Pseudomonas AeruginosaPhase 2EVADENCT02696902
Effort to Prevent Nosocomial Pneumonia Caused by Pseudomonas Aeruginosa in Mechanically Ventilated Subjects
A Phase 2 study testing MEDI3902 in people with Pseudomonas Aeruginosa, run by MedImmune LLC at 78 sites in 14 countries.
Trial summary
Clinical trial looking to evaluate the efficacy and safety of MEDI3902 in mechanically ventilated participants for the prevention of nosocomial pneumonia caused by Pseudomonas aeruginosa. Read more about this study
- Who is it for?
- Ages 18 to 99 years
- Conditions the study is for
- Pseudomonas Aeruginosa
- What is being tested?
- MEDI3902
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 188 participants
- Where
- 78 sitesin 14 countries
- Study dates
- 25 Mar 2016to 4 Dec 2019
- Phase
- Phase 2
- 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 18 to 99 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Colonized with P aeruginosa, expected to require prolonged intubation and mechanical ventilation, without any evidence of active pneumonia.
Who cannot join
- P aeruginosa disease at randomisation; lung injury score consistent with pneumonia; current lung disease; currently receiving protocol-specified Anti-P aeruginosa antibiotics, moribund participants.
Trial locations and contacts
78 sites in 14 countries.
78 sites in 14 countries
France17 sites
Research Site
Argenteuil, 95107
Research Site
Clermont-Ferrand, 63003
Research Site
Garches, 92380
Research Site
La Tronche, 38700
Research Site
Le Kremlin-Bicêtre, 94275
Research Site
Le Plessis-Robinson, 92350
Research Site
Lille, 59037
Research Site
Limoges, 87042
Research Site
Montpellier, 34295
Research Site
Nancy, 54035
Research Site
Paris, 75014
Research Site
Paris, 75015
Research Site
Paris, 75651
Research Site
Paris, 75679
Research Site
Pierre-Bénite, 69495
Research Site
Strasbourg, 67090
Research Site
Tours, 37000
Spain12 sites
Research Site
Barcelona, 08025
Research Site
Barcelona, 08036
Research Site
Córdoba, 14004
Research Site
Getafe, 28905
Research Site
Madrid, 28040
Research Site
Oviedo, 33011
Research Site
San Sebastián de los Reyes, 28702
Research Site
Santander, 39008
Research Site
Tarragona, 43007
Research Site
Terrassa, 08221
Research Site
Valencia, 46026
Research Site
Valladolid, 47012
United States8 sites
Research Site
Annapolis, Maryland, 21401
Research Site
Atlanta, Georgia, 30322
Research Site
Augusta, Georgia, 30912
Research Site
Boston, Massachusetts, 02111
Research Site
Cincinnati, Ohio, 45267
Research Site
Detroit, Michigan, 48202
Research Site
Englewood, Colorado, 80113
Research Site
Gainesville, Florida, 32608
Greece8 sites
Research Site
Athens, 10676
Research Site
Athens, 11521
Research Site
Athens, 11527
Research Site
Athens, 14233
Research Site
Athens, 14564
Research Site
Larissa, 41110
Research Site
Larissa, 41221
Research Site
Thessaloniki, 54634
Belgium7 sites
Research Site
Bruges, 8000
Research Site
Brussels, 1020
Research Site
Brussels, 1090
Research Site
Genk, 3600
Research Site
Ghent, 9000
Research Site
Haine-Saint-Paul, 7100
Research Site
Ottignies, 1340
Czechia5 sites
Research Site
Brno, 656 91
Research Site
Děčín, 405 99
Research Site
Kolín, 280 02
Research Site
Kyjov, 697 01
Research Site
Teplice, 415 29
Israel4 sites
Research Site
Jerusalem, 91120
Research Site
Petah Tikva, 4941492
Research Site
Ramat Gan, 5265601
Research Site
Tel Aviv, 6423906
Portugal4 sites
Research Site
Almada, 2805-267
Research Site
Lisbon, 1449-005
Research Site
Lisbon, 1649-035
Research Site
Viana do Castelo, 4904-858
Hungary3 sites
Research Site
Budapest, 1121
Research Site
Kistarcsa, 02143
Research Site
Vác, 2600
Turkey (Türkiye)3 sites
Research Site
Ankara, 6100
Research Site
Istanbul, 34890
Research Site
Trabzon, 61080
United Kingdom3 sites
Research Site
Edgbaston, B15 2GW
Research Site
London, SE1 7EH
Research Site
London, SE5 9RS
About this study
Official title: A Phase 2 Proof-of-concept Study to Evaluate the Efficacy and Safety of MEDI3902 in Mechanically Ventilated Patients for the Prevention of Nosocomial Pneumonia Caused by Pseudomonas Aeruginosa
Clinical trial looking to evaluate the efficacy and safety of MEDI3902 in mechanically ventilated participants for the prevention of nosocomial pneumonia caused by Pseudomonas aeruginosa.
