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Influenza A H3N2Phase 2NCT03315104

Exploring Safety & Clinical Benefit of Anti-Influenza Immunoglobulin Intravenous in Hospitalized Adults With Influenza A

A Phase 2 study testing FLU-IGIV in people with Influenza A H3N2 and Influenza A H1N1, run by Emergent BioSolutions at 55 sites in 4 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

Influenza, or the flu, is an infectious respiratory disease that can range in severity from mild to severe to even death. This study aims to evaluate a treatment for people who are hospitalized with the flu. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Influenza A H3N2, Influenza A H1N1
What is being tested?
FLU-IGIV
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
65 participants
Where
55 sitesin 4 countries
Study dates
17 Nov 2017to 17 Jun 2019
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of voluntary informed consent in writing by patient, or legally authorized representative.
  • Age ≥ 18 years of age.
  • Locally determined positive influenza A infection (Rapid Antigen (Ag) Test or PCR) from a specimen obtained within 2 days prior to randomization.
  • Onset of symptoms ≤ 6 days before randomization, defined as when the patient first experienced at least one respiratory symptom or fever.
  • Hospitalized (or in observation unit) with influenza, with anticipated hospitalization for more than 24 hours and will be/already are receiving antiviral SOC.
  • Experiencing ≥ 1 respiratory symptom (ex. cough, sore throat, nasal congestion) and ≥ 1 constitutional symptom (ex. headache, myalgia, feverishness or fatigue).
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  • For women of child-bearing potential: willingness to abstain from sexual intercourse or use at least 1 form of hormonal or barrier contraception through Day 60 of the study.
  • Willingness to have blood and respiratory samples obtained and stored.
  • National Early Warning Score (NEW score) ≥ 3 at screening.

Who cannot join

  • Use of any investigational product within the past 30 days prior to screening.
  • History of hypersensitivity to blood or plasma products (as judged by the site investigator).
  • History of allergy to latex or rubber.
  • Known medical history of IgA deficiency.
  • Pregnancy or lactation.
  • Medical conditions for which receipt of a 500 mL volume of intravenous fluid may be dangerous to the patient (e.g. decompensated congestive heart failure), based on investigator's medical opinion with careful consideration of lab results.
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  • Liver function: liver function test (LFT) > 2.5 times upper limit of normal (ULN).
  • Renal Function: glomerular filtration rate (GFR) < 60 mL/min/1.73 m2 (age and sex adjusted).
  • A pre-existing condition or use of a medication that, in the opinion of the site investigator, may place the individual at a substantially increased risk of thrombosis (e.g. cryoglobulinemia, severe refractory hypertriglyceridemia, or clinically significant monoclonal gammopathy).
  • An opinion of the investigator that it would be unwise to allow participation of the patient in the study (the reason for exclusion of the patient must be documented).
  • Receiving extracorporeal membrane oxygenation (ECMO).
  • Anticipated life expectancy of < 90 days.
  • Confirmed bacterial pneumonia or any concurrent respiratory viral infection that is not influenza A (ex. respiratory syncytial virus (RSV) infection).

Trial locations and contacts

55 sites in 4 countries.

55 sites in 4 countries

United States42 sites
  • Northside Hospital

    Atlanta, Georgia, 30342

  • Atlanta Institute for Medical Research Inc.

    Atlanta, Georgia, 30350

  • Augusta University

    Augusta, Georgia, 30912

  • John Hopkins Hospital

    Baltimore, Maryland, 21287

  • St Luke's University Health Network

    Bethlehem, Pennsylvania, 18015

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • University of North Carolina

    Chapel Hill, North Carolina, 27599

  • Northwestern University

    Chicago, Illinois, 60611

  • University of Chicago

    Chicago, Illinois, 60637

  • UT Southwestern Medical Center

    Dallas, Texas, 75390

  • Baylor University Medical Center

    Dallas, Texas, 77030

  • Premier Health Miami Valley Hospital

    Dayton, Ohio, 45409

  • Denver public Health

    Denver, Colorado, 80212

  • Wayne State University/Detroit Receiving Hospital

    Detroit, Michigan, 48201

  • Wayne State University/Sinai Grace Hospital

    Detroit, Michigan, 48202

  • Pulmonlx LLC Pulmonary & Critical Care Medicine

    Greensboro, North Carolina, 27403

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Michael E. DeBakey VA Medical Center

    Houston, Texas, 77030

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Kansas medical Center

    Kansas City, Kansas, 66160

  • University Medical Center of Southern Nevada

    Las Vegas, Nevada, 89102

  • Baptist Health Center for Clinical Research

    Little Rock, Arkansas, 72205

  • Yale University School of Medicine

    New Haven, Connecticut, 06519

  • Christiana Care Health Systems

    Newark, Delaware, 19718

  • University of Oklahoma

    Oklahoma City, Oklahoma, 73104

  • University of Nebraska Medical Center

    Omaha, Nebraska, 985400

  • University of California, Irvine Emergency Medicine

    Orange, California, 92868

  • Einstein Medical Center

    Philadelphia, Pennsylvania, 19141

  • Allegheny General Hospital

    Pittsburgh, Pennsylvania, 15212

  • Regional Health

    Rapid City, South Dakota, 57701

  • Carilion Medical Center

    Roanoke, Virginia, 24014

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of Utah HealthCare

    Salt Lake City, Utah, 84108

  • UT Health San Antonio

    San Antonio, Texas, 78229

  • HonorHealth

    Scottsdale, Arizona, 85258

  • Providence-Providence Park Hospital, Southfield

    Southfield, Michigan, 48075

  • Washington University

    St Louis, Missouri, 63110

  • MultiCare Institute for Research & Innovation

    Tacoma, Washington, 98405

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Reading Hospital

    West Reading, Pennsylvania, 19611

  • University of Massachusetts Memorial Medical Center

    Worcester, Massachusetts, 01605

Other trials in United States

Canada6 sites
  • Foothills Medical Centre

    Calgary, Alberta, T2N 2T9

  • CISSS BSL/Hopital Regional de Rimouski

    Rimouski, Quebec, G5L 5T1

  • Ciusss McQ

    Trois-Rivières, Quebec, G8Z 3R9

  • Health Sciences Center

    Winnipeg, Manitoba, R3A 1R9

  • St. Boniface Hospital

    Winnipeg, Manitoba, R3A 1R9

  • Grace Hospital

    Winnipeg, Manitoba, R3J 3M7

Other trials in Canada

Spain5 sites
  • Hospital Clinic of Barcelona

    Barcelona, 08036

  • Hospital del Mar

    Barcelona, 08036

  • Hospital Universitari Mutua Terrassa

    Barcelona, 08225

  • Reina Sofia University Hospital

    Córdoba, 14004

  • Hospital Universitari de Tarragona Joan XXIII

    Tarragona, 43007

Other trials in Spain

Puerto Rico2 sites
  • Mayaguez Medical Center

    Mayagüez, 00680

  • San Cristobal Hospital

    Ponce, 00780

Other trials in Puerto Rico

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Dose Ranging Study Evaluating Safety, Pharmacokinetics and Clinical Benefit of FLU-IGIV in Hospitalized Patients With Serious Influenza A Infection

Influenza, or the flu, is an infectious respiratory disease that can range in severity from mild to severe to even death. This study aims to evaluate a treatment for people who are hospitalized with the flu. The study is looking to see if antibodies collected from people who have recovered from the seasonal flu or who have had the seasonal flu shot can be used safely as a study drug to treat hospitalized patients with severe flu infections. Also, this study will help to find the right dose for this study drug for treatment of severe flu in hospitalized patients. Overall, this study will evaluate if the hospitalized patients receiving standard of care along with the study drug get better more quickly than those treated with standard of care and placebo. The study drug that contains antibodies against the flu is called anti-influenza immunoglobulin intravenous (FLU-IGIV).

Being tested
FLU-IGIV, Placebo for FLU-IGIV
Keywords
influenza A, hospitalized, H1N1, H3N2, human flu, respiratory tract infection, serious illness, flu
Medical subject headings
Orthomyxoviridae Infections, Influenza, Human, Respiratory Tract Infections

What participants receive

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

  • FLU-IGIVBiological

    Also called Anti-influenza immunoglobulin intravenous (Human), NP-025

    Single dose, sterile liquid formulation for IV administration.

  • Placebo for FLU-IGIVOther

    Single dose, normal saline solution for IV administration.

