Stopped: Part A and Part B were completed but Pfizer terminated Part C due to strategic consideration. There were no safety concerns in the decision to stop Part C and no changes to the risk-benefit for participants who received RV521 in the study.
The purpose of this clinical trial is to learn about the safety and effects of the study medicine (sisunatovir). Sisunatovir is developed as potential treatment of Respiratory Syncytial Virus (RSV) infections. This study will assess sisunatovir as compared to placebo in infants aged 1 month to 36 months who are hospitalized with RSV lower respiratory tract infection (LRTI). A placebo looks like the study medicine but does not contain any active medicine in it. This study will be conducted in 3 parts: In Part A participants aged 6 months to 3 years will be given a single dose of 2.5 mg/kg of sisunatovir in Cohort 1. In Cohort 2, participants age 1 month to 6 months will receive a single dose of 2 mg/kg of sisunatovir only after the completion of Cohort 1. 12-24 participants will be enrolled in Part A In Part B participants age 1 month to 36 months will receive sisunatovir or placebo dosed every 12 hours for 5 days. Doses for part B will be determined after the completion of Part A. 24-40 participants will be enrolled in Part B. The dose regimen for Part C will be determined after the completion of Part B. Approximately 120 participants age 1 month to 36 months will receive either sisunatovir or placebo. To participate in this study participants must meet the following criteria: 1. Age 1 month to 36 months 2. Weight ≥ 3.5 kg 3. Diagnosis of LRTI 4. Diagnosis of RSV 5. Hospitalization due to RSV LRTI
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Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and TEAEs Leading to Permanent Discontinuation of IMP
Timeframe: From start of IMP on Day 1 up to Day 7
Part B: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and TEAEs Leading to Permanent Discontinuation of IMP
Timeframe: From start of IMP on Day 1 up to Day 12
Part A: Number of Participants With Abnormal Clinically Significant Physical Examination Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part A: Number of Participants With Abnormal Clinically Significant Physical Examination Results Anytime Between 18 to 24 Hours Post-dose
Timeframe: Anytime between 18 to 24 hours post-dose on Day 1
Part A: Number of Participants With Abnormal Clinically Significant Physical Examination Results at 48 Hours Post-dose
Timeframe: At 48 hours post-dose on Day 1
Part B: Number of Participants With Abnormal Clinically Significant Physical Examination Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part B: Number of Participants With Abnormal Clinically Significant Physical Examination Results Anytime Between 40 to 48 Hours Post-dose 10
Timeframe: Anytime between 40 to 48 hours post-dose 10 on Day 5
Part A: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part A: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation Anytime Between 4 to 5 Hours Post-Dose
Timeframe: Anytime between 4 to 5 hours post-dose on Day 1
Part A: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at 12 Hours Post-Dose
Timeframe: At 12 hours post-dose on Day 1
Part A: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation Anytime Between 18 to 24 Hours Post-Dose
Timeframe: Anytime between 18 to 24 hours post-dose on Day 1
Part A: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at 48 Hours Post-Dose
Timeframe: 48 hours post-dose on Day 1
Part B: Number of Participants With Abnormal Vital Signs Per Investigator's Interpretation at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation Anytime Between 4 to 5 Hours Post-Dose 1
Timeframe: Anytime between 4 to 5 hours post-dose 1 (Day 1)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation At Pre-dose 2
Timeframe: Pre-dose 2 (Day 1)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 3
Timeframe: Pre-dose 3 (Day 2)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 4
Timeframe: Pre-dose 4 (Day 2)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 5
Timeframe: Pre-dose 5 (Day 3)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 6
Timeframe: Pre-dose 6 (Day 3)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation Anytime Between 4 to 5 Hours Post-Dose 6
Timeframe: Anytime between 4 to 5 hours post-dose 6 (Day 3)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 7
Timeframe: Pre-dose 7 (Day 4)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 8
Timeframe: Pre-dose 8 (Day 4)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 9
Timeframe: Pre-dose 9 (Day 5)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation at Pre-dose 10
Timeframe: Pre-dose 10 (Day 5)
Part B: Number of Participants With Abnormal Clinically Significant Vital Signs Per Investigator's Interpretation Anytime Between 40 to 48 Hours Post-Dose 10
Timeframe: Anytime between 40 to 48 hours post-dose 10 on Day 5
Part A: Number of Participants With Abnormal Hematology Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part A: Number of Participants With Abnormal Hematology Results at 48 Hours Post-Dose
Timeframe: At 48 hours post-dose on Day 1
Part B: Number of Participants With Abnormal Hematology Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part B: Number of Participants With Abnormal Hematology Results Anytime Between 40 to 48 Hours Post-dose 10
Timeframe: Anytime between 40 to 48 hours post-dose 10 on Day 5
Part A: Number of Participants With Abnormal Clinical Chemistry Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part A: Number of Participants With Abnormal Clinical Chemistry Results at 48 Hours Post-Dose
Timeframe: At 48 hours post-dose on Day 1
Part B: Number of Participants With Abnormal Clinical Chemistry Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part B: Number of Participants With Abnormal Clinical Chemistry Results Anytime Between 40 to 48 Hours Post-dose 10
Timeframe: Anytime between 40 to 48 hours post-dose 10 on Day 5
Part A: Number of Participants With Abnormal Urinalysis Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part A: Number of Participants With Abnormal Urinalysis Results at 48 Hours Post-dose
Timeframe: At 48 hours post-dose on Day 1
Part B: Number of Participants With Abnormal Urinalysis Results at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part B: Number of Participants With Abnormal Urinalysis Results Anytime Between 40 to 48 Hours Post-Dose 10
Timeframe: Anytime between 40 to 48 hours post-dose 10 on Day 5
Part A: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part A: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation Anytime Between 4 to 5 Hours Post-Dose
Timeframe: Anytime between 4 to 5 hours post-dose on Day 1
Part A: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation Anytime Between 18 to 24 Hours Post-dose
Timeframe: Anytime between 18 to 24 hours post-dose on Day 1
Part A: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at 48 Hours Post-dose
Timeframe: 48 hours post-dose on Day 1
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at Baseline
Timeframe: Baseline (pre-dose on Day 1)
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation Anytime Between 4 to 5 Hours Post-Dose 1
Timeframe: Anytime between 4 to 5 hours post-dose 1 on Day 1
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at Pre-dose 3
Timeframe: Pre-dose 3 (Day 2)
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at Pre-dose 5
Timeframe: Pre-dose 5 (Day 3)
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation Anytime Between 4 to 5 Hours Post-Dose 6
Timeframe: Anytime between 4 to 5 hours post-dose 6 (Day 3)
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at Pre-dose 8
Timeframe: Pre-dose 8 (Day 4)
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation at Pre-dose 10
Timeframe: Pre-dose 10 (Day 5)
Part B: Number of Participants With Abnormal Clinically Significant Electrocardiogram (ECG) Results Per Investigator's Interpretation Anytime Between 40 to 48 Hours Post-Dose 10
Timeframe: Anytime between 40 to 48 hours post-dose 10 on Day 5