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RSVPreF3 OA vaccine

Phase 3

Respiratory Syncytial Virus Infections | Monoclonal antibody | Respiratory |GSK plc|Last Updated: May 27, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindNO_TREATMENT_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment38,682
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 DiseasePHASE3 RECRUITING 750Oct 29, 2025Mar 12, 2027May 27, 202615 China
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 StudyPHASE3 ACTIVE NOT_RECRUITING 10,212Aug 1, 2024Sep 30, 2026May 27, 2026249 United States, Australia +15
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 AbovePHASE3 COMPLETED 1,045Oct 14, 2022Jul 17, 2023Sep 24, 202437 Belgium, Finland +3
NCT04886596Efficacy Study of GSK's Investigational Respiratory Syncytial Virus (RSV) Vaccine in Adults Aged 60 Years and AbovePHASE3 COMPLETED 26,675May 25, 2021May 31, 2024Jul 31, 2025277 United States, Australia +15
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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 — 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)
LOWMay 28, 2026NCT07220109primaryCompletionDate: changed
LOWMay 28, 2026NCT06534892lastUpdatePostDate: changed
LOWMay 28, 2026NCT07220109primaryCompletionDate: changed
LOWMay 28, 2026NCT06534892lastUpdatePostDate: changed
LOWMay 26, 2026NCT07220109primaryCompletionDate: changed
LOWMay 26, 2026NCT06534892primaryCompletionDate: changed
LOWMay 24, 2026NCT07220109studyFirstPostDate: changed
LOWMay 24, 2026NCT06534892studyFirstPostDate: changed