Human respiratory syncytial virus (RSV) is the leading viral cause of lower respiratory tract disease in infants and children worldwide. In previous work to develop point mutations in RSV with improved genetic stability, we observed that an attenuating mutation at amino acid position 1321 in the L polymerase protein was subject to deattenuation by a spontaneous second-site compensatory mutation at position 1313 (C. Luongo, C. C. Winter, P. L. Collins, and U. J. Buchholz, J. Virol. 86:10792-10804, 2012). In the present study, we found that deletion of position 1313 (⌬1313), irrespective of the presence of an attenuating mutation at position 1321, provided a new attenuating mutation. RSV bearing ⌬1313 replicated in cell culture as efficiently as wildtype virus at 32°C, was restricted for replication at 37°C, and was restricted 50-fold and 150-fold in the upper and lower respiratory tracts, respectively, of mice. We combined the ⌬1313 deletion with the previously described, attenuating NS2 gene deletion (⌬NS2) to produce the recombinant live-attenuated RSV vaccine candidate ⌬NS2/⌬1313. During in vitro stress tests involving serial passage at incrementally increasing temperatures, a second-site compensatory mutation was detected in close proximity of ⌬1313, namely, I1314T. This site was genetically and phenotypically stabilized by an I1314L substitution. Combination of I1314L with ⌬NS2/⌬1313 yielded a virus, ⌬NS2/⌬1313/1314L, with genetic stability at physiological temperature. This stabilized vaccine candidate was moderately temperature sensitive and had a level of restriction in chimpanzees comparable to that of MEDI-559, a promising RSV vaccine candidate that presently is in clinical trials but lacks stabilized attenuating mutations. The level of attenuation and genetic stability identify ⌬NS2/⌬1313/1314L as a promising candidate for evaluation in pediatric phase I studies.H uman respiratory syncytial virus (RSV) is the leading viral cause of lower respiratory tract infection in infants and young children worldwide. RSV is an enveloped, nonsegmented negative-strand RNA virus that is a member of the subfamily Pneumovirinae, genus Pneumovirus, of family Paramyxoviridae. Its genome is approximately 15.2 kb in length and encodes 11 major proteins, including nucleoprotein N, phosphoprotein P, matrix protein M, polymerase protein L, polymerase factors M2-1 and M2-2, fusion glycoprotein F, attachment glycoprotein G, small hydrophobic protein SH, and nonstructural proteins NS1 and NS2. The viral gene order is 3=-NS1-NS2-N-P-M-SH-G-F-M2-1/ M2-2-L-5=.RSV causes an estimated 34 million episodes of acute lower respiratory tract infections in children under 5 years of age and 199,000 pediatric deaths annually worldwide (1). The only prophylaxis available to prevent RSV disease is a commercial neutralizing antibody to RSV F that is administered to high-risk infants as passive immunization monthly during the RSV season (2, 3). There are no effective antivirals, and a licensed vaccine is not available, even though the need for a...