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Trial · NCT05437510

Study of a Single Intramuscular Dose of Nirsevimab in the Prevention of Hospitalizations Due to Respiratory Syncytial Virus (RSV) Infection in Healthy Term and Preterm Infants During the First Year of Life

NCT05437510, Phase 3, Completed, Sanofi Pasteur, a Sanofi Company; results first posted 2025-04-11

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ConductScience Library. Study of a Single Intramuscular Dose of Nirsevimab in the Prevention of Hospitalizations Due to Respiratory Syncytial Virus (RSV) Infection in Healthy Term and Preterm Infants During the First Year of Life. Trials, record NCT05437510. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05437510

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Trial

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

Title
Study of a Single Intramuscular Dose of Nirsevimab in the Prevention of Hospitalizations Due to Respiratory Syncytial Virus (RSV) Infection in Healthy Term and Preterm Infants During the First Year of Life
NCT number
NCT05437510
Status
Completed
Phases
Phase 3
Enrollment
8,057 participants, actual
Lead sponsor
Sanofi Pasteur, a Sanofi Company
Conditions
RSV Immunization, Healthy Volunteer
Interventions
Nirsevimab
First posted
2022-06-29
Last updated
2025-10-09
Other registries' IDs
eudract:2022-000099-20
Results first posted
2025-04-11

Source ClinicalTrials.gov

Registered outcomes18

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Infection (LRTI) Hospitalization Through the Respiratory Syncytial Virus SeasonFrom dosing/randomization (Day 1) up to approximately 7 months
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths per minute (/min); 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Hospitalization was defined as the decision to admit to in-patient care by the treating physician. RSV season was the period of increased RSV infection.
SecondaryNumber of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonFrom dosing/randomization (Day 1) up to approximately 7 months
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths/min; 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Very severe RSV LRTI was defined as RSV LRTI hospitalization with oxygen saturation \<90% (at any time during hospitalization) and oxygen supplementation. Hospitalization was defined as the decision to admit to in-patient care by the treating physician. RSV season was the period of increased RSV infection.
SecondaryNumber of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryFrom dosing/randomization (Day 1) up to approximately 7 months
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths/min; 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Hospitalization was defined as the decision to admit to in-patient care by the treating physician. RSV season was the period of increased RSV infection. Number of participants with RSV LRTI hospitalization through the RSV season in France, UK, and Germany is presented.
SecondaryNumber of Participants With Hospitalization for All-Cause Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonFrom dosing/randomization (Day 1) up to approximately 7 months
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths/min; 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Hospitalization was defined as the decision to admit to in-patient care by the treating physician. RSV season was the period of increased RSV infection. Number of participants with hospitalization for all-cause LRTI through the RSV season in France, UK, Germany, and overall is presented.
SecondaryNumber of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through 151 Days Post-dosing/RandomizationFrom dosing/randomization (Day 1) to Day 151
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths/min; 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Hospitalization was defined as the decision to admit to in-patient care by the treating physician. Number of participants with RSV LRTI hospitalization through 151 days post-dosing/randomization in France, UK, Germany, and overall is presented.
SecondaryNumber of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through 151 Days Post-dosing/RandomizationFrom dosing/randomization (Day 1) to Day 151
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths/min; 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Very severe RSV LRTI was defined as RSV LRTI hospitalization with oxygen saturation \<90% (at any time during hospitalization) and oxygen supplementation. Hospitalization was defined as the decision to admit to in-patient care by the treating physician. Number of participants with very severe RSV LRTI through 151 days post-dosing/randomization in France, UK, Germany, and overall is presented.
SecondaryNumber of Participants With Hospitalization for All-Cause Lower Respiratory Tract Infection Through 151 Days Post-dosing/RandomizationFrom dosing/randomization (Day 1) to Day 151
LRTI included the following common symptoms: clinical finding of rhonchi, rales, crackles, or wheeze; increased respiratory rate at rest (age: \<2 months, ≥60 breaths/min; 2 to 6 months, ≥50 breaths/min; \>6 months, ≥40 breaths/min), and hypoxemia (in room air: oxygen saturation \<95%). Hospitalization was defined as the decision to admit to in-patient care by the treating physician. Number of participants with hospitalization for all-cause LRTI through 151 days post-dosing/randomization in France, UK, Germany, and overall is presented.
SecondaryNumber of Participants With Immediate Treatment-Emergent Adverse Events (TEAEs)Up to 30 minutes post-dosing/randomization on Day 1
An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were either events with the start date and time posterior to the start of the treatment period and up to the end of the treatment period or events with the start date and time prior to the start of the treatment period, whose severity was greater than 1 or missing and stop date is missing or not before the treatment period. Immediate events were recorded to capture medically relevant AEs which occurred within the first 30 minutes after immunization.
SecondaryNumber of Participants With Non-Serious Treatment-Emergent Adverse EventsFrom dosing/randomization (Day 1) to Day 31
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were either events with the start date and time posterior to the start of the treatment period and up to the end of the treatment period or events with the start date and time prior to the start of the treatment period, whose severity was greater than 1 or missing and stop date was missing or not before the treatment period.
Secondary
Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs), Treatment-Emergent Adverse Events of Special Interest (AESIs) and Treatment-Emergent Medically Attended Adverse Events (MAAEs)
From dosing/randomization (Day 1) to Day 366
AE: untoward medical occurrence in clinical study participant, temporally associated with use of study intervention, whether or not related to it. TEAEs: events with start date/time posterior to start of treatment period(TP) and up to end of TP, or events with start date/time prior to start of TP, whose severity was\>1/missing; stop date was missing/not before TP. SAE: AE at any dose resulting in death, persistent or significant disability/incapacity, required inpatient hospitalization/prolongation of existing hospitalization, was life-threatening or congenital anomaly/birth defect or medically important event. MAAE: new onset/worsening of condition that prompted participant or participant's parent/legally acceptable representative to seek unplanned medical advice at physician's office/Emergency Department. AESI: scientific, medical concern specific to Sponsor's study intervention/program for which ongoing monitoring and rapid communication by investigator to Sponsor was appropriate.

