The primary objective of this study is to describe the 28-day post-final dose safety and tolerability of three doses of MEDI-559 at 10\^5 FFU when administered to healthy RSV seronegative children 1 to \<24 months of age.
This is a randomized, double-blind, placebo-controlled, multi-dose, Phase 1/2a multi-center trial to evaluate the safety, tolerability, viral shedding, immunogenicity, and genotypic and phenotypic stability of MEDI-559 in RSV seronegative infants 5 to \<24 months of age and in infants 1 to \<3 months of age regardless of baseline serostatus. The primary objective of this study is to describe the 28-day post-final dose safety and tolerability of three doses of MEDI-559 at 10\^5 FFU when administered to healthy RSV seronegative children 5 to \<24 months of age and to healthy infants 1 to \<3 months of age regardless of baseline serostatus. MEDI-559 will be administered at a dose of 10\^5 fluorescent focus units (FFU) on a 0, 2, and 4 month schedule to two cohorts of subjects in a step-wise fashion. The target sample size for this study is 320 subjects, with 160 subjects 5 to \<24 months of age enrolled into Cohort 1 and 160 subjects 1 to \<3 months of age enrolled into Cohort 2. Each cohort will be randomized 1:1 (MEDI-559 to placebo) and stratified by site. Cohort 1 will initiate dosing at 10\^5 FFU MEDI-559. Blinded safety data from the first 40 subjects enrolled in Cohort 1 for the 28 days following administration of the first dose of vaccine will be reviewed. If no safety concerns are noted, Cohort 2 will initiate dosing at 10\^5 FFU. Enrollment into Cohort 2 will be halted after approximately 40 subjects have been randomized, and blinded safety data will be reviewed through 28 days post Dose 1. If no safety concerns are noted, the remainder of Cohort 2 will be enrolled. All subjects will be followed through 365 days after randomization to ensure that each subject has been followed through an RSV season.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
116
Cohort 1 (5 to \<24 months): N=80 MEDI-559 at 10\^5 FFU at 0, 2, and 4 months; frozen preparation filled into 0.5 ml luer slip-tip syringes. Each 0.2 ml dose contains 10\^5 FFU MEDI-559 in a sucrose phosphate glutamate buffer.
Cohort 1 (5 to \< 24 months); N = 80 placebo at 0, 2, and 4 months; frozen preparation filled into 0.5 ml luer slip-tip syringes. Each 0.2 ml dose contains sucrose phosphate buffer.
Incidence of solicited symptoms after Dose 1
Solicited symptoms are predefined symptoms or events to be specifically inquired about and assessed daily during the 28-day period after vaccine administration. The solicited symptoms for this study include: fever \>100.4°F (\>38.0 °C) regardless of route, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/Fussiness, oropharyngeal irritation (laryngitis), epistaxis
Time frame: Through Day 28 after each dose
Incidence of solicited symptoms after Dose 2
Solicited symptoms are predefined symptoms or events to be specifically inquired about and assessed daily during the 28-day period after vaccine administration. The solicited symptoms for this study include: fever \>100.4°F (\>38.0 °C) regardless of route, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/Fussiness, oropharyngeal irritation (laryngitis), epistaxis
Time frame: Through Day 28 after each dose
Incidence of solicited symptoms after Dose 3
Solicited symptoms are predefined symptoms or events to be specifically inquired about and assessed daily during the 28-day period after vaccine administration. The solicited symptoms for this study include: fever \>100.4°F (\>38.0 °C) regardless of route, runny/stuffy nose, cough, drowsiness, loss of appetite/decreased urine output, irritability/Fussiness, oropharyngeal irritation (laryngitis), epistaxis
Time frame: Through Day 28 after each dose
Incidence of adverse events (AEs) after Dose 1
As defined by the ICH Guideline for Good Clinical Practice, an AE is: Any untoward medical occurrence in a participant or clinical investigations subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event (AE) can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: Through Day 28 after each dose
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Research Site
Greenville, Alabama, United States
Research Site
Huntsville, Alabama, United States
Research Site
Mobile, Alabama, United States
Research Site
Conway, Arkansas, United States
Research Site
Little Rock, Arkansas, United States
Research Site
Little Rock, Arkansas, United States
Research Site
Anaheim, California, United States
Research Site
Cypress, California, United States
Research Site
Downey, California, United States
Research Site
Huntington Beach, California, United States
...and 66 more locations
