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Respiratory Syncytial Virus InfectionsPhase 2MEDI8897 Ph2bNCT02878330

A Study to Evaluate the Safety and Efficacy of MEDI8897 for the Prevention of Medically Attended RSV LRTI in Healthy Preterm Infants.

A Phase 2 study testing MEDI8897 in people with Respiratory Syncytial Virus Infections, run by MedImmune LLC at 161 sites in 23 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics (PK), and antidrug antibody (ADA) response for MEDI8897 in healthy preterm infants who are between 29 and 35 weeks gestational age (GA) and entering their first Respiratory Syncytial Virus (RSV) season. Read more about this study

Who is it for?
Ages Up to 365 daysHealthy volunteers can take part
Conditions the study is for
Respiratory Syncytial Virus Infections
What is being tested?
MEDI8897
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,453 participants
Where
161 sitesin 23 countries
Study dates
3 Nov 2016to 6 Dec 2018
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 Up to 365 days
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy infants born between 29 weeks 0 days and 34 weeks 6 days GA.
  • Infants who are entering their first full RSV season at the time of screening.

Who cannot join

  • Meets American Academy of Pediatrics (AAP) or other local criteria to receive commercial palivizumab.
  • Any fever (>= 100.4°F [>= 38.0°C], regardless of route) or lower respiratory illness within 7 days prior to randomization.
  • Acute illness (defined as the presence of moderate or severe signs and symptoms) at the time of randomization.
  • Active RSV infection (a child with signs/symptoms of respiratory infection must have negative RSV testing) or known prior history of RSV infection.
  • Receipt of palivizumab or other RSV monoclonal antibody or any RSV vaccine, including maternal RSV vaccination.

Trial locations and contacts

161 sites in 23 countries.

