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A Phase 3 Study of Revaccination in Subsequent Pregnancies With Bivalent RSV Vaccine and Duration of Protection of a Single Dose

A Phase 3 Study to Investigate the Safety, Tolerability, and Immunogenicity of Revaccinating Pregnant Participants During Subsequent Pregnancies and Persistence of Immunity of a Single Dose of a Bivalent Respiratory Syncytial Virus (RSV) Vaccine.

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06866405
Enrollment
550
Registered
2025-03-10
Start date
2025-04-16
Completion date
2028-02-24
Last updated
2026-03-18

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

Conditions

RSV Infection

Keywords

Pregnancy, RSV vaccine, RSV, Maternal immunization

Brief summary

This study aims to check how safe and well-tolerated a second dose of RSVpreF is when given during later pregnancies, and to see how long the immunity lasts from a single dose given during a previous pregnancy by examining the blood of nonpregnant participants who had the vaccine before.

Detailed description

This study will include pregnant participants and their unborn babies (Cohort 1 and Cohort 2) and non-pregnant participants (Cohort 3), as described below: * Cohort 1- Pregnant participants who had previously received RSVpreF as part of a Pfizer clinical trial and have antibody data available from that trial will get a second dose of RSVpreF. * Cohort 2- Pregnant participants who received the RSVpreF in a previous pregnancy, either through commercial means with Abrysvo® or as part of a Pfizer clinical trial, will be randomly chosen to get either one dose of the RSVpreF or one dose of a placebo. This applies to those who do not have antibody data available from the earlier trial. For both groups of pregnant participants, the study will look at how safe and well-tolerated the vaccine is during pregnancy, as well as how the body responds to it. Infants will be monitored for six months after birth to check safety and antibodies level. • Cohort 3- Nonpregnant participants who received RSVpreF during a previous pregnancy as part of an earlier clinical trial will have blood samples taken to see how well their immune response has persisted over time. Participants will not receive any vaccine.

Interventions

BIOLOGICALRSVpreF

Single Dose

BIOLOGICALPlacebo

Single Dose

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Masking description

Blinding only applies to Cohort 2 of the study.

Eligibility

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

Inclusion criteria

Pregnant Participants-Cohort 1 and Cohort 2 Key Inclusion Criteria * Women aged 18 to 49 who are pregnant, between 24 and 36 weeks along, and expecting one baby without known risks for complications can participate. * Had the RSVpreF or Abrysvo vaccine during a previous pregnancy. * Had an ultrasound scan at 18 weeks or later during their current pregnancy, with no major fetal problems detected. * Based on their medical history, physical check-up, and the doctor's judgment, they are found suitable to join the study. * Agrees to let their baby take part in the study and gives their permission. * Able to sign a consent form, agreeing to follow the rules and conditions of the study. Key

Exclusion criteria

* Received any approved or experimental RSV vaccine since their previous pregnancy. * Has a pre-pregnancy body mass index (BMI) over 40 kg/m2. * History of a severe bad reaction to a vaccine or a serious allergic reaction (like anaphylaxis) to any ingredient in the study vaccine or a similar vaccine. * Current pregnancy problems or issues at the time of giving consent. * Previous pregnancy issues or problems at the time of giving consent. * Women who are breastfeeding at the time of enrollment Infant Participants * Proof that the parent(s) or legal guardian(s) has signed and dated a consent form. * Parent(s) or legal guardian(s) must agree to attend scheduled visits and follow the study plan, including laboratory tests and other procedures. Nonpregnant Participants-Cohort 3 Key Inclusion Criteria * Have already received one dose of the RSVpreF vaccine during their previous pregnancy as part of the Pfizer clinical trial, and the results from that time can be used for this study. * Able to sign a consent form, agreeing to follow the rules and requirements of the study. Key

Design outcomes

Primary

MeasureTime frameDescription
Percentage of pregnant participants reporting local reactionsFrom Day 1 Through at least Day 7 after VaccinationPain at the injection site, redness, and swelling
Percentage of pregnant participants reporting systemic eventsFrom Day 1 Through at least Day 7 after VaccinationFever, fatigue, headache, vomiting, nausea, diarrhea, muscle pain, and joint pain
Percentage of pregnant participants reporting adverse eventsFrom Day 1 through 4 weeks after vaccination
Percentage of pregnant participants reporting serious adverse eventsFrom Day 1 throughout the study
In infant participants born to pregnant participants receiving a second dose of the study intervention, the percentage of participants reporting adverse events.From birth through 1 month of age
In infant participants born to pregnant participants receiving a second dose of the study intervention, the percentage of participants reporting serious adverse events and newly diagnosed medical conditions.From birth through 6 months of age.
Proportion of participants achieving neutralizing antibody to RSV A and RSV B at birthAt birth

Secondary

MeasureTime frame
Proportion of participants achieving neutralizing antibody to RSV A and RSV B at 3 months and 6 monthsAt 3 months and 6 months

Countries

Argentina, South Africa, The Gambia, United States

Contacts

CONTACTPfizer CT.gov Call Center
ClinicalTrials.gov_Inquiries@pfizer.com1-800-718-1021
STUDY_DIRECTORPfizer CT.gov Call Center

Pfizer

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026