ClinicalTrials.gg
CompletedNCT03334695Updated Feb 4, 2025Results posted

An Exploratory Study to Evaluate the Prophylactic Efficacy of a Single Immunization of Ad26.RSV.preF Against Respiratory Syncytial Virus Infection in a Virus Challenge Model in Healthy 18 to 50 Year-old Adults

A Phase 2 interventional study of Ad26.RSV.preF and Placebo in Healthy, sponsored by Janssen Vaccines & Prevention B.V.. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-04.

Sponsored by Janssen Vaccines & Prevention B.V. (part of Johnson & Johnson) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The purpose of this study is to assess a trend for the prophylactic efficacy of a single dose of 1*10\^11 virus particles (vp) of adenovirus serotype 26 respiratory syncytial virus pre-fusion F protein (Ad26.RSV.preF) administered intramuscularly to adults aged 18-50 years in the respiratory syncytial virus (RSV) challenge model in terms of reduction of nasal wash viral load compared to placebo.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

Janssen Vaccines & Prevention B.V. is the lead sponsor of 49 studies on the registry; none are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 32 (86%) have results posted.

First submitted after Janssen Vaccines & Prevention B.V. became part of Johnson & Johnson.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Each participant must sign an Form (ICF) indicating that he or she understands the purpose of and procedures required for the study, is willing to participate in the study and attend all scheduled visits, is willing to be isolated and stay in the clinic for the quarantine phase, and is willing and able to comply with all study procedures and adhere to the prohibitions and restrictions specified in this protocol
  • Participants must be in good health, without significant medical illness, on the basis of a medical evaluation that reveals the absence of any abnormality and includes a physical examination (including height and weight), skin examination, medical history, vital signs (systolic and diastolic blood pressure and heart rate, respiratory rate, and body temperature), and the results of clinical laboratory tests performed within 56 days of vaccination. If there are abnormalities, the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant. This determination must be recorded in the participant's source documents and initialed by the investigator
  • Participants must have a non-clinically significant 12-lead (ECG) within 56 days of vaccination including: normal sinus rhythm (heart rate between 50 and 100 beats per minute [bpm], extremes included); corrected for heart rate according to Fridericia (QTcF) interval less than or equal to (\<=) 450 millisecond (ms); QT interval corrected for heart rate according to Bazett (QTcB) interval \<= 450 ms; QRS interval less than (\<) 120 ms; PR interval \<= 210 ms
  • Participants must be sero-suitable for respiratory syncytial virus (RSV) within 90 days of vaccination (low immunity to the RSV-A Memphis 37b virus using a virus neutralization assay
  • Participant must be healthy on the basis of clinical laboratory tests performed within 56 days of vaccination. If the results of the laboratory screening tests are outside the local laboratory normal reference ranges and additionally within the limits of toxicity Grade 1 according to the US Food and Drug Administration (FDA) toxicity tables (that is, for tests in the FDA table), the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant and appropriate and reasonable for the population under study. This determination must be recorded in the participant's source documents and initialed by the investigator

Exclusion criteria

Exclusion Criteria:

  • Participant has acute illness (this does not include minor illnesses such as diarrhea) or temperature greater than or equal to (>=) 37.8 degree Centigrade within 24 hours prior to study vaccination
  • Participant has history of (exceptions are basal cell carcinomas of the skin treated over 5 years prior to vaccination considered cured with minimal risk of recurrence)
  • Participant has chronic active or infection, documented by hepatitis B surface antigen and hepatitis C antibody, respectively

Viral Challenge Exclusion Criteria:

  • Participants having donated or lost more than 1 unit of blood (470 milliliter [mL]) within 60 days or more than one unit of plasma within 7 days
  • Participants with active acute respiratory infection
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Group 1: Ad26.RSV.preF

    Participants will receive single intramuscular injection of 1\*10\^11 virus particles (vp) of Ad26.RSV.preF during Day -90 to Day -28. On Day 0, intranasal challenge with respiratory syncytial virus (RSV)-A Memphis 37b virus will occur for all participants.

    Biological: Ad26.RSV.preF

  • Placebo comparator
    Group 2: Placebo

    Participants will receive single intramuscular injection of placebo as sterile 0.9 percent (%) saline for injection during Day -90 to Day -28. On Day 0, intranasal challenge with RSV-A Memphis 37b virus will occur for all participants.

    Drug: Placebo

Interventions

  • BiologicalAd26.RSV.preF

    Ad26.RSV.preF will be administered as intramuscular injection at a dose of 1\*10\^11 vp in single-use vials.

    Also known as: JNJ-64400141

  • DrugPlacebo

    Placebo will be administered as sterile 0.9% saline for injection.

06

What researchers measure

Primary outcomes

  1. Area Under the Viral Load-Time Curve (VL-AUC) of Respiratory Syncytial Virus (RSV) by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)

    VL-AUC for RSV was determined by qRT-PCR assay of nasal wash samples. Here, values below the lower limit of quantification (LLOQ) were imputed with zero.

    Time frame: From Day 2 to Day 12

Secondary outcomes

  1. Peak Viral Load of RSV-A Memphis 37b

    Peak viral load of RSV-A Memphis 37b was defined as the maximum viral load as determined by quantitative RT-PCR assay of nasal wash samples. Here, values below the lower limit of quantification (LLOQ) were imputed with zero.

    Time frame: From Day 2 to Day 12

  2. Viral Load by Quantitative RT-PCR Assay on Day 6 and 7

    Viral load determined by quantitative RT-PCR assay of nasal wash samples on Day 6 and Day 7 were reported. Here, values below the lower limit of quantification (LLOQ) were imputed with zero.

    Time frame: Day 6 (0 hour and 12 hours) and Day 7 (0 hour and 12 hours)

  3. VL-AUC of RSV by Quantitative Culture of RSV (Plaque Assay) on Day 6 and 7

    VL-AUC of RSV by the quantitative culture of nasal wash samples on Day 6 and Day 7 were determined. pfu\*h/mL stands for plaque-forming units hour per millilitre.

    Time frame: Day 6 (0 hour and 12 hours) and Day 7 (0 hour and 12 hours)

  4. Percentage of Participants With Symptomatic RSV Infections

    Symptomatic RSV infection is defined in two ways (Conservative and Liberal). Conservative: participant had 2 or more quantifiable RT-PCR measurements on different samples, with one of following: symptoms of 2 different categories of subject symptom card (SSC) (Upper Respiratory \[runny/stuffy nose, sneezing, sore throat, earache\], Lower Respiratory \[cough, shortness of breath, chest tightness, wheeze\], Systemic \[malaise, headache, muscle and/or joint ache\]) regardless of grade and assessment timepoint or Grade 2 symptom from any category; Liberal (RT-PCR): had 2/more quantifiable RT-PCR measurements, with clinical symptom of any severity.

    Time frame: From Day 2 to Day 12

  5. Total Clinical Symptoms Score at Day 6 and 7

    The total clinical symptom score was determined as the sum of the scores (grades) ranges from 0 (no symptom) to 52 (severe symptoms) of the 13 self-reportable symptoms on the SSC. Clinical symptoms includes runny nose, stuffy nose, sneezing, sore throat, ear ache, malaise, headache, muscle and/or joint ache, chilliness/ feverishness, cough, chest tightness, shortness of breath and wheeze. For every separate symptom, the score ranges from 0 (I have no symptom) to 4 (its quite bothersome most of the times and stop from participating in activities).

    Time frame: Day 6 and 7: morning, afternoon and evening

  6. Weight of Mucus Secretions Over Time

    The weight mucous over time was determined in grams using eCRF forms. Participants were given pre-weighed packets of paper tissues. After each tissue was used for nose blowing or sneezing, the participants should store them in an airtight plastic bag to calculate the weight of mucus from Day 0 to Day 12. All paper tissues used by each participant were collected for each 24-hour period up to Day 12, to determine daily mucus weight.

    Time frame: Day 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12

  7. Number of Tissues Used Over Time

    Number of tissues used by participant per time point were reported using eCRF forms. Participants were given pre-weighed packets of paper tissues. After each tissue was used for nose blowing or sneezing, the participants should store them in an airtight plastic bag to calculate the number of tissues used from Day 0 to Day 12. All paper tissues used by each participant were collected for each 24-hour period up to Day 12, to determine daily number of tissues used.

    Time frame: Day 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12

  8. Percentage of Participants With Unsolicited Adverse Events (AEs)

    Unsolicited AEs are all AEs for which participants were specifically not questioned in the participant diary. An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product.

    Time frame: Up to 28 days post-vaccination and up to 28 days post-challenge

  9. Percentage of Participants With Serious Adverse Events (SAEs)

    A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Time frame: Up to 6 months post-vaccination and up to 6 months post-challenge

  10. Percentage of Participants With Solicited Local and Systemic AEs

    Solicited local AEs: erythema, swelling/induration, and pain/tenderness. Solicited systemic AEs: fatigue, headache, myalgia, arthralgia, chills, nausea and fever.

    Time frame: 7 days post-vaccination (Day -21)

  11. Percentage of Participants With Vital Signs Abnormalities

    Percentage of participants with vital signs abnormalities were reported. Vital signs measurements included body temperature (measured in degree celsius from less than \[\<\] 37.5 to \<39.5), respiratory rate, systolic and diastolic blood pressure, and pulse rate, which were graded by FDA Toxicity Grading Scale Grade 0 (=no grade), Grade 1 (=mild), Grade 2 (=moderate), Grade 3 (=severe) and Grade 4 (=potentially life-threatening).

    Time frame: Up to Day 28 post-challenge

  12. Percentage of Participants With Electrocardiogram (ECG) Abnormalities

    ECG parameters included heart rate, PR, QRS, QTcB, QTcF, and the uncorrected QT interval which were graded by FDA Toxicity Grading Scale Grade 0 (=no grade), Grade 1 (=mild), Grade 2 (=moderate), Grade 3 (=severe) and Grade 4 (=potentially life-threatening).

    Time frame: Up to Day 12 post challenge

  13. Percentage of Participants With Clinical Laboratory Abnormalities (Graded)

    Percentage of participants with clinical laboratory abnormalities were reported. The biochemical and hematological parameters analyzed were- Alanine aminotransferase (AA), Alkaline phosphatase (AP), Aspartate aminotransferase (AsP), Hyperkalemia, Hypernatremia, Hypoglycemia, Hypophosphatemia, Hemoglobin, Neutrophils, White blood cell (WBC) - increase and Urine protein, which were graded by FDA Toxicity Grading Scale Grade 0 (=no grade), Grade 1 (=mild), Grade 2 (=moderate), Grade 3 (=severe) and Grade 4 (=potentially life-threatening).

    Time frame: Up to Day 28 post-challenge

07

Results

Posted Jul 23, 2021
Limitations and caveats
As no respiratory syncytial virus (RSV) vaccine has been previously tested in a human challenge model, the relationship between the results from this human challenge model and vaccine efficacy against natural infection is unknown.

Participant flow

Participant flow — Overall Study
MilestoneAd26.RSV.preF (1*10^11 vp)Placebo
Started3132
Completed2726
Not completed46
Withdrew: Lost to follow-up33
Withdrew: Physician decision12
Withdrew: Protocol violation01

Outcome measures

PrimaryArea Under the Viral Load-Time Curve (VL-AUC) of Respiratory Syncytial Virus (RSV) by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)

VL-AUC for RSV was determined by qRT-PCR assay of nasal wash samples. Here, values below the lower limit of quantification (LLOQ) were imputed with zero.

Time frame:
From Day 2 to Day 12
Reported as:
Median · log10 copies*hour per millilitre (h/mL)
Area Under the Viral Load-Time Curve (VL-AUC) of Respiratory Syncytial Virus (RSV) by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)
log10 copies*hour per millilitre (h/mL)Ad26.RSV.preF (1*10^11 vp)Placebo
Area Under the Viral Load-Time Curve (VL-AUC) of Respiratory Syncytial Virus (RSV) by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)0 (0.0 to 268.8)236 (20.3 to 605.8)
Statistical analysis
  • Ad26.RSV.preF (1*10^11 vp) vs Placebo · Wilcoxon Rank Sum test · p = 0.012
SecondaryPeak Viral Load of RSV-A Memphis 37b

Peak viral load of RSV-A Memphis 37b was defined as the maximum viral load as determined by quantitative RT-PCR assay of nasal wash samples. Here, values below the lower limit of quantification (LLOQ) were imputed with zero.

Time frame:
From Day 2 to Day 12
Reported as:
Median · log10 copies per mL
Peak Viral Load of RSV-A Memphis 37b
log10 copies per mLAd26.RSV.preF (1*10^11 vp)Placebo
Peak Viral Load of RSV-A Memphis 37b0.000 (0.000 to 4.539)5.365 (3.027 to 6.665)
SecondaryViral Load by Quantitative RT-PCR Assay on Day 6 and 7

Viral load determined by quantitative RT-PCR assay of nasal wash samples on Day 6 and Day 7 were reported. Here, values below the lower limit of quantification (LLOQ) were imputed with zero.

Time frame:
Day 6 (0 hour and 12 hours) and Day 7 (0 hour and 12 hours)
Reported as:
Mean · log10 copies per mL
Viral Load by Quantitative RT-PCR Assay on Day 6 and 7
log10 copies per mLAd26.RSV.preF (1*10^11 vp)Placebo
Day 6: 0 hour0.821 ± 0.3492.898 ± 0.630
Day 6: 12 hour1.261 ± 0.4332.939 ± 0.604
Day 7: 0 hour1.761 ± 0.4363.072 ± 0.586
Day 7: 12 hour1.552 ± 0.4433.025 ± 0.530
SecondaryVL-AUC of RSV by Quantitative Culture of RSV (Plaque Assay) on Day 6 and 7

VL-AUC of RSV by the quantitative culture of nasal wash samples on Day 6 and Day 7 were determined. pfu\*h/mL stands for plaque-forming units hour per millilitre.

Time frame:
Day 6 (0 hour and 12 hours) and Day 7 (0 hour and 12 hours)
Reported as:
Mean · log10 pfu*h/mL
VL-AUC of RSV by Quantitative Culture of RSV (Plaque Assay) on Day 6 and 7
log10 pfu*h/mLAd26.RSV.preF (1*10^11 vp)Placebo
Day 6: 0 hour0.278 ± 0.19361.587 ± 0.4159
Day 6: 12 hour0.304 ± 0.21981.737 ± 0.4320
Day 7: 0 hour0.101 ± 0.10151.226 ± 0.3505
Day 7: 12 hour0.276 ± 0.19311.237 ± 0.3891
SecondaryPercentage of Participants With Symptomatic RSV Infections

Symptomatic RSV infection is defined in two ways (Conservative and Liberal). Conservative: participant had 2 or more quantifiable RT-PCR measurements on different samples, with one of following: symptoms of 2 different categories of subject symptom card (SSC) (Upper Respiratory \[runny/stuffy nose, sneezing, sore throat, earache\], Lower Respiratory \[cough, shortness of breath, chest tightness, wheeze\], Systemic \[malaise, headache, muscle and/or joint ache\]) regardless of grade and assessment timepoint or Grade 2 symptom from any category; Liberal (RT-PCR): had 2/more quantifiable RT-PCR measurements, with clinical symptom of any severity.

Time frame:
From Day 2 to Day 12
Reported as:
Number · Percentage of participants
Percentage of Participants With Symptomatic RSV Infections
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Conservative22.246.2
Liberal33.361.5
SecondaryTotal Clinical Symptoms Score at Day 6 and 7

The total clinical symptom score was determined as the sum of the scores (grades) ranges from 0 (no symptom) to 52 (severe symptoms) of the 13 self-reportable symptoms on the SSC. Clinical symptoms includes runny nose, stuffy nose, sneezing, sore throat, ear ache, malaise, headache, muscle and/or joint ache, chilliness/ feverishness, cough, chest tightness, shortness of breath and wheeze. For every separate symptom, the score ranges from 0 (I have no symptom) to 4 (its quite bothersome most of the times and stop from participating in activities).

Time frame:
Day 6 and 7: morning, afternoon and evening
Reported as:
Mean · Units on a scale
Total Clinical Symptoms Score at Day 6 and 7
Units on a scaleAd26.RSV.preF (1*10^11 vp)Placebo
Day 6: Morning0.6 ± 0.182.6 ± 0.64
Day 6: Afternoon0.4 ± 0.182.8 ± 0.74
Day 6: Evening0.5 ± 0.282.5 ± 0.65
Day 7: Morning0.6 ± 0.232.5 ± 0.70
Day 7: Afternoon0.6 ± 0.322.5 ± 0.70
Day 7: Evening0.6 ± 0.322.5 ± 0.63
SecondaryWeight of Mucus Secretions Over Time

The weight mucous over time was determined in grams using eCRF forms. Participants were given pre-weighed packets of paper tissues. After each tissue was used for nose blowing or sneezing, the participants should store them in an airtight plastic bag to calculate the weight of mucus from Day 0 to Day 12. All paper tissues used by each participant were collected for each 24-hour period up to Day 12, to determine daily mucus weight.

