E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Experimentally induced Respiratory Syncytial Virus infection. The experimental infectious dose has been titrated in a previous study in healthy volunteers. |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10052200 |
E.1.2 | Term | Respiratory syncytial virus infection NOS |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Determination of the safety and tolerability of intranasal ALN-RSV01 versus placebo, administered in a multiple-dose schedule (once daily for 5 days) to healthy adult volunteers experimentally inoculated with respiratory syncytial virus (RSV). |
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E.2.2 | Secondary objectives of the trial |
Determination of the the impact of ALN-RSV01 on symptoms of RSV infection, RSV infection rate based on measures of viral load, and understanding the potential antiviral activity of ALN-RSV01. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Males 18 to 45 years of age, inclusive. 2. Availability for the required study period (including the inpatient quarantine phase), ability to comply with study requirements, and ability to attend the scheduled inpatient (quarantine) and follow-up study visits. 3. Able to provide written consent for participation after reading the Consent Form and after having adequate opportunity to discuss the study with an investigator or qualified deputy. 4. Good general health status as determined by a screening evaluation no greater than 120 days but not less than 14 days prior to enrollment and admission to the quarantine unit. 5. Agreement to use condoms as a barrier method of birth control for any sexual contact for 30 days after the last dose of study medication. 6. Has a body mass index (BMI) greater than 18.0 and that is considered by the Investigator as clinically acceptable for the subject. 7. Low titers of RSV neutralizing antibody measured during Screen.
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E.4 | Principal exclusion criteria |
1. Females are not eligible for this study. 2. Positive serologic test for human immunodeficiency virus (HIV), Hepatitis B surface antigen (HBsAg) positive, or Hepatitis C antibody positive. 3. Evidence of or history of drug or alcohol abuse (within the past 6 months) or a positive urine drug or alcohol screen. 4. An abnormal ECG deemed clinically relevant by the PI. 5. Subjects unable or unwilling to refrain from smoking or using tobacco products during the quarantine period 6. Has current seasonal allergic rhinitis (SAR), or recent viral rhinitis within 4 weeks prior to study drug administration. 7. Allergy to gentamycin or other aminoglycoside antibiotics. 8. Has any nasopharyngeal abnormality that may interfere with absorption, distribution, or study-related evaluations as judged by the PI 9. Presence of household member or close contact to someone who a. is less than three (3) years of age b. has a known immunodeficiency c. is receiving immunosuppressant drugs d. is undergoing or soon to undergo cancer chemotherapy within 28 days of challenge e. has diagnosed emphysema, chronic obstructive pulmonary disease (COPD), or severe lung disease f. is elderly and residing in a nursing home, or g. has received an organ transplant. 10. Any laboratory test which is abnormal and deemed by the investigator to be clinically significant. (This includes blood chemistry, hematology, or urinalysis). 11. Presence of any febrile illness or symptoms suggestive of viral respiratory infection within 4 weeks prior to challenge.
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety endpoints will evaluate the tolerability of ALN-RSV01 relative to placebo in RSV-exposed individuals, and will include the following: • Frequency and severity of treatment related adverse events • Treatment-related changes in vital signs • Treatment-related changes in physical examination (PE) findings • Treatment-related changes in nasal examination findings • Treatment-related changes in electrocardiogram (ECG) parameters • Treatment-related changes in clinical laboratory assessments. Efficacy endpoints are exploratory and may include • Changes in symptoms of RSV infection • Frequency of RSV infection, expressed as the percentage of subjects developing infection after inoculation. • Assessment of RSV viral load a. Peak amount of viral load b. Time to peak viral load c. Mean daily viral load d. Duration of viral shedding e. Overall viral load (based on the area under the concentration-time curve [AUC]) • Serum RSV antibody response |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |