Trial Outcomes & Findings for Efficacy and Safety of CR6261 in an H1N1 Influenza Healthy Volunteer Human Challenge Model (NCT NCT02371668)

NCT ID: NCT02371668

Last Updated: 2020-03-17

Results Overview

Area under the curve (AUC) calculated from quantitative real-time RT-PCR for influenza A taken from 3 time per day nasal swab collection.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

104 participants

Primary outcome timeframe

3 times a day for 10 days

Results posted on

2020-03-17

Participant Flow

104 participants signed consent and were enrolled on the protocol. 91 participants were inoculated and randomized. 13 participants did not meet criteria for influenza challenge at Day 0.

Participant milestones

Participant milestones
Measure
CR6261
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
Placebo, 5% dextrose (D-glucose) water
Overall Study
STARTED
49
42
Overall Study
COMPLETED
49
42
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Safety of CR6261 in an H1N1 Influenza Healthy Volunteer Human Challenge Model

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Total
n=91 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
48 Participants
n=5 Participants
42 Participants
n=7 Participants
90 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
22 Participants
n=7 Participants
39 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
20 Participants
n=7 Participants
52 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants
n=5 Participants
34 Participants
n=7 Participants
74 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
21 Participants
n=5 Participants
13 Participants
n=7 Participants
34 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
22 Participants
n=7 Participants
42 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 times a day for 10 days

Population: All participants who were challenged with H1N1 and received CR6261

Area under the curve (AUC) calculated from quantitative real-time RT-PCR for influenza A taken from 3 time per day nasal swab collection.

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Area Under the Curve (AUC) of Viral Shedding
48.56 ViralLoad(log(copies/ml))per time(hours)
Interval 8.0 to 209.68
25.53 ViralLoad(log(copies/ml))per time(hours)
Interval 5.0 to 159.78

SECONDARY outcome

Timeframe: Evaluated daily for 10 days + 8 weeks convalescent follow up

Population: All participants who were challenged with H1N1 and received CR6261

Percentage of participants who experienced either viral shedding or symptoms + a four fold rise in convalescent HAI titer.

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Confirmed Influenza Infection
73 percentage of participants
88 percentage of participants

SECONDARY outcome

Timeframe: Evaluated for up to 2 months

Population: All participants who were challenged with H1N1 and received CR6261

Duration in days viral shedding was detected after influenza challenge

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Days of Shedding
2 Days
Interval 1.0 to 4.0
2.5 Days
Interval 1.0 to 5.0

SECONDARY outcome

Timeframe: Evaluated for up to 2 months

Population: All participants who were challenged with H1N1 and received CR6261

Duration in days symptoms were experienced after influenza challenge

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Days of Symptoms
5 Days
Interval 3.0 to 7.0
6 Days
Interval 5.0 to 7.0

SECONDARY outcome

Timeframe: Evaluated daily for 10 days

Population: All participants who were challenged with H1N1 and received CR6261

Percentage of participants who experienced influenza symptoms and shedding

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Mild to Moderate Influenza Disease
53 Percentage of participants
69 Percentage of participants

SECONDARY outcome

Timeframe: Evaluated for up to 2 months

Population: All participants who were challenged with H1N1 and received CR6261

Number of unique influenza symptoms experienced after influenza challenge

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Number of Symptoms
3 Symptoms
Interval 2.0 to 5.0
4 Symptoms
Interval 3.0 to 5.0

SECONDARY outcome

Timeframe: Evaluated daily for 10 days

Population: All participants who were challenged with H1N1 and received CR6261

Percentage of participants who experienced influenza symptoms

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Symptoms
76 Percentage of participants
93 Percentage of participants

SECONDARY outcome

Timeframe: Evaluated from day 0 to day 8

Population: All participants who were challenged with H1N1 and received CR6261

Objective symptoms score from patient directed FLUPRO questionnaire (inFLUenza Patient-Reported Outcome dairy) . The FLUPRO questionnaire uses a 5-point ordinal scale, with higher scores indicating a more frequent sign or symptom. Total scores can range from 0 (symptom free) to 4 (maximum severity of symptoms). Daily scores (Day 0 - Day 8) are averaged to calculate a total score for each participant, then calculated the median total FLUPRO score for each arm.

