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Pharmacokinetics, Pharmacodynamics, and Safety of Single-dose Sotrovimab in High-risk Pediatric Participants With Mild to Moderate COVID-19 (COMET-PACE)

Primary Purpose

COVID-19

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Sotrovimab
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring COVID-19, Pharmacokinetics, Safety, Pharmacodynamics, Sotrovimab, Pediatric, Intravenous, Intramuscular

Eligibility Criteria

0 Days - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Participant must be 32 weeks estimated gestational age (EGA), day of life (DOL) 0 to <18 years of age inclusive, at either the time of participant's signed assent (if age-appropriate) or parent(s)/legally authorized representative signing the informed consent.
  • Participants with mild-moderate COVID-19.
  • Participants at risk of disease progression with at least one of the following criteria: Age <1 year; Diabetes mellitus; Genetic or metabolic diseases; Obesity ); Cardiovascular disease; Sickle cell disease; Pulmonary disease; Neurologic disease; Immunosuppressed ; Baseline medical complexity (gastrostomy- or jejunostomy-dependence, parenteral nutrition dependence, tracheostomy-dependence, Baseline oxygen requirement, use of Continuous positive airway pressure [CPAP]/ Bilevel positive airway pressure [BiPAP]/ventilator support).

Exclusion Criteria

  • Participant is pregnant or breastfeeding.
  • Participant is currently hospitalized, or judged by the investigator as likely to require hospitalization in the next 24 hours, due to severe or critical COVID-19.
  • Multisystem inflammatory syndrome in children (MIS-C).
  • Prior, current, or planned future use of any of the following treatments during the study period: COVID-19 convalescent plasma, Monoclonal antibodies (mAbs) against Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) (for example [e.g.], casirivimab/imdevimab), intravenous immunoglobulin (IVIG) for any indication, or dexamethasone specifically for treatment of COVID-19.
  • Current use of COVID-19 treatment (authorized, approved, or investigational).
  • The following exclusions related to use of an authorized or approved vaccine for SARS-CoV-2 are applicable:

    1. Receipt of any authorized or approved vaccine for SARS-CoV-2 within 48 hours prior to dosing.
    2. Planned use of any authorized or approved vaccine for SARS-CoV-2 within 90 days of study drug administration per current Centers for Disease Control and Prevention (CDC) recommendations.
  • Receipt of any non-SARS-CoV-2 vaccines within 14 days (for non-live vaccines) or 28 days (for live vaccine) of screening.
  • Currently enrolled in another clinical study.
  • Infants <24 weeks of age: maternal receipt of IVIG, SARS-CoV-2-directed convalescent plasma or SARS-CoV-2-directed mAb(s) within 3 months prior to birth or within 5 half-lives of the investigational product (whichever is longer).

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort A: Participants receiving sotrovimab via Intravenous administration

Cohort B: Participants receiving sotrovimab via Intramuscular administration

Arm Description

Outcomes

Primary Outcome Measures

Body weight-adjusted serum clearance of sotrovimab
Maximum observed concentration (Cmax) following administration of sotrovimab
Time to reach Cmax (Tmax) following administration of sotrovimab
Area under the serum concentration-time curve from time zero to infinity (AUC[0-inf]) following administration of sotrovimab
Terminal elimination half-life (T1/2) following administration of sotrovimab
Apparent volume of distribution during terminal phase (Vz) following administration of sotrovimab
Clearance (CL) following administration of sotrovimab
Bioavailability (F) following administration of sotrovimab
Number of participants with adverse events (AEs), serious adverse events (SAEs), and AEs of special interest (AESI)

Secondary Outcome Measures

Number of participants with progression of COVID-19 through Day 29
Progression of COVID-19 is defined as need for attended medical visit (includes visit to a hospital emergency room for management of illness or hospitalization for acute management of illness) or escalation to higher level of medical care or death.
Number of participants with development of severe and/or critical respiratory COVID-19 through Day 29
Severe and/or critical respiratory COVID-19 as manifested by requirement for supplemental oxygen through Day 29. For participants who require oxygen or respiratory support for premorbid conditions, disease progression is defined as any sustained (greater than [>]24 hours) increase in the level or method of oxygen support required.
Change from Baseline in viral load in nasal secretions measured by quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR)

Full Information

First Posted
November 16, 2021
Last Updated
July 21, 2023
Sponsor
GlaxoSmithKline
Collaborators
Vir Biotechnology, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05124210
Brief Title
Pharmacokinetics, Pharmacodynamics, and Safety of Single-dose Sotrovimab in High-risk Pediatric Participants With Mild to Moderate COVID-19
Acronym
COMET-PACE
Official Title
An Open-label, Non-comparator, Multicenter Study to Describe the Pharmacokinetics (PK), Pharmacodynamics (PD; Viral Load) and Safety Following a Single Intravenous or Intramuscular Dose of Sotrovimab in Pediatric Participants With Mild to Moderate COVID-19 at High Risk of Disease Progression
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Terminated
Why Stopped
Decrease in in-vitro neutralization of study drug against circulating SARS-CoV-2 variants
Study Start Date
December 16, 2021 (Actual)
Primary Completion Date
June 14, 2023 (Actual)
Study Completion Date
June 14, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
Collaborators
Vir Biotechnology, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase 2b study will evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of sotrovimab in pediatric participants from birth to less than (<)18 years old with mild-to-moderate Coronavirus Disease-2019 (COVID-19) at high risk of disease progression.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19, Pharmacokinetics, Safety, Pharmacodynamics, Sotrovimab, Pediatric, Intravenous, Intramuscular

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Masking Description
This is an open-label study.
Allocation
Non-Randomized
Enrollment
8 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort A: Participants receiving sotrovimab via Intravenous administration
Arm Type
Experimental
Arm Title
Cohort B: Participants receiving sotrovimab via Intramuscular administration
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Sotrovimab
Intervention Description
Sotrovimab will be administered.
Primary Outcome Measure Information:
Title
Body weight-adjusted serum clearance of sotrovimab
Time Frame
Up to Week 12
Title
Maximum observed concentration (Cmax) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Time to reach Cmax (Tmax) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Area under the serum concentration-time curve from time zero to infinity (AUC[0-inf]) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Terminal elimination half-life (T1/2) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Apparent volume of distribution during terminal phase (Vz) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Clearance (CL) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Bioavailability (F) following administration of sotrovimab
Time Frame
Up to Week 12
Title
Number of participants with adverse events (AEs), serious adverse events (SAEs), and AEs of special interest (AESI)
Time Frame
Up to Week 36
Secondary Outcome Measure Information:
Title
Number of participants with progression of COVID-19 through Day 29
Description
Progression of COVID-19 is defined as need for attended medical visit (includes visit to a hospital emergency room for management of illness or hospitalization for acute management of illness) or escalation to higher level of medical care or death.
Time Frame
Up to Day 29
Title
Number of participants with development of severe and/or critical respiratory COVID-19 through Day 29
Description
Severe and/or critical respiratory COVID-19 as manifested by requirement for supplemental oxygen through Day 29. For participants who require oxygen or respiratory support for premorbid conditions, disease progression is defined as any sustained (greater than [>]24 hours) increase in the level or method of oxygen support required.
Time Frame
Up to Day 29
Title
Change from Baseline in viral load in nasal secretions measured by quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR)
Time Frame
Baseline, at Day 5, Day 8 and Day 11

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Days
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Participant must be 32 weeks estimated gestational age (EGA), day of life (DOL) 0 to <18 years of age inclusive, at either the time of participant's signed assent (if age-appropriate) or parent(s)/legally authorized representative signing the informed consent. Participants with mild-moderate COVID-19. Participants at risk of disease progression with at least one of the following criteria: Age <1 year; Diabetes mellitus; Genetic or metabolic diseases; Obesity ); Cardiovascular disease; Sickle cell disease; Pulmonary disease; Neurologic disease; Immunosuppressed ; Baseline medical complexity (gastrostomy- or jejunostomy-dependence, parenteral nutrition dependence, tracheostomy-dependence, Baseline oxygen requirement, use of Continuous positive airway pressure [CPAP]/ Bilevel positive airway pressure [BiPAP]/ventilator support). Exclusion Criteria Participant is pregnant or breastfeeding. Participant is currently hospitalized, or judged by the investigator as likely to require hospitalization in the next 24 hours, due to severe or critical COVID-19. Multisystem inflammatory syndrome in children (MIS-C). Prior, current, or planned future use of any of the following treatments during the study period: COVID-19 convalescent plasma, Monoclonal antibodies (mAbs) against Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) (for example [e.g.], casirivimab/imdevimab), intravenous immunoglobulin (IVIG) for any indication, or dexamethasone specifically for treatment of COVID-19. Current use of COVID-19 treatment (authorized, approved, or investigational). The following exclusions related to use of an authorized or approved vaccine for SARS-CoV-2 are applicable: Receipt of any authorized or approved vaccine for SARS-CoV-2 within 48 hours prior to dosing. Planned use of any authorized or approved vaccine for SARS-CoV-2 within 90 days of study drug administration per current Centers for Disease Control and Prevention (CDC) recommendations. Receipt of any non-SARS-CoV-2 vaccines within 14 days (for non-live vaccines) or 28 days (for live vaccine) of screening. Currently enrolled in another clinical study. Infants <24 weeks of age: maternal receipt of IVIG, SARS-CoV-2-directed convalescent plasma or SARS-CoV-2-directed mAb(s) within 3 months prior to birth or within 5 half-lives of the investigational product (whichever is longer).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Cullman
State/Province
Alabama
ZIP/Postal Code
35055-1921
Country
United States
Facility Name
GSK Investigational Site
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85210
Country
United States
Facility Name
GSK Investigational Site
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712-4046
Country
United States
Facility Name
GSK Investigational Site
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
GSK Investigational Site
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
GSK Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-1501
Country
United States
Facility Name
GSK Investigational Site
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23219-1930
Country
United States
Facility Name
GSK Investigational Site
City
Natal
State/Province
Rio Grande Do Norte
ZIP/Postal Code
59025-050
Country
Brazil
Facility Name
GSK Investigational Site
City
Brasília
ZIP/Postal Code
70200730
Country
Brazil
Facility Name
GSK Investigational Site
City
São Caetano do Sul
ZIP/Postal Code
09521-160
Country
Brazil
Facility Name
GSK Investigational Site
City
São Paulo
ZIP/Postal Code
05403-000
Country
Brazil
Facility Name
GSK Investigational Site
City
Athens
ZIP/Postal Code
115 27
Country
Greece
Facility Name
GSK Investigational Site
City
Athina
ZIP/Postal Code
11527
Country
Greece
Facility Name
GSK Investigational Site
City
Haidari
ZIP/Postal Code
12464
Country
Greece
Facility Name
GSK Investigational Site
City
Patras
ZIP/Postal Code
26054
Country
Greece
Facility Name
GSK Investigational Site
City
Thessaloniki
ZIP/Postal Code
546 42
Country
Greece
Facility Name
GSK Investigational Site
City
Cavite
ZIP/Postal Code
4100
Country
Philippines
Facility Name
GSK Investigational Site
City
Makati City
ZIP/Postal Code
1200
Country
Philippines
Facility Name
GSK Investigational Site
City
Quezon City
ZIP/Postal Code
1100
Country
Philippines
Facility Name
GSK Investigational Site
City
Pretoria
State/Province
Gauteng
ZIP/Postal Code
0001
Country
South Africa
Facility Name
GSK Investigational Site
City
Durban
State/Province
KwaZulu- Natal
ZIP/Postal Code
4052
Country
South Africa
Facility Name
GSK Investigational Site
City
East London
ZIP/Postal Code
5201
Country
South Africa
Facility Name
GSK Investigational Site
City
Ekurhuleni
ZIP/Postal Code
1501
Country
South Africa

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study will be made available via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, a key secondary endpoints and safety data of the study.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
IPD Sharing URL
http://clinicalstudydatarequest.com

Learn more about this trial

Pharmacokinetics, Pharmacodynamics, and Safety of Single-dose Sotrovimab in High-risk Pediatric Participants With Mild to Moderate COVID-19

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