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Respiratory Syncytial Virus InfectionPhase 2/3NCT06079320

A Study to Learn About the Study Medicine Sisunatovir in Adults With Respiratory Syncytial Virus (RSV) Infection

A Phase 2/3 study testing Sisunatovir in people with Respiratory Syncytial Virus Infection, run by Pfizer at 19 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to learn about the safety and effects of sisunatovir. Sisunatovir is studied for the possible treatment of Respiratory Syncytial Virus (RSV). RSV is a virus that causes lung infections with cold-like symptoms, but it can cause severe illness in some people. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Respiratory Syncytial Virus Infection
What is being tested?
Sisunatovir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
19 sitesin 4 countries
Study dates
8 Dec 2023to 30 Sep 2024
Phase
Phase 2/3
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants aged 18 years or older at screening.
  • Diagnosis of RSV infection collected within 5 days prior to randomization.
  • New onset or worsening (if present chronically) of at least one of the following signs and/or symptoms consistent with a viral acute respiratory infection (ARI), within 5 days prior to randomization: nasal congestion, nasal discharge, sore throat, cough, sputum production, shortness of breath, or wheezing.
  • Has at least 1 of the following characteristics or underlying medical conditions: a) 65 years of age or older b) Chronic lung disease, c) Heart failure, d) Immunosuppressive disease/condition or immune-weakening medications

Who cannot join

  • Any medical or psychiatric condition that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study or interfere with the evaluation of response to the study intervention.
  • Diagnosis of viral respiratory infections other than RSV including influenza and SARS-CoV-2
  • Current need for hospitalization or anticipated need for hospitalization for any reason to provide inpatient/acute care within 24 hours after randomization
  • Any clinically significant ECG abnormality in the pre-dose ECG that, per investigator judgement, may affect participant safety
  • Has hypersensitivity to or other contraindication to any of the components of the study interventions, as determined by the investigator.

Trial locations and contacts

19 sites in 4 countries.

19 sites in 4 countries

United States14 sites
  • DM Clinical Research - AOM

    Brooklyn, New York, 11220

  • Mercury Street Medical Group, PLLC

    Butte, Montana, 59701

  • Zenos Clinical Research

    Dallas, Texas, 75230

  • National Institute of Clinical Research

    Garden Grove, California, 92844

  • Biopharma Informatic, LLC

    Houston, Texas, 77043

  • Salma Mazhar, MD PA

    Mesquite, Texas, 75149

  • SMS Clinical Research

    Mesquite, Texas, 75149

  • De La Cruz Research Center, LLC

    Miami, Florida, 33184

  • Adult Medicine of Lake County, Inc.

    Mt. Dora, Florida, 32757

  • Adult Medicine of Lake County

    Mt. Dora, Florida, 32757

  • Accellacare - DuPage

    Oak Lawn, Illinois, 60453

  • Preferred Primary Care Physicians, Preferred Clinical Research (Ofc 18)

    Pittsburgh, Pennsylvania, 15236

  • CHEAR Center LLC

    The Bronx, New York, 10455

  • National Institute of Clinical Research

    Westminster, California, 92683

Other trials in United States

Japan3 sites
  • National Hospital Organization Minami Kyoto Hospital

    Jōyō, Kyoto, 610-0113

  • Koukankai Koukan Clinic

    Kawasaki-Shi, Kanagawa, 210-0852

  • Nanbu Tokushukai Hospital

    Shimajiri, Okinawa, 901-0493

Other trials in Japan

China1 site
  • Shanghai Minhang District Central Hospital

    Shanghai, 201100

Other trials in China

India1 site
  • Maharaja Agrasen Superspeciality Hospital

    Jaipur, Rajasthan, 302039

Other trials in India

About this study

Official title: AN INTERVENTIONAL PHASE 2/3, ADAPTIVE, MULTI-CENTER, RANDOMIZED, DOUBLE-BLIND STUDY TO INVESTIGATE EFFICACY AND SAFETY OF ORAL SISUNATOVIR COMPARED WITH PLACEBO IN NON-HOSPITALIZED SYMPTOMATIC ADULTS WITH RESPIRATORY SYNCYTIAL VIRUS INFECTION WHO ARE AT RISK OF PROGRESSION TO SEVERE ILLNESS

The purpose of this study is to learn about the safety and effects of sisunatovir. Sisunatovir is studied for the possible treatment of Respiratory Syncytial Virus (RSV). RSV is a virus that causes lung infections with cold-like symptoms, but it can cause severe illness in some people. Sisunatovir is studied in adults:

