SARS-CoV-2VALOR C19 ILNCT05712096
eVusheld Assessment reaL wORld Effectiveness in Israel Clalit Health Services
An observational study of SARS-CoV-2 and COVID-19, run by AstraZeneca at 1 site in Israel.
Trial summary
An AstraZeneca-sponsored observational, electronic healthcare record (EHR)-embedded retrospective cohort study to assess the real-world effectiveness of EVUSHELD against SARS-CoV-2 infection, COVID-19-related hospitalization, and other COVID-19 related outcomes in the total EVUSHELD eligible patient population in the… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- SARS-CoV-2, COVID-19
- What is being tested?
- EVUSHELD
- How many people
- 4,000 participants
- Where
- 1 siteIsrael
- Study dates
- 9 Mar 2023to 30 May 2023
- Phase
- Observational
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: All EVUSHELD PrEP-eligible patient population in the Clalit Health Services system
Who may be able to join
- Aged 12 years and older as of the date of receipt of EVUSHELD
- No record of infection or SARS-CoV- hospitalization within last 90 days prior to the index date
- Individuals who are moderate/severe immune compromised due to a medical condition or receipt of immunosuppressive medications or treatments and may mount an adequate immune response to COVID-19 vaccine:
- Hypogammaglobinemia patients regularly treated with immunoglobulins
- Patients treated with B-cell depleting therapy, including for example such anti-CD20 as rituximab, obinatuzumab, ofatumumab, veltuzumab, Y-ibritumomab tiuxetan or ocrelizumab, even without malignant disease, up to six months from treatment.
- Patients that are treated with B-cell depleting therapy (i.e. anti CD20, rituximab, Y-ibritumomab tiuxetan, veltuzumab, ofatumumab, obinatuzumab, ocrelizumab), without a malignant disease
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- Bone marrow transplant (up to a year from the BMT) from outside donors, or with GVHD grades 3-4.
- Bone marrow transplant (up to a 6 months after the BMT) from self
- Patients after (CAR) T-cell therapy (chimeric antigen receptor T-cell therapy) up to 6 months from the treatment.
- Lungs transplant recipients
- Solid organ transplant recipients (who has any kind of transplant) or those who received ATG (anti thymocyte globulin) over the last 6 months
- Patients with aggressive lymphoma.
- Multiple Myeloma patients that have active disease, and on treatment at the time of study initiation.
- Individuals who meet the criterion below will be excluded:
- Per the current FDA EUA, individuals currently infected with SARS-CoV-2 are not eligible for EVUSHELD as PrEP. Therefore, in the main analysis, individuals who meet the following criteria will also be excluded.
Who cannot join
- With evidence of COVID 19 (i.e., a positive diagnostic test, or COVID-19 diagnosis code) in the period of 90 days before (pseudo) index date OR
- With evidence of SARS-CoV-2 infection on the (pseudo) index date or anytime within the 6-day period immediately following this date (i.e., index date to index date+6)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: An Observational Study to Assess the Real-world Effectiveness of EVUSHELD™ (Tixagevimab/Cilgavimab) as Pre-exposure Prophylaxis Against COVID-19 Among Immunocompromised Patients in Israel
An AstraZeneca-sponsored observational, electronic healthcare record (EHR)-embedded retrospective cohort study to assess the real-world effectiveness of EVUSHELD against SARS-CoV-2 infection, COVID-19-related hospitalization, and other COVID-19 related outcomes in the total EVUSHELD eligible patient population in the Clalit Health Services in Israel.
Read the detailed description
This a Phase IV observational, secondary data study to assess the effectiveness of EVUSHELD in preventing COVID-19 infection and severe outcomes using the electronic medical records from the nationwide integrated health system.
The study is designed as an AstraZeneca-sponsored observational, electronic healthcare record (EHR)-embedded retrospective cohort study to assess the real-world effectiveness of EVUSHELD against SARS-CoV-2 infection, COVID-19-related hospitalization, and other COVID-19 related outcomes in the total EVUSHELD eligible patient population in the Clalit Health Services in Israel.
- Conditions
- SARS-CoV-2, COVID-19
- Being tested
- EVUSHELD
- Keywords
- SARS-CoV-2, COVID-19, Immunocompromised Patients, Pre-exposure Prophylaxis Against COVID-19, Evusheld
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EVUSHELDDrug
EVUSHELD (AZD 7442, Tixagévimab/Cilgavimab)
| Study group | Role | What they receive |
|---|---|---|
| EVUSHELD Arm | Individuals given EVUSHELD for pre-exposure prophylaxis Receives: Drug: EVUSHELD | |
| Concurrent Control Arm | Individuals eligible for EVUSHELD pre-exposure prophylaxis but did not receive Evusheld |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hospitalisation due to COVID-19
Any record of admission to hospital that was reported to the Israeli MOH as hospitalization due to SARS-CoV-2
Measured: up to 6 months
All-cause mortality
All-cause deaths reported in the patient's record
Measured: up to 6 months
Secondary outcomes (6)
Documented SARS-CoV-2 Infection, COVID-19 related mortality, Severe COVID-19
SARS-CoV-2 diagnostic test (eg, PCR, nucleic acid amplification, antigen) OR medical encounter resulting in a diagnosis code for COVID-19b OR medical encounter resulting in a code for isolation due to COVID-19
Measured: 6 months and 12 months
COVID-19 mortality
Any record indicating death due to COVID-19 or record of death certificate mentioning SARS-CoV-2 as cause of death.
