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NCT04452318

COVID-19 Study Assessing the Efficacy and Safety of Anti-Spike SARS CoV-2 Monoclonal Antibodies for Prevention of SARS CoV-2 Infection Asymptomatic in Healthy Adults and Adolescents Who Are Household Contacts to an Individual With a Positive SARS-CoV-2 RT-PCR Assay

Completed Phase 3 Results posted Last updated 15 May 2023
What this trial tests

Phase 3 trial testing REGN10933 + REGN10987 in Healthy Participants in 3,303 participants. Completed in 4 October 2021.

Timeline
13 July 2020
Primary endpoint
4 October 2021
4 October 2021

Quick facts

Lead sponsorRegeneron Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment3,303
Start date13 July 2020
Primary completion4 October 2021
Estimated completion4 October 2021
Sites134 locations across Romania, United States, Moldova

Drugs / interventions tested

Conditions studied

Sponsor

Regeneron Pharmaceuticals — full company profile →

Who can join

1 Day and older, any sex, with Healthy Participants. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Cohort A: Percentage of Participants Who Have a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Broad-term) During the EAP Primary · Up to 1 month

Symptomatic SARS-CoV-2 infection (broad-term) is defined as a positive central lab SARS-CoV-2 RT-qPCR result (either NP, nasal or saliva) associated with signs and symptoms with the onset date occurring within 14 days of a positive RT-qPCR during the EAP. Percentage estimated by Logistic Regression.

GroupValue95% CI
Cohort A: Placebo of R10933 + R109877.8
Cohort A: R10933 + R109871.4
Cohort B: Percentage of Participants Who Subsequently Develop Signs and Symptoms (Broad-Term) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP Primary · Up to 14 Days

The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:\>=12 to=50), and region (US vs ex-US).

GroupValue95% CI
Cohort B: Placebo of R10933 + R1098742.5
Cohort B: R10933 + R1098728.4
Cohort A and Cohort B: Number of Participants With at Least One Treatment-emergent Adverse Event (TEAEs) and Severity of TEAEs Primary · Up to 8 months
# of participants with at least one TEAE
GroupValue95% CI
Cohort A: Placebo of R10933 + R10987512
Cohort A: R10933 + R10987405
Cohort B: Placebo of R10933 + R1098788
Cohort B: R10933 + R1098760
# of participants with at least one Grade 1 TEAE
GroupValue95% CI
Cohort A: Placebo of R10933 + R10987384
Cohort A: R10933 + R10987284
Cohort B: Placebo of R10933 + R1098761
Cohort B: R10933 + R1098751
# of participants with at least one Grade 2 TEAE
GroupValue95% CI
Cohort A: Placebo of R10933 + R1098798
Cohort A: R10933 + R1098795
Cohort B: Placebo of R10933 + R1098721
Cohort B: R10933 + R109877
# of participants with at least one Grade 3 TEAE
GroupValue95% CI
Cohort A: Placebo of R10933 + R1098726
Cohort A: R10933 + R1098721
Cohort B: Placebo of R10933 + R109876
Cohort B: R10933 + R109872
# of participants with at least one Grade 4 TEAE
GroupValue95% CI
Cohort A: Placebo of R10933 + R109872
Cohort A: R10933 + R109872
Cohort B: Placebo of R10933 + R109870
Cohort B: R10933 + R109870
# of participants with at least one Grade 5 TEAE
GroupValue95% CI
Cohort A: Placebo of R10933 + R109872
Cohort A: R10933 + R109873
Cohort B: Placebo of R10933 + R109870
Cohort B: R10933 + R109870
Cohort A and Cohort B: Percentage of Participants With High Viral Load in Nasopharyngeal (NP) Swab Samples During the EAP Secondary · Up to 1 month

High viral load (\> 4 log 10 copies/ml)

GroupValue95% CI
Cohort A: Placebo of R10933 + R1098711.3
Cohort A: R10933 + R109871.6
Cohort B: Placebo of R10933 + R1098762.6
Cohort B: R10933 + R1098740.5
Cohort A: Number of Weeks of Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Broad Term) During the EAP Secondary · Up to 1 month
GroupValue95% CI
Cohort A: Placebo of R10933 + R109870.25± 1.135
Cohort A: R10933 + R109870.02± 0.181
Cohort A and Cohort B: Number of Weeks of High Viral Load in NP Swab Samples During the EAP Secondary · Up to 1 month

