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A Study to Assess Safety, Pharmacokinetics Anti-Drug Antibody and Anti-RSV Antibody After 2 Doses of Nirsevimab (JUBILUS)

Primary Purpose

Respiratory Syncytial Virus Infections

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

About this trial

This is an interventional prevention trial for Respiratory Syncytial Virus Infections

Eligibility Criteria

0 Years - 1 Year (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Written informed consent and any locally required authorization obtained from the participant's parent(s)/legally authorized representative(s) before performing any protocol-related procedures, including screening evaluations Japanese infants of ≤12 months of age eligible to receive palivizumab in accordance with national or local guidelines and those who must meet at least one of the following conditions at the time of informed consent. Immunodeficiency Chronic Lung Disease Congenital Heart Disease Down syndrome Born pre-term ≤28 wks Gestation age and aged ≤12 months, or born pre-term >28 wks and ≤35 wks Gestation age and aged ≤6 months The participant's parent(s)/legally authorized representative(s) can understand and comply with the requirements of the protocol including follow-up visits as judged by the investigator. The participant is available to complete the follow-up period for approximately 19 months, which will be approximately 1 year after receipt of 2nd dose of nirsevimab Exclusion Criteria: Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure (CPAP), or other mechanical respiratory or cardiac support at the time of enrollment A current, active RSV infection at the time of screening and investigational product administration Any fever (≥100.4°F [≥38.0°C], regardless of route) or acute illness at the time of prior to investigational product administration Any serious concurrent medical condition (except those resulting in an immune deficiency condition), including: Known renal impairment Known hepatic dysfunction including known or suspected active or chronic hepatitis infection Any seizure disorder or evolving or unstable neurological condition Anticipated cardiac surgery within 5-6 months after enrollment Prior history of a suspected or actual acute life-threatening event Receipt or intended use of palivizumab in the current enrollment season Any known allergy or history of allergic reaction to any component of nirsevimab Any known allergy or history of allergic reaction to immunoglobulin products, blood products, or other foreign proteins Concurrent enrollment in another interventional study, or prior receipt of any investigational agent Anticipated survival of less than 1 year at the time of informed consent Any condition that, in the opinion of the investigator, would interfere with the 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

Sites / Locations

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Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

MEDI8897

Arm Description

Anti-RSV monoclonal antibody

Outcomes

Primary Outcome Measures

Incidence of all TEAEs, TESAEs, AESIs, and NOCDs
The number and percentage of participants with TEAEs, TESAEs, AESIs, and NOCDs will be summarized by SOC and PT overall.
Study discontinuations prior to Day 151 post 2nd dose.
The number and percentage of subject discontinuations will be summarized.

Secondary Outcome Measures

Pharmacokinetics (PK) - Nirsevimab serum concentrations
ADA - Occurrence of ADA to nirsevimab in serum
Anti-RSV neutralizing Ab - Anti-RSV neutralizing Ab levels (IU/mL) in serum

Full Information

First Posted
July 13, 2023
Last Updated
September 11, 2023
Sponsor
AstraZeneca
Collaborators
Iqvia Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT06042049
Brief Title
A Study to Assess Safety, Pharmacokinetics Anti-Drug Antibody and Anti-RSV Antibody After 2 Doses of Nirsevimab
Acronym
JUBILUS
Official Title
A Phase III Single-Arm Open-Label Study to Evaluate the Safety PK ADA and Anti RSV nAb Following Administration of 2 Doses of Nirsevimab Given 5 to 6 Months Apart in Infants With CHD, CLD, Immunocompromise, Down Syndrome, or Born Pre-Term in Japan
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 27, 2023 (Actual)
Primary Completion Date
April 23, 2025 (Anticipated)
Study Completion Date
April 23, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Iqvia Pty Ltd

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to measure the safety, PK, occurrence of ADA to nirsevimab, and anti-RSV neutralizing Ab in Japanese children with certain health conditions or pre-term infants aged ≤12 months. Study details include The study duration is approximately 21 months with a 2-month enrollment period. Study intervention is 2 doses administered 5- 6 months apart. The study has 5 or 6 site visits and several telephone contacts with a 2 or 4 week interval

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Syncytial Virus Infections

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
No masking is used. All involved know the identity of the intervention assignment.
Allocation
N/A
Enrollment
33 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MEDI8897
Arm Type
Experimental
Arm Description
Anti-RSV monoclonal antibody
Intervention Type
Drug
Intervention Name(s)
Nirsevimab
Other Intervention Name(s)
MEDI8897
Intervention Description
Participants in the first year of life will receive the 1st dose of nirsevimab as a single, fixed intramuscular (IM) dose of 50 mg if body weight is <5 kg or 100 mg if body weight is ≥5 kg. A 2nd fixed IM dose of 50 mg if body weight is <5 kg or 100 mg if body weight is ≥5 kg will be administered 5 to 6 months following the 1st dose.
Primary Outcome Measure Information:
Title
Incidence of all TEAEs, TESAEs, AESIs, and NOCDs
Description
The number and percentage of participants with TEAEs, TESAEs, AESIs, and NOCDs will be summarized by SOC and PT overall.
Time Frame
360 days after the 2nd or last dose administered in the study
Title
Study discontinuations prior to Day 151 post 2nd dose.
Description
The number and percentage of subject discontinuations will be summarized.
Time Frame
360 days after the 2nd or last dose administered in the study
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK) - Nirsevimab serum concentrations
Time Frame
360 days after the 2nd or last dose administered in the study
Title
ADA - Occurrence of ADA to nirsevimab in serum
Time Frame
360 days after the 2nd or last dose administered in the study
Title
Anti-RSV neutralizing Ab - Anti-RSV neutralizing Ab levels (IU/mL) in serum
Time Frame
360 days after the 2nd or last dose administered in the study
Other Pre-specified Outcome Measures:
Title
MA-RSV LRTI - Occurrence of MA-LRTI (inpatient and outpatient) due to RT-PCR-confirmed RSV
Time Frame
through 150 and 360 days post 2nd dose
Title
MA-RSV LRTI - Occurrence of hospitalizations due to RT-PCR-confirmed RSV
Time Frame
through 150 and 360 days post 2nd dose
Title
Monitoring for RSV Resistance - Genotypic analysis of the F protein from collected RSV-positive respiratory secretion specimens
Time Frame
through 150 and 360 days post 2nd dose
Title
Monitoring RSV Resistance to Nirsevimab - RSV novel variants will be phenotypically characterized for nirsevimab susceptibility
Time Frame
through 150 and 360 days post 2nd dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Years
Maximum Age & Unit of Time
1 Year
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent and any locally required authorization obtained from the participant's parent(s)/legally authorized representative(s) before performing any protocol-related procedures, including screening evaluations Japanese infants of ≤12 months of age eligible to receive palivizumab in accordance with national or local guidelines and those who must meet at least one of the following conditions at the time of informed consent. Immunodeficiency Chronic Lung Disease Congenital Heart Disease Down syndrome Born pre-term ≤28 wks Gestation age and aged ≤12 months, or born pre-term >28 wks and ≤35 wks Gestation age and aged ≤6 months The participant's parent(s)/legally authorized representative(s) can understand and comply with the requirements of the protocol including follow-up visits as judged by the investigator. The participant is available to complete the follow-up period for approximately 19 months, which will be approximately 1 year after receipt of 2nd dose of nirsevimab Exclusion Criteria: Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure (CPAP), or other mechanical respiratory or cardiac support at the time of enrollment A current, active RSV infection at the time of screening and investigational product administration Any fever (≥100.4°F [≥38.0°C], regardless of route) or acute illness at the time of prior to investigational product administration Any serious concurrent medical condition (except those resulting in an immune deficiency condition), including: Known renal impairment Known hepatic dysfunction including known or suspected active or chronic hepatitis infection Any seizure disorder or evolving or unstable neurological condition Anticipated cardiac surgery within 5-6 months after enrollment Prior history of a suspected or actual acute life-threatening event Receipt or intended use of palivizumab in the current enrollment season Any known allergy or history of allergic reaction to any component of nirsevimab Any known allergy or history of allergic reaction to immunoglobulin products, blood products, or other foreign proteins Concurrent enrollment in another interventional study, or prior receipt of any investigational agent Anticipated survival of less than 1 year at the time of informed consent Any condition that, in the opinion of the investigator, would interfere with the 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
Bunkyo-ku
ZIP/Postal Code
113-8519
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Fuchu-shi
ZIP/Postal Code
183-8561
Country
Japan
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Fukuoka-shi
ZIP/Postal Code
813-0017
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Kitakyusyu-shi
ZIP/Postal Code
806-8501
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Koto-ku
ZIP/Postal Code
135-8577
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Kurume-shi
ZIP/Postal Code
830-0011
Country
Japan
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Maebashi-shi
ZIP/Postal Code
371-0811
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Nagasaki-shi
ZIP/Postal Code
852-8501
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Saitama-shi
ZIP/Postal Code
336-8522
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Tsukuba-shi
ZIP/Postal Code
305-8576
Country
Japan
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Yokohama-shi
ZIP/Postal Code
224-8503
Country
Japan
Individual Site Status
Recruiting
Facility Name
Research Site
City
Yokohama-shi
ZIP/Postal Code
232 8555
Country
Japan
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

A Study to Assess Safety, Pharmacokinetics Anti-Drug Antibody and Anti-RSV Antibody After 2 Doses of Nirsevimab

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