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NCT04625972: STORM CHASER

Phase III Double-blind, Placebo-controlled Study of AZD7442 for Post- Exposure Prophylaxis of COVID-19 in Adults

Completed Phase 3 Results posted Last updated 21 November 2023
What this trial tests

Phase 3 trial testing AZD7442 in COVID-19 in 1,131 participants. Completed in 25 July 2022.

Timeline
2 December 2020
Primary endpoint
7 April 2021
25 July 2022

Quick facts

Lead sponsorAstraZeneca
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment1,131
Start date2 December 2020
Primary completion7 April 2021
Estimated completion25 July 2022
Sites57 locations across United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

Adults 18 to 120, any sex, with COVID-19. 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.

Number of Participants With First Case of SARS-CoV-2 RT-PCR Positive Symptomatic Illness Primary · Planned to be evaluated through Day 183, however, the number of participants required was achieved 127 days after the study start date

To estimate the efficacy of a single IM dose of AZD7442 compared to placebo for the prevention of COVID-19

Primary Analysis
GroupValue95% CI
AZD744223
Placebo17
Final analysis
GroupValue95% CI
AZD744228
Placebo24
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP Primary · 457 Days
Any Adverse Event
GroupValue95% CI
AZD7442348
Placebo193
Non-serious Adverse Event
GroupValue95% CI
AZD7442345
Placebo191
Serious Adverse Events
GroupValue95% CI
AZD744220
Placebo16
Medically Attended Adverse Events
GroupValue95% CI
AZD744295
Placebo52
Adverse Events of Special Interest
GroupValue95% CI
AZD74424
Placebo4
The Incidence of SARS-CoV-2 RT-PCR-positive Severe or Critical Symptomatic Illness Occurring After Dosing With IMP Secondary · 183 Days
Primary analysis
GroupValue95% CI
AZD74420
Placebo1
Final Analysis
GroupValue95% CI
AZD74420
Placebo1
The Incidence of Participants Who Have a Post-treatment Response (Negative at Baseline to Positive at Any Time Post-baseline) for SARSCoV- 2 Nucleocapsid Antibodies Secondary · 366 Days
GroupValue95% CI
AZD7442173
Placebo98
The Incidence of COVID-19-related Death Occurring After Dosing With IMP Secondary · 366 Days
GroupValue95% CI
AZD74420
Placebo0
The Incidence of All-cause Mortality Occurring After Dosing With IMP Secondary · 366 Days
GroupValue95% CI
AZD74423
Placebo2
Serum AZD7442 Concentrations, PK Parameters Secondary · 457 Days
Day 8
GroupValue95% CI
AZD744210.028± 110.166
Day 29
GroupValue95% CI
AZD744211.718± 72.721
Day 58
GroupValue95% CI
AZD74429.420± 75.160
Day 92
GroupValue95% CI
AZD74427.183± 81.706
Day 183
GroupValue95% CI
AZD74422.975± 79.694
Day 366
GroupValue95% CI
AZD74420.696± 63.725
Incidence of ADA to AZD7442 in Serum Secondary · 457 Days
GroupValue95% CI
AZD7442110
Placebo6

Adverse events — posted to ClinicalTrials.gov

Time frame: 15 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AZD7442
Serious: 20/749 (3%)
Deaths: 3/749
Placebo
Serious: 16/372 (4%)
Deaths: 2/372

Serious adverse events (43 terms)

ReactionSystemAZD7442Placebo
Covid-19 pneumoniaInfections and infestations
PneumoniaInfections and infestations
CellulitisInfections and infestations
Diabetic ketoacidosisMetabolism and nutrition disorders
Covid-19Infections and infestations
Acute myocardial infarctionCardiac disorders
OsteomyelitisInfections and infestations
Pyelonephritis acuteInfections and infestations
Cardiac arrestCardiac disorders
Urinary tract infectionInfections and infestations
Cardiac failureCardiac disorders
Burns second degreeInjury, poisoning and procedural complications
Lumbar vertebral fractureInjury, poisoning and procedural complications
Near drowningInjury, poisoning and procedural complications
OverdoseInjury, poisoning and procedural complications
Subdural haematomaInjury, poisoning and procedural complications
Coronary artery diseaseCardiac disorders
Thermal burnInjury, poisoning and procedural complications
Tibia fractureInjury, poisoning and procedural complications
Toxicity to various agentsInjury, poisoning and procedural complications
Myocardial infarctionCardiac disorders
HypoglycaemiaMetabolism and nutrition disorders
Trisomy 21Congenital, familial and genetic disorders
Adrenal adenomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (375 terms — click to expand)

ReactionSystemAZD7442Placebo
Covid-19Infections and infestations
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
PainGeneral disorders
ChillsGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
AgeusiaNervous system disorders
AnosmiaNervous system disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Sinus congestionRespiratory, thoracic and mediastinal disorders
Blood creatine phosphokinase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Back painMusculoskeletal and connective tissue disorders
C-reactive protein increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
VomitingGastrointestinal disorders
Asymptomatic covid-19Infections and infestations
SinusitisInfections and infestations
MalaiseGeneral disorders
BronchitisInfections and infestations
AnxietyPsychiatric disorders
FallInjury, poisoning and procedural complications
AnaemiaBlood and lymphatic system disorders
Vaccination complicationInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood glucose increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Covid-19 pneumonia, Pneumonia, Cellulitis, Diabetic ketoacidosis, Covid-19, Acute myocardial infarction, Osteomyelitis, Pyelonephritis acute.

Data from ClinicalTrials.gov NCT04625972 adverse events section.

Sponsor's own description

This study will assess the efficacy of AZD7442 for the post-exposure prophylaxis of COVID-19 in Adults.

Publications & conference data

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

  1. 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
  2. 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
  3. Genetic and structural basis for SARS-CoV-2 variant neutralization by a two-antibody cocktail.
    Dong J, Zost SJ, Greaney AJ, Starr TN, et al · · 2021 · cited 274× · PMID 34548634 · DOI 10.1038/s41564-021-00972-2
  4. Antibodies to watch in 2022.
    Kaplon H, Chenoweth A, Crescioli S, Reichert JM. · · 2022 · cited 245× · PMID 35030985 · DOI 10.1080/19420862.2021.2014296
  5. 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
  6. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  7. Efficacy and safety of intramuscular administration of tixagevimab-cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial.
    Montgomery H, Hobbs FDR, Padilla F, Arbetter D, et al · · 2022 · cited 175× · PMID 35688164 · DOI 10.1016/s2213-2600(22)00180-1
  8. Monoclonal antibodies for COVID-19 therapy and SARS-CoV-2 detection.
    Hwang YC, Lu RM, Su SC, Chiang PY, et al · · 2022 · cited 170× · PMID 34983527 · DOI 10.1186/s12929-021-00784-w

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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/NCT04625972.

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