Incidence of AEs after Dose 2
As defined by the ICH Guideline for Good Clinical Practice, an AE is: Any untoward medical occurrence in a participant or clinical investigations subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event (AE) can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: Through Day 28 after each dose
Incidence of AEs after Dose 3
As defined by the ICH Guideline for Good Clinical Practice, an AE is: Any untoward medical occurrence in a participant or clinical investigations subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An adverse event (AE) can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: Through Day 28 after each dose
Incidence of medically-attended lower respiratory illnesses (MA-LRIs) after Dose 1
An MA-LRI is defined as a health care provider confirmed diagnosis of any one or more of the following events: wheezing, pneumonia, croup (laryngotracheobronchitis), rhonchi (not cleared with cough or suctioning), rales (not cleared with cough or suctioning), bronchitis, bronchiolitis, apnea
Time frame: Through Day 28 after each dose
Incidence of MA-LRIs after Dose 2
An MA-LRI is defined as a health care provider confirmed diagnosis of any one or more of the following events: wheezing, pneumonia, croup (laryngotracheobronchitis), rhonchi (not cleared with cough or suctioning), rales (not cleared with cough or suctioning), bronchitis, bronchiolitis, apnea
Time frame: Through Day 28 after each dose
Incidence of MA-LRIs after Dose 3
An MA-LRI is defined as a health care provider confirmed diagnosis of any one or more of the following events: wheezing, pneumonia, croup (laryngotracheobronchitis), rhonchi (not cleared with cough or suctioning), rales (not cleared with cough or suctioning), bronchitis, bronchiolitis, apnea
Time frame: Through Day 28 after each dose
Incidence of SAEs
An SAE is any adverse event that results in any of the following outcomes: death; life-threatening; inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability or incapacity; congenital anomaly/birth defect (in the offspring of a subject); an important medical event that may not result in death, threaten life or require hospitalization may be considered a serious adverse event when, based upon appropriate medical judgment, it may jeopardize the subject and may require medical or surgical intervention to prevent one of the outcomes listed above.
Time frame: Administration of Dose 1 (Day 0) through Day 28 post final dose
Incidence of MEDI-559 shedding
Number (%) of subjects who shed vaccine-type virus
Time frame: Day 7-10 after Dose 1, 2, and 3
Incidence of MEDI-559 shedding
Number (%) of subjects who shed vaccine-type virus
Time frame: Day 12-18 after Dose 1, 2, and 3
Incidence of MEDI-559 shedding
Number (%) of subjects who shed vaccine-type virus
Time frame: Day 28-34 post Dose 1, 2, and 3
Post-vaccination seroresponse against RSV
Seroresponse is defined as a ≥ 4-fold rise from baseline as measured by microneutralization assay
Time frame: Day 28 post final dose
Phenotypic stability of recovered vaccine-type virus
Number (%) of nasal wash samples containing vaccine-type virus that is found to be phenotypically stable
Time frame: Day 7-10 post any dose
Phenotypic stability of recovered vaccine-type virus
Number (%) of nasal wash samples containing vaccine-type virus that is found to be phenotypically stable
Time frame: Day 12-18 post any dose
Phenotypic stability of recovered vaccine-type virus
Number (%) of nasal wash samples containing vaccine-type virus that is found to be phenotypically stable
Time frame: Day 28-34 post any dose
Genotypic stability of recovered vaccine-type virus
Number (%) of nasal wash samples containing vaccine-type virus that is found to be genotypically stable
Time frame: Day 7-10 post any dose
Genotypic stability of recovered vaccine-type virus
Number (%) of nasal wash samples containing vaccine-type virus that is found to be genotypically stable
Time frame: Day 12-18 post any dose
Genotypic stability of recovered vaccine-type virus
Number (%) of nasal wash samples containing vaccine-type virus that is found to be genotypically stable
Time frame: Day 28-34 post any dose
Incidence of MA-LRIs
Number (%) of subjects with MA-LRIs occurring from Study Day 0 through the end of study
Time frame: Study Day 0 through 365 days post randomization
Incidence of SAEs
Number (%) of subjects with SAEs occurring from Study Day 0 through 365 days post randomization
Time frame: Study Day 0 post Dose 1 through 365 days post randomization
Incidence of significant new medical conditions (SNMCs)
Number (%) of subjects with SNMCs from administration of Dose 1 through 365 days post randomization
Time frame: Study Day 0 post Dose 1 through 365 days post randomization