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Completed

NCT Number: NCT00421304

A Study to Evaluate a Single Intravenous Dose of Motavizumab for the Treatment of Children Hospitalized With Respiratory Syncytial Virus (RSV) Illness

The primary objective of this study is to describe the effect of a single dose of medication compared to placebo in the upper respiratory tract in previously healthy children less than or equal to 12 months of age who are hospitalized with lower respiratory tract illness.

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Key information

Age range

0 month–12 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Research Site, Herston, Australia

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About this study

The primary objective of this study is to describe the effect of a single 30 mg/kg or 100 mg/kg intravenous (IV) dose of Motavizumab compared to placebo on study drug levels and viral load as measured by cultivatable virus and real-time reverse transcriptase-polymerase chain reaction (RT-PCR) in the upper respiratory tract in previously healthy children ≤12 months of age who are hospitalized with lower respiratory tract illness.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Children must meet all of the following criteria:

  • Previously healthy
  • Age less or equal to 12 months at the time of randomization
  • Gestational age more or equal to 36 weeks
  • Hospitalized for lower respiratory tract illness (i.e., RSV bronchiolitis and/or pneumonia)
  • Documented positive RSV test within 48 hours prior to randomization
  • Randomization within 12 hours of the decision to hospitalize a child for RSV illness
  • Written informed consent obtained from the participant's parent(s)/legal guardian

Exclusion criteria

Children must have none of the following:

  • Prior receipt of or receiving ribavirin or other anti-viral treatment for the current episode of RSV infection prior to randomization
  • Any use of systemic or inhaled steroids within the past 30 days prior to randomization
  • Intubation for ventilatory support at randomization
  • Any medically significant underlying ongoing chronic illness or organ system dysfunction, or other known acute illness except for RSV infection
  • Known renal impairment, hepatic dysfunction, hematologic abnormalities, seizure or other neurologic disorder or immunodeficiency
  • Requirement for supplemental oxygen at any time prior to the current RSV infection (brief use of oxygen in the immediate postnatal period to treat a transient condition is allowed)
  • Mechanical ventilation at any time prior to the onset of the current RSV infection
  • Congenital heart disease [children with medically or surgically closed patent ductus arteriosis (PDA), small atrial septal defect (ASD) or small ventricular septal defect (VSD) will be allowed]
  • Previous reaction to IVIG, blood products, or other foreign proteins
  • Prior use of intravenous immunoglobulin (IVIG), palivizumab (SynagisÒ), or other immunoglobulin products within the past 2 months
  • Currently receiving other investigational agents or have received any other investigational agents within the 3 months prior to randomization
  • Prior or current participation in any investigational study with a therapeutic agent or vaccine for RSV

Treatment and study plan

Motavizumab

Biological

A single IV dose of motavizumab 30 mg/kg or 100 mg/kg will be administered on Day 0 of the study.

Other names: MEDI-524

Placebo

Other

A single IV dose of placebo matched to motavizumab will be administered on Day 0 of the study.

Primary outcomes

  1. Respiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 0

    Time frame: Day 0

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children less than or equal to (<=12) months of age who are hospitalized with lower respiratory tract illness.

  2. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1

    Time frame: Day 1

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  3. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 2

    Time frame: Day 2

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  4. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 3

    Time frame: Day 3

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  5. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 4

    Time frame: Day 4

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  6. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 5

    Time frame: Day 5

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  7. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 6

    Time frame: Day 6

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  8. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 7

    Time frame: Day 7

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  9. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 30

    Time frame: Day 30

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  10. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 90

    Time frame: Day 90

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  11. RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 180

    Time frame: Day 180

    The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children <=12 months of age who are hospitalized with lower respiratory tract illness.

  12. Motavizumab Concentration in Nasal Wash Aspirates at Day 0

    Time frame: Day 0

    Motavizumab concentration in nasal wash aspirates is reported.

  13. Motavizumab Concentration in Nasal Wash Aspirates at Day 1

    Time frame: Day 1

    Motavizumab concentration in nasal wash aspirates is reported.

  14. Motavizumab Concentration in Nasal Wash Aspirates at Day 2

    Time frame: Day 2

    Motavizumab concentration in nasal wash aspirates is reported.

  15. Motavizumab Concentration in Nasal Wash Aspirates at Day 7

    Time frame: Day 7

    Motavizumab concentration in nasal wash aspirates is reported.

  16. Motavizumab Concentration in Nasal Wash Aspirates at Day 30

    Time frame: Day 30

    Motavizumab concentration in nasal wash aspirates is reported.

Secondary outcomes

  1. Duration of RSV Hospitalization

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Duration of RSV hospitalization is reported.

