Study to Assess Brincidofovir Treatment of Serious Diseases or Conditions Caused by Double-stranded DNA Viruses
- Registration Number
- NCT01143181
- Lead Sponsor
- Chimerix
- Brief Summary
This was a multicenter, open-label study of oral brincidofovir (BCV) treatment of serious disease or conditions caused by double-stranded DNA (dsDNA) virus(es). Subjects received either a weight-based or a fixed dose of oral BCV once weekly (QW) or twice weekly (BIW) for up to 3 months until clinical disease was resolved or stabilized and/or viral DNA by polymerase chain reaction testing was negative for 4 consecutive weeks, whichever was longer. Under the first protocol amendment, adults and adolescents (≥13 years) received 200 mg or 300 mg BCV BIW (not to exceed 4 mg/kg total weekly dose) depending on the difficulty of treating their disease (i.e., Group 1 or Group 2, respectively), and pediatric subjects (≤12 years) received 4 mg/kg BCV BIW. Under the second protocol amendment, adults and adolescents (≥13 years), regardless of viral infection/disease, had a maximum weekly dose of 200 mg, i.e., 200 mg QW or 100 mg BIW; not to exceed 4mg/kg total weekly dose. Pediatric subjects (≤12 years), regardless of viral infection/disease, had a maximum weekly dose of 4 mg/kg, i.e., 4 mg/kg QW or 2 mg/kg BIW; not to exceed 200 mg.
- Detailed Description
This was a multicenter, open-label study of oral brincidofovir (BCV) treatment of serious disease or conditions caused by double-stranded DNA (dsDNA) virus(es).
Subjects with a life-threatening or serious disease or condition caused by infection with any dsDNA virus(es), who met the protocol eligibility criteria and who were approved by the Chimerix Medical Monitor were enrolled in this open-label treatment study. During the course of the study, the viral disease indications were narrowed in Amendment 2 to cytomegalovirus, adenovirus, herpes simplex virus, vaccinia virus, variola virus, or monkeypox virus to focus on indications that were under study in controlled clinical trials of oral BCV and on viral disease with few, if any, options for treatment. However, subjects with other viral disease indications may have been enrolled with the approval of the Chimerix Medical Monitor.
Subjects received either a weight-based or a fixed dose of oral BCV once weekly (QW) or twice weekly (BIW) for up to 3 months until clinical disease was resolved or stabilized and/or viral DNA by polymerase chain reaction testing was negative for 4 consecutive weeks, whichever was longer. Subjects who met criteria for resolution of viral disease may have: 1) discontinued BCV; 2) reduced the dose or dosing frequency of BCV; or 3) continued BCV QW or BIW, depending on the investigator's assessment of the risk of relapse and following discussion with the Chimerix medical monitor.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 210
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Brincidofovir Brincidofovir Subjects received either a weight-based or a fixed-dose of oral brincidofovir (BCV) once weekly or twice weekly for up to 3 months until clinical disease was resolved or stabilized and/or viral DNA polymerase chain reaction testing was negative for 4 consecutive weeks, whichever was longer.
- Primary Outcome Measures
Name Time Method Number of Subjects Who Had a Sustained and Significant Reduction in Plasma Viral Load of Primary dsDNA Virus 3 months Proportion of subjects who achieved a confirmed reduction in viral load for the primary dsDNA virus of ≥1 log10 copies/mL from baseline or to an undetectable level. Confirmation required the reduction in viral load (i.e., decrease of ≥ 1 log10 copies/mL from baseline or to undetectable levels) to be maintained at the next assessment for the subject to be considered a success.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (37)
Children's Hospital of LA
🇺🇸Los Angeles, California, United States
University of Chicago
🇺🇸Chicago, Illinois, United States
Cleveland Clinic
🇺🇸Cleveland, Ohio, United States
Brigham and Womens Hospital
🇺🇸Boston, Massachusetts, United States
Children's National Medical Center
🇺🇸Washington, District of Columbia, United States
Loma Linda University Hospital
🇺🇸Loma Linda, California, United States
Childrens Hospital of Pittsburgh
🇺🇸Pittsburgh, Pennsylvania, United States
Lucile Packard Children's Hospital
🇺🇸Stanford, California, United States
Mt. Sinai
🇺🇸New York, New York, United States
University of Michigan
🇺🇸Ann Arbor, Michigan, United States
Children's Hospital of Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States
UCLA Department of Medicine
🇺🇸Los Angeles, California, United States
Memorial Sloan Kettering Cancer Institute
🇺🇸New York, New York, United States
UPMC
🇺🇸Pittsburgh, Pennsylvania, United States
University of Iowa
🇺🇸Iowa City, Iowa, United States
University of Washington-Fred Hutchinson Cancer Center
🇺🇸Seattle, Washington, United States
Nationwide Children's Hospital
🇺🇸Columbus, Ohio, United States
Duke University Medical Center
🇺🇸Durham, North Carolina, United States
UT MD Anderson Cancer Center
🇺🇸Houston, Texas, United States
Cincinnati Childrens Hospital
🇺🇸Cincinnati, Ohio, United States
University of Minnesota
🇺🇸Minneapolis, Minnesota, United States
St. Louis Children's Hospital
🇺🇸Saint Louis, Missouri, United States
Children's Hospital of Colorado
🇺🇸Aurora, Colorado, United States
Univeristy of San Francisco
🇺🇸San Francisco, California, United States
NIH
🇺🇸Bethesda, Maryland, United States
University of Nebraska Medical Center
🇺🇸Omaha, Nebraska, United States
Intermountain BMT program LDS Hospital
🇺🇸Salt Lake City, Utah, United States
Oregon Health and Science University
🇺🇸Portland, Oregon, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States
CHOC Children's
🇺🇸Orange, California, United States
Childrens Hospital LSU
🇺🇸New Orleans, Louisiana, United States
Tufts Medical Center
🇺🇸Boston, Massachusetts, United States
University of North Carolina at Chapel Hill
🇺🇸Chapel Hill, North Carolina, United States
Hackensack University Medical Center
🇺🇸Hackensack, New Jersey, United States
Columbia University
🇺🇸New York, New York, United States
Levine Children's Hospital Carolina Medical Center
🇺🇸Charlotte, North Carolina, United States
Cook Children's Medical Center
🇺🇸Fort Worth, Texas, United States