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Study to Evaluate the Safety and Efficacy of a Monoclonal Antibody Cocktail for the Prevention of COVID-19

Primary Purpose

COVID-19

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ADM03820
Placebo
Sponsored by
Ology Bioservices
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Phase 2 Inclusion Criteria:

  1. Informed consent understood and signed prior to screening procedures
  2. Healthy male or non-pregnant, non-lactating female 18 years of age or older, inclusive on the day of dosing
  3. Subject willing to comply with and be available for all protocol procedures for the duration of the study
  4. Subject determined by medical history, physical examination, and clinical judgement of the principal investigator (PI) to be eligible for inclusion in the study by meeting all the inclusion criteria and no exclusion criteria
  5. Subject with BMI ≥18.5 and ≤ 35 kg/m2
  6. Females of childbearing potential must have a negative urine pregnancy test on Day 1 prior to dosing Note: A woman is considered of childbearing potential unless post-menopausal (> or = 1 year without menses without other known or suspected cause and appropriately elevated FSH) or surgically sterilized via bilateral oophorectomy or hysterectomy.
  7. Females of childbearing potential and males must agree to use medically effective contraception (methods with a failure rate of < 1% per year when used consistently and correctly) from screening until last dose. Acceptable methods include: hormonal contraception including implants, injections or oral; two barrier methods, e.g., condom and cervical cap (with spermicide) or diaphragm (with spermicide); intrauterine device or intrauterine system; abstinence when this is the subject's preferred and usual lifestyle.
  8. Subject agrees to not donate bone marrow, blood, and blood products for at least 3 months after dosing
  9. Clinical laboratory results within normal ranges or are no greater than Grade 1 and deemed not clinically significant by medical monitor and PI. (Any subjects with results that are Grade 2 or above according to toxicity table (modified from FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trial) will be excluded)
  10. Subject willing to provide verifiable identification and has means to be contacted and to contact the Principal Investigator (PI) during the study.

Phase 2 Exclusion Criteria:

  1. History of chronic medical condition that would either interfere with the accurate assessment of the objectives of the study or increase the risk profile of the subject
  2. History of diabetes (type 1 or type 2), cardiovascular disease, pulmonary disease, chronic obstructive pulmonary disease (COPD) or asthma
  3. History of severe allergic reactions of any type to medications, bee stings, food, or environmental factors or hypersensitivity or reaction to immunoglobins
  4. Known allergic reactions or history of anaphylaxis or any other serious adverse reactions to any of the study product components present in the formulation or in its processing, as listed in the Investigator Brochure
  5. Known to have HIV, HBsAg, or HCV per self-reported medical history
  6. Febrile illness with temperature ≥38°C within 7 days of dosing. (Subjects with acute febrile illness within 7 days of dosing may be rescreened no earlier than 7 days following resolution of symptoms).
  7. Rapid SARS CoV-2 antigen nasopharyngeal swab is positive on Day 1 prior to dosing or positive SARS-CoV-2 RT-PCR if result is received prior to dosing
  8. Female subject who is pregnant or breastfeeding
  9. Has previously received any coronavirus vaccine
  10. Treatment with another investigational drug or licensed live vaccine within 30 days prior to or after planned enrollment. Subjects will be informed of local availability and be eligible to obtain an authorized COVID-19 vaccine at the time of enrollment and at any time during the study
  11. Known history of COVID-19 infection
  12. Receipt of any antibody (e.g. TIG, VZIG, IVIG, IM gamma globulin, monoclonal antibody) or blood or plasma transfusion within 6 months or within 5 half-lives of the specific antibody product given
  13. History of solid organ or bone marrow transplantation
  14. Active drug or alcohol use disorder or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements
  15. Use of H1 antihistamines or beta-blockers within 5 days of dosing (PRN use of H1 antihistamines may be acceptable after Medical Monitor approval)
  16. History of malignancy within 5 years of screening (with the exception of squamous or basal cell carcinomas of the skin, or malignancy which is considered cured with minimal risk of recurrence)
  17. Plans to enroll or is already enrolled in another interventional study
  18. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants
  19. Any specific condition that in the judgment of the PI precludes participation because it could affect subject safety
  20. Is a study site employee or staff. Note: Site employees or staff include the PIs and sub-investigators or staff who are supervised by the PI or Sub-Investigators

Phase 3 Inclusion Criteria

  1. Informed consent understood and signed prior to screening procedures
  2. Healthy male or non-pregnant, non-lactating female 18 years of age or older, inclusive on the day of dosing
  3. Subject has willingness to comply with and be available for all protocol procedures for the duration of the study
  4. Subjects determined by medical history, physical examination, and clinical judgement of the PI to be eligible for inclusion in the study by meeting all the inclusion criteria and no exclusion criteria
  5. Subject with BMI ≥18.5 and ≤ 40 kg/m2
  6. Female subjects of childbearing potential must have a negative urine pregnancy test on Day 1 prior to dosing. Note: A woman is considered of childbearing potential unless post-menopausal (> or = 1 year without menses without other known or suspected cause and appropriately elevated FSH) or surgically sterilized via bilateral oophorectomy or hysterectomy
  7. Females of childbearing potential must agree to use medically effective contraception (methods with a failure rate of < 1% per year when used consistently and correctly) from screening until last dose. Acceptable methods include: hormonal contraception including implants, injections or oral; two barrier methods, e.g., condom and cervical cap (with spermicide) or diaphragm (with spermicide); intrauterine device or intrauterine system; abstinence when this is the subject's preferred and usual lifestyle
  8. Subject agrees to not donate bone marrow, blood, and blood products for at least 3 months after dosing
  9. Subjects' willingness to provide verifiable identification, have means to be contacted and to contact the PI during the study

Phase 3 Exclusion Criteria:

  1. History of chronic medical condition that would either interfere with the accurate assessment of the objectives of the study or increase the risk profile of the subject
  2. History of severe allergic reactions of any type to medications, bee stings, food, or environmental factors or hypersensitivity or reaction to immunoglobins.
  3. Known allergic reactions or history of anaphylaxis or any other serious adverse reactions to any of the study product components present in the formulation or in its processing, as listed in the Investigator Brochure
  4. Febrile illness with temperature ≥38°C within 7 days of dosing. (Subjects with acute febrile illness within 7 days of dosing may be rescreened no earlier than 7 days following resolution of symptoms).
  5. Rapid SARS CoV-2 antigen nasopharyngeal swab positive on Day 1 prior to dosing or positive SARS-CoV-2 RT-PCR if result is received prior to dosing
  6. Female subject who is pregnant or breastfeeding
  7. Treatment with another investigational drug or licensed live vaccine within 30 days prior to or after planned enrollment. Subjects will be informed of local availability and be eligible to obtain an authorized COVID-19 vaccine at the time of enrollment and at any time during the study
  8. Known history of COVID-19 infection
  9. Receipt of any antibody (e.g. TIG, VZIG, IVIG, IM gamma globulin, monoclonal antibody) or blood or plasma transfusion within 6 months or within 5 half-lives of the specific antibody product given
  10. Active drug or alcohol use disorder or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements
  11. Plans to enroll or is already enrolled in another interventional study 12. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants
  12. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants
  13. Any specific condition that in the judgment of the PI precludes participation because it could affect subject safety
  14. Is a study site employee or staff. Note: Site employees or staff include the PIs and sub-investigators or staff who are supervised by the PI or Sub-Investigators

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    High Dose IM injection of active drug or Placebo (Phase 2)

    High Dose IM injection of active drug or Placebo (Phase 3)

    Arm Description

    Subjects will receive a high dose IM injection of either active drug or placebo. Approximately 300 subjects will receive active drug and approximately 150 subjects will receive placebo in the Phase 2 segment.

    Subjects will receive a high dose IM injection of either active drug or placebo. Approximately 3000 subjects will receive active drug and approximately 1000 subjects will receive placebo in the Phase 3 segment

    Outcomes

    Primary Outcome Measures

    Incidence and severity of reactogenicity through Day 7 and adverse events (AEs) through end of study (Phase 2)
    Number of participants with AEs and reactogenicity symptoms. FDA Toxicity Grading Scale for Local and General Systemic Reactogenicity will assess severity.
    Incidence of SAEs and medically-attended AEs (Phase 2)
    Number of participants with SAEs and medically-attended AEs through end of study
    Occurrence of changes from baseline in physical examination, vital signs, and clinical safety laboratory values (Phase 2)
    Number of participants with changes from baseline
    Incidence of symptomatic, virologically confirmed COVID-19 (Phase 3)
    Number of participants with symptomatic, virologically confirmed COVID-19

    Secondary Outcome Measures

    Incidence of symptomatic, virologically confirmed COVID-19 (Phase 2 and Phase 3)
    Number of participants with symptomatic, virologically confirmed COVID-19 through Day 183 (Phase 2) and through Day 57, Day 134, and Day 183 (Phase 3)
    Hospitalization (Phase 2 and Phase 3)
    Number of hospitalizations
    All-cause mortality (Phase 2 and Phase 3)
    Number of all-cause mortality
    Incidence of AEs (Phase 2)
    Number of participants with AEs through end of the study
    Incidence of SAEs (Phase 2)
    Number of participants with SAEs through end of the study
    Incidence of COVID-19 related medically attended events (Phase 2)
    Number of participants with events occurring after dosing through end of study
    The assessment of Cmax for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)
    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365
    The assessment of Tmax for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)
    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365
    The assessment of AUC(0-t) for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)
    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365
    To assess SARS-CoV-2 antibody microneutralization levels (Phase 2)
    Pre-dose and at Days 3, 29, and 57
    To assess anti-drug antibody levels (Phase 2)
    Pre-dose and on Days, 85, 134, 183, 232, 274, and 365
    To assess daily COVID-19 symptoms (Phase 2)
    COVID-19 daily symptoms reported by participants in diaries
    SARS-CoV-2 RT-PCR assay in symptomatic subjects (Phase 2)
    Severity of each symptom (Phase 3)
    Severity of symptoms are assessed from Day 1 through end of study
    Incidence of mild, virologically confirmed COVID-19 (Phase 3)
    Number of participants with mild, virologically confirmed COVID-19 through Days 29, 57, 134 and 183
    Incidence of moderate, severe, or critical virologically confirmed COVID 19 (Phase 3)
    Number of participants with moderate, severe, or critical virologically confirmed COVID 19 through Days 29, 57, 134, and 183
    Incidence of and severity of virologically-confirmed COVID-19 (Phase 3)
    Number of participants with virologically-confirmed COVID-19 and severity of symptoms from Days 29, 57, 134, and 183 through Day 540
    Incidence of AEs, SAEs, and medically attended events (Phase 3)
    Number of participants with AEs, SAEs, and medically attended events through end of study

    Full Information

    First Posted
    December 1, 2021
    Last Updated
    February 1, 2023
    Sponsor
    Ology Bioservices
    Collaborators
    Enabling Biotechnologies (EB)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05142527
    Brief Title
    Study to Evaluate the Safety and Efficacy of a Monoclonal Antibody Cocktail for the Prevention of COVID-19
    Official Title
    A Phase 2/3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study to Evaluate the Safety, Tolerability, and Efficacy of ADM03820 to Prevent Symptomatic COVID-19 in Adult Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2023
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor withdrew study prior to initiation and no participants were enrolled.
    Study Start Date
    January 2023 (Anticipated)
    Primary Completion Date
    January 2024 (Anticipated)
    Study Completion Date
    April 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Ology Bioservices
    Collaborators
    Enabling Biotechnologies (EB)

    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 is a Phase 2/3, randomized, double-blind, placebo-controlled, multi-center study to evaluate the safety, tolerability, and efficacy of ADM03820 to prevent symptomatic COVID-19 in adult subjects (≥ 18 years of age).
    Detailed Description
    Approximately 450 subjects will be enrolled in the Phase 2 segment of the study and will be randomized in a 2:1 ratio with a total of 300 subjects receiving ADM03820 and 150 subjects receiving placebo. In the Phase 3 segment, an additional 4,000 subjects will be enrolled and randomized in a 2:1 ratio, for a total sample size (including the Phase 2 subjects) of 4,450 total subjects. The primary objective of the Phase 2 segment is to evaluate the safety and tolerability of ADM03820 in adult subjects. The secondary objectives are to assess safety, PK, immunogenicity, and microneutralization (MN) of ADM03820 and to gather information surrounding COVID-19 incidence rates and COVID-19 symptoms to support Phase 3 assumptions and assessment of efficacy. The primary objectives of the Phase 3 segment are to evaluate the efficacy of ADM03820 for the prevention of symptomatic COVID-19 in adult subjects. The secondary objectives are to evaluate the efficacy of ADM03820 for prevention and amelioration of COVID-19 symptoms, to monitor the incidence and severity of COVID-19, and to evaluate the safety and tolerability of ADM03820.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    COVID-19

