Bivalent RSV in Pregnancy to Prevent RSV in Infants

  • Can RSV vaccination during pregnancy reduce the burden of RSV-associated lower respiratory tract illness in newborns and infants?

Study design: Phase 3, double-blind, randomized controlled trial

Population

  • Number of patients studied: 7358 (3682 in the vaccine group and 3676 in the placebo group)
  • Inclusion criteria: Pregnant women at 24 through 36 weeks' gestation
  • Exclusion criteria: Not specified in the provided text

Interventions

  • Experimental group: Single intramuscular injection of 120 μg of a bivalent RSV prefusion F protein–based (RSVpreF) vaccine
  • Control group: Placebo injection

Primary outcome

  • Medically attended severe RSV-associated lower respiratory tract illness and medically attended RSV-associated lower respiratory tract illness in infants within 90, 120, 150, and 180 days after birth

Secondary outcomes: RSV-associated hospitalization within 90 days and 180 days after birth

Safety outcomes or Adverse Events: Adverse events reported within 1 month after injection or within 1 month after birth in the vaccine group (13.8% of women and 37.1% of infants) and the placebo group (13.1% and 34.5%, respectively)

Conclusion

RSVpreF vaccine administered during pregnancy was effective against medically attended severe RSV-associated lower respiratory tract illness in infants, and no safety concerns were identified.