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NCT04859517: EVADE

Evaluation of ADG20 for the Prevention of COVID-19

Terminated Phase 2, PHASE3 Results posted Last updated 20 August 2024
What this trial tests

Phase 2, PHASE3 trial testing ADG20 in COVID-19 in 2,582 participants. Terminated before completion.

Timeline
27 April 2021
Primary endpoint
4 November 2022
4 November 2022

Quick facts

Lead sponsorInvivyd, Inc.
PhasePhase 2, PHASE3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment2,582
Start date27 April 2021
Primary completion4 November 2022
Estimated completion4 November 2022
Sites95 locations across Georgia, Ukraine, Germany, Moldova, Poland, Argentina, Romania, United States

Drugs / interventions tested

Conditions studied

Sponsor

Invivyd, Inc. — full company profile →

Who can join

12 and older, 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.

Percentage of Participants With RT-PCR Confirmed Symptomatic COVID-19 (PEP) Primary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

RT-PCR-confirmed symptomatic COVID-19 is determined by a positive central or local (in the absence of central test) RT-PCR test from a nasopharyngeal or saliva sample accompanied by protocol-defined COVID-19 symptoms occurring within 14 days from the sample collection date. Any COVID-19-related hospitalization with a positive local SARS-CoV-2 test (within 14 days) or all-cause death are counted toward the endpoint.

GroupValue95% CI
ADG20 IM - Cohort A3
Placebo IM - Cohort A12
Percentage of Participants With RT-PCR Confirmed Symptomatic COVID-19 (PrEP) Primary · Day 1 through 3 Months or emergence of Omicron (15-Dec-2021), whichever is earlier

RT-PCR-confirmed symptomatic COVID-19 is determined by a positive central or local (in the absence of central test) RT-PCR test from a nasopharyngeal or saliva sample accompanied by protocol-defined COVID-19 symptoms occurring within 14 days from the sample collection date. Any COVID-19-related hospitalization with a positive local SARS-CoV-2 test (within 14 days) or all-cause death are counted toward the endpoint.

GroupValue95% CI
ADG20 IM - Cohort B12
Placebo IM - Cohort B40
Solicited Injection Site Reactions (PEP, PrEP) Primary · Day 1 through Day 4

Percentage of participants with at least one solicited injection site reaction

GroupValue95% CI
ADG20 IM - Cohort A12
Placebo IM - Cohort A7
ADG20 IM - Cohort B75
Placebo IM - Cohort B73
Participants With at Least 1 Treatment Emergent Adverse Events (PEP, PrEP) Primary · Day 1 through 14 Months or 25Jul2022, whichever is earlier

Any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment; includes solicited injection site reactions

GroupValue95% CI
ADG20 IM - Cohort A42
Placebo IM - Cohort A51
ADG20 IM - Cohort B399
Placebo IM - Cohort B362
Percentage of Participants With RT-PCR Confirmed Symptomatic COVID-19 (PEP) Secondary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

RT-PCR-confirmed symptomatic COVID-19 is determined by a positive central or local (in the absence of central test) RT-PCRtest from a nasopharyngeal or saliva sample accompanied by protocol-defined COVID-19 symptoms occurring within 14 days from the sample collection date. Any COVID-19-related hospitalization with a positive local SARS-CoV-2 test (within 14 days) or all-cause death are counted toward the endpoint.

GroupValue95% CI
ADG20 IM - Cohort A1
Placebo IM - Cohort A7
Percentage of Participants With SARS-CoV-2 Infection (Asymptomatic or Symptomatic) as Determined by Positive RT-PCR or Serology (PEP) Secondary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

Participants with RT-PCR-confirmed symptomatic COVID-19 (protocol defined COVID-19 symptoms occurring within 14 days from the sample collection date of a positive central or local \[in the absence of central test\] RT-PCR, any COVID-19-related hospitalization with a positive local SARS-CoV-2 test \[within 14 days\], or all-cause death), central RT-PCR-confirmed SARS-CoV-2 infection, or central serology-confirmed SARS-CoV-2 infection with negative central serology at baseline.

