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A Study on the Immune Response and Safety of a Vaccine Against Respiratory Syncytial Virus Given to Adults 50-59 Years of Age, Including Adults at Increased Risk of Respiratory Syncytial Virus Lower Respiratory Tract Disease, Compared to Older Adults 60 Years of Age and Above

A Phase 3, Observer-blind, Randomized, Placebo-controlled Study to Evaluate the Non-inferiority of the Immune Response and Safety of the RSVPreF3 OA Investigational Vaccine in Adults 50-59 Years of Age, Including Adults at Increased Risk of Respiratory Syncytial Virus Lower Respiratory Tract Disease, Compared to Older Adults ≥60 Years of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05590403
Enrollment
1544
Registered
2022-10-21
Start date
2022-10-28
Completion date
2024-02-12
Last updated
2025-03-06

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

Conditions

Respiratory Syncytial Virus Infections

Keywords

Respiratory syncytial virus, Immunogenicity, Safety, Increased risk of respiratory syncytial virus lower respiratory tract disease, Adults aged 50-59 years of age, Older adults 60 years of age and above

Brief summary

The aim of this study is to demonstrate the non-inferiority (NI) of the immune response and evaluate safety of RSVPreF3 older adults (OA) investigational vaccine in adults 50-59 years of age (YOA), including those who are at increased risk (AIR) of respiratory syncytial virus (RSV)-lower respiratory tract disease (LRTD), versus adults \>=60 YOA

Interventions

One dose administered intramuscularly at Day 1.

DRUGPlacebo

One dose administered intramuscularly 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

Observer-blind for Cohort 1 (Day1-Day 31) and single-blind afterwards and open-label for Cohort 2

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Participants who, in the opinion of the investigator, can and will comply with the requirements of the protocol * Written or witnessed informed consent obtained from the participant prior to performance of any study-specific procedure. 1\. Specific inclusion criteria for all participants in Cohort 1 (Adults HA-RSV Group, Adults HA-Placebo Group, Adults AIR-RSV Group & Adults AIR-Placebo Group) * A male or female participant 50-59 YOA at the time of the study intervention administration. * Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as hysterectomy, bilateral oophorectomy, bilateral salpingectomy or post-menopause. * Female participants of childbearing potential may be enrolled in the study, if the participant: * has practiced adequate contraception from 1 month prior to study intervention administration until study end for this study, and * has a negative pregnancy test on the day of study intervention administration. Specific inclusion criteria for participants in the Adults-HA Sub-cohort * Healthy participants as established by medical history and clinical examination before entering into the study. * Participants with chronic stable medical conditions with or without specific treatment, such as hypertension, hypercholesterolemia, or hypothyroidism, and who are not at increased risk for RSV-LRTD , are allowed to participate in this study if considered by the investigator as medically stable (no changes in the treatment or disease severity in the past 3 months). Specific inclusion criteria for participants in the Adults-AIR Sub cohort Participants should be diagnosed with at least 1 of the following medical conditions and have a stable condition (no changes in the treatment or disease severity in the past 3 months): * Chronic pulmonary disease resulting in activity restricting symptoms or use of long-term medication * Chronic cardiovascular disease * Diabetes mellitus: types 1 and 2 * Other diseases at increased risk for RSV-LRTD disease * Chronic kidney disease * Chronic liver disease 2. Specific inclusion criteria for Cohort 2 (OA-RSV Group) * A male or female participant ≥60 YOA at the time of the study intervention administration. * Participants with chronic stable medical conditions with or without specific treatment, such as diabetes, hypertension or cardiac disease are allowed to participate in this study if considered by the investigator as medically stable (no changes in the treatment or disease severity in the past 3 months). * Participants living in the general community or in an assisted-living facility that provides minimal assistance, such that the participant is primarily responsible for self-care and activities of daily living.