- Conditions
- Pseudomonas Aeruginosa
- Being tested
- MEDI3902, Placebo
- Keywords
- Pseudomonas aeruginosa, Pneumonia
- Medical subject headings
- Pseudomonas Infections, Pneumonia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MEDI3902Drug
Participants will receive a single IV dose of MEDI3902 500 mg and 1500 mg in MEDI3902 500 mg arm and MEDI3902 1500 mg arm, respectively.
PlaceboOther
Participants will receive a single IV dose of placebo matched to MEDI3902.
| Study group | Role | What they receive |
|---|---|---|
| MEDI3902 500 mg | Experimental | Participants will receive a single intravenous (IV) dose of 500 mg MEDI3902. Receives: Drug: MEDI3902 |
| Placebo | Placebo comparator | Participants will receive a single IV dose of placebo matched to MEDI3902. Receives: Other: Placebo |
| MEDI3902 1500 mg | Experimental | Participants will receive a single IV dose of 1500 mg MEDI3902. Receives: Drug: MEDI3902 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Nosocomial Pneumonia Caused by Pseudomonas Aeruginosa
Percentage of participants with nosocomial pneumonia caused by Pseudomonas aeruginosa is reported.
Measured: Day 1 through Day 22
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. 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: Day 1 through Day 50
Number of Participants With Treatment-emergent Serious Adverse Events (TESAEs)
An 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.
Measured: Day 1 through Day 50
Number of Participants With Treatment-emergent Adverse Events of Special Interest (TEAESI)
An AESI is one of scientific and medical interest specific event for understanding of the study drug and may require close monitoring and rapid communication by the investigator to the sponsor. An AESI may be serious or non-serious.
Measured: Day 1 through Day 50
Secondary outcomes (6)
Maximum Observed Concentration (Cmax) of MEDI3902
The Cmax of MEDI3902 is reported.
Measured: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Area Under the Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of MEDI3902
The AUC0-inf of MEDI3902 is reported.
Measured: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Clearance (CL) of MEDI3902
The CL of MEDI3902 from body after intrevanous administration of single dose is reported.
Measured: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Percentage of Participants Maintaining MEDI3902 Serum Levels Above the Target Level (1.7 µg/mL) Through 21 Days Post Dose
Percentage of participants maintaining MEDI3902 serum levels above the target level (1.7 µg/mL) through 21 days post dose is reported.
Measured: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, and Day 22
Terminal Elimination Half-life (t1/2) of MEDI3902
The t1/2 of MEDI3902 is reported.
Measured: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI3902 Treatment
Number of participants with positive ADA to MEDI3902 treatment is reported. Persistent positive is defined as positive at >= 2 post-baseline assessments or positive at last post-baseline assessment. Transient positive is defined as negative at last post-baseline assessment and positive at only one post-baseline assessment or at >= 2 post-baseline assessments.
Measured: Day 1 (predose), Day 15, Day 29, Day 50
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2016 (estimated)
- Study start25 Mar 2016
- Primary completion4 Dec 2019
- Study completion4 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pseudomonas AeruginosaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 188 participants (actual)
Sponsor and investigators
- Lead sponsor
- MedImmune LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Innovative Medicines Initiative, Antibacterial Resistance Leadership Group, National Institute of Allergy and Infectious Diseases (NIAID)
- Responsible party
- Sponsor
- Investigators
- MedImmune LLC, Study director, MedImmune LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02696902
- Sponsor's protocol ID
- D5470C00004
- Acronym
- EVADE
- Status last verified
- Jan 2021
- First submitted
- 11 Feb 2016
- Last updated
- 4 Feb 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Chastre J, Francois B, Bourgeois M, Komnos A, Ferrer R, Rahav G, De Schryver N, Lepape A, Koksal I, Luyt CE, Sanchez-Garcia M, Torres A, Eggimann P, Koulenti D, Holland TL, Ali O, Shoemaker K, Ren P, Sauser J, Ruzin A, Tabor DE, Akhgar A, Wu Y, Jiang Y, DiGiandomenico A, Colbert S, Vandamme D, Coenjaerts F, Malhotra-Kumar S, Timbermont L, Oliver A, Barraud O, Bellamy T, Bonten M, Goossens H, Reisner C, Esser MT, Jafri HS; COMBACTE-MAGNET EVADE Study Group. Safety, efficacy, and pharmacokinetics of gremubamab (MEDI3902), an anti-Pseudomonas aeruginosa bispecific human monoclonal antibody, in P. aeruginosa-colonised, mechanically ventilated intensive care unit patients: a randomised controlled trial. Crit Care. 2022 Nov 15;26(1):355. doi: 10.1186/s13054-022-04204-9.
