JS016 (Anti-SARS-CoV-2 Monoclonal Antibody)With Mild and Moderate COVID-19 or SARS-CoV-2 Asymptomatic Infection Subects

July 14, 2022 updated by: Shanghai Junshi Bioscience Co., Ltd.

A Randomized, Double-blind, Placebo-controlled, Phase Ib/II Clinical Study to Evaluate the Preliminary Efficacy, Safety, Pharmacokinetic Profiles and Immunogenicity of JS016 in Participants With Mild and Moderate COVID-19 or of SARS-CoV-2 Asymptomatic Infection

JS016-002-Ib/II is a randomized, double-blinded, placebo-controlled study, to investigate the safety, PK profiles, preliminary efficacy and immunogenicity of intravenous Recombinant Human Anti-SARS-CoV-2 Monoclonal Antibody (JS016) in participants with mild and moderate COVID-19 or of SARS-CoV-2 Asymptomatic Infection.

Three doses of JS016 are to be investigated, including 25mg/kg, 50mg/kg and 100mg/kg, given as single dose of intravenous infusion. In total, 90 participants will be enrolled with 30 participants each for 25, 50 and 100mg/kg dose cohort at a ratio of 2:1 to receive investigational product or placebo treatment, respectively.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

"Each participant will receive JS016 or matched placebo intravenous infusion on D1 (randomizing day). Non-pharmaceutical supportive background therapy (e.g. oxygen inhalation) for COVID-19 is allowed per clinical needs.

Investigators will be kept blinded to review the preliminary efficacy and safety data on a regular basis. Meanwhile, a study evaluation team (SET) composed of medical monitors, safety assessors and statisticians will be set up to review the study status, safety and preliminary efficacy of the participants at the pre-specified time points or as necessary.

Study Type

Interventional

Enrollment (Actual)

62

Phase

  • Phase 2
  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Beijing, China, 100010
        • Beijing Ditan Hospital Affiliated to Capital Medical University
      • Shanghai, China
        • Huashan Hospital Affiliated to Fudan University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Age of 18-65 years (inclusive) ,women or man
  2. SARS-CoV-2 detected in the diagnostic specimen (nasopharyngeal swab)
  3. High homology of viral gene sequencing with the known SARS-CoV-2."
  4. Mild/moderateillness COVID-19 or SARS-CoV-2 asymptomatic infection
  5. Within 7 days from the onset time of symptoms to randomization or within 5 days from the first time of SARS-CoV-2 positive test to randomization with required viral load
  6. No plan of pregnancy and being willing to use effective contraceptive measures
  7. Signed the informed consent form, sufficiently understanding of the content

Exclusion Criteria:

  1. positive IgM/IgG against SARS-CoV-2 prior to randomization.
  2. Severeor critical illness
  3. Uncontrolled hypertension, cardiovascular/cerebrovascular diseases,lung diseases
  4. Type 1 diabetes, or newly diagnosed or poorly controlled type 2 diabetes
  5. Liver and kidney dysfunction, immune or inflammatory diseases, infections, surgery, tumors, and other major diseases
  6. History of SARS-CoV-2 vaccination or participation in clinical trial with neutralizing antibody against SARS-CoV-2.
  7. Use of therapeutic biologics within 3 months prior to screening, or within the elimination period (5 half-lives) of such drugs as the day of dosing
  8. Has participated in any other interventional clinical study involving anstudy drug within 3 months prior to screening, or within the elimination period (5 half-lives) of the study drug as the day of dosing
  9. Platelets and hemoglobin test results during screening period are abnormal and have clinical significanc.
  10. Anaphylaxis, urine drug screening, alcohol dependence, lactation during pregnancy, blood loss, and others

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: SEQUENTIAL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
ACTIVE_COMPARATOR: Anti-SARS-CoV-2 Monoclonal Antibody dose 1/2/3
use Anti-SARS-CoV-2 Monoclonal Antibody,dose 1/2/3 to treat COVID-19
use dose 1/2/3 60 patients receipt JS016 intravenous infusion on day 1
PLACEBO_COMPARATOR: Placebo
use placebo to treat COVID-19
30 patients receipt placebo intravenous infusion on day 1

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Efficacy Measurs(Time to negative conversion in viral nucleic acid test(by RT-PCR) for diagnostic samples)
Time Frame: 0-85days
Time to negative conversion in viral nucleic acid test (by RT-PCR) for diagnostic samples, negative conversion is defined as two consecutive negative nucleic acid test for diagnostic samples after randomization
0-85days
Safety Measurements : 90 of participants with treatment-related adverse events as assessed byCTCAE v5.0
Time Frame: 0-85days
Any adverse event, serious adverse events (SAEs) occurring during the clinical study, including clinical symptoms and abnormal vital signs, abnormal laboratory tests (complete blood cell count, serum chemistry, routine urinalysis, coagulation function, myocardial enzymogram, etc.) and abnormality of 12-lead ECGs will be observed for all the participants
0-85days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
PK Measures:AUC0-tau
Time Frame: Day 0 to Day 85
Area under the plasma drug concentration-time curve from time 0 to one dosing interval (AUC0-tau)
Day 0 to Day 85
PK Measures:Cmax
Time Frame: Day 0 to Day 85
Maximum plasma drug concentration after administration (Cmax)
Day 0 to Day 85
PK Measures:Tmax
Time Frame: Day 0 to Day 85
Time to the maximum plasma drug concentrations after administration (Tmax)
Day 0 to Day 85
PK Measures:t1/2
Time Frame: Day 0 to Day 85
Terminal half life (t1/2)
Day 0 to Day 85
PK Measures:CL
Time Frame: Day 0 to Day 85
Total clearance (CL)
Day 0 to Day 85
PK Measures:Vd
Time Frame: Day 0 to Day 85
Apparent volume of distribution (Vd)
Day 0 to Day 85
Proportions of participants with negative conversion in viral nucleic acid test
Time Frame: Day 0 to Day 85
Proportions of participants with negative conversion in viral nucleic acid test 7 days and 14 days after administration (performed on each day of the first week after dosing, every other day of the 2nd week, once a week from the 3rd week)
Day 0 to Day 85
Viral load change from baseline
Time Frame: Day 0 to Day 85
Viral load change from baseline (performed on each day of the first week after dosing, every other day of the 2nd week, once a week from the 3rd week)
Day 0 to Day 85
Pulmonary CT(observe by imaging reports to degree of pulmonary inflammation, degree of vitreous fibrosis)
Time Frame: Day 0 to Day 85
Pulmonary CT changes during the study period
Day 0 to Day 85

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

October 30, 2020

Primary Completion (ACTUAL)

August 31, 2021

Study Completion (ACTUAL)

August 31, 2021

Study Registration Dates

First Submitted

September 23, 2020

First Submitted That Met QC Criteria

March 2, 2021

First Posted (ACTUAL)

March 3, 2021

Study Record Updates

Last Update Posted (ACTUAL)

July 18, 2022

Last Update Submitted That Met QC Criteria

July 14, 2022

Last Verified

July 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • JS016-002-Ib/II

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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