COVID-19Phase 3NCT05780281
VIR-7831 for Inpatients With COVID-19 (An ACTIV-3/TICO Treatment Trial)
A Phase 3 study testing VIR-7831 and Remdesivir in people with COVID-19, run by National Institute of Allergy and Infectious Diseases (NIAID) at 105 sites in 8 countries.
Trial summary
This study looks at the safety and effectiveness of VIR-7831 in treating COVID-19 in people who have been hospitalized with the infection. Participants in the study will be treated with either VIR-7831 plus current standard of care (SOC), or with placebo plus current SOC. This is ACTIV-3/TICO Treatment Trial H2. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- COVID-19
- What is being tested?
- VIR-7831 and Remdesivir
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 367 participants
- Where
- 105 sitesin 8 countries
- Study dates
- 16 Dec 2020to 4 Oct 2022
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Inclusion Criteria: Refer to the master protocol (NCT04501978)
Exclusion Criteria: Refer to the master protocol (NCT04501978)
Additional Exclusion Criteria:
- Pregnant women
- Nursing mothers
In addition, prior to the initial futility assessment which is performed when approximately 150 participants have been enrolled on VIR-7831 and 150 on placebo, patients on highflow oxygen or non-invasive ventilation (category 5 of the pulmonary ordinal outcome) will be excluded. These patients may be eligible for the trial if the initial futility assessment is passed by this agent.
Trial locations and contacts
105 sites in 8 countries.
105 sites in 8 countries
United States74 sites
University of Michigan (Site 205-001), 1500 East Medical Center Drive
Ann Arbor, Michigan, 48109
Emory University (Site 301-008), The Emory Clinic, Bldg. A, Suite 2236, 1365 Clifton Rd., NE
Atlanta, Georgia, 30322
University of Colorado Hospital (Site 204-001), 12605 E. 16th Avenue
Aurora, Colorado, 80045
University of Maryland Medical Center (Site 301-019), 22 South Greene Street
Baltimore, Maryland, 21201
Bay Pines VAMC (Site 074-004), 10000 Bay Pines Blvd., Bldg. 100, Room 5B-104
Bay Pines, Florida, 33744
Massachusetts General Hospital (Site 202-002), 55 Fruit Street
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center (Site 202-001), 330 Brookline Ave.
Boston, Massachusetts, 02215
Cooper University Hospital (Site 019-001), One Cooper Plaza
Camden, New Jersey, 08103
MUSC Research Nexus Clinic (Site 210-002), 96 Jonathan Lucas St., CSB 214
Charleston, South Carolina, 29425
University of Virginia Health Systems (Site 301-021), 1215 Lee Street
Charlottesville, Virginia, 22903
University of Cincinnati Medical Center (Site 207-003), 234 Goodman Ave.
Cincinnati, Ohio, 45219
Baycare Health System (Site 301-025), Morton Plant Hospital, 300 Pinellas Street
Clearwater, Florida, 33756
Cleveland Clinic Fairview Hospital (Site 207-005), 18101 Lorain Avenue
Cleveland, Ohio, 44111
Cleveland Clinic Foundation (Site 207-001), 9500 Euclid Avenue
Cleveland, Ohio, 44195
CHRISTUS Spohn Shoreline Hospital (Site 080-001), 600 Elizabeth Street
Corpus Christi, Texas, 78404
Parkland Health and Hospital Systems (Site 084-002), 5200 Harry Hines Blvd
Dallas, Texas, 75235
UT Southwestern Medical Center (Site 084-001), 1936 Amelia Court, 2nd Floor
Dallas, Texas, 75235
Baylor, Scott and White Health (Site 301-003), Baylor University Medical Center, 3500 Gaston Ave.
Dallas, Texas, 75246
Denver Public Health (Site 017-004), 660 Bannock St., MC2600 (Infectious Disease Clinic)
Denver, Colorado, 80204
National Jewish Health / St. Joseph Hospital (Site 204-003), 1400 Jackson Street
Denver, Colorado, 80206
Henry Ford Health System, Henry Ford Hospital (Site 014-001), 2799 W. Grand Blvd.
