ClinicalTrials.gg
CompletedNCT04908683EVERGREENUpdated Nov 13, 2025Results posted

A Study of an Adenovirus Serotype 26 Pre-fusion Conformation-stabilized F Protein (Ad26. RSV. preF) Based Respiratory Syncytial Virus (RSV) Vaccine in the Prevention of Lower Respiratory Tract Disease in Adults Aged 60 Years and Older

A Phase 3 interventional study of Adenovirus serotype 26 (Ad26)-based respiratory syncytial virus (RSV). preF and Placebo in Respiratory Syncytial Viruses and Lower Respiratory Tract Disease, sponsored by Janssen Vaccines & Prevention B.V.. Completed at 272 sites in 14 countries. Open to participants aged 60 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-13.

Sponsored by Janssen Vaccines & Prevention B.V. (part of Johnson & Johnson) · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
25,236
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

The study will enroll up to 27,200 participants in order to demonstrate the efficacy of the active Ad26.RSV.preF-based study vaccine in the prevention of Reverse Transcription Polymerase Chain Reaction (RT-PCR) confirmed Respiratory Syncytial Virus (RSV)-mediated Lower Respiratory Tract Disease (LRTD) when compared to placebo in adults aged 60 years and above.

02

Conditions studied

  • Respiratory Syncytial Viruses
  • Lower Respiratory Tract Disease

Keywords

  • Acute Respiratory Infections
  • Vaccine
  • Ad26.RSV.preF-based Vaccine
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
60 Years and older
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

  • Must be able to work with smartphones/tablets/computers
  • From the time of vaccination through 3 months after vaccination, participant agrees not to donate blood
  • Must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study
  • Before randomization, a participant must be: a. (postmenopausal state is defined as no menses for 12 months without an alternative medical cause); and b. not intending to conceive by any methods
  • Participants must sign an Inform Consent Form (ICF) indicating that the participant understands the purpose, procedures and potential risks and benefits of the study, and is willing to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Has a serious clinically unstable condition, (example, end-stage renal disease with or without dialysis, clinically unstable cardiac disease), Alzheimer's disease, or any other condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant (example, compromise well-being) or that could prevent, confound, or limit the protocol specified assessments
  • History of within 5 years before screening not in the following categories: a. Participants with squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix may be enrolled at the discretion of the investigator; b. Participants with a history of malignancy within 5 years, which is considered cured with minimal risk of recurrence per investigator's judgement, can be enrolled
  • Had major surgery (example, major cardiopulmonary or abdominal operations) as per the investigator's judgment within 4 weeks before vaccination, or will not have fully recovered from surgery, or has major surgery planned during the time the participant is expected to participate in the study
  • Employee of the investigator or study site, with direct involvement in the proposed study or other studies under the direction of that investigator or study site, as well as family members of the employees or the investigator, or an employee of the sponsor
  • to Intramuscular (IM) injections and blood draws (example, bleeding disorders)
  • Known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or vaccine components (including any of the constituents of the study vaccine)
Terms in these criteria, in plain language(3)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
25,236 participants (actual)

Study arms

  • Experimental
    Group 1: Respiratory Syncytial Virus (RSV) vaccine

    All participants in the active group will receive a single dose intramuscular (IM) injection of study vaccine on Day 1.

    Biological: Adenovirus serotype 26 (Ad26)-based respiratory syncytial virus (RSV). preF

  • Placebo comparator
    Group 2: Placebo

    All participants in the placebo group will receive a single IM injection of matching placebo on Day 1.

    Biological: Placebo

Interventions

  • BiologicalAdenovirus serotype 26 (Ad26)-based respiratory syncytial virus (RSV). preF

    Participants will receive a single IM injection of an RSV vaccine.

  • BiologicalPlacebo

    Participants will receive a single IM injection of matching placebo.

06

What researchers measure

Primary outcomes

  1. Number of Participants With First Occurrence of Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)-Confirmed Respiratory Syncytial Virus (RSV) Mediated Lower Respiratory Tract Disease (LRTD)

    Number of participants with first occurrence of RT-PCR-confirmed RSV mediated LRTD according to protocol defined criteria were reported. A participant was considered to have RT-PCR-confirmed RSV-mediated LRTD if the following criteria were met: new onset or worsening from baseline of 3 or more of the symptoms as captured on the respiratory infection intensity and impact questionnaire (RiiQ, version 2) at the same assessment time point: cough, short of breath, coughing up phlegm (sputum), and wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-item questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total LRTD symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

    Time frame: From Baseline (Day 1) up to 12 months

Secondary outcomes

  1. Number of Participants With First Occurrence of Any RT-PCR-Confirmed RSV-mediated Acute Respiratory Infection (ARI)

    A participant was considered to have RT-PCR-confirmed RSV-mediated ARI if the following protocol defined criteria were met: ARI episode initiated by the participant and confirmed by the site with symptoms consistent with an ARI (new symptoms or worsening from baseline of at least one of the symptoms as captured on the RiiQ): sore throat, nasal congestion, cough, short of breath, coughing up phlegm (sputum), wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total ARI symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

    Time frame: From Baseline (Day 1) up to 12 months

  2. Number of Participants With First Occurrence of RT-PCR-Confirmed RSV Mediated LRTD During the Second Year

    Number of participants with first occurrence of any RT-PCR-confirmed RSV mediated LRTD during the second year were reported. A participant was considered to have RT-PCR-confirmed RSV-mediated LRTD if the following criteria were met: new onset or worsening from baseline of 3 or more of the symptoms as captured on the RiiQ, version 2 at the same assessment time point: cough, short of breath, coughing up phlegm (sputum), and wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total LRTD symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

    Time frame: From Month 12 up to Month 24

  3. Number of Participants With First Occurrence of Any RT-PCR-Confirmed RSV Mediated ARI During the Second Year

    A participant was considered to have RT-PCR-confirmed RSV-mediated ARI according to protocol defined criteria were reported. A participant was considered to have RT-PCR-confirmed RSV-mediated ARI if the following criteria were met: ARI episode initiated by the participant and confirmed by the site with symptoms consistent with an ARI (new symptoms or worsening from baseline of at least one of the symptoms as captured on the RiiQ): sore throat, nasal congestion, cough, short of breath, coughing up phlegm (sputum), wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total ARI symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

    Time frame: From Month 12 up to Month 24

  4. Number of Participants With First Occurrence of Predefined Clinically Relevant Disease Associated With RT-PCR-Confirmed RSV-Mediated ARI Over the Whole Study

    A participant was considered to have clinically relevant disease with specific parameters associated with an RT-PCR-confirmed RSV-mediated ARI if the following criteria were met: the participant had an RT-PCR-confirmed RSV-mediated ARI: ARI episode initiated by the participant and confirmed by the site with symptoms consistent with an ARI (new symptoms or worsening from baseline of at least one of the symptoms as captured on the RiiQ): sore throat, nasal congestion, cough, short of breath, coughing up phlegm (sputum), wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample; any of the following associated with ARI: hospitalization, emergency department visit, per clinical judgement of complications, decreased oxygen saturation, tachypnea, need of supplemental oxygen, hypotension, pulmonary function test and arterial blood gas result.

    Time frame: Baseline (Day 1) up to 24 months

  5. Number of Participants With Serious Adverse Events (SAEs)

    Number of participants with SAEs were reported. An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. An 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: 28 days post vaccination on Day 1 (Day 29); First year follow-up (from Day 29 up to 6 months, that is, up to Day 154)

  6. Number of Participants With Potential Adverse Events of Special Interest (AESIs)

    Number of participants with potential AESIs were reported. AESIs were significant AEs that were judged to be of special interest because of clinical importance, known or suspected class effects, or based on nonclinical signals. AESIs were embolic and thrombotic events, hematopoietic thrombocytopenia, and cerebral hemorrhage.

    Time frame: 28 days post vaccination on Day 1 (Day 29); First year follow-up (from Day 29 up to 6 months, that is, up to Day 154)

  7. Number of Participants With Solicited Local Adverse Events (AEs) up to 7 Days After Vaccination

    Number of participants with solicited local AEs 7 days post vaccination were reported. An AE was 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 the intervention. 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, and pain/tenderness at the study vaccine injection site, were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site). All solicited AEs at the injection site (local) were considered related to the study vaccine administration.

    Time frame: Up to Day 7 post vaccination on Day 1 (up to Day 8)

  8. Number of Participants With Solicited Systemic AEs up to 7 Days After Vaccination

    Number of participants with solicited systemic AEs 7 days post vaccination were reported. An AE was 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 the intervention. Solicited systemic AEs included fatigue, headache, myalgia, nausea, pyrexia, for which participants were specifically questioned and which were noted by participants in their participant diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

    Time frame: Up to Day 7 post vaccination on Day 1 (up to Day 8)

  9. Number of Participants With Unsolicited AEs up to 28 Days After Vaccination

    Number of participants with unsolicited AEs 28 days post vaccination were reported. An AE was 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 the intervention. Unsolicited adverse events included all adverse events for which the participant was not specifically questioned in the subject diary.

