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NCT02371668: CR6261

Efficacy and Safety of CR6261 in an H1N1 Influenza Healthy Volunteer Human Challenge Model

Completed Phase 2 Results posted Last updated 17 March 2020
What this trial tests

Phase 2 trial testing CR6261 in H1N1 Influenza Healthy Volunteers in 104 participants. Completed in 30 November 2018.

Timeline
25 February 2015
Primary endpoint
30 November 2018
30 November 2018

Quick facts

Lead sponsorNational Institute of Allergy and Infectious Diseases (NIAID)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeother
Enrollment104
Start date25 February 2015
Primary completion30 November 2018
Estimated completion30 November 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Who can join

Adults 18 to 45, any sex, with H1N1 Influenza Healthy Volunteers. 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.

Area Under the Curve (AUC) of Viral Shedding Primary · 3 times a day for 10 days

Area under the curve (AUC) calculated from quantitative real-time RT-PCR for influenza A taken from 3 time per day nasal swab collection.

GroupValue95% CI
CR626148.568.00 – 209.68
Placebo Comparator25.535.00 – 159.78
Confirmed Influenza Infection Secondary · Evaluated daily for 10 days + 8 weeks convalescent follow up

Percentage of participants who experienced either viral shedding or symptoms + a four fold rise in convalescent HAI titer.

GroupValue95% CI
CR626173
Placebo Comparator88
Days of Shedding Secondary · Evaluated for up to 2 months

Duration in days viral shedding was detected after influenza challenge

GroupValue95% CI
CR626121 – 4
Placebo Comparator2.51 – 5
Days of Symptoms Secondary · Evaluated for up to 2 months

Duration in days symptoms were experienced after influenza challenge

GroupValue95% CI
CR626153 – 7
Placebo Comparator65 – 7
Mild to Moderate Influenza Disease Secondary · Evaluated daily for 10 days

Percentage of participants who experienced influenza symptoms and shedding

GroupValue95% CI
CR626153
Placebo Comparator69
Number of Symptoms Secondary · Evaluated for up to 2 months

Number of unique influenza symptoms experienced after influenza challenge

GroupValue95% CI
CR626132 – 5
Placebo Comparator43 – 5
Symptoms Secondary · Evaluated daily for 10 days

Percentage of participants who experienced influenza symptoms

GroupValue95% CI
CR626176
Placebo Comparator93
Total FLUPRO Score Secondary · Evaluated from day 0 to day 8

Objective symptoms score from patient directed FLUPRO questionnaire (inFLUenza Patient-Reported Outcome dairy) . The FLUPRO questionnaire uses a 5-point ordinal scale, with higher scores indicating a more frequent sign or symptom. Total scores can range from 0 (symptom free) to 4 (maximum severity of symptoms). Daily scores (Day 0 - Day 8) are averaged to calculate a total score for each participant, then calculated the median total FLUPRO score for each arm.

GroupValue95% CI
CR62610.0380.0125 – 0.08438
Placebo Comparator0.0570.04063 – 0.08438
Viral Shedding Secondary · Evaluated daily for 10 days

Percentage of participants who experienced influenza viral shedding

GroupValue95% CI
CR626167
Placebo Comparator74

Adverse events — posted to ClinicalTrials.gov

Time frame: 70 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CR6261
Serious: 0/49 (0%)
Deaths: 0/49
Placebo Comparator
Serious: 1/42 (2%)
Deaths: 0/42

Serious adverse events (1 terms)

ReactionSystemCR6261Placebo Comparator
Alcohol poisoningInjury, poisoning and procedural complications
Other adverse events (101 terms — click to expand)

