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The purpose of this study was to evaluate the efficacy, safety, pharmacokinetics (PK), and immunogenicity of suptavumab (REGN2222) in infants born no more than 35 weeks, 6 days gestational age who are no more than 6 months of age at the time of enrollment in their respective geographic location. In order to optimize the potential benefit in this vulnerable population, we conducted this study during the RSV season using dosing regimens that are expected to be effective.
This study occurred in two parts: Part A and Part B.
Part A of the study was an open-label, PK evaluation of intramuscular (IM) administered suptavumab in preterm infants for whom palivizumab was not recommended to enable the selection of dosing regimens for Part B.
Part B of the study was randomized, double-blind, and placebo-controlled, designed to evaluate efficacy, safety, serum concentration and immunogenicity of IM administration of suptavumab in preterm infants for whom palivizumab was not recommended. The total duration of Part B was up to 265 days (includes a 28-day screening period, 57-day treatment period and 180-day follow-up period).
Up to 1515 subjects were planned to be included in Part B of the study. Participants were randomly assigned to 1 of 3 different groups, each with 505 infants; one group received one dose of suptavumab and one dose of placebo, the second group received two doses of suptavumab, and the third group received two doses of placebo.
There was a separate genetic testing sub study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Suptavumab 30 mg/kg | Experimental |
| |
| Part B: Placebo Matched to Suptavumab | Experimental |
| |
| Part B: Suptavumab 30 mg/kg- 1 Dose | Experimental |
| |
| Part B: Suptavumab 30 mg/kg - 2 Doses | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Suptavumab 30 mg/kg | Drug | Participants received single dose of suptavumab 30 milligram per kilogram (mg/kg) intramuscularly (IM) on Day 1. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Serum Concentration of Suptavumab Over Time | Part A was primarily designed to determine the pharmacokinetics (PK) of suptavumab in infants to inform the dose regimen used in Part B of the study. The study protocol specified the process and criteria for assessment of the dose. The dose used in Part B was to remain the same as Part A if the PK data up to Day 57 demonstrated that the individual PK observations were consistent with model-predicted concentrations, following age and body weight corrections. | Day 1 through Day 150 |
| Part B: Percentage of Participants With Medically Attended Respiratory Syncytial Virus (RSV) Infection (Hospitalization or Outpatient Visit With Lower Respiratory Tract Infection [LRTI]) Up to Day 150 | A medically attended RSV infection defined as an infant with positive RSV test by Reverse-transcriptase polymerase chain reaction (RT-PCR) with any of following events: Hospitalized (on basis of assessment of admitting physician) for RSV infection or outpatient visit (emergency room [ER], urgent care [UC], or pediatric clinic visits [for either a sick or well visit]) with RSV lower respiratory tract infection (LRTI). An RSV LRTI in an infant: RSV proven respiratory infection (i.e positive RSV RT-PCR test) with parent(s)/guardian(s) report of cough/difficulty breathing, & with 1 of following signs of LRTI, as assessed by healthcare provider: - lower chest wall in drawing -hypoxemia (peripheral capillary oxygen saturation <95% breathing room air) - Wheezing/crackles. The 150-day efficacy assessment period: first study drug intake through the Day 150 visit. | From first study drug administration up to Day 150 |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) | Any untoward medical occurrence in participants, who received investigational medicinal product (IMP) was considered an adverse event (AE) without regard to possibility of causal relationship with this treatment. TEAEs: AEs that developed/worsened/became serious during on-treatment period (defined as time between the date of first study drug administration & date of end of study/last visit).Serious AE: Any untoward medical occurrence that resulted in any of following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious & non-serious AEs. National Cancer Institute Common Terminology Criteria (NCI-CTCAE) version 4.03(Grade 3 [severe] & Grade 4[life-threatening]) was used in this study to grade clinical AEs. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other inclusion and exclusion criteria apply
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Regeneron Investigational Site | Birmingham | Alabama | United States | |||
| Regeneron Study Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32897368 | Derived | Simoes EAF, Forleo-Neto E, Geba GP, Kamal M, Yang F, Cicirello H, Houghton MR, Rideman R, Zhao Q, Benvin SL, Hawes A, Fuller ED, Wloga E, Pizarro JMN, Munoz FM, Rush SA, McLellan JS, Lipsich L, Stahl N, Yancopoulos GD, Weinreich DM, Kyratsous CA, Sivapalasingam S. Suptavumab for the Prevention of Medically Attended Respiratory Syncytial Virus Infection in Preterm Infants. Clin Infect Dis. 2021 Dec 6;73(11):e4400-e4408. doi: 10.1093/cid/ciaa951. |
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In Part A, 27 participants were screened, of which 23 received study drug. In Part B, out of 1,154 participants, 1,149 received first dose of study drug. Of those, 1,051 continued and received second dose 8 weeks later. Participants were randomized in 1:1:1 ratio in Part B by gestational age category & region (North America/Rest of World).
The study was conducted in 2 parts between 21-Jul-2015 and 26-Sep-2017. Part A of study was conducted at 6 sites in 3 countries and Part B was conducted at 175 sites in 18 countries. Only Part B of the study was conducted in Europe. A total of 23 participants were enrolled in Part A and a total of 1,154 participants were randomized in Part B.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part A: Suptavumab 30 mg/kg | Participants received single dose of suptavumab 30 milligram per kilogram (mg/kg) intramuscularly (IM) on Day 1. |
| FG001 | Part B: Placebo Matched to Suptavumab |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 11, 2017 | Jul 5, 2018 |
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|
| Placebo Matched to Suptavumab | Drug | Participants received 2 IM doses of placebo matched to suptavumab: the first dose on Day 1 and the second dose on Day 57. |
|
| Suptavumab 30 mg/kg- 1 Dose | Drug | Participants received single dose of suptavumab 30 mg/kg IM on Day 1 and single dose of placebo matched to suptavumab on Day 57. |
|
| Suptavumab 30 mg/kg - 2 Doses | Drug | Participants received 2 doses of suptavumab 30 mg/kg IM: the first dose on Day 1 and the second dose on Day 57. |
|
| Baseline through Day 150 |
| Part B: Serum Concentration of Suptavumab | Serum samples for drug concentration will be collected at pre-specified time points | Day 29, 57, 85, 113 and Day 150 Post-dose |
| Part B: Number of Participants With At Least One Positive Anti-Drug Antibody (ADA) Assay | ADA category of each participant was classified as pre-existing immunoreactivity (a positive ADA response at baseline with a <4-fold increase in titer for all post baseline samples), treatment-boosted (a positive response at baseline with at least one post baseline titer at >=4-fold the baseline titer), or treatment-emergent (TE [any positive post baseline assay response when baseline results were negative or missing]). TE ADA responses were further classified as persistent (treatment-emergent positive ADA response detected in at least 2 consecutive post baseline samples separated by at least a 12-week post baseline period [based on nominal sampling time], with no ADA-negative samples in-between, regardless of any missing samples or a positive response at the last ADA sampling time point), indeterminate (a positive assay response at the last collection time point only, regardless of any missing samples), or transient (not persistent/indeterminate, regardless of any missing samples). | Day 1 through Day 150 |
| Part B: Percentage of Participants Hospitalized With Medically Attended RSV Infection or Outpatient Visit Lower Respiratory Tract Infection (LRTI) or Upper Respiratory Tract Infection (URTI) Up to Day 150 | A medically attended RSV infection was defined as an infant with a positive RSV test by RT-PCR with any of the following events: -Hospitalized (on the basis of the assessment of the admitting physician) for RSV infection - or Outpatient visit (ER, UC), or pediatric clinic visits [for either a sick or well visit]) with RSV LRTI. An RSV LRTI in an infant: RSV-proven respiratory infection (i.e, positive RSV RT-PCR test) with parent(s)/guardian(s) report of cough or difficulty breathing, and with 1 of the following signs of LRTI, as assessed by a healthcare provider: -Lower chest wall indrawing -Hypoxemia (peripheral capillary oxygen saturation <95% breathing room air) -Wheezing or crackles. The 150-day efficacy assessment period:first study drug intake through the Day 150 visit. | From the first study drug administration up to Day 150 |
| Mobile |
| Alabama |
| United States |
| Regeneron Study Site | Little Rock | Arkansas | United States |
| Regeneron Study Site | Anaheim | California | United States |
| Regeneron Study Site | Bell Gardens | California | United States |
| Regeneron Study Site | Dinuba | California | United States |
| Regeneron Study Site | Downey | California | United States |
| Regeneron Study Site | Huntington Beach | California | United States |
| Regeneron Study Site | La Puente | California | United States |
| Regeneron Study Site | Los Angeles | California | United States |
| Regeneron Study Site | Madera | California | United States |
| Regeneron Study Site | Palmdale | California | United States |
| Regeneron Study Site | Ventura | California | United States |
| Regeneron Study Site | West Covina | California | United States |
| Regeneron Study Site | Aurora | Colorado | United States |
| Regeneron Study Site | Thornton | Colorado | United States |
| Regeneron Study Site | Hartford | Connecticut | United States |
| Regeneron Study Site | Boynton Beach | Florida | United States |
| Regeneron Study Site | Gainesville | Florida | United States |
| Regeneron Study Site | Jacksonville | Florida | United States |
| Regeneron Study Site | Miami | Florida | United States |
| Regeneron Study Site | Orlando | Florida | United States |
| Regeneron Study Site | Pensacola | Florida | United States |
| Regeneron Study Site | Tampa | Florida | United States |
| Regeneron Study Site | Winter Park | Florida | United States |
| Regeneron Study Site | Atlanta | Georgia | United States |
| Regeneron Study Site | Columbus | Georgia | United States |
| Regeneron Study Site | Dalton | Georgia | United States |
| Regeneron Study Site | Meridian | Idaho | United States |
| Regeneron Study Site | Nampa | Idaho | United States |
| Regeneron Study Site | Peoria | Illinois | United States |
| Regeneron Study Site | South Bend | Indiana | United States |
| Regeneron Study Site | Hutchinson | Kansas | United States |
| Regeneron Study Site | Topeka | Kansas | United States |
| Regeneron Study Site | Bardstown | Kentucky | United States |
| Regeneron Study Site | Louisville | Kentucky | United States |
| Regeneron Study Site | Metairie | Louisiana | United States |
| Regeneron Study Site | New Orleans | Louisiana | United States |
| Regeneron Study Site | Shreveport | Louisiana | United States |
| Regeneron Study Site | Baltimore | Maryland | United States |
| Regeneron Study Site | Silver Spring | Maryland | United States |
| Regeneron Study Site | Fall River | Massachusetts | United States |
| Regeneron Study Site | Woburn | Massachusetts | United States |
| Regeneron Study Site | Stevensville | Michigan | United States |
| Regeneron Study Site | Duluth | Minnesota | United States |
| Regeneron Study Site | Minneapolis | Minnesota | United States |
| Regeneron Study Site | Saint Paul | Minnesota | United States |
| Regeneron Study Site | Jackson | Mississippi | United States |
| Regeneron Study Site | Bridgeton | Missouri | United States |
| Regeneron Study Site | Kansas City | Missouri | United States |
| Regeneron Study Site | Lincoln | Nebraska | United States |
| Regeneron Study Site | Norfolk | Nebraska | United States |
| Regeneron Study Site | Omaha | Nebraska | United States |
| Regeneron Study Site | Reno | Nevada | United States |
| Regeneron Study Site | Lebanon | New Hampshire | United States |
| Regeneron Study Site | Neptune City | New Jersey | United States |
| Regeneron Study Site | New Brunswick | New Jersey | United States |
| Regeneron Study Site | Brooklyn | New York | United States |
| Regeneron Study Site | Mineola | New York | United States |
| Regeneron Study Site | New Hyde Park | New York | United States |
| Regeneron Study Site | New York | New York | United States |
| Regeneron Study Site | Rochester | New York | United States |
| Regeneron Study Site | Syracuse | New York | United States |
| Regeneron Study Site | The Bronx | New York | United States |
| Regeneron Study Site | Boone | North Carolina | United States |
| Regeneron Study Site | Chapel Hill | North Carolina | United States |
| Regeneron Study Site | Durham | North Carolina | United States |
| Regeneron Study Site | Raleigh | North Carolina | United States |
| Regeneron Study Site | Cincinnati | Ohio | United States |
| Regeneron Study Site | Cleveland | Ohio | United States |
| Regeneron Study Site | Columbus | Ohio | United States |
| Regeneron Study Site | Dayton | Ohio | United States |
| Regeneron Study Site | Fairfield | Ohio | United States |
| Regeneron Study Site | Mayfield Heights | Ohio | United States |
| Regeneron Study Site | Toledo | Ohio | United States |
| Regeneron Study Site | Youngstown | Ohio | United States |
| Regeneron Study Site | Oklahoma City | Oklahoma | United States |
| Regeneron Study Site | Tulsa | Oklahoma | United States |
| Regeneron Study Site | Gresham | Oregon | United States |
| Regeneron Study Site | Allentown | Pennsylvania | United States |
| Regeneron Study Site | Erie | Pennsylvania | United States |
| Regeneron Study Site | Hermitage | Pennsylvania | United States |
| Regeneron Study Site | Charleston | South Carolina | United States |
| Regeneron Study Site | Cheraw | South Carolina | United States |
| Regeneron Study Site | Greenville | South Carolina | United States |
| Regeneron Study Site | North Charleston | South Carolina | United States |
| Regeneron Study Site | Alcoa | Tennessee | United States |
| Regeneron Study Site | Kingsport | Tennessee | United States |
| Regeneron Study Site | Nashville | Tennessee | United States |
| Regeneron Study Site | Austin | Texas | United States |
| Regeneron Study Site | Fort Sam Houston | Texas | United States |
| Regeneron Study Site | Houston | Texas | United States |
| Regeneron Study Site | San Antonio | Texas | United States |
| Regeneron Study Site | Layton | Utah | United States |
| Regeneron Study Site | Roy | Utah | United States |
| Regeneron Study Site | St. George | Utah | United States |
| Regeneron Study Site | Syracuse | Utah | United States |
| Regeneron Study Site | Charlottesville | Virginia | United States |
| Regeneron Study Site | Midlothian | Virginia | United States |
| Regeneron Study Site | Richmond | Virginia | United States |
| Regeneron Study Site | Vienna | Virginia | United States |
| Regeneron Study Site | Huntington | West Virginia | United States |
| Regeneron Study Site | Kingwood | West Virginia | United States |
| Regeneron Study Site | Morgantown | West Virginia | United States |
| Regeneron Study Site | Madison | Wisconsin | United States |
| Regeneron Study Site | Marshfield | Wisconsin | United States |
| Regeneron Study Site | Milwaukee | Wisconsin | United States |
| Regeneron Study Site | Hobart | Tasmania | Australia |
| Regeneron Study Site | Sofia | Sofia-Grad | Bulgaria |
| Regeneron Study Site | Kazanlak | Stara Zagora | Bulgaria |
| Regeneron Study Site | Blagoevgrad | Bulgaria |
| Regeneron Study Site | Dobrich | Bulgaria |
| Regeneron Study Site | Gabrovo | Bulgaria |
| Regeneron Study Site | Lom | Bulgaria |
| Regeneron Study Site | Montana | Bulgaria |
| Regeneron Study Site | Pleven | Bulgaria |
| Regeneron Study Site | Plovdiv | Bulgaria |
| Regeneron Study Site | Rousse | Bulgaria |
| Regeneron Study Site | Silistra | Bulgaria |
| Regeneron Study Site | Sliven | Bulgaria |
| Regeneron Study Site | Vidin | Bulgaria |
| Regeneron Study Site | Calgary | Alberta | Canada |
| Regeneron Study Site | Halifax | Nova Scotia | Canada |
| Regeneron Study Site | Ottawa | Ontario | Canada |
| Regeneron Study Site | La Florida | Santiago Metropolitan | Chile |
| Regeneron Study Site | Providencia | Santiago Metropolitan | Chile |
| Regeneron Study Site | Puente Alto | Santiago Metropolitan | Chile |
| Regeneron Study Site | Recoleta | Santiago Metropolitan | Chile |
| Regeneron Study Site | San José | Santiago Metropolitan | Chile |
| Regeneron Study Site | San Ramón | Santiago Metropolitan | Chile |
| Regeneron Study Site | Aalborg | Denmark |
| Regeneron Study Site | Hjørring | Denmark |
| Regeneron Study Site | Næstved | Denmark |
| Regeneron Study Site | Viborg | Denmark |
| Regeneron Study Site | Oulu | Oulun Iaani | Finland |
| Regeneron Study Site | Tampere | Oulun Iaani | Finland |
| Regeneron Study Site | Pori | Finland |
| Regeneron Study Site | Turku | Finland |
| Regeneron Study Site | Bochum | Germany |
| Regeneron Study Site | Bramsche | Germany |
| Regeneron Study Site | Bretten | Germany |
| Regeneron Study Site | Frankenthal | Germany |
| Regeneron Study Site | Freiburg im Breisgau | Germany |
| Regeneron Study Site | Hamburg | Germany |
| Regeneron Study Site | Herxheim | Germany |
| Regeneron Study Site | Leipzig | Germany |
| Regeneron Study Site | Mainz | Germany |
| Regeneron Study Site | Mannheim | Germany |
| Regeneron Study Site | Mönchengladbach | Germany |
| Regeneron Study Site | Munich | Germany |
| Regeneron Study Site | Sankt Augustin | Germany |
| Regeneron Study Site | Wanzleben | Germany |
| Regeneron Study Site | Szeged | Csongrád megye | Hungary |
| Regeneron Study Site | Budapest | Hungary |
| Regeneron Study Site | Gyula | Hungary |
| Regeneron Study Site | Nyíregyháza | Hungary |
| Regeneron Study Site | Pécs | Hungary |
| Regeneron Study Site | Veszprém | Hungary |
| Regeneron Study Site | Utrecht | Netherlands |
| Regeneron Study Site | Palmerston North | Manawatu-Wanganui | New Zealand |
| Regeneron Study Site | Auckland | North Island | New Zealand |
| Regeneron Study Site | Wellington | New Zealand |
| Regeneron Study Site | Panama City | Panama |
| Regeneron Study Site | San Juan | Puerto Rico |
| Regeneron Study Site | Johannesburg | Gauteng | South Africa |
| Regeneron Study Site | Pretoria | Gauteng | South Africa |
| Regeneron Study Site | Ga-Rankuwa | North West | South Africa |
| Regeneron Study Site | Esplugues de Llobregat | Barcelona | Spain |
| Regeneron Study Site | A Coruña | Spain |
| Regeneron Study Site | Granada | Spain |
| Regeneron Study Site | Madrid | Spain |
| Regeneron Study Site | Manises | Spain |
| Regeneron Study Site | Málaga | Spain |
| Regeneron Study Site | Santiago de Compostela | Spain |
| Regeneron Study Site | Seville | Spain |
| Regeneron Study Site | Gothenburg | Sweden |
| Regeneron Study Site | Uppsala | Sweden |
| Regeneron Study Site | Ankara | Turkey (Türkiye) |
| Regeneron Study Site | Istanbul | Turkey (Türkiye) |
| Regeneron Study Site | Izmir | Turkey (Türkiye) |
| Regeneron Study Site | Kocaeli | Turkey (Türkiye) |
| Regeneron Study Site | Chernivtsi | Chernivtsi Oblast | Ukraine |
| Regeneron Study Site | Dnipropetrovsk | Dnipropetrovsk Oblast | Ukraine |
| Regeneron Study Site | Odesa | Odesa Oblast | Ukraine |
| Regeneron Study Site | Vinnytsia | Vinnytsia Oblast | Ukraine |
| Regeneron Study Site | Kharkiv | Ukraine |
| Regeneron Study Site | Kyiv | Ukraine |
| Regeneron Study Site | Poltava | Ukraine |
| Regeneron Study Site | Sumy | Ukraine |
| Regeneron Study Site | Ternopil | Ukraine |
| Regeneron Study Site | Zaporizhzhia | Ukraine |
| Regeneron Study Site | Coventry | Birmingham | United Kingdom |
| Regeneron Study Site | Southampton | Hampshire | United Kingdom |
| Regeneron Study Site | Gillingham | Kent | United Kingdom |
| Regeneron Study Site | London | London, City of | United Kingdom |
| Regeneron Study Site | Oldham | Manchester | United Kingdom |
| Regeneron Study Site | Stockport | Manchester | United Kingdom |
| Regeneron Study Site | Belfast | United Kingdom |
| Regeneron Study Site | Birmingham | United Kingdom |
| Regeneron Study Site | Glasgow | United Kingdom |
| Regeneron Study Site | Manchester | United Kingdom |
| Regeneron Study Site | Poole | United Kingdom |
| Regeneron Study Site | Reading | United Kingdom |
| Regeneron Study Site | Sheffield | United Kingdom |
| Regeneron Study Site | Stockton-on-Tees | United Kingdom |
Participants received 2 IM doses of placebo matched to suptavumab: the first dose on Day 1 and the second dose on Day 57.