161 sites in 23 countries

United States60 sites
  • Research Site

    Anaheim, California, 92804

  • Research Site

    Anaheim, California, 92805

  • Research Site

    Atlanta, Georgia, 30322

  • Research Site

    Augusta, Georgia, 30912

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Birmingham, Alabama, 35205

  • Research Site

    Boone, North Carolina, 28607

  • Research Site

    Charleston, South Carolina, 29425

  • Research Site

    Chicago, Illinois, 60611

  • Research Site

    Cincinnati, Ohio, 45229

  • Research Site

    Cleveland, Ohio, 44109

  • Research Site

    Colorado Springs, Colorado, 80922

  • Research Site

    Columbia, Missouri, 65212

  • Research Site

    Columbus, Ohio, 43205

  • Research Site

    Columbus, Ohio, 43231

  • Research Site

    Dayton, Ohio, 45414

  • Research Site

    Detroit, Michigan, 48201

  • Research Site

    Downey, California, 90241

  • Research Site

    Edinburg, Texas, 78539

  • Research Site

    Erie, Pennsylvania, 16506

  • Research Site

    Fort Worth, Texas, 76107

  • Research Site

    Gainesville, Florida, 32607

  • Research Site

    Galveston, Texas, 77555

  • Research Site

    Gresham, Oregon, 97030

  • Research Site

    Hartford, Connecticut, 06106

  • Research Site

    Huntington, West Virginia, 25701

  • Research Site

    Jackson, Mississippi, 39216

  • Research Site

    Layton, Utah, 84041

  • Research Site

    Lincoln, Nebraska, 68504

  • Research Site

    Long Beach, California, 90806

  • Research Site

    Longview, Texas, 75605

  • Research Site

    Los Angeles, California, 90027

  • Research Site

    Madison, Wisconsin, 53792

  • Research Site

    Memphis, Tennessee, 38103

  • Research Site

    Mineola, New York, 11501

  • Research Site

    Morgantown, West Virginia, 26506

  • Research Site

    New Hyde Park, New York, 11040

  • Research Site

    North Charleston, South Carolina, 29406

  • Research Site

    Oak Lawn, Illinois, 60068

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Omaha, Nebraska, 68124

  • Research Site

    Omaha, Nebraska, 68134

  • Research Site

    Omaha, Nebraska, 68198

  • Research Site

    Orem, Utah, 84057

  • Research Site

    Orlando, Florida, 32806

  • Research Site

    Paramount, California, 90723

  • Research Site

    Park Ridge, Illinois, 60068

  • Research Site

    Pittsburgh, Pennsylvania, 15224

  • Research Site

    Raleigh, North Carolina, 27609

  • Research Site

    San Antonio, Texas, 78249

  • Research Site

    San Diego, California, 92123

  • Research Site

    Seattle, Washington, 98105

  • Research Site

    Sioux Falls, South Dakota, 57104

  • Research Site

    South Bend, Indiana, 46601

  • Research Site

    South Miami, Florida, 33143

  • Research Site

    Stony Brook, New York, 11794

  • Research Site

    Syracuse, New York, 13210-2306

  • Research Site

    Syracuse, Utah, 84075

  • Research Site

    West Covina, California, 91790

  • Research Site

    Woburn, Massachusetts, 01801

Other trials in United States

Hungary13 sites
  • Research Site

    Budapest, 1062

  • Research Site

    Budapest, 1094

  • Research Site

    Budapest, 1131

  • Research Site

    Budapest, 1204

  • Research Site

    Gyula, 5700

  • Research Site

    Kecskemét, 6000

  • Research Site

    Miskolc, 3526

  • Research Site

    Nagykanizsa, 8800

  • Research Site

    Nyireyghaza, 4400

  • Research Site

    Sopron, 9400

  • Research Site

    Szeged, 6720

  • Research Site

    Szekszárd, 7100

  • Research Site

    Veszprém, 8200

Other trials in Hungary

Spain12 sites
  • Research Site

    Alicante, 03010

  • Research Site

    Boadilla del Monte, 28660

  • Research Site

    Córdoba, 14004

  • Research Site

    Granada, 18014

  • Research Site

    Lleida, 25198

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28046

  • Research Site

    Málaga, 29011

  • Research Site

    Sant Cugat del Vallès, 8190

  • Research Site

    Sant Joan d'Alacant, 03550

  • Research Site

    Santiago de Compostela, 15706

  • Research Site

    Valencia, 46017

Other trials in Spain

South Africa8 sites
  • Research Site

    Cape Town, 7500

  • Research Site

    Cape Town, 7700

  • Research Site

    Claremont, 7708

  • Research Site

    Durban, 4091

  • Research Site

    Johannesburg, 2013

  • Research Site

    Johannesburg, 2193

  • Research Site

    Pietermaritzburg, 3201

  • Research Site

    Pretoria, 0087

Other trials in South Africa

Chile7 sites
  • Research Site

    Maipú, 9250000

  • Research Site

    Santiago, 8053095

  • Research Site

    Santiago, 8380453

  • Research Site

    Santiago, 8420383

  • Research Site

    Santiago, 8880465

  • Research Site

    Valdivia, 5090000

  • Research Site

    Viña del Mar, 2520594

Other trials in Chile

Brazil6 sites
  • Research Site

    Botucatu, 18618-970

  • Research Site

    Campinas, 13084-791

  • Research Site

    Canoas, 92425-900

  • Research Site

    Curitiba, 80250-060

  • Research Site

    Juiz de Fora, 36025-330

  • Research Site

    Passo Fundo, 99010-080

Other trials in Brazil

France6 sites
  • Research Site

    Bordeaux, 33000

  • Research Site

    Brest, 29609

  • Research Site

    Bron, 69677

  • Research Site

    Caen, 14033

  • Research Site

    Dijon, 21079

  • Research Site

    Tours, 37044

Other trials in France

Turkey (Türkiye)6 sites
  • Research Site

    Adana, 1260

  • Research Site

    Ankara, 06100

  • Research Site

    Antalya, 07070

  • Research Site

    Izmir, 35100

  • Research Site

    Izmir, 35210

  • Research Site

    Kocaeli, 41380

Other trials in Turkey (Türkiye)

Bulgaria5 sites
  • Research Site

    Pleven, 5800

  • Research Site

    Plovdiv, 4002

  • Research Site

    Rousse, 7002

  • Research Site

    Sofia, 1407

  • Research Site

    Sofia, 1431

Other trials in Bulgaria

Poland5 sites
  • Research Site

    Bydgoszcz, 85168

  • Research Site

    Gdansk, 80402

  • Research Site

    Krakow, 30-349

  • Research Site

    Krakow, 30-663

  • Research Site

    Łęczna, 21-010

Other trials in Poland

United Kingdom5 sites
  • Research Site

    Brighton, BN2 5BE

  • Research Site

    Bristol, BS2 8BJ

  • Research Site

    London, SW17 0RE

  • Research Site

    Oxford, OX3 7EJ

  • Research Site

    Southampton, SO16 6YD

Other trials in United Kingdom

Italy4 sites
  • Research Site

    Genova, 16100

  • Research Site

    Padova, 35128

  • Research Site

    Torino, 10126

  • Research Site

    Verona, 37126

Other trials in Italy

Czechia3 sites
  • Research Site

    Havlíčkův Brod, 580 22

  • Research Site

    Prague, 14059

  • Research Site

    Prague, 14710

Other trials in Czechia

Latvia3 sites
  • Research Site

    Jēkabpils, LV-5201

  • Research Site

    Riga, LV1002

  • Research Site

    Valmiera, 4200

Other trials in Latvia

New Zealand3 sites
  • Research Site

    Christchurch, 8011

  • Research Site

    Otahuhu, 2025

  • Research Site

    Wellington, 6021

Other trials in New Zealand

Argentina2 sites
  • Research Site

    Bahía Blanca, B8001HXM

  • Research Site

    Guaymallen Mendoza, 5519

Other trials in Argentina

Australia2 sites
  • Research Site

    Parkville, 3052

  • Research Site

    Subiaco, 6008

Other trials in Australia

Belgium2 sites
  • Research Site

    Ghent, 9000

  • Research Site

    Mons, 7000

Other trials in Belgium

Estonia2 sites
  • Research Site

    Tallinn, 13419

  • Research Site

    Tartu, 50406

Other trials in Estonia

Finland2 sites
  • Research Site

    Tampere, 33100

  • Research Site

    Turku, 20520

Other trials in Finland

Lithuania2 sites
  • Research Site

    Kaunas, 48259

  • Research Site

    Kaunas, 50161

Other trials in Lithuania

Sweden2 sites
  • Research Site

    Stockholm, 118 83

  • Research Site

    Stockholm, 171 76

Other trials in Sweden

Canada1 site
  • Research Site

    Montreal, Quebec, H4A 3J1

Other trials in Canada

About this study

Official title: A Phase 2b Randomized, Double-Blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of MEDI8897, a Monoclonal Antibody With an Extended Half-life Against Respiratory Syncytial Virus, in Healthy Preterm Infants

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics (PK), and antidrug antibody (ADA) response for MEDI8897 in healthy preterm infants who are between 29 and 35 weeks gestational age (GA) and entering their first Respiratory Syncytial Virus (RSV) season.

Read the detailed description

This pivotal Phase 2b study will determine if MEDI8897 will be efficacious in reducing medically attended RSV-confirmed lower respiratory tract infections (LRTI) in healthy preterm infants entering their first RSV season. The population to be enrolled is healthy preterm infants born between 29 weeks 0 days and 34 weeks 6 days GA who would not receive RSV prophylaxis. A total of 1500 infants will be randomized 2:1 to receive either MEDI8897 or placebo. Participants will be followed for 360 days after dosing. Enrollment is planned at approximately 197 sites across the USA, Canada, Europe, and the Southern Hemisphere.

Being tested
MEDI8897, Placebo
Keywords
Respiratory Syncytial Virus, RSV, Preterm Infants, Lower Respiratory Tract Infection
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

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

  • MEDI8897Drug

    A single IM dose of 50 mg on Day 1 of the study.

  • PlaceboDrug

    A single IM dose of placebo matched to MEDI8897 on Day 1 of the study.

Study groups in NCT02878330
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants will receive a single intramuscular (IM) dose of placebo matched to MEDI8897 on Day 1 of the study.
Receives: Drug: Placebo
MEDI8897 50 mgExperimentalParticipants will receive a single IM dose of MEDI8897 50 milligrams (mg) on Day 1 of the study.
Receives: Drug: MEDI8897

What is being measured

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

  1. Number of Participants With Medically Attended Respiratory Syncytial Virus (RSV) Confirmed Lower Respiratory Tract Infection (LRTI)

    The determination of medically attended RSV LRTI is based on objective clinical LRTI criteria and RSV test results obtained from analyzing the respiratory secretions using a validated RSV real time reverse transcriptase-polymerase chain reaction (RT-PCR) assay for the detection of RSV A or RSV B subtypes. Criteria for LRTI included documented physical exam findings of rhonchi, rales, crackles, or wheeze and any of the following: increased respiratory rate at rest (for age less than (<) 2 months: greater than or equal to (>=) 60 breaths/min; 2-6 months: >= 50 breaths/min; and for > 6 months - 2 years, >= 40 breaths/min), or hypoxemia (in room air - oxygen saturation < 95% at altitudes less than or equal to (<=) 1800 meters or < 92% at altitudes > 1800 meters), or clinical signs of severe respiratory disease or dehydration secondary to inadequate oral intake due to respiratory distress (need for intravenous fluid).

    Measured: From Day 1 through Day 151

Secondary outcomes (6)
  1. Number of Participants Hopitalized Due to Respiratory Syncytial Virus (RSV) Confirmed Lower Respiartory Tract Infection (LRTI)

    A RSV hospitalization is defined as either 1) a respiratory hospitalization with a positive RSV test within 2 days of hospitalization (primary) or 2) new onset of respiratory symptoms in an already hospitalized child, with an objective measure of worsening respiratory status and positive RSV test (nosocomial).

    Measured: From Day 1 through Day 151

  2. 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. An 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. 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 Day 1 through Day 361

  3. Number of Participants With Adverse Events of Special Interest (AESIs) and New Onset Chronic Diseases (NOCDs)

    An AESI 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. An AESI may be serious or non-serious. A NOCD is a newly diagnosed medical condition that is of a chronic, ongoing nature. It is observed after receiving study drug and is assessed by investigator as medically significant.

    Measured: From Day 1 through Day 361

  4. Serum Concentration of MEDI8897

    Measured: Days 91, 151, and 361

  5. Elimination Half-life (t1/2) of MEDI8897

    Terminal elimination half-life (t½) is the time required for half of the drug to be eliminated from the serum.

    Measured: Day 91 through Day 361

  6. Number of Participants With Positive Anti-drug Antibodies to MEDI8897

    The number of participants with positive serum antibodies to MEDI8897 are reported.

    Measured: Days 91, 151, and 361

Timeline

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

  1. First posted25 Aug 2016 (estimated)
  2. Study start3 Nov 2016
  3. Primary completion17 Jul 2018
  4. Study completion6 Dec 2018

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
1,453 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02878330
Sponsor's protocol ID
D5290C00003
Acronym
MEDI8897 Ph2b
Status last verified
Sep 2019
First submitted
22 Aug 2016
Last updated
14 Oct 2019
Data monitoring committee
Yes

Publications

  • Mankad VS, Leach A, Chang Y, Wahlby Hamren U, Kiazand A, Kubiak RJ, Takas T, Villafana T, Shroff M. Comprehensive Summary of Safety Data on Nirsevimab in Infants and Children from All Pivotal Randomized Clinical Trials. Pathogens. 2024 Jun 13;13(6):503. doi: 10.3390/pathogens13060503.

    PubMed 38921800
  • Langer S, Holzapfel S, August L, Badura A, Wellmann S, Mack I. Parental knowledge and attitudes to infant immunization in the context of RSV: All about confidence? Vaccine. 2024 Oct 3;42(23):126050. doi: 10.1016/j.vaccine.2024.06.018. Epub 2024 Jun 19.

    PubMed 38902186
  • Ahani B, Tuffy KM, Aksyuk AA, Wilkins D, Abram ME, Dagan R, Domachowske JB, Guest JD, Ji H, Kushnir A, Leach A, Madhi SA, Mankad VS, Simoes EAF, Sparklin B, Speer SD, Stanley AM, Tabor DE, Hamren UW, Kelly EJ, Villafana T. Molecular and phenotypic characteristics of RSV infections in infants during two nirsevimab randomized clinical trials. Nat Commun. 2023 Jul 19;14(1):4347. doi: 10.1038/s41467-023-40057-8.

    PubMed 37468530
  • Griffin MP, Yuan Y, Takas T, Domachowske JB, Madhi SA, Manzoni P, Simoes EAF, Esser MT, Khan AA, Dubovsky F, Villafana T, DeVincenzo JP; Nirsevimab Study Group. Single-Dose Nirsevimab for Prevention of RSV in Preterm Infants. N Engl J Med. 2020 Jul 30;383(5):415-425. doi: 10.1056/NEJMoa1913556.

    PubMed 32726528

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MEDI8897 in people with Respiratory Syncytial Virus Infections, run by MedImmune LLC at 161 sites in 23 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 2 inclusion and 5 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 14 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 161 sites in United States, Hungary, Spain, South Africa, Chile and 18 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. 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 14 Oct 2019). 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 Medically Attended Respiratory Syncytial Virus (RSV) Confirmed Lower Respiratory Tract Infection (LRTI) (time frame: From Day 1 through Day 151). 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 NCT02878330, which also lists 4 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 14 Oct 2019.

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