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Safety and Tolerability Study to Evaluate MEDI-534 in Children 6 to < 24 Months of Age (CP149)

Primary Purpose

Respiratory Viral Infections, Respiratory Syncytial Virus Infections, Parainfluenza Virus 3, Human

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MEDI-534
MEDI-534
MEDI-534
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Respiratory Viral Infections focused on measuring Lower Respiratory Tract Illness, RSV and PIV3 infection

Eligibility Criteria

6 Months - 23 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female whose age on the day of randomization is 6 to <24 months (reached 6th month birthday and not yet reached 2nd year birthday)
  • Subject is seronegative to both RSV and PIV3 at screening
  • Subject was the product of normal full term pregnancy (defined as >36 weeks gestation)
  • Subject is in general good health
  • Subject's legal representative is available by telephone
  • Written informed consent and HIPAA authorization (if applicable) obtained from the subject's legal representative
  • Subject's legal representative is able to understand and comply with the requirements of the protocol as judged by the investigator
  • Subject is available to complete the follow-up period, which will be through the end of RSV season (provisionally defined as 01/Apr for the United States) or 180 days after the final dose of study vaccine, whichever is later
  • Subject's legal representative must be willing and able to bring the subject to the study site for evaluation of respiratory illness in accordance with the protocol

Exclusion Criteria:

  • Any fever (equal to or greater than 100.4°F [equal to or greater than 38.0°C], regardless of route) or lower respiratory illness (Section 4.1.2) within 7 days prior to randomization
  • Moderate or severe nasal congestion that in the investigator's opinion could prevent intranasal delivery of vaccine
  • Any drug therapy (chronic or other) within 7 days prior to randomization or expected receipt through the protocol-specified blood collection 28 days after each study vaccine dosing, except that infrequent use of over-the-counter medications such as pain relievers are permitted according to the judgment of the investigator
  • Any current or expected receipt of immunosuppressive agents including steroids (2 mg/kg per day of prednisone or its equivalent, or equal to or greater than 20 mg/day if the subject weighs >10 kg, given daily or on alternate days for equal to or greater than 14 days); children in this category should not receive study vaccine until immunosuppressive agents including corticosteroid therapy have been discontinued for equal to or greater than 30 days; the use of topical steroids is permitted according to the judgment of the investigator
  • History of receipt of blood transfusion or expected receipt through 30 days following final study vaccine dosing
  • History of receipt of immunoglobulin products or expected receipt through 30 days after study vaccine dosing
  • Receipt of any investigational drug within 60 days prior to randomization or expected receipt through 30 days after final study vaccine dosing
  • Receipt of any live virus vaccine (excluding rotavirus vaccine) within 28 days prior to randomization or expected receipt within a 28-day window around any study vaccine dose
  • Receipt of any inactivated (i.e., non-live) vaccine or rotavirus vaccine within 14 days prior to randomization or expected receipt within a 14-day window around any study vaccine dose
  • Known or suspected immunodeficiency, including HIV
  • Living in the same home or enrolled in the same classroom at day care with infants <24 months of age (only one child per household may be enrolled into the study)
  • Contact with pregnant caregiver
  • A household contact who is immunocompromised; the subject should also avoid close contact with immunocompromised individuals for at least 30 days after any study vaccine dose
  • A household contact who is a health care provider in contact with immunocompromised patients or who is a day care provider for infants under the age of 6 months
  • History of allergic reaction to any component of the study vaccine
  • Previous medical history, or evidence, of an intercurrent or chronic illness that, in the opinion of the investigator, may compromise the safety of the subject
  • Known or suspected active or chronic hepatitis infection
  • History of medical diagnosis of asthma, reactive airway disease, wheezing requiring medication, cystic fibrosis, bronchopulmonary dysplasia, chronic pulmonary disease, medically confirmed apnea, hospitalization for respiratory illness or mechanical ventilation
  • Family member or household contact who is an employee of the research center or otherwise involved with the conduct of the study
  • Any condition that, in the opinion of the investigator, might interfere with study vaccine evaluation