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    High Dose IM injection of active drug or Placebo (Phase 2)
    Arm Type
    Experimental
    Arm Description
    Subjects will receive a high dose IM injection of either active drug or placebo. Approximately 300 subjects will receive active drug and approximately 150 subjects will receive placebo in the Phase 2 segment.
    Arm Title
    High Dose IM injection of active drug or Placebo (Phase 3)
    Arm Type
    Experimental
    Arm Description
    Subjects will receive a high dose IM injection of either active drug or placebo. Approximately 3000 subjects will receive active drug and approximately 1000 subjects will receive placebo in the Phase 3 segment
    Intervention Type
    Drug
    Intervention Name(s)
    ADM03820
    Intervention Description
    ADM03820 is a 1:1 mixture of two human IgG1 non-competitive binding anti-SARS-CoV-2 antibodies
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo
    Primary Outcome Measure Information:
    Title
    Incidence and severity of reactogenicity through Day 7 and adverse events (AEs) through end of study (Phase 2)
    Description
    Number of participants with AEs and reactogenicity symptoms. FDA Toxicity Grading Scale for Local and General Systemic Reactogenicity will assess severity.
    Time Frame
    540 days
    Title
    Incidence of SAEs and medically-attended AEs (Phase 2)
    Description
    Number of participants with SAEs and medically-attended AEs through end of study
    Time Frame
    540 days
    Title
    Occurrence of changes from baseline in physical examination, vital signs, and clinical safety laboratory values (Phase 2)
    Description
    Number of participants with changes from baseline
    Time Frame
    365 days
    Title
    Incidence of symptomatic, virologically confirmed COVID-19 (Phase 3)
    Description
    Number of participants with symptomatic, virologically confirmed COVID-19
    Time Frame
    Day 1 to Day 29
    Secondary Outcome Measure Information:
    Title
    Incidence of symptomatic, virologically confirmed COVID-19 (Phase 2 and Phase 3)
    Description
    Number of participants with symptomatic, virologically confirmed COVID-19 through Day 183 (Phase 2) and through Day 57, Day 134, and Day 183 (Phase 3)
    Time Frame
    183 days
    Title
    Hospitalization (Phase 2 and Phase 3)
    Description
    Number of hospitalizations
    Time Frame
    183 days
    Title
    All-cause mortality (Phase 2 and Phase 3)
    Description
    Number of all-cause mortality
    Time Frame
    183 days
    Title
    Incidence of AEs (Phase 2)
    Description
    Number of participants with AEs through end of the study
    Time Frame
    540 days
    Title
    Incidence of SAEs (Phase 2)
    Description
    Number of participants with SAEs through end of the study
    Time Frame
    540 days
    Title
    Incidence of COVID-19 related medically attended events (Phase 2)
    Description
    Number of participants with events occurring after dosing through end of study
    Time Frame
    540 days
    Title
    The assessment of Cmax for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)
    Description
    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365
    Time Frame
    365 days
    Title
    The assessment of Tmax for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)
    Description
    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365
    Time Frame
    365 days
    Title
    The assessment of AUC(0-t) for each of the monoclonal antibodies of ADM03820 as measured by mAb specific enzyme-linked immunosorbent assay (ELISA) (Phase 2)
    Description
    Pre-dose and on Days 3, 8, 29, 57, 85, 134, 183, 232, 274 and 365
    Time Frame
    365 days
    Title
    To assess SARS-CoV-2 antibody microneutralization levels (Phase 2)
    Description
    Pre-dose and at Days 3, 29, and 57
    Time Frame
    57 days
    Title
    To assess anti-drug antibody levels (Phase 2)
    Description
    Pre-dose and on Days, 85, 134, 183, 232, 274, and 365
    Time Frame
    365 days
    Title
    To assess daily COVID-19 symptoms (Phase 2)
    Description
    COVID-19 daily symptoms reported by participants in diaries
    Time Frame
    183 days
    Title
    SARS-CoV-2 RT-PCR assay in symptomatic subjects (Phase 2)
    Time Frame
    540 days
    Title
    Severity of each symptom (Phase 3)
    Description
    Severity of symptoms are assessed from Day 1 through end of study
    Time Frame
    540 days
    Title
    Incidence of mild, virologically confirmed COVID-19 (Phase 3)
    Description
    Number of participants with mild, virologically confirmed COVID-19 through Days 29, 57, 134 and 183
    Time Frame
    183 days
    Title
    Incidence of moderate, severe, or critical virologically confirmed COVID 19 (Phase 3)
    Description
    Number of participants with moderate, severe, or critical virologically confirmed COVID 19 through Days 29, 57, 134, and 183
    Time Frame
    183 days
    Title
