Palivizumab in the prevention of respiratory syncytial virus disease
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Updated: Jun 11, 2026

An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 11, 2013
1Pediatric Infectious Diseases, Winthrop University Hospital, Mineola, NY 11501, USA. lkrilov@winthrop.org
Insights
Monthly palivizumab (Synagis) injections safely protect high-risk infants from severe respiratory syncytial virus (RSV) infections. Ongoing research explores optimal candidates and new therapies for RSV prevention and treatment.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Background:
- Respiratory syncytial virus (RSV) is a primary cause of lower respiratory tract infections in infants.
- Premature infants and those with lung disease face heightened risks for severe RSV illness.
Purpose of the Study:
- To review the safety and efficacy of palivizumab prophylaxis for high-risk infants.
- To identify potential new candidates for prophylaxis and explore combination therapies for RSV disease.
Main Methods:
- Review of existing data on palivizumab (Synagis) efficacy and safety.
- Discussion of ongoing research and potential future directions in RSV prevention and treatment.
Main Results:
- Palivizumab has demonstrated sustained safety and effectiveness in high-risk infants since its 1998 FDA approval.
- Palivizumab offers significant protection against RSV in vulnerable infant populations.
Conclusions:
- Palivizumab remains a key preventive therapy for high-risk infants against RSV.
- Further research is needed to define optimal prophylaxis candidates and explore novel treatment strategies, including new monoclonal antibodies.
Abstract:
Respiratory syncytial virus (RSV) infection is the leading cause of lower respiratory tract infection in infants and young children. Premature infants and infants with underlying lung disease are at increased risk for severe RSV infection in the first 1 - 2 years of life. Monthly prophylaxis with palivizumab (Synagis) during RSV season has been proven safe and effective in this population and these effects have persisted over the 4 years since the drug was approved by the US FDA in 1998. Issues remain regarding the optimal candidates for palivizumab prophylaxis and whether additional groups of high-risk individuals, for example infants with congenital heart disease or cystic fibrosis, and immunocompromised hosts, might benefit from such preventive therapy. It is possible that palivizumab in combination with antiviral or anti-inflammatory agents might also prove to be beneficial in the treatment of RSV disease. Newer monoclonal antibodies to RSV in development may offer the potential for less frequent dosing, increased efficacy and a role in treatment of RSV disease, but pending further evaluation of such products palivizumab provides significant protection for high-risk infants against a major pathogen.
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