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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 28 Days to 36 Months |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Enanta Pharmaceuticals, Inc Industry-sponsored |
| Locations | 8 sites (Bangkok and 7 other locations) |
| Status | Recruiting |
| Started | July 9, 2026 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | July 20, 2026 |
| Trial ID | NCT07482657 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
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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
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Lamphun Hospital
Lamphun, Thailand Recruiting -
Maha Sarakham Hospital
Maha Sarakham, Thailand Recruiting
Study contacts
- Study coordinator: Enanta Pharmaceuticals, Inc
- Email: charris@enanta.com
- Phone: 617 607-0800
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Zelicapavir versus placebo in adults at high risk for severe RSV
This study tests whether zelicapavir, taken by mouth, can help adults with RSV who are at high risk for severe disease compared to placebo.
-
RSV vaccine safety and immune response in lung transplant patients vs. healthy adults
This study tests how well the RSV vaccine works and how safe it is in people who have had a lung transplant compared with healthy adults.
-
RSV vaccine in children at high risk to see if it is safe and makes a strong immune response
This study tests whether the RSVpreF vaccine is safe and helps the immune system in children aged 5 to under 18 who are at high risk for RSV illness, including those who are immunocompromised.
-
Revaccination with RSVpreF in Immunocompromised Adults
This study tests whether giving an RSVpreF vaccine shot again at about 1, 2, and 3 years is safe and can still provoke an immune response in adults who are immunocompromised.
-
Vaccine candidates for RSV and hMPV in older adults
This study tests whether mRNA-1365 and related vaccine profiles are safe and able to trigger an immune response in healthy older adults.
-
Immune Responses to RSV in Older Adults After Nasal RSV Challenge
This study tests how the immune system responds to RSV in healthy adults aged 65–75 by giving them a controlled nasal infection in a monitored setting.
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.