Detroit, Michigan, 48202
Duke University Hospital (Site 301-006), 2301 Erwin Road
Durham, North Carolina, 27710
Lutheran Medical Group (Site 301-010), 7916 W. Jefferson Boulevard
Fort Wayne, Indiana, 46804
Community Regional Medical Center (Site 203-005), 2823 Fresno Street
Fresno, California, 93701
North Florida/South Georgia Veterans Health System (Site 074-011), 1601 SW. Archer Road
Gainesville, Florida, 32608-1197
Cleveland Clinic Marymount Hospital (Site 207-006), 12300 McCraken Road
Garfield Heights, Ohio, 44125
Memorial Healthcare System (Site 648-002), Memorial Regional Hospital, 3501 Johnson Street
Hollywood, Florida, 33021
Michael E. DeBakey Veterans Affairs Medical Center (MEDV AMC) (Site 074-006), 2002 Holcombe Blvd.
Houston, Texas, 77030
Texas Heart Institute (Site 301-017), 6770 Bertner, MC4-266
Houston, Texas, 77030
University of Mississippi Medical Center (Site 202-005), 2500 North State Street
Jackson, Mississippi, 39216
Dartmouth-Hitchcock Medical Center/Mary Hitchcock Memorial Hospital (Site 301-024), One Medical Center Drive
Lebanon, New Hampshire, 03756
University of Kentucky Hospital (Site 210-004), 1000 South Limestone St.
Lexington, Kentucky, 40536
VA Loma Linda Healthcare System (Site 074-017), 11201 Benton Street
Loma Linda, California, 92357
VA Long Beach Healthcare System (Site 074-026), 5901 East 7th Street (09/151-M2)
Long Beach, California, 90822
CHRISTUS Good Shepherd Medical Center (Site 080-031), 700 E. Marshall Ave.
Longview, Texas, 75601
Keck Hospital of USC (Site 301-020), 1500 San Pablo Street
Los Angeles, California, 90033
Cedars-Sinai Medical Center (Site 208-002), 8700 Beverly Blvd.
Los Angeles, California, 90048
Ronald Reagan UCLA Medical Center (Site 203-002), 757 Westwood Plaza
Los Angeles, California, 90095
Miami VAMC (Site 074-003), 1201 NW 16 Street
Miami, Florida, 33125
Minneapolis Heart Institute Foundation (Site 301-026), Abbott Northwestern Hospital, 920 E 28th St. #100
Minneapolis, Minnesota, 55407
Hennepin Healthcare (Site 027-001), 701 Park Avenue
Minneapolis, Minnesota, 55415
Minneapolis VA Health Care System (Site 105-001), 1 Veterans Drive, Bldg 70
Minneapolis, Minnesota, 55417
West Virginia University (Site 301-023), One Medical Center Drive
Morgantown, West Virginia, 26506
Intermountain Medical Center (Site 211-001), 5121 South Cottonwood Street
Murray, Utah, 84107
VA TVHS Nashville Campus (Site 074-022), 1310 24th Avenue South
Nashville, Tennessee, 37212
Vanderbilt University Medical Center (Site 212-001), 1211 Medical Center Drive
Nashville, Tennessee, 37232
Ochsner Clinic Foundation (Site 301-015), 1514 Jefferson Highway
New Orleans, Louisiana, 70121
Hoag Memorial Hospital Presbyterian (Site 080-026), One Hoag Drive
Newport Beach, California, 92663
UPMC Magee-Womens Hospital (Site 209-003), 300 Halket Street
Pittsburgh, Pennsylvania, 15213
UPMC Presbyterian Hospital (Site 209-001), 200 Lothrop Street
Pittsburgh, Pennsylvania, 15213
UPMC Shadyside Hospital (Site 209-005), 5230 Centre Avenue
Pittsburgh, Pennsylvania, 15232
Oregon Health & Science University (Site 208-003), 3181 SW Sam Jackson Park Rd.
Portland, Oregon, 97239-3098
Rhode Island Hospital (Site 080-036), 593 Eddy Street
Providence, Rhode Island, 02903
The Miriam Hospital (Site 080-039), 164 Summit Ave.
Providence, Rhode Island, 02906
Salem VA Medical Center (Site 074-014), 1970 Roanoke Blvd.
