a single intramuscular (IM) injection of study vaccine on Day 1.
Receives: Biological: Ad26.RSV.preF-based Vaccine
C1 G2: Healthy Adults, 18-59 Years (Placebo)Placebo comparatorParticipants will receive a single IM injection of matching placebo on Day 1.
Receives: Other: Placebo
C2 G3: High Risk Adult, 18-59 Years (RSV Vaccine)ExperimentalParticipants will receive a single IM injection of study vaccine on Day 1.
Receives: Biological: Ad26.RSV.preF-based Vaccine
C2 G4: High Risk Adult, 18-59 Years (Placebo)Placebo comparatorParticipants will receive a single IM injection of matching placebo on Day 1.
Receives: Other: Placebo
C3 G5: Adults, 65 Years and Older (RSV Vaccine)ExperimentalParticipants will receive a single IM injection of study vaccine on Day 1.
Receives: Biological: Ad26.RSV.preF-based Vaccine
C3 G6: Adults, 65 Years and Older (Placebo)Placebo comparatorParticipants will receive a single IM injection of matching placebo on Day 1.
Receives: Other: Placebo

What is being measured

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

  1. Cohorts 1 and 2: Number of Participants With Solicited Local Adverse Events (AEs)

    Number of participants with solicited local AEs at 7 days post-vaccination in Cohorts 1 and 2 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited local AEs were predefined local events (at the injection site: erythema, pain/tenderness and swelling) that were by definition considered as related to the study vaccine and collected within 7 days after vaccination.

    Measured: 7 days after vaccination on Day 1 (Day 8)

  2. Cohorts 1 and 2: Number of Participants With Solicited Systemic AEs

    Number of participants with solicited systemic AEs at 7 days post-vaccination in Cohorts 1 and 2 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited systemic AEs including pyrexia, headache, fatigue, myalgia and nausea were collected within 7 days after vaccination.

    Measured: 7 days after vaccination on Day 1 (Day 8)

  3. Cohorts 1 and 2: Number of Participants With Unsolicited AEs

    Number of participants with unsolicited AEs post-vaccination in Cohorts 1 and 2 were reported. An AE was defined as any untoward medical occurrence in a participant participating in a clinical study that did not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were defined as all AEs for which the participant was not specifically questioned in the participant diary.

    Measured: 28 days after vaccination on Day 1 (Day 29)

  4. Cohorts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)

    Number of participants with SAEs post-vaccination were reported. An AE was defined as any untoward medical event that occurred in a participant administered an investigational product, and it did not necessarily indicated only events with clear causal relationship with the relevant investigational product. SAE was defined as any AE that resulted in: death, persistent or significant disability/incapacity, required inpatient hospitalization or prolongation of existing hospitalization, was life-threatening experience, was a congenital anomaly/birth defect and would jeopardize participant and/or required medical or surgical intervention to prevent one of the outcomes listed above.

    Measured: 6 months after vaccination on Day 1 (Day 183)

  5. Cohorts 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI)

    Number of participants with AESI post-vaccination were reported. AESIs were significant AEs that were judged to be of special interest because of clinical importance, known or suspected class effects, or based on nonclinical signals. Thrombosis with thrombocytopenia syndrome (TTS) was considered as an AESI.

    Measured: 6 months after vaccination on Day 1 (Day 183)

  6. Cohorts 1 (Group 1), 2 (Group 3), and 3 (Group 5): Respiratory Syncytial Virus (RSV) A2 Strain Neutralizing Antibody Titers

    RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay and were expressed as 50% inhibitory concentration (IC50) units.

    Measured: 14 days after vaccination on Day 1 (Day 15)

  7. Cohorts 1 (Group 1), 2 (Group 3), and 3 (Group 5): Percentage of Participants With Seroresponse as Assessed by Virus Neutralizing Assay (VNA-A2)

    Percentage of participants with seroresponse as assessed by VNA-A2 strain were reported. Seroresponse was defined as a 4-fold increase from baseline in Day 15 VNA A2 antibody titers.

    Measured: 14 days after vaccination on Day 1 (Day 15)

Secondary outcomes (1)
  1. Cohorts 1, 2, and 3: Geomteric Mean Titers (GMTs) of RSV Fusion Protein (F-protein) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA)- Pre-Fusion

    GMTs of RSV Fusion Protein (PreF) antibodies as assessed by ELISA-Pre-Fusion at Day 15 were reported.

    Measured: 14 days after vaccination on Day 1 (Day 15)

Timeline

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

  1. First posted7 Oct 2021
  2. Study start29 Sep 2021
  3. Primary completion12 Aug 2022
  4. Study completion12 Aug 2022

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,124 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05070546
Sponsor's protocol ID
CR109038
Other IDs
2021-001909-77, VAC18193RSV3006
Status last verified
May 2025
First submitted
27 Sep 2021
Last updated
25 May 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • LaRoche JK, Lanier J, Alvarenga R, Collins M, Costelloe T, Chiau A, Whetherly H, De Soete W, Faludi J, Rens K. Climate footprint of industry-sponsored in-human clinical trials: life cycle assessments of clinical trials spanning multiple phases and disease areas. BMJ Open. 2025 Feb 19;15(2):e085364. doi: 10.1136/bmjopen-2024-085364.

    PubMed 39971605
  • Jastorff A, Gymnopoulou E, Salas J, Merrall E, Buntinx E, Martin C, Askling HH, Schenkenberger I, Yuste AC, Smith W, Sotolongo R, Von Engelhardt C, Bastian AR, Comeaux C, Ligtenberg N, Callendret B, Heijnen E. Safety and immunogenicity of the Ad26/protein preF RSV vaccine in adults aged 18 to 59 years with and without at-risk comorbidities for severe respiratory syncytial virus disease: A phase 3, randomized, controlled, immunobridging trial. Vaccine. 2025 Jan 1;43(Pt 1):126514. doi: 10.1016/j.vaccine.2024.126514. Epub 2024 Nov 12.

    PubMed 39536455

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ad26.RSV.preF-based Vaccine in people with Respiratory Syncytial Virus Infection Prevention, run by Janssen Vaccines & Prevention B.V. at 23 sites in 5 countries.

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 6 inclusion and 6 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 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, Germany, Sweden, Belgium, Spain. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 4 Oct 2023). 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?

Cohorts 1 and 2: Number of Participants With Solicited Local Adverse Events (AEs) (time frame: 7 days after vaccination on Day 1 (Day 8)). 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?

On the ClinicalTrials.gov record for NCT05070546, which also lists 2 linked publications.

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 25 May 2025.

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