AzTrials
AzTrials

RSV ImmunisationPhase 3OPALNCT06705140

A Study on the Immunogenicity and Safety of 3 Different Dose Concentrations of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers

A Phase 3 study testing Low Dose (LD) RSVt vaccine, Standard Dose (SD) RSVt vaccine and High Dose (HD) RSVt vaccine in people with RSV Immunisation and Healthy Volunteers, run by Sanofi Pasteur, a Sanofi Company at 3 sites in Honduras.

Terminated

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

Official record
Search all trials

Trial summary

This study was a Phase III, parallel group, randomized, observer blind, placebo controlled, multi-national, multi-center, multi-arm study conducted in 42 healthy children enrolled at 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, Healthy Volunteers
What is being tested?
Low Dose (LD) RSVt vaccine, Standard Dose (SD) RSVt vaccine and High Dose (HD) RSVt vaccine
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
42 participants
Where
3 sitesHonduras
Study dates
25 Nov 2024to 11 Jun 2025
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 6 to 21 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Aged 6 months to < 22 months on the day of inclusion (means from the day of the 6-month birthday to the day before the 22-month birthday. The second vaccine administration was administered before the study participant has turned 24 months of age).
  • Participants who were healthy as determined by medical evaluation including medical history.
  • For Cohort 1 and Cohort 2 (contingent upon satisfactory safety profile of the RSVt vaccine in Cohort 1):
  • --Participant born 28 through 36 weeks of gestation and medically stable as assessed by the investigator, based on the following definition: "Medically stable" refers to the condition of premature infants who do not require significant medical support or ongoing management for debilitating disease and who have demonstrated a clinical course of sustained recovery by the time they receive the first dose of study intervention.
  • For Cohort 2:
  • Participant born at full term of pregnancy (≥ 37 weeks of gestation).

Who cannot join

  • Participants were 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. Children with a history of recurrent wheezing will be excluded. Children with a previous single episode of wheezing may be included if that episode of wheezing was not associated with hospitalization or if does not have a family history of 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.
Show all 23Show fewer
  • 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 the first study intervention administration, any other injectable live attenuated vaccines within the 28 days prior to and after. Concomitant receipt on the day of the first study intervention administration is allowed
  • Planned receipt of any monoclonal antibody for RSV (such as Nirsevimab or Palivizumab) for the duration of the study.
  • 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
  • Note: The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Trial locations and contacts

3 sites in 1 country.

Honduras3 sites
  • Investigational Site Number : 3400002

    San Pedro Sula

  • Investigational Site Number : 3400001

    Tegucigalpa, 11101

  • Investigational Site Number : 3400003

    Tegucigalpa, 11101

Other trials in Honduras

About this study

Official title: A Parallel Group, Phase III, Randomized, Observer Blind, Placebo Controlled, Multi Center, Multinational, Multi Arm Study to Demonstrate Non-inferiority of the Immune Response of a Low Dose Compared to the Standard Dose and to Evaluate the Safety of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers (OPAL)

This study was a Phase III, parallel group, randomized, observer blind, placebo controlled, multi-national, multi-center, multi-arm study conducted in 42 healthy children enrolled at 6 months to <22 months of age. The purpose of the study was to evaluate the non-inferiority of the immune response of the lower dose (LD) when compared to the standard dose (SD) respiratory syncytial virus infant and toddler (RSVt) vaccine and the safety of the LD, SD and high dose (HD) vaccine in preterm born children and of the HD vaccine in full term born children administered by intranasal route and compared to placebo.

Read the detailed description

The study duration was approximately 8 months for each participant, including the 6 months safety follow-up phone call after the second study intervention administration.

Being tested
Low Dose (LD) RSVt vaccine, Standard Dose (SD) RSVt vaccine, High Dose (HD) RSVt vaccine, Placebo
Keywords
RSV, RSVt (RSV toddler and Infant) Vaccine

What participants receive

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

  • Low Dose (LD) RSVt vaccineBiological

    Also called 534

    Pharmaceutical form:

    Liquid for nasal spray

    Route of administration: Intranasal

  • Standard Dose (SD) RSVt vaccineBiological

    Also called 534

    Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

  • High Dose (HD) RSVt vaccineBiological

    Also called 534

    Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

  • PlaceboBiological

    Pharmaceutical form:Liquid for nasal spray-Route of administration:Intranasal

Study groups in NCT06705140
Study groupRoleWhat they receive
Cohort 1: Group 1- (SD RSVt vaccine)ExperimentalParticipants received 2 intranasal administrations of SD RSVt vaccine
Receives: Biological: Standard Dose (SD) RSVt vaccine
Cohort 1: Group 2-ControlPlacebo comparatorParticipants received 2 intranasal administrations of placebo
Receives: Biological: Placebo
Cohort 1: Group 3- (HD RSVt vaccine)ExperimentalParticipants received 2 intranasal administrations of HD RSVt vaccine
Receives: Biological: High Dose (HD) RSVt vaccine
Cohort 1: Group 4-ControlPlacebo comparatorParticipants received 2 intranasal administrations of placebo
Receives: Biological: Placebo
Cohort 2: Group 1- (LD RSVt vaccine)ExperimentalParticipants received 2 intranasal administrations of LD RSVt vaccine
Receives: Biological: Low Dose (LD) RSVt vaccine
Cohort 2: Group 2- (SD RSVt vaccine)ExperimentalParticipants received 2 intranasal administrations of SD RSVt vaccine
Receives: Biological: Standard Dose (SD) RSVt vaccine
Cohort 2: Group 3- (HD RSVt vaccineExperimentalParticipants received 2 intranasal administrations of HD RSVt vaccine
Receives: Biological: High Dose (HD) RSVt vaccine
Cohort 2: Group 4-ControlPlacebo comparatorParticipants received 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.

  1. Cohort 2: Geometric Mean Titers (GMT) of RSV A Serum Neutralizing Antibodies at Day 85 (Post-Dose 2)

    Serum samples were planned to be collected at specified timepoints for immunogenicity assessments. RSV A serum neutralizing antibody titers were planned to be determined using a validated plaque reduction neutralization test (PRNT).

    Measured: Day 85 (28 days post-vaccination 2)

  2. Cohort 2: Geometric Mean Titers of RSV B Serum Neutralizing Antibodies at Day 85 (Post-Dose 2)

    Serum samples were planned to be collected at specified timepoints for immunogenicity assessments. RSV B serum neutralizing antibody titers were planned to be determined using a validated PRNT.

    Measured: Day 85 (28 days post-vaccination 2)

  3. Cohorts 1 and 2: Number of Participants With Immediate Unsolicited Systemic Adverse Events (AEs)

    An AE was any untoward medical occurrence in a clinical study participant temporally associated with the use of study vaccine, whether or not considered related to the study vaccine. An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, i.e., pre-listed in the case report form (CRF) in terms of diagnosis and onset window post-vaccination. All participants were observed for 30 minutes after each vaccination and any unsolicited AEs that occurred during that time were recorded as immediate unsolicited AEs.

    Measured: Up to 30 minutes after each vaccination (post-dose on Day 1)

  4. Cohorts 1 and 2: Number of Participants With Solicited Administration Site Reactions

    A solicited injection/administration site reactions were adverse reactions (AR) at and around the injection/administration site of the study vaccine observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF and considered as related to the study vaccine administered.

    Measured: Up to 21 days after each vaccination (post-dose on Day 1)

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

    A solicited reaction was an expected AR (sign or symptom) observed and reported under the conditions (nature and onset) pre-listed in the protocol and CRF and considered as related to the study vaccine administered.

    Measured: Up to 21 days after each vaccination (post-dose on Day 1)

  6. Cohorts 1 and 2: Number of Participants With Unsolicited Adverse Events

    An unsolicited AE was an observed AE that did not fulfill the conditions of solicited reactions, that is, pre-listed in the CRF in terms of diagnosis and onset window post-vaccination.

    Measured: Up to 28 days after each vaccination (post-dose on Day 1)

  7. Cohorts 1 and 2: Number of Participants With Medically Attended Adverse Events (MAAEs)

    An MAAE was defined as a new onset or a worsening of a condition that prompted the participant or participant's parent/legally acceptable representative to seek unplanned medical advice at a physician's office or emergency department.

    Measured: From first dose of study vaccine administration (Day 1) to 198 days

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

    An SAE was defined as any AE that, at any dose 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 or was other medically important event.

    Measured: From first dose of study vaccine administration (Day 1) to 198 days

  9. Cohorts 1 and 2: Number of Participants With Adverse Events of Special Interest (AESIs)

    An AESI (serious or non-serious) was one of scientific and medical concern specific to the sponsor's study vaccine or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor was appropriate. Acute wheeze and anaphylaxis were collected as AESI.

    Measured: From first dose of study vaccine administration (Day 1) to 198 days

Secondary outcomes (5)
  1. Cohort 1: Geometric Mean Titers of RSV A and B Serum Neutralizing Antibodies at Baseline (Day 1) and Day 85

    Serum samples were planned to be collected at specified timepoints for immunogenicity assessments. RSV A and RSV B serum neutralizing antibody titers were planned to be determined using a validated PRNT.

    Measured: Baseline (Day 1) and Day 85

  2. Cohorts 1 and 2: Mean Titers of RSV Serum Anti-F Immunoglobulin (Ig) A and IgG Antibodies at Baseline (Day 1) and Day 85

    Serum samples were collected at specified timepoints for immunogenicity assessments. Antibodies to RSV F antigen were measured using the anti-RSV serum anti-F IgA and IgG using electrochemiluminescence method. Log10 titer values are reported.

    Measured: Baseline (Day 1) and Day 85

  3. Cohorts 1 and 2: Percentage of Participants With Quantified Shedding >=3.37 Lower Limit of Quantitation (LLOQ)

    Nasal swabs were collected to assess shedding of the attenuated RSV vaccine strain at specified timepoints. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) assay was developed to detect and quantify RSV ΔNS2 candidate in nasal swab samples. Percentages rounded off to tenth decimal place.

    Measured: Day 8 and Day 64

  4. Cohorts 1 and 2: Percentage of Participants With Detectable Shedding >=2.08 Limit of Detection

    Nasal swabs were collected to assess shedding of the attenuated RSV vaccine strain at specified timepoints. qRT-PCR assay was developed to detect and quantify RSV ΔNS2 candidate in nasal swab samples. Percentages rounded off to tenth decimal place.

    Measured: Day 8 and Day 64

  5. Cohorts 1 and 2: Titer of Vaccine Virus Shedding in Participants Detected in Nasal Samples Quantified by Quantitative Real Time-Polymerase Chain Reaction

    Nasal swabs were collected to assess shedding of the attenuated RSV vaccine strain at specified timepoints. qRT-PCR assay was developed to detect and quantify RSV ΔNS2 candidate in nasal swab samples. Quantified virus shedding was defined as vaccine virus shedding >=lower limit of quantification (LLOQ=3.37 log10 copies/mL).

    Measured: Day 8 and Day 64

Timeline

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

  1. First posted26 Nov 2024
  2. Study start25 Nov 2024
  3. Primary completion11 Jun 2025
  4. Study completion11 Jun 2025

Why it stopped: Sponsor decision

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06705140
Sponsor's protocol ID
VAD00015
Other IDs
2023-509536-26, U1111-1298-7338, 2023
Acronym
OPAL
Status last verified
Jul 2026
First submitted
22 Nov 2024
Last updated
3 Aug 2026
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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Low Dose (LD) RSVt vaccine, Standard Dose (SD) RSVt vaccine and High Dose (HD) RSVt vaccine in people with RSV Immunisation and Healthy Volunteers, run by Sanofi Pasteur, a Sanofi Company at 3 sites in Honduras.

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 23 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 3 Aug 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 Honduras. 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 3 Aug 2026). 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?

Cohort 2: Geometric Mean Titers (GMT) of RSV A Serum Neutralizing Antibodies at Day 85 (Post-Dose 2) (time frame: Day 85 (28 days post-vaccination 2)). The study lists 9 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 3 Aug 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in