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Phase 1 Randomized Double-blind Placebo Controlled Study to Evaluate Safety and PK of MEDI3902 in Healthy Adults

Primary Purpose

MEDI3902 for Prevention of P. Aeruginosa Pneumonia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MEDI3902 - Dose 1
MEDI3902 - Dose 2
MEDI3902 - Dose 3
MEDI3902 - Dose 4
Placebo
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for MEDI3902 for Prevention of P. Aeruginosa Pneumonia focused on measuring MEDI3902, Safety,, Pharmacokinetics,, Healthy Volunteers

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Age 18 through 60 years at the time of screening
  2. Written informed consent
  3. Weight greater than or equal to (>=) 45 kilogram (kg) and less than or equal to (<=) 110 kg at screening
  4. Healthy by medical history, physical examination, and baseline safety laboratory studies
  5. Systolic blood pressure (BP) less than (<) 140 millimeter of mercury (mmHg) and diastolic BP < 90 mmHg at screening
  6. Electrocardiogram (ECG) without clinically significant abnormalities at screening
  7. Able to complete the follow-up period through Day 61 as required by the protocol.
  8. Females of childbearing potential who are sexually active with a nonsterilized male partner must have used a highly effective method of contraception for at least 28 days prior to dosing with investigational product and must agree to continue using such precautions through Day 61 of the study.

Exclusion Criteria:

  1. Acute (time-limited) illness, including fever 99.5 degree Fahrenheit (0^F), on day prior to or day of planned dosing
  2. Any drug therapy within 7 days prior to Day 1 (except contraceptives or a single use of acetaminophen, aspirin, antihistamine, or combination over-the-counter (OTC) product that contains acetaminophen with an antihistamine, or OTC non-steroidal anti inflammatory agent at a dose equal to or lower than that recommended on the package). Vitamins and other nutritional supplements that are not newly introduced, ie, have been taken for at least 30 days prior to enrolment, are not exclusionary
  3. Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 2 months prior to screening
  4. Receipt of immunoglobulin or blood products within 6 months prior to screening
  5. Receipt of any investigational product in the preceding 90 days or expected receipt of investigational product during the period of study follow-up, or concurrent participation in another interventional study Receipt of any vaccine within 7 days prior to investigational product dosing or planned receipt within 61 days after investigational product dosing except for influenza vaccine administered at least 28 days after dosing
  6. Previous receipt of a mAb
  7. Immunodeficiency due to illness, including human immunodeficiency virus (HIV) infection, or due to drugs, including any course of glucocorticoid therapy exceeding 2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day within 6 months prior to screening. HIV testing must be negative at screening
  8. History of allergic disease or reactions likely to be exacerbated by any component of the investigational product
  9. Either history of active infection with hepatitis B or C
  10. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), or serum creatinine above the upper limit of normal (ULN) or hemoglobin, white blood cell count, or platelet count below the lower limit of normal at screening and in the predose blood sample
  11. Pregnant or nursing mother

13. History of alcohol or drug abuse within the past 2 years.

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

MEDI3902 - Dose 1

MEDI3902 - Dose 2

MEDI3902 - Dose 3

MEDI3902 - Dose 4

Placebo

Arm Description

Participants will receive a single intravenous (IV) dose of MEDI3902 infused for a minimum of 13 minutes on Day 1.

Participants will receive a single IV dose of MEDI3902 infused for a minimum of 38 minutes on Day 1.

Participants will receive a single IV dose of MEDI3902 infused for a minimum of 75 minutes on Day 1.

Participants will received a single IV dose of MEDI3902 infused for a minimum of 150 minutes on Day 1.

Participants will receive a single dose of placebo by IV infusion up to a maximum of 12 hours.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
An adverse event (AE) is any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A TEAE is defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.
Number of Participants With Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events of Special Interest (TEAESIs)
An AE is any untoward medical occurrence attributed to study drug in a participant who received investigational product. TESAE was an event resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly that occurred after the initial receipt of the study drug. An AESI was one of scientific and medical interest specific to understanding of study product and may have required close monitoring and rapid communication by investigator to the sponsor. TEAESIs were collected from the time of dosing through Day 61 after the last dose of study drug and included anaphylaxis, other serious allergic reactions, infusion-related reactions, hepatic function abnormalities and immune complex disease.
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as Treatment-Emergent Adverse Events (TEAEs)
Any medically significant change in laboratory evaluations were recorded as adverse events. Following parameters were analyzed for laboratory examination: Hematology, serum chemistry, liver function, serum electrolytes and urinalysis.
Number of Participants With Abnormal Vital Signs Reported as Treatment-Emergent Adverse Events (TEAEs)
Vital signs measurements included temperature, blood pressure (systolic and diastolic), pulse rate and respiratory rate.

