An Intravenous (IV) Zanamivir Pharmacokinetics (PK) Study in Hospitalized Neonates and Infants With Influenza Infection

NCT ID: NCT04494412

Last Updated: 2025-03-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-21

Study Completion Date

2026-04-30

Brief Summary

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Influenza infection is an important public health priority, with seasonal outbreaks and pandemics causing considerable global morbidity and mortality. The PK, pharmacodynamics (PD), safety and efficacy of IV zanamivir have been evaluated in adults, adolescents and infants more than or equal to (\>=) 6 months of age with hospitalized influenza in the IV zanamivir global development program. However, antiviral treatment of neonates and infants under 6 months of age hospitalized with influenza infection remains a medical unmet need. Given the immaturity of the immune system at this age, there are no licensed influenza vaccines for children aged less than six months old. As a requirement of the Pediatric Investigation Plan European Union (EU), GlaxoSmithKline (GSK) will be conducting this open-label, multi-center, single arm, post-marketing authorization study to evaluate the PK and collect safety and tolerability information of IV zanamivir in hospitalized neonates and infants under 6 months of age with confirmed complicated influenza infection. The total duration of study participation for each participant will be up to 24 days with a study treatment period up to 10 days and 14 days of post-treatment follow up. However, for a given participant, the initial 5-day treatment course may be extended for up to 5 additional days if clinical symptoms, participant characteristics or virological tests as assessed by the investigator warrant further treatment. DECTOVA is a trademark of GlaxoSmithKline group of companies.

Detailed Description

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Conditions

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Influenza, Human Arthralgia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Open-label, multi-center and single arm study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hospitalized neonates and infants with influenza infection

Preterm neonates and infants who have reached Post-Menstrual Age (PMA) of at least 28 weeks and have a confirmed complicated influenza infection will be included. Participants will receive daily IV infusion of zanamivir for up to 5 days. This initial 5-day treatment course may be extended for up to 5 additional days if clinical symptoms, participant characteristics or virological tests warrant further treatment. The initial dose of IV zanamivir will be determined by PMA/corrected age and body weight. The maintenance dose and interval between the initial dose and subsequent twice-daily maintenance dose will be further determined by Principal Investigator based on renal function.

Group Type EXPERIMENTAL

Zanamivir

Intervention Type DRUG

Zanamivir solution for infusion will be available as a 10 milligrams per milliliters (mg/mL) vial. DECTOVA is approved for age groups 6 months and above.

Interventions

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Zanamivir

Zanamivir solution for infusion will be available as a 10 milligrams per milliliters (mg/mL) vial. DECTOVA is approved for age groups 6 months and above.

Intervention Type DRUG

Other Intervention Names

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DECTOVA

Eligibility Criteria

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Inclusion Criteria

* Neonates and infants who are aged less than 6 months (corrected age) at the time of the informed consent signed by legally acceptable representative (LAR) of minors. Preterm neonates and infants will be eligible for inclusion but must have reached PMA of at least 28 weeks.
* Participants who are hospitalized with influenza infection, confirmed by a positive rapid molecular diagnostic test for influenza, or a local quantitative Reverse transcriptase-polymerase chain reaction (RT-PCR) test and who must have a potential for improvement Participants with negative rapid molecular test result suspected of having influenza can be enrolled following confirmatory testing by quantitative RT-PCR.
* Participants with a high risk of altered oral drug absorption, represented by multi-organ dysfunction (dysfunction of at least 2 organs, as defined by the treating physician). (applicable only for Netherlands)
* Body weight \>=1 kilograms (kg).
* No gender restriction.
* LAR of minors are willing and able to give written informed consent to participate in the study (or included as permitted by local regulatory authorities, Independent Ethics Committees \[IECs\] or local laws).

Exclusion Criteria

* Participants who are known or suspected to be hypersensitive to any component of the study medication.
* Participants with a disease process which is likely to be irreversible.
* Liver function:

* Participants who meet the following criteria at Baseline:

1. Alanine transaminase (ALT) \>=3 times upper limit of normal (ULN) with bilirubin \>=2 times ULN
2. or isolated bilirubin \>=2 times ULN and \>50 percent (%) direct bilirubin
3. or ALT \>=5 times ULN Inclusion of participants with liver function tests that fall outside these criteria must be discussed and agreed with the medical monitor.
* Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of benign conditions such as Gilbert's syndrome). Inclusion of participants with neonatal hyperbilirubinemia may be considered if appropriately managed according to local guidelines and must be discussed with the medical monitor (Not-applicable for Great Britain).
* Participants who require concurrent therapy with another anti influenza drug.
* Participants who have participated in a study using an investigational drug within 30 days prior to Baseline.
* Child in care (CiC), as defined below:

* A child who has been placed under the control or protection of an agency, organization, institution or entity by the courts, the government or a government body, acting in accordance with powers conferred on them by law or regulation.
* The definition of a CiC can include a child cared for by foster parents or living in a care home or institution, provided that the arrangement falls within the definition above. The definition of a CiC does not include a child who is adopted or has an appointed legal guardian.
* Participants undergoing treatment by Extracorporeal membrane oxygenation (ECMO) or hemofiltration.
* Participants who are positive for severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) as determined by a diagnostic test, at screening
Maximum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Florence, , Italy

Site Status RECRUITING

GSK Investigational Site

Messina, , Italy

Site Status RECRUITING

GSK Investigational Site

Milan, , Italy

Site Status RECRUITING

GSK Investigational Site

Roma, , Italy

Site Status RECRUITING

GSK Investigational Site

Bydgoszcz, , Poland

Site Status COMPLETED

GSK Investigational Site

Barcelona, , Spain

Site Status RECRUITING

GSK Investigational Site

Madrid, , Spain

Site Status RECRUITING

GSK Investigational Site

London, , United Kingdom

Site Status RECRUITING

GSK Investigational Site

London, , United Kingdom

Site Status RECRUITING

Countries

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Italy Poland Spain United Kingdom

Central Contacts

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US GSK Clinical Trials Call Center

Role: CONTACT

877-379-3718

EU GSK Clinical Trials Call Center

Role: CONTACT

+44 (0) 20 89904466

Facility Contacts

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US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

Other Identifiers

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200925

Identifier Type: -

Identifier Source: org_study_id

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