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Updated: Jul 4, 2025

Generation, Amplification, and Titration of Recombinant Respiratory Syncytial Viruses
Published on: April 4, 2019
Recent advances in the prevention of respiratory syncytial virus in pediatrics
Madeline A Lipp1,2, Kerry M Empey1,2,3
1Center for Clinical Pharmaceutical Sciences.
Insights
New therapies for respiratory syncytial virus (RSV) are now available for infants and children. Ongoing research and careful monitoring are crucial for ensuring the long-term safety of these vital RSV prevention strategies.
Area of Science:
- Pediatric Infectious Diseases
- Vaccinology
- Immunology
Background:
- Respiratory syncytial virus (RSV) is a primary cause of pediatric hospitalization in the U.S.
- Effective prevention strategies are critical for reducing the burden of RSV in children.
- Recent advancements have led to new FDA-approved agents for RSV prevention.
Approach:
- This review highlights recent developments in pediatric RSV prevention.
- It examines novel preventive therapies approved in 2023 and those in the development pipeline.
- Safety considerations for clinical trials of new RSV interventions are discussed.
Key Points:
- Two new preventive therapies, a maternal vaccine (Abrysvo) and a monoclonal antibody (mAb, Beyfortus), were FDA-approved in 2023.
- Both Abrysvo and Beyfortus demonstrated efficacy in reducing medically attended lower respiratory tract infections in infants and children.
- Clinical trials are exploring diverse immunization methods for direct infant and child protection against RSV.
Conclusions:
- RSV prevention is increasingly accessible for pediatric populations.
- Careful evaluation of risks associated with new and emerging prevention strategies is essential.
- Rigorous clinical trials and postmarketing surveillance are paramount for ensuring the long-term safety of novel RSV prevention methods.
Purpose Of Review:
Respiratory syncytial virus (RSV) is a ubiquitous virus and the leading cause of pediatric hospitalization in the United States. Prevention strategies are key for reducing the burden of RSV. Several new agents aimed at preventing RSV in infants and children were FDA-approved in 2023, and many more are in the development pipeline. This review highlights new developments in RSV prevention in pediatric patients and the important safety considerations for clinical trials.
Recent Findings:
Two new preventive therapies were FDA approved in 2023; a maternal vaccine (Abrysvo) and a mAb (Beyfortus) have both demonstrated reduction in medically attended lower respiratory tract infections in infants and children. Evaluation of ongoing clinical trials demonstrates that the field is expanding further to include direct immunization of infants and children utilizing a variety of delivery modalities. While these developments present the optimistic prospect of RSV prevention in a range of ages, acute and long-term risks must be carefully evaluated.
Summary:
Prevention of RSV is more accessible than ever, but careful consideration must be given to risks associated with new and developing prevention strategies. Rigor of clinical trials including longitudinal outcomes of agents in development and postmarketing surveillance of newly approved therapies will be of paramount importance to ensure long-term safety of new RSV prevention strategies.
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