A Multicenter, Randomized, Double-blind, Placebo-controlled, Dose-escalation Study of the Safety, Tolerability and Ability of CMX001 to Prevent or Control CMV Infection in R+ Hematopoietic Stem Cell Transplant Recipients
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- Chimerix
- 入组人数
- 239
- 试验地点
- 26
- 主要终点
- Number of Participants With Clinically Significant CMV Infection
研究概览
简要总结
This was a multicenter, randomized, double-blind, placebo-controlled, dose-escalation study of brincidofovir (BCV) administered orally once or twice weekly for up to 11 weeks. Dosing was initiated immediately following engraftment (between Days 14-30 post-transplant) to prevent/control cytomegalovirus (CMV) infection or prevent disease in R+ hematopoietic stem cell transplant (HCT) recipients.
详细描述
This was to be a 2-part study. Part 1 was a randomized, double-blind, placebo-controlled, dose-escalation study of multiple doses of oral brincidofovir (BCV) in R+ hematopoietic stem cell transplant (HCT) recipients. In Part 2, one of the dose levels administered in Part 1 was to be tested against placebo to evaluate the statistical significance of BCV as a therapy for preventing progression of cytomegalovirus (CMV) infection or preventing CMV disease. The first 3 dose-escalating cohorts in Part 1 were to include 32 subjects within each cohort (24 randomized to receive oral BCV and 8 randomized to receive placebo in a 3:1 ratio) for a total of 96 planned subjects. Following completion of the first 3 cohorts and subsequent safety review of the data, up to an additional 3 cohorts of 32 subjects each could have been enrolled. Two additional cohorts (labeled Cohort 4 and Cohort 4A) beyond the initial 3 cohorts were actually enrolled in Part 1 of the study. Following the safety and antiviral activity analyses of the 5 cohorts in Part 1 and the number of subjects enrolled in each of those cohorts, Part 2 of the study was not conducted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Prevention
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —(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
Placebo
- Cohort 1 = 40 mg of matching placebo administered once weekly (QW)
- Cohort 2 = 100 mg of matching placebo administered QW
- Cohort 3 = 200 mg of matching placebo administered QW
- Cohort 4 = 200 mg of matching placebo administered twice weekly (BIW)
- Cohort 4A = 100 mg of matching placebo administered BIW
干预措施: Placebo (Drug)
Brincidofovir
- Cohort 1 = 40 mg brincidofovir (BCV) administered once weekly (QW)
- Cohort 2 = 100 mg BCV administered QW
- Cohort 3 = 200 mg BCV administered QW
- Cohort 4 = 200 mg BCV administered twice weekly (BIW)
- Cohort 4A = 100 mg BCV administered BIW
干预措施: Brincidofovir (Drug)
结局指标
主要结局
Number of Participants With Clinically Significant CMV Infection
时间窗: Randomization to Week 8 post-treatment (~19 weeks)
The primary efficacy endpoint was a binomial outcome of failure to prevent cytomegalovirus (CMV) infection defined as CMV DNAemia \>200 copies/mL obtained at the time of the last treatment with study drug or diagnosis of CMV disease at some point during the treatment phase.
次要结局
未报告次要终点
