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MEDI4893

Phase 3

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

MEDI4893 development status

Highest phase Phase 3 run by Novartis Pharmaceuticals (NCT01614886)
Phase scored for AZNPhase 2
Registered trials 22 across 18 sponsors since Mar 2006

MEDI4893 target and mechanism

ModalitySmall molecule

Also known as Active comparator

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment298

FDA Designations

No designations recorded

MEDI4893 clinical trials

MEDI4893 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT02296320Study of the Efficacy and Safety of MEDI4893Staphylococcus Aureus Pneumonia
COMPLETED213 Analytics
PHASE2COMPLETED
Study of the Efficacy and Safety of MEDI4893
Staphylococcus Aureus PneumoniaUnlock trial analytics

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.

The occurence of adverse events and serious adverse events.
From the time of informed consent through 360 days post dose
Vital Sign Measurements
Pre-dose through Study Day 15

blood pressure, heart rate, respiratory rate, temperature

Clinical Safety lab measurements
from Day 1 (pre-dose) through 90 days post dose

Chemistry, Hematology and urinalysis

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.
MEDI4893ACTIVE_COMPARATOR -

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 to 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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Frequently asked questions about MEDI4893

What is MEDI4893 used for?

MEDI4893 is an investigational drug being studied for the prevention of Staphylococcus aureus pneumonia and infections caused by Staphylococcus aureus. It is being developed by AstraZeneca PLC (AZN) as a potential treatment for these infectious disease conditions.

Who makes MEDI4893?

MEDI4893 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The drug is currently in clinical development for infectious disease indications.

What phase is MEDI4893 in?

MEDI4893 has completed a Phase 1 trial and a Phase 2 trial. The Phase 1 study evaluated safety, tolerability, and pharmacokinetics in healthy adults, while the Phase 2 study assessed efficacy and safety in patients with Staphylococcus aureus pneumonia.

What clinical trials is MEDI4893 in?

MEDI4893 has been studied in two completed clinical trials. NCT01769417 was a Phase 1 study in healthy adults in the United States, and NCT02296320 was a Phase 2 study in patients with Staphylococcus aureus pneumonia across multiple countries including the United States and several European nations.

Is MEDI4893 FDA approved?

MEDI4893 is not FDA approved. It is an investigational drug that has completed clinical trials but remains in development. The completed trials include a Phase 1 study and a Phase 2 study, but no approval status has been established.