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Participants Less Than 12 Months of Age With RSV IllnessPhase 2NCT00435227

A Study to Evaluate a Single Intramuscular Dose of Motavizumab to Treat Children With Respiratory Syncytial Virus (RSV) Illness

A Phase 2 study testing Motavizumab in people with Participants Less Than 12 Months of Age With RSV Illness, run by MedImmune LLC at 31 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This was a Phase 2, randomized, double-blind, placebo-controlled, multicenter study to determine the effect of a single 30 mg/kg intramuscular (IM) dose of motavizumab on viral load and motavizumab levels in the upper respiratory tract of children who present with RSV illness but who do not require hospitalization. Read more about this study

Who is it for?
Ages 0 to 12 months
What is being tested?
Motavizumab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
12 participants
Where
31 sitesUnited States
Study dates
20 Mar 2007to 31 May 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 to 12 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Previously healthy
  • Age ≤12 months at the time of randomization
  • Weight ≤10 kg at the time of randomization
  • Gestational age ≥36 weeks
  • RSV illness (must have coryza) documented by a positive RSV test at the time of evaluation
  • Documented stable clinical condition that does not require hospitalization (oxygen saturation ≥ 95%; respiratory rate < 60 breaths/minute in children < 2 months and < 50 breaths/minute in children 2-12 months)
Show all 9Show fewer
  • Respiratory Distress Assessment Instrument (RDAI) score of ≤ 6 (there can be no more than 1 point assigned for each of the 6 assessment categories) at baseline evaluation
  • Randomization within 4 hours of being evaluated with a positive Binax® RSV test
  • Written informed consent obtained from the participant's parent(s) or legal guardian

Who cannot join

  • Prior receipt of or receiving treatment with steroids (except topical steroids) prior to randomization
  • Prior medically diagnosed RSV infection
  • Prior receipt of or receiving anti-viral treatment for the current episode of RSV infection prior to randomization
  • Any medically significant underlying ongoing chronic illness or organ system dysfunction or other known acute illness, other than the acute RSV infection
  • Known renal impairment, hepatic dysfunction, hematologic abnormalities, seizure or other neurologic disorder or immunodeficiency
  • Requirement for supplemental oxygen (brief use of oxygen in the immediate postnatal period to treat a transient condition is allowed)
Show all 13Show fewer
  • Mechanical ventilation at any time prior to the onset of the current RSV infection
  • Congenital heart disease [children with medically or surgically closed patent ductus arteriosus (PDA), small atrial septal defect (ASD) or small ventricular septal defect (VSD) will be allowed]
  • Previous reaction to intravenous immunoglobulin (IVIG), blood products, or other foreign proteins
  • Prior use of IVIG, RSV-IGIV (RespiGam®), motavizumab or other immunoglobulin products within the past 2 months
  • Prior use of palivizumab (Synagis®) within the past 2 months
  • Currently receiving other investigational agents or have received any other investigational agents within the last 3 months
  • Prior or current participation in any investigational study with a therapeutic agent or vaccine for RSV

Trial locations and contacts

31 sites in 1 country.

31 sites in 1 country

United States31 sites
  • Research Site

    Atlanta, Georgia, 30342

  • Research Site

    Augusta, Georgia, 30912

  • Research Site

    Baltimore, Maryland

  • Research Site

    Boston, Massachusetts, 02111

  • Research Site

    Brooklyn, New York, 11203-2098

  • Research Site

    Buffalo, New York, 14222-2099

  • West Virginia University Pediactric Center

    Charleston, West Virginia, 25302

  • Research Site

    Charleston, West Virginia, 72205

  • Research Site

    Chicago, Illinois

  • Research Site

    Dallas, Texas, 75230

  • Research Site

    Dallas, Texas, 75390

  • Research Site

    Detroit, Michigan, 48201

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Huntington, West Virginia, 25701-3655

  • Research Site

    Jonesboro, Arkansas, 72401

  • Research Site

    Jonesboro, Arkansas

  • Research Site

    Las Vegas, Nevada, 89107

  • Research Site

    Little Rock, Arkansas, 72202

  • Research Site

    Little Rock, Arkansas

  • Research Site

    Miami, Florida

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    Nashville, Tennessee, 37232-2581

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Orange, California, 92868

  • Research Site

    Paterson, New Jersey, 07503

  • Research Site

    Richmond, Virginia, 23298

  • Research Site

    San Diego, California, 92103

  • Research Site

    Tampa, Florida, 33606

  • Research Site

    The Bronx, New York

  • Research Site

    Tucson, Arizona

  • Research Site

    Youngstown, Ohio, 44051

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate a Single Intramuscular Dose of Motavizumab (MEDI-524), a Humanized Enhanced Potency Monoclonal Antibody Against Respiratory Syncytial Virus (RSV), for the Outpatient Treatment of Children With RSV Illness

This was a Phase 2, randomized, double-blind, placebo-controlled, multicenter study to determine the effect of a single 30 mg/kg intramuscular (IM) dose of motavizumab on viral load and motavizumab levels in the upper respiratory tract of children who present with RSV illness but who do not require hospitalization. Using 1:1 randomization, 30 mg/kg motavizumab or placebo will be administered as soon as possible after a child's diagnosis of RSV and his/her eligibility for the study has been confirmed.

Read the detailed description

This was a Phase 2, randomized, double-blind, placebo-controlled, multicenter study to determine the effect of a single 30 mg/kg IM dose of motavizumab on viral load in the upper respiratory tract of children who present with RSV illness but who do not require hospitalization. Participants were randomly assigned in a 1:1 ratio to 30 mg/kg motavizumab or placebo as soon as possible after a child's diagnosis of RSV and his/her eligibility for the study had been confirmed. Randomization was stratified by age (<6 months and greater than or equal to 6 to less than or equal to 12 months of age) and by site. Enrollment of an initial 100 children (50 per treatment group) will take place at multiple sites beginning in the 2006-2007 RSV season. The study was terminated early due to inability to enroll the planned number of participants.

Being tested
Motavizumab, Placebo
Keywords
Respiratory Syncytial Viruses, RSV

What participants receive

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

  • MotavizumabBiological

    Also called MEDI-524

    A single IM dose of 30 mg/kg will be administered on Day 0 of the study.

  • PlaceboOther

    A single IM dose of placebo matched to motavizumab will be administered on Day 0 of the study.

Study groups in NCT00435227
Study groupRoleWhat they receive
MotavizumabExperimentalParticipants will receive a single IM dose of 30 mg/kg of motavizumab on Day 0 of the study.
Receives: Biological: Motavizumab
PlaceboPlacebo comparatorParticipants will receive a single IM dose of placebo matched to motavizumab on Day 0 of the study.
Receives: Other: Placebo

What is being measured

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

  1. Respiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract of RSV-infected Participants as Measured by Reverse Transcriptase-polymerase Chain Reaction (RT-PCR) at Day 0

    The RSV viral load is measured by real-time RT-PCR in the RSV-infected participants. RSV-infected children are those who are positive for any RSV by RT-PCR of nasal wash aspirates.

    Measured: Day 0

  2. RSV Load in the Upper Respiratory Tract of RSV-infected Participants as Measured by RT-PCR at Day 2

    The RSV viral load is measured by real-time RT-PCR in the RSV-infected participants. RSV-infected children are those who are positive for any RSV by RT-PCR of nasal wash aspirates.

    Measured: Day 2

  3. RSV Load in the Upper Respiratory Tract of RSV-infected Participants as Measured by RT-PCR at Day 30

    The RSV viral load is measured by real-time RT-PCR in the RSV-infected participants. RSV-infected children are those who are positive for any RSV by RT-PCR of nasal wash aspirates.

    Measured: Day 30

  4. RSV Load in the Upper Respiratory Tract of RSV-infected Participants as Measured by RT-PCR at Day 90

    The RSV viral load is measured by real-time RT-PCR in the RSV-infected participants. RSV-infected children are those who are positive for any RSV by RT-PCR of nasal wash aspirates.

    Measured: Day 90

Secondary outcomes (18)
  1. Percentage of Participants Who Have Progression of RSV Illness That Requires Subsequent Hospitalization

    The percentage of participants who have progression of RSV illness that requires subsequent hospitalization is reported. RSV illness symptomps included fever, coryza, cough, and parental opinion of return to normal health and activity.

    Measured: From Randomiation (Day 0) Up to Day 30

  2. Respiratory Assessment Change Score (RACS) Derived From Baseline

    The RACS assesses changes in wheezing and retractions as measured by the respiratory distress assessment instrument (RDAI) score and changes in respiratory rate. A RDAI score is a measure of the degree of severity of wheezing and retractions, with score range from 0 to 17; higher scores indicate more severe disease. Respiratory rate is summarized by raw scores and standardized change score. Change in respiratory rate of less than or equal to (<=) 5% from baseline is counted as a change of 0 units and a change in respiratory rate is assigned 1 point per each 10% change in respiratory rate. The RACS is calculated as arithmetic sum of RDAI score change and of the standardized respiratory rate change (for example, a child showing improvement who had a RDAI of -5 and a respiratory rate change of -2 would have a RACS score of -7). The RACS assessment does not have a minimum and/or maximum scale range. A decrease in RACS represents improvement, whereas an increase signifies deterioration.

    Measured: Baseline (Day 0); and Days 2, 7, and 30

  3. Change From Baseline in Oxygen Saturation Level

    Change from baseline in oxygen saturation level is reported.

    Measured: Baseline (Day 0), Days 2, 7, and 30

  4. Change in RACS of RSV-infected Outpatient Participants Who Subsequently Required Hospitalization

    The RACS assesses changes in wheezing and retractions as measured by the RDAI score and changes in respiratory rate. A RDAI score is a measure of the degree of severity of wheezing and retractions, with score range from 0 to 17; higher scores indicate more severe disease. Respiratory rate is summarized by raw scores and standardized change score. A change in respiratory rate of <= 5% from baseline is counted as a change of 0 units and a change in respiratory rate is assigned 1 point per each 10% change in the respiratory rate. The RACS is calculated as the arithmetic sum of the RDAI score change and of the standardized respiratory rate change (for example, a child showing improvement who had a RDAI of -5 and a respiratory rate change of -2 would have a RACS score of -7). The RACS assessment does not have a minimum and/or maximum scale range. A decrease in the RACS represents improvement, whereas an increase signifies deterioration.

    Measured: Baseline (Day 0) to Day 30

  5. Oxygen Saturation Levels in RSV-infected Outpatient Participants Who Subsequently Required Hospitalization

    Measured: Baseline (Day 0) to Day 30

  6. Heart Rate of RSV-infected Outpatient Participants Who Subsequently Required Hospitalization

    Measured: Baseline (Day 0) to Day 30

  7. Respiratory Rate of RSV-infected Outpatient Participants Who Subsequently Required Hospitalization

    Measured: Baseline (Day 0) to Day 30

  8. Number of Participants Who Required Hospitalization, Intensive Care Unit (ICU) Stay, Supplemental Oxygen, and Mechanical Ventilation

    Number of participants who required hospitalization, ICU stay, supplemental oxygen, and mechanical ventilation is reported.

    Measured: Baseline (Day 0) to Day 90

  9. Duration of Hospitalization, ICU Stay, Supplemental Oxygen Used, and Mechanical Ventilation Required

    Measured: Baseline (Day 0) to Day 90

  10. Number of Participants Who Progresses From Upper Respiratory Tract Infection to Lower Respiratory Tract Infection (LRI)

    A LRI event is one that has a medical diagnosis of bronchiolitis or pneumonia. In the absence of such a medical diagnosis, the occurrence of LRI events will be determined by the principal investigator after review of the medical record and based on the presence of retractions or lower respiratory tract rhonchi, wheezing, crackles, or rales in children with a positive RSV test.

    Measured: Baseline (Day 0) to Day 30

  11. Number of LRI Infected Participants Who Required Hospitalization, ICU Stay, Supplemental Oxygen, Mechanical Ventilation, and Respiratory Medications

    Number of LRI infected participants who required hospitalization, ICU stay, supplemental oxygen, mechanical ventilation, and respiratory medications are reported.

    Measured: Baseline (Day 0) to Day 30

  12. RACS in Participants With LRI

    The RACS assesses changes in wheezing and retractions as measured by RDAI score and changes in respiratory rate. A RDAI score is a measure of degree of severity of wheezing and retractions, with score range from 0 to 17; higher scores indicate more severe disease. Respiratory rate is summarized by raw scores and standardized change score. A change in respiratory rate of <= 5% from baseline is counted as a change of 0 units and a change in respiratory rate is assigned 1 point per each 10% change in the respiratory rate. The RACS is calculated as the arithmetic sum of the RDAI score change and of the standardized respiratory rate change (for example, a child showing improvement who had a RDAI of -5 and a respiratory rate change of -2 would have a RACS score of -7). The RACS assessment does not have a minimum and/or maximum scale range. A decrease in the RACS represents improvement, whereas an increase signifies deterioration. RACS in participants with LRI is reported.

    Measured: From Baseline (Day 0) to Days 2, 7, and 30

  13. Motavizumab Concentration in Upper Respiratory Tract

    Motavizumab concentration in upper respiratory tract (nasal wash aspirates) is reported.

    Measured: Days 0 (pre-dose), 2, and 30

  14. Serum Concentration of Motavizumab

    Serum concentration of motavizumab is reported.

    Measured: Days 2, 30, and 90

  15. Numbers of Participants With Positive Anti-Motavizumab Antibodies

    The number of participants with positive serum antibodies to motavizumab are reported.

    Measured: Days 0 (pre-dose) and 90

  16. Serum Cytokine Levels

    Serum Cytokine Levels are reported.

    Measured: Days 0 (pre-dose), 30, and 90

  17. Nasal Wash Cytokine Levels

    Nasal wash cytokine levels are reported.

    Measured: Days 0 (pre-dose), 2, 30, and 90

  18. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is 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. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

    Measured: From the administration of study drug (Day 0) through Day 90

Timeline

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

  1. First posted14 Feb 2007 (estimated)
  2. Study start20 Mar 2007
  3. Primary completion31 May 2008
  4. Study completion31 May 2008

Why it stopped: The study was terminated early due to an inability to enroll the planned number of participants

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00435227
Sponsor's protocol ID
MI-CP146
Status last verified
Jul 2021
First submitted
13 Feb 2007
Last updated
17 Aug 2021
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Motavizumab in people with Participants Less Than 12 Months of Age With RSV Illness, run by MedImmune LLC at 31 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 17 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Aug 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Respiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract of RSV-infected Participants as Measured by Reverse Transcriptase-polymerase Chain Reaction (RT-PCR) at Day 0 (time frame: Day 0). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2021.

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