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Nirsevimab

Phase 3

Lower Respiratory Tract Infection | Small molecule | Infectious Disease |AstraZeneca PLC|Last Updated: Apr 16, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment800

FDA Designations

No designations recorded

Clinical trial landscape

Nirsevimab · 4 trials · 4 indications

Phase 3 2Phase 2 1Phase 1 1
NCT06042049A Study to Assess Safety, Pharmacokinetics Anti-Drug Antibody and Anti-RSV Antibody After 2 Doses of NirsevimabRespiratory Syncytial Virus Infections
COMPLETED33 Analytics
NCT05110261Evaluate the Safety and Efficacy of Nirsevimab in Healthy Preterm and Term Infants in ChinaLower Respiratory Tract Infection
COMPLETED800 Analytics
PHASE3COMPLETED
A Study to Assess Safety, Pharmacokinetics Anti-Drug Antibody and Anti-RSV Antibody After 2 Doses of Nirsevimab
Respiratory Syncytial Virus InfectionsUnlock trial analytics
PHASE3COMPLETED
Evaluate the Safety and Efficacy of Nirsevimab in Healthy Preterm and Term Infants in China
Lower Respiratory Tract InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious Adverse Events (TESAEs), Adverse Events of Special Interest (AESIs), and New-onset Chronic Diseases (NOCDs)
From the first dose administration (Day 1) through 360 days post 2nd dose, study Day 511

An AE was development of any untoward medical occurrence in a participant or clinical study participant administered medicinal product and which did not necessarily have causal relationship with this treatment. TEAEs were AEs whose onset occurred after receiving nirsevimab through 360 days post second dose. An SAE was any AE that resulted in death, was immediately life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly or birth defect or was an important medical event that might jeopardize the participant or may require medical treatment to prevent 1 of the outcomes listed above. AESIs were based on assessment by investigators following the administration of nirsevimab. An NOCD was a newly diagnosed medical condition of chronic, ongoing nature post administration of study drug.

Incidence of medically attended LRTI due to RT-PCR-confirmed RSV
Day 1 to Day 151

Incidence of all medically attended LRTI (inpatient and outpatient) due to RT-PCR-confirmed RSV through 150 days after dosing (ie, during a typical 5-month RSV season)

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious AEs (TESAEs), AEs of Special Interest (AESIs), and New Onset Chronic Disease (NOCDs)
TEAEs were collected from the first dose administration (Day 1) up to 360 days post dose

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the treatment. TEAEs were AEs whose onset occurred after receiving nirsevimab and within 360 days post dose. A TESAE was any AE that resulted in death, was life-threatening, required inpatient hospitalization, resulted in persistent or significant disability/incapacity, was a congenital abnormality, or was medically significant. AESIs were defined as AEs of immediate (type I) hypersensitivity (including anaphylaxis), thrombocytopenia, and immune complex disease following the administration of nirsevimab based on investigator assessment and Medical Dictionary for Regulatory Activities (MedDRA) preferred term (PT) codes. An NOCD was a newly diagnosed medical condition of a chronic, ongoing nature post administration of treatment.

Serum Concentrations of Nirsevimab
Pre-dose on Day 1 and on Days 2, 4, 6, 8, 15, 31, 91, 151 post-dose.

Serum samples were collected at indicated timepoints to determine the serum concentration of nirsevimab.

Maximum Observed Serum Concentration (Cmax) for Nirsevimab
Pre-dose on Day 1 and on Days 2, 4, 6, 8, 15, 31, 91, 151 post-dose

Cmax for nirsevimab was directly calculated from the individual concentration-time curve.

Time to Reach Maximum Observed Serum Concentration (Tmax) for Nirsevimab
Pre-dose on Day 1 and on Days 2, 4, 6, 8, 15, 31, 91, 151 post-dose

Tmax for nirsevimab was directly calculated from the individual concentration-time curve.

Area Under the Serum Concentration-Time Curve From Time 0 to 150 Days (AUC0-150) for Nirsevimab
Pre-dose on Day 1 and on Days 2, 4, 6, 8, 15, 31, 91, 151 post-dose

Area Under the Serum Concentration-Time Curve From Time 0 to 150 Days (AUC0-150) for Nirsevimab was calculated by linear up/log down trapezoidal summation.

Secondary Endpoints

Serum Concentrations of Nirsevimab
Pre-dose Day 1, pre-dose Day 151, Day 181 post first-dose, Day 301 post first-dose, and Day 511 post first-dose
Number of Participants With Anti-drug Antibody (ADA) Response to Nirsevimab
Pre-dose Day 1, pre-dose Day 151, Day 181 post first-dose, Day 301 post first-dose, and Day 511 post first-dose
Serum Anti-respiratory Syncytial Virus (RSV) Neutralizing Antibody (nAb) Levels
Pre-dose Day 1, pre-dose Day 151, Day 181 post first-dose, Day 301 post first-dose, and Day 511 post first-dose
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
MEDI8897EXPERIMENTALAnti-RSV monoclonal antibody
NirsevimabEXPERIMENTALSubjects will be randomized 2:1 to receive a single IM dose of nirsevimab or placebo.
PlaceboPLACEBO_COMPARATORSubjects will be randomized 2:1 to receive a single IM dose of nirsevimab or placebo.

Interventions

NameTypeDescription
NirsevimabDRUGParticipants in the first year of life will receive the 1st dose of nirsevimab as a single, fixed intramuscular (IM) dose of 50 mg if body weight is \<5 kg or 100 mg if body weight is ≥5 kg. A 2nd fixed IM dose of 50 mg if body weight is \<5 kg or 100 mg if body weight is ≥5 kg will be administered 5 to 6 months following the 1st dose.
PlaceboDRUGCommercially available 0.9% (w/v) saline (sterile for human use) fixed IM dose of 0.5 mL (if weight \<5 kg) or 1.0 mL (if weight \>=5 kg)
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Eligibility Criteria

Age Range0 Years to 1 Year
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: 1. Written informed consent and any locally required authorization obtained from the participant's parent(s)/legally authorized representative(s) before performing any protocol-related procedures, including screening evaluations 2. Japanese infants of ≤12 months of age eligible ...

Countries:JapanChinaUnited StatesBelgiumPolandSouth AfricaSpainUkraineUnited Kingdom
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Frequently asked questions about Nirsevimab

What is Nirsevimab used for?

Nirsevimab is an investigational drug being studied for the prevention of Respiratory Syncytial Virus (RSV) infections, including lower respiratory tract infections. It is being evaluated in clinical trials involving infants, children, and adults, with studies conducted in various countries including China, Japan, and the United States.

Who makes Nirsevimab?

Nirsevimab is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the safety, tolerability, pharmacokinetics, and efficacy of Nirsevimab in different patient populations.

What phase is Nirsevimab in?

Nirsevimab is in Phase 3 clinical development. It has completed Phase 1, Phase 2, and Phase 3 trials, including studies in healthy Chinese adults, immunocompromised children, and healthy preterm and term infants in China. The drug is investigational and not yet approved for commercial use.

What clinical trials is Nirsevimab in?

Nirsevimab has been studied in several completed clinical trials, including NCT04484935 (Phase 2 in immunocompromised children with RSV), NCT04840849 (Phase 1 in healthy Chinese adults), NCT05110261 (Phase 3 in healthy preterm and term infants in China), and NCT06042049 (Phase 3 in Japanese participants).

How does Nirsevimab work?

Nirsevimab is a small molecule therapeutic agent. It is being studied for its ability to prevent RSV infections by targeting the respiratory syncytial virus. The drug is administered to individuals at risk of RSV infection, including infants and immunocompromised patients, to provide protection against the virus.

Is Nirsevimab the same as other RSV treatments?

Nirsevimab is a distinct investigational drug developed by AstraZeneca. It is not the same as other RSV treatments currently on the market. Nirsevimab is being evaluated in clinical trials for its safety and efficacy in preventing RSV infections in various populations, including infants and adults.