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MEDI4893

Phase 2

Staphylococcus Aureus Pneumonia | Small molecule | Infectious Disease |AstraZeneca PLC|Last Updated: Dec 23, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment213
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02296320Study of the Efficacy and Safety of MEDI4893PHASE2 COMPLETED 213Oct 10, 2014Oct 2, 2018Dec 23, 201949 United States, Belgium +8
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Study Endpoints
Primary Endpoints
Percentage of Participants With Endpoint Adjudication Committee-Determined (EAC) Staphylococcus Aureus (S Aureus) Pneumonia
Day 1 through Day 31

The EAC S aureus pneumonia was based on clinical, radiographic, and microbiologic criteria. Clinical criteria: 1 major criteria (PaO2/FiO2 ratio \< 240 mmHg maintained for at least 4 hours or decrease in PaO2/FiO2 by \>= 50 mmHg maintained for at least 4 hrs or a need to initiate non-invasive mechanical ventilation or re-initiate invasive mechanical ventilation because of respiratory failure or worsening of respiratory status); and at least 2 of minor criteria (systemic signs of infection, production of purulent sputum/endotracheal secretions, new onset of cough, physical examination findings consistent with pneumonia/pulmonary consolidation, dyspnea, and/or tachypnea). Radiographic criteria: new or worsening infiltrate consistent with pneumonia on chest X-ray obtained within 24 hrs of event. Microbiologic criteria: at least 1 culture positive for S aureus (respiratory specimen, or blood, or pleural fluid aspirate or lung tissue culture during episode of pneumonia).

Number of Participants With Treatment Emergent Adverse Events (TEAEs) Through 31 Days
Day 1 through Day 31

An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Number of Participants With TEAEs Through 91 Days
Day 1 through Day 91

An AE is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs)
Day 1 through Day 191

A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug.

Number of Participants With Adverse Events of Special Interest (AESIs)
Day 1 through Day 191

An AESI is one of scientific and medical interest specific to understanding of the study drug and may have required close monitoring and rapid communication by the investigator to the sponsor. An AESI may have been serious or non-serious.

Number of Participants With New Onset Chronic Diseases (NOCDs)
Day 1 through Day 191

An NOCD defined as a newly diagnosed medical condition that is of a chronic, ongoing nature. It is observed after receiving the study drug and is assessed by the investigator as medically significant.

Secondary Endpoints
Maximum Observed Serum Concentration (Cmax) of MEDI4893
Day 1 (Pre-dose, end of the infusion, 8 and 24 hours post dose), and on Days 4, 8, 15, 22, 31, 61, and 91
Area Under the Serum Concentration Time Curve From Time Zero to Last Measurable Concentration (AUC [0-Last]) of MEDI4893
Day 1 (Pre-dose, end of the infusion, 8 and 24 hours post dose), and on Days 4, 8, 15, 22, 31, 61, and 91
Observed Serum Concentration of MEDI4893 Through 30 Days Post Dose (C30)
Day 1 (Pre-dose, end of the infusion, 8 and 24 hours post dose), and on Days 4, 8, 15, 22, and 30
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
MEDI4893 5000 mgACTIVE_COMPARATORParticipants will receive a single intravenous (IV) dose of MEDI4893 5000 milligrams (mg) on Day 1 of the study.
PlaceboPLACEBO_COMPARATORParticipants will receive a single IV dose of placebo matched to MEDI4893 on Day 1 of the study.
MEDI4893 2000 mgACTIVE_COMPARATORParticipants will receive a single IV dose of MEDI4893 2000 mg on Day 1 of the study.
Interventions
NameTypeDescription
MEDI4893DRUGParticipants will receive a single IV dose of MEDI4893 2000 or 5000 mg on Day 1 of the study.
PlaceboOTHERParticipants will receive a single IV dose of placebo matched to MEDI4893 on Day 1 of the study.
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: * Colonized with Staphylococcus aureus, expected to require prolonged intubation and mechanical ventilation, without any evidence of active pneumonia. Exclusion Criteria: * Staphylococcal disease at randomisation; lung injury score consistent with pneumonia; current lung disea...

Countries:United StatesBelgiumCzechiaFranceGermanyGreeceHungaryPortugalSpainSwitzerland
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