High viral load (\> 4 log 10 copies/ml)

GroupValue95% CI
Cohort A: Placebo of R10933 + R109870.18± 0.554
Cohort A: R10933 + R109870.02± 0.154
Cohort B: Placebo of R10933 + R109870.81± 0.758
Cohort B: R10933 + R109870.49± 0.677
Cohort A: Number of Weeks of RT-qPCR Confirmed SARS-CoV-2 Infection (Regardless of Symptoms) During the EAP Secondary · Up to 1 month
GroupValue95% CI
Cohort A: Placebo of R10933 + R109870.31± 0.854
Cohort A: R10933 + R109870.05± 0.260
Cohort A: Percentage of Participants Who Have a RT-qPCR Confirmed SARS-CoV-2 Infection (Regardless of Symptoms) During the EAP Secondary · Up to 1 month

The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:\>=12 to=50), and region (US vs ex-US)

GroupValue95% CI
Cohort A: Placebo of R10933 + R1098714.56
Cohort A: R10933 + R109875.00
Cohort A: Percentage of Participants in Placebo Group With a RT-qPCR Confirmed SARS-CoV-2 Infection During the EAP With an Index Case Participating in Study R10933-10987-COV-2067 (NCT04425629) Secondary · Up to 1 month
% with index case receiving R10933+R10987 in 2067
GroupValue95% CI
Cohort A: Placebo of R10933 + R1098719.8
% with index case receiving placebo in 2067
GroupValue95% CI
Cohort A: Placebo of R10933 + R1098719.6
% with index case treatment in 2067 not available
GroupValue95% CI
Cohort A: Placebo of R10933 + R1098710.5
Cohort A: Percentage of Participants With a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (CDC Definition) During the EAP Secondary · Up to 1 month

Symptomatic SARS-CoV-2 infection (CDC definition) is defined as a positive central lab SARS-CoV-2 RT-qPCR result (either NP, nasal or saliva) associated with signs and symptoms with the onset date occurring within 14 days of a positive RT-qPCR during the EAP. Percentage estimated by Logistic Regression.

GroupValue95% CI
Cohort A: Placebo of R10933 + R109875.9
Cohort A: R10933 + R109870.8
Cohort A: Number of Weeks of Symptomatic RT-qPCR-confirmed SARS-CoV-2 Infection (CDC Definition) During the EAP Secondary · Up to 1 month
GroupValue95% CI
Cohort A: Placebo of R10933 + R109870.21± 1.042
Cohort A: R10933 + R109870.01± 0.128
Cohort A: Percentage of Participants Who Have a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Strict-term) During the EAP Secondary · Up to 1 month

The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:\>=12 to=50), and region (US vs ex-US)

GroupValue95% CI
Cohort A: Placebo of R10933 + R109872.8
Cohort A: R10933 + R109870.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to day 226. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A Placebo
Serious: 23/1428 (2%)
Deaths: 2/1428
Cohort A R10933+R10987
Serious: 24/1439 (2%)
Deaths: 3/1439
Cohort A1 Placebo
Serious: 0/1 (0%)
Deaths: 0/1
Cohort B Placebo
Serious: 5/170 (3%)
Deaths: 0/170
Cohort B R10933+R10987
Serious: 1/165 (1%)
Deaths: 0/165
Undetermined Placebo
Serious: 0/44 (0%)
Deaths: 0/44
Undetermined R10933+R10987
Serious: 0/23 (0%)
Deaths: 0/23

Serious adverse events (47 terms)

