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InfluenzaPhase 1/2MEDI8852NCT02603952

A Phase 2a to Evaluate the Safety of MEDI8852 in Adults With Uncomplicated Influenza

A Phase 1/2 study testing Oseltamivir and MEDI8852 in people with Influenza, run by MedImmune LLC at 31 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate safety and tolerability of a single dose of MEDI8852 when given with oseltamivir, the safety and tolerability of oseltamivir alone, and the safety and tolerability of a single dose of MEDI8852 alone in adult participants with acute, uncomplicated influenza caused by Type A… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Influenza
What is being tested?
Oseltamivir and MEDI8852
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
126 participants
Where
31 sitesin 2 countries
Study dates
7 Dec 2015to 9 Dec 2016
Phase
Phase 1/2
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 through 65 years at the time of screening.
  • Symptomatic presumptive Influenza A infection with onset of symptoms less than or equal to (≤) 5 days prior to MEDI8852 administration and defined as the presence of:
  • Fever of greater than or equal to (≥) 38.0 degrees Celsius (100.4 degrees Fahrenheit) at screening AND
  • ≥ 1 moderate systemic symptom (headache, malaise, myalgia, sweats and/or chills, or fatigue) AND
  • ≥ 1 moderate respiratory symptom (cough, sore throat, or nasal symptoms)
  • Influenza A infection confirmed with positive rapid antigen test
  • Able to complete the follow-up period through Day 101 as required by protocol (including telephone follow-up for Days 11 to 101)
  • Females of childbearing potential who are sexually active with a nonsterilized male partner must use a highly effective method of contraception for at least 2 days prior to the first dose of investigational product and must agree to continue using such precautions through Day 101 of the study

Who cannot join

  • Hospitalized subjects.
  • Receipt of influenza antiviral therapy within the preceding 14 days.
  • Receipt of immunoglobulin or blood products within 6 months prior to screening.
  • Known immunodeficiency due to illness, including human immunodeficiency virus (HIV), or due to drugs, including any course of glucocorticoid therapy exceeding 2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day within 6 months prior to screening.
  • Current clinical evidence of pneumonia.
  • Active bacterial infection requiring treatment with oral or parenteral antibiotics.
  • History of malignancy other than treated non-melanoma skin cancers or locally-treated cervical cancer in previous 3 years.
  • Any planned surgical procedure before completion of Day 101.

Trial locations and contacts

31 sites in 2 countries.

31 sites in 2 countries

United States22 sites
  • Research Site

    Avon, Indiana, 46123

  • Research Site

    Butte, Montana, 59701

  • Research Site

    Canoga Park, California, 91303

  • Research Site

    Clinton, Utah, 84015

  • Research Site

    Hialeah, Florida, 33012

  • Research Site

    Hialeah, Florida, 33013

  • Research Site

    Hialeah, Florida, 33016

  • Research Site

    Hickory, North Carolina, 28602

  • Research Site

    Long Beach, California, 90806

  • Research Site

    Los Angeles, California, 90017

  • Research Site

    Miami, Florida, 33165

  • Research Site

    Miami, Florida, 33173

  • Research Site

    Miami, Florida, 33185

  • Research Site

    Miami Lakes, Florida, 33014

  • Research Site

    Muncie, Indiana, 47304

  • Research Site

    New Orleans, Louisiana, 70124

  • Research Site

    North Miami Beach, Florida, 33162

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    Shelby, North Carolina, 28150

  • Research Site

    Smithfield, Pennsylvania, 15478

  • Research Site

    Troy, Michigan, 48085

  • Research Site

    Upland, California, 91786

Other trials in United States

South Africa9 sites
  • Research Site

    Durban, 4001

  • Research Site

    Johannesburg, 2113

  • Research Site

    Pretoria, 0087

  • Research Site

    Pretoria, 0157

  • Research Site

    Pretoria, 0181

  • Research Site

    Pretoria, 0183

  • Research Site

    Thabazimbi, 0380

  • Research Site

    Welkom, 9460

  • Research Site

    Winnie Mandela, 9400

Other trials in South Africa

About this study

Official title: A Phase 2a, Randomized, Partial Double-blind, Single Dose, Active-controlled, Dose Ranging Study to Evaluate the Safety of MEDI8852 in Adults With Acute, Uncomplicated Influenza

The purpose of this study is to evaluate safety and tolerability of a single dose of MEDI8852 when given with oseltamivir, the safety and tolerability of oseltamivir alone, and the safety and tolerability of a single dose of MEDI8852 alone in adult participants with acute, uncomplicated influenza caused by Type A strains.

Read the detailed description

The MEDI8852 phase 2a study will evaluate the safety and tolerability of a single intravenous (IV) dose of MEDI8852 administered in conjunction with oseltamivir, the safety and tolerability of oseltamivir alone and the safety and tolerability of a single IV dose of MEDI8852 alone in adult participants with confirmed acute, uncomplicated influenza caused by Type A strains. Enrollment is planned in the United States, South Africa, and Australia.

Conditions
Influenza
Being tested
Oseltamivir, MEDI8852, Placebo
Keywords
Influenza, Influenza A, Flu, Flu A
Medical subject headings
Influenza, Human

What participants receive

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

  • OseltamivirDrug

    75 mg capsules orally BID from Day 1 to Day 5.

  • MEDI8852Drug

    MEDI8852 is a human IgG1 kappa monoclonal antibody (mAb) administered as a single IV infusion of 750 mg or 3000 mg on Day 1.

  • PlaceboDrug

    Placebo is salt-water solution containing no active ingredients and administered as a single IV infusion on Day 1.

Study groups in NCT02603952
Study groupRoleWhat they receive
Placebo + Oseltamivir 75 mgPlacebo comparatorParticipants will receive a single intravenous (IV) infusion of placebo (matched to MEDI8852) on Day 1 and oseltamivir 75 milligrams (mg) capsules orally twice a day (BID) from Day 1 to Day 5.
Receives: Drug: Oseltamivir; Drug: Placebo
MEDI8852 750 mg + Oseltamivir 75 mgExperimentalParticipants will receive a single IV infusion of MEDI8852 750 mg on Day 1 and oseltamivir 75 mg capsules orally BID from Day 1 to Day 5.
Receives: Drug: Oseltamivir; Drug: MEDI8852
MEDI8852 3000 mg + Oseltamivir 75 mgExperimentalParticipants will receive a single IV infusion of MEDI8852 3000 mg on Day 1 and oseltamivir 75 mg capsules orally BID from Day 1 to Day 5.
Receives: Drug: Oseltamivir; Drug: MEDI8852
MEDI8852 3000 mgExperimentalParticipants will receive a single IV infusion of MEDI8852 3000 mg on Day 1.
Receives: Drug: MEDI8852

What is being measured

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

  1. Number of Participants With Any Solicited Influenza Symptoms From Day 1 Through Day 10

    Solicited influenza symptoms included cough, nasal congestion, sore throat, aches and pains, fatigue (tiredness), headache, chills/sweats (feeling feverish).

    Measured: Day 1 (post-dose) through Day 10

  2. Number of Participants With Any Solicited Influenza Symptoms From Day 10 Through Day 13

    Solicited influenza symptoms included cough, nasal congestion, sore throat, aches and pains, fatigue (tiredness), headache, chills/sweats (feeling feverish).

    Measured: Day 10 through Day 13

  3. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    An adverse event (AE) is 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 28 that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: Day 1 (post-dose) through Day 28

  4. Number of Participants With Treatment-Emergent Serious Adverse Events (TESAEs)

    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. Treatment-emergent events were between administration of study drug and Day 101 that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: Day 1 (post-dose) through Day 101

  5. Number of Participants With Treatment Emergent Adverse Events of Special Interest (TEAESIs)

    An AE is any untoward medical occurrence attributed to study drug in a participant who received study drug. An AESI was one of scientific and medical interest specific to understanding of the study drug and may have required close monitoring and rapid communication by the investigator to the sponsor. Treatment-emergent events were between administration of study drug and Day 101 that were absent before treatment or that worsened relative to pre treatment state.

    Measured: Day 1 (post-dose) through Day 101

Secondary outcomes (6)
  1. Percentage of Participants With Influenza Viral Shedding as Measured by Quantitative Reverse Transcription-Polymerase Chain Reaction (qRT-PCR)

    Quantitative real-time polymerase chain reaction (qRT-PCR) was used to measure influenza viral shedding from the nasopharyngeal swabs. Percentage of participants who shed influenza virus are reported.

    Measured: Baseline (Day 1) and Days 3, 5, 7, 9, 11, and 13

  2. Quantitation of Influenza Viral Shedding as Measured by qRT-PCR

    qRT-PCR was used to measure influenza viral shedding from the nasopharyngeal swabs.

    Measured: Baseline (Day 1) and Days 3, 5, 7, 9, 11, and 13

  3. Number of Days of Influenza Viral Shedding as Measured by qRT-PCR

    Number of days of viral shedding for participants who shed influenza virus is reported. qRT-PCR was used to measure influenza viral shedding from the nasopharyngeal swabs.

    Measured: From Baseline (Day 1) to Day 7; and Day 9 to Day 13

  4. Percentage of Participants With Amino Acid Changes in MEDI8852 Binding Site

    Genotypic analysis was performed to identify all amino acid changes in MEDI8852 binding site between each baseline (Day1) sample and the participant's corresponding last sample sequenced. Percentage of participants with changes in the amino acid corresponding to MEDI8852 binding site is reported. Due to the fact that the percentage of participants with amino acid changes in MEDI8852 binding site was zero across all participant samples analyzed, no additional per arm analyses were performed.

    Measured: From Baseline (Day 1) to Day 13

  5. Number of Participants With Viral Susceptibility to MEDI8852 as Determined by a Cell Based Microneutralization Assay

    Viral susceptibility to MEDI8852 was measured by a Madin-Darby canine kidney (MDCK) cell-based microneutralization assay (Virospot) for viruses recovered from baseline samples and viruses recovered from samples following treatment that contain amino acid changes within the MEDI8852 binding site. Participants with detectable levels (50% tissue culture infectious dose [TCID50]) of virus were considered susceptible and were reported. Due to the fact that the number of participants with viral susceptibility to MEDI8852 binding site was zero across all participant samples analyzed, no additional per arm analyses were performed.

    Measured: From Baseline (Day 1) to Day 13

  6. Percentage of Participants With Virus Containing Known Oseltamivir Resistance-Associated Mutations

    Genotypic analysis was performed to identify all amino acid changes in neuraminidase (NA) gene between each baseline (Day1) sample and the participant's corresponding last sample sequenced. Percentage of participants with virus containing known oseltamivir resistance-associated mutations (change in the NA genes) is reported. Due to the fact that the percentage of participants with virus containing known oseltamivir resistance-associated mutation was zero across all participant samples analyzed, no additional per arm analyses were performed.

    Measured: From Baseline (Day 1) to Day 13

Timeline

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

  1. First posted13 Nov 2015 (estimated)
  2. Study start7 Dec 2015
  3. Primary completion9 Dec 2016
  4. Study completion9 Dec 2016

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
126 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02603952
Sponsor's protocol ID
D6000C00002
Acronym
MEDI8852
Status last verified
May 2018
First submitted
2 Nov 2015
Last updated
8 Jun 2018
Data monitoring committee
No

Publications

  • Ali SO, Takas T, Nyborg A, Shoemaker K, Kallewaard NL, Chiong R, Dubovsky F, Mallory RM. Evaluation of MEDI8852, an Anti-Influenza A Monoclonal Antibody, in Treating Acute Uncomplicated Influenza. Antimicrob Agents Chemother. 2018 Oct 24;62(11):e00694-18. doi: 10.1128/AAC.00694-18. Print 2018 Nov.

    PubMed 30150460

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Oseltamivir and MEDI8852 in people with Influenza, run by MedImmune LLC at 31 sites in 2 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 8 inclusion and 8 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: finished, as of the sponsor's last update on 8 Jun 2018. 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, South Africa. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 8 Jun 2018). 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?

Number of Participants With Any Solicited Influenza Symptoms From Day 1 Through Day 10 (time frame: Day 1 (post-dose) through Day 10). The study lists 5 primary outcomes in all. 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 NCT02603952, which also lists 1 linked publication.

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 8 Jun 2018.

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