RSV ImmunisationPhase 3PEARLNCT06252285
Efficacy, Immunogenicity, and Safety Study of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers
A Phase 3 study testing RSVt Vaccine in people with RSV Immunisation, run by Sanofi Pasteur, a Sanofi Company at 130 sites in 16 countries.
Trial summary
This study is a phase III, randomized, observer-blind, placebo-controlled, multinational, multi-center study to be conducted in approximately 6300 children 6 months to < 22 months of age. Read more about this study
- Who is it for?
- Ages 6 to 21 monthsHealthy volunteers can take part
- Conditions the study is for
- RSV Immunisation
- What is being tested?
- RSVt Vaccine
- Type of treatment
- Vaccines
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 6,300 participants
- Where
- 130 sitesin 16 countries
- Study dates
- 6 Feb 2024to 4 Dec 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 21 months
- All sexes
- Healthy volunteers accepted
- Child
Inclusion Criteria: -Aged 6 months to < 22 months on the day of inclusion (means the day of the 6-month birthday to the day before the 22-month birthday)
- Participants who are healthy as determined by medical evaluation including medical history
- Born at full term of pregnancy (≥ 37 weeks)
Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply:
- Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
- Known systemic hypersensitivity to any of the study intervention components, or history of a life-threatening reaction to the study intervention used in the study or to a product containing any of the same substances
- Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
- History of medically diagnosed wheezing
- Any acute febrile illness in the past 48 hours that according to investigator judgment is significant enough to interfere with successful inoculation on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
- Probable or confirmed ongoing case of viral respiratory infection (including COVID-19, influenza, rhinovirus, etc.) at the time of enrollment. A prospective participant should not be included in the study until the respiratory infection has resolved.
- Member of a household that contains an immunocompromised individual, including, but not limited to:
- a person who is HIV infected
- a person who has received chemotherapy within the 12 months prior to study enrollment
- a person who has received (within the past 6 months) or is receiving (at the time of enrollment) immunosuppressant agents
- a person living with a solid organ or bone marrow transplant
- Potential close contact with other immunocompromised individual within 30 days after each vaccination as per investigator's discretion
- Participant's biological mother's previous receipt or planned administration of an investigational RSV vaccine during pregnancy and/or breastfeeding.
- Receipt or planned receipt of any of the following vaccines prior to enrollment or after the first study intervention administration:
- Any other intranasal live attenuated vaccine within the 28 days prior to and after Dose 1 study administration
- Unless given on the day of Dose 1 study administration, any other injectable live attenuated vaccines within the 28 days prior to and after. Concomitant receipt on the day of Dose 1 study administration is allowed.
- Previous receipt of an investigational RSV vaccine or receiving any anti-RSV product (such as ribavirin or RSV immune globulin) at the time of enrollment. Previous receipt of an RSV monoclonal antibody within 6 months prior to the first study vaccine administration.
- Receipt of immune globulins, blood or blood-derived products in the past 3 months
- Receipt of intranasal and intra-ocular medications within 3 days prior to study enrollment
- Participation at the time of study enrollment or planned participation during the present study period in another clinical study investigating a vaccine, drug, medical device, or medical procedure The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
130 sites in 16 countries.
