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Clesrovimab

Phase 3

RSV Infection | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Last Updated: May 8, 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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,003
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04938830Clesrovimab (MK-1654) in Infants and Children at Increased Risk for Severe Respiratory Syncytial Virus (RSV) Disease (MK-1654-007)PHASE3 COMPLETED 1,003Nov 30, 2021Aug 1, 2025May 8, 2026146 United States, Australia +25
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Study Endpoints
Primary Endpoints
Number of Participants With Solicited Injection-site Adverse Events (AEs) in RSV Season 1
Up to 5 days after each dose in RSV Season 1 (Up to ~33 days)

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited injection-site AEs included erythema, pain, and swelling. The number of participants with solicited injection-site AEs in RSV Season 1 is reported.

Number of Participants With Solicited Daily Body Temperatures With Fever in RSV Season 1
Up to 5 days after each dose in RSV Season 1 (Up to ~33 days)

Fever was defined as maximum rectal temperature ≥102.2 °F (39.0 °C) or maximum axillary temperature ≥101.7 °F. The number of participants with solicited daily body temperature of fever in RSV Season 1 is reported.

Number of Participants With Solicited Systemic AEs in RSV Season 1
Up to 5 days after each dose in RSV Season 1 (Up to ~33 days)

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Solicited systemic AEs included decreased appetite, irritability, and somnolence. The number of participants with solicited systemic AEs in RSV Season 1 is reported.

Number of Participants With Anaphylaxis/Hypersensitivity AEs of Special Interest (AESI) in RSV Season 1
Up to 42 days in RSV Season 1

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants with anaphylaxis/hypersensitivity AESI in RSV Season 1 is reported.

Number of Participants With Rash AESI in RSV Season 1
Up to 42 days in RSV Season 1

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Rash AESI included urticaria and drug eruption. The number of participants with rash AESI in RSV Season 1 is reported.

Number of Participants With Nonserious AEs in RSV Season 1
Up to 42 days in RSV Season 1

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants with nonserious AEs in RSV Season 1 is reported.

Number of Participants With Serious AEs (SAEs) Through the Duration of Participation in RSV Season 1
Up to 365 days in RSV Season 1

An SAE is any untoward medical occurrence in a clinical study participant that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is another important medical event. The number of participants with SAEs in RSV Season 1 is reported.

Secondary Endpoints
Number of Cases of RSV-associated Medically Attended Lower Respiratory Infection (MALRI) in RSV Season 1
Up to 150 days in RSV Season 1
Number of Cases of RSV-associated Hospitalization in RSV Season 1
Up to 150 days in RSV Season 1
Number of Participants With Solicited Injection-site AEs in RSV Season 2
Up to 5 days postdose in RSV Season 2 (Up to ~400 days)
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
ClesrovimabEXPERIMENTALParticipants will receive intramuscular (IM) injections of clesrovimab and placebo
PalivizumabACTIVE_COMPARATORParticipants will receive IM injections.
Interventions
NameTypeDescription
ClesrovimabBIOLOGICALIM injection
PalivizumabBIOLOGICALIM injection
PlaceboBIOLOGICALIM injection
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Eligibility Criteria
Age RangeN/A — 1 Year
SexALL
Healthy VolunteersNo
Study Sites146

Inclusion Criteria: * Participants at increased risk for severe RSV infection recommended to receive palivizumab in accordance with national or local guidelines or professional society recommendations and meet defined criteria for the Early or Moderate Pre-term Group or the chronic lung disease (CL...

Countries:United StatesAustraliaCanadaChileColombiaCzechiaFinlandFranceGermanyGreeceHong KongHungaryItalyJapanMalaysiaMexicoNew ZealandNorwayPeruPuerto RicoSingaporeSouth AfricaSpainTaiwanThailandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
MEDIUMJun 8, 2026NCT04938830TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT04938830TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT04938830TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT04938830TRIAL_REMOVED: changed
MEDIUMJun 8, 2026NCT04938830TRIAL_REMOVED: changed