Exclusion criteria

Medical conditions * Any confirmed or suspected immunosuppressive or immunodeficient condition resulting from disease or immunosuppressive/cytotoxic therapy, based on medical history and physical examination (no laboratory testing required). * History of any reaction or hypersensitivity likely to be exacerbated by any component of the study intervention. * Hypersensitivity to latex. * Unstable chronic illness. * Any history of dementia or any medical condition that moderately or severely impairs cognition. * Recurrent or uncontrolled neurological disorders or seizures. Participants with medically controlled active or chronic neurological diseases can be enrolled in the study as per investigator assessment, provided that their condition will allow them to comply with the requirements of the protocol. Study participants may decide to assign a caregiver to help them complete the study procedures. * Significant underlying illness that in the opinion of the investigator would be expected to prevent completion of the study. * Any medical condition that in the judgment of the investigator would make intramuscular injection unsafe. Prior/Concomitant therapy * Use of any investigational or non-registered product (drug, vaccine, or medical device) other than the study intervention during the period beginning 30 days before the dose of study intervention (Day -29 to Day 1), or planned use during the study period (up to Visit 4, Month 12). * Planned or actual administration of a vaccine not foreseen by the study protocol in the period starting 30 days before and ending 30 days after the dose of study intervention administration, with the exception of inactivated and subunit influenza vaccines or COVID-19 vaccines (fully licensed or with EUA) which can be administered up to 14 days before or from 14 days after the study intervention administration. Note: In case an emergency mass vaccination for an unforeseen public health threat is recommended and/or organized by the public health authorities, outside the routine immunization program, the time period described above can be reduced if necessary for that vaccine provided it is used according to the local governmental recommendations and that the Sponsor is notified accordingly. * Previous vaccination with an RSV vaccine, including investigational RSV vaccines. * Chronic administration of immune-modifying drugs (defined as more than 14 consecutive days in total) and/or administration of long-acting immune modifying treatments or planned administration at any time up to the end of the study. * Up to 3 months prior to the study intervention administration: * For corticosteroids, this will mean prednisone ≥20 mg/day, or equivalent. Inhaled and topical steroids are allowed. * Administration of immunoglobulins and/or any blood products or plasma derivatives. * Up to 6 months prior to study intervention administration: long-acting immune modifying drugs including among others immunotherapy (e.g., TNF-inhibitors), monoclonal antibodies, antitumoral medication. Prior/Concurrent clinical study experience • Concurrently participating in another clinical study, at any time during the study period, in which the participant has been or will be exposed to an investigational or a non-investigational vaccine/product (drug or invasive medical device). Other exclusions Other exclusions for all participants * History of chronic alcohol consumption and/or drug abuse as deemed by the investigator to render the potential participant unable/unlikely to provide accurate safety reports or comply with study procedures. * Bedridden participants. * Planned move during the study period that will prohibit participating in the study until study end. * Participation of any study personnel or their immediate dependents, family, or household members. Other exclusions for Cohort 1 * Pregnant or lactating female. * Female planning to become pregnant or planning to discontinue contraceptive precautions.

Design outcomes

Primary

MeasureTime frameDescription
RSV-A Neutralization Titers Expressed as Group Geometric Mean Titer (GMT) in Healthy Participants Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA vaccine administration (Day 31)Serological assays for the determination of antibodies against RSV-A were performed by neutralization assay. The corresponding antibody titers were expressed in Estimated Dilution 60 (ED60) and were measured on blood samples collected from vaccinated subjects. The ANCOVA model used to calculate the adjusted GMTs for RSV-A neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult HA-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.
RSV-A Neutralization Titers Expressed as Group Seroresponse Rate (SRR) Difference in Healthy Participants Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA investigational vaccine administration (Day 31) compared to baseline (Day 1)The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) greater than or equal to 4 (\>=4).
RSV-B Neutralization Titers Expressed as Group GMT in Healthy Participants Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA vaccine administration (Day 31)Serological assays for the determination of antibodies against RSV-B were performed by neutralization assay. The corresponding antibody titers were expressed in ED60. The ANCOVA model used to calculate the adjusted GMTs for RSV-B neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult HA-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.
RSV-B Neutralization Titers Expressed as Group SRR in Healthy Participants Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA vaccine administration (Day 31) compared to baseline (Day 1)The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) \>=4.
RSV-A Neutralization Titers Expressed as Group GMT Titer in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA investigational vaccine administration (Day 31)Serological assays for the determination of antibodies against RSV-A are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. The ANCOVA model used to calculate the adjusted GMTs for RSV-A neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult AIR-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.
RSV-A Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA vaccine administration (Day 31) compared to baseline (Day 1)The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) \>=4.
RSV-B Neutralization Titers Expressed as Group GMT in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA vaccine administration (Day 31)Serological assays for the determination of antibodies against RSV-B are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. The ANCOVA model used to calculate the adjusted GMTs for RSV-B neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult AIR-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.
RSV-B Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV GroupAt 1 month after the RSVPreF3 OA investigational vaccine administration (Day 31) compared to baseline (Day 1)The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) \>=4.

