Exploring Safety & Clinical Benefit of Anti-Influenza Immunoglobulin Intravenous in Hospitalized Adults With Influenza A
Influenza A H3N2, Influenza A H1N1
About this trial
This is an interventional treatment trial for Influenza A H3N2 focused on measuring influenza A, hospitalized, H1N1, H3N2, human flu, respiratory tract infection, serious illness, flu
Eligibility Criteria
Inclusion Criteria:
- Provision of voluntary informed consent in writing by patient, or legally authorized representative.
- Age ≥ 18 years of age.
- Locally determined positive influenza A infection (Rapid Antigen (Ag) Test or PCR) from a specimen obtained within 2 days prior to randomization.
- Onset of symptoms ≤ 6 days before randomization, defined as when the patient first experienced at least one respiratory symptom or fever.
- Hospitalized (or in observation unit) with influenza, with anticipated hospitalization for more than 24 hours and will be/already are receiving antiviral SOC.
- Experiencing ≥ 1 respiratory symptom (ex. cough, sore throat, nasal congestion) and ≥ 1 constitutional symptom (ex. headache, myalgia, feverishness or fatigue).
- For women of child-bearing potential: willingness to abstain from sexual intercourse or use at least 1 form of hormonal or barrier contraception through Day 60 of the study.
- Willingness to have blood and respiratory samples obtained and stored.
- National Early Warning Score (NEW score) ≥ 3 at screening.
Exclusion Criteria:
- Use of any investigational product within the past 30 days prior to screening.
- History of hypersensitivity to blood or plasma products (as judged by the site investigator).
- History of allergy to latex or rubber.
- Known medical history of IgA deficiency.
- Pregnancy or lactation.
- Medical conditions for which receipt of a 500 mL volume of intravenous fluid may be dangerous to the patient (e.g. decompensated congestive heart failure), based on investigator's medical opinion with careful consideration of lab results.
- Liver function: liver function test (LFT) > 2.5 times upper limit of normal (ULN).
- Renal Function: glomerular filtration rate (GFR) < 60 mL/min/1.73 m2 (age and sex adjusted).
- A pre-existing condition or use of a medication that, in the opinion of the site investigator, may place the individual at a substantially increased risk of thrombosis (e.g. cryoglobulinemia, severe refractory hypertriglyceridemia, or clinically significant monoclonal gammopathy).
- An opinion of the investigator that it would be unwise to allow participation of the patient in the study (the reason for exclusion of the patient must be documented).
- Receiving extracorporeal membrane oxygenation (ECMO).
- Anticipated life expectancy of < 90 days.
- Confirmed bacterial pneumonia or any concurrent respiratory viral infection that is not influenza A (ex. respiratory syncytial virus (RSV) infection).
Sites / Locations
- University of Alabama at Birmingham
- HonorHealth
- Baptist Health Center for Clinical Research
- University of California, Irvine Emergency Medicine
- Denver public Health
- Yale University School of Medicine
- Christiana Care Health Systems
- Northside Hospital
- Atlanta Institute for Medical Research Inc.
- Augusta University
- Northwestern University
- University of Chicago
- University of Iowa
- University of Kansas medical Center
- John Hopkins Hospital
- Massachusetts General Hospital
- University of Massachusetts Memorial Medical Center
- Wayne State University/Detroit Receiving Hospital
- Wayne State University/Sinai Grace Hospital
- Providence-Providence Park Hospital, Southfield
- Mayo Clinic
- Washington University
- University of Nebraska Medical Center
- University Medical Center of Southern Nevada
- Montefiore Medical Center
- University of North Carolina
- Pulmonlx LLC Pulmonary & Critical Care Medicine
- Premier Health Miami Valley Hospital
- University of Oklahoma
- St Luke's University Health Network
- Einstein Medical Center
- Allegheny General Hospital
- Reading Hospital
- Regional Health
- UT Southwestern Medical Center
- Baylor University Medical Center
- Baylor College of Medicine
- Michael E. DeBakey VA Medical Center
- UT Health San Antonio
- University of Utah HealthCare
- Carilion Medical Center
- MultiCare Institute for Research & Innovation
- Foothills Medical Centre
- Health Sciences Center
- St. Boniface Hospital
- Grace Hospital
- CISSS BSL/Hopital Regional de Rimouski
- Ciusss McQ
- Mayaguez Medical Center
- San Cristobal Hospital
- Hospital Clinic of Barcelona
- Hospital del Mar
- Hospital Universitari Mutua Terrassa
- Reina Sofia University Hospital
- Hospital Universitari de Tarragona Joan XXIII
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
FLU-IGIV High Dose
FLU-IGIV Low Dose
FLU-IGIV Placebo
Participants will receive a single infusion of high dose of FLU-IGIV, administered over approximately 3 hours on Day 1. Participants will also receive standard of care (SOC) antiviral treatment for flu. Administered intravenously at a dose of 450 mL of 65 g/mL FLU-IGIV diluted to 500 mL with normal saline. Participants also received standard of care (SOC) antiviral treatment for flu. FLU-IGIV: Single dose, sterile liquid formulation for IV administration.
Participants will receive a single infusion of low dose of FLU-IGIV, administered over approximately 3 hours on Day 1. Participants will also receive SOC antiviral treatment for flu. Administered intravenously at a dose of 225 mL of 65 g/mL FLU-IGIV diluted to 500 mL with normal saline. Participants also received standard of care (SOC) antiviral treatment for flu. FLU-IGIV: Single dose, sterile liquid formulation for IV administration.
Participants will receive a single infusion of placebo for FLU-IGIV, administered over approximately 3 hours on Day 1. Participants will also receive SOC antiviral treatment for flu. Administered IV as 500 mL of normal saline. Participants also received standard of care (SOC) antiviral treatment for flu. Placebo for FLU-IGIV: Single dose, normal saline solution for IV administration.