Secondary Outcome Measures

Area Under the Serum Concentration-time Curve From Zero to Infinity (AUC [0-infinity])
Area under the serum concentration versus time curve (AUC) from time zero (predose) to extrapolated infinite time (0 - infinity). The PK parameter AUC (0-inf) was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Maximum Observed Serum Concentration (Cmax) for MEDI3902 After First Dose
The PK parameter Cmax was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Terminal Phase Elimination Half-life (t1/2)
The t1/2 is the time measured for the serum drug concentration of MEDI3902 to decrease by one half. The PK parameter t1/2 was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Volume of Distribution at Steady State (Vss)
Volume of distribution is defined as the theoretical volume in which the total amount of drug uniformly distributed to produce the desired serum concentration of a drug. The PK parameter Vss was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
MEDI3902 Serum Clearance (CL) of MEDI3902
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. The PK parameter CL was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Number of Participants With Positive Anti-drug Antibody (ADA) to MEDI3902
Blood samples were collected to evaluate the antidrug antibody responses to MEDI3902 in serum. The number of participants positive for serum antibodies to MEDI3902 were presented.

Full Information

First Posted
September 16, 2014
Last Updated
November 22, 2017
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02255760
Brief Title
Phase 1 Randomized Double-blind Placebo Controlled Study to Evaluate Safety and PK of MEDI3902 in Healthy Adults
Official Title
A Phase 1 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Pharmacokinetics of MEDI3902 in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
September 4, 2014 (Actual)
Primary Completion Date
April 20, 2015 (Actual)
Study Completion Date
April 20, 2015 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1, randomized, double-blind, placebo-controlled, dose escalation study evaluating the safety and tolerability of a single ascending IV dose of MEDI3902 in healthy adult subjects 18 to 60 years of age.
Detailed Description
This is a Phase 1, randomized, double-blind, placebo-controlled, dose escalation study evaluating the safety and tolerability of a single ascending IV dose of MEDI3902 in healthy adult subjects 18 to 60 years of age. Approximately 40 subjects will be enrolled across 4 fixed dose cohorts at 1 study site. This study will last approximately 90 days, constituting a screening period of up to 28 days, 1 day of investigational product administration, and a 60 day safety follow up period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
MEDI3902 for Prevention of P. Aeruginosa Pneumonia
Keywords
MEDI3902, Safety,, Pharmacokinetics,, Healthy Volunteers

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
MEDI3902 - Dose 1
Arm Type
Experimental
Arm Description
Participants will receive a single intravenous (IV) dose of MEDI3902 infused for a minimum of 13 minutes on Day 1.
Arm Title
MEDI3902 - Dose 2
Arm Type
Experimental
Arm Description
Participants will receive a single IV dose of MEDI3902 infused for a minimum of 38 minutes on Day 1.
Arm Title
MEDI3902 - Dose 3
Arm Type
Experimental
Arm Description
Participants will receive a single IV dose of MEDI3902 infused for a minimum of 75 minutes on Day 1.
Arm Title
MEDI3902 - Dose 4
Arm Type
Experimental
Arm Description
Participants will received a single IV dose of MEDI3902 infused for a minimum of 150 minutes on Day 1.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive a single dose of placebo by IV infusion up to a maximum of 12 hours.
Intervention Type
Drug
Intervention Name(s)
MEDI3902 - Dose 1
Other Intervention Name(s)
MEDI3902
Intervention Description
Participants will receive a single IV dose of MEDI3902 infused for a minimum of 13 minutes on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI3902 - Dose 2
Other Intervention Name(s)
MEDI3902
Intervention Description
Participants will receive a single IV dose of MEDI3902 infused for a minimum of 38 minutes on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI3902 - Dose 3
Other Intervention Name(s)
MEDI3902
Intervention Description
Participants will receive a single IV dose of MEDI3902 infused for a minimum of 75 minutes on Day 1.
Intervention Type
Drug
Intervention Name(s)
MEDI3902 - Dose 4
Other Intervention Name(s)
MEDI3902
Intervention Description
Participants will received a single IV dose of MEDI3902 infused for a minimum of 150 minutes on Day 1.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Participants will receive a single dose of placebo by IV infusion up to a maximum of 12 hours.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Description
An adverse event (AE) is any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A TEAE is defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.
Time Frame
Day 1 to Day 29
Title
Number of Participants With Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment Emergent Adverse Events of Special Interest (TEAESIs)
Description
An AE is any untoward medical occurrence attributed to study drug in a participant who received investigational product. TESAE was an event resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly that occurred after the initial receipt of the study drug. An AESI was one of scientific and medical interest specific to understanding of study product and may have required close monitoring and rapid communication by investigator to the sponsor. TEAESIs were collected from the time of dosing through Day 61 after the last dose of study drug and included anaphylaxis, other serious allergic reactions, infusion-related reactions, hepatic function abnormalities and immune complex disease.
Time Frame
Day 1 to Day 61
Title
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as Treatment-Emergent Adverse Events (TEAEs)
Description
Any medically significant change in laboratory evaluations were recorded as adverse events. Following parameters were analyzed for laboratory examination: Hematology, serum chemistry, liver function, serum electrolytes and urinalysis.
Time Frame
Day 1 to Day 29
Title
Number of Participants With Abnormal Vital Signs Reported as Treatment-Emergent Adverse Events (TEAEs)
Description
Vital signs measurements included temperature, blood pressure (systolic and diastolic), pulse rate and respiratory rate.
Time Frame
Day 1 to Day 7
Secondary Outcome Measure Information:
Title
Area Under the Serum Concentration-time Curve From Zero to Infinity (AUC [0-infinity])
Description
Area under the serum concentration versus time curve (AUC) from time zero (predose) to extrapolated infinite time (0 - infinity). The PK parameter AUC (0-inf) was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Time Frame
Pre-dose (24 hours prior to dose); at the end of the infusion, and 8 hours post infusion, and Days 2, 3, 7, 15, 22, 29, 43, and 61 post-dose
Title
Maximum Observed Serum Concentration (Cmax) for MEDI3902 After First Dose
Description
The PK parameter Cmax was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Time Frame
Pre-dose (24 hours prior to dose); at the end of the infusion, and 8 hours post infusion, and Days 2, 3, 7, 15, 22, 29, 43, and 61 post-dose
Title
Terminal Phase Elimination Half-life (t1/2)
Description
The t1/2 is the time measured for the serum drug concentration of MEDI3902 to decrease by one half. The PK parameter t1/2 was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Time Frame
Pre-dose (24 hours prior to dose); at the end of the infusion, and 8 hours post infusion, and Days 2, 3, 7, 15, 22, 29, 43, and 61 post-dose
Title
Volume of Distribution at Steady State (Vss)
Description
Volume of distribution is defined as the theoretical volume in which the total amount of drug uniformly distributed to produce the desired serum concentration of a drug. The PK parameter Vss was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Time Frame
Pre-dose (24 hours prior to dose); at the end of the infusion, and 8 hours post infusion, and Days 2, 3, 7, 15, 22, 29, 43, and 61 post-dose
Title
MEDI3902 Serum Clearance (CL) of MEDI3902
Description
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. The PK parameter CL was estimated based on the serum concentrations of MEDI3902. Non-compartmental PK data analysis was performed to estimate the serum PK parameters of MEDI3902.
Time Frame
Pre-dose (24 hours prior to dose); at the end of the infusion, and 8 hours post infusion, and Days 2, 3, 7, 15, 22, 29, 43, and 61 post-dose
Title
Number of Participants With Positive Anti-drug Antibody (ADA) to MEDI3902
Description
Blood samples were collected to evaluate the antidrug antibody responses to MEDI3902 in serum. The number of participants positive for serum antibodies to MEDI3902 were presented.
Time Frame
Days 1 (pre-dose), 15, 29, and 61

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18 through 60 years at the time of screening Written informed consent Weight greater than or equal to (>=) 45 kilogram (kg) and less than or equal to (<=) 110 kg at screening Healthy by medical history, physical examination, and baseline safety laboratory studies Systolic blood pressure (BP) less than (<) 140 millimeter of mercury (mmHg) and diastolic BP < 90 mmHg at screening Electrocardiogram (ECG) without clinically significant abnormalities at screening Able to complete the follow-up period through Day 61 as required by the protocol. Females of childbearing potential who are sexually active with a nonsterilized male partner must have used a highly effective method of contraception for at least 28 days prior to dosing with investigational product and must agree to continue using such precautions through Day 61 of the study. Exclusion Criteria: Acute (time-limited) illness, including fever 99.5 degree Fahrenheit (0^F), on day prior to or day of planned dosing Any drug therapy within 7 days prior to Day 1 (except contraceptives or a single use of acetaminophen, aspirin, antihistamine, or combination over-the-counter (OTC) product that contains acetaminophen with an antihistamine, or OTC non-steroidal anti inflammatory agent at a dose equal to or lower than that recommended on the package). Vitamins and other nutritional supplements that are not newly introduced, ie, have been taken for at least 30 days prior to enrolment, are not exclusionary Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 2 months prior to screening Receipt of immunoglobulin or blood products within 6 months prior to screening Receipt of any investigational product in the preceding 90 days or expected receipt of investigational product during the period of study follow-up, or concurrent participation in another interventional study Receipt of any vaccine within 7 days prior to investigational product dosing or planned receipt within 61 days after investigational product dosing except for influenza vaccine administered at least 28 days after dosing Previous receipt of a mAb Immunodeficiency due to illness, including human immunodeficiency virus (HIV) infection, or due to drugs, including any course of glucocorticoid therapy exceeding 2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day within 6 months prior to screening. HIV testing must be negative at screening History of allergic disease or reactions likely to be exacerbated by any component of the investigational product Either history of active infection with hepatitis B or C Aspartate aminotransferase (AST), alanine aminotransferase (ALT), or serum creatinine above the upper limit of normal (ULN) or hemoglobin, white blood cell count, or platelet count below the lower limit of normal at screening and in the predose blood sample Pregnant or nursing mother 13. History of alcohol or drug abuse within the past 2 years.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hasan S. Jafri, M.D.
Organizational Affiliation
MedImmune LLC
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Martha Hernandez-Illas, MD
Organizational Affiliation
MRA Clinical Research, LLC
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Phase 1 Randomized Double-blind Placebo Controlled Study to Evaluate Safety and PK of MEDI3902 in Healthy Adults

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