The purpose of the study is to evaluate the efficacy and safety of MEDI8852 for the treatment of influenza caused by a wild type A/H1N1 challenge strain in healthy, influenza serosusceptible adults.
The study will be conducted in two parts: Part 1: In Part 1, eight healthy subjects, 18 to 65 years of age, will be enrolled at one study center in the United States of America (USA) and will receive a single intravenous (IV) dose of MEDI8852 (Cohort 1, dose 1) on Day 1. The subjects will be admitted to a Phase 1 unit (Day -1), for dosing (Day 1) and for follow-up (through discharge from the Phase 1 unit on Day 2). Subjects will then be followed through Day 60 for treatment emergent adverse events (TEAEs), treatment emergent serious adverse events (TESAEs), treatment emergent adverse events of special interest (TEAESI), concomitant medications, nasal and blood PK, and ADA. Initiation of Part 2 of the study will be based on review of safety data from Part 1 (Days 1-8) by a study-specific Dose Evaluation Committee (DEC). For subjects in Part 1, the study is approximately 90 days in duration, consisting of a screening period of up to 30 days, a treatment period of 1 day and a follow-up period of 59 days. Part 2: In Part 2, approximately 60 healthy, influenza serosusceptible subjects, 18 to 65 years of age, will be enrolled at the same study center in the USA and will receive a wild-type A/H1N1 challenge strain on Day 1. Subjects will be randomized 1:1:1:1:1 into 5 cohorts (approximately 12 subjects per cohort) to receive the following on Day 2: * Cohort 2: A single IV dose of placebo * Cohort 3: OS, 75 mg orally BID (twice a day) for 5 days * Cohort 4: A single IV low dose of MEDI8852 (dose 2) * Cohort 5: A single IV high dose of MEDI8852 (dose 1) * Cohort 6: A single IV low dose of MEDI8852 (dose 2) and oseltamivir (OS), 75 mg orally BID for 5 days The subjects will be admitted to the Phase 1 unit (Day -1), for influenza challenge strain administration (Day 1), dosing (Day 2 \[Cohorts 2, 4 and 5\] and Days 2-6 \[Cohorts 3 and 6\]), and follow-up (through discharge from the Phase 1 unit on Day 9). Subjects will then be followed through Day 14 for solicited influenza symptoms, and through Day 60 for TEAEs, TESAEs, TEAESIs, concomitant medications, nasal and blood pharmacokinetics (PK), and antidrug antibody (ADA). For subjects in Part 2, the study is approximately 120 days in duration, consisting of a screening period of up to 60 days, a treatment period of 8 days and a follow-up period of 52 days
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
75 mg capsules orally twice a day from Day 2 to Day 7
MEDI8852 is a human IgG1 kappa monoclonal antibody administered as a single IV infusion at either dose 1 or dose 2 on Day 2.
Placebo is salt-water solution containing no active ingredients and administered as a single IV infusion on Day 2.
Incidence of solicited influenza symptoms, treatment emergent adverse events (TEAEs), treatment emergent serious adverse events (TESAEs) and treatment emergent adverse events of special interest (TEASIs) - part 1
To evaluate the safety and tolerability of MEDI8852 in healthy adults and influenza serosusceptible adults challenged with a wild-type A/H1N1 influenza strain
Time frame: Through Day 60
Quantification of influenza viral shedding (part2) by quantitative real time polymerase chain reaction (qRT-PCR)
To evaluate the impact of MEDI8852, either when given alone or in combination with oseltamivir (OS), on nasal shedding of the A/H1N1 challenge strain in healthy, influenza serosusceptible adults, by qRT-PCR
Time frame: On Days 2-9
Time to resolution of influenza symptoms
To evaluate the effect of MEDI8852, either given alone or in combination with OS, on the time to resolution of influenza symptoms in healthy, influenza serosusceptible adults challenged with a wild-type A/H1N1 influenza strain
Time frame: Through Day 14
Relationship between the influenza viral shedding measured by quantitative real time polymerase chain reaction (qRT-PCR) and administered dose described by a dose-response model
To evaluate the effect of MEDI8852 administered at different dose levels on nasal shedding of the A/H1N1 challenge strain in healthy, influenza serosusceptible adults. An MCP-Mod statistical model will be fitted to the collected data to quantify the treatment effect in terms of viral shedding
Time frame: Through Day 9
Incidence of solicited influenza symptoms, TEAEs, TESAEs, and TEAESIs
To evaluate the safety and tolerability of MEDI8852 in healthy, influenza serosusceptible adults challenged with a wild-type A/H1N1 influenza strain
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Through Day 14 ( solicited influenza symptoms) and Through Day 60 (TEAEs, TESAEs, and TEAESIs)
MEDI8852 serum concentration
To evaluate the serum concentration of MEDI8852 in healthy adults and healthy, influenza serosusceptible adults challenged with a wild-type A/H1N1 influenza strain
Time frame: Through Day 60
The incidence of Antidrug Antibody (ADA) to MEDI8852 as summarized by the number and percentage of subjects who are ADA positive by treatment group and time point
To evaluate development of ADA to MEDI8852 from baseline through the end of the study in healthy adults, and healthy, influenza serosusceptible adults challenged with a wild-type A/H1N1 influenza strain
Time frame: Through Day 60
MEDI8852 nasal concentration
To evaluate the nasal concentration of MEDI8852 in healthy adults and healthy, influenza serosusceptible adults challenged with a wild-type A/H1N1 influenza strain
Time frame: Through day 60