Time frame:
Day 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12
Reported as:
Mean · Grams
Weight of Mucus Secretions Over Time
GramsAd26.RSV.preF (1*10^11 vp)Placebo
Day 00.586 ± 0.18830.175 ± 0.0913
Day 10.228 ± 0.06210.086 ± 0.0333
Day 20.997 ± 0.23500.428 ± 0.1459
Day 30.970 ± 0.21760.543 ± 0.1333
Day 41.164 ± 0.35350.714 ± 0.2123
Day 51.440 ± 0.86091.068 ± 0.3539
Day 61.226 ± 0.49253.132 ± 1.0991
Day 71.715 ± 0.72015.124 ± 1.3257
Day 80.799 ± 0.29603.230 ± 1.1022
Day 91.004 ± 0.41471.798 ± 0.4406
Day 100.907 ± 0.34571.785 ± 0.4838
Day 110.749 ± 0.24301.172 ± 0.3442
Day 120.622 ± 0.26470.990 ± 0.3005
SecondaryNumber of Tissues Used Over Time

Number of tissues used by participant per time point were reported using eCRF forms. Participants were given pre-weighed packets of paper tissues. After each tissue was used for nose blowing or sneezing, the participants should store them in an airtight plastic bag to calculate the number of tissues used from Day 0 to Day 12. All paper tissues used by each participant were collected for each 24-hour period up to Day 12, to determine daily number of tissues used.

Time frame:
Day 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12
Reported as:
Mean · Tissues
Number of Tissues Used Over Time
TissuesAd26.RSV.preF (1*10^11 vp)Placebo
Day 01.8 ± 0.530.7 ± 0.33
Day 11.7 ± 0.410.7 ± 0.27
Day 22.9 ± 0.651.2 ± 0.32
Day 31.9 ± 0.451.3 ± 0.28
Day 42.3 ± 0.491.5 ± 0.31
Day 52.1 ± 0.812.3 ± 0.68
Day 62.4 ± 0.775.1 ± 1.59
Day 72.8 ± 0.928.1 ± 1.94
Day 82.0 ± 0.715.2 ± 1.38
Day 92.3 ± 0.722.8 ± 0.53
Day 101.8 ± 0.612.7 ± 0.61
Day 111.6 ± 0.472.0 ± 0.50
Day 121.4 ± 0.401.7 ± 0.45
SecondaryPercentage of Participants With Unsolicited Adverse Events (AEs)

Unsolicited AEs are all AEs for which participants were specifically not questioned in the participant diary. An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with a clear causal relationship with the relevant investigational product.

Time frame:
Up to 28 days post-vaccination and up to 28 days post-challenge
Reported as:
Number · Percentage of participants
Percentage of Participants With Unsolicited Adverse Events (AEs)
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Post-vaccination35.546.9
Post-challenge74.169.2
SecondaryPercentage of Participants With Serious Adverse Events (SAEs)

A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Time frame:
Up to 6 months post-vaccination and up to 6 months post-challenge
Reported as:
Number · Percentage of participants
Percentage of Participants With Serious Adverse Events (SAEs)
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Post-vaccination00
Post-challenge3.20
SecondaryPercentage of Participants With Solicited Local and Systemic AEs

Solicited local AEs: erythema, swelling/induration, and pain/tenderness. Solicited systemic AEs: fatigue, headache, myalgia, arthralgia, chills, nausea and fever.

Time frame:
7 days post-vaccination (Day -21)
Reported as:
Number · Percentage of participants
Percentage of Participants With Solicited Local and Systemic AEs
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Solicited local AEs100.018.8
Solicited systemic AEs100.050.0
SecondaryPercentage of Participants With Vital Signs Abnormalities

Percentage of participants with vital signs abnormalities were reported. Vital signs measurements included body temperature (measured in degree celsius from less than \[\<\] 37.5 to \<39.5), respiratory rate, systolic and diastolic blood pressure, and pulse rate, which were graded by FDA Toxicity Grading Scale Grade 0 (=no grade), Grade 1 (=mild), Grade 2 (=moderate), Grade 3 (=severe) and Grade 4 (=potentially life-threatening).

Time frame:
Up to Day 28 post-challenge
Reported as:
Number · Percentage of participants
Percentage of Participants With Vital Signs Abnormalities
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Post-dose: Temperature (<37.5)64.593.8
Post-dose: Temperature (37.5-<38.0)22.63.1
Post-dose: Temperature (38.0-<38.5)6.50
Post-dose: Temperature (38.5-<39.0)6.53.1
Post-dose: Bradycardia (pulse): Grade 112.93.1
Post-dose: Bradycardia (pulse): Grade 26.56.3
Post-dose: Bradycardia (pulse): Grade 3/43.20
Post-dose: Hypertension (diastolic): Grade 103.1
Post-dose: Hypertension (diastolic): Grade 26.50
Post-dose: Hypertension (systolic): Grade 13.23.1
Post-dose: Respiratory rate: Grade 125.818.8
Post-dose: Tachycardia (pulse): Grade 13.20
Post-challenge: Bradycardia (pulse): Grade 118.511.5
Post-challenge: Bradycardia (pulse): Grade 23.73.8
Post-challenge: Bradycardia (pulse): Grade 3/43.70
Post-challenge: Hypertension (diastolic): Grade 13.70
Post-challenge: Hypertension (systolic): Grade 107.7
Post-challenge: Respiratory rate: Grade 125.926.9
Post-challenge: Tachycardia (pulse): Grade 13.70
SecondaryPercentage of Participants With Electrocardiogram (ECG) Abnormalities

ECG parameters included heart rate, PR, QRS, QTcB, QTcF, and the uncorrected QT interval which were graded by FDA Toxicity Grading Scale Grade 0 (=no grade), Grade 1 (=mild), Grade 2 (=moderate), Grade 3 (=severe) and Grade 4 (=potentially life-threatening).

Time frame:
Up to Day 12 post challenge
Reported as:
Number · Percentage of participants
Percentage of Participants With Electrocardiogram (ECG) Abnormalities
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Heart rate: Abnormally low: Grade 103.8
Heart rate: Abnormally low: Grade 203.8
QTc Bazett (450 millisecond [ms], 480 ms)03.8
QTc Bazett (increase from baseline [30; 60] ms)7.411.5
QTc Fridericia: (increase from baseline [30; 60] ms)3.70
SecondaryPercentage of Participants With Clinical Laboratory Abnormalities (Graded)

Percentage of participants with clinical laboratory abnormalities were reported. The biochemical and hematological parameters analyzed were- Alanine aminotransferase (AA), Alkaline phosphatase (AP), Aspartate aminotransferase (AsP), Hyperkalemia, Hypernatremia, Hypoglycemia, Hypophosphatemia, Hemoglobin, Neutrophils, White blood cell (WBC) - increase and Urine protein, which were graded by FDA Toxicity Grading Scale Grade 0 (=no grade), Grade 1 (=mild), Grade 2 (=moderate), Grade 3 (=severe) and Grade 4 (=potentially life-threatening).

Time frame:
Up to Day 28 post-challenge
Reported as:
Number · Percentage of participants
Percentage of Participants With Clinical Laboratory Abnormalities (Graded)
Percentage of participantsAd26.RSV.preF (1*10^11 vp)Placebo
Post Dose: AA: Grade 19.70
Post Dose: AP: Grade 103.1
Post Dose: AsA: Grade 16.50
Post Dose: AsA: Grade 203.1
Post Dose: Hyperkalemia: Grade 23.20
Post Dose: Hypernatremia: Grade 23.20
Post Dose: Hypoglycemia: Grade 203.1
Post Dose: Hypophosphatemia:Grade 13.20
Post Dose: Hypophosphatemia:Grade 29.70
Post Dose: Hemoglobin: Grade 13.23.1
Post Dose: Hemoglobin: Grade 23.20
Post Dose: Neutrophils: Grade 112.96.3
Post Dose: WBC increase: Grade 103.1
Post Dose: Urine Protein: Grade 13.23.1
Post Challenge: AA: Grade 125.915.4
Post Challenge: AA: Grade 27.43.8
Post Challenge: AP: Grade 103.8
Post Challenge: AsA: Grade 114.815.4
Post Challenge: AsA: Grade 23.73.8
Post Challenge: AsA: Grade 403.8
Post Challenge: Bilirubin: Grade 23.70
Post Challenge: Hyperglycemia: Grade 103.8
Post Challenge: Hyperkalemia: Grade 13.73.8
Post Challenge: Hypernatremia: Grade 23.70
Post Challenge: Hypophosphatemia:Grade 13.70
Post Challenge: Hypoproteinemia:Grade 111.10
Post Challenge: Eosinophils: Grade 107.7
Post Challenge: Hemoglobin: Grade 17.40
Post Challenge: Neutrophils: Grade 17.40
Post Challenge: Platelets: Grade 13.73.8
Post Challenge: Platelets: Grade 2003.8
Post Challenge: WBC increase: Grade 13.70

Adverse events

Collected over Up to 6 months post-vaccination and up to 6 months post-challenge. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Post-dose: Ad26.RSV.preF (1x10^11 vp)0/31 (0%)0/31 (0%)4/31 (12.9%)
Post-dose: Placebo0/32 (0%)0/32 (0%)9/32 (28.1%)
Post-challenge: Challenge After Ad26.RSV.preF0/27 (0%)1/27 (3.7%)16/27 (59.3%)
Post-challenge: Challenge After Placebo0/26 (0%)0/26 (0%)16/26 (61.5%)
Most frequent serious events
Most frequent serious events
EventPost-dose: Ad26.RSV.preF (1x10^11 vp)Post-dose: PlaceboPost-challenge: Challenge After Ad26.RSV.preFPost-challenge: Challenge After Placebo
Ovarian CystReproductive system and breast disorders0/310/321/270/26
Most frequent other events
Showing 10 of 12
Most frequent other events
EventPost-dose: Ad26.RSV.preF (1x10^11 vp)Post-dose: PlaceboPost-challenge: Challenge After Ad26.RSV.preFPost-challenge: Challenge After Placebo
Alanine Aminotransferase IncreasedInvestigations2/310/327/273/26
LymphadenopathyBlood and lymphatic system disorders0/310/326/271/26
PharyngitisInfections and infestations0/310/323/274/26
RhinorrhoeaRespiratory, thoracic and mediastinal disorders0/310/321/274/26
HeadacheNervous system disorders1/314/322/272/26
EpistaxisRespiratory, thoracic and mediastinal disorders0/310/320/273/26
Dry SkinSkin and subcutaneous tissue disorders1/311/323/272/26
NauseaGastrointestinal disorders0/310/320/272/26
Aspartate Aminotransferase IncreasedInvestigations2/311/322/272/26
Troponin T IncreasedInvestigations0/310/320/272/26

Baseline characteristics

Age, Continuous
Age, Continuous(years)Ad26.RSV.preF (1*10^11 vp)PlaceboTotal
Mean25.9 ± 6.1925.9 ± 6.5625.9 ± 6.33
Sex: Female, Male
Sex: Female, Male(Participants)Ad26.RSV.preF (1*10^11 vp)PlaceboTotal
Female12618
Male192645
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Ad26.RSV.preF (1*10^11 vp)PlaceboTotal
Hispanic or Latino000
Not Hispanic or Latino303262
Unknown or Not Reported101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ad26.RSV.preF (1*10^11 vp)PlaceboTotal
American Indian or Alaska Native000
Asian314
Native Hawaiian or Other Pacific Islander000
Black or African American101
White242852
More than one race101
Unknown or Not Reported235
Region of Enrollment
Region of Enrollment(Participants)Ad26.RSV.preF (1*10^11 vp)PlaceboTotal
UNITED KINGDOM313263
08

Study locations

1 site
  • hVIVO Services Limited
    London, E1 2AX, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03334695
Responsible party
Sponsor
First posted
Nov 7, 2017
Start date
Oct 16, 2017
Primary completion
Jul 10, 2018
Completion
Nov 27, 2018
Results posted
Jul 23, 2021
Last update
Feb 4, 2025

Study contacts

Janssen Vaccines & Prevention B.V. Clinical Trial
study director · Janssen Vaccines & Prevention B.V.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: AD26.RSV.PREF

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