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A Study of MHAA4549A as Monotherapy for Acute Uncomplicated Seasonal Influenza A in Otherwise Healthy Adults

Phase 2
Completed
Conditions
Influenza A
Interventions
Drug: Placebo
Registration Number
NCT02623322
Lead Sponsor
Genentech, Inc.
Brief Summary

This is a Phase 2, randomized, double-blind, placebo-controlled single dose study in otherwise healthy adults with acute uncomplicated seasonal influenza A to assess the safety and tolerability, efficacy, and pharmacokinetics of MHAA4549A.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
124
Inclusion Criteria
  • Otherwise healthy participants
  • Positive test for influenza A infection
  • No more than 72 hours elapsed between onset of influenza-like illness and start of study drug
  • Presence of at least one moderate or severe constitutional symptom such as headache, myalgia, fever, chills, fatigue, anorexia, or nausea PLUS one moderate or severe respiratory symptom such as cough, sore throat, or rhinorrhea
  • For women of childbearing potential: negative pregnancy test and agreement to use acceptable contraceptive methods for at least 120 days after study drug administration
  • For men: agreement to use acceptable contraceptive methods for at least 30 days after study drug administration
Exclusion Criteria
  • Creatinine clearance less than or equal to (</=) 80 milliliters per minute (mL/min)
  • Any significant medical conditions or laboratory abnormalities
  • Clinical signs and symptoms consistent with otitis, bronchitis, sinusitis, or pneumonia or active bacterial infection
  • Use of antiviral therapy in the period from onset of influenza-like illness and prior to enrollment
  • Pregnancy at Screening or is currently pregnant or breastfeeding
  • Investigational therapy within 30 days or 5 half-lives prior to start of study drug, whichever is greater
  • Prior anti-influenza monoclonal antibody use
  • Receipt of a nasal influenza A vaccine within 14 days prior to Screening
  • Positive test for influenza B or influenza A+B within 2 weeks prior to study drug
  • History of significant tobacco use or drug/alcohol abuse
  • Chronic use of oral or inhaled corticosteroids within 30 days prior to Screening
  • Autoimmune disease, known immunodeficiency of any cause, or use of immunosuppressive medications
  • History of any chronic respiratory condition
  • Human immunodeficiency virus (HIV) with cluster of differentiation (CD) 4 count </= 200 cells per milliliter (cells/mL) in the past 12 months
  • Serious infection requiring oral or IV antibiotics within 14 days prior to Screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboParticipants will receive single-dose placebo by IV administration.
MHAA4549A 3600 milligrams (mg)MHAA4549AParticipants will receive single-dose MHAA4549A, 3600 mg, by intravenous (IV) administration.
MHAA4549A 8400 mgMHAA4549AParticipants will receive single-dose MHAA4549A, 8400 mg, by IV administration.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Adverse Events (AEs)Baseline to Day 100

An AE is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Requiring Hospitalization for Influenza-Related ComplicationsBaseline to Day 100
Percentage of Participants Requiring Antibiotics for Secondary Bacterial Respiratory InfectionsBaseline to Day 100

Participants with antibiotic usage for secondary bacterial respiratory infections were identified by counting participants with AEs containing the terms, "pneumonia, lung, myocarditis, ARDS (acute respiratory distress syndrome), otitis media, or respiratory."

Maximum Serum Concentration (Cmax) of MHAA4549AUp to Day 100 (collections scheduled pre-dose [0 hours]; 60 minutes post-dose; and on Days 3, 5, 7, 30, and 100 post-dose; infusion duration = 2 hours)
Percentage of Participants With Complications of InfluenzaBaseline to Day 100

Participants with complications of influenza were identified by counting participants with AEs containing the terms, "pneumonia, lung, myocarditis, ARDS (acute respiratory distress syndrome), otitis media, or respiratory."

Percentage of Participants With Influenza A Relapse/ReinfectionBaseline to Day 100
Area Under the Concentration-Time Curve (AUC) of MHAA4549AUp to Day 100 (collections scheduled pre-dose [0 hours]; 60 minutes post-dose; and on Days 3, 5, 7, 30, and 100 post-dose; infusion duration = 2 hours)

The AUC is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption. AUC was measured in micrograms times hours per milliliter (mcg\*h/mL).

Time to Alleviation of Symptoms of Influenza A InfectionBaseline to Day 14

Time to alleviation of all 7 symptoms (i.e., nasal congestion, sore throat, cough, aches, fatigue, headaches, chills/sweats) was assessed using a rating scale of 0 (none), 1 (mild), 2 (moderate), or 3 (severe) for each symptom. The outcome was defined in two ways: time to a total symptom score of \<=1 and time to a total symptom score of \<=7. Resolution had to be maintained for 24 hours without use of symptom relief medications. For participants who were enrolled with mild symptoms, the symptom score had to be reduced by one point during the study duration.

Duration of Hospitalization for Influenza-Related ComplicationsBaseline to Day 100
Percentage of Participants With Influenza-Related DeathsBaseline to Day 100

Trial Locations

Locations (79)

Oceane7 Clinical Research

🇺🇸

Miami, Florida, United States

North Alabama Research Center LLC

🇺🇸

Athens, Alabama, United States

Lalla-Reddy Medical Corporation

🇺🇸

Fountain Valley, California, United States

WCCT Global, LLC

🇺🇸

Costa Mesa, California, United States

IMMUNOe Research Centers

🇺🇸

Centennial, Colorado, United States

Integrity Clinical Research

🇺🇸

Doral, Florida, United States

Innovative Clinical Research, Inc.

