- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05648110
Study Understanding Pre-Exposure pRophylaxis of NOVel Antibodies (SUPERNOVA) Sub-study: Study Understanding Pre-Exposure pRophylaxis of NOVel Antibodies (SUPERNOVA) Sub-study (SUPERNOVA)
A Phase I/III Randomized, Double-blind Study to Evaluate the Safety, Efficacy and Neutralizing Activity of AZD5156/AZD3152 for Pre-exposure Prophylaxis of COVID-19 in Participants With Conditions Causing Immune Impairment. Sub-study: Phase II Open Label Sub-study to Evaluate the Safety, PK, and Neutralizing Activity of AZD3152 for Pre-exposure Prophylaxis of COVID-19
AZD3152, a single mAb, is being developed to have broad neutralizing activity across known SARS-CoV-2 variants of concern for pre-exposure prophylaxis of COVID-19.
The aim of the Phase I/III study (Parent Study) will be to evaluate the safety, efficacy and neutralizing activity of AZD3152 compared with comparator for pre exposure prophylaxis of COVID-19, and separately evaluate the safety and PK of AZD5156, a combination of AZD3152 and AZD1061.
Sub-study:
This Phase II sub-study of SUPERNOVA will assess the safety, PK, and predicted neutralizing activity of AZD3152 compared with EVUSHELD for pre-exposure prophylaxis of COVID-19.
Study Overview
Status
Conditions
Intervention / Treatment
- Biological: AZD3152 (Sub-study)
- Biological: AZD7442 - EVUSHELD™ (Sub-study)
- Biological: AZD7442 (EVUSHELD™) (Sub-study) Immunocompromised participants offered AZD3152
- Biological: AZD5156 (Parent study Sentinel Safety Cohort)
- Biological: Placebo (Parent study Sentinel Safety Cohort)
- Biological: AZD3152 (Parent study Main Cohort)
- Biological: EVUSHELD™ (Parent study Main Cohort)
- Biological: Placebo (Parent study Main Cohort)
Detailed Description
In the Parent study, the Phase I Sentinel Safety Cohort will assess the safety of AZD5156 (a combination of 2 mAbs, AZD1061 [cilgavimab, a component of AZD7442 (EVUSHELD)] and AZD3152) in healthy adults and the Phase III Main Cohort will assess the safety, efficacy, PK, and neutralizing activity of two doses of AZD3152 compared with two doses of comparator given at a 6-month interval in adults and adolescents 12 years of age or older (weighing at least 40 kg) with conditions causing immune impairment, who are less likely to mount an adequate protective immune response after vaccination and thus are at higher risk of developing severe COVID-19 in 18 countries.
Sub-study:
This Phase II sub-study of SUPERNOVA is operating in USA only, and it will assess the safety, PK, and predicted neutralizing activity of AZD3152 in adults 18 years of age or older (weighing at least 40 kg) with conditions causing immune impairment who are less likely to mount an adequate protective immune response after vaccination as well as individuals who are immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Melbourne, Australia, 3004
- Research Site
-
Melbourne, Australia, 3000
- Research Site
-
Murdoch, Australia, 6150
- Research Site
-
Parkville, Australia, 3050
- Research Site
-
Raymond Terrace, Australia, 4101
- Research Site
-
Sippy Downs, Australia, 4556
- Research Site
-
West Perth, Australia, 6005
- Research Site
-
-
-
-
-
Alken, Belgium, 3570
- Research Site
-
Liège, Belgium, 4000
- Research Site
-
-
-
-
Quebec
-
Montreal, Quebec, Canada, H4A 3J1
- Research Site
-
Montreal, Quebec, Canada, H2X 0A9
- Research Site
-
-
-
-
-
Aalborg, Denmark, 9100
- Research Site
-
Aarhus, Denmark, 8200
- Research Site
-
Hvidovre, Denmark, 2650
- Research Site
-
Roskilde, Denmark, 4000
- Research Site
-
Svendborg, Denmark, DK-5700
- Research Site
-
-
-
-
-
Dijon Cedex, France, 21079
- Research Site
-
La Roche sur Yon, France, 85925
- Research Site
-
Lille, France, 59037
- Research Site
-
Nantes, France, 44093
- Research Site
-
Nîmes Cedex 9, France, 30029
- Research Site
-
Paris, France, 75014
- Research Site
-
Paris cedex 10, France, 75475
- Research Site
-
Poitiers, France, 86000
- Research Site
-
Saint-Etienne Cedex 2, France, 42055
- Research Site
-
Strasbourg, France, 67091
- Research Site
-
Toulouse Cedex 9, France, 31059
- Research Site
-
Tours, France, 37000
- Research Site
-
-
-
-
-
Essen, Germany, 45147
- Research Site
-
Hamburg, Germany, 20095
- Research Site
-
Hannover, Germany, 30625
- Research Site
-
Köln, Germany, 50924
- Research Site
-
Mainz, Germany, 55131
- Research Site
-
-
-
-
-
Petah Tikva, Israel, 49100
- Research Site
-
Ramat Gan, Israel, 52621
- Research Site
-
-
-
-
-
Gyeonggi-do, Korea, Republic of, 13620
- Research Site
-
Seoul, Korea, Republic of, 03080
- Research Site
-
Seoul, Korea, Republic of, 08308
- Research Site
-
Seoul, Korea, Republic of, 5505
- Research Site
-
-
-
-
-
Bandar Sunway, Malaysia, 47500
- Research Site
-
Kuala Lumpur, Malaysia, 59100
- Research Site
-
Kuala Lumpur, Malaysia, 56000
- Research Site
-
Kuching, Malaysia, 93586
- Research Site
-
Seberang Jaya, Malaysia, 13700
- Research Site
-
-
-
-
-
Krakow, Poland, 30-727
- Research Site
-
Skórzewo, Poland, 60-185
- Research Site
-
-
-
-
-
Singapore, Singapore, 169608
- Research Site
-
Singapore, Singapore, 117599
- Research Site
-
Singapore, Singapore, 308442
- Research Site
-
-
-
-
-
Badalona, Spain, 08916
- Research Site
-
Barcelona, Spain, 08035
- Research Site
-
Barcelona, Spain, 08036
- Research Site
-
Barcelona, Spain, 08041
- Research Site
-
Cordoba, Spain, 14004
- Research Site
-
Madrid, Spain, 28031
- Research Site
-
Madrid, Spain, 28040
- Research Site
-
Madrid, Spain, 28007
- Research Site
-
Marbella (Málaga), Spain, 29603
- Research Site
-
Mérida, Spain, 06800
- Research Site
-
Pozuelo de Alarcón, Spain, 28223
- Research Site
-
Valladolid, Spain, 47003
- Research Site
-
Vigo, Spain, 36312
- Research Site
-
-
-
-
-
Taichung, Taiwan, 40447
- Research Site
-
Taipei, Taiwan, 11490
- Research Site
-
-
-
-
-
Bangkok, Thailand, 10400
- Research Site
-
Bangkok, Thailand, 10700
- Research Site
-
Khon Kaen, Thailand, 40002
- Research Site
-
Muang, Thailand, 50200
- Research Site
-
Muang, Thailand, 11000
- Research Site
-
-
-
-
-
Abu Dhabi, United Arab Emirates, 2951
- Research Site
-
Abu Dhabi, United Arab Emirates, 34555
- Research Site
-
-
-
-
-
Bristol, United Kingdom, BS2 8HW
- Research Site
-
Edinburgh, United Kingdom, EH4 2XU
- Research Site
-
Harrow, United Kingdom, HA1 3UJ
- Research Site
-
Leeds, United Kingdom, LS9 7TF
- Research Site
-
Liverpool, United Kingdom, L7 8XP
- Research Site
-
London, United Kingdom, SE1 7EH
- Research Site
-
London, United Kingdom, W1T 7HA
- Research Site
-
Manchester, United Kingdom, M8 5RB
- Research Site
-
Oxford, United Kingdom, OX3 7LA
- Research Site
-
Sheffield, United Kingdom, S10 2JF
- Research Site
-
Torpoint, United Kingdom, PL11 2TB
- Research Site
-
Truro, United Kingdom, TR1 3LJ
- Research Site
-
-
-
-
Alabama
-
Birmingham, Alabama, United States, 35209
- Research Site
-
Birmingham, Alabama, United States, 35215
- Research Site
-
Mobile, Alabama, United States, 36608
- Research Site
-
-
Arizona
-
Glendale, Arizona, United States, 85306
- Research Site
-
Mesa, Arizona, United States, 85206
- Research Site
-
Mesa, Arizona, United States, 85210
- Research Site
-
Tucson, Arizona, United States, 85712
- Research Site
-
-
Arkansas
-
Little Rock, Arkansas, United States, 72205
- Research Site
-
-
California
-
Colton, California, United States, 92324
- Research Site
-
La Mesa, California, United States, 91942
- Research Site
-
Long Beach, California, United States, 90815
- Research Site
-
Los Angeles, California, United States, 90027
- Research Site
-
Modesto, California, United States, 95350
- Research Site
-
Sacramento, California, United States, 95817
- Research Site
-
Tustin, California, United States, 92780
- Research Site
-
Westminster, California, United States, 92683
- Research Site
-
-
Colorado
-
Aurora, Colorado, United States, 80014
- Research Site
-
Denver, Colorado, United States, 80246
- Research Site
-
Denver, Colorado, United States, 80209
- Research Site
-
Fort Collins, Colorado, United States, 80525
- Research Site
-
-
Connecticut
-
New Haven, Connecticut, United States, 06519
- Research Site
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20007
- Research Site
-
-
Florida
-
Coral Gables, Florida, United States, 33134
- Research Site
-
Fleming Island, Florida, United States, 32003
- Research Site
-
Fort Myers, Florida, United States, 33912
- Research Site
-
Hollywood, Florida, United States, 33024
- Research Site
-
Jacksonville, Florida, United States, 32256
- Research Site
-
Jacksonville, Florida, United States, 32216
- Research Site
-
Lake Worth, Florida, United States, 33462
- Research Site
-
Lauderdale Lakes, Florida, United States, 33313
- Research Site
-
Leesburg, Florida, United States, 34748
- Research Site
-
Medley, Florida, United States, 33166
- Research Site
-
Miami, Florida, United States, 33126
- Research Site
-
Miami, Florida, United States, 33186
- Research Site
-
Miami, Florida, United States, 33125
- Research Site
-
Miami, Florida, United States, 33135
- Research Site
-
Miami Lakes, Florida, United States, 33014
- Research Site
-
Miami Springs, Florida, United States, 33166
- Research Site
-
North Miami Beach, Florida, United States, 33162
- Research Site
-
Orlando, Florida, United States, 32806
- Research Site
-
Ormond Beach, Florida, United States, 32174
- Research Site
-
Port Orange, Florida, United States, 32127
- Research Site
-
Saint Petersburg, Florida, United States, 33713
- Research Site
-
Seminole, Florida, United States, 33777
- Research Site
-
Winter Park, Florida, United States, 32789
- Research Site
-
-
Georgia
-
Atlanta, Georgia, United States, 30342
- Research Site
-
Columbus, Georgia, United States, 31904
- Research Site
-
-
Idaho
-
Boise, Idaho, United States, 83712
- Research Site
-
-
Illinois
-
Burr Ridge, Illinois, United States, 60527
- Research Site
-
Chicago, Illinois, United States, 60612
- Research Site
-
Chicago, Illinois, United States, 60640
- Research Site
-
Gurnee, Illinois, United States, 60031
- Research Site
-
-
Indiana
-
Evansville, Indiana, United States, 47715
- Research Site
-
Evansville, Indiana, United States, 47712
- Research Site
-
South Bend, Indiana, United States, 46617
- Research Site
-
-
Iowa
-
West Des Moines, Iowa, United States, 50266
- Research Site
-
-
Kansas
-
Overland Park, Kansas, United States, 66204
- Research Site
-
Wichita, Kansas, United States, 67214
- Research Site
-
-
Kentucky
-
Bowling Green, Kentucky, United States, 42101
- Research Site
-
Lexington, Kentucky, United States, 40503
- Research Site
-
Lexington, Kentucky, United States, 40509
- Research Site
-
-
Louisiana
-
Lake Charles, Louisiana, United States, 70605
- Research Site
-
Metairie, Louisiana, United States, 70006
- Research Site
-
New Orleans, Louisiana, United States, 70119
- Research Site
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Research Site
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Research Site
-
Boston, Massachusetts, United States, 02215
- Research Site
-
Methuen, Massachusetts, United States, 01844
- Research Site
-
Springfield, Massachusetts, United States, 01107
- Research Site
-
Worcester, Massachusetts, United States, 01655
- Research Site
-
-
Michigan
-
Detroit, Michigan, United States, 48202
- Research Site
-
Farmington Hills, Michigan, United States, 48334
- Research Site
-
Grand Rapids, Michigan, United States, 49525
- Research Site
-
Novi, Michigan, United States, 48377
- Research Site
-
Saint Clair Shores, Michigan, United States, 48081
- Research Site
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55446
- Research Site
-
-
Missouri
-
Jefferson City, Missouri, United States, 65109
- Research Site
-
Kansas City, Missouri, United States, 64114
- Research Site
-
Saint Louis, Missouri, United States, 63110
- Research Site
-
Saint Louis, Missouri, United States, 63131
- Research Site
-
-
Montana
-
Missoula, Montana, United States, 59808
- Research Site
-
-
Nebraska
-
Lincoln, Nebraska, United States, 68516
- Research Site
-
-
Nevada
-
Las Vegas, Nevada, United States, 89119
- Research Site
-
-
New Hampshire
-
Portsmouth, New Hampshire, United States, 03801
- Research Site
-
-
New Jersey
-
Hackensack, New Jersey, United States, 07601
- Research Site
-
-
New Mexico
-
Albuquerque, New Mexico, United States, 87109
- Research Site
-
-
New York
-
Buffalo, New York, United States, 14202
- Research Site
-
Ridgewood, New York, United States, 11385
- Research Site
-
Rochester, New York, United States, 14642
- Research Site
-
Rochester, New York, United States, 14607
- Research Site
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28208
- Research Site
-
Durham, North Carolina, United States, 27710
- Research Site
-
Monroe, North Carolina, United States, 28112
- Research Site
-
Morehead City, North Carolina, United States, 28557
- Research Site
-
Wilmington, North Carolina, United States, 28403
- Research Site
-
-
Ohio
-
Cincinnati, Ohio, United States, 45267
- Research Site
-
Westlake, Ohio, United States, 44145
- Research Site
-
-
Pennsylvania
-
Allentown, Pennsylvania, United States, 18103
- Research Site
-
Duncansville, Pennsylvania, United States, 16635
- Research Site
-
Harrisburg, Pennsylvania, United States, 17110
- Research Site
-
Philadelphia, Pennsylvania, United States, 19107
- Research Site
-
Philadelphia, Pennsylvania, United States, 19104
- Research Site
-
Pittsburgh, Pennsylvania, United States, 15232
- Research Site
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Research Site
-
-
South Carolina
-
Myrtle Beach, South Carolina, United States, 29572
- Research Site
-
North Charleston, South Carolina, United States, 29405
- Research Site
-
Rock Hill, South Carolina, United States, 29732
- Research Site
-
Spartanburg, South Carolina, United States, 29303
- Research Site
-
-
Tennessee
-
Knoxville, Tennessee, United States, 37909
- Research Site
-
-
Texas
-
Austin, Texas, United States, 78745
- Research Site
-
Dallas, Texas, United States, 75246
- Research Site
-
El Paso, Texas, United States, 79925
- Research Site
-
Houston, Texas, United States, 77070
- Research Site
-
Houston, Texas, United States, 77054
- Research Site
-
Houston, Texas, United States, 77089
- Research Site
-
Houston, Texas, United States, 77081
- Research Site
-
Houston, Texas, United States, 77065
- Research Site
-
Kingwood, Texas, United States, 77339
- Research Site
-
Mesquite, Texas, United States, 75150
- Research Site
-
San Angelo, Texas, United States, 76904
- Research Site
-
San Antonio, Texas, United States, 78229
- Research Site
-
Shenandoah, Texas, United States, 77384
- Research Site
-
-
Utah
-
Layton, Utah, United States, 84041
- Research Site
-
Salt Lake City, Utah, United States, 84115
- Research Site
-
-
Virginia
-
Annandale, Virginia, United States, 22003
- Research Site
-
Norfolk, Virginia, United States, 23502
- Research Site
-
Norfolk, Virginia, United States, 23507
- Research Site
-
-
Washington
-
Olympia, Washington, United States, 98506
- Research Site
-
Seattle, Washington, United States, 98109
- Research Site
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53715
- Research Site
-
-
-
-
-
Hanoi, Vietnam, 100000
- Research Site
-
Hochiminh city, Vietnam, 700000
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Parent study - Sentinel Safety Cohort Participants (Phase I):
Parent study - Sentinel Cohort Inclusion Criteria:
- Healthy participants according to medical history, physical examination, baseline safety laboratory tests, and screening parameters, according to the judgment of the investigator, with no concomitant disease or concomitant medication (except for medication specifically permitted by the protocol).
- Age 18 to 55 years at the time of signing the informed consent.
- Negative rapid antigen test at Visit 1.
- Weight ≥ 45 kg and ≤ 110 kg at screening.
Parent study - Sentinel Cohort Exclusion Criteria:
- Women who are pregnant, lactating, or of childbearing potential and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration.
- Known hypersensitivity to any component of the study intervention.
- Previous hypersensitivity or severe adverse reaction following administration of a mAb.
- Acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves within the screening period or may be rescreened once.
- Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 30 days prior to Visit 1.
- Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture.
- Receipt of immunoglobulin (non-COVID related) or blood products within 6 months prior to Visit 1.
- Previous receipt of a mAb against SARS-CoV-2.
- Receipt of a COVID-19 vaccine within 3 months prior to Visit 1.
- Receipt of a COVID-19 antiviral for prophylaxis within 3 months prior to Visit 1
- COVID-19 within 3 months prior to Visit 1 (confirmed either by laboratory testing or a rapid test [including at home testing]).
- Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the period of study follow-up, or concurrent participation in another interventional study.
- Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, including any course of glucocorticoid therapy exceeding 2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day within 6 months prior to screening.
- Active infection with hepatitis B or C.
- Serum creatinine, AST, or ALT above 1.5 × ULN at screening
- History of malignancy other than treated non-melanoma skin cancers or locally-treated cervical cancer in previous 5 years.
Parent study - Main Cohort Participants (Phase III):
Parent study - Main Cohort Inclusion Criteria:
- Participant must be 12 years of age or older at the time of signing the informed consent.
- Negative rapid antigen test prior to dosing at Visit 1.
- Weight ≥ 40 kg at screening.
Participants must satisfy at least 1 of the following risk factors at enrollment:
- Have solid tumor cancer and be on active immunosuppressive treatment
- Have hematologic malignancy
Transplant participants must satisfy at least one of the following:
- Have had a solid organ transplant within 2 years and / or
- Had a hematopoietic stem cell transplant within 2 years and / or
- Who have chronic graft-versus-host disease
- Participants who previously had a solid organ transplant or hematopoietic stem cell transplant more than 2 years prior to Visit 1 may also be eligible based on the inclusion criterion for immunosuppressive treatment
- Are actively taking immunosuppressive medicines (eg, are using corticosteroids [ie, ≥ 20 mg prednisone or equivalent per day when administered for ≥ 2 weeks], high dose alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive [eg, Bruton's tyrosine kinase inhibitors], tumor-necrosis blockers, or other immunosuppressive or immunomodulatory biologic agents (eg, for rheumatic diseases)
- Received chimeric antigen receptor T cell therapy
- Within 1 year of receiving B-cell depleting therapies (eg, rituximab, ocrelizumab, ofatumumab, alemtuzumab)
- Have a moderate or severe primary (eg, DiGeorge syndrome) or secondary (eg, hemodialysis) immunodeficiency
- Advanced or untreated HIV infection (people with HIV and CD4 cell counts < 200/mm3 within 6 months of Visit 1, history of an AIDS-defining illness without immune reconstitution, or clinical manifestations of symptomatic HIV)
- Medically stable defined as disease not requiring significant change in maintenance therapy or hospitalization for worsening disease or any recent CV event (eg, acute myocardial infarction, thromboembolic event) during the 1 month prior to enrollment, with no acute change in condition at the time of study enrollment as judged by the Investigator and no expected changes at the time of the enrollment.
- Able to understand and comply with all study requirements/procedures (if applicable, with assistance by caregiver, surrogate, or legally authorized representative or equivalent representative as locally defined), including those at Illness Visits, based on the assessment of the Investigator.
Parent study - Main Cohort Exclusion Criteria:
- Women who are pregnant, lactating, or of childbearing potential and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration. Note: female participants aged > 12 years will be considered to be a woman of childbearing potential.
- Known hypersensitivity to any component of the study intervention.
- Previous hypersensitivity or severe adverse reaction following administration of a mAb.
- Acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves and may be rescreened for enrollment once.
- Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 30 days prior to Visit 1.
- Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture.
- Receipt of IV or SC immunoglobulin within 6 months prior to Visit 1 or expected to receive IV or SC immunoglobulin 6 months after dosing.
- Receipt of convalescent COVID-19 plasma treatment within 6 months prior to Visit 1.
- Previous receipt of a mAb against SARS-CoV-2 within 6 months prior to Visit 1.
- Receipt of a COVID-19 vaccine within 3 months prior to Visit 1.
- Receipt of a COVID-19 antiviral for prophylaxis within at least 2 weeks prior to Visit 1.
- COVID-19 within 3 months prior to Visit 1 (confirmed either by laboratory testing or a rapid test [including at home testing]).
- Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the period of study follow-up, or concurrent participation in another interventional study except where the participant ceased IMP treatment >90 days and is in the follow-up period of the study and not expected to receive further IMP).
Sub-study - Inclusion Criteria (Phase II):
Sub-study - Sentinel Safety Cohort Inclusion Criteria:
- Healthy, defined according to medical history, physical examination, baseline safety laboratory tests, and screening parameters, according to the judgment of the Investigator.
- Participants must be 18 to 55 years at the time of signing the informed consent.
- Weight ≥ 45 kg and ≤ 110 kg at screening.
Sub-study - Full Sub-study Cohort Inclusion Criteria:
- Immunocompromised or immunocompetent, including healthy participants, with all degrees of SARS-CoV-2 infection risk, will be enrolled following completion of Sentinel Safety Cohort enrolment.
- Participants must be 18 years of age or older at the time of signing the informed consent.
- Weight ≥ 40 kg at screening.
Sub-study - Sub-study Sentinel Safety Cohort and Full Sub-study Cohort Inclusion Criteria:
- Written informed consent and any locally required authorization (eg, HIPAA in the US) obtained from the participant prior to performing any protocol-related procedures, including screening evaluations.
- Negative rapid antigen test for SARS-CoV-2 prior to dosing at Visit 1.
- Medically stable defined as disease not requiring significant change in maintenance therapy or hospitalization for worsening disease or any recent cardiovascular event (eg, acute myocardial infarction, thromboembolic event) during the 1 month prior to enrollment, with no acute change in condition at the time of study enrollment as judged by the Investigator and no expected changes at the time of the enrollment.
- Able to understand and comply with all study requirements/procedures (if applicable, with assistance by caregiver, surrogate, or legally authorized representative or equivalent representative as locally defined), based on the assessment of the Investigator.
Sub-study - Exclusion Criteria (Phase II):
Sub-study - Sentinel Safety Cohort Exclusion Criteria:
- Active infection with hepatitis B or C.
- Serum creatinine, AST, or ALT above 1.5 × ULN at screening.
- History of malignancy other than treated non-melanoma skin cancers or locally-treated cervical cancer in previous 5 years.
Sub-study - Sentinel Safety Cohort and Full Sub-study Cohort Exclusion Criteria:
- Receipt of EVUSHELD (AZD7442) within 12 months prior to Visit 1.
- Women who are pregnant, lactating, or of childbearing potential and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration. Note: female participants aged > 12 years will be considered to be a woman of childbearing potential.
- Known hypersensitivity to any component of the study intervention.
- Previous hypersensitivity or severe adverse reaction following administration of a mAb.
- Acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves and may be rescreened for enrollment once.
- Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 30 days prior to Visit 1.
- Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or platelet disorder), or prior history of significant bleeding or bruising following IM injections or venipuncture.
- Has human immunodeficiency virus infection.
- Receipt of IV or SC immunoglobulin or blood products within 6 months prior to Visit 1 and expected to receive IV or SC immunoglobulin or blood products 6 months after dosing.
- Receipt of a COVID-19 vaccine within 3 months prior to Visit 1.
- Receipt of a COVID-19 antiviral for prophylaxis within at least 2 weeks prior to Visit 1.
- COVID-19 within 3 months prior to Visit 1 (confirmed either by laboratory RT-PCR testing or a rapid antigen test [including at-home testing]).
- Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the period of study follow-up, or concurrent participation in another interventional study (except where the participant ceased IMP treatment > 90 days and is in the follow-up period of the study and not expected to receive further IMP).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Parent study Sentinel Safety Cohort - Subcohort 1a Gluteal - AZD5156
The Sentinel Safety Cohort of the Parent Study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
600 mg AZD5156 consisting of 300 mg AZD1061 at 100 mg/mL and 300 mg AZD3152 at 150 mg/mL 3 mL of AZD1061 2 mL of AZD3152 IM on Visit 1 Day 1 |
Placebo Comparator: Parent study Sentinel Safety Cohort - Subcohort 1a Gluteal - Placebo
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
single dose of Placebo (3 mL + 2 mL) IM
|
Experimental: Parent study Sentinel Safety Cohort - Subcohort 1b Thigh - AZD5156
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
600 mg AZD5156 consisting of 300 mg AZD1061 at 100 mg/mL and 300 mg AZD3152 at 150 mg/mL 3 mL of AZD1061 2 mL of AZD3152 IM on Visit 1 Day 1 |
Placebo Comparator: Parent study Sentinel Safety Cohort - Subcohort 1b Thigh - Placebo
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
single dose of Placebo (3 mL + 2 mL) IM
|
Experimental: Parent study Sentinel Safety Cohort - Subcohort 2a Gluteal- AZD5156
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
600 mg AZD5156 consisting of 300 mg AZD1061 at 100 mg/mL and 300 mg AZD3152 at 150 mg/mL 3 mL of AZD1061 2 mL of AZD3152 IM on Visit 1 Day 1 |
Placebo Comparator: Parent study Sentinel Safety Cohort - Subcohort 2a Gluteal - Placebo
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
single dose of Placebo (3 mL + 2 mL) IM
|
Experimental: Parent study Sentinel Safety Cohort - Subcohort 2b Thigh - AZD5156
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
600 mg AZD5156 consisting of 300 mg AZD1061 at 100 mg/mL and 300 mg AZD3152 at 150 mg/mL 3 mL of AZD1061 2 mL of AZD3152 IM on Visit 1 Day 1 |
Placebo Comparator: Parent study Sentinel Safety Cohort - Subcohort 2b Thigh - Placebo
The Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants).
Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh.
Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
|
single dose of Placebo (3 mL + 2 mL) IM
|
Experimental: Parent study Main Cohort - AZD3152
The Main Cohort of the Parent study will enroll approximately 3200 participants.
Dosing in the Main Cohort will be staggered, so that it starts with adult participants aged 18 years and older, with no adolescent participants dosed in the Main Cohort until safety data from Visit 2a (Day 8) and Visit 2b (Day 15) have been reviewed by the DSMB for at least 80 adult Main Cohort participants (which will include at least 40 participants who have received AZD3152).
Participants in the Main Cohort will be randomized 1:1 to receive AZD3152 300 mg or comparator administered IM in the anterolateral thigh on Day 1. Participants will receive a second dose of their original randomized study intervention (ie, active treatment or comparator) 6 months after Visit 1.
|
single dose of Placebo (3 mL + 2 mL) IM
300 mg AZD3152 at 150 mg/mL 1 IM injection (thigh) of 2 mL of AZD3152 on Visit 1 Day 1 and on Visit 5 Day 181 |
Active Comparator: Parent study Main Cohort - EVUSHELD™
Participants in the Main Cohort of the Parent study will be randomized 1:1 to receive AZD3152 300 mg or comparator administered IM in the anterolateral thigh on Day 1. Participants will receive a second dose of their original randomized study intervention (ie, active treatment or comparator) 6 months after Visit 1. At the request of regulatory authorities the active comparator will be changed to placebo. As the comparator is given on two occasions, this means that a participant randomized to the comparator arm may receive (a) two doses of EVUSHELD, (b) a dose of EVUSHELD and a dose of placebo, or (c) two doses of placebo. |
600 mg EVUSHELD™/AZD7442 consisting of 300 mg AZD1061 and 300 mg AZD8895, both at 100 mg/mL 2 IM injections (thigh) of 3 mL each IM on Visit 1 Day 1 and on Visit 5 Day 181
Other Names:
|
Placebo Comparator: Parent study Main Cohort - Placebo
Participants in the Main Cohort of the Parent study will be randomized 1:1 to receive AZD3152 300 mg or comparator administered IM in the anterolateral thigh on Day 1. Participants will receive a second dose of their original randomized study intervention (ie, active treatment or comparator) 6 months after Visit 1. At the request of regulatory authorities the active comparator will be changed to placebo. As the comparator is given on two occasions, this means that a participant randomized to the comparator arm may receive (a) two doses of EVUSHELD, (b) a dose of EVUSHELD and a dose of placebo, or (c) two doses of placebo. |
Single doses of 0.9% sodium chloride 2 mL IM for injection on Visit 1 Day 1 and Visit 5 Day 181
|
Experimental: Sub-study - AZD3152
This sub-study will enroll approximately 450 participants, ≥ 18 years of age with a minimum weight of 40 kg.
An initial Sentinel Safety Cohort will include 12 healthy volunteers; all other participants in the study will be either immunocompromised or immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.
|
Single dose of 1200 mg IV at Visit 1 Day 1
|
Active Comparator: Sub-study - AZD7442 (EVUSHELD™)
This sub-study will enroll approximately 450 participants, ≥ 18 years of age with a minimum weight of 40 kg.
An initial Sentinel Safety Cohort will include 12 healthy volunteers; all other participants in the study will be either immunocompromised or immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.
|
Single dose 300 mg IM administered on Visit 1 Day 1
|
Experimental: Sub-study - AZD7442 (EVUSHELD™) Immunocompromised participants offered AZD3152 1200mg IV
This sub-study will enroll approximately 450 participants, ≥ 18 years of age with a minimum weight of 40 kg.
An initial Sentinel Safety Cohort will include 12 healthy volunteers; all other participants in the study will be either immunocompromised or immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.
|
Single dose of AZD7442 (EVUSHELD™) 300 mg IM
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parent study - Sentinel Safety Cohort: To evaluate the safety of AZD5156
Time Frame: AEs will be collected from IMP administration approximately 90 days following. AESIs will be collected from IMP administration through to Visit 11 (Day 361). SAEs and MAAEs will be collected up to Visit 11 (Day 361).
|
Occurence of AEs, SAEs, MAAEs, and AESIs will be collected throughout the study
|
AEs will be collected from IMP administration approximately 90 days following. AESIs will be collected from IMP administration through to Visit 11 (Day 361). SAEs and MAAEs will be collected up to Visit 11 (Day 361).
|
Parent study - Main Cohort: To evaluate the safety of AZD3152 and EVUSHELD and/or placebo
Time Frame: Occurrence of AEs collected through approximately 90 days after each IMP administration through to Visit 10 (Day 451). SAEs and MAAEs will be collected up to Visit 10 (Day 451).
|
Occurrence of AEs, SAEs, MAAEs, and AESIs will be collected throughout the study
|
Occurrence of AEs collected through approximately 90 days after each IMP administration through to Visit 10 (Day 451). SAEs and MAAEs will be collected up to Visit 10 (Day 451).
|
Sub-study: To evaluate the safety of AZD3152 and EVUSHELD
Time Frame: SAEs, MAAEs, and AESIs collected throughout the study for the final analysis.
|
Occurrence of AEs collected through 29 days after IMP administration for the primary analysis.
|
SAEs, MAAEs, and AESIs collected throughout the study for the final analysis.
|
Sub-study: To compare the SARS-CoV-2 nAb responses to a current VOC following AZD3152 administration vs SARS-CoV-2 nAb responses to prior variants following EVUSHELD administration
Time Frame: Predicted GMT ratio of SARS-CoV-2 nAbs between the treatment arms at Visit 3 (Day 29) for the variant that each IMP is intended to neutralize.
|
SARS-CoV-2 nAb responses to a current VOC following AZD3152 administration vs SARS-CoV-2 nAb responses to prior variants following EVUSHELD administration.
|
Predicted GMT ratio of SARS-CoV-2 nAbs between the treatment arms at Visit 3 (Day 29) for the variant that each IMP is intended to neutralize.
|
Parent study-Main cohort: To compare the efficacy of AZD3152 to EVUSHELD and/or placebo in the prevention of symptomatic COVID 19 caused by any SARS-CoV-2 variant
Time Frame: Confirmed symptomatic COVID-19 case is evaluated from first dose up to 181 days after last dose. For participants that receive two doses, the evaluation period would be approximately 361 days.
|
Endpoint: Confirmed symptomatic COVID-19 case, classified as a binary outcome incorporating the time from the first dose of IMP until a participant develops their first symptoms for COVID-19 or are censored.
Summary measure: Prophylactic efficacy, calculated as 1 - Hazard Ratio (HR) (AZD3152 versus EVUSHELD and/or placebo) using a hazard regression model.
|
Confirmed symptomatic COVID-19 case is evaluated from first dose up to 181 days after last dose. For participants that receive two doses, the evaluation period would be approximately 361 days.
|
Parent study - Main cohort: To compare the efficacy of AZD3152 to EVUSHELD and/or placebo in the prevention of symptomatic COVID 19 attributable to matched variants (variants that do not contain the F456L mutation)
Time Frame: Confirmed symptomatic COVID-19 case is evaluated from first dose up to 181 days after last dose. For participants that receive two doses, the evaluation period would be approximately 361 days.
|
Endpoint: Confirmed symptomatic COVID-19 case attributable to matched variants, classified as a binary outcome incorporating the time from the first dose of IMP until a participant develops their first symptoms for COVID-19 or are censored.
Summary measure: Prophylactic efficacy, calculated as 1 - Hazard Ratio (HR) (AZD3152 versus EVUSHELD and/or placebo) using a hazard regression model.
|
Confirmed symptomatic COVID-19 case is evaluated from first dose up to 181 days after last dose. For participants that receive two doses, the evaluation period would be approximately 361 days.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parent study - Sentinel Safety Cohort: To characterize the Pharmacokinetics of AZD5156 (AZD1061 and AZD3152) in serum.
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
AZD5156 (AZD1061 and AZD3152) serum concentrations at each visit.
|
Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
Parent study - Sentinel Safety Cohort: To characterize the Pharmacokinetics parameter of maximum concentration (Cmax) of AZD5156 (AZD1061 and AZD3152) in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361)
|
To describe maximum concentration (Cmax) for AZD5156 (AZD1061 and AZD3152).
|
Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361)
|
Parent study - Sentinel Safety Cohort: To characterize the Pharmacokinetics parameter of time to maximum serum concentration (tmax) of AZD5156 (AZD1061 and AZD3152) in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
To describe time to maximum serum concentration (tmax) for AZD5156 (AZD1061 and AZD3152).
|
Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
Parent study - Sentinel Safety Cohort: To characterize the Pharmacokinetics parameter of terminal half-life (t½) of AZD5156 (AZD1061 and AZD3152) in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
To describe terminal half-life (t½) for AZD5156 (AZD1061 and AZD3152).
|
Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
Parent study - Sentinel Safety Cohort: To characterize the Pharmacokinetics parameter of area under the concentration-time curve at the last measured time point (AUClast) of AZD5156 (AZD1061 and AZD3152) in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
To describe area under the concentration-time curve at the last measured time point (AUClast) for AZD5156 (AZD1061 and AZD3152).
|
Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361).
|
Parent study - Sentinel Safety Cohort: To characterize the Pharmacokinetics parameter of area under the concentration-time curve from time zero extrapolated to infinity (AUCinf) of AZD5156 (AZD1061 and AZD3152) in serum
Time Frame: Samples will be collected from visit 1 (Day 1) up to visit 11 (Day 361).
|
To describe area under the concentration-time curve from time zero extrapolated to infinity (AUCinf) for AZD5156 (AZD1061 and AZD3152).
|
Samples will be collected from visit 1 (Day 1) up to visit 11 (Day 361).
|
Parent study - Sentinel Safety Cohort: To evaluate the ADA responses to AZD5156, AZD3152, and AZD1061 in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361)
|
Incidence of ADA to AZD5156, AZD3152, and AZD1061, ADA titers
|
Samples will be collected from Visit 1 (Day 1) up to Visit 11 (Day 361)
|
Parent study - Main Cohort: To compare the nAb responses to the SARS-CoV-2 variants Alpha, Omicron BA.2, Omicron BA.4/5 and/or Omicron XBB.1.5 in serum following AZD3152 and EVUSHELD and/or placebo administration
Time Frame: Visit 3 (Day 29)
|
GMT and GMFR ratio of SARS-CoV-2 nAbs between the treatment arms at Visit 3 (Day 29). Descriptive statistics for GMTs and GMFRs will be provided. |
Visit 3 (Day 29)
|
Parent study - Main Cohort: To characterize the Pharmacokinetics (PK)of the AZD3152 and AZD7442 (AZD1061 and AZD8865) in serum concentrations at each visit.
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 9 (Day 361)
|
AZD3152 and AZD7442 (AZD1061 and AZD8895) serum concentrations at each visit.
|
Samples will be collected from Visit 1 (Day 1) up to Visit 9 (Day 361)
|
Parent study - Main Cohort: To evaluate the Anti-drug Antibodies (ADA) responses to AZD3152 and AZD7442 in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 9 (Day 361)
|
Incidence of Anti-drug Antibodies (ADA) to AZD3152, AZD7442, AZD1061, and AZD8895, ADA titers
|
Samples will be collected from Visit 1 (Day 1) up to Visit 9 (Day 361)
|
Sub-study: To characterize the Pharmacokinetics of AZD3152 and AZD7442 (EVUSHELD) in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 5 (Day 181).
|
AZD3152, AZD7442 (EVUSHELD), cilgavimab, and tixagevimab concentrations in serum, over time
|
Samples will be collected from Visit 1 (Day 1) up to Visit 5 (Day 181).
|
Sub-study:To evaluate the ADA response to AZD3152 and AZD7442 (EVUSHELD) in serum
Time Frame: Samples will be collected from Visit 1 (Day 1) up to Visit 5 (Day 181).
|
Incidence of ADA to AZD3152, AZD7442 (EVUSHELD), cilgavimab, and tixagevimab; ADA titers
|
Samples will be collected from Visit 1 (Day 1) up to Visit 5 (Day 181).
|
Parent study - Main Cohort: To describe the incidence of symptomatic COVID-19, severe COVID-19, COVID-19 related hospitalization, and COVID-19 related death in participants receiving study intervention
Time Frame: COVID-19 incidence variables to be evaluated through Visit 9 (Day 361)
|
Incidence of a post-treatment:
|
COVID-19 incidence variables to be evaluated through Visit 9 (Day 361)
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Hoffmann M, Kleine-Weber H, Schroeder S, Kruger N, Herrler T, Erichsen S, Schiergens TS, Herrler G, Wu NH, Nitsche A, Muller MA, Drosten C, Pohlmann S. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell. 2020 Apr 16;181(2):271-280.e8. doi: 10.1016/j.cell.2020.02.052. Epub 2020 Mar 5.
- Oganesyan V, Gao C, Shirinian L, Wu H, Dall'Acqua WF. Structural characterization of a human Fc fragment engineered for lack of effector functions. Acta Crystallogr D Biol Crystallogr. 2008 Jun;64(Pt 6):700-4. doi: 10.1107/S0907444908007877. Epub 2008 May 14.
- Sampson HA, Munoz-Furlong A, Campbell RL, Adkinson NF Jr, Bock SA, Branum A, Brown SG, Camargo CA Jr, Cydulka R, Galli SJ, Gidudu J, Gruchalla RS, Harlor AD Jr, Hepner DL, Lewis LM, Lieberman PL, Metcalfe DD, O'Connor R, Muraro A, Rudman A, Schmitt C, Scherrer D, Simons FE, Thomas S, Wood JP, Decker WW. Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. J Allergy Clin Immunol. 2006 Feb;117(2):391-7. doi: 10.1016/j.jaci.2005.12.1303.
- Alhumaid S, Al Mutair A, Al Alawi Z, Rabaan AA, Tirupathi R, Alomari MA, Alshakhes AS, Alshawi AM, Ahmed GY, Almusabeh HM, Alghareeb TT, Alghuwainem AA, Alsulaiman ZA, Alabdulmuhsin MA, AlBuwaidi EA, Dukhi AKB, Mufti HN, Al-Qahtani M, Dhama K, Al-Tawfiq JA, Al-Omari A. Anaphylactic and nonanaphylactic reactions to SARS-CoV-2 vaccines: a systematic review and meta-analysis. Allergy Asthma Clin Immunol. 2021 Oct 16;17(1):109. doi: 10.1186/s13223-021-00613-7.
- Bosch BJ, van der Zee R, de Haan CA, Rottier PJ. The coronavirus spike protein is a class I virus fusion protein: structural and functional characterization of the fusion core complex. J Virol. 2003 Aug;77(16):8801-11. doi: 10.1128/jvi.77.16.8801-8811.2003.
- CDC 2021 CDC (Centers for Disease Control and Prevention). General Best Practice Guidelines for Immunization: Altered Immunocompetence. Available from: https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/immunocompetence.html. Accessed 23 May 2022.
- Case JB, Mackin S, Errico JM, Chong Z, Madden EA, Whitener B, Guarino B, Schmid MA, Rosenthal K, Ren K, Dang HV, Snell G, Jung A, Droit L, Handley SA, Halfmann PJ, Kawaoka Y, Crowe JE Jr, Fremont DH, Virgin HW, Loo YM, Esser MT, Purcell LA, Corti D, Diamond MS. Resilience of S309 and AZD7442 monoclonal antibody treatments against infection by SARS-CoV-2 Omicron lineage strains. Nat Commun. 2022 Jul 2;13(1):3824. doi: 10.1038/s41467-022-31615-7.
- Dall'Acqua WF, Kiener PA, Wu H. Properties of human IgG1s engineered for enhanced binding to the neonatal Fc receptor (FcRn). J Biol Chem. 2006 Aug 18;281(33):23514-24. doi: 10.1074/jbc.M604292200. Epub 2006 Jun 21.
- Fact Sheet EUA Bebtelovimab 2022 US Food and Drug Administration. Fact Sheet For Healthcare Providers: Emergency Use Authorization for Bebtelovimab, March 2022. Available at: https://www.fda.gov/media/156152/download. Accessed 23 May 2022.
- Gupta A, Gonzalez-Rojas Y, Juarez E, Crespo Casal M, Moya J, Falci DR, Sarkis E, Solis J, Zheng H, Scott N, Cathcart AL, Hebner CM, Sager J, Mogalian E, Tipple C, Peppercorn A, Alexander E, Pang PS, Free A, Brinson C, Aldinger M, Shapiro AE; COMET-ICE Investigators. Early Treatment for Covid-19 with SARS-CoV-2 Neutralizing Antibody Sotrovimab. N Engl J Med. 2021 Nov 18;385(21):1941-1950. doi: 10.1056/NEJMoa2107934. Epub 2021 Oct 27.
- Harpaz R, Dahl RM, Dooling KL. Prevalence of Immunosuppression Among US Adults, 2013. JAMA. 2016 Dec 20;316(23):2547-2548. doi: 10.1001/jama.2016.16477. No abstract available.
- Levin MJ, Ustianowski A, De Wit S, Launay O, Avila M, Templeton A, Yuan Y, Seegobin S, Ellery A, Levinson DJ, Ambery P, Arends RH, Beavon R, Dey K, Garbes P, Kelly EJ, Koh GCKW, Near KA, Padilla KW, Psachoulia K, Sharbaugh A, Streicher K, Pangalos MN, Esser MT; PROVENT Study Group. Intramuscular AZD7442 (Tixagevimab-Cilgavimab) for Prevention of Covid-19. N Engl J Med. 2022 Jun 9;386(23):2188-2200. doi: 10.1056/NEJMoa2116620. Epub 2022 Apr 20.
- Li F. Structure, Function, and Evolution of Coronavirus Spike Proteins. Annu Rev Virol. 2016 Sep 29;3(1):237-261. doi: 10.1146/annurev-virology-110615-042301. Epub 2016 Aug 25.
- Loo YM, McTamney PM, Arends RH, Abram ME, Aksyuk AA, Diallo S, Flores DJ, Kelly EJ, Ren K, Roque R, Rosenthal K, Streicher K, Tuffy KM, Bond NJ, Cornwell O, Bouquet J, Cheng LI, Dunyak J, Huang Y, Rosenbaum AI, Pilla Reddy V, Andersen H, Carnahan RH, Crowe JE Jr, Kuehne AI, Herbert AS, Dye JM, Bright H, Kallewaard NL, Pangalos MN, Esser MT. The SARS-CoV-2 monoclonal antibody combination, AZD7442, is protective in nonhuman primates and has an extended half-life in humans. Sci Transl Med. 2022 Mar 9;14(635):eabl8124. doi: 10.1126/scitranslmed.abl8124. Epub 2022 Mar 9.
- Lusvarghi S, Pollett SD, Neerukonda SN, Wang W, Wang R, Vassell R, Epsi NJ, Fries AC, Agan BK, Lindholm DA, Colombo CJ, Mody R, Ewers EC, Lalani T, Ganesan A, Goguet E, Hollis-Perry M, Coggins SA, Simons MP, Katzelnick LC, Wang G, Tribble DR, Bentley L, Eakin AE, Broder CC, Erlandson KJ, Laing ED, Burgess TH, Mitre E, Weiss CD. SARS-CoV-2 BA.1 variant is neutralized by vaccine booster-elicited serum but evades most convalescent serum and therapeutic antibodies. Sci Transl Med. 2022 May 18;14(645):eabn8543. doi: 10.1126/scitranslmed.abn8543. Epub 2022 May 18.
- Maltezou HC, Anastassopoulou C, Hatziantoniou S, Poland GA, Tsakris A. Anaphylaxis rates associated with COVID-19 vaccines are comparable to those of other vaccines. Vaccine. 2022 Jan 21;40(2):183-186. doi: 10.1016/j.vaccine.2021.11.066. Epub 2021 Nov 27.
