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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 192 (estimated) |
| Sponsor | Shionogi Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy, immunotherapy, radiation |
| Locations | 89 sites (Los Angeles, California and 88 other locations) |
| Status | Recruiting |
| Started | December 11, 2025 |
| Main results expected | December 30, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT07214571 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
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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
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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
- Study coordinator: Shionogi Clinical Trials Administrator Clinical Support Help Line
- Email: Shionogiclintrials-admin@shionogi.co.jp
- Phone: 800-849-9707
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Ziresovir (AK0529) for high-risk adults with RSV infection
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Recombinant RSV Vaccine (CHO Cell) with Adjuvant in Adults 18+ in China
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Inhaled interferon α1b treatment for RSV in young children
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Identifying biomarkers linked to severity in adults with RSV infections
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.