130 sites in 16 countries
United States50 sites
Michigan Institute of Research- Site Number : 8400055
Allen Park, Michigan, 48101
Medical Research Partners - Ammon- Site Number : 8400059
Ammon, Idaho, 83406
Morehouse School of Medicine - Atlanta- Site Number : 8400037
Atlanta, Georgia, 30310
Emory-Children's Center- Site Number : 8400001
Atlanta, Georgia, 30322-1014
Agile Clinical Research Trials- Site Number : 8400015
Atlanta, Georgia, 30328
Tekton Research, LLC - Beaumont - PPDS- Site Number : 8400061
Beaumont, Texas, 77706-3061
Central Research Associates - Flourish - PPDS- Site Number : 8400009
Birmingham, Alabama, 35205-1628
Moore Clinical Research - Brandon- Site Number : 8400065
Brandon, Florida, 33511
Tekton Research, LLC - 4961 Buford Hwy - Georgia - PPDS- Site Number : 8400064
Chamblee, Georgia, 30341
Medical University of South Carolina - Charleston - Jonathan Lucas Street- Site Number : 8400036
Charleston, South Carolina, 29425
Cincinnati Children's Hospital Medical Center- Site Number : 8400063
Cincinnati, Ohio, 45229
Invictus Clinical Research Group- Site Number : 8400035
Coconut Creek, Florida, 33073
Vida Clinical Studies - Dearborn Heights- Site Number : 8400072
Dearborn Heights, Michigan, 48127
South Texas Urgent Care - Del Rio- Site Number : 8400062
Del Rio, Texas, 78840-3927
Site Number : 8400031
Doral, Florida, 33122-1088
Ventavia Research Group - Fort Worth- Site Number : 8400022
Fort Worth, Texas, 76104
Velocity Clinical Research - Grand Island- Site Number : 8400017
Grand Island, Nebraska, 68803
Boeson Research - Great Falls- Site Number : 8400008
Great Falls, Montana, 59405
Cyn3rgy Research- Site Number : 8400014
Gresham, Oregon, 97030
Lakeview Clinical Research- Site Number : 8400024
Guntersville, Alabama, 35976
Private Practice - Dr. Chinyere N. Awa- Site Number : 8400066
Houston, Texas, 77057
DM Clinical Research - CyFair Clinical Research Center- Site Number : 8400044
Houston, Texas, 77065
Clinical Research Prime- Site Number : 8400013
Idaho Falls, Idaho, 83404
Leavitt Women's Healthcare- Site Number : 8400033
Idaho Falls, Idaho, 83404
Snake River Research- Site Number : 8400046
Idaho Falls, Idaho, 83404
Alliance for Multispecialty Research - Layton - North Robins Drive- Site Number : 8400030
Layton, Utah, 84041
Maximos Ob/Gyn- Site Number : 8400023
League City, Texas, 77573
Be Well Clinical Studies - Lincoln- Site Number : 8400058
Lincoln, Nebraska, 68516
Velocity Clinical Research - (Macon - Georgia) - PPDS- Site Number : 8400041
Macon, Georgia, 31210
Madera Family Medical Group- Site Number : 8400029
Madera, California, 93637
Clinical Research Institute - Minneapolis- Site Number : 8400011
Minneapolis, Minnesota, 55402
Clinical Research Associates Inc- Site Number : 8400005
Nashville, Tennessee, 37203-2066
Velocity Clinical Research (Norfolk - Nebraska) - PPDS- Site Number : 8400038
Norfolk, Nebraska, 68701-2669
Palmetto Pediatrics- Site Number : 8400012
North Charleston, South Carolina, 29406
Quality Clinical Research - Omaha - Regency Circle- Site Number : 8400016
Omaha, Nebraska, 68114
Velocity Clinical Research - Omaha- Site Number : 8400054
Omaha, Nebraska, 68134
Nona Pediatric Center- Site Number : 8400068
Orlando, Florida, 32829
Pediatric Center - Richmond- Site Number : 8400019
Richmond, Texas, 77469
Wee Care Pediatrics - Roy- Site Number : 8400002
Roy, Utah, 84067
Tekton Research - FM78- Site Number : 8400067
San Antonio, Texas, 78244
iResearch Savannah - CenExel - PPDS- Site Number : 8400032
Savannah, Georgia, 31405-5701
Parkside Pediatrics - Simpsonville- Site Number : 8400071
