Merck’s RSV Therapy Approved by FDA
FDA has approved a Merck BLA for Enflonsia (clesrovimab-cfor) for preventing respiratory syncytial virus (RSV) lower respiratory tract disease in neonates and infants who are born during or entering their first RSV season. The long-acting monoclonal antibody is designed to provide direct, rapid and durable protection through five months, a typical RSV season, with the same 105 mg dose regardless of weight, the company says.
Approval was based on data from the pivotal Phase 2b/3 CLEVER trial (MK-1654-004) evaluating a single dose of Enflonsia administered to preterm and full-term infants (birth to one year of age). The trial met its primary and key secondary endpoints, as follows:
- The therapy demonstrated a 61% reduction in incidence of RSV-associated medically attended lower respiratory infections compared to placebo.
- It demonstrated an 84% reduction in RSV-associated hospitalizations and showed increasing efficacy with increasing disease severity.
Regarding safety, Merck says Enflonsia should not be administered to infants with a history of serious hypersensitivity reactions to any of the therapy’s components. “Serious hypersensitivity reactions, including anaphylaxis, have been observed with other human immunoglobulin G1 (IgG1) monoclonal antibodies,” it says. The most common adverse reactions reported were injection-site erythema (3.8%), injection-site swelling (2.7%) and rash (2.3%).