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HealthyPhase 1/2MEDI-559NCT00767416

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Safety of MEDI-559 in Healthy 1 to <24 Month-Old Children

A Phase 1/2 study testing MEDI-559 in people with Healthy, run by MedImmune LLC at 76 sites in 2 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 28-day post-final dose safety and tolerability of three doses of MEDI-559 at 10^5 FFU when administered to healthy RSV seronegative children 1 to <24 months of age. Read more about this study

Who is it for?
Ages 1 month to 23 monthsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
MEDI-559
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
116 participants
Where
76 sitesin 2 countries
Study dates
Oct 2008to Dec 2011
Phase
Phase 1/2
Are there results?
None posted in the registry

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 1 month to 23 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Male or female whose age on the day of randomization falls within one of the two age cohorts: Cohort 1: 5 to <24 months (reached their 5th month birthday but not yet reached their 2nd year birthday); Cohort 2: 1 to < 3 months (>28 days of age and not yet reached their 3rd month birthday)
  • Cohort 1 only: Subject is seronegative to RSV at screening
  • Subject was the product of normal full term pregnancy (defined as 36-42 weeks gestation)
  • Subject is in general good health
  • Written informed consent and HIPAA authorization (if applicable) obtained from the subject's legal representative
  • Subject's legal representative is willing and able to bring the subject to the study site for evaluation of respiratory illness in accordance with the protocol

Who cannot join

  • Any fever (≥ 100.4°F [≥ 38.0°C]), regardless of route within 7 days prior to randomization
  • Acute illness (defined as the presence of moderate or severe signs and symptoms) at the time of randomization
  • Moderate or severe nasal congestion that in the investigator's opinion could prevent intranasal delivery of vaccine
  • Cohort 1 only: weight ≤ 5th percentile for age on the day of randomization
  • Cohort 2 only: history of low birth weight (ie, <2500 grams at birth) or weight ≤ 5th percentile for age on the day of randomization
  • Living in the same home or enrolled in the same classroom at day care with infants <6 months of age within 28 days after each dose (only one child per household may be enrolled into the study)
Show all 10Show fewer
  • Contact with pregnant caregiver within 28 days after each dose
  • Living in a household with someone who is immunocompromised within 28 days after each dose; the subject should also avoid close contact with immunocompromised individuals for at least 28 days after each study vaccine dosing
  • Living in a household with someone who works in the healthcare field and who has direct patient care responsibilities within 28 days after each dose
  • Living in a household with someone who is a day care provider or preschool teacher for children <6 months of age within 28 days after each dose

Trial locations and contacts

76 sites in 2 countries.

