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NCT05210101

A Safety and Tolerability Study of Sotrovimab (VIR-7831) Prophylaxis Against COVID-19 in Immunocompromised Individuals

Completed Phase 2 Results posted Last updated 15 August 2024
What this trial tests

Phase 2 trial testing Sotrovimab in SARS CoV 2 Infection in 93 participants. Completed in 28 February 2023.

Timeline
7 February 2022
Primary endpoint
28 February 2023
28 February 2023

Quick facts

Lead sponsorSophia Koo, M.D.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment93
Start date7 February 2022
Primary completion28 February 2023
Estimated completion28 February 2023
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Sophia Koo, M.D.

Who can join

18 and older, any sex, with SARS CoV 2 Infection. 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.

Proportion of Patients With Treatment-emergent Adverse Events, Serious Adverse Events, and Adverse Events of Specific Interest Primary · 36 weeks after the second dose of sotrovimab

Proportion of patients with treatment-emergent adverse events, serious adverse events, and adverse events of specific interest (including infusion-related and hypersensitivity reactions, anti-drug antibody (ADA) levels, and antibody-dependent enhancement

Proportion of subjects with treatment-emergent grade 3-4 adverse events, per DAIDS grading criteria.
GroupValue95% CI
Sotrovimab28
Proportion of study subjects with treatment-emergent serious adverse events (SAE).
GroupValue95% CI
Sotrovimab27
Proportion of study subjects with infusion-related and hypersensitivity reactions
GroupValue95% CI
Sotrovimab3
Proportion of study subjects with the development of antidrug antibody (ADA) levels
GroupValue95% CI
Sotrovimab3
Proportion of subjects with antibody-dependent enhancement (ADE)
GroupValue95% CI
Sotrovimab0
Half-life of Sotrovimab in Immunocompromised Patients With Impaired Humoral Immunity Against SARS-CoV-2. Primary · Within 1 hour of the first dose infusion of sotrovimab and on day 11, 29, and 59. Prior to the second dose, within 1 hour of the second dose infusion of sotrovimab, and 11, 29, 59, and 168 days after

Evaluation of half-life of sotrovimab in immunocompromised patients with impaired humoral immunity against SARS-CoV-2.

GroupValue95% CI
Sotrovimab67.747.3 – 95.8
COVID-19-related Outcomes Secondary · 36 weeks after the second dose of sotrovimab

The proportion of study subjects who: (a) develop COVID-19 (of any severity), (b) severe COVID-19, (c) Emergency department (ED) visits, inpatient hospitalization, or ICU hospitalizations within 28 days of a new diagnosis of SARS-CoV-2, (d) need for new or increasing supplemental oxygen or mechanical ventilation within 28 days of a new diagnosis of SARS-CoV-2, and (e) death due to any cause during the study follow-up period.

Patients who developed COVID-19 (of any severity)
GroupValue95% CI
Sotrovimab35
Patients who developed severe COVID-19
GroupValue95% CI
Sotrovimab1
General Health Quality of Life Measurement Secondary · At treatment day 1, at treatment day 2

Health-related quality of life was assessed using the 36-Item Short Form Survey (SF-36), specifically focusing on the General Health domain. Each question in this domain was scored as follows: For questions 33 and 35, responses were scaled: 1 = 0, 2 = 25, 3 = 50, 4 = 75, and 5 = 100. For questions 1, 34, and 36, responses were scaled: 1 = 100, 2 = 75, 3 = 50, 4 = 25, and 5 = 0. The scores for these five questions were summed to create a composite General Health score, with possible total scores ranging from 0 (indicating the best perceived general health) to 500 (indicating the worst percei

GroupValue95% CI
Sotrovimab-0.60± 3.27
In Patients Who Develop COVID-19, the Greatest Extent of COVID-19 Symptoms, as Assessed Using the 8-point National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) Secondary · from covid day 1 to end of hospitalization or covid day 14

National Institute of Allergy and Infectious Disease Ordinal Scale (NIAD-OS) was assessed at the end of hospitalization or 14 days after the diagnosis of COVID-19. The worst reported scale value was used in the analysis to adequately represent the greatest extent of their COVID-19 infection. NIAID-OS Scale Value Description 1. Not hospitalized, no limitations on activities 2. Not hospitalized, limitation on activities or/or requiring home oxygen 3. Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care 4. Hospitalized, not requiring supplemental oxygen 5. Ho

GroupValue95% CI
Sotrovimab11 – 5
Number of Participants With New Cellular or Antibody-mediated Rejection Events Secondary · 36 weeks after the second dose of sotrovimab

Assessment of rates of new cellular or antibody-mediated rejection events in solid organ transplant (SOT) recipients exposed to sotrovimab.

