Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
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
Low dose RSV-F Vaccine with Adjuvant; Seasonal TIV · 9 trials · 4 indications
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).
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.
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.
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)
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)
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.
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.
In Maternal Subjects
In Maternal Subjects
In Maternal Subjects
In Maternal Subjects
In Infant subjects
In Infant Subjects
In Infant Subjects
In Infant Subjects
In Infant Subjects
Immunogenicity will be measured using derived / calculated endpoints based on: * Geometric mean titer (GMT) * Geometric mean ratio (GMR) * Seroconversion rate (SCR) * Seroresponse rate (SRR)
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
Derived/ calculated endpoints based on these data will include: Geometric mean EU (GMEU) Geometric mean ratio (GMR) Seroresponse rate (SRR)
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 will be measured using derived / calculated endpoints based on: * Geometric mean titer (GMT) * Geometric mean ratio (GMR) * Seroconversion rate (SCR) * Seroresponse rate (SRR)
| Arm | Type | Description |
|---|---|---|
| Treatment Group A | PLACEBO_COMPARATOR | Formulation buffer (0.5mL injection) |
| Treatment Group | ACTIVE_COMPARATOR | RSV F vaccine with adjuvant (0.5mL injection) |
| Treatment Group B | PLACEBO_COMPARATOR | Phosphate Buffer Placebo (0.5mL Injection) |
| Treatment Group C | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 1 Day 21 Treatment / Formulation 1 |
| Treatment Group D | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 2 Day 21 Phosphate Buffer |
| Treatment Group E | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 2 Day 21 Treatment / Formulation 2 |
| Treatment Group F | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 3 Day 21 Phosphate Buffer |
| Treatment Group G | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 3 Day 21 Treatment / Formulation 3 |
| Treatment Group H | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 4 Day 21 Phosphate Buffer |
| Treatment Group J | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 4 Day 21 Treatment / Formulation 4 |
| Treatment Group K | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 5 Day 21 Phosphate Buffer |
| Treatment Group L | ACTIVE_COMPARATOR | Day 0 Treatment / Formulation 5 Day 21 Treatment / Formulation 5 |
| Treatment Group M | PLACEBO_COMPARATOR | Day 0 Phosphate Buffer Day 21 Phosphate Buffer |
| Group A | EXPERIMENTAL | Low dose RSV-F Vaccine with Adjuvant (Day 0 and Day 28) |
| Group B | EXPERIMENTAL | Low dose RSV-F Vaccine with Adjuvant (Day 0); Placebo (Day 28) |
| Group C | EXPERIMENTAL | Low dose RSV-F Vaccine without Adjuvant (Day 0 and Day 28) |
| Group D | EXPERIMENTAL | Low dose RSV-F Vaccine without Adjuvant (Day 0); Placebo (Day 28) |
| Group E | EXPERIMENTAL | High dose RSV-F Vaccine with Adjuvant (Day 0 and Day 28) |
| Group F | EXPERIMENTAL | High dose RSV-F Vaccine with Adjuvant (Day 0); Placebo (Day 28) |
| Group G | EXPERIMENTAL | High dose RSV-F Vaccine without Adjuvant (Day 0 and Day 28) |
| Group H | EXPERIMENTAL | High dose RSV-F Vaccine without Adjuvant (Day 0); Placebo (Day 28) |
| Group J | EXPERIMENTAL | Low dose RSV-F Vaccine with Adjuvant \[Bedside Mixing\] (Day 0 \& Day 28) |
| Group K | PLACEBO_COMPARATOR | Placebo (Day 0 and Day 28) |
| Name | Type | Description |
|---|---|---|
| RSV F vaccine with adjuvant | BIOLOGICAL | - |
| Formulation buffer | BIOLOGICAL | - |
| RSV-F Vaccine | BIOLOGICAL | - |
| Phosphate Buffer Placebo | BIOLOGICAL | - |
| RSV F Vaccine with Aluminum Phosphate Adjuvant | BIOLOGICAL | - |
| RSV F Vaccine | BIOLOGICAL | - |
| Matrix-M1 Adjuvant | BIOLOGICAL | - |
| Phosphate Buffer | OTHER | - |
| Saline Placebo | BIOLOGICAL | - |
| Saline Placebo (0.5mL injection) | DRUG | - |
| RSV F vaccine (0.5mL injection) | DRUG | - |
| Low dose RSV-F Vaccine with Adjuvant | BIOLOGICAL | 0.5mL IM Injection |
| Low dose RSV-F Vaccine without Adjuvant | BIOLOGICAL | 0.5ml IM Injection |
| High dose RSV-F Vaccine with Adjuvant | BIOLOGICAL | 0.5mL IM Injection |
| High dose RSV-F Vaccine without Adjuvant | BIOLOGICAL | 0.5mL IM Injection |
| Low dose RSV-F Vaccine with Adjuvant [Bedside Mixing] | BIOLOGICAL | 0.5mL IM Injection |
| Placebo | BIOLOGICAL | 0.5mL 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) | BIOLOGICAL | 0.5mL IM injections |
| Low dose RSV-F Vaccine without Adjuvant (Day 0); Seasonal TIV (Day 0 & day 28) | BIOLOGICAL | 0.5mL IM injections |
| High dose RSV-F Vaccine with Adjuvant (Day 0); Seasonal TIV (Day 0 & Day 28) | BIOLOGICAL | 0.5mL IM injections |
| High dose RSV-F Vaccine without Adjuvant (Day 0); Seasonal TIV (Day 0 & Day 28) | BIOLOGICAL | 0.5mL IM injections |
| Placebo (Day 0 & Day 28); Seasonal TIV (Day 0) | BIOLOGICAL | 0.5mL IM Injections |
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...
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.
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.
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.
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.
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.