ACTIV-3: Therapeutics for Inpatients With COVID-19

NCT ID: NCT04501978

Last Updated: 2023-08-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2753 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-04

Study Completion Date

2023-07-14

Brief Summary

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This study looks at the safety and effectiveness of different drugs in treating COVID-19 in people who have been hospitalized with the infection. Participants in the study will be treated with either a study drug plus current standard of care (SOC), or with placebo plus current SOC.

Detailed Description

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This is a master protocol to evaluate the safety and efficacy of multiple investigational agents aimed at modifying the host immune response to SARS-CoV-2 infection, or directly enhancing viral control in order to limit disease progression.

The protocol is for a randomized, blinded, controlled platform study that allows investigational drugs to be added and dropped during the course of the study. This allows for efficient testing of new drugs against placebo and standard of care (SOC) treatment within the same study. When more than one drug is being tested at the same time, participants will be randomly allocated to treatments or placebo.

Randomization will be stratified by study site pharmacy and disease severity. There are 2 disease severity strata: Participants without organ failure (severity stratum 1); and participants with organ failure (severity stratum 2).

An independent Data and Safety Monitoring Board (DSMB) will regularly review interim analyses and summarize safety and efficacy outcomes. For investigational drugs with minimal pre-existing safety knowledge, the pace of enrollment with be initially restricted, and there will be an early review of safety data by the DSMB. For the study of each agent, at the outset of the trial, only participants in disease severity stratum 1 will be enrolled. This will continue until approximately 300 participants are enrolled and followed for 5 days. The exact number will vary according to the speed of enrollment and the timing of DSMB meetings. Prior to expanding enrollment to also include patients in disease severity stratum 2, safety will be evaluated and a pre-specified futility assessment by the DSMB will be carried out using 2 ordinal outcomes assessed at Day 5.

Both ordinal outcomes are used to assess futility because it is currently unclear whether the investigational agents under study will primarily influence non-pulmonary outcomes, for which risk is increased with SARS-CoV-2 infection, in part, through mechanisms that may be different from those that influence pulmonary outcomes.

For investigational agents passing this futility assessment, enrollment of participants will be expanded, seamlessly and without any data unblinding, to include participants in disease severity stratum 2 as well as those in disease severity stratum 1. Future interim analyses will be based on the primary endpoint of sustained recovery and will use pre-specified guidelines to determine early evidence of benefit, harm or futility for the investigational agent. Participants will be followed for 18 months following randomization.

The international trials within this protocol will be conducted in several hundred clinical sites. Participating sites are affiliated with networks funded by the United States National Institutes of Health (NIH) and the US Department of Veterans Affairs.

Conditions

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Covid19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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ACTIV-3 Drug plus SOC

Participants in this study will be randomized to receive one of the ACTIV-3 drug treatments plus Standard of Care (SOC) or placebo plus SOC

Group Type EXPERIMENTAL

LY3819253

Intervention Type BIOLOGICAL

Participants are no longer being randomized to this intervention.

Remdesivir

Intervention Type BIOLOGICAL

Provided to all study participants as SOC unless contraindicated for an individual patient.

VIR-7831

Intervention Type BIOLOGICAL

Participants are no longer being randomized to this intervention.

BRII-196/BRII-198

Intervention Type BIOLOGICAL

Participants are no longer being randomized to this intervention.

AZD7442

Intervention Type BIOLOGICAL

Participants are no longer being randomized to this intervention.

MP0420

Intervention Type DRUG

Participants are no longer being randomized to this intervention.

PF-07304814

Intervention Type DRUG

250 mg per day for 5 days. Administered as a constant rate intravenous infusion. Suspended: Participants are not currently being randomized to this intervention.

Placebo plus SOC

The placebo arm may be pooled across more than one experimental arm if multiple investigational drugs are available to be tested at the same time. If it is not possible to use matching placebo over more than one experimental arm, additional placebo arms will be included in the study

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Commercially available 0.9% sodium chloride solution. Administered by IV infusion

Remdesivir

Intervention Type BIOLOGICAL

Provided to all study participants as SOC unless contraindicated for an individual patient.

Interventions

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LY3819253

Participants are no longer being randomized to this intervention.

Intervention Type BIOLOGICAL

Placebo

Commercially available 0.9% sodium chloride solution. Administered by IV infusion

Intervention Type DRUG

Remdesivir

Provided to all study participants as SOC unless contraindicated for an individual patient.

Intervention Type BIOLOGICAL

VIR-7831

Participants are no longer being randomized to this intervention.