    Time frame: Up to 28 days post vaccination on Day 1 (up to Day 29)

  10. Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at 14 Days Post Vaccination

    RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay.

    Time frame: At 14 Days post vaccination on Day 1 (Day 15)

  11. Geometric Mean Titers (GMTs) of Prefusion F-protein (Pre-F) Antibodies Immunoglobulin G (IgG) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at 14 Days Post Vaccination

    GMTs of preF antibodies IgG at 14 days after the administration of Ad26.RSV.preF-based vaccine as assessed by ELISA were reported.

    Time frame: At 14 days post vaccination on Day 1 (Day 15)

  12. T-cell Interferon (IFN) Gamma Responses to Respiratory Syncytial Virus (RSV) F Protein Peptides Analyzed by Enzyme-linked Immunospot Assay (ELISpot)

    T-cell IFN gamma responses to RSV F protein specific peptides at 14 days after vaccination as measured by ELISpot assay were reported. RSV F specific T-cell IFN gamma ELISpot responses were measured as counts of spot forming cells per million peripheral blood mononuclear cells (SFC/10\^6 PBMCs).

    Time frame: 14 days post vaccination on Day 1 (Day 15)

  13. Area Under the Curve (AUC) of the Change From Baseline in Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Total Symptom Scale Score

    RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. The respiratory symptoms included 2 upper respiratory tract infection (URTI) symptoms (nasal congestion and sore throat), 4 lower respiratory tract infection (LRTI) symptoms (cough, wheezing, short of breath, and coughing up phlegm/sputum) and 7 systemic symptoms (headache, feeling feverish, neck pain, body aches and pain, fatigue/tiredness, interrupted sleep, and loss of appetite). Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. RiiQ total Symptom score was the mean of all scores (based on 13 symptoms). The AUC of the change from baseline for the RiiQ total symptom score and the RiiQ lower respiratory symptom score during the ARI was calculated.

    Time frame: Baseline (Day 1) up to 24 months

07

Results

Posted Feb 8, 2024

Participant flow

Participant flow — Overall Study
MilestoneGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Started168178419
Randomized and vaccinated167098367
Completed12459
Not completed166938360
Withdrew: Failure to meet continuation criteria3422
Withdrew: Initiated prohibited medication30
Withdrew: Randomized by mistake10
Withdrew: Lost to follow-up679341
Withdrew: Participant met eligibility criteria but were not needed31
Withdrew: Physician decision4435
Withdrew: Technical problems129
Withdrew: Withdrawal by legally authorized representative10
Withdrew: Protocol violation20
Withdrew: Withdrawal by subject1188570
Withdrew: Site closure by sponsor63
Withdrew: Adverse event2111
Withdrew: Death10161
Withdrew: Sponsor's decision143987205
Withdrew: Other9250
Withdrew: Randomized not vaccinated10852

Outcome measures

PrimaryNumber of Participants With First Occurrence of Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)-Confirmed Respiratory Syncytial Virus (RSV) Mediated Lower Respiratory Tract Disease (LRTD)

Number of participants with first occurrence of RT-PCR-confirmed RSV mediated LRTD according to protocol defined criteria were reported. A participant was considered to have RT-PCR-confirmed RSV-mediated LRTD if the following criteria were met: new onset or worsening from baseline of 3 or more of the symptoms as captured on the respiratory infection intensity and impact questionnaire (RiiQ, version 2) at the same assessment time point: cough, short of breath, coughing up phlegm (sputum), and wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-item questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total LRTD symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

Time frame:
From Baseline (Day 1) up to 12 months
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)-Confirmed Respiratory Syncytial Virus (RSV) Mediated Lower Respiratory Tract Disease (LRTD)
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With First Occurrence of Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)-Confirmed Respiratory Syncytial Virus (RSV) Mediated Lower Respiratory Tract Disease (LRTD)4463
SecondaryNumber of Participants With First Occurrence of Any RT-PCR-Confirmed RSV-mediated Acute Respiratory Infection (ARI)

