Trial Outcomes & Findings for Safety and Efficacy of Pagibaximab Injection in Very Low Birth Weight Neonates for Prevention of Staphylococcal Sepsis (NCT NCT00646399)

NCT ID: NCT00646399

Last Updated: 2011-10-24

Results Overview

Safety and efficacy

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

1579 participants

Primary outcome timeframe

35 days

Results posted on

2011-10-24

Participant Flow

The first subject was enrolled on 29 Mar 2009 and the last randomized subject completed the trial on 20 Jan 2011. The trial was conducted in the neonatal intensive care unit.

Participant milestones

Participant milestones
Measure
Pagibaximab
Placebo
Overall Study
STARTED
792
787
Overall Study
COMPLETED
709
713
Overall Study
NOT COMPLETED
83
74

Reasons for withdrawal

Reasons for withdrawal
Measure
Pagibaximab
Placebo
Overall Study
Death
63
53
Overall Study
Withdrawal by Subject
9
10
Overall Study
Other Reason
11
11

Baseline Characteristics

Safety and Efficacy of Pagibaximab Injection in Very Low Birth Weight Neonates for Prevention of Staphylococcal Sepsis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pagibaximab
n=792 Participants
Placebo
n=787 Participants
Total
n=1579 Participants
Total of all reporting groups
Age Continuous
600-900g
25.7 Weeks
STANDARD_DEVIATION 1.67 • n=5 Participants
25.9 Weeks
STANDARD_DEVIATION 1.83 • n=7 Participants
25.8 Weeks
STANDARD_DEVIATION 1.76 • n=5 Participants
Age Continuous
901-1200g
28.0 Weeks
STANDARD_DEVIATION 1.77 • n=5 Participants
27.9 Weeks
STANDARD_DEVIATION 1.73 • n=7 Participants
28.0 Weeks
STANDARD_DEVIATION 1.75 • n=5 Participants
Sex: Female, Male
Female
390 Participants
n=5 Participants
393 Participants
n=7 Participants
783 Participants
n=5 Participants
Sex: Female, Male
Male
402 Participants
n=5 Participants
394 Participants
n=7 Participants
796 Participants
n=5 Participants
Region of Enrollment
United States
603 participants
n=5 Participants
596 participants
n=7 Participants
1199 participants
n=5 Participants
Region of Enrollment
Canada
60 participants
n=5 Participants
59 participants
n=7 Participants
119 participants
n=5 Participants
Region of Enrollment
Spain
54 participants
n=5 Participants
57 participants
n=7 Participants
111 participants
n=5 Participants
Region of Enrollment
Italy
27 participants
n=5 Participants
30 participants
n=7 Participants
57 participants
n=5 Participants
Region of Enrollment
United Kingdom
25 participants
n=5 Participants
28 participants
n=7 Participants
53 participants
n=5 Participants
Region of Enrollment
Germany
23 participants
n=5 Participants
17 participants
n=7 Participants
40 participants
n=5 Participants
Birth Weight
600-900g
758.8 grams
STANDARD_DEVIATION 90.28 • n=5 Participants
762.7 grams
STANDARD_DEVIATION 85.05 • n=7 Participants
760.7 grams
STANDARD_DEVIATION 87.70 • n=5 Participants
Birth Weight
901-1200g
1047.8 grams
STANDARD_DEVIATION 86.25 • n=5 Participants
1039.0 grams
STANDARD_DEVIATION 85.72 • n=7 Participants
1043.4 grams
STANDARD_DEVIATION 86.05 • n=5 Participants

PRIMARY outcome

Timeframe: 35 days

Population: 1579 very low birth weight subjects were included in the ITT.

Safety and efficacy

Outcome measures

Outcome measures
Measure
Pagibaximab
n=792 Participants
Placebo
n=787 Participants
The Number of Participants With Staphylococcal Sepsis From Study Days 0 to 35.
85 Participants
79 Participants

Adverse Events

Pagibaximab

Serious events: 284 serious events
Other events: 770 other events
Deaths: 0 deaths

Placebo

Serious events: 273 serious events
Other events: 758 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pagibaximab
n=784 participants at risk
Placebo
n=778 participants at risk
Gastrointestinal disorders
Necrotizing Colitis
6.6%
52/784 • Number of events 52
5.4%
42/778 • Number of events 42
Nervous system disorders
Intraventricular Haemorrhage
7.0%
55/784 • Number of events 56
7.3%
57/778 • Number of events 58
Congenital, familial and genetic disorders
Patent Ductus Arteriosus
13.3%
104/784 • Number of events 104
14.1%
110/778 • Number of events 110
Gastrointestinal disorders
Intestinal Perforation
3.6%
28/784 • Number of events 28
3.3%
26/778 • Number of events 28
Nervous system disorders
Periventricular Leukomalacia
1.8%
14/784 • Number of events 14
1.9%
15/778 • Number of events 15
Respiratory, thoracic and mediastinal disorders
Pulmonary Interstitial Emphysema
3.3%
26/784 • Number of events 27
3.0%
23/778 • Number of events 25
Respiratory, thoracic and mediastinal disorders
Pulmonary Haemorrhage
1.1%
9/784 • Number of events 9
1.5%
12/778 • Number of events 12
Metabolism and nutrition disorders
Hyperkalaemia
1.5%
12/784 • Number of events 12
0.77%
6/778 • Number of events 6
Blood and lymphatic system disorders
Thrombocytopenia
2.3%
18/784 • Number of events 18
1.8%
14/778 • Number of events 15
Cardiac disorders
Bradycardia
0.51%
4/784 • Number of events 4
0.51%
4/778 • Number of events 4

Other adverse events

Other adverse events
Measure
Pagibaximab
n=784 participants at risk
Placebo
n=778 participants at risk
Blood and lymphatic system disorders
Anaemia
61.1%
479/784 • Number of events 646
62.6%
487/778 • Number of events 665
Endocrine disorders
Hypothyroidism
1.1%
9/784 • Number of events 9
2.2%
17/778 • Number of events 17
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
10.8%
85/784 • Number of events 85
10.2%
79/778 • Number of events 79
Metabolism and nutrition disorders
Feeding Disorder Neonatal
26.0%
204/784 • Number of events 221
24.9%
194/778 • Number of events 209
Infections and infestations
Ophthalmia Neonatorum
7.1%
56/784 • Number of events 58
5.3%
41/778 • Number of events 48
Investigations
Cardiac Murmur
6.1%
48/784 • Number of events 50
5.8%
45/778 • Number of events 49
Hepatobiliary disorders
Hyperbilirubinaemia
16.3%
128/784 • Number of events 137
14.4%
112/778 • Number of events 113

Additional Information

Irwin Scher, MD

Biosynexus

Phone: 301-330-5800

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER