ClinicalTrials.gg
RecruitingNCT07214571Updated Oct 21, 2026

A Study of S-337395 in Symptomatic Nonhospitalized Adults With Respiratory Syncytial Virus (RSV) Who Are at High Risk of Progression to Severe Disease

A Phase 2 interventional study of S-337395 and Placebo in Respiratory Syncytial Virus Infections, sponsored by Shionogi. Recruiting at 89 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Shionogi · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 11 months later.
Updated Oct 21, 2026First site in Vietnam5 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
192
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to investigate the antiviral effect of S-337395 compared with placebo among nonhospitalized adult participants with high-risk factors for progression to severe RSV infection starting intervention within 72 hours of RSV symptom onset.

02

Conditions studied

  • Respiratory Syncytial Virus Infections

Keywords

  • Respiratory Syncytial Virus Infections
  • RSV infection
  • Viral infection
  • S-337395
  • Acute lower respiratory tract infection
03

In context

Respiratory Syncytial Virus Infections

306 studies on the registry are indexed under Respiratory Syncytial Virus Infections; 50 are open to participants now.

This study's planned enrollment of 192 is above the median of 89 across 223 interventional studies indexed under Respiratory Syncytial Virus Infections.

Browse Respiratory Syncytial Virus Infections studies →

Lead sponsor

Shionogi is the lead sponsor of 105 studies on the registry; 10 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 21 (54%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Participants who have new onset or worsening (if present chronically) of at least 1 of the following signs and/or symptoms consistent with a viral acute respiratory infection within 72 hours prior to randomization: fever, nasal congestion, nasal discharge, sore throat, cough, sputum production, shortness of breath, or wheezing.
  • Participants diagnosed with RSV infection preferably using a rapid polymerase chain reaction (PCR) or other molecular-based diagnostic assay.
  • Has at least 1 of the following risk factors for severe RSV disease:

    1. ≥ 75 years of age;
    2. Chronic lung disease that is symptomatic and requiring chronic treatment; and
    3. Chronic cardiovascular disease that is symptomatic and requiring chronic treatment.
  • With the exception of the RSV disease, medically stable on the basis of medical history, physical examination, vital signs, and 12-lead (ECG) performed at screening.

Key Exclusion Criteria:

  • Hospitalized or expected to be hospitalized within 24 hours of screening.
  • Is considered by the investigator to be , due to an underlying medical condition or medical therapy, chemotherapy, radiation, stem cell or solid organ transplant.
  • Has known allergies, , or intolerance to S-337395 or to any of the of the S-337395 or placebo formulation.
  • Suspicion or known severe renal impairment.
  • Any other medical or psychiatric condition making the participant unsuitable for the current study or interfering with the evaluation of response to the study intervention in the opinion of the investigator/subinvestigator.
  • Has received a therapy intended to treat RSV infection within 14 days prior to screening.
  • Is receiving chemotherapy or immunotherapy for .
  • Has received RSV vaccination within 7 days prior to screening.
  • Has had either confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or influenza infection (test was positive) during the 28 days prior to screening.
  • Has any other confirmed respiratory infection by any pathogen at, or within 28 days of screening.

Note: Other protocol-specified inclusion and exclusion criteria may apply.

Terms in these criteria, in plain language(6)

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
192 participants (estimated)

Study arms

  • Experimental
    S-337395 High Dose

    Participants will receive a high dose of S-337395 twice daily (BID) orally for up to 5 days.

    Drug: S-337395

  • Experimental
    S-337395 Low Dose

    Participants will receive a low dose of S-337395 BID orally for up to 5 days.

    Drug: S-337395

  • Placebo comparator
    Placebo

    Participants will receive matching placebo BID orally for 5 days.

    Drug: Placebo

Interventions

  • DrugS-337395

    S-337395 will be administered per schedule specified in the arm description.

  • DrugPlacebo

    Placebo matched to S-337395 will be administered per schedule specified in the arm description.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in RSV Ribonucleic Acid (RNA) Load by Quantitative Reverse Transcription Polymerase Chain Reaction (qRT-PCR) (Nasopharyngeal Swab) at Day 2

    Time frame: Baseline, Day 2

  2. Change From Baseline in RSV RNA Load by qRT-PCR (Nasopharyngeal Swab) at Day 4

    Time frame: Baseline, Day 4

  3. Change From Baseline in RSV RNA Load by qRT-PCR (Nasopharyngeal Swab) at Day 6

    Time frame: Baseline, Day 6

Secondary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame: Day 1 up to Day 28

  2. Change From Baseline in Severity of RSV Respiratory Symptom Score Based on the Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Respiratory Symptom Subscale (RiiQ-RSS)

    Time frame: Baseline up to Day 6

  3. Change From Baseline in Severity of RSV Systemic Symptoms Score Based on the RiiQ Systemic Symptom Subscale (RiiQ-SSS)

    Time frame: Baseline up to Day 6

  4. Change From Baseline in Severity of RSV Total Symptoms Score Based on the Combined RiiQ RSS and RiiQ-SSS

    Time frame: Baseline up to Day 6

  5. Time to First Resolution of All Respiratory RSV-related Symptoms Based on the RiiQ-RSS

    Time frame: Baseline up to Day 6

  6. Time to Sustained (2 Consecutive Days) Resolution of All Respiratory RSV-related Symptoms Based on the RiiQ-RSS

    Time frame: Baseline up to Day 6

  7. Time to First Resolution of All Systemic RSV-related Symptoms Based on the RiiQ-SSS

    Time frame: Baseline up to Day 6

  8. Time to Sustained Resolution of All Systemic RSV-related Symptoms Based on the RiiQ-SSS

    Time frame: Baseline up to Day 6

  9. Time to First Resolution of All Respiratory and Systemic RSV-related Symptoms Based on the Combined RiiQ RSS and RiiQ-SSS

    Time frame: Baseline up to Day 6

  10. Time to Sustained Resolution of All Respiratory and Systemic RSV-related Symptoms Based on the Combined RiiQ RSS and RiiQ-SSS

    Time frame: Baseline up to Day 6

  11. Time to First Resolution of Each Separate RSV-related Symptom Based on the RiiQ Symptom Subscale

    Time frame: Baseline up to Day 6

  12. Time to Sustained Resolution of Each Separate RSV-related Symptom Based on the RiiQ Symptom Subscale

    Time frame: Baseline up to Day 6

  13. Change From Baseline in RSV RNA Load

    Time frame: Baseline up to Day 6

  14. Area Under the Curve (AUC) of Change From Baseline in RSV RNA Load

    Time frame: Baseline up to Day 6

  15. Time to the First Negative RSV RNA Load by qRT-PCR

    Time frame: Baseline up to Day 6

  16. Time to Sustained Negative RSV RNA Load by qRT-PCR

    Time frame: Baseline up to Day 6

  17. Percentage of Participants With Negative RSV RNA Load by qRT-PCR

    Time frame: Baseline up to Day 6

  18. Time to the First RSV RNA Load <Lower Limit of Quantitation (LLOQ)

    Time frame: Baseline up to Day 6

  19. Time to Sustained RSV RNA Load <LLOQ

    Time frame: Baseline up to Day 6

  20. Percentage of Participants With RSV RNA Load <LLOQ

    Time frame: Baseline up to Day 6

  21. Change From Baseline in Infectious Titer

    Time frame: Baseline up to Day 6

  22. AUC of Change From Baseline in Infectious Titer

    Time frame: Baseline up to Day 6

  23. Time to the First Negative RSV Infectious Titer

    Time frame: Baseline up to Day 6

  24. Time to Sustained Negative RSV Infectious Titer

    Time frame: Baseline up to Day 6

  25. Percentage of Participants With Negative RSV Infectious Titer

    Time frame: Baseline up to Day 6

  26. Time to the First RSV Infectious Titer <LLOQ

    Time frame: Baseline up to Day 6

  27. Time to Sustained RSV Infectious Titer <LLOQ

    Time frame: Baseline up to Day 6

  28. Percentage of Participants With RSV Infectious Titer <LLOQ

    Time frame: Baseline up to Day 6

  29. Plasma Concentration of S-337395 After Repeated Oral Doses of S-337395

    Time frame: Baseline up to Day 6

  30. Plasma Concentration of S-337395 12 and 24 Hours After the First Dose and the Last Dose (C12 and C24)

    Time frame: 12 hours and 24 hours after first dose (Day 2) and last dose (Day 6)

07

Study locations

88 of 89 sites recruiting
  • LA Universal Research Center, Inc.
    Los Angeles, California 900057-4040, United States
    Recruiting
  • Central Valley Research
    Modesto, California 95350, United States
    Recruiting
  • Med Partnes, Inc - Elligo- PPDS
    Toluca Lake, California 91602-3457, United States
    Recruiting
  • Hope Clinical Trials - 3970 W Flagler St.
    Coral Gables, Florida 33134-1642, United States
    Recruiting
  • Beautiful Minds Clinical Research Center
    Cutler Bay, Florida 33157, United States
    Recruiting
  • Doral Medical Research
    Hialeah, Florida 33016-1897, United States
    Recruiting
  • Southern Clinical Research
    Miami, Florida 33125-4106, United States
    Recruiting
  • LCC Medical Research - Miami - BTC - PPDS
    Miami, Florida 33126, United States
    Recruiting
  • Global Health Clinical Trials
    Miami, Florida 33135-2961, United States
    Recruiting
  • Nuren Medical and Research Center
    Miami, Florida 33144-2069, United States
    Recruiting
  • Continental Clinical Research, LLC
    Miami, Florida 33144-4273, United States
    Recruiting
  • Dynamic Medical Research, LLC - Miami
    Miami, Florida 33144, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Miami Clinical Research, LLP.
    Miami, Florida 33155, United States
    Recruiting
  • Reed Medical Research
    Miami, Florida 33176-8709, United States
    Recruiting
  • Palm Springs Community Health Center
    Miami Lakes, Florida 33014-2266, United States
    Recruiting
  • Oceanic Research Group, LLC
    North Miami Beach, Florida 33169-5513, United States
    Recruiting
  • CDC Research Institute, LLC
    Port Saint Lucie, Florida 34952-7539, United States
    Recruiting
  • Cordova Research Insittute
    Sweetwater, Florida 33182, United States
    Recruiting
  • Better Life Clinical Research LLC
    Tampa, Florida 33607, United States
    Recruiting
  • Research Bay,Inc.
    Tampa, Florida 33607, United States
    Recruiting
  • Santos Research Center - 5927 Webb Rd
    Tampa, Florida 33615-3219, United States
    Recruiting
  • Angels Clinical Research Institute Tampa-Palm Springs
    Tampa, Florida 336214-2869, United States
    Recruiting
  • Covenant Pulmonary Criticial Care and Research Ins
    East Point, Georgia 30344-3604, United States
    Recruiting
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
    Recruiting
  • University of Massachusetts
    Worcester, Massachusetts 01655, United States
    Recruiting
  • Clay Platte Family Medicine - CCT Research
    Kansas City, Missouri 64151-2411, United States
    Recruiting
  • NYC Health + Hospitals/Lincoln Medical Center - BRANY - PPDS
    The Bronx, New York 10451, United States
    Recruiting
  • Prime Global Research, Inc.
    The Bronx, New York 10456-2102, United States
    Recruiting
  • Progressive Medicine of the Triad, LLC
    Winston-Salem, North Carolina 27103, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Recruiting
  • Epic Medical Research - Chickasha
    Chickasha, Oklahoma 73018-2738, United States
    Recruiting
  • Rhode Island Hospital
    Providence, Rhode Island 02903-4923, United States
    Recruiting
  • Epic Med. Research LLC, DeSoto
    DeSoto, Texas 75115-2043, United States
    Recruiting
  • DCT-McAllen Primary Care Research, LLC
    McAllen, Texas 78503, United States
    Recruiting
  • SMS Clinical Research, LLC - 400 W. Kearney St
    Mesquite, Texas 751497, United States
    Recruiting
  • Clinical Research Partners LLC
    Richmond, Virginia 23226-3786, United States
    Recruiting
  • Frontier Clinical Research Waterfront
    Morgantown, West Virginia 26501, United States
    Recruiting
  • Fundación Huésped - PPDS
    CABA, Buenos Aires C1427CEA, Argentina
    Recruiting
  • AES - AS - Glenny Corp. S.A. Buenos Aires
    CABA, Buenos Aires C1430CKE, Argentina
    Recruiting
  • CEMLO - Centro de Especialidades Médicas
    Lobos, Buenos Aires C7240, Argentina
    Recruiting
  • Instituto De Enfermedades Respiratorias E Investigación Médica - IERIM
    San Juan Bautista, Buenos Aires 1888, Argentina
    Recruiting
  • Instituto Médico Río Cuarto
    Río Cuarto, Córdoba Province X5800AEV, Argentina
    Recruiting
  • AES - AS - Clinica Mayo de Urgencias
    San Miguel de Tucumán, Tucumán Province T4000IHE, Argentina
    Recruiting
  • Medical Center Hera EOOD, Montana
    Montana, Sofia 3400, Bulgaria
    Recruiting
  • Multiprofile Hospital For Active Treatment Dr Tota Venkova - PRATIA - PPDS
    Gabrovo, 5300, Bulgaria
    Recruiting
  • MCpulmo-2018 Ltd
    Haskovo, 6300, Bulgaria
    Recruiting
  • Medical Center Hera EOOD
    Sofia, 1510, Bulgaria
    Recruiting
  • Medical Center Neuromedics EOOD - 4 Veliki Preslav Str
    Veliko Tarnovo, 5005, Bulgaria
    Recruiting
  • Kamezawa Clinic
    Kasugai-Shi, Aiti 0568-56-5050, Japan
    Recruiting
  • Hosokawa Surgical Clinic
    Nagoya-Shi Nakamura-Ku, Aiti 052-481-9921, Japan
    Recruiting
  • Doi Clinic
    Chikushino-shi, Fukuoka 092-926-7415, Japan
    Recruiting
  • Irie Clinic
    Fukuoka, Fukuoka 092-651-4521, Japan
    Recruiting
  • Tomita Internal Medicine Clinic
    Fukuoka-Shi Chuo-Ku, Fukuoka 092-707-2103, Japan
    Recruiting
  • PS Clinic
    Fukuoka-Shi Hakata-Ku, Fukuoka 092-283-7777, Japan
    Recruiting
  • Medical corporation Aimeikai Morizono internal medicine
    Kitakyushu-Shi Yahatanishi-Ku, Fukuoka 093-611-5335, Japan
    Recruiting
  • Social Medical Corporation the Chiyukai foundation Shin Komonji Hospital
    Kitakyushu-Shi, Fukuoka 093-391-1001, Japan
    Recruiting
  • Shizuka Clinic
    Takasaki-shi, Gunma 027-370-0777, Japan
    Recruiting
  • Social medical corporation Keiwakai Nishioka Hospital
    Sapporo-Shi Toyohira-Ku, Hokkaidô 011-853-8322, Japan
    Recruiting
  • Terada Internal Medicine and Respiratory Department
    Himeji-shi, Hyôgo 079-285-0111, Japan
    Recruiting
  • Tsuchiura Beryl Clinic
    Tsuchiura-Shi, Ibaraki 029-835-3002, Japan
    Recruiting
  • Gajyumaru Clinic Tsukuba
    Tsukuba, Ibaraki 029-893-4159, Japan
    Recruiting
  • Shiwa Central Pediatrics
    Shiwa-gun, Iwate 019-672-1110, Japan
    Recruiting
  • Medical corporation Kojinkai Takahashi Internal Medicine
    Kawasaki-Shi, Kanagawa 044-740-2717, Japan
    Recruiting
  • Ebino Centro Clinic
    Ebino, Miyazaki 0984-33-5777, Japan
    Recruiting
  • Rinku General Medical Center
    Izumisano, Osaka 072-469-3111, Japan
    Recruiting
  • Yamaichi Building Internal Medicine Clinic
    Adachi-Ku, Tokyo 03-884-8888, Japan
    Recruiting
  • Medical Corporation Hosoda Clinic
    Katsushika-ku, Tokyo 03-3657-3430, Japan
    Recruiting
  • Medical Corporation Shirayurikai Swing Building Nozaki Clinic
    Musashino, Tokyo 0422-36-3534, Japan
    Recruiting
  • Nogata Clinic
    Nakano-ku, Tokyo 03-3389-2201, Japan
    Recruiting
  • Noguchi Internal Medicine Clinic
    Nakano-Ku, Tokyo 03-3926-0007, Japan
    Recruiting
  • Sato Clinic
    Shibuya-Ku, Tokyo 03-5447-2477, Japan
    Recruiting
  • Mih Clinic Yoyogi
    Shibuya-Ku, Tokyo 03-6276-5385, Japan
    Recruiting
  • Medical corporation Hiroyukai Yotsuya Internal Medicine
    Shinjuku-Ku, Tokyo 03-5368-0675, Japan
    Recruiting
  • Yoshida Clinic
    Suginami-ku, Tokyo 03-5347-7300, Japan
    Recruiting
  • Sekino Hospital
    Toshima-Ku, Tokyo 03-3986-5501, Japan
    Recruiting
  • Kijima Kids Clinic
    Higashiokitama-gun, Yamagata 0238-54-0135, Japan
    Recruiting
  • Toda Internal Medicine and Neurology
    Hyōgo, 078-947-5575, Japan
    Recruiting
  • Alergo-Med Osrodek Badan Klinicznych sp z o.o
    Tarnów, Lesser Poland Voivodeship 33-100, Poland
    Recruiting
  • Centrum Medyczne Chojnice - PRATIA - PPDS
    Chojncie, Pomeranian Voivodeship 86-900, Poland
    Recruiting
  • Ostrowieckie Centrum Medyczne Spólka Cywilna Anna Olech-Cudzik, Krzysztof Cudzik
    Ostrowiec Świętokrzyski, Świętokrzyskie Voivodeship 27-400, Poland
    Recruiting
  • Newtown Clinical Research Centre
    Johannesburg, Gauteng 2001, South Africa
    Recruiting
  • Roodepoort Medicross Clinical Research Centre
    Princess Crossing, Roodepoort 1724, South Africa
    Recruiting
  • Be Part Yoluntu Centre
    Paarl, Western Cape 7655, South Africa
    Recruiting
  • The Aurum Institute Rustenburg Clinical Research Site
    Rustenburg, 2999, South Africa
    Recruiting
  • Tri-Service General Hospital
    Neihu District, Taipei 114202, Taiwan
    Recruiting
  • Kaohsiung Veterans General Hospital
    Kaohsiung City, 813414, Taiwan
    Recruiting
  • Kaohsiung Medical University - Chung-Ho Memorial Hospital
    Kaohsiung City, Taiwan
    Recruiting
  • Hanoi Medical University Hospital
    Hà Nội, 100000, Vietnam
    Recruiting
  • University of Medicine and Pharmacy
    Ho Chi Minh City, 700000, Vietnam
    Recruiting
08

