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Efficacy, Immunogenicity, and Safety Study of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers
PEARL
Phase III, Randomized, Observer-blind, Placebo-controlled, Multi-center, Multinational Study to Evaluate the Efficacy, Immunogenicity, and Safety of a Respiratory Syncytial Virus Vaccine in Infants and Toddlers (PEARL)
3 other identifiers
interventional
6,300
16 countries
130
Brief Summary
This study is a phase III, randomized, observer-blind, placebo-controlled, multinational, multi-center study to be conducted in approximately 6300 children 6 months to \< 22 months of age. The purpose of the study is to evaluate the efficacy, immunogenicity, and safety of Respiratory Syncytial Virus Toddler (RSVt) vaccine administered by intranasal route compared to placebo. Eligible participants will be randomized in a 1:1 ratio to receive 2 intranasal administrations of either the RSVt vaccine or placebo. Study duration will be 24 months for each participant. The safety follow-up will start after the first vaccination and up to the end of the study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Feb 2024
130 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 24, 2024
CompletedStudy Start
First participant enrolled
February 6, 2024
CompletedFirst Posted
Study publicly available on registry
February 9, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 4, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 4, 2025
CompletedFebruary 3, 2026
January 1, 2026
1.8 years
January 24, 2024
January 30, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Occurrence of lower respiratory tract disease (LRTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Secondary Outcomes (37)
Occurrence of upper respiratory tract disease (URTD) (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
from 22 days post-dose 2 up to the start date of first occurrence of URTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain leading to hospitalization > 21 days post-dose 2
from 22 days post-dose 2 up to the start date of first occurrence of LRTD associated with any RT PCR confirmed RSV strain leading to hospitalization, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of severe LRTD (during RSV Season 1) associated with any RT PCR confirmed RSV strain > 21 days post-dose 2
from 22 days post-dose 2 up to the start date of first occurrence of severe LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of urgent care visits, associated with an episode of LRTD over RSV Season 1, associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
from 22 days post-dose 2 up to the start date of first occurrence of urgent care visit associated with an episode of LRTD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
Occurrence of acute respiratory disease (ARD) (during RSV Season 1) associated with any RT-PCR confirmed RSV strain > 21 days post-dose 2
from 22 days post-dose 2 up to the start date of first occurrence of ARD associated with any RT PCR confirmed RSV strain, assessed up to the end of RSV season 1 (ie. up to 12 months post-dose 1)
- +32 more secondary outcomes
Study Arms (2)
Group 1 RSVt Vaccine
EXPERIMENTALParticipants will receive 2 intranasal administrations of RSVt vaccine
Group 2 Control
PLACEBO COMPARATORParticipants will receive 2 intranasal administrations of placebo
Interventions
Pharmaceutical form:Suspension of virus in a nasal spray-Route of administration:Intranasal
Pharmaceutical form:Suspension of virus in a nasal spray-Route of administration:Intranasal
Eligibility Criteria
You may qualify if:
- Participants who are healthy as determined by medical evaluation including medical history
- Born at full term of pregnancy (≥ 37 weeks)
You may not qualify if:
- Known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy, such as anti-cancer chemotherapy or radiation therapy, within the preceding 6 months; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
- Known systemic hypersensitivity to any of the study intervention components, or history of a life-threatening reaction to the study intervention used in the study or to a product containing any of the same substances
- Chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion
- History of medically diagnosed wheezing
- Any acute febrile illness in the past 48 hours that according to investigator judgment is significant enough to interfere with successful inoculation on the day of vaccination. A prospective participant should not be included in the study until the condition has resolved or the febrile event has subsided.
- Probable or confirmed ongoing case of viral respiratory infection (including COVID-19, influenza, rhinovirus, etc.) at the time of enrollment. A prospective participant should not be included in the study until the respiratory infection has resolved.
- Member of a household that contains an immunocompromised individual, including, but not limited to:
- a person who is HIV infected
- a person who has received chemotherapy within the 12 months prior to study enrollment
- a person who has received (within the past 6 months) or is receiving (at the time of enrollment) immunosuppressant agents
- a person living with a solid organ or bone marrow transplant
- Potential close contact with other immunocompromised individual within 30 days after each vaccination as per investigator's discretion
- Participant's biological mother's previous receipt or planned administration of an investigational RSV vaccine during pregnancy and/or breastfeeding.
- Receipt or planned receipt of any of the following vaccines prior to enrollment or after the first study intervention administration:
- Any other intranasal live attenuated vaccine within the 28 days prior to and after Dose 1 study administration
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (130)
Central Research Associates - Flourish - PPDS- Site Number : 8400009
Birmingham, Alabama, 35205-1628, United States
Lakeview Clinical Research- Site Number : 8400024
Guntersville, Alabama, 35976, United States
Novak Clinical Research- Site Number : 8400069
Tucson, Arizona, 85741-2306, United States
Madera Family Medical Group- Site Number : 8400029
Madera, California, 93637, United States
Integrated Clinical Research- Site Number : 8400056
Tarzana, California, 91356, United States
National Institute of Clinical Research - Victorville - Hesperia Road- Site Number : 8400040
Victorville, California, 92395, United States
Moore Clinical Research - Brandon- Site Number : 8400065
Brandon, Florida, 33511, United States
Invictus Clinical Research Group- Site Number : 8400035
Coconut Creek, Florida, 33073, United States
Site Number : 8400031
Doral, Florida, 33122-1088, United States
Nona Pediatric Center- Site Number : 8400068
Orlando, Florida, 32829, United States
Teena Hughes Pediatrics- Site Number : 8400042
Tampa, Florida, 33613, United States
Morehouse School of Medicine - Atlanta- Site Number : 8400037
Atlanta, Georgia, 30310, United States
Emory-Children's Center- Site Number : 8400001
Atlanta, Georgia, 30322-1014, United States
Agile Clinical Research Trials- Site Number : 8400015
Atlanta, Georgia, 30328, United States
Tekton Research, LLC - 4961 Buford Hwy - Georgia - PPDS- Site Number : 8400064
Chamblee, Georgia, 30341, United States
Velocity Clinical Research - (Macon - Georgia) - PPDS- Site Number : 8400041
Macon, Georgia, 31210, United States
iResearch Savannah - CenExel - PPDS- Site Number : 8400032
Savannah, Georgia, 31405-5701, United States
Medical Research Partners - Ammon- Site Number : 8400059
Ammon, Idaho, 83406, United States
Clinical Research Prime- Site Number : 8400013
Idaho Falls, Idaho, 83404, United States
Leavitt Women's Healthcare- Site Number : 8400033
Idaho Falls, Idaho, 83404, United States
Snake River Research- Site Number : 8400046
Idaho Falls, Idaho, 83404, United States
Michigan Institute of Research- Site Number : 8400055
Allen Park, Michigan, 48101, United States
Vida Clinical Studies - Dearborn Heights- Site Number : 8400072
Dearborn Heights, Michigan, 48127, United States
Great Lakes Research Institute- Site Number : 8400060
Southfield, Michigan, 48075, United States
Clinical Research Institute - Minneapolis- Site Number : 8400011
Minneapolis, Minnesota, 55402, United States
Boeson Research - Great Falls- Site Number : 8400008
Great Falls, Montana, 59405, United States
Velocity Clinical Research - Grand Island- Site Number : 8400017
Grand Island, Nebraska, 68803, United States
Be Well Clinical Studies - Lincoln- Site Number : 8400058
Lincoln, Nebraska, 68516, United States
Velocity Clinical Research (Norfolk - Nebraska) - PPDS- Site Number : 8400038
Norfolk, Nebraska, 68701-2669, United States
Quality Clinical Research - Omaha - Regency Circle- Site Number : 8400016
Omaha, Nebraska, 68114, United States
Velocity Clinical Research - Omaha- Site Number : 8400054
Omaha, Nebraska, 68134, United States
Prime Global Research, Inc.- Site Number : 8400043
The Bronx, New York, 10456-2102, United States
Cincinnati Children's Hospital Medical Center- Site Number : 8400063
Cincinnati, Ohio, 45229, United States
Senders Pediatrics- Site Number : 8400006
South Euclid, Ohio, 44121, United States
Cyn3rgy Research- Site Number : 8400014
Gresham, Oregon, 97030, United States
Medical University of South Carolina - Charleston - Jonathan Lucas Street- Site Number : 8400036
Charleston, South Carolina, 29425, United States
Palmetto Pediatrics- Site Number : 8400012
North Charleston, South Carolina, 29406, United States
Parkside Pediatrics - Simpsonville- Site Number : 8400071
Simpsonville, South Carolina, 29681, United States
Clinical Research Associates Inc- Site Number : 8400005
Nashville, Tennessee, 37203-2066, United States
Tekton Research, LLC - Beaumont - PPDS- Site Number : 8400061
Beaumont, Texas, 77706-3061, United States
South Texas Urgent Care - Del Rio- Site Number : 8400062
Del Rio, Texas, 78840-3927, United States
Ventavia Research Group - Fort Worth- Site Number : 8400022
Fort Worth, Texas, 76104, United States
Private Practice - Dr. Chinyere N. Awa- Site Number : 8400066
Houston, Texas, 77057, United States
DM Clinical Research - CyFair Clinical Research Center- Site Number : 8400044
Houston, Texas, 77065, United States
Maximos Ob/Gyn- Site Number : 8400023
League City, Texas, 77573, United States
Pediatric Center - Richmond- Site Number : 8400019
Richmond, Texas, 77469, United States
Tekton Research - FM78- Site Number : 8400067
San Antonio, Texas, 78244, United States
Alliance for Multispecialty Research - Layton - North Robins Drive- Site Number : 8400030
Layton, Utah, 84041, United States
Wee Care Pediatrics - Roy- Site Number : 8400002
Roy, Utah, 84067, United States
Wee Care Pediatrics - Syracuse- Site Number : 8400004
Syracuse, Utah, 84075, United States
Investigational Site Number : 0320007
Buenos Aires, Buenos Aires F.D., C1425, Argentina
Investigational Site Number : 0320003
Río Cuarto, Córdoba Province, X5800, Argentina
Investigational Site Number : 0320005
Rosario, Santa Fe Province, S2013DTC, Argentina
Investigational Site Number : 0320004
San Miguel de Tucumán, Tucumán Province, 4000, Argentina
Investigational Site Number : 0320002
SAN Miguel de Tucumã¡n, Tucumán Province, T4000, Argentina
Investigational Site Number : 0320001
Buenos Aires, 1426, Argentina
Investigational Site Number : 0320006
Buenos Aires, 1426, Argentina
Obras Sociais Irmã Dulce - Patamares- Site Number : 0760009
Salvador, Estado de Bahia, 41680-020, Brazil
Freire Pesquisa Clínica - Belo Horizonte - Rua Piauí- Site Number : 0760001
Belo Horizonte, Minas Gerais, 30150-320, Brazil
Hospital de Clinicas de Porto Alegre- Site Number : 0760005
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
Hospital Ernesto Dornelles- Site Number : 0760007
Porto Alegre, Rio Grande do Sul, 90160-093, Brazil
Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP - PPDS- Site Number : 0760010
Ribeirão Preto, São Paulo, 14015-010, Brazil
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760006
São José do Rio Preto, São Paulo, 15090-000, Brazil
Escola Paulista De Medicina- Site Number : 0760002
Vila Clementino, São Paulo, 04023-062, Brazil
Centro Paulista de Investigaçăo Clínica - CEPIC- Site Number : 0760004
São Paulo, 04265-000, Brazil
Investigational Site Number : 1520004
Santiago, Reg Metropolitana de Santiago, 8331143, Chile
Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 8380418, Chile
Investigational Site Number : 1520005
Port Montt, 5480000, Chile
Investigational Site Number : 1560009
Jiangsu, 221699, China
Investigational Site Number : 1700004
Acacías, 507001, Colombia
Investigational Site Number : 1700002
Chía, 250001, Colombia
Investigational Site Number : 1700003
Girardot, 252431, Colombia
Investigational Site Number : 2460003
Espoo, 02230, Finland
Investigational Site Number : 2460005
Helsinki, 00100, Finland
Investigational Site Number : 2460008
Jarvenpaa, 04400, Finland
Investigational Site Number : 2460004
Kokkola, 67100, Finland
Investigational Site Number : 2460002
Oulu, 90220, Finland
Investigational Site Number : 2460006
Seinäjoki, 60100, Finland
Investigational Site Number : 2460009
Tampere, 33100, Finland
Investigational Site Number : 2460001
Turku, 20520, Finland
Investigational Site Number : 3920008
Lizuka-shi, Fukuoka, 820-0040, Japan
Investigational Site Number : 3920011
Sapporo, Hokkaido, 063-0841, Japan
Investigational Site Number : 3920007
Kawagoe, Saitama, 350-0001, Japan
Investigational Site Number : 3920010
Shizuoka-Shi Aoi-Ku, Shizuoka, 420-0005, Japan
Investigational Site Number : 3920006
Edogawa-Ku, Tokyo, 133-0056, Japan
Investigational Site Number : 3920001
Fukui, 910-0833, Japan
Investigational Site Number : 3920002
Fukui-shi, 910-0808, Japan
Investigational Site Number : 3920004
Fukuoka, 813-0036, Japan
Investigational Site Number : 3920003
Kagoshima, 890-0034, Japan
Investigational Site Number : 3920005
Kasuga-Shi, 816-0801, Japan
Investigational Site Number : 3920009
Osaka, 556-0005, Japan
Investigational Site Number : 4040007
Butere, 50101, Kenya
Investigational Site Number : 4040002
Kisumu, 40100, Kenya
Investigational Site Number : 4040003
Kisumu, 40100, Kenya
Investigational Site Number : 4040001
Nairobi, 00202, Kenya
Investigational Site Number : 4040006
Nairobi, KENYA, Kenya
Investigational Site Number : 4840008
Monterrey, Nuevo León, 64060, Mexico
Investigational Site Number : 4840007
Mexico City, 14090, Mexico
Investigational Site Number : 4840004
Veracruz, 91900, Mexico
Investigational Site Number : 5240003
Dhulikhel N.p, Bagmati, 45210, Nepal
Investigational Site Number : 5240001
Kathmandu, Bagmati, 44600, Nepal
Investigational Site Number : 5240002
Nepalgunj, Bheri, 21900, Nepal
Clinical Research Investigator Group- Site Number : 6300001
Bayamón, 00961-7041, Puerto Rico
Clinical Research Puerto Rico (CRPR), Inc. - Guayama- Site Number : 6300005
Guayama, 00784, Puerto Rico
Caribbean Medical Research Center- Site Number : 6300003
San Juan, 00918, Puerto Rico
Hospital Pediatrico Universitario- Site Number : 6300002
San Juan, 00923, Puerto Rico
Investigational Site Number : 7100007
Brits, 0250, South Africa
Investigational Site Number : 7100008
City of Cape Town, 7500, South Africa
Investigational Site Number : 7100001
East London, 5241, South Africa
Investigational Site Number : 7100005
Johannesburg, 2001, South Africa
Investigational Site Number : 7100004
Johannesburg, 2013, South Africa
Investigational Site Number : 7100003
Johannesburg, 2193, South Africa
Investigational Site Number : 7100006
Paarl, 7626, South Africa
Investigational Site Number : 7100002
Pretoria, 0122, South Africa
Investigational Site Number : 7100009
Soshanguve, 0152, South Africa
Investigational Site Number : 7240004
Santiago de Compostela, A Coruña [La Coruña], 15706, Spain
Investigational Site Number : 7240001
Barcelona, Catalunya [Cataluña], 08023, Spain
Investigational Site Number : 7240003
Móstoles, Madrid, 28938, Spain
Investigational Site Number : 7240005
Pamplona, Navarre, 31008, Spain
Investigational Site Number : 7240002
Seville, Sevilla, 41013, Spain
Investigational Site Number : 7640002
Bangkok, 10400, Thailand
Investigational Site Number : 7640005
Bangkok, 10400, Thailand
Investigational Site Number : 7640004
Bangkok, 10700, Thailand
Investigational Site Number : 7640001
Chiang Mai, 50180, Thailand
Investigational Site Number : 7640006
Hat Yai, 90110, Thailand
Investigational Site Number : 7640003
Khon Kaen, 40002, Thailand
Investigational Site Number : 8260003
Hayle, Cornwall, TR27 5DT, United Kingdom
Investigational Site Number : 8260005
Exeter, Devon, EX2 5DW, United Kingdom
Investigational Site Number : 8260007
Southampton, Hampshire, SO16 6YD, United Kingdom
Investigational Site Number : 8260004
Bristol, BS1 3NU, United Kingdom
Related Links
MeSH Terms
Interventions
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- * Blinding for vaccine group assignment: participants, parents or legally acceptable representatives (LARs), outcome assessors, investigators, laboratory personnel, Sponsor study staff * No blinding for study staff who prepare and administer the study interventions
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 24, 2024
First Posted
February 9, 2024
Study Start
February 6, 2024
Primary Completion
December 4, 2025
Study Completion
December 4, 2025
Last Updated
February 3, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org