Use of Monoclonal Antibodies for the Treatment of Mild to Moderate COVID-19 in Non-Hospitalized Setting

NCT ID: NCT04840459

Last Updated: 2022-03-29

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-20

Study Completion Date

2023-01-31

Brief Summary

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No therapeutic agent is currently approved for the treatment of SARSCoV-2 infection. More importantly, no intervention is currently available to mitigate the progression of disease from mid/moderate to serve particularly in high risk patients. Recognizing this limitation and urgency of finding a treatment for COVID-19, the U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) to permit the emergencyuse of the unapproved product bamlanivimab or casirivimab + imdevimab for the treatment of mild to moderate coronavirus disease 2019 (COVID19) in adults and pediatric patients with positive results of direct SARS-CoV-2 viral testing who are 12 years of age and older weighing at least 40 kg, and who are at high risk for progressing to severe COVID-19 and/or hospitalization.

Detailed Description

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Conditions

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Covid19

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BAMLANIVIMAB

The dosage of bamlanivimab in adults and pediatric patients 12 years of age and older weighing at least 40 kg is a single IV infusion of 700 mg bamlanivimab administered over at least 60 minutes

Group Type EXPERIMENTAL

BAMLANIVIMAB

Intervention Type BIOLOGICAL

n. Bamlanivimab is a recombinant neutralizing human mIgG1? monoclonal antibody (mAb) to the spike protein of SARS-CoV-2, and is unmodified in the Fc region.

CASIRIVIMAB + IMDEVIMAB

10 mL of casirivimab and 10 mL of imdevimab from each respective vial using two separate syringes and dilute together in the infusion bag containing 0.9% Sodium Chloride Injection

Group Type EXPERIMENTAL

CASIRIVIMAB

Intervention Type BIOLOGICAL

CASIRIVIMAB is a recombinant human mAbs which are unmodified in the Fc regions.

IMDEVIMAB

Intervention Type BIOLOGICAL

IMDEVIMAB is a recombinant human mAbs which are unmodified in the Fc regions.

Interventions

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BAMLANIVIMAB

n. Bamlanivimab is a recombinant neutralizing human mIgG1? monoclonal antibody (mAb) to the spike protein of SARS-CoV-2, and is unmodified in the Fc region.

Intervention Type BIOLOGICAL

CASIRIVIMAB

CASIRIVIMAB is a recombinant human mAbs which are unmodified in the Fc regions.

Intervention Type BIOLOGICAL

IMDEVIMAB

IMDEVIMAB is a recombinant human mAbs which are unmodified in the Fc regions.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. adults and pediatric patients with positive results of direct SARS-CoV-2 viral testing
2. 12 years of age and older weighing at least 40 kg
3. are at ":high risk" for progressing to severe COVID-19 and/or hospitalization

High risk is defined as patients who meet at least one of the following criteria:

1. Have a body mass index (BMI) \>35
2. Have chronic kidney disease
3. Have diabetes
4. Have immunosuppressive disease
5. Are currently receiving immunosuppressive treatment
6. Are over 65 years of age
7. Are over 55 years of age AND have: cardiovascular disease, OR hypertension, OR chronic obstructive pulmonary disease/other chronic respiratory disease
8. Are 12 - 17 years of age AND have
9. BMI \>85th percentile for their age and gender based on CDC o growth charts, ii. sickle cell disease OR iii. congenital or acquired heart disease OR iv. neurodevelopmental disorders, for example, cerebral palsy, OR a medical-related technological dependence, for example, tracheostomy, gastrostomy, or positive pressure ventilation (not related to COVID-19), OR

v. asthma, reactive airway or other chronic respiratory disease o that requires daily medication for control.

Exclusion Criteria

1. Younger than 12 years of age
2. Do not meet criteria to be classified as "high risk'
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohail Rao

OTHER

Sponsor Role lead

Responsible Party

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Sohail Rao

President and CEO

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sohail Rao, MD

Role: PRINCIPAL_INVESTIGATOR

DHR Heath Institute for Research and Development

Locations

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DHR Health Institute for Research and Development

Edinburg, Texas, United States

Site Status RECRUITING

DHR Health

Edinburg, Texas, United States

Site Status RECRUITING

Starr County Memorial Hospital

Rio Grande City, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Sohail Rao, MD

Role: CONTACT

9563622387

Monica Betancourt-Garcia, MD

Role: CONTACT

956-3623223

Facility Contacts

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Sohail Rao, MD

Role: primary

956-362-2387

Monica Betancourt-Garcia, MD

Role: backup

9563623223

Sohail Rao, MD

Role: primary

956-362-2387

Monica Garcia-Betancourt, MD

Role: backup

9563623223

Sohail Rao, MD

Role: primary

956-362-2387

Monica Garcia-Betancourt, MD

Role: backup

9563623223

Other Identifiers

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1686206

Identifier Type: -

Identifier Source: org_study_id

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