Clinical trial Recruiting at 8 sites Phase 2 Interventional Ages 28 Days to 36 Months

Zelicapavir for RSV infection in young children

Official title: Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Zelicapavir in Participants ≥28 Days to ≤36 Months of Age Infected With Respiratory Syncytial Virus

Run by Enanta Pharmaceuticals, Inc · NCT07482657 · Data updated 2026-11-12

This study tests whether Zelicapavir can help treat RSV infection in children aged 28 days to 36 months who are showing symptoms.

Quick facts

PhasePhase 2
Study typeInterventional
Ages28 Days to 36 Months
SexAll
Enrollment150 (estimated)
SponsorEnanta Pharmaceuticals, Inc
Industry-sponsored
Locations8 sites (Bangkok and 7 other locations)
StatusRecruiting
StartedJuly 9, 2026
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedJuly 20, 2026
Trial IDNCT07482657 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Infants and toddlers aged ≥28 days to ≤36 months with laboratory-confirmed RSV and symptom onset within 3 days, without documented coinfections.

Probably not a fit

Children with underlying conditions or factors that affect drug safety or RSV disease progression may not benefit.

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

What this trial studies

This Phase 2 trial evaluates the safety and potential benefit of an oral RSV replication inhibitor, Zelicapavir, in hospitalized and non-hospitalized infants and toddlers with confirmed RSV infection. Participants must have RSV diagnosed without SARS-CoV-2 or influenza co-infection and symptom onset within 3 days prior to randomization. The study compares Zelicapavir to placebo and includes standard safety monitoring and follow-up. Enrollment is conducted at centers in Bangkok and Chiang Mai, Thailand, involving multiple collaborating institutions.

Why it matters

Potential benefit: If successful, Zelicapavir could shorten illness duration or reduce symptoms in young children with RSV.

How similar studies have gone: Earlier RSV antiviral efforts have shown promise in pediatric populations, but this specific Zelicapavir study is among first in this age/condition group.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants diagnosed with RSV infection using an approved diagnostic assay, without known and/or documented coinfection with SARS-CoV-2 or influenza
* Participant has signs of RSV infection with onset ≤3 days (72 hours) at the time of randomization
* In the Investigator's opinion, the participant's caregiver understands and is able to comply with protocol requirements, instructions, and restrictions, and the participant is likely to complete the study as planned. The caregiver(s) should be of legal age.

Exclusion Criteria:

* Participant has any condition that in the opinion of the Investigator would interfere with the evaluation of the study drug or participant safety.
* Participant has underlying immune deficiency. Participants with immunoglobulin A deficiency are not excluded.
* Participant has had major surgery within 6 weeks prior to randomization or has major surgery planned during the course of the study.
* Participant is currently taking either chronically or has taken within 7 days prior to randomization, or is anticipated to receive during the course of the study, systemic medications that are known to cause immunosuppression other than corticosteroids for \>5 days.
* Participant has received an investigational agent within the last 30 days or 5 half-lives of the investigational agent, whichever is longer.

Where it's running

  • Center of Excellence for Pediatric Infectious Diseases and Vaccines Faculty of Medicine, Chulalongkorn University (CE-PID)
    Bangkok, Thailand
    Recruiting
  • Nakornping Hospital
    Chiang Mai, Thailand
    Recruiting
  • Maharaj Nakorn Chiang Mai Hospital
    Chiang Mai, Thailand
    Recruiting
  • Chiangrai Prachanukroh Hospital
    Chiang Rai, Thailand
    Recruiting
  • Khon Kaen Hospital
    Khon Kaen, Thailand
    Recruiting
  • Lampang Hospital
    Lampang, Thailand
    Recruiting
Show 2 more locations
  • Lamphun Hospital
    Lamphun, Thailand
    Recruiting
  • Maha Sarakham Hospital
    Maha Sarakham, Thailand
    Recruiting

Study contacts

Similar studies

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

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.