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Post-COVID / Long-COVIDPhase 2MonoclonalNCT07021794

SARS-CoV-2 Specific Monoclonal Antibody for Post-COVID-19 Conditions (Long COVID)

A Phase 2 study testing Sipavibart in people with Post-COVID / Long-COVID, run by Nancy Klimas at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This placebo-controlled, randomized, blinded, two-arm phase II study will test the safety and potential efficacy of the targeted mAb, Sipavibart (formerly AZD3152) in patients with Long COVID. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Post-COVID / Long-COVID
What is being tested?
Sipavibart
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteUnited States
Study dates
28 Jul 2025to 30 Sep 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • An individual is eligible for inclusion if all of the following apply:
  • 18 to 70 years old,
  • Inciting event: Acute COVID documented by testing (PCR or antigen testing in a clinical setting).
  • Onset of COVID symptoms occurring on or prior to August 31st, 2023; and persistence of symptomatic expression of Long COVID (defined #6 below) for more than 3 months after COVID diagnosis.
  • Current symptomatic expression meets the case definition of ME/CFS.
  • PROMIS 29 score at screening of moderate to severe (≥60).
Show all 58Show fewer
  • Meets National Academy of Sciences (NAS) criteria for Long COVID with the following provisions:
  • Allowance for normal illnesses of aging, such as hypertension and diabetes, if the conditions are treated and are in demonstrable stable and acceptable ranges at the time of screening and assessment. Specifically, blood pressures < 150 systolic and 90 diastolic mmHg are required.
  • Allowance of stable comorbid conditions common in post viral illness, such as fibromyalgia, irritable bowel, interstitial cystitis, dysautonomia that have not required hospitalization in the two years prior to recruitment.
  • Able to provide written consent to study. Agrees to participate in follow-up visits.
  • Subject Exclusion Criteria
  • An individual is ineligible to participate if any of the following apply:
  • Known active acute SARS-CoV-2 infection ≤ 4 weeks from consent.
  • Known severe anemia, defined as < 8 g/dL.
  • Known stroke that resulted in cognitive impairment within 3 months of enrollment.
  • Self-report of current treated or untreated major depression with psychotic or melancholic features, schizophrenia, bipolar disorder, delusional disorders, dementias of any type, or a history of CNS disorders that may affect cognitive function (i.e., epilepsy, stroke, brain tumor, multiple sclerosis, Parkinson's Disease, Alzheimer's disease), or substance abuse during the last two years, excluding cannabis products.
  • Allergy to any ingredient of the study drug (self-report)
  • Sipavibart is supplied as 150 mg/mL of active ingredient in 20 mM L-histidine/L-histidine hydrochloride, 220 mM L-arginine hydrochloride, and 0.04% (w/v) polysorbate 80, at pH 6.0.
  • Hypersensitivity to other humanized mAbs.
  • Current heavy alcohol or tobacco use (self-report). Alcohol consumption not to exceed approximately 15 drinks per week (with a drink defined as 12 oz beer, 5 oz wine, or 1.5 oz distilled spirits) and tobacco use not to exceed 20 cigarettes (or equivalent) per day during the last month.
  • Active chronic infections such as HIV, Hepatitis B Virus (HBV), and Hepatitis C Virus (HCV), indicated by self-report, and abnormal liver function tests (>3x upper limit of normal) or evidence in the health record of chronic active hepatitis or human immunodeficiency virus (HIV).
  • Renal disease (self-report; laboratory results: renal insufficiency with serum creatinine > 2.0 mg/dL or eGFR < 44; or currently on renal dialysis)
  • Liver disease (self-report or laboratory results: hepatic insufficiency (bilirubin >2.5mg/dL or transaminases > 3X the upper limits of normal)
  • Uncontrolled diabetes, evidenced by combination of morning blood glucose and previous diagnosis of diabetes, AIC>7
  • Diagnosed with congestive heart failure or significant arrythmia (ventricular tachycardia with a rapid rate at rest (> 100 bpm), persistent atrial fibrillation, or second- or third-degree heart block)
  • Pre-existing sustained severe hypertension (BP >180/110 mmHg in the sitting position)
  • Any of the following within 4 weeks of consent (Self-reported/medical record):
  • an acute myocardial infarction or unstable angina
  • uncontrolled arrhythmias causing symptoms or hemodynamic compromise
  • acute myocarditis or pericarditis, uncontrolled acutely decompensated heart failure (acute pulmonary edema)
  • acute pulmonary embolism
  • suspected dissecting aneurysm
  • severe hypoxemia at rest
  • any acute or chronic disorder that may affect exercise performance, or
  • if they are aggravated by exercise (e.g., infection, thyrotoxicosis, unable to cooperate)
  • Diagnosed bleeding disorders or use of blood-thinning medications.
  • Current or previous receipt of any COVID antiviral medication within 30 days prior to screening (self reported)
  • Currently have exclusionary diagnoses that could reasonably explain the symptoms of their fatiguing illness and their severity, using the exclusion criteria best described in the Ambiguities in case definition paper for CFS, as described in detail in [13] which clarifies exclusionary conditions. These exclusionary diagnoses that are not otherwise listed above comprise:
  • Organ failure
  • Chronic inflammatory diseases
  • Major neurologic diseases that could cause fatigue or neurologic deficits
  • Diseases requiring systemic treatment (i.e., transplantation, chemotherapy, radiation)
  • Major endocrine diseases
  • Untreated primary sleep disorders
  • BMI > 40 kg/m2
  • Temporary conditions discovered at screening, such as
  • Temporary effects of medications
  • Temporary sleep deprivation
  • Untreated hypothyroidism, hypothyroidism that has been inadequately controlled during the last 3 months, or free T4 level not within normal limits
  • Active infection (for COVID-19 infection and other infections, participants may be rescreened six weeks after resolution of infection)
  • Known diagnosis of chronic Lyme disease with persistent symptoms, sequelae, or related therapy.
  • Any marijuana illicit drug use within 30 days of informed consent
  • Inability to discontinue symptomatic medications for the identified time periods
  • Moderate or severe immunocompromised patients, such as those described in the NIH COVID-Treatment Guidelines
  • Are scheduled for a surgery during the period of study participation, had minor surgery within three months prior to screening, or had major surgery within 6 months prior to screening
  • Participating in any interventional (including social-behavioral therapy) clinical trial of an investigational therapy within 6 weeks prior to consent, or planning to participate in another interventional clinical trial of an investigational therapy during the course of this study
  • COVID Vaccination within 90 days prior to entry and for the duration of the study
  • Pregnancy is excluded. Women of childbearing age will be given a pregnancy test.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Nancy Klimas, MD contact

