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RI-001 in Immunosuppressed Respiratory Syncytial Virus (RSV) Infected Patients at Risk of Lower Tract RSV Illness

This study is currently recruiting participants.
Verified by ADMA Biologics, Inc., August 2008

Sponsored by: ADMA Biologics, Inc.
Information provided by: ADMA Biologics, Inc.
ClinicalTrials.gov Identifier: NCT00632463
  Purpose

RSV infections can develop into serious, life threatening conditions among immunocompromised patients. The objective of this study (ADMA 001) is to evaluate the safety and efficacy of RI-001 for the prevention of lower respiratory tract infections in immunocompromised patients identified as being infected with RSV in the upper respiratory tract.


Condition Intervention Phase
Upper Respiratory Tract Infection
Lower Respiratory Tract Infection
Biological: RI-001
Phase II

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Parallel Assignment
Official Title:   RI-001 in Immunosuppressed Respiratory Syncytial Virus (RSV) Infected Patients at Risk of Lower Tract RSV Illness

Further study details as provided by ADMA Biologics, Inc.:

Primary Outcome Measures:
  • Circulating RI-001 titer [ Time Frame: Study day 18 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Incidence of RSV progression from symptomatic upper respiratory tract infection to lower respiratory tract infection. [ Time Frame: Study day 33 ] [ Designated as safety issue: No ]

Estimated Enrollment:   30
Study Start Date:   February 2008
Estimated Study Completion Date:   December 2008
Estimated Primary Completion Date:   December 2008 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
Dose regimen 1
Biological: RI-001
Dose 1
2: Experimental
Dose regimen 2
Biological: RI-001
Dose 2
3: Placebo Comparator
Placebo
Biological: RI-001
Placebo

  Eligibility
Ages Eligible for Study:   3 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  1. An IEC/IRB approved written informed consent signed and dated by the patient or by parent(s) or a legally acceptable representative. The consent form or a specific assent form, where required, will be signed and dated by minors.
  2. Documented Bone Marrow Transplant (BMT)/Hematopoietic Stem Cell Transplant (HSCT), Pulmonary/Cardiac Transplant, Pulmonary Transplant or Liver Transplant within the 2 years prior to randomization to the study drug.
  3. Male/Female patients age: (Pediatric) ≥3 years and <16 years at the time of informed consent.
  4. Male/Female patients age: (Adult) ≥ 16 years and ≤ 65 years at the time of informed consent.
  5. Patient must have an URTI as defined by Respiratory Assessment Score (RAS)=1.
  6. Patients must be actively taking at least one immunosuppressive agent.
  7. Patients must have a positive RSV RT-PCR at the time of the randomization procedures.
  8. Female patients must be of non-childbearing potential or have a negative pregnancy test prior to study start and be deemed not at risk of becoming pregnant by adherence to a reliable contraceptive method for the duration of the study. Females of non-childbearing potential are defined as women who have had a hysterectomy, bilateral oophorectomy, tubal ligation or who have been post-menopausal for at least two years, or are considered to be sterile due to recent chemotherapy.
  9. Female patients who are not breast-feeding.
  10. Patient/legally acceptable representative considered as reliable and capable of adhering to the protocol (e.g. able to understand and complete diaries and questionnaires), visit schedules or treatment regimen according to the judgment of the Investigator.

Exclusion Criteria:

  1. Documented RSV lower respiratory tract infection (respiratory assessment score is greater than 1) as determined by the site investigators or research staff.
  2. Requirement for mechanical ventilation, extracorporeal membrane oxygenation, continuous positive airway pressure or other mechanical respiratory or cardiac support
  3. Unstable respiratory status so severe that survival is not expected for longer than 6 months.
  4. End organ dysfunction resulting in anticipated survival of less than 6 months.
  5. Known to be HIV positive.
  6. Administration of any RSV specific products, including palivizumab (Synagis®) in the 3 months prior to randomization procedures.
  7. Previous, current, or planned administration of an investigational RSV vaccine.
  8. Known hypersensitivity to immunoglobulin.
  9. Known Immunoglobulin (IgA) deficiency
  10. Administration of any immunoglobulin (IM or IV) product <30 days prior to randomization procedures.
  11. Known renal impairment requiring any form of dialysis (HD, PD, CRRT).
  12. Known hemodynamically significant congenital heart disease.
  13. Previous poor compliance with visit schedules.
  14. Severe medical, neurological or psychiatric disorders or laboratory values which may have an impact on the safety of the patient.
  15. Concurrent participation in other investigational drug product studies; any exception must be approved by the ADMA Biologics Medical Director.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00632463

Contacts
Contact: Mark D Sorrentino, MD MS     201 478-5552     sorrentinom@admabio.com    

Locations
United States, Illinois
Northwestern University Feinberg School of Medicine     Recruiting
      Chicago, Illinois, United States, 60611
      Principal Investigator: Michael Ison, MD            
Rush University Medical Center     Recruiting
      Chicago, Illinois, United States, 60612
      Principal Investigator: Forrest Dodson, MD            
United States, Massachusetts
New England Medical Center     Recruiting
      Boston, Massachusetts, United States, 02111
      Principal Investigator: Cody Meissner, MD            
United States, New Jersey
Hackensack University Medical Center     Recruiting
      Hackensack, New Jersey, United States, 07601
      Principal Investigator: Scott Rowley, MD            
United States, Oklahoma
Children's Hospital of Oklahoma     Recruiting
      Oklahoma City, Oklahoma, United States, 73104
      Principal Investigator: Susana Chavez-Bueno, MD            
United States, Texas
Cook Children's Medical Center     Recruiting
      Fort Worth, Texas, United States, 76104
      Principal Investigator: Donald Murphey, MD            
Children's Medical Center of Dallas     Recruiting
      Dallas, Texas, United States, 75235
      Principal Investigator: Octavio Ramilo, MD            
Australia, New South Wales
Westmead Hospital     Recruiting
      Westmead, New South Wales, Australia, 2145
      Principal Investigator: Tania Sorrell, MD            
Australia, Queensland
Prince Charles Hospital     Recruiting
      Chermside, Queensland, Australia, 4032
      Principal Investigator: Peter Hopkins, MD            
Australia, South Australia
Royal Adelaide Hospital     Recruiting
      Adelaide, South Australia, Australia, 5000
      Principal Investigator: Ian Lewis, MD            
Australia, Victoria
Royal Children's Hospital     Recruiting
      Melbourne, Victoria, Australia, 3052
      Principal Investigator: Karin Tiedemann, MD            
New Zealand, Auckland
Starship Children's Hospital     Recruiting
      Grafton, Auckland, New Zealand, 1142
      Principal Investigator: Lochie Teague, MD            
New Zealand, Private Bag
Christchurch Hospital     Recruiting
      Christchurch, Private Bag, New Zealand
      Principal Investigator: Steve Gibbons, MD            

Sponsors and Collaborators
ADMA Biologics, Inc.

Investigators
Principal Investigator:     Upton Allen, MBBS     Division of Infectious Diseases, Hospital for Sick Children, Toronto, Ontario, Canada    
  More Information

Responsible Party:   ADMA Biologics ( Mark Sorrentino, MD, MS, Chief Medical Officer )
Study ID Numbers:   ADMA-001
First Received:   March 3, 2008
Last Updated:   August 1, 2008
ClinicalTrials.gov Identifier:   NCT00632463
Health Authority:   United States: Food and Drug Administration

Keywords provided by ADMA Biologics, Inc.:
Transplant  
Immunosuppression  

Study placed in the following topic categories:
Virus Diseases
Respiratory Tract Diseases
Respiratory Tract Infections

Additional relevant MeSH terms:
Communicable Diseases
Infection

ClinicalTrials.gov processed this record on August 20, 2008




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