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A PHASE 2B PLACEBO-CONTROLLED, RANDOMIZED STUDY OF A RESPIRATORY SYNCYTIAL VIRUS (RSV) VACCINE IN PREGNANT WOMEN

A PHASE 2B, RANDOMIZED, PLACEBO-CONTROLLED, OBSERVER-BLINDED TRIAL TO EVALUATE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A RESPIRATORY SYNCYTIAL VIRUS (RSV) VACCINE IN PREGNANT WOMEN 18 THROUGH 49 YEARS OF AGE AND THEIR INFANTS

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04032093
Enrollment
1153
Registered
2019-07-25
Start date
2019-08-07
Completion date
2021-09-30
Last updated
2022-10-18

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

Conditions

Respiratory Tract Infection

Keywords

Respiratory tract infection, Respiratory Syncytial Virus, RSV, Vaccine

Brief summary

This Phase 2b study will evaluate the safety, tolerability, and immunogenicity of an RSV vaccine in pregnant participants who receive either one of 2 dose levels of the vaccine, formulated with or without aluminum hydroxide, or placebo, and investigate safety and characteristics of antibodies in their infants.

Detailed description

This Phase 2b, multicenter, randomized, placebo-controlled study will evaluate the safety, tolerability, and immunogenicity of a respiratory syncytial virus stabilized prefusion F subunit vaccine (RSV vaccine) in pregnant participants who receive either one of 2 dose levels of the vaccine, formulated with or without aluminum hydroxide, or placebo, as well as assess safety and characteristics of transplacentally transferred antibodies in their infants.

Interventions

BIOLOGICALRSV vaccine

RSV vaccine

BIOLOGICALPlacebo

Normal saline solution for injection (0.9% sodium chloride injection)

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Masking description

This is an observer-blinded study. Study staff dispensing and administering the vaccine will be unblinded, but the participant and all other study personnel, including the principal investigator, will be blinded.

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 49 Years
Healthy volunteers
Yes

Inclusion criteria

- Maternal participants: * Healthy women 18 to 49 years of age between 24 and 36 weeks of gestation on the day of planned vaccination, with an uncomplicated pregnancy, who are at no known increased risk for complications, and whose fetus has no significant abnormalities observed on ultrasound. * Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures. * Receiving prenatal standard of care. * Had an ultrasound performed at \>=18 weeks of pregnancy. * Had a negative urinalysis for protein and glucose at the screening visit. Trace protein in the urine is acceptable if the blood pressure is also normal. * Determined by medical history, physical examination, screening laboratory assessment, and clinical judgment to be appropriate for inclusion in the study. * Documented negative human immunodeficiency virus antibody, hepatitis B virus surface antigen, hepatitis C virus antibody, and syphilis tests at the screening visit. * Body mass index of \</=40 kg/m2 at the time of the screening visit. * Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent document and in this protocol. * Expected to be available for the duration of the study and willing to give informed consent for her infant to participate in the study. Inclusion Criteria - Infant Participants: * Evidence of a signed and dated ICD signed by the parent(s). * Parent(s) willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.

Exclusion criteria

- Maternal Participants: * Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection. * History of severe adverse reaction associated with a vaccine and/or severe allergic reaction to any component of the investigational product or any related vaccine. * History of latex allergy. * History of any severe allergic reaction. * Participants with known or suspected immunodeficiency. * Current pregnancy resulting from in vitro fertilization or other assisted reproductive technology. * A prior history of or known current pregnancy complications or abnormalities that will increase the risk associated with the participant's participation in and completion of the study. * Major illness of the mother or conditions of the fetus that, in the investigator's judgment, will substantially increase the risk associated with the participant's participation in, and completion of, the study or could preclude the evaluation of the participant's response. * Participant with a history of autoimmune disease or an active autoimmune disease requiring therapeutic intervention including but not limited to systemic or cutaneous lupus erythematosus, autoimmune arthritis/rheumatoid arthritis, Guillain-Barré syndrome, multiple sclerosis, Sjögren's syndrome, idiopathic thrombocytopenia purpura, glomerulonephritis, autoimmune thyroiditis, giant cell arteritis (temporal arteritis), psoriasis, and insulin-dependent diabetes mellitus (type 1). * Other acute or chronic medical or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the participant inappropriate for entry into this study. * Participation in other studies involving investigational drug(s) within 28 days prior to study entry and/or during study participation. * Participants who receive treatment with immunosuppressive therapy including cytotoxic agents or systemic corticosteroids (such as for cancer or an autoimmune disease), or planned receipt of such treatment or agents during study participation. If systemic corticosteroids have been administered short term (\<14 days) for treatment of an acute illness, participants should not be enrolled into the study until corticosteroid therapy has been discontinued for at least 30 days before investigational product administration. Inhaled/nebulized, intra articular, intrabursal, or topical (skin or eyes) corticosteroids are permitted. * Current alcohol abuse or illicit drug use. * Receipt of blood or plasma products or immunoglobulin, from 60 days before investigational product administration, or planned receipt through delivery, with 1 exception, Rho(D) immune globulin (eg, RhoGAM), which can be given at any time. * Previous vaccination with any licensed or investigational RSV vaccine or planned receipt during study participation. * Laboratory test results at the screening visit outside the normal reference value for pregnant women according to their trimester in pregnancy. * Participants who are breastfeeding at the time of the screening visit.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationWithin 7 days after vaccinationLocal reactions included pain at injection site, redness and swelling and were recorded by participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm) and graded as mild: greater than (\>) 2.0 to 5.0 cm, moderate: \>5.0 to 10.0 cm and severe: \>10.0 cm. Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity and severe: prevented daily activity. The maximum severity was defined as highest grading of each local reaction within 7 days of vaccination.
Percentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationWithin 7 days after vaccinationSystemic events included fever, fatigue, headache, nausea, muscle pain, joint pain, vomiting, diarrhea and were recorded by participants in an e-diary. Fever was categorized as: grade 1: mild (\>=38.0 to 38.4 degrees \[deg\] Celsius \[C\]), grade 2: moderate (\>38.4 to 38.9 deg C), grade 3: severe (\>38.9 to 40.0 deg C) and grade 4 (\>40.0 deg C). Fatigue, headache, nausea, muscle pain and joint pain were graded as mild: did not interfere with activity, moderate: some interference with activity and severe: prevented daily routine activity. Vomiting was graded as mild: 1 to 2 times in 24 hours(h), moderate: \>2 times in 24h and severe: required intravenous hydration. Diarrhea was graded as mild: 2 to 3 loose stools in 24h, moderate: 4 to 5 loose stools in 24h and severe: 6 or more loose stools in 24h. The maximum severity was defined as highest grading of each systemic event within 7 days of vaccination.
Percentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After VaccinationWithin 1 month after vaccinationAn AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect.
Percentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsFrom day of vaccination (Day 1) up to 12 months post-deliveryMAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Obstetric complications were determined as per the study clinician's judgement.
Percentage of Infant Participants With Specific Birth ComplicationsAt birthSpecific birth complications included clavicle fracture, torticollis, cephalhematoma, premature baby, acute respiratory failure, meconium aspiration syndrome, neonatal pneumothorax, neonatal respiratory depression, neonatal respiratory distress, neonatal respiratory distress syndrome, neonatal respiratory failure, pneumothorax, respiratory distress, transient tachypnea of the newborn and subgaleal hemorrhage. Percentage of participants with any specific birth complications were reported in this outcome measure.
Percentage of Infant Participants With Any AE Within 1 Month of AgeWithin 1 month after birthAn AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect.
Percentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeWithin 12 months after birthMAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect.
Percentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayWithin 12 months after birthAEs of special interest for infant participants included congenital anomalies and developmental delays. Congenital anomalies were defined as structural or functional anomalies that occurred during intrauterine life and could be identified prenatally, at birth or later in life. Severity was assessed based on the study investigator's judgement and graded as grade 1= mild (does not interfere with participant's usual function); grade 2= moderate (interferes to some extent with participant's usual function); grade 3= severe (interferes significantly with participant's usual function) and grade 4= life-threatening (life-threatening consequences; urgent intervention indicated). Percentage of infant participants with AEs of special interest of at least moderate severity were presented.

Secondary

MeasureTime frameDescription
Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsBefore vaccination, 2 weeks and 1 month after vaccination and at deliveryGMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% confidence interval (CI) was based on the Student t distribution. Geometric mean ratios (GMRs) of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis.
Geometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal Participants2 weeks and 1 month after vaccination, at deliveryGMFRs for RSV A and RSV B neutralizing antibody titers from before vaccination to each available time point after vaccination were calculated by exponentiating the mean logarithm of the fold rises. Corresponding 95% CI was based on the Student t distribution. Data for this outcome measure was planned to be analyzed for maternal participants only.
Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsAt birth and at 1, 2, 4, 6 months after birthGMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% CI was based on the Student t distribution. GMRs of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis.

Countries

Argentina, Chile, New Zealand, South Africa, United States

Participant flow

Recruitment details

Pregnant maternal participants between 18 to 49 years of age and infants who were born to these maternal participants were enrolled in this study.

Pre-assignment details

778 maternal participants signed the informed consent form (ICF). 197 participants were screen failures who did not meet criteria and were not enrolled. 581 maternal participants and 572 infants born to maternal participants were randomized into the study.

Participants by arm

ArmCount
Maternal Participants: RSVpreF 120 mcg
Maternal participants received a single dose of 0.5 mL as intramuscular injection of RSVpreF vaccine 120 mcg reconstituted with sterile water for injection on Day 1. Participants were followed up to 12 months after delivery.
115
Maternal Participants: RSVpreF 120 mcg With Aluminum Hydroxide
Maternal participants received a single dose of 0.5 mL as intramuscular injection of RSVpreF vaccine 120 mcg reconstituted with sterile suspension of aluminum hydroxide in water for injection on Day 1. Participants were followed up to 12 months after delivery.
117
Maternal Participants: RSVpreF 240 mcg
Maternal participants received a single dose of 0.5 mL as intramuscular injection of RSVpreF vaccine 240 mcg reconstituted with sterile water for injection on Day 1. Participants were followed up to 12 months after delivery.
116
Maternal Participants: RSVpreF 240 mcg With Aluminum Hydroxide
Maternal participants received a single dose of 0.5 mL as intramuscular injection of RSVpreF vaccine 240 mcg reconstituted with sterile suspension of aluminum hydroxide in water for injection on Day 1. Participants were followed up to 12 months after delivery.
114
Maternal Participants: Placebo
Maternal participants received a single dose of 0.5 mL as intramuscular injection of placebo (normal sterile saline solution) on Day 1. Participants were followed up to 12 months after delivery.
117
Infant Participants: RSVpreF 120 mcg
Infant participants who were born to maternal participants vaccinated with RSVpreF 120 mcg (reconstituted with sterile water for injection) during pregnancy were included. Infant participants were followed up to 12 months after birth.
114
Infant Participants: RSVpreF 120 mcg With Aluminum Hydroxide
Infant participants who were born to maternal participants vaccinated with RSVpreF 120 mcg (reconstituted with sterile suspension of aluminum hydroxide in water for injection) during pregnancy were included. Infant participants were followed up to 12 months after birth.
117
Infant Participants: RSVpreF 240 mcg
Infant participants who were born to maternal participants vaccinated with RSVpreF 240 mcg (reconstituted with sterile water for injection) during pregnancy were included. Infant participants were followed up to 12 months after birth.
113
Infant Participants: RSVpreF 240 mcg With Aluminum Hydroxide
Infant participants who were born to maternal participants vaccinated with RSVpreF 240 mcg (reconstituted with sterile suspension of aluminum hydroxide in water for injection) during pregnancy were included. Infant participants were followed up to 12 months after birth.
112
Infant Participants: Placebo
Infant participants who were born to maternal participants administered with placebo (normal sterile saline solution) during pregnancy were included. Infant participants were followed up to 12 months after birth.
116
Total1,151

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009
Overall StudyAdverse Event0000000001
Overall StudyLost to Follow-up7761013775912
Overall StudyNo Longer Meets Eligibility Criteria0002100011
Overall StudyOther1001100001
Overall StudyPhysician Decision0000010000
Overall StudyWithdrawal by Parent/Guardian0000003023
Overall StudyWithdrawal by Subject1322300000

Baseline characteristics

CharacteristicTotalMaternal Participants: RSVpreF 120 mcgMaternal Participants: RSVpreF 120 mcg With Aluminum HydroxideMaternal Participants: RSVpreF 240 mcgMaternal Participants: RSVpreF 240 mcg With Aluminum HydroxideMaternal Participants: PlaceboInfant Participants: RSVpreF 120 mcgInfant Participants: RSVpreF 120 mcg With Aluminum HydroxideInfant Participants: RSVpreF 240 mcgInfant Participants: RSVpreF 240 mcg With Aluminum HydroxideInfant Participants: Placebo
Age, Customized
Greater than or equal to (>=)18 and <= 49 years
579 Participants115 Participants117 Participants116 Participants114 Participants117 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
Less than or equal to(<=) 18 years
572 Participants0 Participants0 Participants0 Participants0 Participants0 Participants114 Participants117 Participants113 Participants112 Participants116 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
323 Participants32 Participants34 Participants28 Participants33 Participants33 Participants33 Participants37 Participants28 Participants32 Participants33 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
822 Participants83 Participants83 Participants87 Participants81 Participants84 Participants81 Participants79 Participants84 Participants79 Participants81 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
6 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants1 Participants1 Participants2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants0 Participants1 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
8 Participants1 Participants2 Participants0 Participants3 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Black or African American
237 Participants25 Participants25 Participants26 Participants24 Participants19 Participants25 Participants24 Participants27 Participants23 Participants19 Participants
Race (NIH/OMB)
More than one race
14 Participants0 Participants0 Participants0 Participants0 Participants2 Participants6 Participants1 Participants1 Participants2 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
4 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants1 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
25 Participants4 Participants3 Participants1 Participants1 Participants0 Participants3 Participants4 Participants2 Participants2 Participants5 Participants
Race (NIH/OMB)
White
859 Participants85 Participants86 Participants88 Participants86 Participants94 Participants79 Participants86 Participants82 Participants84 Participants89 Participants
Sex: Female, Male
Female
865 Participants115 Participants117 Participants116 Participants114 Participants117 Participants62 Participants58 Participants58 Participants55 Participants53 Participants
Sex: Female, Male
Male
286 Participants0 Participants0 Participants0 Participants0 Participants0 Participants52 Participants59 Participants55 Participants57 Participants63 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
deaths
Total, all-cause mortality
0 / 1150 / 1170 / 1160 / 1140 / 1170 / 1140 / 1170 / 1130 / 1120 / 116
other
Total, other adverse events
87 / 115108 / 11796 / 116103 / 11489 / 11766 / 11459 / 11767 / 11366 / 11271 / 116
serious
Total, serious adverse events
7 / 11515 / 11715 / 11619 / 11414 / 11741 / 11439 / 11735 / 11344 / 11238 / 116

Outcome results

Primary

Percentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental Delay

AEs of special interest for infant participants included congenital anomalies and developmental delays. Congenital anomalies were defined as structural or functional anomalies that occurred during intrauterine life and could be identified prenatally, at birth or later in life. Severity was assessed based on the study investigator's judgement and graded as grade 1= mild (does not interfere with participant's usual function); grade 2= moderate (interferes to some extent with participant's usual function); grade 3= severe (interferes significantly with participant's usual function) and grade 4= life-threatening (life-threatening consequences; urgent intervention indicated). Percentage of infant participants with AEs of special interest of at least moderate severity were presented.

Time frame: Within 12 months after birth

Population: Infant safety population included all infant participants who were born to vaccinated maternal participants and were analyzed according to the investigational product their mothers received.

ArmMeasureGroupValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayCongenital Anomalies9.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayDevelopmental Delay0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayCongenital Anomalies4.3 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayDevelopmental Delay0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayCongenital Anomalies1.8 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayDevelopmental Delay0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayDevelopmental Delay0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayCongenital Anomalies1.8 Percentage of participants
Maternal Participants: PlaceboPercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayCongenital Anomalies6.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Infant Participants With AEs of Special Interest of at Least Moderate Severity Within 12 Months of Age: Congenital Anomalies and Developmental DelayDevelopmental Delay0 Percentage of participants
Primary

Percentage of Infant Participants With Any AE Within 1 Month of Age

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect.

Time frame: Within 1 month after birth

Population: Infant safety population included all infant participants who were born to vaccinated maternal participants and were analyzed according to the investigational product their mothers received.

ArmMeasureValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Infant Participants With Any AE Within 1 Month of Age50.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Infant Participants With Any AE Within 1 Month of Age47.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Infant Participants With Any AE Within 1 Month of Age46.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Infant Participants With Any AE Within 1 Month of Age49.1 Percentage of participants
Maternal Participants: PlaceboPercentage of Infant Participants With Any AE Within 1 Month of Age50.9 Percentage of participants
Primary

Percentage of Infant Participants With MAEs and SAEs Within 12 Months of Age

MAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect.

Time frame: Within 12 months after birth

Population: Infant safety population included all infant participants who were born to vaccinated maternal participants and were analyzed according to the investigational product their mothers received.

ArmMeasureGroupValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeMAE22.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeSAE36.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeMAE29.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeSAE33.3 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeMAE30.1 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeSAE31.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeSAE39.3 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeMAE38.4 Percentage of participants
Maternal Participants: PlaceboPercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeMAE31.9 Percentage of participants
Maternal Participants: PlaceboPercentage of Infant Participants With MAEs and SAEs Within 12 Months of AgeSAE32.8 Percentage of participants
Primary

Percentage of Infant Participants With Specific Birth Complications

Specific birth complications included clavicle fracture, torticollis, cephalhematoma, premature baby, acute respiratory failure, meconium aspiration syndrome, neonatal pneumothorax, neonatal respiratory depression, neonatal respiratory distress, neonatal respiratory distress syndrome, neonatal respiratory failure, pneumothorax, respiratory distress, transient tachypnea of the newborn and subgaleal hemorrhage. Percentage of participants with any specific birth complications were reported in this outcome measure.

Time frame: At birth

Population: Infant safety population included all infant participants who were born to vaccinated maternal participants and were analyzed according to the investigational product their mothers received.

ArmMeasureValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Infant Participants With Specific Birth Complications7.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Infant Participants With Specific Birth Complications10.3 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Infant Participants With Specific Birth Complications8.8 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Infant Participants With Specific Birth Complications8.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Infant Participants With Specific Birth Complications9.5 Percentage of participants
Primary

Percentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination

An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. AEs included both serious and non-serious adverse events. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect.

Time frame: Within 1 month after vaccination

Population: Maternal safety population included all randomized maternal participants who received investigational product and were analyzed according to the investigational product they received.

ArmMeasureValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination22.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination23.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination30.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination22.8 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Adverse Events (AEs) Within 1 Month After Vaccination24.8 Percentage of participants
Primary

Percentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After Vaccination

Local reactions included pain at injection site, redness and swelling and were recorded by participants in an electronic diary (e-diary). Redness and swelling were measured and recorded in measuring device units. 1 measuring device unit =0.5 centimeter (cm) and graded as mild: greater than (\>) 2.0 to 5.0 cm, moderate: \>5.0 to 10.0 cm and severe: \>10.0 cm. Pain at injection site was graded as mild: did not interfere with daily activity, moderate: interfered with daily activity and severe: prevented daily activity. The maximum severity was defined as highest grading of each local reaction within 7 days of vaccination.

Time frame: Within 7 days after vaccination

Population: Maternal safety population included all randomized maternal participants who received investigational product and were analyzed according to the investigational product they received. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Mild22.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Mild3.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Moderate0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Moderate0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Moderate6.1 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Severe0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Mild3.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Moderate1.7 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Mild2.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Mild53.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Mild2.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Moderate15.7 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Severe0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Severe1.7 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Moderate2.6 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Moderate5.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Mild28.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Mild5.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Moderate0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Severe0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Mild4.3 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Moderate0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Moderate2.6 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Moderate0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Severe0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Moderate13.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Mild3.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Mild47.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Mild0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Moderate0.9 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Mild0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Moderate0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Severe0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationRedness: Mild0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationPain at injection site: Mild12.8 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Local Reactions by Maximum Severity Within 7 Days After VaccinationSwelling: Moderate0.0 Percentage of participants
Primary

Percentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After Vaccination

Systemic events included fever, fatigue, headache, nausea, muscle pain, joint pain, vomiting, diarrhea and were recorded by participants in an e-diary. Fever was categorized as: grade 1: mild (\>=38.0 to 38.4 degrees \[deg\] Celsius \[C\]), grade 2: moderate (\>38.4 to 38.9 deg C), grade 3: severe (\>38.9 to 40.0 deg C) and grade 4 (\>40.0 deg C). Fatigue, headache, nausea, muscle pain and joint pain were graded as mild: did not interfere with activity, moderate: some interference with activity and severe: prevented daily routine activity. Vomiting was graded as mild: 1 to 2 times in 24 hours(h), moderate: \>2 times in 24h and severe: required intravenous hydration. Diarrhea was graded as mild: 2 to 3 loose stools in 24h, moderate: 4 to 5 loose stools in 24h and severe: 6 or more loose stools in 24h. The maximum severity was defined as highest grading of each systemic event within 7 days of vaccination.

Time frame: Within 7 days after vaccination

Population: Maternal safety population included all randomized maternal participants who received investigational product and were analyzed according to the investigational product they received. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Moderate24.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Mild14.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Mild9.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 40.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Mild11.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Mild18.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Mild22.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Moderate16.7 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Moderate9.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Moderate10.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 20.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Moderate3.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Moderate11.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Mild4.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Moderate5.3 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 30.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 12.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Mild14.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Mild17.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 30.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Moderate14.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Moderate8.7 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Mild28.7 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Mild10.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 40.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Mild27.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Moderate5.2 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Moderate17.4 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 22.6 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Mild7.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Severe3.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 10.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Mild19.1 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Moderate0.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Moderate3.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Moderate16.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Mild7.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Severe1.7 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 10.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 21.7 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 30.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 40.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Mild23.3 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Moderate19.8 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Severe2.6 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Mild25.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Moderate12.1 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Mild16.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Moderate8.6 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Mild21.6 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Moderate12.1 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Mild11.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Moderate9.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Mild5.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Moderate1.7 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Mild9.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Moderate1.7 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Severe0.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Mild25.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Moderate3.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Moderate0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Moderate10.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 20.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 40.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 10.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Severe1.8 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Moderate3.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 30.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Mild7.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Mild7.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Moderate23.7 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Mild21.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Severe0.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Moderate4.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Mild4.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Mild18.4 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Moderate14.0 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Mild14.9 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Moderate5.1 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Severe1.7 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Moderate9.4 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Mild5.1 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationHeadache: Mild14.5 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Moderate4.3 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Severe1.7 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationJoint pain: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Moderate20.5 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Moderate1.7 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Mild6.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFatigue: Mild24.8 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 10.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Moderate1.7 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 40.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationVomiting: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 30.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Severe0.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Moderate6.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationDiarrhea: Mild12.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationMuscle pain: Mild6.8 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationNausea: Mild16.2 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Prespecified Systemic Events by Maximum Severity Within 7 Days After VaccinationFever: Grade 20.9 Percentage of participants
Primary

Percentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric Complications

MAE was defined as a non-serious AE that results in an evaluation at a medical facility. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. Obstetric complications were determined as per the study clinician's judgement.

Time frame: From day of vaccination (Day 1) up to 12 months post-delivery

Population: Maternal safety population included all randomized maternal participants who received investigational product and were analyzed according to the investigational product they received.

ArmMeasureGroupValue (NUMBER)
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsSAE6.1 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsObstetric complications23.5 Percentage of participants
Maternal Participants: RSVpreF 120 mcgPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsMAE20.0 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsMAE18.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsSAE12.8 Percentage of participants
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxidePercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsObstetric complications28.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsMAE15.5 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsSAE12.9 Percentage of participants
Maternal Participants: RSVpreF 240 mcgPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsObstetric complications30.2 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsSAE16.7 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsObstetric complications33.3 Percentage of participants
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxidePercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsMAE21.1 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsMAE17.1 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsSAE12.0 Percentage of participants
Maternal Participants: PlaceboPercentage of Maternal Participants With Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAEs) and Obstetric ComplicationsObstetric complications32.5 Percentage of participants
Secondary

Geometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal Participants

GMFRs for RSV A and RSV B neutralizing antibody titers from before vaccination to each available time point after vaccination were calculated by exponentiating the mean logarithm of the fold rises. Corresponding 95% CI was based on the Student t distribution. Data for this outcome measure was planned to be analyzed for maternal participants only.

Time frame: 2 weeks and 1 month after vaccination, at delivery

Population: Maternal evaluable immunogenicity population: eligible maternal participants who received randomized vaccine, had blood collection within protocol-specified time points, had at least 1 valid and determinate assay result after vaccination and had no other major protocol deviations. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure and Number Analyzed signifies participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Maternal Participants: RSVpreF 120 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 1 Month after vaccination14.9 Fold rise
Maternal Participants: RSVpreF 120 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: At delivery9.2 Fold rise
Maternal Participants: RSVpreF 120 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: At delivery8.3 Fold rise
Maternal Participants: RSVpreF 120 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 1 Month after vaccination19.2 Fold rise
Maternal Participants: RSVpreF 120 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 2 Weeks after vaccination21.8 Fold rise
Maternal Participants: RSVpreF 120 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 2 Weeks after vaccination19.8 Fold rise
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: At delivery10.9 Fold rise
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: At delivery11.2 Fold rise
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 1 Month after vaccination19.6 Fold rise
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 2 Weeks after vaccination20.4 Fold rise
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 2 Weeks after vaccination21.0 Fold rise
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 1 Month after vaccination22.0 Fold rise
Maternal Participants: RSVpreF 240 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 2 Weeks after vaccination26.4 Fold rise
Maternal Participants: RSVpreF 240 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: At delivery8.6 Fold rise
Maternal Participants: RSVpreF 240 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 2 Weeks after vaccination23.3 Fold rise
Maternal Participants: RSVpreF 240 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 1 Month after vaccination17.7 Fold rise
Maternal Participants: RSVpreF 240 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: At delivery9.5 Fold rise
Maternal Participants: RSVpreF 240 mcgGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 1 Month after vaccination15.9 Fold rise
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 2 Weeks after vaccination30.4 Fold rise
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 2 Weeks after vaccination25.3 Fold rise
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: At delivery10.6 Fold rise
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 1 Month after vaccination20.9 Fold rise
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: At delivery10.7 Fold rise
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 1 Month after vaccination17.8 Fold rise
Maternal Participants: PlaceboGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: At delivery0.7 Fold rise
Maternal Participants: PlaceboGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 2 Weeks after vaccination1.1 Fold rise
Maternal Participants: PlaceboGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: 1 Month after vaccination1.0 Fold rise
Maternal Participants: PlaceboGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsA 50%: At delivery0.8 Fold rise
Maternal Participants: PlaceboGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 2 Weeks after vaccination1.0 Fold rise
Maternal Participants: PlaceboGeometric Mean Fold Rise (GMFR) for Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibody Titers in Maternal ParticipantsB 50%: 1 Month after vaccination1.0 Fold rise
Secondary

Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant Participants

GMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% CI was based on the Student t distribution. GMRs of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis.