  • who are not admitted to the hospital and
  • who have high chances of having a severe illness from RSV infection.
Read more

This study is seeking participants who:

  • Are confirmed to have RSV.
  • Have symptoms of a lung infection.
  • Are 18 years of age or older.
  • Have one or more of the following which increases the chances of RSV illness:
  • A long-term lung disease.
  • heart failure.
  • a condition that weakens the immune system.
  • Are 65 years of age or older and do not have any of the conditions above

Half of the participants in this study will receive sisunatovir. The other half will receive a placebo for 5 days. Placebo looks same like the study medicine but does not have any medication. Both sisunatovir and placebo will be taken by mouth. The study will compare the experiences of people receiving sisunatovir to those of the people who do not. This will help decide if sisunatovir is safe and effective.

Participants will attend about 8-10 study visits over 5 weeks. During this time, they will have:

  • visits at the study clinic,
  • blood work,
  • swabs of the nose,
  • questionnaires,
  • a follow-up phone call.
Being tested
Sisunatovir, 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.

  • SisunatovirDrug

    Participants will receive tablets from Day 1 to Day 5

  • PlaceboDrug

    Participants will receive matching placebo tablets from Day 1 to Day 5

Study groups in NCT06079320
Study groupRoleWhat they receive
SisunatovirExperimentalNot described
Receives: Drug: Sisunatovir
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants With Respiratory Syncytial Virus (RSV) Related Hospitalization or Death From Any Cause Through Day 28

    RSV related hospitalization included a specialized acute medical care unit within an assisted living facility or nursing home.

    Measured: From Day 1 (start of study intervention) up to Day 28

Secondary outcomes (17)
  1. Number of Participants With RSV-Related Visits (Urgent Care/ Emergency Department (ED)/Hospital) or Death From Any Cause Through Day 28

    Participants with RSV related visits in a hospital/urgent care or ED requiring no minimum duration of hospitalization were reported in this outcome measure. Investigators determined if a medical visit was related to RSV. RSV-related medical visits were those attendances that would not otherwise occur in the absence of the RSV infection. These may have included: deterioration or decompensation of the lung function that required supplemental oxygen; development of secondary respiratory tract infections that required antibiotic treatment; management of severe symptoms associated with RSV such as fever; worsening or decompensation of cardiac or renal function in participants with underlying cardiac or renal disease.

    Measured: From Day 1 (start of study intervention) up to Day 28

  2. Number of Participants With Progression of Lower Respiratory Tract Infection (LRTI) Through Day 10

    Progression of LRTI was defined as development of LRTI or transition from non-severe LRTI-RSV at randomization to severe LRTI-RSV at any time up to and including Day 10. LRTI was defined as: >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 less than (<) 95 percent (%) or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: From randomization on Day 1 up to Day 10

  3. Number of Participants With Development of LRTI Through Day 10

    Development of LRTI was defined as transitioning from not having LRTI at randomization but having nsLRTI-RSV or sLRTI-RSV at any time up to and including Day 10. LRTI was defined as: >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 < 95 % or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: From randomization on Day 1 up to Day 10

  4. Number of Participants With Resolution of LRTI at Day 15

    Resolution of LRTI was defined as transition from RSV-related non-severe LRTI (nsLRTI-RSV) or RSV-related severe LRTI (sLRTI-RSV) at randomization to not having nsLRTI and sLRTI-RSV. LRTI was defined as: >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 < 95 % or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: Day 15

  5. Mean Number of Hospital Free Days Through Day 28

    Measured: From Day 1 (start of study intervention) up to Day 28

  6. Number of Participants With Progression of LRTI Through Days 3, 5, 15 and 28

    Progression of LRTI was defined as development of LRTI or transition from non severe LRTI-RSV at randomization to severe LRTI-RSV at any time up to and including Days 3, 5, 15 and 28. LRTI was defined as: >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 < 95 % or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: From randomization on Day 1 up to Days 3, 5, 15 and 28

  7. Number of Participants With Development of LRTI Through Days 3, 5, 15 and 28

    Development of LRTI was defined as transitioning from not having LRTI at randomization but having nsLRTI-RSV or sLRTI-RSV at any time up to and including Days 3, 5, 15 and 28. LRTI was defined as: >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 < 95 % or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: From randomization on Day 1 up to Days 3, 5, 15 and 28

  8. Number of Participants With Resolution of LRTI at Days 3, 5, 10 and 28

    Resolution of LRTI was defined as transition from nsLRTI-RSV or sLRTI-RSV at randomization to not having nsLRTI and sLRTI-RSV. LRTI was defined as >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 < 95% or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: At Days 3, 5, 10 and 28

  9. Number of Participants With Improvement of LRTI at Days 3, 5, 10, 15 and 28

    Improvement in LRTI status was defined as LRTI resolution or transition from sLRTI-RSV at randomization to nsLRTI-RSV. LRTI was defined as: >= 2 lower respiratory signs or symptoms for at least 24 hours including at least 1 lower respiratory sign; or 3 lower respiratory symptoms for at least 24 hours. Lower respiratory symptoms included following: new or increased sputum, new or increased cough, new or increased dyspnea (shortness of breath). Lower respiratory signs included: new or increased wheezing, new or increased crackles/ronchi based on chest auscultation, respiratory rate >= 20 respirations/minute, low or decreased oxygen saturation (O2 < 95 % or <= 90% if pre-season baseline is < 95%), need for new or increased oxygen supplementation.

    Measured: At Days 3, 5, 10, 15 and 28

  10. Mean Number of RSV Related Days in Hospital Through Day 28

    RSV related hospitalization included a specialized acute medical care unit within an assisted living facility or nursing home.

    Measured: From Day 1 (start of study intervention) up to Day 28

  11. Mean Number of RSV Related Days in Intensive Care Unit (ICU) Through Day 28

    Measured: From Day 1 (start of study intervention) up to Day 28

  12. Number of Participants With a Clinical Response of Improvement or Resolution at Days 5, 10, 15, and 28

    Improvement was defined as no new acute respiratory infection (ARI) signs or symptoms, and no worsening of existing signs or symptoms compared to the Day 1 visit. At least one sign or symptom (but not all) present at Day 1 was absent, improved or returned to pre-infection status. Resolution was defined as all ARI signs or symptoms were absent or returned to pre-infection status. Clinical response was evaluated by the investigator.

    Measured: At Days 5, 10, 15, and 28

  13. Number of Participants With Undetectable RSV Viral Load at Days 3, 5, 10, 15 and 28

    Undetectable RSV viral load at a visit was defined as a central PCR laboratory result of target not detected (TND).

    Measured: At Days 3, 5, 10, 15, and 28

  14. Change From Baseline in Log10 Transformed Total RSV Viral Load at Days 3, 5, 10, 15 and 28

    Undetectable viral load was considered to be 0 copies/mL for this analysis.

    Measured: Baseline (within 1 hour post start of study intervention on Day 1) and Days 3, 5, 10, 15, and 28

  15. Number of Participants With Treatment Emergent Adverse Events (TEAEs) Through Day 35

    An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An adverse event was considered a TEAE if the event started on or after the study intervention start date (Day 1).

    Measured: From Day 1 of study intervention up to 28-30 days after last dose of study drug (up to Day 35)

  16. Number of Participants With Treatment Emergent Serious Adverse Events (TESAE) Through Day 35

    An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the criteria listed below: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, suspected transmission via a Pfizer product of an infectious agent, pathogenic or nonpathogenic and other important medical event.

    Measured: From Day 1 of study intervention up to 28-30 days after last dose of study drug (up to Day 35)

  17. Plasma Concentrations of Sisunatovir at Days 3 and 5

    Measured: Anytime between 3 to 8 hours post dose on Day 3, and pre-dose on Day 5

Timeline

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

  1. First posted12 Oct 2023
  2. Study start8 Dec 2023
  3. Primary completion30 Sep 2024
  4. Study completion30 Sep 2024

Why it stopped: Study discontinued due to business reasons. There were no safety concerns in the decision to stop study and no changes to sponsor's assessment of the risk-benefit profile for participants who received sisunatovir in the study.

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a Phase 2/ Phase 3, superiority, adaptive, two parallel-arm, randomized, multi-center, placebo-controlled, double-blind study.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06079320
Sponsor's protocol ID
C5241007
Other IDs
2023-505922-32-00, 2023
Status last verified
Oct 2025
First submitted
6 Oct 2023
Last updated
10 Nov 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Sisunatovir in people with Respiratory Syncytial Virus Infection, run by Pfizer at 19 sites in 4 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 4 inclusion and 5 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: stopped early, as of the sponsor's last update on 10 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States, Japan, China, India. 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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 10 Nov 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?

Number of Participants With Respiratory Syncytial Virus (RSV) Related Hospitalization or Death From Any Cause Through Day 28 (time frame: From Day 1 (start of study intervention) up to Day 28). 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 10 Nov 2025.

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