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InfluenzaPhase 2NCT02989194

Study of an Investigational Monoclonal Antibody, VIS410, in Subjects With Uncomplicated Influenza A

A Phase 2 study testing VIS410 low dose and VIS410 high dose in people with Influenza, run by Visterra, Inc. at 54 sites in 7 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

This is a Phase 2a randomized, double-blind, placebo-controlled study designed to assess the safety and tolerability of an investigational monoclonal antibody, VIS410, in subjects with uncomplicated influenza. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Influenza
What is being tested?
VIS410 low dose and VIS410 high dose
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
54 sitesin 7 countries
Study dates
6 Jan 2017to 27 Oct 2017
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects aged ≥18 years and ˂65 years
  • Women should fulfill one of the following criteria:
  • Post-menopausal; either amenorrhea ≥12 months or follicle stimulating hormone >40 mIU/mL (milli-international units/milliliter) as documented in their medical history
  • Surgically sterile; hysterectomy, bilateral oophorectomy, or tubal ligation
  • Women of childbearing potential participating in heterosexual sexual relations must be willing to use adequate contraception from screening until 60 days post infusion
  • Non-vasectomized (or vasectomized less than 6 months prior to dosing) male subjects who have a female partner of childbearing potential must use an effective birth control method when having heterosexual intercourse, from screening until 60 days post infusion
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  • Test positive for influenza A by Rapid Antigen Test performed with a commercially available test on an adequate nasopharyngeal specimen in accordance with the manufacturer's instructions
  • Presence of at least one respiratory symptom (cough, sore throat, or nasal symptoms) of moderate to severe intensity, or presence of at least one constitutional symptom (myalgia [aches and pains], headache, feverishness, or fatigue) of moderate to severe intensity
  • Onset of symptoms (time when the temperature was first measured as elevated [temperature of ≥100.4°F or ≥38°C], OR the time when the subject experienced at least one respiratory symptom or at least one constitutional symptom) no more than 72 hours before the start of infusion

Who cannot join

  • Use of NSAIDs or antihistamines within 6 hours of study drug dosing with the exception of those used as part of the pretreatment regimen
  • History of intolerance or allergic response to monoclonal antibodies and/or pretreatment medications (diphenhydramine, ibuprofen and acetylsalicylic acid)
  • Subject weight less than (<) 45 kg
  • Subjects with clinical history that would lead to increased risk of influenza complications including but not limited to clinically significant cardiac disease, moderate to severe asthma, or other moderate to severe chronic obstructive pulmonary disease, metabolic syndrome including moderate to severe diabetes or active tuberculosis
  • History of chronic GI disease, including bleeding, ulceration, Irritable Bowel Syndrome, systemic mastocytosis or chronic diarrhea
  • Women who are pregnant, breast-feeding, or considering becoming pregnant
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  • Patients with hypoxemia requiring oxygen support
  • Clinical evidence of worsening of any chronic medical condition (temporally associated with the onset of symptoms of influenza) which, in the Investigator's opinion, indicates that such finding(s) could represent complications of influenza
  • Presence of immunocompromised status due to chronic illness, previous organ transplant, or use of immunosuppressive medical therapy including systemic steroids
  • Presence of known Acquired Immune Deficiency Syndrome-defining illness, chronic hepatitis B or hepatitis C
  • Receipt of any dose of antiviral therapy such as, but not limited to, rimantadine, amantadine, peramivir, zanamivir, laninamivir or oseltamivir in the 7 days prior to screening
  • Enrollment in any other investigational drug or device study, any disease or vaccine study within 30 days prior to Day 1 or within 5 half-lives of the investigational compound, whichever is longer
  • Subjects unable to take oral predose medication
  • Known or suspected alcohol or drug abuse, that is, abuse of a level that would compromise the safety or cooperation of the subject in the opinion of the Investigator
  • Subjects on chronic medications where the dose has not been stable for at least 3 months

Trial locations and contacts

54 sites in 7 countries.

