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Respiratory Syncytial VirusPhase 2NCT02508194

A Study to Evaluate the Efficacy of MEDI7510 in Older Adults

A Phase 2 study testing MEDI7510 and IIV in people with Respiratory Syncytial Virus, run by MedImmune LLC at 61 sites in 7 countries.

Terminated

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

Official record
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Trial summary

This study will be the first assessment of the efficacy of MEDI7510 for the prevention of respiratory syncytial virus (RSV) disease. It will also provide estimates of vaccine efficacy and of endpoint incidence in the placebo arm. Read more about this study

Who is it for?
Ages 60 to 99 yearsHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus
What is being tested?
MEDI7510 and IIV
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,900 participants
Where
61 sitesin 7 countries
Study dates
29 Sep 2015to 7 Nov 2016
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 60 to 99 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age ≥ 60 years at the time of screening.
  • Medically stable such that, according to the judgment of the investigator, hospitalization within the study period is not anticipated and the subject appears likely to be able to remain in follow-up through the end of protocol-specified follow-up.
  • (Season 2): Subject received MEDI7510 and IIV in the Northern Hemisphere in Season 1.

Who cannot join

  • History of allergy to any component of the vaccine.
  • Receipt of seasonal influenza vaccine within 6 months prior to Season 1 dosing.
  • History of allergy to or intolerance of IIV.
  • Pregnancy or potential to become pregnant during the study. Females who (1) have had a menstrual period within the 12 months prior to study enrollment or (2) are undergoing any fertility treatment or who plan to undergo fertility treatments during the study period are excluded.
  • History of Guillain-Barré syndrome.
  • Previous vaccination against RSV.
Show all 16Show fewer
  • History of allergy to eggs in adulthood.
  • History of or current autoimmune disorder, with the exception of stable, treated hypothyroidism caused by autoimmune thyroiditis, which is acceptable.
  • Immunosuppression caused by disease, including human immunodeficiency virus infection (assessed by history), or medications. Any receipt of oral or intravenous glucocorticoid therapy within 30 days prior to enrollment or planned dosing within the follow-up period would disqualify. Topical, intranasal, inhaled, or intra-articular corticosteroids do not disqualify. Expected need for immunosuppressive medications during the follow-up period would disqualify.
  • History of cancer within preceding 5 years other than treated non-melanoma skin cancer, locally-treated cervical cancer or in situ carcinoma of the breast.
  • Receipt of any non-study vaccine within 28 days prior to study dosing or expected receipt of non-study vaccine prior to the Day 29 visit in Season 1.
  • Receipt of any investigational product (IP) in the 90 days prior to randomization or expected receipt of IP during the period of study follow-up.
  • Receipt of immunoglobulins or blood products within 4 months of study dosing (120 days) or expected receipt of immunoglobulins or blood products during the period of study follow-up.
  • Current bleeding or clotting disorder including use of anticoagulants other than drugs with anti-platelet activity (such as nonsteroidal anti-inflammatory drugs, clopidogrel, ticagrelor or aspirin).
  • History of alcohol or drug abuse or psychiatric disorder that, in the opinion of the investigator, would affect the subject's safety or compliance with study.
  • (Season 2): Related Grade 3 or 4 adverse event (AE) including Grade 3 or 4 local reaction to either MEDI7510 or IIV, any adverse event of special interest (AESI) for an adjuvanted vaccine, or any related serious adverse event (SAE).

Trial locations and contacts

61 sites in 7 countries.

61 sites in 7 countries

United States30 sites
  • Research Site

    Akron, Ohio, 44311

  • Research Site

    Augusta, Kansas, 67010

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Bellevue, Nebraska, 68005

  • Research Site

    Champaign, Illinois, 61820

  • Research Site

    Charlotte, North Carolina, 28209

  • Research Site

    Chicago, Illinois, 60654

  • Research Site

    Cincinnati, Missouri, 45249

  • Research Site

    Council Bluffs, Iowa, 51503

  • Research Site

    Dakota Dunes, South Dakota, 57049

  • Research Site

    Edina, Minnesota, 55435

  • Research Site

    Hickory, North Carolina, 28602

  • Research Site

    Kansas City, Missouri, 64114

  • Research Site

    Knoxville, Tennessee, 37912

  • Research Site

    Lady Lake, Florida, 32159

  • Research Site

    Littleton, Colorado, 80127

  • Research Site

    Miami, Florida, 33143

  • Research Site

    Murray, Utah, 84123

  • Research Site

    Nashville, Tennessee, 37212

  • Research Site

    Norfolk, Nebraska, 68701

  • Research Site

    Omaha, Nebraska, 68134

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Raleigh, North Carolina, 27609

  • Research Site

    Rochester, New York, 14621

  • Research Site

    Rocky Mount, North Carolina, 27804

  • Research Site

    Sacramento, California, 95864

  • Research Site

    San Francisco, California, 94108

  • Research Site

    Savannah, Georgia, 31406

  • Research Site

    Wichita, Kansas, 67205

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

South Africa8 sites
  • Research Site

    Bellville, 7530

  • Research Site

    Bloemfontein, 9301

  • Research Site

    Cape Town, 7500

  • Research Site

    Johannesburg, 1818

  • Research Site

    Johannesburg, 2113

  • Research Site

    Krugersdorp, 1739

  • Research Site

    Pretoria, 184

  • Research Site

    Somerset West, 7130

Other trials in South Africa

Canada6 sites
  • Research Site

    Brampton, Ontario, L6T 0G1

  • Research Site

    London, Ontario, N5W 6A2

  • Research Site

    Newmarket, Ontario, L3Y 5G8

  • Research Site

    Québec, G1W 4R4

  • Research Site

    Toronto, Ontario, M9V 4B4

  • Research Site

    Toronto, Ontario, M9W 4L6

Other trials in Canada

Chile5 sites
  • Research Site

    Santiago, 7500701

  • Research Site

    Santiago, 8700000

  • Research Site

    Santiago, 9340000

  • Research Site

    Santiago, 9350079

  • Research Site

    Temuco, 4781156

Other trials in Chile

Lithuania5 sites
  • Research Site

    Kaunas, 49449

  • Research Site

    Kaunas, LT-48259

  • Research Site

    Kaunas, LT50009

  • Research Site

    Vilnius, 08661

  • Research Site

    Vilnius, LT-01117

Other trials in Lithuania

Estonia4 sites
  • Research Site

    Paide, 72713

  • Research Site

    Tallinn, 10117

  • Research Site

    Tallinn, 10128

  • Research Site

    Tallinn, 10617

Other trials in Estonia

Latvia3 sites
  • Research Site

    Daugavpils, LV-5401

  • Research Site

    Jelgava, LV-3001

  • Research Site

    Kuldīga, LV-3301

Other trials in Latvia

About this study

Official title: A Phase 2b Randomized, Double-blind Study to Evaluate the Efficacy of MEDI7510 for the Prevention of Acute Respiratory Syncytial Virus-associated Respiratory Illness in Older Adults

This study will be the first assessment of the efficacy of MEDI7510 for the prevention of respiratory syncytial virus (RSV) disease. It will also provide estimates of vaccine efficacy and of endpoint incidence in the placebo arm. It will also assess the safety and immunogenicity of concurrent dosing of MEDI7510 and IIV to expand on the observations made in the Phase 1b study of MEDI7510. It will also expand the safety database of participants dosed with MEDI7510. The study will also assess the immune response to MEDI7510 in Season 1 and Season 2.

Read the detailed description

A Phase 2b, double-blind, randomized, and controlled study to evaluate the efficacy of MEDI7510 in approximately 1,900 adult participants, globally, 60 years or older. Participants will be randomized in a 1:1 ratio to receive a single intramuscular dose of each of 2 study vaccines in contralateral arms: MEDI7510 + IIV or placebo + IIV in Season 1.

Participants who receive MEDI7510 in the Northern Hemisphere will be re-randomized and blinded in Season 2 to receive either MEDI7510 + IIV or placebo + IIV in a 1:1 ratio. Clinical efficacy will not be assessed in Season 2; however the safety of revaccination will be assessed in Season 2.

Being tested
MEDI7510, IIV, Placebo
Keywords
RSV, Older adults, MEDI7510, Vaccine, Efficacy

What participants receive

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

  • MEDI7510Biological

    RSV soluble fusion protein (sF) antigen plus glucopyranosyl lipid A in stable emulsion (GLA-SE) adjuvant

  • IIVBiological

    Marketed Inactivated Influenza Vaccine

  • PlaceboOther

    Sterile Saline

Study groups in NCT02508194
Study groupRoleWhat they receive
Placebo + Inactivated Influenza Vaccine (IIV)Active comparatorParticipants received a single intramuscular (IM) injection of placebo (matched with MEDI7510) in one arm and single IM injection of (IIV) in the contralateral arm.
Receives: Biological: IIV; Other: Placebo
MEDI7510 + IIVExperimentalParticipants received a single IM injection of MEDI7510 in one arm and single IM injection of IIV in the contralateral arm.
Receives: Biological: MEDI7510; Biological: IIV

What is being measured

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

  1. Percentage of Participants Who Had a First Episode of Acute Respiratory Syncytial Virus-Associated Respiratory Illness (ARA-RI) During Respiratory Syncytial Virus (RSV) Surveillance Period in Season 1

    ARA-RI was defined as an event in which a participant met specified clinical criteria and the event was laboratory-confirmed to be RSV-related. The specified clinical criteria included a minimum of 1 symptom from any 2 of the 3 symptom columns: one symptom from upper respiratory symptom column and one symptom from lower respiratory symptom column; one symptom from upper respiratory symptom column and one symptom from systemic symptom column; or one symptom from lower respiratory column and one from systemic symptom column and laboratory confirmation of RSV on at least 1 sample obtained between Day 1 to Day 8 of illness. The surveillance period was approximately 7 months and Season 1 was approximately 1 year.

    Measured: Day 14 after dosing through end of surveillance period (approximately 7 months)

Secondary outcomes (16)
  1. Percentage of Participants Who Had a RSV Polymerase Chain Reaction (PCR)-Positive Respiratory Illness During the RSV Surveillance Period in Season 1

    Detection of RSV was done by PCR method by using any respiratory sample. The incidence of RSV PCR-positive respiratory illness during the RSV surveillance period was evaluated. The surveillance period was approximately 7 months and Season 1 was approximately 1 year.

    Measured: Day 14 after dosing through end of surveillance period (approximately 7 months)

  2. Geometric Mean Responses (GMRs) of Serum Antibodies Concentration Against RSV by Anti-Fusion Protein (F) Immunoglobulin G (IgG) Assay

    Anti-F IgG antibodies concentration were determined by a multiplex IgG assay developed on the Meso Scale discovery platform. It was calculated as: anti-log2 [mean (log2 xi)], where "xi" is an antibodies concentration of participants. The Season 1 was approximately 1 year.

    Measured: Day 1, Day 29, and End of Season 1 (approximately 1 year)

  3. Geometric Mean Fold Change of Serum Antibodies Concentration Against RSV by Anti-F IgG Assay

    Anti-F IgG antibodies concentration was determined by a multiplex IgG assay developed on the Meso Scale discovery platform. It was calculated as: anti-log2 [mean (log2 yi)], where "yi" is the post dose antibody concentration or T-cell count fold change from baseline for each participant. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  4. Percentage of Participants Who Had a Post-dose Seroresponse to RSV as Measured by Anti-F IgG Assay

    Anti-F IgG antibodies were determined by a multiplex IgG assay developed on the Meso Scale discovery platform. Seroresponse was defined as a greater than or equal to (>=) 3-fold rise of serum antibodies against RSV from baseline. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  5. Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition (HAI) Antibodies to Influenza Antigens Contained in the Seasonal Influenza Vaccine

    GMT was calculated as: anti-log2 [mean (log2 xi)], where "xi" is an antibodies concentration of participants. GMTs of strain-Specific HAI antibodies (H1N1, H3N2, B Brisbane, and B Phuket) were reported. The Season 1 was approximately 1 year.

    Measured: Day 1 (post-dose) and Day 29 of Season 1

  6. Post-dose Geometric Mean Fold Change of Strain-Specific HAI Antibodies to Influenza Antigens Contained in the Seasonal Influenza Vaccine

    Geometric mean fold change was calculated as: anti-log2 [mean (log2 yi)], where "yi" is the post dose antibody concentration or T-cell count fold change from baseline for each participant. Geometric mean fold change of strain-specific HAI antibodies (H1N1, H3N2, B BRISBANE, and B PHUKET) were reported. The Season 1 was approximately 1 year.

    Measured: Day 29 of Season 1

  7. Percentage of Participants Who Had a Strain-specific Post-dose Seroresponse to HAI Antibody

    Seroresponse was defined as a >= 4-fold rise of strain-specific HAI antibodies (H1N1, H3N2, B BRISBANE, and B PHUKET) from baseline. The Season 1 was approximately 1 year.

    Measured: Day 29 of Season 1

  8. Post-dose GMTs of Serum Antibodies Against RSV by Microneutralization Assay

    Microneutralization assay was to be used to assess humoral immunity (HAI antibody titers) against RSV. GMT was to be calculated as: anti-log2 [mean (log2 xi)], where "xi" is an antibodies concentration of participants. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  9. Post-dose Geometric Mean Fold Change of Serum Antibodies Against RSV by Microneutralization Assay

    Microneutralization assay was to be used to assess humoral immunity (HAI antibody titers) against RSV. Geometric mean fold change was to be calculated as: anti-log2 [mean (log2 yi)], where "yi" is the post dose antibody concentration or T-cell count fold rise from baseline for each participant. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  10. Percentage of Participants Who Had a Post-dose Seroresponse to RSV by Microneutralization Assay

    Microneutralization assay was to be used to assess humoral immunity (HAI antibody titers) against RSV. Seroresponse was defined as a >= 3-fold rise of Serum Antibodies against RSV from baseline. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  11. Post-dose Geometric Mean Concentration (GMC) of Palivizumab Competitive Antibodies as Measured by a Palivizumab Competitive Enzyme Linked Immunosorbent Assay (cELISA)

    Palivizumab cELISA assay was to be used to assess humoral immunity (HAI antibody titers) against RSV. GMC was to be calculated as: anti-log2 [mean (log2 xi)], where "xi" is an antibodies concentration of participants. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  12. Post-dose Geometric Mean Fold Change of Palivizumab Competitive Antibodies as Measured by a Palivizumab cELISA

    Palivizumab cELISA assay was to be used to assess humoral immunity (HAI antibody titers) against RSV. Geometric mean fold change was to be calculated as: anti-log2 [mean (log2 yi)], where "yi" is the post dose antibody concentration or T-cell count fold rise from baseline for each participant. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  13. Percentage of Participants Who Had a Post-dose Seroresponse to RSV as Measured by a Palivizumab cELISA

    Palivizumab cELISA assay was to be used to assess humoral immunity (HAI antibody titers) against RSV. Seroresponse was defined as a >= 3-fold rise of Serum Antibodies against RSV from baseline. The Season 1 was approximately 1 year.

    Measured: Day 29 and End of Season 1 (approximately 1 year)

  14. Number of Participants With Any Solicited Symptoms

    Solicited symptoms: tenderness or soreness at site of injection, pain at site of injection, fatigue or tiredness, headache, generalized muscle aches, swelling at the site of injection, redness at the site of injection, fever >= 100.4 degrees Fahrenheit by any route from Day 1 to Day 7.

    Measured: Day 1 (post-dose) through Day 7

  15. Number of Participants With Treatment-Emergent Adverse Events

    An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-emergent events were between administration of study drug and Day 29 that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: Day 1 (post-dose) through Day 29

  16. Number of Participants With Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment-Emergent New Onset Chronic Disease (NOCDs)

    An serious adverse event (SAE) was an AE resulting in any of 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 administration of study drug and approximately 1 year follow up that were absent before treatment or that worsened relative to pretreatment state. An adverse event of special interest was one of scientific and medical interest specific to understanding of study drug and may have required close monitoring and rapid communication by investigator to the sponsor. A NOCD was a newly diagnosed medical condition that is of a chronic, ongoing nature. It was observed after receiving study drug and was assessed by investigator as medically significant. The Season 1 was approximately 1 year.

    Measured: Day 1 (post-dose) through end of Season 1 (approximately 1 year)

Timeline

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

  1. First posted24 Jul 2015 (estimated)
  2. Study start29 Sep 2015
  3. Primary completion9 Sep 2016
  4. Study completion7 Nov 2016

Why it stopped: Year 1 of study completed. No enrollment planned for Year 2 of study.

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
1,900 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02508194
Sponsor's protocol ID
D4420C00005
Status last verified
Dec 2017
First submitted
22 Jul 2015
Last updated
26 Dec 2017
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Chang LA, Phung E, Crank MC, Morabito KM, Villafana T, Dubovsky F, Falloon J, Esser MT, Lin BC, Chen GL, Graham BS, Ruckwardt TJ. A prefusion-stabilized RSV F subunit vaccine elicits B cell responses with greater breadth and potency than a postfusion F vaccine. Sci Transl Med. 2022 Dec 21;14(676):eade0424. doi: 10.1126/scitranslmed.ade0424. Epub 2022 Dec 21.

    PubMed 36542692
  • Falloon J, Yu J, Esser MT, Villafana T, Yu L, Dubovsky F, Takas T, Levin MJ, Falsey AR. An Adjuvanted, Postfusion F Protein-Based Vaccine Did Not Prevent Respiratory Syncytial Virus Illness in Older Adults. J Infect Dis. 2017 Dec 12;216(11):1362-1370. doi: 10.1093/infdis/jix503.

    PubMed 29029260

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI7510 and IIV in people with Respiratory Syncytial Virus, run by MedImmune LLC at 61 sites in 7 countries.

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 3 inclusion and 16 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 26 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 sites in United States, South Africa, Canada, Chile, Lithuania and 2 more countries. 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. 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 20 Dec 2017). 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?

Percentage of Participants Who Had a First Episode of Acute Respiratory Syncytial Virus-Associated Respiratory Illness (ARA-RI) During Respiratory Syncytial Virus (RSV) Surveillance Period in Season 1 (time frame: Day 14 after dosing through end of surveillance period (approximately 7 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02508194, which also lists 2 linked publications.

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 26 Dec 2017.

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