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RSV LID cp ΔM2-2 is a recombinant, live-attenuated respiratory syncytial virus (RSV) vaccine candidate developed by the National Institute of Allergy and Infectious Diseases (NIAID). The vaccine is engineered from the RSV Low Infectivity (LID) backbone and is attenuated through two primary modifications: the deletion of the M2-2 gene (ΔM2-2), which encodes an RNA regulatory protein involved in the balance between viral transcription and replication, and the inclusion of five cold-passage (cp) mutations. Administered intranasally as nose drops, the vaccine was designed to prevent RSV lower respiratory tract disease in seronegative infants and young children aged 6 to 24 months. However, Phase I clinical results indicated that the candidate was over-attenuated, resulting in low infectivity and insufficient immunogenicity, leading to the discontinuation of its development.
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