A participant was considered to have RT-PCR-confirmed RSV-mediated ARI if the following protocol defined criteria were met: ARI episode initiated by the participant and confirmed by the site with symptoms consistent with an ARI (new symptoms or worsening from baseline of at least one of the symptoms as captured on the RiiQ): sore throat, nasal congestion, cough, short of breath, coughing up phlegm (sputum), wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total ARI symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

Time frame:
From Baseline (Day 1) up to 12 months
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of Any RT-PCR-Confirmed RSV-mediated Acute Respiratory Infection (ARI)
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With First Occurrence of Any RT-PCR-Confirmed RSV-mediated Acute Respiratory Infection (ARI)77101
SecondaryNumber of Participants With First Occurrence of RT-PCR-Confirmed RSV Mediated LRTD During the Second Year

Number of participants with first occurrence of any RT-PCR-confirmed RSV mediated LRTD during the second year were reported. A participant was considered to have RT-PCR-confirmed RSV-mediated LRTD if the following criteria were met: new onset or worsening from baseline of 3 or more of the symptoms as captured on the RiiQ, version 2 at the same assessment time point: cough, short of breath, coughing up phlegm (sputum), and wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total LRTD symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

Time frame:
From Month 12 up to Month 24
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of RT-PCR-Confirmed RSV Mediated LRTD During the Second Year
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With First Occurrence of RT-PCR-Confirmed RSV Mediated LRTD During the Second Year1629
SecondaryNumber of Participants With First Occurrence of Any RT-PCR-Confirmed RSV Mediated ARI During the Second Year

A participant was considered to have RT-PCR-confirmed RSV-mediated ARI according to protocol defined criteria were reported. A participant was considered to have RT-PCR-confirmed RSV-mediated ARI if the following criteria were met: ARI episode initiated by the participant and confirmed by the site with symptoms consistent with an ARI (new symptoms or worsening from baseline of at least one of the symptoms as captured on the RiiQ): sore throat, nasal congestion, cough, short of breath, coughing up phlegm (sputum), wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample. RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The total ARI symptom score was calculated as the mean of the 4 lower respiratory scores (cough, short of breath, coughing up phlegm \[sputum\] and wheezing).

Time frame:
From Month 12 up to Month 24
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of Any RT-PCR-Confirmed RSV Mediated ARI During the Second Year
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With First Occurrence of Any RT-PCR-Confirmed RSV Mediated ARI During the Second Year3944
SecondaryNumber of Participants With First Occurrence of Predefined Clinically Relevant Disease Associated With RT-PCR-Confirmed RSV-Mediated ARI Over the Whole Study

A participant was considered to have clinically relevant disease with specific parameters associated with an RT-PCR-confirmed RSV-mediated ARI if the following criteria were met: the participant had an RT-PCR-confirmed RSV-mediated ARI: ARI episode initiated by the participant and confirmed by the site with symptoms consistent with an ARI (new symptoms or worsening from baseline of at least one of the symptoms as captured on the RiiQ): sore throat, nasal congestion, cough, short of breath, coughing up phlegm (sputum), wheezing and confirmation of RSV by RT-PCR in one or more of the nasal swabs, or in the sputum sample; any of the following associated with ARI: hospitalization, emergency department visit, per clinical judgement of complications, decreased oxygen saturation, tachypnea, need of supplemental oxygen, hypotension, pulmonary function test and arterial blood gas result.

Time frame:
Baseline (Day 1) up to 24 months
Reported as:
Count of participants · Participants
Number of Participants With First Occurrence of Predefined Clinically Relevant Disease Associated With RT-PCR-Confirmed RSV-Mediated ARI Over the Whole Study
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With First Occurrence of Predefined Clinically Relevant Disease Associated With RT-PCR-Confirmed RSV-Mediated ARI Over the Whole Study411
SecondaryNumber of Participants With Serious Adverse Events (SAEs)

Number of participants with SAEs were reported. An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. An 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:
28 days post vaccination on Day 1 (Day 29); First year follow-up (from Day 29 up to 6 months, that is, up to Day 154)
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs)
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
28 days post vaccination on Day 111953
First year follow-up446239
SecondaryNumber of Participants With Potential Adverse Events of Special Interest (AESIs)

Number of participants with potential AESIs were reported. AESIs were significant AEs that were judged to be of special interest because of clinical importance, known or suspected class effects, or based on nonclinical signals. AESIs were embolic and thrombotic events, hematopoietic thrombocytopenia, and cerebral hemorrhage.

Time frame:
28 days post vaccination on Day 1 (Day 29); First year follow-up (from Day 29 up to 6 months, that is, up to Day 154)
Reported as:
Count of participants · Participants
Number of Participants With Potential Adverse Events of Special Interest (AESIs)
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
28 days post vaccination on Day 1254
First year follow-up7135
SecondaryNumber of Participants With Solicited Local Adverse Events (AEs) up to 7 Days After Vaccination

Number of participants with solicited local AEs 7 days post vaccination were reported. An AE was 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 the intervention. 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, and pain/tenderness at the study vaccine injection site, were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site). All solicited AEs at the injection site (local) were considered related to the study vaccine administration.

Time frame:
Up to Day 7 post vaccination on Day 1 (up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Local Adverse Events (AEs) up to 7 Days After Vaccination
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With Solicited Local Adverse Events (AEs) up to 7 Days After Vaccination1076169
SecondaryNumber of Participants With Solicited Systemic AEs up to 7 Days After Vaccination

Number of participants with solicited systemic AEs 7 days post vaccination were reported. An AE was 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 the intervention. Solicited systemic AEs included fatigue, headache, myalgia, nausea, pyrexia, for which participants were specifically questioned and which were noted by participants in their participant diary for 7 days post vaccination (day of vaccination and the subsequent 7 days).

Time frame:
Up to Day 7 post vaccination on Day 1 (up to Day 8)
Reported as:
Count of participants · Participants
Number of Participants With Solicited Systemic AEs up to 7 Days After Vaccination
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With Solicited Systemic AEs up to 7 Days After Vaccination1018236
SecondaryNumber of Participants With Unsolicited AEs up to 28 Days After Vaccination

Number of participants with unsolicited AEs 28 days post vaccination were reported. An AE was 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 the intervention. Unsolicited adverse events included all adverse events for which the participant was not specifically questioned in the subject diary.

Time frame:
Up to 28 days post vaccination on Day 1 (up to Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited AEs up to 28 Days After Vaccination
ParticipantsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Number of Participants With Unsolicited AEs up to 28 Days After Vaccination554206
SecondaryRespiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at 14 Days Post Vaccination

RSV A2 strain neutralizing antibody titers of the vaccine-induced immune response was assessed through virus neutralization assay.

Time frame:
At 14 Days post vaccination on Day 1 (Day 15)
Reported as:
Geometric mean · Titers
Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at 14 Days Post Vaccination
TitersGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at 14 Days Post Vaccination7194 (6394 to 8093)537 (455 to 634)
SecondaryGeometric Mean Titers (GMTs) of Prefusion F-protein (Pre-F) Antibodies Immunoglobulin G (IgG) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at 14 Days Post Vaccination

GMTs of preF antibodies IgG at 14 days after the administration of Ad26.RSV.preF-based vaccine as assessed by ELISA were reported.

Time frame:
At 14 days post vaccination on Day 1 (Day 15)
Reported as:
Geometric mean · Titers
Geometric Mean Titers (GMTs) of Prefusion F-protein (Pre-F) Antibodies Immunoglobulin G (IgG) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at 14 Days Post Vaccination
TitersGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Geometric Mean Titers (GMTs) of Prefusion F-protein (Pre-F) Antibodies Immunoglobulin G (IgG) as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) at 14 Days Post Vaccination4932 (4477 to 5433)410 (348 to 484)
SecondaryT-cell Interferon (IFN) Gamma Responses to Respiratory Syncytial Virus (RSV) F Protein Peptides Analyzed by Enzyme-linked Immunospot Assay (ELISpot)

T-cell IFN gamma responses to RSV F protein specific peptides at 14 days after vaccination as measured by ELISpot assay were reported. RSV F specific T-cell IFN gamma ELISpot responses were measured as counts of spot forming cells per million peripheral blood mononuclear cells (SFC/10\^6 PBMCs).