Measured: 6 months and 12 months
COVID-19-related healthcare resource utilization (HCRU)
Any record of COVID-19 hospitalisation, ICU admission, mechanical ventilation and prescriptions of therapies for COVID-19
Measured: 6 months
COVID-19-related healthcare resource utilization
Any record of hospital admission including hospital lenght of stay, ICU, mechanical ventilation, prescription/dispensations of antiviral drugs used for COVID-19 drugs
Measured: 6 months
SAEs/AESIs
Any record of Serious Adverse Events (SAEs) or Adverse Events of Special Interests (AESIs) up to 6 months following initiation of Evusheld
Measured: 6 months
Adverse events (AEs)
Any record of Adverse events up to 12 months following initiation of Evusheld
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Feb 2023
- Study start9 Mar 2023
- Primary completion30 May 2023
- Study completion30 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SARS-CoV-2Studies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 4,000 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Clalit Health Services
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05712096
- Sponsor's protocol ID
- D8850R00002
- Acronym
- VALOR C19 IL
- Status last verified
- Jan 2025
- First submitted
- 26 Jan 2023
- Last updated
- 21 Jan 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 21 Jan 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Observational Study to Assess the Real-world Effectiveness of EVUSHELD™ (Tixagevimab/Cilgavimab) as Pre-exposure Prophylaxis Against COVID-19 Among Immunocompromised Patients in Israel
- ClinicalTrials.gov ID
- NCT05712096
- Acronym / sponsor ID
- VALOR C19 IL / D8850R00002
- Conditions
- SARS-CoV-2, COVID-19
- Keywords
- SARS-CoV-2, COVID-19, Immunocompromised Patients, Pre-exposure Prophylaxis Against COVID-19, Evusheld
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4,000 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- Clalit Health Services
- Study start
- 9 Mar 2023 (actual)
- Primary completion
- 30 May 2023 (actual)
- Study completion
- 30 May 2023 (actual)
- First posted
- 3 Feb 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
An AstraZeneca-sponsored observational, electronic healthcare record (EHR)-embedded retrospective cohort study to assess the real-world effectiveness of EVUSHELD against SARS-CoV-2 infection, COVID-19-related hospitalization, and other COVID-19 related outcomes in the total EVUSHELD eligible patient population in the Clalit Health Services in Israel.
Detailed description
This a Phase IV observational, secondary data study to assess the effectiveness of EVUSHELD in preventing COVID-19 infection and severe outcomes using the electronic medical records from the nationwide integrated health system.
The study is designed as an AstraZeneca-sponsored observational, electronic healthcare record (EHR)-embedded retrospective cohort study to assess the real-world effectiveness of EVUSHELD against SARS-CoV-2 infection, COVID-19-related hospitalization, and other COVID-19 related outcomes in the total EVUSHELD eligible patient population in the Clalit Health Services in Israel.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| EVUSHELD Arm | – | Drug: EVUSHELDIndividuals given EVUSHELD for pre-exposure prophylaxis |
| Concurrent Control Arm | – | –Individuals eligible for EVUSHELD pre-exposure prophylaxis but did not receive Evusheld |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- All EVUSHELD PrEP-eligible patient population in the Clalit Health Services system
Key inclusion criteria (15 listed)
- Aged 12 years and older as of the date of receipt of EVUSHELD
- No record of infection or SARS-CoV- hospitalization within last 90 days prior to the index date
- Individuals who are moderate/severe immune compromised due to a medical condition or receipt of immunosuppressive medications or treatments and may mount an adequate immune response to COVID-19 vaccine:
- Hypogammaglobinemia patients regularly treated with immunoglobulins
- Patients treated with B-cell depleting therapy, including for example such anti-CD20 as rituximab, obinatuzumab, ofatumumab, veltuzumab, Y-ibritumomab tiuxetan or ocrelizumab, even without malignant disease, up to six months from treatment.
Key exclusion criteria (2 listed)
- With evidence of COVID 19 (i.e., a positive diagnostic test, or COVID-19 diagnosis code) in the period of 90 days before (pseudo) index date OR
- With evidence of SARS-CoV-2 infection on the (pseudo) index date or anytime within the 6-day period immediately following this date (i.e., index date to index date+6)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EVUSHELDEVUSHELD (AZD 7442, Tixagévimab/Cilgavimab) | Drug | EVUSHELD Arm |
Primary outcome
Hospitalisation due to COVID-19
Time frame: up to 6 months
Any record of admission to hospital that was reported to the Israeli MOH as hospitalization due to SARS-CoV-2
All-cause mortality
Time frame: up to 6 months
All-cause deaths reported in the patient's record
6 secondary outcomes
Documented SARS-CoV-2 Infection, COVID-19 related mortality, Severe COVID-19
Time frame: 6 months and 12 months
COVID-19 mortality
Time frame: 6 months and 12 months
COVID-19-related healthcare resource utilization (HCRU)
Time frame: 6 months
COVID-19-related healthcare resource utilization
Time frame: 6 months
SAEs/AESIs
Time frame: 6 months
Adverse events (AEs)
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jan 2025.
- redacted CSR SynopsisLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of SARS-CoV-2 and COVID-19, run by AstraZeneca at 1 site in Israel.
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 15 inclusion and 2 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: finished, as of the sponsor's last update on 21 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Israel. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Hospitalisation due to COVID-19 (time frame: up to 6 months). The study lists 2 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 21 Jan 2025.