Effects of JNJ-53718678 in Adult and Adolescent Participants Who Had a Hematopoietic Stem Cell Transplantation and Who Are Infected With Respiratory Syncytial Virus (RSV) (FREESIA)
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Clinical Outcomes, Antiviral Activity, Safety, Tolerability, Pharmacokinetics, and Pharmacokinetics/Pharmacodynamics of JNJ-53718678 in Adult and Adolescent Hematopoietic Stem Cell Transplant Recipients With Respiratory Syncytial Virus Infection of the Upper Respiratory Tract
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Expanded Access
Expanded Access
No longer available
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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Bahia Blanca, Argentina, 8000
- Hospital Espanol De Bahia Blanca
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Ciudad De La Plata, Argentina, B1900AX
- Hospital Italiano de La Plata
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Cordoba, Argentina, X5000JHQ
- Sanatorio Allende
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Cordoba, Argentina, X5016KEH
- Hospital Privado-Universitario de Cordoba
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San Miguel de Tucuman, Argentina, T4000IHE
- Clinica Mayo de UMCB
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Melbourne, Australia, 3000
- Peter MacCallum Cancer Centre
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Melbourne, Australia, 3050
- Royal Melbourne Hospital
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Westmead, Australia, 2145
- Westmead Hospital
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Brugge, Belgium, 8000
- AZ Sint-Jan
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Brussels, Belgium, 1090
- UZ Brussel
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Brussels, Belgium, 1000
- Jules Bordet Institute
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Gent, Belgium, 9000
- UZ Gent
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Leuven, Belgium, 3000
- UZ Leuven
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Liege, Belgium, 4000
- CHU de Liege
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Limburg, Belgium, 3500
- Jessa Ziekenhuis
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Barretos, Brazil, 14784-400
- Fundacao Pio XII
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Belo Horizonte, Brazil, 30130-100
- Universidade Federal De Minas Gerais - Hospital das Clínicas
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Florianopolis, Brazil, 88034-000
- Centro de Pesquisa e Ensino em Oncologia de Santa Catarina CEPEN
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Fortaleza, Brazil, 60430-380
- Universidade Federal do Ceara Hospital Universitario Walter Cantidio
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Jau, Brazil, 17210 080
- Fundacao Doutor Amaral Carvalho
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Porto Alegre, Brazil, 90035-003
- Hospital das Clinicas de Porto Alegre
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Sao Jose do Rio Preto, Brazil, 15090-000
- Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto Hospital de Base
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Sao Paulo, Brazil, 01321-001
- Real e Benemerita Associacao Portuguesa de Beneficencia
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Sao Paulo, Brazil, 01508-010
- Fundacao Antonio Prudente A C Camargo Cancer Center
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São Paulo, Brazil, 01308 901
- Sociedade Beneficente de Senhoras - Hospital Sirio Libanes
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Plovdiv, Bulgaria, 4002
- UMHAT 'Sveti Georgi'-Plovdiv
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Sofia, Bulgaria, 1756
- Specialized Hospital for Active Treatment of Haematologic Diseases
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Varna, Bulgaria, 9010
- Multiprofile Hospital for Active Treatment 'Sveta Marina' EAD
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Clamart, France, 92190
- Hôpital d'instruction des armées Percy
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Toulouse, France, 31059
- Institut Universitaire du Cancer Toulouse - Oncopole
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Haifa, Israel, 3525408
- Rambam Medical Center
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Jerusalem, Israel, 91120
- Hadassah Medical Center
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Ramat Gan, Israel, 5266202
- Sheba medical center
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Tel Aviv, Israel, 64239
- Sourasky (Ichilov) Medical Center
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Milano, Italy, 20132
- Ospedale San Raffaele HSR Istituto Scientifico Universitario San Raffaele
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Roma, Italy, 168
- Ematologia Fondazione Univ. Policlinico Gemelli Università Cattolica del Sacro Cuore
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Akita, Japan, 010-8543
- Akita University Hospital
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Chiba, Japan, 260 8677
- Chiba University Hospital
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Isehara, Japan, 259-1193
- Tokai University Hospital
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Nagano, Japan, 380-8582
- Japanese Red Cross Society Nagano Hospital
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Okayama, Japan, 700 8558
- Okayama University Hospital
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Seoul, Korea, Republic of, 06591
- The Catholic University of Korea Seoul St Mary s Hospital
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Ampang Jaya, Malaysia, 68000
- Hospital Ampang
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Georgetown, Malaysia, 10190
- Penang General Hospital
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Kuala Lumpur, Malaysia, 59100
- University Malaya Medical Centre
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Petaling Jaya, Malaysia, 47500
- Sunway Medical Centre
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Leiden, Netherlands, 2333 ZA
- Leiden University Medical Center
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Barcelona, Spain, 8041
- Hosp. de La Santa Creu I Sant Pau
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Barcelona, Spain, 08035
- Hosp Univ Vall D Hebron
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Madrid, Spain, 28041
- Hosp. Univ. 12 de Octubre
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Madrid, Spain, 28007
- Hosp. Gral. Univ. Gregorio Maranon
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Salamanca, Spain, 37007
- Hosp Clinico Univ de Salamanca
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Santander, Spain, 39008
- Hosp. Univ. Marques de Valdecilla
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Sevilla, Spain, 41013
- Hosp. Virgen Del Rocio
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Malmö, Sweden, 20502
- Skånes universitetssjukhus
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Kaohsiung, Taiwan, 807
- Kaohsiung Medical University Hospital
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Taichung, Taiwan, 40447
- China Medical University Hospital
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Tainan, Taiwan, 70403
- National Cheng Kung University Hospital
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Taipei, Taiwan, 10002
- National Taiwan University Hospital
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London, United Kingdom, SE5 9RS
- Kings College Hospital NHS Trust
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California
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Los Angeles, California, United States, 90095
- Ronald Reagan UCLA Medical Center
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Hospital - Hematology/oncology
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota
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New York
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Lake Success, New York, United States, 11042
- Northwell Health Cancer Institute
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New York, New York, United States, 10065
- Weill Cornell Medical College
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Ohio
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Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19111
- Fox Chase Cancer Center
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Texas
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Dallas, Texas, United States, 75246
- Baylor Scott and White Research Institute
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center - University of Texas
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Received an autologous or allogeneic hematopoietic stem cell transplant (HSCT) using any conditioning regimen
- Absolute lymphocyte count (ALC) less than (<) 1,000 cells/microliter (mL)
- Participant has laboratory confirmed RSV diagnosis within 48 hours of randomization
- New onset of at least 1 of the following respiratory symptoms within 4 days prior to the anticipated start of dosing nasal congestion, rhinorrhea, cough or pharyngitis (sore throat), and/or worsening of one of these chronic (associated with previously existing diagnosis, example, chronic rhinorrhea, seasonal allergies, chronic lung disease) respiratory symptoms within 4 days prior to the anticipated start of dosing
- Peripheral capillary oxygen saturation (SpO2) greater than or equal to (>=) 92 percent (%) on room air
Exclusion Criteria:
- Admitted to the hospital primarily for a lower respiratory tract disease of any cause as determined by the investigator
- Requires supplemental oxygen at Screening or any time between Screening and randomization
- Documented to be positive for other respiratory viruses (limited to influenza, parainfluenza, human rhinovirus, adenovirus, human metapneumovirus, or coronavirus) within 7 days prior to or at the Screening visit, if determined by local SOC testing (additional testing is not required)
- Clinically significant bacteremia or fungemia within 7 days prior to or at Screening that has not been adequately treated, as determined by the investigator
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Adult cohort: JNJ-53718678 or Placebo
Participants greater than or equal to (>=) 18 to less than or equal to (<=) 75 years of age will receive 250 milligram (mg) JNJ-53718678 twice daily (bid) for 21 days (without coadministration with moderate or strong CYP3A4 inhibitors), or 125 mg JNJ-53718678 bid for 21 days (coadministered with moderate or strong CYP3A4 inhibitors with the exception of posaconazole), or 125 mg once daily (qd) for 21 days (when coadministered with posaconazole), or matching placebo for 21 days.
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Matching placebo will be administered orally.
JNJ-53718678 250 mg will be administered orally.
JNJ-53718678 125 mg will be administered orally.
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Experimental: Adolescent cohort: JNJ-53718678 or Placebo
Participants >=13 to <18 years of age will receive 250 mg JNJ-53718678 bid for 21 days (without coadministration with moderate or strong CYP3A4 inhibitors), or 125 mg JNJ-53718678 bid for 21 days (coadministered with moderate or strong CYP3A4 inhibitors with the exception of posaconazole), or 125 mg qd for 21 days (when coadministered with posaconazole), or matching placebo for 21 days.
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Matching placebo will be administered orally.
JNJ-53718678 250 mg will be administered orally.
JNJ-53718678 125 mg will be administered orally.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants Who Developed Respiratory Syncytial Virus (RSV) Lower Respiratory Tract Infection (LRTI)
Time Frame: Up to Day 28
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Percentage of participants who developed RSV LRTI was assessed.
RSV LRTI was defined as the development of a lower respiratory sign or symptom (including decrease in oxygen saturation or increase in supplemental oxygen to maintain oxygen saturation, wheezing, rhonchi, rales, dyspnea, tachypnea, worsening cough) and positive RSV test from lower respiratory tract sample (example [eg], sputum, induced sputum, bronchoalveolar lavage (BAL), lung biopsy, or autopsy specimen) within +-4 days of a new chest image finding, compared to baseline, consistent with a LRTI; OR positive RSV test from lower respiratory tract sample (eg, sputum, induced sputum, BAL, lung biopsy, or autopsy specimen) only; OR positive RSV test from upper respiratory tract sample within ±4 days of a new chest image finding, compared to baseline, consistent with a RSV LRTI as determined by the Endpoint Adjudication Committee (EAC).
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Up to Day 28
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants Who Developed RSV-associated Lower Respiratory Tract Complication (LRTC)
Time Frame: Up to Day 28
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Percentage of participants who developed RSV-associated LRTC was assessed.
RSV-associated LRTC defined as development of lower respiratory sign/symptom (includes decrease in oxygen saturation/increase in supplemental oxygen to maintain oxygen saturation, wheezing, rhonchi, rales, dyspnea, tachypnea, and worsening cough) and met 1 of following subcategories determined by EAC: a) RSV LRTI, b) secondary bacterial LRTI (positive specimen for clinically significant bacterium within 4 days of new chest image finding, compared to baseline, consistent with LRTI), c) secondary LRTI due to unusual pathogens (positive specimen for clinically significant unusual organism within 4 days of new chest image finding, compared to baseline, consistent with LRTI), d) secondary LRTC of unknown etiology (new chest image finding than baseline, consistent with LRTI, inflammatory process/ some other clinically significant pulmonary process which were absent within 4 days of new chest image finding).
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Up to Day 28
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Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time Frame: Up to Day 49
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An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non investigational) product.
An AE did not necessarily have a causal relationship with the intervention.
Any AE which occurred post first dose administration of study drug up to the end of study (EOS) (that is, Day 49) was considered as treatment-emergent.
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Up to Day 49
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Percentage of Participants With Treatment-emergent Abnormal (>=Grade 3) Clinical Laboratory Findings
Time Frame: Up to Day 49
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Percentage of participants with greater than or equal to (>=) Grade 3 treatment-emergent laboratory abnormalities (platelet count decreased, glucose increase) was assessed in this outcome measure.
Treatment-emergent: any abnormality occurred post first dose of study drug up to end of study (that is, Day 49).
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Up to Day 49
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Percentage of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) Findings
Time Frame: Up to Day 49
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Percentage of participants with clinically significant abnormalities in ECG findings was assessed in this outcome measure.
Various ECG variables assessed were heart rate: abnormally low (<= 45 beats per minute [bpm]), abnormally high (>= 120 bpm); PR interval: abnormally high (>=210 milliseconds [msec]); QRS interval: abnormally high (>=120 msec), QT interval and corrected QT (QTcF; according to Fridericia's formula) interval (>450 msec, >480 msec, or >500 msec, increases from baseline >30 msec or >60 msec.)
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Up to Day 49
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Percentage of Participants With Treatment-emergent Abnormal Vital Signs Findings
Time Frame: Up to Day 49
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Percentage of participants with abnormal vital signs findings was assessed.
Abnormal vital parameters included pulse rate: abnormally low <=45 bpm, abnormally high >=120 bpm; Systolic Blood Pressure (SBP): abnormally low <=90 Millimeter of mercury (mmHg), Grade 1 (mild): > 90 mmHg - < 100 mmHg, Grade 2 (moderate): >= 100 mmHg to <110 mmHg, Grade 3 (severe): >=110 mmHg; Diastolic BP: abnormally low <=50 mmHg, Grade 1: >90 mmHg to <100 mmHg, Grade 2: >=100 mmHg to <110 mmHg, Grade 3: >=110 mmHg; Respiratory rate- Grade 1 (mild): 17-20 breaths per minute, Grade 2 (moderate): 21-25 breaths per minute, Grade 3 (severe): >25 breaths per minute, Grade 4 (potentially life threatening): intubation; Temperature: abnormally high >38.0
degree celsius.
Vital signs abnormalities reported for at least 1 participant were reported in this outcome measure.
Treatment-emergent: any abnormality occurred post first dose of study drug up to EOS (that is, Day 49).
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Up to Day 49
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Percentage of Participants Who Progressed to Respiratory Failure (of Any Cause) Requiring Mechanical Ventilation (Invasive or Noninvasive) and/or Death Among Those Who Developed RSV LRTI or RSV-associated LRTC Per the EAC's Assessment
Time Frame: Up to Day 49
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Percentage of participants who progressed to respiratory failure (of any cause) requiring mechanical ventilation (invasive or noninvasive) and/or death among those who developed RSV LRTI or RSV-associated LRTC per the EAC's assessment was assessed.
Here, '0' in the 'number of participants analyzed' field (N=0) signifies that no participants were available for the analysis because none of the participants developed RSV LRTI or RSV-associated LRTC per the EAC's Assessment.
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Up to Day 49
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Percentage of Participants Who Progressed to Respiratory Failure (of Any Cause) Requiring Mechanical Ventilation (Invasive or Noninvasive) and/or Death (All-cause Mortality)
Time Frame: Up to Day 49
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Percentage of participants who progressed to respiratory failure (of any cause) requiring mechanical ventilation (invasive or noninvasive) and/or death (all-cause mortality) was assessed.
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Up to Day 49
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Percentage of Participants Who Progressed to Death (All-cause Mortality) Among Those Who Developed RSV LRTI or RSV-associated LRTC Per the EAC's Assessment
Time Frame: Up to Day 49
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Percentage of participants who progressed to death (all-cause mortality) among those who developed RSV LRTI or RSV-associated LRTC per the EAC's assessment was assessed.
Here, '0' in the 'number of participants analyzed' field (N=0) signifies that no participants were available for the analysis because none of the participants developed RSV LRTI or RSV-associated LRTC per the EAC's Assessment.
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Up to Day 49
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Percentage of Participants Who Progressed to Death (All-cause Mortality)
Time Frame: Up to Day 49
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Percentage of participants who progressed to death (all-cause mortality) was assessed.
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Up to Day 49
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Percentage of Participants Who Progressed to Respiratory Failure (of Any Cause) Requiring Mechanical Ventilation (Invasive or Noninvasive) Among Those Who Developed RSV LRTI or RSV-associated LRTC Per the EAC's Assessment
Time Frame: Up to Day 49
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Percentage of participants who progressed to respiratory failure (of any cause) requiring mechanical ventilation (invasive or noninvasive) among those who developed RSV LRTI or RSV-associated LRTC per the EAC's assessment was assessed.
Here, '0' in the 'number of participants analyzed' field (N=0) signifies that no participants were available for the analysis because none of the participants developed RSV LRTI or RSV-associated LRTC per the EAC's Assessment.
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Up to Day 49
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Percentage of Participants Who Progressed to Respiratory Failure (of Any Cause) Requiring Mechanical Ventilation (Invasive or Noninvasive)
Time Frame: Up to Day 49
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Percentage of participants who progressed to respiratory failure (of any cause) requiring mechanical ventilation (invasive or noninvasive) was assessed.
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Up to Day 49
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Number of Supplemental Oxygen Free Days
Time Frame: Through Day 28
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Number of supplemental oxygen free days was assessed.
The number of supplemental oxygen free days was the number of days the participants did not receive/require supplemental oxygen during the first 28 days post treatment.
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Through Day 28
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Percentage of Participants With Treatment-emergent Oxygen Supplementation
Time Frame: Up to Day 49
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Percentage of participants who required treatment-emergent oxygen supplementation (e.g., supplemental oxygen, noninvasive pressure ventilation, invasive mechanical ventilation [tracheal tube, laryngeal mask or tracheostomy]).
Any AE which occurred post first dose administration of study drug up to the end of study (that is, Day 49) were considered as treatment-emergent.
