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RSVPreF3 OA vaccine

Phase 3

Respiratory Syncytial Virus Infections | Monoclonal antibody | Infectious Disease |GSK plc|Last Updated: Aug 3, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindNO_TREATMENT_CONTROLLEDDMC
Total Trials4
Total Enrollment38,682

FDA Designations

No designations recorded

Clinical trial landscape

RSVPreF3 OA vaccine · 4 trials · 1 indication

Phase 3 4
NCT07220109A Study on the Immune Response and Safety of Vaccine Against Respiratory Syncytial Virus Given to Chinese Adults 18 to 59 Years of Age at Increased Risk of Respiratory Syncytial Virus DiseaseRespiratory Syncytial Virus Infections
ACTIVE NOT_RECRUITING750 Analytics
NCT06534892An Extension and Crossover Vaccination Study on the Immune Response and Safety of a Vaccine Against Respiratory Syncytial Virus Given to Adults 60 Years of Age and Above Who Participated in RSV OA=ADJ-006 StudyRespiratory Syncytial Virus Infections
ACTIVE NOT_RECRUITING10,212 Analytics
NCT05568797A Study on the Immune Response and Safety of a Vaccine Against Respiratory Syncytial Virus (RSV) When Given Alone or Co-administered With an Adjuvanted Vaccine Against Influenza in Adults Aged 65 Years and AboveRespiratory Syncytial Virus Infections
COMPLETED1,045 Analytics
NCT04886596Efficacy Study of GSK's Investigational Respiratory Syncytial Virus (RSV) Vaccine in Adults Aged 60 Years and AboveRespiratory Syncytial Virus Infections
COMPLETED26,675 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study on the Immune Response and Safety of Vaccine Against Respiratory Syncytial Virus Given to Chinese Adults 18 to 59 Years of Age at Increased Risk of Respiratory Syncytial Virus Disease
Respiratory Syncytial Virus InfectionsUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
An Extension and Crossover Vaccination Study on the Immune Response and Safety of a Vaccine Against Respiratory Syncytial Virus Given to Adults 60 Years of Age and Above Who Participated in RSV OA=ADJ-006 Study
Respiratory Syncytial Virus InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study on the Immune Response and Safety of a Vaccine Against Respiratory Syncytial Virus (RSV) When Given Alone or Co-administered With an Adjuvanted Vaccine Against Influenza in Adults Aged 65 Years and Above
Respiratory Syncytial Virus InfectionsUnlock trial analytics
PHASE3COMPLETED
Efficacy Study of GSK's Investigational Respiratory Syncytial Virus (RSV) Vaccine in Adults Aged 60 Years and Above
Respiratory Syncytial Virus InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

RSV-A neutralizing titers expressed as group Geometric Mean Titers (GMTs)
At Day 31 (i.e., 1 month after RSVPreF3 OA investigational vaccine administration)

The serum neutralizing titers are expressed in Estimated Dilution (ED60). The group GMT ratio will be evaluated for RSV-OA overseas group (from RSV OA-ADJ-021 study) over RSV AIR (from the current study).

RSV-A neutralizing titers expressed as group Seroresponse rate (SRR)
At Day 31 (i.e., 1 month after RSVPreF3 OA investigational vaccine administration)

The SRR is defined as the proportion of participants having a 4-fold increase in neutralizing titers. The group SRR difference will be evaluated for RSV-OA overseas group (from RSV OA-ADJ-021 study) minus RSV AIR (from the current study).

RSV-B neutralizing titers expressed as group GMTs
At Day 31 (i.e., 1 month after RSVPreF3 OA investigational vaccine administration)

The serum neutralizing titers are expressed in ED60. The group GMT ratio will be evaluated for RSV-OA overseas group (from RSV OA-ADJ-021 study) over RSV AIR (from the current study).

