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ALX-0171 /kg

Phase 2

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

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment180
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02979431Dose Ranging Study of ALX-0171 in Infants Hospitalized for Respiratory Syncytial Virus Lower Respiratory Tract InfectionPHASE2 COMPLETED 180Jan 11, 2017May 25, 2018Oct 18, 201974 Belgium, Bulgaria +15
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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.

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
Interventions
NameTypeDescription
ALX-0171 3.0 mg/kgBIOLOGICAL -
ALX-0171 6.0 mg/kgBIOLOGICAL -
ALX-0171 9.0 mg/kgBIOLOGICAL -
PlaceboOTHER -
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Eligibility Criteria
Age Range28 Days — 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:BelgiumBulgariaChileColombiaCroatiaCzechiaEstoniaGermanyHungaryIsraelLatviaMalaysiaPhilippinesPolandSlovakiaSpainThailand
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