PubMed 36380312
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Proof-of-concept Study to Evaluate the Efficacy and Safety of MEDI3902 in Mechanically Ventilated Patients for the Prevention of Nosocomial Pneumonia Caused by Pseudomonas Aeruginosa
- ClinicalTrials.gov ID
- NCT02696902
- Acronym / sponsor ID
- EVADE / D5470C00004
- Conditions
- Pseudomonas Aeruginosa
- Keywords
- Pseudomonas aeruginosa, Pneumonia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 188 participants (actual)
- Lead sponsor
- MedImmune LLCIndustry (pharma, biotech, devices)
- Collaborators
- Innovative Medicines Initiative, Antibacterial Resistance Leadership Group, National Institute of Allergy and Infectious Diseases (NIAID)
- Study start
- 25 Mar 2016 (actual)
- Primary completion
- 4 Dec 2019 (actual)
- Study completion
- 4 Dec 2019 (actual)
- First posted
- 2 Mar 2016 (estimated)
- Results
- Posted 23 Dec 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Clinical trial looking to evaluate the efficacy and safety of MEDI3902 in mechanically ventilated participants for the prevention of nosocomial pneumonia caused by Pseudomonas aeruginosa.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| MEDI3902 500 mg | Experimental | Drug: MEDI3902Participants will receive a single intravenous (IV) dose of 500 mg MEDI3902. |
| Placebo | Placebo comparator | Other: PlaceboParticipants will receive a single IV dose of placebo matched to MEDI3902. |
| MEDI3902 1500 mg | Experimental | Drug: MEDI3902Participants will receive a single IV dose of 1500 mg MEDI3902. |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Colonized with P aeruginosa, expected to require prolonged intubation and mechanical ventilation, without any evidence of active pneumonia.
Key exclusion criteria (1 listed)
- P aeruginosa disease at randomisation; lung injury score consistent with pneumonia; current lung disease; currently receiving protocol-specified Anti-P aeruginosa antibiotics, moribund participants.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MEDI3902Participants will receive a single IV dose of MEDI3902 500 mg and 1500 mg in MEDI3902 500 mg arm and MEDI3902 1500 mg arm, respectively. | Drug | MEDI3902 1500 mg, MEDI3902 500 mg |
| PlaceboParticipants will receive a single IV dose of placebo matched to MEDI3902. | Other | Placebo |
Primary outcome
Percentage of Participants With Nosocomial Pneumonia Caused by Pseudomonas Aeruginosa
Time frame: Day 1 through Day 22
Percentage of participants with nosocomial pneumonia caused by Pseudomonas aeruginosa is reported.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Day 1 through Day 50
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. 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.
Number of Participants With Treatment-emergent Serious Adverse Events (TESAEs)
Time frame: Day 1 through Day 50
An 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.
Number of Participants With Treatment-emergent Adverse Events of Special Interest (TEAESI)
Time frame: Day 1 through Day 50
An AESI is one of scientific and medical interest specific event for understanding of the study drug and may require close monitoring and rapid communication by the investigator to the sponsor. An AESI may be serious or non-serious.
6 secondary outcomes
Maximum Observed Concentration (Cmax) of MEDI3902
Time frame: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Area Under the Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of MEDI3902
Time frame: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Clearance (CL) of MEDI3902
Time frame: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Percentage of Participants Maintaining MEDI3902 Serum Levels Above the Target Level (1.7 µg/mL) Through 21 Days Post Dose
Time frame: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, and Day 22
Terminal Elimination Half-life (t1/2) of MEDI3902
Time frame: Day 1 (predose; 0 and 8 hours post dose), Day 2, Day 4, Day 8, Day 15, Day 22, Day 29, and Day 50
Number of Participants With Positive Anti-drug Antibodies (ADA) to MEDI3902 Treatment
Time frame: Day 1 (predose), Day 15, Day 29, Day 50
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36380312Chastre J, Francois B, Bourgeois M, Komnos A, Ferrer R, Rahav G, De Schryver N, Lepape A, Koksal I, Luyt CE, Sanchez-Garcia M, Torres A, Eggimann P, Koulenti D, Holland TL, Ali O, Shoemaker K, Ren P, Sauser J, Ruzin A, Tabor DE, Akhgar A, Wu Y, Jiang Y, DiGiandomenico A, Colbert S, Vandamme D, Coenjaerts F, Malhotra-Kumar S, Timbermont L, Oliver A, Barraud O, Bellamy T, Bonten M, Goossens H, Reisner C, Esser MT, Jafri HS; COMBACTE-MAGNET EVADE Study Group. Safety, efficacy, and pharmacokinetics of gremubamab (MEDI3902), an anti-Pseudomonas aeruginosa bispecific human monoclonal antibody, in P. aeruginosa-colonised, mechanically ventilated intensive care unit patients: a randomised controlled trial. Crit Care. 2022 Nov 15;26(1):355. doi: 10.1186/s13054-022-04204-9.
- Redacted CSP for CT.gov resultsLink provided by the sponsor.
- D5470C00004 Redacted SAP for CT.gov resultsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MedImmune LLC study director
MedImmune LLC
78 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing MEDI3902 in people with Pseudomonas Aeruginosa, run by MedImmune LLC at 78 sites in 14 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 1 inclusion and 1 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 4 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 78 sites in France, Spain, United States, Greece, Belgium and 9 more countries. 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 phase mean?
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?
Yes. Results are posted in the registry (first posted 23 Dec 2020). 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?
Percentage of Participants With Nosocomial Pneumonia Caused by Pseudomonas Aeruginosa (time frame: Day 1 through Day 22). The study lists 4 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 NCT02696902, 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 4 Feb 2021.