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Ad26.RSV.PreF-based Vaccine

Phase 3

Influenza, Human Prevention | Vaccine | Infectious Disease |Johnson & Johnson|Trials Updated: May 25, 2025

Ad26.RSV.PreF-based Vaccine development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Oct 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials4
Total Enrollment2,906

FDA Designations

No designations recorded

Ad26.RSV.PreF-based Vaccine clinical trials

Ad26.RSV.PreF-based Vaccine · 4 trials · 4 indications

Phase 3 4
NCT05101486A Study of an Ad26.RSV.PreF-based Regimen at the End of Shelf-life in Adults Aged 60 to 75 YearsRespiratory Syncytial Virus Prevention
COMPLETED755 Analytics
NCT05083585A Study Evaluating the Immunogenicity of Different Clinical Trial Materials of Ad26.RSV.preF- Based Vaccine in Adults Aged 60 - 75 Years OldRespiratory Syncytial Virus Prevention
COMPLETED250 Analytics
NCT05071313A Study of an Ad26.RSV.preF-based Vaccine and High-dose Seasonal Influenza Vaccine, With and Without Coadministration, in Adults Aged 65 Years and OlderInfluenza, Human Prevention
COMPLETED777 Analytics
NCT05070546A Study of an Ad26.RSV. preF-based Vaccine in Adults Aged 18 to 59 Years, Including Adults at High Risk for Severe RSV InfectionRespiratory Syncytial Virus Infection Prevention
COMPLETED1,124 Analytics
PHASE3COMPLETED
A Study of an Ad26.RSV.PreF-based Regimen at the End of Shelf-life in Adults Aged 60 to 75 Years
Respiratory Syncytial Virus PreventionUnlock trial analytics
PHASE3COMPLETED
A Study Evaluating the Immunogenicity of Different Clinical Trial Materials of Ad26.RSV.preF- Based Vaccine in Adults Aged 60 - 75 Years Old
Respiratory Syncytial Virus PreventionUnlock trial analytics
PHASE3COMPLETED
A Study of an Ad26.RSV.preF-based Vaccine and High-dose Seasonal Influenza Vaccine, With and Without Coadministration, in Adults Aged 65 Years and Older
Influenza, Human PreventionUnlock trial analytics
PHASE3COMPLETED
A Study of an Ad26.RSV. preF-based Vaccine in Adults Aged 18 to 59 Years, Including Adults at High Risk for Severe RSV Infection
Respiratory Syncytial Virus Infection PreventionUnlock trial analytics

Study Endpoints

Primary Endpoints

Geometric Mean Titers (GMTs) of Prefusion F-protein (preF) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) 14 Days Post Vaccination
14 days post vaccination on Day 1 (Day 15)

GMTs of pre-F antibodies as assessed by ELISA at 14 days post administration of Ad26/protein preF RSV vaccine were reported.

Geometric Mean Titers (GMTs) of Hemagglutination Inhibition (HI) Antibodies Against Each of the Four Influenza Vaccine Strains as Measured by HI Assay
28 days after vaccination with Fluzone on Day 1 (Day 29)

Hemagglutination is a phenomenon by which the hemagglutinin protein of influenza viruses can bind to sialic acid receptors on the red blood cell membrane, thereby forming clumps and is the basis for the HI assay. GMTs of HI antibodies against each of the four influenza vaccine strains as measured by HI assay at 28 days after the administration of a quadrivalent high-dose seasonal influenza vaccine (fluzone) were reported. The analysis was performed on 2 influenza A strains \[A/Victoria and A/Tasmania\] and 2 influenza B strains \[B/Washington and B/Phuket\]).

GMTs of Prefusion F-protein (preF) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) on Day 29
28 days after vaccination with Ad26.RSV.preF-based vaccine on Day 1 (Day 29)

GMTs of preF antibodies at 28 days after the administration of Ad26.RSV.preF-based vaccine as assessed by ELISA on Day 29 were reported. This outcome measure was planned to be analyzed for specified arm only.

GMTs of PreF Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) on Day 57
28 days after vaccination with Ad26.RSV.preF-based vaccine on Day 29 (Day 57)

GMTs of preF antibodies at 28 days after the administration of Ad26.RSV.preF-based vaccine as assessed by ELISA on Day 57 were reported. This outcome measure was planned to be analyzed for specified arm only.