Sites / Locations

  • Arkansas Pediatric Research Division
  • Arkansas Pediatric Clinic
  • THe Children's Hospital
  • Miami Children's Hospital
  • Pediatric Partners
  • North Georgia Clinical Research Center
  • University Consultants in Allergy and Immunology
  • Children's Memorial Hospital
  • University of Maryland, Baltimore
  • Tufts-New England Medical Center
  • Craig A. Spiegel, MD
  • Meridian Clinical Research, LLC
  • United Medical Associates
  • Withrop University Hospital
  • SUNY Upstate Medical University
  • Cincinnati Children's Hospital Medical Center
  • University Hospitals case Medical Center
  • MetroHealth Medical Center
  • St. Vincent Mercy Medical Center Mercy Children's Hospital
  • Primary Physicians Research, Inc.
  • Sanford Children's Specialty Clinic
  • Vanderbilt University Medical Center
  • University of Texas Health Science Center of Houston Medical School
  • Bear Care Pediatrics
  • Copperview Medical Center
  • Virginia Commonwealth University
  • Advanced Pediatrics
  • Rockwood Clinic Research Center
  • Marshall University Joan C. Edwards School of Medicine
  • West Virginia University Health Science Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

1

2

3

Arm Description

MEDI-534 at 10^4 TCID50 at 0, 2, and 4 months (Nasal spray)

MEDI-534 at 10^5 TCID50 at 0, 2, and 4 months (Nasal Spray)

MEDI-534 at 10^6 TCID50 at 0, 2, and 4 months (Nasal Spray)

Outcomes

Primary Outcome Measures

Number of Participants With Solicited Adverse Events (SEs) After Dose 1
The SEs for this study included fever ≥ 100.4°F, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/fussiness, laryngitis, and epistaxis.
Number of Participants With SEs After Dose 2
The SEs for this study included fever ≥ 100.4°F, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/fussiness, laryngitis, and epistaxis.
Number of Participants With SEs After Dose 3
The SEs for this study included fever ≥ 100.4°F, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/fussiness, laryngitis, and epistaxis.
Number of Participants With Adverse Events (AEs) After Dose 1
Unsolicited AEs reported by 1 or more participants in either treatment group through 28 days post Dose 1.
Number of Participants With AEs After Dose 2
Unsolicited AEs reported by 1 or more participants in either treatment group through 28 days post Dose 2.
Number of Participants With AEs After Dose 3
Unsolicited AEs reported by 1 or more participants in either treatment group through 28 days post Dose 3.
Number of Subjects With Medically-attended Lower Respiratory Illnesses (MA-LRIs)
An MA-LRI was a healthcare provider-confirmed diagnosis of 1 or more of the following: wheezing, pneumonia, croup, rhonchi (not cleared with cough or suctioning), rales, bronchitis, bronchiolitis, apnea.
Number of Participants With Serious Adverse Events (SAEs)
Events resulting in death; were life-threatening; resulted in inpatient hospitalization/prolongation of hospitalization; resulted in persistent or significant disability or incapacity; were a congenital anomaly/birth defect in the offspring of a participant; or were an important medical event that may not have resulted in death, threatened life, or required hospitalization and may have jeopardized the participant and required medical/surgical intervention to prevent one of the above outcomes.
Number of Participants With Significant New Medical Conditions (SNMCs)
A SNMC is a newly diagnosed medical condition that is of a chronic, ongoing nature and is assessed by the investigator as medically significant.

