Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing Antibody BGB-DXP593 in Participants With Mild-to-Moderate Coronavirus Disease 2019 (COVID-19)
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of SARS-CoV-2 Neutralizing Antibody BGB-DXP593 in Patients With Mild-to-Moderate COVID-19
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Botucatu, Brazil, 18618-687
- Hospital das Clínicas da Faculdade de Medicina de Botucatu
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Caxias do Sul, Brazil, 95070-560
- Fundacao Universidade de Caxias Do Sul
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Sorcaba, Brazil, 18040-425
- Consultoria Medica E Pesquisa Clinica
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Aguascalientes, Mexico, 20230
- Hospital Cardiologica Aguascalientes
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Monterrey, Mexico, 64310
- IECSI
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Cape Town, South Africa, 7570
- Langeberg Clinical Trials
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Cape Town, South Africa, 7500
- TASK Clinical Research Centre
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Florida
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DeLand, Florida, United States, 32720
- Btc Network Midland Florida Clinical Research Center
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Hollywood, Florida, United States, 33023
- Elixia Clinical Research Collaborative
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Miami, Florida, United States, 33175
- US Associates In Research
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Miami, Florida, United States, 33187
- Continental Research Network
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Miami, Florida, United States, 33032
- Homestead Associates in Research Inc
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Miami, Florida, United States, 33134
- Medical Research Center of Miami II, Inc
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Orlando, Florida, United States, 32806
- Orlando Health Ufhealth Cancer Center
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Michigan
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Dearborn, Michigan, United States, 48126
- Revive Research Institute
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Sterling Heights, Michigan, United States, 48313
- Revival Research Institute Farmington Hills
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Texas
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Amarillo, Texas, United States, 79124
- Amarillo Center for Clinical Research
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Brownsville, Texas, United States, 78520
- Panamerican Clinical Research Us Headquarters
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Laboratory-confirmed severe acute respiratory syndrome (SARS)-CoV-2 infection (positive reverse transcription-polymerase chain reaction [RT-PCR] test or other authorized antigen testing methods) in any samples following local practice ≤ 72 hours prior to screening.
- Have experienced COVID-19 symptoms for ≤ 7 days prior to treatment assignment, such as fever, cough, shortness of breath, sore throat, diarrhea, vomiting, and dysgeusia
- Agree to the collection of nasopharyngeal swabs, saliva, and venous blood
Key Exclusion Criteria:
- Severe COVID-19 having oxygen saturation (SpO2) ≤ 93 % on room air at sea level or ratio of arterial oxygen partial pressure (PaO2 in millimeters of mercury) to fractional inspired oxygen (FiO2) < 300, respiratory rate ≥ 30/min, heart rate ≥ 125/min
- Requires mechanical ventilation or anticipated impending need for mechanical ventilation
- Known allergies to any of the components used in the formulation of the interventions
- Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing
- Have received treatment with a SARS-CoV-2 specific monoclonal antibody
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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: BGB-DXP593 Low Dose
Participants will receive BGB-DXP593 on Day 1, and followed up for safety for up to 85 days
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Intravenous (IV) infusion administered over 30 to 90 minutes at a dose as specified in the treatment arm
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Experimental: BGB-DXP593 Medium Dose
Participants will receive BGB-DXP593 on Day 1, and followed up for safety for up to 85 days
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Intravenous (IV) infusion administered over 30 to 90 minutes at a dose as specified in the treatment arm
|
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Experimental: BGB-DXP593 High Dose
Participants will receive BGB-DXP593 on Day 1, and followed up for safety for up to 85 days
|
Intravenous (IV) infusion administered over 30 to 90 minutes at a dose as specified in the treatment arm
|
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Placebo Comparator: Placebo
Participants will receive placebo on Day 1, and followed up for safety for up to 85 days
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Placebo to match BGB-DXP593 administered as specified in the treatment arm
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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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Change From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Shedding
Time Frame: Baseline and Day 8
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SARS-CoV-2 viral shedding was measured by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in nasopharyngeal swab samples.
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Baseline and Day 8
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Time-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15
Time Frame: Baseline and Day 15
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Baseline and Day 15
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Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15
Time Frame: Baseline and Day 15
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SARS-CoV-2 viral shedding was measured by RT-qPCR in nasopharyngeal swab samples
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Baseline and Day 15
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Time to Negative RT-qPCR in All Tested Samples
Time Frame: From Baseline up to Day 21
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The negative RT-qPCR is defined as the value that is below the lower limit of detection
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From Baseline up to Day 21
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Percentage of Participants Who Required Hospitalization Due to Worsened COVID-19
Time Frame: Baseline up to End of Study (EOS) /174 Days
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Baseline up to End of Study (EOS) /174 Days
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Time to Resolution of All COVID-19-Related Symptoms
Time Frame: Baseline up to EOS /174 Days
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Baseline up to EOS /174 Days
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All-Cause Mortality at Day 29
Time Frame: Day 29
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Number of participants that died by Day 29
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Day 29
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Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time Frame: Up to 174 days
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Up to 174 days
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Maximum Observed Plasma Concentration (Cmax) of BGB-DXP593
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to174 days)
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to174 days)
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Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 29
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, and 29
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, and 29
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Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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AUClast : AUC from time zero to the time of the last quantifiable concentration AUCinf: AUC from zero to infinite time with extrapolation of the terminal phase
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Time to Reach Cmax (Tmax) of BGB-DXP593
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Terminal Half-Life (t1/2) of BGB-DXP593
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Clearance (CL) of BGB-DXP593
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Volume of Distribution During the Terminal Phase (Vz) of BGB-DXP593
Time Frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
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Number of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593
Time Frame: Day 1 (pre-dose) Days 15, 29, and End of study visit (up to 174 days)
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Day 1 (pre-dose) Days 15, 29, and End of study visit (up to 174 days)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Study Director, BeiGene
Publications and helpful links
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
- BGB-DXP593-102
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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