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Low dose RSV-F Vaccine with Adjuvant; Seasonal TIV

Phase 3

Respiratory Syncytial Virus (RSV) | Monoclonal antibody | Infectious Disease |Novavax, Inc.|Last Updated: May 6, 2025

Target and mechanism

ModalityMonoclonal antibody

Also known as RSV F Vaccine with adjuvant (0.5mL injection), RSV F Vaccine with adjuvant, RSV-F Vaccine, RSV F vaccine (0.5mL injection), RSV F vaccine, Low dose RSV-F Vaccine with Adjuvant, RSV F Vaccine with Aluminum Phosphate Adjuvant, RSV F Vaccine with Aluminum Adjuvant

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment15,329

FDA Designations

No designations recorded

Clinical trial landscape

Low dose RSV-F Vaccine with Adjuvant; Seasonal TIV · 9 trials · 4 indications

Phase 3 2Phase 2 5Phase 1 2
NCT02624947A Study to Determine the Safety and Efficacy of the RSV F Vaccine to Protect Infants Via Maternal ImmunizationRespiratory Syncytial Virus Infections
COMPLETED4,636 Analytics
NCT02608502A Study to Evaluate the Efficacy of an RSV F Vaccine in Older AdultsRespiratory Syncytial Virus (RSV)
COMPLETED11,850 Analytics
PHASE3COMPLETED
A Study to Determine the Safety and Efficacy of the RSV F Vaccine to Protect Infants Via Maternal Immunization
Respiratory Syncytial Virus InfectionsUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy of an RSV F Vaccine in Older Adults
Respiratory Syncytial Virus (RSV)Unlock trial analytics

Study Endpoints

Primary Endpoints

Infants: Percentages of Participants With Medically Significant RSV LRTI With Either Hypoxemia (SpO2 <95% at Sea Level or <92% at Altitudes >1800 Meters) or Tachypnea
Delivery to 180 days after delivery

Percentages of infants with medically-significant RSV LRTI from delivery through 90, 120,150, and 180 days of life, as defined by: * The presence of RSV infection confirmed by detection of RSV genome by RT-PCR on respiratory secretions (obtained within the continuous illness episode which fulfills the other criteria listed below); AND * At least one manifestation of lower respiratory tract infection (LRTI) from among the following: cough, nasal flaring, lower chest wall indrawing, subcostal retractions, stridor, rales, rhonchi, wheezing, crackles/crepitations, or observed apnea; AND * Evidence of medical significance as defined by the presence of: * EITHER hypoxemia (peripheral oxygen saturation \[SpO2\] \< 95% at sea level or \< 92% at altitudes \> 1800 meters) OR * Tachypnea (≥ 70 breaths per minute \[bpm\] in infants 0 to 59 days of age and ≥ 60 bpm in infants ≥ 60 days of age).

Numbers and percentages of subjects with moderate-severe RSV-LRTD
Day 0 to Day 182

Defined by the presence of at least three (3) of: cough, wheezing (or worsening in baseline wheezing), new sputum production (or increase in baseline sputum production), new (or worsening) shortness of breath, and observed tachypnea (≥20 breaths per minute); plus RT-PCR-confirmed RSV infection documented within five days of symptom onset.

Numbers and percentages of subjects with solicited local and systemic AEs
Day 0 to Day 364

Defined as solicited local and systemic AEs over the 7 days post-injection; all adverse events, solicited and unsolicited over 56 days after dosing; and MAEs, SAEs, and SNMCs over one year post dosing.

Neutralizing antibody titers to at least one RSV/A strain
Day 0, 21, 28
Subjects with solicited local and systemic AEs occurring within the 7-day period following dosings on Day 0 and Day 21 and all adverse events, solicited and unsolicited, occurring within the 56-day period of Day 0.
Day 0 - Day 6, Day 21 - Day 27; Day 0 - Day 56
Serum IgG antibody concentrations as ELISA units (EUs) specific for the F protein antigen.
Day 0 to Day 364

Derived/calculated endpoints based on these data will include: * Geometric mean concentration as EU (GMEU) * Geometric mean ratio (GMR) * Seroresponse rate (SRR) * Proportion of subjects with two (2)- and 4-fold seroconversion rates ( SCR2 and SCR4, respectively)

Immunogenicity as assessed by serum IgG antibody titers specific for the F-Protein antigen
Day 0 to Day 364

Serum IgG antibody concentrations as ELISA units (EUs) specific for the F protein antigen. Derived/ calculated endpoints based on these data will include: * Geometric mean concentrations as EU (GMEU) * Geometric mean ratio (GMR) * Geometric mean fold-rise( GMFR) * Seroresponse rate (SRR)

Number and percentage of subjects with respiratory illness associated with RSV
Day 0 to Day 364

Defined by any one of rhinorrhea, nasal congestion, pharyngitis, cough, wheezing (or increase in baseline wheezing), sputum production (or increase in the change in nature of baseline sputum production), or new (or worsening) shortness of breath; plus RT-PRC-confirmed RSV infection documented within three days of symptom onset.

Numbers and percentages of subjects with solicited local and systemic AEs.
Day 0 to Day 364

Solicited local and systemic AEs over the seven days post-injection; and all adverse events, solicited and unsolicited, including adverse changes in clinical laboratory parameters over 56 days post injection. In addition, MAEs, SAEs, and SNMCs will be collected for one year.

Counts and percentage of subjects with solicited injection site and systemic reactogenicity within seven days of vaccination.
Day 0 to Day D+180

In Maternal Subjects

Counts and percentage of subjects with unsolicited (local and systemic) adverse events (AE), unscheduled medically-attended adverse events (MAEs), and serious adverse events (SAEs) through delivery and six (6) months thereafter.
Day 0 to Day D+180

In Maternal Subjects

Clinical safety laboratory assessments of select serum chemistry and hematology parameters through delivery.
Screening to Day 14

In Maternal Subjects

Counts and percentage of subjects with post-immunization onset of specific complications of third-trimester pregnancy and delivery
Day 0 to Day 28 - 42

In Maternal Subjects

Counts and percentage of term healthy infants appropriate for gestational age.
Day 28 - 42

In Infant subjects

Neonatal SAEs (including congenital anomalies, respiratory failure, fever/infection, and neonatal death or other adverse events/complications that necessitate extended hospitalization).
Birth to Day 365

In Infant Subjects

Growth and development over one year
Birth to Day Day 365

In Infant Subjects

Counts and proportion of infants with unsolicited adverse events
Birth to Day 365

In Infant Subjects

Counts and proportions of infants with medically-attended RSV lower respiratory tract infection (LRTI), and age of onset of those infections.
Birth to Day 365

In Infant Subjects

Immunogenicity as assessed by serum IgG antibody titers specific for the F-Protein antigen across treatment groups
Day 0 to Day 112

Immunogenicity will be measured using derived / calculated endpoints based on: * Geometric mean titer (GMT) * Geometric mean ratio (GMR) * Seroconversion rate (SCR) * Seroresponse rate (SRR)

Assessment of the safety
Day 0 to Day 182

Number (and percentage) of subjects with solicited local and systemic Adverse Events over the seven days post-injections; all adverse events, solicited and unsolicited over 56 days post-first injection. Significant New Medical Conditions, Medically Attended Events and Serious Adverse Events will be collected for six months

Immunogenicity as assessed by serum IgG antibody levels specific for the F protein antigen as detected by enzyme-linked immunosorbent assay (ELISA) providing a standardized ELISA Unit (EU) reasout based on a standard reference sample.
Up to Day 392

Derived/ calculated endpoints based on these data will include: Geometric mean EU (GMEU) Geometric mean ratio (GMR) Seroresponse rate (SRR)

Assessment of Safety
Day 0 to Day 364

Number (and percentage) of subjects with solicited local and systemic Adverse Events over the seven days post injection; all adverse events, solicited and unsolicited over 56 days post-first injection. Significant New Medical Conditions, Medically Attended Events and Serious Adverse Events will be collected for one year.

Immunogenicity as assessed by serum IgG antibody titers for the F-Protein antigen
Day 0 to Day 364

Immunogenicity will be measured using derived / calculated endpoints based on: * Geometric mean titer (GMT) * Geometric mean ratio (GMR) * Seroconversion rate (SCR) * Seroresponse rate (SRR)

Secondary Endpoints

Infants: Number of Participants With RSV LRTI With Severe Hypoxemia (Sp02 <92% at Sea Level or <87% at Altitudes >1800 Meters) or Documented Use of Oxygen by High Flow Nasal Cannula or Other Advanced Respiratory Support Through 90 Days of Life
Delivery to 180 days after delivery
Infants: Percentages of Participants With RSV LRTI With Hospitalization From Delivery
Delivery to 180 days after delivery
Infant: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) During the Neonatal Period and Through the First Year of Life
Delivery to 364 days after delivery
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Treatment Group APLACEBO_COMPARATORFormulation buffer (0.5mL injection)
Treatment GroupACTIVE_COMPARATORRSV F vaccine with adjuvant (0.5mL injection)
Treatment Group BPLACEBO_COMPARATORPhosphate Buffer Placebo (0.5mL Injection)
Treatment Group CACTIVE_COMPARATORDay 0 Treatment / Formulation 1 Day 21 Treatment / Formulation 1
Treatment Group DACTIVE_COMPARATORDay 0 Treatment / Formulation 2 Day 21 Phosphate Buffer
Treatment Group EACTIVE_COMPARATORDay 0 Treatment / Formulation 2 Day 21 Treatment / Formulation 2
Treatment Group FACTIVE_COMPARATORDay 0 Treatment / Formulation 3 Day 21 Phosphate Buffer
Treatment Group GACTIVE_COMPARATORDay 0 Treatment / Formulation 3 Day 21 Treatment / Formulation 3
Treatment Group HACTIVE_COMPARATORDay 0 Treatment / Formulation 4 Day 21 Phosphate Buffer
Treatment Group JACTIVE_COMPARATORDay 0 Treatment / Formulation 4 Day 21 Treatment / Formulation 4
Treatment Group KACTIVE_COMPARATORDay 0 Treatment / Formulation 5 Day 21 Phosphate Buffer
Treatment Group LACTIVE_COMPARATORDay 0 Treatment / Formulation 5 Day 21 Treatment / Formulation 5
Treatment Group MPLACEBO_COMPARATORDay 0 Phosphate Buffer Day 21 Phosphate Buffer
Group AEXPERIMENTALLow dose RSV-F Vaccine with Adjuvant (Day 0 and Day 28)
Group BEXPERIMENTALLow dose RSV-F Vaccine with Adjuvant (Day 0); Placebo (Day 28)
Group CEXPERIMENTALLow dose RSV-F Vaccine without Adjuvant (Day 0 and Day 28)
Group DEXPERIMENTALLow dose RSV-F Vaccine without Adjuvant (Day 0); Placebo (Day 28)
Group EEXPERIMENTALHigh dose RSV-F Vaccine with Adjuvant (Day 0 and Day 28)
Group FEXPERIMENTALHigh dose RSV-F Vaccine with Adjuvant (Day 0); Placebo (Day 28)
Group GEXPERIMENTALHigh dose RSV-F Vaccine without Adjuvant (Day 0 and Day 28)
Group HEXPERIMENTALHigh dose RSV-F Vaccine without Adjuvant (Day 0); Placebo (Day 28)
Group JEXPERIMENTALLow dose RSV-F Vaccine with Adjuvant \[Bedside Mixing\] (Day 0 \& Day 28)
Group KPLACEBO_COMPARATORPlacebo (Day 0 and Day 28)

Interventions

NameTypeDescription
RSV F vaccine with adjuvantBIOLOGICAL -
Formulation bufferBIOLOGICAL -
RSV-F VaccineBIOLOGICAL -
Phosphate Buffer PlaceboBIOLOGICAL -
RSV F Vaccine with Aluminum Phosphate AdjuvantBIOLOGICAL -
RSV F VaccineBIOLOGICAL -
Matrix-M1 AdjuvantBIOLOGICAL -
Phosphate BufferOTHER -
Saline PlaceboBIOLOGICAL -
Saline Placebo (0.5mL injection)DRUG -
RSV F vaccine (0.5mL injection)DRUG -
Low dose RSV-F Vaccine with AdjuvantBIOLOGICAL0.5mL IM Injection
Low dose RSV-F Vaccine without AdjuvantBIOLOGICAL0.5ml IM Injection
High dose RSV-F Vaccine with AdjuvantBIOLOGICAL0.5mL IM Injection
High dose RSV-F Vaccine without AdjuvantBIOLOGICAL0.5mL IM Injection
Low dose RSV-F Vaccine with Adjuvant [Bedside Mixing]BIOLOGICAL0.5mL IM Injection
PlaceboBIOLOGICAL0.5mL IM Injection
RSV F Vaccine with adjuvant (0.5mL injection)BIOLOGICAL -
Hepatitis A Vaccine (0.5mL injection)BIOLOGICAL -
Placebo (0.5mL injection)BIOLOGICAL -
Low dose RSV-F Vaccine with Adjuvant (Day 0); Seasonal TIV (Day 0 & Day 28)BIOLOGICAL0.5mL IM injections
Low dose RSV-F Vaccine without Adjuvant (Day 0); Seasonal TIV (Day 0 & day 28)BIOLOGICAL0.5mL IM injections
High dose RSV-F Vaccine with Adjuvant (Day 0); Seasonal TIV (Day 0 & Day 28)BIOLOGICAL0.5mL IM injections
High dose RSV-F Vaccine without Adjuvant (Day 0); Seasonal TIV (Day 0 & Day 28)BIOLOGICAL0.5mL IM injections
Placebo (Day 0 & Day 28); Seasonal TIV (Day 0)BIOLOGICAL0.5mL IM Injections
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Eligibility Criteria

Age Range18 Years to 40 Years
SexFEMALE
Healthy VolunteersYes
Study Sites88

Inclusion Criteria: 1. ≥18 and ≤40 years-of-age 2. Singleton pregnancy of 28 to 36 0/7 weeks gestation on the day of planned vaccination * Documentation of gestational age will be based on one of the following composite criteria. (Note: The Investigator was to use the earliest ultrasound data a...

Countries:United StatesArgentinaAustraliaBangladeshChileMexicoNew ZealandPhilippinesSouth AfricaSpainUnited KingdomCanada
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Frequently asked questions about Low dose RSV-F Vaccine with Adjuvant; Seasonal TIV

What is RSV F Vaccine with Aluminum Adjuvant used for?

RSV F Vaccine with Aluminum Adjuvant is an investigational vaccine being studied for the prevention of respiratory syncytial virus (RSV) infections. It has been evaluated in clinical trials involving healthy pregnant women to protect infants through maternal immunization, as well as in older adults at risk for RSV disease.

Who makes RSV F Vaccine with Aluminum Adjuvant?

RSV F Vaccine with Aluminum Adjuvant is being developed by Novavax, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol NVAX. The company has sponsored multiple clinical studies of this vaccine candidate across different adult and maternal populations.

What phase is RSV F Vaccine with Aluminum Adjuvant in?

RSV F Vaccine with Aluminum Adjuvant has completed Phase 2 and Phase 3 clinical trials. The development program includes a completed Phase 3 maternal immunization study and several completed Phase 2 studies in pregnant women and older adults. The vaccine remains investigational and is not approved for commercial use.

What clinical trials has RSV F Vaccine with Aluminum Adjuvant been in?

RSV F Vaccine with Aluminum Adjuvant has been studied in four completed clinical trials. These include NCT02247726 in healthy third-trimester pregnant women, NCT02266628 in elderly adults, NCT02624947 a Phase 3 maternal immunization efficacy study, and NCT03026348 evaluating single or two-dose regimens in older adults.

Is RSV F Vaccine with Aluminum Adjuvant the same as the RSV F Vaccine without adjuvant?

RSV F Vaccine with Aluminum Adjuvant is a formulation that includes aluminum adjuvant. Clinical trials have also evaluated the vaccine with and without aluminum phosphate or with Matrix-M1 adjuvants, as seen in study NCT03026348. The presence of adjuvant distinguishes these formulations in the development program.