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Total FLUPRO Score
0.038 Scores on a scale
Interval 0.0125 to 0.08438
0.057 Scores on a scale
Interval 0.04063 to 0.08438

SECONDARY outcome

Timeframe: Evaluated daily for 10 days

Population: All participants who were challenged with H1N1 and received CR6261

Percentage of participants who experienced influenza viral shedding

Outcome measures

Outcome measures
Measure
CR6261
n=49 Participants
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 Participants
Placebo, 5% dextrose (D-glucose) water
Viral Shedding
67 Percentage of participants
74 Percentage of participants

Adverse Events

CR6261

Serious events: 0 serious events
Other events: 48 other events
Deaths: 0 deaths

Placebo Comparator

Serious events: 1 serious events
Other events: 42 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CR6261
n=49 participants at risk
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 participants at risk
Placebo, 5% dextrose (D-glucose) water
Injury, poisoning and procedural complications
Alcohol poisoning
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days

Other adverse events

Other adverse events
Measure
CR6261
n=49 participants at risk
CR6261, Investigational monoclonal antibody against influenza A viruses
Placebo Comparator
n=42 participants at risk
Placebo, 5% dextrose (D-glucose) water
Blood and lymphatic system disorders
Iron deficiency anaemia
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Blood and lymphatic system disorders
Neutropenia
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Cardiac disorders
Bradycardia
10.2%
5/49 • 70 days
4.8%
2/42 • 70 days
Cardiac disorders
Tachycardia
6.1%
3/49 • 70 days
14.3%
6/42 • 70 days
Ear and labyrinth disorders
Ear discomfort
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Ear and labyrinth disorders
Ear pain
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Eye disorders
Eye pain
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Gastrointestinal disorders
Abdominal distension
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Gastrointestinal disorders
Abdominal pain
20.4%
10/49 • 70 days
9.5%
4/42 • 70 days
Gastrointestinal disorders
Aphthous ulcer
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Gastrointestinal disorders
Diarrhoea
12.2%
6/49 • 70 days
9.5%
4/42 • 70 days
Gastrointestinal disorders
Nausea
14.3%
7/49 • 70 days
16.7%
7/42 • 70 days
Gastrointestinal disorders
Oral pain
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Gastrointestinal disorders
Stomatitis
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Gastrointestinal disorders
Toothache
4.1%
2/49 • 70 days
0.00%
0/42 • 70 days
Gastrointestinal disorders
Vomiting
6.1%
3/49 • 70 days
7.1%
3/42 • 70 days
General disorders
Asthenia
4.1%
2/49 • 70 days
0.00%
0/42 • 70 days
General disorders
Chills
8.2%
4/49 • 70 days
21.4%
9/42 • 70 days
General disorders
Fatigue
42.9%
21/49 • 70 days
42.9%
18/42 • 70 days
General disorders
Non-cardiac chest pain
12.2%
6/49 • 70 days
11.9%
5/42 • 70 days
General disorders
Pain
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
General disorders
Pyrexia
16.3%
8/49 • 70 days
7.1%
3/42 • 70 days
Infections and infestations
Acarodermatitis
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Infections and infestations
Conjunctivitis
16.3%
8/49 • 70 days
16.7%
7/42 • 70 days
Infections and infestations
Hordeolum
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Infections and infestations
Influenza
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Infections and infestations
Onychomycosis
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Infections and infestations
Rhinitis
63.3%
31/49 • 70 days
73.8%
31/42 • 70 days
Infections and infestations
Vulvovaginal candidiasis
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Injury, poisoning and procedural complications
Infusion related reaction
4.1%
2/49 • 70 days
0.00%
0/42 • 70 days
Injury, poisoning and procedural complications
Injury
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Injury, poisoning and procedural complications
Muscle strain
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Activated partial thromboplastin time prolonged
8.2%
4/49 • 70 days
7.1%
3/42 • 70 days
Investigations
Alanine aminotransferase increased
22.4%
11/49 • 70 days
7.1%
3/42 • 70 days
Investigations
Amylase increased
24.5%
12/49 • 70 days
23.8%
10/42 • 70 days
Investigations
Aspartate aminotransferase increased
14.3%
7/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Blood alkaline phosphatase increased
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Blood bilirubin increased
2.0%
1/49 • 70 days
9.5%
4/42 • 70 days
Investigations
Blood calcium decreased
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Investigations
Blood creatine phosphokinase
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Blood creatine phosphokinase increased
22.4%
11/49 • 70 days
7.1%
3/42 • 70 days
Investigations
Blood glucose increased
6.1%
3/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Blood phosphorus decreased
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Blood potassium decreased
6.1%
3/49 • 70 days
7.1%
3/42 • 70 days
Investigations
Blood sodium increased
6.1%
3/49 • 70 days
4.8%
2/42 • 70 days
Investigations
Blood urea increased
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Investigations
Haemoglobin decreased
49.0%
24/49 • 70 days
57.1%
24/42 • 70 days
Investigations
Lipase increased
20.4%
10/49 • 70 days
9.5%
4/42 • 70 days
Investigations
Lymphocyte count decreased
6.1%
3/49 • 70 days
16.7%
7/42 • 70 days
Investigations
Neutrophil count decreased
32.7%
16/49 • 70 days
26.2%
11/42 • 70 days
Investigations
Oxygen saturation abnormal
8.2%
4/49 • 70 days
11.9%
5/42 • 70 days
Investigations
Platelet count decreased
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Investigations
Prothrombin time prolonged
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Investigations
White blood cell count decreased
8.2%
4/49 • 70 days
9.5%
4/42 • 70 days
Investigations
White blood cell count increased
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Investigations
White blood cells urine positive
4.1%
2/49 • 70 days
4.8%
2/42 • 70 days
Metabolism and nutrition disorders
Decreased appetite
20.4%
10/49 • 70 days
16.7%
7/42 • 70 days
Metabolism and nutrition disorders
Hyperglycaemia
12.2%
6/49 • 70 days
14.3%
6/42 • 70 days
Metabolism and nutrition disorders
Hypoalbuminaemia
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Metabolism and nutrition disorders
Hypocalcaemia
4.1%
2/49 • 70 days
9.5%
4/42 • 70 days
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/49 • 70 days
7.1%
3/42 • 70 days
Metabolism and nutrition disorders
Hypokalaemia
18.4%
9/49 • 70 days
14.3%
6/42 • 70 days
Metabolism and nutrition disorders
Hyponatraemia
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Metabolism and nutrition disorders
Hypophosphataemia
8.2%
4/49 • 70 days
0.00%
0/42 • 70 days
Metabolism and nutrition disorders
Hypoproteinaemia
12.2%
6/49 • 70 days
4.8%
2/42 • 70 days
Musculoskeletal and connective tissue disorders
Arthralgia
10.2%
5/49 • 70 days
7.1%
3/42 • 70 days
Musculoskeletal and connective tissue disorders
Back pain
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Musculoskeletal and connective tissue disorders
Myalgia
24.5%
12/49 • 70 days
26.2%
11/42 • 70 days
Musculoskeletal and connective tissue disorders
Pain in extremity
2.0%
1/49 • 70 days
4.8%
2/42 • 70 days
Nervous system disorders
Disturbance in attention
4.1%
2/49 • 70 days
4.8%
2/42 • 70 days
Nervous system disorders
Dizziness
8.2%
4/49 • 70 days
2.4%
1/42 • 70 days
Nervous system disorders
Headache
51.0%
25/49 • 70 days
57.1%
24/42 • 70 days
Nervous system disorders
Mental impairment
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Psychiatric disorders
Anxiety
2.0%
1/49 • 70 days
4.8%
2/42 • 70 days
Psychiatric disorders
Bradyphrenia
0.00%
0/49 • 70 days
7.1%
3/42 • 70 days
Psychiatric disorders
Insomnia
16.3%
8/49 • 70 days
19.0%
8/42 • 70 days
Psychiatric disorders
Nightmare
8.2%
4/49 • 70 days
7.1%
3/42 • 70 days
Renal and urinary disorders
Haematuria
8.2%
4/49 • 70 days
11.9%
5/42 • 70 days
Renal and urinary disorders
Proteinuria
10.2%
5/49 • 70 days
4.8%
2/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Cough
22.4%
11/49 • 70 days
38.1%
16/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Dyspnoea
2.0%
1/49 • 70 days
7.1%
3/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
42.9%
21/49 • 70 days
54.8%
23/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Productive cough
14.3%
7/49 • 70 days
26.2%
11/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
44.9%
22/49 • 70 days
52.4%
22/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Sinus pain
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Skin and subcutaneous tissue disorders
Ecchymosis
8.2%
4/49 • 70 days
2.4%
1/42 • 70 days
Skin and subcutaneous tissue disorders
Erythema
2.0%
1/49 • 70 days
0.00%
0/42 • 70 days
Skin and subcutaneous tissue disorders
Hyperhidrosis
10.2%
5/49 • 70 days
16.7%
7/42 • 70 days
Skin and subcutaneous tissue disorders
Onychomadesis
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Skin and subcutaneous tissue disorders
Pruritus
2.0%
1/49 • 70 days
2.4%
1/42 • 70 days
Skin and subcutaneous tissue disorders
Rash
4.1%
2/49 • 70 days
2.4%
1/42 • 70 days
Skin and subcutaneous tissue disorders
Rash pruritic
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Vascular disorders
Diastolic hypertension
8.2%
4/49 • 70 days
4.8%
2/42 • 70 days
Vascular disorders
Flushing
0.00%
0/49 • 70 days
2.4%
1/42 • 70 days
Vascular disorders
Hypertension
4.1%
2/49 • 70 days
0.00%
0/42 • 70 days
Vascular disorders
Hypotension
12.2%
6/49 • 70 days
4.8%
2/42 • 70 days
Vascular disorders
Systolic hypertension
16.3%
8/49 • 70 days
9.5%
4/42 • 70 days

Additional Information

Memoli, Matthew

National Institute of Allergy and Infectious Diseases

Phone: +1 301 443 5971

Results disclosure agreements

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