A Multi-center, Multi-national, Prospective Surveillance Study of Respiratory Syncytial Virus Disease in Infants and Toddlers 6 to < 22 Months of Age
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Respiratory Syncytial Virus Infections
- Sponsor
- Sanofi Pasteur, a Sanofi Company
- Enrollment
- 1000
- Locations
- 15
- Primary Endpoint
- RSV A serum neutralizing antibody (Nab) titers
- Status
- Active, Not Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The study is a multi-center, multi-national, prospective surveillance study in which the study participants will not receive a study vaccine but will provide a baseline blood sample and be followed for acute respiratory disease during 6 months. The 6-month follow-up will occur for the most part during the Respiratory Syncytial Virus(RSV) season (based on enrollment timing and as per feasibility). A maximum of 1000 children from 6 to < 22 months of age are planned to be enrolled in 5 to 10 countries, 1 to 2 sites per country, targeting approximately 100 participants per country. The purpose of the study is to assess the seroprevalence and incidence of RSV disease during the study period in the targeted countries and sites for a Phase III vaccine study.
Detailed Description
The duration of the study will be 6 months for each participant.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Aged 6 months to \< 22 months on the day of inclusion (means the day of the 6-month birthday to the day before the 22-month birthday)
- •Participants who are healthy as determined by medical evaluation including medical history
- •Born at full term of pregnancy (≥ 37 weeks) or born after a gestation period of 27 through 36 weeks and medically stable as assessed by the investigator, based on the following definition: "Medically stable" refers to the condition of premature infants who do not require significant medical support or ongoing management for debilitating disease and who have demonstrated a clinical course of sustained recovery by the time they are enrolled in the study
Exclusion Criteria
- •Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
- •Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
- •Probable or confirmed ongoing case of viral respiratory infection (including COVID-19, influenza, rhinovirus, etc.) at the time of enrollment. A prospective participant should not be included in the study until the respiratory infection has resolved
- •Member of a household that contains an immunocompromised individual, including, but not limited to:
- •a person who is human immunodeficiency virus (HIV) infected
- •a person who has received chemotherapy within the 12 months prior to study enrollment
- •a person who has received (within the past 6 months) or is receiving (at the time of enrollment) immunosuppressant agents
- •a person living with a solid organ or bone marrow transplant
- •Participant's mother previous receipt or planned administration of an investigational RSV vaccine during pregnancy and/or breastfeeding
- •Receipt or planned receipt of any of the following vaccines:
Outcomes
Primary Outcomes
RSV A serum neutralizing antibody (Nab) titers
Time Frame: At Day 1
To assess RSV A serum Nab titers by country
Anti-F immunoglobulin A (IgA) and G (IgG) enzyme linked immunosorbant assay (ELISA) titers
Time Frame: At Day 1
To assess Anti-F IgA and IgG ELISA titers by country
RSV B serum Nab titers
Time Frame: At Day 1
To assess RSV B serum Nab titers overall by country
Baseline serostatus
Time Frame: At Day 1
To assess baseline serostatus by country
Occurrence of ARD associated with any RT PCR confirmed RSV strain during the study
Time Frame: Throughout study, approximately 6 months
To assess to incidence of ARD confirmed by RT PCR by country
Occurrence of LRTD associated with any RT PCR confirmed RSV strain during the study
Time Frame: Throughout study, approximately 6 months
To assess to incidence of LRTD confirmed by RT PCR by country
Secondary Outcomes
- Anti-F IgA and IgG ELISA titers(At Day 1)
- Occurrence of ARD associated with any RT PCR confirmed RSV strain during the study(Throughout study, approximately 6 months)
- RSV A serum Nab titers(At Day 1)
- Occurrence of AOM episodes during the study(Throughout study, approximately 6 months)
- Occurrence of ARD associated with each RT-PCR confirmed RSV strain (A/B) during the study(Throughout study, approximately 6 months)
- Occurrence of severe LRTD associated with any RT PCR confirmed RSV strain during the study(Throughout study, approximately 6 months)
- Occurrence of LRTD associated with each RT-PCR confirmed RSV strain (A/B) during the study(Throughout study, approximately 6 months)
- RSV B serum Nab antibody titers(At Day 1)
- Baseline serostatus by age group(At Day 1)
- Occurrence of ARD and LRTD associated with any RT PCR confirmed RSV strain during the study, RSV A and RSV B serum neutralizing antibody titers, anti-F IgA and IgG ELISA antibody titers(At Day 1)
- Occurrence of LRTD associated with any RT PCR confirmed RSV strain during the study(Throughout study, approximately 6 months)
- Occurrence of clinically diagnosed RSV ARD according to routine practice (with or without RT-PCR RSV confirmation) during the study(Throughout study, approximately 6 months)
- Occurrence of clinically diagnosed RSV LRTD according to routine practice (with or without RT-PCR RSV confirmation) during the study(Throughout study, approximately 6 months)