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CompletedNCT05083585Updated Apr 27, 2025Results posted

A Study Evaluating the Immunogenicity of Different Clinical Trial Materials of Ad26.RSV.preF- Based Vaccine in Adults Aged 60 - 75 Years Old

A Phase 3 interventional study of Ad26.RSV.preF-based vaccine in Respiratory Syncytial Virus Prevention, sponsored by Janssen Vaccines & Prevention B.V.. Completed at 9 sites in United States. Open to participants aged 60 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-27.

Sponsored by Janssen Vaccines & Prevention B.V. · Phase 3, Interventional, and Other

Phase
Phase 3
Study type
Interventional
Enrollment
250
Allocation
Randomized
Ages
60 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to demonstrate non-inferiority in terms of humoral immune responses induced by vaccination with one dose of the Phase 3 clinical trial material (CTM) compared with one dose of the Phase 2b CTM.

02

Conditions studied

  • Respiratory Syncytial Virus Prevention
03

In context

Lead sponsor

Janssen Vaccines & Prevention B.V. is the lead sponsor of 48 studies on the registry; none are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 32 (89%) have results posted.

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

04

Who can participate

Ages eligible
60 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Willing and able to adhere to the prohibitions and restrictions specified in the protocol
  • Before randomization, a participant must be postmenopausal (postmenopausal state is defined as no menses for 12 months without an alternative medical cause); and not intending to conceive by any methods
  • In the investigator's clinical judgment, participant must be in stable health at the time of vaccination. Participants may have underlying illnesses such as hypertension, congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes, hyperlipoproteinemia, or hypothyroidism, as long as their symptoms and signs are stable at the time of vaccination, and these conditions receive routine follow-up by the participant's healthcare provider. Participants will be included on the basis of medical history, and vital signs performed between informed consent form (ICF) signature and vaccination
  • Must be willing to provide verifiable identification, has means to be contacted and to contact the investigator during the study
  • From the time of vaccination through 3 months after vaccination, agrees not to donate blood

Exclusion criteria

Exclusion Criteria:

  • Known or suspected allergy or history of anaphylaxis or other serious adverse reactions to vaccines or their excipients (including specifically the excipients of the study vaccine)
  • Abnormal function of the immune system resulting from clinical condition or medication
  • History of acute polyneuropathy (example, Guillain-Barré syndrome) or chronic idiopathic demyelinating polyneuropathy
  • History of thrombosis with thrombocytopenia syndrome (TTS) or heparin-induced thrombocytopenia and thrombosis (HITT)
  • Has had major surgery (per the investigator's judgment) within 4 weeks before administration of the study vaccine or will not have recovered from surgery per the investigator's judgment at time of vaccination
05

Study design

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

Study arms

  • Experimental
    Group 1: Phase 3 Clinical Trial Material (CTM)

    Participants will receive a single intramuscular (IM) injection of adenovirus serotype 26 (Ad26). respiratory syncytial virus (RSV). prefusion conformation-stabilized F protein (preF)-based vaccine on Day 1, which is a Phase 3 CTM.

    Biological: Ad26.RSV.preF-based vaccine

  • Experimental
    Group 2: Phase 2b CTM

    Participants will receive a single IM injection of Ad26.RSV.preF-based vaccine on Day 1, which is a Phase 2b CTM.

    Biological: Ad26.RSV.preF-based vaccine

Interventions

  • BiologicalAd26.RSV.preF-based vaccine

    Ad26.RSV.preF-based vaccine will be administered as a single intramuscular injection.

06

What researchers measure

Primary outcomes

  1. Geometric Mean Titers (GMTs) of Prefusion F-protein (preF) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) 14 Days Post Vaccination

    GMTs of pre-F antibodies as assessed by ELISA at 14 days post administration of Ad26/protein preF RSV based vaccine were reported.

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

Secondary outcomes

  1. Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days Post Vaccination

    Number of participants with solicited local AEs 7 days post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. 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 that included injection site pain/tenderness, erythema and swelling at the study vaccine injection site, were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site).

