A Study to Evaluate Efficacy and Safety of Casirivimab+Imdevimab (Monoclonal Antibodies) for Prevention of COVID-19 in Immunocompromised Adolescents and Adults

NCT ID: NCT05074433

Last Updated: 2025-10-17

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-25

Study Completion Date

2022-05-18

Brief Summary

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The primary objective of the study is to evaluate the effect of casirivimab+imdevimab, compared with placebo, in preventing symptomatic SARS-CoV-2 infection in immunocompromised participants.

The secondary objectives of the study are:

* To evaluate the safety and tolerability of repeated SC injections of casirivimab+imdevimab in the study population
* To characterize concentrations of casirivimab and imdevimab in serum over time
* To assess the immunogenicity of casirivimab and imdevimab

Detailed Description

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Conditions

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Immunocompromised

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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casirivimab+imdevimab Initial + Q4W

Initial subcutaneous (SC) dose, then SC dose every 4 weeks (Q4W)

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Co-administered sequentially subcutaneous (SC)

casirivimab+imdevimab Q4W

SC dose Q4W

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Co-administered sequentially subcutaneous (SC)

casirivimab+imdevimab Q12W

SC dose every 12 weeks (Q12W)

Group Type EXPERIMENTAL

casirivimab+imdevimab

Intervention Type DRUG

Co-administered sequentially subcutaneous (SC)

Placebo

SC dose Q4W

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered SC

Interventions

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casirivimab+imdevimab

Co-administered sequentially subcutaneous (SC)

Intervention Type DRUG

Placebo

Administered SC

Intervention Type DRUG

Other Intervention Names

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REGN-COV2 REGN10933 REGN10987 REGEN-COV™ Ronapreve™

Eligibility Criteria

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Inclusion Criteria

1. Meets ≥1 of the following criteria:

* Is immunocompromised, including people with transplant, who have cancer, primary immunodeficiencies, HIV, rheumatological disease, autoimmune disease, multiple sclerosis OR
* Currently taking immunosuppressant drugs
2. Have been fully vaccinated against COVID-19 or deemed medically ineligible to receive full course of vaccine
3. Has documented negative serology/antibody response in an anti-SARS-CoV-2 spike protein IgG clinical test or ≤50 U/mL on the Elecsys® SARS-CoV-2 S Total Ig test
4. Tested negative for the COVID-19 virus within 72 hours prior to randomization

Exclusion Criteria

1. Weighs \<40 kg (only applies to participants ≥12 to \<18 years of age)
2. Has any signs or symptoms consistent with COVID-19
3. Past COVID-19 infection within 90 days prior to randomization
4. Planned use of any investigational, authorized, or approved vaccine for COVID-19 within 90 days of the last dose of study drug
5. Prior, current, or planned use of any of COVID-19 convalescent plasma, other monoclonal antibodies against SARS-CoV-2 or any COVID-19 treatment
6. Is planned to begin immunoglobulin (IVIG) or immunoglobulin (SCIG) therapy, is planned to have a change to existing IVIG or SCIG, or has been on a chronic stable dose of their IVIG or SCIG regimen for less than 90 days prior to screening
7. Has any known active acute respiratory infection
8. Has persistent (refractory to treatment for ≥14 days) bacterial or fungal infection
9. Has known allergy or hypersensitivity to components of the study drugs
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

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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Central Alabama Research

Birmingham, Alabama, United States

Site Status

Baptist Health Center for Clinical Research

Little Rock, Arkansas, United States

Site Status

Regeneron Study Site

Long Beach, California, United States

Site Status

Regeneron Study Site

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Stanford University

Palo Alto, California, United States

Site Status

University of California

Sacramento, California, United States

Site Status

Regeneron Study Site

Stanford, California, United States

Site Status

James R Berenson MD Inc.

West Hollywood, California, United States

Site Status

University Of Colorado

Aurora, Colorado, United States

Site Status

Regeneron Study Site

North Haven, Connecticut, United States

Site Status

Georgetown University

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

Site Status

Arthritis and Rheumatic Disease Specialties

Aventura, Florida, United States

Site Status

Innovative Research of West Florida, Inc.

Clearwater, Florida, United States

Site Status

Midway Immunology and Research Center

Ft. Pierce, Florida, United States

Site Status

Elixia COVID-19

Hollywood, Florida, United States

Site Status

AppleMed Research Group, LLC

Miami, Florida, United States

Site Status

De La Cruz Research Center, LLC

Miami, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Florida Medical Clinic, LLC

Zephyrhills, Florida, United States

Site Status

Regeneron Study Site

Atlanta, Georgia, United States

Site Status

Regeneron Study Site

Marietta, Georgia, United States

Site Status

Great Lakes Clinical Trials - Ravenswood

Chicago, Illinois, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

Tulane University

New Orleans, Louisiana, United States

Site Status

Institute of Human Virology

Baltimore, Maryland, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Laboratory of Clinical Immunology and Microbiology, NIAID

Bethesda, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Regeneron Study Site

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Spectrum Health

Grand Rapids, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status

Holy Name

Teaneck, New Jersey, United States

Site Status

Maimonides Cancer Center

Brooklyn, New York, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Regeneron Study Site

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Regeneron Study Site 2

New York, New York, United States

Site Status

Regeneron Study Site

Rochester, New York, United States

Site Status

Regeneron Study Site

Syracuse, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Burke Primary Care

Morganton, North Carolina, United States

Site Status

Gabrail Cancer Center Research

Canton, Ohio, United States

Site Status

Regeneron Study Site

Cleveland, Ohio, United States

Site Status

Miami Valley Hospital

Dayton, Ohio, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Penn Prevention Clinical Research Site

Philadelphia, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

Regeneron Study Site

Providence, Rhode Island, United States

Site Status

West Tennessee Research Institute

Jackson, Tennessee, United States

Site Status

PharmaTex Research, LLC

Amarillo, Texas, United States

Site Status

Central Texas Clinical Research

Austin, Texas, United States

Site Status

Therapeutic Concepts, PA

Houston, Texas, United States

Site Status

Houston Methodist Hospital

Houston, Texas, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Synergy Group Medical,LLC

Houston, Texas, United States

Site Status

Regeneron Study Site

Richmond, Virginia, United States

Site Status

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Site Status

Regeneron Study Site

Seattle, Washington, United States

Site Status

Swedish Medical Center- First Hill

Seattle, Washington, United States

Site Status

University of Wisconsin - Madison

Madison, Wisconsin, United States

Site Status

Regeneron Study Site

Cuauhtémoc, Mexico City, Mexico

Site Status

Countries

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United States Mexico

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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2021-005222-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

R10933-10987-COV-2176

Identifier Type: -

Identifier Source: org_study_id

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