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Evaluate the Safety and Efficacy of Nirsevimab in Healthy Preterm and Term Infants in China (CHIMES)

Primary Purpose

Lower Respiratory Tract Infection

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Nirsevimab
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Lower Respiratory Tract Infection focused on measuring Respiratory Syncytial Viral (RSV), Efficacy, Safety, Nirsevimab, healthy Chinese preterm and term infants

Eligibility Criteria

0 Years - 1 Year (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy Chinese preterm and term infants in their first year of life and born ≥ 29 weeks 0 days GA (infants who have an underlying illness such as cystic fibrosis or Down syndrome with no other risk factors are eligible)
  2. Infants who are entering their first RSV season at the time of screening
  3. Written informed consent and any locally required authorization obtained from the subject's parent(s)/legal representative(s) prior to performing any protocol-related procedures, including screening evaluations
  4. Subject's parent(s)/legal representative(s) able to understand and comply with the requirements of the protocol including follow-up visits as judged by the Investigator
  5. Subject is available to complete the follow up period, which will be approximately 1 year after receipt of investigational product

Exclusion Criteria:

  1. Any fever (≥ 100.4°F [≥ 38.0°C], regardless of route) or acute illness within 7 days prior to investigational product administration
  2. Any history of LRTI or active LRTI prior to, or at the time of, randomization
  3. Known history of RSV infection or active RSV infection prior to, or at the time of, randomization
  4. Any drug therapy (chronic or other) within 7 days prior to randomization or expected receipt during the study with the exception of: a) multivitamins and iron; b) infrequent use of over-the-counter (OTC) medications for the systemic treatment of common childhood symptoms (eg, pain relievers) that may be permitted according to the judgment of the Investigator
  5. Any current or expected receipt of immunosuppressive agents including steroids (except for the use of topical steroids according to the judgment of the Investigator)
  6. History of receipt of blood products, or immunoglobulin products, or expected receipt through the duration of the study
  7. Hospitalization at the time of randomization, unless discharge is expected within the 7 days after randomization
  8. Known renal impairment
  9. Known hepatic dysfunction including known or suspected active or chronic hepatitis infection
  10. History of CLD/bronchopulmonary dysplasia
  11. Clinically significant congenital anomaly of the respiratory tract
  12. CHD, except for children with uncomplicated CHD (eg, patent ductus arteriosus, small septal defect)
  13. Chronic seizure, or evolving or unstable neurologic disorder
  14. Prior history of a suspected or actual acute life-threatening event
  15. Known immunodeficiency, including human immunodeficiency virus (HIV)
  16. Mother with HIV infection (unless the child has been proven to be not infected)
  17. Any known allergy or history of allergic reaction to immunoglobulin products, blood products, or other foreign proteins, or history of allergic reaction
  18. Receipt of palivizumab or other RSV mAb or any RSV vaccine, including maternal RSV vaccination
  19. Receipt of any monoclonal or polyclonal antibody (for example, hepatitis B immune globulin, IV immunoglobulin) or anticipated use during the study
  20. Receipt of any investigational product
  21. Concurrent enrollment in another interventional study
  22. Any condition that, in the opinion of the Investigator, would interfere with evaluation of the investigational product or interpretation of study results
  23. Children of 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

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Nirsevimab

Placebo

Arm Description

Subjects will be randomized 2:1 to receive a single IM dose of nirsevimab or placebo.

Subjects will be randomized 2:1 to receive a single IM dose of nirsevimab or placebo.

Outcomes

Primary Outcome Measures

Incidence of medically attended LRTI due to RT-PCR-confirmed RSV
The incidence of medically attended RSV LRTI (inpatient and outpatient) through 150 days post dose (ie, during a typical 5-month RSV season) for all infants, based on RSV test results (performed centrally using RT-PCR) and objective protocol-defined LRTI criteria, is the primary endpoint and will be presented by treatment groups. For subjects with multiple events, only the first occurrence will be used in the analysis. RSV LRTI that occurs through 150 days post dose will contribute to the primary efficacy analysis.

Secondary Outcome Measures

Incidence of RSV Hospitalization RT PCR-confirmed RSV
To assess the efficacy of nirsevimab in reducing hospitalizations due to protocol-defined LRTI caused by RT-PCR-confirmed RSV, compared to placebo
Safety and tolerability
Safety and tolerability of Nirsevimab as assessed by the occurrence of all treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAE) Safety of Nirsevimab will primarily be assessed and measured by the occurrence of all treatment-emergent AEs and SAEs. Other safety assessments will include the occurrence of Adverse Event of Special Interest (AESIs) and New Onset Chronic Diseases (NOCDs).
Summary of nirsevimab serum concentrations
To evaluate serum concentrations of nirsevimab.
Incidence of ADA to nirsevimab in serum
To evaluate ADA responses to nirsevimab in serum.

Full Information

First Posted
October 7, 2021
Last Updated
October 13, 2023
Sponsor
AstraZeneca
Collaborators
IQVIA RDS (Shanghai) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05110261
Brief Title
Evaluate the Safety and Efficacy of Nirsevimab in Healthy Preterm and Term Infants in China
Acronym
CHIMES
Official Title
A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of Nirsevimab, a Monoclonal Antibody With Extended Half-life Against Respiratory Syncytial Virus, in Healthy Preterm and Term Infants in China
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 24, 2021 (Actual)
Primary Completion Date
May 2, 2025 (Anticipated)
Study Completion Date
November 28, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
IQVIA RDS (Shanghai) Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to evaluate the Safety and Efficacy of Nirsevimab, in Healthy Preterm and Term Infants in China
Detailed Description
This is a Phase 3 randomized, double-blind, placebo-controlled, single-dose study to determine if nirsevimab will prevent medically attended RSV-confirmed LRTI in healthy preterm and term infants entering their first RSV season. The population to be enrolled is healthy preterm and term infants > 29 weeks 0 days GA entering their first RSV season, who would not receive RSV prophylaxis based on the American Academy of Pediatrics (AAP) or other local or national guidelines. Approximately 800 subjects will be randomized 2:1 to receive a single IM dose of nirsevimab 50 mg (if weight < 5 kg) or 100 mg (if weight ≥ 5 kg) (N = 530) or placebo (N = 270). Randomization will be stratified by subject age at the time of randomization (≤ 3 months, > 3 to ≤ 6 months, > 6 months), and by GA (< 35 weeks GA, ≥ 35 weeks GA). Enrollment of infants > 6 months of age will be limited to approximately 100. All subjects will be followed through 1 year after dose administration. An independent data monitoring committee will review safety data regularly and make recommendations regarding further study conduct. Around 40 investigational study centres participate in the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lower Respiratory Tract Infection
Keywords
Respiratory Syncytial Viral (RSV), Efficacy, Safety, Nirsevimab, healthy Chinese preterm and term infants

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
800 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Nirsevimab
Arm Type
Experimental
Arm Description
Subjects will be randomized 2:1 to receive a single IM dose of nirsevimab or placebo.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects will be randomized 2:1 to receive a single IM dose of nirsevimab or placebo.
Intervention Type
Drug
Intervention Name(s)
Nirsevimab
Other Intervention Name(s)
MEDI8897
Intervention Description
Drug: injection, 100 mg/mL, a single fixed IM dose of 50 mg (if weight < 5 kg) or 100 mg (if weight ≥ 5 kg)on day 1 only.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Commercially available 0.9% (w/v) saline (sterile for human use) fixed IM dose of 0.5 mL (if weight <5 kg) or 1.0 mL (if weight >=5 kg)
Primary Outcome Measure Information:
Title
Incidence of medically attended LRTI due to RT-PCR-confirmed RSV
Description
The incidence of medically attended RSV LRTI (inpatient and outpatient) through 150 days post dose (ie, during a typical 5-month RSV season) for all infants, based on RSV test results (performed centrally using RT-PCR) and objective protocol-defined LRTI criteria, is the primary endpoint and will be presented by treatment groups. For subjects with multiple events, only the first occurrence will be used in the analysis. RSV LRTI that occurs through 150 days post dose will contribute to the primary efficacy analysis.
Time Frame
Day 1 to Day 151
Secondary Outcome Measure Information:
Title
Incidence of RSV Hospitalization RT PCR-confirmed RSV
Description
To assess the efficacy of nirsevimab in reducing hospitalizations due to protocol-defined LRTI caused by RT-PCR-confirmed RSV, compared to placebo
Time Frame
Day 1 to Day 151
Title
Safety and tolerability
Description
Safety and tolerability of Nirsevimab as assessed by the occurrence of all treatment emergent adverse events (TEAEs) and treatment emergent serious adverse events (TESAE) Safety of Nirsevimab will primarily be assessed and measured by the occurrence of all treatment-emergent AEs and SAEs. Other safety assessments will include the occurrence of Adverse Event of Special Interest (AESIs) and New Onset Chronic Diseases (NOCDs).
Time Frame
Day 1 to Day 361
Title
Summary of nirsevimab serum concentrations
Description
To evaluate serum concentrations of nirsevimab.
Time Frame
Day 1, Day 15, Day 151 & Day 361
Title
Incidence of ADA to nirsevimab in serum
Description
To evaluate ADA responses to nirsevimab in serum.
Time Frame
Day 1, Day 151 & Day 361

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Years
Maximum Age & Unit of Time
1 Year
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy Chinese preterm and term infants in their first year of life and born ≥ 29 weeks 0 days GA (infants who have an underlying illness such as cystic fibrosis or Down syndrome with no other risk factors are eligible) Infants who are entering their first RSV season at the time of screening Written informed consent and any locally required authorization obtained from the subject's parent(s)/legal representative(s) prior to performing any protocol-related procedures, including screening evaluations Subject's parent(s)/legal representative(s) able to understand and comply with the requirements of the protocol including follow-up visits as judged by the Investigator Subject is available to complete the follow up period, which will be approximately 1 year after receipt of investigational product Exclusion Criteria: Any fever (≥ 100.4°F [≥ 38.0°C], regardless of route) or acute illness within 7 days prior to investigational product administration Any history of LRTI or active LRTI prior to, or at the time of, randomization Known history of RSV infection or active RSV infection prior to, or at the time of, randomization Any drug therapy (chronic or other) within 7 days prior to randomization or expected receipt during the study with the exception of: a) multivitamins and iron; b) infrequent use of over-the-counter (OTC) medications for the systemic treatment of common childhood symptoms (eg, pain relievers) that may be permitted according to the judgment of the Investigator Any current or expected receipt of immunosuppressive agents including steroids (except for the use of topical steroids according to the judgment of the Investigator) History of receipt of blood products, or immunoglobulin products, or expected receipt through the duration of the study Hospitalization at the time of randomization, unless discharge is expected within the 7 days after randomization Known renal impairment Known hepatic dysfunction including known or suspected active or chronic hepatitis infection History of CLD/bronchopulmonary dysplasia Clinically significant congenital anomaly of the respiratory tract CHD, except for children with uncomplicated CHD (eg, patent ductus arteriosus, small septal defect) Chronic seizure, or evolving or unstable neurologic disorder Prior history of a suspected or actual acute life-threatening event Known immunodeficiency, including human immunodeficiency virus (HIV) Mother with HIV infection (unless the child has been proven to be not infected) Any known allergy or history of allergic reaction to immunoglobulin products, blood products, or other foreign proteins, or history of allergic reaction Receipt of palivizumab or other RSV mAb or any RSV vaccine, including maternal RSV vaccination Receipt of any monoclonal or polyclonal antibody (for example, hepatitis B immune globulin, IV immunoglobulin) or anticipated use during the study Receipt of any investigational product Concurrent enrollment in another interventional study Any condition that, in the opinion of the Investigator, would interfere with evaluation of the investigational product or interpretation of study results Children of 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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
AstraZeneca Clinical Study Information Center
Phone
1-877-240-9479
Email
information.center@astrazeneca.com
Facility Information:
Facility Name
Research Site
City
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Changde
ZIP/Postal Code
415003
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Changsha
ZIP/Postal Code
410005
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Changsha
ZIP/Postal Code
410008
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Chengdu
ZIP/Postal Code
610000
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Chengdu
ZIP/Postal Code
610041
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Guangzhou
ZIP/Postal Code
510120
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Guangzhou
ZIP/Postal Code
510150
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Guangzhou
ZIP/Postal Code
510280
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Hangzhou
ZIP/Postal Code
310006
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Hangzhou
ZIP/Postal Code
310013
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Jiaxing
ZIP/Postal Code
314000
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Kunming
ZIP/Postal Code
650101
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Langfang
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Linfen
ZIP/Postal Code
041099
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Linfen
ZIP/Postal Code
41081
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Nanjing
ZIP/Postal Code
210009
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Ningbo
ZIP/Postal Code
315012
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Sanmenxia
ZIP/Postal Code
472000
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Sanya City
ZIP/Postal Code
572000
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Shantou
ZIP/Postal Code
515041
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Shaoxing
ZIP/Postal Code
311800
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Shenzhen
ZIP/Postal Code
518053
Country
China
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Shenzhen
ZIP/Postal Code
518106
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Suzhou
ZIP/Postal Code
215002
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Tangshan
ZIP/Postal Code
63003
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Tianjin
ZIP/Postal Code
300074
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Tianjin
ZIP/Postal Code
300201
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Tonghua
ZIP/Postal Code
134000
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Wenzhou
ZIP/Postal Code
325027
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Wuxi
ZIP/Postal Code
214023
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Xiamen
ZIP/Postal Code
361003
Country
China
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Xinxiang
ZIP/Postal Code
453000
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Zhengzhou
ZIP/Postal Code
450018
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Zhongshan
ZIP/Postal Code
528400
Country
China
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

Evaluate the Safety and Efficacy of Nirsevimab in Healthy Preterm and Term Infants in China

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