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Influenza Virus Challenge Study to Test Monoclonal Antibody TCN-032 as a Treatment for Influenza

Primary Purpose

Influenza

Status
Unknown status
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
TCN-032
Placebo (saline)
Sponsored by
Theraclone Sciences, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza focused on measuring Influenza, monoclonal antibody

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age 18 to 45 years, inclusive.
  • In good health with no history of major medical conditions
  • Female subjects must not be pregnant or nursing
  • Have not been vaccinated for influenza virus since 2006
  • Serosusceptible to the challenge virus
  • Non-smoker or current smoker willing/able to desist

Exclusion Criteria:

  • Presence of any significant acute or chronic, uncontrolled medical or psychiatric illness
  • History or evidence of autoimmune disease
  • Any history during adulthood of asthma, history of COPD, pulmonary hypertension, reactive airway disease, any chronic lung condition of any etiology), or any use of a bronchodilator or other asthma medication within adulthood
  • History or clinical evidence of recurrent lower respiratory tract infection
  • Positive human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C (HCV) antibody screen
  • Subject is diabetic
  • History of frequent epistaxis (nose bleeds)
  • Any nasal or sinus surgery within 6 months of the screening visit
  • Recent and/or recurrent history of autonomic dysfunction (fainting, palpitations, etc.)
  • Any laboratory test, ECG or spirometry which is abnormal and which is deemed by the Investigator(s) to be clinically significant.
  • Any acute medical condition or significant past medical history of hepatic, renal, cardiovascular, pulmonary, gastrointestinal, haematological, locomotor, immunologic, ophthalmologic, metabolic, endocrine, or other diseases
  • Major surgery within 3 months prior to screening visit
  • Evidence of drug of abuse or positive urine Class A drug or alcohol screen prior to admission
  • Subjects symptomatic with hay fever
  • Subjects with a history of significant adverse reactions/allergies
  • History of allergy or intolerance to oseltamivir or zanamivir.
  • Health care workers (including doctors, nurses, medical students, and allied healthcare professionals) anticipated to have patient contact within 2 weeks of viral challenge.

Sites / Locations

  • Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

TCN-032

Placebo (saline)

Arm Description

single-dose, administered intravenously

single-dose, administered intravenously

Outcomes

Primary Outcome Measures

The primary objective is to evaluate the effect of TCN-032 compared to placebo in the development of clinical signs and symptoms of influenza (including upper respiratory, lower respiratory, systemic and fever).

Secondary Outcome Measures

The main secondary objective is to evaluate the effect of TCN-032 compared to placebo in total virus shedding (measured by area under the curve [AUC]) from the nasal mucosa, measured by viral culture.
Pharmacokinetics (PK) and immunogenicity of TCN-032
Change in haemagglutination-inhibiting antibody (HAI) titre pre-challenge to Day 28.
Development of viral resistance to TCN-032
To evaluate the safety of subjects who undergo influenza A viral challenge, with or without treatment with TCN-032.
The duration of influenza symptoms or pyrexia
The time to peak of influenza symptoms or pyrexia
The daily incidence of influenza symptoms or pyrexia.
The proportion of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
The duration of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
The time to peak of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
The daily incidence of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
The proportion of any grade influenza symptoms, or pyrexia
The duration of any grade influenza symptoms, or pyrexia
The time to peak of any grade influenza symptoms, or pyrexia
The daily incidence of any grade influenza symptoms, or pyrexia
The peak value of virus shedding from the nasal mucosa measured by viral culture
The time to peak of virus shedding from the nasal mucosa measured by viral culture
The duration of virus shedding from the nasal mucosa measured by viral culture
The daily incidence of virus shedding from the nasal mucosa measured by viral culture
The AUC of virus shedding from the nasal mucosa measured by qPCR
The peak value of virus shedding from the nasal mucosa measured by qPCR
The time to peak of virus shedding from the nasal mucosa measured by qPCR
The duration of virus shedding from the nasal mucosa measured by qPCR
The daily incidence of virus shedding from the nasal mucosa measured by qPCR
Incidence of seroconversion to viral challenge strain
Incidence of seroprotection to viral challenge strain
Total tissue count and total mucus weight after viral inoculation

Full Information

First Posted
October 25, 2012
Last Updated
October 30, 2012
Sponsor
Theraclone Sciences, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01719874
Brief Title
Influenza Virus Challenge Study to Test Monoclonal Antibody TCN-032 as a Treatment for Influenza
Official Title
A Phase 2a, Double-Blind, Placebo-Controlled Study TCN 032 (Human Monoclonal Antibody Directed Against the M2 Protein of Influenza A Virus) in Subjects Challenged With H3N2 Influenza A Virus
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Unknown status
Study Start Date
August 2012 (undefined)
Primary Completion Date
December 2012 (Anticipated)
Study Completion Date
March 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Theraclone Sciences, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and efficacy of TCN-032 given to healthy adult volunteers that have been inoculated with the influenza A virus

