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A Study to Evaluate the Efficacy of MEDI-528 on Late Asthmatic Response With Atopic Asthma

A Phase 2A, Randomized, Double-Blind, Placebo-Controlled Multicenter Study to Evaluate the Efficacy of MEDI-528, a Humanized Anti-Interleukin-9 Monoclonal Antibody, on Late Asthmatic Response Induced By Allergen Inhalation In Adults With Atopic Asthma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00394654
Enrollment
30
Registered
2006-11-01
Start date
2006-11-30
Completion date
2008-01-31
Last updated
2013-12-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Brief summary

This is a Phase 2a, randomized multicenter study to evaluate the efficacy of MEDI-528 on LAR in adult patients with atopic asthma.

Detailed description

This study (MI-CP138) is a Phase 2a, randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy of MEDI-528 on LAR in adult patients with atopic asthma. Approximately three investigative sites in Canada will participate in this study, with up to 40 evaluable patients randomized in a 1:1 ratio to receive MEDI-528 (9.0 mg/kg) or placebo as a single IV infusion.

Interventions

MEDI-528 at a single dose of 9 mg/kg administered as an intravenous infusion

OTHERPlacebo

Placebo administered as a single intravenous infusion

Sponsors

MedImmune LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Male or female adults, age 18 through 65 years of age at the time of screening; * Written informed consent obtained from the patient prior to receipt of any study medication or beginning study procedures; * Previously documented diagnosis of asthma of \> 1 year duration, based on episodic symptoms of airflow obstruction, at least partial reversibility of airflow obstruction, with alternative diagnoses (e.g., chronic obstructive pulmonary disease) ruled out; * AHR in the methacholine challenge test with a PC20 (provoking concentration of methacholine to cause a 20% fall in FEV1) ≤ 16 mg/mL (Crapo, 2000); * Have dual response of EAR, defined as a decrease in FEV1 ≥ 20% at 0 to 3 hours after inhalation, and LAR, defined as a decrease in FEV1 ≥ 15% 3 to 7 hours after inhalation, to inhaled allergen; * Asthma symptoms are adequately controlled on short-acting β2 agonists (e.g., albuterol) alone; * Have had no significant changes in regular asthma medications and no acute asthma exacerbations requiring corticosteroid rescue, hospitalization, or emergency department visits for at least 4 weeks prior to screening and up through the time of the first dose of study drug on Study Day 0. * Sexually active women, unless surgically sterile or at least 1 year post-menopausal, must have used an effective method of avoiding pregnancy (including oral or implanted contraceptives, intrauterine device, female condom, diaphragm with spermicide, cervical cap, abstinence, use of a condom by the sexual partner or sterile sexual partner) for 21 days prior to the first dose of study drug on Study Day 0, and must agree to continue using such precautions through Study Day 126. Cessation of birth control after this point should be discussed with a responsible physician. Sexually active men, unless surgically sterile, must likewise use an effective method of birth control (condom) and must agree to continue using such precautions through Study Day 126; * Able to complete the follow-up period through Study Day 126, as required by the protocol. * Willing to forego other forms of experimental treatment and study procedures during the study; and * Able to provide spirometric readings that meet American Thoracic Society (ATS) standards (ATS, 1995).

Exclusion criteria

* Receipt of MEDI-528 in any previous clinical study; * History of allergy or adverse reactions to any component of the MEDI-528 formulation; * Lung disease other than allergic asthma (e.g. chronic bronchitis); * Current use of any systemic or inhaled immunosuppressive drugs, including systemic and inhaled corticosteroids (topical corticosteroids are permitted), long-acting β2 agonists, leukotriene antagonists, cromolyn sodium, nedocromil sodium, theophylline or any inhaled or systemic medication for asthma other than short-acting β2 agonists, for at least 4 weeks prior to study drug administration on Study Day 0. * Current use of any β-adrenergic antagonist (e.g. propranolol). * Any disease or illness, other than asthma, that may require the use of systemic corticosteroids during the study period. * Acute illnesses or evidence of clinically significant active infection, such as fever ³ 38.0°C (100.5°F) at screening and through the time of the study drug administration on Study Day 0; * Current allergy-vaccination therapy (i.e., desensitization immunotherapy) with less than 3 months of stable maintenance doses prior to the baseline allergen inhalation challenge; * Receipt of any investigational drug therapy within 30 days or any biologic(s) within 5 half-lives of the agent prior to the first dose of study drug through Study Day 150; * Receipt of any therapy with a leukocyte-depleting agent unless recovery in white cell count has been documented before screening; * Pregnancy (sexually active females must have a negative serum pregnancy test at screening and a negative urine pregnancy test prior to study drug administration on Study Day 0); * Is a nursing mother at the time of study enrollment; * Evidence of infection with hepatitis B or C virus, or HIV-1 or HIV-2, or active infection with hepatitis A; * History of significant systemic disease (e.g., cancer; infection; coronary artery disease or other cardiovascular disease; or hematological, renal, hepatic, endocrinologic, neurologic, rheumatologic, or gastrointestinal disease); * History of cancer other than nonmelanoma skin cancer or cervical carcinoma-in-situ that have been treated successfully with curative therapy; * History of primary immunodeficiency; * History of pancreatitis; * History of use of tobacco products within 2 years of baseline or history of smoking \>= 10 pack-years; * Elective surgery planned from the time of screening through Study Day 126; * Clinically significant abnormalities (other than asthma) upon physical examination prior to study drug administration on Study Day 0; * Clinically significant abnormality, as determined by the investigator, on 12-lead ECG or chest radiograph at the time of screening; * At the time of screening, any of the following abnormalities: aspartate transaminase (AST), alanine transaminase (ALT), or amylase \> 1.5 × above the upper limits of normal (ULN); or serum creatinine \> 1.3 × ULN; or any other abnormal laboratory values in the screening panel that, in the opinion of the principal investigator (PI), are judged to be clinically significant; or * Evidence of any systemic disease or respiratory disease (other than asthma), any finding upon physical examination or history of any disease that, in the opinion of the PI or medical monitor, may compromise the safety of the patient in the study or confound the analysis of the study.

Design outcomes

Primary

MeasureTime frameDescription
Effect of MEDI-528 on Late Asthmatic Response (LAR) After Inhaled Allergen Challenge at Day 7Day 7Change from baseline (percent reduction) in mean maximum decline of forced expiratory volume in one second (FEV1) during LAR at 3 to 7 hours after an inhaled allergen challenge.
Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28Day 28Change from baseline (percent reduction) in mean maximum decline of FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.
Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 56Day 56Change from baseline (percent reduction) in mean maximum decline of FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.
Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 7Day 7Change from baseline (percent reduction) in mean maximum decline of area under the concentration-time curve (AUC) of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

Secondary

MeasureTime frameDescription
Time to Observed Maximum Sputum Concentration (Tmax)Days -21 to -7, 7, 28, and 56Tmax of MEDI-528 in sputum
Time to Observed Maximum Nasal Lavage Concentration (Tmax)Days -6 to -1, 8, 29, and 57Tmax of MEDI-528 in nasal lavage
Observed Maximum Serum Concentration (Cmax)Days 0, 6, 7, 27, 55, 84, and 126Cmax of MEDI-528 in serum
Observed Maximum Sputum Concentration (Cmax)Days -21 to -7, 7, 28, and 56Cmax of MEDI-528 in sputum
Observed Maximum Nasal Lavage Concentration (Cmax)Days -6 to -1, 8, 29, and 57Cmax of MEDI-528 in nasal lavage
Incidence of Adverse EventsDays 0 - 126Number of participants experiencing adverse events (includes both adverse events and serious adverse events)
Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]Days 0, 6, 7, 27, 55, 84, and 126AUC(0-infinity) of MEDI-528 in serum
Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]Days 0, 6, 7, 27, 55, 84, and 126AUC(ext) of MEDI-528 in serum
Terminal Phase Half-Life (T1/2)Days 0, 6, 7, 27, 55, 84, and 126T1/2 of MEDI-528 in serum
Total Body Clearance (CL)Days 0, 6, 7, 27, 55, 84, and 126CL of MEDI-528 in serum
Terminal Phase Volume of Distribution (Vz)Days 0, 6, 7, 27, 55, 84, and 126Vz of MEDI-528 in serum
Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]Days 0, 6, 7, 27, 55, 84, and 126AUC(0-t) of MEDI-528 in serum
Incidence of Serious Adverse EventsDays 0 - 126Number of participants experiencing serious adverse events
Incidence of Anti-drug Antibodies (ADA) to MEDI-528Days 0, 27, 55, 84, and 126Number of participants with ADA to MEDI-528
Time to Observed Maximum Serum Concentration (Tmax)Days 0, 6, 7, 27, 55, 84, and 126Tmax of MEDI-528 in serum

Countries

Canada

Participant flow

Recruitment details

Thirty patients were entered into the study between 16Oct2006 and 15Aug2007 at 2 sites in Canada.

Pre-assignment details

Treatment assignments were determined using a block randomization procedure with a 1:1 ratio through an interactive Web response system (IWRS). Patients who were randomized into the study but did not complete the second allergen challenge on Day 7 were replaced, unless the patient withdrew for safety reasons.

Participants by arm

ArmCount
PLACEBO15
MEDI528 9 mg/kg
MEDI-528 at a single dose of 9 mg/kg administered as an IV infusion
15
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up10
Overall StudyPARTICIPANT LEFT STDUY REGION10

Baseline characteristics

CharacteristicPLACEBOMEDI528 9 mg/kgTotal
Age Continuous30.5 Years
STANDARD_DEVIATION 9.6
26.5 Years
STANDARD_DEVIATION 7.8
28.5 Years
STANDARD_DEVIATION 8.9
Sex: Female, Male
Female
9 Participants9 Participants18 Participants
Sex: Female, Male
Male
6 Participants6 Participants12 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
11 / 1512 / 15
serious
Total, serious adverse events
1 / 150 / 15

Outcome results

Primary

Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28

Change from baseline (percent reduction) in mean maximum decline of AUC of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

Time frame: Day 28

Population: All participants who were randomized into the study and completed the second allergen challenge on Day 7.

ArmMeasureValue (MEAN)Dispersion
PLACEBOEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 282.91 PercentStandard Deviation 133.75
MEDI528 9 mg/kgEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28-13.09 PercentStandard Deviation 175.27
p-value: 0.798Univariate 2-sample t-test
Primary

Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28

Change from baseline (percent reduction) in mean maximum decline of FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

Time frame: Day 28

Population: All participants who were randomized into the study and completed the second allergen challenge on Day 7.

ArmMeasureValue (MEAN)Dispersion
PLACEBOEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 2829.93 PercentStandard Deviation 46.646
MEDI528 9 mg/kgEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 28-16.95 PercentStandard Deviation 123.256
p-value: 0.254Univariate 2-sample t-test
Primary

Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 56

Change from baseline (percent reduction) in mean maximum decline of FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

Time frame: Day 56

Population: All participants who were randomized into the study and completed the second allergen challenge on Day 7.

ArmMeasureValue (MEAN)Dispersion
PLACEBOEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 5640.36 PercentStandard Deviation 45.123
MEDI528 9 mg/kgEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 5631.85 PercentStandard Deviation 53.709
p-value: 0.677Univariate 2-sample t-test
Primary

Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 56

Change from baseline (percent reduction) in mean maximum decline of AUC of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

Time frame: Day 56

Population: All participants who were randomized into the study and completed the second allergen challenge on Day 7.

ArmMeasureValue (MEAN)Dispersion
PLACEBOEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 5641.75 PercentStandard Deviation 65.49
MEDI528 9 mg/kgEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 5651.91 PercentStandard Deviation 98.49
p-value: 0.766Univariate 2-sample t-test
Primary

Effect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 7

Change from baseline (percent reduction) in mean maximum decline of area under the concentration-time curve (AUC) of the participants FEV1 during LAR at 3 to 7 hours after an inhaled allergen challenge.

Time frame: Day 7

Population: All participants who were randomized into the study and completed the second allergen challenge on Day 7.

ArmMeasureValue (MEAN)Dispersion
PLACEBOEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 721.86 PercentStandard Deviation 94.34
MEDI528 9 mg/kgEffect of MEDI-528 on LAR After Inhaled Allergen Challenge at Day 7-14.47 PercentStandard Deviation 82.43
p-value: 0.318Univariate 2-sample t-test
Primary

Effect of MEDI-528 on Late Asthmatic Response (LAR) After Inhaled Allergen Challenge at Day 7

Change from baseline (percent reduction) in mean maximum decline of forced expiratory volume in one second (FEV1) during LAR at 3 to 7 hours after an inhaled allergen challenge.

Time frame: Day 7

Population: All participants who were randomized into the study and completed the second allergen challenge on Day 7.

ArmMeasureValue (MEAN)Dispersion
PLACEBOEffect of MEDI-528 on Late Asthmatic Response (LAR) After Inhaled Allergen Challenge at Day 721.26 PercentStandard Deviation 69.288
MEDI528 9 mg/kgEffect of MEDI-528 on Late Asthmatic Response (LAR) After Inhaled Allergen Challenge at Day 7-16.21 PercentStandard Deviation 61.788
p-value: 0.168Univariate 2-sample t-test
Secondary

Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]

AUC(0-infinity) of MEDI-528 in nasal lavage

Time frame: Days -6 to -1, 8, 29, and 57

Population: All participants who were randomized, received any MEDI-528, and had nasal lavage samples obtained

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgArea Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]6047.098 Nanogram times day per milliliterGeometric Coefficient of Variation 134
Secondary

Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]

AUC(0-infinity) of MEDI-528 in sputum

Time frame: Days -21 to -7, 7, 28, and 56

Population: All participants who were randomized, received any MEDI-528, and had sputum samples obtained

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgArea Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]4136.234 Nanogram times day per milliliterGeometric Coefficient of Variation 61.9
Secondary

Area Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]

AUC(0-infinity) of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgArea Under the Concentration Curve From Time Zero to Infinity [AUC(0-infinity)]6224.272 Microgram times day per milliliterGeometric Coefficient of Variation 17
Secondary

Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]

AUC(0-t) of MEDI-528 in nasal lavage

Time frame: Days -6 to -1, 8, 29, and 57

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgArea Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]1332.408 Nanogram times day per milliliterGeometric Coefficient of Variation 147.6
Secondary

Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]

AUC(0-t) of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgArea Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]5744.821 Microgram times day per milliliterGeometric Coefficient of Variation 14.8
Secondary

Area Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]

AUC(0-t) of MEDI-528 in sputum

Time frame: Days -21 to -7, 7, 28, and 56

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgArea Under the Concentration Curve From Time Zero to Last Measurable Concentration [AUC(0-t)]2382.123 Nanogram times day per milliliterGeometric Coefficient of Variation 84
Secondary

Incidence of Adverse Events

Number of participants experiencing adverse events (includes both adverse events and serious adverse events)

Time frame: Days 0 - 126

Population: All subjects who received at least one dose of investigational product (MEDI-528 or placebo)

ArmMeasureValue (NUMBER)
PLACEBOIncidence of Adverse Events11 Participants
MEDI528 9 mg/kgIncidence of Adverse Events12 Participants
Secondary

Incidence of Anti-drug Antibodies (ADA) to MEDI-528

Number of participants with ADA to MEDI-528

Time frame: Days 0, 27, 55, 84, and 126

Population: All subjects who received at least one dose of investigational product (MEDI-528 or placebo)

ArmMeasureValue (NUMBER)
PLACEBOIncidence of Anti-drug Antibodies (ADA) to MEDI-5280 Participants
MEDI528 9 mg/kgIncidence of Anti-drug Antibodies (ADA) to MEDI-5280 Participants
Secondary

Incidence of Serious Adverse Events

Number of participants experiencing serious adverse events

Time frame: Days 0 - 126

Population: All subjects who received at least one dose of investigational product (MEDI-528 or placebo)

ArmMeasureValue (NUMBER)
PLACEBOIncidence of Serious Adverse Events1 Participants
MEDI528 9 mg/kgIncidence of Serious Adverse Events0 Participants
Secondary

Observed Maximum Nasal Lavage Concentration (Cmax)

Cmax of MEDI-528 in nasal lavage

Time frame: Days -6 to -1, 8, 29, and 57

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgObserved Maximum Nasal Lavage Concentration (Cmax)79.406 Nanogram per milliliterGeometric Coefficient of Variation 136.6
Secondary

Observed Maximum Serum Concentration (Cmax)

Cmax of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgObserved Maximum Serum Concentration (Cmax)229.672 Microgram per milliliterGeometric Coefficient of Variation 18.1
Secondary

Observed Maximum Sputum Concentration (Cmax)

Cmax of MEDI-528 in sputum

Time frame: Days -21 to -7, 7, 28, and 56

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgObserved Maximum Sputum Concentration (Cmax)71.843 Nanogram per milliliterGeometric Coefficient of Variation 78.7
Secondary

Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]

AUC(ext) of MEDI-528 in sputum

Time frame: Days -21 to -7, 7, 28, and 56

Population: All participants who were randomized, received any MEDI-528, and had sputum samples obtained

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgPercent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]25.919 PercentGeometric Coefficient of Variation 81.3
Secondary

Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]

AUC(ext) of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgPercent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]6.441 PercentGeometric Coefficient of Variation 59.3
Secondary

Percent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]

AUC(ext) of MEDI-528 in nasal lavage

Time frame: Days -6 to -1, 8, 29, and 57

Population: All participants who were randomized, received any MEDI-528, and had nasal lavage samples obtained

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgPercent of Total Area Under the Concentration Curve Extrapolated From Last Measurable Time to Infinity [AUC(Ext)]18.848 PercentGeometric Coefficient of Variation 178.3
Secondary

Terminal Phase Half-Life (T1/2)

T1/2 of MEDI-528 in sputum

Time frame: Days -21 to -7, 7, 28, and 56

Population: All participants who were randomized, received any MEDI-528, and had sputum samples obtained

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTerminal Phase Half-Life (T1/2)31.933 DayGeometric Coefficient of Variation 83.1
Secondary

Terminal Phase Half-Life (T1/2)

T1/2 of MEDI-528 in nasal lavage

Time frame: Days -6 to -1, 8, 29, and 57

Population: All participants who were randomized, received any MEDI-528, and had nasal lavage samples obtained

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTerminal Phase Half-Life (T1/2)25.584 DayGeometric Coefficient of Variation 69
Secondary

Terminal Phase Half-Life (T1/2)

T1/2 of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTerminal Phase Half-Life (T1/2)34.316 DayGeometric Coefficient of Variation 20.8
Secondary

Terminal Phase Volume of Distribution (Vz)

Vz of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTerminal Phase Volume of Distribution (Vz)5.025 LiterGeometric Coefficient of Variation 23.8
Secondary

Time to Observed Maximum Nasal Lavage Concentration (Tmax)

Tmax of MEDI-528 in nasal lavage

Time frame: Days -6 to -1, 8, 29, and 57

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTime to Observed Maximum Nasal Lavage Concentration (Tmax)10.319 DayGeometric Coefficient of Variation 169.6
Secondary

Time to Observed Maximum Serum Concentration (Tmax)

Tmax of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTime to Observed Maximum Serum Concentration (Tmax)0.028 DayGeometric Coefficient of Variation 20.4
Secondary

Time to Observed Maximum Sputum Concentration (Tmax)

Tmax of MEDI-528 in sputum

Time frame: Days -21 to -7, 7, 28, and 56

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTime to Observed Maximum Sputum Concentration (Tmax)9.276 DayGeometric Coefficient of Variation 99
Secondary

Total Body Clearance (CL)

CL of MEDI-528 in serum

Time frame: Days 0, 6, 7, 27, 55, 84, and 126

Population: All participants who were randomized and received any MEDI-528

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MEDI528 9 mg/kgTotal Body Clearance (CL)0.101 Liter per dayGeometric Coefficient of Variation 26.7

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026