ClinicalTrials.gg
RecruitingNCT07839871Updated Nov 6, 2026

Study to Learn About a Respiratory Syncytial Virus Vaccine in Children at High Risk of RSV Disease

A Phase 3 interventional study of RSVpreF and Placebo in Respiratory Syncytial Virus (RSV), sponsored by Pfizer. Recruiting at 20 sites in 4 countries. Open to participants aged 5 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Pfizer · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 6, 2026Now RecruitingFirst sites in Poland and Spain+5 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
920
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the safety, tolerability, and immunogenicity of RSVpreF in children 5 to \<18 years of age at high risk for RSV disease, including those who are immunocompromised.

Read the detailed description

The study will first enroll immunocompetent, RSV-experienced participants before enrolling immunocompromised participants to allow for safety data review. Both Cohorts 1 (chronic conditions) and 2 (immunocompromising conditions) will be stratified into 2 age strata. Cohort 1a will enroll participants 12 to \<18 years of age with chronic medical conditions and Cohort 1b will enroll participants 5 to \<12 years of age with chronic medical conditions. Cohort 2a will enroll immunocompromised participants 12 to \<18 years of age and Cohort 2b will enroll immunocompromised participants 5 to \<12 years of age.

02

Conditions studied

  • Respiratory Syncytial Virus (RSV)

Keywords

  • RSV, Vaccine
  • Pediatric
03

In context

Lead sponsor

Pfizer is the lead sponsor of 3,334 studies on the registry; 149 are open to participants now.

Of its 601 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

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

04

Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Key Inclusion Criteria:

  • Participants' age requirements for each study cohort at enrollment, respectively Cohort 1a (chronic medical conditions) 12 to \<18 years of age Cohort 1b (chronic medical conditions) 5 to \<12 years of age Cohort 2a (immunocompromising conditions) 12 to \<18 years of age Cohort 2b (immunocompromising conditions) 5 to \<12 years of age
  • Participants depending on the study cohort requirements, will be considered by the investigator to be at high risk of LRTI-RSV based on the following disease characteristics and definitions:

Chronic medical conditions:

  • Cystic fibrosis
  • Medically treated asthma
  • Other chronic respiratory diseases and malformations of the lung
  • Trisomy 21 (Down syndrome)
  • Neuromuscular disease
  • Cerebral palsy
  • Hemodynamically significant or symptomatic congenital heart disease
  • Sickle cell disease
  • Confirmed stable disease defined as documented viral load \<50 copies/mL and >200 cells/mm3 within 6 months before enrollment, and on stable antiretroviral therapy for at least 6 months

Immunocompromising conditions:

  • Immunomodulatory therapy: Is on an active (including cytotoxic) or immunomodulatory therapy at a stable dose. Patients taking as monotherapy must be on a dose of at least 2 mg/kg/day or 20 mg/day or greater OR
  • Primary immune deficiency: Has a diagnosed primary immunodeficiency disease OR
  • Cellular therapy: Has received a bone marrow or stem cell transplant at least 6 months (180 days) prior to enrollment with adequate immune reconstitution for immunization in the investigator's opinion or has received chimeric antigen receptor T cell (CAR-T) therapy more than 90 days prior to enrollment OR
  • Solid organ transplant: Has received a solid organ transplant at least 3 months prior and with no acute rejection episodes within 90 days prior to enrollment and is on ongoing immunosuppressive therapy OR
  • End-stage renal disease: Has end-stage renal disease (ESRD) on hemodialysis (HD)
  • Participants' weight must be:

Cohort 1a: ≥30.0 kg at enrollment Cohort 1b: ≥14.5 kg at enrollment Cohort 2a : ≥30 kg at enrollment Cohort 2b: ≥14.5 kg at enrollment

•The participant's parent(s)/legal guardian is capable of giving signed , which includes compliance with the requirements and restrictions listed in the ICD and in the protocol. Depending on the age of the participant and according to local requirements, participants will also be asked to provide assent as appropriate (verbal or written)

Key Exclusion Criteria:

  • Applicable to Cohort 1 (a and b) participants only: Immunocompromised individuals with known or suspected immunodeficiency, as determined by history and/or laboratory/physical examination
  • Applicable to Cohort 1 (a and b) participants only: Individuals with a history of disease, past or present, requiring therapeutic intervention including, but not limited to, systemic lupus erythematosus. Note: Stable type 1 diabetes and hypothyroidism are permitted
  • History of severe adverse reaction associated with a vaccine and/or severe allergic reaction (eg, anaphylaxis) to any component of the study intervention(s)
  • Bleeding diathesis or condition associated with prolonged bleeding that would, in the opinion of the investigator, contraindicate intramuscular injection
  • Individuals with epilepsy or other seizure disorders that is uncontrolled/unstable, or a history of seizures and/or other neurological complications following vaccination
  • History of Guillain-Barré syndrome and/or acute polyneuropathy without an underlying etiology.
  • Individuals who are pregnant
  • Any medical or psychiatric condition, including any active suicidal ideation in the past year or suicidal behavior in the past 5 years or laboratory abnormality, that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study
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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Informed consent

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

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

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

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

Study arms

  • Experimental
    Cohort 1: RSVpreF

    Cohort 1 (a and b): Participants will receive a single dose of RSVpreF at the first study visit.

    Biological: RSVpreF

  • Placebo comparator
    Cohort 1: Placebo

    Cohort 1 (a and b): Participants will receive a single dose of placebo at the first study visit.

    Biological: Placebo

  • Experimental
    Cohort 2: RSVpreF/RSVpreF

    Cohort 2 (a and b): Participants will receive 1 dose of RSVpreF at the first study visit, and 1 dose of RSVpreF at the 12-month visit.

    Biological: RSVpreF

  • Experimental
    Cohort 2: RSVpreF/Placebo

    Cohort 2 (a and b): Participants will receive 1 dose of RSVpreF at the first study visit, and 1 dose of placebo at the 12-month visit.

    Biological: RSVpreF · Biological: Placebo

Interventions

  • BiologicalRSVpreF

    RSVpreF Vaccine

  • BiologicalPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Cohort 1: Proportion of participants reporting pre-specified local reactions within 7 days following investigational product administration

    Describe pre-specified local reactions in children 5 to \<18 years of age with chronic medical conditions

    Time frame: Within 7 days

  2. Cohort 2: Proportion of participants reporting pre-specified local reactions within 7 days following each investigational product administration

    Describe pre-specified local reactions in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: Within 7 days

  3. Cohort 1: Proportion of participants reporting pre-specified systemic events within 7 days following investigational product administration

    Describe pre-specified systemic events in children 5 to \<18 years of age with chronic medical conditions

    Time frame: Within 7 days

  4. Cohort 2: Proportion of participants reporting pre-specified systemic events within 7 days following each investigational product administration

    Describe pre-specified systemic events in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: Within 7 days

  5. Cohort 1: Proportion of participants reporting adverse events (AEs) through 1 month following investigational product administration

    Describe AEs in children 5 to \<18 years of age with chronic medical conditions

    Time frame: From vaccination through 1 month after vaccination

  6. Cohort 2: Proportion of participants reporting adverse events (AEs) through 1 month following last investigational product administration

    Describe AEs in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: From vaccination through 1 month after last vaccination

  7. Cohort 1: Proportion of participants reporting serious adverse events (SAEs) throughout the study

    Describe SAEs in children 5 to \<18 years of age with chronic medical conditions

    Time frame: From vaccination through 24 months after vaccination

  8. Cohort 2: Proportion of participants reporting serious adverse events (SAEs) throughout the study

    Describe SAEs in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: From vaccination through 12 months after last vaccination

  9. Cohort 1: Proportion of participants reporting newly diagnosed chronic medical conditions (NDCMCs) throughout the study

    Describe NDCMCs in children 5 to \<18 years of age with chronic medical conditions

    Time frame: From vaccination through 24 months after vaccination

  10. Cohort 2: Proportion of participants reporting newly diagnosed chronic medical conditions (NDCMCs) throughout the study

    Describe NDCMCs in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: From vaccination through 12 months after last vaccination

  11. Cohort 1: Geometric mean ratio (GMR), estimated by the ratio of the geometric mean titers (GMTs) for RSV A and RSV B serum neutralizing titers (NTs) 1 month after vaccination in participants in Study C3671017 Cohort 1 compared to those in Study C3671013

    Demonstrate that the immune responses elicited by RSVpreF in children 5 to \<18 years of age with chronic medical conditions are noninferior to the immune responses in adults ≥60 years of age

    Time frame: 1 month after vaccination

  12. Cohort 1: Seroresponse rate of RSV A and RSV B serum NTs at 1 month after vaccination

    Demonstrate that the immune responses elicited by RSVpreF in children 5 to \<18 years of age with chronic medical conditions are noninferior to the immune responses in adults ≥60 years of age. Seroresponse is defined as a postvaccination NT ≥4 times the lower limit of quantitation (LLOQ) if the prevaccination titer is below the LLOQ; or a ≥4-fold rise from prevaccination if the prevaccination titer is ≥ LLOQ

    Time frame: 1 month after vaccination

  13. Cohort 2: Neutralizing Titers (NTs) for RSV A and RSV B expressed as Geometric Mean Titers (GMT)

    Describe the immune responses elicited by 1 or 2 doses of RSVpreF in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: Before each vaccination, 1 month after each vaccination, 12 months after last vaccination

  14. Cohort 2: NTs for RSV A and RSV B expressed as Geometric Mean Fold Rise (GMFR)

    Describe the immune responses elicited by 1 or 2 doses of RSVpreF in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: 1 month after each vaccination, 12 months after last vaccination

  15. Cohort 2: NTs for RSV A and RSV B expressed as seroresponse rate

    Describe the immune responses elicited by 1 or 2 doses of RSVpreF in children 5 to \<18 years of age with immunocompromising conditions

    Time frame: 1 month after each vaccination, 12 months after last vaccination

Secondary outcomes

  1. Cohort 1: NTs for RSV A and RSV B expressed as Geometric Mean Titers (GMT)

    Describe the immune responses elicited by RSVpreF in children 5 to \<18 years of age with chronic medical conditions

    Time frame: Before vaccination, 1 month after vaccination, 12 months after vaccination, 24 months after vaccination

  2. Cohort 1: NTs for RSV A and RSV B expressed as GMFR

    Describe the immune responses elicited by RSVpreF in children 5 to \<18 years of age with chronic medical conditions

    Time frame: 1 month after vaccination, 12 months after vaccination, 24 months after vaccination

  3. Cohort 1: NTs for RSV A and RSV B expressed as seroresponse rate

    Describe the immune responses elicited by RSVpreF in children 5 to \<18 years of age with chronic medical conditions. Seroresponse is defined as a postvaccination NT ≥4 times the lower limit of quantitation (LLOQ) if the prevaccination titer is below the LLOQ; or a ≥4-fold rise from prevaccination if the prevaccination titer is ≥ LLOQ

    Time frame: 1 month after vaccination, 12 months after vaccination, 24 months after vaccination

07

Study locations

11 of 20 sites recruiting
  • Duke Vaccine and Trials Unit
    Durham, North Carolina 27703, United States
    Recruiting
  • Cincinnati Children's Hospital Medical Center Vaccine Research Center
    Cincinnati, Ohio 45206, United States
    Recruiting
  • Senders Pediatrics
    South Euclid, Ohio 44121, United States
    Recruiting
  • Seattle Childrens Research Institute
    Seattle, Washington 98101, United States
    Recruiting
  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
    Recruiting
  • Maebashi Red Cross Hospital
    Maebashi, Gunma 371-0811, Japan
    Recruiting
  • Saitama City Hospital
    Midori, Saitama 336-8522, Japan
    Recruiting
  • Fukuwa Clinic
    Chuo-ku, Tokyo 104-0031, Japan
    Recruiting
  • ZOZ Medyk Sp. z o.o.
    Milówka, Silesian Voivodeship 34-360, Poland
    Not yet recruiting
  • Uniwersytecki Dziecięcy Szpital Kliniczny im. L. Zamenhofa w Białymstoku
    Bialystok, 15-274, Poland
    Not yet recruiting
  • IN-VIVO Bydgoszcz
    Bydgoszcz, 85-048, Poland
    Not yet recruiting
  • Samodzielny Zespół Publiczny Zakładów Opieki Zdrowotnej im. Dzieci Warszawy w Dziekanowie Leśnym
    Dziekanów Leśny, 05-092, Poland
    Recruiting
  • Pro Familia Altera Sp. z o.o.
    Katowice, 40-648, Poland
    Not yet recruiting
  • Centrum Badań Klinicznych - Jagiellońskie Centrum Innowacji Sp. z o.o.
    Krakow, 30-348, Poland
    Recruiting
  • ALERGO-MED Osrodek Badan Klinicznych Sp z o.o.
    Tarnów, 33-100, Poland
    Not yet recruiting
  • Szpital im.Sw.Jadwigi Slaskiej w Trzebnicy
    Trzebnica, 55-100, Poland
    Not yet recruiting
  • Hospital Universitario La Paz
    Madrid, Madrid, Comunidad de 28046, Spain
    Recruiting
  • Servicio Andaluz de Salud (SAS) - Hospital de Antequera
    Antequera, 29200, Spain
    Not yet recruiting
  • Hospital Universitario HM Puerta del Sur
    Móstoles, 28938, Spain
    Not yet recruiting
  • Instituto Hispalense de Pediatria
    Seville, 41014, Spain
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 6, 2026
Sites
18 sites added — first sites in Poland and Spain. 2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Senders Pediatrics · South Euclid, United Statesno status→Recruiting
  • Fukuwa Clinic · Chuo-ku, Japanno status→Recruiting
Show 18 added (8 Poland, 4 United States, 4 Spain, 2 Japan)
  • Duke Vaccine and Trials Unit · Durham, United States
  • Cincinnati Children's Hospital Medical Center Vaccine Research Center · Cincinnati, United States
  • Seattle Childrens Research Institute · Seattle, United States
  • Seattle Children's Hospital · Seattle, United States
  • Maebashi Red Cross Hospital · Maebashi, Japan
  • Saitama City Hospital · Midori, Japan
  • ZOZ Medyk Sp. z o.o. · Milówka, Poland
  • Uniwersytecki Dziecięcy Szpital Kliniczny im. L. Zamenhofa w Białymstoku · Bialystok, Poland
  • IN-VIVO Bydgoszcz · Bydgoszcz, Poland
  • Samodzielny Zespół Publiczny Zakładów Opieki Zdrowotnej im. Dzieci Warszawy w Dziekanowie Leśnym · Dziekanów Leśny, Poland
  • Pro Familia Altera Sp. z o.o. · Katowice, Poland
  • Centrum Badań Klinicznych - Jagiellońskie Centrum Innowacji Sp. z o.o. · Krakow, Poland
  • ALERGO-MED Osrodek Badan Klinicznych Sp z o.o. · Tarnów, Poland
  • Szpital im.Sw.Jadwigi Slaskiej w Trzebnicy · Trzebnica, Poland
  • Hospital Universitario La Paz · Madrid, Spain
  • Servicio Andaluz de Salud (SAS) - Hospital de Antequera · Antequera, Spain
  • Hospital Universitario HM Puerta del Sur · Móstoles, Spain
  • Instituto Hispalense de Pediatria · Seville, Spain
Nov 6, 2026
Start date
Sep 28, 2026→Sep 22, 2026 (actual)
Nov 6, 2026
Primary completion
Apr 1, 2031→Mar 30, 2031
Nov 6, 2026
Study completion
Apr 1, 2031→Mar 30, 2031
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    Not yet recruiting→Recruiting
    18 sites added — first sites in Poland and Spain. 2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Senders Pediatrics · South Euclid, United Statesno status→Recruiting
    • Fukuwa Clinic · Chuo-ku, Japanno status→Recruiting
    Show 18 added (8 Poland, 4 United States, 4 Spain, 2 Japan)
    • Duke Vaccine and Trials Unit · Durham, United States
    • Cincinnati Children's Hospital Medical Center Vaccine Research Center · Cincinnati, United States
    • Seattle Childrens Research Institute · Seattle, United States
    • Seattle Children's Hospital · Seattle, United States
    • Maebashi Red Cross Hospital · Maebashi, Japan
    • Saitama City Hospital · Midori, Japan
    • ZOZ Medyk Sp. z o.o. · Milówka, Poland
    • Uniwersytecki Dziecięcy Szpital Kliniczny im. L. Zamenhofa w Białymstoku · Bialystok, Poland
    • IN-VIVO Bydgoszcz · Bydgoszcz, Poland
    • Samodzielny Zespół Publiczny Zakładów Opieki Zdrowotnej im. Dzieci Warszawy w Dziekanowie Leśnym · Dziekanów Leśny, Poland
    • Pro Familia Altera Sp. z o.o. · Katowice, Poland
    • Centrum Badań Klinicznych - Jagiellońskie Centrum Innowacji Sp. z o.o. · Krakow, Poland
    • ALERGO-MED Osrodek Badan Klinicznych Sp z o.o. · Tarnów, Poland
    • Szpital im.Sw.Jadwigi Slaskiej w Trzebnicy · Trzebnica, Poland
    • Hospital Universitario La Paz · Madrid, Spain
    • Servicio Andaluz de Salud (SAS) - Hospital de Antequera · Antequera, Spain
    • Hospital Universitario HM Puerta del Sur · Móstoles, Spain
    • Instituto Hispalense de Pediatria · Seville, Spain
    Start date Sep 28, 2026→Sep 22, 2026 (now actual)
    Primary completion Apr 1, 2031→Mar 30, 2031
    Study completion Apr 1, 2031→Mar 30, 2031
    + 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 ↗

10

Registry details

Key details

Study ID
NCT07839871
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Sep 24, 2026
Start date
Sep 22, 2026
Primary completion
Mar 30, 2031 (estimated)
Completion
Mar 30, 2031 (estimated)
Last update
Nov 6, 2026

Study contacts

Pfizer CT.gov Call Center
Contact
ClinicalTrials.gov_Inquiries@pfizer.com
1-800-718-1021
Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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