54 sites in 7 countries

South Africa15 sites
  • Study site

    Benoni, Gauteng, 1500

  • Study site

    Cape Town, Western Cape, 7570

  • Study site

    Centurion, Gauteng, 1692

  • Study site

    Durban, KwaZulu-Natal, 4092

  • Study site

    Johannesburg, Gauteng, 2113

  • Study site

    Kempton Park, Gauteng, 1619

  • Study site

    Middelburg, Mpumalanga, 1055

  • Study site

    Pretoria, Gauteng, 0121

  • Study site

    Pretoria West, Gauteng, 0183

  • Study site

    Soshanguve, Gauteng, 0152

  • Study site

    Soweto, Gauteng, 2013

  • Study site

    Thabazimbi, Limpopo, 0380

  • Study site

    Welkom, Free State, 9460

  • Study site

    Witbank, Mpumalanga, 1035

  • Study site

    Worcester, Western Cape, 6850

Other trials in South Africa

United States11 sites
  • Study site

    Coral Gables, Florida, 33134

  • Study site

    Eunice, Louisiana, 70535

  • Study site

    Homestead, Florida, 33033

  • Study site

    Houston, Texas, 77058

  • Study site

    Huntsville, Alabama, 35801

  • Study site

    McAllen, Texas, 78504

  • Study site

    Miami, Florida, 33165

  • Study site

    Miami, Florida, 33185

  • Study site

    New Orleans, Louisiana, 70115

  • Study site

    Orlando, Florida, 32811

  • Study site

    Shelby, North Carolina, 28150

Other trials in United States

Ukraine9 sites
  • Study site

    Kharkiv, 61064

  • Study site

    Kharkiv, 61106

  • Study site

    Kiev, 03049

  • Study site

    Kiev, 03110

  • Study site

    Kiev, 04050

  • Study site

    Odesa, 65023

  • Study site

    Sumy, 40021

  • Study site

    Vinnytsia, 21001

  • Study site

    Vinnytsia, 21029

Other trials in Ukraine

Bulgaria6 sites
  • Study site

    Asenovgrad, 4230

  • Study site

    Lom, 3600

  • Study site

    Rousse, 7002

  • Study site

    Sofia, 1202

  • Study site

    Sofia, 1407

  • Study site

    Velingrad, 4600

Other trials in Bulgaria

Latvia6 sites
  • Study site

    Daugavpils, LV-5417

  • Study site

    Liepāja, LV-3414

  • Study site

    Rēzekne, LV-4600

  • Study site

    Riga, LV-1010

  • Study site

    Valmiera, LV-4201

  • Study site

    Ventspils, LV-3601

Other trials in Latvia

Estonia4 sites
  • Study site

    Paide, 72713

  • Study site

    Tallinn, 10617

  • Study site

    Tallinn, 11615

  • Study site

    Tallinn, 13415

Other trials in Estonia

Serbia3 sites
  • Study site

    Kragujevac, 34000

  • Study site

    Niš, 18000

  • Study site

    Novi Sad, 21000

Other trials in Serbia

About this study

Official title: A Phase 2a Double-blind, Placebo-controlled Study to Assess the Safety and Tolerability of a Single Intravenous Dose of an Investigational Monoclonal Antibody With Code Name VIS410 in Subjects With Uncomplicated Influenza A Infection

This is a Phase 2a randomized, double-blind, placebo-controlled study designed to assess the safety and tolerability of an investigational monoclonal antibody, VIS410, in subjects with uncomplicated influenza.

Read the detailed description

Subjects will be admitted to an infusion unit for drug administration and observation following infusion. The study is designed to compare an infusion of a single high or low IV dose of VIS410 against placebo. Subjects will be followed for 100 (±7 days).

Conditions
Influenza
Being tested
VIS410 low dose, VIS410 high dose, Placebo
Medical subject headings
Influenza, Human

What participants receive

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

  • VIS410 low doseDrug

    Single intravenous fixed low dose of VIS410

  • VIS410 high doseDrug

    Single intravenous fixed high dose of VIS410

  • PlaceboDrug

    Single intravenous infusion of placebo

Study groups in NCT02989194
Study groupRoleWhat they receive
VIS410 low doseExperimentalSingle intravenous fixed low dose of VIS410
Receives: Drug: VIS410 low dose
VIS410 high doseExperimentalSingle intravenous fixed high dose of VIS410
Receives: Drug: VIS410 high dose
PlaceboPlacebo comparatorSingle intravenous placebo infusion
Receives: Drug: Placebo

What is being measured

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

  1. Assess the Safety and Tolerability of a Single IV Dose of VIS410 in Participants With Uncomplicated Influenza Infection

    The percentage of participants with adverse events (AEs) and serious adverse events (SAEs) following administration of a single dose of IV VIS410.

    Measured: 100 days

  2. Percentage of Participants With Any Treatment-emergent Adverse Event (TEAE) and TEAEs of Special Interest

    Percentage of participants experiencing any TEAE, TEAEs considered related to study treatment and the number of participants experiencing adverse events of special interest (AESI). A TEAE is defined as an adverse event that starts on or after the date of study drug IV infusion. AESIs included hypersensitivity reaction, anaphylactic reaction, or injection site adverse event.

    Measured: 100 days

Secondary outcomes (16)
  1. Percentage Change From Baseline in Signs and Symptoms of Influenza-like Illness as Assessed by the Influenza Patient Reported Outcomes Questionnaire After a Single IV Dose of VIS410

    The Influenza Patient Reported Outcome (FluPRO) questionnaire is a 32-question instrument that assesses the occurrence and intensity of influenza associated symptoms (scale of 0 to 4, with 0 representing no symptoms) over 24 hours (lower scores indicate better outcomes). FluPRO data were recorded by subjects at Baseline (Day 1), then daily thereafter through Day 10. These data were summarized at each visit by treatment group. The data below show the percent change in mean total symptom scores over time by treatment arm.

    Measured: 10 days

  2. Hospitalization for Influenza-related Complications

    Number of participants requiring hospitalization for influenza-related complications

    Measured: 100 days

  3. Duration of Hospitalization for Complications of Influenza

    Duration of hospitalization for participants with at least 1 complication of influenza. There were no participants hospitalized for complications of influenza.

    Measured: 100 days

  4. Count of Participants With Complications of Influenza

    Count of participants with at least 1 complication of influenza

    Measured: 100 days

  5. Influenza A Relapse/Reinfection

    Number of participants with influenza A relapse/reinfection

    Measured: 100 days

  6. VIS410 Maximum Plasma Concentration

    The maximum observed concentration of VIS410 in serum (Cmax).

    Measured: 1, 3, 5, 7, 14, 28, 56, 100 days

  7. Pharmacokinetics of VIS410 Concentration in Serum

    Time corresponding to the maximum serum concentration of VIS410.

    Measured: 1, 3, 5, 7, 14, 28, 56, 100 days

  8. VIS410 Plasma Concentration ( AUC 0-infinity)

    VIS410 area under the plasma concentration time curve in serum. AUC 0-infinity is from the time of dosing extrapolated to infinity.

    Measured: 1, 3, 5, 7, 14, 28, 56, 100 days

  9. VIS410 Plasma Concentration (AUC 0-last)

    VIS410 area under the plasma concentration time curve in serum. AUC 0-last is the area under the plasma concentration time curve from time 0 to the last measurable concentration.

    Measured: 1, 3, 5, 7, 14, 28, 56, 100 days

  10. Half-life of VIS410 in Serum.

    Terminal elimination half-life of VIS410 in serum (t1/2) in serum.

    Measured: 1, 3, 5, 7, 14, 28, 56, 100 days

  11. Clearance (CL) of VIS410 in Serum.

    Summary of VIS410 total clearance (CL) in serum.

    Measured: 1, 3, 5, 7, 14, 28, 56, 100 days

  12. Area Under the Viral Load-Time Curve (VL AUC) From Nasopharyngeal Swab Day 7.

    The difference between VIS410 and placebo treatment groups in viral AUC based on the half-maximal tissue culture infective dose (TCID50) from nasopharyngeal swab samples taken from the first 50 participants.

    Measured: 7 days

  13. Peak Viral Load by TCID50

    The difference between VIS410 and placebo treatment groups in peak viral load based on the half-maximal tissue culture infective dose (TCID50) from nasopharyngeal swab samples taken from the first 50 participants.

    Measured: 7 days

  14. Time to Resolution of Peak Viral Load From Nasopharyngeal Samples by TCID50.

    The number of days for the median time to resolution of peak viral load from end of infusion by nasopharyngeal swabs collected from the first 50 participants and tested by half maximal tissue culture infective dose (TCID50)

    Measured: 7 days

  15. Summary of Anti-VIS410 Antibody (ADA) Titers.

    Count of subjects testing positive for anti-VIS410 antibodies on days 1, 14, 56 and 100. A positive result includes samples confirmed positive and above titer cut point factor (and titer ≥ 1). Negative results include screened or confirmed negative or confirmed positive but below titer cut point factor (titer < 1). For participants receiving placebo, only samples from two participants were tested at Days 14 and 56.

    Measured: 100 days

  16. Duration of Signs and Symptoms of Influenza-like Illness as Assessed by the Influenza Patient Reported Outcomes Questionnaire After a Single IV Dose of VIS410

    The Influenza Patient Reported Outcome (FluPRO) questionnaire is a 32-question instrument that assesses the occurrence and intensity of influenza associated symptoms (scale of 0 to 4, with 0 representing no symptoms) over 24 hours (lower scores indicate better outcomes). FluPRO data were recorded by subjects at Baseline (Day 1), then daily thereafter through Day 10. Data below show the time to symptom resolution for Total Symptom Score.

    Measured: 10 days

Timeline

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

  1. First posted12 Dec 2016 (estimated)
  2. Study start6 Jan 2017
  3. Primary completion27 Oct 2017
  4. Study completion27 Oct 2017

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02989194
Sponsor's protocol ID
VIS410-202
Status last verified
Aug 2022
First submitted
5 Dec 2016
Last updated
15 Aug 2022
Data monitoring committee
Yes
Individual data sharing
No: No plans to share IPD

Publications

  • Hershberger E, Sloan S, Narayan K, Hay CA, Smith P, Engler F, Jeeninga R, Smits S, Trevejo J, Shriver Z, Oldach D. Safety and efficacy of monoclonal antibody VIS410 in adults with uncomplicated influenza A infection: Results from a randomized, double-blind, phase-2, placebo-controlled study. EBioMedicine. 2019 Feb;40:574-582. doi: 10.1016/j.ebiom.2018.12.051. Epub 2019 Jan 9.

    PubMed 30638863

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VIS410 low dose and VIS410 high dose in people with Influenza, run by Visterra, Inc. at 54 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 9 inclusion and 15 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 15 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in South Africa, United States, Ukraine, Bulgaria, Latvia 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. 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 15 Aug 2022). 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?

Assess the Safety and Tolerability of a Single IV Dose of VIS410 in Participants With Uncomplicated Influenza Infection (time frame: 100 days). The study lists 2 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 NCT02989194, 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 15 Aug 2022.

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