Intervention Type BIOLOGICAL

BRII-196/BRII-198

Participants are no longer being randomized to this intervention.

Intervention Type BIOLOGICAL

AZD7442

Participants are no longer being randomized to this intervention.

Intervention Type BIOLOGICAL

MP0420

Participants are no longer being randomized to this intervention.

Intervention Type DRUG

PF-07304814

250 mg per day for 5 days. Administered as a constant rate intravenous infusion. Suspended: Participants are not currently being randomized to this intervention.

Intervention Type DRUG

Other Intervention Names

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AZD8895 + AZD1061 ensovibep

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent.
* Positive test for COVID-19 and progressive disease suggestive of ongoing COVID-19 infection.
* Symptoms of COVID-19 for ≤ 12 days.
* Require admission to hospital for acute medical care (not for purely public health or quarantine purposes).

Exclusion Criteria

* Patients who have received plasma from a person who recovered from COVID-19 or who have received neutralizing monoclonal antibodies at any time prior to hospitalization.
* Patients not willing to abstain from participation in other COVID-19 treatment trials until after Day 5 of the study. Co-enrollment in certain trials that compare recommended Standard of Care treatments may be allowed, based on the opinion of the study leadership team.
* Any condition which, in the opinion of the responsible investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments.
* Patients considered unable to participate in study procedures.
* Women of child-bearing potential who are not already pregnant at study entry and who are unwilling to acknowledge strong advice to abstain from sexual intercourse with men or practice appropriate contraception through 18 months of the study.
* Women of child-bearing potential who are unwilling to acknowledge the strong advice to abstain from sexual intercourse with men or practice appropriate contraception through 5 weeks of the study (PF-07304814 investigational agent).
* Pregnant women (PF-07304814 investigational agents).
* Nursing mothers (PF-07304814 investigational agents).
* Men who are unwilling to acknowledge the strong advice to abstain from sexual intercourse with women of child-bearing potential or to use barrier contraception through 18 months of the study.
* Men who are unwilling to acknowledge the strong advice to abstain from sexual intercourse with women of child-bearing potential or to use barrier contraception through 5 weeks of the study (PF-07304814 investigational agent).
* Presence at study enrollment of any of the following:

1. stroke
2. meningitis
3. encephalitis
4. myelitis
5. myocardial ischemia
6. myocarditis
7. pericarditis
8. symptomatic congestive heart failure
9. arterial or deep venous thrombosis or pulmonary embolism
* Current or imminent requirement for any of the following:

1. invasive mechanical ventilation
2. ECMO (extracorporeal membrane oxygenation)
3. Mechanical circulatory support
4. vasopressor therapy
5. commencement of renal replacement therapy at this admission (i.e. not patients on chronic renal replacement therapy).
* Participants with moderate to severe hepatic impairment (i.e. Child-Pugh class B or C) or acute liver failure (PF-07304814 investigational agent).
* Participants receiving any medications or substances that are strong inhibitors or inducers of cytochrome P450 (CYP) 3A4 (PF-07304814 investigational agent).
* Patients will be excluded if taking drugs which have a narrow therapeutic window that are substrates of CYP3A4, including but not limited to: astemizole, cisapride, cyclosporine, dihydroergotamine, ergotamine, pimozide, quinidine, sirolimus, tacrolimus, and terfenadine (PF-07304814 investigational agent).
* Patients with a history of deep vein thrombosis or pulmonary thrombotic embolism (Prior to initial futility assessment of PF-07304814 investigational agent).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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International Network for Strategic Initiatives in Global HIV Trials (INSIGHT)

NETWORK

Sponsor Role collaborator

University of Copenhagen

OTHER

Sponsor Role collaborator

Medical Research Council

OTHER_GOV

Sponsor Role collaborator

Kirby Institute

OTHER_GOV

Sponsor Role collaborator

Washington D.C. Veterans Affairs Medical Center

FED

Sponsor Role collaborator

Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections

NETWORK

Sponsor Role collaborator

National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

US Department of Veterans Affairs

FED

Sponsor Role collaborator

Prevention and Early Treatment of Acute Lung Injury

OTHER

Sponsor Role collaborator

Cardiothoracic Surgical Trials Network

OTHER

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Vir Biotechnology, Inc.

INDUSTRY

Sponsor Role collaborator

GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Brii Biosciences Limited

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role collaborator

Molecular Partners AG

INDUSTRY

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role collaborator

National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prof. Jens Lundgren

Role: PRINCIPAL_INVESTIGATOR

INSIGHT Copenhagen International Coordinating Centre, Rigshospitalet, University of Copenhagen

Prof. James Neaton

Role: STUDY_CHAIR

INSIGHT Statistical and Coordinating Centre, University of Minnesota

Locations

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Banner University Medical Center Tucson (Site 206-004), 1625 N. Campbell Avenue

Tucson, Arizona, United States

Site Status

Southern Arizona VA Healthcare System (Site 074-009), 3601 S. 6th Ave.

Tucson, Arizona, United States

Site Status

Velocity Chula Vista (Site 080-034), 752 Medical Center Ct., Ste. 304

Chula Vista, California, United States

Site Status

Community Regional Medical Center (Site 203-005), 2823 Fresno Street

Fresno, California, United States

Site Status

Velocity San Diego (Site 080-035), 5565 Grossmont Center Drive, Building 2, Suite 1

La Mesa, California, United States

Site Status

VA Loma Linda Healthcare System (Site 074-017), 11201 Benton Street

Loma Linda, California, United States

Site Status

VA Long Beach Healthcare System (Site 074-026), 5901 East 7th Street (09/151-M2)

Long Beach, California, United States

Site Status

Keck Hospital of USC (Site 301-020), 1500 San Pablo Street

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center (Site 208-002), 8700 Beverly Blvd.

Los Angeles, California, United States

Site Status

Ronald Reagan UCLA Medical Center (Site 203-002), 757 Westwood Plaza

Los Angeles, California, United States

Site Status

Sacramento VA Medical Center (Site 074-023), 10535 Hospital Way

Mather, California, United States

Site Status

Hoag Memorial Hospital Presbyterian (Site 080-026), One Hoag Drive

Newport Beach, California, United States

Site Status

Palo Alto VAMC (Site 074-005), 3801 Miranda Avenue

Palo Alto, California, United States

Site Status

UC Davis Health (Site 203-004), 2315 Stockton Blvd.

Sacramento, California, United States

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VA San Diego Healthcare System (Site 074-016), 3350 La Jolla Village Drive

San Diego, California, United States

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UCSF Medical Center at Mount Zion (Site 203-007), 1600 Divisadero St.

San Francisco, California, United States

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San Francisco VAMC (Site 074-002), 4150 Clement St.

San Francisco, California, United States

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UCSF Medical Center (Site 203-001), Moffitt-Long Hospital, 505 Parnassus Ave.

San Francisco, California, United States

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Stanford University Hospital & Clinics (Site 203-003), 300 Pasteur Dr.

Stanford, California, United States

Site Status

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center (Site 066-002), 1124 W. Carson Street, CDCRC Building

Torrance, California, United States

Site Status

University of Colorado Hospital (Site 204-001), 12605 E. 16th Avenue

Aurora, Colorado, United States

Site Status

Denver Public Health (Site 017-004), 660 Bannock St., MC2600 (Infectious Disease Clinic)

Denver, Colorado, United States

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National Jewish Health / St. Joseph Hospital (Site 204-003), 1400 Jackson Street

Denver, Colorado, United States

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West Haven VA Medical Center (Site 025-007), 950 Campbell Avenue

West Haven, Connecticut, United States

Site Status

MedStar Georgetown University Hospital (Site 067-001), 3800 Reservoir Road NW

Washington D.C., District of Columbia, United States

Site Status

MedStar Health Research Institute (Site 009-021), MedStar Washington Hospital Center, 110 Irving St., NW.

Washington D.C., District of Columbia, United States

Site Status

Washington DC VA Medical Center (Site 009-004), 50 Irving Street NW

Washington D.C., District of Columbia, United States

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Bay Pines VAMC (Site 074-004), 10000 Bay Pines Blvd., Bldg. 100, Room 5B-104

Bay Pines, Florida, United States

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Baycare Health System (Site 301-025), Morton Plant Hospital, 300 Pinellas Street

Clearwater, Florida, United States

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North Florida/South Georgia Veterans Health System (Site 074-011), 1601 SW. Archer Road

Gainesville, Florida, United States

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Memorial Healthcare System (Site 648-002), Memorial Regional Hospital, 3501 Johnson Street

Hollywood, Florida, United States

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Miami VAMC (Site 074-003), 1201 NW 16 Street

Miami, Florida, United States

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Hillsborough County Health Department, University of South Florida (Site 032-001)

Tampa, Florida, United States

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Emory University (Site 301-008), The Emory Clinic, Bldg. A, Suite 2236, 1365 Clifton Rd., NE

Atlanta, Georgia, United States

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Lutheran Medical Group (Site 301-010), 7916 W. Jefferson Boulevard

Fort Wayne, Indiana, United States

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Cotton O'Neil Clinical Research Center (Site 080-030), Stormont Vail Health, 1500 SW 10th Avenue

Topeka, Kansas, United States

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University of Kentucky Hospital (Site 210-004), 1000 South Limestone St.

Lexington, Kentucky, United States

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Ochsner Clinic Foundation (Site 301-015), 1514 Jefferson Highway

New Orleans, Louisiana, United States

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University of Maryland Medical Center (Site 301-019), 22 South Greene Street

Baltimore, Maryland, United States

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Massachusetts General Hospital (Site 202-002), 55 Fruit Street

Boston, Massachusetts, United States

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Beth Israel Deaconess Medical Center (Site 202-001), 330 Brookline Ave.

Boston, Massachusetts, United States

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Baystate Medical Center (Site 201-001), 759 Chestnut Street

Springfield, Massachusetts, United States

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University of Michigan (Site 205-001), 1500 East Medical Center Drive

Ann Arbor, Michigan, United States

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Henry Ford Health System, Henry Ford Hospital (Site 014-001), 2799 W. Grand Blvd.

Detroit, Michigan, United States

Site Status

Minneapolis Heart Institute Foundation (Site 301-026), Abbott Northwestern Hospital, 920 E 28th St. #100

Minneapolis, Minnesota, United States

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Hennepin Healthcare (Site 027-001), 701 Park Avenue

Minneapolis, Minnesota, United States

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Minneapolis VA Health Care System (Site 105-001), 1 Veterans Drive, Bldg 70

Minneapolis, Minnesota, United States

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M Health Fairview University of Minnesota Medical Center (Site 112-001), 500 Harvard St. SE.

Minneapolis, Minnesota, United States

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University of Mississippi Medical Center (Site 202-005), 2500 North State Street

Jackson, Mississippi, United States

Site Status

VA St. Louis Healthcare System (Site 074-027), 915 North Grand Blvd., Rm. C201

St Louis, Missouri, United States

Site Status

Dartmouth-Hitchcock Medical Center/Mary Hitchcock Memorial Hospital (Site 301-024), One Medical Center Drive

Lebanon, New Hampshire, United States

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Cooper University Hospital (Site 019-001), One Cooper Plaza

Camden, New Jersey, United States

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SUNY Downstate Medical Center (Site 033-001), 450 Clarkson Ave.

Brooklyn, New York, United States

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Maimonides Medical Center (Site 033-002), 4802 10th Avenue

Brooklyn, New York, United States

Site Status

Ichan School of Medicine at Mount Sinai (Site 301-012), One Gustave L. Levy Place, Box 1620

New York, New York, United States

Site Status

Lincoln Medical Center (New York Health and Hospitals/Lincoln) (Site 003-016), 234 E. 149th Street

The Bronx, New York, United States

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Montefiore Medical Center Weiler Hospital (Site 206-003), 1825 Eastchester Road

The Bronx, New York, United States

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Montefiore Medical Center Moses Hospital (Site 206-001), 111 E. 210th Street

The Bronx, New York, United States

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Duke University Hospital (Site 301-006), 2301 Erwin Road

Durham, North Carolina, United States

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Wake Forest University Health Sciences (Site 210-001), Medical Center Blvd

Winston-Salem, North Carolina, United States

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University of Cincinnati Medical Center (Site 207-003), 234 Goodman Ave.

Cincinnati, Ohio, United States

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University Hospitals Cleveland Medical Center (Site 108-001), 11100 Euclid Avenue

Cleveland, Ohio, United States

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Cleveland Clinic Fairview Hospital (Site 207-005), 18101 Lorain Avenue

Cleveland, Ohio, United States

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Cleveland Clinic Foundation (Site 207-001), 9500 Euclid Avenue

Cleveland, Ohio, United States

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Cleveland Clinic Marymount Hospital (Site 207-006), 12300 McCraken Road

Garfield Heights, Ohio, United States

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Oregon Health & Science University (Site 208-003), 3181 SW Sam Jackson Park Rd.

Portland, Oregon, United States

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Portland VA Healthcare System (Site 074-024), 3710 SW. US Veterans Hospital Road

Portland, Oregon, United States

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UPMC Magee-Womens Hospital (Site 209-003), 300 Halket Street

Pittsburgh, Pennsylvania, United States

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UPMC Presbyterian Hospital (Site 209-001), 200 Lothrop Street

Pittsburgh, Pennsylvania, United States

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UPMC Shadyside Hospital (Site 209-005), 5230 Centre Avenue

Pittsburgh, Pennsylvania, United States

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Rhode Island Hospital (Site 080-036), 593 Eddy Street

Providence, Rhode Island, United States

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The Miriam Hospital (Site 080-039), 164 Summit Ave.

Providence, Rhode Island, United States

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VA Providence Healthcare System (Site 074-025), 830 Chalkstone Ave.

Providence, Rhode Island, United States

Site Status

Ralph H. Johnson VA Medical Center (Site 074-015), 109 Bee Street

Charleston, South Carolina, United States

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MUSC Research Nexus Clinic (Site 210-002), 96 Jonathan Lucas St., CSB 214

Charleston, South Carolina, United States

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MUSC Health Florence Medical Center (Site 210-006), 805 Pamplico Highway

Florence, South Carolina, United States

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VA TVHS Nashville Campus (Site 074-022), 1310 24th Avenue South

Nashville, Tennessee, United States

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Vanderbilt University Medical Center (Site 212-001), 1211 Medical Center Drive

Nashville, Tennessee, United States

Site Status

Hendrick Medical Center (Site 080-014), 1900 Pine Street

Abilene, Texas, United States

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CHRISTUS Spohn Shoreline Hospital (Site 080-001), 600 Elizabeth Street

Corpus Christi, Texas, United States

Site Status

Parkland Health and Hospital Systems (Site 084-002), 5200 Harry Hines Blvd

Dallas, Texas, United States

Site Status

UT Southwestern Medical Center (Site 084-001), 1936 Amelia Court, 2nd Floor

Dallas, Texas, United States

Site Status

Baylor, Scott and White Health (Site 301-003), Baylor University Medical Center, 3500 Gaston Ave.

Dallas, Texas, United States

Site Status

Memorial Hermann Hospital (Site 203-006), 6411 Fannin Street

Houston, Texas, United States

Site Status

Michael E. DeBakey Veterans Affairs Medical Center (MEDV AMC) (Site 074-006), 2002 Holcombe Blvd.

Houston, Texas, United States

Site Status

Texas Heart Institute (Site 301-017), 6770 Bertner, MC4-266

Houston, Texas, United States

Site Status

CHRISTUS Good Shepherd Medical Center (Site 080-031), 700 E. Marshall Ave.

Longview, Texas, United States

Site Status

Intermountain Medical Center (Site 211-001), 5121 South Cottonwood Street

Murray, Utah, United States

Site Status

University of Utah Hospital (Site 211-002), 419 Wakara Way, Suite 207

Salt Lake City, Utah, United States

Site Status

LDS Hospital (Site 211-004), 8th Ave. C Street

Salt Lake City, Utah, United States

Site Status

University of Virginia Health Systems (Site 301-021), 1215 Lee Street

Charlottesville, Virginia, United States

Site Status

Virginia Commonwealth University Health System (Site 210-005), 1250 East Marshall Street

Richmond, Virginia, United States

Site Status

Carilion Roanoke Memorial Hospital (Site 080-018), 1906 Belleview Avenue

Roanoke, Virginia, United States

Site Status

Salem VA Medical Center (Site 074-014), 1970 Roanoke Blvd.

Salem, Virginia, United States

Site Status

Harborview Medical Center (Site 208-001), 325 9th Avenue

Seattle, Washington, United States

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Swedish Hospital First Hill (Site 208-005), 747 Broadway

Seattle, Washington, United States

Site Status

University of Washington Medical Center - Montlake (Site 208-006), 1959 NE Pacific Street

Seattle, Washington, United States

Site Status

West Virginia University (Site 301-023), One Medical Center Drive

Morgantown, West Virginia, United States

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Aalborg Hospital (Site 625-005), Hobrovej 18

Aalborg, , Denmark

Site Status

Aarhus Universitetshospital, Skejby (Site 625-002), Department of Infectious Diseases, Palle Juul-Hensens Boulevard 99

Aarhus N, , Denmark

Site Status

Bispebjerg Hospital (Site 625-013), Bispebjerg Bakke 23

Copenhagen, , Denmark

Site Status

Righospitalet (Site 625-006), Blegdamsvej 9,

Copenhagen Ø, , Denmark

Site Status

Herlev/Gentofte Hospital (Site 625-012), Medicinsk Afdeling, Herlev Ringvej 75

Herlev, , Denmark

Site Status

Nordsjællands Hospital (Site 625-009), Dyrehavevej 29

Hillerød, , Denmark

Site Status

Hvidovre University Hospital, Department of Infectious Diseases (Site 625-001), Kettegård allé 30

Hvidovre, , Denmark

Site Status

Kolding Sygehus (Site 625-011), Medicinsk Afdeling, Sygehusvej 24

Kolding, , Denmark

Site Status

Odense University Hospital (Site 625-004), Infektionsmedicinsk Forskningsenhed, J.B. Winsløwsgade 4

Odense, , Denmark

Site Status

Zealand University Hospital, Roskilde (Site 625-010), Sygehusvej 10

Roskilde, , Denmark

Site Status

Democritus University of Thrace (Site 635-021), University General Hospital of Alexandroupolis, Dragana

Alexandroupoli, Evros, Greece

Site Status

Evangelismos COVID-19 Unit, (Site 635-020), 1st Dept. of Pulmonary and Critical Care Medicine, Evangelismos General Hospital, Dept., Ipsilantou 45-47

Athens, , Greece

Site Status

1st Respiratory Medicine Dept., Athens University Medical School (Site 635-015), Athens Hospital for Diseases of the Chest "Sotiria Hospital", 152 Mesogeion Ave.

Athens, , Greece

Site Status

3rd Dept. of Medicine, Medical School, NKUA (Site 635-022), Sotiria General Hospital, 152 Mesogeion Ave.

Athens, , Greece

Site Status

Attikon University General Hospital (Site 635-009), 4th Dept. of Internal Medicine, Medical School, National and Kapodistrian University of Athens, 1 Rimini St., Haidari

Athens, , Greece

Site Status

Institute of Human Virology Nigeria (IHVN) (Site 612-601), Plot 252, Herbert Macaulay Way, Central Business District

Abuja, , Nigeria

Site Status

Wojewódzki Szpital Zakazny (Site 625-302), Wolska 37

Warsaw, , Poland

Site Status

Tan Tock Seng Hospital (Site 612-201), National Centre for Infectious Diseases (NCID), 11 Jalan Tan Tock Seng

Singapore, , Singapore

Site Status

Hospital Universitari Germans Trias i Pujol (Site 626-003), Infectious Disease Unit, Second Floor, Building Maternal, Road Canyet s/n

Badalona, Barcelona, Spain

Site Status

Hospital Universitari Arnau de Vilanova (Site 626-035), Av. Alcalde Rovira Roure 80

Lleida, Leida, Spain

Site Status

Hospital Del Mar (Site 626-025), Paseo Maritimo 25-29

Barcelona, , Spain

Site Status

Hospital Universitari Vall d'Hebron (Site 626-033), Passeig de la Vall d'Hebron 119-129

Barcelona, , Spain

Site Status

Hospital Clínic de Barcelona (Site 626-004), Carrer de Villaroel 170

Barcelona, , Spain

Site Status

Hospital Universitario de Bellvitge (Site 626-034), Carrer de la Feixa Llarga, s/n

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marañón (Site 626-001), Dr. Esquerdo, 46

Madrid, , Spain

Site Status

Hospital Clínico San Carlos (Site 626-017), Enfermedades infecciosas, C/Martin Lagos CN

Madrid, , Spain

Site Status

UCICEC (Clinical Trial Unit) Hospital Universitario La Paz (Site 626-012), Paseo de la Castellana 261, 2a planta Hospital Maternal

Madrid, , Spain

Site Status

University Hospital Zurich (Site 621-201), Department of Infectious Diseases and Hospital Epidemiology, Raemistrasse 100

Zurich, Canton of Zurich, Switzerland

Site Status

MRC/UVRI and LSHTM Uganda Research Unit (Site 634-601), Entebbe Regional Referral Hospital

Entebbe, , Uganda

Site Status

Gulu Regional Referral Hospital (Site 634-603), Laroo Division, PO Box 160

Gulu, , Uganda

Site Status

Makerere University Lung Institute (Site 634-604), New Mulago Hospital Complex, Mulago Hill

Kampala, , Uganda

Site Status

St. Francis Hospital, Nsambya (Site 634-607), Nsambya Road Nsambya Hill, P.O. Box 7146

Kampala, , Uganda

Site Status

Lira Regional Referral Hospital (Site 634-605)

Lira, , Uganda

Site Status

Masaka Regional Referral Hospital (Site 634-606), MRC/UVRI and LSHTM Uganda Research Unit, Plot 6 Circle Road, PO Box 556

Masaka, , Uganda

Site Status

Royal Victoria Infirmary (Site 634-007), Queen Victoria Road

Newcastle upon Tyne, Northumbria, United Kingdom

Site Status

Royal Free Hospital (Site 634-006), Pond Street, Hampstead

London, , United Kingdom

Site Status

Guy's and St. Thomas' NHS Foundation Trust (Site 634-011)

London, , United Kingdom

Site Status

Countries

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United States Denmark Greece Nigeria Poland Singapore Spain Switzerland Uganda United Kingdom

References

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Mourad A, Grandits GA, Siegel LK, Engen N, Barkauskas C, Eriobu N, Jain MK, Jensen TO, Ginde A, Higgs E, Knox DB, Kitonsa J, Kim K, Malin JJ, Rapti V, Price DA, Mena Lora AJ, Mathews G, Mylonakis E, Murray TA, Sandkovsky U, Paredes R, Ramachandruni S, Reilly C, Vock D, Williamson JC, Young BE, Self WH, Lundgren J, Holland TL; INSIGHT ACTIV-3/TICO Study Group and the STRIVE Network. Long-term outcomes of passive immunotherapy for COVID-19: a pooled analysis of a large multinational platform randomized clinical trial. Clin Microbiol Infect. 2025 Jun;31(6):1053-1060. doi: 10.1016/j.cmi.2025.02.002. Epub 2025 Feb 6.

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Jensen TO, Grandits GA, Jain MK, Murray TA, Grund B, Shaw-Saliba K, Matthay MA, Abassi M, Ardelt M, Baker JV, Chen P, Dewar RL, Goodman AL, Hatlen TJ, Highbarger HC, Holodniy M, Lallemand P, Laverdure S, Leshnower BG, Looney D, Moschopoulos CD, Mugerwa H, Murray DD, Mylonakis E, Nagy-Agren S, Rehman MT, Rupert A, Stevens RA, Turville S, Weintrob A, Wick K, Lundgren J, Ko ER; ACTIV-3/TICO Study Group. Effect of Neutralizing Monoclonal Antibody Treatment on Early Trajectories of Virologic and Immunologic Biomarkers in Patients Hospitalized With COVID-19. J Infect Dis. 2024 Mar 14;229(3):671-679. doi: 10.1093/infdis/jiad446.

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PMID: 37948759 (View on PubMed)

ACTIV-3/TICO Study Group; Barkauskas C, Mylonakis E, Poulakou G, Young BE, Vock DM, Siegel L, Engen N, Grandits G, Mosaly NR, Vekstein AM, Rogers R, Shehadeh F, Kaczynski M, Mylona EK, Syrigos KN, Rapti V, Lye DC, Hui DS, Leither L, Knowlton KU, Jain MK, Marines-Price R, Osuji A, Overcash JS, Kalomenidis I, Barmparessou Z, Waters M, Zepeda K, Chen P, Torbati S, Kiweewa F, Sebudde N, Almasri E, Hughes A, Bhagani SR, Rodger A, Sandkovsky U, Gottlieb RL, Nnakelu E, Trautner B, Menon V, Lutaakome J, Matthay M, Robinson P, Protopapas K, Koulouris N, Kimuli I, Baduashvili A, Braun DL, Gunthard HF, Ramachandruni S, Kidega R, Kim K, Hatlen TJ, Phillips AN, Murray DD, Jensen TO, Padilla ML, Accardi EX, Shaw-Saliba K, Dewar RL, Teitelbaum M, Natarajan V, Laverdure S, Highbarger HC, Rehman MT, Vogel S, Vallee D, Crew P, Atri N, Schechner AJ, Pett S, Hudson F, Badrock J, Touloumi G, Brown SM, Self WH, North CM, Ginde AA, Chang CC, Kelleher A, Nagy-Agren S, Vasudeva S, Looney D, Nguyen HH, Sanchez A, Weintrob AC, Grund B, Sharma S, Reilly CS, Paredes R, Bednarska A, Gerry NP, Babiker AG, Davey VJ, Gelijns AC, Higgs ES, Kan V, Matthews G, Thompson BT, Legenne P, Chandra R, Lane HC, Neaton JD, Lundgren JD. Efficacy and Safety of Ensovibep for Adults Hospitalized With COVID-19 : A Randomized Controlled Trial. Ann Intern Med. 2022 Sep;175(9):1266-1274. doi: 10.7326/M22-1503. Epub 2022 Aug 9.

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ACTIV-3-Therapeutics for Inpatients with COVID-19 (TICO) Study Group. Tixagevimab-cilgavimab for treatment of patients hospitalised with COVID-19: a randomised, double-blind, phase 3 trial. Lancet Respir Med. 2022 Oct;10(10):972-984. doi: 10.1016/S2213-2600(22)00215-6. Epub 2022 Jul 8.

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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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PMID: 35713300 (View on PubMed)

Wick KD, Siegel L, Neaton JD, Oldmixon C, Lundgren J, Dewar RL, Lane HC, Thompson BT, Matthay MA; ACTIV-3/TICO study group. RAGE has potential pathogenetic and prognostic value in nonintubated hospitalized patients with COVID-19. JCI Insight. 2022 May 9;7(9):e157499. doi: 10.1172/jci.insight.157499.

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ACTIV-3/Therapeutics for Inpatients with COVID-19 (TICO) Study Group. Efficacy and safety of two neutralising monoclonal antibody therapies, sotrovimab and BRII-196 plus BRII-198, for adults hospitalised with COVID-19 (TICO): a randomised controlled trial. Lancet Infect Dis. 2022 May;22(5):622-635. doi: 10.1016/S1473-3099(21)00751-9. Epub 2021 Dec 23.

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ACTIV-3/TICO Bamlanivimab Study Group; Lundgren JD, Grund B, Barkauskas CE, Holland TL, Gottlieb RL, Sandkovsky U, Brown SM, Knowlton KU, Self WH, Files DC, Jain MK, Benfield T, Bowdish ME, Leshnower BG, Baker JV, Jensen JU, Gardner EM, Ginde AA, Harris ES, Johansen IS, Markowitz N, Matthay MA, Ostergaard L, Chang CC, Goodman AL, Chang W, Dewar RL, Gerry NP, Higgs ES, Highbarger H, Murray DD, Murray TA, Natarajan V, Paredes R, Parmar MKB, Phillips AN, Reilly C, Rupert AW, Sharma S, Shaw-Saliba K, Sherman BT, Teitelbaum M, Wentworth D, Cao H, Klekotka P, Babiker AG, Davey VJ, Gelijns AC, Kan VL, Polizzotto MN, Thompson BT, Lane HC, Neaton JD. Responses to a Neutralizing Monoclonal Antibody for Hospitalized Patients With COVID-19 According to Baseline Antibody and Antigen Levels : A Randomized Controlled Trial. Ann Intern Med. 2022 Feb;175(2):234-243. doi: 10.7326/M21-3507. Epub 2021 Dec 21.

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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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ACTIV-3/TICO LY-CoV555 Study Group; Lundgren JD, Grund B, Barkauskas CE, Holland TL, Gottlieb RL, Sandkovsky U, Brown SM, Knowlton KU, Self WH, Files DC, Jain MK, Benfield T, Bowdish ME, Leshnower BG, Baker JV, Jensen JU, Gardner EM, Ginde AA, Harris ES, Johansen IS, Markowitz N, Matthay MA, Ostergaard L, Chang CC, Davey VJ, Goodman A, Higgs ES, Murray DD, Murray TA, Paredes R, Parmar MKB, Phillips AN, Reilly C, Sharma S, Dewar RL, Teitelbaum M, Wentworth D, Cao H, Klekotka P, Babiker AG, Gelijns AC, Kan VL, Polizzotto MN, Thompson BT, Lane HC, Neaton JD. A Neutralizing Monoclonal Antibody for Hospitalized Patients with Covid-19. N Engl J Med. 2021 Mar 11;384(10):905-914. doi: 10.1056/NEJMoa2033130. Epub 2020 Dec 22.

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PMID: 33356051 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Informed Consent Form

View Document

Related Links

Access external resources that provide additional context or updates about the study.

https://www.cdc.gov/coronavirus/2019-nCoV/index.html

CDC (Centers for Disease Control and Prevention): Coronavirus (COVID-19) website

https://www.niaid.nih.gov/clinical-trials/participant-guide

A Participant's Guide to Clinical Trials (NIAID)

https://www.niaid.nih.gov/

National Institute for Allergy and Infectious Diseases (NIAID)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

014 / ACTIV-3

Identifier Type: -

Identifier Source: org_study_id

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