Cohorts 1 and 2: Number of Participants With Solicited Local Adverse Events (AEs)
7 days after vaccination on Day 1 (Day 8)

Number of participants with solicited local AEs at 7 days post-vaccination in Cohorts 1 and 2 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited local AEs were predefined local events (at the injection site: erythema, pain/tenderness and swelling) that were by definition considered as related to the study vaccine and collected within 7 days after vaccination.

Cohorts 1 and 2: Number of Participants With Solicited Systemic AEs
7 days after vaccination on Day 1 (Day 8)

Number of participants with solicited systemic AEs at 7 days post-vaccination in Cohorts 1 and 2 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited systemic AEs including pyrexia, headache, fatigue, myalgia and nausea were collected within 7 days after vaccination.

Cohorts 1 and 2: Number of Participants With Unsolicited AEs
28 days after vaccination on Day 1 (Day 29)

Number of participants with unsolicited AEs post-vaccination in Cohorts 1 and 2 were reported. An AE was defined as any untoward medical occurrence in a participant participating in a clinical study that did not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were defined as all AEs for which the participant was not specifically questioned in the participant diary.

Cohorts 1, 2, and 3: Number of Participants With Serious Adverse Events (SAEs)
6 months after vaccination on Day 1 (Day 183)

Number of participants with SAEs post-vaccination were reported. An AE was defined as any untoward medical event that occurred in a participant administered an investigational product, and it did not necessarily indicated only events with clear causal relationship with the relevant investigational product. SAE was defined as any AE that resulted in: death, persistent or significant disability/incapacity, required inpatient hospitalization or prolongation of existing hospitalization, was life-threatening experience, was a congenital anomaly/birth defect and would jeopardize participant and/or required medical or surgical intervention to prevent one of the outcomes listed above.

Cohorts 1, 2, and 3: Number of Participants With Adverse Events of Special Interest (AESI)
6 months after vaccination on Day 1 (Day 183)

Number of participants with AESI post-vaccination were reported. AESIs were significant AEs that were judged to be of special interest because of clinical importance, known or suspected class effects, or based on nonclinical signals. Thrombosis with thrombocytopenia syndrome (TTS) was considered as an AESI.

Cohorts 1 (Group 1), 2 (Group 3), and 3 (Group 5): Respiratory Syncytial Virus (RSV) A2 Strain Neutralizing Antibody Titers
14 days after vaccination on Day 1 (Day 15)

RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay and were expressed as 50% inhibitory concentration (IC50) units.

Cohorts 1 (Group 1), 2 (Group 3), and 3 (Group 5): Percentage of Participants With Seroresponse as Assessed by Virus Neutralizing Assay (VNA-A2)
14 days after vaccination on Day 1 (Day 15)

Percentage of participants with seroresponse as assessed by VNA-A2 strain were reported. Seroresponse was defined as a 4-fold increase from baseline in Day 15 VNA A2 antibody titers.

