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Trial ยท NCT03656510

Study to Evaluate Safety and Antiviral Activity of Doses of JNJ-53718678 in Children (>=28 Days to <=3 Years) With Respiratory Syncytial Virus Infection

NCT03656510, Phase 2, Terminated, Janssen Research & Development, LLC; results first posted 2023-09-21

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ConductScience Library. Study to Evaluate Safety and Antiviral Activity of Doses of JNJ-53718678 in Children (>=28 Days to <=3 Years) With Respiratory Syncytial Virus Infection. Trials, record NCT03656510. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03656510

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Evaluate Safety and Antiviral Activity of Doses of JNJ-53718678 in Children (>=28 Days to <=3 Years) With Respiratory Syncytial Virus Infection
NCT number
NCT03656510
Status
Terminated
Phases
Phase 2
Enrollment
246 participants, actual
Lead sponsor
Janssen Research & Development, LLC
Conditions
Respiratory Syncytial Virus Infections
Interventions
JNJ-53718678, Placebo
First posted
2018-09-04
Last updated
2025-02-04
Other registries' IDs
eudract:2016-003642-93
Results first posted
2023-09-21

Source ClinicalTrials.gov

Registered outcomes49

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRespiratory Syncytial Virus (RSV) Viral Load Area Under Curve (AUC) From Immediately Prior to First Dose of Study Drug (Baseline) Through Day 5 (AUC[Day 5])Baseline through Day 5
RSV viral load AUC from immediately prior to first dose of study drug through Day 5 was determined. The RSV viral load was measured by quantitative reverse transcription polymerase chain reaction (qRT-PCR) assay in mid-turbinate nasal swab specimens. As planned, combined data for both the cohorts was collected, analyzed and reported for this outcome measure.
SecondaryRSV Viral Load Over TimeBaseline, Days 3, 5, 8, 14, and 21
RSV viral load actual values over time were measured by qRT-PCR in the nasal swab specimens collected at the clinic visits and at home. As planned, combined data for both the cohorts was collected, analyzed and reported for this outcome measure.
SecondaryChange From Baseline in RSV Viral Load Over TimeBaseline up to Days 3, 5, 8, 14, and 21
Change from baseline in RSV viral load over time was measured by qRT-PCR in the nasal swab specimens collected at the clinic visits and at home. As planned, combined data for both the cohorts was collected, analyzed and reported for this outcome measure.
SecondaryLeast Squares (LS) Mean RSV Viral Load on Days 3, 8 and 14Baseline through Days 3, 8, and 14
LS mean RSV viral load on Days 3, 8, and 14 was reported. LS mean viral load (log10 copies/mL) was estimated per time point. The difference in RSV viral Load AUC (log10 copies\*day/mL) from immediately prior to first dose of study drug (baseline) through Day 3, 8 and 14 was determined from the model estimating the LS Mean Viral Load per time point, and is presented in the statistical analysis. The RSV viral load was measured by qRT-PCR assay in mid-turbinate nasal swab specimens. As planned, combined data for both the cohorts was collected, and analyzed for this outcome measure at Days 3 and 8, however combined Cohort 1 and Cohort 2 data were not analyzed for this outcome measure at Day 14, due to the premature study termination.
SecondaryTime to Undetectable RSV Viral LoadUp to Day 21
Time to undetectable RSV viral load (as measured by qRT-PCR) was defined as the time in hours from first dose of study drug to first post-baseline timepoint at which the virus was undetectable and after which there were no more detectable virus assessments. As planned, combined data for both the cohorts was collected, analyzed and reported for this outcome measure.
SecondaryPercentage of Participants With Undetectable RSV Viral Load at Each Timepoint Throughout the StudyBaseline, Days 3, 5, 8, 14 and 21
Percentage of participants with undetectable RSV viral load (as measured by qRT-PCR) at each timepoint throughout the study was reported. As planned, combined data for both the cohorts were collected, analyzed and reported for this outcome measure.
SecondaryChange From Baseline in Parent(s)/Caregiver(s) Pediatric RSV Electronic Severity and Outcomes Rating System (PRESORS) ScoresBaseline up to Days 3, 5, 8, 14 and 21
PRESORS is a questionnaire recording presence and severity of signs and symptoms of RSV disease (fever, cough, sputum, wheezing, difficulty breathing, nasal congestion, and feeding issues). PRESORS overall RSV symptoms summary parameter consisted of 12-items, each item score ranges from 0 to 3. A summary score was derived (mean of the item scores) which also ranges from 0 to 3. The higher the score, the worse the symptom.
SecondaryChange From Baseline in Clinician PRESORS ScoreBaseline, up to Days 3, 5, 8, 14 and 21
Change from baseline in clinician PRESORS scores (for concepts: activity level, sleep disturbance, breathing problems, retractions, tachypnea, feeding problem, cough, nasal secretions, wheezing, dehydration) was assessed. Clinician PRESORS is a questionnaire recording presence and severity of signs and symptoms of RSV disease and consisted of 10-items, each item score ranges from 0 to 3. Overall RSV symptoms summary parameter was derived (mean of the item scores) which also ranges from 0 to 3. The higher the score, the worse the symptom.
SecondaryTime to Resolution of RSV Symptoms Based on PRESORS Caregiver (ObsRO)Up to Day 21
Time to resolution is defined as time from first dose of study drug until the first time of resolution of all RSV symptoms (breathing problems, retractions, tachypnea, breathing sounds, cough, tachycardia, nasal secretions, sleep disturbance, crying, illness behavior, feeding problems, and dehydration). Resolution occurs when all symptoms from the caregiver reported outcomes (ObsRO) are scored as none or mild (score of 0 or 1, respectively) for at least 24 hours.
SecondaryTime to Improvement on Overall HealthUp to Day 21
Time to improvement based on general questions on overall health was assessed. Time from first dose of study drug until first time status of improvement of RSV symptoms reported as "very much improved" or "much improved" based on response to question 'Would you say the child's RSV symptoms have improved, are about the same or are worse than when the child entered the study'.

