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Dose Ranging Study to Evaluate the Efficacy and Safety of MEDI8852 in Adults Who Are Hospitalized With Type A Influenza.

Primary Purpose

Influenza - Type A Strains

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Oseltamivir
MEDI8852
Placebo
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza - Type A Strains focused on measuring Influenza A, MEDI8852

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Age 18 years or older at the time of screening. Written informed consent and any locally required authorization (eg, Health Insurance Portability and Accountability Act [HIPAA] in the United States, Data Privacy Directive in Europe) obtained from the subject/legal representative prior to performing any protocol related procedures, including screening evaluations.

Females of childbearing potential who are sexually active with a nonsterilized male partner must have evidence of not being pregnant upon enrollment and have a negative pregnancy test prior to administration of investigational product. Females of childbearing potential are defined as those who are not surgically sterile (ie, bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy), premenarchal, or postmenopausal (defined as 12 months with no menses without an alternative medical cause). Hospitalized ≤ 72 hours prior to receipt of a positive diagnostic test for influenza A; confirmed with positive rapid antigen test (supplied or approved by the sponsor), or confirmed with culture, polymerase chain reaction, or antigen testing at the study site. Onset of influenza symptoms ≤ 144 hours (≤ 6 days) prior to randomization. Receiving supplemental oxygen. Expected to participate in the study through Day 60.

Exclusion Criteria:

  • Any condition that, in the opinion of the investigator, would interfere with evaluation of study drugs or interpretation of subject safety or study results.
  • Concurrent enrollment in another clinical study involving an investigational treatment. -Hospitalized > 72 hours (> 3 days) prior to receipt of a positive diagnostic test for influenza A.
  • Receipt of > 72 hours or > 6 doses of treatment with a neuraminidase (NA) inhibitor. -Receipt of any investigational antiviral medications within 30 days prior to study drug dosing.
  • Previous receipt of an influenza mAb within past 100 days.
  • Pregnant or nursing female.
  • History of allergic disease or reactions likely to be exacerbated by any components of the study drugs (MEDI8852 or oseltamivir).
  • Diagnosis of influenza B infection within 14 days prior to randomization.
  • Employees of the sponsor, clinical study site, or any other individuals involved with the conduct of the study, or immediate family members of such individuals.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Arm Label

    Oseltamivir + low dose MEDI8852

    Oseltamivir + high dose MEDI8852

    Oseltamivir + Placebo

    Arm Description

    Low Dose of MEDI8852 + Oseltamivir will be studied

    High dose of MEDI8852 + Oseltamivir will be studied.

    Oseltamivir in conjunction with placebo will be studied.

    Outcomes

    Primary Outcome Measures

    Evaluation of efficacy as defined as time to normalization of respiratory function.
    To evaluate the effect of MEDI8852 administered in conjunction with oseltamivir and the effect of oseltamivir alone in reducing time to normalization of respiratory function.
    The occurence of Adverse Events
    Occurrence of adverse events.
    The occurence of Serious Adverse Events
    Occurrence of serious adverse events.
    The occurence of Adverse Events of Special Interest (AESIs)
    Occurrence of Adverse Events of Special Interest.

    Secondary Outcome Measures

    Assessment of the effect of MEDI8852 in reducing severity of clinical status.
    Evaluation of the effect of MEDI8852 in reducing severity of clinical status defined by death, ICU, non-ICU hospitalization, but requiring supplemental oxygen, non-ICU hospitalization and not requiring supplemental oxygen, not hospitalized, but unable to resume normal activities, fully resumed normal activities
    Evaluation of time to hospital discharge.
    Evaluation of time to hospital discharge.
    Quantitation of influenza viral shedding by qRT-PCR.
    Evaluation of the effect of MEDI8852 in reducing the duration and quantity of viral shedding measured by qRT-PCR over time.
    Evaluation of serum concentrations and PK of MEDI8852.
    To evaluate serum concentration of MEDI8852 through Day 60.
    Evaluation of serum ADA responses in serum through Day 60.
    To evaluate the ADA response through Day 60.
    Evaluation of time to ICU discharge.
    Evaluation of time to ICU discharge.
    Evaluation of the effect of MEDI8852 in reducing time to clinical resolution of individual vital sign abnormalities.
    To evaluate time to clinical resolution of vital sign abnormalities.
    Evaluation of Change in NEWS from baseline through Day 14.
    To evaluate the effect of MEDI8852 in reducing NEWS.
    Evaluation of the effect of MEDI8852 in reducing the duration of mechanical ventilation.
    To evaluate duration of mechanical ventilation.
    Evaluation of the effect of MEDI8852 in reducing the rates of ICU admission from the general ward.
    To evaluate the rate of ICU admission from the general ward.
    Evaluation to determine the effect of MEDI8852 on all-cause mortality
    To evaluate All-cause mortality.
    Evaluation of the effect of MEDI8852 on all-cause re-admission rates during the study.
    To evaluate the rate of all-cause re-admission during the study.

    Full Information

    First Posted
    December 6, 2016
    Last Updated
    March 12, 2019
    Sponsor
    MedImmune LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03028909
    Brief Title
    Dose Ranging Study to Evaluate the Efficacy and Safety of MEDI8852 in Adults Who Are Hospitalized With Type A Influenza.
    Official Title
    A Phase 2b, Randomized, Double-blind, Single-dose, Active-controlled, Dose Ranging Study to Evaluate the Efficacy and Safety of MEDI8852 in Adults Who Are Hospitalized With Influenza Caused by Type A Strains
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2017
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study is withdrawn due to company decision.
    Study Start Date
    July 24, 2017 (Anticipated)
    Primary Completion Date
    July 26, 2019 (Anticipated)
    Study Completion Date
    July 26, 2019 (Anticipated)

    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
    The purposes of this study are to determine if MEDI8852 administered with standard of care (oseltamivir) will reduce the time to normalization of respiratory function for adults who are hospitalized with influenza caused by Type A strains and to determine if MEDI8852 has an acceptable safety profile in adults who are hospitalized with influenza caused by Type A strains.
    Detailed Description
    The MEDI8852 phase 2b study will evaluate the efficacy and safety of a single intravenous (IV) dose of MEDI8852 or placebo administered in conjunction with oseltamivir in adult subjects who are hospitalized with influenza caused by Type A strains. Approximately 450 subjects will be enrolled at study centers in North America, Europe, and other regions.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Influenza - Type A Strains
    Keywords
    Influenza A, MEDI8852

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Oseltamivir + low dose MEDI8852
    Arm Type
    Experimental
    Arm Description
    Low Dose of MEDI8852 + Oseltamivir will be studied
    Arm Title
    Oseltamivir + high dose MEDI8852
    Arm Type
    Experimental
    Arm Description
    High dose of MEDI8852 + Oseltamivir will be studied.
    Arm Title
    Oseltamivir + Placebo
    Arm Type
    Active Comparator
    Arm Description
    Oseltamivir in conjunction with placebo will be studied.
    Intervention Type
    Drug
    Intervention Name(s)
    Oseltamivir
    Other Intervention Name(s)
    Tamiflu
    Intervention Description
    Standard of care for influenza caused by Type A strains
    Intervention Type
    Drug
    Intervention Name(s)
    MEDI8852
    Intervention Description
    MEDI8852 is a human IgG1 kappa monoclonal antibody (mAb) administered via infusion.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Salt-water solution containing no active ingredients.
    Primary Outcome Measure Information:
    Title
    Evaluation of efficacy as defined as time to normalization of respiratory function.
    Description
    To evaluate the effect of MEDI8852 administered in conjunction with oseltamivir and the effect of oseltamivir alone in reducing time to normalization of respiratory function.
    Time Frame
    Through Day 14
    Title
    The occurence of Adverse Events
    Description
    Occurrence of adverse events.
    Time Frame
    Through Day 28
    Title
    The occurence of Serious Adverse Events
    Description
    Occurrence of serious adverse events.
    Time Frame
    Through Study Day 60
    Title
    The occurence of Adverse Events of Special Interest (AESIs)
    Description
    Occurrence of Adverse Events of Special Interest.
    Time Frame
    Through Day 60
    Secondary Outcome Measure Information:
    Title
    Assessment of the effect of MEDI8852 in reducing severity of clinical status.
    Description
    Evaluation of the effect of MEDI8852 in reducing severity of clinical status defined by death, ICU, non-ICU hospitalization, but requiring supplemental oxygen, non-ICU hospitalization and not requiring supplemental oxygen, not hospitalized, but unable to resume normal activities, fully resumed normal activities
    Time Frame
    Through Day 7
    Title
    Evaluation of time to hospital discharge.
    Description
    Evaluation of time to hospital discharge.
    Time Frame
    Through Day 60
    Title
    Quantitation of influenza viral shedding by qRT-PCR.
    Description
    Evaluation of the effect of MEDI8852 in reducing the duration and quantity of viral shedding measured by qRT-PCR over time.
    Time Frame
    Through Day 60
    Title
    Evaluation of serum concentrations and PK of MEDI8852.
    Description
    To evaluate serum concentration of MEDI8852 through Day 60.
    Time Frame
    Through Day 60
    Title
    Evaluation of serum ADA responses in serum through Day 60.
    Description
    To evaluate the ADA response through Day 60.
    Time Frame
    Through Day 60
    Title
    Evaluation of time to ICU discharge.
    Description
    Evaluation of time to ICU discharge.
    Time Frame
    Through Day 60
    Title
    Evaluation of the effect of MEDI8852 in reducing time to clinical resolution of individual vital sign abnormalities.
    Description
    To evaluate time to clinical resolution of vital sign abnormalities.
    Time Frame
    Through Day 14
    Title
    Evaluation of Change in NEWS from baseline through Day 14.
    Description
    To evaluate the effect of MEDI8852 in reducing NEWS.
    Time Frame
    Through Day 14
    Title
    Evaluation of the effect of MEDI8852 in reducing the duration of mechanical ventilation.
    Description
    To evaluate duration of mechanical ventilation.
    Time Frame
    Through Day 60
    Title
    Evaluation of the effect of MEDI8852 in reducing the rates of ICU admission from the general ward.
    Description
    To evaluate the rate of ICU admission from the general ward.
    Time Frame
    Through Day 60
    Title
    Evaluation to determine the effect of MEDI8852 on all-cause mortality
    Description
    To evaluate All-cause mortality.
    Time Frame
    Through Day 60
    Title
    Evaluation of the effect of MEDI8852 on all-cause re-admission rates during the study.
    Description
    To evaluate the rate of all-cause re-admission during the study.
    Time Frame
    Through Day 60

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    99 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age 18 years or older at the time of screening. Written informed consent and any locally required authorization (eg, Health Insurance Portability and Accountability Act [HIPAA] in the United States, Data Privacy Directive in Europe) obtained from the subject/legal representative prior to performing any protocol related procedures, including screening evaluations. Females of childbearing potential who are sexually active with a nonsterilized male partner must have evidence of not being pregnant upon enrollment and have a negative pregnancy test prior to administration of investigational product. Females of childbearing potential are defined as those who are not surgically sterile (ie, bilateral tubal ligation, bilateral oophorectomy, or complete hysterectomy), premenarchal, or postmenopausal (defined as 12 months with no menses without an alternative medical cause). Hospitalized ≤ 72 hours prior to receipt of a positive diagnostic test for influenza A; confirmed with positive rapid antigen test (supplied or approved by the sponsor), or confirmed with culture, polymerase chain reaction, or antigen testing at the study site. Onset of influenza symptoms ≤ 144 hours (≤ 6 days) prior to randomization. Receiving supplemental oxygen. Expected to participate in the study through Day 60. Exclusion Criteria: Any condition that, in the opinion of the investigator, would interfere with evaluation of study drugs or interpretation of subject safety or study results. Concurrent enrollment in another clinical study involving an investigational treatment. -Hospitalized > 72 hours (> 3 days) prior to receipt of a positive diagnostic test for influenza A. Receipt of > 72 hours or > 6 doses of treatment with a neuraminidase (NA) inhibitor. -Receipt of any investigational antiviral medications within 30 days prior to study drug dosing. Previous receipt of an influenza mAb within past 100 days. Pregnant or nursing female. History of allergic disease or reactions likely to be exacerbated by any components of the study drugs (MEDI8852 or oseltamivir). Diagnosis of influenza B infection within 14 days prior to randomization. Employees of the sponsor, clinical study site, or any other individuals involved with the conduct of the study, or immediate family members of such individuals.

    12. IPD Sharing Statement

    Learn more about this trial

    Dose Ranging Study to Evaluate the Efficacy and Safety of MEDI8852 in Adults Who Are Hospitalized With Type A Influenza.

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