A Phase 2 interventional study of Motavizumab, palivizumab and Palivizumab, motavizumab in Respiratory Syncytial Virus Infections, Chronic Lung Disease and <= 24 Months of Age or and Premature With Gestational Age <=35 Weeks and <=6 Months of Age, sponsored by MedImmune LLC. Completed at 19 sites in 3 countries. Open to participants aged Up to 24 Months. Per ClinicalTrials.gov, last updated 2012-12-11.
Sponsored by MedImmune LLC · Phase 2, Interventional, and Prevention
This is a Phase 2, randomized, double-blind study in which motavizumab (MEDI-524) and palivizumab were administered sequentially to high-risk children during the same respiratory syncytial virus (RSV) season. A control group was administered only motavizumab.
This is a Phase 2, randomized, double-blind study in which motavizumab and palivizumab were administered sequentially to high-risk children during the same RSV season. It was anticipated that approximately 240 children (80 in each group) would be enrolled from the southern hemisphere during the upcoming RSV season (2006). Children were randomized into one of three regimens in a 1:1:1 ratio; the first group received 2 doses of motavizumab followed by 3 doses of palivizumab; the second group received 2 doses of palivizumab followed by 3 doses of motavizumab; and the third group received 5 doses of motavizumab. Motavizumab or palivizumab was administered at 15 mg/kg by IM injection every 30 days, for a total of 5 injections.
293 studies on the registry are indexed under Respiratory Syncytial Virus Infections; 45 are open to participants now.
This study's enrollment of 260 is above the median of 90 across 213 interventional studies indexed under Respiratory Syncytial Virus Infections.
Browse Respiratory Syncytial Virus Infections studies →MedImmune LLC is the lead sponsor of 265 studies on the registry; none are open to participants now.
Of its 50 completed or terminated interventional studies of FDA-regulated products, 28 (56%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
2 doses of motavizumab (15 mg/kg, administered as an intramuscular injection once/month) followed by 3 doses of palivizumab (15 mg/kg, administered as an intramuscular injection once/month)
Biological: Motavizumab, palivizumab
2 doses of palivizumab (15 mg/kg, administered as an intramuscular injection once/month) followed by 3 doses of motavizumab (15 mg/kg, administered as an intramuscular injection once/month)
Biological: Palivizumab, motavizumab
5 doses of motavizumab (15 mg/kg, administered as an intramuscular injection once/month)
Biological: Motavizumab
Motavizumab was provided in sterile vials containing 100 mg of motavizumab in 1 mL of a sterile preservative-free liquid product at pH 6.0, formulated with 25 mM histidine-HCl.
Palivizumab was provided in sterile vials containing 100 mg of palivizumab in 1 mL of a sterile preservative-free liquid product at pH 6.0, formulated with 25 mM histidine, and 1.6 mM glycine.
Motavizumab was provided in sterile vials containing 100 mg of motavizumab in 1 mL of a sterile preservative-free liquid product at pH 6.0, formulated with 25 mM histidine-HCl.
Number of Subjects Reporting Serious Adverse Events (SAEs)
Time frame: Day 0 - Day 150
Number of Subjects Reporting Adverse Events (AEs)
Time frame: Day 0 - Day 150
Number of Subjects With Changes in Laboratory Chemistry Values Reported as AEs.
Serum chemistry samples were collected at Day 0, Day 60, and Day 150. Values representing changes in severity according to the AE grading table were recorded as AEs.
Time frame: Day 0 - Day 150
The Serum Concentrations of Motavizumab at Day 0
Time frame: Day 0
The Trough Serum Concentrations of Motavizumab at Day 60
Time frame: Day 60
The Trough Serum Concentrations of Motavizumab at Day 150
Time frame: Day 150
The Trough Serum Concentrations of Motavizumab 120-150 Days Post Final Dose
Time frame: 120-150 days post final dose
The Serum Concentrations of Palivizumab at Day 0
Time frame: Day 0
The Trough Serum Concentrations of Palivizumab at Day 60
Time frame: Day 60
The Trough Serum Concentrations of Palivizumab at Day 150
Time frame: Day 150
The Trough Serum Concentrations of Palivizumab at 120-150 Days Post Final Dose
Time frame: 120-150 days post final dose
The Immunogenicity of Motavizumab at Day 0
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: Day 0
The Immunogenicity of Motavizumab at Day 60
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: Day 60
The Immunogenicity of Motavizumab at Day 150
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: Day 150
The Immunogenicity of Motavizumab at 120 to 150 Days Post Final Dose
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: 120 - 150 days post final dose
The Immunogenicity of Motavizumab at Any Time
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: At any time
The Immunogenicity of Palivizumab at Day 0
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: Day 0
The Immunogenicity of Palivizumab at Day 60
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: Day 60
The Immunogenicity of Palivizumab at Day 150
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: Day 150
The Immunogenicity of Palivizumab at 120 to 150 Days Post Final Dose
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: 120 - 150 days post final pose
The Immunogenicity of Palivizumab at Any Time
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
Time frame: At any time
It was anticipated that approximately 240 children (80 in each group) would be enrolled from the southern hemisphere during the upcoming RSV season (2006).
| Milestone | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| Started | 83 | 84 | 93 |
| Completed | 77 | 77 | 87 |
| Not completed | 6 | 7 | 6 |
| Withdrew: Lost to follow-up | 0 | 1 | 0 |
| Withdrew: Withdrawal of consent | 3 | 5 | 6 |
| Withdrew: Death | 2 | 0 | 0 |
| Withdrew: Other | 1 | 1 | 0 |
| participants | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| Number of Subjects Reporting Serious Adverse Events (SAEs) | 19 | 7 | 11 |
| participants | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| Number of Subjects Reporting Adverse Events (AEs) | 77 | 75 | 83 |
Serum chemistry samples were collected at Day 0, Day 60, and Day 150. Values representing changes in severity according to the AE grading table were recorded as AEs.
| participants | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| Alanine aminotransferase increased | 1 | 1 | 5 |
| Hepatic enzyme increased | 1 | 0 | 0 |
| Liver function test abnormal | 0 | 0 | 1 |
| Blood urea increased | 1 | 1 | 3 |
| Aspartate aminotransferase increased | 2 | 3 | 2 |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Serum Concentrations of Motavizumab at Day 0 | NA ± NA | NA ± NA | NA ± NA |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Trough Serum Concentrations of Motavizumab at Day 60 | 74.74 ± 27.50 | 0.9417 ± 2.287 | 78.02 ± 28.98 |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Trough Serum Concentrations of Motavizumab at Day 150 | 8.801 ± 5.682 | 93.05 ± 30.97 | 105.8 ± 37.49 |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Trough Serum Concentrations of Motavizumab 120-150 Days Post Final Dose | 0.5078 ± 1.031 | 7.586 ± 5.152 | 10.01 ± 6.341 |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Serum Concentrations of Palivizumab at Day 0 | NA ± NA | NA ± NA | NA ± NA |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Trough Serum Concentrations of Palivizumab at Day 60 | 8.103 ± 6.907 | 87.37 ± 17.41 | 8.795 ± 6.578 |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Trough Serum Concentrations of Palivizumab at Day 150 | 107.4 ± 30.21 | 22.89 ± 5.631 | 12.99 ± 7.472 |
| μg/mL | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Trough Serum Concentrations of Palivizumab at 120-150 Days Post Final Dose | 7.667 ± 7.719 | NA ± NA | NA ± NA |
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Motavizumab at Day 0 | 0 | 1 | 0 |
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Motavizumab at Day 60 | 0 | 0 | 0 |
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Motavizumab at Day 150 | 1 | 1 | 0 |
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Motavizumab at 120 to 150 Days Post Final Dose | 3 | 1 | 0 |
Number of subjects with detected anti-motavivumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Motavizumab at Any Time | 4 | 2 | 0 |
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Palivizumab at Day 0 | 0 | 0 | 0 |
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Palivizumab at Day 60 | 1 | 1 | 1 |
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Palivizumab at Day 150 | 2 | 1 | 0 |
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Palivizumab at 120 to 150 Days Post Final Dose | 3 | 0 | 0 |
Number of subjects with detected anti-palivizumab antibodies are reported; defined as a titer with a dilution value of greater than or equal to 1:10.
| participants with detected antibody | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| The Immunogenicity of Palivizumab at Any Time | 4 | 2 | 1 |
Collected over Day 0 - Day 150. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Motavizumab (MEDI-524) Followed by Palivizumab | — | 19/83 (22.9%) | 75/83 (90.4%) |
| Palivizumab Followed by Motavizumab (MEDI-524) | — | 7/83 (8.4%) | 74/83 (89.2%) |
| Motavizumab (MEDI-524) Control | — | 11/93 (11.8%) | 83/93 (89.2%) |
| Event | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| BRONCHIOLITISInfections and infestations | 6/83 | 1/83 | 3/93 |
| PNEUMONIAInfections and infestations | 3/83 | 0/83 | 1/93 |
| INGUINAL HERNIAGastrointestinal disorders | 0/83 | 2/83 | 1/93 |
| Visual disturbanceEye disorders | 1/83 | 0/83 | 0/93 |
| GASTROOESOPHAGEAL REFLUX DISEASEGastrointestinal disorders | 1/83 | 0/83 | 0/93 |
| BRONCHITISInfections and infestations | 1/83 | 0/83 | 0/93 |
| BRONCHITIS VIRALInfections and infestations | 1/83 | 0/83 | 0/93 |
| CROUP INFECTIOUSInfections and infestations | 1/83 | 0/83 | 0/93 |
| GASTROENTERITISInfections and infestations | 1/83 | 0/83 | 0/93 |
| LOWER RESPIRATORY TRACT INFECTIONInfections and infestations | 0/83 | 1/83 | 0/93 |
| Event | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control |
|---|---|---|---|
| NASOPHARYNGITISInfections and infestations | 25/83 | 26/83 | 23/93 |
| BRONCHITISInfections and infestations | 14/83 | 20/83 | 19/93 |
| UPPER RESPIRATORY TRACT INFECTIONInfections and infestations | 17/83 | 15/83 | 18/93 |
| WHEEZINGRespiratory, thoracic and mediastinal disorders | 15/83 | 8/83 | 10/93 |
| CONJUNCTIVITISEye disorders | 6/83 | 11/83 | 16/93 |
| TEETHINGGastrointestinal disorders | 10/83 | 9/83 | 16/93 |
| RHINITISInfections and infestations | 10/83 | 14/83 | 8/93 |
| DIARRHOEAGastrointestinal disorders | 12/83 | 13/83 | 11/93 |
| IRRITABILITYGeneral disorders | 10/83 | 11/83 | 11/93 |
| DERMATITIS DIAPERSkin and subcutaneous tissue disorders | 5/83 | 10/83 | 10/93 |
| Age Continuous(months) | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control | Total |
|---|---|---|---|---|
| Mean | 3.68 ± 3.13 | 3.35 ± 2.25 | 3.92 ± 2.43 | 3.66 ± 2.62 |
| Sex: Female, Male(Participants) | Motavizumab (MEDI-524) Followed by Palivizumab | Palivizumab Followed by Motavizumab (MEDI-524) | Motavizumab (MEDI-524) Control | Total |
|---|---|---|---|---|
| Female | 32 | 41 | 45 | 118 |
| Male | 51 | 43 | 48 | 142 |
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Respiratory Syncytial Virus Infections→
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