GroupValue95% CI
ADG20 IM - Cohort A6
Placebo IM - Cohort A14
Percentage of Participants With Asymptomatic SARS-CoV-2 Infection as Determined by RT-PCR (PEP) Secondary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

Defined as having a central RT-qPCR-confirmed SARS-CoV-2 infection without having an RT-PCR-confirmed symptomatic COVID-19 outcome

GroupValue95% CI
ADG20 IM - Cohort A3
Placebo IM - Cohort A1
Percentage of Participants With Asymptomatic SARS-CoV-2 Infection as Determined by Serology (PEP) Secondary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

Defined as having a central serology-confirmed SARS-CoV-2 infection (with a negative central serology test sample at baseline) and without having an RT-PCR-confirmed symptomatic COVID-19 outcome (including COVID-19-related hospitalization and all-cause death)

GroupValue95% CI
ADG20 IM - Cohort A0
Placebo IM - Cohort A1
Percentage of Participants With Asymptomatic SARS-CoV-2 Infection as Determined by Serology (PrEP) Secondary · Day 1 through 6 Months or emergence of Omicron (15-Dec-2021), whichever is earlier

Defined as having a central serology-confirmed SARS-CoV-2 infection (with a negative central serology test sample at baseline) and without having an RT-PCR-confirmed symptomatic COVID-19 outcome (including COVID-19-related hospitalization and all-cause death)

GroupValue95% CI
ADG20 IM - Cohort B10
Placebo IM - Cohort B18
SARS-CoV-2 Viral Load as Assessed by RT-qPCR Change From Baseline in Asymptomatic Participants (PEP) Secondary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

Asymptomatic SARS-CoV-2 infection confirmed by RT-qPCR from nasal swab collected at Day 8 and Day 15. Viral load values reported as detected but below the lower quantification of the PCR assay (\< 714 copies/mL) are imputed with half the lower limit of quantification of the PCR assay (i.e., 357 copies/mL = 2.55 log10 copies/mL). Viral load values reported as \> 7.1×10\^7 copies/mL are imputed with 7.1×10\^7 copies/mL (i.e., 7.85 log10 copies/mL).

Day 8
GroupValue95% CI
ADG20 IM - Cohort A2.96± 4.186
Placebo IM - Cohort A0± 0
Day 15
GroupValue95% CI
ADG20 IM - Cohort A2.15± 1.985
Placebo IM - Cohort A3.16
Percentage of Participants With RT-PCR Confirmed Mild, Moderate, or Severe/Critical COVID-19 (PEP) Secondary · Day 1 through Day 28 or emergence of Omicron (15-Dec-2021), whichever is earlier

Maximum severity assessed from COVID-19-like illness (CLI) Day 1 through CLI Day 28. COVID-19-related hospitalizations or COVID-19-related deaths from CLI Day 1 to CLI Day 28 are categorized as severe/critical.

GroupValue95% CI
ADG20 IM - Cohort A3
Placebo IM - Cohort A7
ADG20 IM - Cohort A0
Placebo IM - Cohort A2
ADG20 IM - Cohort A0
Placebo IM - Cohort A3
Percentage of Participants With RT-PCR Confirmed Mild, Moderate, or Severe/Critical COVID-19 (PrEP) Secondary · Day 1 through 3 Months or emergence of Omicron (15-Dec-2021), whichever is earlier

Maximum severity assessed from COVID-19-like Illness (CLI) Day 1 through CLI Day 28. COVID-19-related hospitalizations or COVID-19-related deaths from CLI Day 1 to CLI Day 28 are categorized as severe/critical.

