A Study to Evaluate MEDI-524 In Children With Hemodynamically Significant Congenital Heart Disease
Congenital Heart Disease
About this trial
This is an interventional prevention trial for Congenital Heart Disease focused on measuring Synagis, motavizumab, palivizumab, children, MEDI-524, RSV, congenital hear disease
Eligibility Criteria
Inclusion Criteria:
- 24 months of age or younger at randomization (child must have been randomized on or before their 24-month birthday)
- Documented, hemodynamically significant CHD
- Unoperated or partially corrected CHD
- Written informed consent obtained from the patient's parent(s)/legal guardian(s) Note: The following children were not eligible: children with uncomplicated small atrial or ventricular septal defects or patent ductus arteriosus, children with aortic stenosis, pulmonic stenosis, or coarctation of the aorta alone. Children with acyanotic cardiac lesions must have pulmonary hypertension [≥ 40 mmHg measured pressure in the pulmonary artery (PA)] or the need for daily medication to manage CHD.
Exclusion Criteria:
- Unstable cardiac or respiratory status, including cardiac defects so severe that survival was not expected or for which cardiac transplantation was planned or anticipated
- Hospitalization, unless discharge was anticipated within 21 days
- Anticipated cardiac surgery within two weeks of randomization
- Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure or other mechanical respiratory or cardiac support
- Associated non-cardiac anomalies or end organ dysfunction resulting in anticipated survival of less than six months or unstable abnormalities of end organ function
- Acute respiratory illness, or other acute infection or illness Note: children with any respiratory symptoms must have had a negative RSV test prior to randomization
- Chronic seizure or evolving or unstable neurologic disorder
- Known immunodeficiency
- Mother with HIV infection (unless the child had been proven to be not infected)
- Known allergy to Ig products
- Receipt of any polyclonal antibody (for example, Hepatitis B IG, IVIG, VZIG) within 3 months prior to randomization
- Receipt of palivizumab (Synagis®) within 3 months prior to randomization
- Use of investigational agents within the past three months (other than investigational agents commonly used during cardiac surgery or the immediate post-operative period, e.g., nitric oxide)
- Current participation in other investigational protocols of drugs or biological agents
- Previous participation in MI-CP124 (Season 1)
Sites / Locations
- Arkansas Pediatric Clinic
- Miller Children's Hospital
- Childrens Hospital Los Angeles
- Children's Hospital and Research Center at Oakland
- University of California Davis Medical Center
- Children's Hospital And Health Center
- Yale New Haven Children's Hospital
- Children's National Medical Center
- Nemours Children's Clinic Biomedical Research Department
- James Whitcomb Riley Hospital for Children
- Memorial Hospital of South Bend
- Tulane University Health Sciences Center
- University of Maryland
- Johns Hopkins Hospital
- Tufts - New England Medical Center
- Children's Hospital Boston
- Children's Hospital of Michigan
- Mayo Clinic
- Children's Mercy Hospital
- Washington University School of Medicine
- University of Rochester
- Suny At Stony Brook University Medical Center
- Univ. of North Carolina
- Akron Children's Hospital
- Children's Hospital of Oklahoma
- Children's Hospital of Philadelphia
- Rhode Island Hospital
- Children's Cardiology Associates PLLC
- Texas Children's Hospital
- University of Virginia
- Universitätsklinik für Kinder- und Jugendheilkunde
- Allgemeines Krankenhaus Linz
- Universitätsklinik für Kinder- und Jugendheilkunde
- Ziekenhuisnetwerk Antwerpen - Koningin Paola Kinderziekenhuis
- UZ Brussel
- UZ Brussel
- Hôpital Universitaire des Enfants Reine
- Cliniques Universitaires Saint-Luc
- UZ Antwerpen
- UZ Antwerpen
- UZ Gent
- UZ Leuven
- CHR de la Citadelle
- University Multifunctional Hospital for Active Treatment
- University Mulitiprofile Hospital for Active Treatment "St.Georgi"
- Multifunctional Hospital for Active Treatment - Pleven
- Regional Dispensary for Pulmonary Diseases with Inpatient sector-Rousse
- Specialized Hospital for Active Treatment of Cardio-vascular Diseases
- Specialized Hospital for Active Treatment of Pediatric Diseases
- University Multifunctional Hospital for Active Treatment
- Multifunctional Hospital for Active Treatment - Pleven
- Children's and Women's Hospital of BC, Room #1R11
- IWK Health Center
