A Phase 1/2 interventional study of Ad26.RSV.preF (1*10^11 vp) and Ad26.RSV.preF (5*10^10 vp) in Respiratory Syncytial Viruses and Respiratory Tract Infections, sponsored by Janssen Vaccines & Prevention B.V.. Completed at 7 sites in 3 countries. Open to participants aged 12 Months to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-25.
Sponsored by Janssen Vaccines & Prevention B.V. · Phase 1/2, Interventional, and Other
The purpose of this study is to assess the safety and tolerability of an intramuscular regimen of two doses (1*10\^11 viral particles [vp]) of an investigational respiratory syncytial virus (RSV) vaccine candidate (adenovirus serotype 26 respiratory syncytial virus pre-fusion conformation stabilized F protein [pre-F] [Ad26.RSV.preF]) in adults aged 18 to 50 years and RSV-seropositive toddlers aged 12 to 24 months.
The study, designed to assess the safety and tolerability of two doses given one month apart of Ad26.RSV.preF, an investigational RSV vaccine candidate based on a Ad26 vector expressing the RSV F protein, will be conducted in a double blinded manner. The study will be divided in two sequential cohorts: cohort 0 (18-50 year-old adults) and cohort 1 (12-24 month-old RSV seropositive toddlers). The vaccine safety will be monitored by reporting solicited and unsolicited adverse events (AEs) and all serious adverse events (SAEs). The data will be reviewed by an independent data monitoring committee (IDMC) to assess safety data and to ensure the continuing safety of the participants enrolled in this study. The safety will be monitored throughout the study.
Adults Participants:
Pediatric Participants:
Exclusion Criteria:
Adults Participants:
Pediatric Participants:
Participants aged greater than or equal to (\>=) 18 to lesser than or equal to (\<=) 50 years will receive vector Ad26.RSV.preF at 1\*10\^11 viral particles (vp) via intramuscular (IM) route (Group 1) on Day 1 and 29.
Biological: Ad26.RSV.preF (1*10^11 vp)
Participants aged \>= 18 to \<= 50 years will receive placebo via IM route (Group 2) on Day 1 and 29.
Drug: Placebo
RSV seropositive participants aged \>=12 to \<=24 months will receive Ad26.RSV.preF at 5\*10\^10 vp via IM route (Group 3) on Day 1 and 29.
Biological: Ad26.RSV.preF (5*10^10 vp)
RSV seropositive participants aged \>= 12 to \<= 24 months will receive placebo via IM route (Group 4) on Day 1 and 29.
Drug: Placebo
Participants will receive two doses of 0.5 milliliter (mL) (1\*10\^11 vp) via IM route on Day 1 and 29 of Ad26.RSV.preF.
Also known as: JNJ-64400141
RSV seropositive participants will receive two doses of 0.25 mL (5\*10\^10 vp) via IM route on Day 1 and 29 of Ad26.RSV.preF.
Also known as: JNJ-64400141
Participants will receive either 0.5 mL (cohort 0) or 0.25 mL (cohort 1) of placebo via IM route on Day 1 and 29.
Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.
Time frame: For 7 days after first vaccination on Day 1 (Up to Day 7)
Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.
Time frame: For 7 days after second vaccination on Day 29 (Up to Day 35)
Number of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).
Time frame: For 7 days after first vaccination on Day 1 (Up to Day 7)
Number of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).
Time frame: For 7 days after second vaccination on Day 29 (Up to Day 35)
Number of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.
Time frame: For 28 days after first vaccination on Day 1 (Up to Day 28)
Number of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.
Time frame: For 28 days after second vaccination on Day 29 (Up to Day 56)
Number of Participants With Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. SAE is any untoward medical occurrence that at any dose may result in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product.
Time frame: From Day 1 (post-vaccination) to end of the study (up to 2 years 4 months)
Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at Days 1, 29, 57 and 211
RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay.
Time frame: Day 1 (predose), Post-dose on Days 29, 57 and 211
Pre-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at Days 1, 29, 57 and 211
GMT (ELISA units per liter \[EU/L\]) of RSV F protein in pre-fusion form as assessed by ELISA was reported.
Time frame: Pre-fusion on Days 1, 29, 57 and 211
Post-Fusion RSV Fusion Protein (F-protein) Geometric Mean Titers (GMTs) as Assessed by ELISA at Days 1, 29, 57 and 211
GMT (ELISA units per liter \[EU/L\]) of RSV F protein in post-fusion form as assessed by ELISA was reported.
Time frame: Post-fusion on Days 1, 29, 57 and 211
Percentage of Cytokine Subsets (CD4, CD8, Th1 and Th2 Cytokines) to Evaluate Total Cytokine Response at Days 1, 29 and 57
Total cytokine response (CD4, CD8, Th1 and Th2 Cytokines) after in vitro RSV F protein peptide stimulation was reported as the percentage of CD4+ and CD8+ T cells that produce at least 1 of 3 cytokines.
Time frame: Day 1 (predose) and Post-dose on Days, 29, and 57
| Milestone | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Started | 8 | 4 | 24 | 12 |
| Completed | 6 | 4 | 24 | 12 |
| Not completed | 2 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 2 | 0 | 0 | 0 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After First Vaccination | 8 | 1 | 14 | 4 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited local AEs were precisely defined events that participants were specifically asked about and which were noted by participants in the diary. Solicited local AEs included erythema, swelling/induration, and pain/tenderness.
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days After Second Vaccination | 6 | 0 | 14 | 4 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Solicited Systemic Adverse Events for 7 Days After First Vaccination | 8 | 1 | 23 | 10 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Solicited systemic AEs included were for adult participants: fatigue, headache, myalgia, arthralgia, chills, nausea and fever (defined as body temperature \>=38 degree celsius \[°C\]; for pediatric participants: loss of appetite, vomiting, diarrhea, decreased activity/lethargy, irritability/crying and fever (i.e., body temperature \>=38 °C).
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Solicited Systemic Adverse Events for 7 Days After Second Vaccination | 4 | 1 | 22 | 9 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Unsolicited Adverse Events for 28 Days After First Vaccination | 5 | 0 | 11 | 8 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. Unsolicited adverse events included all adverse events for which the participant is not specifically questioned in the participant diary.
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Unsolicited Adverse Events for 28 Days After Second Vaccination | 4 | 1 | 12 | 6 |
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with study vaccine. SAE is any untoward medical occurrence that at any dose may result in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is a suspected transmission of any infectious agent via a medicinal product.
| Participants | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Number of Participants With Serious Adverse Events (SAEs) | 0 | 0 | 1 | 2 |
RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay.
| Titers | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Day 1 (pre-dose) | 329 (252 to 431) | 547 (86 to 3489) | 121 (76 to 191) | 187 (100 to 349) |
| Post dose 1: Day 29 | 1089 (483 to 2456) | 603 (101 to 3596) | 1608 (730 to 3544) | 156 (68 to 358) |
| Post dose 2: Day 57 | 926 (485 to 1769) | 566 (114 to 2805) | 2235 (1586 to 3150) | 198 (89 to 441) |
| Post dose 2: Day 211 | 704 (325 to 1526) | 574 (139 to 2374) | 1164 (734 to 1847) | 165 (70 to 387) |
GMT (ELISA units per liter \[EU/L\]) of RSV F protein in pre-fusion form as assessed by ELISA was reported.
| EU/L | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Day 1 | 197 (132 to 295) | 249 (50 to 1234) | 59 (36 to 97) | 113 (57 to 223) |
| Day 29 | 441 (304 to 639) | 261 (60 to 1138) | 1174 (524 to 2630) | 106 (56 to 199) |
| Day 57 | 481 (317 to 729) | 244 (60 to 992) | 1918 (1497 to 2456) | 148 (54 to 402) |
| Day 211 | 418 (264 to 664) | 292 (45 to 1895) | 924 (639 to 1334) | 120 (39 to 370) |
GMT (ELISA units per liter \[EU/L\]) of RSV F protein in post-fusion form as assessed by ELISA was reported.
| EU/L | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Day 1 | 196 (112 to 346) | 191 (19 to 1879) | 77 (48 to 125) | 94 (46 to 190) |
| Day 29 | 328 (207 to 521) | 207 (25 to 1738) | 686 (371 to 1268) | 86 (47 to 158) |
| Day 57 | 341 (198 to 589) | 179 (23 to 1370) | 863 (630 to 1184) | 109 (52 to 232) |
| Day 211 | 268 (142 to 507) | 181 (18 to 1870) | 420 (306 to 576) | 91 (33 to 256) |
Total cytokine response (CD4, CD8, Th1 and Th2 Cytokines) after in vitro RSV F protein peptide stimulation was reported as the percentage of CD4+ and CD8+ T cells that produce at least 1 of 3 cytokines.
| Percentage of cytokine cell subsets | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| CD4: Day 1 | 0.058 (0.057 to 0.067) | 0.054 (0.048 to 0.108) | 0.030 (0.013 to 0.095) | 0.050 (0.015 to 0.079) |
| CD4: Day 29 | 0.168 (0.100 to 0.210) | 0.058 (0.051 to 0.082) | 0.089 (0.062 to 0.131) | 0.074 (0.056 to 0.123) |
| CD4: Day 57 | 0.148 (0.115 to 0.351) | 0.039 (0.024 to 0.116) | — | — |
| CD8: Day 1 | 0.041 (0.033 to 0.084) | 0.075 (0.005 to 0.141) | 0.033 (0.024 to 0.049) | 0.041 (0.025 to 0.081) |
| CD8: Day 29 | 0.145 (0.080 to 0.233) | 0.092 (0.022 to 0.105) | 0.077 (0.024 to 0.116) | 0.053 (0.016 to 0.110) |
| CD8: Day 57 | 0.081 (0.070 to 0.211) | 0.062 (0.003 to 0.185) | — | — |
| Th1: Day 1 | 0.045 (0.028 to 0.065) | 0.054 (0.031 to 0.096) | 0.007 (0.003 to 0.022) | 0.018 (0.011 to 0.027) |
| Th1: Day 29 | 0.098 (0.040 to 0.146) | 0.049 (0.037 to 0.057) | 0.034 (0.025 to 0.078) | 0.028 (0.017 to 0.055) |
| Th1: Day 57 | 0.112 (0.083 to 0.302) | 0.039 (0.008 to 0.061) | — | — |
| Th2: Day 1 | 0.006 (0.001 to 0.016) | 0.001 (0.001 to 0.002) | 0.002 (0.001 to 0.004) | 0.004 (0.001 to 0.005) |
| Th2: Day 29 | 0.003 (0.002 to 0.006) | 0.001 (0.001 to 0.001) | 0.005 (0.001 to 0.007) | 0.003 (0.002 to 0.007) |
| Th2: Day 57 | 0.003 (0.001 to 0.022) | 0.001 (0.001 to 0.001) | — | — |
Collected over From Day 1 (post-vaccination) up to end of the study (up to 2 years 4 months). Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 0 (Adults): Ad26.RSV.preF | 0/8 (0%) | 0/8 (0%) | 6/8 (75%) |
| Cohort 0 (Adults): Placebo | 0/4 (0%) | 0/4 (0%) | 1/4 (25%) |
| Cohort 1 (Toddlers): Ad26.RSV.preF | 0/24 (0%) | 1/24 (4.2%) | 19/24 (79.2%) |
| Cohort 1 (Toddlers): Placebo | 0/12 (0%) | 2/12 (16.7%) | 10/12 (83.3%) |
| Event | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| SyncopeNervous system disorders | 0/8 | 0/4 | 0/24 | 1/12 |
| WheezingRespiratory, thoracic and mediastinal disorders | 0/8 | 0/4 | 0/24 | 1/12 |
| CellulitisInfections and infestations | 0/8 | 0/4 | 1/24 | 0/12 |
| Event | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo |
|---|---|---|---|---|
| Upper Respiratory Tract InfectionInfections and infestations | 3/8 | 0/4 | 8/24 | 1/12 |
| HeadacheNervous system disorders | 3/8 | 0/4 | 0/24 | 0/12 |
| Respiratory Tract InfectionInfections and infestations | 0/8 | 0/4 | 4/24 | 4/12 |
| PruritusSkin and subcutaneous tissue disorders | 0/8 | 1/4 | 0/24 | 0/12 |
| DiarrhoeaGastrointestinal disorders | 0/8 | 0/4 | 0/24 | 2/12 |
| Otitis MediaInfections and infestations | 0/8 | 0/4 | 4/24 | 0/12 |
| RhinitisInfections and infestations | 0/8 | 0/4 | 0/24 | 2/12 |
| Viral Upper Respiratory Tract InfectionInfections and infestations | 0/8 | 0/4 | 0/24 | 2/12 |
| IrritabilityPsychiatric disorders | 0/8 | 0/4 | 0/24 | 2/12 |
| Abdominal DiscomfortGastrointestinal disorders | 1/8 | 0/4 | 0/24 | 0/12 |
| Age, Categorical(Participants) | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 24 | 12 | 36 |
| Between 18 and 65 years | 8 | 4 | 0 | 0 | 12 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo | Total |
|---|---|---|---|---|---|
| Female | 6 | 2 | 13 | 8 | 29 |
| Male | 2 | 2 | 11 | 4 | 19 |
| Race (NIH/OMB)(Participants) | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 |
| White | 6 | 4 | 24 | 11 | 45 |
| More than one race | 1 | 0 | 0 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 | 1 | 1 |
| Region of Enrollment(Participants) | Cohort 0 (Adults): Ad26.RSV.preF | Cohort 0 (Adults): Placebo | Cohort 1 (Toddlers): Ad26.RSV.preF | Cohort 1 (Toddlers): Placebo | Total |
|---|---|---|---|---|---|
| FINLAND | 0 | 0 | 10 | 5 | 15 |
| UNITED KINGDOM | 8 | 4 | 13 | 6 | 31 |
| UNITED STATES | 0 | 0 | 1 | 1 | 2 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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