Respiratory Syncytial Virus Clinical Trial
— PRIMROSEOfficial title:
A Phase 2b Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Rilematovir (JNJ-53718678) in Adult Outpatients With Respiratory Syncytial Virus (RSV) Infection Who Are at High Risk for RSV-related Disease Progression
Verified date | March 2023 |
Source | Janssen Research & Development, LLC |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to evaluate the efficacy of rilematovir compared to placebo with respect to the time to resolution of respiratory syncytial virus (RSV) lower respiratory tract disease (LRTD) symptoms.
Status | Terminated |
Enrollment | 5 |
Est. completion date | March 31, 2022 |
Est. primary completion date | March 31, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 85 Years |
Eligibility | Inclusion Criteria: - Presented to the healthcare facility with symptoms suggestive of a diagnosis of acute respiratory syncytial virus (RSV) infection - Has at least 2 symptoms of lower respiratory tract disease (LRTD), one of which must be scored as at least 'moderate' if the symptoms did not pre-exist before RSV onset, or one of which is scored worse than usual if the symptoms pre-existed - Tested positive for RSV infection using a molecular-based diagnostic assay (polymerase chain reaction [PCR] or other) on a bilateral nasal mid-turbinate swab sample - Has at least one of the following high-risk conditions that predispose them to RSV-related disease progression: a. age greater than or equal to (>=) 65 years, b. congestive heart failure (CHF), c. chronic obstructive pulmonary disease (COPD), d. asthma - Randomized to study intervention treatment within 72 hours after onset of any of the RSV symptoms or worsening of pre-existing symptoms - Not be hospitalized during screening (emergency room or hospital observation status for an anticipated duration of less than [<] 24 hours are not considered as hospitalization) Exclusion Criteria: - Known allergies, hypersensitivity, or intolerance to rilematovir or to any of the excipients of rilematovir or placebo formulation - Presence of clinically significant heart arrhythmias, uncontrolled, unstable atrial arrhythmia, or sustained ventricular arrhythmia - Participant has known or suspected (from medical history or participant examination) chronic or acute hepatitis B or C infection - Immunocompromised conditions - Living in institutional care or assisted living facility and also receiving acute care management for any respiratory condition |
Country | Name | City | State |
---|---|---|---|
Argentina | INAER - Investigación en Alergias y Enfermedades Respiratorias | Ciudad Autónoma de Buenos Aires | |
Argentina | Centro Respiratorio Quilmes | Quilmes | |
Argentina | Centro Medico Respire | San Fernando | |
Argentina | Clinica Mayo de UMCB | San Miguel de Tucuman | |
Argentina | Investigaciones en Patologias Respiratorias | San Miguel de Tucumán | |
Bulgaria | Specialized Hospital for Active Treatment of Pneumo-Phthisiatric Diseases-Haskovo Ltd. Haskovo | Haskovo | |
Bulgaria | Specialized Hospital for Active Treatment of Pulmonary Diseases - Pernik | Pernik | |
Bulgaria | SHAT of Pneumo-phthisiatric Diseases Dr Dimitar Gramatikov - Ruse, EOOD | Ruse | |
Bulgaria | Specialized Hospital for Active Treatment of Pulmonary Diseases - Troyan EOOD | Troyan | |
Canada | Dr. Anil K Gupta Medicine Professional Corporation | Toronto | Ontario |
Germany | Universitatsklinikum Bonn | Bonn | |
Germany | IKF Pneumologie GmbH & Co. KG Am Standort IFS - Interdisziplinäres Facharztzentrum | Frankfurt | |
Germany | Gemeinschaftspraxis Dr. Taeschner / Dr. Bonigut | Leipzig | |
Germany | Praxis Dr. Weimer | Reinfeld | |
Hungary | Strázsahegy Medicina Bt | Budapest | |
Hungary | Omnimodus Elixír Kft. | Csorna | |
Italy | Fondazione IRCCS Policlinico San Matteo | Pavia | |
Italy | Universita Cattolica del Sacro Cuore - Fondazione Policlinico Universitario 'A. Gemelli' | Roma | |
Japan | Nagata Hospital | Fukuoka | |
Japan | Nishifukuoka Hospital | Fukuoka | |
Japan | Terada Clinic Respiratory Medicine & General Practice | Himeji-shi | |
Japan | Kamoike ENT allergy clinic | Kagoshima | |
Japan | Shinkomonji hospital | Kitakyusyu | |
Japan | Koyama Medical Clinic | Nagano | |
Japan | Tokyo Shinagawa Hospital | Shinagawa-ku | |
Poland | Gabinet Lekarski Pediatryczno-Alergologiczny | Bialystok | |
Poland | NZOZ Poradnie Specjalistyczne ATOPIA | Krakow | |
Poland | ETG Lodz | Lodz | |
Poland | Centrum Innowacyjnych Terapii Sp. z o.o. | Piaseczno | |
Poland | Centrum Badan Klinicznych, Osrodek Badan Wczesnej Fazy | Wroclaw | |
South Africa | Clinical Trial Systems (Pty) Ltd | Gauteng | |
South Africa | Private Practice - Dr. Peter Sebastian | KwaZulu-Natal | |
Spain | Hosp. Gral. Univ. de Alicante | Alicante | |
Spain | Hosp. Quiron Barcelona | Barcelona | |
Spain | Hosp. Gral. Univ. de Elche | Elche | |
Spain | Clinica Univ. de Navarra | Pamplona | |
Spain | Hosp. Virgen Macarena | Sevilla | |
Spain | Hosp. Clinico Univ. De Valencia | Valencia | |
Sweden | PharmaSite | Malmo | |
Sweden | Skanes universitetssjukhus | Malmö | |
Sweden | ClinSmart Sweden AB | Solna | |
Sweden | Akademiska Sjukhuset | Uppsala | |
Thailand | The Hospital for Tropical Diseases | Bangkok | |
Thailand | Bamrasnaradura Infectious Disease Institute | Nonthaburi | |
Thailand | King Chulalongkorn Memorial Hospital | Pathumwan | |
Ukraine | Medical Unit Of Company 'Kharkiv Tractor Plant', Kharkiv Medical Academy Of Postgraduate Education | Kharkiv | |
Ukraine | City Clinical Hospital #1 | Kyiv | |
Ukraine | Kyiv Railway Clinical Hospital #2 Of Branch 'Health Center' Of The Company 'Ukrainian Railway' | Kyiv | |
Ukraine | Medical Center 'Consylium Medical' | Kyiv | |
Ukraine | Policlinic of State Joint Stock Holding Company 'Artem' | Kyiv | |
Ukraine | CCH #1 Vinnytsia M.I. Pyrogov NMU Ch of Propaedeutics of IM | Vinnytsia | |
United States | IMD Clinical Trials | Bakersfield | California |
United States | Central Alabama Research | Birmingham | Alabama |
United States | Hope clinical Research LLC | Canoga Park | California |
United States | Dayton Clinical Research | Dayton | Ohio |
United States | Privia Medical Group, LLC | Fayetteville | Georgia |
United States | Javara | Forest | Virginia |
United States | Piedmont Clinical Research | Fort Mill | South Carolina |
United States | Texas Health Care, PLLC | Fort Worth | Texas |
United States | Best Quality Research Inc | Hialeah | Florida |
United States | New Life Medical Research Center, Inc. | Hialeah | Florida |
United States | Homestead Associates in Research, Inc | Homestead | Florida |
United States | Mercury Clinical Research | Houston | Texas |
United States | Next Level Urgent Care | Houston | Texas |
United States | SW Research LLC | Houston | Texas |
United States | Care Partners Clinical Research | Jacksonville | Florida |
United States | Excel Clinical Research | Las Vegas | Nevada |
United States | SMS Clinical Research LLC | Mesquite | Texas |
United States | Research Institute Of South Florida, Inc. | Miami | Florida |
United States | Montana Medical Research | Missoula | Montana |
United States | Burke Primary Care | Morganton | North Carolina |
United States | Frontier Clinical Research | Morgantown | West Virginia |
United States | Pines Care Research Center Inc | Pembroke Pines | Florida |
United States | Rio Grande Valley Clinical Research Institute | Pharr | Texas |
United States | Peninsula Research Associates | Rolling Hills Estates | California |
United States | Javara | San Marcos | Texas |
United States | Southcoast Health | Savannah | Georgia |
United States | CCT Research at South Ogden Family Medicine | South Ogden | Utah |
United States | Bensch Clinical Research, LLC | Stockton | California |
United States | Santos Research Center | Tampa | Florida |
United States | Fiel Family and Sports Medicine Clinical Research Advantage | Tempe | Arizona |
United States | Javara | The Woodlands | Texas |
United States | Renovatio Clinical | The Woodlands | Texas |
United States | Chesapeake Clinical Research, Inc. | White Marsh | Maryland |
United States | North Georgia Clinical Research | Woodstock | Georgia |
United States | Pulmonologist, Critical Care, and Sleep Medicine | Wyomissing | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Janssen Research & Development, LLC |
United States, Argentina, Bulgaria, Canada, Germany, Hungary, Italy, Japan, Poland, South Africa, Spain, Sweden, Thailand, Ukraine,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Baseline | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at baseline were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. | Baseline | |
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Day 3 | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at Day 3 were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. In this outcome measure, only those individual participants who had data were reported. | Day 3 | |
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Day 8 | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at Day 8 were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. In this outcome measure, only those individual participants who had data were reported. | Day 8 | |
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Day 14 | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at Day 14 were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. In this outcome measure, only those individual participants who had data were reported. | Day 14 | |
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Day 21 | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at Day 21 were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. In this outcome measure, only those individual participants who had data were reported. | Day 21 | |
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Day 28 | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at Day 28 were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. In this outcome measure, only those individual participants who had data were reported. | Day 28 | |
Primary | Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Disease (LRTD) Symptoms as Assessed by Respiratory Infection Intensity and Impact Questionnaire (RiiQ) Symptom Scale Score at Day 35 | RSV LRTD symptoms (cough, short of breath, wheezing, coughing up phlegm [sputum]) as assessed by the RiiQ symptom scale score at Day 35 were reported. The RiiQ symptom scale was a 13-items questionnaire rated on a 4-point scale. Each symptom was rated on a scale of 0 to 3 where 0=None, 1=Mild, 2=Moderate, and 3=Severe. Higher scores indicated greater severity. The LRTD symptom score was calculated as the mean of the LRTD symptom scores. In this outcome measure, only those individual participants who had data were reported. | Day 35 | |
Secondary | Percentage of Participants With Post-Baseline RSV-related Complications | RSV-related complications were reported. The RSV-related complications included pulmonary complications (primary viral pneumonia, bronchitis, respiratory failure, secondary bacterial pneumonia, and exacerbations of underlying chronic pulmonary diseases [such as COPD and asthma]) and extrapulmonary complications (cardiovascular and cerebrovascular disease events, congestive heart failure [CHF] or exacerbation of underlying CHF, acute exacerbation of chronic kidney disease, severe dehydration, decompensation of previously controlled diabetes mellitus, and other airway infections). Complications after first intake of study drug were considered for this outcome measure. | Up to Day 35 | |
Secondary | Percentage of Participants With New Antibiotic Use, or New Use or Increased Dose of Systemic or Inhaled Corticosteroids and Bronchodilator, or Home Oxygen Supplementation | New antibiotic use, or new use or increased dose of systemic or inhaled corticosteroids and bronchodilators, or home oxygen supplementation were reported. | Up to Day 35 | |
Secondary | Percentage of Participants With Unscheduled Outpatient Clinic Visits, Emergency Room Visits or Hospitalization for Respiratory Infection | Unscheduled outpatient clinic visits, emergency room visits or hospitalization for respiratory infection were reported. | Up to Day 35 | |
Secondary | Percentage of Participants Meeting a Composite Endpoint of Either Developing RSV-Related Complications and/or Needing RSV-related Medical Attendance | Percentage of participants meeting a composite endpoint of either developing RSV-related complications (pulmonary and extra-pulmonary) and/or needing RSV-related medical attendance was derived. | Up to Day 35 | |
Secondary | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) | An adverse events (AEs) is any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. Any AE which occurred at or after the initial administration of study intervention through the end of the study (that is, Day 35) was considered treatment-emergent. | Up to Day 35 | |
Secondary | Percentage of Participants With Treatment-emergent Abnormal Clinical Laboratory Findings | Abnormal clinical laboratory findings were reported. Laboratory abnormalities were determined as per division of microbiology and infectious diseases(DMID) toxicity as Grade 1:mild(transient or mild discomfort [less than {<} 48 hours]; no medical intervention/therapy required); Grade 2:moderate (mild to moderate limitation in activity-some assistance may be needed; no or minimal medical intervention/therapy required); Grade 3:severe (severe marked limitation in activity, some assistance usually required; medical intervention/therapy required, hospitalizations possible); Grade 4:life-threatening (extreme limitation in activity, significant assistance required; significant medical intervention/therapy required, hospitalization or hospice care probable). Only Grade 2 abnormalities are reported in this outcome measure. A treatment emergent abnormality is any abnormality not present at baseline and occurring post first administration or worsening versus baseline post first administration. | Up to Day 35 | |
Secondary | Percentage of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs) | Various ECG variables assessed were heart rate: abnormally low (less than or equal to [<=] 45 beats per minute [bpm]), abnormally high (greater than or equal to [>=] 120 bpm); PR interval: abnormally high (>=210 milliseconds [msec]); QRS interval: abnormally high (>=120 msec); QTc: borderline prolonged: >450 msec and <=480 msec, prolonged: >480 msec and <=500 msec, pathologicaly prolonged: >500 msec. A treatment emergent abnormality is any abnormality not present at baseline and occurring post first administration or worsening versus baseline post first administration. | Up to Day 35 | |
Secondary | Percentage of Participants With Treatment-emergent Abnormal Vital Signs Findings | Abnormal vital parameters included pulse rate: abnormally low <=45 bpm, abnormally high >=120 bpm; Systolic Blood Pressure (SBP): abnormally low <=90 millimeter of mercury (mmHg), Grade 1 (mild): >140 mmHg to <160 mmHg, Grade 2 (moderate): >=160 mmHg to <180 mmHg, Grade 3 (severe): >=180 mmHg; Diastolic BP: abnormally low <=50 mmHg, Grade 1: >90 mmHg to <100 mmHg, Grade 2: >=100 mmHg to <110 mmHg, Grade 3: >=110 mmHg; Respiratory rate: Grade 1 (mild): 17-20 breaths per minute, Grade 2 (moderate): 21-25 breaths per minute, Grade 3 (severe): >25 breaths per minute, Grade 4 (potentially life threatening): intubation; Oxygen saturation: abnormally low: <95%; Temperature: abnormally high >38.0 degree celsius. A treatment emergent abnormality is any abnormality not present at baseline and occurring post first administration or worsening versus baseline post first administration. | Up to Day 35 | |
Secondary | RSV Viral Load Over Time | RSV viral load (subtype: RSV A and RSV B) was measured over time by quantitative reverse transcription polymerase chain reaction (qRT-PCR) in the nasal swab specimens collected at the clinic visits and at home. In this outcome measure, only those timepoints and RSV subtypes (A or B) for which individual participants had data were reported. | Baseline, Days 3, 5, 8, 15, and 21 | |
Secondary | Plasma Concentration of Rilematovir | Plasma concentration of rilematovir was reported. This outcome measure was planned to be analyzed for specified arm only. In this outcome measure, only those timepoints for which individual participants had data were reported. | Day 1: 1 hour post dose, Day 3: pre-dose and 1 hour post dose, and Follow-up: Day 8 |
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