GroupValue95% CI
ADG20 IM - Cohort B7
Placebo IM - Cohort B14
ADG20 IM - Cohort B4
Placebo IM - Cohort B19
ADG20 IM - Cohort B1
Placebo IM - Cohort B7

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline through Month 14 or end of study (11-Jan-2022), whichever is earlier. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

ADG20 IM - Cohort A
Serious: 4/240 (2%)
Deaths: 0/240
Placebo IM - Cohort A
Serious: 8/241 (3%)
Deaths: 2/241
ADG20 IM - Cohort B
Serious: 46/1001 (5%)
Deaths: 3/1001
Placebo IM - Cohort B
Serious: 46/1001 (5%)
Deaths: 6/1001

Serious adverse events (87 terms)

ReactionSystemADG20 IM - Cohort APlacebo IM - Cohort AADG20 IM - Cohort BPlacebo IM - Cohort B
COVID-19 pneumoniaInfections and infestations
COVID-19Infections and infestations
PneumoniaInfections and infestations
Hip fractureInjury, poisoning and procedural complications
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
CholecystitisHepatobiliary disorders
Bile duct stoneHepatobiliary disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Diabetic ketoacidosisMetabolism and nutrition disorders
InfluenzaInfections and infestations
Toxicity to various agentsInjury, poisoning and procedural complications
Gun shot woundInjury, poisoning and procedural complications
ContusionInjury, poisoning and procedural complications
Abortion spontaneous incompletePregnancy, puerperium and perinatal conditions
GoutMetabolism and nutrition disorders
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Testicular abscessInfections and infestations
PyelonephritisInfections and infestations
PharyngotonsillitisInfections and infestations
Peritonsillar abscessInfections and infestations
Hepatitis AInfections and infestations
DiverticulitisInfections and infestations
Device related sepsisInfections and infestations
Clostridium difficile infectionInfections and infestations
Other adverse events (2 terms — click to expand)

ReactionSystemADG20 IM - Cohort APlacebo IM - Cohort AADG20 IM - Cohort BPlacebo IM - Cohort B
Injection site painGeneral disorders
Influenza like illnessGeneral disorders

Most-reported serious reactions: COVID-19 pneumonia, COVID-19, Pneumonia, Hip fracture, Breast cancer, Cholecystitis, Bile duct stone, Pulmonary embolism.

Data from ClinicalTrials.gov NCT04859517 adverse events section.

Sponsor's own description

This placebo-controlled study is intended to evaluate ADG20's safety and ability to prevent COVID-19 infection.

Publications & conference data

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

  1. Antibodies to watch in 2022.
    Kaplon H, Chenoweth A, Crescioli S, Reichert JM. · · 2022 · cited 245× · PMID 35030985 · DOI 10.1080/19420862.2021.2014296
  2. 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
  3. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19.
    Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, et al · · 2021 · cited 126× · PMID 34473343 · DOI 10.1002/14651858.cd013825.pub2
  4. Neutralizing antibodies for the prevention and treatment of COVID-19.
    Du L, Yang Y, Zhang X. · · 2021 · cited 97× · PMID 34497376 · DOI 10.1038/s41423-021-00752-2
  5. Development of therapeutic antibodies for the treatment of diseases.
    Wang Z, Wang G, Lu H, Li H, et al · · 2022 · cited 69× · PMID 36418786 · DOI 10.1186/s43556-022-00100-4
  6. Passive Immunotherapy Against SARS-CoV-2: From Plasma-Based Therapy to Single Potent Antibodies in the Race to Stay Ahead of the Variants.
    Strohl WR, Ku Z, An Z, Carroll SF, et al · · 2022 · cited 31× · PMID 35476216 · DOI 10.1007/s40259-022-00529-7
  7. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19.
    Hirsch C, Park YS, Piechotta V, Chai KL, et al · · 2022 · cited 28× · PMID 35713300 · DOI 10.1002/14651858.cd014945.pub2
  8. Recent Progress in the Discovery and Development of Monoclonal Antibodies against Viral Infections.
    Mokhtary P, Pourhashem Z, Mehrizi AA, Sala C, et al · · 2022 · cited 26× · PMID 36009408 · DOI 10.3390/biomedicines10081861

Verify or expand the search:

Other trials of ADG20

Trials testing the same drug.

Other recruiting trials for COVID-19

Currently open trials in the same condition.

Other Invivyd, Inc. trials

Trials by the same sponsor.

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