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Respiratory Syncytial Virus InfectionsPhase 2/3NCT03959488

A Study to Evaluate the Safety of MEDI8897 for the Prevention of Medically Attended Respiratory Syncytial Virus(RSV) Lower Respiratory Track Infection (LRTI) in High-risk Children

A Phase 2/3 study testing MEDI8897 and Palivizumab in people with Respiratory Syncytial Virus Infections, run by AstraZeneca at 128 sites in 26 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and tolerability of MEDI8897 compared to palivizumab when administered to preterm infants entering their first RSV season and children with chronic lung disease (CLD) and congenital heart disease (CHD) entering their first and second RSV season. Read more about this study

Who is it for?
Ages 0 years to 1 year
Conditions the study is for
Respiratory Syncytial Virus Infections
What is being tested?
MEDI8897 and Palivizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
925 participants
Where
128 sitesin 26 countries
Study dates
30 Jul 2019to 20 Jan 2023
Phase
Phase 2/3
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 years to 1 year
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • For the preterm cohort (excluding subjects with CLD or hemodynamically significant CHD): preterm infants in their first year of life and born ≤ 35 weeks 0 days GA eligible to receive palivizumab in accordance with national or local guidelines, including those with:
  • Uncomplicated small atrial or ventricular septal defects or patent ductus arteriosus, or
  • Aortic stenosis, pulmonic stenosis, or coarctation of the aorta alone
  • For the CLD/CHD cohort:
  • Subjects with CLD - infants in their first year of life and a diagnosis of CLD of prematurity requiring medical intervention/management (ie, supplemental oxygen, bronchodilators, or diuretics) within the 6 months prior to randomization
  • Subjects with CHD - infants in their first year of life and documented, hemodynamically significant CHD (must be unoperated or partially corrected CHD) Note: Infants with hemodynamically significant acyanotic cardiac lesions must have pulmonary hypertension (≥ 40 mmHg measured pressure in the pulmonary artery) or the need for daily medication to manage CHD
Show all 10Show fewer
  • Infants who are entering their first RSV season at the time of screening
  • Written informed consent and any locally required authorization (eg, Health Insurance Portability and Accountability Act in the USA, EU Data Privacy Directive in the EU) obtained from the subject's parent(s)/legal representative(s) prior to performing any protocol-related procedures, including screening evaluations
  • Subject's parent(s)/legal representative(s) able to understand and comply with the requirements of the protocol including follow-up and illness visits as judged by the investigator
  • Subject is available to complete the follow-up period, which will be 1 year after Season 1/ Dose 1 for subjects without CLD/CHD, or 1 year after Season 2/Dose 1 (or last replacement dose as applicable for CHD) for subjects with CLD/CHD

Who cannot join

  • Any fever (≥ 100.4°F [≥ 38.0°C], regardless of route) or acute illness within 7 days prior to randomization
  • Any history of LRTI or active LRTI prior to, or at the time of, randomization
  • Known history of RSV infection or active RSV infection prior to, or at the time of, randomization
  • Hospitalization at the time of randomization, unless discharge is expected within the 7 days after randomization
  • Requirement for mechanical ventilation, extracorporeal membrane oxygenation, CPAP, or other mechanical respiratory or cardiac support at the time of randomization
  • Anticipated cardiac surgery within 2 weeks after randomization
Show all 21Show fewer
  • Anticipated survival of < 6 months after randomization
  • Receipt of any investigational drug
  • Known renal impairment
  • Known hepatic dysfunction including known or suspected active or chronic hepatitis infection
  • Clinically significant congenital anomaly of the respiratory tract
  • Chronic seizure, or evolving or unstable neurologic disorder
  • Prior history of a suspected or actual acute life-threatening event
  • Known immunodeficiency, including human immunodeficiency virus (HIV)
  • Mother with HIV infection (unless the child has been proven to be not infected)
  • Any known allergy, including to immunoglobulin products, or history of allergic reaction
  • Receipt of palivizumab or other RSV mAb or any RSV vaccine, including maternal RSV vaccination
  • Receipt of any monoclonal or polyclonal antibody (for example, hepatitis B immune globulin, intravenous immunoglobulin) or anticipated use during the study
  • Any condition that, in the opinion of the investigator, would interfere with evaluation of the study drug or interpretation of subject safety or study results
  • Concurrent enrollment in another interventional study
  • Children of employees of the sponsor, clinical study site, or any other individuals involved with the conduct of the study, or immediate family members of such individuals

Trial locations and contacts

128 sites in 26 countries.

128 sites in 26 countries

United States30 sites
  • Research Site

    Anaheim, California, 92804

  • Research Site

    Atlanta, Georgia, 30322

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Charlottesville, Virginia, 22902

  • Research Site

    Chicago, Illinois, 60611

  • Research Site

    Cincinnati, Ohio, 45229

  • Research Site

    Colorado Springs, Colorado, 80922

  • Research Site

    Columbia, Missouri, 65201

  • Research Site

    Columbus, Ohio, 43205

  • Research Site

    Corpus Christi, Texas, 78411

  • Research Site

    Durham, North Carolina, 27710

  • Research Site

    Greenville, North Carolina, 27834

  • Research Site

    Greenville, South Carolina, 29607

  • Research Site

    Indianapolis, Indiana, 46202

  • Research Site

    Jackson, Mississippi, 39216

  • Research Site

    Layton, Utah, 84041

  • Research Site

    Long Beach, California, 90806

  • Research Site

    Los Angeles, California, 90027

  • Research Site

    Louisville, Kentucky, 40202

  • Research Site

    Mineola, New York, 11501

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    National City, California, 91950

  • Research Site

    Paramount, California, 90723

  • Research Site

    Seattle, Washington, 98105

  • Research Site

    South Bend, Indiana, 46617

  • Research Site

    St. George, Utah, 84790

  • Research Site

    Syracuse, New York, 13210

  • Research Site

    Washington D.C., District of Columbia, 20016

  • Research Site

    West Covina, California, 91790

  • Research Site

    West Des Moines, Iowa, 50266

Other trials in United States

Bulgaria10 sites
  • Research Site

    Montana, 3400

  • Research Site

    Pazardzhik, 4400

  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4000

  • Research Site

    Plovdiv, 4003

  • Research Site

    Rousse, 7002

  • Research Site

    Sliven, 8800

  • Research Site

    Sofia, 1309

  • Research Site

    Sofia, 1407

  • Research Site

    Veliko Tarnovo, 5000

Other trials in Bulgaria

Spain10 sites
  • Research Site

    Alicante, 03010

  • Research Site

    Boadilla del Monte, 28660

  • Research Site

    Elche, 03203

  • Research Site

    Leganés, 28911

  • Research Site

    Lleida, 25198

  • Research Site

    Madrid, 28046

  • Research Site

    Málaga, 29004

  • Research Site

    Pozuelo de Alarcón, 28223

  • Research Site

    Sant Cugat del Vallès, 08190

  • Research Site

    Tarragona, 43007

Other trials in Spain

France9 sites
  • Research Site

    Amiens, 80054

  • Research Site

    Bordeaux, 33000

  • Research Site

    Brest, 29609

  • Research Site

    Bron, 69677

  • Research Site

    Caen, 1403

  • Research Site

    Créteil, 94010

  • Research Site

    Grenoble, 38043

  • Research Site

    Marseille, 13015

  • Research Site

    Pau, 64046

Other trials in France

Russia7 sites
  • Research Site

    Kazan', 420012

  • Research Site

    Novosibirsk, 630089

  • Research Site

    Perm, 614066

  • Research Site

    Saint Petersburg, 191025

  • Research Site

    Saint Petersburg, 193312

  • Research Site

    Saint Petersburg, 197341

  • Research Site

    Yaroslavl, 150003

Other trials in Russia

South Africa7 sites
  • Research Site

    Cape Town, 7505

  • Research Site

    Cape Town, 7800

  • Research Site

    Johannesburg, 2112

  • Research Site

    Johannesburg, 2193

  • Research Site

    Pretoria, 0087

  • Research Site

    Pretoria, 0101

  • Research Site

    Soweto, 2013

Other trials in South Africa

Ukraine7 sites
  • Research Site

    Chernivtsі, 58001

  • Research Site

    Dnipro, 49006

  • Research Site

    Ivano-Frankivsk, 76014

  • Research Site

    Kharkiv Region, 61093

  • Research Site

    Odesa, 65031

  • Research Site

    Sumy, 40022

  • Research Site

    Vinnytsia, 21000

Other trials in Ukraine

Japan6 sites
  • Research Site

    Fukui-shi, 918-8503

  • Research Site

    Fukuoka, 813-0017

  • Research Site

    Kitakyusyu-shi, 806-8501

  • Research Site

    Maebashi, 371-0811

  • Research Site

    Saitama Shi, 336 8522

  • Research Site

    Setagaya-ku, 157-8535

Other trials in Japan

Hungary5 sites
  • Research Site

    Baja, 6500

  • Research Site

    Budapest, 1096

  • Research Site

    Debrecen, 4032

  • Research Site

    Kecskemét, 6000

  • Research Site

    Miskolc, 3526

Other trials in Hungary

Poland5 sites
  • Research Site

    Bydgoszcz, 85 168

  • Research Site

    Gdansk, 80-214

  • Research Site

    Krakow, 30-348

  • Research Site

    Krakow, 31-624

  • Research Site

    Wroclaw, 51-169

Other trials in Poland

Germany3 sites
  • Research Site

    Frankenthal, 67227

  • Research Site

    Leipzig, 04103

  • Research Site

    Mannheim, 68161

Other trials in Germany

Latvia3 sites
  • Research Site

    Jēkabpils, LV-5201

  • Research Site

    Riga, 1004

  • Research Site

    Riga, LV1002

Other trials in Latvia

South Korea3 sites
  • Research Site

    Ansan-si, 15355

  • Research Site

    Seoul, 06351

  • Research Site

    Suwon, 16499

Other trials in South Korea

Turkey (Türkiye)3 sites
  • Research Site

    Adana, 01330

  • Research Site

    Izmir, 35100

  • Research Site

    Kocaeli, 41380

Other trials in Turkey (Türkiye)

United Kingdom3 sites
  • Research Site

    Leicester, LE3 9QP

  • Research Site

    London, W2 1NY

  • Research Site

    Nottingham, NG7 2UH

Other trials in United Kingdom

Belgium2 sites
  • Research Site

    Brussels, 1200

  • Research Site

    Ghent, 9000

Other trials in Belgium

Canada2 sites
  • Research Site

    Edmonton, Alberta, T6G 1C9

  • Research Site

    Vancouver, British Columbia, V6H 3V4

Other trials in Canada

Estonia2 sites
  • Research Site

    Tallinn, 13419

  • Research Site

    Tartu, 51014

Other trials in Estonia

Italy2 sites
  • Research Site

    Pisa, 56126

  • Research Site

    Verona, 37126

Other trials in Italy

Lithuania2 sites
  • Research Site

    Kaunas, 48259

  • Research Site

    Kaunas, 50161

Other trials in Lithuania

Mexico2 sites
  • Research Site

    Cuernavaca, 62290

  • Research Site

    México, 06720

Other trials in Mexico

Austria1 site
  • Research Site

    Graz, 8036

Other trials in Austria

Czechia1 site
  • Research Site

    Prague, 14710

Other trials in Czechia

Finland1 site
  • Research Site

    Tampere, 33100

Other trials in Finland

New Zealand1 site
  • Research Site

    Christchurch, 8011

Other trials in New Zealand

Sweden1 site
  • Research Site

    Stockholm, 118 83

Other trials in Sweden

About this study

Official title: A Phase 2/3 Randomized, Double-blind, Palivizumab-controlled Study to Evaluate the Safety of MEDI8897, a Monoclonal Antibody With an Extended Half-life Against Respiratory Syncytial Virus, in High-risk Children (MEDLEY)

The purpose of this study is to evaluate the safety and tolerability of MEDI8897 compared to palivizumab when administered to preterm infants entering their first RSV season and children with chronic lung disease (CLD) and congenital heart disease (CHD) entering their first and second RSV season.

Read the detailed description

This study is a pivotal Phase 2/3 randomized, double-blind, palivizumab-controlled study to evaluate the safety, pharmacokinetics (PK), anti-drug antibody (ADA) response, and descriptive efficacy for MEDI8897 in high-risk infants eligible to receive palivizumab when entering their first or second RSV season (Season 1 or Season 2, respectively). Approximately 900 palivizumab-eligible infants entering their first RSV season will be enrolled into one of 2 cohorts: (1) preterm cohort, including approximately 600 preterm infants (≤ 35 weeks gestational age [GA]) without CLD/CHD, or (2) CLD/CHD cohort, including approximately 300 infants with CLD of prematurity or hemodynamically significant CHD. A minimum of 100 infants with hemodynamically significant CHD will be enrolled. Within each cohort, randomization will be stratified by hemisphere (northern, southern) and subject age at the time of Season 1 randomization (≤ 3 months, > 3 to ≤ 6 months, > 6 months).

Being tested
MEDI8897, Palivizumab
Keywords
Respiratory Syncytial Virus Infections, Preterm Infants, Lower Respiratory Infection
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

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

  • MEDI8897Drug

    Anti-RSV monoclonal antibody with an extended half-life

  • PalivizumabDrug

    Approved anti-RSV monoclonal antibody

Study groups in NCT03959488
Study groupRoleWhat they receive
MEDI8897Experimentalanti-RSV monoclonal antibody with an extended half-life
Receives: Drug: MEDI8897
PalivizumabActive comparatoranti-RSV monoclonal antibody
Receives: Drug: Palivizumab

What is being measured

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

  1. Safety and Tolerability of MEDI8897 as Assessed by the Occurrence of All Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs) and New Onset Chronic Disease (NOCD)

    Safety and tolerability of MEDI8897 will be assessed by the occurrence of all treatment-emergent adverse events (TEAEs), treatment-emergent serious adverse events (TESAEs) , adverse events of special interest (AESIs), and new onset chronic diseases (NOCDs)

    Measured: 360 days post first dose

Secondary outcomes (3)
  1. Serum Concentrations of MEDI8897 and Palivizumab

    Summary of individual MEDI8897 and palivizumab serum concentration data by treatment group along with descriptive statistics.

    Measured: Day 15, Day 31, Day 151 post first dose in Season 1 and Season 2

  2. Incidence of Anti-drug Antibody (ADA) to MEDI8897 and Palivizumab in Serum

    Incidence of ADA to MEDI8897 and palivizumab as assessed by the percentage of participants with any post-baseline ADA positive by treatment group.

    Measured: 360 days post first dose

  3. Incidence of Medically Attended Lower Respiratory Track Infection (LRTI) and Hospitalization Due to Reverse Transcriptase Chain Reaction (RT-PCR) Confirmed Respiratory Syncytial Virus (RSV) Through 150 Days Post First Dose

    Incidence of medically attended LRTI (inpatient and outpatient) due to RT-PCR-confirmed RSV through 150 days after Dose 1 for season 1 and season 2. Incidence of LRTI hospitalizations due to RT-PCR-confirmed RSV through 150 days after Dose 1 for season 1 and season 2.

    Measured: 150 days post first dose

Timeline

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

  1. First posted22 May 2019
  2. Study start30 Jul 2019
  3. Primary completion3 May 2021
  4. Study completion20 Jan 2023

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 2/3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
925 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03959488
Sponsor's protocol ID
D5290C00005
Other IDs
2019-000201-69, 2019
Status last verified
Sep 2023
First submitted
21 May 2019
Last updated
21 Sep 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Publications

  • Mankad VS, Leach A, Chang Y, Wahlby Hamren U, Kiazand A, Kubiak RJ, Takas T, Villafana T, Shroff M. Comprehensive Summary of Safety Data on Nirsevimab in Infants and Children from All Pivotal Randomized Clinical Trials. Pathogens. 2024 Jun 13;13(6):503. doi: 10.3390/pathogens13060503.

    PubMed 38921800
  • Domachowske J, Madhi SA, Simoes EAF, Atanasova V, Cabanas F, Furuno K, Garcia-Garcia ML, Grantina I, Nguyen KA, Brooks D, Chang Y, Leach A, Takas T, Yuan Y, Griffin MP, Mankad VS, Villafana T; MEDLEY Study Group. Safety of Nirsevimab for RSV in Infants with Heart or Lung Disease or Prematurity. N Engl J Med. 2022 Mar 3;386(9):892-894. doi: 10.1056/NEJMc2112186. No abstract available.

    PubMed 35235733

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing MEDI8897 and Palivizumab in people with Respiratory Syncytial Virus Infections, run by AstraZeneca at 128 sites in 26 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 10 inclusion and 21 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 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 128 sites in United States, Bulgaria, Spain, France, Russia and 21 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 21 Sep 2023). 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?

Safety and Tolerability of MEDI8897 as Assessed by the Occurrence of All Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs) and New Onset Chronic Disease (NOCD) (time frame: 360 days post first dose). 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 NCT03959488, which also lists 2 linked publications.

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 21 Sep 2023.

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