ReactionSystemCohort A PlaceboCohort A R10933+R10987Cohort A1 PlaceboCohort B PlaceboCohort B R10933+R10987Undetermined PlaceboUndetermined R10933+R10987
COVID-19Infections and infestations
COVID-19 pneumoniaInfections and infestations
AppendicitisInfections and infestations
PneumoniaInfections and infestations
Road traffic accidentInjury, poisoning and procedural complications
Suicidal ideationPsychiatric disorders
Abortion spontaneousPregnancy, puerperium and perinatal conditions
Acute myocardial infarctionCardiac disorders
PyelonephritisInfections and infestations
Scrotal abscessInfections and infestations
SepsisInfections and infestations
Abscess limbInfections and infestations
GangreneInfections and infestations
GastroenteritisInfections and infestations
OsteomyelitisInfections and infestations
Soft tissue infectionInfections and infestations
Gun shot woundInjury, poisoning and procedural complications
Humerus fractureInjury, poisoning and procedural complications
Soft tissue injuryInjury, poisoning and procedural complications
Ankle fractureInjury, poisoning and procedural complications
Burns second degreeInjury, poisoning and procedural complications
Foot fractureInjury, poisoning and procedural complications
Post procedural complicationInjury, poisoning and procedural complications
Post procedural haemorrhageInjury, poisoning and procedural complications
Post procedural inflammationInjury, poisoning and procedural complications
Other adverse events (2 terms — click to expand)

ReactionSystemCohort A PlaceboCohort A R10933+R10987Cohort A1 PlaceboCohort B PlaceboCohort B R10933+R10987Undetermined PlaceboUndetermined R10933+R10987
COVID-19Infections and infestations
Asymptomatic COVID-19Infections and infestations

Most-reported serious reactions: COVID-19, COVID-19 pneumonia, Appendicitis, Pneumonia, Road traffic accident, Suicidal ideation, Abortion spontaneous, Acute myocardial infarction.

Data from ClinicalTrials.gov NCT04452318 adverse events section.

Sponsor's own description

Primary Objectives: Cohort A: • To evaluate the efficacy of REGN10933+REGN10987 compared to placebo in preventing symptomatic SARS-CoV-2 infection (broad-term) confirmed by RT-qPCR Cohort A and Cohort A1: • To evaluate the safety and tolerability of REGN10933+REGN10987 following subcutaneous (SC) administration compared to placebo Cohort B • To evaluate the efficacy of REGN10933+REGN10987 compared to placebo in preventing COVID-19 symptoms (broad-term) Cohort B and Cohort B1 • To evaluate the safety and tolerability of REGN10933+REGN10987 following SC administration compared to placebo

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. REGN-COV2, a Neutralizing Antibody Cocktail, in Outpatients with Covid-19.
    Weinreich DM, Sivapalasingam S, Norton T, Ali S, et al · · 2021 · cited 1382× · PMID 33332778 · DOI 10.1056/nejmoa2035002
  2. Neutralizing monoclonal antibodies for treatment of COVID-19.
    Taylor PC, Adams AC, Hufford MM, de la Torre I, et al · · 2021 · cited 604× · PMID 33875867 · DOI 10.1038/s41577-021-00542-x
  3. REGN-COV2 antibodies prevent and treat SARS-CoV-2 infection in rhesus macaques and hamsters.
    Baum A, Ajithdoss D, Copin R, Zhou A, et al · · 2020 · cited 481× · PMID 33037066 · DOI 10.1126/science.abe2402
  4. Subcutaneous REGEN-COV Antibody Combination to Prevent Covid-19.
    O'Brien MP, Forleo-Neto E, Musser BJ, Isa F, et al · · 2021 · cited 390× · PMID 34347950 · DOI 10.1056/nejmoa2109682
  5. Tackling COVID-19 with neutralizing monoclonal antibodies.
    Corti D, Purcell LA, Snell G, Veesler D. · · 2021 · cited 300× · PMID 34087172 · DOI 10.1016/j.cell.2021.05.005
  6. Molecular mechanism of interaction between SARS-CoV-2 and host cells and interventional therapy.
    Zhang Q, Xiang R, Huo S, Zhou Y, et al · · 2021 · cited 219× · PMID 34117216 · DOI 10.1038/s41392-021-00653-w
  7. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  8. Extremely potent human monoclonal antibodies from COVID-19 convalescent patients.
    Andreano E, Nicastri E, Paciello I, Pileri P, et al · · 2021 · cited 204× · PMID 33667349 · DOI 10.1016/j.cell.2021.02.035

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04452318.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing