Effectiveness of Synagis (Palivizumab) Immunoprophylaxis in Preterm Infants With High Risk of Severe Respiratory Syncytial Virus (RSV) Infection
INSPIRA
Observational Study of the Effectiveness of Synagis Immunoprophylaxis in Preterm Infants With High Risk of Severe Respiratory Syncytial Virus Infection
1 other identifier
observational
82
1 country
4
Brief Summary
Published data by the Organización panamericana de la Salud shows that Peru's mortality rate from acute respiratory infections (ARI) in infants less than one year of life is second only to Haiti (14,150/100,000). Government data reports shows a marked increase of RSV infections in Peru. "Instituto Nacional de Salud" (Peru's National Institute of Health) reports between January 1st to February 26th 2006, 62% of their positive samples corresponded to RSV. Epidemiological data from Lima-Peru, demonstrates that there is no specific season for RSV infection although some data suggest an increase in RSV activity during cold months (May to September; INS data). Clinical studies show that giving five doses of Synagis (palivizumab) resulted in serum concentrations \> 30 ug/mL for \>20 weeks. The aim of this post-marketing observational study is to determine the RSV hospitalization rate in high-risk infants who received Synagis (palivizumab) through the Social Security Hospitals in the context of routine clinical practice.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Sep 2007
Typical duration for all trials
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2007
CompletedFirst Submitted
Initial submission to the registry
February 20, 2010
CompletedFirst Posted
Study publicly available on registry
April 21, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2011
CompletedResults Posted
Study results publicly available
April 23, 2012
CompletedOctober 31, 2012
October 1, 2012
3.4 years
February 20, 2010
February 7, 2012
October 26, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Hospital Admissions by Respiratory Syncytial Virus Infection
The number of participants hospitalized for respiratory syncytial virus infection from the first dose of study drug up to the visit coinciding with the first birthday of the participant. An indirect immunofluorescence test (a laboratory technique used to detect the presence of viruses) was used to determine if hospitalized participants had respiratory syncytial virus infection.
First year of life (up to 12 months)
Secondary Outcomes (4)
Number of Hospital Admission Days (All Causes)
Hospital admission to hospital discharge
Number of Intensive Care Unit Days During the Hospital Admissions by Respiratory Syncytial Virus Infection
Hospital admission to hospital discharge
Number of Ventilation Support Days (Supplemental Oxygen and Mechanical Ventilation) During the Hospital Admission
Hospital admission to hospital discharge
Number of Serious Adverse Events
Enrollment until 100 days after the last Synagis (palivizumab) dose
Study Arms (1)
Infants receiving Synagis (palivizumab) immunoprophylaxis
Infants born \<= 32 weeks of gestation and are younger than 6 months of age, children with bronchopulmonary dysplasia who have received medical treatment in the last 6 months until the first year of life, and children 12 months or younger with hemodynamically significant acyanotic congenital heart disease (pulmonary hypertension or heart failure in treatment) prescribed Synagis (palivizumab) immunoprophylaxis according to the usual clinical practice.
Interventions
Synagis (palivizumab) administered according to usual clinical practice. After the enrollment visit, subjects will have monthly visits until they have received the complete Synagis immunization regimen of their hospital, then they will have 2 follow up visits, one of them 30 days after the fifth dose of Synagis and the other visit at one year of age.
Eligibility Criteria
Pre term neonates who received Synagis (palivizumab) according to the clinical practice. The study is implemented in 4 hospitals of Peru.
You may qualify if:
- Receiving Synagis (palivizumab) immunoprophylaxis during respiratory syncytial virus season, according to the usual clinical practice:
- Infants born \< or = 32 weeks of gestation and are younger than 6 months of age at the beginning of the respiratory syncytial virus season.
- Children with bronchopulmonary dysplasia who have received medical treatment in the last 6 months, until the first year of life.
- Children 12 months or younger with hemodynamically significant acyanotic congenital heart disease (pulmonary hypertension or heart failure in treatment).
You may not qualify if:
- Major congenital malformation aside from congenital heart disease
- Chronic pulmonary disease other than bronchopulmonary dysplasia
- Active infections
- Contraindication to Synagis
- Receipt of another immunoglobulin preparation including but not restricted to polyclonal intravenous immunoglobulin, cytomegalovirus hyperimmunoglobulin (Cytogam), or respiratory syncytial virus hyperimmunoglobulin (Respigam).
- Any other condition that according deemed an obstacle for study conduction or representing an unacceptable risk by the participating investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Abbottlead
Study Sites (4)
Site Reference ID/Investigator# 27834
Arequipa, Peru
Site Reference ID/Investigator# 6059
Callao, 2, Peru
Site Reference ID/Investigator# 27836
Lima, 01, Peru
Site Reference ID/Investigator# 27835
Lima, 27, Peru
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Global Medical Services
- Organization
- Abbott
Study Officials
- STUDY DIRECTOR
Oscar Guerra, MD
Abbott
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 20, 2010
First Posted
April 21, 2010
Study Start
September 1, 2007
Primary Completion
February 1, 2011
Study Completion
February 1, 2011
Last Updated
October 31, 2012
Results First Posted
April 23, 2012
Record last verified: 2012-10