Outcomes49

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYRespiratory Syncytial Virus (RSV) Viral Load Area Under Curve (AUC) From Immediately Prior to First Dose of Study Drug (Baseline) Through Day 5 (AUC[Day 5])Baseline through Day 5
Intent-to-Treat-infected (ITT-i) analysis set included all randomized participants who received at least one dose of study drug and who had a centrally confirmed RSV RNA viral load of greater than or equal to (\>=) 1 log10 copies/mL above the lower limit of quantification (LLOQ) of the RSV RT-qPCR assay at baseline. Analyses on the ITT-i set were performed as randomized.
log10 copies*day per milliliter (mL)MEAN
SECONDARYRSV Viral Load Over TimeBaseline, Days 3, 5, 8, 14, and 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'n' (number analyzed) represents number of participants who were evaluable at specified timepoints.
log10 copies/mLMEAN
SECONDARYChange From Baseline in RSV Viral Load Over TimeBaseline up to Days 3, 5, 8, 14, and 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'n' (number analyzed) represents number of participants who were evaluable at specified timepoints.
log10 copies/mLMEAN
SECONDARYLeast Squares (LS) Mean RSV Viral Load on Days 3, 8 and 14Baseline through Days 3, 8, and 14
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'n' (number analyzed) represents number of participants who were evaluable at specified timepoints.
log10 copies*day/mLLEAST_SQUARES_MEAN
SECONDARYTime to Undetectable RSV Viral LoadUp to Day 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized.
HoursMEDIAN
SECONDARYPercentage of Participants With Undetectable RSV Viral Load at Each Timepoint Throughout the StudyBaseline, Days 3, 5, 8, 14 and 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'n' (number analyzed) represents number of participants who were evaluable at specified timepoints.
Percentage of participantsNUMBER
SECONDARYChange From Baseline in Parent(s)/Caregiver(s) Pediatric RSV Electronic Severity and Outcomes Rating System (PRESORS) ScoresBaseline up to Days 3, 5, 8, 14 and 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'n' (number analyzed) represents number of participants who were evaluable at specified timepoints.
Units on a scaleMEAN
SECONDARYChange From Baseline in Clinician PRESORS ScoreBaseline, up to Days 3, 5, 8, 14 and 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'n' (number analyzed) represents number of participants who were evaluable at specified timepoints.
Units on a scaleMEAN
SECONDARYTime to Resolution of RSV Symptoms Based on PRESORS Caregiver (ObsRO)Up to Day 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized.
HoursMEDIAN
SECONDARYTime to Improvement on Overall HealthUp to Day 21
ITT-i analysis set included all randomized participants who received at least one dose of study drug and who had centrally confirmed RSV RNA viral load of \>=1 log10 copies/mL above the LLOQ of the RSV RT-qPCR assay at baseline. Analyses on ITT-i set were performed as randomized. Here, 'N' (number of participants analyzed) signifies number of participants who were evaluable for this outcome measure.
HoursMEDIAN

Results by group1,367

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Respiratory Syncytial Virus (RSV) Viral Load Area Under Curve (AUC) From Immediately Prior to First Dose of Study Drug (Baseline) Through Day 5 (AUC[Day 5])Cohorts 1 and 2: Placebo22.7495% Confidence Interval 21.677 to 23.800log10 copies*day per milliliter (mL)
Respiratory Syncytial Virus (RSV) Viral Load Area Under Curve (AUC) From Immediately Prior to First Dose of Study Drug (Baseline) Through Day 5 (AUC[Day 5])Cohorts 1 and 2: JNJ-53718678 Low Dose21.4895% Confidence Interval 20.402 to 22.566log10 copies*day per milliliter (mL)
Respiratory Syncytial Virus (RSV) Viral Load Area Under Curve (AUC) From Immediately Prior to First Dose of Study Drug (Baseline) Through Day 5 (AUC[Day 5])Cohorts 1 and 2: JNJ-53718678 High Dose21.5195% Confidence Interval 20.374 to 22.650log10 copies*day per milliliter (mL)
RSV Viral Load Over TimeCohorts 1 and 2: PlaceboBaseline6.913Standard Deviation 1.3449log10 copies/mL
RSV Viral Load Over TimeCohorts 1 and 2: JNJ-53718678 Low DoseBaseline7.113Standard Deviation 1.3667log10 copies/mL
RSV Viral Load Over TimeCohorts 1 and 2: JNJ-53718678 High DoseBaseline7.004Standard Deviation 1.4709log10 copies/mL
RSV Viral Load Over TimeCohorts 1 and 2: PlaceboDay 35.398Standard Deviation 1.5834log10 copies/mL
RSV Viral Load Over TimeCohorts 1 and 2: JNJ-53718678 Low DoseDay 35.432Standard Deviation 1.8952log10 copies/mL
RSV Viral Load Over TimeCohorts 1 and 2: JNJ-53718678 High DoseDay 35.271Standard Deviation 1.7710log10 copies/mL
RSV Viral Load Over TimeCohorts 1 and 2: PlaceboDay 54.146Standard Deviation 1.8508log10 copies/mL

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: Placebo50
Overall StudySTARTEDCohort 1: JNJ-53718678 Low Dose49
Overall StudySTARTEDCohort 1: JNJ-53718678 High Dose48
Overall StudySTARTEDCohort 2: Placebo34
Overall StudySTARTEDCohort 2: JNJ-53718678 Low Dose34
Overall StudySTARTEDCohort 2: JNJ-53718678 High Dose31
Overall StudyCOMPLETEDCohort 1: Placebo48
Overall StudyCOMPLETEDCohort 1: JNJ-53718678 Low Dose48
Overall StudyCOMPLETEDCohort 1: JNJ-53718678 High Dose48
Overall StudyCOMPLETEDCohort 2: Placebo33

Adverse events726

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersCohort 1: Placebo050
otherAnaemiaBlood and lymphatic system disordersCohort 1: JNJ-53718678 Low Dose249
otherAnaemiaBlood and lymphatic system disordersCohort 1: JNJ-53718678 High Dose148
otherAnaemiaBlood and lymphatic system disordersCohort 2: Placebo034
otherAnaemiaBlood and lymphatic system disordersCohort 2: JNJ-53718678 Low Dose034
otherAnaemiaBlood and lymphatic system disordersCohort 2: JNJ-53718678 High Dose031
otherEosinophiliaBlood and lymphatic system disordersCohort 1: Placebo050
otherEosinophiliaBlood and lymphatic system disordersCohort 1: JNJ-53718678 Low Dose049
otherEosinophiliaBlood and lymphatic system disordersCohort 1: JNJ-53718678 High Dose148
otherEosinophiliaBlood and lymphatic system disordersCohort 2: Placebo034

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: Placebo050
Total, all-cause mortalityCohort 1: JNJ-53718678 Low Dose049
Total, all-cause mortalityCohort 1: JNJ-53718678 High Dose048
Total, all-cause mortalityCohort 2: Placebo034
Total, all-cause mortalityCohort 2: JNJ-53718678 Low Dose034
Total, all-cause mortalityCohort 2: JNJ-53718678 High Dose031
Total, other adverse eventsCohort 1: Placebo2850
Total, other adverse eventsCohort 1: JNJ-53718678 Low Dose2949
Total, other adverse eventsCohort 1: JNJ-53718678 High Dose3048
Total, other adverse eventsCohort 2: Placebo1434

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38649595DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03656510

GET https://conductscience.org/api/trials/v1/NCT03656510/registered?page=2