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RI-001 in Immunosuppressed Respiratory Syncytial Virus (RSV) Infected Patients at Risk of Lower Tract RSV Illness

Primary Purpose

Upper Respiratory Tract Infection, Lower Respiratory Tract Infection

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
RI-001
RI-001
RI-001
Sponsored by
ADMA Biologics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Upper Respiratory Tract Infection focused on measuring Transplant, Immunosuppression

Eligibility Criteria

2 Years - 65 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. An IEC/IRB approved written informed consent signed and dated by the patient or by parent(s) or a legally acceptable representative. The consent form or a specific assent form, where required, will be signed and dated by minors.
  2. Documented Bone Marrow Transplant (BMT)/Hematopoietic Stem Cell Transplant (HSCT), Pulmonary/Cardiac Transplant, Pulmonary Transplant or Liver Transplant within the 2 years prior to randomization to the study drug.
  3. Male/Female patients age: (Pediatric) ≥2 years and <16 years at the time of informed consent.
  4. Male/Female patients age: (Adult) ≥ 16 years and ≤ 65 years at the time of informed consent.
  5. Patient must have an URTI as defined by Respiratory Assessment Score (RAS)=1.
  6. Patients must be actively taking at least one immunosuppressive agent.
  7. Patients must have a positive RSV RT-PCR at the time of the randomization procedures.
  8. Female patients must be of non-childbearing potential or have a negative pregnancy test prior to study start and be deemed not at risk of becoming pregnant by adherence to a reliable contraceptive method for the duration of the study. Females of non-childbearing potential are defined as women who have had a hysterectomy, bilateral oophorectomy, tubal ligation or who have been post-menopausal for at least two years, or are considered to be sterile due to recent chemotherapy.
  9. Female patients who are not breast-feeding.
  10. Patient/legally acceptable representative considered as reliable and capable of adhering to the protocol (e.g. able to understand and complete diaries and questionnaires), visit schedules or treatment regimen according to the judgment of the Investigator.

Exclusion Criteria:

  1. Documented RSV lower respiratory tract infection (respiratory assessment score is greater than 1) as determined by the site investigators or research staff.
  2. Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure or other mechanical respiratory or cardiac support
  3. Unstable respiratory status so severe that survival is not expected for longer than 6 months.
  4. End organ dysfunction resulting in anticipated survival of less than 6 months.
  5. Known to be HIV positive.
  6. Administration of any RSV specific products, including palivizumab (Synagis®) in the 3 months prior to randomization procedures.
  7. Previous, current, or planned administration of an investigational RSV vaccine.
  8. Known hypersensitivity to immunoglobulin.
  9. Known Immunoglobulin (IgA) deficiency
  10. Known renal impairment requiring any form of dialysis (HD, PD, CRRT).
  11. Known hemodynamically significant congenital heart disease.
  12. Previous poor compliance with visit schedules.
  13. Severe medical, neurological or psychiatric disorders or laboratory values which may have an impact on the safety of the patient.
  14. Concurrent participation in other investigational drug product studies; any exception must be approved by the ADMA Biologics Medical Director.

Sites / Locations

  • University of California San Francisco
  • University of Colorado Health Sciences Center
  • Children's National Medical Center
  • All Children's Hospital
  • Rush University Medical Center
  • Johns Hopkins Medical Center
  • New England Medical Center
  • Hackensack University Medical Center
  • Schneider Children's Hospital
  • University of Rochester Medical Center
  • Oregon Health and Science University
  • Children's Medical Center of Dallas
  • Cook Children's Medical Center
  • Seattle Children's Hospital and Regional Medical Center
  • Fred Hutchinson Cancer Research Center
  • Alberta Children's Hospital
  • Hospital for Sick Children
  • Hopital Maisonneuve Rosemont
  • Hopital Sainte Justine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

1

2

3

Arm Description

Dose regimen 1

Dose regimen 2

Placebo

Outcomes

Primary Outcome Measures

Circulating RI-001 Titer
The primary endpoint of this study was the mean fold titer increase from baseline to Day 18 in circulating serum anti-RSV neutralizing antibody following treatment with RI-001.

Secondary Outcome Measures

Incidence of RSV Progression From Symptomatic Upper Respiratory Tract Infection to Lower Respiratory Tract Infection.
The Number of Patients Achieving at Least a 4-fold Increase in Serum RSV Neutralizing Antibody Titers

Full Information

First Posted
March 3, 2008
Last Updated
March 12, 2013
Sponsor
ADMA Biologics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00632463
Brief Title
RI-001 in Immunosuppressed Respiratory Syncytial Virus (RSV) Infected Patients at Risk of Lower Tract RSV Illness
Official Title
RI-001 in Immunosuppressed Respiratory Syncytial Virus (RSV) Infected Patients at Risk of Lower Tract RSV Illness
Study Type
Interventional

2. Study Status

Record Verification Date
March 2013
Overall Recruitment Status
Completed
Study Start Date
February 2008 (undefined)
Primary Completion Date
May 2010 (Actual)
Study Completion Date
May 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ADMA Biologics, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RSV infections can develop into serious, life threatening conditions among immunocompromised patients. The objective of this study (ADMA 001) is to evaluate the safety and efficacy of RI-001 for the prevention of lower respiratory tract infections in immunocompromised patients identified as being infected with RSV in the upper respiratory tract.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Upper Respiratory Tract Infection, Lower Respiratory Tract Infection
Keywords
Transplant, Immunosuppression

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Dose regimen 1
Arm Title
2
Arm Type
Experimental
Arm Description
Dose regimen 2
Arm Title
3
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Biological
Intervention Name(s)
RI-001
Intervention Description
Dose 1
Intervention Type
Biological
Intervention Name(s)
RI-001
Intervention Description
Dose 2
Intervention Type
Biological
Intervention Name(s)
RI-001
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Circulating RI-001 Titer
Description
The primary endpoint of this study was the mean fold titer increase from baseline to Day 18 in circulating serum anti-RSV neutralizing antibody following treatment with RI-001.
Time Frame
Study day 18
Secondary Outcome Measure Information:
Title
Incidence of RSV Progression From Symptomatic Upper Respiratory Tract Infection to Lower Respiratory Tract Infection.
Time Frame
Study day 33
Title
The Number of Patients Achieving at Least a 4-fold Increase in Serum RSV Neutralizing Antibody Titers
Time Frame
18 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: An IEC/IRB approved written informed consent signed and dated by the patient or by parent(s) or a legally acceptable representative. The consent form or a specific assent form, where required, will be signed and dated by minors. Documented Bone Marrow Transplant (BMT)/Hematopoietic Stem Cell Transplant (HSCT), Pulmonary/Cardiac Transplant, Pulmonary Transplant or Liver Transplant within the 2 years prior to randomization to the study drug. Male/Female patients age: (Pediatric) ≥2 years and <16 years at the time of informed consent. Male/Female patients age: (Adult) ≥ 16 years and ≤ 65 years at the time of informed consent. Patient must have an URTI as defined by Respiratory Assessment Score (RAS)=1. Patients must be actively taking at least one immunosuppressive agent. Patients must have a positive RSV RT-PCR at the time of the randomization procedures. Female patients must be of non-childbearing potential or have a negative pregnancy test prior to study start and be deemed not at risk of becoming pregnant by adherence to a reliable contraceptive method for the duration of the study. Females of non-childbearing potential are defined as women who have had a hysterectomy, bilateral oophorectomy, tubal ligation or who have been post-menopausal for at least two years, or are considered to be sterile due to recent chemotherapy. Female patients who are not breast-feeding. Patient/legally acceptable representative considered as reliable and capable of adhering to the protocol (e.g. able to understand and complete diaries and questionnaires), visit schedules or treatment regimen according to the judgment of the Investigator. Exclusion Criteria: Documented RSV lower respiratory tract infection (respiratory assessment score is greater than 1) as determined by the site investigators or research staff. Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure or other mechanical respiratory or cardiac support Unstable respiratory status so severe that survival is not expected for longer than 6 months. End organ dysfunction resulting in anticipated survival of less than 6 months. Known to be HIV positive. Administration of any RSV specific products, including palivizumab (Synagis®) in the 3 months prior to randomization procedures. Previous, current, or planned administration of an investigational RSV vaccine. Known hypersensitivity to immunoglobulin. Known Immunoglobulin (IgA) deficiency Known renal impairment requiring any form of dialysis (HD, PD, CRRT). Known hemodynamically significant congenital heart disease. Previous poor compliance with visit schedules. Severe medical, neurological or psychiatric disorders or laboratory values which may have an impact on the safety of the patient. Concurrent participation in other investigational drug product studies; any exception must be approved by the ADMA Biologics Medical Director.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Upton Allen, MBBS
Organizational Affiliation
Division of Infectious Diseases, Hospital for Sick Children, Toronto, Ontario, Canada
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of California San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
University of Colorado Health Sciences Center
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Children's National Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
All Children's Hospital
City
St. Petersburg
State/Province
Florida
ZIP/Postal Code
33701
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Johns Hopkins Medical Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
New England Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States
Facility Name
Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Schneider Children's Hospital
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11040
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Children's Medical Center of Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75235
Country
United States
Facility Name
Cook Children's Medical Center
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Seattle Children's Hospital and Regional Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States
Facility Name
Fred Hutchinson Cancer Research Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
Alberta Children's Hospital
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T3B6A8
Country
Canada
Facility Name
Hospital for Sick Children
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G1X8
Country
Canada
Facility Name
Hopital Maisonneuve Rosemont
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T2M4
Country
Canada
Facility Name
Hopital Sainte Justine
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T1C5
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

RI-001 in Immunosuppressed Respiratory Syncytial Virus (RSV) Infected Patients at Risk of Lower Tract RSV Illness

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