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WithdrawnNCT03369912Updated Oct 9, 2018

A Study to Evaluate CSJ148 in Pregnant Women With Primary HCMV Infection

A Phase 2 interventional study of CSJ148 and Placebo in HCMV Infection, sponsored by Novartis Pharmaceuticals. Withdrawn. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-10-09.

Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Company decision to withdraw before study started
Phase
Phase 2
Study type
Interventional
Enrollment
0
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

The purpose of the study is to evaluate the feasibility of using CSJ148 to prevent congenital human cytomegalovirus (HCMV) in pregnant women with primary HCMV infection.

Read the detailed description

This is a randomized, patient, investigator and sponsor blinded, placebo-controlled study in pregnant women with primary HCMV infection. The study has three periods: (I) screening (II) double-blinded placebo-controlled treatment and (III) post-delivery follow-up of women and neonates/infants. Pregnant women with confirmed primary HCMV infection will participate in periods I and II. Mothers and neonates/infants born to mothers enrolled in the study will participate in period III.

02

Conditions studied

  • HCMV Infection

Keywords

  • Safety, efficacy
  • pregnant women
  • CSJ148
  • HCMV infection
  • congenital HCMV
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Written informed consent must be obtained before any assessment is performed.
  2. Pregnant women ≥ 18 years of age with primary HCMV infection occurring between 6 and 24 weeks of gestation
  3. Ability to receive study drug within 6 weeks of the presumed onset of primary maternal infection.
  4. Able to communicate well with the investigator, to understand and comply with the requirements of the study.

Exclusion criteria

Exclusion Criteria:

  1. Confirmed or suspected fetal HCMV infection, defined as positive HCMV DNA in amniotic fluid or fetal ultrasound abnormalities suggestive of fetal HCMV disease.
  2. Prior treatment with any of the following within 30 days prior to enrollment: ganciclovir, valganciclovir, foscarnet, cidofovir, acyclovir (>25 mg/kg/day IV), valacyclovir (>3 gm/day oral), famciclovir (>1500 mg/day oral), HCMV immune globulin, immune globulin (>500 mg/kg), or any other medication with anti-HCMV activity.
  3. Any surgical or medical condition (other than pregnancy) which might increase the risk for thrombotic events if the patient is given immune-globulins. These conditions include cryoglobulinemia, monoclonal gammopathies, and hypertriglyceridemia (fasting level >1000 mg/dL). The investigator should make this determination based on the patient's medical history and laboratory data.
  4. History of chronic hepatitis B, hepatitis C and human immunodeficiency virus (HIV) infection. Cured hepatitis C in not considered exclusionary.
  5. Patient request for medical interruption or termination of pregnancy before inclusion.
  6. Any surgical or medical condition which may jeopardize the patient or fetus in case of participation in the study. The investigator should make this determination in consideration of the patient's obstetrical history.
  7. Use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or until the expected pharmacodynamic effect has returned to baseline, whichever is longer; or longer if required by local regulations.
  8. History of hypersensitivity to any of the study treatments or excipients or to drugs of similar chemical classes.
  9. Body weight > 100 kilograms.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Active

    CSJ148

    Biological: CSJ148

  • Placebo comparator
    Placebo

    5% dextrose

    Other: Placebo

Interventions

  • BiologicalCSJ148

    Active

  • OtherPlacebo

    No Drug

05

What researchers measure

Primary outcomes

  1. Event rate of fetuses or neonates with congenital human cytomegalovirus (HCMV) infection

    To assess the efficacy of CSJ148 on reducing intrauterine HCMV transmission compared to placebo

    Time frame: Day 218

Secondary outcomes

  1. Change from Baseline in the Reduction in symptomatic congenital human cytomegalovirus (HCMV) disease (compared to placebo)

    Change in symptomatic HCMV disease, assessed by event rates in patients vs controls

    Time frame: Day 218

  2. Change from baseline in congenital human cytomegalovirus (HCMV) urine viral load in neonates at birth

    Change in HCMV urine viral load in neonates at birth

    Time frame: Baseline, Day 218

  3. Pharmacokinetic concentration data of CSJ148

    Concentration of CSJ148 (LJP538 and LJP539) in serum

    Time frame: Days 1,29,57,85,218,141,169, 197, 218

  4. CSJ148 concentration in cord blood

    Concentration of CSJ148 (LJP538 and LJP539) in serum separated from cord blood

    Time frame: Day 218

  5. Immunogenicity of CSJ148 in pregnant women

    Detection of anti-LJP538 and anti-LJP539 antibodies in serum at selected timepoints

    Time frame: Days 1,29,57,85,218,141,169, 197, 218

  6. Immunogenicity of CSJ148 in cord blood

    Detection of anti-LJP538 and anti-LJP539 antibodies in serum from cord blood

    Time frame: Day 218

  7. CSJ148 concentration in amniotic fluid

    Concentration of CSJ148 (LJP538 and LJP539) in amniotic fluid

    Time frame: Day 218

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03369912
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 12, 2017
Start date
Oct 23, 2018 (estimated)
Primary completion
Nov 15, 2022 (estimated)
Completion
Nov 15, 2022 (estimated)
Last update
Oct 9, 2018

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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