Simpsonville, South Carolina, 29681
Senders Pediatrics- Site Number : 8400006
South Euclid, Ohio, 44121
Great Lakes Research Institute- Site Number : 8400060
Southfield, Michigan, 48075
Wee Care Pediatrics - Syracuse- Site Number : 8400004
Syracuse, Utah, 84075
Teena Hughes Pediatrics- Site Number : 8400042
Tampa, Florida, 33613
Integrated Clinical Research- Site Number : 8400056
Tarzana, California, 91356
Prime Global Research, Inc.- Site Number : 8400043
The Bronx, New York, 10456-2102
Novak Clinical Research- Site Number : 8400069
Tucson, Arizona, 85741-2306
National Institute of Clinical Research - Victorville - Hesperia Road- Site Number : 8400040
Victorville, California, 92395
Japan11 sites
Investigational Site Number : 3920006
Edogawa-Ku, Tokyo, 133-0056
Investigational Site Number : 3920001
Fukui, 910-0833
Investigational Site Number : 3920002
Fukui-shi, 910-0808
Investigational Site Number : 3920004
Fukuoka, 813-0036
Investigational Site Number : 3920003
Kagoshima, 890-0034
Investigational Site Number : 3920005
Kasuga-Shi, 816-0801
Investigational Site Number : 3920007
Kawagoe, Saitama, 350-0001
Investigational Site Number : 3920008
Lizuka-shi, Fukuoka, 820-0040
Investigational Site Number : 3920009
Osaka, 556-0005
Investigational Site Number : 3920011
Sapporo, Hokkaido, 063-0841
Investigational Site Number : 3920010
Shizuoka-Shi Aoi-Ku, Shizuoka, 420-0005
South Africa9 sites
Investigational Site Number : 7100007
Brits, 0250
Investigational Site Number : 7100008
City of Cape Town, 7500
Investigational Site Number : 7100001
East London, 5241
Investigational Site Number : 7100005
Johannesburg, 2001
Investigational Site Number : 7100004
Johannesburg, 2013
Investigational Site Number : 7100003
Johannesburg, 2193
Investigational Site Number : 7100006
Paarl, 7626
Investigational Site Number : 7100002
Pretoria, 0122
Investigational Site Number : 7100009
Soshanguve, 0152
Brazil8 sites
Freire Pesquisa Clínica - Belo Horizonte - Rua Piauí- Site Number : 0760001
Belo Horizonte, Minas Gerais, 30150-320
Hospital de Clinicas de Porto Alegre- Site Number : 0760005
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Ernesto Dornelles- Site Number : 0760007
Porto Alegre, Rio Grande do Sul, 90160-093
Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP - PPDS- Site Number : 0760010
Ribeirão Preto, São Paulo, 14015-010
Obras Sociais Irmã Dulce - Patamares- Site Number : 0760009
Salvador, Estado de Bahia, 41680-020
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760006
São José do Rio Preto, São Paulo, 15090-000
Centro Paulista de Investigaçăo Clínica - CEPIC- Site Number : 0760004
São Paulo, 04265-000
Escola Paulista De Medicina- Site Number : 0760002
Vila Clementino, São Paulo, 04023-062
Finland8 sites
Investigational Site Number : 2460003
Espoo, 02230
Investigational Site Number : 2460005
Helsinki, 00100
Investigational Site Number : 2460008
Jarvenpaa, 04400
Investigational Site Number : 2460004
Kokkola, 67100
Investigational Site Number : 2460002
Oulu, 90220
Investigational Site Number : 2460006
Seinäjoki, 60100
Investigational Site Number : 2460009
Tampere, 33100
Investigational Site Number : 2460001
Turku, 20520
Argentina7 sites
Investigational Site Number : 0320007
Buenos Aires, Buenos Aires F.D., C1425
Investigational Site Number : 0320001
Buenos Aires, 1426
Investigational Site Number : 0320006
Buenos Aires, 1426
Investigational Site Number : 0320003
Río Cuarto, Córdoba Province, X5800
Investigational Site Number : 0320005
Rosario, Santa Fe Province, S2013DTC
Investigational Site Number : 0320002
