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NCT02016963

An Open-label, Nonrandomized Study to Evaluate the Safety and Immunogenicity of Raxibacumab With Reinjection

Completed Phase 2, PHASE3 Results posted Last updated 29 November 2018
What this trial tests

Phase 2, PHASE3 trial testing Raxibacumab in Therapeutic Treatment of Inhalation Anthrax in 20 participants. Completed in 31 May 2008.

Timeline
31 January 2008
Primary endpoint
31 May 2008
31 May 2008

Quick facts

Lead sponsorHuman Genome Sciences Inc.
PhasePhase 2, PHASE3
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment20
Start date31 January 2008
Primary completion31 May 2008
Estimated completion31 May 2008

Drugs / interventions tested

Conditions studied

Sponsor

Human Genome Sciences Inc. — full company profile →

Who can join

Adults 18 to 64, any sex, with Therapeutic Treatment of Inhalation Anthrax. 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.

Number of Participants Who Developed a Positive Anti-raxibacumab Antibody Response Primary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Number of participants who developed an positive anti-raxibacumab antibody response during the study were assessed.The antibody response to raxibacumab was assessed using a screening assay (i.e. by electrochemiluminescence counts). Positive samples would be further tested in an inhibition of binding assay to confirm the specificity of binding.

GroupValue95% CI
Raxibacumab0
Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. This includes worsening (eg, increase in frequency or severity) of pre-existing conditions. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Me

Any AE
GroupValue95% CI
Raxibacumab8
Any SAE
GroupValue95% CI
Raxibacumab0
Number of Participants With Hematological Toxicities of the Indicated Grade Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Clinical hematological parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical intervention or therapy required, hospitalizations possible. Grade 4 (Life-threatening): Extreme limita

Leukocytosis, Grade 1
GroupValue95% CI
Raxibacumab0
Leukocytosis, Grade 2
GroupValue95% CI
Raxibacumab0
Leukocytosis, Grade 3
GroupValue95% CI
Raxibacumab0
Leukocytosis, Grade 4
GroupValue95% CI
Raxibacumab0
Leukopenia, Grade 1
GroupValue95% CI
Raxibacumab5
Leukopenia, Grade 2
GroupValue95% CI
Raxibacumab0
Leukopenia, Grade 3
GroupValue95% CI
Raxibacumab0
Leukopenia, Grade 4
GroupValue95% CI
Raxibacumab0
Number of Participants With at Least a 2-grade Worsening From Baseline in Hematological Toxicities Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

The number of participants with at least a 2-grade worsening from Baseline in hematological toxicities is presented. Clinical hematological parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually requ

Leukocytosis, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Leukopenia, any >=2-grade worsening
GroupValue95% CI
Raxibacumab0
Lymphopenia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab1
Neutropenia, any >=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hemoglobin, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Platelet, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Prothrombin Time, any >=2-grade worsening
GroupValue95% CI
Raxibacumab1
Partial Thromboplastin Time, any>=2grade worsening
GroupValue95% CI
Raxibacumab1
Number of Participants With Liver Toxicities of the Indicated Grade Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Liver function parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical intervention or therapy required, hospitalizations possible. Grade 4 (Life-threatening): Extreme limitation in

Aspartate amino transferase (AST), Grade 1
GroupValue95% CI
Raxibacumab2
AST, Grade 2
GroupValue95% CI
Raxibacumab0
AST, Grade 3
GroupValue95% CI
Raxibacumab0
AST, Grade 4
GroupValue95% CI
Raxibacumab0
Alanine amino transferase(ALT), Grade 1
GroupValue95% CI
Raxibacumab1
ALT, Grade 2
GroupValue95% CI
Raxibacumab1
ALT, Grade 3
GroupValue95% CI
Raxibacumab0
ALT, Grade 4
GroupValue95% CI
Raxibacumab0
Number of Participants With at Least a 2-grade Worsening From Baseline in Liver Toxicities Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

The number of participants with at least a 2-grade worsening from Baseline in liver toxicities is presented. Liver function parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical in

AST, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
ALT, any>=2-grade worsening
GroupValue95% CI
Raxibacumab1
GGT, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Alkaline phosphatase, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hyperbilirubinemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Number of Participants With Electrolyte Toxicities of the Indicated Grade Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Electrolyte function parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical intervention or therapy required, hospitalizations possible. Grade 4 (Life-threatening): Extreme limitati

Hypernatremia, Grade 1
GroupValue95% CI
Raxibacumab0
Hypernatremia, Grade 2
GroupValue95% CI
Raxibacumab0
Hypernatremia, Grade 3
GroupValue95% CI
Raxibacumab0
Hypernatremia, Grade 4
GroupValue95% CI
Raxibacumab0
Hyponatremia, Grade 1
GroupValue95% CI
Raxibacumab2
Hyponatremia, Grade 2
GroupValue95% CI
Raxibacumab0
Hyponatremia, Grade 3
GroupValue95% CI
Raxibacumab0
Hyponatremia, Grade 4
GroupValue95% CI
Raxibacumab0
Number of Participants With at Least a 2-grade Worsening From Baseline in Electrolyte Toxicities Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

The number of participants with at least a 2-grade worsening from Baseline in electrolyte toxicities is presented. Electrolyte function parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0.Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required;

Hypernatremia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hyponatremia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hyperkalemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hypokalemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hypomagnesemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hypercalcemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hypocalcemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hypophosphatemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Number of Participants With Other Chemistry Toxicities of the Indicated Grade Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Other chemistry parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical intervention or therapy required, hospitalizations possible. Grade 4 (Life-threatening): Extreme limitation in

Creatinine, Grade 1
GroupValue95% CI
Raxibacumab0
Creatinine, Grade 2
GroupValue95% CI
Raxibacumab0
Creatinine, Grade 3
GroupValue95% CI
Raxibacumab0
Creatinine, Grade 4
GroupValue95% CI
Raxibacumab0
Hypoalbuminemia, Grade 1
GroupValue95% CI
Raxibacumab0
Hypoalbuminemia, Grade 2
GroupValue95% CI
Raxibacumab0
Hypoalbuminemia, Grade 3
GroupValue95% CI
Raxibacumab0
Hypoalbuminemia, Grade 4
GroupValue95% CI
Raxibacumab0
Number of Participants With at Least a 2-grade Worsening From Baseline in Other Chemistry Toxicities Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

The number of participants with at least a 2-grade worsening from Baseline in other chemistry toxicities is presented. Other clinical chemistry parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually

Creatinine, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hypoalbuminemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hyperuricemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Hyperglycemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab1
Hypoglycemia, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Amylase, any>=2-grade worsening
GroupValue95% CI
Raxibacumab0
Number of Participants With Urinalysis Toxicities of the Indicated Grade Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Urinaysis parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical intervention or therapy required, hospitalizations possible. Grade 4 (Life-threatening): Extreme limitation in activ

GroupValue95% CI
Raxibacumab0
Number of Participants With at Least a 2-grade Worsening From Baseline in Urinalysis Toxicities Secondary · From the date of the dose administration of study agent for this study (Day 0) until Day 70

Urinalysis parameters were assessed using the modified Division of Microbiology and Infectious Diseases (DMID) toxicity tables, version 2.0. Grade 1 (Mild): Transient or mild discomfort (\< 48 hours); no medical intervention or therapy required. Grade 2 (Moderate): Mild to moderate limitation in activity, some assistance may be needed; no or minimal medical intervention or therapy required. Grade 3 (Severe): Marked limitation in activity, some assistance usually required; medical intervention or therapy required, hospitalizations possible. Grade 4 (Life-threatening): Extreme limitation in acti

GroupValue95% CI
Raxibacumab0

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious adverse events (SAEs) and non-serious AEs were collected from the time the first dose of study agent (Day 0) until Day 70.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Raxibacumab
Serious: 0/20 (0%)
Deaths:
Other adverse events (7 terms — click to expand)

ReactionSystemRaxibacumab
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
PainGeneral disorders
Abdominal painGastrointestinal disorders
Joint stiffnessMusculoskeletal and connective tissue disorders
Dry skinSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT02016963 adverse events section.

Sponsor's own description

This is an open-label study to evaluate the immunogenicity and safety of raxibacumab in healthy adult male and female subjects. Subjects who have received raxibacumab \>= 4 months ago will be enrolled and dosed as follows: A maximum of 25 subjects (to include 3 evaluable female subjects) will receive a second dose of raxibacumab equal to that of the previous dose \>= 4 months following the first dose. Subjects will remain in house from Day 0 until Day 1 and will be followed for 70 days after receiving the second dose of raxibacumab. Raxibacumab has been shown to provide improved survival in rabbit and monkey anthrax spore challenge studies. Preliminary data from our rabbit pivotal efficacy study showed significant survival benefit for raxibacumab over placebo. Exposure to anthrax and resulting clinical disease can occur more than once, especially in individuals who do not develop protective immunity. Hence, if clinically indicated for the treatment of anthrax, there may be a requirement for the repeat administration of raxibacumab. The rationale of the study is to evaluate the immunogenicity and safety of repeat administration of raxibacumab with a \>= 4 month interval between dosing.

Publications & conference data

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

  1. Recent Advances in Monoclonal Antibody-Based Approaches in the Management of Bacterial Sepsis.
    Kharga K, Kumar L, Patel SKS. · · 2023 · cited 25× · PMID 36979744 · DOI 10.3390/biomedicines11030765
  2. A new dawn for monoclonal antibodies against antimicrobial resistant bacteria.
    Troisi M, Marini E, Abbiento V, Stazzoni S, et al · · 2022 · cited 19× · PMID 36590399 · DOI 10.3389/fmicb.2022.1080059

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02016963.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing