This trial employs a randomized, double-blind, placebo/positive control, and dose-finding design to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and preliminary efficacy of SIBP-A16 injection in premature and term infants.
This study established three study groups: the test drug group, the placebo group, and the positive control group. Four dose cohorts were set up: Cohort 1 (Dose 1), Cohort 2 (Dose 2), Cohort 3 (Dose 3), and Cohort 4 (Dose 2). A total of 36 participants were enrolled. The drug will be administered via intramuscular injection as a single dose. Initially, Cohort 1 enrolled 7 participants, who were randomly assigned to receive either one dose of the test drug or placebo. After completing the initial 14-day safety observation, if the dose escalation termination criteria were not triggered, participants were enrolled into Cohort 2 (11 participants, randomly assigned to receive either one dose of the test drug or placebo). Once Cohort 2 was fully enrolled, participants could be enrolled into Cohort 4 (7 participants, randomly assigned to receive either one dose of the positive control drug or placebo). After Cohort 2 completed the 14-day safety observation, participants were enrolled into Cohort 3 (11 participants, randomly assigned to receive either one dose of the test drug or placebo) following the same procedure. If the dose escalation termination criteria were triggered, the Data Monitoring Committee (DMC) would conduct a safety assessment and discuss with the research team and sponsor whether to terminate the dose escalation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
36
Strength: dose 1, dose 2 and dose 3. Single administration via intramuscular or intravenous injection.
Participants will receive one dose of Nisibimab via intramuscular injection.
Participants in the placebo group will be assigned to four dose cohorts, and they will receive one dose of Placebo via intramuscular injection.
West China Second Hospital, Sichuan University
Chengdu, Sichuan, China
AE (Adverse Events)
That is adverse events, any adverse events that occurred to the participant during the study period.
Time frame: From day 1 to day 360 after administration
SAE (Serious Adverse Events)
That is serious adverse events, any serious adverse events that occurred to the participant during the study period.
Time frame: From day 1 to day 360 after administration
Adverse Event of Special Interest (AESI)
Adverse events defined in the protocol that require special attention, such as abnormal liver function, anaphylactic reaction, hypersensitivity reaction, etc.
Time frame: From day 1 to day 360 after administration
New-onset chronic diseases (NOCD)
NOCD refer to chronic non-communicable diseases that emerge during clinical trials.
Time frame: From day 1 to day 360 after administration
AUC (Area Under The Plasma Concentration Versus Time Curve)
It shows the degree to which a drug is absorbed and used in the body.
Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration
Cmax (Peak Plasma Concentration)
It shows the highest plasma concentration of a drug that can be achieved after administration.
Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration
Tmax (Peak Time)
That is peak time of drug action, it shows the time required to reach the maximum concentration on the participant plasma concentration curve after administration.
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Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration
Detecting RSV neutralizing antibody activity at various time points
The RSV neutralizing assay was used to analyze the neutralizing activity of participants against RSV at various time points (before administration, and on days 7, 30, 90, 150, and 360 after administration).
Time frame: Before injection, on the 7th, 30th, 90th, 150th and 360th days after administration
Level of Anti-drug antibody (ADA)
If ADA is positive, further use validated analytical methods to detect the anti-SIBP-A16 neutralizing antibody (Nab).
Time frame: Before injection, on the 30th, 150th and 360th days after administration