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A Phase 2 Study to Investigate the Efficacy and Safety of Zelicapavir in Participants Aged ≥28 Days to ≤36 Months of Age Infected With Respiratory Syncytial Virus

Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Zelicapavir in Participants ≥28 Days to ≤36 Months of Age Infected With Respiratory Syncytial Virus

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07482657
Enrollment
150
Registered
2026-03-19
Start date
2026-07-09
Completion date
2026-12-01
Last updated
2026-07-20

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

Conditions

Respiratory Syncytial Virus (RSV), RSV, RSV Infection

Keywords

RSV, children, Respiratory Syncytial Virus, Pediatric study

Brief summary

Zelicapavir is a novel, orally administered, nonfusion replication inhibitor of RSV. It is being investigated in this Phase 2 study (EDP 938-203) as a potential treatment for RSV infection in both hospitalized and non-hospitalized children aged ≥28 days to ≤36 months who present with symptomatic RSV infection.

Interventions

DRUGzelicapavir

Oral suspension

DRUGPlacebo

Placebo oral suspension to match zelicapavir

Sponsors

Enanta Pharmaceuticals, Inc
Lead SponsorINDUSTRY
PENTA Foundation
CollaboratorNETWORK
AMS-PHPT Research Collaboration, Chiang Mai University
CollaboratorUNKNOWN

Study design

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

Eligibility

Sex/Gender
ALL
Age
28 Days to 36 Months
Healthy volunteers
No

Inclusion criteria

* Participants diagnosed with RSV infection using an approved diagnostic assay, without known and/or documented coinfection with SARS-CoV-2 or influenza * Participant has signs of RSV infection with onset ≤3 days (72 hours) at the time of randomization * In the Investigator's opinion, the participant's caregiver understands and is able to comply with protocol requirements, instructions, and restrictions, and the participant is likely to complete the study as planned. The caregiver(s) should be of legal age.

Exclusion criteria

* Participant has any condition that in the opinion of the Investigator would interfere with the evaluation of the study drug or participant safety. * Participant has underlying immune deficiency. Participants with immunoglobulin A deficiency are not excluded. * Participant has had major surgery within 6 weeks prior to randomization or has major surgery planned during the course of the study. * Participant is currently taking either chronically or has taken within 7 days prior to randomization, or is anticipated to receive during the course of the study, systemic medications that are known to cause immunosuppression other than corticosteroids for \>5 days. * Participant has received an investigational agent within the last 30 days or 5 half-lives of the investigational agent, whichever is longer.

Design outcomes

Primary

MeasureTime frame
Time to complete resolution of clinical signs of RSV as measured by RESOLVE-PDay 1 through Day 14

Secondary

MeasureTime frame
Time to sustained resolution of clinical signs of RSV as measured by RESOLVE-PDay 1 through Day 14
Change in severity of clinical signs of RSV from Baseline to D7 as measured by RESOLVE-PDay 1 through Day 7
Proportion of participants with Lower Respiratory Tract Infection (LRTI)D1 through D14
Change in severity of RSV from Baseline to D7 and D14Baseline to D7 and D14
Proportion of outpatient participants who were hospitalized due to RSV or other causes during the study periodDay 1 through Day 35
Change in RSV viral load as measured by RT-qPCRBaseline to D7
Proportion of participants with viral load Target Not Detected (TND)Day 4, Day 7 and Day 14
Time to viral load TNDDay 1 through Day 14
Plasma PK Concentrations of zelicapavirUp to Day 7
Safety as measured by frequency of adverse events (AEs)Up to Day 35

Countries

Thailand

Contacts

CONTACTEnanta Pharmaceuticals, Inc
charris@enanta.com617 607-0800
STUDY_DIRECTOREnanta Pharmaceuticals, Inc

Enanta Pharmaceuticals, Inc

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 21, 2026