Secondary Outcome Measures

Number of Participants Shedding Vaccine-like Virus at Any Time During Study Participation
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 7 Days After Dose 1
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 12 Days After Dose 1
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 28 Days After Dose 1
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants With Shedding of Vaccine-like Virus on Any Day During Days 0-28 After Dose 1
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 7 Days After Dose 2
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 12 Days After Dose 2
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 28 Days After Dose 2
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants With Shedding of Vaccine-like Virus on Any Day During Days 0-28 After Dose 2
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 7 Days After Dose 3
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 12 Days After Dose 3
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants Shedding Vaccine-like Virus at 28 Days After Dose 3
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Number of Participants With Shedding of Vaccine-like Virus on Any Day During Days 0-28 After Dose 3
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Baseline
Pre-dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Day 28 Post Dose 1
Post dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Day 28 Post Dose 2
Post dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Day 28 Post Dose 3
Post dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies to PIV3 at Baseline
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Geometric Mean Titers (GMTs) of Serum HAI Antibodies to PIV3 Day 28 Post Dose 1
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Geometric Mean Titers (GMTs) of Serum HAI Antibodies to PIV3 Day 28 Post Dose 2
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Geometric Mean Titers (GMTs) of Serum HAI Antibodies to PIV3 Day 28 Post Dose 3
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Number of Participants With Seroresponse to RSV 28 Days After Dose 1
Seroresponse is equal to or greater than a 4-fold rise in RSV antibody from baseline as measured by microneutralization assay.
Number of Participants With Seroresponse to RSV 28 Days After Dose 2
Seroresponse is equal to or greater than a 4-fold rise in RSV antibody from baseline as measured by microneutralization assay.
Number of Participants With Seroresponse to RSV 28 Days After Dose 3
Seroresponse is equal to or greater than a 4-fold rise in RSV antibody from baseline as measured by microneutralization assay.
Number of Participants With Seroresponse to PIV3 28 Days After Dose 1
Seroresponse is equal to or greater than a 4-fold rise in PIV3 antibody from baseline as measured by HAI assay.
Number of Participants With Seroresponse to PIV3 28 Days After Dose 2
Seroresponse is equal to or greater than a 4-fold rise in PIV3 antibody from baseline as measured by HAI assay.
Number of Participants With Seroresponse to PIV3 28 Days After Dose 3
Seroresponse is equal to or greater than a 4-fold rise in PIV3 antibody from baseline as measured by HAI assay.

Full Information

First Posted
June 26, 2007
Last Updated
July 13, 2012
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00493285
Brief Title
Safety and Tolerability Study to Evaluate MEDI-534 in Children 6 to < 24 Months of Age
Acronym
CP149
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Study to Evaluate the Safety, Tolerability,Immunogenicity, and Viral Shedding of MEDI-534, a Live, Attenuated Intranasal Vaccine Against Respiratory Syncytial Virus (RSV) and Parainfluenza Virus Type 3 (PIV), in Healthy Children 6 to <24 Months of Age
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
July 2007 (undefined)
Primary Completion Date
November 2009 (Actual)
Study Completion Date
April 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
MedImmune LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The overall objective of the MEDI-534 clinical development program is to evaluate the safety, efficacy and tolerability of MEDI-534 for the prevention of serious RSV and PIV3 disease in young infants.
Detailed Description
The primary objective of this study is to describe the safety and tolerability of multiple doses of MEDI-534 at 10^4, 10^5, or 10^6 TCID50 when administered to RSV and PIV3 seronegative children 6 to <24 months of age.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Viral Infections, Respiratory Syncytial Virus Infections, Parainfluenza Virus 3, Human
Keywords
Lower Respiratory Tract Illness, RSV and PIV3 infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
49 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
MEDI-534 at 10^4 TCID50 at 0, 2, and 4 months (Nasal spray)
Arm Title
2
Arm Type
Active Comparator
Arm Description
MEDI-534 at 10^5 TCID50 at 0, 2, and 4 months (Nasal Spray)
Arm Title
3
Arm Type
Active Comparator
Arm Description
MEDI-534 at 10^6 TCID50 at 0, 2, and 4 months (Nasal Spray)
Intervention Type
Biological
Intervention Name(s)
MEDI-534
Intervention Description
Multiple doses of MEDI-534 or Placebo at 10^4 TCID50
Intervention Type
Biological
Intervention Name(s)
MEDI-534
Intervention Description
Multiple doses of MEDI-534 or Placebo at 10 ^5 TCID50.
Intervention Type
Biological
Intervention Name(s)
MEDI-534
Intervention Description
Multiple doses of MEDI-534 or Placebo at 10^6 TCID50.
Primary Outcome Measure Information:
Title
Number of Participants With Solicited Adverse Events (SEs) After Dose 1
Description
The SEs for this study included fever ≥ 100.4°F, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/fussiness, laryngitis, and epistaxis.
Time Frame
Days 0-28 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants With SEs After Dose 2
Description
The SEs for this study included fever ≥ 100.4°F, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/fussiness, laryngitis, and epistaxis.
Time Frame
Days 0-28 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants With SEs After Dose 3
Description
The SEs for this study included fever ≥ 100.4°F, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/fussiness, laryngitis, and epistaxis.
Time Frame
Days 0-28 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Participants With Adverse Events (AEs) After Dose 1
Description
Unsolicited AEs reported by 1 or more participants in either treatment group through 28 days post Dose 1.
Time Frame
Days 0-28 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants With AEs After Dose 2
Description
Unsolicited AEs reported by 1 or more participants in either treatment group through 28 days post Dose 2.
Time Frame
Days 0-28 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants With AEs After Dose 3
Description
Unsolicited AEs reported by 1 or more participants in either treatment group through 28 days post Dose 3.
Time Frame
Days 0-28 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Subjects With Medically-attended Lower Respiratory Illnesses (MA-LRIs)
Description
An MA-LRI was a healthcare provider-confirmed diagnosis of 1 or more of the following: wheezing, pneumonia, croup, rhonchi (not cleared with cough or suctioning), rales, bronchitis, bronchiolitis, apnea.
Time Frame
Days 0 to 180 days after final dose or the end of the RSV season, whichever was later
Title
Number of Participants With Serious Adverse Events (SAEs)
Description
Events resulting in death; were life-threatening; resulted in inpatient hospitalization/prolongation of hospitalization; resulted in persistent or significant disability or incapacity; were a congenital anomaly/birth defect in the offspring of a participant; or were an important medical event that may not have resulted in death, threatened life, or required hospitalization and may have jeopardized the participant and required medical/surgical intervention to prevent one of the above outcomes.
Time Frame
Days 0-28 after any dose
Title
Number of Participants With Significant New Medical Conditions (SNMCs)
Description
A SNMC is a newly diagnosed medical condition that is of a chronic, ongoing nature and is assessed by the investigator as medically significant.
Time Frame
Day 0 through 180 days after the final dose or through the end of the RSV season, whichever was later
Secondary Outcome Measure Information:
Title
Number of Participants Shedding Vaccine-like Virus at Any Time During Study Participation
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 7, 12, and 28 after each dose and during visits for pre-specified illness symptoms occurring Day 0 through 28-34 days post each dose.
Title
Number of Participants Shedding Vaccine-like Virus at 7 Days After Dose 1
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 7-10 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants Shedding Vaccine-like Virus at 12 Days After Dose 1
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 12-18 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants Shedding Vaccine-like Virus at 28 Days After Dose 1
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 28-34 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants With Shedding of Vaccine-like Virus on Any Day During Days 0-28 After Dose 1
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 0-34 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants Shedding Vaccine-like Virus at 7 Days After Dose 2
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 7-10 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants Shedding Vaccine-like Virus at 12 Days After Dose 2