ReactionSystemCR6261Placebo Comparator
RhinitisInfections and infestations
HeadacheNervous system disorders
Haemoglobin decreasedInvestigations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Neutrophil count decreasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
Amylase increasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Alanine aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Productive coughRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
Lipase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
ChillsGeneral disorders
HypokalaemiaMetabolism and nutrition disorders
PyrexiaGeneral disorders
ConjunctivitisInfections and infestations
InsomniaPsychiatric disorders
Systolic hypertensionVascular disorders
NauseaGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
HyperhidrosisSkin and subcutaneous tissue disorders
TachycardiaCardiac disorders
DiarrhoeaGastrointestinal disorders
Non-cardiac chest painGeneral disorders
HyperglycaemiaMetabolism and nutrition disorders
HypoproteinaemiaMetabolism and nutrition disorders
HypotensionVascular disorders
BradycardiaCardiac disorders
Oxygen saturation abnormalInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
HaematuriaRenal and urinary disorders
ProteinuriaRenal and urinary disorders
Activated partial thromboplastin time prolongedInvestigations
Blood bilirubin increasedInvestigations
White blood cell count decreasedInvestigations

Most-reported serious reactions: Alcohol poisoning.

Data from ClinicalTrials.gov NCT02371668 adverse events section.

Sponsor's own description

Background: \- Researchers want to see if a new drug reduces flu disease in people treated with this drug versus a placebo. The drug has an antibody that may help the immune system fight the flu. Placebo is only sugar and water. All participants will get the flu virus. They may or may not develop flu symptoms. Objective: \- To see if the drug CR6261 reduces flu disease in people treated with this drug versus a placebo. Eligibility: \- Healthy nonsmokers ages 18 45. Design: * Participants will be screened under a separate protocol. * Participants must use contraception or abstinence for several weeks before and after the study. They must have no alcohol for 1 day before each visit. Any medicine must be approved by the study doctor until after follow-up. * Participants will stay in a hospital isolation unit for at least 10 days. * They will have: * Medical history * Physical exam * Blood and urine tests * Heart and lung test * Tests for drugs and alcohol * Throughout their stay, participants will: * Be closely watched by a medical team * Have nasal washes and swabs several times a day * Participants will have the flu virus sprayed in each nostril. * The next day, participants will get either study drug or placebo through a soft plastic tube placed in a vein by needle. It will take 2 hours. They will not know which they get. * Participants can go home after 10 days if they test negative for the flu 2 days in a row. * Participants will have daily questionnaires at home and 2 follow-up visits over 2 months.

Publications & conference data

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

  1. Universal influenza virus vaccines and therapeutic antibodies.
    Nachbagauer R, Krammer F. · · 2017 · cited 153× · PMID 28216325 · DOI 10.1016/j.cmi.2017.02.009
  2. Antibody therapies for the prevention and treatment of viral infections.
    Salazar G, Zhang N, Fu TM, An Z. · · 2017 · cited 135× · PMID 29263875 · DOI 10.1038/s41541-017-0019-3
  3. Tackling influenza with broadly neutralizing antibodies.
    Corti D, Cameroni E, Guarino B, Kallewaard NL, et al · · 2017 · cited 111× · PMID 28527859 · DOI 10.1016/j.coviro.2017.03.002
  4. Overview of Current Therapeutics and Novel Candidates Against Influenza, Respiratory Syncytial Virus, and Middle East Respiratory Syndrome Coronavirus Infections.
    Behzadi MA, Leyva-Grado VH. · · 2019 · cited 78× · PMID 31275265 · DOI 10.3389/fmicb.2019.01327
  5. In vitro evolution of an influenza broadly neutralizing antibody is modulated by hemagglutinin receptor specificity.
    Wu NC, Grande G, Turner HL, Ward AB, et al · · 2017 · cited 62× · PMID 28504265 · DOI 10.1038/ncomms15371
  6. Recent advances in therapeutic applications of neutralizing antibodies for virus infections: an overview.
    Ali MG, Zhang Z, Gao Q, Pan M, et al · · 2020 · cited 55× · PMID 33161557 · DOI 10.1007/s12026-020-09159-z
  7. Passive immunization for influenza through antibody therapies, a review of the pipeline, challenges and potential applications.
    Sparrow E, Friede M, Sheikh M, Torvaldsen S, et al · · 2016 · cited 50× · PMID 27622299 · DOI 10.1016/j.vaccine.2016.08.057
  8. Safety and Efficacy of CR6261 in an Influenza A H1N1 Healthy Human Challenge Model.
    Han A, Czajkowski L, Rosas LA, Cervantes-Medina A, et al · · 2021 · cited 46× · PMID 33211860 · DOI 10.1093/cid/ciaa1725

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