76 sites in 2 countries

United States75 sites
  • Research Site

    Ames, Iowa, 50010

  • Research Site

    Anaheim, California, 92804

  • Research Site

    Bardstown, Kentucky, 40004

  • Research Site

    Boston, Massachusetts, 02111

  • Research Site

    Bridgeton, Missouri, 63044

  • Research Site

    Brooklyn, New York, 11219

  • Research Site

    Charlottesville, Virginia, 22902

  • Research Site

    Chicago, Illinois, 60614

  • Research Site

    Cleveland, Ohio, 44109

  • Research Site

    Cleveland, Ohio, 44121

  • Research Site

    Colonial Heights, Virginia, 23834

  • Research Site

    Conway, Arkansas, 72034

  • Research Site

    Corpus Christi, Texas, 78414

  • Research Site

    Cypress, California, 90630

  • Research Site

    Dalton, Georgia, 30721

  • Research Site

    Downey, California, 90241

  • Research Site

    Endwell, New York, 13760

  • Research Site

    Fall River, Massachusetts, 02724

  • Research Site

    Fishers, Indiana, 46037

  • Research Site

    Franklin, Tennessee, 37067

  • Research Site

    Fredrick, Maryland, 21215

  • Research Site

    Greenville, Alabama, 36037

  • Research Site

    Hartford, Connecticut, 06106

  • Research Site

    Houston, Texas, 77036

  • Research Site

    Houston, Texas, 77055

  • Research Site

    Huber Heights, Ohio, 45424

  • Research Site

    Huntington Beach, California, 92647

  • Research Site

    Huntsville, Alabama, 35802

  • Research Site

    Jackson, Tennessee, 38305

  • Research Site

    Johnson City, Tennessee, 37604

  • Research Site

    Kansas City, Missouri, 64132

  • Research Site

    Kingsport, Tennessee, 37660

  • Research Site

    Lakewood, California, 90712

  • Research Site

    Layton, Utah, 84041

  • Research Site

    Lexington, Kentucky, 40503

  • Research Site

    Lexington, Kentucky, 40509

  • Research Site

    Little Rock, Arkansas, 72202

  • Research Site

    Little Rock, Arkansas, 72205

  • Research Site

    Long Beach, California, 90806

  • Research Site

    Los Angeles, California, 90015

  • Research Site

    Los Angeles, California, 90024

  • Research Site

    Louisville, Kentucky, 40202

  • Research Site

    Louisville, Kentucky, 40207

  • Research Site

    Metarie, Louisiana, 70006

  • Research Site

    Miami, Florida, 33142

  • Research Site

    Miami, Florida, 33155

  • Research Site

    Midlothian, Virginia, 23113

  • Research Site

    Mobile, Alabama, 36608

  • Research Site

    New Albany, Indiana, 47150

  • Research Site

    Norman, Oklahoma, 73071

  • Research Site

    Omaha, Nebraska, 68131

  • Research Site

    Omaha, Nebraska, 68134

  • Research Site

    Orange City, Florida, 32763

  • Research Site

    Paducah, Kentucky, 42003

  • Research Site

    Paramount, California, 90723

  • Research Site

    Richmond, Virginia, 23219

  • Research Site

    San Angelo, Texas, 76904

  • Research Site

    San Antonio, Texas, 78205

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    San Antonio, Texas, 78258

  • Research Site

    San Diego, California, 92103

  • Research Site

    Santa Ana, California, 92705

  • Research Site

    South Bend, Indiana, 46601

  • Research Site

    Spartanburg, South Carolina, 29303

  • Research Site

    St. George, Utah, 84790

  • Research Site

    Stony Brook, New York, 11794

  • Research Site

    Syracuse, New York, 13210

  • Research Site

    Syracuse, Utah, 84075

  • Research Site

    Tampa, Florida, 33606

  • Research Site

    Thornton, Colorado, 80223

  • Research Site

    Tomball, Texas, 77375

  • Research Site

    Tulsa, Oklahoma, 74127

  • Research Site

    Walla Walla, Washington, 99362

  • Research Site

    Warwick, Rhode Island, 02886

  • Research Site

    Washington D.C., District of Columbia, 20058

Other trials in United States

Puerto Rico1 site
  • Research Site

    Caguas, 00726

Other trials in Puerto Rico

About this study

Official title: A Phase 1/2a, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Immunogenicity, and Viral Shedding of MEDI-559, a Live Attenuated Intranasal Vaccine Against Respiratory Syncytial Virus in Healthy 1 to <24 Month-Old Children

The primary objective of this study is to describe the 28-day post-final dose safety and tolerability of three doses of MEDI-559 at 10^5 FFU when administered to healthy RSV seronegative children 1 to <24 months of age.

Read the detailed description

This is a randomized, double-blind, placebo-controlled, multi-dose, Phase 1/2a multi-center trial to evaluate the safety, tolerability, viral shedding, immunogenicity, and genotypic and phenotypic stability of MEDI-559 in RSV seronegative infants 5 to <24 months of age and in infants 1 to <3 months of age regardless of baseline serostatus. The primary objective of this study is to describe the 28-day post-final dose safety and tolerability of three doses of MEDI-559 at 10^5 FFU when administered to healthy RSV seronegative children 5 to <24 months of age and to healthy infants 1 to <3 months of age regardless of baseline serostatus.

MEDI-559 will be administered at a dose of 10^5 fluorescent focus units (FFU) on a 0, 2, and 4 month schedule to two cohorts of subjects in a step-wise fashion. The target sample size for this study is 320 subjects, with 160 subjects 5 to <24 months of age enrolled into Cohort 1 and 160 subjects 1 to <3 months of age enrolled into Cohort 2. Each cohort will be randomized 1:1 (MEDI-559 to placebo) and stratified by site. Cohort 1 will initiate dosing at 10^5 FFU MEDI-559. Blinded safety data from the first 40 subjects enrolled in Cohort 1 for the 28 days following administration of the first dose of vaccine will be reviewed. If no safety concerns are noted, Cohort 2 will initiate dosing at 10^5 FFU. Enrollment into Cohort 2 will be halted after approximately 40 subjects have been randomized, and blinded safety data will be reviewed through 28 days post Dose 1. If no safety concerns are noted, the remainder of Cohort 2 will be enrolled. All subjects will be followed through 365 days after randomization to ensure that each subject has been followed through an RSV season.

Conditions
Healthy
Being tested
MEDI-559, Placebo
Keywords
MEDI-559, Respiratory Syncytial Virus, RSV, Pediatric, Vaccine, respiratory syncytial virus, RSV, pediatric, vaccine

What participants receive

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

  • MEDI-559Biological

    Cohort 1 (5 to <24 months): N=80 MEDI-559 at 10^5 FFU at 0, 2, and 4 months; frozen preparation filled into 0.5 ml luer slip-tip syringes. Each 0.2 ml dose contains 10^5 FFU MEDI-559 in a sucrose phosphate glutamate buffer.

  • PlaceboOther

    Cohort 1 (5 to < 24 months); N = 80 placebo at 0, 2, and 4 months; frozen preparation filled into 0.5 ml luer slip-tip syringes. Each 0.2 ml dose contains sucrose phosphate buffer.

Study groups in NCT00767416
Study groupRoleWhat they receive
Cohort 1 MEDI-559ExperimentalMEDI-559
Receives: Biological: MEDI-559
Cohort 1 PlaceboPlacebo comparatorPlacebo
Receives: Other: Placebo

What is being measured

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

  1. Incidence of solicited symptoms after Dose 1

    Solicited symptoms are predefined symptoms or events to be specifically inquired about and assessed daily during the 28-day period after vaccine administration. The solicited symptoms for this study include: fever >100.4°F (>38.0 °C) regardless of route, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/Fussiness, oropharyngeal irritation (laryngitis), epistaxis

    Measured: Through Day 28 after each dose

  2. Incidence of solicited symptoms after Dose 2

    Solicited symptoms are predefined symptoms or events to be specifically inquired about and assessed daily during the 28-day period after vaccine administration. The solicited symptoms for this study include: fever >100.4°F (>38.0 °C) regardless of route, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/Fussiness, oropharyngeal irritation (laryngitis), epistaxis

    Measured: Through Day 28 after each dose

  3. Incidence of solicited symptoms after Dose 3

    Solicited symptoms are predefined symptoms or events to be specifically inquired about and assessed daily during the 28-day period after vaccine administration. The solicited symptoms for this study include: fever >100.4°F (>38.0 °C) regardless of route, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/Fussiness, oropharyngeal irritation (laryngitis), epistaxis

    Measured: Through Day 28 after each dose

  4. Incidence of adverse events (AEs) after Dose 1

    As defined by the ICH Guideline for Good Clinical Practice, an AE is: Any untoward medical occurrence in a participant or clinical investigations subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event (AE) can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Measured: Through Day 28 after each dose

  5. Incidence of AEs after Dose 2

    As defined by the ICH Guideline for Good Clinical Practice, an AE is: Any untoward medical occurrence in a participant or clinical investigations subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event (AE) can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Measured: Through Day 28 after each dose

  6. Incidence of AEs after Dose 3

    As defined by the ICH Guideline for Good Clinical Practice, an AE is: Any untoward medical occurrence in a participant or clinical investigations subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event (AE) can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

    Measured: Through Day 28 after each dose

  7. Incidence of medically-attended lower respiratory illnesses (MA-LRIs) after Dose 1

    An MA-LRI is defined as a health care provider confirmed diagnosis of any one or more of the following events: wheezing, pneumonia, croup (laryngotracheobronchitis), rhonchi (not cleared with cough or suctioning), rales (not cleared with cough or suctioning), bronchitis, bronchiolitis, apnea

    Measured: Through Day 28 after each dose

  8. Incidence of MA-LRIs after Dose 2

    An MA-LRI is defined as a health care provider confirmed diagnosis of any one or more of the following events: wheezing, pneumonia, croup (laryngotracheobronchitis), rhonchi (not cleared with cough or suctioning), rales (not cleared with cough or suctioning), bronchitis, bronchiolitis, apnea

    Measured: Through Day 28 after each dose

  9. Incidence of MA-LRIs after Dose 3

    An MA-LRI is defined as a health care provider confirmed diagnosis of any one or more of the following events: wheezing, pneumonia, croup (laryngotracheobronchitis), rhonchi (not cleared with cough or suctioning), rales (not cleared with cough or suctioning), bronchitis, bronchiolitis, apnea

    Measured: Through Day 28 after each dose

  10. Incidence of SAEs

    An SAE is any adverse event that results in any of the following outcomes: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability or incapacity; congenital anomaly/birth defect (in the offspring of a subject); an important medical event that may not result in death, threaten life or require hospitalization may be considered a serious adverse event when, based upon appropriate medical judgment, it may jeopardize the subject and may require medical or surgical intervention to prevent one of the outcomes listed above.

    Measured: Administration of Dose 1 (Day 0) through Day 28 post final dose

Secondary outcomes (13)
  1. Incidence of MEDI-559 shedding

    Number (%) of subjects who shed vaccine-type virus

    Measured: Day 7-10 after Dose 1, 2, and 3

  2. Incidence of MEDI-559 shedding

    Number (%) of subjects who shed vaccine-type virus

    Measured: Day 12-18 after Dose 1, 2, and 3

  3. Incidence of MEDI-559 shedding

    Number (%) of subjects who shed vaccine-type virus

    Measured: Day 28-34 post Dose 1, 2, and 3

  4. Post-vaccination seroresponse against RSV

    Seroresponse is defined as a ≥ 4-fold rise from baseline as measured by microneutralization assay

    Measured: Day 28 post final dose

  5. Phenotypic stability of recovered vaccine-type virus

    Number (%) of nasal wash samples containing vaccine-type virus that is found to be phenotypically stable

    Measured: Day 7-10 post any dose

  6. Phenotypic stability of recovered vaccine-type virus

    Number (%) of nasal wash samples containing vaccine-type virus that is found to be phenotypically stable

    Measured: Day 12-18 post any dose

  7. Phenotypic stability of recovered vaccine-type virus

    Number (%) of nasal wash samples containing vaccine-type virus that is found to be phenotypically stable

    Measured: Day 28-34 post any dose

  8. Genotypic stability of recovered vaccine-type virus

    Number (%) of nasal wash samples containing vaccine-type virus that is found to be genotypically stable

    Measured: Day 7-10 post any dose

  9. Genotypic stability of recovered vaccine-type virus

    Number (%) of nasal wash samples containing vaccine-type virus that is found to be genotypically stable

    Measured: Day 12-18 post any dose

  10. Genotypic stability of recovered vaccine-type virus

    Number (%) of nasal wash samples containing vaccine-type virus that is found to be genotypically stable

    Measured: Day 28-34 post any dose

  11. Incidence of MA-LRIs

    Number (%) of subjects with MA-LRIs occurring from Study Day 0 through the end of study

    Measured: Study Day 0 through 365 days post randomization

  12. Incidence of SAEs

    Number (%) of subjects with SAEs occurring from Study Day 0 through 365 days post randomization

    Measured: Study Day 0 post Dose 1 through 365 days post randomization

  13. Incidence of significant new medical conditions (SNMCs)

    Number (%) of subjects with SNMCs from administration of Dose 1 through 365 days post randomization

    Measured: Study Day 0 post Dose 1 through 365 days post randomization

Timeline

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

  1. First posted7 Oct 2008 (estimated)
  2. Study startOct 2008
  3. Primary completionDec 2011
  4. Study completionDec 2011

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
116 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00767416
Sponsor's protocol ID
MI-CP147
Acronym
MEDI-559
Status last verified
Jul 2016
First submitted
3 Oct 2008
Last updated
20 Jul 2016
Results posted
No
Data monitoring committee
Yes

Publications

  • Malkin E, Yogev R, Abughali N, Sliman J, Wang CK, Zuo F, Yang CF, Eickhoff M, Esser MT, Tang RS, Dubovsky F. Safety and immunogenicity of a live attenuated RSV vaccine in healthy RSV-seronegative children 5 to 24 months of age. PLoS One. 2013 Oct 29;8(10):e77104. doi: 10.1371/journal.pone.0077104. eCollection 2013.

    PubMed 24204744

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing MEDI-559 in people with Healthy, run by MedImmune LLC at 76 sites in 2 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 6 inclusion and 10 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 20 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in United States, Puerto Rico. 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.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Incidence of solicited symptoms after Dose 1 (time frame: Through Day 28 after each dose). The study lists 10 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 NCT00767416, 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 20 Jul 2016.

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