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The study was terminated as it was determined to not be feasible to complete enrollment and the study within the required timeline and budget.
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The primary objective is to evaluate the suitability of the challenge model in measuring the efficacy of MEDI-557 compared to placebo in healthy adult participants for the reduction in the incidence of RSV through 12 days post-RSV challenge with the RSV Memphis-37 strain.
This is designed to be a double-blind, placebo-controlled, randomized study. Approximately 30 participants will be randomized, dosed and followed. Participants will be randomly assigned to receive a single intravenous (IV) dose of MEDI-557 or placebo. Participants will be inoculated with RSV-A. Participants will be followed for efficacy for 12 days post-RSV challenge. Safety follow-up will be approximately 12 months from randomization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Participants received single intravenous (IV) dose of placebo matched to MEDI-557 on Day 1 and were inoculated with respiratory syncytial virus (RSV-A) (Memphis-37 strain) as intranasal drops on Day 3. |
|
| MEDI-557 | Experimental | Participants received single IV dose of 30 milligram per kilogram (mg/kg) MEDI-557 on Day 1 and were inoculated with RSV-A (Memphis-37 strain) as intranasal drops on Day 3. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | Participants received single intravenous (IV) dose of placebo matched to MEDI-557 on Day 1 and were inoculated with respiratory syncytial virus (RSV-A) (Memphis-37 strain) as intranasal drops on Day 3. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Developing Respiratory Syncytial Virus (RSV) Infection Post-RSV Challenge Measured by Plaque Assay Culture | RSV infection is defined as positive plaque assay culture sample for greater than or equal to (>=) 1 day through 12 days post-RSV challenge. A sample was determined positive if log10 plaque-forming units per milliliter [pfu/mL] greater than or equal lower limit of quantitation (LLOQ; 1.69 log10 pfu/mL) and 2 of the 3 replicates must have greater than (>) 0 pfu/mL. | From Day 4 to Day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Developing Respiratory Syncytial Virus (RSV) Infection Post-RSV Challenge Measured by Quantitative Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR), Direct Fluorescent Antibody (DFA), And by Any Method | RSV infection defined as positive quantitative real-time RT-PCR (RSV-A only) sample for >= 2 consecutive days through 12 days post-RSV challenge. A sample was determined positive if log10 copies/ml >= limit of quantitation (LLOQ; 2.80 log10 copies/mL). RSV infection defined as positive DFA sample for >= 2 consecutive days through 12 days post-RSV challenge. RSV infection by any method included positive plaque assay culture sample for >=1 day through 12 days post-RSV challenge, or positive quantitative real-time RT-PCR (RSV-A only) sample for >= 2 consecutive days through 12 days post-RSV challenge, or positive DFA sample for >=2 consecutive days through 12 days post-RSV challenge. |
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Inclusion Criteria:
Exclusion Criteria:
Current medical conditions as follows:
Clinical evidence of chronic pulmonary disease or any use of a bronchodilator or other asthma medication.
Current smoker unwilling/unable to desist for the quarantine phase of the study.
History or clinical evidence of recurrent lower respiratory tract infection.
Evidence of infection with hepatitis A, B, or C virus or human immunodeficiency virus (HIV) by serology.
Medical history as follows:
History of immunodeficiency.
History of chronic sinusitis.
History of frequent epistaxis.
History of or current diagnosis of diabetes.
Prior/concomitant therapy including
Nursing mother.
Alcohol or drug addiction/abuse within the past 2 years.
A positive urine Class A drug or alcohol screen unless there is a medical reason.
History of seasonal hay fever or seasonal allergies.
Employees of the clinical study site or sponsor, any other individuals involved with the conduct of the study, or immediate family members of such individuals.
Health care workers anticipated to have patient contact within 2 weeks after viral challenge.
Participants who, for an additional 2 weeks after discharge from the isolation facility, are likely to have contact with a household member or close contact with someone who is: (a) less than 3 years of age; (b) any person with any known immunodeficiency; (c) any person receiving immunosuppressant medications; (d) any person undergoing or soon to undergo cancer chemotherapy within 28 days of challenge; (e) any person who has diagnosed emphysema or COPD, is elderly residing in a nursing home, or with severe lung disease or medical condition; or (f) any person who has received a transplant (bone marrow or solid organ).
As a result of the medical interview, physical examination, or screening investigations, the investigator(s) considers the participant unfit for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Hasan Jafri, MD | MedImmune LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | London | E1 2AX | United Kingdom |
A total of 90 participants were screened, out of these, 7 participants were randomized and completed the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received single intravenous (IV) dose of placebo matched to MEDI-557 on Day 1 and were inoculated with respiratory syncytial virus (RSV-A) (Memphis-37 strain) as intranasal drops on Day 3. |
| FG001 | MEDI-557 | Participants received single IV dose of 30 milligram per kilogram (mg/kg) MEDI-557 on Day 1 and were inoculated with RSV-A (Memphis-37 strain) as intranasal drops on Day 3. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
The Intent-to-treat (ITT) population included all participants who were randomized into the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received single intravenous (IV) dose of placebo matched to MEDI-557 on Day 1 and were inoculated with respiratory syncytial virus (RSV-A) (Memphis-37 strain) as intranasal drops on Day 3. |
| BG001 | MEDI-557 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants Developing Respiratory Syncytial Virus (RSV) Infection Post-RSV Challenge Measured by Plaque Assay Culture | RSV infection is defined as positive plaque assay culture sample for greater than or equal to (>=) 1 day through 12 days post-RSV challenge. A sample was determined positive if log10 plaque-forming units per milliliter [pfu/mL] greater than or equal lower limit of quantitation (LLOQ; 1.69 log10 pfu/mL) and 2 of the 3 replicates must have greater than (>) 0 pfu/mL. | Population for RSV Incidence included all participants who received both the investigational product and RSV challenge. | Posted | Number | percentage of participants | From Day 4 to Day 15 |
|
From Day -2 to Day 360
Safety population included all participants who received any amount of investigational product.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Participants received single intravenous (IV) dose of placebo matched to MEDI-557 on Day 1 and were inoculated with respiratory syncytial virus (RSV-A) (Memphis-37 strain) as intranasal drops on Day 3. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Rhabdomyolysis | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA 15.1 | Systematic Assessment |
The study was terminated before an adequate number of subjects were enrolled.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Hasan Jafri, Medical Director | Medimmune, LLC | 301-398-4431 | jafrih@medimmune.com |
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| ID | Term |
|---|---|
| D018357 | Respiratory Syncytial Virus Infections |
| ID | Term |
|---|---|
| D018186 | Pneumovirus Infections |
| D018184 | Paramyxoviridae Infections |
| D018701 | Mononegavirales Infections |
| D012327 | RNA Virus Infections |
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| MEDI-557 | Drug | Participants received single IV dose of 30 milligram per kilogram (mg/kg) MEDI-557 on Day 1 and were inoculated with RSV-A (Memphis-37 strain) as intranasal drops on Day 3. |
|
| From Day 4 to Day 15 |
| Mean Viral Load AUC0-t by Plaque Assay Culture | RSV infection by plaque assay culture defined as positive sample for >= 1 day through 12 days post-RSV challenge. | From Day 5 through Day 31 |
| Mean Viral Load AUC0-t by Realtime Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) | RSV infection by plaque assay culture defined as positive sample for >= 2 consecutive days through 12 days post-RSV challenge. | From Day 5 through Day 31 |
| Mean Nasal RSV Peak as Measured by Plaque Assay Culture | RSV infection by plaque assay culture defined as positive sample for >= 1 day through 12 days post-RSV challenge. log10 pfu/mL = log10 plaque-forming unit per milliliter. | From Day 5 through Day 31 |
| Mean Nasal RSV Peak as Measured by Quantitative Realtime Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) | RSV infection by plaque assay culture defined as positive sample for >= 2 consecutive days through 12 days post-RSV challenge. | From Day 5 through Day 31 |
| Duration of Respiratory Syncytial Virus (RSV) Viral Shedding | Duration of viral shedding defined as the number of days from the first sample positive by any assay (that is, plaque assay culture, quantitative real-time (RT-PCR), or direct fluorescent Antibody (DFA) to the last sample positive by any assay. | From Day 5 through Day 31 |