Time frame:
14 days post vaccination on Day 1 (Day 15)
Reported as:
Median · SFC/10^6 PBMCs
T-cell Interferon (IFN) Gamma Responses to Respiratory Syncytial Virus (RSV) F Protein Peptides Analyzed by Enzyme-linked Immunospot Assay (ELISpot)
SFC/10^6 PBMCsGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
T-cell Interferon (IFN) Gamma Responses to Respiratory Syncytial Virus (RSV) F Protein Peptides Analyzed by Enzyme-linked Immunospot Assay (ELISpot)533 (306 to 873)NA (NA to 78)
SecondaryArea Under the Curve (AUC) of the Change From Baseline in Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Total Symptom Scale Score

RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. The respiratory symptoms included 2 upper respiratory tract infection (URTI) symptoms (nasal congestion and sore throat), 4 lower respiratory tract infection (LRTI) symptoms (cough, wheezing, short of breath, and coughing up phlegm/sputum) and 7 systemic symptoms (headache, feeling feverish, neck pain, body aches and pain, fatigue/tiredness, interrupted sleep, and loss of appetite). Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. RiiQ total Symptom score was the mean of all scores (based on 13 symptoms). The AUC of the change from baseline for the RiiQ total symptom score and the RiiQ lower respiratory symptom score during the ARI was calculated.

Time frame:
Baseline (Day 1) up to 24 months
Reported as:
Median · Scores on a scale*hours
Area Under the Curve (AUC) of the Change From Baseline in Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Total Symptom Scale Score
Scores on a scale*hoursGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Area Under the Curve (AUC) of the Change From Baseline in Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Total Symptom Scale Score82 (21 to 141)107 (48 to 218)

Adverse events

Collected over From Day 1 up to 24 months post-vaccination on Day 1 (Day 731).. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1: Ad26.RSV.preF and RSV preF Protein105/16,709 (0.6%)842/16,709 (5%)1,477/2,330 (63.4%)
Group 2: Placebo61/8,367 (0.7%)457/8,367 (5.5%)408/1,165 (35%)
Most frequent serious events
Showing 10 of 589
Most frequent serious events
EventGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
PneumoniaInfections and infestations46/1670926/8367
DeathGeneral disorders18/1670918/8367
Chronic Obstructive Pulmonary DiseaseRespiratory, thoracic and mediastinal disorders31/1670914/8367
Covid-19Infections and infestations29/1670912/8367
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders29/167099/8367
Atrial FibrillationCardiac disorders24/1670913/8367
OsteoarthritisMusculoskeletal and connective tissue disorders16/1670913/8367
Myocardial InfarctionCardiac disorders23/1670912/8367
Coronary Artery DiseaseCardiac disorders14/1670911/8367
Transient Ischaemic AttackNervous system disorders15/1670911/8367
Most frequent other events
Showing 10 of 13
Most frequent other events
EventGroup 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: Placebo
Vaccination Site Pain(Solicited)General disorders1065/2330168/1165
Fatigue(Solicited)General disorders789/2330165/1165
Myalgia(Solicited)Musculoskeletal and connective tissue disorders614/2330119/1165
Headache(Solicited)Nervous system disorders597/2330128/1165
Nausea(Solicited)Gastrointestinal disorders324/233075/1165
Pyrexia(Solicited)General disorders171/23305/1165
Blood Pressure Systolic IncreasedInvestigations150/233060/1165
Respiratory Rate IncreasedInvestigations89/233049/1165
Vaccination Site Swelling(Solicited)General disorders68/23303/1165
CoughRespiratory, thoracic and mediastinal disorders68/233025/1165

Baseline characteristics

Baseline characteristics data were analyzed on full analysis set (FAS) which included all participants with a documented vaccine administration, regardless of the occurrence of protocol deviations.

Age, Continuous
Age, Continuous(years)Group 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: PlaceboTotal
Mean70.2 ± 5.2470.2 ± 5.2370.2 ± 5.24
Age, Customized
Age, Customized(Participants)Group 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: PlaceboTotal
Adults (60-64 years)14727402212
From 65 to 84 years15053753422587
85 years and over18493277
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Group 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: PlaceboTotal
Female9063445213515
Male7645391311558
Others123
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: PlaceboTotal
Hispanic or Latino15557412296
Not Hispanic or Latino14903749622399
Unknown or Not Reported251130381
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1: Ad26.RSV.preF and RSV preF ProteinGroup 2: PlaceboTotal
American Indian or Alaska Native581775
Asian17578972654
Native Hawaiian or Other Pacific Islander9849147
Black or African American18209352755
White12649629718946
More than one race189101290
Unknown or Not Reported13871209
08

Study locations

272 sites
  • Central Research Associates, Inc.
    Birmingham, Alabama 35205, United States
  • Synexus Clinical Research US Inc
    Birmingham, Alabama 35211, United States
  • Achieve Clinical Research, LLC
    Birmingham, Alabama 35216, United States
  • Optimal Research
    Huntsville, Alabama 35802, United States
  • Coastal Clinical Research, Inc
    Mobile, Alabama 36608, United States
  • Synexus Clinical Research US Inc
    Chandler, Arizona 85224, United States
  • Hope Research Institute
    Peoria, Arizona 85381, United States
  • Central Phoenix Medical Clinic
    Phoenix, Arizona 85020, United States
  • Medpharmics, LLC
    Phoenix, Arizona 85379, United States
  • Clinical Research Consortium Arizona
    Tempe, Arizona 85283, United States
  • Synexus Clinical Research US Inc
    Tucson, Arizona 85741, United States
  • Baptist Health Center For Clinical Research
    Little Rock, Arkansas 72205, United States
  • Rancho Paseo Medical Group
    Banning, California 92220, United States
  • Hope clinical Research LLC
    Canoga Park, California 91303, United States
  • Synexus Clinical Research US Inc
    Cerritos, California 90703, United States
  • eStudySite
    Chula Vista, California 919111, United States
  • Velocity Clinical Research, San Diego
    La Mesa, California 91942, United States
  • Paradigm Clinical Research Centers, Inc.
    Redding, California 96001, United States
  • Optimal Research
    San Diego, California 92108, United States
  • Encompass Clinical Research
    Spring Valley, California 91978, United States
  • Synexus Clinical Research US Inc
    Vista, California 92083, United States
  • Synexus Clinical Research US Inc
    Aurora, Colorado 80014, United States
  • Tekton Research Inc.
    Fort Collins, Colorado 80528, United States
  • Tekton Research Inc.
    Longmont, Colorado 80501, United States
  • Paradigm Clinical Research Centers, Inc.
    Wheat Ridge, Colorado 80033, United States
  • JEM Research LLC
    Atlantis, Florida 33462, United States
  • Clinical Research of South Florida, an AMR Company
    Coral Gables, Florida 33134, United States
  • Prestige Clinical Research Center, Inc.
    Coral Gables, Florida 33134, United States
  • Avail Clinical Research, LLC
    DeLand, Florida 32720, United States
  • Velocity Clinical Research, Inc.
    Edgewater, Florida 32132, United States
  • AMR Fort Myers Clinical Physiology Associates, an AMR company
    Fort Myers, Florida 33912, United States
  • Velocity Clinical Research, Hallandale Beach
    Hallandale, Florida 33009, United States
  • Westside Center for Clinical Research
    Jacksonville, Florida 32205, United States
  • Jacksonville Center For Clinical Research
    Jacksonville, Florida 32216, United States
  • Altus Research, Inc
    Lake Worth, Florida 33461, United States
  • Accel Research Sites
    Lakeland, Florida 33803, United States
  • Compass Research LLC
    Leesburg, Florida 34748, United States
  • Optimal Research
    Melbourne, Florida 32934, United States
  • Suncoast Research Group
    Miami, Florida 33135, United States
  • New Horizon Research Center
    Miami, Florida 33165, United States
  • Suncoast Research Associates, LLC
    Miami, Florida 33173, United States
  • Clinical Site Partners, LLC
    Miami, Florida 33186, United States
  • Healthcare Clinical Data Inc.
    North Miami, Florida 33161, United States
  • Harmony Clinical Research Inc
    North Miami Beach, Florida 33162, United States
  • Clinical NeuroScience Solutions Inc
    Orlando, Florida 32801, United States
  • Headlands Research Orlando
    Orlando, Florida 32806, United States
  • Synexus Clinical Research US Inc
    Orlando, Florida 32806, United States
  • Synexus Clinical Research US Inc
    Pinellas Park, Florida 33781, United States
  • Progressive Medical Research
    Port Orange, Florida 32127, United States
  • Sandhill Research
    St. Petersburg, Florida 33709, United States
  • DBC Research
    Tamarac, Florida 33321, United States
  • Palm Beach Research Center
    West Palm Beach, Florida 33409, United States
  • Synexus Clinical Research US Inc
    Atlanta, Georgia 30328, United States
  • Atlanta Center for Medical Research
    Atlanta, Georgia 30331, United States
  • Accel Research Sites
    Eatonton, Georgia 31024, United States
  • Meridian Clinical Research, LLC
    Savannah, Georgia 31406, United States
  • Clinical Research Atlanta
    Stockbridge, Georgia 30281, United States
  • Advanced Clinical Research
    Boise, Idaho 83642, United States
  • Christie Clinic
