A Study to Evaluate the Safety, Tolerability, and Immunogenicity of Motavizumab (MEDI-524) After Dosing for a Second Season in Children
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Purpose
The primary objective of this study was to determine the effect on immune reactivity to motavizumab (MEDI-524) of monthly intramuscular (IM) doses of motavizumab (MEDI-524) administered for a second season in children.
| Condition | Intervention | Phase |
|---|---|---|
|
Motavizumab Administration for a Second Season for RSV Prophylaxis |
Biological: motavizumab (MEDI-524) Biological: palivizumab 15 mg/kg |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Phase 1/2 Study to Evaluate the Safety, Tolerability, and Immunogenicity of MEDI-524, a Humanized Enhanced Potency Monoclonal Antibody Against Respiratory Syncytial Virus (RSV), After Dosing for a Second Season in Children Who Previously Received MEDI-524 in Protocol MI-CP104 |
- Number of Subjects Exhibiting Anti-motavizumab Antibodies [ Time Frame: Day 0 through 120 days post final dose ] [ Designated as safety issue: Yes ]Serum for measurement of anti-motavizumab antibodies was collected prior to the first, second and, if applicable, fifth doses of study drug, and at the 2 follow-up visits 30 and 90-120 days post final dose.
- Number of Subjects Reporting Adverse Events (AEs) [ Time Frame: Day 0 through 30 days post final dose ] [ Designated as safety issue: Yes ]Assessments of adverse events (including SAEs) were made by clinical investigators according to the protocol.
- Number of Subjects Reporting Serious Adverse Events (SAEs) [ Time Frame: Day 0 through 30 days post final dose ] [ Designated as safety issue: Yes ]Assessments of SAEs were made by clinical investigators according to the protocol.
- Number of Subjects With Increased Toxicity Grade From Baseline as Determined by Laboratory Evaluations [ Time Frame: Day 0 through 30 days post final dose ] [ Designated as safety issue: Yes ]Serum chemistry and hematology parameters were measured at baseline, on Days 25-30 and 120, 30 days post the final dose, and at premature discontinuation.
- Motavizumab Serum Concentrations at Each Data Collection Visit [ Time Frame: Prior to dosing on Day 0, Day 30, Day 120, and at 30 and 90-120 days post final dose ] [ Designated as safety issue: No ]Mean serum concentration.
| Enrollment: | 136 |
| Study Start Date: | May 2005 |
| Study Completion Date: | February 2006 |
| Primary Completion Date: | February 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: motavizumab (MEDI-524) 15 mg/kg
A single IM injection every 30 days beginning at Day 0 for a total of 4-5 injections determined by when in the RSV season a child was enrolled.
|
Biological: motavizumab (MEDI-524)
Patients will receive 15 mg/kg MEDI-524 administered IM every 30 days for a total of 4-5 injections.
Other Names:
|
|
Active Comparator: palivizumab 15 mg/kg
A single IM injection every 30 days beginning at Day 0 for a total of 4-5 injections determined by when in the RSV season a child was enrolled.
|
Biological: palivizumab 15 mg/kg
Patients will receive 15 mg/kg palivizumab administered IM every 30 days for a total of 4-5 injections.
Other Name: synagis
|
Detailed Description:
This was a Phase 1/2, randomized, double-blind study in which motavizumab (MEDI-524) or palivizumab was administered to children who previously participated in MI-CP104. Children who received at least 3 doses of motavizumab in MI-CP104 were eligible for enrollment. Subjects were randomized 1:1 to receive motavizumab or palivizumab at 15 mg/kg by IM injection every 30 days for a total of 4-5 injections during the 2004-05 RSV season subsequent to the season in which they were participants of MI-CP104. All subjects were evaluated prior to and 30 minutes after each injection of study drug with 2 follow-up evaluations, one at 30 days and the other at 90-120 days after the last dose.
Eligibility| Ages Eligible for Study: | up to 24 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Previous participation in MI-CP104 and received at least 3 injections of MEDI-524 in MI-CP104
- The child must be less than or equal to 24 months of age at time of entry into the study (child must be entered on or before their 24-month birthday)
- The child must be able to complete the follow-up visits through 3-4 months after last dose (total length of participation of 6-8 months)
- Written informed consent obtained from the patient's parent(s) or legal guardian
Exclusion Criteria:
- Currently hospitalized
- Receiving chronic oxygen therapy or mechanical ventilation at the time of study entry (including continuous positive airway pressure [CPAP])
- Evidence of infection with hepatitis A, B, or C virus
- Known renal impairment, hepatic dysfunction, chronic seizure disorder, or immunodeficiency or HIV infection
- Suspected serious allergic or immune mediated events with prior receipt of MEDI-524
- Acute illness or progressive clinical disorder
- Active infection, including acute respiratory syncytial virus (RSV) infection at the time of enrollment
- Previous reaction to IGIV, blood products, or other foreign proteins
- Have ever received palivizumab
- Received within the past 120 days or currently receiving immunoglobulin products (such as RSV-IGIV [RespiGam(R)], IVIG), or any investigational agents (except MEDI-524)
- Currently participating in any investigational study
Contacts and Locations| Brazil | |
| Pontificia Universidade Catolica Do Rio Grande | |
| Porto Alegre, Brazil, 90610-000 | |
| Hospital Das Clinicas Da Faculdade | |
| Ribeirao Preto, Brazil, 14049-900 | |
| Chile | |
| Hospital Clinico De La Pointificia Universidad | |
| Santiago, Chile | |
| Hospital Clinico de la Universidad de Chile | |
| Santiago, Chile | |
| Hospital San Jose | |
| Santiago, Chile | |
| Hospital Dr. Sotero Del Rio | |
| Santiago, Chile | |
| Study Director: | M Pamela Griffin, M.D. | MedImmune LLC |
More Information
Publications:
| Responsible Party: | MedImmune LLC |
| ClinicalTrials.gov Identifier: | NCT00113490 History of Changes |
| Other Study ID Numbers: | MI-CP118 |
| Study First Received: | June 8, 2005 |
| Results First Received: | April 3, 2013 |
| Last Updated: | April 3, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by MedImmune LLC:
|
motavizumab, palivizumab, synagis Rezield, MEDI-524 |
Additional relevant MeSH terms:
|
Palivizumab Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013