New pill could help babies fight RSV faster
NCT ID NCT07482657
First seen Jun 25, 2026 · Last updated Jul 21, 2026 · Updated 4 times
Summary
This study tests an experimental oral drug called zelicapavir in 150 children aged 1 month to 3 years who have respiratory syncytial virus (RSV). The drug aims to stop the virus from multiplying and speed up recovery. Half the children will get the drug, half a placebo, and researchers will track how quickly symptoms like cough and fever go away.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- zelicapavir (oral suspension)
- What this could lead to
- If successful, this could provide a new oral treatment option for young children with RSV, potentially reducing hospital stays and symptom duration.
- What could go wrong
- This is an early Phase 2 trial with only 150 participants, so results may not confirm effectiveness. The drug may cause side effects or fail to improve recovery compared to placebo.
Why investors are watching
Enanta Pharmaceuticals is testing zelicapavir, an oral drug for respiratory syncytial virus (RSV), in a Phase 2 trial with 150 children aged 28 days to 36 months. For a small-cap company, this readout tests whether its drug can treat RSV in young children, a group with high hospitalization risk. A clear result matters because Enanta's value depends on this drug's success.
If it works: If the trial shows zelicapavir is safe and effective, Enanta could have a treatment for RSV in infants and toddlers, a large unmet need. That result could support moving the drug into later-stage trials and attract partnership interest.
If it fails: Phase 2 trials often fail to show benefit, and this one could miss its goals or reveal safety problems. A negative or unclear result would set the program back and likely reduce the company's prospects, since Enanta has few other late-stage assets.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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28 days to 36 months
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
8 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Center of Excellence for Pediatric Infectious Diseases and Vaccines Faculty of Medicine, Chulalongkorn University (CE-PID)
RECRUITINGBangkok, 10330, Thailand
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Chiangrai Prachanukroh Hospital
RECRUITINGChiang Rai, 57000, Thailand
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Khon Kaen Hospital
RECRUITINGKhon Kaen, 40000, Thailand
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Lampang Hospital
RECRUITINGLampang, 52000, Thailand
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Lamphun Hospital
RECRUITINGLamphun, 51000, Thailand
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Maha Sarakham Hospital
RECRUITINGMaha Sarakham, 44000, Thailand
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Maharaj Nakorn Chiang Mai Hospital
RECRUITINGChiang Mai, 50200, Thailand
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Nakornping Hospital
RECRUITINGChiang Mai, 50180, Thailand
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an inhaled drug tame RSV symptoms in adults?
- Can a new vaccine shield adults from RSV?
- Can a 5-Day pill tame RSV in the most vulnerable?
- Can a booster RSV shot shield the immunocompromised?
- One shot, two viruses? new mRNA vaccine targets RSV and hMPV
- Can a new model help botswana shield infants from RSV?