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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.

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

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

Other trials in France

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

Other trials in Spain

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

Other trials in United States

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

Other trials in Greece

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

Other trials in Belgium

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

Other trials in Czechia

Israel4 sites
  • Research Site

    Jerusalem, 91120

  • Research Site

    Petah Tikva, 4941492

  • Research Site

    Ramat Gan, 5265601

  • Research Site

    Tel Aviv, 6423906

Other trials in Israel

Portugal4 sites
  • Research Site

    Almada, 2805-267

  • Research Site

    Lisbon, 1449-005

  • Research Site

    Lisbon, 1649-035

  • Research Site

    Viana do Castelo, 4904-858

Other trials in Portugal

Hungary3 sites
  • Research Site

    Budapest, 1121

  • Research Site

    Kistarcsa, 02143

  • Research Site

    Vác, 2600

Other trials in Hungary

Turkey (Türkiye)3 sites
  • Research Site

    Ankara, 6100

  • Research Site

    Istanbul, 34890

  • Research Site

    Trabzon, 61080

Other trials in Turkey (Türkiye)

United Kingdom3 sites
  • Research Site

    Edgbaston, B15 2GW

  • Research Site

    London, SE1 7EH

  • Research Site

    London, SE5 9RS

Other trials in United Kingdom

Austria2 sites
  • Research Site

    Innsbruck, 6020

  • Research Site

    Vienna, 1080

Other trials in Austria

Croatia1 site
  • Research Site

    Slavonski Brod, 35000

Other trials in Croatia

Ireland1 site
  • Research Site

    Dublin, 6

Other trials in Ireland

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.

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 groups in NCT02696902
Study groupRoleWhat they receive
MEDI3902 500 mgExperimentalParticipants will receive a single intravenous (IV) dose of 500 mg MEDI3902.
Receives: Drug: MEDI3902
PlaceboPlacebo comparatorParticipants will receive a single IV dose of placebo matched to MEDI3902.
Receives: Other: Placebo
MEDI3902 1500 mgExperimentalParticipants 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.

  1. 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

  2. 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

  3. 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

  4. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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.

  1. First posted2 Mar 2016 (estimated)
  2. Study start25 Mar 2016
  3. Primary completion4 Dec 2019
  4. Study completion4 Dec 2019

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 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)
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
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

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.

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