{"id":1071,"date":"2026-03-05T11:02:25","date_gmt":"2026-03-05T11:02:25","guid":{"rendered":"https:\/\/www.merckvaccines.com\/enflonsia\/?page_id=1071"},"modified":"2026-03-23T09:04:43","modified_gmt":"2026-03-23T09:04:43","slug":"safety-profile","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/enflonsia\/safety-profile\/","title":{"rendered":"Safety &amp; tolerability"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1765535927' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-top ratio-50-50 horizontal desktop text-align-left has-primary-color is-overlay-style is-card-overlay is-white-overlay mobile-is-split-style mobile-split-image-bottom mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:253px;--mobileMinHeight:288px\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/uploads\/sites\/276\/2026\/03\/CAT_Hero-Image_Mobile_Safety-Tolerability_RGB.jpg?w=767\"\/><source media=\"(min-width: 768px) and (max-width:1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/uploads\/sites\/276\/2026\/03\/CAT_Hero-Image_Desktop_Safety-Tolerability_RGB.jpg?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/uploads\/sites\/276\/2026\/03\/CAT_Hero-Image_Desktop_Safety-Tolerability_RGB.jpg?w=1440\"\/><img decoding=\"async\" width=\"4512\" height=\"1012\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/uploads\/sites\/276\/2026\/03\/CAT_Hero-Image_Desktop_Safety-Tolerability_RGB.jpg?w=1488\" src=\"https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/uploads\/sites\/276\/2026\/03\/CAT_Hero-Image_Desktop_Safety-Tolerability_RGB.jpg?w=1488\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:87%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:87%;--tablet-focal-y:50%\"\/><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h1 style=\"--headlineFontSize:36px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:24px;--headlineLineHeight:45px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightBold\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><strong><strong>ENFLONSIA<sup>TM<\/sup> (clesrovimab-cfor) showed a consistent safety profile across infant populations<\/strong><sup>1<\/sup><\/strong><\/mark><\/h1><p style=\"--contentFontSize:18px;--contentLineHeight:27px;--contentFontSizeMobile:18px;--contentLineHeightMobile:27px\" class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2desktop\"><\/div><\/div>\n\n\n<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1765535928' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--mobile-spacer:32px;--tablet-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<figure class=\"wp-block-flexible-table-block-table is-content-justification-left has-link-color wp-elements-fc273b9a91865ce5e45a10f42d47bc18\"><table class=\"has-secondary-2-color has-text-color has-link-color has-fixed-layout\" style=\"border-collapse:collapse\"><thead><tr><th scope=\"row\" colspan=\"3\" style=\"background-color:#01211a;border-width:0;border-style:solid;border-radius:0 40px 0 0;padding-top:20px;padding-bottom:20px;padding-left:15px\">Adverse reactions reported at an incidence higher than placebo (CLEVER Trial 004)<sup>1<\/sup><\/th><\/tr><\/thead><tbody><tr><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;padding-top:15px;padding-bottom:15px;padding-left:15px;vertical-align:top\"><strong>Adverse reaction<\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#024a33;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>ENFLONSIA<br>(N=2,412)<sup>a<\/sup><br>(%)<\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>Placebo<br>(N=1,202)<sup>a<\/sup><br>(%)<\/strong><\/td><\/tr><tr><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;padding-top:15px;padding-bottom:15px;padding-left:15px\"><strong>Injection-site erythema<sup>b<\/sup><\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#024a33;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>3.8<\/strong>&nbsp;<\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>3.3<\/strong><\/td><\/tr><tr><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;padding-top:15px;padding-bottom:15px;padding-left:15px\"><strong>Injection-site swelling<sup>b<\/sup><\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#024a33;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>2.7<\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>2.6<\/strong><\/td><\/tr><tr><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;border-radius:0 0 0 36px;padding-top:15px;padding-bottom:15px;padding-left:15px\"><strong>Rash<sup>c<\/sup><\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#024a33;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>2.3<\/strong><\/td><td style=\"border-style:solid;border-width:2px;border-color:#FFF;background-color:#cdeaf2;color:#0d251e;text-align:center;vertical-align:middle;padding-top:15px;padding-bottom:15px\"><strong>1.9<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-small-font-size\">These were the most commonly reported adverse reactions.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Sample size reflects the number of participants included in the safety analysis population.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-small-font-size\"><sup>b<\/sup>Occurring within 5 days post-dose; Solicited on Day 1 through Day 5 post dose using an electronic diary device.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-small-font-size\"><sup>c<\/sup>Occurring within 14 days post-dose; Defined by the following grouped preferred terms: rash, rash erythematous, rash macular, rash papular, rash maculo-papular, rash vesicular, rash exfoliative, dermatitis allergic, drug eruption, and toxic skin eruption.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--mobile-spacer:24px;--tablet-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-medium-font-size\">Most adverse reactions (\u226597%) were mild or moderate in severity.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--mobile-spacer:24px;--tablet-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color:#cef1f9\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width full-page-width\"><div class=\"cropped\" id=\"rowf2dbf2ed-e714-4f7c-8e7c-a077f9ded4ac\"><div style=\"padding-top:25px;padding-bottom:25px;padding-right:25px;padding-left:25px\" class=\"row-content wide-width hcp-wide-width\">\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top padding-left-right10 is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1765535927' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize\" id=\"a9809a631-c160-4f3f-90fd-a007ff82dc69\"><h2 class=\"has-primary-color content-width fontWeightBold mt-0 mb-0\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Infants at increased risk of severe RSV LRT disease in the SMART 007 trial entering their first RSV season had a similar safety profile with ENFLONSIA compared to healthy infants in the CLEVER 004 trial<sup>1,2<\/sup><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-center mb-0 mt-0\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1765535927' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular  mt-0 mb-0\" role=\"button\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:10px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckvaccines.com\/enflonsia\/clinical-studies\/#StudydesignCLEVER004trial\" title=\"CLEVER 004 study design\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"CLEVER 004 study design\" data-design-module=\"element\" data-event-name=\"element_click\">CLEVER 004 study design<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--mobile-spacer:24px;--tablet-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a96dd66fb-20b4-4920-8470-f5e62ca2da5b\"><h3 class=\"content-width fontWeightBold mt-0 mb-0\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:18px;--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">Study design (SMART 007 trial):<\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>An international, randomized, partially-blind, palivizumab-controlled, Phase 3 study evaluated the safety (primary endpoint) and efficacy of ENFLONSIA in infants at increased risk of severe RSV disease. Infants \u22641 year of age and entering their first RSV season were included if they were early (&lt;29 weeks gestational age) or moderate preterm infants ( \u226529 to \u226435 weeks gestational age), or had CLD of prematurity or hemodynamically significant CHD of any gestational age. Participants received a single 105 mg IM dose of ENFLONSIA (N=446) followed by a dose of placebo one month later or 3 to 5 monthly doses of 15 mg\/kg palivizumab <span class=\"no-wrap-text\">(N=450).<sup>2<\/sup><\/span><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:48px;--mobile-spacer:32px;--tablet-spacer:48px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1773226567' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card a883a6126-00fc-48bd-ae21-e14ba5fcf781 vivid360-block-card has-text-align-left hasBoxShadow card-horizontal has-dark-text-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:0\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-managing-hiv \"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightBold\">See clinical data for ENFLONSIA<\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/enflonsia\/clinical-studies\/\" role=\"button\" style=\"border-radius:4px\" title=\"\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"\" data-design-module=\"element\"><\/a><\/p><\/div><div class=\"\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card abb05e898-3372-45f8-8e3b-d05d75aede03 vivid360-block-card has-text-align-left hasBoxShadow card-horizontal has-dark-text-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:0\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-question-outline has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightBold\">Frequently asked questions<\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/enflonsia\/frequently-asked-questions\/\" role=\"button\" style=\"border-radius:4px\" title=\"\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"\" data-design-module=\"element\"><\/a><\/p><\/div><div class=\"\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a667a2bfa-2986-458b-bc2f-4acd960022be\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>References:<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-parent-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list-parent\/css\/style.css?ver=1765535927' media='all' \/>\n\n<div class=\"vivid-block-list2 content-width  \">\n<ol style=\"--listBulletColor:#333\" class=\"list-bullet-color\">\n<li>Zar HJ, Sim\u00f5es EAF, Madhi SA, et al. Clesrovimab for Prevention of RSV Disease in Healthy Infants. <em>N Engl J Med<\/em>. 2025;393:1292-1303. DOI: 10.1056\/NEJMoa2502984<\/li>\n\n\n\n<li>Sinha A, et al. Evaluation of a monoclonal antibody against respiratory syncytial virus, clesrovimab, in infants and children: Comprehensive rationale and study design for the late-stage clinical trials. <em>Contemp Clin Trials<\/em>. 2025;157:107995. doi: 10.1016\/j.cct.2025.107995.<\/li>\n<\/ol>\n<\/div>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckvaccines.com\/enflonsia\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1769466497' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal-two-btn\"><div class=\"vivid360-modal-trigger-container\"><span id=\"inlineTrigger\" role=\"link\" data-design-module=\"modal\" data-design-category=\"link\" class=\"vivid360-modal-trigger vivid360-modal-trigger-hide\">patientSite<\/span><\/div><div class=\"vivid360-modal-container null\"><div class=\"vivid360-modal\" style=\"color:#00857c\"><div 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bOccurring&#8230;<\/p>\n","protected":false},"author":4249,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[204],"ga4_page_birn_id":[],"ga4_page_branding":[220],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[276],"ga4_page_customer_journey_stage":[297],"ga4_page_customer_specialty":[345],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[551],"ga4_page_product":[779],"ga4_page_region":[976],"ga4_page_therapeuticarea":[],"class_list":["post-1071","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Safety Profile for ENFLONSIA\u2122 (clesrovimab-cfor)<\/title>\n<meta name=\"description\" content=\"Review information about our safety 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