- NIH 2017 NIH. Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. Available at: https://ctep.cancer.gov/protocolDevelopment/electronic_applications/ctc.htm#ctc_50. Published 2017. Accessed 23 May 2022.
- Parker EPK, Desai S, Marti M, Nohynek H, Kaslow DC, Kochhar S, O'Brien KL, Hombach J, Wilder-Smith A. Response to additional COVID-19 vaccine doses in people who are immunocompromised: a rapid review. Lancet Glob Health. 2022 Mar;10(3):e326-e328. doi: 10.1016/S2214-109X(21)00593-3. No abstract available.
- Walls AC, Tortorici MA, Snijder J, Xiong X, Bosch BJ, Rey FA, Veesler D. Tectonic conformational changes of a coronavirus spike glycoprotein promote membrane fusion. Proc Natl Acad Sci U S A. 2017 Oct 17;114(42):11157-11162. doi: 10.1073/pnas.1708727114. Epub 2017 Oct 3.
- Weinreich DM, Sivapalasingam S, Norton T, Ali S, Gao H, Bhore R, Musser BJ, Soo Y, Rofail D, Im J, Perry C, Pan C, Hosain R, Mahmood A, Davis JD, Turner KC, Hooper AT, Hamilton JD, Baum A, Kyratsous CA, Kim Y, Cook A, Kampman W, Kohli A, Sachdeva Y, Graber X, Kowal B, DiCioccio T, Stahl N, Lipsich L, Braunstein N, Herman G, Yancopoulos GD; Trial Investigators. REGN-COV2, a Neutralizing Antibody Cocktail, in Outpatients with Covid-19. N Engl J Med. 2021 Jan 21;384(3):238-251. doi: 10.1056/NEJMoa2035002. Epub 2020 Dec 17.
- Tuekprakhon A, Nutalai R, Dijokaite-Guraliuc A, Zhou D, Ginn HM, Selvaraj M, Liu C, Mentzer AJ, Supasa P, Duyvesteyn HME, Das R, Skelly D, Ritter TG, Amini A, Bibi S, Adele S, Johnson SA, Constantinides B, Webster H, Temperton N, Klenerman P, Barnes E, Dunachie SJ, Crook D, Pollard AJ, Lambe T, Goulder P, Paterson NG, Williams MA, Hall DR; OPTIC Consortium; ISARIC4C Consortium; Fry EE, Huo J, Mongkolsapaya J, Ren J, Stuart DI, Screaton GR. Antibody escape of SARS-CoV-2 Omicron BA.4 and BA.5 from vaccine and BA.1 serum. Cell. 2022 Jul 7;185(14):2422-2433.e13. doi: 10.1016/j.cell.2022.06.005. Epub 2022 Jun 9.
- WHO 2022 World Health Organization. WHO COVID-19 Case definition, July 2022. Available at: https://www.who.int/publications/i/item/WHO-2019-nCoV-Surveillance_Case_Definition 2022.1. Accessed 05 May 2023.
- WHO 2023 WHO Coronavirus disease (COVID-19) dashboard. Available at: https://covid19.who.int. Accessed 05 June 2023.
- Kelly JD, Leonard S, Hoggatt KJ, Boscardin WJ, Lum EN, Moss-Vazquez TA, Andino R, Wong JK, Byers A, Bravata DM, Tien PC, Keyhani S. Incidence of Severe COVID-19 Illness Following Vaccination and Booster With BNT162b2, mRNA-1273, and Ad26.COV2.S Vaccines. JAMA. 2022 Oct 11;328(14):1427-1437. doi: 10.1001/jama.2022.17985.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- RNA Virus Infections
- Virus Diseases
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Pneumonia, Viral
- Pneumonia
- Lung Diseases
- COVID-19
- Anti-Infective Agents
- Antiviral Agents
- Cilgavimab and tixagevimab drug combination
Other Study ID Numbers
- D7000C00001
- 2022-002378-95 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal.
All request will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on COVID-19, SARS-CoV-2
-
AstraZenecaActive, not recruitingCOVID-19, SARS-CoV-2Japan
-
University of Wisconsin, MadisonNational Institutes of Health (NIH)Completed
-
Syneos HealthUS Specialty Formulations, LLCCompletedSARS-CoV-2 (COVID-19)New Zealand
-
Mayo ClinicCompletedCOVID-19 | SARS-CoV 2United States
-
St. Olavs HospitalThe Research Council of Norway; Helse Nord-Trøndelag HF; Alesund Hospital; Namsos... and other collaboratorsCompletedSARS-CoV-2 Acute Respiratory Disease | SARS-CoV-2 Sepsis | SARS CoV 2 InfectionNorway
-
Boston UniversityNational Institute of Allergy and Infectious Diseases (NIAID); Burnet Institute and other collaboratorsRecruitingSARS CoV 2 Infection | SARS CoV 2 VaccinationUnited States, Malawi
-
University of MelbourneThe George Institute; The University of Queensland; The Peter Doherty Institute... and other collaboratorsRecruitingSARS-CoV-2 Infection (COVID-19)Australia
-
Stanford UniversityPfizerCompletedLong COVID | Post-acute Sequelae of SARS-CoV-2 InfectionUnited States
-
Medical University InnsbruckRecruitingSARS-CoV-2 | Post-acute COVID-19 SyndromeAustria
-
The Board of MedicineApollo Neuroscience, Inc.RecruitingPost-acute Sequelae of SARS-COV-2 InfectionUnited States
Clinical Trials on AZD3152 (Sub-study)
-
National Institute of Neurological Disorders and...Completed
-
Royal Marsden NHS Foundation TrustImperial College London; Institute of Cancer Research, United Kingdom; RM Partners...RecruitingSmoking | Alcoholism | Urologic Diseases | Hypertension | Diabetes | Prostate Cancer | Bladder Cancer | Renal Cancer | Urologic Cancer | Mental Health Issue | Testis CancerUnited Kingdom
-
AstraZenecaActive, not recruitingCOVID-19, SARS-CoV-2Japan
-
Cardiology Research UBCJohn GB Mancini, MD; Karin Humphries, DScRecruiting
-
University of PennsylvaniaCompleted
-
Universidad de ZaragozaInstituto de Salud Carlos IIICompletedHealthy Diet | Postprandial HyperglycemiaSpain
-
Institut Claudius RegaudArtios Pharma LtdRecruiting
-
AstraZenecaActive, not recruiting
-
Ontario Clinical Oncology Group (OCOG)University Health Network, Toronto; Princess Margaret Hospital, CanadaCompleted
-
Drugs for Neglected DiseasesUniversiteit Antwerpen; PENTA Foundation; St George's, University of LondonCompletedNeonatal SEPSISBangladesh, Uganda, Thailand, South Africa, Italy, Greece, India, Brazil, China, Kenya, Vietnam