Safety, Tolerability, and Pharmacokinetics of Clesrovimab (MK-1654) in Infants (MK-1654-002)
Respiratory Tract Infection, Respiratory Syncytial Virus
About this trial
This is an interventional prevention trial for Respiratory Tract Infection
Eligibility Criteria
Inclusion Criteria:
- is healthy, based on screening safety laboratory, medical history, and physical examination results
- is a pre-term infant (born at 29 weeks to 35 weeks gestational age [inclusive]) or a full-term infant (born at over 35 weeks gestational age), as confirmed in medical records
- weighs ≥2 kg at screening
Exclusion Criteria:
- has been recommended to receive palivizumab per local standard of care
- has ≥1 documented out-of-range safety laboratory results (adjusted for age) at the time of screening
- has a known hypersensitivity to any component of the respiratory syncytial virus (RSV) monoclonal antibody
- has a history of congenital or acquired immunodeficiency (e.g., splenomegaly)
- has documented human immunodeficiency virus (HIV) infection, hepatitis B (HBsAg positive), or hepatitis C (HCV ribonucleic acid [RNA] positive)
- has known history of functional or anatomic asplenia
- has a diagnosis of failure to thrive within 14 days of screening
- has known or history of a coagulation disorder contraindicating intramuscular injection
- has received or is expected to receive blood products (except irradiated platelets) within 3 months prior to enrollment
- has prior known documented RSV infection
- has hemodynamically significant congenital heart disease
- has chronic lung disease of prematurity requiring ongoing medical therapy
- has a history or current evidence of any condition, therapy, lab abnormality or other circumstance that, in the opinion of the investigator, might expose the participant to undue risk by participating in the study, confound the results of the study, or interfere with the participant's participation for the full duration of the study
- has any history of malignancy prior to randomization
- if any of the following apply, the Day 1 visit may be rescheduled for a time when these criteria are not met:
- has had a recent febrile illness (rectal temperature 38.1°C [100.5°F] or higher or axillary temperature 37.8°C [100.0°F] or higher) within 72 hours pre-dose
- is not up-to-date on required vaccinations per local pediatric vaccine schedule at time of screening
- has received inactivated or component vaccines (eg, influenza, hepatitis B) less than 14 days pre-dose
- has received live, attenuated, non-study licensed pediatric vaccines (e.g., Bacillus Calmette-Guerin vaccine) less than 30 days pre-dose
- has received any prior vaccine or monoclonal antibody (mAb) for the prevention of RSV
- is currently participating in or has participated in an interventional clinical study with an investigational compound or device at any time prior to first dose administration or while participating in this current study (participants enrolled in observational studies may be included and will be reviewed on a case-by-case basis for approval by the Sponsor)
- has enrolled previously in this study and been discontinued
- participant's mother participated in a RSV vaccine clinical study while pregnant and participant is ≤3 months of chronological age
- is unable to provide blood sample at screening
- cannot be adequately followed for safety according to the protocol plan
- has a parent/legally acceptable representative who is unlikely to adhere to study procedures, keep appointments, or is planning to relocate during the study
- is, or has, an immediate family member (eg, spouse, parent/guardian, sibling, or child) who is directly involved with the study at the site or with the Sponsor
Sites / Locations
- Children's Hospital - Colorado ( Site 0067)
- Next Phase Research Alliance, LLC ( Site 0075)
- Acevedo Clinical Research Associates ( Site 0025)
- Kapiolani Medical Center for Women and Children ( Site 0027)
- Cotton-O'Neil Clinical Research Center PediatricCare ( Site 0081)
- Children's Mercy Hospital ( Site 0037)
- Dartmouth-Hitchcock Medical Center ( Site 0032)
- SUNY Upstate Medical University Hospital ( Site 0029)
- WakeMed Health and Hospitals ( Site 0033)
- Cincinnati Children's Hospital Medical Center ( Site 0031)
- Ohio Pediatric Research Association ( Site 0066)
- Coastal Pediatric Research ( Site 0028)
- Tribe Clinical Research, LLC ( Site 0082)
- University of Texas Medical Branch at Galveston ( Site 0039)
- Tekton Research, Inc. ( Site 0026)
- Multicare Institute For Research And Innovation ( Site 0035)
- University of Wisconsin American Family Children's Hospital ( Site 0068)
- Centro de Investigacion Clinica Bradford Hill ( Site 0103)
- Hospital La Florida ( Site 0050)
- Facultad Medicina Universidad de Chile ( Site 0104)
- Hospital Padre Hurtado ( Site 0102)
- Fundacion Hospital San Vicente de Paul ( Site 0097)
- Universidad Pontificia Bolivariana - Clinica Universitaria Bolivariana ( Site 0098)
- Centro de Atención e Investigación Médica SAS - CAIMED CHIA ( Site 0100)
- MedPlus Medicina Prepagada S.A. ( Site 0095)
- Fundacion Universitaria de Ciencias de la Salud - Sociedad de Cirugia ( Site 0099)
- Fundacion Valle del Lili ( Site 0090)
- Seoul National University Hospital ( Site 0071)
- Severance Hospital Yonsei University Health System ( Site 0073)
- Samsung Medical Center ( Site 0072)
- Chris Hani Baragwanath Academic Hospital ( Site 0262)
- Tygerberg Hospital ( Site 0261)
- Hospital Clinico Universitario de Santiago ( Site 0241)
- Hospital Universitario La Paz ( Site 0242)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Panel A: Pre-term clesrovimab Dose 1
Panel B: Pre-term clesrovimab Dose 2
Panel C: Pre-term clesrovimab Dose 3
Panel D1: Pre-term clesrovimab Dose 4
Panel D2: Pre-term clesrovimab Dose 4
Panel E1: Full-term clesrovimab Dose 4
Panel E2: Full-term clesrovimab Dose 4
Placebo
Pre-term infants will receive clesrovimab Dose 1 via intramuscular (IM) injection and will be followed for up to 365 days.
Pre-term infants will receive clesrovimab Dose 2 via IM injection and will be followed for up to 365 days.
Pre-term infants will receive clesrovimab Dose 3 via IM injection and will be followed for up to 365 days.
Pre-term infants enrolled prior to AM4 will receive clesrovimab Dose 4 via IM injection and will be followed for up to 365 days.
Pre-term infants enrolled after AM4 will receive clesrovimab Dose 4 via IM injection and will be followed for up to 545 days.
Full-term infants enrolled prior to AM4 will receive clesrovimab Dose 4 via IM injection and will be followed for up to 365 days.
Full-term infants enrolled after AM4 will receive clesrovimab Dose 4 via IM injection and will be followed for up to 545 days.
Pre-term infants will receive placebo via IM injection.