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SARS-CoV-2Phase 1/2NCT05081388

COVID-19 Study to Evaluate Safety, Tolerability, and Efficacy of REGN14256+Imdevimab for the Treatment of COVID-19 Adult and Adolescent Patients Without Risk Factors for Progression to Severe Disease

A Phase 1/2 study testing REGN14256, imdevimab and casirivimab + imdevimab in people with SARS-CoV-2, run by Regeneron Pharmaceuticals at 28 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Primary Objectives Phase 1 (Safety and Tolerability) Evaluate the safety and tolerability of REGN14256+imdevimab and REGN14256 monotherapy, as measured by treatment-emergent adverse events (TEAEs), injection-site reactions (ISRs), and hypersensitivity reactions Phase 1/2 (Virologic Efficacy) • Evaluate the virologic… Read more about this study

Who is it for?
Ages 12 to 65 years
Conditions the study is for
SARS-CoV-2
What is being tested?
REGN14256, imdevimab and casirivimab + imdevimab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
25 participants
Where
28 sitesUnited States
Study dates
8 Nov 2021to 30 Jun 2022
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • For the adolescent cohort in Phase 3 only: Weighs ≥40 kg at randomization
  • Has SARS-CoV-2-positive antigen or molecular diagnostic test (by validated SARSCoV-2 antigen, RT-PCR, or other molecular diagnostic assay, using an appropriate sample such as nasopharyngeal [NP], nasal, oropharyngeal [OP], or saliva) ≤72 hours prior to randomization. A historical record of a positive result is acceptable as long as the sample was collected ≤72 hours prior to randomization
  • Has symptoms consistent with COVID-19 (as determined by the investigator) with onset ≤7 days before randomization, and doesn't have a medical condition or other factors associated with high risk for progression to severe COVID-19 as outlined in the exclusion criteria
  • Maintains O2 saturation ≥93% on room air

Who cannot join

  • Has a medical condition or other factors associated with high risk for progression to severe COVID-19:
  • Cancer
  • Cardiovascular disease (such as heart failure, coronary artery disease, cardiomyopathies, congenital heart disease or hypertension)
  • Chronic lung disease including chronic obstructive pulmonary disease, asthma (moderate to severe), interstitial lung disease, cystic fibrosis, and pulmonary hypertension
  • Chronic kidney disease at any stage
  • Chronic liver disease (such as alcohol-related, nonalcoholic fatty liver disease, cirrhosis)
Show all 27Show fewer
  • Dementia or other chronic neurological condition
  • Diabetes mellitus (type 1 or type 2)
  • Immunodeficiency disease or taking immunosuppressive treatment
  • Medical-related technological dependence [for example, tracheostomy, gastrostomy, or positive pressure ventilation (not related to COVID-19)]
  • Neurodevelopmental disorder (for example, cerebral palsy) or other condition that confers medical complexity (for example, genetic or metabolic syndromes and severe congenital anomalies)
  • Overweight (defined as BMI >25 kg/m2) or obesity (defined as BMI ≥30 kg/m2)
  • Poorly controlled HIV infection or AIDS
  • Pregnancy
  • Sickle cell disease or thalassemia
  • Stroke or cerebrovascular disease
  • Prior, current (at randomization) or planned use (within time period given per CDC guidance [90 days]) of any authorized or approved vaccine for COVID-19
  • Was admitted to a hospital for COVID-19 prior to randomization, or is hospitalized (inpatient) for any reason at randomization
  • Has a known prior SARS-CoV-2 infection or positive SARS-CoV-2 serologic test
  • Has a positive SARS-CoV-2 antigen or molecular diagnostic test from a sample collected >72 hours prior to randomization
  • Has participated, or is participating, in a clinical research study evaluating COVID-19 convalescent plasma, mAbs against SARS-CoV-2, or intravenous immunoglobulin (IVIG) within 3 months or within 5 half-lives of the investigational product (whichever is longer) prior to the screening visit
  • Prior, current, or any of the following treatments: COVID-19 convalescent plasma, mAbs against SARS-CoV-2, IVIG (any indication), systemic corticosteroids (any indication), or COVID-19 treatments (authorized, approved, or investigational)
  • Has known active infection with influenza or other non-SARS-CoV-2 respiratory pathogen, confirmed by a diagnostic test
  • Has been discharged, or is planned to be discharged, to a quarantine center
  • Has participated, is participating, or plans to participate in a clinical research study evaluating any authorized, approved, or investigational vaccine for COVID-19
  • For Phase 1only: Women of childbearing potential (WOCBP) who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment and for at least 6 months after study drug administration as described in the protocol
  • Note: Other protocol-defined inclusion/ exclusion criteria apply

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • PharmaTex Research, LLC

    Amarillo, Texas, 79109

  • Regeneron Research Site

    Ames, Iowa, 50010

  • Chicago Clinical Research Institute

    Chicago, Illinois, 60607

  • Carolina Medical Research

    Clinton, South Carolina, 29325

  • IACT Health

    Columbus, Georgia, 31904

  • Regeneron Research Site

    Dayton, Ohio, 45409

  • Regeneron Research Site

    Ft. Pierce, Florida, 34982

  • AGA Clinical Trials

    Hialeah, Florida, 33012

  • Advanced Diagnostics Clinic, River Oaks Hospital and Clinics

    Houston, Texas, 77027

  • Regeneron Research Site

    Houston, Texas, 77030

  • Regeneron Research Site

    Houston, Texas, 77093

  • Regeneron Research Site

    La Mesa, California, 91941

  • Forte Family Practice

    Las Vegas, Nevada, 89103

  • Ark Clinical Research

    Long Beach, California, 90806

  • Regeneron Research Site

    Loxahatchee Groves, Florida, 33470

  • Regeneron Research Site

    Marrero, Louisiana, 70072

  • Project 4 Research, Inc.

    Miami, Florida, 33125

  • Universal Medical and Research Center, LLC

    Miami, Florida, 33126

  • Global Medical Trials

    Miami, Florida, 33174

  • Bio-Medical Research LLC

    Miami, Florida, 33184

  • Charisma Research and Medical Center

    Miami Lakes, Florida, 33014

  • PNS Clinical Research, LLC

    Mission Viejo, California, 92691

  • Olive Branch Family Medical Center

    Olive Branch, Mississippi, 38654

  • New York Health and Hospitals / Lincoln

    The Bronx, New York, 10451

  • NYC H+H / Jacobi Medical Center

    The Bronx, New York, 10461

  • Triple O Research Institute, P.A.

    West Palm Beach, Florida, 33407

  • Regeneron Research Site

    Wilmington, North Carolina, 28401

  • Regeneron Research Site

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Phase 1/2/3 Adaptive Study to Evaluate the Safety, Tolerability, and Efficacy of REGN14256+Imdevimab for the Treatment of COVID-19 Patients Without Risk Factors for Progression to Severe Disease

Primary Objectives Phase 1 (Safety and Tolerability)

  • Evaluate the safety and tolerability of REGN14256+imdevimab and REGN14256 monotherapy, as measured by treatment-emergent adverse events (TEAEs), injection-site reactions (ISRs), and hypersensitivity reactions
Read more

Phase 1/2 (Virologic Efficacy) • Evaluate the virologic efficacy of REGN14256+imdevimab and REGN14256 monotherapy compared to placebo, as measured by time-weighted average (TWA) change from baseline in viral load through day 7

Phase 1/2/3 (Clinical Efficacy)

  • Evaluate the clinical efficacy of REGN14256+imdevimab compared to placebo, as measured by COVID-19 symptoms resolution

Secondary Objectives Phase 1 (Safety and Tolerability) • Evaluate the safety and tolerability of REGN14256+imdevimab and REGN14256 monotherapy, as measured by treatment-emergent serious adverse events (SAEs)

Phase 2 and Phase 3 (Safety and Tolerability)

  • Evaluate the safety and tolerability of REGN14256+imdevimab and REGN14256 monotherapy, as measured by TEAEs, ISRs, hypersensitivity reactions, and SAEs

Phase 1, Phase 2, and Phase 3 (Virologic Efficacy, Drug Concentration, and Immunogenicity)

  • Evaluate additional indicators of virologic efficacy of REGN14256+imdevimab and REGN14256 monotherapy
  • Characterize the concentration-time profile of REGN14256 administered in combination with imdevimab or alone as a monotherapy
  • Assess the immunogenicity of REGN14256 administered in combination with imdevimab or alone as a monotherapy
Conditions
SARS-CoV-2
Being tested
REGN14256, imdevimab, casirivimab + imdevimab, Placebo
Keywords
COVID-19, Non-hospitalized, Low-risk, Symptomatic, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), coronavirus
Medical subject headings
COVID-19, Coronavirus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • REGN14256Drug

    Sub-cutaneous (SC) single dose

  • imdevimabDrug

    Also called REGN10987

    SC single dose

  • casirivimab + imdevimabDrug

    Also called REGN10933 + REGN10987, REGN-COV2, REGEN-COV™, Ronapreve™

    SC single dose

  • PlaceboDrug

    SC single dose

Study groups in NCT05081388
Study groupRoleWhat they receive
REGN14256 + imdevimabExperimentalPhase 1, Phase 2: Randomized 1:1:1:1:1 Phase 3: (≥18 Years): Randomized 1:1:1 Phase 3: (Open label) (≥12 and <18 Years)
Receives: Drug: REGN14256; Drug: imdevimab
REGN14256ExperimentalPhase 1, Phase 2: Randomized 1:1:1:1:1
Receives: Drug: REGN14256
ImdevimabExperimentalPhase 1, Phase 2: Randomized 1:1:1:1:1
Receives: Drug: imdevimab
casirivimab + imdevimabExperimentalPhase 1, Phase 2: Randomized 1:1:1:1:1 Phase 3: (≥18 Years): Randomized 1:1:1
Receives: Drug: imdevimab; Drug: casirivimab + imdevimab
PlaceboExperimentalPhase 1, Phase 2: Randomized 1:1:1:1:1 Phase 3: (≥18 Years): Randomized 1:1:1
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment Emergent Adverse Events (TEAEs)

    Phase 1

    Measured: Through Day 29

  2. Severity of TEAEs

    Severity was based on Grading. Grade 1 was less severe. Grade 5 was more severe.

    1. - Mild; Asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated
    2. - Moderate; Minimal, local, or noninvasive intervention indicated; limiting age appropriate instrumental activities of daily living (ADL)
    3. - Severe; Severe or medically significant but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; disabling; ADL2 limiting self-care
    4. - Life-threatening; Life threatening consequences; urgent intervention indicated
    5. - Death; Death related to adverse events

    Measured: Through Day 29

  3. Percentage of Participants With Injection-site Reactions (ISRs)

    Phase 1 only

    Measured: Through Day 169

  4. Severity of ISRs (Injection Site Reactions)

    Severity was based on Grading. Grade 1 was less severe. Grade 5 was more severe.

    Grade 1 - Tenderness with or without associated symptoms (eg, warmth, erythema, itching) Grade 2 - Pain; lipodystrophy; edema; phlebitis Grade 3 - Ulceration or necrosis; severe tissue damage; operative intervention indicated Grade 4 - Life-threatening consequences; urgent intervention indicated Grade 5 - Death

    Measured: Through Day 29

  5. Percentage of Participants With Hypersensitivity Reactions

    Phase 1

    Measured: Through Day 169

  6. Severity of Hypersensitivity Reactions Over Time

    Grade 1 - Systemic intervention not indicated. Grade 2 - Oral intervention indicated Grade 3 - Bronchospasm; hospitalization indicated for clinical sequelae; intravenous intervention indicated Grade 4 - Life-threatening consequences; urgent intervention indicated Grade 5 - Death

    Measured: Through Day 169

  7. Time-weighted Average (TWA) Daily Change From Baseline in Viral Load (log10 Copies/mL)

    Phase 1 Measured by SARS-CoV-2 quantitative reverse transcription polymerase chain reaction (RT-qPCR) in nasopharyngeal (NP) swab samples

    Measured: Day 1 to day 7

Secondary outcomes (18)
  1. Percentage of Participants With Treatment-emergent Serious Adverse Events (SAEs)

    Phase 1

    Measured: Through Day 169

  2. TEAEs (Treatment-Emergent Adverse Events)

    Phase 2 and Phase 3

    Measured: Through Day 29

  3. Severity of TEAEs (Treatment-Emergent Adverse Event)

    Phase 2 and Phase 3

    Measured: Through Day 29

  4. Percentage of Participants With ISRs (Injection-Site Reactions)

    Phase 2 and Phase 3

    Measured: Through Day 169

  5. Severity of ISRs (Injection-Site Reactions)

    Phase 2 and Phase 3

    Measured: Through Day 169

  6. Percentage of Participants With Hypersensitivity Reactions

    Phase 2 and Phase 3

    Measured: Through Day 169

  7. Severity of Hypersensitivity Reactions Over Time

    Phase 2 and Phase 3

    Measured: Through Day 169

  8. Percentage of Participants With Treatment-emergent SAEs (Serious Adverse Events)

    Phase 2 and Phase 3

    Measured: Through Day 169

  9. Time-weighted Average Change From Baseline in Viral Load

    Phase 2 and Phase 3

    Time-weighted average (TWA) daily change from baseline in viral load (log10 copies/mL) as measured by SARS-CoV-2 quantitative reverse transcription polymerase chain reaction (RT-qPCR) in nasopharyngeal (NP) swab samples.

    Measured: Through Day 169

  10. Change From Baseline in Viral Load (Phase 1)

    Phase 1 Change from baseline in viral load (log10 copies/mL) as measured by SARS-CoV-2 quantitative reverse transcription polymerase chain reaction (RT-qPCR) in nasopharyngeal (NP) swab samples.

    Measured: Through Day 7

  11. Change From Baseline in Viral Load

    Phase 2, and Phase 3 As measured by RT-qPCR in NP samples

    Measured: Through Day 7

  12. Percentage of Participants With Viral Loads Below the Limit of Detection

    Phase 1, Phase 2, and Phase 3

    Measured: Through Day 169

  13. Concentrations of REGN14256 in Serum Over Time (Phase 1)

    Phase 1

    Measured: Through Day 169

  14. Concentrations of REGN14256 in Serum Over Time

    Phase 2 and Phase 3

    Measured: Through Day 169

  15. Concentrations of Imdevimab in Serum Over Time (Phase 1)

    Phase 1

    Measured: Through Day 169

  16. Concentrations of Imdevimab in Serum Over Time

    Phase 2 and Phase 3

    Measured: Through Day 169

  17. Incidence and Titer of Anti-drug Antibodies (ADA) to REGN14256 Over Time

    Phase 1, Phase 2, and Phase 3

    Measured: Through Day 169

  18. Incidence and Titer of ADA to Imdevimab Over Time

    Phase 1, Phase 2, and Phase 3

    Measured: Through Day 169

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2021
  2. Study start8 Nov 2021
  3. Primary completion30 Jun 2022
  4. Study completion30 Jun 2022

Why it stopped: Sponsor Decision

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Phase1/Phase2/Phase3
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05081388
Sponsor's protocol ID
R14256-COV-2149
Status last verified
Oct 2025
First submitted
14 Oct 2021
Last updated
28 Oct 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing REGN14256, imdevimab and casirivimab + imdevimab in people with SARS-CoV-2, run by Regeneron Pharmaceuticals at 28 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 28 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Apr 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment Emergent Adverse Events (TEAEs) (time frame: Through Day 29). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2025.

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