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Phase 2 N=260 Randomized Quadruple-blind Prevention

Study of Motavizumab (MEDI-524) and Palivizumab Administered Sequentially in the Same Respiratory Syncytial Virus (RSV) Season

Respiratory Syncytial Virus Infections · Chronic Lung Disease and <= 24 Months of Age or · Premature With Gestational Age <=35 Weeks and <=6 Months of Age

Enrolled (actual)
260
Serious AEs
14.3%
Results posted
Dec 2012
Primary outcome: Primary: Number of Subjects Reporting Serious Adverse Events (SAEs) — 19; 7; 11 participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Motavizumab, palivizumab (Biological); Palivizumab, motavizumab (Biological); Motavizumab (Biological)
Age
Pediatric
Sex
All
Sponsor
MedImmune LLC
Primary completion
Feb 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Subjects Reporting Serious Adverse Events (SAEs)
19; 7; 11
PRIMARY
Number of Subjects Reporting Adverse Events (AEs)
77; 75; 83
PRIMARY
Number of Subjects With Changes in Laboratory Chemistry Values Reported as AEs.
1; 1; 5; 1; 0; 0
SECONDARY
The Serum Concentrations of Motavizumab at Day 0
NA; NA; NA
SECONDARY
The Trough Serum Concentrations of Motavizumab at Day 60
74.74; 0.9417; 78.02
SECONDARY
The Trough Serum Concentrations of Motavizumab at Day 150
8.801; 93.05; 105.8
SECONDARY
The Trough Serum Concentrations of Motavizumab 120-150 Days Post Final Dose
0.5078; 7.586; 10.01
SECONDARY
The Serum Concentrations of Palivizumab at Day 0
NA; NA; NA
SECONDARY
The Trough Serum Concentrations of Palivizumab at Day 60
8.103; 87.37; 8.795
SECONDARY
The Trough Serum Concentrations of Palivizumab at Day 150
107.4; 22.89; 12.99
SECONDARY
The Trough Serum Concentrations of Palivizumab at 120-150 Days Post Final Dose
7.667; NA; NA
SECONDARY
The Immunogenicity of Motavizumab at Day 0
0; 1; 0
SECONDARY
The Immunogenicity of Motavizumab at Day 60
0; 0; 0
SECONDARY
The Immunogenicity of Motavizumab at Day 150
1; 1; 0
SECONDARY
The Immunogenicity of Motavizumab at 120 to 150 Days Post Final Dose
3; 1; 0
SECONDARY
The Immunogenicity of Motavizumab at Any Time
4; 2; 0
SECONDARY
The Immunogenicity of Palivizumab at Day 0
0; 0; 0
SECONDARY
The Immunogenicity of Palivizumab at Day 60
1; 1; 1
SECONDARY
The Immunogenicity of Palivizumab at Day 150
2; 1; 0
SECONDARY
The Immunogenicity of Palivizumab at 120 to 150 Days Post Final Dose
3; 0; 0
SECONDARY
The Immunogenicity of Palivizumab at Any Time
4; 2; 1

Summary

This is a Phase 2, randomized, double-blind study in which motavizumab (MEDI-524) and palivizumab were administered sequentially to high-risk children during the same respiratory syncytial virus (RSV) season. A control group was administered only motavizumab.

Eligibility Criteria

Inclusion Criteria

  • The child must have been born at less than or equal to 35 weeks gestation and be less than or equal to 6 months of age at the time of entry into the study (child must be entered on or before his/her 6-month birthday); or the child must be less than or equal to 24 months of age at the time of entry into the study (child must be entered on or before his/her 24-month birthday) and diagnosed with chronic lung disease (CLD) of prematurity with stable or decreasing doses of diuretics, steroids, or bronchodilators, or treatment with supplemental oxygen, within the previous 6 months.
  • The child must be in general good health at the time of study entry.
  • The child's parent(s)/legal guardian must provide written informed consent.
  • The child must be able to complete the follow-up visits through 120-150 days from last injection of study drug.
  • Parent(s)/legal guardian of patient must have available telephone access.

Exclusion Criteria

  • Hospitalized at the time of study entry (unless discharge is expected within 10 days after entry into the study)
  • Receiving chronic oxygen therapy or mechanical ventilation at the time of study entry (including continuous positive airway pressure [CPAP])
  • Congenital heart disease (CHD) (children with medically or surgically corrected [closed] patent ductus arteriosus and no other CHD may be enrolled)
  • Evidence of infection with hepatitis A, B, or C virus
  • Known renal impairment, hepatic dysfunction, chronic seizure disorder, or immunodeficiency or HIV infection (a child of a mother with known HIV infection must be proven to be uninfected at the time of enrollment)
  • Suspected serious allergic or immune-mediated events with prior receipt of palivizumab
  • Acute illness or progressive clinical disorder
  • Active infection, including acute RSV infection, at the time of enrollment
  • Previous reaction to intravenous immunoglobulin (IGIV), blood products, or other foreign proteins
  • Received within the past 120 days or currently receiving immunoglobulin products (such as RSV-IGIV [RespiGam], IVIG, or palivizumab) or any investigational agents
  • Previous participation in a clinical trial of motavizumab
  • Currently participating in any investigational study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00316264). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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