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Lumicitabine

Phase 2

Respiratory Syncytial Virus Infections | Small molecule | Infectious Disease |Johnson & Johnson|Last Updated: Apr 13, 2021

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Trial Design

Double-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment7

FDA Designations

No designations recorded

Clinical trial landscape

Lumicitabine · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT03332459A Long-term Follow-up Study to Evaluate the Impact of Lumicitabine on the Incidence of Asthma and/or Wheezing in Infants and Children With a History of Respiratory Syncytial Virus InfectionRespiratory Syncytial Virus Infections
COMPLETED7 Analytics
PHASE2COMPLETED
A Long-term Follow-up Study to Evaluate the Impact of Lumicitabine on the Incidence of Asthma and/or Wheezing in Infants and Children With a History of Respiratory Syncytial Virus Infection
Respiratory Syncytial Virus InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Asthma After Respiratory Syncytial Virus (RSV) Infection
Up to 2 years

Percentage of participants with asthma diagnosed by physician were reported.

Percentage of Wheezing Days in Participants Within the First 2 Years After RSV Infection
Up to 2 years

Percentage of wheezing days in participants within the first 2 Years after RSV infection based on information reported by the parent/caregiver were reported. Percentage of wheezing days was calculated by (number of wheezing days/days of study completion - day of informed consent + 1)\*100.

Maximum Observed Plasma Concentration (Cmax) of JNJ-63549109 (Metabolite of JNJ-64041575)
Predose, 15 minutes (min), 30 min, 1 hour (h), 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h, 36 h, 48 h, 72 h, 96 h, 120 h, 144 h, 168 hours and end of study (16 days after last study drug intake or early withdrawal) (approximately 2 months)

Cmax is the maximum observed plasma concentration.

Area Under Plasma Concentration Time Curve From Time Zero to the Last Quantifiable (AUC [0-last]) of JNJ-63549109 (Metabolite of JNJ-64041575)
Predose, 15 min, 30 min, 1h, 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h, 36 h, 48 h, 72 h, 96 h, 120 h, 144 h, 168 hours and end of study (16 days after last study drug intake or early withdrawal) (approximately 2 months)

Area under the plasma concentration time curve (AUC) from time 0 to the time of the last measurable (non below quantification limit \[non BQL\]) concentration, calculated by linear trapezoidal summation.

Area Under the Plasma Concentration Time Curve From Time Zero to Infinite Time (AUC [0-infinity]) of JNJ-63549109 (Metabolite of JNJ-64041575)
Predose, 15 min, 30 min, 1h, 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h, 36 h, 48 h, 72 h, 96 h, 120 h, 144 h, 168 hours and end of study (16 days after last study drug intake or early withdrawal) (approximately 2 months)

The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time calculated as the sum of AUC (0-last) and C (0-last)/ lambda(z); wherein AUC (0-last) is area under the plasma concentration time curve from time zero to last quantifiable time, C(0-last) is the last observed quantifiable concentration, and lambda (z) is elimination rate constant.

Time to Reach Maximum Observed Plasma Concentration (Tmax) of JNJ-63549109 (Metabolite of JNJ- 64041575)
Predose, 15 min, 30 min, 1 h, 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h, 36 h, 48 h, 72 h, 96 h, 120 h, 144 h, 168 hours and end of study (16 days after last study drug intake or early withdrawal) (approximately 2 months)

Tmax is the actual sampling time to reach maximum observed plasma concentration.

Observed Plasma Concentration at 12 Hours Post dose (C12h) of JNJ-63549109 (Metabolite of JNJ- 64041575)
12 hours postdose

C12h is observed plasma concentration at 12 hours post dose.

Observed Plasma Concentration at 24 Hours Post dose (C24h) of JNJ-63549109 (Metabolite of JNJ- 64041575)
24 hours postdose

C24h is observed plasma concentration at 24 hours post dose.

Elimination Rate Constant (Lambda[z]) of JNJ-63549109 (Metabolite of JNJ- 64041575)
Predose, 15 min, 30 min, 1 h, 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h, 36 h, 48 h, 72 h, 96 h, 120 h, 144 h, 168 hours and end of study (16 days after last study drug intake or early withdrawal) (approximately 2 months)

Lambda\[z\] is the apparent terminal elimination rate constant, estimated by linear regression using the terminal logarithmic (log)-linear phase of the log-transformed concentration vs time data.

Elimination Half-Life (T1/2) of JNJ-63549109 (Metabolite of JNJ- 64041575)
Predose, 15 min, 30 min, 1 h, 1.5 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h, 36 h, 48 h, 72 h, 96 h, 120 h, 144 h, 168 hours and end of study (16 days after last study drug intake or early withdrawal) (approximately 2 months)

T1/2 is the apparent terminal elimination half-life, calculated as 0.693/Lambda(z).

Secondary Endpoints

Percentage of Wheezing Days in Participants Per Month After RSV Infection
Month 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
Number of Wheezing Episodes in Participants Per Month After the RSV Infection
Month 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
Number of Participants With Reportable Adverse Events (AEs)
Up to 2 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
LumicitabineEXPERIMENTALParticipants who completed the last planned study-related visit in a feeding Phase 2 study (64041575RSV2004), in which they received a regimen containing lumicitabine for the treatment of RSV infection, and who agree to participate in this follow-up study will be assessed for the incidence of the clinical diagnosis of asthma, frequency of wheezing, long-term safety of lumicitabine, frequency and type of respiratory infections and medical resource usage.
PlaceboPLACEBO_COMPARATORParticipants who completed the last planned study-related visit in a feeding Phase 2 study (64041575RSV2004), in which they received a regimen containing placebo for the treatment of RSV infection, and who agree to participate in this follow-up study will be assessed for the incidence of the clinical diagnosis of asthma, frequency of wheezing, long-term safety of placebo, frequency and type of respiratory infections and medical resource usage.
Treatment Sequence 1 (AB)EXPERIMENTALParticipants will receive Treatment A as a single oral dose of 1000 milligram (mg) lumicitabine (4\*250 mg tablets) on Day 1 of period 1 followed by Treatment B as a single oral dose of 1000 mg lumicitabine (4\*250 mg tablets) together with piperacillin/tazobactam administered as three 30-minute Intravenous (IV) infusions of 4.5 gram (g) piperacillin/tazobactam (4 g of piperacillin and 0.5 g of tazobactam) every 6 hours on Day 1 of period 2. A washout period of at least 21 days will be maintained between each treatment period.
Treatment Sequence 2 (BA)EXPERIMENTALParticipants will receive Treatment B on Day 1 of period 1 followed by Treatment A on Day 1 of period 2. A washout period of at least 21 days will be maintained between each treatment period.

Interventions

NameTypeDescription
LumicitabineDRUGParticipants who received lumicitabine in a feeding Phase 2 study (64041575RSV2004) will be observed in this study.
PlaceboDRUGParticipants who received placebo in a feeding Phase 2 study (64041575RSV2004) will be observed in this study.
Piperacillin/TazobactamDRUGParticipants will receive three IV infusions of piperacillin/tazobactam combination product (4 g of piperacillin and 0.5 g of tazobactam) every 6 hours on Day 1.
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Eligibility Criteria

Age Range56 Days to 39 Months
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Male or female infants and children who were previously randomized in study 64041575RSV2004 for the treatment of respiratory syncytial virus (RSV) infection and who completed the planned course of the study drug and the last study-related visit of study 64041575RSV2004 * The p...

Countries:JapanBelgium
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Frequently asked questions about Lumicitabine

What is Lumicitabine used for?

Lumicitabine is an investigational small molecule being studied for Respiratory Syncytial Virus (RSV) infections. It has been evaluated in clinical trials involving healthy adults and in infants and children with a history of RSV infection. The drug is not approved and remains in clinical development.

Who makes Lumicitabine?

Lumicitabine is being developed by Johnson & Johnson (NYSE: JNJ). The company has conducted clinical trials of the drug for Respiratory Syncytial Virus infections, including studies in healthy volunteers and in pediatric patients with a history of RSV infection.

What phase is Lumicitabine in?

Lumicitabine is in clinical development, with trials listed as Phase 1 and Phase 2. One completed Phase 1 study assessed the drug in healthy adults, and a completed Phase 2 study evaluated its long-term impact in infants and children. It is not FDA approved.

What clinical trials is Lumicitabine in?

Lumicitabine has been studied in two completed trials. NCT03441529 was a Phase 1 crossover study in healthy adults in Belgium. NCT03332459 was a Phase 2 long-term follow-up study in infants and children with a history of RSV infection in Japan.

Is Lumicitabine the same as JNJ-64041575?

Yes, Lumicitabine is also known as JNJ-64041575. The Phase 1 study NCT03441529 refers to the drug as Lumicitabine (JNJ-64041575), confirming that these names refer to the same investigational compound.