Enflonsia

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Authorised

This medicine is authorised for use in the European Union

clesrovimab
MedicineHumanAuthorised
  • Application under evaluation
  • CHMP opinion
  • European Commission decision

Overview

Enflonsia is a medicine used to prevent lower respiratory tract disease (diseases of the lungs such as bronchiolitis or pneumonia) caused by respiratory syncytial virus (RSV) in newborns and infants up to 12 months of age during their first RSV season. RSV season is the time of the year when RSV infections are most common, usually from autumn to spring.

Enflonsia contains the active substance clesrovimab.

Enflonsia can only be obtained with a prescription and should be used according to official recommendations.

Enflonsia is given as a single injection into the thigh muscle. It is given from birth to babies born during the RSV season or before the babies’ first RSV season starts.

For more information about using Enflonsia, see the package leaflet or contact your doctor or pharmacist.

The active substance in Enflonsia, clesrovimab, is a monoclonal antibody, a type of protein designed to recognise and attach to a specific protein. Clesrovimab attaches to the ‘F protein’ on the surface of RSV, which prevents the virus from entering the body’s cells. This helps prevent lower respiratory tract disease caused by RSV, such as bronchiolitis or pneumonia.

Enflonsia was shown to be effective at preventing lower respiratory tract disease caused by RSV in two main studies in newborns and infants during their first RSV season.

One study compared Enflonsia with placebo (a dummy treatment) in 3,632 healthy infants up to 12 months of age, born prematurely (between 29 and before 35 weeks of pregnancy) or at late pre-term/full term (at 35 weeks of pregnancy or later). In the 150 days after receiving treatment during their first RSV season, 2.5% of infants (60 out of 2,398) who received Enflonsia developed lower respiratory tract disease caused by RSV that required medical attention compared with 6.2% (74 out of 1,201) of those given placebo. Infants were considered to have lower respiratory tract disease caused by RSV when a test showed they were infected with the virus and they had symptoms such as cough or difficulty breathing, as well as more serious signs, including wheezing or crackling sounds in the lungs.

A second study compared Enflonsia with palivizumab (another medicine used to prevent lower respiratory tract disease caused by RSV) in 901 infants who were either born prematurely (at 35 weeks of pregnancy or earlier) or born at full term but had heart or lung disease which put them at higher risk of lower respiratory tract disease caused by RSV. In the 150 days after receiving treatment during their first RSV season, 3.2% of infants (14 out of 443) who received Enflonsia had lower respiratory tract disease caused by RSV that required medical attention, similar to the 2.7% of infants (12 out of 437) given palivizumab.

For the full list of side effects and restrictions with Enflonsia, see the package leaflet.

The most common side effects with Enflonsia (which may affect up to 1 in 10 people) include pain, redness and swelling at the injection site, and rash.

Enflonsia was shown to be effective at preventing lower respiratory tract disease caused by RSV in newborns and infants during their first RSV season. There are uncertainties regarding the use of Enflonsia in infants with a low body weight (less than 1.1 kg) due to the lack of data in this population. Regarding safety, side effects were mild to moderate and considered acceptable. The European Medicines Agency therefore decided that Enflonsia’s benefits are greater than its risks and it can be authorised for use in the EU.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Enflonsia have been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Enflonsia are continuously monitored. Suspected side effects reported with Enflonsia are carefully evaluated and any necessary action taken to protect patients.

Enflonsia received a marketing authorisation valid throughout the EU on 15 April 2026.

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Product information

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This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.

 

Product information documents contain:

  • summary of product characteristics (annex I);
  • manufacturing authorisation holder responsible for batch release (annex IIA);
  • conditions of the marketing authorisation (annex IIB);
  • labelling (annex IIIA);
  • package leaflet (annex IIIB).

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Product details

Name of medicine
Enflonsia
Active substance
clesrovimab
International non-proprietary name (INN) or common name
clesrovimab
Therapeutic area (MeSH)
Respiratory Syncytial Virus Vaccines
Anatomical therapeutic chemical (ATC) code
J06BD10

Pharmacotherapeutic group

Immune sera and immunoglobulins

Therapeutic indication

Enflonsia is indicated for the prevention of respiratory syncytial virus (RSV) lower respiratory tract disease in neonates and infants during their first RSV season.

Enflonsia should be used in accordance with official recommendations.

Authorisation details

EMA product number
EMEA/H/C/006497

Additional monitoring

This medicine is under additional monitoring, meaning that it is monitored even more intensively than other medicines. For more information, see Medicines under additional monitoring.

Marketing authorisation holder
Merck Sharp Dohme Limited
Opinion adopted
18/09/2025
Marketing authorisation issued
15/04/2026

Assessment history

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