SAN Miguel de Tucumã¡n, Tucumán Province, T4000
Investigational Site Number : 0320004
San Miguel de Tucumán, Tucumán Province, 4000
Thailand6 sites
Investigational Site Number : 7640002
Bangkok, 10400
Investigational Site Number : 7640005
Bangkok, 10400
Investigational Site Number : 7640004
Bangkok, 10700
Investigational Site Number : 7640001
Chiang Mai, 50180
Investigational Site Number : 7640006
Hat Yai, 90110
Investigational Site Number : 7640003
Khon Kaen, 40002
Kenya5 sites
Investigational Site Number : 4040007
Butere, 50101
Investigational Site Number : 4040002
Kisumu, 40100
Investigational Site Number : 4040003
Kisumu, 40100
Investigational Site Number : 4040001
Nairobi, 00202
Investigational Site Number : 4040006
Nairobi, KENYA
Spain5 sites
Investigational Site Number : 7240001
Barcelona, Catalunya [Cataluña], 08023
Investigational Site Number : 7240003
Móstoles, Madrid, 28938
Investigational Site Number : 7240005
Pamplona, Navarre, 31008
Investigational Site Number : 7240004
Santiago de Compostela, A Coruña [La Coruña], 15706
Investigational Site Number : 7240002
Seville, Sevilla, 41013
Puerto Rico4 sites
Clinical Research Investigator Group- Site Number : 6300001
Bayamón, 00961-7041
Clinical Research Puerto Rico (CRPR), Inc. - Guayama- Site Number : 6300005
Guayama, 00784
Caribbean Medical Research Center- Site Number : 6300003
San Juan, 00918
Hospital Pediatrico Universitario- Site Number : 6300002
San Juan, 00923
United Kingdom4 sites
Investigational Site Number : 8260004
Bristol, BS1 3NU
Investigational Site Number : 8260005
Exeter, Devon, EX2 5DW
Investigational Site Number : 8260003
Hayle, Cornwall, TR27 5DT
Investigational Site Number : 8260007
Southampton, Hampshire, SO16 6YD
Chile3 sites
Investigational Site Number : 1520005
Port Montt, 5480000
Investigational Site Number : 1520004
Santiago, Reg Metropolitana de Santiago, 8331143
Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 8380418
Colombia3 sites
Investigational Site Number : 1700004
Acacías, 507001
Investigational Site Number : 1700002
Chía, 250001
Investigational Site Number : 1700003
Girardot, 252431
Mexico3 sites
Investigational Site Number : 4840007
Mexico City, 14090
Investigational Site Number : 4840008
Monterrey, Nuevo León, 64060
Investigational Site Number : 4840004
Veracruz, 91900
Nepal3 sites
Investigational Site Number : 5240003
Dhulikhel N.p, Bagmati, 45210
Investigational Site Number : 5240001
Kathmandu, Bagmati, 44600
Investigational Site Number : 5240002
Nepalgunj, Bheri, 21900
About this study
Official title: Phase III, Randomized, Observer-blind, Placebo-controlled, Multi-center, Multinational Study to Evaluate the Efficacy, Immunogenicity, and Safety of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers (PEARL)
This study is a phase III, randomized, observer-blind, placebo-controlled, multinational, multi-center study to be conducted in approximately 6300 children 6 months to < 22 months of age. The purpose of the study is to evaluate the efficacy, immunogenicity, and safety of Respiratory Syncytial Virus Toddler (RSVt) vaccine administered by intranasal route compared to placebo.
Eligible participants will be randomized in a 1:1 ratio to receive 2 intranasal administrations of either the RSVt vaccine or placebo.
Study duration will be 24 months for each participant. The safety follow-up will start after the first vaccination and up to the end of the study.
Read the detailed description
Study duration will be 24 months for each participant. The safety follow-up will start at inclusion and up to the end of the study.
- Conditions
- RSV Immunisation
- Being tested
- RSVt Vaccine, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RSVt VaccineBiological
Also called 534
Pharmaceutical form:Suspension of virus in a nasal spray-Route of administration:Intranasal
PlaceboBiological
Pharmaceutical form:Suspension of virus in a nasal spray-Route of administration:Intranasal
| Study group | Role | What they receive |
|---|---|---|
| Group 1 RSVt Vaccine | Experimental | Participants will receive 2 intranasal administrations of RSVt vaccine Receives: Biological: RSVt Vaccine |
| Group 2 Control | Placebo comparator | Participants will receive 2 intranasal administrations of placebo Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Occurrence of lower respiratory tract disease (LRTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Secondary outcomes (37)
Occurrence of upper respiratory tract disease (URTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain leading to hospitalization > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain leading to hospitalization, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of severe LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of severe LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of urgent care visits, associated with an episode of LRTD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of urgent care visit associated with an episode of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of acute respiratory disease (ARD) (during RSV Season 1) associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of hospitalizations, associated with an episode of ARD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of hospitalizations associated with an episode of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of urgent care visits, associated with an episode of ARD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of urgent care visit associated with an episode of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1
Occurrence of LRTD (during RSV Season 1) associated with an RT-PCR confirmed RSV A or B strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with an RT PCR confirmed RSV A or B, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of URTD (during RSV Season 1) associated with an RT-PCR confirmed RSV A or B strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with an RT-PCR confirmed RSV A or B, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of ARD (during RSV Season 1) associated with an RT PCR confirmed RSV A or B strain > 21 days post-dose 2
Measured: from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with an RT-PCR confirmed RSV A or B, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1
Measured: from 22 days post-dose 1 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1
Measured: from 22 days post-dose 1 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of ARD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1
Measured: from 22 days post-dose 1 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, in RSV-exposed participants
Measured: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1
Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, by baseline serostatus
Measured: from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of ARD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, by baseline serostatus
Measured: from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 2), associated with any RT-PCR confirmed RSV strain
Measured: from 12 months post-dose 1 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of URTD (during RSV Season 2), associated with any RT-PCR confirmed RSV strain
Measured: from 12 months post-dose 1 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of ARD (during RSV Season 2), associated with any RT PCR confirmed RSV strain
Measured: from 12 months post-dose 1 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1
Occurrence of LRTD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus
Measured: from 12 months post-dose 1 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of URTD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus
Measured: from 12 months post-dose 1 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of ARD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus
Measured: from 12 months post-dose 1 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Presence of solicited administration site reactions within 21 days after each vaccination
Number of participants experiencing solicited site reactions
Measured: Within 21 days after each vaccination
Presence of solicited systemic reactions within 21 days after each vaccination
Number of participants experiencing solicited systemic reactions
Measured: Within 21 days after each vaccination
Presence of unsolicited systemic adverse events (AEs) reported in the 30 minutes after each vaccination
Number of participants experiencing immediate unsolicited systemic AES
Measured: Within 30 minutes after each vaccination
Presence of unsolicited AEs within 28 days after each vaccination
Number of participants experiencing unsolicited AES
Measured: Within 28 days after each vaccination
Presence of medically attended adverse events MAAEs throughout the study
Number of participants experiencing MAAEs
Measured: Throughout the study (approximately 24 months)
Presence of serious adverse events (SAEs) throughout the study
Number of participants experiencing SAEs
Measured: Throughout the study (approximately 24 months)
Presence of adverse events of special interest (AESIs) throughout the study
Number of participants experiencing AESIs
Measured: Throughout the study (approximately 24 months)
RSV A serum neutralizing antibody titers at D01
Antibody titers are expressed as GMTs at baseline
Measured: Day 01
RSV B serum neutralizing antibody titers at D01
Antibody titers are expressed as GMTs at baseline
Measured: Day 01
RSV A serum neutralizing antibody titers at 28 days post-dose 2
Antibody titers are expressed as GMTs at post-baseline
Measured: 28 days post-dose 2
RSV B serum neutralizing antibody titers at 28 days post-dose 2
Antibody titers are expressed as GMTs post-baseline
Measured: 28 days post-dose 2
RSV serum anti-F Immunoglobulin A (IgA) Electrochemiluminescence (ECL) antibody titers at D01
Antibody titers are expressed as GMTs at baseline
Measured: Day 01
RSV serum anti-F IgG ECL antibody titers at D01
Antibody titers are expressed as GMTs at baseline
Measured: Day 01
RSV serum anti-F Immunoglobulin A (IgA) ECL antibody titers at 28 days post-dose 2
Antibody titers are expressed as GMTs post-baseline
Measured: 28 Days post-dose 2
RSV serum anti-F IgG ECL antibody titers at 28 days post-dose 2
Antibody titers are expressed as GMTs post-baseline
Measured: 28 Days post-dose 2
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Feb 2024
- Study start6 Feb 2024
- Primary completion4 Dec 2025
- Study completion4 Dec 2025
Why it stopped: Sponsor decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for RSV ImmunisationStudies of the same condition, open and under way.
- More trials run by Sanofi Pasteur, a Sanofi CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 6,300 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi Pasteur, a Sanofi Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06252285
- Sponsor's protocol ID
- VAD00004
- Other IDs
- 2023-505762-29, U1111-1280-7192, VAD00004, 2023
- Acronym
- PEARL
- Status last verified
- Jan 2026
- First submitted
- 24 Jan 2024
- Last updated
- 3 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase III, Randomized, Observer-blind, Placebo-controlled, Multi-center, Multinational Study to Evaluate the Efficacy, Immunogenicity, and Safety of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers (PEARL)
- ClinicalTrials.gov ID
- NCT06252285
- Acronym / sponsor ID
- PEARL / VAD00004
- Conditions
- RSV Immunisation
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor decision
- Enrolment
- 6,300 participants (actual)
- Lead sponsor
- Sanofi Pasteur, a Sanofi CompanyIndustry (pharma, biotech, devices)
- Study start
- 6 Feb 2024 (actual)
- Primary completion
- 4 Dec 2025 (actual)
- Study completion
- 4 Dec 2025 (actual)
- First posted
- 9 Feb 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a phase III, randomized, observer-blind, placebo-controlled, multinational, multi-center study to be conducted in approximately 6300 children 6 months to < 22 months of age. The purpose of the study is to evaluate the efficacy, immunogenicity, and safety of Respiratory Syncytial Virus Toddler (RSVt) vaccine administered by intranasal route compared to placebo.
Eligible participants will be randomized in a 1:1 ratio to receive 2 intranasal administrations of either the RSVt vaccine or placebo.
Study duration will be 24 months for each participant. The safety follow-up will start after the first vaccination and up to the end of the study.
Detailed description
Study duration will be 24 months for each participant. The safety follow-up will start at inclusion and up to the end of the study.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1 RSVt Vaccine | Experimental | Biological: RSVt VaccineParticipants will receive 2 intranasal administrations of RSVt vaccine |
| Group 2 Control | Placebo comparator | Biological: PlaceboParticipants will receive 2 intranasal administrations of placebo |
Who may qualify
- Ages
- 6 to 21 months
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RSVt VaccineAlso: 534Pharmaceutical form:Suspension of virus in a nasal spray-Route of administration:Intranasal | Biological | Group 1 RSVt Vaccine |
| PlaceboPharmaceutical form:Suspension of virus in a nasal spray-Route of administration:Intranasal | Biological | Group 2 Control |
Primary outcome
Occurrence of lower respiratory tract disease (LRTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
37 secondary outcomes
Occurrence of upper respiratory tract disease (URTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain leading to hospitalization > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain leading to hospitalization, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of severe LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of severe LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of urgent care visits, associated with an episode of LRTD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of urgent care visit associated with an episode of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of acute respiratory disease (ARD) (during RSV Season 1) associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of hospitalizations, associated with an episode of ARD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of hospitalizations associated with an episode of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of urgent care visits, associated with an episode of ARD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of urgent care visit associated with an episode of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1
Occurrence of LRTD (during RSV Season 1) associated with an RT-PCR confirmed RSV A or B strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with an RT PCR confirmed RSV A or B, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of URTD (during RSV Season 1) associated with an RT-PCR confirmed RSV A or B strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with an RT-PCR confirmed RSV A or B, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of ARD (during RSV Season 1) associated with an RT PCR confirmed RSV A or B strain > 21 days post-dose 2
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with an RT-PCR confirmed RSV A or B, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1