954-262-2286

nklimas@nova.edu

Alejandro Montealegre, MSN, ARNP contact

954-262-2286

am3841@nova.edu

United States1 site, 1 recruiting
  • Nova Southeastern University

    Fort Lauderdale, Florida, 33314

    Alejandro Montealegre, APRN, 954-262-2286, am3841@nova.edu

    Korrine Rodrigue, PhD, 802-779-8122, kr1686@nova.edu

    Recruiting

Other trials in United States

About this study

Official title: Effectiveness of Treating Post-COVID-19 Conditions (Long COVID) With the SARS-CoV-2 Specific Monoclonal Antibody, Sipavibart

This placebo-controlled, randomized, blinded, two-arm phase II study will test the safety and potential efficacy of the targeted mAb, Sipavibart (formerly AZD3152) in patients with Long COVID.

Read the detailed description

Acute COVID-19 infection can present differently among infected patients, with the infection ranging in symptom presentation from asymptomatic and mild symptomatology to severe illness. Common symptoms tied to a COVID-19 infection include fever, chills, cough, respiratory ailments (shortness of breath or difficulty breathing), fatigue, muscle and/or joint pain, headache, loss of taste or smell, sore throat, congestion, and/or gastrointestinal (GI) disturbances (nausea, vomiting, and/or diarrhea). In some patients, these symptoms are short-lived and span the length of the acute infection, while in many patients the symptoms can linger for an extended period. Early indications point to inflammation playing a key role in acute COVID-19 illness and severity, and may play a role in prolonged Long COVID(LC) symptom intolerance and long-term sequelae. Researchers have demonstrated the involvement of persistent inflammation, poor antiviral responses, and evidence of chronic viral reactivation.

More recently, studies have demonstrated that mAb targeting the spike (S) protein of the SARS-CoV-2 may not only be effective in treating acute COVID-19 infection, especially variants prior to Omicron (alpha, beta, and delta), but also may play a role in addressing Long COVID. This implies that mAb infusions likely target SARS-CoV-2, decreasing activity, and potentially addressing disease pathogenesis tied to its activation, shutting down negative implications of inflammation tied to viral activation. This study will employ a two-arm randomized design to evaluate the efficacy of the drug Sipavibart in individuals experiencing LC symptoms. Participants will undergo six months of follow up after receiving either one dose of Sipavibart or one dose of placebo. After completion of the 6-month follow up, an open-label extension phase will be added at month 6 (week 24), where subjects who continue to experience symptoms of long COVID (regardless of the blinded treatment assignment) could be eligible to receive one dose of Sipavibart in an open-label fashion.

Being tested
Placebo, Sipavibart
Keywords
LongCOVID, Monoclonal antibody (mAb) therapy, Post-viral conditions
Medical subject headings
Post-Acute COVID-19 Syndrome, Mycobacterium Infections, Nontuberculous

What participants receive

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

  • PlaceboDrug

    A single dose of placebo (saline) indistinguishable from the active drug in appearance

  • SipavibartBiological

    A single intramuscular dose of Sipavibart, 300 mg

Study groups in NCT07021794
Study groupRoleWhat they receive
SipavibartExperimentalParticipants receive a single intramuscular dose of Sipavibart, 300 mg intramuscular and are then followed for a duration of six months.
Receives: Drug: Placebo
PlaceboPlacebo comparatorParticipants receive single dose of placebo (saline) indistinguishable from the active drug in appearance, and are then followed for a duration of six months.
Receives: Biological: Sipavibart

What is being measured

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

  1. Patient-Reported Outcomes Measurement Information System-29

    Comprehensive Symptom Burden Index (CSBI) total scores will serve as a composite outcome measure derived from eight PROMIS domains to capture overall symptom burden. Scores will be calculated at baseline and Week 12. Efficacy will be determined by the proportion of participants classified as IMPROVED, defined as having a ≥4.5-point increase in CSBI from baseline, a threshold representing moderate and clinically meaningful improvement.

    Measured: 12 weeks

  2. Review of Treatment Related Adverse Events

    Number of participants with treatment-related adverse events as assessed by frequency of safety events during the study period.

    Measured: 24 weeks

Secondary outcomes (24)
  1. Symptom-specific participant-reported outcome measures

    Evaluate change in Comprehensive Symptom Burden Index (CSBI) score from baseline to Week 24 between Sipavibart and placebo groups.

    Measured: 24 weeks

  2. Change in Simple Reaction Time (Milliseconds)

    Change in raw Simple Reaction Time, measured in milliseconds using the CNS Vital Signs computerized test battery, from baseline to Weeks 12 and 24.

    Measured: Baseline, 12 and 24 weeks

  3. Self-reported fatigue using MFI

    Change in Multidimensional Fatigue Inventory (MFI) total and subscale scores (General Fatigue, Physical Fatigue, Mental Fatigue, Reduced Activity, Reduced Motivation) from baseline to Weeks 12 and 24.

    Correlation of MFI scores with PROMIS Fatigue and DSQ-PEM subscales (convergent validity).

    Measured: 12 and 24 weeks

  4. Change in Heart Rate Post-6MWT

    Change in Heart Rate post 6-minute walk distance (6MWT), in meters, from baseline to Weeks 12 and 24.Unit: Beats per minute (bpm)

    Measured: 12 and 24 weeks

  5. Processing Speed

    Change in Processing Speed score (Standard score or percentile) from baseline to Weeks 12 and 24 as measured by CNS Vital Signs.

    Measured: 12 and 24 weeks

  6. Attention

    Change in Attention (Standard Score) from baseline to Weeks 12 and 24 as measured by CNS Vital Signs.

    Measured: Baseline, 12 and 24 weeks

  7. Systolic Blood Pressure Response During NASA Lean Test

    Change in systolic blood pressure (mmHg) from baseline to 10 minutes upright during the NASA Lean Test

    Measured: Baseline, 12 and 24 Weeks

  8. Diastolic Blood Pressure Response During NASA Lean Test

    Change in diastolic blood pressure (mmHg) from baseline to 10 minutes upright during the NASA Lean Test

    Measured: Baseline, 12 and 24 Weeks

  9. Symptom Score During NASA Lean Test

    Change in self-reported orthostatic intolerance symptom score, measured using a 0-10 numeric scale, during the NASA 10-minute Lean Test

    Measured: Baseline, 12 and 24 weeks

  10. Within-participant change in PROMIS Fatigue scores from baseline to Week 24

    PROMIS Fatigue domain score measured at baseline, Week 12, and Week 24 to assess change over time.

    Measured: Baseline, 12 weeks, 24 weeks

  11. Within-participant change in PROMIS Pain Interference scores

    PROMIS Pain Interference domain score measured at baseline, Week 12, and Week 24 to assess change over time.

    Measured: Baseline, 12 weeks, 24 weeks

  12. Within-participant change in PROMIS Physical Function scores

    PROMIS Physical Function domain score measured at baseline, Week 12, and Week 24 to assess change over time.

    Measured: Baseline, 12 weeks, 24 weeks

  13. Change in PROMIS Cognitive Function 8a T-score

    Evaluates cognitive function using PROMIS Cognitive Function 8a at baseline, Week 12, and Week 24. Used to assess differential treatment effects by baseline symptom cluster (Cognitive Dysfunction group).

    Measured: Baseline, 12 Week, 24 week

  14. Change in Orthostatic Hypotension Questionnaire (OHQ) composite score

    Evaluates autonomic dysfunction using the OHQ at baseline, Week 12, and Week 24. Used to assess differential treatment effects by baseline symptom cluster (Autonomic Dysfunction group).

    Measured: Baseline, 12 weeks, 24 weeks

  15. Change in DePaul Symptom Questionnaire-Post-Exertional Malaise (DSQ-PEM)

    Evaluates post-exertional malaise and exercise intolerance using the DSQ-PEM T score at baseline, Week 12, and Week 24. Used to assess differential treatment effects by baseline symptom cluster .

    Measured: Baseline, 12 weeks, 24 weeks

  16. Change in DePaul Symptom Questionnaire (DSQ) score

    Assesses symptom burden using the DSQ at baseline, Week 12, and Week 24.

    Measured: Baseline, 12 weeks, 24 weeks

  17. Change in Pittsburgh Sleep Quality Index (PSQI) global score

    Assesses sleep quality using the PSQI at baseline, Week 12, and Week 24. Scores (0-21)

    Measured: Baseline, 12 weeks, 24 weeks

  18. Change in Brief Pain Inventory (BPI) severity score

    Assesses pain severity using the BPI at baseline, Week 12, and Week 24. Scores (1-10).

    Measured: Baseline, 12 weeks, 24 weeks

  19. Change in Modified Medical Research Council (mMRC) Dyspnea Scale score

    Assesses dyspnea using the mMRC scale at baseline, Week 12, and Week 24. Score range 0-4

    Measured: Baseline, 12 weeks, 24 weeks

  20. Change in Generalized Anxiety Disorder-7 (GAD-7) score

    Assesses anxiety symptoms using the GAD-7 at baseline, Week 12, and Week 24. Score range 0-21

    Measured: Baseline, 12 weeks, 24 weeks

  21. Change in Patient Health Questionnaire-8 (PHQ-8) score

    Assesses depressive symptoms using the PHQ-8 at baseline, Week 12, and Week 24. Score range 0-24

    Measured: Baseline, 12 weeks, 24 weeks

  22. Change in Brief Illness Perception Questionnaire (B-IPQ) total score

    Assesses illness perception using the B-IPQ at baseline, Week 12, and Week 24. Score range 0-80

    Measured: Baseline, 12 weeks, 24 weeks

  23. Change in Functional Capacity Scale (FUNCAP) score

    Assesses functional impairment using the FUNCAP scale at baseline, Week 12, and Week 24. Score range 0-100

    Measured: Baseline, 12 weeks, 24 weeks.

  24. Change in Composite Symptom Burden Index (CSBI) score

    The CSBI is a derived score summarizing symptom burden across multiple validated domains (e.g., fatigue, pain, sleep, mood, cognitive function). Domain scores are standardized and averaged to produce a single CSBI value per participant. Paired differences from baseline to Week 12 and Week 24 will be analyzed to assess intra-individual changes and overall cohort-level trends.

    Measured: Baseline, 12 weeks, 24 weeks

Timeline

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

  1. First posted15 Jun 2025
  2. Study start28 Jul 2025
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Sep 2027 (estimated)

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This placebo-controlled, randomized, blinded, two-arm phase II study will test the safety and potential efficacy of the targeted mAb, Sipavibart (formerly AZD3152) in 100 patients with Long COVID.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07021794
Sponsor's protocol ID
LongCovid Monoclonal Antibody
Acronym
Monoclonal
Status last verified
Sep 2026
First submitted
31 Oct 2024
Last updated
29 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sipavibart in people with Post-COVID / Long-COVID, run by Nancy Klimas at 1 site 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 58 inclusion and 0 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: looking for participants now, as of the sponsor's last update on 29 Sep 2026. 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 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. 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 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Nancy Klimas, MD (954-262-2286, nklimas@nova.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient-Reported Outcomes Measurement Information System-29 (time frame: 12 weeks). 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 29 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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