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Medi-524

Phase 3

Respiratory Syncytial Virus Infections | Monoclonal antibody | Infectious Disease |AstraZeneca PLC|Trials Updated: Oct 8, 2021

Medi-524 development status

Highest phase Phase 3 (NCT00129766)
Phase scored for AZNPhase 1
Registered trials 10 across 1 sponsor since Jun 2005

Medi-524 target and mechanism

ModalityMonoclonal antibody

Also known as MEDI-524 (Numax-TM), Motavizumab, motavizumab (MEDI-524)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials7
Total Enrollment8,545

FDA Designations

No designations recorded

Medi-524 clinical trials

Medi-524 · 7 trials · 6 indications

Phase 3 1Phase 2 2Phase 1 4
NCT00129766Study of MEDI-524 (Motavizumab) for the Prophylaxis of Serious Respiratory Syncytial Virus (RSV) Disease in High-Risk ChildrenRespiratory Syncytial Virus Infections
COMPLETED6,635 Analytics
PHASE3COMPLETED
Study of MEDI-524 (Motavizumab) for the Prophylaxis of Serious Respiratory Syncytial Virus (RSV) Disease in High-Risk Children
Respiratory Syncytial Virus InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of RSV Hospitalization (Includes Deaths by RSV)
Days 0 - 150

RSV hospitalization was defined as 1) a respiratory hospitalization with a positive RSV test (primary), 2) a new onset of lower respiratory symptoms in an already hospitalized child, with an objective measure of worsening respiratory status and positive RSV test (nosocomial), or 3) death demonstrated to have been caused by RSV (by autopsy or clinical history and virologic evidence).

Number of Participants Reporting Any Adverse Events (AEs)
Days 0 - 150

Number of participants reporting one or more AEs

Number of Participants Reporting Any Related AEs
Days 0 - 150

Number of participants reporting one or more AEs considered related to study drug by the investigator

Number of Participants Reporting Any Serious Adverse Events (SAEs)
Days 0 - 150

Number of participants reporting one or more SAEs

Number of Participants Reporting Any Related SAEs
Days 0 - 150

Number of participants reporting one or more SAEs considered related to study drug by the investigator

Number of Participants Reporting AEs by Highest Severity Grade
Days 0 - 150

Adverse events events were graded by severity; Level 1, 2, 3, or 4

Number of Participants Who Discontinued Study Drug Due to AEs
Days 0 - 150
Number of Participants Who Died
Days 0 - 150
Number of Participants Reporting Changes in Vital Signs From Baseline
Days 0 - 150

Vital signs that were in a higher toxicity grade than observed at baseline were to be recorded as AEs

Number of Subjects Reporting Serious Adverse Events (SAEs)
Day 0 - Day 150
Number of Subjects Reporting Adverse Events (AEs)
Day 0 - Day 150
Number of Subjects With Changes in Laboratory Chemistry Values Reported as AEs.
Day 0 - Day 150

Serum chemistry samples were collected at Day 0, Day 60, and Day 150. Values representing changes in severity according to the AE grading table were recorded as AEs.

Number of Subjects Reporting Adverse Events Through Study Day 150
Days 0-150

Adverse events were summarized by system organ class (SOC) and preferred term (using MedDRA Version 11.1) overall.

Number of Subjects Reporting Serious Adverse Events Through Study Day 150
Days 0-150

Serious adverse events were those that resulted in death; were life-threatening; resulted in subject hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability or incapacity; or were an important medical event that may not have resulted in death, threatened life, or required hospitalization and that, based on appropriate medical judgment, may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed above.

Number of Subjects Reporting Laboratory Adverse Events
Days 0-150
Number of Subjects Exhibiting Anti-motavizumab Antibodies
Day 0 through 120 days post final dose

Serum for measurement of anti-motavizumab antibodies was collected prior to the first, second and, if applicable, fifth doses of study drug, and at the 2 follow-up visits 30 and 90-120 days post final dose.