- The Hospital for Sick Children
- University of Alberta
- Montreal Children's Hospital
- Saint Justine Hospital
- Children's Hospital Of Eastern Ontario
- Saskatchewan Drug Research Institute
- Fakultni nemocnice Hradec Kralove
- Nemocnice Most, prispevkova organizace
- Fakultni nemocnice Plzen
- Vseobecna fakultni nemocnice v Praze
- Ustav pro peci o matku a dite
- Fakultni nemocnice v Motole
- Fakultni nemocnice Na Bulovce
- Skejby Sygehus
- Groupe Hospitalier Pelligrin
- CHRU Dijon-Complex du Bocage
- Centre chirurgical Marie Lannelongue
- Hospital de la Conception
- Hospital Robert Debre
- American Memorial Hospital
- Hospital de Hautepierre
- Hospitaux de Brabois
- Herz- und Diabeteszentrum NRW
- Friedrich-Alexander-Universiät Erlangen Nürnberg
- Medizinische Hochschule Hannover
- Universitätsklinikum Schleswig Holstein
- Johannes Gutenberg-Universität
- LMU Klinikum der Universität
- Klinikum Oldenburg
- Universitätsklinik Rostock
- Universitätsklinik Rostock
- Universitätsklinikum Tübingen
- Semmelweis Egyetem
- Gottsegen Gyorgy Orszagos Kardiologiai Intezet, Gyermeksziv Kozpont
- Debreceni Egyetem OEC
- Petz Aladar Megyei Korhaz
- Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház
- Josa Andras Korhaz
- Pecsi Tudomanyegyetem
- Szegedi Tudomanyegyetem AOK, Gyermekgyogyaszati Klinika
- Veszprém Megyei Önkormányzat - Csolnoky Ferenc Kórház
- Soroka University Medical Center
- Rambam Medical Center
- Edith Wolfson Medical Center
- Shaare Zedek Medical Center
- Hadassah University Hospital Ein Kerem
- Schneider Children's Medical Center of Israel
- The Chaim Sheba Medical Center
- Tel-Aviv Sourasky Medical Center
- The Chaim Sheba Medical Center
- St George University Hospital
- American University of Beirut Medical Center
- Hotel Dieu De France
- Samodzielny Publiczny Szpital Akademii Medycznej
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej, Wojewodzki Szpital im. dr Jana Biziela w Bydgoszczy
- Wojewodzki Szpital Dzieciecy W Bydgoszczy
- Instytut Centrum Zdrowia Matki Polki
- Dzieciecy Szpital Kliniczny im. Prof. Antoniego Gebal Poliklinika
- Ginekologiczno-Poloznicy Szpital Kliniczny Uniwersytetu Medycznego w Poznaniu
- Szpital Kliniczny Uniwersytetu Medycznego im. Karola Jonschera
- Samodzielny Publiczny Szpital Kliniczny nr 1 im. Tadeusza Sokolowskiego Pomorskiej AM w Szczecinie
- Instytut "Pomnik - Centrum Zdrowia Dziecka"
- Kazan State Medical University
- Kuban State Medical Academy
- Meshalkin Research Institue of Blood circulation
- City Outpatient Clinic #113
- Saint Petersburg State Pediatric Medical Academy
- St. Petersburg City Children's Hospital #1
- Research Cardiology Institute of Tomsk Scientific Center
- St. Petersburg Pediatric city hospital
- Hospital de Cruces
- Hospital Vall d'Hebron
- Hospital Reina Sofia
- Hospital Universitario Virgen de la Arrixaca
- Hospital Sant Joan de Deu
- Hospital Josep Trueta
- Hospital Universitario Virgen de Las Nieves
- Hospital Materno Infantil de Jaen
- Hospital de Jerez
- Hospital Juan Canalejo
- Hospital Gregorio Marañon
- Hospital La Paz
- Hospital 12 de Octubre
- Hospital Materno Infantil
- Hospital Donostia
- Hospital Infantil Universitario Virgen del Rocío
- Hospital Xeral de Vigo
- Hospital Universitario Miguel Servet
- Jan Sunnegardh's- Private Practice
- Universitetssjukhuset i Lund
- Karolinska University Hospital
- Akademiska Sjukhuset i Uppsala
- Universitetssjukhuset i Lund
- Royal Belfast Hospital for Sick Children
- Bristol Royal Hospital for Children
- Medway Maritime Hospital
- Leeds General Infirmary
- University Hospitals of Leicester NHS Trust
- Royal Brompton Hospital
- Southampton General Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Motavizumab
Pailvizumab
Motavizumab was administered as an intramuscular injection at 15 mg/kg every 30 days during the RSV season for a maximum of 5 scheduled doses. Additionally, children who underwent cardiac surgery with cardiopulmonary bypass through Study Day 150 were to receive a protocol-specified replacement dose of study drug immediately following the surgery when determined by the physician to be medically stable for an IM injection.
Palivizumab was administered as an intramuscular injection at 15 mg/kg every 30 days during the RSV season for a maximum of 5 scheduled doses. Additionally, children who underwent cardiac surgery with cardiopulmonary bypass through Study Day 150 were to receive a protocol-specified replacement dose of study drug immediately following the surgery when determined by the physician to be medically stable for an IM injection.