Time frame: At birth and at 1, 2, 4, 6 months after birth

Population: Infant evaluable immunogenicity population: eligible infant participants born to maternal participants who received randomized vaccine and had no protocol deviation before delivery, had blood collection within protocol-specified time point at birth, had at least 1 valid, determinate assay result at birth and had no other major protocol deviations. Here, 'Number Analyzed' signifies participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 6 Months after birth1609 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: At birth30195 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 4 Months after birth2673 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: At birth22904 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 1 Month after birth17418 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 1 Month after birth13532 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 4 Months after birth3168 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 6 Months after birth1529 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 2 Months after birth13411 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 2 Months after birth11127 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 1 Month after birth18708 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 6 Months after birth1195 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 6 Months after birth1124 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 2 Months after birth8341 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 4 Months after birth3919 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: At birth28437 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 1 Month after birth14667 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 4 Months after birth4075 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: At birth23281 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 2 Months after birth7455 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: At birth20530 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 2 Months after birth6943 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 1 Month after birth12685 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 6 Months after birth930 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 1 Month after birth17911 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 2 Months after birth7251 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 4 Months after birth2621 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 4 Months after birth2148 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 6 Months after birth956 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: At birth25112 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 1 Month after birth20353 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: At birth32967 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 2 Months after birth12359 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 4 Months after birth4135 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 6 Months after birth1381 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 6 Months after birth1048 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: At birth24290 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 1 Month after birth15383 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 2 Months after birth10552 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 4 Months after birth2936 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: At birth2029 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 2 Months after birth702 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 6 Months after birth233 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 6 Months after birth221 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 4 Months after birth458 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 2 Months after birth700 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 4 Months after birth478 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsB 50%: 1 Month after birth1586 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: 1 Month after birth1514 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Infant ParticipantsA 50%: At birth2150 Titer
Comparison: A 50%: At birth95% CI: [8.1, 14.1]
Comparison: A 50%: 1 Month after birth95% CI: [5.5, 14.5]
Comparison: A 50%: 2 Months after birth95% CI: [10.7, 23.4]
Comparison: A 50%: 4 Months after birth95% CI: [3.5, 9]
Comparison: A 50%: 6 Months after birth95% CI: [4.5, 9.6]
Comparison: B 50%: At birth95% CI: [11.1, 19.9]
Comparison: B 50%: 1 Month after birth95% CI: [6.5, 18.6]
Comparison: B 50%: 2 Months after birth95% CI: [13.1, 28]
Comparison: B 50%: 4 Months after birth95% CI: [4.2, 11.4]
Comparison: B 50%: 6 Months after birth95% CI: [4.5, 11.8]
Comparison: A 50%: At birth95% CI: [8.3, 14.2]
Comparison: A 50%: 1 Month after birth95% CI: [6.5, 14.5]
Comparison: A 50%: 2 Months after birth95% CI: [7.1, 15.9]
Comparison: A 50%: 4 Months after birth95% CI: [5.2, 12.9]
Comparison: A 50%: 6 Months after birth95% CI: [3.1, 7.5]
Comparison: B 50%: At birth95% CI: [10.5, 18.7]
Comparison: B 50%: 1 Month after birth95% CI: [7.4, 18.7]
Comparison: B 50%: 2 Months after birth95% CI: [7.7, 18.3]
Comparison: B 50%: 4 Months after birth95% CI: [5.5, 14.5]
Comparison: B 50%: 6 Months after birth95% CI: [3.3, 8.8]
Comparison: A 50%: At birth95% CI: [7.4, 12.3]
Comparison: A 50%: 1 Month after birth95% CI: [5.7, 12.4]
Comparison: A 50%: 2 Months after birth95% CI: [6.4, 15.4]
Comparison: A 50%: 4 Months after birth95% CI: [2.9, 6.8]
Comparison: A 50%: 6 Months after birth95% CI: [2.5, 6.3]
Comparison: B 50%: At birth95% CI: [9.2, 16.6]
Comparison: B 50%: 1 Month after birth95% CI: [7.1, 17.9]
Comparison: B 50%: 2 Months after birth95% CI: [7, 15.2]
Comparison: B 50%: 4 Months after birth95% CI: [3.7, 9]
Comparison: B 50%: 6 Months after birth95% CI: [2.7, 7]
Comparison: A 50%: At birth95% CI: [8.6, 14.9]
Comparison: A 50%: 1 Month after birth95% CI: [7.4, 14]
Comparison: A 50%: 2 Months after birth95% CI: [10.2, 22.1]
Comparison: A 50%: 4 Months after birth95% CI: [3.9, 9.6]
Comparison: A 50%: 6 Months after birth95% CI: [2.9, 6.9]
Comparison: B 50%: At birth95% CI: [12.5, 21.2]
Comparison: B 50%: 1 Month after birth95% CI: [8.6, 19.1]
Comparison: B 50%: 2 Months after birth95% CI: [11.9, 26.2]
Comparison: B 50%: 4 Months after birth95% CI: [5.7, 14.4]
Comparison: B 50%: 6 Months after birth95% CI: [3.9, 9.9]
Secondary

Geometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal Participants

GMT of the 50% RSV A and RSV B neutralizing antibody were calculated by exponentiating the mean logarithm of the titers and the corresponding 95% confidence interval (CI) was based on the Student t distribution. Geometric mean ratios (GMRs) of the RSV vaccine group to the placebo group for the RSV A and RSV B neutralizing antibody titers at each time point was calculated and reported in statistical analysis.

Time frame: Before vaccination, 2 weeks and 1 month after vaccination and at delivery

Population: Maternal evaluable immunogenicity population: eligible maternal participants who received randomized vaccine, had blood collection within protocol-specified time points, had at least 1 valid and determinate assay result after vaccination and had no other major protocol deviations. Here, Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure and Number Analyzed signifies participants evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: At delivery12914 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: Before vaccination1574 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: Before vaccination1756 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 1 Month after vaccination24149 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 1 Month after vaccination34397 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: At delivery16157 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 2 Weeks after vaccination31871 Titer
Maternal Participants: RSVpreF 120 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 2 Weeks after vaccination39152 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 1 Month after vaccination31007 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 2 Weeks after vaccination36382 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 2 Weeks after vaccination31644 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: Before vaccination1577 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: At delivery19952 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 1 Month after vaccination37931 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: At delivery17259 Titer
Maternal Participants: RSVpreF 120 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: Before vaccination1756 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: Before vaccination1647 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: At delivery12231 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: Before vaccination1432 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 1 Month after vaccination30339 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: At delivery16011 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 2 Weeks after vaccination43030 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 1 Month after vaccination23692 Titer
Maternal Participants: RSVpreF 240 mcgGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 2 Weeks after vaccination33532 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 1 Month after vaccination28106 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: Before vaccination1521 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 2 Weeks after vaccination39874 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: At delivery15814 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: Before vaccination1792 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 2 Weeks after vaccination55967 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 1 Month after vaccination39055 Titer
Maternal Participants: RSVpreF 240 mcg With Aluminum HydroxideGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: At delivery19130 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: At delivery1150 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: At delivery1184 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 1 Month after vaccination1686 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 1 Month after vaccination1549 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: 2 Weeks after vaccination1597 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsA 50%: Before vaccination1450 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: 2 Weeks after vaccination1615 Titer
Maternal Participants: PlaceboGeometric Mean Titer (GMT) of Respiratory Syncytial Virus Subgroup A (RSV A) and Subgroup B (RSV B) Neutralizing Antibodies in Maternal ParticipantsB 50%: Before vaccination1652 Titer
Comparison: B 50%: At delivery95% CI: [12, 21.7]
Comparison: A 50%: Before vaccination95% CI: [0.9, 1.3]
Comparison: A 50%: 2 Weeks after vaccination95% CI: [16.1, 24.7]
Comparison: A 50%: 1 Month after vaccination95% CI: [11.9, 20.4]
Comparison: A 50%: At delivery95% CI: [8.7, 14.5]
Comparison: B 50%: Before vaccination95% CI: [0.9, 1.3]
Comparison: B 50%: 2 Weeks after vaccination95% CI: [18.5, 31.7]
Comparison: B 50%: 1 Month after vaccination95% CI: [15.7, 26.6]
Comparison: B 50%: At delivery95% CI: [10.1, 18.4]
Comparison: A 50%: Before vaccination95% CI: [0.9, 1.3]
Comparison: A 50%: 2 Weeks after vaccination95% CI: [15.3, 25.7]
Comparison: A 50%: 1 Month after vaccination95% CI: [15.9, 25.1]
Comparison: A 50%: At delivery95% CI: [11.9, 18.9]
Comparison: B 50%: Before vaccination95% CI: [0.8, 1.3]
Comparison: B 50%: 2 Weeks after vaccination95% CI: [16.9, 30.1]
Comparison: B 50%: 1 Month after vaccination95% CI: [17.6, 28.7]
Comparison: B 50%: At delivery95% CI: [12.7, 22.3]
Comparison: A 50%: Before vaccination95% CI: [0.8, 1.2]
Comparison: A 50%: 2 Weeks after vaccination95% CI: [16.6, 26.5]
Comparison: A 50%: 1 Month after vaccination95% CI: [11.6, 20.1]
Comparison: A 50%: At delivery95% CI: [8.1, 14]
Comparison: B 50%: Before vaccination95% CI: [0.8, 1.3]
Comparison: B 50%: 2 Weeks after vaccination95% CI: [20.5, 34.6]
Comparison: B 50%: 1 Month after vaccination95% CI: [13.5, 24.1]
Comparison: B 50%: At delivery95% CI: [10.1, 18]
Comparison: A 50%: Before vaccination95% CI: [0.9, 1.3]
Comparison: A 50%: 2 Weeks after vaccination95% CI: [19.9, 31.3]
Comparison: A 50%: 1 Month after vaccination95% CI: [14.5, 22.8]
Comparison: A 50%: At delivery95% CI: [10.8, 17.5]
Comparison: B 50%: Before vaccination95% CI: [0.9, 1.4]
Comparison: B 50%: 2 Weeks after vaccination95% CI: [27, 44.4]
Comparison: B 50%: 1 Month after vaccination95% CI: [18.2, 29.6]

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026