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Different study will be conducted
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This is a randomized, placebo-controlled study to assess the safety, PK profile, and efficacy of COVI-AMG in subjects with COVID-19.
This is a multi-center, randomized, double-blind, placebo-controlled study followed by an expansion cohort phase designed to investigate the safety, PK profile, and efficacy of a single injection of COVI-AMG in outpatient subjects with COVID-19 but are not likely to require hospital admission within 24 hours. Subjects will receive one of the following treatments: 40 mg COVI-AMG, 100 mg COVI-AMG, 200 mg COVI-AMG, or placebo. Subjects will be followed for 60 days after dosing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COVI-AMG | Experimental | A single injection of 40 mg, 100 mg, or 200 mg of COVI-AMG will be given on Study Day 1. Standard of care will be maintained for all subjects throughout the study. |
|
| Placebo | Placebo Comparator | A single injection of placebo will be given on Study Day 1. Standard of care will be maintained for all subjects throughout the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| COVI-AMG | Biological | COVI-AMG is a fully human SARS-CoV-2 neutralizing monoclonal antibody (mAb). |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events by type, frequency, severity, and causality (safety) | Safety as assessed by incidence of adverse events by type, frequency, severity, and causality | Randomization through study completion at Day 60 |
| Incidence of treatment-emergent adverse events by type, frequency, severity, and causality (safety) | Safety as assessed by incidence of treatment-emergent adverse events by type, frequency, severity, and causality | Randomization through study completion at Day 60 |
| Incidence of serious adverse events by type, frequency, severity, and causality (safety) | Safety as assessed by incidence of serious adverse events by type, frequency, severity, and causality | Randomization through study completion at Day 60 |
| Incidence of dose-limiting toxicities (safety) | Safety as assessed by incidence of dose-limiting toxicities | Randomization through study completion at Day 60 |
| Incidence of clinically meaningful laboratory abnormalities (safety) | Safety as assessed by incidence of clinically meaningful laboratory abnormalities | Randomization through study completion at Day 60 |
| Viral load as assessed using plasma and salivary samples at various timepoints | Viral load as assessed using plasma and salivary samples at various timepoints correlated with nasopharyngeal testing | Randomization through study completion at Day 60 |
| Measure | Description | Time Frame |
|---|---|---|
| AUC of COVI-AMG (PK) | Area under the serum concentration-time curve (AUC) of COVI-AMG | Randomization through study completion at Day 60 |
| Cmax of COVI-AMG (PK) | Maximum observed serum concentration (Cmax) of COVI-AMG |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mike Royal, MD | Sorrento Therapeutics | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34473343 | Derived | Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2. |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C000714227 | STI-2020 |
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Initially, 2 subjects will be enrolled at the 40 mg dose level. If no safety concerns arise, 48 subjects will then be randomized 1:1:1:1 to receive 40 mg COVI-AMG, 100 mg COVI-AMG, 200 mg COVI-AMG, or placebo.
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| Placebo | Drug | Diluent solution |
|
| Time from onset of COVID-19 symptoms to treatment (Day 1) |
Time from onset of COVID-19 symptoms to treatment (Day 1) |
| Day 1 |
| Presence and levels of anti-drug antibodies directed to COVI-AMG | Presence and levels of anti-drug antibodies directed to COVI-AMG | Randomization through study completion at Day 60 |
| Cytokine levels post-treatment | Cytokine levels post-treatment including EGF, IFNγ, IL-1β, IL-6, IL-8, IL-10, and TNFα will be measured by ELISA | Randomization through study completion at Day 60 |
| Randomization through study completion at Day 60 |
| Tmax of COVI-AMG (PK) | Time to Cmax (Tmax) of COVI-AMG | Randomization through study completion at Day 60 |
| t½ of COVI-AMG (PK) | Apparent serum terminal elimination half life (t½) of COVI-AMG | Randomization through study completion at Day 60 |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |