Clinical trial Recruiting at 88 sites Phase 2 Interventional Ages 18 and up

S-337395 for high-risk adults with symptomatic RSV

Official title: A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Safety, Tolerability, and Efficacy of S-337395 in Symptomatic Nonhospitalized Adults With Respiratory Syncytial Virus Who Are at High Risk of Progression to Severe Disease

Run by Shionogi Inc. · NCT07214571 · Data updated 2026-11-12

This trial will test whether taking the antiviral S-337395 within 72 hours of symptoms helps nonhospitalized adults with RSV who are at high risk of progressing to severe illness.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment192 (estimated)
SponsorShionogi Inc.
Industry-sponsored
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations89 sites (Los Angeles, California and 88 other locations)
StatusRecruiting
StartedDecember 11, 2025
Main results expectedDecember 30, 2026
Study endsDecember 30, 2026
Registry record updatedOctober 21, 2026
Trial IDNCT07214571 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Nonhospitalized adults with PCR-confirmed symptomatic RSV within 72 hours of symptom onset who are ≥75 years old or have symptomatic chronic lung or cardiovascular disease requiring ongoing treatment.

Probably not a fit

People who are already hospitalized, who start treatment more than 72 hours after symptom onset, who do not have RSV, or who do not meet the high-risk criteria are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, placebo-controlled Phase 2 trial gives symptomatic, nonhospitalized adults with PCR-confirmed RSV and at least one high-risk factor either S-337395 or placebo, starting within 72 hours of symptom onset. The primary focus is the antiviral effect of S-337395 compared with placebo, with virologic measures and monitoring for clinical progression or hospitalization. Eligible participants are medically stable aside from RSV and must have risk factors such as age ≥75 years or symptomatic chronic lung or cardiovascular disease requiring ongoing treatment. Safety and tolerability will be followed through exams, ECGs, and adverse event reporting.

Why it matters

Potential benefit: If successful, S-337395 could shorten illness, reduce viral levels, and lower the risk of progression to hospitalization in high-risk adults with RSV.

How similar studies have gone: Previous antiviral approaches for RSV have produced mixed results in adults, and S-337395 is a novel candidate that has not yet been proven effective in this population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Participants who have new onset or worsening (if present chronically) of at least 1 of the following signs and/or symptoms consistent with a viral acute respiratory infection within 72 hours prior to randomization: fever, nasal congestion, nasal discharge, sore throat, cough, sputum production, shortness of breath, or wheezing.
* Participants diagnosed with RSV infection preferably using a rapid polymerase chain reaction (PCR) or other molecular-based diagnostic assay.
* Has at least 1 of the following risk factors for severe RSV disease:

  1. ≥ 75 years of age;
  2. Chronic lung disease that is symptomatic and requiring chronic treatment; and
  3. Chronic cardiovascular disease that is symptomatic and requiring chronic treatment.
* With the exception of the RSV disease, medically stable on the basis of medical history, physical examination, vital signs, and 12-lead electrocardiogram (ECG) performed at screening.

Key Exclusion Criteria:

* Hospitalized or expected to be hospitalized within 24 hours of screening.
* Is considered by the investigator to be immunocompromised, due to an underlying medical condition or medical therapy, chemotherapy, radiation, stem cell or solid organ transplant.
* Has known allergies, hypersensitivity, or intolerance to S-337395 or to any of the excipients of the S-337395 or placebo formulation.
* Suspicion or known severe renal impairment.
* Any other medical or psychiatric condition making the participant unsuitable for the current study or interfering with the evaluation of response to the study intervention in the opinion of the investigator/subinvestigator.
* Has received a therapy intended to treat RSV infection within 14 days prior to screening.
* Is receiving chemotherapy or immunotherapy for malignancy.
* Has received RSV vaccination within 7 days prior to screening.
* Has had either confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or influenza infection (test was positive) during the 28 days prior to screening.
* Has any other confirmed clinically relevant respiratory infection by any pathogen at, or within 28 days of screening.

Note: Other protocol-specified inclusion and exclusion criteria may apply.

Where it's running

  • LA Universal Research Center, Inc.
    Los Angeles, California, United States
    Recruiting
  • Central Valley Research
    Modesto, California, United States
    Recruiting
  • Med Partnes, Inc - Elligo- PPDS
    Toluca Lake, California, United States
    Recruiting
  • Hope Clinical Trials - 3970 W Flagler St.
    Coral Gables, Florida, United States
    Recruiting
  • Beautiful Minds Clinical Research Center
    Cutler Bay, Florida, United States
    Recruiting
  • Doral Medical Research
    Hialeah, Florida, United States
    Recruiting
Show 44 more locations
  • Southern Clinical Research
    Miami, Florida, United States
    Recruiting
  • LCC Medical Research - Miami - BTC - PPDS
    Miami, Florida, United States
    Recruiting
  • Global Health Clinical Trials
    Miami, Florida, United States
    Recruiting
  • Nuren Medical and Research Center
    Miami, Florida, United States
    Recruiting
  • Continental Clinical Research, LLC
    Miami, Florida, United States
    Recruiting
  • Miami Clinical Research, LLP.
    Miami, Florida, United States
    Recruiting
  • Reed Medical Research
    Miami, Florida, United States
    Recruiting
  • Palm Springs Community Health Center
    Miami Lakes, Florida, United States
    Recruiting
  • Oceanic Research Group, LLC
    North Miami Beach, Florida, United States
    Recruiting
  • CDC Research Institute, LLC
    Port Saint Lucie, Florida, United States
    Recruiting
  • Cordova Research Insittute
    Sweetwater, Florida, United States
    Recruiting
  • Better Life Clinical Research LLC
    Tampa, Florida, United States
    Recruiting
  • Research Bay,Inc.
    Tampa, Florida, United States
    Recruiting
  • Santos Research Center - 5927 Webb Rd
    Tampa, Florida, United States
    Recruiting
  • Angels Clinical Research Institute Tampa-Palm Springs
    Tampa, Florida, United States
    Recruiting
  • Covenant Pulmonary Criticial Care and Research Ins
    East Point, Georgia, United States
    Recruiting
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • University of Massachusetts
    Worcester, Massachusetts, United States
    Recruiting
  • Clay Platte Family Medicine - CCT Research
    Kansas City, Missouri, United States
    Recruiting
  • NYC Health + Hospitals/Lincoln Medical Center - BRANY - PPDS
    The Bronx, New York, United States
    Recruiting
  • Prime Global Research, Inc.
    The Bronx, New York, United States
    Recruiting
  • Progressive Medicine of the Triad, LLC
    Winston-Salem, North Carolina, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting
  • Epic Medical Research - Chickasha
    Chickasha, Oklahoma, United States
    Recruiting
  • Rhode Island Hospital
    Providence, Rhode Island, United States
    Recruiting
  • Epic Med. Research LLC, DeSoto
    DeSoto, Texas, United States
    Recruiting
  • DCT-McAllen Primary Care Research, LLC
    McAllen, Texas, United States
    Recruiting
  • SMS Clinical Research, LLC - 400 W. Kearney St
    Mesquite, Texas, United States
    Recruiting
  • Clinical Research Partners LLC
    Richmond, Virginia, United States
    Recruiting
  • Frontier Clinical Research Waterfront
    Morgantown, West Virginia, United States
    Recruiting
  • Fundación Huésped - PPDS
    Caba, Buenos Aires, Argentina
    Recruiting
  • AES - AS - Glenny Corp. S.A. Buenos Aires
    Caba, Buenos Aires, Argentina
    Recruiting
  • CEMLO - Centro de Especialidades Médicas
    Lobos, Buenos Aires, Argentina
    Recruiting
  • Instituto De Enfermedades Respiratorias E Investigación Médica - IERIM
    San Juan Bautista, Buenos Aires, Argentina
    Recruiting
  • Instituto Médico Río Cuarto
    Río Cuarto, Córdoba Province, Argentina
    Recruiting
  • AES - AS - Clinica Mayo de Urgencias
    San Miguel de Tucumán, Tucumán Province, Argentina
    Recruiting
  • Medical Center Hera EOOD, Montana
    Montana, Sofia, Bulgaria
    Recruiting
  • Multiprofile Hospital For Active Treatment Dr Tota Venkova - PRATIA - PPDS
    Gabrovo, Bulgaria
    Recruiting
  • MCpulmo-2018 Ltd
    Haskovo, Bulgaria
    Recruiting
  • Medical Center Hera EOOD
    Sofia, Bulgaria
    Recruiting
  • Medical Center Neuromedics EOOD - 4 Veliki Preslav Str
    Veliko Tarnovo, Bulgaria
    Recruiting
  • Kamezawa Clinic
    Kasugai-Shi, Aiti, Japan
    Recruiting
  • Hosokawa Surgical Clinic
    Nagoya-Shi Nakamura-Ku, Aiti, Japan
    Recruiting
  • Doi Clinic
    Chikushino-shi, Fukuoka, Japan
    Recruiting

+39 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Ziresovir (AK0529) for high-risk adults with RSV infection

    This study tests whether Ziresovir can shorten RSV-related lower respiratory tract illness in high-risk adults compared with placebo.

    Recruiting at 6 sites Phase 2/3 Shanghai Ark Biopharmaceutical Co., Ltd. · Beijing, Beijing Municipality and 8 other locations · NCT07658534

  • Recombinant RSV Vaccine (CHO Cell) with Adjuvant in Adults 18+ in China

    This is a two-part study testing a recombinant RSV vaccine in adults to see if it is safe and whether it provokes an immune response, with older adults (60+) included in the second part.

    Recruiting Phase 1/2 Ab&B Bio-tech Co., Ltd.JS · Zigong, Sichuan · NCT07582796

  • RSV strains and illness burden in Vietnamese adults aged 60 and older

    This project will test how common RSV is and which strains and severity patterns occur in people aged 60+ who are hospitalized with acute respiratory illness or worsening heart/lung disease.

    Recruiting Tam Anh Research Institute · Ho Chi Minh City, Southern Vietnam · NCT07239583

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  • Inhaled interferon α1b treatment for RSV in young children

    This study is testing a new inhaled treatment for RSV in young children under 2 years old to see if it helps them get better and is safe to use.

    Recruiting Phase 3 Kexing Biopharm Co., Ltd. · Beijing, Beijing Municipality · NCT06363370

  • Identifying biomarkers linked to severity in adults with RSV infections

    This study is trying to find specific markers in the body that can help doctors understand how severe Respiratory Syncytial Virus (RSV) infections are in adults who are hospitalized.

    Recruiting Assistance Publique - Hôpitaux de Paris · Créteil · NCT06197152

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.