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RSV Illness in ≤12 Months of ParticipantsNCT00421304

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

A study testing Motavizumab in people with RSV Illness in ≤12 Months of Participants, run by MedImmune LLC at 35 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 0 to 12 months
What is being tested?
Motavizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
118 participants
Where
35 sitesin 5 countries
Study dates
10 Jan 2007to 17 Sep 2009
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 to 12 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 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

Who cannot join

  • 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
Show all 13Show fewer
  • 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

Trial locations and contacts

35 sites in 5 countries.

35 sites in 5 countries

United States26 sites
  • Research Site

    Boston, Massachusetts, 02111

  • Research Site

    Brooklyn, New York, 11201

  • Research Site

    Buffalo, New York, 14222

  • Research Site

    Chicago, Illinois, 60612

  • Research Site

    Columbus, Ohio, 43205

  • Research Site

    Dallas, Texas, 75390

  • Research Site

    Honolulu, Hawaii, 96826

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Jackson, Mississippi, 39216-4505

  • Research Site

    Jacksonville, Florida

  • Research Site

    Long Beach, California, 90806

  • Research Site

    Milwaukee, Wisconsin, 53226

  • Research Site

    Mineola, New York, 11501

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    New Hyde Park, New York, 11040

  • Research Site

    Oak Lawn, Illinois, 60453

  • Research Site

    Oklahoma City, Oklahoma, 73104-5066

  • Research Site

    Omaha, Nebraska, 68198

  • Research Site

    Orange, California, 92868

  • Research Site

    Portland, Oregon, 97239

  • Research Site

    Rochester, New York, 14642

  • Research Site

    Salt Lake City, Utah, 84108

  • Research Site

    San Diego, California, 92123

  • Research Site

    Seattle, Washington, 98105

  • Research Site

    Syracuse, New York, 13210

  • Research Site

    Tucson, Arizona, 85724

Other trials in United States

Chile4 sites
  • Research Site

    Independencia

  • Research Site

    Santiago, 8360160

  • Research Site

    Santiago, 8380418

  • Research Site

    Santiago

Other trials in Chile

New Zealand3 sites
  • Research Site

    Auckland, 2025

  • Research Site

    Hamilton

  • Research Site

    Palmerston North, 5301

Other trials in New Zealand

Australia1 site
  • Research Site

    Herston, 4029

Other trials in Australia

Panama1 site
  • Research Site

    Panama City

Other trials in Panama

About this study

Official 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

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.

Read the detailed description

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.

Being tested
Motavizumab, Placebo
Keywords
Respiratory Syncytial Virus illness, RSV

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MotavizumabBiological

    Also called MEDI-524

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

  • PlaceboOther

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

Study groups in NCT00421304
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants will receive a single intravenous (IV) dose of placebo matched to motavizumab on Day 0 of the study.
Receives: Other: Placebo
Motavizumab 30 mg/kgExperimentalParticipants will receive a single IV dose of motavizumab 30 mg/kg on Day 0 of the study.
Receives: Biological: Motavizumab
Motavizumab 100 mg/kgExperimentalParticipants will receive a single IV dose of motavizumab 100 mg/kg on Day 0 of the study.
Receives: Biological: Motavizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  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

    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.

    Measured: Day 0

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

    Measured: Day 1

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

    Measured: Day 2

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

    Measured: Day 3

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

    Measured: Day 4

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

    Measured: Day 5

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

    Measured: Day 6

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

    Measured: Day 7

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

    Measured: Day 30

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

    Measured: Day 90

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

    Measured: Day 180

  12. Motavizumab Concentration in Nasal Wash Aspirates at Day 0

    Motavizumab concentration in nasal wash aspirates is reported.

    Measured: Day 0

  13. Motavizumab Concentration in Nasal Wash Aspirates at Day 1

    Motavizumab concentration in nasal wash aspirates is reported.

    Measured: Day 1

  14. Motavizumab Concentration in Nasal Wash Aspirates at Day 2

    Motavizumab concentration in nasal wash aspirates is reported.

    Measured: Day 2

  15. Motavizumab Concentration in Nasal Wash Aspirates at Day 7

    Motavizumab concentration in nasal wash aspirates is reported.

    Measured: Day 7

  16. Motavizumab Concentration in Nasal Wash Aspirates at Day 30

    Motavizumab concentration in nasal wash aspirates is reported.

    Measured: Day 30

Secondary outcomes (18)
  1. Duration of RSV Hospitalization

    Duration of RSV hospitalization is reported.

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

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

    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.

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

  3. Oxygen Saturation Level During RSV Hospitalization

    Oxygen saturation level during RSV hospitalization is reported.

    Measured: Days 0, 1, 2, 3, 7, and 30

  4. Heart Rate During RSV Hospitalization

    Heart rate during RSV hospitalization is reported.

    Measured: Days 0, 1, 2, 3, 7, and 30

  5. Respiratory Rate During RSV Hospitalization

    Respiratory rate during RSV hospitalization is reported.

    Measured: Days 0, 1, 2, 3, 7, and 30

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

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

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

  7. Duration of Supplemental Oxygen Use During RSV Hospitalization

    Duration of supplemental oxygen use during RSV hospitalization is reported.

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

  8. Number of Participants on Mechanical Ventilation During RSV Hospitalization

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

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

  9. Duration of Mechanical Ventilation During RSV Hospitalization

    Duration of mechanical ventilation during RSV hospitalization is reported.

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

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

    Number of participants admitted to ICU is reported.

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

  11. Duration of ICU Stay During RSV Hospitalization

    Duration of ICU stay during RSV hospitalization is reported.

    Measured: From Randomization Day (Day 0) to Discharge Day (up to Day 30)

  12. Number of Participants With Medically-attended Wheezing Episodes

    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.

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

  13. Serum Concentration of Motavizumab

    Motavizumab concentration in serum is reported.

    Measured: Days 1, 7, 90, 180, and 360

  14. Number of Participants With Detectable Anti-motavizumab Antibodies

    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.

    Measured: Days 0, 180, and 360

  15. Change From Baseline in Serum Cytokine Levels

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

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

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

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

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

    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.

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

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

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

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2007 (estimated)
  2. Study start10 Jan 2007
  3. Primary completion17 Sep 2009
  4. Study completion17 Sep 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00421304
Sponsor's protocol ID
MI-CP141
Status last verified
Jul 2021
First submitted
9 Jan 2007
Last updated
27 Aug 2021
Data monitoring committee
Yes

Publications

  • Ramilo O, Lagos R, Saez-Llorens X, Suzich J, Wang CK, Jensen KM, Harris BS, Losonsky GA, Griffin MP; Motavizumab Study Group. Motavizumab treatment of infants hospitalized with respiratory syncytial virus infection does not decrease viral load or severity of illness. Pediatr Infect Dis J. 2014 Jul;33(7):703-9. doi: 10.1097/INF.0000000000000240.

    PubMed 24356256

Questions about this trial

What is this clinical trial studying?

A study testing Motavizumab in people with RSV Illness in ≤12 Months of Participants, run by MedImmune LLC at 35 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in United States, Chile, New Zealand, Australia, Panama. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Aug 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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 study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00421304, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2021.

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