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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.
"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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anti-SARS-CoV-2 Monoclonal Antibody dose 1/2/3 | Active Comparator | use Anti-SARS-CoV-2 Monoclonal Antibody,dose 1/2/3 to treat COVID-19 |
|
| Placebo | Placebo Comparator | use placebo to treat COVID-19 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant Human Anti-SARS-CoV-2 Monoclonal Antibody(25mg/kg;50mg/kg;100mg/kg) | Biological | use dose 1/2/3 60 patients receipt JS016 intravenous infusion on day 1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy Measurs(Time to negative conversion in viral nucleic acid test(by RT-PCR) for diagnostic samples) | 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 | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| PK Measures:AUC0-tau | 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 | Maximum plasma drug concentration after administration (Cmax) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Ditan Hospital affiliated to Capital Medical University | Beijing | 100010 | China | |||
| Huashan Hospital affiliated to Fudan University |
| 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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| Placebo | Drug | 30 patients receipt placebo intravenous infusion on day 1 |
|
| Day 0 to Day 85 |
| PK Measures:Tmax | Time to the maximum plasma drug concentrations after administration (Tmax) | Day 0 to Day 85 |
| PK Measures:t1/2 | Terminal half life (t1/2) | Day 0 to Day 85 |
| PK Measures:CL | Total clearance (CL) | Day 0 to Day 85 |
| PK Measures:Vd | Apparent volume of distribution (Vd) | Day 0 to Day 85 |
| Proportions of participants with negative conversion in viral nucleic acid test | 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 | 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) | Pulmonary CT changes during the study period | Day 0 to Day 85 |
| Shanghai |
| China |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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