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A Phase III, Double-blind Study to Assess Safety and Efficacy of an RSV Maternal Unadjuvanted Vaccine, in Pregnant Women and Infants Born to Vaccinated Mothers

A Phase III, Randomized, Double-blind, Placebo-controlled Multi-country Study to Demonstrate Efficacy of a Single Dose of Unadjuvanted RSV Maternal Vaccine, Administered IM to Pregnant Women 18 to 49 Years of Age, for Prevention of RSV Associated LRTIs in Their Infants up to 6 Months of Age

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04605159
Acronym
GRACE
Enrollment
11194
Registered
2020-10-27
Start date
2020-11-20
Completion date
2023-06-14
Last updated
2025-02-20

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

Conditions

Respiratory Syncytial Virus Infections

Brief summary

The purpose of this study was to evaluate the ability of a single dose of the investigational RSV Maternal vaccine, administered intramuscularly (IM) to pregnant women aged 18-49 years, in good general maternal health, in preventing medically assessed RSV associated Lower Respiratory Tract Illnesses (LRTIs) in infants born to vaccinated mothers. The study also evaluated the safety of the investigational RSV Maternal vaccine both in vaccinated mothers and in their corresponding infant. Following a recommendation from the Independent Data Monitoring Committee of NCT04605159 (RSV MAT 009), GSK made the decision to stop enrolment and vaccination in the study. Ongoing study participants at that time continued to be monitored as part of the study.

Interventions

BIOLOGICALRSV MAT

One dose of RSV MAT vaccine reconstituted with NaCl solution, administered intramuscularly in the non-dominant arm at Day 1.

DRUGPlacebo

One dose of placebo (lyophilized sucrose reconstituted with NaCl solution) administered intramuscularly in the non-dominant arm at Day 1.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

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

Masking description

Following the decision to stop enrollment and vaccination, the study/site staff and maternal participants no longer stayed blinded.

Eligibility

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

Inclusion criteria

Maternal participants * Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol. * Participants who give written or witnessed/thumb printed informed consent after the study has been explained, and before any study specific procedures are performed, as per local regulations regulatory requirements. * Age 18 to 49 years, inclusive, at the time of study intervention. * Pre-pregnancy BMI 17.0 to 39.9 kg/m2, inclusive. * In good general maternal health as established by medical history and clinical examination before entering into the study. * Singleton pregnancy (including instances where the singleton pregnancy derives from a vanishing twin syndrome). * At 24\^0/7 to 34\^0/7 weeks of gestation at the time of study vaccination (Visit 1), as established by: * last menstrual period (LMP) date corroborated by first or second trimester ultrasound examination (U/S) i.e. at or before 28 weeks of gestation. * 1st or 2nd trimester U/S only, if LMP is unknown/uncertain * Certain LMP, corroborated by an U/S performed after 28 weeks of gestation is also acceptable. * No fetal genetic abnormalities (based on genetic testing, if performed). * No significant congenital malformations, as assessed by fetal anomaly ultrasound scan conducted at or beyond 18 weeks of gestation. * Willing to provide cord blood. * Who do not plan to give their child for adoption. * Who plan to reside in the study area for at least one year after delivery. * Willing to have the infant followed-up after delivery for a period of 12 months. Infant participants * Live-born from the study pregnancy. * If required per local regulations/guidelines, re-signed (confirmed) written or witnessed/thumb printed informed consent for study participation of the infant obtained from the infant's mother and/or father and/or LAR, before performing any study specific procedure. OR, if permitted by local regulation, documented verbal consent for infant's participation obtained from the parent(s)/LAR(s) at birth, followed by written consent obtained by (or before) Visit 2-newborn.

Exclusion criteria

Maternal participants Medical conditions * History of allergic disease or reactions likely to be exacerbated by any component of the RSV vaccine * Hypersensitivity to latex * Significant complications in the current pregnancy: * Gestational hypertension unless blood pressure it is controlled and maintained in the normal range (\<140mmHg and \<90mmHg) through diet and/or antihypertensive medications * Gestational diabetes not controlled by medication, diet and/or exercise * Pre-eclampsia * Eclampsia * Intrauterine Growth Restriction/Fetal Growth Restriction * Placenta previa * Placental abruption, placenta accreta/percreta/increta, chorioamnionitis or any abnormalities that can impair the maternal-fetal circulation * Polyhydramnios * Oligohydramnios * Preterm labour or history of preterm labour in the current pregnancy * Any intervention to prevent preterm delivery or medical treatment for suspected preterm delivery, including administration of systemic corticosteroids for fetal lung maturation * Cholestasis * Other pregnancy-related complications (per investigator's judgement) * Significant structural abnormalities of the uterus or cervix * History of 2 or more prior stillbirths or neonatal deaths/history of 2 or more preterm births at ≤34 weeks gestation/3 or more consecutive spontaneous abortions * Known HIV infection (as per serological tests performed during the current pregnancy) * Known or suspected HBV or HCV infection * Known or suspected infection during the current pregnancy with Toxoplasma, Parvovirus B19, Syphilis, Zika, Rubella, Varicella, CMV or primary genital Herpes Simplex * Active infection with tuberculosis * Known or suspected impairment of the immune system * Current autoimmune disorder for which the participant has received immune-modifying therapy within 6 months before study vaccination, or plans administration through delivery * Lymphoproliferative disorder or malignancy within 5 years before study vaccination * Acute or chronic clinically significant abnormality or poorly controlled pre-existent co-morbidities or any other clinical conditions that might pose additional risk to the participant due to participation in the study * Any conditions that may interfere with participant's ability to comply with study procedures or receipt of prenatal care * Any condition which would increase the risks of study participation to the unborn infant Prior/Concomitant therapy * Prior receipt of an RSV vaccine in the current pregnancy * Use of any investigational/non-registered product other than the study vaccine/product as described below, or planned use during the period : * For a drug, vaccine or medical device: from 29 days before the dose of study vaccine * For immunoglobulins: 3 months before the dose of study vaccine/product. The exception to this is investigational products administered in the setting of a pandemic which may be allowed following delivery * Planned administration/administration of any vaccine from 29 days before the dose of study vaccine or planned administration through delivery, except: * Seasonal influenza vaccines, tetanus vaccines, dTpa/Tdap - alone vaccines, dTpa/Tdap vaccines that also contain other antigens, Hepatitis B vaccines, and COVID-19 vaccines all of which may be administered according to standard of care ≥15 days before or after study vaccination * Administration of immunoglobulins (except anti-Rh0D IG, which may be administered at any time), blood products or plasma derivatives within 3 months before study vaccination or planned administration through delivery * Administration of immune-modifying therapy within 6 months before the study vaccination, or planned administration through delivery. This includes but is not limited to: * Azathioprine, mycophenolate mofetil, 6-mercaptopurine, cyclosporine, tacrolimus, monoclonal or polyclonal antibodies * Prednisone ≥5 mg/day or equivalent for ≥14 days; Inhaled, intra-articular/intra-bursal and topical steroids are allowed * Corticosteroids administered for fetal lung maturation Prior/Concurrent clinical study experience \- Concurrently participating in another clinical study, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product Other exclusions * Alcoholism or substance use disorder within the past 24 months based on DSM-5 criteria * A local condition that precludes injection of the study vaccine/product or precludes assessment of local reactogenicity * Consanguinity of maternal participant and her partner (second degree cousins or closer) * Any study personnel or their immediate dependants, family or household members Infant participants * Concurrently participating in another clinical study, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product * Any condition which would increase the risks of study participation to the infant * Child in care.

Design outcomes

Primary

MeasureTime frameDescription
Number of Infant Participants With Medically Assessed, RSV-associated Lower Respiratory Tract Illnesses (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND a blood oxygen saturation by pulse oximetry (SpO2) lower than (\<) 95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by a SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.
Number of Infant Participants With at Least One Serious Adverse Event (SAE) From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAn SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. At least one SAE = occurrence of at least one SAE regardless of intensity grade or relation to vaccination.
Number of Infant Participants With at Least One Adverse Event (AE) Leading to Study Withdrawal From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthA participant was considered a 'withdrawal' from the study when no study procedure has occurred, no follow-up has been performed and no further information has been collected for this participant from the date of withdrawal/last contact. Participants who were withdrawn from the study because of AEs were clearly distinguished from participants who were withdrawn for other reasons. Investigators followed participants who were withdrawn from the study as a result of an AE until the event was resolved. At least one AE leading to study withdrawal = occurrence of at least one AE leading to study withdrawal regardless of intensity grade or relation to vaccination.
Number of Infant Participants With at Least One Medically Attended AE (MAE) From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAn MAE is defined as an unsolicited AE, such as a symptom or illness, which required hospitalization, or emergency room visit, or visit to/by a health care provider. At least one MAE = occurrence of at least one MAE regardless of intensity grade or relation to vaccination.
Number of Infant Participants With at Least One SAE From Birth to Day 366 Post-birthFrom birth to Day 366 post-birthAn SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. At least one SAE = occurrence of at least one SAE regardless of intensity grade or relation to vaccination.
Number of Infant Participants With at Least One AE Leading to Study Withdrawal From Birth to Day 366 Post-birthFrom birth to Day 366 post-birthA participant was considered a 'withdrawal' from the study when no study procedure has occurred, no follow-up has been performed and no further information has been collected for this participant from the date of withdrawal/last contact. Participants who were withdrawn from the study because of AEs were clearly distinguished from participants who were withdrawn for other reasons. Investigators followed participants who were withdrawn from the study as a result of an AE until the event was resolved. At least one AE leading to study withdrawal = occurrence of at least one AE leading to study withdrawal regardless of intensity grade or relation to vaccination.
Number of Infant Participants With at Least One MAE From Birth to Day 366 Post-birthFrom birth to Day 366 post-birthAn MAE is defined as an unsolicited AE, such as a symptom or illness, which required hospitalization, or emergency room visit, or visit to/by a health care provider. At least one MAE = occurrence of at least one MAE regardless of intensity grade or relation to vaccination.

Secondary

MeasureTime frameDescription
Number of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 121 Post-birthFrom birth to Day 121 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by an SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.
Number of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 121 Post-birthFrom birth to Day 121 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.
Number of Infant Participants With All-cause Pneumonia From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthThe number of infant participants with all-cause pneumonia is presented in this outcome measure.
Number of Infant Participants With RSV-associated Hospitalizations From Birth to Day 366 Post-birthFrom birth to Day 366 post-birthRSV-associated hospitalization is defined as a confirmed RSV infection and hospitalized for acute medical condition. Hospitalization is defined as admission for observation or treatment based on the judgment of a health care provider.
Number of Maternal Participants With RSV-associated Medically Attended RTIs (RSV-MA-RTIs) From Study Intervention Administration (Day 1) to Day 181 Post-deliveryFrom study intervention administration (Day 1) to Day 181 post-deliveryRSV-associated MA-RTI is defined as a medically attended visit for RTI symptoms and confirmed RSV infection.
RSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryAt Day 1 (before study intervention administration), at Day 31 and at deliveryRSV-A neutralizing titers were determined by neutralization assay and expressed as geometric mean titers (GMTs).
RSV-A Neutralizing Antibody Titers for Infant Participants at Delivery or Within 72 Hours After BirthAt delivery or within 72 hours after birthRSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs. The titers were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (if no cord blood sample could be obtained).
RSV-A Neutralizing Antibody Titers for Infant Participants at Day 43 Post-birthAt Day 43 post-birthRSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
RSV-A Neutralizing Antibody Titers for Infant Participants at Day 121 Post-birthAt Day 121 post-birthRSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
RSV-A Neutralizing Antibody Titers for Infant Participants at Day 181 Post-birthAt Day 181 post-birthRSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.
RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations for Maternal Participants at DeliveryAt deliveryRSV MAT IgG-specific antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs) in ELISA units per milliliter (ELU/mL).
Number of Infant Participants With RSV-associated Hospitalizations From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthRSV-associated hospitalization is defined as a confirmed RSV infection and hospitalized for acute medical condition. Hospitalization is defined as admission for observation or treatment based on the judgment of a health care provider.
Geometric Mean Ratio (GMR) Between Cord Blood and Maternal RSV MAT Immunoglobulin G (IgG)-Specific Antibody ConcentrationsAt delivery (for maternal participants) or within 72 hours after birth (for infant participants, only if no cord blood could be obtained)The placental transfer ratio of RSV-MAT IgG-specific antibody concentration was determined from cord blood over that of the blood sample from mother at delivery. If no cord blood could be obtained, an infant blood sample was collected 72 hours after birth.
Number of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedFrom Day 1 to Day 7 includedAssessed solicited administration site events included erythema, pain and swelling at the injection site. Any pain = occurrence of the symptom regardless of intensity grade. Any erythema and swelling = symptom reported with a surface diameter greater than or equal to 20 millimeters.
Number of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedFrom Day 1 to Day 7 includedAssessed solicited systemic events included abdominal pain, diarrhea, fatigue, headache, nausea, fever \[temperature equal to or above (\>=) 38 degrees Celsius (°C)/100.4 degrees Fahrenheit (°F), regardless of the location of measurement\] and vomiting. Any = occurrence of the adverse event regardless of intensity grade or relation to study vaccination.
Number of Maternal Participants With Any Unsolicited AEs From Day 1 to Day 30 IncludedFrom Day 1 to Day 30 includedAn unsolicited AE is defined as any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited AE. Any = occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Number of Maternal Participants With at Least One SAE From Day 1 to Day 181 Post-deliveryFrom Day 1 to Day 181 post-deliveryAn SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant or resulted in abnormal pregnancy outcomes or in other situations that were considered serious per medical or scientific judgment. At least one SAE = occurrence of at least one SAE regardless of intensity grade or relation to vaccination.
Number of Maternal Participants With at Least One AE Leading to Study Withdrawal From Day 1 to Day 181 Post-deliveryFrom Day 1 to Day 181 post-deliveryA participant was considered a 'withdrawal' from the study when no study procedure has occurred, no follow-up has been performed and no further information has been collected for this participant from the date of withdrawal/last contact. Participants who were withdrawn from the study because of AEs were clearly distinguished from participants who were withdrawn for other reasons. Investigators followed participants who were withdrawn from the study as a result of an AE until the event was resolved. At least one AE leading to study withdrawal = occurrence of at least one AE leading to study withdrawal regardless of intensity grade or relation to vaccination.
Number of Maternal Participants With at Least One All-cause MA-RTI From Day 1 to Day 181 Post-deliveryFrom Day 1 to Day 181 post-deliveryAll-cause MA-RTI occurred when the maternal participant visited a healthcare professional (e.g., a General Practitioner) for any respiratory symptom, including (but not limited to) cough, sore throat, sputum production and difficulty breathing. At least one all-cause MA-RTI = occurrence of at least one all-cause MA-RTI regardless of intensity grade or relation to vaccination.
Number of Maternal Participants With at Least One MAE From Day 1 to Day 42 Post-deliveryFrom Day 1 to Day 42 post-delivery, an average of 2 monthsAn MAE is defined as an unsolicited AE, such as a symptom or illness, which required hospitalization, or emergency room visit, or visit to/by a health care provider. At least one MAE = occurrence of at least one MAE regardless of intensity grade or relation to vaccination.
Number of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryFrom Day 1 to Day 42 post-delivery, an average of 2 monthsAssessed pregnancy outcomes included live birth with no congenital anomalies, live birth with minor congenital anomaly(ies), live birth with at least 1 major congenital anomaly, fetal death/still birth with no congenital anomalies, fetal death/still birth with at least 1 major congenital anomaly and unknown outcome (includes participants withdrawn before/at delivery with no available data of pregnancy outcomes).
Number of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryFrom Day 1 to Day 42 post-delivery, an average of 2 monthsPregnancy-related AESIs included chorioamnionitis, fetal growth restriction, gestational diabetes mellitus, gestational hypertension, pre-eclampsia, pre-eclampsia with severe features including eclampsia, maternal death, premature preterm rupture of membranes, preterm labor, provider-initiated preterm birth.
Number of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthFrom birth to Day 42 post-birth, an average of 2 monthsNeonatal/infant AESIs included congenital anomalies with functional defects, congenital anomalies with internal structural defects, congenital anomalies with major external structural defects, extremely low birth weight (\<1000 grams), low birth weight (\<2500 grams), very low birth weight (\<1500 grams), neonatal death in a preterm live birth (gestational age \>=28 and \<37 weeks), neonatal death in a term live birth (\>=37 weeks of gestational age), neonatal death in an extremely pre-term birth (gestational age \>=22 and \<28 weeks), preterm birth (\<37 weeks of gestational age), small for gestational age.
RSV MAT IgG-specific Antibody Concentrations for Infant Participants at Delivery or Within 72 Hours After BirthAt delivery or within 72 hours after birth (only if no cord blood sample could be obtained at delivery)RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL. The antibody concentrations were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (only if no cord blood sample could be obtained at delivery).
Number of Infant Participants With All-cause LRTIs From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAll-cause LRTI was characterized by history of cough OR difficulty in breathing, AND SpO2 \< 95%, OR respiratory rate increase.
Number of Infant Participants With All-cause LRTIs With Hospitalization From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAll-cause LRTI was characterized by history of cough OR difficulty in breathing, AND SpO2 \< 95%, OR respiratory rate increase. Hospitalization is defined as admission for observation or treatment based on the judgment of a health care provider.
Number of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 366 Post-birthFrom birth to Day 366 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by an SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.
Number of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 366 Post-birthFrom birth to Day 366 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.
Number of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by an SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI. The RSV subtypes assessed for this analysis were RSV subtype A and RSV subtype B.
Number of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthFrom birth to Day 181 post-birthAn RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI. The RSV subtypes assessed for this analysis were RSV subtype A and RSV subtype B.