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 12-18 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants Shedding Vaccine-like Virus at 28 Days After Dose 2
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 28-34 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants With Shedding of Vaccine-like Virus on Any Day During Days 0-28 After Dose 2
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 0-34 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants Shedding Vaccine-like Virus at 7 Days After Dose 3
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 7-10 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Participants Shedding Vaccine-like Virus at 12 Days After Dose 3
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 12-18 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Participants Shedding Vaccine-like Virus at 28 Days After Dose 3
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 28-34 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Participants With Shedding of Vaccine-like Virus on Any Day During Days 0-28 After Dose 3
Description
Number of participants with nasal wash specimens that were positive for RSV or PIV3 by culture and identified as vaccine-type virus by RT-PCR.
Time Frame
Days 0-34 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Baseline
Description
Pre-dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Time Frame
Baseline (Day 0 prior to Dose 1)
Title
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Day 28 Post Dose 1
Description
Post dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Time Frame
Day 28-34 after Dose 1 (Dose 1 was on Day 0)
Title
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Day 28 Post Dose 2
Description
Post dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Time Frame
Day 28-34 after Dose 2 (Dose 2 was on Day 48-64)
Title
Geometric Mean Titers (GMTs) of Serum Antibodies to RSV at Day 28 Post Dose 3
Description
Post dose GMT of serum antibody response to RSV as measured by microneutralization assay. Limit of quantification is 5. For results reported as < 5, a value of 2.5 was imputed.
Time Frame
Day 28-34 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Geometric Mean Titers (GMTs) of Serum Hemagglutination Inhibition (HAI) Antibodies to PIV3 at Baseline
Description
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Time Frame
Baseline (Day 0 prior to Dose 1)
Title
Geometric Mean Titers (GMTs) of Serum HAI Antibodies to PIV3 Day 28 Post Dose 1
Description
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Time Frame
Day 28-34 after Dose 1 (Dose 1 was on Day 0)
Title
Geometric Mean Titers (GMTs) of Serum HAI Antibodies to PIV3 Day 28 Post Dose 2
Description
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Time Frame
Day 28-34 after Dose 2 (Dose 2 was on Day 48-64)
Title
Geometric Mean Titers (GMTs) of Serum HAI Antibodies to PIV3 Day 28 Post Dose 3
Description
Post dose GMT of serum antibody response to PIV3 as measured by HAI assay. Limit of quantification is 4. For results reported as < 4, a value of 2 was imputed.
Time Frame
Day 28-34 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Participants With Seroresponse to RSV 28 Days After Dose 1
Description
Seroresponse is equal to or greater than a 4-fold rise in RSV antibody from baseline as measured by microneutralization assay.
Time Frame
Days 28-34 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants With Seroresponse to RSV 28 Days After Dose 2
Description
Seroresponse is equal to or greater than a 4-fold rise in RSV antibody from baseline as measured by microneutralization assay.
Time Frame
Days 28-34 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants With Seroresponse to RSV 28 Days After Dose 3
Description
Seroresponse is equal to or greater than a 4-fold rise in RSV antibody from baseline as measured by microneutralization assay.
Time Frame
Days 28-34 after Dose 3 (Dose 3 was 48-64 days after Dose 2)
Title
Number of Participants With Seroresponse to PIV3 28 Days After Dose 1
Description
Seroresponse is equal to or greater than a 4-fold rise in PIV3 antibody from baseline as measured by HAI assay.
Time Frame
Days 28-34 after Dose 1 (Dose 1 was on Day 0)
Title
Number of Participants With Seroresponse to PIV3 28 Days After Dose 2
Description
Seroresponse is equal to or greater than a 4-fold rise in PIV3 antibody from baseline as measured by HAI assay.
Time Frame
Days 28-34 after Dose 2 (Dose 2 was on Day 48-64)
Title
Number of Participants With Seroresponse to PIV3 28 Days After Dose 3
Description
Seroresponse is equal to or greater than a 4-fold rise in PIV3 antibody from baseline as measured by HAI assay.
Time Frame
Days 28-34 after Dose 3 (Dose 3 was 48-64 days after Dose 2)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
23 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female whose age on the day of randomization is 6 to <24 months (reached 6th month birthday and not yet reached 2nd year birthday) Subject is seronegative to both RSV and PIV3 at screening Subject was the product of normal full term pregnancy (defined as >36 weeks gestation) Subject is in general good health Subject's legal representative is available by telephone Written informed consent and HIPAA authorization (if applicable) obtained from the subject's legal representative Subject's legal representative is able to understand and comply with the requirements of the protocol as judged by the investigator Subject is available to complete the follow-up period, which will be through the end of RSV season (provisionally defined as 01/Apr for the United States) or 180 days after the final dose of study vaccine, whichever is later Subject's legal representative must be willing and able to bring the subject to the study site for evaluation of respiratory illness in accordance with the protocol Exclusion Criteria: Any fever (equal to or greater than 100.4°F [equal to or greater than 38.0°C], regardless of route) or lower respiratory illness (Section 4.1.2) within 7 days prior to randomization Moderate or severe nasal congestion that in the investigator's opinion could prevent intranasal delivery of vaccine Any drug therapy (chronic or other) within 7 days prior to randomization or expected receipt through the protocol-specified blood collection 28 days after each study vaccine dosing, except that infrequent use of over-the-counter medications such as pain relievers are permitted according to the judgment of the investigator Any current or expected