A study aiming to evaluate the safety, tolerability, pharmacokinetics and immunogencity of MEDI-524, a humanized enhanced potency monoclonal antibody against respiratory syncytial virus (RSV), in children with hemodynamically significant congenital heart disease
DEC-NET Serial number FR529
Published online02/03/2006 22.56.00
Last updated04/12/2006 11.06.26
Other protocol ID numberMI-CP124
Current trial statusOpen (actively recruiting new participants)
Major Disease
(ICD9 class)
Other congenital anomalies of heart
Experimental drug
Humanized IgG1 monoclonal antibody
Control drug
Palivizumab
GenderBoth
Age (range) < or equal 24 months

Eligibility criteria
Inclusion criteria
-Children 24 months or younger at randomisation (child must be randomized on or before their 24-month birthday) -Documented, hemodynamically significant CHD -Unoperated or partially corrected CHD Written informed consent obtained from the patient's parent(s) or legal guardian.
Exclusion criteria
None of the following criteria: -Unstable cardiac or respiratory status: including severe cardiac defects, cardiac transplantation -Hospitalization, unless discharge is anticipated within 21 days -Anticipated cardiac surgery within two weeks of randomization -Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure or other mechanical respiratory or cardiac support -Associated non-cardiac anomalies or end organ dysfunction resulting in anticipated survival of less than six months or unstable abnormalities of end organ function -Acute respiratory or ather acute infection or illness -Chronic seizure or evolving or unstable neurologic disorder -Known immunodeficiency -Mother with HIV infection -Known allergy to Ig products -Receipt of palivizumab, RSV-IGIV, or other RSV-specific monoclonal antibody, or any other polyclonal antibody -Use of investigational agents within the past three months -Current particiaption in other investigational protocols of drugs

Trial design/methodology
Phase3
Kind of studyProphylaxis
Safety
Pharmacokinetics
DesignControlled
Randomised
Blinded
Double blind
Purpose of study
Primary objective: -To describe the safety and tolerability of MEDI-524 when given monthly as prophylaxis against serious RSV infection among children with hemodynamically significant congenital heart disease (CHD). Secondary objectives: -To determine the pharmacokinetics and immunogenicity of MEDI-524 -To quantify the RSV hospitalisation rates in children with hemodynamically significant CHD given MEDI-524 or palivizumab for prophylaxis against serious RSV disease. -To describe the effect of cardiac bypass on serum MEDI-524 concentrations
Primary outcomes
-All serious adverse events occurring through study day 150
Secondary outcomes
-MEDI-524 plasma concentrations -Number and percentages of children who develop detectable anti-MEDI-524 antibodies. -Incidence of RSV hospitalization from study day 0 through day 150 -Primary and nosocomial hospitalizations -Deaths caused by RSV
Summary of study design, objectives, and ongoing research findings
Study MI-CP124 is a randomized, double-blinded, palivizumab-controlled, multicenter, multi-national trial conducted during the RSV season. Safety and tolerability of MEDI-524 are evaluated(IgG1 monoclonal antibody) when given monthly as prophylaxis against serious RSV infection among children with hemodynamically significant CHD. Approximately 600 children with hemodynamically significant cardiac heart disease are randomized to receive either 15 mg/kg MEDI-524 or 15 mg/kg palivizumab by IM injection every 30 days. Safety and tolerability of MEDI-524 are assessed primarily by adverse events occuring through study.
Principal investigator
NameDr Denis SEMAMA
InstitutionCHU de Dijon, Service Pédiatrie
Postal address10 Bld Maréchal de Lattre de Tassigny BP 77908 21079 Dijon Cedex
CityDijon
CountryFRANCE
Phone00(33)(0)3 80 29 34 16
Fax
E-mail


Promoter
MedImmune,Inc (Industry)


Participating countries
AUSTRIA
BELGIUM
BULGARIA
CANADA
CZECH REPUBLIC
FRANCE
GERMANY
ISRAEL
LEBANON
POLAND
RUSSIAN FEDERATION
SPAIN
SWEDEN
UNITED KINGDOM


Participating centres
CHU Dijon (Dijon)
CHU Strasbourg (Strasbourg)
CHU Nancy (Nancy)
CHU Bordeaux (Bordeaux)
AP-HM Marseille (Marseille)
AP-HP Paris (Paris)

ISRCTN  EudraCT