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A Study to Evaluate the Safety, Tolerability and Immunogenicity of an Investigational RSV Vaccine Candidate (Ad26.RSV.preF) in Adults 18 to 50 Years of Age, and RSV-seropositive Toddlers 12 to 24 Months of Age

A Randomized, Double-blind, Phase 1/2a Study to Evaluate the Safety, Tolerability and Immunogenicity of Ad26.RSV.preF in Adults 18 to 50 Years of Age, RSV-seropositive Toddlers 12 to 24 Months of Age

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03303625
Enrollment
48
Registered
2017-10-06
Start date
2017-11-29
Completion date
2020-04-21
Last updated
2025-05-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Respiratory Syncytial Viruses, Respiratory Tract Infections

Brief summary

The purpose of this study is to assess the safety and tolerability of an intramuscular regimen of two doses (1\*10\^11 viral particles \[vp\]) of an investigational respiratory syncytial virus (RSV) vaccine candidate (adenovirus serotype 26 respiratory syncytial virus pre-fusion conformation stabilized F protein \[pre-F\] \[Ad26.RSV.preF\]) in adults aged 18 to 50 years and RSV-seropositive toddlers aged 12 to 24 months.

Detailed description

The study, designed to assess the safety and tolerability of two doses given one month apart of Ad26.RSV.preF, an investigational RSV vaccine candidate based on a Ad26 vector expressing the RSV F protein, will be conducted in a double blinded manner. The study will be divided in two sequential cohorts: cohort 0 (18-50 year-old adults) and cohort 1 (12-24 month-old RSV seropositive toddlers). The vaccine safety will be monitored by reporting solicited and unsolicited adverse events (AEs) and all serious adverse events (SAEs). The data will be reviewed by an independent data monitoring committee (IDMC) to assess safety data and to ensure the continuing safety of the participants enrolled in this study. The safety will be monitored throughout the study.

Interventions

BIOLOGICALAd26.RSV.preF (1*10^11 vp)

Participants will receive two doses of 0.5 milliliter (mL) (1\*10\^11 vp) via IM route on Day 1 and 29 of Ad26.RSV.preF.

BIOLOGICALAd26.RSV.preF (5*10^10 vp)

RSV seropositive participants will receive two doses of 0.25 mL (5\*10\^10 vp) via IM route on Day 1 and 29 of Ad26.RSV.preF.

DRUGPlacebo

Participants will receive either 0.5 mL (cohort 0) or 0.25 mL (cohort 1) of placebo via IM route on Day 1 and 29.

Sponsors

Janssen Vaccines & Prevention B.V.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
12 Months to 50 Years
Healthy volunteers
Yes

Inclusion criteria

Adults Participants: * Participant must be in good health, without significant medical illness, on the basis of physical examination, medical history, and vital signs measurement * Participant must be healthy on the basis of clinical laboratory tests performed at screening. If the results of the laboratory screening tests are outside the local laboratory normal reference ranges and additionally within the limits of toxicity Grade 1 according to the United stated (US) Food and Drug Administration (FDA) toxicity tables, the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant and appropriate and reasonable for the population under study. This determination must be recorded in the participant's source documents and initialed by the investigator * All women of childbearing potential must have a negative highly sensitive serum beta-human chorionic gonadotropin (Beta-hCG) pregnancy test at screening and a negative urine Beta-hCG pregnancy test immediately prior to each study vaccine administration Pediatric Participants: * Participant is the product of a normal term pregnancy greater than and equal to (\>=) 37 weeks, with a minimum birth weight of 2.5 kilogram (kg) * Participants must be in good health without any significant medical illness on the basis of physical examination, medical history, and vital signs performed at screening

Exclusion criteria

Adults Participants: * Participant has acute illness (this does not include minor illnesses such as diarrhea) or temperature \>=38.0 ºC (degree celsius)/100.4 °F (fahrenheit) within 24 hours prior to the first dose of study vaccine * Participant has a history of an underlying clinically significant acute or chronic medical condition or physical examination findings for which, in the opinion of the investigator, participation would not be in the best interest of the participant (example, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments * Participant has history of malignancy within 5 years before screening (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy, which is considered cured with minimal risk of recurrence) Pediatric Participants: * Participant's weight is below 10th percentile according to World Health Organization (WHO) pediatric growth and weight charts * Participant has any clinically significant acute or chronic medical condition that, in the opinion of the investigator, would preclude participation: example, history of seizure disorders, bleeding/clotting disorder, autoimmune disease, active malignancy, systemic infections, congenital heart disease, history of any pulmonary condition requiring medication, atopy, reactive airway disease, medically-confirmed wheezing, bronchoconstriction or treatment with a beta2 agonist, cystic fibrosis, bronchopulmonary dysplasia, chronic pulmonary disease, medically-confirmed apnea, hospitalization for respiratory illness, or mechanical ventilation for respiratory illness

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Serious Adverse Events (SAEs)From Day 1 (post-vaccination) to end of the study (up to 2 years 4 months)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. SAE is any untoward medical occurrence that at any dose may result in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product.
Number of Participants With Solicited Systemic Adverse Events for 7 Days After First VaccinationFor 7 days after first vaccination on Day 1 (Up to Day 7)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).
Number of Participants With Solicited Systemic Adverse Events for 7 Days After Second VaccinationFor 7 days after second vaccination on Day 29 (Up to Day 35)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).
Number of Participants With Unsolicited Adverse Events for 28 Days After First VaccinationFor 28 days after first vaccination on Day 1 (Up to Day 28)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.
Number of Participants With Unsolicited Adverse Events for 28 Days After Second VaccinationFor 28 days after second vaccination on Day 29 (Up to Day 56)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.
Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First VaccinationFor 7 days after first vaccination on Day 1 (Up to Day 7)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.
Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second VaccinationFor 7 days after second vaccination on Day 29 (Up to Day 35)An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.

Secondary

MeasureTime frameDescription
Pre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Pre-fusion on Days 1, 29, 57 and 211GMT (ELISA units per liter \[EU/L\]) of RSV F protein in pre-fusion form as assessed by ELISA was reported.
Post-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Post-fusion on Days 1, 29, 57 and 211GMT (ELISA units per liter \[EU/L\]) of RSV F protein in post-fusion form as assessed by ELISA was reported.
Percentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Day 1 (predose) and Post-dose on Days, 29, and 57Total cytokine response (CD4, CD8, Th1 and Th2 Cytokines) after in vitro RSV F protein peptide stimulation was reported as the percentage of CD4+ and CD8+ T cells that produce at least 1 of 3 cytokines.
Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Day 1 (predose), Post-dose on Days 29, 57 and 211RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay.

Countries

Finland, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Cohort 0 (Adults): Ad26.RSV.preF
Adult participants aged greater than or equal to (\>=) 18 years to less than or equal to (\<=) 50 years received a single intramuscular (IM) injection of adenovirus serotype 26 respiratory syncytial virus e pre-fusion conformation stabilized F-protein (Ad26.RSV.preF) at dose of 1\*10\^11 viral particles (vp) on Day 1 and Day 29.
8
Cohort 0 (Adults): Placebo
Adult participants aged \>=18 years to \<=50 years received a single IM injection of placebo matching to Ad26.RSV.preF (1\*10\^11 vp) on Day 1 and Day 29.
4
Cohort 1 (Toddlers): Ad26.RSV.preF
Respiratory syncytial virus (RSV) seropositive toddler participants aged \>=12 to \<=24 months received a single IM injection of Ad26.RSV.preF at dose of 5\*10\^10 vp on Day 1 and Day 29.
24
Cohort 1 (Toddlers): Placebo
RSV seropositive toddler participants received a single IM injection of placebo matching to Ad26.RSV.preF (5\*10\^10 vp) on Day 1 and Day 29.
12
Total48

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyWithdrawal by Subject2000

Baseline characteristics

CharacteristicCohort 0 (Adults): PlaceboCohort 1 (Toddlers): Ad26.RSV.preFCohort 0 (Adults): Ad26.RSV.preFCohort 1 (Toddlers): PlaceboTotal
Age, Categorical
<=18 years
0 Participants24 Participants0 Participants12 Participants36 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
4 Participants0 Participants8 Participants0 Participants12 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
White
4 Participants24 Participants6 Participants11 Participants45 Participants
Region of Enrollment
FINLAND
0 Participants10 Participants0 Participants5 Participants15 Participants
Region of Enrollment
UNITED KINGDOM
4 Participants13 Participants8 Participants6 Participants31 Participants
Region of Enrollment
UNITED STATES
0 Participants1 Participants0 Participants1 Participants2 Participants
Sex: Female, Male
Female
2 Participants13 Participants6 Participants8 Participants29 Participants
Sex: Female, Male
Male
2 Participants11 Participants2 Participants4 Participants19 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 40 / 240 / 12
other
Total, other adverse events
6 / 81 / 419 / 2410 / 12
serious
Total, serious adverse events
0 / 80 / 41 / 242 / 12

Outcome results

Primary

Number of Participants With Serious Adverse Events (SAEs)

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. SAE is any untoward medical occurrence that at any dose may result in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product.

Time frame: From Day 1 (post-vaccination) to end of the study (up to 2 years 4 months)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Serious Adverse Events (SAEs)0 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Serious Adverse Events (SAEs)0 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Serious Adverse Events (SAEs)1 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Serious Adverse Events (SAEs)2 Participants
Primary

Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.

Time frame: For 7 days after first vaccination on Day 1 (Up to Day 7)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination8 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination1 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination14 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination4 Participants
Primary

Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.

Time frame: For 7 days after second vaccination on Day 29 (Up to Day 35)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine. Here, 'N' (number of participant analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination6 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination0 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination14 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination4 Participants
Primary

Number of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).

Time frame: For 7 days after first vaccination on Day 1 (Up to Day 7)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination8 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination1 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination23 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination10 Participants
Primary

Number of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).

Time frame: For 7 days after second vaccination on Day 29 (Up to Day 35)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine. Here, 'N' (number of participant analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination4 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination1 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination22 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination9 Participants
Primary

Number of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.

Time frame: For 28 days after first vaccination on Day 1 (Up to Day 28)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination5 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination0 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination11 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination8 Participants
Primary

Number of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.

Time frame: For 28 days after second vaccination on Day 29 (Up to Day 56)

Population: The safety analysis set included all participants who were randomized and received at least 1 dose of study vaccine. Here, 'N' (number of participant analyzed) signifies number of participants evaluable for this outcome measure.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 0 (Adults): Ad26.RSV.preFNumber of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination4 Participants
Cohort 0 (Adults): PlaceboNumber of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination1 Participants
Cohort 1 (Toddlers): Ad26.RSV.preFNumber of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination12 Participants
Cohort 1 (Toddlers): PlaceboNumber of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination6 Participants
Secondary

Percentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57

Total cytokine response (CD4, CD8, Th1 and Th2 Cytokines) after in vitro RSV F protein peptide stimulation was reported as the percentage of CD4+ and CD8+ T cells that produce at least 1 of 3 cytokines.

Time frame: Day 1 (predose) and Post-dose on Days, 29, and 57

Population: PPI set: all randomized and vaccinated participants for whom immunogenicity data were available, excluding participant samples with major protocol deviations expecting to impact immunogenicity outcomes. 'N' (number of participants analyzed)=number of participants who were evaluable for this outcome measure, 'n' (number analyzed)=number of participants evaluable at specified timepoint and '0' in number analyzed field=none of participants were applicable for evaluation at specified time point.

ArmMeasureGroupValue (MEDIAN)
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 290.003 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 290.098 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 10.045 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 290.145 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 290.168 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 570.081 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 10.058 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 10.006 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 570.112 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 570.148 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 570.003 Percentage of cytokine cell subsets
Cohort 0 (Adults): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 10.041 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 570.062 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 10.054 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 290.058 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 570.039 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 10.075 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 290.092 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 570.001 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 10.054 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 290.049 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 570.039 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 10.001 Percentage of cytokine cell subsets
Cohort 0 (Adults): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 290.001 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 290.034 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 10.002 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 10.033 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 290.077 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 10.030 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 290.005 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 290.089 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): Ad26.RSV.preFPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 10.007 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 290.003 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 290.028 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 290.074 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th1: Day 10.018 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 290.053 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57Th2: Day 10.004 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD8: Day 10.041 Percentage of cytokine cell subsets
Cohort 1 (Toddlers): PlaceboPercentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57CD4: Day 10.050 Percentage of cytokine cell subsets
Secondary

Post-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211

GMT (ELISA units per liter \[EU/L\]) of RSV F protein in post-fusion form as assessed by ELISA was reported.

Time frame: Post-fusion on Days 1, 29, 57 and 211

Population: The PPI set included all randomized and vaccinated participants for whom immunogenicity data were available, excluding participant samples with major protocol deviations expecting to impact the immunogenicity outcomes. Here, 'n' (number analyzed) signifies the number of participants evaluable at a specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 0 (Adults): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 1196 EU/L
Cohort 0 (Adults): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 29328 EU/L
Cohort 0 (Adults): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 57341 EU/L
Cohort 0 (Adults): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 211268 EU/L
Cohort 0 (Adults): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 29207 EU/L
Cohort 0 (Adults): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 57179 EU/L
Cohort 0 (Adults): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 211181 EU/L
Cohort 0 (Adults): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 1191 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 57863 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 29686 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 211420 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 177 EU/L
Cohort 1 (Toddlers): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 21191 EU/L
Cohort 1 (Toddlers): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 2986 EU/L
Cohort 1 (Toddlers): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 194 EU/L
Cohort 1 (Toddlers): PlaceboPost-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211Day 57109 EU/L
Secondary

Pre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211

GMT (ELISA units per liter \[EU/L\]) of RSV F protein in pre-fusion form as assessed by ELISA was reported.

Time frame: Pre-fusion on Days 1, 29, 57 and 211

Population: The PPI set included all randomized and vaccinated participants for whom immunogenicity data were available, excluding participant samples with major protocol deviations expecting to impact the immunogenicity outcomes. Here, 'n' (number analyzed) signifies the number of participants evaluable at a specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 0 (Adults): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 1197 EU/L
Cohort 0 (Adults): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 29441 EU/L
Cohort 0 (Adults): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 57481 EU/L
Cohort 0 (Adults): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 211418 EU/L
Cohort 0 (Adults): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 29261 EU/L
Cohort 0 (Adults): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 57244 EU/L
Cohort 0 (Adults): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 211292 EU/L
Cohort 0 (Adults): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 1249 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 571918 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 291174 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 211924 EU/L
Cohort 1 (Toddlers): Ad26.RSV.preFPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 159 EU/L
Cohort 1 (Toddlers): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 211120 EU/L
Cohort 1 (Toddlers): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 29106 EU/L
Cohort 1 (Toddlers): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 1113 EU/L
Cohort 1 (Toddlers): PlaceboPre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211Day 57148 EU/L
Secondary

Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211

RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay.

Time frame: Day 1 (predose), Post-dose on Days 29, 57 and 211

Population: The Per-protocol Immunogenicity (PPI) set included all randomized and vaccinated participants for whom immunogenicity data were available, excluding participant samples with major protocol deviations expecting to impact the immunogenicity outcomes. Here, 'n' (number analyzed) signifies the number of participants evaluable at a specified timepoint.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Cohort 0 (Adults): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Day 1 (pre-dose)329 Titers
Cohort 0 (Adults): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 1: Day 291089 Titers
Cohort 0 (Adults): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 57926 Titers
Cohort 0 (Adults): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 211704 Titers
Cohort 0 (Adults): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 1: Day 29603 Titers
Cohort 0 (Adults): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 57566 Titers
Cohort 0 (Adults): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 211574 Titers
Cohort 0 (Adults): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Day 1 (pre-dose)547 Titers
Cohort 1 (Toddlers): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 572235 Titers
Cohort 1 (Toddlers): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 1: Day 291608 Titers
Cohort 1 (Toddlers): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 2111164 Titers
Cohort 1 (Toddlers): Ad26.RSV.preFRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Day 1 (pre-dose)121 Titers
Cohort 1 (Toddlers): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 211165 Titers
Cohort 1 (Toddlers): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 1: Day 29156 Titers
Cohort 1 (Toddlers): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Day 1 (pre-dose)187 Titers
Cohort 1 (Toddlers): PlaceboRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211Post dose 2: Day 57198 Titers

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026