Updates

2 registry updates since Sep 25, 2026
Sites
5 sites added — first site in Vietnam
Show 5 added (2 Argentina, 2 Vietnam, 1 United States)
  • University of Massachusetts · Worcester, United States
  • CEMLO - Centro de Especialidades Médicas · Lobos, Argentina
  • Instituto De Enfermedades Respiratorias E Investigación Médica - IERIM · San Juan Bautista, Argentina
  • Hanoi Medical University Hospital · Hà Nội, Vietnam
  • University of Medicine and Pharmacy · Ho Chi Minh City, Vietnam
across 2 updates, Sep 29, 2026 – Oct 21, 2026
Show all 2 updates
  1. Oct 21, 2026
    2 sites added — first site in Vietnam
    Show 2 added (2 Vietnam)
    • Hanoi Medical University Hospital · Hà Nội, Vietnam
    • University of Medicine and Pharmacy · Ho Chi Minh City, Vietnam
    + 1 other change: verification date
  2. Sep 29, 2026
    3 sites added
    Show 3 added (2 Argentina, 1 United States)
    • University of Massachusetts · Worcester, United States
    • CEMLO - Centro de Especialidades Médicas · Lobos, Argentina
    • Instituto De Enfermedades Respiratorias E Investigación Médica - IERIM · San Juan Bautista, Argentina
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07214571
Lead sponsor
Shionogi
Responsible party
Sponsor
First posted
Oct 9, 2025
Start date
Dec 11, 2025
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Oct 21, 2026

Study contacts

Shionogi Clinical Trials Administrator Clinical Support Help Line
Contact
Shionogiclintrials-admin@shionogi.co.jp
800-849-9707

Oversight

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

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