  2. Respiratory Assessment Change Score (RACS) Derived From Baseline

    Time frame: Baseline (Day 0), Days 1, 2, 3, 7, and 30

    The RACS assesses changes in wheezing and retractions as measured by respiratory distress assessment instrument (RDAI) score and changes in respiratory rate. A RDAI score is a measure of the degree of severity of wheezing and retractions, with score range from 0 to 17; higher scores indicate more severe disease. Respiratory rate is summarized by raw scores and standardized change score. A change in respiratory rate of less than or equal to (<=) 5% from baseline is counted as a change of 0 units and a change in respiratory rate is assigned 1 point per each 10% change in the respiratory rate. The RACS is calculated as arithmetic sum of RDAI score change and of standardized respiratory rate change (for example, a child showing improvement who had a RDAI of -5 and a respiratory rate change of -2 would have a RACS score of -7). The RACS assessment does not have a minimum and/or maximum scale range. A decrease in RACS represents improvement, whereas an increase signifies deterioration.

  3. Oxygen Saturation Level During RSV Hospitalization

    Time frame: Days 0, 1, 2, 3, 7, and 30

    Oxygen saturation level during RSV hospitalization is reported.

  4. Heart Rate During RSV Hospitalization

    Time frame: Days 0, 1, 2, 3, 7, and 30

    Heart rate during RSV hospitalization is reported.

  5. Respiratory Rate During RSV Hospitalization

    Time frame: Days 0, 1, 2, 3, 7, and 30

    Respiratory rate during RSV hospitalization is reported.

  6. Number of Participants With Supplemental Oxygen Use During RSV Hospitalization

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Number of participants with supplemental oxygen use during RSV hospitalization is reported.

  7. Duration of Supplemental Oxygen Use During RSV Hospitalization

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Duration of supplemental oxygen use during RSV hospitalization is reported.

  8. Number of Participants on Mechanical Ventilation During RSV Hospitalization

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Number of participants on mechanical ventilation during RSV hospitalization is reported.

  9. Duration of Mechanical Ventilation During RSV Hospitalization

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Duration of mechanical ventilation during RSV hospitalization is reported.

  10. Number of Participants Admitted to the Intensive Care Unit (ICU)

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Number of participants admitted to ICU is reported.

  11. Duration of ICU Stay During RSV Hospitalization

    Time frame: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

    Duration of ICU stay during RSV hospitalization is reported.

  12. Number of Participants With Medically-attended Wheezing Episodes

    Time frame: From randomization (Day 0) through Day 360 (approximately 12 months)

    Wheezing episodes are considered medically-attended wheezing episodes if the medical care provider verifies and documents wheezing in the medical record or, in the case of hospitalization, the medical care provider assigns a discharge diagnosis of asthma, bronchiolitis, wheezing, or reactive airway disease. A new wheezing episode is the one that occurs for more than 2 weeks after the diagnosis of the previous episode and the medical opinion is that the wheezing does not represent a persistence of the previous episode. Medically-attended wheezing episodes were calculated and reported in the range of 0 to 9 events.

  13. Serum Concentration of Motavizumab

    Time frame: Days 1, 7, 90, 180, and 360

    Motavizumab concentration in serum is reported.

  14. Number of Participants With Detectable Anti-motavizumab Antibodies

    Time frame: Days 0, 180, and 360

    Number of participants with detectable anti-motavizumab antibodies are reported. Detection is defined as an anti-motavizumab antibody titer with a dilution value of 1:30 or greater.

  15. Change From Baseline in Serum Cytokine Levels

    Time frame: Baseline (Day 0, pre-dose) through Day 360

  16. Change From Baseline in Upper Respiratory Tract (Nasal Wash) Cytokine Levels

    Time frame: Baseline (Day 0, pre-dose) through Day 180

    Change from baseline in upper respiratory tract (nasal wash) cytokine levels are reported.

  17. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    Time frame: From the start of study drug (Day 0) through Day 90

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

  18. Number of Participants With Clinical Laboratory Abnormalities Reported as TEAEs

    Time frame: From the start of study drug (Day 0) through Day 30

Sponsors and collaborators

Lead sponsor

MedImmune LLC

Industry

Registry information

Official study title

A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate a Single Intravenous Dose of Motavizumab (MEDI-524), a Humanized Enhanced Potency Monoclonal Antibody Against Respiratory Syncytial Virus (RSV), for the Treatment of Children Hospitalized With RSV Illness

Important dates

Study start
2007
Primary completion
2009
Study completion
2009
First posted
Jan 11, 2007
Registry last updated
Aug 27, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.