Evidence map›Paper›PMID 34932102›Full record

Trial reportThe Journal of infectious diseases2022

A Randomized Phase 1/2 Study of a Respiratory Syncytial Virus Prefusion F Vaccine.

Edward E Walsh, Ann R Falsey, Daniel A Scott, Alejandra Gurtman, Agnieszka M Zareba, Kathrin U Jansen, William C Gruber, Philip R Dormitzer, Kena A Swanson, David Radley and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03529773 (A PHASE 1/2, PLACEBO-CONTROLLED, RANDOMIZED, OBSERVER-BLIND, DOSE-FINDING, FIRST-IN-HUMAN STUDY TO DESCRIBE THE SAFETY, TOLERABILITY, AND IMMUNOGENICITY OF A RESPIRATORY SYNCYTIAL VIRUS), which is not on this map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 pooled it
11.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03529773 phase2completednot on this map

A phase 1/2, placebo-controlled, randomized, observer-blind, dose-finding, first-in-human study to describe the safety, tolerability, and immunogenicity of a respiratory syncytial virus (rsv) vaccine in healthy adults

TypeinterventionalSponsorPfizerRan2018 to 2020Enrolled1,235ConditionsRespiratory Tract InfectionsArmsFormulation A, Formulation B, Placebo
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  5. Bivalent RSVpreF Vaccine in Adults 18 to <60 Years Old With High-Risk Conditions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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  8. Safety and Immunogenicity of Bivalent RSVpreF Vaccine Coadministered With Seasonal Inactivated Influenza Vaccine in Older Adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Edward E WalshDepartment of Medicine, Infectious Diseases Division, Rochester General Hospital and University of Rochester Medical Center, Rochester, New York, USA.ORCID 0000-0002-8792-8877
Ann R FalseyDepartment of Medicine, Infectious Diseases Division, Rochester General Hospital and University of Rochester Medical Center, Rochester, New York, USA.
Daniel A ScottVaccine Research and Development, Pfizer Inc, Collegeville, Pennsylvania, USA.
Alejandra GurtmanVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Agnieszka M ZarebaVaccine Research and Development, Pfizer Inc, Collegeville, Pennsylvania, USA.
Kathrin U JansenVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
William C GruberVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Philip R DormitzerVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Kena A SwansonVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
David RadleyVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Emily GommeVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
David CooperVaccine Research and Development, Pfizer Inc, Pearl River, New York, USA.
Beate Schmoele-ThomaVaccine Research and Development, Pfizer Pharma, GmbH, Berlin, Germany.
Pfizer (United States) · USUniversity of Rochester Medical Center · USPfizer (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProtection against human respiratory syncytial virus (RSV) remains an unmet need potentially addressable by maternal immunization. This phase 1/2 study evaluated a bivalent prefusion F vaccine (RSVpreF) with antigens from RSV subgroups A and B.

methodsAdults 18-49 years old (N = 618) were randomized to receive placebo or 60, 120, or 240 µg RSVpreF with or without Al(OH)3. Safety and immunogenicity were evaluated.

resultsRSVpreF recipients more frequently reported local reactions and systemic events than placebo recipients; these were mostly mild or moderate. No vaccine-related serious adverse events occurred through 12 months postvaccination. All RSVpreF formulations induced 1-month postvaccination virus-neutralizing titers higher than those associated with protection of high-risk infants by palivizumab, the only prophylactic currently available for RSV. Geometric mean fold rises (GMFRs) across RSVpreF doses/formulations were 10.6-16.9 for RSV A and 10.3-19.8 for RSV B at 1 month postvaccination, greater than those historically elicited by postfusion F vaccines. GMFRs were 3.9-5.2 and 3.7-5.1, respectively, at 12 months postvaccination.

conclusionsRSVpreF formulations were safe, well tolerated, and induced robust neutralizing responses in adults. These findings support development of RSVpreF, which is being evaluated in a pivotal phase 3 study for maternal immunization. CLINICAL TRIALS REGISTRATION: NCT03529773.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesAdolescentAdultAntibodies, NeutralizingAntibodies, ViralHumansMiddle AgedViral Fusion ProteinsYoung AdultAntibodies, NeutralizingAntibodies, ViralRespiratory Syncytial Virus VaccinesViral Fusion ProteinsF proteinimmunogenicitymaternal vaccinationneutralizing responsesrespiratory syncytial virussafetyvaccine

Identifiers

PMID34932102
PMCPMC9016447
OpenAlexW4200280195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.