Clinical trial

A Randomized, Double-Blind, Placebo-Controlled Dose Ranging Study Evaluating Safety, Pharmacokinetics and Clinical Benefit of FLU-IGIV in Hospitalized Patients With Serious Influenza A Infection

Name
IA-001
Description
Influenza, or the flu, is an infectious respiratory disease that can range in severity from mild to severe to even death. This study aims to evaluate a treatment for people who are hospitalized with the flu. The study is looking to see if antibodies collected from people who have recovered from the seasonal flu or who have had the seasonal flu shot can be used safely as a study drug to treat hospitalized patients with severe flu infections. Also, this study will help to find the right dose for this study drug for treatment of severe flu in hospitalized patients. Overall, this study will evaluate if the hospitalized patients receiving standard of care along with the study drug get better more quickly than those treated with standard of care and placebo. The study drug that contains antibodies against the flu is called anti-influenza immunoglobulin intravenous (FLU-IGIV).
Trial arms
Trial start
2017-11-17
Estimated PCD
2019-06-17
Trial end
2019-06-17
Status
Completed
Phase
Early phase I
Treatment
FLU-IGIV
Single dose, sterile liquid formulation for IV administration.
Arms:
FLU-IGIV High Dose, FLU-IGIV Low Dose
Other names:
Anti-influenza immunoglobulin intravenous (Human), NP-025
Placebo for FLU-IGIV
Single dose, normal saline solution for IV administration.
Arms:
FLU-IGIV Placebo
Size
65
Primary endpoint
Frequency Counts and Percentage of Subjects With Adverse Events
Measured through Day 60
Area Under the Plasma Concentration Curve [AUC] From Time 0 to 48 Hours Post-dose by Hemagglutinin Inhibition Assay
Measured through 48 Hours post-dose
Maximum Plasma Concentration [Cmax] Reported as a Titer for Hemagglutinin Inhibition Assay
Measured through Day 8 post-dose
Time Cmax is Observed [Tmax] by Hemagglutinin Inhibition Assay
Measured through Day 8 post-dose
Eligibility criteria
Inclusion Criteria: * Provision of voluntary informed consent in writing by patient, or legally authorized representative. * Age ≥ 18 years of age. * Locally determined positive influenza A infection (Rapid Antigen (Ag) Test or PCR) from a specimen obtained within 2 days prior to randomization. * Onset of symptoms ≤ 6 days before randomization, defined as when the patient first experienced at least one respiratory symptom or fever. * Hospitalized (or in observation unit) with influenza, with anticipated hospitalization for more than 24 hours and will be/already are receiving antiviral SOC. * Experiencing ≥ 1 respiratory symptom (ex. cough, sore throat, nasal congestion) and ≥ 1 constitutional symptom (ex. headache, myalgia, feverishness or fatigue). * For women of child-bearing potential: willingness to abstain from sexual intercourse or use at least 1 form of hormonal or barrier contraception through Day 60 of the study. * Willingness to have blood and respiratory samples obtained and stored. * National Early Warning Score (NEW score) ≥ 3 at screening. Exclusion Criteria: * Use of any investigational product within the past 30 days prior to screening. * History of hypersensitivity to blood or plasma products (as judged by the site investigator). * History of allergy to latex or rubber. * Known medical history of IgA deficiency. * Pregnancy or lactation. * Medical conditions for which receipt of a 500 mL volume of intravenous fluid may be dangerous to the patient (e.g. decompensated congestive heart failure), based on investigator's medical opinion with careful consideration of lab results. * Liver function: liver function test (LFT) \> 2.5 times upper limit of normal (ULN). * Renal Function: glomerular filtration rate (GFR) \< 60 mL/min/1.73 m2 (age and sex adjusted). * A pre-existing condition or use of a medication that, in the opinion of the site investigator, may place the individual at a substantially increased risk of thrombosis (e.g. cryoglobulinemia, severe refractory hypertriglyceridemia, or clinically significant monoclonal gammopathy). * An opinion of the investigator that it would be unwise to allow participation of the patient in the study (the reason for exclusion of the patient must be documented). * Receiving extracorporeal membrane oxygenation (ECMO). * Anticipated life expectancy of \< 90 days. * Confirmed bacterial pneumonia or any concurrent respiratory viral infection that is not influenza A (ex. respiratory syncytial virus (RSV) infection).
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Staggered enrollment for the first 9 subjects, then parallel low and high dose treatment with a placebo group', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 65, 'type': 'ACTUAL'}}
Updated at
2024-03-18

1 organization

1 product

2 indications

Product
FLU-IGIV