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Motavizumab, palivizumab

Phase 3

Respiratory Syncytial Virus Infections | Monoclonal antibody | Respiratory |AstraZeneca PLC|Last Updated: Aug 28, 2013

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-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment6,895
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00129766Study of MEDI-524 (Motavizumab) for the Prophylaxis of Serious Respiratory Syncytial Virus (RSV) Disease in High-Risk ChildrenPHASE3 COMPLETED 6,635Nov 1, 2004May 1, 2006Aug 28, 2013344 United States, Argentina +22
NCT00316264Study of Motavizumab (MEDI-524) and Palivizumab Administered Sequentially in the Same Respiratory Syncytial Virus (RSV) SeasonPHASE2 COMPLETED 260Apr 1, 2006Feb 1, 2007Dec 11, 201219 Australia, Chile +1
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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.

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)
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.
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Eligibility Criteria
Age RangeN/A — 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 Kingdom
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