Secondary

MeasureTime frameDescription
RSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionAt pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)Serological assays for the determination of antibodies against RSV-A are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.
RSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionAt 6 months and at 12 months after study intervention administrationSerological assays for the determination of antibodies against RSV-A are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.
RSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionAt pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)Serological assays for the determination of antibodies against RSV-B are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.
RSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionAt 6 months and at 12 months after study intervention administrationSerological assays for the determination of antibodies against RSV-B are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.
Percentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)During the 4-day follow up period after vaccination (vaccine or placebo administered on Day 1)Assessed solicited administration site events were pain, erythema and swelling. Any = occurrence of the symptom regardless of intensity grade. Any erythema and swelling symptom = symptom reported with a surface diameter greater than 0 millimeters.
Frequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionAt 6 months and at 12 months after study intervention administrationAmong markers expressed are interleukin-2/13/17 (IL-2, IL-13, IL-17), cluster of 40 ligand (CD40L), 41BB, tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ), in vitro upon stimulation with RSVPreF3 peptide preparations.
Frequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionAt pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)Among markers expressed are IL-2, IL-13, IL-17, CD40L, 41BB, TNF-α and IFN-γ, in vitro upon stimulation with RSVPreF3 peptide preparations.
Frequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12At 6 months and at 12 months after study intervention administrationAmong markers expressed are IL-2, IL-13, IL-17, CD40L, 41BB, TNF-α and IFN-γ, in vitro upon stimulation with RSVPreF3 peptide preparations.
Frequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionAt pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)Among markers expressed are interleukin-2/13/17 (IL-2, IL-13, IL-17), cluster of 40 ligand (CD40L), 41BB, tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ), in vitro upon stimulation with RSVPreF3 peptide preparations.
Percentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)During the 4-day follow up period after vaccination (vaccine or placebo administered on Day 1)Assessed solicited systemic events were arthralgia, fatigue, headache, myalgia and fever \[temperature equal to or above (\>=) 38 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade or relation to study intervention.
Percentage of Participants Reporting Any Unsolicited Adverse Events (AEs)During the 30-day follow up period after vaccination (vaccine or placebo administered on Day 1)Unsolicited AEs are 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 will be reported as an unsolicited adverse event.
Percentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of VaccinationFrom the day of the vaccination up to 6 months after vaccination (vaccine or placebo administered on Day 1)An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in an abnormal pregnancy outcome.
Percentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of VaccinationFrom the day of the vaccination up to 6 months after vaccination (vaccine or placebo administered on Day 1)pIMDs are a subset of AEs of special interest that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.
Percentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of VaccinationFrom the day of the vaccination up to 12 months after vaccination (vaccine or placebo administered on Day 1)An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in an abnormal pregnancy outcome.
Percentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of VaccinationFrom the day of the vaccination up to 12 months after vaccination (vaccine or placebo administered on Day 1)pIMDs are a subset of AEs of special interest that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.
Percentage of Participants Reporting Any Fatal SAEsFrom the day of the vaccination up to 12 months after vaccination (vaccine or placebo administered on Day 1)An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in an abnormal pregnancy outcome.

Participant flow

Recruitment details

Out of 1544 participants enrolled in this study, 1534 participants received at least one study intervention, from which 1 participant in OA-RSV group received placebo instead of RSVPreF3 OA vaccine and was excluded from the group. Therefore, the Exposed set included 1533 participants.

Participants by arm

ArmCount
Adults HA-RSV Group
Healthy adults or adults with chronic stable conditions with or without treatment that do not lead to an increased risk of RSV-LRTD, aged 50-59 years old received 1 dose of RSVPreF3 OA vaccine at Day 1 and were followed until study end.
383
Adults HA-Placebo Group
Healthy adults or adults with chronic stable conditions with or without treatment that do not lead to an increased risk of RSV-LRTD, aged 50-59 years old received 1 dose of placebo at Day 1 and were followed until study end.
192
Adults AIR-RSV Group
Adults at increased risk of RSV-Lower respiratory tract disease (RSV-LRTD) aged 50-59 years old received 1 dose of RSVPreF3 OA vaccine at Day 1 and were followed until study end.
386
Adults AIR-Placebo Group
Adults at increased risk of RSV-LRTD aged 50-59 years old received 1 dose of placebo at Day 1 and were followed until study end.
191
OA-RSV Group
Older adults aged 60 years old and above received 1 dose of RSVPreF3 OA vaccine at Day 1 and were followed until study end.
381
Total1,533