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

  2. Number of Participants With Solicited Systemic AEs for 7 Days Post Vaccination

    Number of participants with solicited systemic AEs 7 days post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited systemic events included events such as fatigue, headache, nausea, and myalgia, 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)

  3. Number of Participants With Unsolicited AEs for 28 Days Post Vaccination

    Number of participants with unsolicited AEs 28 days post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were all AEs for which the participant was not specifically questioned in the participant diary.

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

  4. Number of Participants With Serious Adverse Events (SAEs) Until 6 Months Post Vaccination

    Number of participants with SAEs until 6 months post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. 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: From Day 1 up to 6 months post vaccination on Day 1 (up to Day 183)

  5. Number of Participants With Adverse Event of Special Interests (AESIs) Until 6 Months Post Vaccination

    Number of participants with AESIs until 6 months post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Thrombosis with thrombocytopenia syndrome (TTS) was considered as an AESI.

    Time frame: From Day 1 up to 6 months post vaccination on Day 1 (up to Day 183)

  6. 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 at 14 days post administration of Ad26/protein preF RSV based vaccine were expressed as 50 percent (%) inhibitory concentration (IC50) units.

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

07

Results

Posted Sep 11, 2023

Participant flow

Participant flow — Overall Study
MilestoneGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Started125125
Vaccinated (full analysis set [fas])123125
Completed119123
Not completed62
Withdrew: Death11
Withdrew: Lost to follow-up11
Withdrew: Withdrawal by subject20
Withdrew: Randomized but not vaccinated20

Outcome measures

PrimaryGeometric Mean Titers (GMTs) of Prefusion F-protein (preF) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) 14 Days Post Vaccination

GMTs of pre-F antibodies as assessed by ELISA at 14 days post administration of Ad26/protein preF RSV based vaccine were reported.

Time frame:
14 days post vaccination on Day 1 (Day 15)
Reported as:
Geometric mean · ELISA units per liter (EU/L)
Geometric Mean Titers (GMTs) of Prefusion F-protein (preF) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) 14 Days Post Vaccination
ELISA units per liter (EU/L)Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Geometric Mean Titers (GMTs) of Prefusion F-protein (preF) Antibodies as Assessed by Enzyme-linked Immunosorbent Assay (ELISA) 14 Days Post Vaccination5054 (4444 to 5748)4836 (4220 to 5543)
SecondaryNumber of Participants With Solicited Local Adverse Events (AEs) for 7 Days Post Vaccination

Number of participants with solicited local AEs 7 days post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. 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 that included injection site pain/tenderness, erythema and swelling at the study vaccine injection site, were used to assess the reactogenicity of the study vaccine and were pre-defined local (injection site).

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) for 7 Days Post Vaccination
ParticipantsGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Number of Participants With Solicited Local Adverse Events (AEs) for 7 Days Post Vaccination8474
SecondaryNumber of Participants With Solicited Systemic AEs for 7 Days Post Vaccination

Number of participants with solicited systemic AEs 7 days post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Solicited systemic events included events such as fatigue, headache, nausea, and myalgia, 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 for 7 Days Post Vaccination
ParticipantsGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Number of Participants With Solicited Systemic AEs for 7 Days Post Vaccination7677
SecondaryNumber of Participants With Unsolicited AEs for 28 Days Post Vaccination

Number of participants with unsolicited AEs 28 days post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Unsolicited AEs were all AEs for which the participant was not specifically questioned in the participant diary.

Time frame:
Up to Day 28 post vaccination on Day 1 (up to Day 29)
Reported as:
Count of participants · Participants
Number of Participants With Unsolicited AEs for 28 Days Post Vaccination
ParticipantsGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Number of Participants With Unsolicited AEs for 28 Days Post Vaccination912
SecondaryNumber of Participants With Serious Adverse Events (SAEs) Until 6 Months Post Vaccination

Number of participants with SAEs until 6 months post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. 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:
From Day 1 up to 6 months post vaccination on Day 1 (up to Day 183)
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs) Until 6 Months Post Vaccination
ParticipantsGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Number of Participants With Serious Adverse Events (SAEs) Until 6 Months Post Vaccination23
SecondaryNumber of Participants With Adverse Event of Special Interests (AESIs) Until 6 Months Post Vaccination

Number of participants with AESIs until 6 months post vaccination on Day 1 were reported. An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Thrombosis with thrombocytopenia syndrome (TTS) was considered as an AESI.

Time frame:
From Day 1 up to 6 months post vaccination on Day 1 (up to Day 183)
Reported as:
Count of participants · Participants
Number of Participants With Adverse Event of Special Interests (AESIs) Until 6 Months Post Vaccination
ParticipantsGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Number of Participants With Adverse Event of Special Interests (AESIs) Until 6 Months Post Vaccination00
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 at 14 days post administration of Ad26/protein preF RSV based vaccine were expressed as 50 percent (%) inhibitory concentration (IC50) units.

Time frame:
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 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Respiratory Syncytial Virus (RSV) A2 Strain Neutralization Antibody Titers at 14 Days Post Vaccination7710 (6623 to 8976)7256 (6231 to 8450)

Adverse events

Collected over From Day 1 until 6 months post vaccination (up to Day 183). Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg1/123 (0.8%)2/123 (1.6%)3/123 (2.4%)
Group 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg1/125 (0.8%)3/125 (2.4%)2/125 (1.6%)
Most frequent serious events
Most frequent serious events
EventGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
Cardiac ArrestCardiac disorders1/1230/125
Deep Vein ThrombosisVascular disorders1/1230/125
Arteriosclerosis Coronary ArteryCardiac disorders0/1231/125
Cardio-Respiratory ArrestCardiac disorders0/1231/125
HyperkeratosisSkin and subcutaneous tissue disorders0/1231/125
Most frequent other events
Most frequent other events
EventGroup 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcg
ChillsGeneral disorders3/1232/125

Baseline characteristics

The full analysis set (FAS) included all participants who received study vaccine, regardless of the occurrence of protocol deviations.

Age, Continuous
Age, Continuous(years)Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgTotal
Mean63.8 ± 3.8564.2 ± 4.3464 ± 4.1
Sex: Female, Male
Sex: Female, Male(Participants)Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgTotal
Female6563128
Male5862120
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgTotal
Hispanic or Latino4558103
Not Hispanic or Latino7865143
Unknown or Not Reported022
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American131326
White109111220
More than one race011
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)Group 1 (Phase 3 CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgGroup 2 (Phase 2b CTM): Ad26.RSV.preF 1.0*10^11 vp + RSV preF Protein 150 mcgTotal
UNITED STATES123125248
08

Study locations

9 sites
  • Artemis Institute for Clinical Research
    San Diego, California 92103, United States
  • Optimal Research
    San Diego, California 92108, United States
  • Accel Research Sites
    Lakeland, Florida 33803, United States
  • Optimal Research
    Melbourne, Florida 32934, United States
  • Pharmax Research Clinic Inc
    Miami, Florida 33126, United States
  • Research Institute of South Florida Inc
    Miami, Florida 33173, United States
  • Progressive Medical Research
    Port Orange, Florida 32127, United States
  • Meridian Clinical Research, LLC
    Cincinnati, Ohio 45219, United States
  • Tekton Research Inc.
    San Antonio, Texas 78229, United States
09

References and documents

Study documents

  • Study protocol · Nov 26, 2021
  • Statistical analysis plan · Jul 7, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson and 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

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05083585
Lead sponsor
Janssen Vaccines & Prevention B.V.
Responsible party
Sponsor
First posted
Oct 19, 2021
Start date
Oct 8, 2021
Primary completion
Mar 7, 2022
Completion
Sep 22, 2022
Results posted
Sep 11, 2023
Last update
Apr 27, 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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