COVID-19 Study to Assess Immunogenicity, Safety, and Tolerability of Moderna mRNA-1273 Vaccine Administered With Casirivimab+Imdevimab in Healthy Adult Volunteers

NCT ID: NCT04852978

Last Updated: 2025-10-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

295 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-29

Study Completion Date

2022-11-21

Brief Summary

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The primary objectives of the study are:

* To evaluate the extent of effect, if any, of REGN10933+REGN10987 administration on vaccine-induced neutralizing antibody responses to SARS-CoV-2 by Moderna mRNA-1273
* To evaluate the time interval required between REGN10933+REGN10987 administration and Moderna mRNA-1273 vaccination, to ensure no meaningful impact on vaccine-induced neutralizing antibody responses to SARS-CoV-2

The secondary objectives of the study are:

* To quantify the alteration of antigen specificity of vaccine-induced SARS-CoV-2 antibody responses when administered with different dose regimens of REGN10933+REGN10987
* To evaluate the safety and tolerability of REGN10933+REGN10987 and Moderna mRNA-1273 vaccine when administered in close succession
* To assess the concentrations of REGN10933 and REGN10987 in serum over time in participants who receive REGN10933+REGN10987 and Moderna mRNA-1273 vaccine
* To evaluate the immunogenicity of REGN10933 and REGN10987 over time

Detailed Description

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Conditions

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Healthy Chronic Stable Illness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Wave 1 Dose 1

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 1 Dose 2

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 1 Dose 3

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 1 Vaccine only

Group Type EXPERIMENTAL

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 2 Dose 1

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 2 Dose 2

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 2 Vaccine only

Group Type EXPERIMENTAL

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 3 Dose 1

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 3 Dose 2

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 3 Vaccine only

Group Type EXPERIMENTAL

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 4 Dose 1

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Wave 4 Vaccine only

Group Type EXPERIMENTAL

Moderna mRNA-1273 vaccine

Intervention Type BIOLOGICAL

Single intramuscular (IM) injection

Interventions

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casirivimab+imdevimab

Wave 1 Intravenous (IV) administration Wave 2 Subcutaneous administration

Intervention Type DRUG

Moderna mRNA-1273 vaccine

Single intramuscular (IM) injection

Intervention Type BIOLOGICAL

Other Intervention Names

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REGN10933 REGN10987 REGN-COV2 REGEN-COV™ Ronapreve™

Eligibility Criteria

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Inclusion Criteria

1. Healthy or has chronic medical condition(s) that are stable and well-controlled in the opinion of the investigator and that are not likely to require significant medical intervention through the end of study
2. Willing and able to comply with study visits and study-related procedures, including compliance with site precautionary requirements related to SARS-CoV-2 infection and transmission

Exclusion Criteria

1. Positive RT-PCR test result for SARS-CoV-2 infection at screening or baseline
2. Positive serology test result for anti-SARS-CoV-2 antibodies at screening or baseline
3. COVID-19 diagnosis, positive SARS-CoV-2 infection, or positive SARS-CoV-2 serology at any time prior to screening
4. Previously received an investigational, authorized, or approved coronavirus vaccine (eg, SARS-CoV-2 vaccine, MERS-CoV vaccine)
5. Currently enrolled in, or has plans to enroll in, any interventional study to prevent or treat COVID-19
6. Received investigational or approved passive antibodies for SARS-CoV-2 infection prophylaxis ad defined in the protocol
7. Received intravenous immunoglobulin (IVIG) or blood products in the last 3 months
8. Any physical examination findings and/or history of any illness that, in the opinion of the study investigator, might confound the results of the study or pose an additional risk to the subject by study participation
9. History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric or neurological disease, as assessed by the investigator, that may confound the results of the study or pose an additional risk to the subject by study participation
10. Medically attended acute illness or hospitalization (ie, \>24 hours) for any reason within 30 days prior to screening
11. Clinical history of myocarditis and/or pericarditis
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Regeneron Research Site

Little Rock, Arkansas, United States

Site Status

Regeneron Research Site

Rogers, Arkansas, United States

Site Status

Regeneron Research Site

Hialeah, Florida, United States

Site Status

Regeneron Research Site

Miami, Florida, United States

Site Status

Regeneron Research Site

Orlando, Florida, United States

Site Status

Regeneron Research Site

Dayton, Ohio, United States

Site Status

Countries

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United States

References

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Isa F, Gonzalez Ortiz AM, Meyer J, Hamilton JD, Olenchock BA, Brackin T, Ganguly S, Forleo-Neto E, Faria L, Heirman I, Marovich M, Hutter J, Polakowski L, Irvin SC, Thakur M, Hooper AT, Baum A, Petro CD, Fakih FA, McElrath MJ, De Rosa SC, Cohen KW, Williams LD, Hellman CA, Odeh AJ, Patel AH, Tomaras GD, Geba GP, Kyratsous CA, Musser B, Yancopoulos GD, Herman GA; Trial Working Group. Effect of timing of casirivimab and imdevimab administration relative to mRNA-1273 COVID-19 vaccination on vaccine-induced SARS-CoV-2 neutralising antibody responses: a prospective, open-label, phase 2, randomised controlled trial. Lancet Infect Dis. 2025 Jan;25(1):52-67. doi: 10.1016/S1473-3099(24)00421-3. Epub 2024 Sep 2.

Reference Type DERIVED
PMID: 39236733 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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R10933-10987-COV-2118

Identifier Type: -

Identifier Source: org_study_id

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