| Mean Serum MEDI-557 Concentration Through Day 360 | MEDI-557 serum concentrations were summarized by each sampling point [LLOQ for MEDI-557 concentration assay was 1.56 microgram per millilitre (μg/mL) for serum]. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Maximum Serum Concentration (Cmax) of MEDI-557 | The Cmax is the maximum observed serum concentration of MEDI-557. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Time to Reach Maximum Serum Concentration (Tmax) of MEDI-557 | The Tmax is defined as actual sampling time to reach maximum observed MEDI-557 concentration. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Serum Half Life (t1/2) of MEDI-557 | Serum decay half-life is the time measured for the serum concentration to decrease by one half. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Area Under the Serum Concentration-Time Curve From Time Zero to Time 't' (AUC[0-t]) of MEDI-557 | The AUC(0-t) is the area under the serum concentration-time curve from time zero to any time 't'. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of MEDI-557 | The AUC (0-infinity) is the area under the serum concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Volume of Distribution at Steady-State (Vss) of MEDI-557 | Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state which is estimated by (D/AUC[0-infinity])*(AUMC[0-infinity])/AUC[0-infinity]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the serum concentration-time curve from time zero to infinite time. | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Mean Clearance of MEDI-557 | Clearance (CL) is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the serum Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]). | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
| Mean Nasal Wash Concentration of MEDI-557 at Respective Time-Points | MEDI-557 nasal wash concentrations were summarized by each sampling point [LLOQ for MEDI-557 concentration assay was 20.00 nanogram per millilitre (ng/mL) for nasal wash]. | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
| Maximum Nasal Wash Concentration (Cmax) of MEDI-557 | The Cmax is the maximum observed nasal wash concentration of MEDI-557. | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
| Time to Reach Maximum Nasal Wash Concentration (Tmax) of MEDI-557 | The Tmax is defined as actual sampling time to reach maximum observed MEDI-557 concentration. | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
| Area Under the Nasal Wash Concentration-Time Curve From Time Zero to Time 't' (AUC[0-t]) of MEDI-557 | The AUC(0-t) is the area under the nasal wash concentration-time curve from time zero to any time 't'. | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
| Percentage of Participants With Positive Anti-MEDI-557 Antibodies | Anti-drug antibodies in the participants blood sample were detected using a validated immunoassay. Antidrug antibodies to MEDI-557 were defined as a detectable antibody titer with a dilution value of 1:30 or greater. | Day 1 (pre-dose); Day 31, 91, 150, 180, 240, 300 and 360 post-dose |
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) | An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was 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. Treatment-emergent were events between first dose of study drug and Day 360 that were absent before treatment or that worsened relative to pretreatment state. | From Day 1 (immediately following administration of study drug) to Day 360 |
| Number of Participants With Vital Signs Abnormalities Reported as Adverse Events (AEs) | Vital signs included temperature, respiration rate, heart rate, blood pressure. Abnormal vital sign parameters included Cardiac Disorders (Bradycardia), Respiratory, Thoracic and Mediastinal Disorders (Tachypnoea, Hyperventilation, Hypopnoea). Participants with abnormalities in these vital Signs investigations recorded as AEs were reported. | From Day 1 through Day 31 |
| Number of Participants With Abnormalities in Laboratory Investigations Reported as Adverse Events (AEs) | Laboratory investigations included hematology, coagulation, serum chemistry and urinalysis parameters. Participants with abnormalities in these laboratory investigations recorded as AEs were reported. | From Day 1 through Day 91 |
| Number of Participants With Clinically Meaningful Changes From Baseline in Spirometry Values | Spirometry is a standardized assessment to evaluate lung function. Baseline values for spirometry is defined as the last measure prior to viral challenge. Spirometry assessments included percent predicted forced expiratory volume in 1 second (FEV1), FEV1/forced vital capacity (FVC), and forced expiratory flow (FEF) 25%-75% values. | Days 1, 2, 3 (Baseline), 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 31 |
Participants received single IV dose of 30 milligram per kilogram (mg/kg) MEDI-557 on Day 1 and were inoculated with RSV-A (Memphis-37 strain) as intranasal drops on Day 3.
| BG002 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG001 | MEDI-557 | Participants received single IV dose of 30 milligram per kilogram (mg/kg) MEDI-557 on Day 1 and were inoculated with RSV-A (Memphis-37 strain) as intranasal drops on Day 3. |
|
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| Secondary | Percentage of Participants Developing Respiratory Syncytial Virus (RSV) Infection Post-RSV Challenge Measured by Quantitative Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR), Direct Fluorescent Antibody (DFA), And by Any Method | RSV infection defined as positive quantitative real-time RT-PCR (RSV-A only) sample for >= 2 consecutive days through 12 days post-RSV challenge. A sample was determined positive if log10 copies/ml >= limit of quantitation (LLOQ; 2.80 log10 copies/mL). RSV infection defined as positive DFA sample for >= 2 consecutive days through 12 days post-RSV challenge. RSV infection by any method included positive plaque assay culture sample for >=1 day through 12 days post-RSV challenge, or positive quantitative real-time RT-PCR (RSV-A only) sample for >= 2 consecutive days through 12 days post-RSV challenge, or positive DFA sample for >=2 consecutive days through 12 days post-RSV challenge. | Population for RSV Incidence included all participants who received both the investigational product and RSV challenge. | Posted | Number | percentage of participants | From Day 4 to Day 15 |
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|
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| Secondary | Mean Viral Load AUC0-t by Plaque Assay Culture | RSV infection by plaque assay culture defined as positive sample for >= 1 day through 12 days post-RSV challenge. | Population for RSV Plaque Assay Culture Virology included all participants who received both investigational product and RSV challenge and were positive for RSV by plaque assay culture (defined as positive sample for >=1 day through 12 days post-RSV challenge). | Posted | Mean | Standard Deviation | log10 pfu*day/mL | From Day 5 through Day 31 |
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| Secondary | Mean Viral Load AUC0-t by Realtime Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) | RSV infection by plaque assay culture defined as positive sample for >= 2 consecutive days through 12 days post-RSV challenge. | Population for RSV Quantitative Real-Time RT-PCR Virology included all participants who received both the investigational product and RSV challenge and were positive for RSV-A by quantitative real-time RT-PCR (defined as positive samples for >= 2 consecutive days through 12 days post-RSV challenge). | Posted | Mean | Standard Deviation | log10 copies*day/mL | From Day 5 through Day 31 |
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| Secondary | Mean Nasal RSV Peak as Measured by Plaque Assay Culture | RSV infection by plaque assay culture defined as positive sample for >= 1 day through 12 days post-RSV challenge. log10 pfu/mL = log10 plaque-forming unit per milliliter. | Population for RSV Plaque Assay Culture Virology included all participants who received both investigational product and RSV challenge and were positive for RSV by plaque assay culture (defined as positive sample for >= 1 day through 12 days post-RSV challenge). | Posted | Mean | Standard Deviation | log10 pfu/mL | From Day 5 through Day 31 |
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| Secondary | Mean Nasal RSV Peak as Measured by Quantitative Realtime Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) | RSV infection by plaque assay culture defined as positive sample for >= 2 consecutive days through 12 days post-RSV challenge. | Population for RSV Quantitative Real-Time RT-PCR Virology included all participants who received both the investigational product and RSV challenge and were positive for RSV-A by quantitative real-time RT-PCR (defined as positive samples for >= 2 consecutive days through 12 days post-RSV challenge). | Posted | Mean | Standard Deviation | log10 copies/mL | From Day 5 through Day 31 |
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| Secondary | Duration of Respiratory Syncytial Virus (RSV) Viral Shedding | Duration of viral shedding defined as the number of days from the first sample positive by any assay (that is, plaque assay culture, quantitative real-time (RT-PCR), or direct fluorescent Antibody (DFA) to the last sample positive by any assay. | Population for RSV Incidence by any Viral Assay included all participants who received both the investigational product and RSV challenge and were positive for RSV by plaque assay culture, quantitative real-time RT-PCR, or DFA. | Posted | Median | Full Range | days | From Day 5 through Day 31 |
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| Secondary | Mean Serum MEDI-557 Concentration Through Day 360 | MEDI-557 serum concentrations were summarized by each sampling point [LLOQ for MEDI-557 concentration assay was 1.56 microgram per millilitre (μg/mL) for serum]. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. Here n = participants evaluable for specified categories, for each arm, respectively. | Posted | Mean | Standard Deviation | microgram per milliliter (ug/mL) | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Maximum Serum Concentration (Cmax) of MEDI-557 | The Cmax is the maximum observed serum concentration of MEDI-557. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | microgram per milliliter (mcg/ml) | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Time to Reach Maximum Serum Concentration (Tmax) of MEDI-557 | The Tmax is defined as actual sampling time to reach maximum observed MEDI-557 concentration. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | Day | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Serum Half Life (t1/2) of MEDI-557 | Serum decay half-life is the time measured for the serum concentration to decrease by one half. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | Day | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Area Under the Serum Concentration-Time Curve From Time Zero to Time 't' (AUC[0-t]) of MEDI-557 | The AUC(0-t) is the area under the serum concentration-time curve from time zero to any time 't'. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | day*microgram per milliliter (d*mcg/ml) | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]) of MEDI-557 | The AUC (0-infinity) is the area under the serum concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | d*mcg/ml | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Volume of Distribution at Steady-State (Vss) of MEDI-557 | Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state which is estimated by (D/AUC[0-infinity])*(AUMC[0-infinity])/AUC[0-infinity]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the serum concentration-time curve from time zero to infinite time. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | milliliter (ml) | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Mean Clearance of MEDI-557 | Clearance (CL) is a quantitative measure of the rate at which a drug substance is removed from the body. The total systemic clearance after intravenous dose was estimated by dividing the total administered dose by the serum Area Under the Serum Concentration-Time Curve From Time Zero to Infinite Time (AUC[0-infinity]). | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | milliliter per day (ml/d) | Pre-dose (Day 1); 1,4 and 8 hours post-dose on Day 1 and post-dose on Days 2, 3, 5, 7, 9, 11, 15, 31, 61, 91, 120, 150, 180, 240, 300 and 360 |
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| Secondary | Mean Nasal Wash Concentration of MEDI-557 at Respective Time-Points | MEDI-557 nasal wash concentrations were summarized by each sampling point [LLOQ for MEDI-557 concentration assay was 20.00 nanogram per millilitre (ng/mL) for nasal wash]. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | nanogram per milliliter (ng/mL) | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
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| Secondary | Maximum Nasal Wash Concentration (Cmax) of MEDI-557 | The Cmax is the maximum observed nasal wash concentration of MEDI-557. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | nanogram per milliliter (ng/ml) | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
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| Secondary | Time to Reach Maximum Nasal Wash Concentration (Tmax) of MEDI-557 | The Tmax is defined as actual sampling time to reach maximum observed MEDI-557 concentration. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | Day | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
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| Secondary | Area Under the Nasal Wash Concentration-Time Curve From Time Zero to Time 't' (AUC[0-t]) of MEDI-557 | The AUC(0-t) is the area under the nasal wash concentration-time curve from time zero to any time 't'. | Population for PK included all participants who received a full dose of investigational product and had >= 1 post-baseline measurement for PK. | Posted | Mean | Standard Deviation | day*nanogram per milliliter (d*ng/ml) | Pre-dose (Day 1) and post-dose on Days 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, and 31 |
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| Secondary | Percentage of Participants With Positive Anti-MEDI-557 Antibodies | Anti-drug antibodies in the participants blood sample were detected using a validated immunoassay. Antidrug antibodies to MEDI-557 were defined as a detectable antibody titer with a dilution value of 1:30 or greater. | Population for ADA included all participants who received any amount of investigational product and had >= 1 post-baseline measurement for ADA. Here, "n" is number of participants analysed at specific time point. | Posted | Number | percentage of participants | Day 1 (pre-dose); Day 31, 91, 150, 180, 240, 300 and 360 post-dose |
|
|
|
| Secondary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) | An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was 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. Treatment-emergent were events between first dose of study drug and Day 360 that were absent before treatment or that worsened relative to pretreatment state. | Safety Population included all participants who received any amount of investigational product. | Posted | Number | participants | From Day 1 (immediately following administration of study drug) to Day 360 |
|
|
|
| Secondary | Number of Participants With Vital Signs Abnormalities Reported as Adverse Events (AEs) | Vital signs included temperature, respiration rate, heart rate, blood pressure. Abnormal vital sign parameters included Cardiac Disorders (Bradycardia), Respiratory, Thoracic and Mediastinal Disorders (Tachypnoea, Hyperventilation, Hypopnoea). Participants with abnormalities in these vital Signs investigations recorded as AEs were reported. | Safety Population included all participants who received any amount of investigational product. | Posted | Number | participants | From Day 1 through Day 31 |
|
|
|
| Secondary | Number of Participants With Abnormalities in Laboratory Investigations Reported as Adverse Events (AEs) | Laboratory investigations included hematology, coagulation, serum chemistry and urinalysis parameters. Participants with abnormalities in these laboratory investigations recorded as AEs were reported. | Safety Population included all participants who received any amount of investigational product. | Posted | Number | participants | From Day 1 through Day 91 |
|
|
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| Secondary | Number of Participants With Clinically Meaningful Changes From Baseline in Spirometry Values | Spirometry is a standardized assessment to evaluate lung function. Baseline values for spirometry is defined as the last measure prior to viral challenge. Spirometry assessments included percent predicted forced expiratory volume in 1 second (FEV1), FEV1/forced vital capacity (FVC), and forced expiratory flow (FEF) 25%-75% values. | Safety Population included all participants who received any amount of investigational product. | Posted | Number | participants | Days 1, 2, 3 (Baseline), 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 31 |
|
|
|
| 1 |
| 4 |
| 4 |
| 4 |
| EG001 | MEDI-557 | Participants received single IV dose of 30 milligram per kilogram (mg/kg) MEDI-557 on Day 1 and were inoculated with RSV-A (Memphis-37 strain) as intranasal drops on Day 3. | 0 | 3 | 3 | 3 |
| Bradycardia | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Gingival pain | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Lip dry | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA 15.1 | Systematic Assessment |
|
| Non-cardiac chest pain | General disorders | MedDRA 15.1 | Systematic Assessment |
|
| Pain | General disorders | MedDRA 15.1 | Systematic Assessment |
|
| Hepatic function abnormal | Hepatobiliary disorders | MedDRA 15.1 | Systematic Assessment |
|
| Seasonal allergy | Immune system disorders | MedDRA 15.1 | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
|
| Respiratory tract infection viral | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
|
| Excoriation | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
|
| Skeletal injury | Injury, poisoning and procedural complications | MedDRA 15.1 | Systematic Assessment |
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| Blood bilirubin increased | Investigations | MedDRA 15.1 | Systematic Assessment |
|
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 15.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
|
| Tension headache | Nervous system disorders | MedDRA 15.1 | Systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | MedDRA 15.1 | Systematic Assessment |
|
| Hyperventilation | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Hypopnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Nasal discomfort | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
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| Nasal ulcer | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Tachypnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Throat irritation | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
|
| Rash follicular | Skin and subcutaneous tissue disorders | MedDRA 15.1 | Systematic Assessment |
|
| Phlebitis | Vascular disorders | MedDRA 15.1 | Systematic Assessment |
|
MedImmune has 60 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome.
| D014777 | Virus Diseases |
| D007239 | Infections |
| RSV infection by Any Method |
|
RSV infection by DFA |
| Relative Risk |
| 0.00 |
| 2-Sided |
| 95 |
| 0.00 |
| 2.05 |
Relative risk was calculated as the proportion of participants with RSV infection in the MEDI-557 arm divided by the proportion of participants with RSV infection in the placebo arm. |
| Superiority or Other |
| RSV infection by Any Method | Relative Risk | 1.00 | 2-Sided | 95 | 0.16 | 6.24 | Relative risk was calculated as the proportion of participants with RSV infection in the MEDI-557 arm divided by the proportion of participants with RSV infection in the placebo arm. | Superiority or Other |
| Title | Measurements |
|---|---|
|
| 8 hr Post-dose (n=3) |
|
| Day 2 (n=3) |
|
| Day 3 (n=3) |
|
| Day 5 (n=3) |
|
| Day 7 (n=3) |
|
| Day 9 (n=3) |
|
| Day 11(n=3) |
|
| Day 15 (n=3) |
|
| Day 31 (n=3) |
|
| Day 61 (n=2) |
|
| Day 91 (n=3) |
|
| Day 120 (n=3) |
|
| Day 150 (n=3) |
|
| Day 180 (n=3) |
|
| Day 240 (n=2) |
|
| Day 300 (n=3) |
|
| Day 360 (n=3) |
|
| Title | Measurements |
|---|---|
|
| Day 6 |
|
| Day 7 |
|
| Day 8 |
|
| Day 9 |
|
| Day 10 |
|
| Day 11 |
|
| Day 12 |
|
| Day 13 |
|
| Day 14 |
|
| Day 15 |
|
| Day 31 |
|
| Day 91 (n=4,3) |
|
| Day 150 (n=3,3) |
|
| Day 180 (n=4,3) |
|
| Day 240 (n=3,2) |
|
| Day 300 (n=4,3) |
|
| Day 360 (n=4,3) |
|
| Serum chemistry |
|
| Urinalysis |
|
| Cardiac enzymes |
|