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Not yet recruitingNCT07363837Updated Jan 23, 2026

Phase Ib/IIa Clinical Trial of SIBP-A16 Injection in Premature Infants and Full-term Infants

A Phase 1/2 interventional study of SIBP-A16 injection and Nirsevimab in Respiratory Syncytial Virus (RSV), sponsored by Shanghai Institute Of Biological Products. Not yet recruiting at 1 site in China. Open to participants aged 0 Months to 12 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-23.

Sponsored by Shanghai Institute Of Biological Products · Phase 1/2, Interventional, and Prevention

Phase
Phase 1/2
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
0 Months to 12 Months
Sex
All
01

Study summary

This trial employs a randomized, double-blind, placebo/positive control, and dose-finding design to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and preliminary efficacy of SIBP-A16 injection in premature and term infants.

Read the detailed description

This study established three study groups: the test drug group, the placebo group, and the positive control group. Four dose cohorts were set up: Cohort 1 (Dose 1), Cohort 2 (Dose 2), Cohort 3 (Dose 3), and Cohort 4 (Dose 2). A total of 36 participants were enrolled. The drug will be administered via intramuscular injection as a single dose. Initially, Cohort 1 enrolled 7 participants, who were randomly assigned to receive either one dose of the test drug or placebo. After completing the initial 14-day safety observation, if the dose escalation termination criteria were not triggered, participants were enrolled into Cohort 2 (11 participants, randomly assigned to receive either one dose of the test drug or placebo). Once Cohort 2 was fully enrolled, participants could be enrolled into Cohort 4 (7 participants, randomly assigned to receive either one dose of the positive control drug or placebo). After Cohort 2 completed the 14-day safety observation, participants were enrolled into Cohort 3 (11 participants, randomly assigned to receive either one dose of the test drug or placebo) following the same procedure. If the dose escalation termination criteria were triggered, the Data Monitoring Committee (DMC) would conduct a safety assessment and discuss with the research team and sponsor whether to terminate the dose escalation.

02

Conditions studied

  • Respiratory Syncytial Virus (RSV)

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Keywords

  • RSV
  • Preliminary efficacy
  • Premature and term infants
  • Pharmacokinetics
  • Safety
  • Tolerability
03

Who can participate

Ages eligible
0 Months to 12 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • During screening, infants within 1 year of age, including premature infants (gestational age ≥29 to \<35 weeks) and full-term infants (gestational age ≥35 weeks), with underlying diseases but no other risk factors, are allowed to participate in the trial;
  • Infants with a body weight ≥3 kg at screening;
  • Infants who are entering their first RSV infection season at screening;
  • Parents/legal guardians of trial participants have signed the informed consent form;
  • Parents/legal guardians of trial participants are able to understand and comply with the requirements and procedures of the protocol, including scheduled center visits, telephone interviews, and blood sample collection;
  • Participants can complete the follow-up period, which is approximately 1 year after the administration of the study drug.

Exclusion criteria

Exclusion Criteria:

  • Any fever (≥37.5°C, axillary temperature) or acute illness (defined as the presence of moderate or severe symptoms or signs) occurring within 7 days prior to drug administration;
  • Having experienced Lower Respiratory Tract Infections (LRTI) within the previous 7 days prior to randomization, or having active LRTI at the time of randomization;
  • Individuals with chronic eczema or urticaria, or those with an allergic constitution who are allergic to multiple drugs, or those with a known history of allergy to immunoglobulin products, blood products, other exogenous proteins, or any components of this product;
  • Had a history of RSV infection before randomization, or had active RSV infection at the time of randomization;
  • Those who have received non-oral inactivated vaccines or component vaccines within 7 days before administration;
  • Having received a non-oral live attenuated vaccine within 30 days prior to drug administration;
  • Participants who have received any medication within 7 days prior to drug administration, except for: a) various vitamins and iron supplements; b) systemic over-the-counter medications (such as analgesics) for common pediatric symptoms, which may be used occasionally, as determined by the investigator;
  • Participants with autoimmune diseases who are currently receiving, or are expected to receive according to the investigator's judgment, immunosuppressive therapy (including steroids, excluding topical steroids) during the trial period;
  • Have previously used or are expected to receive blood products or immunoglobulin products during the trial period;
  • Known renal dysfunction or liver dysfunction;
  • Known to have chronic lung disease (CLD)/bronchopulmonary dysplasia;
  • Congenital respiratory abnormalities with clinical significance;
  • Suffering from congenital heart disease (CHD) accompanied by significant hemodynamic changes;
  • Suffering from chronic epilepsy or progressive or unstable neurological disorders;
  • Those who have previously experienced or are suspected to have experienced life-threatening acute events, and are still deemed unsuitable for participating in clinical trials by the researchers;
  • Known immune deficiency, including infection with human immunodeficiency virus (HIV);
  • The mother is infected with HIV (unless it has been proven that the trial participant is not infected);
  • The mother received the RSV vaccine during pregnancy;
  • Have received any investigational drugs or participated in any intervention studies;
  • Any other circumstances that the researcher believes may interfere with the evaluation of the study drug or the interpretation of the study results;
  • The participants are the children of the researchers, their subordinate researchers, relatives, or staff members of the sponsor.
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Experimental group

    SIBP-A16 injection

    Drug: SIBP-A16 injection

  • Active comparator
    Positive Comparator

    Nirsevimab

    Drug: Nirsevimab

  • Placebo comparator
    Placebo

    SIBP-A16 buffer solution

    Drug: SIBP-A16 buffer solution

Interventions

  • DrugSIBP-A16 injection

    Strength: dose 1, dose 2 and dose 3. Single administration via intramuscular or intravenous injection.

  • DrugNirsevimab

    Participants will receive one dose of Nisibimab via intramuscular injection.

  • DrugSIBP-A16 buffer solution

    Participants in the placebo group will be assigned to four dose cohorts, and they will receive one dose of Placebo via intramuscular injection.

05

What researchers measure

Primary outcomes

  1. AE (Adverse Events)

    That is adverse events, any adverse events that occurred to the participant during the study period.

    Time frame: From day 1 to day 360 after administration

  2. SAE (Serious Adverse Events)

    That is serious adverse events, any serious adverse events that occurred to the participant during the study period.

    Time frame: From day 1 to day 360 after administration

  3. Adverse Event of Special Interest (AESI)

    Adverse events defined in the protocol that require special attention, such as abnormal liver function, anaphylactic reaction, hypersensitivity reaction, etc.

    Time frame: From day 1 to day 360 after administration

  4. New-onset chronic diseases (NOCD)

    NOCD refer to chronic non-communicable diseases that emerge during clinical trials.

    Time frame: From day 1 to day 360 after administration

Secondary outcomes

  1. AUC (Area Under The Plasma Concentration Versus Time Curve)

    It shows the degree to which a drug is absorbed and used in the body.

    Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration

  2. Cmax (Peak Plasma Concentration)

    It shows the highest plasma concentration of a drug that can be achieved after administration.

    Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration

  3. Tmax (Peak Time)

    That is peak time of drug action, it shows the time required to reach the maximum concentration on the participant plasma concentration curve after administration.

    Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration

  4. Detecting RSV neutralizing antibody activity at various time points

    The RSV neutralizing assay was used to analyze the neutralizing activity of participants against RSV at various time points (before administration, and on days 7, 30, 90, 150, and 360 after administration).

    Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration

  5. Level of Anti-drug antibody (ADA)

    If ADA is positive, further use validated analytical methods to detect the anti-SIBP-A16 neutralizing antibody (Nab).

    Time frame: Before injection, on the 30th, 150th and 360th days after administration

06

Study locations

1 site
  • West China Second Hospital, Sichuan University
    Chengdu, Sichuan, China
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07363837
Lead sponsor
Shanghai Institute Of Biological Products
Responsible party
Sponsor
First posted
Jan 23, 2026
Start date
Jan 15, 2026 (estimated)
Primary completion
Mar 31, 2027 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Jan 23, 2026

Study contacts

Dandan Chen, Master
Contact
ddchen.sh@sinopharm.com
86-021-62800991
Bin Wu, Bachelor
Contact
wubin50@sinopharm.com
02162800991
Hanwen Liu
principal investigator · West China Second Hospital, Sichuan University

Oversight

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

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