PMID- 38133639 OWN - NLM STAT- Publisher LR - 20231222 IS - 1537-6613 (Electronic) IS - 0022-1899 (Linking) DP - 2023 Dec 22 TI - Safety and Immunogenicity of Respiratory Syncytial Virus Pre-fusion Maternal Vaccine Co-administered with Diphtheria-Tetanus-Pertussis Vaccine: A Phase 2 Study. LID - jiad560 [pii] LID - 10.1093/infdis/jiad560 [doi] AB - BACKGROUND: Respiratory syncytial virus (RSV) fusion protein stabilized in the prefusion conformation (RSVPreF3) was under investigation as a maternal vaccine. METHODS: This phase 2, randomized, placebo-controlled, single-dose, multicenter study enrolled healthy, non-pregnant women, randomized 1:1:1:1:1 to five parallel groups studying RSVPreF3 (60 or 120 microg) co-administered with diphtheria, tetanus, and acellular pertussis vaccine (dTpa) or placebo, and dTpa co-administered with placebo. Safety and humoral immune responses were assessed. An extension phase also assessed a RSVPreF3 120 mug vaccination 12-18 months post-first vaccination. RESULTS: The safety profile of RSVPreF3 was unaffected by dose or dTpa co-administration. Solicited and unsolicited adverse events (AEs) were evenly distributed across study groups. Injection-site pain was higher following the second vaccination vs the first vaccination. Medically attended AEs were rare (<5% overall). Both RSVPreF3 dose levels (alone and with dTpa) were immunogenic, increasing levels of RSV-A neutralizing antibody >/=8 fold and anti-RSVPreF3 IgG antibody >/=11 fold at 1 month post-vaccination, which persisted at 12-18 months post-vaccination; modest 2-fold increases were observed with a second RSVPreF3 vaccination. CONCLUSIONS: This study indicates RSVPreF3 co-administration with dTpa induces robust immune responses and is well tolerated, regardless of the RSVPreF3 dose level used. CLINICAL TRIALS REGISTRATION: NCT04138056. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. FAU - Hermida, Nerea AU - Hermida N AUID- ORCID: 0009-0008-7445-6381 AD - GSK Vaccines, Clinical Research Development, 1300 Wavre, Belgium. FAU - Ferguson, Murdo AU - Ferguson M AD - Colchester Research Group, Department of Family Medicine and Emergency Medicine, Truro, NS B2N 1L2, Canada. FAU - Leroux-Roels, Isabel AU - Leroux-Roels I AD - Center for Vaccinology (CEVAC), Ghent University and Ghent University Hospital, 9000 Ghent, Belgium. FAU - Pagnussat, Sandra AU - Pagnussat S AD - Miami Research Associates, Miami, FL, 33143, USA. FAU - Yaplee, Deborah AU - Yaplee D AD - GSK Vaccines, Vaccine Development, Rockville, MD, 20850, USA. FAU - Hua, Nancy AU - Hua N AD - GSK Vaccines, Vaccine Development, Rockville, MD, 20850, USA. FAU - Van den Steen, Peter AU - Van den Steen P AD - GSK Vaccines, Clinical Research Development, 1300 Wavre, Belgium. FAU - Anspach, Bruno AU - Anspach B AD - GSK Vaccines, Vaccine Development, Rockville, MD, 20850, USA. FAU - Dieussaert, Ilse AU - Dieussaert I AD - GSK Vaccines, Clinical Research Development, 1300 Wavre, Belgium. FAU - Kim, Joon Hyung AU - Kim JH AD - GSK Vaccines, Vaccine Development, Rockville, MD, 20850, USA. LA - eng SI - ClinicalTrials.gov/NCT04138056 PT - Journal Article DEP - 20231222 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 SB - IM OTO - NOTNLM OT - RSV vaccine OT - Respiratory syncytial virus OT - co-administration OT - dTpa vaccine OT - immunogenicity OT - maternal vaccine OT - safety EDAT- 2023/12/22 12:41 MHDA- 2023/12/22 12:41 CRDT- 2023/12/22 10:53 PHST- 2023/05/17 00:00 [received] PHST- 2023/11/14 00:00 [revised] PHST- 2023/12/04 00:00 [accepted] PHST- 2023/12/22 12:41 [medline] PHST- 2023/12/22 12:41 [pubmed] PHST- 2023/12/22 10:53 [entrez] AID - 7491175 [pii] AID - 10.1093/infdis/jiad560 [doi] PST - aheadofprint SO - J Infect Dis. 2023 Dec 22:jiad560. doi: 10.1093/infdis/jiad560.