Secondary Endpoints

Respiratory Syncytial Virus (RSV) A2 Strain Neutralizing Antibody Titers at 14 Days Post Vaccination
14 days post vaccination on Day 1 (Day 15)
Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days Post Vaccination
Up to Day 7 post vaccination on Day 1 (up to Day 8)
Number of Participants With Solicited Systemic AEs for 7 Days Post Vaccination
Up to Day 7 post vaccination on Day 1 (up to Day 8)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Group 1: Ad26.RSV.PreF-based VaccineEXPERIMENTALParticipants will receive a single intramuscular (IM) injection of Ad26.RSV.PreF-based vaccine on Day 1 (non-aged lot).
Group 2: Ad26.RSV.PreF-based VaccineEXPERIMENTALParticipants will receive a single IM injection of Ad26.RSV.PreF-based vaccine on Day 1 (aged lot 1).
Group 3: Ad26.RSV.PreF-based VaccineEXPERIMENTALParticipants will receive a single IM injection of Ad26.RSV.PreF-based vaccine on Day 1 (aged lot 2).
Group 1: Phase 3 Clinical Trial Material (CTM)EXPERIMENTALParticipants will receive a single intramuscular (IM) injection of adenovirus serotype 26 (Ad26). respiratory syncytial virus (RSV). prefusion conformation-stabilized F protein (preF)-based vaccine on Day 1, which is a Phase 3 CTM.
Group 2: Phase 2b CTMEXPERIMENTALParticipants will receive a single IM injection of Ad26.RSV.preF-based vaccine on Day 1, which is a Phase 2b CTM.
Group 1: Coadministration (CoAd) GroupEXPERIMENTALParticipants will receive Ad26.RSV.preF-based vaccine and quadrivalent high dose influenza vaccine concomitantly on Day 1 and placebo on Day 29.
Group 2: Control GroupEXPERIMENTALParticipants will receive placebo and quadrivalent high-dose influenza vaccine on Day 1 and Ad26.RSV.preF-based vaccine on Day 29.
Cohort (C)1 Group (G)1: Healthy Adults, 18-59 Years (Respiratory Syncytial Virus [RSV] vaccine)EXPERIMENTALParticipants will receive a single intramuscular (IM) injection of study vaccine on Day 1.
C1 G2: Healthy Adults, 18-59 Years (Placebo)PLACEBO_COMPARATORParticipants will receive a single IM injection of matching placebo on Day 1.
C2 G3: High Risk Adult, 18-59 Years (RSV Vaccine)EXPERIMENTALParticipants will receive a single IM injection of study vaccine on Day 1.
C2 G4: High Risk Adult, 18-59 Years (Placebo)PLACEBO_COMPARATORParticipants will receive a single IM injection of matching placebo on Day 1.
C3 G5: Adults, 65 Years and Older (RSV Vaccine)EXPERIMENTALParticipants will receive a single IM injection of study vaccine on Day 1.
C3 G6: Adults, 65 Years and Older (Placebo)PLACEBO_COMPARATORParticipants will receive a single IM injection of matching placebo on Day 1.

Interventions

NameTypeDescription
Ad26.RSV.PreF-based VaccineBIOLOGICALAd26.RSV.PreF-based Vaccine will be administered as single IM injection.
Quadrivalent High-dose Influenza VaccineBIOLOGICALQuadrivalent High-dose Influenza Vaccine will be administered as IM injection.
PlaceboBIOLOGICALPlacebo will be administered as IM injection to Ad26.RSV.preF-based vaccine.
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Eligibility Criteria

Age Range60 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Before randomization, a participant must be: a) postmenopausal (postmenopausal state is defined as no menses for 12 months without an alternative medical cause); and b) not intending to conceive by any methods * From the time of vaccination through 3 months after vaccination, ...

Countries:United StatesBelgiumGermanySpainSweden
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Frequently asked questions about Ad26.RSV.PreF-based Vaccine

What is the Ad26.RSV.PreF-based Vaccine?

The Ad26.RSV.PreF-based Vaccine is an investigational vaccine developed by Johnson & Johnson for the prevention of respiratory syncytial virus (RSV) infection. It is also being studied for the prevention of seasonal influenza in older adults. It is a vaccine modality in Phase 3 clinical development.

What is the Ad26.RSV.PreF-based Vaccine used for?

The Ad26.RSV.PreF-based Vaccine is being studied for the prevention of respiratory syncytial virus infection and RSV prevention in adults, including older adults and adults at high risk for severe RSV infection. It is also being evaluated for influenza prevention in adults aged 65 years and older.

Who is developing the Ad26.RSV.PreF-based Vaccine?

The Ad26.RSV.PreF-based Vaccine is being developed by Johnson & Johnson, which trades on the New York Stock Exchange under the ticker JNJ. Johnson & Johnson is the sponsor of the clinical trials evaluating this vaccine candidate.

What phase is the Ad26.RSV.PreF-based Vaccine in?

The Ad26.RSV.PreF-based Vaccine is in Phase 3 clinical development. It is an investigational vaccine and has not been approved by the FDA. All four of its registered Phase 3 trials have been completed, and no trials are currently active.

What clinical trials is the Ad26.RSV.PreF-based Vaccine in?

The Ad26.RSV.PreF-based Vaccine has been studied in four completed Phase 3 trials: NCT05101486, NCT05083585, NCT05071313, and NCT05070546. These trials enrolled adults ranging from 18 to 75 years of age across the United States, Belgium, Germany, Spain, and Sweden.

How many patients were enrolled in trials of the Ad26.RSV.PreF-based Vaccine?

The Ad26.RSV.PreF-based Vaccine trials enrolled a total of 1,124 participants across the registered studies. The largest trial, NCT05070546, enrolled 1,124 adults aged 18 to 59 years, including those at high risk for severe RSV infection, across five countries.