Outcomes18

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Infection (LRTI) Hospitalization Through the Respiratory Syncytial Virus SeasonFrom dosing/randomization (Day 1) up to approximately 7 monthsThe All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonFrom dosing/randomization (Day 1) up to approximately 7 monthsThe All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryFrom dosing/randomization (Day 1) up to approximately 7 months
The All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group. 'Number Analyzed' indicates the number of participants with data collected for each specified category.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Hospitalization for All-Cause Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonFrom dosing/randomization (Day 1) up to approximately 7 months
The All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group. 'Number Analyzed' indicates the number of participants with data collected for each specified category.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through 151 Days Post-dosing/RandomizationFrom dosing/randomization (Day 1) to Day 151
The All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group. 'Number Analyzed' indicates the number of participants with data collected for each specified category.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through 151 Days Post-dosing/RandomizationFrom dosing/randomization (Day 1) to Day 151
The All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group. 'Number Analyzed' indicates the number of participants with data collected for each specified category.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Hospitalization for All-Cause Lower Respiratory Tract Infection Through 151 Days Post-dosing/RandomizationFrom dosing/randomization (Day 1) to Day 151
The All Randomized Set consisted of all participants randomly assigned to either the nirsevimab group or the no intervention group. 'Number Analyzed' indicates the number of participants with data collected for each specified category.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Immediate Treatment-Emergent Adverse Events (TEAEs)Up to 30 minutes post-dosing/randomization on Day 1
The Safety Analysis Set (SafAS) consisted of all participants who received nirsevimab in the study and all randomized participants who were randomized to the no intervention group and did not receive nirsevimab inadvertently. As pre-specified in the protocol and SAP, results are presented by treatment group.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Non-Serious Treatment-Emergent Adverse EventsFrom dosing/randomization (Day 1) to Day 31
The SafAS consisted of all participants who received nirsevimab in the study and all randomized participants who were randomized to the no intervention group and did not receive nirsevimab inadvertently. As pre-specified in the protocol and SAP, results are presented by treatment group.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY
Number of Participants With Treatment-Emergent Serious Adverse Events (SAEs), Treatment-Emergent Adverse Events of Special Interest (AESIs) and Treatment-Emergent Medically Attended Adverse Events (MAAEs)
From dosing/randomization (Day 1) to Day 366
The SafAS consisted of all participants who received nirsevimab in the study and all randomized participants who were randomized to the no intervention group and did not receive nirsevimab inadvertently. As pre-specified in the protocol and SAP, results are presented by treatment group.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group86

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Infection (LRTI) Hospitalization Through the Respiratory Syncytial Virus SeasonNirsevimab11Participants
Number of Participants With Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Infection (LRTI) Hospitalization Through the Respiratory Syncytial Virus SeasonNo Intervention64Participants
Number of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonNirsevimab5Participants
Number of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonNo Intervention21Participants
Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryNirsevimabFrance3Participants
Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryNo InterventionFrance28Participants
Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryNirsevimabUnited Kingdom3Participants
Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryNo InterventionUnited Kingdom17Participants
Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryNirsevimabGermany5Participants
Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization Through the Respiratory Syncytial Virus Season in Each CountryNo InterventionGermany19Participants

Participant flow10

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDNirsevimab4,038
Overall StudySTARTEDNo Intervention4,019
Overall StudyRandomized and TreatedNirsevimab4,015
Overall StudyRandomized and TreatedNo Intervention1
Overall StudyParticipants Entered Study ExtensionNirsevimab1,142
Overall StudyParticipants Entered Study ExtensionNo Intervention1,084
Overall StudyCOMPLETEDNirsevimab3,747
Overall StudyCOMPLETEDNo Intervention3,631
Overall StudyNOT COMPLETEDNirsevimab291
Overall StudyNOT COMPLETEDNo Intervention388

Adverse events472

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestationsNirsevimab3244,016345
otherNasopharyngitisInfections and infestationsNo Intervention2794,018298
seriousAccidental Exposure To ProductInjury, poisoning and procedural complicationsNirsevimab14,0161
seriousAccidental Exposure To ProductInjury, poisoning and procedural complicationsNo Intervention04,0180
seriousClavicle FractureInjury, poisoning and procedural complicationsNirsevimab14,0161
seriousClavicle FractureInjury, poisoning and procedural complicationsNo Intervention04,0180
seriousConcussionInjury, poisoning and procedural complicationsNirsevimab34,0164
seriousConcussionInjury, poisoning and procedural complicationsNo Intervention54,0185
seriousContusionInjury, poisoning and procedural complicationsNirsevimab24,0162
seriousContusionInjury, poisoning and procedural complicationsNo Intervention14,0181

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNirsevimab14,016
Total, all-cause mortalityNo Intervention04,018
Total, other adverse eventsNirsevimab3244,016
Total, other adverse eventsNo Intervention2794,018
Total, serious adverse eventsNirsevimab2624,016
Total, serious adverse eventsNo Intervention2224,018

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38157500DERIVEDPubMed
40379431DERIVEDPubMed

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 comparisons11

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

ComparisonSource
Nirsevimab vs No Intervention: Number of Participants With Very Severe Respiratory Syncytial Virus Lower Respiratory Tract Infection Through the Respiratory Syncytial Virus SeasonTrial comparisons
Nirsevimab vs No Intervention: Number of Participants With Immediate Treatment-Emergent Adverse Events (TEAEs)Trial comparisons
Nirsevimab vs No Intervention: Number of Participants With Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Infection (LRTI) Hospitalization Through the Respiratory Syncytial Virus SeasonTrial comparisons
Nirsevimab vs No Intervention: Number of Participants With Respiratory Syncytial Virus Lower Respiratory Tract Infection Hospitalization From Days 366 to 731 Post-dosing/Randomization (for United Kingdom Reconsented Participants)
Trial comparisons
Nirsevimab vs No Intervention: Number of Participants With Hospitalization for All-Cause Lower Respiratory Tract Infection From Days 366 to 731 Post-dosing/Randomization (for United Kingdom Reconsented Participants)
Trial comparisons
Nirsevimab vs No Intervention: Number of Participants With Recurrent Wheeze (for United Kingdom Reconsented Participants)Trial comparisons
Nirsevimab vs No Intervention: Number of Participants With Non-Serious Treatment-Emergent Adverse EventsTrial comparisons
Nirsevimab vs No Intervention: Number of Participants With Hospitalization for All-Cause Lower Respiratory Tract Infection From Days 181 to 366 Post-dosing/RandomizationTrial comparisons
Nirsevimab vs No Intervention: deaths from any causeTrial comparisons
Nirsevimab vs No Intervention: Number of Participants With Treatment-Related Serious Adverse Event (for United Kingdom Reconsented Participants)Trial comparisons

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.

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Read this trial from software.

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