Phase 2
N=82
A Study to Assess EDP-938 for the Treatment of Acute Upper Respiratory Tract Infection With Respiratory Syncytial Virus in Adult Subjects
Respiratory Syncytial Virus
Bottom Line
View on ClinicalTrials.gov: NCT04196101 ↗Enrolled (actual)
82
Serious AEs
0.0%
Results posted
Oct 2023
Primary outcome: Primary: Total Symptom Score (TSS) Area Under the Curve (AUC) — 93.64; 62.53; 73.75; 78.34 days x Score
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- EDP-938 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Enanta Pharmaceuticals, Inc
- Primary completion
- Jan 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Total Symptom Score (TSS) Area Under the Curve (AUC) |
93.64; 62.53; 73.75; 78.34 | — |
| SECONDARY RSV RNA Viral Load Area Under the Curve (AUC) |
37.00; 46.96 | — |
| SECONDARY Number of Subjects With RSV RNA Viral Load Below Limit of Detection (LOD) |
5; 2; 12; 5; 15; 11 | — |
| SECONDARY Number of Participants With Adverse Events |
11; 11 | — |
Summary
This was a randomized, double-blind, placebo-controlled, multicentre, phase 2 study to evaluate the efficacy, safety and tolerability of orally administered EDP-938 in adults with RSV infection.
Eligibility Criteria
Inclusion Criteria
- An informed consent document must be signed and dated by the subject
- Male or female individuals aged 18 to 75 years, inclusive.
- Up to 48 hours of URTI symptoms with at least one of the following symptoms:
Nasal discharge, nasal congestion, malaise/tiredness, headache, sinus congestion, sneezing, sore throat, hoarseness, cough, shortness of breath, respiratory wheeze, earache, and/or symptoms of fever.
- Positive for RSV infection and negative for influenza virus based on rapid diagnostic.
- Must be willing and able to adhere to the study assessments, visit schedules, prohibitions, and restrictions, as described in this protocol.
Exclusion Criteria
- SARS-CoV-2 positive within 28 days of Screening or at Screening following signature of full ICF.
- Clinical evidence of a lower respiratory tract infection, as determined by the Investigator.
- Anticipated need for hospitalization or emergency room care within 24 hours of Screening.
- Receipt of systemic antiviral, antibacterial, antifungal, or antimycobacterial therapy within 7 days of Screening and for the duration of the study
- Awareness of concomitant respiratory infections that are viral (other than RSV), bacterial, or fungal, including systemic bacterial or fungal infections, within 7 days of Screening.
- Frailty scale score ≥4 at Screening.
- History of chronic liver disease (eg, hemochromatosis, Wilson's disease, alpha-1 antitrypsin deficiency, autoimmune hepatitis, nonalcoholic steatohepatitis, and/or alcoholic liver disease); a history of biliary disease (eg, primary sclerosing cholangitis, cholecystitis, choledocholithiasis); or a history of portal hypertension. A diagnosis of hepatic steatosis (fatty liver) is not exclusionary.
- Heart disease: any congenital heart disease, acute or chronic heart failure, ischemic heart disease, congenital long QT syndrome, or any clinical manifestation resulting in QT interval prolongation.
- Neurological and neurodevelopmental disorders (including disorders of the brain, spinal cord, peripheral nerve, and muscle, eg, cerebral palsy, epilepsy [seizure disorders], stroke, muscular dystrophy, or spinal cord injury).
- Malignant tumor or history of malignancy that may interfere with the aims of the study or a subject completing the study.
- Prior receipt or the subject is waiting to receive a bone marrow, stem cell, or solid organ transplantation.
- Diagnosis of cystic fibrosis.
- Known positive human immunodeficiency virus, active hepatitis A virus infection, chronic hepatitis B virus infection, and/or current or treated hepatitis C virus infection.
- Prior or planned ileal resection or bariatric surgery.
- Pregnant or nursing female subjects.
- History of alcohol addiction or current heavy alcohol use defined as: >14 standard drinks per week and/or ≥4 standard drinks per occasion for males and >7 standard drinks per week and/or ≥3 standard drinks per occasion for females. A standard drink is 12 oz of beer (5% alcohol), 5 oz table wine (12% alcohol), or 1.5 oz of spirits (40% alcohol).
- Known or suspected, in the opinion of the Investigator, renal disease or renal impairment.
- Twelve-lead ECG demonstrating a QT interval corrected for heart rate according to Fridericia (QTcF) that is >500 msec or other clinically relevant abnormalities as judged by the Investigator at Screening.
- Use of or intention to use excluded or contraindicated medication(s) or supplements, including any medication known to be a moderate or potent inducer or inhibitor of the cytochrome P450 3A4 enzyme, within 14 days prior to Screening and for the duration of the study.
- Receipt of ≥14 days of systemic immunomodulator therapy (eg, oral corticosteroids) within 3 months of Screening.
- Prior to the first dose of study drug and during study participation, the subject has received any vaccine, investigational agent, or biological product within 30 days or 5 times the half-life, whichever is longer. Note: Influenza vaccination within
Data sourced from ClinicalTrials.gov (NCT04196101). 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.