receipt of immunosuppressive agents including steroids (2 mg/kg per day of prednisone or its equivalent, or equal to or greater than 20 mg/day if the subject weighs >10 kg, given daily or on alternate days for equal to or greater than 14 days); children in this category should not receive study vaccine until immunosuppressive agents including corticosteroid therapy have been discontinued for equal to or greater than 30 days; the use of topical steroids is permitted according to the judgment of the investigator History of receipt of blood transfusion or expected receipt through 30 days following final study vaccine dosing History of receipt of immunoglobulin products or expected receipt through 30 days after study vaccine dosing Receipt of any investigational drug within 60 days prior to randomization or expected receipt through 30 days after final study vaccine dosing Receipt of any live virus vaccine (excluding rotavirus vaccine) within 28 days prior to randomization or expected receipt within a 28-day window around any study vaccine dose Receipt of any inactivated (i.e., non-live) vaccine or rotavirus vaccine within 14 days prior to randomization or expected receipt within a 14-day window around any study vaccine dose Known or suspected immunodeficiency, including HIV Living in the same home or enrolled in the same classroom at day care with infants <24 months of age (only one child per household may be enrolled into the study) Contact with pregnant caregiver A household contact who is immunocompromised; the subject should also avoid close contact with immunocompromised individuals for at least 30 days after any study vaccine dose A household contact who is a health care provider in contact with immunocompromised patients or who is a day care provider for infants under the age of 6 months History of allergic reaction to any component of the study vaccine Previous medical history, or evidence, of an intercurrent or chronic illness that, in the opinion of the investigator, may compromise the safety of the subject Known or suspected active or chronic hepatitis infection History of medical diagnosis of asthma, reactive airway disease, wheezing requiring medication, cystic fibrosis, bronchopulmonary dysplasia, chronic pulmonary disease, medically confirmed apnea, hospitalization for respiratory illness or mechanical ventilation Family member or household contact who is an employee of the research center or otherwise involved with the conduct of the study Any condition that, in the opinion of the investigator, might interfere with study vaccine evaluation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elissa Malkin, D.O.
Organizational Affiliation
MedImmune LLC
Official's Role
Study Director
Facility Information:
Facility Name
Arkansas Pediatric Research Division
City
Conway
State/Province
Arkansas
ZIP/Postal Code
72033
Country
United States
Facility Name
Arkansas Pediatric Clinic
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
THe Children's Hospital
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Miami Children's Hospital
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Pediatric Partners
City
Palm Beach Gardens
State/Province
Florida
ZIP/Postal Code
33410
Country
United States
Facility Name
North Georgia Clinical Research Center
City
Dalton
State/Province
Georgia
ZIP/Postal Code
30721
Country
United States
Facility Name
University Consultants in Allergy and Immunology
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Children's Memorial Hospital
City
Chicago
State/Province
Illinois
ZIP/Postal Code
61614
Country
United States
Facility Name
University of Maryland, Baltimore
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States
Facility Name
Tufts-New England Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States
Facility Name
Craig A. Spiegel, MD
City
Bridgeton
State/Province
Missouri
ZIP/Postal Code
63044
Country
United States
Facility Name
Meridian Clinical Research, LLC
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
United Medical Associates
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Facility Name
Withrop University Hospital
City
Mineola
State/Province
New York
ZIP/Postal Code
11501
Country
United States
Facility Name
SUNY Upstate Medical University
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
University Hospitals case Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
MetroHealth Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44109
Country
United States
Facility Name
St. Vincent Mercy Medical Center Mercy Children's Hospital
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43608
Country
United States
Facility Name
Primary Physicians Research, Inc.
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15241
Country
United States
Facility Name
Sanford Children's Specialty Clinic
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57117
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
University of Texas Health Science Center of Houston Medical School
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Bear Care Pediatrics
City
Ogden
State/Province
Utah
ZIP/Postal Code
84405
Country
United States
Facility Name
Copperview Medical Center
City
South Jordan
State/Province
Utah
ZIP/Postal Code
84095
Country
United States
Facility Name
Virginia Commonwealth University
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23219
Country
United States
Facility Name
Advanced Pediatrics
City
Vienna
State/Province
Virginia
ZIP/Postal Code
22180
Country
United States
Facility Name
Rockwood Clinic Research Center
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States
Facility Name
Marshall University Joan C. Edwards School of Medicine
City
Huntington
State/Province
West Virginia
ZIP/Postal Code
25701
Country
United States
Facility Name
West Virginia University Health Science Center
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21926667
Citation
Bernstein DI, Malkin E, Abughali N, Falloon J, Yi T, Dubovsky F; MI-CP149 Investigators. Phase 1 study of the safety and immunogenicity of a live, attenuated respiratory syncytial virus and parainfluenza virus type 3 vaccine in seronegative children. Pediatr Infect Dis J. 2012 Feb;31(2):109-14. doi: 10.1097/INF.0b013e31823386f1.
Results Reference
result

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Safety and Tolerability Study to Evaluate MEDI-534 in Children 6 to < 24 Months of Age

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