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Up to Day 49
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Respiratory Rate Over Time
Time Frame: Baseline (Day 1), Days 15, 28, and 35
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Respiratory rate over time was reported by investigator.
In this outcome measure, only those timepoints in which individual participant had data were reported.
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Baseline (Day 1), Days 15, 28, and 35
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Heart Rate Over Time
Time Frame: Baseline (Day 1), Days 15, 28, and 35
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Heart rate over time was reported by investigator.
In this outcome measure, only those timepoints in which individual participant had data were reported.
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Baseline (Day 1), Days 15, 28, and 35
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Peripheral Capillary Oxygen Saturation (SpO2) Over Time
Time Frame: Baseline (Day 1), Days 15, 28, and 35
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Peripheral capillary oxygen saturation (SpO2) over time was reported by investigator.
In this outcome measure, only those timepoints in which individual participant had data were reported.
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Baseline (Day 1), Days 15, 28, and 35
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Body Temperature Over Time
Time Frame: Baseline (Day 1), Days 15, 28, and 35
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Body temperature (in Degrees Celsius) over time was reported.
In this outcome measure, only those timepoints in which individual participant had data were reported.
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Baseline (Day 1), Days 15, 28, and 35
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Percentage of Participants Hospitalized (of Participants Who Were Not Hospitalized at Baseline)
Time Frame: Up to Day 49
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Percentage of participants who were not hospitalized at baseline and required hospitalization during the study was assessed.
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Up to Day 49
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Percentage of Participants Who Were Re-hospitalized
Time Frame: Up to Day 49
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Percentage of participants who were re-hospitalized (of participants who were hospitalized at baseline and discharged during the study and of participants who were not hospitalized at baseline and required hospitalization and were discharged during the study) was assessed in this outcome measure.
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Up to Day 49
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Duration of Hospital Stay
Time Frame: Up to Day 49
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Duration (in days) of hospital stay was assessed.
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Up to Day 49
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Duration of Intensive Care Unit (ICU) Stay
Time Frame: Up to Day 49
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Duration of ICU stay was assessed.
Duration (in hours) was defined as total number of hours a participant was in ICU from first dose of study drug until study termination.
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Up to Day 49
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Number of Participants With Grade 3 and Grade 4 Treatment-emergent Adverse Events (TEAEs) in the Infections and Infestations System Organ Class
Time Frame: Up to Day 49
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An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non investigational) product.
An AE did not necessarily had a causal relationship with the intervention.
Participants with Grade 3 or Grade 4 TEAE were assessed in this outcome measure.
Any AE which occurred post first dose administration of study drug up to the end of study (that is, Day 49) were considered as treatment-emergent.
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Up to Day 49
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Number of Participants With Respiratory Related AEs
Time Frame: Up to Day 49
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Number of participants with respiratory related AEs (respiratory infections) was assessed.
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Up to Day 49
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Number of Participants With Thoracic-related AEs
Time Frame: Up to Day 49
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Number of participants with thoracic-related AEs was assessed.
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Up to Day 49
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Number of Participants With Antibiotic Use Among Those Who Developed RSV LRTI or RSV-Associated LRTC Per the EAC's Assessment
Time Frame: Up to Day 49
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Number of participants with antibiotic use among those who developed RSV LRTI or RSV-associated LRTC per the EAC's assessment was assessed.
Here, '0' in the 'number of participants analyzed' field (N=0) signifies that no participants were available for the analysis because none of the participants developed RSV LRTI or RSV-associated LRTC per the EAC's Assessment.
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Up to Day 49
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Plasma Concentration of JNJ-53718678
Time Frame: Days 1, 3, 8, 15 and 22
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Plasma Concentration of JNJ-53718678 was reported.
In this outcome measure, only those timepoints in which individual participant had data were reported.
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Days 1, 3, 8, 15 and 22
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RSV Viral Load Over Time
Time Frame: Baseline (Day 1), Days 15, 28, and 35
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RSV viral load (RSV B) was measured over time by quantitative reverse transcription polymerase chain reaction (qRT-PCR) in the nasal swab specimens collected at the clinic visits and at home.
In this outcome measure, only those timepoints in which individual participant had data were reported.
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Baseline (Day 1), Days 15, 28, and 35
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Sciences Ireland UC Clinical Trial, Janssen Sciences Ireland UC
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CR108662
- 53718678RSV2005 (Other Identifier: Janssen Sciences Ireland UC)
- 2019-001551-39 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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