A Study to Confirm the Effectiveness and Safety of AK0529 in Treating RSV Infections in Hospitalized Infants

NCT ID: NCT06775405

Last Updated: 2025-01-15

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-29

Study Completion Date

2025-09-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Respiratory syncytial virus (RSV) is the most common respiratory infectious pathogen recognized worldwide that poses serious health risks to infants, and an important cause of hospitalization for severe respiratory infections in infants. Serious respiratory problems such as pneumonia caused by RSV are one of the leading causes of death from respiratory diseases in infants. AK0529 targets the Pre-F (fusion) protein on the surface of the viral envelope. Specifically, it prevents the virus from invading uninfected cells and inhibits the fusion between host cells by inhibiting the fusion of the F (fusion) proteins on the surface of the RSV envelope, thus providing the effects of anti-RSV infection. This is a randomized, double-blind, placebo-controlled, multicenter, phase III clinical study to evaluate the efficacy and safety of AK0529 in hospitalized infants aged 1 to 24 months with RSV infection. Considering the benefits of AK0529 in the population with RSV infection, hospitalized infants with moderate to severe RSV infection were selected as the target population for this study.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a Phase III, randomized, double-blind, placebo-controlled, multicenter clinical study conducted among Chinese infants aged 1 to 24 months hospitalized with Respiratory Syncytial Virus (RSV) infection.

The study plans to enroll 180 infants aged 1 to 24 months with RSV infection. Eligible subjects will be randomized in a 1:1 ratio (AK0529: placebo). These subjects will receive the study drug twice daily for 5 consecutive days and the dose depends on subject's weight range.

Each subject in this study will undergo a visit schedule comprising a screening period of 36 hours before the first dose, a 5-day double-blinded treatment period, and a 9-day safety follow-up period after the last dose of treatment. The expected duration of participation for each subject will not exceed 17 days.

Infants successfully enrolled in this study will take the medication every 12 hours for 5 consecutive days, in total 10 doses. Investigators will regularly score the infants using the Wang bronchiolitis clinical score which is the primary endpoint. Additionally, nasopharyngeal aspirates samples will be collected from the infants for virological testing before the first dose on Days 1 to 5, on Day 6, and on Day 14.

Safety and tolerability assessments in this study will include evaluations of adverse events (AEs)/serious adverse events (SAEs), vital signs and blood oxygen saturation (SpO2) levels, physical examinations, clinical laboratory tests, and electrocardiogram (ECG) findings.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Respiratory Synctial Virus Infections

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This clinical study is a randomized placebo controlled parallel multi-center phase III trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Double-Blind

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Active drug

The participants will receive AK0529 of 10 mg, 20 mg or 40 mg based on body weight twice daily for 5 days from D1 to D5.

Group Type EXPERIMENTAL

AK0529

Intervention Type DRUG

Active Substance: AK0529, Pharmaceutical Form: Enteric pellets, Route of Administration: Oral

Placebo

The participants will receive placebo of 10 mg, 20 mg or 40 mg based on body weight twice daily for 5 days from D1 to D5.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Active Substance: Placebo, Pharmaceutical Form: Enteric pellets, Route of Administration: Oral

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

AK0529

Active Substance: AK0529, Pharmaceutical Form: Enteric pellets, Route of Administration: Oral

Intervention Type DRUG

Placebo

Active Substance: Placebo, Pharmaceutical Form: Enteric pellets, Route of Administration: Oral

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Male or female subjects of any ethnicity with an age adjusted for any prematurity of ≥1 month and ≤24 months.
2. Diagnosis of RSV infection by any virological means, including a rapid diagnostic point-of-care testing, within 36 hours preceding initial dosing.
3. The onset of RSV infection symptoms should be ≤ 5 days prior to initial dosing.
4. Subject must weigh ≥ 2.5 kg and ≤ 20 kg at screening and be within the normal range for the subject's age, based on local child growth standards.
5. Subject must have a Wang bronchiolitis clinical score ≥ 5.

Exclusion Criteria

1. The subject has taken any restricted medications within 3 days prior to the date of screening or requires any restricted medications during treatment phase (including interferons, ribavirin, or proprietary Chinese medicines with antiviral effects) and has taken any inhaled or systemic glucocorticoids within 24 hours.
2. Subject is known to have co-infection with influenza virus, Mycoplasma, or other respiratory tract pathogens that require targeted clinical treatment .
3. Subject is known to have bacterial pneumonia.
4. Subject with clinical evidence of hepatic decompensation (e.g., liver disease with coagulation abnormalities or encephalopathy).
5. Subject with inborn symptoms of metabolic abnormalities (e.g., mitochondrial diseases, carbohydrate metabolism abnormalities, glycogen accumulation diseases).
6. Subject with chronic or persistent feeding difficulties.
7. The parent or guardian of the subject is an employee of the study investigator or the study facility (such person will be directly involved in the study or any other study administered by the study facility investigator), or a family member of the study investigator or his/her staff.
8. Subject who have participated in clinical trials of other drugs or devices in the 30 days prior to screening.
9. Subject with any other reason that the investigator deems unsuitable for participation in the study.
Minimum Eligible Age

1 Month

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Shanghai Ark Biopharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

First Hospital of Jilin University

Changchun, , China

Site Status RECRUITING

Hunan Provincial People's Hospital

Changsha, , China

Site Status RECRUITING

West China Second University Hospital, Sichuan University

Chengdu, , China

Site Status RECRUITING

Children's Hospital, Zhejiang University School of Medicine

Hangzhou, , China

Site Status RECRUITING

Sanya Central Hospital, Hainan Third People's Hospital

Sanya, , China

Site Status RECRUITING

Shanghai Children's Hospital, Shanghai Jiao Tong University

Shanghai, , China

Site Status RECRUITING

Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, , China

Site Status RECRUITING

Tianjin Children's Hospital(Longyan)

Tianjin, , China

Site Status RECRUITING

Tianjin Children's Hospital(Machang)

Tianjin, , China

Site Status RECRUITING

Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University

Wenzhou, , China

Site Status RECRUITING

Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, , China

Site Status RECRUITING

Wuxi Children's Hospital

Wuxi, , China

Site Status RECRUITING

First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status RECRUITING

Women and Children's Hospital, and the School of Medicine, Xiamen University

Xiamen, , China

Site Status RECRUITING

Zhongshan Women and Children's Hospital-Zhongshan Boai Hospital

Zhongshan, , China

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

China

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Chao Yu, Master

Role: CONTACT

+86 021-50681677

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Xin Ni, MD, PhD

Role: primary

+86 010-59612345

Shunying Zhao, MD, PhD

Role: backup

Xin Ni, MD, PhD

Role: backup

Xin Ni

Role: primary

+86-010 59612345

Shunying Zhao

Role: backup

Xin Ni

Role: backup

Hongmei Qiao, MD, PhD

Role: primary

+86 0431-88782222

Hongmei Qiao

Role: backup

Lili Zhong, MD, PhD

Role: primary

+86 0731-83929900

Lili Zhong

Role: backup

Hanmin Liu, MD, PhD

Role: primary

+86 028-88570307

Hanmin Liu

Role: backup

Zhimin Chen, MD, PhD

Role: primary

+86 0571-87061007

Zhimin Chen

Role: backup

Hua Zhang, MD, PhD

Role: primary

+86 0898-38220187

Hua Zhang

Role: backup

Xiaoyan Dong, MD, PhD

Role: primary

+86 021-52976017

Xiaoyan Dong

Role: backup

Yong Yin, MD, PhD

Role: primary

+86 021-38626161

Yong Yin

Role: backup

Yunxiao Shang

Role: primary

+86 024 96615

Yunxiao Shang

Role: backup

Yongsheng Xu, MD, PhD

Role: primary

+86 022-87787101

Yongsheng Xu

Role: backup

Yingxue Zou, MD, PhD

Role: primary

+86 022-23519459

Yingxue Zou

Role: backup

Hailin Zhang, MD, PhD

Role: primary

+86 0577 - 88002682

Hailin Zhang

Role: backup

Xiaoxia Lu

Role: primary

+86 027-82433350

Xiaoxia Lu

Role: backup

Ling Li, MD, PhD

Role: primary

+86 0510-85350188

Ling Li

Role: backup

Yungang Yang, MD, PhD

Role: primary

+86 0592-2132222

Yungang Yang

Role: backup

Tong Shen, MD, PhD

Role: primary

+86 0592-2662020

Tong Shen

Role: backup

Dongming Huang, MD, PhD

Role: primary

+86 0760-88306123

Dongming Huang

Role: backup

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

AK0529-2007

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.