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A Trial to Evaluate the Efficacy and Safety of TNM001 for the Prevention of Lower Respiratory Tract Infection Caused by Respiratory Syncytial Virus in Infants

Phase 2
Not yet recruiting
Conditions
Respiratory Syncytial Virus Infections
Interventions
Biological: placebo
Biological: TNM001
Registration Number
NCT06083623
Lead Sponsor
Zhuhai Trinomab Pharmaceutical Co., Ltd.
Brief Summary

The purpose of this study is to evaluate the efficacy, safety, pharmacokinetics (PK), neutralizing antibody and antidrug antibody (ADA) response for TNM001 in infants entering their first RSV season.

Detailed Description

This study adopts an adaptive seamless dose selection design and consists of two parts: Part 1 is a phase 2b dose ranging trial which will support to determine the dose for Part 2, the phase 3 trial. The study population includes early and mid-term preterm infants \[gestational age (GA)﹤35 weeks 0 day\] and late preterm infants or full-term infants (≥35 weeks 0 day GA), with or without Congenital Heart Disease (CHD) or premature infants Chronic Lung Disease (CLD). A total of approximately 2250 infants will be randomized 2:1 to receive either TNM001 or placebo. All subjects will be followed for 240 days after dosing. This study will be conducted in appropriately 50 sites in China.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
2250
Inclusion Criteria
    1. Early and mid-term preterm infants (<35 weeks 0 day GA) and late preterm infants or full-term infants (≥35 weeks 0 day GA) under 1 year of age, with or without Congenital Heart Disease (CHD) or premature infants Chronic Lung Disease (CLD),who are entering their first RSV season at the time of screening.
Exclusion Criteria
    1. Any fever (> 38.0°C) or acute illness within 7 days prior to randomization
    1. History of RSV infection or active RSV infection prior to, or at the time of, randomization
    1. Drug medication prior to randomization or expected to be treated by medicines during the study period.
    1. Currently receiving or expected to receive immunosuppressive therapy during the study period.
    1. Renal impairment or hepatic dysfunction
    1. Nervous system disease or neuromuscular disease
    1. Prior history of a suspected or actual acute life-threatening event
    1. Known immunodeficiency including HIV, mother with HIV infection unless the child's infection has been excluded.
    1. Known allergy history of immunoglobulin products, receipt or expected to receive immunoglobulins or blood products during the study period.
  • 10.Receipt of RSV vaccine or mAb

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placeboplacebo-
TNM001TNM001-
Primary Outcome Measures
NameTimeMethod
Incidence of medically attended LRTI due to RT-PCR confirmed RSV150 days post dose
Secondary Outcome Measures
NameTimeMethod
Incidence of hospitalization due to RT-PCR confirmed RSV LRTI150 days post dose
Serum level of neutralizing antibody to RSV240 days post dose
Serum concentration of single dose TNM001 at pre-specified timepoints240 days post dose
Occurrence of adverse events (AEs)240 days post dose
Change in heart rate (beats per minute)240 days post dose
Change in respiratory rate (breaths per min)240 days post dose
Change in body temperature (celsius)240 days post dose
Number of subjects with clinical significant abnormality in physical examinations240 days post dose
Positive rate of anti-drug antibody (ADA) to TNM001 in serum240 days post dose
Change in blood pressure (mmHg)240 days post dose

Trial Locations

Locations (39)

The Third Affiliated Hospital of Guangzhou Medical University

🇨🇳

Guangdong, Guangdong, China

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

Children's Hospital Capital Institute Pediatrics

🇨🇳

Beijing, Beijing, China

Jiangjin Central Hospital

🇨🇳

Chongqing, Chongqing, China

Xiamen maternal and Child Health Hospital

🇨🇳

Xiamen, Fujian, China

University of Chinese Academy of Sciense Shenzhen Hospital

🇨🇳

Shenzhen, Guangdong, China

Guangdong Maternal and Child Health Care Hospital

🇨🇳

Guangzhou, Guangdong, China

Affiliated Hospital of Guilin Medical University

🇨🇳

Guilin, Guangxi, China

LiuZhou People's Hospital

🇨🇳

Liuzhou, Guangxi, China

Maternity and Child Health Care of Guangxi Zhuang Autonomous Region

🇨🇳

Nanning, Guangxi, China

HaiNan Women and Children's Medical Center

🇨🇳

Haikou, Hainan, China

Hebei Petro China Central Hospital

🇨🇳

Langfang, Hebei, China

The Fourth Hospital of Hebei Medical University

🇨🇳

Shijia Zhuang, Hebei, China

The Second Hospital of HeBei Medical University (HBMU)

🇨🇳

Shijia Zhuang, Hebei, China

Tangshan Maternal and Child Health Hospitaltangshan Maternal and Child Health Hospital

🇨🇳

Tangshan, Hebei, China

Sanmenxia Central Hospital

🇨🇳

Sanmenxia, Henan, China

Xinxiang First People's Hospital

🇨🇳

Xinxiang, Henan, China

Henan (Zhengzhou) Children's Hospital

🇨🇳

Zhengzhou, Henan, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

The First People'S Hospital of Changde City

🇨🇳

Changde, Hunan, China

The Maternal and Child Health Hospital of Hunan Province

🇨🇳

Changsha, Hunan, China

Xiangya Hospital Central South University

🇨🇳

Changsha, Hunan, China

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

The Second Hospital University of South China

🇨🇳

Hengyang, Hunan, China

The Central Hospital of Wuhan

🇨🇳

Wuhan, Hubei, China

Loudi Central Hospital

🇨🇳

Loudi, Hunan, China

Jiangxi Maternal and Child Health Hospital

🇨🇳

Nanchang, Jiangxi, China

Children's Hospital Affiliated to Shandong University

🇨🇳

Jinan, Shandong, China

The First Affiliated Hospital of Shaoyang University

🇨🇳

Shaoyang, Hunan, China

Linfen Central Hospital

🇨🇳

Linfen, Shanxi, China

Linfen People's Hospital

🇨🇳

Linfen, Shanxi, China

The affiliated children'shospital fudan university

🇨🇳

Shanghai, Shanghai, China

Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine/Hangzhou First People's Hospital

🇨🇳

Hangzhou, Zhejiang, China

Chengdu Women's and Children's Central Hospital

🇨🇳

Chengdu, Sichuan, China

West China Second University Hospital, Sichuan University

🇨🇳

Chengdu, Sichuan, China

Children's Hospital of Chongqing Medical University

🇨🇳

Chongqing, Sichuan, China

Mianyang Peoples Hospital

🇨🇳

Mianyang, Sichuan, China

Yuncheng Central Hospital

🇨🇳

Yuncheng, Shanxi, China

Ningbo Women&Children's Hospital

🇨🇳

Ningbo, Zhejiang, China

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