Salem, Virginia, 24153
University of Utah Hospital (Site 211-002), 419 Wakara Way, Suite 207
Salt Lake City, Utah, 84108
LDS Hospital (Site 211-004), 8th Ave. C Street
Salt Lake City, Utah, 84143
UCSF Medical Center at Mount Zion (Site 203-007), 1600 Divisadero St.
San Francisco, California, 94115
San Francisco VAMC (Site 074-002), 4150 Clement St.
San Francisco, California, 94121
UCSF Medical Center (Site 203-001), Moffitt-Long Hospital, 505 Parnassus Ave.
San Francisco, California, 94143
Swedish Hospital First Hill (Site 208-005), 747 Broadway
Seattle, Washington, 98122
Baystate Medical Center (Site 201-001), 759 Chestnut Street
Springfield, Massachusetts, 01199
Stanford University Hospital & Clinics (Site 203-003), 300 Pasteur Dr.
Stanford, California, 94305
Hillsborough County Health Department, University of South Florida (Site 032-001)
Tampa, Florida, 33602
Lincoln Medical Center (New York Health and Hospitals/Lincoln) (Site 003-016), 234 E. 149th Street
The Bronx, New York, 10451
Montefiore Medical Center Weiler Hospital (Site 206-003), 1825 Eastchester Road
The Bronx, New York, 10461
Montefiore Medical Center Moses Hospital (Site 206-001), 111 E. 210th Street
The Bronx, New York, 10467
Cotton O'Neil Clinical Research Center (Site 080-030), Stormont Vail Health, 1500 SW 10th Avenue
Topeka, Kansas, 66604
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center (Site 066-002), 1124 W. Carson Street, CDCRC Building
Torrance, California, 90502
Banner University Medical Center Tucson (Site 206-004), 1625 N. Campbell Avenue
Tucson, Arizona, 85719
Southern Arizona VA Healthcare System (Site 074-009), 3601 S. 6th Ave.
Tucson, Arizona, 85723
MedStar Georgetown University Hospital (Site 067-001), 3800 Reservoir Road NW
Washington D.C., District of Columbia, 20007
Washington DC VA Medical Center (Site 009-004), 50 Irving Street NW
Washington D.C., District of Columbia, 20422
Wake Forest University Health Sciences (Site 210-001), Medical Center Blvd
Winston-Salem, North Carolina, 27157
Denmark10 sites
Aalborg Hospital (Site 625-005), Hobrovej 18
Aalborg, 9000
Aarhus Universitetshospital, Skejby (Site 625-002), Department of Infectious Diseases, Palle Juul-Hensens Boulevard 99
Aarhus N, 8200
Bispebjerg Hospital (Site 625-013), Bispebjerg Bakke 23
Copenhagen, 2400
Righospitalet (Site 625-006), Blegdamsvej 9,
Copenhagen Ø, 2100
Herlev/Gentofte Hospital (Site 625-012), Medicinsk Afdeling, Herlev Ringvej 75
Herlev, 2730
Nordsjællands Hospital (Site 625-009), Dyrehavevej 29
Hillerød, 3400
Hvidovre University Hospital, Department of Infectious Diseases (Site 625-001), Kettegård allé 30
Hvidovre, 2650
Kolding Sygehus (Site 625-011), Medicinsk Afdeling, Sygehusvej 24
Kolding, 6000
Odense University Hospital (Site 625-004), Infektionsmedicinsk Forskningsenhed, J.B. Winsløwsgade 4
Odense, 5000
Zealand University Hospital, Roskilde (Site 625-010), Sygehusvej 10
Roskilde, 4000
Spain9 sites
Hospital Universitari Germans Trias i Pujol (Site 626-003), Infectious Disease Unit, Second Floor, Building Maternal, Road Canyet s/n
Badalona, Barcelona, 08916
Hospital Del Mar (Site 626-025), Paseo Maritimo 25-29
Barcelona, 08003
Hospital Universitari Vall d'Hebron (Site 626-033), Passeig de la Vall d'Hebron 119-129
Barcelona, 08035
Hospital Clínic de Barcelona (Site 626-004), Carrer de Villaroel 170
Barcelona, 08036
Hospital Universitario de Bellvitge (Site 626-034), Carrer de la Feixa Llarga, s/n
Barcelona, 08907
Hospital Universitari Arnau de Vilanova (Site 626-035), Av. Alcalde Rovira Roure 80
Lleida, Leida, 25198
Hospital General Universitario Gregorio Marañón (Site 626-001), Dr. Esquerdo, 46
Madrid, 28017
Hospital Clínico San Carlos (Site 626-017), Enfermedades infecciosas, C/Martin Lagos CN
Madrid, 28040
UCICEC (Clinical Trial Unit) Hospital Universitario La Paz (Site 626-012), Paseo de la Castellana 261, 2a planta Hospital Maternal
Madrid, 28046
Uganda6 sites
MRC/UVRI and LSHTM Uganda Research Unit (Site 634-601), Entebbe Regional Referral Hospital
Entebbe
Gulu Regional Referral Hospital (Site 634-603), Laroo Division, PO Box 160
Gulu
Makerere University Lung Institute (Site 634-604), New Mulago Hospital Complex, Mulago Hill
Kampala
St. Francis Hospital, Nsambya (Site 634-607), Nsambya Road Nsambya Hill, P.O. Box 7146
Kampala
Lira Regional Referral Hospital (Site 634-605)
Lira
Masaka Regional Referral Hospital (Site 634-606), MRC/UVRI and LSHTM Uganda Research Unit, Plot 6 Circle Road, PO Box 556
Masaka
United Kingdom3 sites
Royal Free Hospital (Site 634-006), Pond Street, Hampstead
London, NW3 2QG
Guy's and St. Thomas' NHS Foundation Trust (Site 634-011)
London, SE1 7EH
Royal Victoria Infirmary (Site 634-007), Queen Victoria Road
Newcastle upon Tyne, Northumbria, NE1 4LP
Poland1 site
Wojewódzki Szpital Zakazny (Site 625-302), Wolska 37
Warsaw, 01-201
Singapore1 site
Tan Tock Seng Hospital (Site 612-201), National Centre for Infectious Diseases (NCID), 11 Jalan Tan Tock Seng
Singapore, 308433
Switzerland1 site
University Hospital Zurich (Site 621-201), Department of Infectious Diseases and Hospital Epidemiology, Raemistrasse 100
Zurich, Canton of Zurich, 8091
About this study
Official title: A Multicenter, Adaptive, Randomized, Blinded Controlled Trial of the Safety and Efficacy of Investigational Therapeutics for Hospitalized Patients With COVID-19 (Trial H2: VIR-7831 (GSK4182136))
This study looks at the safety and effectiveness of VIR-7831 in treating COVID-19 in people who have been hospitalized with the infection. Participants in the study will be treated with either VIR-7831 plus current standard of care (SOC), or with placebo plus current SOC. This is ACTIV-3/TICO Treatment Trial H2.
Read the detailed description
This is a treatment trial of the ACTIV-3/TICO master protocol (NCT04501978) to evaluate the safety and efficacy of VIR-7831 in hospitalized patients infected with COVID-19.
This is a randomized, blinded, controlled sub-study of VIR-7831 plus current standard of care (SOC) against placebo plus current SOC. The placebo arm may be shared across other sub-studies of the ACTIV-3/TICO master protocol. When more than one drug is being tested at the same time, participants will be randomly allocated to treatments or placebo.
Randomization will be stratified by study site pharmacy and disease severity. There are 2 disease severity strata: Participants without organ failure (severity stratum 1) and participants with organ failure (severity stratum 2).
An independent Data and Safety Monitoring Board (DSMB) will regularly review interim analyses and summarize safety and efficacy outcomes. The pace of enrollment with be initially restricted, and there will be an early review of safety data by the DSMB. At the outset of the trial, only participants in disease severity stratum 1 will be enrolled. This will continue until approximately 300 participants are enrolled and followed for 5 days. The exact number will vary according to the speed of enrollment and the timing of DSMB meetings. Prior to expanding enrollment to also include patients in disease severity stratum 2, safety will be evaluated and a pre-specified futility assessment by the DSMB will be carried out using 2 ordinal outcomes assessed at Day 5.
If VIR-7831 passes the futility assessment, enrollment of participants will be expanded, seamlessly and without any data unblinding, to include participants in disease severity stratum 2 as well as those in disease severity stratum 1. Future interim analyses will be based on the primary endpoint of sustained recovery and will use pre-specified guidelines to determine early evidence of benefit, harm, or futility for the investigational agent. Participants will be followed for 18 months following randomization.
This trial will be conducted in several hundred clinical sites. Participating sites are affiliated with networks funded by the United States National Institutes of Health (NIH) and the US Department of Veterans Affairs.
- Conditions
- COVID-19
- Being tested
- VIR-7831, Placebo, Remdesivir
- Keywords
- COVID-19, COVID 19, Coronaviridae Infections, Coronavirus Infections, RNA Virus Infections, Virus Diseases, Nidovirales Infections, SARS-CoV-2, SARS Coronavirus, ACTIV-3, ACTIV3, TICO
- Medical subject headings
- COVID-19, Coronaviridae Infections, Coronavirus Infections, RNA Virus Infections, Virus Diseases, Nidovirales Infections, Severe Acute Respiratory Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VIR-7831Biological
VIR-7831 is a fully human neutralizing immunoglobulin G (IgG)-1 kappa monoclonal antibody (mAb) derived from antibody S309 from a survivor of SARS-CoV-1.
PlaceboBiological
Commercially available 0.9% sodium chloride solution
RemdesivirBiological
Also called Veklury
Antiviral agent
| Study group | Role | What they receive |
|---|---|---|
| VIR-7831 plus SOC | Experimental | * VIR-7831 500 mg solution (2 vials of 250 mg); administered as a single IV infusion
* Remdesivir is provided to all study participants as SOC unless contraindicated for an individual patient; administered by IV infusion Receives: Biological: VIR-7831; Biological: Remdesivir |
| Placebo plus SOC | Placebo comparator | * Placebo administered by IV infusion
* Remdesivir is provided to all study participants as SOC unless contraindicated for an individual patient; administered by IV infusion Receives: Biological: Placebo; Biological: Remdesivir |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Sustained Recovery
Sustained recovery defined as being discharged from the index hospitalization, followed by being alive and home for 14 consecutive days prior to Day 90.
Measured: Through Day 90
Number of Participants With an Ordinal Outcome on Day 5
Ordinal outcome with 7 mutually exclusive categories
Measured: Status on Day 5
Secondary outcomes (4)
Number of Participants Who Died From All Causes
All-cause mortality
Measured: Through Day 90
Number of Participants With a Safety Outcome Through Day 5
Death, SAE, clinical organ failure, serious infections, or Grade 3 or 4 event through Day 5
Measured: Through Day 5
Number of Participants With a Safety Outcome Through Day 28
Death, SAE, clinical organ failure, serious infections, or Grade 3 or 4 event through Day 28
Measured: Through Day 28
Number of Participants With a Safety Outcome Through Day 90
Death, SAE, clinical organ failure, serious infections through Day 90
Measured: Through Day 90
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Mar 2023
- Study start16 Dec 2020
- Primary completion9 Jun 2021
- Study completion4 Oct 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- More trials run by National Institute of Allergy and Infectious Diseases (NIAID)The 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
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 367 participants (actual)
Sponsor and investigators
- Sponsor type
- US National Institutes of Health
- Collaborators
- International Network for Strategic Initiatives in Global HIV Trials (INSIGHT), University of Copenhagen, Medical Research Council, Kirby Institute, Washington D.C. Veterans Affairs Medical Center, Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections, National Heart, Lung, and Blood Institute (NHLBI), US Department of Veterans Affairs, Prevention and Early Treatment of Acute Lung Injury, Cardiothoracic Surgical Trials Network, Vir Biotechnology, Inc., GlaxoSmithKline, University of Minnesota
- Responsible party
- Sponsor
- Investigators
- Jens Lundgren, Prof., Principal investigator, INSIGHT Copenhagen International Coordinating Centre, Rigshospitalet, University of CopenhagenJames Neaton, Prof., Study chair, INSIGHT Statistical and Data Management Center, University of Minnesota
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05780281
- Sponsor's protocol ID
- 014/ACTIV-3/H2
- Status last verified
- Dec 2023
- First submitted
- 20 Mar 2023
- Last updated
- 27 Dec 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
ACTIV-3/TICO Bamlanivimab Study Group; Lundgren JD, Grund B, Barkauskas CE, Holland TL, Gottlieb RL, Sandkovsky U, Brown SM, Knowlton KU, Self WH, Files DC, Jain MK, Benfield T, Bowdish ME, Leshnower BG, Baker JV, Jensen JU, Gardner EM, Ginde AA, Harris ES, Johansen IS, Markowitz N, Matthay MA, Ostergaard L, Chang CC, Goodman AL, Chang W, Dewar RL, Gerry NP, Higgs ES, Highbarger H, Murray DD, Murray TA, Natarajan V, Paredes R, Parmar MKB, Phillips AN, Reilly C, Rupert AW, Sharma S, Shaw-Saliba K, Sherman BT, Teitelbaum M, Wentworth D, Cao H, Klekotka P, Babiker AG, Davey VJ, Gelijns AC, Kan VL, Polizzotto MN, Thompson BT, Lane HC, Neaton JD. Responses to a Neutralizing Monoclonal Antibody for Hospitalized Patients With COVID-19 According to Baseline Antibody and Antigen Levels : A Randomized Controlled Trial. Ann Intern Med. 2022 Feb;175(2):234-243. doi: 10.7326/M21-3507. Epub 2021 Dec 21.
PubMed 34928698
Study at a glance
From the registry record, last updated by the sponsor on 27 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Adaptive, Randomized, Blinded Controlled Trial of the Safety and Efficacy of Investigational Therapeutics for Hospitalized Patients With COVID-19 (Trial H2: VIR-7831 (GSK4182136))
- ClinicalTrials.gov ID
- NCT05780281
- Acronym / sponsor ID
- 014/ACTIV-3/H2
- Conditions
- COVID-19
- Keywords
- COVID-19, COVID 19, Coronaviridae Infections, Coronavirus Infections, RNA Virus Infections, Virus Diseases, Nidovirales Infections, SARS-CoV-2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 367 participants (actual)
- Lead sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)US National Institutes of Health
- Collaborators
- International Network for Strategic Initiatives in Global HIV Trials (INSIGHT), University of Copenhagen, Medical Research Council, Kirby Institute, Washington D.C. Veterans Affairs Medical Center, Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections, National Heart, Lung, and Blood Institute (NHLBI), US Department of Veterans Affairs, Prevention and Early Treatment of Acute Lung Injury, Cardiothoracic Surgical Trials Network, Vir Biotechnology, Inc., GlaxoSmithKline, University of Minnesota
- Study start
- 16 Dec 2020 (actual)
- Primary completion
- 9 Jun 2021 (actual)
- Study completion
- 4 Oct 2022 (actual)
- First posted
- 22 Mar 2023 (actual)
- Results
- Posted 18 Nov 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study looks at the safety and effectiveness of VIR-7831 in treating COVID-19 in people who have been hospitalized with the infection. Participants in the study will be treated with either VIR-7831 plus current standard of care (SOC), or with placebo plus current SOC. This is ACTIV-3/TICO Treatment Trial H2.
Detailed description
This is a treatment trial of the ACTIV-3/TICO master protocol (NCT04501978) to evaluate the safety and efficacy of VIR-7831 in hospitalized patients infected with COVID-19.
This is a randomized, blinded, controlled sub-study of VIR-7831 plus current standard of care (SOC) against placebo plus current SOC. The placebo arm may be shared across other sub-studies of the ACTIV-3/TICO master protocol. When more than one drug is being tested at the same time, participants will be randomly allocated to treatments or placebo.
Randomization will be stratified by study site pharmacy and disease severity. There are 2 disease severity strata: Participants without organ failure (severity stratum 1) and participants with organ failure (severity stratum 2).
An independent Data and Safety Monitoring Board (DSMB) will regularly review interim analyses and summarize safety and efficacy outcomes. The pace of enrollment with be initially restricted, and there will be an early review of safety data by the DSMB. At the outset of the trial, only participants in disease severity stratum 1 will be enrolled. This will continue until approximately 300 participants are enrolled and followed for 5 days. The exact number will vary according to the speed of enrollment and the timing of DSMB meetings. Prior to expanding enrollment to also include patients in disease severity stratum 2, safety will be evaluated and a pre-specified futility assessment by the DSMB will be carried out using 2 ordinal outcomes assessed at Day 5.