| FG002 | Part B: Suptavumab 30 mg/kg- 1 Dose | Participants received single dose of suptavumab 30 mg/kg IM on Day 1 and single dose of placebo matched to suptavumab on Day 57. |
| FG003 | Part B: Suptavumab 30 mg/kg - 2 Doses | Participants received 2 doses of suptavumab 30 mg/kg IM: the first dose on Day 1 and the second dose on Day 57. |
| COMPLETED |
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| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Part A: Suptavumab 30 mg/kg | Participants received single dose of suptavumab 30 milligram per kilogram (mg/kg) intramuscularly (IM) on Day 1. |
| BG001 | Part B: Placebo Matched to Suptavumab | Participants received 2 IM doses of placebo matched to suptavumab: the first dose on Day 1 and the second dose on Day 57. |
| BG002 | Part B: Suptavumab 30 mg/kg- 1 Dose | Participants received single dose of suptavumab 30 mg/kg IM on Day 1 and single dose of placebo matched to suptavumab on Day 57. |
| BG003 | Part B: Suptavumab 30 mg/kg - 2 Doses | Participants received 2 doses of suptavumab 30 mg/kg IM:the first dose on Day 1 and the second dose on Day 57. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| 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 | Part A: Serum Concentration of Suptavumab Over Time | Part A was primarily designed to determine the pharmacokinetics (PK) of suptavumab in infants to inform the dose regimen used in Part B of the study. The study protocol specified the process and criteria for assessment of the dose. The dose used in Part B was to remain the same as Part A if the PK data up to Day 57 demonstrated that the individual PK observations were consistent with model-predicted concentrations, following age and body weight corrections. | The PK analysis set included participants who received a single dose of suptavumab and had at least 1 measurable concentration of suptavumab in serum. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure at specific time point. | Posted | Mean | Standard Deviation | mg/L | Day 1 through Day 150 |
|
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| Primary | Part B: Percentage of Participants With Medically Attended Respiratory Syncytial Virus (RSV) Infection (Hospitalization or Outpatient Visit With Lower Respiratory Tract Infection [LRTI]) Up to Day 150 | A medically attended RSV infection defined as an infant with positive RSV test by Reverse-transcriptase polymerase chain reaction (RT-PCR) with any of following events: Hospitalized (on basis of assessment of admitting physician) for RSV infection or outpatient visit (emergency room [ER], urgent care [UC], or pediatric clinic visits [for either a sick or well visit]) with RSV lower respiratory tract infection (LRTI). An RSV LRTI in an infant: RSV proven respiratory infection (i.e positive RSV RT-PCR test) with parent(s)/guardian(s) report of cough/difficulty breathing, & with 1 of following signs of LRTI, as assessed by healthcare provider: - lower chest wall in drawing -hypoxemia (peripheral capillary oxygen saturation <95% breathing room air) - Wheezing/crackles. The 150-day efficacy assessment period: first study drug intake through the Day 150 visit. | Full analysis set (FAS) included all randomized participants who received any study drug and was analyzed according to treatment allocated by Interactive voice response system (IVRS)/ Interactive web response system (IWRS) at randomization (as randomized). | Posted | Number | Percentage of participants | From first study drug administration up to Day 150 |
| ||||||||||||||||||||||||||||||
| Secondary | Part A: Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) | Any untoward medical occurrence in participants, who received investigational medicinal product (IMP) was considered an adverse event (AE) without regard to possibility of causal relationship with this treatment. TEAEs: AEs that developed/worsened/became serious during on-treatment period (defined as time between the date of first study drug administration & date of end of study/last visit).Serious AE: Any untoward medical occurrence that resulted in any of following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious & non-serious AEs. National Cancer Institute Common Terminology Criteria (NCI-CTCAE) version 4.03(Grade 3 [severe] & Grade 4[life-threatening]) was used in this study to grade clinical AEs. | Safety analysis set (SAF) included participants who received any dose of suptavumab. | Posted | Number | Percentage of participants | Baseline through Day 150 |
|
| |||||||||||||||||||||||||||||
| Secondary | Part B: Serum Concentration of Suptavumab | Serum samples for drug concentration will be collected at pre-specified time points | The PK analysis set included participants who received a single dose of suptavumab and had at least 1 measurable concentration of suptavumab in serum. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure at specific time point. | Posted | Mean | Standard Deviation | Milligram per liter (mg/L) | Day 29, 57, 85, 113 and Day 150 Post-dose |
|
| ||||||||||||||||||||||||||||
| Secondary | Part B: Number of Participants With At Least One Positive Anti-Drug Antibody (ADA) Assay | ADA category of each participant was classified as pre-existing immunoreactivity (a positive ADA response at baseline with a <4-fold increase in titer for all post baseline samples), treatment-boosted (a positive response at baseline with at least one post baseline titer at >=4-fold the baseline titer), or treatment-emergent (TE [any positive post baseline assay response when baseline results were negative or missing]). TE ADA responses were further classified as persistent (treatment-emergent positive ADA response detected in at least 2 consecutive post baseline samples separated by at least a 12-week post baseline period [based on nominal sampling time], with no ADA-negative samples in-between, regardless of any missing samples or a positive response at the last ADA sampling time point), indeterminate (a positive assay response at the last collection time point only, regardless of any missing samples), or transient (not persistent/indeterminate, regardless of any missing samples). | The ADA analysis set contained participants who received a single dose of suptavumab and had at least 1 post-treatment ADA result. | Posted | Count of Participants | Participants | Day 1 through Day 150 |
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| Secondary | Part B: Percentage of Participants Hospitalized With Medically Attended RSV Infection or Outpatient Visit Lower Respiratory Tract Infection (LRTI) or Upper Respiratory Tract Infection (URTI) Up to Day 150 | A medically attended RSV infection was defined as an infant with a positive RSV test by RT-PCR with any of the following events: -Hospitalized (on the basis of the assessment of the admitting physician) for RSV infection - or Outpatient visit (ER, UC), or pediatric clinic visits [for either a sick or well visit]) with RSV LRTI. An RSV LRTI in an infant: RSV-proven respiratory infection (i.e, positive RSV RT-PCR test) with parent(s)/guardian(s) report of cough or difficulty breathing, and with 1 of the following signs of LRTI, as assessed by a healthcare provider: -Lower chest wall indrawing -Hypoxemia (peripheral capillary oxygen saturation <95% breathing room air) -Wheezing or crackles. The 150-day efficacy assessment period:first study drug intake through the Day 150 visit. | Analysis was performed on FAS population. | Posted | Number | Percentage of participants | From the first study drug administration up to Day 150 |
|
All Adverse Events (AEs) were collected from signature of the informed consent form up to the final visit (Part A: Day 150 and Part B: Day 237) regardless of seriousness or relationship to investigational product.
Reported AEs are TEAEs that developed/worsened during the 'on treatment period'. On treatment period for Part A: Day from first dose of drug to the End of study i.e. Day 150 & for Part B: Day from first dose of drug up to the day of last dose of drug plus 180 days. Safety analysis set. Participant data was summarized according to treatment group.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part A: Suptavumab 30 mg/kg | Participants received single dose of suptavumab 30 mg/kg IM on Day 1. | 0 | 23 | 0 | 23 | 13 | 23 |
| EG001 | Part B: Placebo Matched to Suptavumab | Participants received 2 IM doses of placebo matched to suptavumab: the first dose on Day 1 and the second dose on Day 57. | 3 | 384 | 44 | 384 | 218 | 384 |
| EG002 | Part B: Suptavumab 30 mg/kg- 1 Dose | Participants received single dose of suptavumab 30 mg/kg IM on Day 1 and single dose of placebo matched to suptavumab on Day 57. | 1 | 418 | 54 | 418 | 219 | 418 |
| EG003 | Part B: Suptavumab 30 mg/kg - 2 Doses | Participants received 2 doses of suptavumab 30 mg/kg IM: the first dose on Day 1 and the second dose on Day 57. | 0 | 348 | 29 | 348 | 198 | 348 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Leukocytosis | Blood and lymphatic system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Cardio-Respiratory arrest | Cardiac disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Cyanosis | Cardiac disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Amniotic band syndrome | Congenital, familial and genetic disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Congenital inguinal hernia | Congenital, familial and genetic disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Macrocephaly | Congenital, familial and genetic disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Abdominal distension | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Inguinal hernia | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Sandifer's syndrome | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Umbilical hernia | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Crying | General disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Death | General disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Anal abscess | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Arthritis bacterial | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Bronchiolitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Campylobacter gastroenteritis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Corona virus infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Enterovirus infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Gastrointestinal viral infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Laryngitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Lobar pneumonia | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Metapneumovirus infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Osteomyelitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Pneumonia respiratory syncytial viral | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Pneumonia viral | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Pseudocroup | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Pyelonephritis acute | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Respiratory syncytial virus bronchiolitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Respiratory syncytial virus bronchitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Respiratory syncytial virus infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Respiratory tract infection viral | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Rhinovirus infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Rotavirus infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Staphylococcal abscess | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Varicella | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Viral upper respiratory tract infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Thermal burn | Injury, poisoning and procedural complications | MedDRA (18.0) | Systematic Assessment |
| |
| Respirovirus test positive | Investigations | MedDRA (18.0) | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Failure to thrive | Metabolism and nutrition disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Eye haemangioma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.0) | Systematic Assessment |
| |
| Haemangioma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.0) | Systematic Assessment |
| |
| Intra-Abdominal haemangioma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (18.0) | Systematic Assessment |
| |
| Brain oedema | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Febrile convulsion | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Hypotonic-Hyporesponsive episode | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Tubulointerstitial nephritis | Renal and urinary disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Apnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Apnoea neonatal | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Child abuse | Social circumstances | MedDRA (18.0) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Bronchiolitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Conjunctivitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Viral upper respiratory tract infection | Infections and infestations | MedDRA (18.0) | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA (18.0) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Systematic Assessment |
|
The investigator has the right to independently publish study results from the investigator's site after a multi-center publication, or a defined period after the completion of the study by all sites. The investigator must provide the sponsor a copy of any such publication derived from the study for review and comment in advance of any submission, and delay publication, if requested, to allow the Sponsor to preserve its proprietary rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals, Inc. | 844-734-6643 | clinicaltrials@regeneron.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: Part A | Aug 9, 2016 | Jul 5, 2018 | SAP_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: Part B | Jul 28, 2017 | Jul 5, 2018 | SAP_002.pdf |
| ID | Term |
|---|---|
| D018357 | Respiratory Syncytial Virus Infections |
| ID | Term |
|---|---|
| D018186 | Pneumovirus Infections |
| D018184 | Paramyxoviridae Infections |
| D018701 | Mononegavirales Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
Not provided
Not provided
| >=32 weeks & <=35 weeks 6 days |
|
| Male |
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| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
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| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| Other |
|
| Unknown or Not Reported |
|
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| Day 15 |
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| Day 22 |
|
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| Day 29 |
|
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| Day 57 |
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| Day 85 |
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| Day 150 |
|
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| OG001 |
| Part B: Suptavumab 30 mg/kg- 1 Dose |
Participants received single dose of suptavumab 30 mg/kg IM on Day 1 and single dose of placebo matched to suptavumab on Day 57. |
| OG002 | Part B: Suptavumab 30 mg/kg - 2 Doses | Participants received 2 doses of suptavumab 30 mg/kg IM: the first dose on Day 1 and the second dose on Day 57. |
|
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Participants received single dose of suptavumab 30 mg/kg IM on Day 1 and single dose of placebo matched to suptavumab on Day 57. |
| OG002 | Part B: Suptavumab 30 mg/kg - 2 Doses | Participants received 2 doses of suptavumab 30 mg/kg IM: the first dose on Day 1 and the second dose on Day 57. |
|
|
| OG002 | Part B: Suptavumab 30 mg/kg - 2 Doses | Participants received 2 doses of suptavumab 30 mg/kg IM: the first dose on Day 1 and the second dose on Day 57. |
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