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The clinical trials leading to licensure of the respiratory syncytial virus (RSV) vaccines were not designed to assess the vaccines’ efficacy against the severe outcome (RSV-associated hospitalization) or the nonspecific associated outcomes (all-cause cardiorespiratory hospitalization or cardiovascular hospitalization). Accordingly, investigators in Denmark performed a partially industry-funded randomized pragmatic trial in which some 65,600 participants received RSV vaccine and 65,600 did not (mean age, 69; 42% with at least one chronic disease). Outcomes were assessed using national healthcare databases during the 2024–2025 respiratory viral season. Pfizer’s RSVpreF vaccine was administered.
The vaccine was 83% effective…