Study groups in NCT03315104
Study groupRoleWhat they receive
FLU-IGIV High DoseExperimentalParticipants will receive a single infusion of high dose of FLU-IGIV, administered over approximately 3 hours on Day 1. Participants will also receive standard of care (SOC) antiviral treatment for flu. Administered intravenously at a dose of 450 mL of 65 g/mL FLU-IGIV diluted to 500 mL with normal saline. Participants also received standard of care (SOC) antiviral treatment for flu. FLU-IGIV: Single dose, sterile liquid formulation for IV administration.
Receives: Biological: FLU-IGIV
FLU-IGIV Low DoseExperimentalParticipants will receive a single infusion of low dose of FLU-IGIV, administered over approximately 3 hours on Day 1. Participants will also receive SOC antiviral treatment for flu. Administered intravenously at a dose of 225 mL of 65 g/mL FLU-IGIV diluted to 500 mL with normal saline. Participants also received standard of care (SOC) antiviral treatment for flu. FLU-IGIV: Single dose, sterile liquid formulation for IV administration.
Receives: Biological: FLU-IGIV
FLU-IGIV PlaceboPlacebo comparatorParticipants will receive a single infusion of placebo for FLU-IGIV, administered over approximately 3 hours on Day 1. Participants will also receive SOC antiviral treatment for flu. Administered IV as 500 mL of normal saline. Participants also received standard of care (SOC) antiviral treatment for flu. Placebo for FLU-IGIV: Single dose, normal saline solution for IV administration.
Receives: Other: Placebo for FLU-IGIV

What is being measured

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

  1. Frequency Counts and Percentage of Subjects With Adverse Events

    Frequency counts and percentage of subjects with Adverse Events by severity

    Measured: Measured through Day 60

  2. Area Under the Plasma Concentration Curve [AUC] From Time 0 to 48 Hours Post-dose by Hemagglutinin Inhibition Assay

    Levels of anti-influenza A antibodies circulating in blood over time. We initially intended to look at this variable through Day 8, however, potential native antibody level changes and sparse sampling confounded results from 0 to 48 hours post-dose from PK samples collected from Baseline Day 1 pre-dose (time 0), Day 1 post-dose, Day 2 and Day 3 (if continued hospitalization), and Day 8. For AUC from time 0 to 48 hours, subjects who did not have a sample collected within +/-10% of 48 hours post-dose had this parameter set to missing, which is why the number of subjects who contributed data for this outcome measure is lower than the overall number of subjects analyzed.

    Measured: Measured through 48 Hours post-dose

  3. Maximum Plasma Concentration [Cmax] Reported as a Titer for Hemagglutinin Inhibition Assay

    Maximum observed concentration (reported as a titer) of anti-influenza A antibodies measured from Day 1 pre-dose (time 0) through Day 8 post-dose from PK samples collected from Baseline Day 1 pre-dose (time 0), Day 1 post-dose, Day 2 and Day 3 (if continued hospitalization), and Day 8.

    Measured: Measured through Day 8 post-dose

  4. Time Cmax is Observed [Tmax] by Hemagglutinin Inhibition Assay

    Time that anti-influenza A antibodies are at maximum concentration from Day 1 pre-dose (time 0) through Day 8 post-dose from PK samples collected from Baseline Day 1 pre-dose (time 0), Day 1 post-dose, Day 2 and Day 3 (if continued hospitalization), and Day 8.

    The rate of study drug elimination and dependent parameters were not accurately estimable due to rising or sustained levels of anti-influenza A antibodies, this includes First Order Terminal Elimination Rate Constant [Kel], Plasma Clearance [Cl] and Total Volume of Distribution [Vz].

    Measured: Measured through Day 8 post-dose

Secondary outcomes (1)
  1. Ordinal Scale Subject Distribution Reflecting Clinical Status

    Score (physician-assessed): 1=death; 2=hospitalization in the intensive care unit (ICU); 3=non-ICU hospitalization requiring supplemental oxygen; 4=non-ICU hospitalization not requiring supplemental oxygen; 5=no longer hospitalized but unable to resume normal activities; 6=no longer hospitalized with full resumption of normal activities. A higher score reflects improved clinical status. Not all ITT subjects had ordinal scale data available at Day 8 post-dose which explains why the overall number of participants analyzed is not consistent with the overall number of subjects included at baseline. For subjects who were discharged with unknown ordinal score the more conservative of two relevant discharged categories was imputed.

    Measured: At Day 8 post-dose

Timeline

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

  1. First posted19 Oct 2017
  2. Study start17 Nov 2017
  3. Primary completion17 Jun 2019
  4. Study completion17 Jun 2019

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
Model description
Staggered enrollment for the first 9 subjects, then parallel low and high dose treatment with a placebo group
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03315104
Sponsor's protocol ID
IA-001
Status last verified
Mar 2024
First submitted
6 Oct 2017
Last updated
18 Mar 2024
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Post results and upload the supporting information.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FLU-IGIV in people with Influenza A H3N2 and Influenza A H1N1, run by Emergent BioSolutions at 55 sites in 4 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 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: finished, as of the sponsor's last update on 18 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in United States, Canada, Spain, Puerto Rico. 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 5 Oct 2020). 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?

Frequency Counts and Percentage of Subjects With Adverse Events (time frame: Measured through Day 60). 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 18 Mar 2024.

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