🇺🇸

Lauderhill, Florida, United States

Riverside Clinical Research

🇺🇸

Edgewater, Florida, United States

The Community Research Of South Florida

🇺🇸

Hialeah, Florida, United States

South Florida Research Center, Inc.

🇺🇸

Miami, Florida, United States

Central Florida Internists

🇺🇸

Saint Cloud, Florida, United States

Anne Arundel Medical Center; Anne Arundel Health System

🇺🇸

Annapolis, Maryland, United States

Barnes Jewish Hospital

🇺🇸

Saint Louis, Missouri, United States

Center For Medical Research LLC

🇺🇸

Providence, Rhode Island, United States

Mercury Street Medical Group

🇺🇸

Butte, Montana, United States

Wake Research Associates

🇺🇸

Raleigh, North Carolina, United States

University of Texas Medical Branch at Galveston

🇺🇸

Galveston, Texas, United States

Clinical Research Solutions PC

🇺🇸

Knoxville, Tennessee, United States

Emergency MD

🇺🇸

Boiling Springs, South Carolina, United States

Centex Studies

🇺🇸

Pharr, Texas, United States

inVentiv Health Clinique

🇨🇦

Quebec, Canada

Gachon University Gil Hospital

🇰🇷

Incheon, Korea, Republic of

Manna Research

🇨🇦

Toronto, Ontario, Canada

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Soon Chun Hyang University Hospital Bucheon

🇰🇷

Bucheon-si,, Korea, Republic of

Hallym University Kangnam Sacred Heart Hospital

🇰🇷

Seoul, Korea, Republic of

Optimal Clinical Trials

🇳🇿

Auckland, New Zealand

RMC Medical Research Ltd

🇳🇿

Dunedin, New Zealand

Henderson Medical Centre

🇳🇿

Auckland, New Zealand

Johese Clinical Research

🇿🇦

Centurion, South Africa

Vawda Z Private Practice

🇿🇦

Durban, South Africa

Durban International Clinical Research Site

🇿🇦

Durban, South Africa

Dr Peter John Sebastian; Dr PJ Sebastian

🇿🇦

Durban, South Africa

Into Research; Life Groenkloof Hospital Medical Centre

🇿🇦

Groenkloof, South Africa

Clinresco Centres (Pty) Ltd

🇿🇦

Kempton Park, South Africa

Newtown Clinical Research

🇿🇦

Johannesburg, South Africa

Worthwhile Clinical Trials

🇿🇦

Johannesburg, South Africa

Klerksdorp /Tshepong Hospital Complex

🇿🇦

Klerksdorp, South Africa

Peermed Clinical Trial Centre

🇿🇦

Kempton Park, South Africa

Queenswood CTC

🇿🇦

Queenswood, South Africa

I Engelbrecht Research

🇿🇦

Lyttleton, South Africa

DJW Navorsing

🇿🇦

Krugersdorp, South Africa

Syzygy Clinical Research; Unit 3 to 7

🇿🇦

Pretoria Gauteng Province, South Africa

Wits Clinical Research

🇿🇦

Soweto, South Africa

Welkom Clinical Trial Centre

🇿🇦

Welkom, South Africa

Hospital San Pedro

🇪🇸

Logroño, LA Rioja, Spain

Hospital del Mar

🇪🇸

Barcelona, Spain

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Spain

Surrey Clinical Research Centre; University of Surrey

🇬🇧

Guildford, United Kingdom

Hospital de Galdakao

🇪🇸

Galdacao, Vizcaya, Spain

Barts and the London NHS Trust.

🇬🇧

London, United Kingdom

The James Cook University Hospital

🇬🇧

Middlesborough, United Kingdom

Cotton O'Neil Clinical Research Center

🇺🇸

Topeka, Kansas, United States

Heartland Research Associates

🇺🇸

Wichita, Kansas, United States

Professional Research Network of Kansas

🇺🇸

Wichita, Kansas, United States

Moncton Hospital

🇨🇦

Moncton, New Brunswick, Canada

Acadiana Medicine Clinic

🇺🇸

Opelousas, Louisiana, United States

Hospital Universitario Son Espases

🇪🇸

Palma de Mallorca, Islas Baleares, Spain

HCCA Clinical Research Solutions

🇺🇸

Franklin, Tennessee, United States

Global Medical Institutes, LLC

🇺🇸

Princeton, New Jersey, United States

UMASS Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

William Beaumont Hospital

🇺🇸

Royal Oak, Michigan, United States

Barrett Clinic, P.C.

🇺🇸

La Vista, Nebraska, United States

Clinical Research Solutions, LLC

🇺🇸

Smyrna, Tennessee, United States

Q and T Research

🇨🇦

Gatineau, Quebec, Canada

Hospital Mutua de Terrassa; Servicio de Oncologia

🇪🇸

Terrassa, Barcelona, Spain

Wonju Christian Hospital

🇰🇷

Wonju, Korea, Republic of

Tauranga Hospital

🇳🇿

Tauranga, New Zealand

Jongaie Research

🇿🇦

Pretoria-West, South Africa

Hallym University Sacred Heart Hospital

🇰🇷

Anyang-si, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Detroit Medical Center

🇺🇸

Detroit, Michigan, United States

Tampa General Hospital

🇺🇸

Tampa, Florida, United States

Sinai Grace Hospital

🇺🇸

Detroit, Michigan, United States

Sarkis Clinical Trials

🇺🇸

Gainesville, Florida, United States

Advanced Research Institute, Inc.

🇺🇸

Trinity, Florida, United States

Kentucky Lung Clinic

🇺🇸

Hazard, Kentucky, United States

MedPharmics

🇺🇸

Metairie, Louisiana, United States

Manna Research Vancouver

🇨🇦

Vancouver, British Columbia, Canada

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