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The human monoclonal antibody CB6 showed potent neutralization activity in vitro against SARS-CoV-2. CB6-LALA (also called JS016) has been developed for clinical use. Phase I trials among healthy volunteers has demonstrated a tolerable and safe drug profile of JS016. We aim to evaluate the efficacy and safety of JS016 in patients hospitalized with COVID-19.
As the COVID-19 pandemic is emerging as a global healthcare crisis, scientists worldwide are actively developing prophylactic and therapeutic interventions. Neutralizing antibody therapies are being developed for the treatment of COVID-19. The human monoclonal antibody CB6 showed potent neutralization activity in vitro against SARS-CoV-2. The LALA mutation was introduced to the Fc portion of CB6 (CB6-LALA) to lower the risk of Fc-mediated acute lung injury in animals. CB6-LALA (also called JS016) has been developed for clinical use. Phase I trials among healthy volunteers has demonstrated a tolerable and safe drug profile of JS016. We aim to evaluate the efficacy and safety of JS016 in patients hospitalized with COVID-19. The data from this study will inform decisions of the clinical use of JS016.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| JS016 treatment group | Experimental | Standard therapy + JS016 injection Standard therapy including vital sign monitoring, supplementary oxygen and respiratory support in accordance with the patient's oxygen saturation and respiratory condition. |
|
| Control group | No Intervention | Standard therapy Standard therapy includes vital sign monitoring, supplementary oxygen and respiratory support in accordance with the patient's oxygen saturation and respiratory condition. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JS016 | Drug | Single Intravenous Injection of JS016 with a dose of 50mg/kg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical status at 28 days | Clinical status at 28 days assessed using a six level ordinal scale,in this scale, 1 is the minimum score and presenting a better outcome as discharge, 2 means still in-hospital but no need of oxygen therapy, 3 presents in-hospital and needing of oxygen therapy, 4 presents in-hospital needing high flow nasal oxygen therapy or non-invasive mechanical ventilation, 5 presents in-hospital needing invasive mechanical ventilation or ECMO, 6 presents death and is the worse outcome as well. | At 28 days from inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| All cause mortality ascertained from data analysed to day 28 | All cause mortality ascertained from data analysed to day 28 | At 28 days from inclusion |
| Ventilator-free days within 28 days | Ventilator-free days within 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence Treatment-Emergent Adverse Events of JS016 | Incidence of Treatment-Emergent Adverse Events of JS016 includes the incidence of allergic reaction, secondary infection, liver dysfunction, acute kidney injury. | Everyday after inclusion up to 28 days from inclusion |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bin DU, Prof. | Contact | +86 13601366216 | dubin98@gmail.com | |
| Li Weng, Prof. | Contact | +86 18600017819 | wengli@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Bin DU, Prof. | Peking Union Medical College Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Li Weng | Recruiting | Beijing | Beijing Municipality | 100102 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33215063 | Result | Yang L, Liu W, Yu X, Wu M, Reichert JM, Ho M. COVID-19 antibody therapeutics tracker: a global online database of antibody therapeutics for the prevention and treatment of COVID-19. Antib Ther. 2020 Jul;3(3):205-212. doi: 10.1093/abt/tbaa020. Epub 2020 Aug 19. | |
| 35713300 | Derived | Hirsch C, Park YS, Piechotta V, Chai KL, Estcourt LJ, Monsef I, Salomon S, Wood EM, So-Osman C, McQuilten Z, Spinner CD, Malin JJ, Stegemann M, Skoetz N, Kreuzberger N. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19. Cochrane Database Syst Rev. 2022 Jun 17;6(6):CD014945. doi: 10.1002/14651858.CD014945.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 |
|---|---|
| C000711968 | etesevimab |
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| At 28 days from inclusion |
| Negative conversion rate of SARS-CoV-2 nucleic acid in on days 14 after randomization | Negative conversion rate of SARS-CoV-2 nucleic acid in on days 14 after | At 14 days from inclusion |
| Average length of hospital stay | Average length of hospital stay | At 28 days from inclusion |
| Shi Jiazhuang People's Hospital | Recruiting | Shijiazhuang | Hebei | China |
|
| The First Affliated Hospital of Harbin Medical University | Recruiting | Harbin | Hei Longjiang | 0451 | China |
|
| Suihua first hospital | Recruiting | Suihua | Hei Longjiang | 0455 | China |
|
| 35191746 | Derived | Dong R, Jiang L, Yang T, Wang C, Zhang Y, Chen X, Xie J, Guo Y, Weng L, Kang Y, Yu K, Qiu H, Du B; China Critical Care Clinical Trials Group (CCCCTG). Efficacy and Safety of SARS-CoV-2 Neutralizing Antibody JS016 in Hospitalized Chinese Patients with COVID-19: a Phase 2/3, Multicenter, Randomized, Open-Label, Controlled Trial. Antimicrob Agents Chemother. 2022 Mar 15;66(3):e0204521. doi: 10.1128/AAC.02045-21. Epub 2022 Mar 15. |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |