About this trial
This clinical trial is being done to learn more about how well a vaccine (Arexvy®) for respiratory syncytial virus, also known as RSV, works in people with weakened immune systems. The main questions it aims to answer are:
* Does 1 or 2 doses of Arexvy work better in people with weakened immune systems? * What medical problems do participants have after receiving Arexvy?
Participants with weakened immune systems will:
* Receive 3 study vaccines over the course of 1 year * Keep a diary of symptoms for 7 days after each vaccine * Have 3 in-person follow up study visits for checkups and tests over the course of 1.5 years * Have 6 phone follow up study visits over the course of 1.5 years
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Able to understand and provide informed consent
Willing and able to comply with the requirements and restrictions in the protocol, including study visits and study-related procedures
Medically stable in the opinion of the Investigator at the time of first study vaccination
Life expectancy ≥ 365 days in the opinion of the Investigator at the time of first study vaccination
Disqualifiers
Known history of hypersensitivity to any vaccine or history of a life-threatening reaction to a vaccine
Previous vaccination with any licensed or investigational RSV vaccine
Acute or chronic clinically significant/unstable neurological disease (such as uncontrolled seizures, strokes, Guillain-Barré Syndrome (GBS)
Vaccination with any inactivated, subunit, or split influenza vaccine or COVID-19 vaccine within 14 days prior to first study vaccination, or vaccination with any other licensed or investigational vaccine within 30 days prior to first study vaccination
Trial design
Parallel
Treatments tested in this trial
Arexvy (2 doses total)
Biological/VaccineArexvy at enrollment, Arexvy at Day 365
Arexvy (3 doses total)
Biological/VaccineArexvy at enrollment, Day 60, and Day 365
Arexvy (1 dose total)
Biological/VaccineArexvy at enrollment
Placebo
Other interventionPlacebo vaccine at day 60
Treatment groups
Trial outcomes
Primary outcomes
Geometric Mean Titer (GMT) (ED60 RSV A and B)
Immune response elicited by adjuvanted RSVPreF3 (Arexvy) in immunocompromised adults as determined by titers of neutralizing antibody estimated dilution 60 (ED60) against RSV A and B
Immune response elicited by adjuvanted RSVPreF3 (Arexvy) in immunocompromised adults as determined by titers of neutralizing antibody ED60 against RSV A and B
Mean Geometric Increase (MGI): Geometric mean of individual ratio of post-vaccine ED60 of RSV A and B over baseline titer (also called Geometric Mean Fold Rise \[GMFR\])
Secondary outcomes
Proportion of participants reporting reactions at injection site
Solicited local reactions including pain at injection site, erythema, and swelling
Proportion of participants reporting systemic events
Solicited systemic events including headache, fever, myalgia, arthralgia
Proportion of participants reporting adverse events
Proportion of participants reporting adverse events
Adverse events of special interest
Proportion of participants reporting adverse events of special interest
Sponsors and contacts
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Johns Hopkins University
Lead sponsor
GlaxoSmithKline
Collaborator