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza, monoclonal antibody

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TCN-032
Arm Type
Experimental
Arm Description
single-dose, administered intravenously
Arm Title
Placebo (saline)
Arm Type
Placebo Comparator
Arm Description
single-dose, administered intravenously
Intervention Type
Biological
Intervention Name(s)
TCN-032
Intervention Type
Biological
Intervention Name(s)
Placebo (saline)
Primary Outcome Measure Information:
Title
The primary objective is to evaluate the effect of TCN-032 compared to placebo in the development of clinical signs and symptoms of influenza (including upper respiratory, lower respiratory, systemic and fever).
Time Frame
7 days
Secondary Outcome Measure Information:
Title
The main secondary objective is to evaluate the effect of TCN-032 compared to placebo in total virus shedding (measured by area under the curve [AUC]) from the nasal mucosa, measured by viral culture.
Time Frame
7 days
Title
Pharmacokinetics (PK) and immunogenicity of TCN-032
Time Frame
up to 28 days after viral challenge
Title
Change in haemagglutination-inhibiting antibody (HAI) titre pre-challenge to Day 28.
Time Frame
28 days after viral challenge
Title
Development of viral resistance to TCN-032
Time Frame
up to 9 days after viral challenge
Title
To evaluate the safety of subjects who undergo influenza A viral challenge, with or without treatment with TCN-032.
Time Frame
up to 28 days after viral challenge
Title
The duration of influenza symptoms or pyrexia
Time Frame
up to 10 days
Title
The time to peak of influenza symptoms or pyrexia
Time Frame
up to 10 days
Title
The daily incidence of influenza symptoms or pyrexia.
Time Frame
up to 10 days
Title
The proportion of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
Time Frame
7 days
Title
The duration of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
Time Frame
7 days
Title
The time to peak of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
Time Frame
7 days
Title
The daily incidence of the components of the primary objective: upper respiratory symptoms, lower respiratory symptoms, systemic influenza symptoms, pyrexia.
Time Frame
7 days
Title
The proportion of any grade influenza symptoms, or pyrexia
Time Frame
7 days
Title
The duration of any grade influenza symptoms, or pyrexia
Time Frame
7 days
Title
The time to peak of any grade influenza symptoms, or pyrexia
Time Frame
7 days
Title
The daily incidence of any grade influenza symptoms, or pyrexia
Time Frame
7 days
Title
The peak value of virus shedding from the nasal mucosa measured by viral culture
Time Frame
up to 9 days
Title
The time to peak of virus shedding from the nasal mucosa measured by viral culture
Time Frame
up to 9 days
Title
The duration of virus shedding from the nasal mucosa measured by viral culture
Time Frame
up to 9 days
Title
The daily incidence of virus shedding from the nasal mucosa measured by viral culture
Time Frame
up to 9 days
Title
The AUC of virus shedding from the nasal mucosa measured by qPCR
Time Frame
6 days
Title
The peak value of virus shedding from the nasal mucosa measured by qPCR
Time Frame
6 days
Title
The time to peak of virus shedding from the nasal mucosa measured by qPCR
Time Frame
6 days
Title
The duration of virus shedding from the nasal mucosa measured by qPCR
Time Frame
6 days
Title
The daily incidence of virus shedding from the nasal mucosa measured by qPCR
Time Frame
6 days
Title
Incidence of seroconversion to viral challenge strain
Time Frame
up to 28 days after viral challenge
Title
Incidence of seroprotection to viral challenge strain
Time Frame
up to 28 days after viral challenge
Title
Total tissue count and total mucus weight after viral inoculation
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18 to 45 years, inclusive. In good health with no history of major medical conditions Female subjects must not be pregnant or nursing Have not been vaccinated for influenza virus since 2006 Serosusceptible to the challenge virus Non-smoker or current smoker willing/able to desist Exclusion Criteria: Presence of any significant acute or chronic, uncontrolled medical or psychiatric illness History or evidence of autoimmune disease Any history during adulthood of asthma, history of COPD, pulmonary hypertension, reactive airway disease, any chronic lung condition of any etiology), or any use of a bronchodilator or other asthma medication within adulthood History or clinical evidence of recurrent lower respiratory tract infection Positive human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C (HCV) antibody screen Subject is diabetic History of frequent epistaxis (nose bleeds) Any nasal or sinus surgery within 6 months of the screening visit Recent and/or recurrent history of autonomic dysfunction (fainting, palpitations, etc.) Any laboratory test, ECG or spirometry which is abnormal and which is deemed by the Investigator(s) to be clinically significant. Any acute medical condition or significant past medical history of hepatic, renal, cardiovascular, pulmonary, gastrointestinal, haematological, locomotor, immunologic, ophthalmologic, metabolic, endocrine, or other diseases Major surgery within 3 months prior to screening visit Evidence of drug of abuse or positive urine Class A drug or alcohol screen prior to admission Subjects symptomatic with hay fever Subjects with a history of significant adverse reactions/allergies History of allergy or intolerance to oseltamivir or zanamivir. Health care workers (including doctors, nurses, medical students, and allied healthcare professionals) anticipated to have patient contact within 2 weeks of viral challenge.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jennifer L. Mitcham
Phone
206-805-1608
Email
jmitcham@theraclone-sciences.com
First Name & Middle Initial & Last Name or Official Title & Degree
Teri D. Koller
Phone
206-805-1635
Email
tkoller@theraclone-sciences.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eleanor L Ramos, MD
Organizational Affiliation
Theraclone Sciences, Inc.
Official's Role
Study Director
Facility Information:
City
London
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Citations:
PubMed Identifier
25281755
Citation
Ramos EL, Mitcham JL, Koller TD, Bonavia A, Usner DW, Balaratnam G, Fredlund P, Swiderek KM. Efficacy and safety of treatment with an anti-m2e monoclonal antibody in experimental human influenza. J Infect Dis. 2015 Apr 1;211(7):1038-44. doi: 10.1093/infdis/jiu539. Epub 2014 Oct 3.
Results Reference
derived

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Influenza Virus Challenge Study to Test Monoclonal Antibody TCN-032 as a Treatment for Influenza

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