Countries

Argentina, Australia, Bangladesh, Belgium, Brazil, Canada, Colombia, Dominican Republic, Finland, France, Honduras, India, Italy, Mexico, New Zealand, Panama, Philippines, South Africa, South Korea, Spain, Taiwan, Thailand, United Kingdom, United States

Participant flow

Pre-assignment details

A total of 11194 participants (5959 maternal participants and 5235 infants) completed the informed consent process, of which 5328 maternal participants were exposed to the study intervention, and 5235 infants were born to those exposed mothers (RSV MAT Group - Mother and Placebo Group - Mother). Therefore, 10563 participants started the study.

Participants by arm

ArmCount
RSV MAT Group - Mother
Maternal participants received a single dose of the RSV MAT vaccine administered at Day 1 in this study.
3,557
Placebo Group - Mother
Maternal participants received a single dose of placebo administered at Day 1 in this study.
1,771
RSV MAT Group - Infant
This group consisted of infants born to mothers (from RSV MAT Group - Mother) who received a single dose of RSV MAT vaccine during pregnancy.
3,494
Placebo Group - Infant
This group consisted of infants born to mothers (from Placebo Group - Mother) who received a single dose of placebo during pregnancy.
1,741
Total10,563

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event63214
Overall StudyLost to Follow-up744511980
Overall StudyMigrated / moved from the study area32224121
Overall StudyOther1273
Overall StudyProtocol Violation4520
Overall StudyWithdrawal by Subject66376850

Baseline characteristics

CharacteristicRSV MAT Group - MotherPlacebo Group - MotherRSV MAT Group - InfantPlacebo Group - InfantTotal
Age, Customized
0 to 1 years of age
0 Participants0 Participants3494 Participants1741 Participants5235 Participants
Age, Customized
18 to 34 years of age
2866 Participants1408 Participants0 Participants0 Participants4274 Participants
Age, Customized
35 to 39 years of age
581 Participants300 Participants0 Participants0 Participants881 Participants
Age, Customized
40 to 49 years of age
110 Participants63 Participants0 Participants0 Participants173 Participants
Race/Ethnicity, Customized
ASIAN
663 Participants326 Participants641 Participants321 Participants1951 Participants
Race/Ethnicity, Customized
BLACK OR AFRICAN AMERICAN
517 Participants251 Participants463 Participants234 Participants1465 Participants
Race/Ethnicity, Customized
OTHER, DEIDENTIFIED
23 Participants11 Participants26 Participants22 Participants82 Participants
Race/Ethnicity, Customized
OTHER, UNSPECIFIED
685 Participants345 Participants730 Participants348 Participants2108 Participants
Race/Ethnicity, Customized
WHITE
1669 Participants838 Participants1634 Participants816 Participants4957 Participants
Sex/Gender, Customized
Female
3557 Participants1771 Participants1739 Participants867 Participants7934 Participants
Sex/Gender, Customized
Male
0 Participants0 Participants1753 Participants873 Participants2626 Participants
Sex/Gender, Customized
Other, Unspecified
0 Participants0 Participants2 Participants1 Participants3 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
2 / 3,5571 / 1,77120 / 3,4944 / 1,741
other
Total, other adverse events
2,561 / 3,5571,175 / 1,7712,615 / 3,4941,293 / 1,741
serious
Total, serious adverse events
827 / 3,557395 / 1,771731 / 3,494371 / 1,741

Outcome results

Primary

Number of Infant Participants With at Least One Adverse Event (AE) Leading to Study Withdrawal From Birth to Day 181 Post-birth

A participant was considered a 'withdrawal' from the study when no study procedure has occurred, no follow-up has been performed and no further information has been collected for this participant from the date of withdrawal/last contact. Participants who were withdrawn from the study because of AEs were clearly distinguished from participants who were withdrawn for other reasons. Investigators followed participants who were withdrawn from the study as a result of an AE until the event was resolved. At least one AE leading to study withdrawal = occurrence of at least one AE leading to study withdrawal regardless of intensity grade or relation to vaccination.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Exposed Set for infants, which included the infants live-born to exposed maternal participants, whose parents/legally acceptable representative(s) (LARs) completed the informed consent process and signed the informed consent form.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With at Least One Adverse Event (AE) Leading to Study Withdrawal From Birth to Day 181 Post-birth19 Participants
Placebo Group - InfantNumber of Infant Participants With at Least One Adverse Event (AE) Leading to Study Withdrawal From Birth to Day 181 Post-birth4 Participants
Primary

Number of Infant Participants With at Least One AE Leading to Study Withdrawal From Birth to Day 366 Post-birth

A participant was considered a 'withdrawal' from the study when no study procedure has occurred, no follow-up has been performed and no further information has been collected for this participant from the date of withdrawal/last contact. Participants who were withdrawn from the study because of AEs were clearly distinguished from participants who were withdrawn for other reasons. Investigators followed participants who were withdrawn from the study as a result of an AE until the event was resolved. At least one AE leading to study withdrawal = occurrence of at least one AE leading to study withdrawal regardless of intensity grade or relation to vaccination.

Time frame: From birth to Day 366 post-birth

Population: The analysis was performed on the Exposed Set for infants, which included the infants live-born to exposed maternal participants, whose parents/LARs completed the informed consent process and signed the informed consent form.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With at Least One AE Leading to Study Withdrawal From Birth to Day 366 Post-birth21 Participants
Placebo Group - InfantNumber of Infant Participants With at Least One AE Leading to Study Withdrawal From Birth to Day 366 Post-birth4 Participants
Primary

Number of Infant Participants With at Least One MAE From Birth to Day 366 Post-birth

An MAE is defined as an unsolicited AE, such as a symptom or illness, which required hospitalization, or emergency room visit, or visit to/by a health care provider. At least one MAE = occurrence of at least one MAE regardless of intensity grade or relation to vaccination.

Time frame: From birth to Day 366 post-birth

Population: The analysis was performed on the Exposed Set for infants, which included the infants live-born to exposed maternal participants, whose parents/LARs completed the informed consent process and signed the informed consent form.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With at Least One MAE From Birth to Day 366 Post-birth2706 Participants
Placebo Group - InfantNumber of Infant Participants With at Least One MAE From Birth to Day 366 Post-birth1330 Participants
Primary

Number of Infant Participants With at Least One Medically Attended AE (MAE) From Birth to Day 181 Post-birth

An MAE is defined as an unsolicited AE, such as a symptom or illness, which required hospitalization, or emergency room visit, or visit to/by a health care provider. At least one MAE = occurrence of at least one MAE regardless of intensity grade or relation to vaccination.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Exposed Set for infants, which included the infants live-born to exposed maternal participants, whose parents/legally acceptable representative(s) (LARs) completed the informed consent process and signed the informed consent form.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With at Least One Medically Attended AE (MAE) From Birth to Day 181 Post-birth2321 Participants
Placebo Group - InfantNumber of Infant Participants With at Least One Medically Attended AE (MAE) From Birth to Day 181 Post-birth1135 Participants
Primary

Number of Infant Participants With at Least One SAE From Birth to Day 366 Post-birth

An SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. At least one SAE = occurrence of at least one SAE regardless of intensity grade or relation to vaccination.

Time frame: From birth to Day 366 post-birth

Population: The analysis was performed on the Exposed Set for infants, which included the infants live-born to exposed maternal participants, whose parents/LARs completed the informed consent process and signed the informed consent form.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With at Least One SAE From Birth to Day 366 Post-birth731 Participants
Placebo Group - InfantNumber of Infant Participants With at Least One SAE From Birth to Day 366 Post-birth371 Participants
Primary

Number of Infant Participants With at Least One Serious Adverse Event (SAE) From Birth to Day 181 Post-birth

An SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect or resulted in other situations that were considered serious per medical or scientific judgment. At least one SAE = occurrence of at least one SAE regardless of intensity grade or relation to vaccination.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Exposed Set for infants, which included the infants live-born to exposed maternal participants, whose parents/legally acceptable representative(s) (LARs) completed the informed consent process and signed the informed consent form.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With at Least One Serious Adverse Event (SAE) From Birth to Day 181 Post-birth640 Participants
Placebo Group - InfantNumber of Infant Participants With at Least One Serious Adverse Event (SAE) From Birth to Day 181 Post-birth323 Participants
Primary

Number of Infant Participants With Medically Assessed, RSV-associated Lower Respiratory Tract Illnesses (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth to Day 181 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND a blood oxygen saturation by pulse oximetry (SpO2) lower than (\<) 95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by a SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Lower Respiratory Tract Illnesses (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth to Day 181 Post-birthRSV-associated LRTIs of any severity16 Participants
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Lower Respiratory Tract Illnesses (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth to Day 181 Post-birthRSV-associated severe LRTIs8 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Lower Respiratory Tract Illnesses (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth to Day 181 Post-birthRSV-associated LRTIs of any severity24 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Lower Respiratory Tract Illnesses (LRTIs) of Any Severity and RSV-associated Severe LRTIs From Birth to Day 181 Post-birthRSV-associated severe LRTIs14 Participants
Secondary

Geometric Mean Ratio (GMR) Between Cord Blood and Maternal RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations

The placental transfer ratio of RSV-MAT IgG-specific antibody concentration was determined from cord blood over that of the blood sample from mother at delivery. If no cord blood could be obtained, an infant blood sample was collected 72 hours after birth.

Time frame: At delivery (for maternal participants) or within 72 hours after birth (for infant participants, only if no cord blood could be obtained)

Population: The analysis was performed on all pairs of maternal participants (from Per Protocol -Immunogenicity set for maternal participants) and their infants (from Per Protocol - Immunogenicity set for infants) with available results for this outcome measure at the specified time points.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantGeometric Mean Ratio (GMR) Between Cord Blood and Maternal RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations1.46 Ratio
Placebo Group - InfantGeometric Mean Ratio (GMR) Between Cord Blood and Maternal RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations1.39 Ratio
Secondary

Number of Infant Participants With All-cause LRTIs From Birth to Day 181 Post-birth

All-cause LRTI was characterized by history of cough OR difficulty in breathing, AND SpO2 \< 95%, OR respiratory rate increase.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all the infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With All-cause LRTIs From Birth to Day 181 Post-birth162 Participants
Placebo Group - InfantNumber of Infant Participants With All-cause LRTIs From Birth to Day 181 Post-birth103 Participants
Secondary

Number of Infant Participants With All-cause LRTIs With Hospitalization From Birth to Day 181 Post-birth

All-cause LRTI was characterized by history of cough OR difficulty in breathing, AND SpO2 \< 95%, OR respiratory rate increase. Hospitalization is defined as admission for observation or treatment based on the judgment of a health care provider.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With All-cause LRTIs With Hospitalization From Birth to Day 181 Post-birth30 Participants
Placebo Group - InfantNumber of Infant Participants With All-cause LRTIs With Hospitalization From Birth to Day 181 Post-birth22 Participants
Secondary

Number of Infant Participants With All-cause Pneumonia From Birth to Day 181 Post-birth

The number of infant participants with all-cause pneumonia is presented in this outcome measure.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With All-cause Pneumonia From Birth to Day 181 Post-birth36 Participants
Placebo Group - InfantNumber of Infant Participants With All-cause Pneumonia From Birth to Day 181 Post-birth17 Participants
Secondary

Number of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI. The RSV subtypes assessed for this analysis were RSV subtype A and RSV subtype B.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV A6 Participants
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV B10 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV A8 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV B16 Participants
Secondary

Number of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 121 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.

Time frame: From birth to Day 121 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 121 Post-birth9 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 121 Post-birth15 Participants
Secondary

Number of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 366 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.

Time frame: From birth to Day 366 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 366 Post-birth67 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated LRTIs of Any Severity From Birth to Day 366 Post-birth43 Participants
Secondary

Number of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by an SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI. The RSV subtypes assessed for this analysis were RSV subtype A and RSV subtype B.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants which included all the infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV A2 Participants
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV B6 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV A3 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs for RSV Subtype A and RSV Subtype B Separately From Birth to Day 181 Post-birthRSV B11 Participants
Secondary

Number of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 121 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by an SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.

Time frame: From birth to Day 121 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 121 Post-birth6 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 121 Post-birth9 Participants
Secondary

Number of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 366 Post-birth

An RSV-associated LRTI of any severity was characterized by a history of cough OR difficulty in breathing, AND an SpO2 \<95%, OR respiratory rate increase AND a confirmed RSV infection. An RSV-associated severe LRTI met the case definition of RSV-LRTI AND was additionally characterized by an SpO2 \<93%, OR lower chest wall in-drawing, OR inability to feed, OR failure to respond/unconscious. Medically assessed = the infant was evaluated by a healthcare professional for the LRTI.

Time frame: From birth to Day 366 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 366 Post-birth38 Participants
Placebo Group - InfantNumber of Infant Participants With Medically Assessed, RSV-associated Severe LRTIs From Birth to Day 366 Post-birth22 Participants
Secondary

Number of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birth

Neonatal/infant AESIs included congenital anomalies with functional defects, congenital anomalies with internal structural defects, congenital anomalies with major external structural defects, extremely low birth weight (\<1000 grams), low birth weight (\<2500 grams), very low birth weight (\<1500 grams), neonatal death in a preterm live birth (gestational age \>=28 and \<37 weeks), neonatal death in a term live birth (\>=37 weeks of gestational age), neonatal death in an extremely pre-term birth (gestational age \>=22 and \<28 weeks), preterm birth (\<37 weeks of gestational age), small for gestational age.

Time frame: From birth to Day 42 post-birth, an average of 2 months

Population: The analysis was performed on the Exposed Set for infants, which included infants live-born to exposed maternal participants, whose parents/LARs completed the informed consent process and signed the informed consent form.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthCongenital Anomalies With Major External Structural Defects24 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthNeonatal Death In A Preterm Live Birth (Gestational Age >=28 and <37 Weeks)5 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthExtremely Low Birth Weight (<1000 grams)3 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthNeonatal Death In A Term Live Birth (>= 37 Weeks Of Gestational Age)6 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthCongenital Anomalies With Internal Structural Defects23 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthNeonatal Death In An Extremely Pre-Term Birth (Gestational Age >=22 and <28 Weeks)2 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthLow Birth Weight (<2500 grams)196 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthPreterm Birth (<37 Weeks Of Gestational Age)237 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthCongenital Anomalies With Functional Defects5 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthSmall For Gestational Age253 Participants
RSV MAT Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthVery Low Birth Weight (<1500 grams)5 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthSmall For Gestational Age161 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthCongenital Anomalies With Major External Structural Defects14 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthCongenital Anomalies With Functional Defects2 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthCongenital Anomalies With Internal Structural Defects16 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthExtremely Low Birth Weight (<1000 grams)0 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthLow Birth Weight (<2500 grams)102 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthVery Low Birth Weight (<1500 grams)0 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthNeonatal Death In A Preterm Live Birth (Gestational Age >=28 and <37 Weeks)0 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthNeonatal Death In A Term Live Birth (>= 37 Weeks Of Gestational Age)3 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthNeonatal Death In An Extremely Pre-Term Birth (Gestational Age >=22 and <28 Weeks)0 Participants
Placebo Group - InfantNumber of Infant Participants With Neonatal AESIs From Birth to Day 42 Post-birthPreterm Birth (<37 Weeks Of Gestational Age)86 Participants
Secondary

Number of Infant Participants With RSV-associated Hospitalizations From Birth to Day 181 Post-birth

RSV-associated hospitalization is defined as a confirmed RSV infection and hospitalized for acute medical condition. Hospitalization is defined as admission for observation or treatment based on the judgment of a health care provider.

Time frame: From birth to Day 181 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With RSV-associated Hospitalizations From Birth to Day 181 Post-birth14 Participants
Placebo Group - InfantNumber of Infant Participants With RSV-associated Hospitalizations From Birth to Day 181 Post-birth14 Participants
Secondary

Number of Infant Participants With RSV-associated Hospitalizations From Birth to Day 366 Post-birth

RSV-associated hospitalization is defined as a confirmed RSV infection and hospitalized for acute medical condition. Hospitalization is defined as admission for observation or treatment based on the judgment of a health care provider.

Time frame: From birth to Day 366 post-birth

Population: The analysis was performed on the Modified Full Analysis - Efficacy set for infants, which included all infant participants in the Exposed Set who were born after at least 4 weeks of their maternal participants vaccination.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Infant Participants With RSV-associated Hospitalizations From Birth to Day 366 Post-birth41 Participants
Placebo Group - InfantNumber of Infant Participants With RSV-associated Hospitalizations From Birth to Day 366 Post-birth26 Participants
Secondary

Number of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 Included

Assessed solicited administration site events included erythema, pain and swelling at the injection site. Any pain = occurrence of the symptom regardless of intensity grade. Any erythema and swelling = symptom reported with a surface diameter greater than or equal to 20 millimeters.

Time frame: From Day 1 to Day 7 included

Population: The analysis was performed on the Solicited Safety set for maternal participants, which included all maternal participants who received the study intervention and who had solicited safety data available during the specified period (i.e. from Day 1 to Day 7 included).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedAny Erythema133 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedAny Pain1294 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedAny Swelling96 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedAny Erythema8 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedAny Pain230 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Administration Site Events From Day 1 to Day 7 IncludedAny Swelling8 Participants
Secondary

Number of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 Included

Assessed solicited systemic events included abdominal pain, diarrhea, fatigue, headache, nausea, fever \[temperature equal to or above (\>=) 38 degrees Celsius (°C)/100.4 degrees Fahrenheit (°F), regardless of the location of measurement\] and vomiting. Any = occurrence of the adverse event regardless of intensity grade or relation to study vaccination.

Time frame: From Day 1 to Day 7 included

Population: The analysis was performed on the Solicited Safety set for maternal participants, which included all maternal participants who received the study intervention and who had solicited safety data available during the specified period (i.e. from Day 1 to Day 7 included).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Fatigue1091 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Nausea599 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Diarrhea351 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Fever26 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Headache942 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Vomiting276 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Abdominal pain492 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Vomiting149 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Abdominal pain231 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Diarrhea180 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Fatigue479 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Headache442 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Nausea306 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Solicited Systemic Events From Day 1 to Day 7 IncludedAny Fever7 Participants
Secondary

Number of Maternal Participants With Any Unsolicited AEs From Day 1 to Day 30 Included

An unsolicited AE is defined as any AE reported in addition to those solicited during the clinical study. Also, any 'solicited' symptom with onset outside the specified period of follow-up for solicited symptoms was reported as an unsolicited AE. Any = occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

Time frame: From Day 1 to Day 30 included

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With Any Unsolicited AEs From Day 1 to Day 30 Included629 Participants
Placebo Group - InfantNumber of Maternal Participants With Any Unsolicited AEs From Day 1 to Day 30 Included297 Participants
Secondary

Number of Maternal Participants With at Least One AE Leading to Study Withdrawal From Day 1 to Day 181 Post-delivery

A participant was considered a 'withdrawal' from the study when no study procedure has occurred, no follow-up has been performed and no further information has been collected for this participant from the date of withdrawal/last contact. Participants who were withdrawn from the study because of AEs were clearly distinguished from participants who were withdrawn for other reasons. Investigators followed participants who were withdrawn from the study as a result of an AE until the event was resolved. At least one AE leading to study withdrawal = occurrence of at least one AE leading to study withdrawal regardless of intensity grade or relation to vaccination.

Time frame: From Day 1 to Day 181 post-delivery

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With at Least One AE Leading to Study Withdrawal From Day 1 to Day 181 Post-delivery6 Participants
Placebo Group - InfantNumber of Maternal Participants With at Least One AE Leading to Study Withdrawal From Day 1 to Day 181 Post-delivery3 Participants
Secondary

Number of Maternal Participants With at Least One All-cause MA-RTI From Day 1 to Day 181 Post-delivery

All-cause MA-RTI occurred when the maternal participant visited a healthcare professional (e.g., a General Practitioner) for any respiratory symptom, including (but not limited to) cough, sore throat, sputum production and difficulty breathing. At least one all-cause MA-RTI = occurrence of at least one all-cause MA-RTI regardless of intensity grade or relation to vaccination.

Time frame: From Day 1 to Day 181 post-delivery

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With at Least One All-cause MA-RTI From Day 1 to Day 181 Post-delivery317 Participants
Placebo Group - InfantNumber of Maternal Participants With at Least One All-cause MA-RTI From Day 1 to Day 181 Post-delivery144 Participants
Secondary

Number of Maternal Participants With at Least One MAE From Day 1 to Day 42 Post-delivery

An MAE is defined as an unsolicited AE, such as a symptom or illness, which required hospitalization, or emergency room visit, or visit to/by a health care provider. At least one MAE = occurrence of at least one MAE regardless of intensity grade or relation to vaccination.

Time frame: From Day 1 to Day 42 post-delivery, an average of 2 months

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With at Least One MAE From Day 1 to Day 42 Post-delivery1717 Participants
Placebo Group - InfantNumber of Maternal Participants With at Least One MAE From Day 1 to Day 42 Post-delivery785 Participants
Secondary

Number of Maternal Participants With at Least One SAE From Day 1 to Day 181 Post-delivery

An SAE is defined as any untoward medical occurrence that resulted in death, was life-threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, was a congenital anomaly/birth defect in the offspring of a study participant or resulted in abnormal pregnancy outcomes or in other situations that were considered serious per medical or scientific judgment. At least one SAE = occurrence of at least one SAE regardless of intensity grade or relation to vaccination.

Time frame: From Day 1 to Day 181 post-delivery

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With at Least One SAE From Day 1 to Day 181 Post-delivery827 Participants
Placebo Group - InfantNumber of Maternal Participants With at Least One SAE From Day 1 to Day 181 Post-delivery395 Participants
Secondary

Number of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-delivery

Assessed pregnancy outcomes included live birth with no congenital anomalies, live birth with minor congenital anomaly(ies), live birth with at least 1 major congenital anomaly, fetal death/still birth with no congenital anomalies, fetal death/still birth with at least 1 major congenital anomaly and unknown outcome (includes participants withdrawn before/at delivery with no available data of pregnancy outcomes).

Time frame: From Day 1 to Day 42 post-delivery, an average of 2 months

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryLive birth with no congenital anomalies3118 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryLive birth with only minor congenital anomaly(ies)317 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryLive birth with at least 1 major congenital anomaly61 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryFetal death/still birth with no congenital anomalies9 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryFetal death/still birth with at least 1 major congenital anomaly2 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryUnknown outcome50 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryFetal death/still birth with at least 1 major congenital anomaly0 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryLive birth with no congenital anomalies1555 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryFetal death/still birth with no congenital anomalies6 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryLive birth with only minor congenital anomaly(ies)143 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryUnknown outcome24 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy Outcomes From Day 1 to Day 42 Post-deliveryLive birth with at least 1 major congenital anomaly43 Participants
Secondary

Number of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-delivery

Pregnancy-related AESIs included chorioamnionitis, fetal growth restriction, gestational diabetes mellitus, gestational hypertension, pre-eclampsia, pre-eclampsia with severe features including eclampsia, maternal death, premature preterm rupture of membranes, preterm labor, provider-initiated preterm birth.

Time frame: From Day 1 to Day 42 post-delivery, an average of 2 months

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryGestational Diabetes Mellitus42 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPre-Eclampsia With Severe Features Including Eclampsia58 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryFetal Growth Restriction30 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryMaternal Death2 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryGestational Hypertension85 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPremature Preterm Rupture Of Membranes53 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryChorioamnionitis30 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPreterm Labor141 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPre-Eclampsia74 Participants
RSV MAT Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryProvider-Initiated Preterm Birth54 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryProvider-Initiated Preterm Birth16 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryChorioamnionitis14 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryFetal Growth Restriction26 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryGestational Diabetes Mellitus19 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryGestational Hypertension41 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPre-Eclampsia36 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPre-Eclampsia With Severe Features Including Eclampsia28 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryMaternal Death1 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPremature Preterm Rupture Of Membranes20 Participants
Placebo Group - InfantNumber of Maternal Participants With Pregnancy-related Adverse Events of Special Interest (AESIs) From Day 1 to Day 42 Post-deliveryPreterm Labor57 Participants
Secondary

Number of Maternal Participants With RSV-associated Medically Attended RTIs (RSV-MA-RTIs) From Study Intervention Administration (Day 1) to Day 181 Post-delivery

RSV-associated MA-RTI is defined as a medically attended visit for RTI symptoms and confirmed RSV infection.