GroupValue95% CI
Sotrovimab0
New-onset or Worsening Graft-versus-host Disease in Hematopoietic Cell Transplant Recipients Secondary · 36 weeks after the second dose of sotrovimab

Assessment of rates of new-onset or worsening graft-versus-host disease in hematopoietic cell transplant (HCT) recipients exposed to sotrovimab.

GroupValue95% CI
Sotrovimab0
New-onset Allograft or Stem Cell Failure Requiring Retransplantation in HCT Recipients Secondary · 36 weeks after the second dose of sotrovimab

Assessment of rates of new-onset allograft or stem cell failure requiring retransplantation in HCT recipients exposed to sotrovimab.

GroupValue95% CI
Sotrovimab0

Adverse events — posted to ClinicalTrials.gov

Time frame: 68-74 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Sotrovimab
Serious: 27/93 (29%)
Deaths: 1/93

Serious adverse events (22 terms)

ReactionSystemSotrovimab
PneumoniaInfections and infestations
Heart FailureCardiac disorders
Febrile NeutropeniaBlood and lymphatic system disorders
Non-St Elevation Myocardial InfarctionCardiac disorders
ColitisGastrointestinal disorders
PancreatitisGastrointestinal disorders
Upper GI BleedGastrointestinal disorders
Chest PainGeneral disorders
Non-Cardiac Chest PainGeneral disorders
EmpyemaInfections and infestations
COVID-19 infectionInfections and infestations
TracheobronchitisInfections and infestations
Urinary Tract InfectionInfections and infestations
Viral InfectionInfections and infestations
Worsening PneumoniaInfections and infestations
Wound InfectionInfections and infestations
Burn Scar In The BronchusInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
HematuriaRenal and urinary disorders
Bronchial ObstructionRespiratory, thoracic and mediastinal disorders
HemoptysisRespiratory, thoracic and mediastinal disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
Other adverse events (2 terms — click to expand)

ReactionSystemSotrovimab
PneumoniaInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications

Most-reported serious reactions: Pneumonia, Heart Failure, Febrile Neutropenia, Non-St Elevation Myocardial Infarction, Colitis, Pancreatitis, Upper GI Bleed, Chest Pain.

Data from ClinicalTrials.gov NCT05210101 adverse events section.

Sponsor's own description

This is an open-label study examining the safety and tolerability of sotrovimab, administered in two sequential doses as prophylaxis in immunocompromised patients with impaired humoral immunity against SARS-CoV-2.

Publications & conference data

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

  1. Sotrovimab: First Approval.
    Heo YA. · · 2022 · cited 37× · PMID 35286623 · DOI 10.1007/s40265-022-01690-7
  2. 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
  3. Sotrovimab: A Review of Its Efficacy against SARS-CoV-2 Variants.
    Focosi D, Casadevall A, Franchini M, Maggi F. · · 2024 · cited 27× · PMID 38399991 · DOI 10.3390/v16020217
  4. Update on COVID-19 Therapeutics for Solid Organ Transplant Recipients, Including the Omicron Surge.
    Avery RK. · · 2022 · cited 27× · PMID 35700481 · DOI 10.1097/tp.0000000000004200
  5. Interactions between COVID-19 and Lung Cancer: Lessons Learned during the Pandemic.
    Bian DJH, Sabri S, Abdulkarim BS. · · 2022 · cited 9× · PMID 35892857 · DOI 10.3390/cancers14153598
  6. Safety and tolerability study of sotrovimab (VIR-7831) prophylaxis against COVID-19 infection in immunocompromised individuals with impaired SARS-CoV-2 humoral immunity.
    Gonzalez-Bocco IH, Beluch K, Cho A, Lahoud C, et al · · 2023 · cited 5× · PMID 37328890 · DOI 10.1186/s40814-023-01325-y
  7. Safety and Tolerability Study of Sotrovimab (VIR-7831) Prophylaxis Against COVID-19 Infection in Immunocompromised Individuals with Impaired SARS-CoV-2 Humoral Immunity
    Gonzalez-Bocco IH, Beluch K, Cho A, Unger-Mochrie GM, et al · · 2022 · DOI 10.21203/rs.3.rs-1821159/v1

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