Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as RSV-F Vaccine
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...
The low dose RSV-F vaccine with adjuvant is an investigational vaccine developed by Novavax, Inc. (NVAX) for respiratory syncytial virus (RSV). It combines a low dose of RSV fusion (F) protein with an aluminum-based adjuvant to stimulate an immune response. It is given by intramuscular injection and is being studied in older adults and other populations.
The low dose RSV-F vaccine with adjuvant is intended to prevent respiratory syncytial virus (RSV) infections. It has been studied in older adults and, in a maternal immunization trial, for protecting infants. The vaccine is designed to reduce RSV-related lower respiratory tract disease in these at-risk groups.
The low dose RSV-F vaccine with adjuvant is developed by Novavax, Inc., which trades on the Nasdaq under the ticker NVAX. Novavax is a vaccine-focused biotechnology company and is the sponsor of the clinical trials evaluating this RSV F vaccine candidate.
The low dose RSV-F vaccine with adjuvant is in Phase 1 development. It is an investigational vaccine and has not been approved by the FDA. Clinical trials of the RSV F vaccine have been completed, including Phase 2 and Phase 3 studies, and no active trials are currently listed.
The low dose RSV-F vaccine with adjuvant has been evaluated in completed trials including NCT03026348, a Phase 2 study in older adults; NCT02624947, a Phase 3 maternal immunization study; NCT02608502, a Phase 3 efficacy study in older adults; and NCT02593071, a Phase 2 study in older adults. All are completed.