    Incidence of and severity of virologically-confirmed COVID-19 (Phase 3)
    Description
    Number of participants with virologically-confirmed COVID-19 and severity of symptoms from Days 29, 57, 134, and 183 through Day 540
    Time Frame
    540 days
    Title
    Incidence of AEs, SAEs, and medically attended events (Phase 3)
    Description
    Number of participants with AEs, SAEs, and medically attended events through end of study
    Time Frame
    540 days
    Other Pre-specified Outcome Measures:
    Title
    To assess Anti-SARS-CoV-2 Nucleoprotein (NP) antibody levels (Phase 2 and Phase 3)
    Description
    Baseline and on Days 29, 57, 183 and 274
    Time Frame
    274 days
    Title
    Serum collection for future analysis (Phase 2 and Phase 3)
    Time Frame
    365 days
    Title
    Collection of cDNA for SARS-CoV-2 sequence from subjects with positive RT-PCR assay (Phase 3)
    Time Frame
    540 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Phase 2 Inclusion Criteria: Informed consent understood and signed prior to screening procedures Healthy male or non-pregnant, non-lactating female 18 years of age or older, inclusive on the day of dosing Subject willing to comply with and be available for all protocol procedures for the duration of the study Subject determined by medical history, physical examination, and clinical judgement of the principal investigator (PI) to be eligible for inclusion in the study by meeting all the inclusion criteria and no exclusion criteria Subject with BMI ≥18.5 and ≤ 35 kg/m2 Females of childbearing potential must have a negative urine pregnancy test on Day 1 prior to dosing Note: A woman is considered of childbearing potential unless post-menopausal (> or = 1 year without menses without other known or suspected cause and appropriately elevated FSH) or surgically sterilized via bilateral oophorectomy or hysterectomy. Females of childbearing potential and males must agree to use medically effective contraception (methods with a failure rate of < 1% per year when used consistently and correctly) from screening until last dose. Acceptable methods include: hormonal contraception including implants, injections or oral; two barrier methods, e.g., condom and cervical cap (with spermicide) or diaphragm (with spermicide); intrauterine device or intrauterine system; abstinence when this is the subject's preferred and usual lifestyle. Subject agrees to not donate bone marrow, blood, and blood products for at least 3 months after dosing Clinical laboratory results within normal ranges or are no greater than Grade 1 and deemed not clinically significant by medical monitor and PI. (Any subjects with results that are Grade 2 or above according to toxicity table (modified from FDA Guidance for Industry: Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trial) will be excluded) Subject willing to provide verifiable identification and has means to be contacted and to contact the Principal Investigator (PI) during the study. Phase 2 Exclusion Criteria: History of chronic medical condition that would either interfere with the accurate assessment of the objectives of the study or increase the risk profile of the subject History of diabetes (type 1 or type 2), cardiovascular disease, pulmonary disease, chronic obstructive pulmonary disease (COPD) or asthma History of severe allergic reactions of any type to medications, bee stings, food, or environmental factors or hypersensitivity or reaction to immunoglobins Known allergic reactions or history of anaphylaxis or any other serious adverse reactions to any of the study product components present in the formulation or in its processing, as listed in the Investigator Brochure Known to have HIV, HBsAg, or HCV per self-reported medical history Febrile illness with temperature ≥38°C within 7 days of dosing. (Subjects with acute febrile illness within 7 days of dosing may be rescreened no earlier than 7 days following resolution of symptoms). Rapid SARS CoV-2 antigen nasopharyngeal swab is positive on Day 1 prior to dosing or positive SARS-CoV-2 RT-PCR if result is received prior to dosing Female subject who is pregnant or breastfeeding Has previously received any coronavirus vaccine Treatment with another investigational drug or licensed live vaccine within 30 days prior to or after planned enrollment. Subjects will be informed of local availability and be eligible to obtain an authorized COVID-19 vaccine at the time of enrollment and at any time during the study Known history of COVID-19 infection Receipt of any antibody (e.g. TIG, VZIG, IVIG, IM gamma globulin, monoclonal antibody) or blood or plasma transfusion within 6 months or within 5 half-lives of the specific antibody product given History of solid organ or bone marrow transplantation Active drug or alcohol use disorder or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements Use of H1 antihistamines or beta-blockers within 5 days of dosing (PRN use of H1 antihistamines may be acceptable after