A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Safety, Pharmacokinetic, Pharmacodynamic and Preliminary Efficacy Study of IC14 in Adult Patients With Dengue Fever
试验速览
- 阶段
- 2 期
- 状态
- 撤回
- 主要终点
- Area under the curve of IC14 serum concentration
研究概览
简要总结
Randomized, double-blind, placebo-controlled, safety, PK/PD and preliminary efficacy study of intravenous IC14 in adult patients in a dengue-endemic region presenting with fever > 38°C for < 48 hours with a positive NS1 strip assay or reverse-transcriptase polymerase chain reaction assay for dengue virus.
详细描述
The study will be conducted in two parts and will include an open label phase of a single dose of IC14 (Part A) and a randomized phase of multiple doses of IC14 and placebo (Part B). Up to 52 patients will be enrolled in both parts of the study.
Part A will consist of 12 patients given one of three doses of IC14 as a single dose open-label . Each patient must complete 14 days before the enrollment of subsequent patients. Part A subjects will be hospitalized for 4 days. During and at the end of 4-day admission to the clinical research unit, and on Study Days 5, 6, 7, 14, 21 and 32, Part A patients will have their health status assessed. The last subject in Part A must complete 32 days of participation before Part B of the trial is opened.
Part B consists of 40 patients randomized equally to one of 4 dosing regimens which will include a single dose or multiple doses of IC14 or placebo given at different dosing frequencies. In Part B, Cohort 1 and 2 subjects (single dose) will be inpatient for 4 days and Cohort 3 and 4 subjects (four daily doses) will be inpatient for 5 days. During and at the end of the admission to the clinical research unit, and on Study Days 5, 6, 7, 14, 21 and 32, Part B patients will have their health status assessed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Part A/Single Dose
IC14 0.5, 1.0 or 2.0 mg/kg IV as a single dose (subjects are assigned and not randomized to this arm. When Part A is complete, Enrollment to Part B will commence).
干预措施: IC14 (Biological)
Part B/Cohort 1
IC14 4 mg/kg/day IV or placebo IV x 1 day.
干预措施: IC14 (Biological)
Part B/Cohort 2
IC14 8 mg/kg/day IV or placebo IV x 1 day.
干预措施: IC14 (Biological)
Part B/Cohort 3
IC14 2 mg/kg/day IV x 1 day followed by IC14 1 mg/kg/day IV x 3 days or placebo IV daily for 4 days.
干预措施: IC14 (Biological)
Part B/Cohort 4
IC14 4 mg/kg/day IV x 1 day followed by IC14 2 mg/kg/day IV x 3 days or placebo IV daily for 4 days.
干预措施: IC14 (Biological)
Part B/Cohort 2
IC14 8 mg/kg/day IV or placebo IV x 1 day.
干预措施: Placebo (Drug)
Part B/Cohort 1
IC14 4 mg/kg/day IV or placebo IV x 1 day.
干预措施: Placebo (Drug)
Part B/Cohort 3
IC14 2 mg/kg/day IV x 1 day followed by IC14 1 mg/kg/day IV x 3 days or placebo IV daily for 4 days.
干预措施: Placebo (Drug)
Part B/Cohort 4
IC14 4 mg/kg/day IV x 1 day followed by IC14 2 mg/kg/day IV x 3 days or placebo IV daily for 4 days.
干预措施: Placebo (Drug)
结局指标
主要结局
Area under the curve of IC14 serum concentration
时间窗: 14 days
Area under the curve of IC14 serum concentration
Incidence of treatment-emergent adverse events (safety, tolerability)
时间窗: 32 days
Number of patients with treatment-related adverse events as classified according to MedDRA
次要结局
- Dengue viral load(32 days)
- Dengue symptom score(32 days)
- Disease severity(32 days)
- Mortality(32 days)
- Fever(32 days)
