Study to Evaluate the Efficacy and Safety of Suptavumab (REGN2222) for the Prevention of Medically Attended RSV (Respiratory Syncytial Virus) Infection in Preterm Infants



Status:Completed
Conditions:Infectious Disease, Infectious Disease, Pulmonary
Therapuetic Areas:Immunology / Infectious Diseases, Pulmonary / Respiratory Diseases
Healthy:No
Age Range:Any
Updated:11/8/2018
Start Date:July 21, 2015
End Date:September 26, 2017

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A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of a Human Monoclonal Antibody, REGN2222, for the Prevention of Medically Attended RSV Infection in Preterm Infants

The purpose of this study was to evaluate the efficacy, safety, pharmacokinetics (PK), and
immunogenicity of suptavumab (REGN2222) in infants born no more than 35 weeks, 6 days
gestational age who are no more than 6 months of age at the time of enrollment in their
respective geographic location. In order to optimize the potential benefit in this vulnerable
population, we conducted this study during the RSV season using dosing regimens that are
expected to be effective.

This study occurred in two parts: Part A and Part B.

Part A of the study was an open-label, PK evaluation of intramuscular (IM) administered
suptavumab in preterm infants for whom palivizumab was not recommended to enable the
selection of dosing regimens for Part B.

Part B of the study was randomized, double-blind, and placebo-controlled, designed to
evaluate efficacy, safety, serum concentration and immunogenicity of IM administration of
suptavumab in preterm infants for whom palivizumab was not recommended. The total duration of
Part B was up to 265 days (includes a 28-day screening period, 57-day treatment period and
180-day follow-up period).

Up to 1515 subjects were planned to be included in Part B of the study. Participants were
randomly assigned to 1 of 3 different groups, each with 505 infants; one group received one
dose of suptavumab and one dose of placebo, the second group received two doses of
suptavumab, and the third group received two doses of placebo.

There was a separate genetic testing sub study.

Key Inclusion Criteria:

1. Preterm, otherwise healthy male or female infant who is ≤6 months of age at the time
of the first dose (i.e., infant must be treated on or before their 6 month birthday)

2. Gestational age is ≤35 weeks, 6 days at birth

3. Parent(s) or legal guardian(s) of the infant is able to understand the study
requirements and willing to provide informed consent

Key Exclusion Criteria:

1. Eligible, recommended and have access to receive palivizumab per AAP or other local
guidelines, standard practice, or by their healthcare provider

2. History of CLD defined as requirement of supplemental oxygen for 28 days after birth

3. Known hemodynamically significant congenital heart disease

4. Known immunodeficiency, neuromuscular disease, or congenital abnormalities of the
airway

5. Known renal or hepatic dysfunction

6. Major congenital malformations, including congenital cleft palate, cytogenetic
abnormalities, or serious chronic disorders

7. Known or suspected impairment of immunological functions or autoimmune diseases

8. History of anaphylaxis

9. Previously received palivizumab or any other investigational RSV prophylaxis or
vaccine product

10. Previous reaction to IV immunoglobulin, blood products or other foreign proteins,
including vaccines and monoclonal antibodies

Note: Other inclusion and exclusion criteria apply
We found this trial at
108
sites
Morgantown, West Virginia
970
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Morgantown, WV
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Alcoa, Tennessee
777
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Alcoa, TN
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Allentown, Pennsylvania
1208
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Allentown, PA
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Anaheim, California
1155
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Anaheim, CA
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Atlanta, Georgia
801
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Atlanta, GA
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Aurora, Colorado
401
mi
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Aurora, CO
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517
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Austin, TX
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Baltimore, Maryland
1148
mi
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Baltimore, MD
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Bardstown, Kentucky
674
mi
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Bardstown, KY
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Bell Gardens, California
1165
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Bell Gardens, CA
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Birmingham, Alabama
683
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Birmingham, AL
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Boone, North Carolina
896
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Boone, NC
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Boynton Beach, Florida
1291
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Boynton Beach, FL
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Bridgeton, Missouri
407
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Bridgeton, MO
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Bronx, New York
1294
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Bronx, NY
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Brooklyn, New York
1289
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Brooklyn, NY
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Chapel Hill, North Carolina
843
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Chapel Hill, NC
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Charleston, South Carolina
1064
mi
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Charleston, SC
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Charlottesville, Virginia
1053
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Charlottesville, VA
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Cheraw, South Carolina
1020
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Cheraw, SC
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Cincinnati, Ohio
728
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Cincinnati, OH
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Cleveland, Ohio
894
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Cleveland, OH
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Columbus, Georgia
811
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Columbus, GA
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Columbus, Ohio
810
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Columbus, OH
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Dalton, Georgia
854
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Dalton, GA
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Dayton, Ohio
746
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Dayton, OH
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Dinuba, California
1187
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Dinuba, CA
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Downey, California
1165
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Downey, CA
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Duluth, Minnesota
688
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Duluth, MN
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Durham, North Carolina
1051
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Durham, NC
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Erie, Pennsylvania
984
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Erie, PA
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Fairfield, Ohio
724
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Fairfield, OH
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Fall River, Massachusetts
1437
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Fall River, MA
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Fort Sam Houston, Texas
574
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Fort Sam Houston, TX
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Gainesville, Florida
1049
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Gainesville, FL
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Greenville, South Carolina
880
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Greenville, SC
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Gresham, Oregon
1372
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Gresham, OR
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Hartford, Connecticut
1358
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Hartford, CT
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Hermitage, Pennsylvania
955
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Hermitage, PA
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Hobart, Tasmania
?
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Hobart,
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Houston, Texas
569
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Houston, TX
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Huntington, West Virginia
836
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Huntington, WV
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Huntington Beach, California
1164
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Hutchinson, Kansas
22
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Hutchinson, KS
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Jackson, Mississippi
572
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Jackson, MS
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Jacksonville, Florida
1055
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Jacksonville, FL
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Kansas City, Missouri
198
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Kansas City, MO
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Kingsport, Tennessee
843
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Kingwood, West Virginia
984
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Kingwood, WV
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La Puente, California
1152
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La Puente, CA
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Layton, Utah
788
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Layton, UT
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Lebanon, New Hampshire
1393
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Lebanon, NH
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Lincoln, Nebraska
221
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Lincoln, NE
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Little Rock, Arkansas
371
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Little Rock, AR
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Los Angeles, California
1168
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Los Angeles, CA
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Louisville, Kentucky
657
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Louisville, KY
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Madera, California
1219
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Madera, CA
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Madison, Wisconsin
575
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Madison, WI
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Marshfield, Wisconsin
621
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Mayfield Heights, Ohio
907
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Mayfield Heights, OH
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Meridian, Idaho
1050
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Meridian, ID
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Metairie, Louisiana
693
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Metairie, LA
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1321
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Miami, FL
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Midlothian, Virginia 23113
1101
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Milwaukee, Wisconsin
636
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Milwaukee, WI
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Mineola, New York
1305
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Mineola, NY
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Minneapolis, Minnesota
552
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Minneapolis, MN
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Mobile, Alabama
740
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Nampa, Idaho
1057
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Nashville, Tennessee
618
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Neptune, New Jersey
1285
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New Brunswick, New Jersey
1263
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New Hyde Park, New York
1303
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New Orleans, Louisiana
698
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New York, New York
1286
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Norfolk, Nebraska
296
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North Charleston, South Carolina
1056
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Oklahoma City, Oklahoma
158
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Oklahoma City, OK
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Omaha, Nebraska
261
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Orlando, Florida
1141
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Palmdale, California
1150
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Pensacola, Florida
789
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Peoria, Illinois
485
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Peoria, IL
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Raleigh, North Carolina
1068
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Reno, Nevada
1190
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Richmond, Virginia
1113
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Rochester, New York
1122
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792
mi
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Roy, UT
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Saint George, Utah
864
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700 Raymond Avenue
Saint Paul, Minnesota 55114
552
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San Antonio, Texas
576
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Shreveport, Louisiana
428
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Silver Spring, Maryland
1127
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South Bend, Indiana
671
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Stevensville, Michigan 49127
666
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Syracuse, New York
1193
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Syracuse, Utah
793
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Tampa, Florida
1117
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411
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Toledo, Ohio
803
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Topeka, Kansas
146
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