If VIR-7831 passes the futility assessment, enrollment of participants will be expanded, seamlessly and without any data unblinding, to include participants in disease severity stratum 2 as well as those in disease severity stratum 1. Future interim analyses will be based on the primary endpoint of sustained recovery and will use pre-specified guidelines to determine early evidence of benefit, harm, or futility for the investigational agent. Participants will be followed for 18 months following randomization.
This trial will be conducted in several hundred clinical sites. Participating sites are affiliated with networks funded by the United States National Institutes of Health (NIH) and the US Department of Veterans Affairs.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| VIR-7831 plus SOC | Experimental | Biological: VIR-7831, Biological: Remdesivir* VIR-7831 500 mg solution (2 vials of 250 mg); administered as a single IV infusion * Remdesivir is provided to all study participants as SOC unless contraindicated for an individual patient; administered by IV infusion |
| Placebo plus SOC | Placebo comparator | Biological: Placebo, Biological: Remdesivir* Placebo administered by IV infusion * Remdesivir is provided to all study participants as SOC unless contraindicated for an individual patient; administered by IV infusion |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| VIR-7831VIR-7831 is a fully human neutralizing immunoglobulin G (IgG)-1 kappa monoclonal antibody (mAb) derived from antibody S309 from a survivor of SARS-CoV-1. | Biological | VIR-7831 plus SOC |
| PlaceboCommercially available 0.9% sodium chloride solution | Biological | Placebo plus SOC |
| RemdesivirAlso: VekluryAntiviral agent | Biological | Placebo plus SOC, VIR-7831 plus SOC |
Primary outcome
Number of Participants With Sustained Recovery
Time frame: Through Day 90
Sustained recovery defined as being discharged from the index hospitalization, followed by being alive and home for 14 consecutive days prior to Day 90.
Number of Participants With an Ordinal Outcome on Day 5
Time frame: Status on Day 5
Ordinal outcome with 7 mutually exclusive categories
4 secondary outcomes
Number of Participants Who Died From All Causes
Time frame: Through Day 90
Number of Participants With a Safety Outcome Through Day 5
Time frame: Through Day 5
Number of Participants With a Safety Outcome Through Day 28
Time frame: Through Day 28
Number of Participants With a Safety Outcome Through Day 90
Time frame: Through Day 90
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Dec 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 34928698ACTIV-3/TICO Bamlanivimab Study Group; Lundgren JD, Grund B, Barkauskas CE, Holland TL, Gottlieb RL, Sandkovsky U, Brown SM, Knowlton KU, Self WH, Files DC, Jain MK, Benfield T, Bowdish ME, Leshnower BG, Baker JV, Jensen JU, Gardner EM, Ginde AA, Harris ES, Johansen IS, Markowitz N, Matthay MA, Ostergaard L, Chang CC, Goodman AL, Chang W, Dewar RL, Gerry NP, Higgs ES, Highbarger H, Murray DD, Murray TA, Natarajan V, Paredes R, Parmar MKB, Phillips AN, Reilly C, Rupert AW, Sharma S, Shaw-Saliba K, Sherman BT, Teitelbaum M, Wentworth D, Cao H, Klekotka P, Babiker AG, Davey VJ, Gelijns AC, Kan VL, Polizzotto MN, Thompson BT, Lane HC, Neaton JD. Responses to a Neutralizing Monoclonal Antibody for Hospitalized Patients With COVID-19 According to Baseline Antibody and Antigen Levels : A Randomized Controlled Trial. Ann Intern Med. 2022 Feb;175(2):234-243. doi: 10.7326/M21-3507. Epub 2021 Dec 21.
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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.
Jens Lundgren, Prof. principal investigator
INSIGHT Copenhagen International Coordinating Centre, Rigshospitalet, University of Copenhagen
James Neaton, Prof. study chair
INSIGHT Statistical and Data Management Center, University of Minnesota
105 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing VIR-7831 and Remdesivir in people with COVID-19, run by National Institute of Allergy and Infectious Diseases (NIAID) at 105 sites in 8 countries.
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: finished, as of the sponsor's last update on 27 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 105 sites in United States, Denmark, Spain, Uganda, United Kingdom and 3 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
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?
Yes. Results are posted in the registry (first posted 18 Nov 2023). 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?
Number of Participants With Sustained Recovery (time frame: Through Day 90). 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?
On the ClinicalTrials.gov record for NCT05780281, 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 27 Dec 2023.