Number of Subjects Reporting Adverse Events Through 30 Days After Dosing
From the start of treatment to 30 days after dosing

Safety and tolerability of motavizumab (MEDI-524) was measured by adverse events through 30 days after dosing

Number of Subjects Reporting Serious Adverse Events Through 30 Days After Dosing
From the start of treatment to 30 days after dosing

Safety and tolerability of motavizumab (MEDI-524) was measured by serious adverse events through 30 days after dosing

The Occurrence of Increased Toxixity Grade From Baseline as Determined by Laboratory Evaluations
From the start of treatment to 30 days after dosing

Safety and tolerability of motavizumab (MEDI-524) was measured by the occurrence of increased toxicity grade from baseline as determined by laboratory evaluations (complete blood count, aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN), creatinine, and urinalysis) at baseline and at each study collection time point following dosing

To Describe the Mean Trough Serum Concentrations of Motavizumab (MEDI-524) Administered as a Single Intravenous Dose at Day 2 and Day 30
Day 2 and Day 30

Mean trough serum concentrations of motavizumab (MEDI-524) were collected on Day 2 and on Day 30. Serum concentrations of MEDI-524 were analysed using a qualified enzyme-linked immunosorbent assay (ELISA).

Describe the safety and tolerability of repeated IM doses of MEDI-524 administered at 3 mg/kg or 15 mg/kg at 30 day intervals in children at risk for serious RSV disease
30 days after patient's final dose of study drug
Pharmacokinetics of MEDI-524
· Serum concentrations at each data collection visit will be summarized
Safety
30 days after patient's final dose of study drug
Pharmacokinetics
Study Day 0 and 60, 90 days after dose 1; and 7, 30, 60, 90 days after dose 2.
Immunogenicity
150 days after final dose

Secondary Endpoints

The Incidence of Outpatient Medically-attended Lower Respiratory Illness (LRI)
Day 0 - 150
The Incidence of RSV-specific Medically-attended Outpatient Lower Respiratory Illnesses (LRIs) Between Treatment Groups
Days 0 - 150
The Incidence of Medically-attended Otitis Media (OM) Infections
Days 0 - 150
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
palivizumabACTIVE_COMPARATOR15 mg/kg administered intramuscularly for 5 monthly doses
motavizumab (MEDI-524)EXPERIMENTAL15 mg/kg of motavizumab was administered intramuscularly for 5 monthly doses
Motavizumab followed by PalivizumabEXPERIMENTAL2 doses of motavizumab (15 mg/kg, administered as an intramuscular injection once/month) followed by 3 doses of palivizumab (15 mg/kg, administered as an intramuscular injection once/month)
Palivizumab followed by motavizumabEXPERIMENTAL2 doses of palivizumab (15 mg/kg, administered as an intramuscular injection once/month) followed by 3 doses of motavizumab (15 mg/kg, administered as an intramuscular injection once/month)
Motavizumab controlEXPERIMENTAL5 doses of motavizumab (15 mg/kg, administered as an intramuscular injection once/month)
MotavizumabEXPERIMENTALMotavizumab was administered as an intramuscular injection at 15 mg/kg every 30 days during the RSV season for a maximum of 5 scheduled doses. Additionally, children who underwent cardiac surgery with cardiopulmonary bypass through Study Day 150 were to receive a protocol-specified replacement dose of study drug immediately following the surgery when determined by the physician to be medically stable for an IM injection.
PailvizumabACTIVE_COMPARATORPalivizumab was administered as an intramuscular injection at 15 mg/kg every 30 days during the RSV season for a maximum of 5 scheduled doses. Additionally, children who underwent cardiac surgery with cardiopulmonary bypass through Study Day 150 were to receive a protocol-specified replacement dose of study drug immediately following the surgery when determined by the physician to be medically stable for an IM injection.
motavizumab (MEDI-524) 15 mg/kgEXPERIMENTALA single IM injection every 30 days beginning at Day 0 for a total of 4-5 injections determined by when in the RSV season a child was enrolled.
palivizumab 15 mg/kgACTIVE_COMPARATORA single IM injection every 30 days beginning at Day 0 for a total of 4-5 injections determined by when in the RSV season a child was enrolled.
Motavizumab, 3 mg/kg as a single intravenous doseEXPERIMENTALMotavizumab, 3 mg/kg as a single intravenous dose administered on Day 0
Motavizumab, 15 mg/kg as a single intravenous doseEXPERIMENTALMotavizumab, 15 mg/kg as a single intravenous dose administered on Day 0
Motavizumab, 30 mg/kg as a single intravenous doseEXPERIMENTALMotavizumab, 30 mg/kg as a single intravenous dose administered on Day 0
Placebo, as a single intravenous dosePLACEBO_COMPARATORPlacebo, as a single intravenous dose administered on Day 0
1ACTIVE_COMPARATORMEDI-524
2EXPERIMENTALMEDI-524 (Numax-TM)
3EXPERIMENTALMEDI-524 (Numax-TM)
4EXPERIMENTALMEDI-524 (Numax-TM)
5EXPERIMENTALMEDI-524 (Numax-TM)

Interventions

NameTypeDescription
motavizumab (MEDI-524)BIOLOGICALMotavizumab, 15 mg/kg administered intramuscularly for 5 monthly doses
palivizumabBIOLOGICALPalivizumab, 15 mg/kg administered intramuscularly for 5 monthly doses
Motavizumab, palivizumabBIOLOGICALMotavizumab was provided in sterile vials containing 100 mg of motavizumab in 1 mL of a sterile preservative-free liquid product at pH 6.0, formulated with 25 mM histidine-HCl.
Palivizumab, motavizumabBIOLOGICALPalivizumab was provided in sterile vials containing 100 mg of palivizumab in 1 mL of a sterile preservative-free liquid product at pH 6.0, formulated with 25 mM histidine, and 1.6 mM glycine.
MotavizumabBIOLOGICALMotavizumab was provided in sterile vials containing 100 mg of motavizumab in 1 mL of a sterile preservative-free liquid product at pH 6.0, formulated with 25 mM histidine-HCl.
palivizumab 15 mg/kgBIOLOGICALPatients will receive 15 mg/kg palivizumab administered IM every 30 days for a total of 4-5 injections.
PlaceboOTHERSingle dose of placebo administered intravenously (in the vein) on Day 0
Medi-524BIOLOGICALIM doses of MEDI-524 administered at 3 mg/kg or 15 mg/kg at 30 day intervals
MEDI-524 (Numax-TM)BIOLOGICALGrp.1: 3 mg/kg IV (single dose)
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Eligibility Criteria

Age RangeN/A to 24 Months
SexALL
Healthy VolunteersNo
Study Sites344

Inclusion Criteria: * 24 months of age or younger at randomization (child must be randomized on or before his/her 24-month birthday) with a diagnosis of chronic lung disease (CLD) of prematurity requiring medical intervention/management (i.e., supplemental oxygen, bronchodilators, or diuretics) wit...

Countries:United StatesArgentinaAustraliaAustriaBrazilBulgariaCanadaChileCzechiaDenmarkFranceGermanyGreeceHungaryIcelandIsraelItalyNew ZealandPolandRussiaSpainSwedenTurkey (Türkiye)United KingdomBelgiumLebanon
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Frequently asked questions about Medi-524

What is Medi-524?

Medi-524 is an investigational monoclonal antibody developed by AstraZeneca PLC for respiratory syncytial virus infections. It has been studied in Phase 1 clinical trials, including a dose-escalation study in children and a safety and pharmacokinetics trial in healthy adults. It is not approved and remains in clinical development.

What is Medi-524 used for in respiratory syncytial virus infections?

Medi-524 is being developed for the prevention or treatment of respiratory syncytial virus infections. Its clinical program focused on children aged 6 months and older in Argentina and Chile, and on healthy adults in the United States. The trials evaluated safety, tolerability, pharmacokinetics, and dose escalation rather than confirmed efficacy.

Who makes Medi-524?

Medi-524 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca sponsored the Phase 1 clinical program for the monoclonal antibody in respiratory syncytial virus infections.

What phase is Medi-524 in?

Medi-524 is in Phase 1 development. Both of its registered trials were Phase 1 studies and both are now completed, with no active trials ongoing. The program enrolled 247 participants in total across the two studies.

What clinical trials is Medi-524 in?

Medi-524 has been studied in two completed Phase 1 trials. NCT00192478 was an open-label dose-escalation study of 2 to 5 intramuscular doses at 3 mg/kg or 15 mg/kg in children, enrolling 217 participants in Argentina and Chile. NCT00192465 evaluated safety, tolerability, and pharmacokinetics in 30 healthy adults in the United States.

Is Medi-524 the same as Numax?

Yes. Medi-524 is also known as MEDI-524 (Numax-TM). Both names refer to the same investigational monoclonal antibody developed by AstraZeneca for respiratory syncytial virus infections, so searches for either name point to the same Phase 1 asset.