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse event requiring expedited reporting00410
Overall StudyConsent withdrawal, not due to a (S)AE46427
Overall StudyLost to Follow-up131734
Overall StudyMigrated / moved from the study area11031
Overall StudyOther20220

Baseline characteristics

CharacteristicAdults HA-RSV GroupAdults HA-Placebo GroupAdults AIR-RSV GroupAdults AIR-Placebo GroupOA-RSV GroupTotal
Age, Continuous54.8 YEARS
STANDARD_DEVIATION 2.8
54.7 YEARS
STANDARD_DEVIATION 2.8
55.3 YEARS
STANDARD_DEVIATION 2.8
55.6 YEARS
STANDARD_DEVIATION 2.8
64.1 YEARS
STANDARD_DEVIATION 2.9
58.6 YEARS
STANDARD_DEVIATION 7.5
Ethnicity (NIH/OMB)
Hispanic or Latino
48 Participants23 Participants63 Participants35 Participants50 Participants219 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
335 Participants168 Participants323 Participants156 Participants330 Participants1312 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants0 Participants0 Participants1 Participants2 Participants
Sex: Female, Male
Female
221 Participants119 Participants186 Participants85 Participants188 Participants799 Participants
Sex: Female, Male
Male
162 Participants73 Participants200 Participants106 Participants193 Participants734 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 3830 / 1921 / 3861 / 1910 / 381
other
Total, other adverse events
325 / 38376 / 192318 / 38674 / 191279 / 381
serious
Total, serious adverse events
3 / 3834 / 19215 / 3864 / 1919 / 381

Outcome results

Primary

RSV-A Neutralization Titers Expressed as Group Geometric Mean Titer (GMT) in Healthy Participants Compared to OA-RSV Group

Serological assays for the determination of antibodies against RSV-A were performed by neutralization assay. The corresponding antibody titers were expressed in Estimated Dilution 60 (ED60) and were measured on blood samples collected from vaccinated subjects. The ANCOVA model used to calculate the adjusted GMTs for RSV-A neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult HA-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.

Time frame: At 1 month after the RSVPreF3 OA vaccine administration (Day 31)

Population: Analysis was performed on the per protocol set (PPS) for humoral analysis which included all eligible participants who received the study intervention as per protocol, had RSV-A immunogenicity results pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as Group Geometric Mean Titer (GMT) in Healthy Participants Compared to OA-RSV Group7906.0 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as Group Geometric Mean Titer (GMT) in Healthy Participants Compared to OA-RSV Group7518.9 Titer
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to healthy adults aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [0.83, 1.09]
Primary

RSV-A Neutralization Titers Expressed as Group GMT Titer in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group

Serological assays for the determination of antibodies against RSV-A are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. The ANCOVA model used to calculate the adjusted GMTs for RSV-A neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult AIR-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.

Time frame: At 1 month after the RSVPreF3 OA investigational vaccine administration (Day 31)

Population: Analysis was performed on the per protocol set (PPS) for humoral analysis which included all eligible participants who received the study intervention as per protocol, had RSV-A immunogenicity results pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as Group GMT Titer in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group8925.1 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as Group GMT Titer in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group7460.7 Titer
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to adults at increased risk of RSV-LRTD aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [0.73, 0.96]
Primary

RSV-A Neutralization Titers Expressed as Group Seroresponse Rate (SRR) Difference in Healthy Participants Compared to OA-RSV Group

The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) greater than or equal to 4 (\>=4).

Time frame: At 1 month after the RSVPreF3 OA investigational vaccine administration (Day 31) compared to baseline (Day 1)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had SRR results for RSV-A at pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as Group Seroresponse Rate (SRR) Difference in Healthy Participants Compared to OA-RSV Group82.8 Percentage of participants
OA-RSV GroupRSV-A Neutralization Titers Expressed as Group Seroresponse Rate (SRR) Difference in Healthy Participants Compared to OA-RSV Group80.2 Percentage of participants
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to healthy adults aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [-8.54, 3.28]
Primary

RSV-A Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group

The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) \>=4.

Time frame: At 1 month after the RSVPreF3 OA vaccine administration (Day 31) compared to baseline (Day 1)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had SRR results for RSV-A at pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group86.8 Percentage of participants
OA-RSV GroupRSV-A Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group80.2 Percentage of participants
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to adults at increased risk of RSV-LRTD aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [-12.26, -1.12]
Primary

RSV-B Neutralization Titers Expressed as Group GMT in Healthy Participants Compared to OA-RSV Group

Serological assays for the determination of antibodies against RSV-B were performed by neutralization assay. The corresponding antibody titers were expressed in ED60. The ANCOVA model used to calculate the adjusted GMTs for RSV-B neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult HA-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.

Time frame: At 1 month after the RSVPreF3 OA vaccine administration (Day 31)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had RSV-B immunogenicity results pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as Group GMT in Healthy Participants Compared to OA-RSV Group9024.8 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as Group GMT in Healthy Participants Compared to OA-RSV Group8070.3 Titer
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to healthy adults aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [0.79, 1.02]
Primary

RSV-B Neutralization Titers Expressed as Group GMT in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group

Serological assays for the determination of antibodies against RSV-B are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. The ANCOVA model used to calculate the adjusted GMTs for RSV-B neutralizing antibodies included the baseline value as covariate (i.e. GMTs are adjusted for the PRE timepoint values) and only included Adult AIR-RSV and OA-RSV groups in the model as fixed effect, as specified in Statistical Analysis Plan.

Time frame: At 1 month after the RSVPreF3 OA vaccine administration (Day 31)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had RSV-B immunogenicity results pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as Group GMT in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group10048.6 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as Group GMT in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group8073.4 Titer
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to adults at increased risk of RSV-LRTD aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [0.71, 0.91]
Primary

RSV-B Neutralization Titers Expressed as Group SRR in Healthy Participants Compared to OA-RSV Group

The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) \>=4.

Time frame: At 1 month after the RSVPreF3 OA vaccine administration (Day 31) compared to baseline (Day 1)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had SRR results for RSV-B at pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as Group SRR in Healthy Participants Compared to OA-RSV Group78.2 Percentage of participants
OA-RSV GroupRSV-B Neutralization Titers Expressed as Group SRR in Healthy Participants Compared to OA-RSV Group74.3 Percentage of participants
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to healthy adults aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [-10.39, 2.53]
Primary

RSV-B Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group

The SRR is defined as the proportion of participants having a fold increase in neutralization titers (1 month post-study intervention administration over pre-study intervention administration) \>=4.

Time frame: At 1 month after the RSVPreF3 OA investigational vaccine administration (Day 31) compared to baseline (Day 1)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had SRR results for RSV-B at pre- and post-dose, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group81.6 Percentage of participants
OA-RSV GroupRSV-B Neutralization Titers Expressed as Group SRR in Participants at Increased Risk of RSV-LRTD (Adults-AIR-RSV Group) Compared to OA-RSV Group74.3 Percentage of participants
Comparison: To demonstrate the non-inferiority of the RSVPreF3 OA vaccine when administered to adults at increased risk of RSV-LRTD aged 50-59 years of age compared with older adults aged 60 years of age or above.95% CI: [-13.52, -1.09]
Secondary

Frequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-intervention

Among markers expressed are interleukin-2/13/17 (IL-2, IL-13, IL-17), cluster of 40 ligand (CD40L), 41BB, tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ), in vitro upon stimulation with RSVPreF3 peptide preparations.

Time frame: At 6 months and at 12 months after study intervention administration

Population: Analysis was performed on CMI sub-cohort of the PPS, which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for RSVPreF3 OA specific CD4+ T cells, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only the participants with data available at the time of the analysis were reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Adults HA-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 6825.6 CD4+ T cells/million cellsStandard Deviation 0.3
Adults HA-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 12492.0 CD4+ T cells/million cellsStandard Deviation 0.6
OA-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 6140.5 CD4+ T cells/million cellsStandard Deviation 0.8
OA-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 12175.8 CD4+ T cells/million cellsStandard Deviation 0.5
Adults AIR-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 6662.9 CD4+ T cells/million cellsStandard Deviation 0.3
Adults AIR-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 12335.5 CD4+ T cells/million cellsStandard Deviation 0.7
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 1259.4 CD4+ T cells/million cellsStandard Deviation 1
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 639.2 CD4+ T cells/million cellsStandard Deviation 1
OA-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 6763.5 CD4+ T cells/million cellsStandard Deviation 0.5
OA-RSV GroupFrequency of RSVPreF3-specific CD4+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12 Post-interventionMonth 12414.1 CD4+ T cells/million cellsStandard Deviation 0.7
Secondary

Frequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12

Among markers expressed are IL-2, IL-13, IL-17, CD40L, 41BB, TNF-α and IFN-γ, in vitro upon stimulation with RSVPreF3 peptide preparations.

Time frame: At 6 months and at 12 months after study intervention administration

Population: Analysis was performed on CMI sub-cohort of the PPS, which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for RSVPreF3 OA specific CD8+ T cells, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only the participants with data available at the time of the analysis were reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Adults HA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 623.1 CD8+ T cells/million cellsStandard Deviation 1
Adults HA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 1215.2 CD8+ T cells/million cellsStandard Deviation 1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 612.2 CD8+ T cells/million cellsStandard Deviation 1.1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 1223.0 CD8+ T cells/million cellsStandard Deviation 0.9
Adults AIR-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 627.6 CD8+ T cells/million cellsStandard Deviation 1
Adults AIR-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 1216.2 CD8+ T cells/million cellsStandard Deviation 1
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 126.6 CD8+ T cells/million cellsStandard Deviation 1.1
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 614.0 CD8+ T cells/million cellsStandard Deviation 1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 614.8 CD8+ T cells/million cellsStandard Deviation 1.1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, at Month 6 and Month 12Month 1214.9 CD8+ T cells/million cellsStandard Deviation 1
Secondary

Frequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-intervention

Among markers expressed are IL-2, IL-13, IL-17, CD40L, 41BB, TNF-α and IFN-γ, in vitro upon stimulation with RSVPreF3 peptide preparations.

Time frame: At pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)

Population: Analysis was performed on CMI sub-cohort of the PPS, which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for RSVPreF3 OA specific CD8+ T cells, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only the participants with data available at the time of the analysis were reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Adults HA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 110.1 CD8+ T cells/million cellsStandard Deviation 1.1
Adults HA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 3115.2 CD8+ T cells/million cellsStandard Deviation 1.1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 16.0 CD8+ T cells/million cellsStandard Deviation 0.9
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 3111.9 CD8+ T cells/million cellsStandard Deviation 1.1
Adults AIR-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 115.5 CD8+ T cells/million cellsStandard Deviation 1
Adults AIR-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 3118.1 CD8+ T cells/million cellsStandard Deviation 1.1
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 314.8 CD8+ T cells/million cellsStandard Deviation 1.1
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 110.8 CD8+ T cells/million cellsStandard Deviation 1.1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 112.0 CD8+ T cells/million cellsStandard Deviation 1
OA-RSV GroupFrequency of RSVPreF3-specific CD8+ T Cells Expressing at Least 2 Activation Markers, up to One Month Post-interventionDay 3112.0 CD8+ T cells/million cellsStandard Deviation 1.2
Secondary

Frequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-intervention

Among markers expressed are interleukin-2/13/17 (IL-2, IL-13, IL-17), cluster of 40 ligand (CD40L), 41BB, tumour necrosis factor alpha (TNF-α) and interferon gamma (IFN-γ), in vitro upon stimulation with RSVPreF3 peptide preparations.

Time frame: At pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)

Population: Analysis was performed on Cell-Mediated immune (CMI) sub-cohort of the PPS,which included all eligible participants who received the study intervention as per protocol,had immunogenicity results pre- and post-dose for RSVPreF3 OA specific CD4+T cells, complied with blood draw intervals,without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination.Only the participants with data available at the time of the analysis were reported

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Adults HA-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 1102.7 CD4+ T cells/million cellsStandard Deviation 0.9
Adults HA-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 311282.5 CD4+ T cells/million cellsStandard Deviation 0.4
OA-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 1125.6 CD4+ T cells/million cellsStandard Deviation 0.9
OA-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 31167.7 CD4+ T cells/million cellsStandard Deviation 0.8
Adults AIR-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 1161.5 CD4+ T cells/million cellsStandard Deviation 0.6
Adults AIR-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 311043.6 CD4+ T cells/million cellsStandard Deviation 0.6
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 31131.9 CD4+ T cells/million cellsStandard Deviation 0.8
Adults AIR-Placebo GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 1114.7 CD4+ T cells/million cellsStandard Deviation 0.9
OA-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 1111.3 CD4+ T cells/million cellsStandard Deviation 0.9
OA-RSV GroupFrequency of RSVPreF3-specific Cluster of Differentiation (CD)4+ T Cells Expressing at Least 2 Activation Markers up to One Month Post-interventionDay 311016.9 CD4+ T cells/million cellsStandard Deviation 0.8
Secondary

Percentage of Participants Reporting Any Fatal SAEs

An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in an abnormal pregnancy outcome.

Time frame: From the day of the vaccination up to 12 months after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the ES, which included all participants who received the study intervention. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting Any Fatal SAEs0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Fatal SAEs0 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Any Fatal SAEs1.0 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Any Fatal SAEs0.5 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Fatal SAEs0 Percentage of participants
Secondary

Percentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of Vaccination

pIMDs are a subset of AEs of special interest that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.

Time frame: From the day of the vaccination up to 6 months after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the ES, which included all participants who received the study intervention. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of Vaccination0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of Vaccination0 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of Vaccination1.0 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of Vaccination0.5 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Onset Potential Immune Mediated Diseases (pIMDs) Within 6 Months of Vaccination0.8 Percentage of participants
Secondary

Percentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of Vaccination

An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in an abnormal pregnancy outcome.

Time frame: From the day of the vaccination up to 6 months after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the ES, which included all participants who received the study intervention. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of Vaccination0.8 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of Vaccination2.1 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of Vaccination3.9 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of Vaccination2.1 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Serious Adverse Events (SAEs) Within 6 Months of Vaccination2.4 Percentage of participants
Secondary

Percentage of Participants Reporting Any Unsolicited Adverse Events (AEs)

Unsolicited AEs are 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 will be reported as an unsolicited adverse event.

Time frame: During the 30-day follow up period after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the Exposed Set (ES), which included all participants who received the study intervention and had data for assessed timeframe and unsolicited events analysis.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting Any Unsolicited Adverse Events (AEs)13.6 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Unsolicited Adverse Events (AEs)13.5 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Any Unsolicited Adverse Events (AEs)15.3 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Any Unsolicited Adverse Events (AEs)10.5 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Any Unsolicited Adverse Events (AEs)16.3 Percentage of participants
Secondary

Percentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)

Assessed solicited administration site events were pain, erythema and swelling. Any = occurrence of the symptom regardless of intensity grade. Any erythema and swelling symptom = symptom reported with a surface diameter greater than 0 millimeters.

Time frame: During the 4-day follow up period after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the Exposed Set (ES), which included all participants who received the study intervention and had data for solicited administration site events analysis at the assessed timeframe.

ArmMeasureGroupValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Erythema11.9 Percentage of participants
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Swelling9.3 Percentage of participants
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Pain76.7 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Pain10.5 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Erythema0.5 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Swelling1.0 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Pain75.2 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Erythema14.5 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Swelling11.6 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Erythema0.5 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Swelling0.5 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Pain14.3 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Pain61.2 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Erythema12.1 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Administration Site Event (Pain, Redness and Swelling)Swelling7.7 Percentage of participants
Secondary

Percentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)

Assessed solicited systemic events were arthralgia, fatigue, headache, myalgia and fever \[temperature equal to or above (\>=) 38 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade or relation to study intervention.

Time frame: During the 4-day follow up period after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the Exposed Set (ES), which included all participants who received the study intervention and had data for solicited systemic events analysis at the assessed timeframe.

ArmMeasureGroupValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Myalgia39.3 Percentage of participants
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Arthralgia26.0 Percentage of participants
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fever3.7 Percentage of participants
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fatigue44.0 Percentage of participants
Adults HA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Headache35.8 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Myalgia5.8 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Headache16.8 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fatigue17.3 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fever1.0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Arthralgia5.8 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Headache27.7 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Arthralgia20.8 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fatigue36.1 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Myalgia32.5 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fever2.6 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fever1.1 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Arthralgia10.0 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Myalgia14.2 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Headache17.4 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fatigue19.5 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Headache21.1 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Myalgia21.4 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Arthralgia12.9 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fever1.6 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting Each Solicited Systemic Event (Fever, Headache, Muscle Pain, Joint Pain, Tiredness)Fatigue24.0 Percentage of participants
Secondary

Percentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of Vaccination

pIMDs are a subset of AEs of special interest that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune etiology.

Time frame: From the day of the vaccination up to 12 months after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the ES, which included all participants who received the study intervention. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting pIMDs Related to Study Intervention Administration Within 12 Months of Vaccination0.3 Percentage of participants
Secondary

Percentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of Vaccination

An SAE is any untoward medical occurrence that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, or results in an abnormal pregnancy outcome.

Time frame: From the day of the vaccination up to 12 months after vaccination (vaccine or placebo administered on Day 1)

Population: Analysis was based on the ES, which included all participants who received the study intervention. Analysis per group is based on the administered intervention.

ArmMeasureValue (NUMBER)
Adults HA-RSV GroupPercentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
Adults AIR-RSV GroupPercentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
Adults AIR-Placebo GroupPercentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of Vaccination0 Percentage of participants
OA-RSV GroupPercentage of Participants Reporting SAEs Related to Study Intervention Administration Within 12 Months of Vaccination0.3 Percentage of participants
Secondary

RSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-intervention

Serological assays for the determination of antibodies against RSV-A are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.

Time frame: At 6 months and at 12 months after study intervention administration

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for the assessed analysis, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only those participants with data available at the time of the analysis were reported in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 63850.7 Titer
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 123192.9 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 6849.6 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 12965.1 Titer
Adults AIR-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 63980.6 Titer
Adults AIR-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 123075.1 Titer
Adults AIR-Placebo GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 12971.8 Titer
Adults AIR-Placebo GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 6854.2 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 63846.3 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT at Month 6 and Month 12 Post-interventionMonth 123080.4 Titer
Secondary

RSV-A Neutralization Titers Expressed as GMT, up to One Month Post-intervention

Serological assays for the determination of antibodies against RSV-A are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.

Time frame: At pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for the assessed analysis, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only those participants with data available at the time of the analysis were reported in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 1768.8 Titer
Adults HA-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 317925.4 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 1772.0 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 31796.9 Titer
Adults AIR-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 1779.5 Titer
Adults AIR-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 318804.1 Titer
Adults AIR-Placebo GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 31774.7 Titer
Adults AIR-Placebo GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 1729.8 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 1775.7 Titer
OA-RSV GroupRSV-A Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 317498.8 Titer
Secondary

RSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-intervention

Serological assays for the determination of antibodies against RSV-B are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.

Time frame: At 6 months and at 12 months after study intervention administration

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for the assessed analysis, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only those participants with data available at the time of the analysis were reported in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 63880.7 Titer
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 123562.8 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 61003.2 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 121218.6 Titer
Adults AIR-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 64020.8 Titer
Adults AIR-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 123669.9 Titer
Adults AIR-Placebo GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 121153.5 Titer
Adults AIR-Placebo GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 6942.1 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 63710.4 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, at Month 6 and Month 12 Post-interventionMonth 123527.7 Titer
Secondary

RSV-B Neutralization Titers Expressed as GMT, up to One Month Post-intervention

Serological assays for the determination of antibodies against RSV-B are performed by neutralization assay. The corresponding antibody titers were expressed in ED60. Unadjusted GMTs were provided for Adult HA-RSV, Adults HA-Placebo, Adult AIR-RSV, Adult AIR-Placebo and OA-RSV groups.

Time frame: At pre-study intervention administration (Day 1) and 1 month after study intervention administration (Day 31)

Population: Analysis was performed on PPS for humoral analysis which included all eligible participants who received the study intervention as per protocol, had immunogenicity results pre- and post-dose for the assessed analysis, complied with blood draw intervals, without intercurrent conditions that may interfere with immunogenicity and without prohibited concomitant medication/vaccination. Only those participants with data available at the time of the analysis were reported in this outcome measure.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 11091.1 Titer
Adults HA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 318971.9 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 11197.7 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 311145.3 Titer
Adults AIR-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 11141.4 Titer
Adults AIR-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 319943.0 Titer
Adults AIR-Placebo GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 311141.8 Titer
Adults AIR-Placebo GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 11167.2 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 11109.1 Titer
OA-RSV GroupRSV-B Neutralization Titers Expressed as GMT, up to One Month Post-interventionDay 318169.3 Titer

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