Clinical trial

An Open-label, Non-comparator, Multicenter Study to Describe the Pharmacokinetics (PK), Pharmacodynamics (PD; Viral Load) and Safety Following a Single Intravenous or Intramuscular Dose of Sotrovimab in Pediatric Participants With Mild to Moderate COVID-19 at High Risk of Disease Progression

Name
215226
Description
This Phase 2b study will evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of sotrovimab in pediatric participants from birth to less than (\<)18 years old with mild-to-moderate Coronavirus Disease-2019 (COVID-19) at high risk of disease progression.
Trial arms
Trial start
2021-12-16
Estimated PCD
2023-06-14
Trial end
2023-06-14
Status
Terminated
Phase
Early phase I
Treatment
Sotrovimab
Sotrovimab will be administered.
Arms:
Cohort A: Sotrovimab Intravenous (IV) (12 to less than [<] 18 years), Cohort A: Sotrovimab Intravenous (IV) (6 to less than [<] 12 years)
Size
8
Primary endpoint
Body Weight-Adjusted Serum Clearance (CL) of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Maximum Observed Concentration (Cmax) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Time to Reach Cmax (Tmax) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Terminal Elimination Half-Life (T1/2) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Apparent Volume of Distribution During Terminal Phase (Vz) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Clearance (CL) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Relative Bioavailability (F) Following Administration of Sotrovimab
Day 1 (End of Infusion), Day 5, 8 and 12, Week 12
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)
Up to Day 29
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36
Up to Week 36
Eligibility criteria
Inclusion criteria: * Participant must be 32 weeks estimated gestational age (EGA), day of life (DOL) 0 to \<18 years of age inclusive, at either the time of participant's signed assent (if age-appropriate) or parent(s)/legally authorized representative signing the informed consent. * Participants with mild-moderate COVID-19. * Participants at risk of disease progression with at least one of the following criteria: Age \<1 year; Diabetes mellitus; Genetic or metabolic diseases; Obesity ); Cardiovascular disease; Sickle cell disease; Pulmonary disease; Neurologic disease; Immunosuppressed ; Baseline medical complexity (gastrostomy- or jejunostomy-dependence, parenteral nutrition dependence, tracheostomy-dependence, Baseline oxygen requirement, use of Continuous positive airway pressure \[CPAP\]/ Bilevel positive airway pressure \[BiPAP\]/ventilator support). Exclusion Criteria * Participant is pregnant or breastfeeding. * Participant is currently hospitalized, or judged by the investigator as likely to require hospitalization in the next 24 hours, due to severe or critical COVID-19. * Multisystem inflammatory syndrome in children (MIS-C). * Prior, current, or planned future use of any of the following treatments during the study period: COVID-19 convalescent plasma, Monoclonal antibodies (mAbs) against Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) (for example \[e.g.\], casirivimab/imdevimab), intravenous immunoglobulin (IVIG) for any indication, or dexamethasone specifically for treatment of COVID-19. * Current use of COVID-19 treatment (authorized, approved, or investigational). * The following exclusions related to use of an authorized or approved vaccine for SARS-CoV-2 are applicable: 1. Receipt of any authorized or approved vaccine for SARS-CoV-2 within 48 hours prior to dosing. 2. Planned use of any authorized or approved vaccine for SARS-CoV-2 within 90 days of study drug administration per current Centers for Disease Control and Prevention (CDC) recommendations. * Receipt of any non-SARS-CoV-2 vaccines within 14 days (for non-live vaccines) or 28 days (for live vaccine) of screening. * Currently enrolled in another clinical study. * Infants \<24 weeks of age: maternal receipt of IVIG, SARS-CoV-2-directed convalescent plasma or SARS-CoV-2-directed mAb(s) within 3 months prior to birth or within 5 half-lives of the investigational product (whichever is longer).
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE', 'maskingDescription': 'This is an open-label study.'}}, 'enrollmentInfo': {'count': 8, 'type': 'ACTUAL'}}
Updated at
2024-01-03

1 organization

1 product

1 indication

Product
Sotrovimab
Indication
COVID-19
Organization
GlaxoSmithKline