Intramuscular and Intravenous VIR-7831 (Sotrovimab) for Mild/Moderate COVID-19.

NCT ID: NCT04913675

Last Updated: 2024-03-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

1065 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-10

Study Completion Date

2023-03-24

Brief Summary

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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.

Detailed Description

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Conditions

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Covid19

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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Main Study - Sotrovimab 500 mg IV

Group Type ACTIVE_COMPARATOR

sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab 500 mg given by intravenous infusion over 15 min

Main Study - Sotrovimab 500 mg IM

Group Type EXPERIMENTAL

sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab 500 mg given by intramuscular injection

Main Study - Sotrovimab 250 mg IM

Group Type EXPERIMENTAL

sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab 250 mg given by intramuscular injection

Substudy (Cohort A) - Sotrovimab 2000 mg IV

Group Type EXPERIMENTAL

sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab 2000 mg given by intravenous infusion over 60 min

Substudy (Optional Cohort B1) - Sotrovimab 2000 mg IV

Group Type EXPERIMENTAL

Sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab 2000 mg given by intravenous infusion over 30 min

Substudy (Optional Cohort B2) - Sotrovimab 2000 mg IV

Group Type EXPERIMENTAL

Sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab 2000 mg given by intravenous infusion over 15 min

Substudy (Optional Cohort C) - Sotrovimab up to 3000 mg IV

Group Type EXPERIMENTAL

Sotrovimab

Intervention Type BIOLOGICAL

Sotrovimab up to 3000 mg given by intravenous infusion over 90 min

Interventions

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sotrovimab

Sotrovimab 500 mg given by intravenous infusion over 15 min

Intervention Type BIOLOGICAL

sotrovimab

Sotrovimab 500 mg given by intramuscular injection

Intervention Type BIOLOGICAL

sotrovimab

Sotrovimab 250 mg given by intramuscular injection

Intervention Type BIOLOGICAL

sotrovimab

Sotrovimab 2000 mg given by intravenous infusion over 60 min

Intervention Type BIOLOGICAL

Sotrovimab

Sotrovimab 2000 mg given by intravenous infusion over 30 min

Intervention Type BIOLOGICAL

Sotrovimab

Sotrovimab 2000 mg given by intravenous infusion over 15 min

Intervention Type BIOLOGICAL

Sotrovimab

Sotrovimab up to 3000 mg given by intravenous infusion over 90 min

Intervention Type BIOLOGICAL

Eligibility Criteria

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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
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Vir Biotechnology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigative Site

Anniston, Alabama, United States

Site Status

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Mesa, Arizona, United States

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Tucson, Arizona, United States

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Los Angeles, California, United States

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Rolling Hills Estates, California, United States

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Bradenton, Florida, United States

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Doral, Florida, United States

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Doral, Florida, United States

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Gainesville, Florida, United States

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Hialeah, Florida, United States

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Hialeah, Florida, United States

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Hialeah, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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North Miami Beach, Florida, United States

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Ormond Beach, Florida, United States

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Palmetto Bay, Florida, United States

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Pembroke Pines, Florida, United States

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Pompano Beach, Florida, United States

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Tampa, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Idaho Falls, Idaho, United States

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Mishawaka, Indiana, United States

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Sterling Heights, Michigan, United States

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Las Vegas, Nevada, United States

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The Bronx, New York, United States

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High Point, North Carolina, United States

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Mount Airy, North Carolina, United States

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Columbus, Ohio, United States

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Smithfield, Pennsylvania, United States

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Baytown, Texas, United States

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Forney, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Laredo, Texas, United States

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Mesquite, Texas, United States

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Pharr, Texas, United States

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Kirkland, Washington, United States

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Seattle, Washington, United States

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Limoges, Haute-Vienna, France

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Investigative Site

Kyiv, , Ukraine

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Countries

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United States France Ukraine

References

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Shapiro AE, Sarkis E, Acloque J, Free A, Gonzalez-Rojas Y, Hussain R, Juarez E, Moya J, Parikh N, Inman D, Cebrik D, Nader A, Noormohamed N, Wang Q, Skingsley A, Austin D, Peppercorn A, Agostini ML, Parra S, Chow S, Mogalian E, Pang PS, Hong DK, Sager JE, Yeh WW, Alexander EL, Gaffney LA, Kohli A. Intramuscular vs Intravenous SARS-CoV-2 Neutralizing Antibody Sotrovimab for Treatment of COVID-19 (COMET-TAIL): A Randomized Noninferiority Clinical Trial. Open Forum Infect Dis. 2023 Jul 14;10(8):ofad354. doi: 10.1093/ofid/ofad354. eCollection 2023 Aug.

Reference Type DERIVED
PMID: 37577112 (View on PubMed)

Moya J, Temech M, Parra S, Juarez E, Hernandez-Loy R, Gutierrez JCM, Diaz J, Hussain R, Segal S, Xu C, Skingsley A, Schnell G, El-Zailik A, Sager JE, Aldinger M, Alexander EL, Acloque G. Safety, Virology, Pharmacokinetics, and Clinical Experience of High-Dose Intravenous Sotrovimab for the Treatment of Mild to Moderate COVID-19: An Open-Label Clinical Trial. Open Forum Infect Dis. 2023 Jul 10;10(7):ofad344. doi: 10.1093/ofid/ofad344. eCollection 2023 Jul.

Reference Type DERIVED
PMID: 37520411 (View on PubMed)

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.

Reference Type DERIVED
PMID: 34473343 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: Main Study

View Document

Document Type: Study Protocol: Safety Substudy

View Document

Document Type: Statistical Analysis Plan: Safety Substudy

View Document

Document Type: Statistical Analysis Plan: Main Study

View Document

Other Identifiers

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VIR-7831-5008

Identifier Type: -

Identifier Source: org_study_id

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