Time frame: From study intervention administration (Day 1) to Day 181 post-delivery

Population: The analysis was performed on the Exposed Set for maternal participants, which included all maternal participants who received the study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
RSV MAT Group - InfantNumber of Maternal Participants With RSV-associated Medically Attended RTIs (RSV-MA-RTIs) From Study Intervention Administration (Day 1) to Day 181 Post-delivery3 Participants
Placebo Group - InfantNumber of Maternal Participants With RSV-associated Medically Attended RTIs (RSV-MA-RTIs) From Study Intervention Administration (Day 1) to Day 181 Post-delivery6 Participants
Secondary

RSV-A Neutralizing Antibody Titers for Infant Participants at Day 121 Post-birth

RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.

Time frame: At Day 121 post-birth

Population: The analysis was performed on a sub-cohort from the Per Protocol - Immunogenicity set for infants, which included the infant participants for whom blood samples were collected for the specified analysis at Day 121 post-birth.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Day 121 Post-birth682.4 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Day 121 Post-birth74.8 Titers
Secondary

RSV-A Neutralizing Antibody Titers for Infant Participants at Day 181 Post-birth

RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.

Time frame: At Day 181 post-birth

Population: The analysis was performed on a sub-cohort from the Per Protocol - Immunogenicity set for infants, which included the infant participants for whom blood samples were collected for the specified analysis at Day 181 post-birth.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Day 181 Post-birth506.0 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Day 181 Post-birth133.7 Titers
Secondary

RSV-A Neutralizing Antibody Titers for Infant Participants at Day 43 Post-birth

RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs.

Time frame: At Day 43 post-birth

Population: The analysis was performed on a sub-cohort from the Per Protocol - Immunogenicity set for infants, which included the infant participants for whom blood samples were collected for the specified analysis at Day 43 post-birth.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Day 43 Post-birth4042.1 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Day 43 Post-birth311.3 Titers
Secondary

RSV-A Neutralizing Antibody Titers for Infant Participants at Delivery or Within 72 Hours After Birth

RSV-A neutralizing titers were determined by neutralization assay and expressed as GMTs. The titers were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (if no cord blood sample could be obtained).

Time frame: At delivery or within 72 hours after birth

Population: The analysis was performed on the Per Protocol - Immunogenicity set for infants, which included all infant participants in the Exposed set who had post-delivery/birth immunogenicity data available for the specified analysis at the specified time points (i.e. at delivery or within 72 hours after birth), minus those who (a) were born less than 4 weeks post- maternal participant vaccination and/ or (b) had protocol deviations that led to exclusion.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Delivery or Within 72 Hours After Birth9466.2 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Infant Participants at Delivery or Within 72 Hours After Birth725.9 Titers
Secondary

RSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at Delivery

RSV-A neutralizing titers were determined by neutralization assay and expressed as geometric mean titers (GMTs).

Time frame: At Day 1 (before study intervention administration), at Day 31 and at delivery

Population: The analysis was performed on the Per Protocol - Immunogenicity set for maternal participants, which included all maternal participants who received the study intervention to which they were randomized and had post-vaccination immunogenicity data available for the specified analysis at each of the specified time points (i.e. Day 1, Day 31, delivery) minus those participants with protocol deviations that led to exclusion.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryDay 1637.2 Titers
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryDay 319196.9 Titers
RSV MAT Group - InfantRSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryDelivery5703.1 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryDay 1594.9 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryDay 31673.5 Titers
Placebo Group - InfantRSV-A Neutralizing Antibody Titers for Maternal Participants at Day 1, at Day 31 and at DeliveryDelivery657.7 Titers
Secondary

RSV MAT IgG-specific Antibody Concentrations for Infant Participants at Delivery or Within 72 Hours After Birth

RSV MAT IgG-specific antibody concentrations were determined by ELISA and expressed as GMCs in ELU/mL. The antibody concentrations were measured on the cord blood sample collected at delivery, or on a blood sample collected from the infant within 72 hours after birth (only if no cord blood sample could be obtained at delivery).

Time frame: At delivery or within 72 hours after birth (only if no cord blood sample could be obtained at delivery)

Population: The analysis was performed on the Per Protocol - Immunogenicity set for infants, which included all infant participants in the Exposed set who had post-delivery/birth immunogenicity data available for the specified analysis at the specified time points (i.e. at delivery or within 72 hours after birth), minus those who (a) were born less than 4 weeks post-maternal participant vaccination and/ or (b) had protocol deviations that led to exclusion.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV MAT IgG-specific Antibody Concentrations for Infant Participants at Delivery or Within 72 Hours After Birth94365 ELU/mL
Placebo Group - InfantRSV MAT IgG-specific Antibody Concentrations for Infant Participants at Delivery or Within 72 Hours After Birth6610 ELU/mL
Secondary

RSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations for Maternal Participants at Delivery

RSV MAT IgG-specific antibody concentrations were determined by enzyme-linked immunosorbent assay (ELISA) and expressed as geometric mean concentrations (GMCs) in ELISA units per milliliter (ELU/mL).

Time frame: At delivery

Population: The analysis was performed on the Per Protocol - Immunogenicity set for maternal participants, which included all maternal participants who received the study intervention to which they were randomized and had post-vaccination immunogenicity data available for the specified analysis at the specified time point (i.e. delivery) minus those participants with protocol deviations that led to exclusion.

ArmMeasureValue (GEOMETRIC_MEAN)
RSV MAT Group - InfantRSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations for Maternal Participants at Delivery62880 ELU/mL
Placebo Group - InfantRSV MAT Immunoglobulin G (IgG)-Specific Antibody Concentrations for Maternal Participants at Delivery5600 ELU/mL

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026