    Champaign, Illinois 61822, United States
  • Synexus Clinical Research US Inc
    Chicago, Illinois 60602, United States
  • Optimal Research
    Peoria, Illinois 61614, United States
  • Medisphere Medical Research Center, Llc
    Evansville, Indiana 47714, United States
  • The South Bend Clinic Center for Research
    South Bend, Indiana 46617-2808, United States
  • Buynak Clinical Research
    Valparaiso, Indiana 46383, United States
  • The Iowa Clinic, P.C.
    West Des Moines, Iowa 50266, United States
  • Heartland Research Associates, LLC
    Augusta, Kansas 67010, United States
  • Johnson County Clin-Trials
    Lenexa, Kansas 66219, United States
  • Heartland Research Associates, LLC
    Newton, Kansas 67114, United States
  • Heartland Clinical Research
    Wichita, Kansas 67207, United States
  • Central Kentucky Research Associates, Inc.
    Lexington, Kentucky 40509, United States
  • University of Louisville
    Louisville, Kentucky 40202, United States
  • Medpharmics, LLC
    Kenner, Louisiana 70065, United States
  • Medpharmics, LLC
    Lafayette, Louisiana 70508, United States
  • Centex Studies, Inc.
    Lake Charles, Louisiana 70601, United States
  • Clinical Trials of America
    Monroe, Louisiana 71201, United States
  • Tulane University School of Medicine
    New Orleans, Louisiana 70112, United States
  • AMR New Orleans, Formerly New Orleans Center for Clinical Research - New Orleans, an AMR company
    New Orleans, Louisiana 70119, United States
  • Central Maine Medical Center
    Lewiston, Maine 04240, United States
  • Centennial Medical Group
    Elkridge, Maryland 21075, United States
  • Optimal Research
    Rockville, Maryland 20850, United States
  • Synexus Clinical Research US Inc
    Richfield, Minnesota 55423, United States
  • MedPharmics - Biloxi
    Biloxi, Mississippi 39531, United States
  • Jefferson City Medical Group Family
    Jefferson City, Missouri 65109, United States
  • The Center for Pharmaceutical Research (CPR)
    Kansas City, Missouri 64114, United States
  • Sundance Clinical Research
    St Louis, Missouri 63141, United States
  • Synexus Clinical Research US Inc
    St Louis, Missouri 63141, United States
  • Mercury Street Medical Group, PLLC
    Butte, Montana 59701, United States
  • Meridian Clinical Research, LLC
    Norfolk, Nebraska 68701, United States
  • Meridian Clinical Research - Omaha
    Omaha, Nebraska 68134, United States
  • Synexus Clinical Research US Inc
    Omaha, Nebraska 68144, United States
  • Synexus Clinical Research US Inc
    Henderson, Nevada 89052, United States
  • Clinical Research Consortium, an AMR company
    Las Vegas, Nevada 89119, United States
  • Medpharmics, LLC
    Albuquerque, New Mexico 87102, United States
  • Meridian Clinical Research, LLC
    Endwell, New York 13760, United States
  • Regional Clinical Research, Inc.
    Endwell, New York 13760, United States
  • Synexus Clinical Research US Inc
    Manhattan, New York 10017, United States
  • Harlem Hospital Center
    New York, New York 10027, United States
  • Finger Lakes Clinical Research
    Rochester, New York 14618, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10312, United States
  • CHEAR Center, LLC
    The Bronx, New York 10455, United States

Showing the first 100 of 272 sites across 14 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Langer S, Holzapfel S, August L, Badura A, Wellmann S, Mack I. Parental knowledge and attitudes to infant immunization in the context of RSV: All about confidence? Vaccine. 2024 Oct 3;42(23):126050. doi: 10.1016/j.vaccine.2024.06.018. Epub 2024 Jun 19. PubMed 38902186 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

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

Data sharing details ↗ · www.janssen.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2021 to primary completion in Jul 2023, 24 months.

Results were first posted in Feb 2024, 6 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
May 27, 2021
First posted
Jun 1, 2021
StartActual
Jul 21, 2021
Primary completionActual
Jul 21, 2023
CompletionActual
Jul 21, 2023
Results first posted
Feb 8, 2024
Last update
Nov 13, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04908683
Responsible party
Sponsor
First posted
Jun 1, 2021
Start date
Jul 21, 2021
Primary completion
Jul 21, 2023
Completion
Jul 21, 2023
Results posted
Feb 8, 2024
Last update
Nov 13, 2025

Study contacts

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

Oversight

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

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