Time frame: from 22 days post-dose 1 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1
Time frame: from 22 days post-dose 1 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of ARD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 1
Time frame: from 22 days post-dose 1 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, in RSV-exposed participants
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1
Occurrence of URTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, by baseline serostatus
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of ARD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2, by baseline serostatus
Time frame: from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 2), associated with any RT-PCR confirmed RSV strain
Time frame: from 12 months post-dose 1 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of URTD (during RSV Season 2), associated with any RT-PCR confirmed RSV strain
Time frame: from 12 months post-dose 1 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of ARD (during RSV Season 2), associated with any RT PCR confirmed RSV strain
Time frame: from 12 months post-dose 1 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1
Occurrence of LRTD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus
Time frame: from 12 months post-dose 1 up to the start date of first occurrence of LRTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of URTD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus
Time frame: from 12 months post-dose 1 up to the start date of first occurrence of URTD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Occurrence of ARD (during RSV Season 2), associated with any RT PCR confirmed RSV strain, by baseline serostatus
Time frame: from 12 months post-dose 1 up to the start date of first occurrence of ARD associated with any RT-PCR confirmed RSV strain, assessed up to the end of the study (ie. up to 24 months post-dose 1)
Presence of solicited administration site reactions within 21 days after each vaccination
Time frame: Within 21 days after each vaccination
Presence of solicited systemic reactions within 21 days after each vaccination
Time frame: Within 21 days after each vaccination
Presence of unsolicited systemic adverse events (AEs) reported in the 30 minutes after each vaccination
Time frame: Within 30 minutes after each vaccination
Presence of unsolicited AEs within 28 days after each vaccination
Time frame: Within 28 days after each vaccination
Presence of medically attended adverse events MAAEs throughout the study
Time frame: Throughout the study (approximately 24 months)
Presence of serious adverse events (SAEs) throughout the study
Time frame: Throughout the study (approximately 24 months)
Presence of adverse events of special interest (AESIs) throughout the study
Time frame: Throughout the study (approximately 24 months)
RSV A serum neutralizing antibody titers at D01
Time frame: Day 01
RSV B serum neutralizing antibody titers at D01
Time frame: Day 01
RSV A serum neutralizing antibody titers at 28 days post-dose 2
Time frame: 28 days post-dose 2
RSV B serum neutralizing antibody titers at 28 days post-dose 2
Time frame: 28 days post-dose 2
RSV serum anti-F Immunoglobulin A (IgA) Electrochemiluminescence (ECL) antibody titers at D01
Time frame: Day 01
RSV serum anti-F IgG ECL antibody titers at D01
Time frame: Day 01
RSV serum anti-F Immunoglobulin A (IgA) ECL antibody titers at 28 days post-dose 2
Time frame: 28 Days post-dose 2
RSV serum anti-F IgG ECL antibody titers at 28 days post-dose 2
Time frame: 28 Days post-dose 2
Results and safety
The study was stopped early (reason given: Sponsor decision). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Feb 2026.
- VAD00004 Plain Language Results SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
130 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing RSVt Vaccine in people with RSV Immunisation, run by Sanofi Pasteur, a Sanofi Company at 130 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 3 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 130 sites in United States, Japan, South Africa, Brazil, Finland and 11 more countries. 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?
The study was stopped early (reason given: Sponsor decision). Results are not available in the source record.
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?
Occurrence of lower respiratory tract disease (LRTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2 (time frame: from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)). 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 3 Feb 2026; AzTrials last refreshed its copy on 8 Nov 2026.