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ALX-0171

Phase 2

Respiratory Syncytial Virus Lower Respiratory Tract Infection | Monoclonal antibody | Respiratory |Sanofi|Trials Updated: Oct 18, 2019

ALX-0171 development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Dec 2011

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment361

FDA Designations

No designations recorded

ALX-0171 clinical trials

ALX-0171 · 5 trials · 4 indications

Phase 2 1Phase 1 4
NCT02979431Dose Ranging Study of ALX-0171 in Infants Hospitalized for Respiratory Syncytial Virus Lower Respiratory Tract InfectionRespiratory Syncytial Virus Lower Respiratory Tract Infection
COMPLETED180 Analytics
PHASE2COMPLETED
Dose Ranging Study of ALX-0171 in Infants Hospitalized for Respiratory Syncytial Virus Lower Respiratory Tract Infection
Respiratory Syncytial Virus Lower Respiratory Tract InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Time for Viral Load to Drop Below Assay Quantification Limit (BQL) (Plaque Assay Analysis)
Overall Study Period (i.e., approximately 28 days)

The primary endpoint for this trial was the time needed for the viral load to drop below the quantification limit (time-to-BQL) of the plaque assay in nasal mid-turbinate swab specimens. Time-to-BQL was defined as the time from the first study drug administration to the first occurrence of a value below the quantification limit (BQL), provided the next measured value was also below the limit of quantification. The time to BQL for subjects with missing data and/or who did not reach BQL during the trial were censored at the last non-missing viral load assessment. The primary endpoint was analysed using logrank test to compare time-to-BQL between each of the ALX-0171 treatment groups and the combined placebo group. The tests were performed in a sequential way to preserve the family-wise error rate at 0.05. The comparisons were performed in the following order: ALX-0171 9 mg/kg vs Placebo, followed by ALX-0171 6mg/kg vs Placebo, ALX-0171 3mg/kg vs Placebo.

Safety and Tolerability as measured by the incidence of treatment emergent adverse events, clinical laboratory parameters and physical examination
1 day before first dose to 14 days after first dose
Number of subjects reacting with bronchoconstriction to treatment (ALX- 0171 placebo or ALX-0171 verum) with one or more drops in forced expiratory volume in one second (FEV1) within a period of 8h post-inhalation
Within a period of 8 hours post-inhalation
Pharmacokinetics: concentration of ALX-0171 after oral inhalation in BALF samples and in plasma samples
Day 1 to Day 9
Pharmacokinetics: ALX-0171 concentration in plasma and urine after intravenous administration
Day 1 to Day 4
number of treatment-emergent adverse events
until 1 month after last study drug administration

Secondary Endpoints

Change From Baseline in Global Severity Score on Day 2 (5 Hours Post-dose)
from Baseline untill Day 2 (5 hours post-dose)
Time-to-Clinical Response
Overall Study Period (i.e., approximately 28 days)
Time-to-BQL (RT-qPCR)
Overall Study Period (i.e., approximately 28 days)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ALX-0171 3.0 mg/kgEXPERIMENTALInhalation of ALX-0171 3.0 mg/kg once daily for 3 consecutive days
ALX-0171 6.0 mg/kgEXPERIMENTALInhalation of ALX-0171 6.0 mg/kg once daily for 3 consecutive days
ALX-0171 Dose 9.0mg/kgEXPERIMENTALInhalation of ALX-0171 9.0 mg/kg once daily for 3 consecutive days
PlaceboPLACEBO_COMPARATORInhalation of Placebo once daily for 3 consecutive days
ALX-0171EXPERIMENTALInhalation of ALX-0171 during 3 consecutive days
ALX-0171 Oral inhalationEXPERIMENTAL -
ALX-0171 Oral Inhalation - Single Dose (SD)EXPERIMENTAL -
ALX-0171 Oral Inhalation - Multiple Dose (MD)EXPERIMENTAL -
ALX-0171 Intravenous (IV)EXPERIMENTAL -

Interventions

NameTypeDescription
ALX-0171 3.0 mg/kgBIOLOGICAL -
ALX-0171 6.0 mg/kgBIOLOGICAL -
ALX-0171 9.0 mg/kgBIOLOGICAL -
PlaceboOTHER -
ALX-0171BIOLOGICAL -
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Eligibility Criteria

Age Range28 Days to 2 Years
SexALL
Healthy VolunteersNo
Study Sites74

Inclusion Criteria: 1. Male or female infant or young child aged 28 days to \< 2 years with gestational age ≥ 33 weeks at screening. 2. Subject weighed between ≥ 3.0 kg and \< 15.0 kg at screening. 3. Subject is otherwise healthy but was hospitalized for and clinically diagnosed with RSV LRTI (bron...

Countries:BelgiumBulgariaChileColombiaCroatiaCzechiaEstoniaGermanyHungaryIsraelLatviaMalaysiaPhilippinesPolandSlovakiaSpainThailandAustraliaUnited KingdomNetherlands
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Frequently asked questions about ALX-0171

What is ALX-0171?

ALX-0171 is an investigational monoclonal antibody developed by Sanofi for the treatment of respiratory syncytial virus (RSV) infection, including RSV lower respiratory tract infection. It is given to infants and young children hospitalized with RSV lower respiratory tract infection and has been studied in adults as well. It remains in clinical development.

What is ALX-0171 used for in RSV infection?

ALX-0171 is being developed to treat respiratory syncytial virus infection, particularly RSV lower respiratory tract infection in hospitalized infants. Clinical studies enrolled infants from 28 days of age who were hospitalized and diagnosed with RSV lower respiratory tract infection, as well as adults with hyperresponsive airways and healthy adult volunteers.

Who makes ALX-0171?

ALX-0171 is developed by Sanofi, which trades on the New York Stock Exchange under the ticker SNY. Sanofi is the sponsor of the clinical program evaluating the monoclonal antibody in respiratory syncytial virus infection.

What phase is ALX-0171 in?

ALX-0171 is investigational and remains in clinical development. Its program includes Phase 1 studies and a Phase 2 dose-ranging study in infants hospitalized for RSV lower respiratory tract infection. It is not described as approved by the FDA, and no trials are currently active.

What clinical trials is ALX-0171 in?

Four completed studies are registered for ALX-0171: NCT02979431, a Phase 2 dose-ranging study in 180 infants hospitalized for RSV lower respiratory tract infection; NCT02309320, a Phase 1 study in 53 infants and toddlers; NCT01909843, a Phase 1 safety study in 24 adults with hyperresponsive airways; and NCT01875926, a Phase 1 pharmacokinetic study in 44 healthy male volunteers.