About this trial
Clesrovimab is an FDA-approved antibody drug recommended for infants younger than 8 months who are entering their first respiratory syncytial virus (RSV) season and whose mothers did not receive an RSV vaccine during pregnancy. It is given to help prevent severe RSV illness. This study will measure clesrovimab and other RSV antibodies in infants' blood and noses to learn how much of the drug reaches the nose, how long the antibodies remain, and how antibody levels change if an infant becomes infected with RSV.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
An infant who is <8 months of age at the time of immunization and born during or entering their first respiratory season.
The infant is in good health as established by medical history and investigator's discretion before entering the study. Chronic medical conditions are acceptable, provided that they are stable.
Written informed consent is obtained from the participant's parent(s)/legally authorized representative(s) (LAR) prior to performing any study specific procedures, including screening evaluations.
At least one parent/legally authorized representative of the subject is willing and able to maintain communication with the study site for the duration of the study.
Disqualifiers
Any fever (≥ 100.4°F [≥ 38.0°C], regardless of route) or acute illness within 3 days prior to enrollment.
Any current or expected receipt of immunosuppressive agents including systemic steroids (except for the use of topical steroids according to the judgment of the investigator).
Known immunodeficiency, including human immunodeficiency virus (HIV).
Any known allergy or hypersensitivity to immunoglobulin products.
Trial design
Single group
Treatments tested in this trial
Clesrovimab
Biological/VaccineClesrovimab (ENFLONSIA™) is a commercially available product that is administered as part of standard-of-care RSV prevention.
Treatment groups
Trial outcomes
Primary outcomes
Geometric mean concentration (GMC) of serum RSV pre-fusion (preF) binding IgG antibodies
RSV pre-fusion (preF) IgG binding antibodies in serum specimens will be quantified. Assay results will be reported as concentrations (arbitrary units per milliliter, AU/mL) derived from a calibrated standard curve. Serum RSV preF IgG concentrations will be summarized as geometric mean concentrations (GMC) at each study timepoint.
Geometric mean concentration (GMC) of nasal RSV pre-fusion (preF) binding IgG antibodies
RSV pre-fusion (preF) IgG binding antibodies in nasal specimens will be quantified. Assay results will be reported as concentrations (arbitrary units per milliliter, AU/mL) derived from a calibrated standard curve. For nasal specimens, RSV preF IgG concentrations will be normalized to total human IgG concentration. Normalized nasal antibody values will be summarized as GMC.
Geometric mean titers (GMT) of serum RSV-A neutralizing antibodies
Serum RSV neutralizing antibody titers will be measured using a microneutralization assay. Neutralizing antibody titers will be reported as reciprocal dilution EC50 titers (the serum dilution resulting in 50% neutralization) and summarized as geometric mean titers (GMTs).
Secondary outcomes
Serum Geometric mean concentration (GMC) of clesrovimab
Serum clesrovimab concentrations will be reported in concentration units and summarized as geometric mean concentrations (GMC) at each study timepoint.
Urea-normalized GMC of clesrovimab in the nasal mucosa
Clesrovimab concentrations will be normalized to urea concentration for nasal samples to account for variability in epithelial lining fluid dilution. Urea-normalized nasal clesrovimab concentrations will be summarized as GMC.
Sponsors and contacts
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Emory University
Lead sponsor
Merck Sharp & Dohme LLC
Collaborator
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