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A Study of JNJ-64281802 in Participants With Confirmed Dengue Fever

Primary Purpose

Dengue

Status
Terminated
Phase
Phase 2
Locations
Singapore
Study Type
Interventional
Intervention
JNJ-64281802
Placebo
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dengue

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant with a referral note/documentation from a health care facility or practitioner indicating non-structural 1 protein (NS1) positive for dengue virus (DENV), positive NS1 rapid test at pre-screening during an ambulatory visit, or participant who tests NS1 positive at the site
  • Participant reported a fever with an onset within the last 48 hours
  • A woman of childbearing potential must have a negative serum pregnancy test at screening
  • A woman must be: a. not of childbearing potential, b. of childbearing potential and practicing a highly effective, preferably user-independent method of contraception (failure rate of less than [<] 1% per year when used consistently and correctly) and agrees to remain on a highly effective method while receiving study intervention and until at least 90 days after last dose- the end of relevant systemic exposure
  • A male participant must agree not to donate sperm for the purpose of reproduction during the study and for a minimum of 90 days after receiving the last dose of study intervention

Exclusion Criteria:

  • Participant with any clinical signs and symptoms for severe dengue according to the world health organization (WHO) criteria (such as severe plasma leakage leading to dengue shock syndrome [DSS], fluid accumulation with respiratory distress, severe bleeding, sever organ involvement)
  • Use of any cytochrome 3A4 (CYP3A4) inducers (example, phenytoin, rifampin), UDP glucuronosyltransferase family 1 member A9 (UGT1A9) inducers (example, rifampin), or substrates for CYP3A4 with a narrow therapeutic range (example, alfentanil, cyclosporin), or sensitive breast cancer resistance protein (BCRP) substrates (example, pravastatin and folic acid) from 14 days before first dose of study drug until 28 days after last dose of study drug. Systemic use of strong CYP3A4 inhibitors (example, clarithromycin, itraconazole) or UGT1A9 inhibitors (example, probenecid, mefenamic acid) from 7 days before first dose of study drug until 28 days after last dose of study drug
  • History of malignancy within 5 years before screening (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy, which is considered cured with minimal risk of recurrence)
  • Had major surgery, (example, requiring general anesthesia) within 4 weeks before screening, or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study
  • Known or suspected congenital or acquired immunodeficiency; or receipt of immunomodulation therapy such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)

Sites / Locations

  • Singapore General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

JNJ-64281802

Placebo

Arm Description

Participants will receive 2 initial loading doses of JNJ-64281802 up to Day 2, followed by a maintenance dose on Days 3, 4, and 5.

Participants will receive oral dose of matching placebo every 8 hour (q8h) and once daily on Day 4 and Day 5.

Outcomes

Primary Outcome Measures

Area Under the Log10-transformed Dengue Virus (DENV) Ribonucleic Acid (RNA) Viral Load (VL) Curve from Baseline Until Day 5 (AUCD1-D5 [log10VL])
Area under the log10-transformed DENV RNA VL curve from baseline until Day 5 will be reported.

Secondary Outcome Measures

Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Number of Participants with Clinically Significant Abnormalities in Electrocardiogram (ECGs)
Number of participants with clinically significant abnormalities in ECGs will be reported.
Number of Participants with Clinically Significant Abnormalities in Physical Examination
Number of participants with clinically significant abnormalities in physical examination (head/neck/thyroid, eyes/ears/nose/throat, respiratory, cardiovascular, lymph nodes, abdomen, skin, musculoskeletal, and neurological) will be reported.
Number of Participants with Clinically Significant Abnormalities in Vital Signs
Number of participants with clinically significant abnormalities in vital signs (temperature, pulse/heart rate, respiratory rate, peripheral capillary oxygen saturation [spO2], input-output [I/O] ratio and blood pressure) will be reported.
Number of Participants with Clinically Significant Abnormalities in Laboratory Parameters
Number of participants with clinically significant abnormalities in laboratory parameters (serum chemistry, hematology, and coagulation) will be reported.
Occurrence of Detectable DENV RNA in Primary DENV Infection
Occurrence of detectable DENV RNA in primary DENV infection will be reported.
Time to Undetectable DENV RNA in Primary DENV Infection
Time to undetectable DENV RNA in primary DENV infection will be reported.
Area Under the Concentration Curve During one Dosing Interval (AUCtau) of JNJ-64281802
AUCtau is defined as area under the concentration curve during one dosing interval of JNJ-64281802.
Maximum Observed Analyte Concentration (Cmax) of JNJ-64281802
Cmax is defined as the maximum observed analyte concentration of JNJ-64281802.
Trough Observed Analyte Concentration (Ctrough) of JNJ-64281802
Ctrough is defined as observed analyte concentration just prior to the beginning or at the end of a dosing interval of JNJ-64281802.

Full Information

First Posted
May 26, 2021
Last Updated
October 11, 2023
Sponsor
Janssen Research & Development, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04906980
Brief Title
A Study of JNJ-64281802 in Participants With Confirmed Dengue Fever
Official Title
A Phase 2a, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Antiviral Activity, Safety and Tolerability, and Pharmacokinetics of JNJ-64281802 in Participants With Confirmed Dengue Fever
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Terminated
Why Stopped
Feasibility of enrollment impacted by COVID
Study Start Date
January 24, 2022 (Actual)
Primary Completion Date
September 24, 2022 (Actual)
Study Completion Date
March 21, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate the antiviral activity of JNJ-64281802 versus placebo in terms of reduction of dengue virus (DENV) ribonucleic acid (RNA) in primary DENV infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dengue

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
JNJ-64281802
Arm Type
Experimental
Arm Description
Participants will receive 2 initial loading doses of JNJ-64281802 up to Day 2, followed by a maintenance dose on Days 3, 4, and 5.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive oral dose of matching placebo every 8 hour (q8h) and once daily on Day 4 and Day 5.
Intervention Type
Drug
Intervention Name(s)
JNJ-64281802
Intervention Description
JNJ-64281802 will be administered orally.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo (PEG400) will be administered orally.
Primary Outcome Measure Information:
Title
Area Under the Log10-transformed Dengue Virus (DENV) Ribonucleic Acid (RNA) Viral Load (VL) Curve from Baseline Until Day 5 (AUCD1-D5 [log10VL])
Description
Area under the log10-transformed DENV RNA VL curve from baseline until Day 5 will be reported.
Time Frame
Baseline, up to Day 5
Secondary Outcome Measure Information:
Title
Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Description
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Time Frame
Up to Day 28
Title
Number of Participants with Clinically Significant Abnormalities in Electrocardiogram (ECGs)
Description
Number of participants with clinically significant abnormalities in ECGs will be reported.
Time Frame
Up to Day 28
Title
Number of Participants with Clinically Significant Abnormalities in Physical Examination
Description
Number of participants with clinically significant abnormalities in physical examination (head/neck/thyroid, eyes/ears/nose/throat, respiratory, cardiovascular, lymph nodes, abdomen, skin, musculoskeletal, and neurological) will be reported.
Time Frame
Up to Day 28
Title
Number of Participants with Clinically Significant Abnormalities in Vital Signs
Description
Number of participants with clinically significant abnormalities in vital signs (temperature, pulse/heart rate, respiratory rate, peripheral capillary oxygen saturation [spO2], input-output [I/O] ratio and blood pressure) will be reported.
Time Frame
Up to Day 28
Title
Number of Participants with Clinically Significant Abnormalities in Laboratory Parameters
Description
Number of participants with clinically significant abnormalities in laboratory parameters (serum chemistry, hematology, and coagulation) will be reported.
Time Frame
Up to Day 28
Title
Occurrence of Detectable DENV RNA in Primary DENV Infection
Description
Occurrence of detectable DENV RNA in primary DENV infection will be reported.
Time Frame
Up to Day 28
Title
Time to Undetectable DENV RNA in Primary DENV Infection
Description
Time to undetectable DENV RNA in primary DENV infection will be reported.
Time Frame
Up to Day 28
Title
Area Under the Concentration Curve During one Dosing Interval (AUCtau) of JNJ-64281802
Description
AUCtau is defined as area under the concentration curve during one dosing interval of JNJ-64281802.
Time Frame
Predose (day 1, 2, 3, 4 and 5), post dose up to Day 28
Title
Maximum Observed Analyte Concentration (Cmax) of JNJ-64281802
Description
Cmax is defined as the maximum observed analyte concentration of JNJ-64281802.
Time Frame
Predose up to 5 days; post dose up to Day 28
Title
Trough Observed Analyte Concentration (Ctrough) of JNJ-64281802
Description
Ctrough is defined as observed analyte concentration just prior to the beginning or at the end of a dosing interval of JNJ-64281802.
Time Frame
Predose up to 5 days; post dose up to Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant with a referral note/documentation from a health care facility or practitioner indicating non-structural 1 protein (NS1) positive for dengue virus (DENV), positive NS1 rapid test at pre-screening during an ambulatory visit, or participant who tests NS1 positive at the site Participant reported a fever with an onset within the last 48 hours A woman of childbearing potential must have a negative serum pregnancy test at screening A woman must be: a. not of childbearing potential, b. of childbearing potential and practicing a highly effective, preferably user-independent method of contraception (failure rate of less than [<] 1% per year when used consistently and correctly) and agrees to remain on a highly effective method while receiving study intervention and until at least 90 days after last dose- the end of relevant systemic exposure A male participant must agree not to donate sperm for the purpose of reproduction during the study and for a minimum of 90 days after receiving the last dose of study intervention Exclusion Criteria: Participant with any clinical signs and symptoms for severe dengue according to the world health organization (WHO) criteria (such as severe plasma leakage leading to dengue shock syndrome [DSS], fluid accumulation with respiratory distress, severe bleeding, sever organ involvement) Use of any cytochrome 3A4 (CYP3A4) inducers (example, phenytoin, rifampin), UDP glucuronosyltransferase family 1 member A9 (UGT1A9) inducers (example, rifampin), or substrates for CYP3A4 with a narrow therapeutic range (example, alfentanil, cyclosporin), or sensitive breast cancer resistance protein (BCRP) substrates (example, pravastatin and folic acid) from 14 days before first dose of study drug until 28 days after last dose of study drug. Systemic use of strong CYP3A4 inhibitors (example, clarithromycin, itraconazole) or UGT1A9 inhibitors (example, probenecid, mefenamic acid) from 7 days before first dose of study drug until 28 days after last dose of study drug History of malignancy within 5 years before screening (exceptions are squamous and basal cell carcinomas of the skin and carcinoma in situ of the cervix, or malignancy, which is considered cured with minimal risk of recurrence) Had major surgery, (example, requiring general anesthesia) within 4 weeks before screening, or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study Known or suspected congenital or acquired immunodeficiency; or receipt of immunomodulation therapy such as anti-cancer chemotherapy or radiation therapy; or long-term systemic corticosteroid therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Research & Development, LLC Clinical Trial
Organizational Affiliation
Janssen Research & Development, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Singapore General Hospital
City
Singapore
ZIP/Postal Code
169608
Country
Singapore

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson and Johnson is available at www.janssen.com/clinical- trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) project site at yoda.yale.edu
IPD Sharing URL
https://www.janssen.com/clinical-trials/transparency

Learn more about this trial

A Study of JNJ-64281802 in Participants With Confirmed Dengue Fever

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