Medical Monitor approval) History of malignancy within 5 years of screening (with the exception of squamous or basal cell carcinomas of the skin, or malignancy which is considered cured with minimal risk of recurrence) Plans to enroll or is already enrolled in another interventional study Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants Any specific condition that in the judgment of the PI precludes participation because it could affect subject safety Is a study site employee or staff. Note: Site employees or staff include the PIs and sub-investigators or staff who are supervised by the PI or Sub-Investigators Phase 3 Inclusion Criteria Informed consent understood and signed prior to screening procedures Healthy male or non-pregnant, non-lactating female 18 years of age or older, inclusive on the day of dosing Subject has willingness to comply with and be available for all protocol procedures for the duration of the study Subjects determined by medical history, physical examination, and clinical judgement of the PI to be eligible for inclusion in the study by meeting all the inclusion criteria and no exclusion criteria Subject with BMI ≥18.5 and ≤ 40 kg/m2 Female subjects of childbearing potential must have a negative urine pregnancy test on Day 1 prior to dosing. Note: A woman is considered of childbearing potential unless post-menopausal (> or = 1 year without menses without other known or suspected cause and appropriately elevated FSH) or surgically sterilized via bilateral oophorectomy or hysterectomy Females of childbearing potential must agree to use medically effective contraception (methods with a failure rate of < 1% per year when used consistently and correctly) from screening until last dose. Acceptable methods include: hormonal contraception including implants, injections or oral; two barrier methods, e.g., condom and cervical cap (with spermicide) or diaphragm (with spermicide); intrauterine device or intrauterine system; abstinence when this is the subject's preferred and usual lifestyle Subject agrees to not donate bone marrow, blood, and blood products for at least 3 months after dosing Subjects' willingness to provide verifiable identification, have means to be contacted and to contact the PI during the study Phase 3 Exclusion Criteria: History of chronic medical condition that would either interfere with the accurate assessment of the objectives of the study or increase the risk profile of the subject History of severe allergic reactions of any type to medications, bee stings, food, or environmental factors or hypersensitivity or reaction to immunoglobins. Known allergic reactions or history of anaphylaxis or any other serious adverse reactions to any of the study product components present in the formulation or in its processing, as listed in the Investigator Brochure Febrile illness with temperature ≥38°C within 7 days of dosing. (Subjects with acute febrile illness within 7 days of dosing may be rescreened no earlier than 7 days following resolution of symptoms). Rapid SARS CoV-2 antigen nasopharyngeal swab positive on Day 1 prior to dosing or positive SARS-CoV-2 RT-PCR if result is received prior to dosing Female subject who is pregnant or breastfeeding Treatment with another investigational drug or licensed live vaccine within 30 days prior to or after planned enrollment. Subjects will be informed of local availability and be eligible to obtain an authorized COVID-19 vaccine at the time of enrollment and at any time during the study Known history of COVID-19 infection Receipt of any antibody (e.g. TIG, VZIG, IVIG, IM gamma globulin, monoclonal antibody) or blood or plasma transfusion within 6 months or within 5 half-lives of the specific antibody product given Active drug or alcohol use disorder or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements Plans to enroll or is already enrolled in another interventional study 12. Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants Has contraindication to IM injections or blood draws e.g., bleeding disorders, use of any anti-coagulants Any specific condition that in the judgment of the PI precludes participation because it could affect subject safety Is a study site employee or staff. Note: Site employees or staff include the PIs and sub-investigators or staff who are supervised by the PI or Sub-Investigators

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    35713300
    Citation
    Hirsch C, Park YS, Piechotta V, Chai KL, Estcourt LJ, Monsef I, Salomon S, Wood EM, So-Osman C, McQuilten Z, Spinner CD, Malin JJ, Stegemann M, Skoetz N, Kreuzberger N. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19. Cochrane Database Syst Rev. 2022 Jun 17;6(6):CD014945. doi: 10.1002/14651858.CD014945.pub2.
    Results Reference
    derived

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    Study to Evaluate the Safety and Efficacy of a Monoclonal Antibody Cocktail for the Prevention of COVID-19

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