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RSV-F Vaccine

Phase 3

Respiratory Syncytial Virus (RSV) | Monoclonal antibody | Infectious Disease |Novavax, Inc.|Last Updated: Jul 19, 2022

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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials4
Total Enrollment15,109
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02608502A Study to Evaluate the Efficacy of an RSV F Vaccine in Older AdultsPHASE3 COMPLETED 11,850Nov 1, 2015Dec 1, 2016Jul 19, 202260 United States
NCT02593071Safety and Immunogenicity of the RSV-F Vaccine in Older Adults Previously Treated With the Same Vaccine or Placebo in the Prior Year.PHASE2 COMPLETED 1,330Oct 1, 2015Nov 1, 2016May 27, 202210 United States
NCT02266628Placebo- Controlled Study to Evaluate the Safety and Immunogenicity of the RSV-F Vaccine in Elderly AdultsPHASE2 COMPLETED 1,599Oct 1, 2014Mar 1, 2016May 27, 202210 United States
NCT01704365RSV-F Vaccine Dose Ranging Study in Young WomenPHASE2 COMPLETED 330Oct 1, 2012May 1, 2013Mar 7, 20144 United States
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Study Endpoints
Primary Endpoints
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.

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.

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

Secondary Endpoints
Numbers and percentages of subjects with RSV-Acute Respiratory Disease (RSV-ARD)
Day 0 to Day 182
RSV F protein antibody expressed as ELISA Units (EU).
Day 0 to Day 364
Palivizumab-competitive antibody (PCA) expressed as µg/mL as detected in a competitive ELISA
Day 0 to Day 364
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Treatment Group AEXPERIMENTALRSV-F Vaccine (0.5mL Injection)
Treatment Group BPLACEBO_COMPARATORPhosphate Buffer Placebo (0.5mL Injection)
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 VaccineBIOLOGICAL -
Phosphate Buffer PlaceboBIOLOGICAL -
Saline PlaceboBIOLOGICAL -
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
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Eligibility Criteria
Age Range60 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites60

Inclusion Criteria: 1. Males and females ≥60 years of age who are ambulatory and live in the community, or in assisted-living or long-term care residential facilities that provide minimal assistance, such that the subject is primarily responsible for self-care and activities of daily living. Subjec...

Countries:United States
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