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Clesrovimab (MK-1654) in Infants and Children at Increased Risk for Severe Respiratory Syncytial Virus (RSV) Disease (MK-1654-007)

A Phase 3, Multicenter, Randomized, Partially Blinded, Palivizumab- Controlled Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of MK-1654 in Infants and Children at Increased Risk for Severe RSV Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04938830
Acronym
SMART
Enrollment
1003
Registered
2021-06-24
Start date
2021-11-30
Completion date
2025-08-01
Last updated
2025-10-29

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

Conditions

RSV Infection

Brief summary

This study aims to evaluate the safety and tolerability of clesrovimab compared to palivizumab as assessed by the proportion of participants experiencing adverse events (AEs).

Interventions

BIOLOGICALClesrovimab

IM injection

BIOLOGICALPalivizumab

IM injection

BIOLOGICALPlacebo

IM injection

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
No minimum to 1 Years
Healthy volunteers
No

Inclusion criteria

* Participants at increased risk for severe RSV infection recommended to receive palivizumab in accordance with national or local guidelines or professional society recommendations. * Is available to complete the follow-up period.

Exclusion criteria

* Requires mechanical ventilation at time of enrollment. * Has a life expectancy \<6 months. * Has known hepatic or renal dysfunction, or chronic seizure disorder. * Is hospitalized at the time of randomization unless discharge is expected within 7 days after randomization. * Has severe immunodeficiency or is severely immunocompromised. * Has known hypersensitivity to any component of clesrovimab or palivizumab.

Design outcomes

Primary

MeasureTime frameDescription
Participants with solicited injection-site Adverse Events (AEs) in RSV Season 1Up to 5 daysPercentage of participants with solicited injection-site AEs in RSV Season 1
Participants with solicited daily body temperature with fever in RSV Season 1Up to 5 daysPercentage of participants with solicited daily body temperature with fever in RSV Season 1
Participants with solicited systemic AEs in RSV Season 1Up to 5 daysPercentage of participants with solicited systemic AEs in RSV Season 1
Participants with anaphylaxis/hypersensitivity AEs of special interest (AESI) in RSV Season 1Up to 42 daysPercentage of participants with anaphylaxis/hypersensitivity AESI in RSV Season 1
Participants with rash AESI in RSV Season 1Up to 42 daysPercentage of participants with rash AESI in RSV Season 1
Participants with non-serious AEs in RSV Season 1Up to 42 daysPercentage of participants with non-serious AEs in RSV Season 1
Participants with serious AEs (SAEs) through the duration of participation in RSV Season 1Up to 365 daysPercentage of participants with serious AEs (SAEs) through the duration of participation in RSV Season 1

Secondary

MeasureTime frameDescription
Participants with non-serious AEs in RSV Season 2From approximately 393 days up to 440 daysPercentage of participants with non-serious AEs in RSV Season 2
Participants with SAEs in RSV Season 2From approximately 393 days up to 575 daysPercentage of participants with SAEs in RSV Season 2
Participants with RSV-associated medically attended lower respiratory infection (MALRI) in RSV Season 1Up to 150 daysPercentage of participants with RSV-associated medically attended lower respiratory infection (MALRI) in RSV Season 1
Concentration of clesrovimab in RSV Season 2From approximately 393 days up to 550 daysSerum concentration of clesrovimab after dose of clesrovimab in RSV Season 2
Concentration of clesrovimab in RSV Season 1Up to 240 daysSerum concentration of clesrovimab after dose of clesrovimab in RSV Season 1
Participants with RSV-associated hospitalization in RSV Season 1Up to 150 daysPercentage of participants with RSV-associated hospitalization in RSV Season 1
Participants with solicited injection-site AEs in RSV Season 2From approximately 393 days up to 400 daysPercentage of participants with solicited injection-site AEs in RSV Season 2
Participants with solicited daily body temperature with fever in RSV Season 2From approximately 393 days up to 400 daysPercentage of participants with solicited daily body temperature with fever in RSV Season 2
Participants with solicited systemic AEs in RSV Season 2From approximately 393 days up to 400 daysPercentage of participants with solicited systemic AEs in RSV Season 2
Participants with anaphylaxis/hypersensitivity AESI in RSV Season 2From approximately 393 days up to 440 daysPercentage of participants with anaphylaxis/hypersensitivity AESI in RSV Season 2
Participants with rash AESI in RSV Season 2From approximately 393 days up to 440 daysPercentage of participants with rash AESI in RSV Season 2

Countries

Australia, Canada, Chile, Colombia, Czechia, Finland, France, Germany, Greece, Hong Kong, Hungary, Italy, Japan, Malaysia, Mexico, New Zealand, Norway, Peru, Puerto Rico, Singapore, South Africa, Spain, Taiwan, Thailand, Turkey (Türkiye), United Kingdom, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026