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COVID-19Phase 2/3NCT05142527

Study to Evaluate the Safety and Efficacy of a Monoclonal Antibody Cocktail for the Prevention of COVID-19

A Phase 2/3 study testing ADM03820 in people with COVID-19, run by Alachua Government Services, Inc..

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a Phase 2/3, randomized, double-blind, placebo-controlled, multi-center study to evaluate the safety, tolerability, and efficacy of ADM03820 to prevent symptomatic COVID-19 in adult subjects (≥ 18 years of age). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
ADM03820
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
No sites listed yet
Study dates
Jan 2023to Apr 2024
Phase
Phase 2/3
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Phase 2 Inclusion Criteria:

  1. Informed consent understood and signed prior to screening procedures
  2. Healthy male or non-pregnant, non-lactating female 18 years of age or older, inclusive on the day of dosing
  3. Subject willing to comply with and be available for all protocol procedures for the duration of the study
  4. Subject determined by medical history, physical examination, and clinical judgement of the principal investigator (PI) to be eligible for inclusion in the study by meeting all the inclusion criteria and no exclusion criteria
  5. Subject with BMI ≥18.5 and ≤ 35 kg/m2
  6. Females of childbearing potential must have a negative urine pregnancy test on Day 1 prior to dosing Note: A woman is considered of childbearing potential unless post-menopausal (> or = 1 year without menses without other known or suspected cause and appropriately elevated FSH) or surgically sterilized via bilateral oophorectomy or hysterectomy.
  7. Females of childbearing potential and males must agree to use medically effective contraception (methods with a failure rate of < 1% per year when used consistently and correctly) from screening until last dose. Acceptable methods include: hormonal contraception including implants, injections or oral; two barrier methods, e.g., condom and cervical cap (with spermicide) or diaphragm (with spermicide); intrauterine device or intrauterine system; abstinence when this is the subject's preferred and usual lifestyle.
  8. Subject agrees to not donate bone marrow, blood, and blood products for at least 3 months after dosing
  9. Clinical laboratory results within normal ranges or are no greater than Grade 1 and deemed not clinically significant by medical monitor and PI. (Any subjects with results that are Grade 2 or above according to toxicity table (modified from FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trial) will be excluded)
  10. Subject willing to provide verifiable identification and has means to be contacted and to contact the Principal Investigator (PI) during the study.

Phase 2 Exclusion Criteria:

  1. History of chronic medical condition that would either interfere with the accurate assessment of the objectives of the study or increase the risk profile of the subject
  2. History of diabetes (type 1 or type 2), cardiovascular disease, pulmonary disease, chronic obstructive pulmonary disease (COPD) or asthma
  3. History of severe allergic reactions of any type to medications, bee stings, food, or environmental factors or hypersensitivity or reaction to immunoglobins
  4. Known allergic reactions or history of anaphylaxis or any other serious adverse reactions to any of the study product components present in the formulation or in its processing, as listed in the Investigator Brochure
  5. Known to have HIV, HBsAg, or HCV per self-reported medical history
  6. Febrile illness with temperature ≥38°C within 7 days of dosing. (Subjects with acute febrile illness within 7 days of dosing may be rescreened no earlier than 7 days following resolution of symptoms).
  7. Rapid SARS CoV-2 antigen nasopharyngeal swab is positive on Day 1 prior to dosing or positive SARS-CoV-2 RT-PCR if result is received prior to dosing
  8. Female subject who is pregnant or breastfeeding
  9. Has previously received any coronavirus vaccine
  10. Treatment with another investigational drug or licensed live vaccine within 30 days prior to or after planned enrollment. Subjects will be informed of local availability and be eligible to obtain an authorized COVID-19 vaccine at the time of enrollment and at any time during the study
  11. Known history of COVID-19 infection
  12. Receipt of any antibody (e.g. TIG, VZIG, IVIG, IM gamma globulin, monoclonal antibody) or blood or plasma transfusion within 6 months or within 5 half-lives of the specific antibody product given
  13. History of solid organ or bone marrow transplantation
  14. Active drug or alcohol use disorder or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements
  15. Use of H1 antihistamines or beta-blockers within 5 days of dosing (PRN use of H1 antihistamines may be acceptable after Medical Monitor approval)
  16. History of malignancy within 5 years of screening (with the exception of squamous or basal cell carcinomas of the skin, or malignancy which is considered cured with minimal risk of recurrence)
  17. Plans to enroll or is already enrolled in another interventional study
  18. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants
  19. Any specific condition that in the judgment of the PI precludes participation because it could affect subject safety
  20. Is a study site employee or staff. Note: Site employees or staff include the PIs and sub-investigators or staff who are supervised by the PI or Sub-Investigators

Phase 3 Inclusion Criteria

  1. Informed consent understood and signed prior to screening procedures
  2. Healthy male or non-pregnant, non-lactating female 18 years of age or older, inclusive on the day of dosing
  3. Subject has willingness to comply with and be available for all protocol procedures for the duration of the study
  4. Subjects determined by medical history, physical examination, and clinical judgement of the PI to be eligible for inclusion in the study by meeting all the inclusion criteria and no exclusion criteria
  5. Subject with BMI ≥18.5 and ≤ 40 kg/m2
  6. Female subjects of childbearing potential must have a negative urine pregnancy test on Day 1 prior to dosing. Note: A woman is considered of childbearing potential unless post-menopausal (> or = 1 year without menses without other known or suspected cause and appropriately elevated FSH) or surgically sterilized via bilateral oophorectomy or hysterectomy
  7. Females of childbearing potential must agree to use medically effective contraception (methods with a failure rate of < 1% per year when used consistently and correctly) from screening until last dose. Acceptable methods include: hormonal contraception including implants, injections or oral; two barrier methods, e.g., condom and cervical cap (with spermicide) or diaphragm (with spermicide); intrauterine device or intrauterine system; abstinence when this is the subject's preferred and usual lifestyle
  8. Subject agrees to not donate bone marrow, blood, and blood products for at least 3 months after dosing
  9. Subjects' willingness to provide verifiable identification, have means to be contacted and to contact the PI during the study

Phase 3 Exclusion Criteria:

  1. History of chronic medical condition that would either interfere with the accurate assessment of the objectives of the study or increase the risk profile of the subject
  2. History of severe allergic reactions of any type to medications, bee stings, food, or environmental factors or hypersensitivity or reaction to immunoglobins.
  3. Known allergic reactions or history of anaphylaxis or any other serious adverse reactions to any of the study product components present in the formulation or in its processing, as listed in the Investigator Brochure
  4. Febrile illness with temperature ≥38°C within 7 days of dosing. (Subjects with acute febrile illness within 7 days of dosing may be rescreened no earlier than 7 days following resolution of symptoms).
  5. Rapid SARS CoV-2 antigen nasopharyngeal swab positive on Day 1 prior to dosing or positive SARS-CoV-2 RT-PCR if result is received prior to dosing
  6. Female subject who is pregnant or breastfeeding
  7. Treatment with another investigational drug or licensed live vaccine within 30 days prior to or after planned enrollment. Subjects will be informed of local availability and be eligible to obtain an authorized COVID-19 vaccine at the time of enrollment and at any time during the study
  8. Known history of COVID-19 infection
  9. Receipt of any antibody (e.g. TIG, VZIG, IVIG, IM gamma globulin, monoclonal antibody) or blood or plasma transfusion within 6 months or within 5 half-lives of the specific antibody product given
  10. Active drug or alcohol use disorder or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements
  11. Plans to enroll or is already enrolled in another interventional study 12. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants
  12. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants
  13. Any specific condition that in the judgment of the PI precludes participation because it could affect subject safety
  14. Is a study site employee or staff. Note: Site employees or staff include the PIs and sub-investigators or staff who are supervised by the PI or Sub-Investigators

About this study

Official title: A Phase 2/3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study to Evaluate the Safety, Tolerability, and Efficacy of ADM03820 to Prevent Symptomatic COVID-19 in Adult Subjects

This is a Phase 2/3, randomized, double-blind, placebo-controlled, multi-center study to evaluate the safety, tolerability, and efficacy of ADM03820 to prevent symptomatic COVID-19 in adult subjects (≥ 18 years of age).

Read the detailed description

Approximately 450 subjects will be enrolled in the Phase 2 segment of the study and will be randomized in a 2:1 ratio with a total of 300 subjects receiving ADM03820 and 150 subjects receiving placebo. In the Phase 3 segment, an additional 4,000 subjects will be enrolled and randomized in a 2:1 ratio, for a total sample size (including the Phase 2 subjects) of 4,450 total subjects.

The primary objective of the Phase 2 segment is to evaluate the safety and tolerability of ADM03820 in adult subjects. The secondary objectives are to assess safety, PK, immunogenicity, and microneutralization (MN) of ADM03820 and to gather information surrounding COVID-19 incidence rates and COVID-19 symptoms to support Phase 3 assumptions and assessment of efficacy.

The primary objectives of the Phase 3 segment are to evaluate the efficacy of ADM03820 for the prevention of symptomatic COVID-19 in adult subjects. The secondary objectives are to evaluate the efficacy of ADM03820 for prevention and amelioration of COVID-19 symptoms, to monitor the incidence and severity of COVID-19, and to evaluate the safety and tolerability of ADM03820.

Conditions
COVID-19
Being tested
ADM03820, Placebo
Medical subject headings
COVID-19

What participants receive

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

  • ADM03820Drug

    ADM03820 is a 1:1 mixture of two human IgG1 non-competitive binding anti-SARS-CoV-2 antibodies

  • PlaceboOther

    Placebo

Study groups in NCT05142527
Study groupRoleWhat they receive
High Dose IM injection of active drug or Placebo (Phase 2)ExperimentalSubjects will receive a high dose IM injection of either active drug or placebo. Approximately 300 subjects will receive active drug and approximately 150 subjects will receive placebo in the Phase 2 segment.
Receives: Drug: ADM03820; Other: Placebo
High Dose IM injection of active drug or Placebo (Phase 3)ExperimentalSubjects will receive a high dose IM injection of either active drug or placebo. Approximately 3000 subjects will receive active drug and approximately 1000 subjects will receive placebo in the Phase 3 segment
Receives: Drug: ADM03820; Other: Placebo

What is being measured

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

  1. Incidence and severity of reactogenicity through Day 7 and adverse events (AEs) through end of study (Phase 2)

    Number of participants with AEs and reactogenicity symptoms. FDA Toxicity Grading Scale for Local and General Systemic Reactogenicity will assess severity.

    Measured: 540 days

  2. Incidence of SAEs and medically-attended AEs (Phase 2)

    Number of participants with SAEs and medically-attended AEs through end of study

    Measured: 540 days

  3. Occurrence of changes from baseline in physical examination, vital signs, and clinical safety laboratory values (Phase 2)

    Number of participants with changes from baseline

    Measured: 365 days

  4. Incidence of symptomatic, virologically confirmed COVID-19 (Phase 3)

    Number of participants with symptomatic, virologically confirmed COVID-19

    Measured: Day 1 to Day 29

Secondary outcomes (18)
  1. Incidence of symptomatic, virologically confirmed COVID-19 (Phase 2 and Phase 3)

    Number of participants with symptomatic, virologically confirmed COVID-19 through Day 183 (Phase 2) and through Day 57, Day 134, and Day 183 (Phase 3)

    Measured: 183 days

  2. Hospitalization (Phase 2 and Phase 3)

    Number of hospitalizations

    Measured: 183 days

  3. All-cause mortality (Phase 2 and Phase 3)

    Number of all-cause mortality

    Measured: 183 days

  4. Incidence of AEs (Phase 2)

    Number of participants with AEs through end of the study

    Measured: 540 days

  5. Incidence of SAEs (Phase 2)

    Number of participants with SAEs through end of the study

    Measured: 540 days

  6. Incidence of COVID-19 related medically attended events (Phase 2)

    Number of participants with events occurring after dosing through end of study

    Measured: 540 days

  7. The assessment of Cmax for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)

    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365

    Measured: 365 days

  8. The assessment of Tmax for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)

    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365

    Measured: 365 days

  9. The assessment of AUC(0-t) for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)

    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365

    Measured: 365 days

  10. To assess SARS-CoV-2 antibody microneutralization levels (Phase 2)

    Pre-dose and at Days 3, 29, and 57

    Measured: 57 days

  11. To assess anti-drug antibody levels (Phase 2)

    Pre-dose and on Days, 85, 134, 183, 232, 274, and 365

    Measured: 365 days

  12. To assess daily COVID-19 symptoms (Phase 2)

    COVID-19 daily symptoms reported by participants in diaries

    Measured: 183 days

  13. SARS-CoV-2 RT-PCR assay in symptomatic subjects (Phase 2)

    Measured: 540 days

  14. Severity of each symptom (Phase 3)

    Severity of symptoms are assessed from Day 1 through end of study

    Measured: 540 days

  15. Incidence of mild, virologically confirmed COVID-19 (Phase 3)

    Number of participants with mild, virologically confirmed COVID-19 through Days 29, 57, 134 and 183

    Measured: 183 days

  16. Incidence of moderate, severe, or critical virologically confirmed COVID 19 (Phase 3)

    Number of participants with moderate, severe, or critical virologically confirmed COVID 19 through Days 29, 57, 134, and 183

    Measured: 183 days

  17. Incidence of and severity of virologically-confirmed COVID-19 (Phase 3)

    Number of participants with virologically-confirmed COVID-19 and severity of symptoms from Days 29, 57, 134, and 183 through Day 540

    Measured: 540 days

  18. Incidence of AEs, SAEs, and medically attended events (Phase 3)

    Number of participants with AEs, SAEs, and medically attended events through end of study

    Measured: 540 days

Timeline

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

  1. First posted2 Dec 2021
  2. Study startJan 2023 (estimated)
  3. Primary completionJan 2024 (estimated)
  4. Study completionApr 2024 (estimated)

Why it stopped: Sponsor withdrew study prior to initiation and no participants were enrolled.

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 2/3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05142527
Sponsor's protocol ID
ADM03820-002
Status last verified
Feb 2023
First submitted
1 Dec 2021
Last updated
3 Feb 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Hirsch C, Park YS, Piechotta V, Chai KL, Estcourt LJ, Monsef I, Salomon S, Wood EM, So-Osman C, McQuilten Z, Spinner CD, Malin JJ, Stegemann M, Skoetz N, Kreuzberger N. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19. Cochrane Database Syst Rev. 2022 Jun 17;6(6):CD014945. doi: 10.1002/14651858.CD014945.pub2.

    PubMed 35713300

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing ADM03820 in people with COVID-19, run by Alachua Government Services, Inc..

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

Who may be eligible to take part?

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: withdrawn, as of the sponsor's last update on 3 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

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

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

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?

Incidence and severity of reactogenicity through Day 7 and adverse events (AEs) through end of study (Phase 2) (time frame: 540 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05142527, which also lists 1 linked publication.

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 3 Feb 2023.

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