Clinical trial

A Phase 3 Randomized, Multi-center, Open Label Study to Assess the Efficacy, Safety, and Tolerability of Monoclonal Antibody VIR-7831 (Sotrovimab) Given Intramuscularly Versus Intravenously for the Treatment of Mild/Moderate Coronavirus Disease 2019 (COVID-19) in High-risk Non-hospitalized Patients; Safety Substudy Assessing the Safety and Tolerability of Single Ascending Dose Monoclonal Antibody VIR-7831

Name
VIR-7831-5008
Description
The COMET-TAIL main study evaluated efficacy, safety, and tolerability of IM sotrovimab versus IV sotrovimab in high-risk patients for the treatment of mild/moderate COVID-19. In the safety substudy, the aim was to evaluate the safety and tolerability of sotrovimab across a single ascending dose level and over different infusion times when given for the treatment of mild/moderate COVID-19 to participants at high risk of disease progression Main study was completed successfully. The safety sub-study was discontinued early in the context of evolving variants with increased fold changes in the in vitro half maximal inhibitory concentration (IC50) and uncertainty in the clinical relevance of these changes.
Trial arms
Trial start
2021-06-10
Estimated PCD
2022-07-19
Trial end
2023-03-24
Status
Terminated
Phase
Early phase I
Treatment
sotrovimab
Sotrovimab 500 mg given by intravenous infusion over 15 min
Arms:
Main Study - Sotrovimab 500 mg IV
sotrovimab
Sotrovimab 500 mg given by intramuscular injection
Arms:
Main Study - Sotrovimab 500 mg IM
sotrovimab
Sotrovimab 250 mg given by intramuscular injection
Arms:
Main Study - Sotrovimab 250 mg IM
sotrovimab
Sotrovimab 2000 mg given by intravenous infusion over 60 min
Arms:
Substudy (Cohort A) - Sotrovimab 2000 mg IV
Sotrovimab
Sotrovimab 2000 mg given by intravenous infusion over 30 min
Arms:
Substudy (Optional Cohort B1) - Sotrovimab 2000 mg IV
Sotrovimab
Sotrovimab 2000 mg given by intravenous infusion over 15 min
Arms:
Substudy (Optional Cohort B2) - Sotrovimab 2000 mg IV
Sotrovimab
Sotrovimab up to 3000 mg given by intravenous infusion over 90 min
Arms:
Substudy (Optional Cohort C) - Sotrovimab up to 3000 mg IV
Size
1065
Primary endpoint
Main Study: Percentage of Participants Who Had Progression of Coronavirus Disease 2019 (COVID-19) Through Day 29 by Hospitalization >24 Hours or Death Due to Any Cause (Weekly and Daily Imputation)
Up to Day 29
Safety Sub-study: Number of Participants With Non-Serious Adverse Events (Non-SAE) and Serious Adverse Events (SAEs) Through Day 8
Up to Day 8
Safety Sub-study: Number of Participants With Infusion-related Reaction Including Hypersensitivity Through Day 8
Up to Day 8
Safety Sub-study: Number of Participants With Any Disease Related Events Through Day 8
Up to Day 8
Eligibility criteria
Inclusion Criteria: * Main Study participant must be aged 12 years or older AND at high risk of progression of COVID-19 or \> 55 years old * Sub-Study participants must be aged 18 years or older at time of consent AND at high risk of progression of COVID-19 or ≥ 55 years old * Participants must have a positive SARS-CoV-2 test result and oxygen saturation ≥94% on room air and have COVID-19 symptoms and be less than or equal to 7 days from onset of symptoms Exclusion Criteria: * Currently hospitalized or judged by the investigator as likely to require hospitalization in the next 24 hours * Symptoms consistent with severe COVID-19 * Participants who, in the judgement of the investigator are likely to die in the next 7 days * Known hypersensitivity to any constituent present in the investigational product
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 1065, 'type': 'ACTUAL'}}
Updated at
2024-03-07

1 organization

2 products

1 indication

Product
sotrovimab
Indication
COVID-19
Organization
Vir Biotechnology
Product
Sotrovimab