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NCT00421304

A Study to Evaluate a Single Intravenous Dose of Motavizumab for the Treatment of Children Hospitalized With Respiratory Syncytial Virus (RSV) Illness

Completed NA Results posted Last updated 27 August 2021
What this trial tests

NA trial testing Motavizumab in RSV Illness in ≤12 Months of Participants in 118 participants. Completed in 17 September 2009.

Timeline
10 January 2007
Primary endpoint
17 September 2009
17 September 2009

Quick facts

Lead sponsorMedImmune LLC
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment118
Start date10 January 2007
Primary completion17 September 2009
Estimated completion17 September 2009
Sites35 locations across New Zealand, Panama, Chile, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

MedImmune LLC — full company profile →

Who can join

Adults 0 Months to 12 Months, any sex, with RSV Illness in ≤12 Months of Participants. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Respiratory Syncytial Virus (RSV) Load in the Upper Respiratory Tract as Measured by Quantitative Real Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) at Day 0 Primary · Day 0

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children less than or equal to (\<=12) months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo8.13± 0.73
Motavizumab 30 mg/kg8.05± 1.22
Motavizumab 100 mg/kg8.15± 0.86
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 1 Primary · Day 1

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo7.61± 0.86
Motavizumab 30 mg/kg7.54± 1.26
Motavizumab 100 mg/kg7.40± 1.26
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 2 Primary · Day 2

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo6.95± 1.21
Motavizumab 30 mg/kg6.68± 1.21
Motavizumab 100 mg/kg6.59± 1.35
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 3 Primary · Day 3

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo6.12± 1.15
Motavizumab 30 mg/kg6.11± 1.26
Motavizumab 100 mg/kg5.95± 1.46
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 4 Primary · Day 4

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo6.00± 0.58
Motavizumab 30 mg/kg5.76± 0.82
Motavizumab 100 mg/kg5.41± 1.44
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 5 Primary · Day 5

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo5.52± 0.68
Motavizumab 30 mg/kg5.26± 1.20
Motavizumab 100 mg/kg5.31± 1.94
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 6 Primary · Day 6

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo5.63± 0.91
Motavizumab 30 mg/kg5.25± 1.58
Motavizumab 100 mg/kg5.60± 2.08
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 7 Primary · Day 7

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo4.86± 1.45
Motavizumab 30 mg/kg4.73± 1.27
Motavizumab 100 mg/kg4.52± 1.70
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 30 Primary · Day 30

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo3.03± 1.11
Motavizumab 30 mg/kg3.05± 1.33
Motavizumab 100 mg/kg2.96± 1.08
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 90 Primary · Day 90

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo2.66± 0.70
Motavizumab 30 mg/kg2.55± 0.29
Motavizumab 100 mg/kg2.50± 0.00
RSV Load in the Upper Respiratory Tract as Measured by Quantitative RT-PCR at Day 180 Primary · Day 180

The RSV viral load is measured by cultivatable virus and real-time RT-PCR in the upper respiratory tract in previously healthy children \<=12 months of age who are hospitalized with lower respiratory tract illness.

GroupValue95% CI
Placebo2.68± 0.95
Motavizumab 30 mg/kg2.52± 0.09
Motavizumab 100 mg/kg2.50± 0.00
Motavizumab Concentration in Nasal Wash Aspirates at Day 0 Primary · Day 0

Motavizumab concentration in nasal wash aspirates is reported.

GroupValue95% CI
Motavizumab 30 mg/kg0.93± 5.72
Motavizumab 100 mg/kg0.00± 0.00

Adverse events — posted to ClinicalTrials.gov

Time frame: From the start of study drug (Day 0) through Day 90. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 6/37 (16%)
Deaths: 0/37
Motavizumab 30 mg/kg
Serious: 6/38 (16%)
Deaths: 0/38
Motavizumab 100 mg/kg
Serious: 7/38 (18%)
Deaths: 0/38

Serious adverse events (19 terms)

ReactionSystemPlaceboMotavizumab 30 mg/kgMotavizumab 100 mg/kg
Respiratory syncytial virus bronchiolitisInfections and infestations
Respiratory distressRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
PyrexiaGeneral disorders
Gastroenteritis rotavirusInfections and infestations
Otitis media acuteInfections and infestations
SepsisInfections and infestations
ConcussionInjury, poisoning and procedural complications
HypernatraemiaMetabolism and nutrition disorders
AsthmaRespiratory, thoracic and mediastinal disorders
AtelectasisRespiratory, thoracic and mediastinal disorders
BronchiolitisInfections and infestations
BronchitisInfections and infestations
PneumoniaInfections and infestations
Pneumonia respiratory syncytial viralInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
Metabolic acidosisMetabolism and nutrition disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (22 terms — click to expand)

ReactionSystemPlaceboMotavizumab 30 mg/kgMotavizumab 100 mg/kg
PyrexiaGeneral disorders
BronchitisInfections and infestations
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
VomitingGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Otitis mediaInfections and infestations
Dermatitis diaperSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
ConjunctivitisEye disorders
Bronchial obstructionRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Otitis media acuteInfections and infestations
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
PneumoniaInfections and infestations
Gastrooesophageal reflux diseaseGastrointestinal disorders
PharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
WheezingRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Respiratory syncytial virus bronchiolitis, Respiratory distress, Diarrhoea, Gastrooesophageal reflux disease, Pyrexia, Gastroenteritis rotavirus, Otitis media acute, Sepsis.

Data from ClinicalTrials.gov NCT00421304 adverse events section.

Sponsor's own description

The primary objective of this study is to describe the effect of a single dose of medication compared to placebo in the upper respiratory tract in previously healthy children less than or equal to 12 months of age who are hospitalized with lower respiratory tract illness.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Motavizumab.
    Cingoz O. · · 2009 · cited 25× · PMID 20065632 · DOI 10.4161/mabs.1.5.9496
  2. Immunoglobulin treatment for hospitalised infants and young children with respiratory syncytial virus infection.
    Sanders SL, Agwan S, Hassan M, Hassan M, et al · · 2019 · cited 23× · PMID 31446622 · DOI 10.1002/14651858.cd009417.pub2
  3. Learning from past failures: Challenges with monoclonal antibody therapies for COVID-19.
    Lai SK, McSweeney MD, Pickles RJ. · · 2021 · cited 22× · PMID 33276017 · DOI 10.1016/j.jconrel.2020.11.057
  4. Immunoglobulin treatment for hospitalised infants and young children with respiratory syncytial virus infection.
    Sanders SL, Agwan S, Hassan M, Bont LJ, et al · · 2023 · cited 3× · PMID 37870128 · DOI 10.1002/14651858.cd009417.pub3

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