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A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MEDI8897 in Healthy Adults

Primary Purpose

Respiratory Syncytial Virus Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MEDI8897 Intravenous
Placebo
MEDI8897 Intravenous
MEDI8897 Intravenous
MEDI8897 Intramuscular
MEDI8897 Intramuscular
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Respiratory Syncytial Virus Infections focused on measuring Respiratory Syncytial Virus, RSV

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Key Inclusion Criteria:

  • Age 18 through 49 years and in good health by history, physical exam, and labs
  • Weight greater than or equal to (>=) 45 kilogram (kg) and less than or equal to (<=) 110 kg at Screening
  • Written informed consent prior to performing any protocol related procedures, including Screening evaluations
  • Ability to complete the Follow-up period of 360 days

Key Exclusion Criteria:

  • Acute illness including fever >= 99.5 Fahrenheit (°F) on day of dosing
  • Any drug therapy within 7 days prior to Day 1 (except contraceptives)
  • Receipt of any investigational drug therapy within 120 days prior to investigational product dosing through 360 days after investigational product dosing
  • Previous receipt of a monoclonal antibody (mAb)
  • Pregnant or nursing mother
  • Concurrent enrollment in another interventional study

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

MEDI8897 300 milligram (mg) Intravenous (IV)

MEDI8897 1000 mg IV

MEDI8897 3000 mg IV

MEDI8897 100 mg Intramuscular (IM)

MEDI8897 300 mg IM

Placebo

Arm Description

Participants received a single fixed dose of 300 mg MEDI8897 intravenous infusion on Day 1.

Participants received a single fixed dose of 1000 mg MEDI8897 intravenous infusion on Day 1.

Participants received a single fixed dose of 3000 mg MEDI8897 intravenous infusion on Day 1.

Participants received a single fixed dose of 100 mg MEDI8897 intramuscular injection on Day 1.

Participants received a single fixed dose of 300 mg MEDI8897 intramuscular injection on Day 1.

Participants received placebo on Day 1.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
An adverse event (AE) is defined as events present at baseline that worsened in intensity after administration of investigational products or events absent at baseline that emerged after administration of study drug, for the period extending to 391 (Day 361 ± 30 days) days after the last dose of study drug.

Secondary Outcome Measures

Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI8897
The Tmax is defined as actual sampling time to reach maximum observed MEDI8897 concentration. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Maximum Observed Serum Concentration (Cmax) for MEDI8897
The Cmax is the maximum observed serum concentration of MEDI8897. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) for MEDI8897
The AUC (0-infinity) is the area under the serum concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the serum concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Terminal Phase Elimination Half Life (t1/2) for MEDI8897
The terminal elimination half-life (t1/2) is the time measured for the serum concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z). Here 'n' signifies participants evaluable for specified categories, for each arm, respectively. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Systemic Clearance (CL) for MEDI8897
Systemic Clearance (CL) is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after the dose was estimated by dividing the total administered dose by the Area Under the Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]). Apparent clearance (CL/F) for the IM dose groups. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Volume of Distribution (Vz) for MEDI8897
The Vz is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a study drug. Apparent volume of distribution (Vz/F) for the IM dose groups. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Number of Participants With Positive Anti-Drug Antibody (ADA)
Participants were tested for anti-drug antibody to MEDI8897 prior to enrollment, predose and postdose.

Full Information

First Posted
April 3, 2014
Last Updated
October 5, 2016
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02114268
Brief Title
A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MEDI8897 in Healthy Adults
Official Title
A Phase 1, Randomized, Double-blind, Placebo-controlled, Dose-escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MEDI8897 in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
April 2014 (undefined)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study was to evaluate the safety, tolerability and pharmacokinetics of an extended half-life anti-respiratory syncytial virus (RSV) monoclonal antibody compared to placebo when administered to healthy adult participants.
Detailed Description
This was a phase 1, randomized, double-blind, placebo-controlled, dose-escalation study to evaluate the safety, tolerability and pharmacokinetics of MEDI8897 compared to placebo when administered to healthy adult participants. There were 136 participants randomized to receive MEDI8897 or placebo at one site. Investigational product was delivered intravenously (IV) to 3 cohorts and intramuscularly (IM) to 2 cohorts. 4 different dose levels of investigational product were evaluated across the 5 cohorts. Participants were followed for approximately 1 year.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Syncytial Virus Infections
Keywords
Respiratory Syncytial Virus, RSV

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
342 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MEDI8897 300 milligram (mg) Intravenous (IV)
Arm Type
Experimental
Arm Description
Participants received a single fixed dose of 300 mg MEDI8897 intravenous infusion on Day 1.
Arm Title
MEDI8897 1000 mg IV
Arm Type
Experimental
Arm Description
Participants received a single fixed dose of 1000 mg MEDI8897 intravenous infusion on Day 1.
Arm Title
MEDI8897 3000 mg IV
Arm Type
Experimental
Arm Description
Participants received a single fixed dose of 3000 mg MEDI8897 intravenous infusion on Day 1.
Arm Title
MEDI8897 100 mg Intramuscular (IM)
Arm Type
Experimental
Arm Description
Participants received a single fixed dose of 100 mg MEDI8897 intramuscular injection on Day 1.
Arm Title
MEDI8897 300 mg IM
Arm Type
Experimental
Arm Description
Participants received a single fixed dose of 300 mg MEDI8897 intramuscular injection on Day 1.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants received placebo on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI8897 Intravenous
Intervention Description
Participants received a single fixed dose of 300 mg MEDI8897 intravenous infusion on Day 1.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants received placebo on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI8897 Intravenous
Intervention Description
Participants received a single fixed dose of 1000 mg MEDI8897 intravenous infusion on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI8897 Intravenous
Intervention Description
Participants received a single fixed dose of 3000 mg MEDI8897 intravenous infusion on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI8897 Intramuscular
Intervention Description
Participants received a single fixed dose of 100 mg MEDI8897 intramuscular injection on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI8897 Intramuscular
Intervention Description
Participants received a single fixed dose of 300 mg MEDI8897 intramuscular injection on Day 1.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Description
An adverse event (AE) is defined as events present at baseline that worsened in intensity after administration of investigational products or events absent at baseline that emerged after administration of study drug, for the period extending to 391 (Day 361 ± 30 days) days after the last dose of study drug.
Time Frame
From start of study drug administration up to Day 391 (Day 361 +/- 30 days)
Secondary Outcome Measure Information:
Title
Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI8897
Description
The Tmax is defined as actual sampling time to reach maximum observed MEDI8897 concentration. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Time Frame
Predose, End of Dosing (IV Arms), 8 Hour Postdose, Day 2, 4, 6, 8, 15, 22, 31, 61, 91, 121, 151, 181, 271 and 361
Title
Maximum Observed Serum Concentration (Cmax) for MEDI8897
Description
The Cmax is the maximum observed serum concentration of MEDI8897. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Time Frame
Predose, End of Dosing (IV Arms), 8 Hour Postdose, Day 2, 4, 6, 8, 15, 22, 31, 61, 91, 121, 151, 181, 271 and 361
Title
Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) for MEDI8897
Description
The AUC (0-infinity) is the area under the serum concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the serum concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Time Frame
Predose, End of Dosing (IV Arms), 8 Hour Postdose, Day 2, 4, 6, 8, 15, 22, 31, 61, 91, 121, 151, 181, 271 and 361
Title
Terminal Phase Elimination Half Life (t1/2) for MEDI8897
Description
The terminal elimination half-life (t1/2) is the time measured for the serum concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z). Here 'n' signifies participants evaluable for specified categories, for each arm, respectively. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Time Frame
Predose, End of Dosing (IV Arms), 8 Hour Postdose, Day 2, 4, 6, 8, 15, 22, 31, 61, 91, 121, 151, 181, 271 and 361
Title
Systemic Clearance (CL) for MEDI8897
Description
Systemic Clearance (CL) is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after the dose was estimated by dividing the total administered dose by the Area Under the Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]). Apparent clearance (CL/F) for the IM dose groups. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Time Frame
Predose, End of Dosing (IV Arms), 8 Hour Postdose, Day 2, 4, 6, 8, 15, 22, 31, 61, 91, 121, 151, 181, 271 and 361
Title
Volume of Distribution (Vz) for MEDI8897
Description
The Vz is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a study drug. Apparent volume of distribution (Vz/F) for the IM dose groups. The reported Standard Deviation values are actually Relative Standard Deviation (RSD) values (that is, Coefficient of Variation).
Time Frame
Predose, End of Dosing (IV Arms), 8 Hour Postdose, Day 2, 4, 6, 8, 15, 22, 31, 61, 91, 121, 151, 181, 271 and 361
Title
Number of Participants With Positive Anti-Drug Antibody (ADA)
Description
Participants were tested for anti-drug antibody to MEDI8897 prior to enrollment, predose and postdose.
Time Frame
Predose and Day 15, 31, 91, 181, 271 and 361

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Age 18 through 49 years and in good health by history, physical exam, and labs Weight greater than or equal to (>=) 45 kilogram (kg) and less than or equal to (<=) 110 kg at Screening Written informed consent prior to performing any protocol related procedures, including Screening evaluations Ability to complete the Follow-up period of 360 days Key Exclusion Criteria: Acute illness including fever >= 99.5 Fahrenheit (°F) on day of dosing Any drug therapy within 7 days prior to Day 1 (except contraceptives) Receipt of any investigational drug therapy within 120 days prior to investigational product dosing through 360 days after investigational product dosing Previous receipt of a monoclonal antibody (mAb) Pregnant or nursing mother Concurrent enrollment in another interventional study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
M. Pamela Griffin, MD
Organizational Affiliation
MedImmune LLC
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Martin Kankam, MD, PhD, MPH
Organizational Affiliation
Study Site
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Overland Park
State/Province
Kansas
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
27956428
Citation
Griffin MP, Khan AA, Esser MT, Jensen K, Takas T, Kankam MK, Villafana T, Dubovsky F. Safety, Tolerability, and Pharmacokinetics of MEDI8897, the Respiratory Syncytial Virus Prefusion F-Targeting Monoclonal Antibody with an Extended Half-Life, in Healthy Adults. Antimicrob Agents Chemother. 2017 Feb 23;61(3):e01714-16. doi: 10.1128/AAC.01714-16. Print 2017 Mar.
Results Reference
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A Phase 1 Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MEDI8897 in Healthy Adults

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