RSV-B neutralizing titers expressed as group SRR
At Day 31 (i.e., 1 month after RSVPreF3 OA investigational vaccine administration)

The group SRR difference will be evaluated for RSV-OA overseas group (from RSV OA-ADJ-021 study) minus RSV AIR (from the current study).

RSV-A neutralizing titers expressed as Geometric mean titers (GMTs) in RSV_PreS4 group at Day 1
At Day 1
RSV-A neutralizing titers expressed as GMTs in RSV_PreS4 group at Day 31
At Day 31
RSV-B neutralizing titers expressed as GMTs in RSV_PreS4 group at Day 1
At Day 1
RSV-B neutralizing titers expressed as GMTs in RSV_PreS4 group at Day 31
At Day 31
RSV-A neutralizing titers expressed as Mean geometric increase (MGI) in RSV_PreS4 group
From Day 1 to Day 31
RSV-B neutralizing titers expressed as MGI in RSV_PreS4 group
From Day 1 to Day 31
Percentage of participants with RSV-A neutralizing titers greater than or equal to (>=) cut-off in RSV_PreS4 group at Day 1
At Day 1
Percentage of participants with RSV-A neutralizing titers >= cut-off in RSV_PreS4 group at Day 31
At Day 31
Percentage of participants with RSV-B neutralizing titers >=cut-off in RSV_PreS4 group at Day 1
At Day 1
Percentage of participants with RSV-B neutralizing titers >=cut-off in RSV_PreS4 group at Day 31
At Day 31
Percentage of participants with seroresponse rate (SRR) for RSV-A neutralizing titers in RSV_PreS4 group
At Day 31
Percentage of participants with SRR for RSV-B neutralizing titers in RSV_PreS4 group
At Day 31
RSV-A neutralizing titers expressed as GMT in RSV_PreS5 group at Day 1
At Day 1
RSV-A neutralizing titers expressed as GMT in RSV_PreS5 group at Month 12
At Month 12
RSV-A neutralizing titers expressed as GMT in RSV_PreS5 group at Month 13
At Month 13
RSV-A neutralizing titers expressed as GMT in RSV_PreS5 group at Month 24
At Month 24
RSV-B neutralizing titers expressed as GMTs in RSV_PreS5 group at Day 1
At Day 1
RSV-B neutralizing titers expressed as GMTs in RSV_PreS5 group at Month 12
At Month 12
RSV-B neutralizing titers expressed as GMTs in RSV_PreS5 group at Month 13
At Month 13
RSV-B neutralizing titers expressed as GMTs in RSV_PreS5 group at Month 24
At Month 24
RSV-A neutralizing titers expressed as MGI in RSV_PreS5 group from Month 12 to Month 13
From Month 12 to Month 13
RSV-A neutralizing titers expressed as MGI in RSV_PreS5 group from Month 12 to Month 24
From Month 12 to Month 24
RSV-B neutralizing titers expressed as MGI in RSV_PreS5 group from Month 12 to Month 13
From Month 12 to Month 13
RSV-B neutralizing titers expressed as MGI in RSV_PreS5 group from Month 12 to Month 24
From Month 12 to Month 24
Percentage of participants with RSV-A neutralizing titers >=cut-off in RSV_PreS5 group at Day 1
At Day 1
Percentage of participants with RSV-A neutralizing titers >=cut-off in RSV_PreS5 group at Month 12
At Month 12
Percentage of participants with RSV-A neutralizing titers >=cut-off in RSV_PreS5 group at Month 13
At Month 13
Percentage of participants with RSV-A neutralizing titers >=cut-off in RSV_PreS5 group at Month 24
At Month 24
Percentage of participants with RSV-B neutralizing titers >=cut-off in RSV_PreS5 group at Day 1
At Day 1
Percentage of participants with RSV-B neutralizing titers >=cut-off in RSV_PreS5 group at Month 12
At Month 12
Percentage of participants with RSV-B neutralizing titers >=cut-off in RSV_PreS5 group at Month 13
At Month 13
Percentage of participants with RSV-B neutralizing titers >=cut-off in RSV_PreS5 group at Month 24
At Month 24
Percentage of participants with seroresponse rate (SRR) for RSV-A neutralizing titers in RSV_PreS5 group
At Month 13
Percentage of participants with SRR for RSV-B neutralizing titers in RSV_PreS5 group
At Month 13
Titers for Hemagglutination Inhibition (HI) Antibodies Against 4 FLU Vaccine Strains Expressed as Group Geometric Mean Titers (GMTs) at 1 Month After FLU Vaccine Dose
At 1 month after the FLU vaccine dose (Day 31 for both groups)

HI antibodies assessed were antibodies against the Flu A/Darwin/6/2021 H3N2, Flu A/Victoria/2570/2019 H1N1, Flu B/Austria/1359417/2021 Victoria, and Flu B/Phuket/3073/2013 Yamagata flu strains.

RSV-A Neutralizing Antibody Titers Expressed as GMTs
At 1 month after the RSVPreF3 OA dose (Day 31 for the Co-Ad Group and Day 61 for the Control Group)

RSV-A neutralizing antibodies were given as GMTs and expressed as Estimated Dilution 60 (ED60).

RSV-B Neutralizing Antibody Titers Expressed as GMTs
At 1 month after the RSVPreF3 OA dose (Day 31 for the CoAd Group and Day 61 for the Control Group)

RSV B neutralizing antibodies are given as GMTs and expressed as Estimated Dilution 60 (ED60).

Number of Participants With First Episode of RT-PCR Confirmed RSV A and/or B Associated Lower Respiratory Tract Disease (LRTD) During the First Season Following a Single Dose of the RSVPreF3 OA Vaccine
From Day 15 post-vaccination up to end of season 1 in the Northern Hemisphere (NH) [a median of approximately 6.7 months (6.9 months in NH and 3.5 months in Southern Hemisphere [SH])]

First episode of Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR)-confirmed RSV A and/or RSV B- associated LRTD during the first season was assessed. The case definition for RSV-confirmed LRTD is as follows: Presence of at least one RSV-positive swab detected by RT-PCR.

Secondary Endpoints

RSV-A and RSV-B neutralizing titers expressed as group GMTs
At Day 31 and at Month 6 (i.e., 1 month and 6 months after RSVPreF3 OA investigational vaccine administration)
RSV-A and RSV-B neutralizing titers expressed as group SRR
At Day 31 and at Month 6 (i.e., 1 month and 6 months after RSVPreF3 OA investigational vaccine administration)
Number of participants with RT-PCR-confirmed RSV A and/or B-associated acute respiratory illness (ARI) and lower respiratory tract disease (LRTD), assessed for all groups of the current study
Day 1 to Month 6 of the current study
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
RSV AIR groupEXPERIMENTALParticipants at increased risk (AIR) of RSV disease will receive a single dose of investigational RSVPreF3 OA investigational vaccine on Visit 1 (Day 1).
Placebo AIR groupPLACEBO_COMPARATORParticipants AIR of RSV disease will receive a single dose of Placebo on Visit 1 (Day 1).
RSV_PreS4EXPERIMENTALParticipants in this group will receive 1 dose of RSVPreF3 OA vaccine before RSV Season 4.
RSV_PreS5EXPERIMENTALParticipants in this group will receive 1 dose of RSVPreF3 OA vaccine before RSV Season 5.
RSV_1DoseNO_INTERVENTIONParticipants in this group will not receive any additional dose of RSV PreF3 OA vaccine.
CrossoverEXPERIMENTALParticipants in this group will receive a single dose of RSVPreF3 OA vaccine.
Co-Ad GroupEXPERIMENTALParticipants received one dose of FLU-aQIV vaccine and one dose of RSVPreF3 OA vaccine, both doses administered at Day 1, and were followed until end of study.
Control GroupACTIVE_COMPARATORParticipants received one dose of FLU-aQIV vaccine at Day 1, followed by one dose of RSVPreF3 OA vaccine at Day 31, and were followed until end of study.
RSVPreF3 GroupEXPERIMENTALParticipants received a single dose of the RSVPreF3 OA vaccine at Day 1. Before the second vaccination participants in this group were re-randomized into 2 as: a group that received placebo every subsequent year, and a group that received an additional dose of RSVPreF3 OA vaccine every subsequent year of the study.
Placebo GroupPLACEBO_COMPARATORParticipants received 1 dose of placebo at Day 1 and an additional dose of placebo every subsequent year of the study.

Interventions

NameTypeDescription
RSVPreF3 OA vaccineBIOLOGICAL1 dose of RSVPreF3 OA investigational vaccine administered intramuscularly in the deltoid region of the non-dominant arm.
PlaceboBIOLOGICAL1 dose of saline solution administered intramuscularly in the deltoid region of the non-dominant arm.
FLU vaccineBIOLOGICALOne dose of FLU vaccine administered intramuscularly.
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Eligibility Criteria

Age Range18 Years to 59 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol. * Written or witnessed informed consent obtained from the participant (participant must be able to understand the informed consent) prior to performance of any stud...

Countries:ChinaUnited StatesAustraliaBelgiumCanadaEstoniaFinlandGermanyItalyJapanMexicoNew ZealandPolandRussiaSouth AfricaSouth KoreaSpainUnited KingdomFrance
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Recent Changes (Last 90 Days)

MEDIUMAug 3, 2026NCT07220109Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 3, 2026NCT07220109Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJul 29, 2026NCT06534892lastUpdatePostDate: changed
LOWJul 29, 2026NCT06534892lastUpdatePostDate: changed

Frequently asked questions about RSVPreF3 OA vaccine

What is RSVPreF3 OA vaccine used for?

RSVPreF3 OA vaccine is an investigational vaccine being studied for the prevention of Respiratory Syncytial Virus (RSV) infections in adults. It is being evaluated in adults aged 60 years and above, as well as in adults aged 18 to 59 years at increased risk of RSV disease. The vaccine is administered to generate an immune response against RSV.

What does RSVPreF3 OA vaccine target?

RSVPreF3 OA vaccine targets the respiratory syncytial virus (RSV), specifically the RSV prefusion F protein. The vaccine is designed to elicit an immune response against this viral protein, which is essential for the virus to enter host cells. By targeting this protein, the vaccine aims to protect against RSV infection.

Who makes RSVPreF3 OA vaccine?

RSVPreF3 OA vaccine is being developed by GSK plc, a global biopharma company listed on the London Stock Exchange under the ticker GSK. GSK is conducting clinical trials to evaluate the vaccine's efficacy, immune response, and safety in various adult populations.

What phase is RSVPreF3 OA vaccine in?

RSVPreF3 OA vaccine is in Phase 3 clinical development. It is an investigational vaccine and has not been approved by regulatory authorities. The Phase 3 program includes multiple trials assessing the vaccine's efficacy, immunogenicity, and safety in adults aged 60 years and older, as well as in younger adults at increased risk.

What clinical trials is RSVPreF3 OA vaccine in?

RSVPreF3 OA vaccine is being studied in four Phase 3 clinical trials. NCT04886596 is a completed efficacy study in adults aged 60 years and above. NCT05568797 is a completed study on immune response and safety in adults aged 65 years and above. NCT06534892 is an active extension study in adults aged 60 years and above. NCT07220109 is an active study in Chinese adults aged 18 to 59 years at increased risk of RSV disease.

Is RSVPreF3 OA vaccine the same as Arexvy?

RSVPreF3 OA vaccine is the investigational name for GSK's respiratory syncytial virus vaccine candidate. It is also known as Arexvy in some contexts. The vaccine is being evaluated in clinical trials under the RSVPreF3 OA designation, and the same vaccine candidate has been studied under the brand name Arexvy.