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A Study to Evaluate the Safety and Tolerability of AZD7442 in Healthy Chinese Adults

Primary Purpose

Coronavirus Disease 2019 (COVID-19), Healthy Volunteer

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
AZD7442 IM
Placebo IM
AZD7442 IM
Placebo IM
AZD7442 IV
Placebo IV
AZD7442 IV
Placebo IV
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Coronavirus Disease 2019 (COVID-19) focused on measuring Coronavirus, COVID-19, AZD7442, Evusheld, LAAB, tixagevimab, AZD8895, cilgavimab, AZD1061

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Adults 18 to 55 years of age
  2. Healthy by medical history, physical examination, and baseline safety laboratory tests
  3. Negative results of both SARS-CoV-2 qRT-PCR and serology tests within 14 days prior to randomisation.
  4. Contraceptive within 365 days post dosing

Exclusion Criteria:

  1. Medical condition:

    • Known hypersensitivity to monoclonal antibody (mAb) or investigational product (IP) component.
    • Acute illness including fever on the day prior to or day of dosing.
    • Any other significant disease increase the risk to participant study.
  2. Laboratory related:

    • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > upper limit of normal (ULN), or alkaline phosphatase (ALP) or TBL (total bilirubin) > 1.5 × ULN
    • Serum creatinine > ULN
    • Haemoglobin < lower limit normal (LLN)
    • Platelet count < LLN
    • White blood cell or neutrophil count outside normal reference ranges
    • Other laboratory significantly abnormal in the screening panel that, in the opinion of the investigator, will increase participants risk or might confound analysis of study results.

Sites / Locations

  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

300 mg AZD7442 IM

300mg placebo IM

600 mg AZD7442 IM

600mg placebo IM

300 mg AZD7442 IV

300mg placebo IV

600 mg AZD7442 IV

600mg placebo IV

Arm Description

Administration of a single dose of 300 mg AZD7442 (150 mg AZD8895 and 150 mg AZD1061) sequentially by intramuscular (IM) injection.

Administration of placebo with dose match to AZD7442 in the same cohort sequentially by intramuscular (IM) injection.

Administration of a single dose of 600 mg AZD7442 (300 mg AZD8895 and 300 mg AZD1061) sequentially by intramuscular (IM) injection.

Administration of placebo with dose match to AZD7442 in the same cohort sequentially by intramuscular (IM) injection.

co-administration of a single dose of 300 mg AZD7442 (150 mg AZD8895 and 150 mg AZD1061) by intravenous (IV) infusion.

co-administration of a single dose of placebo in equivalent volume by intravenous (IV) infusion.

co-administration of a single dose of 600 mg AZD7442 (300 mg AZD8895 and 300 mg AZD1061) by intravenous (IV) infusion.

co-administration of a single dose of placebo in equivalent volume by intravenous (IV) infusion.

Outcomes

Primary Outcome Measures

Incidence of adverse events (AEs)
To evaluate the safety and tolerability of AZD7442 administered IM or IV to healthy Chinese participants 18 to 55 years of age.
Incidence of serious adverse events (SAEs)
To evaluate the safety and tolerability of AZD7442 administered IM or IV to healthy Chinese participants 18 to 55 years of age.
Incidence of adverse event of special interests (AESIs)
To evaluate the safety and tolerability of AZD7442 administered IM or IV to healthy Chinese participants 18 to 55 years of age.
Number of participants with abnormal laboratory test results
Measurement of white blood cell (WBC) count, red blood cell (RBC) count.
Number of participants with abnormal laboratory test results
Measurement of sodium, potassium, urea/blood urea nitrogen (BUN), calcium, phosphate, glucose, c-reactive protein (CRP).
Number of participants with abnormal Coagulation test results
Measurement of prothrombin time, activated partial thrombin time (aPTT).
Number of participants with abnormal urinalysis
Measurement of glucose, protein, and blood.
Number of participants with abnormal ECG readings
Results for PR interval, QRS duration, QT interval, QTcF interval, and RR interval will be analyzed.
Number of participants with abnormal vital signs
Measurement of systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg).
Number of participants with abnormal laboratory test results
Measurement of neutrophils absolute count, lymphocytes absolute count, monocytes absolute count, eosinophils absolute count, Platelets, Reticulocytes absolute count.
Number of participants with abnormal laboratory test results
Measurement of haemoglobin (Hb).
Number of participants with abnormal laboratory test results
Measurement of haematocrit (HCT).
Number of participants with abnormal laboratory test results
Measurement of mean corpuscular volume (MCV).
Number of participants with abnormal laboratory test results
Measurement of mean corpuscular haemoglobin (MCH).
Number of participants with abnormal laboratory test results
Measurement of alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyl transpeptidase (GGT), creatine kinase.
Number of participants with abnormal laboratory test results
Measurement of creatinine, total bilirubin, conjugated bilirubin.
Number of participants with abnormal laboratory test results
Measurement of albumin.
Number of participants with abnormal Coagulation test results
Measurement of international normalised ratio (INR).
Number of participants with abnormal ECG readings
Results for heart rate will be analyzed.
Number of participants with abnormal vital signs
Measurement of pulse rate (beats per minute), respiratory rate (breaths per minute).
Number of participants with abnormal vital signs
Measurement of body temperature (in degree Celsius).

Secondary Outcome Measures

Full Information

First Posted
June 9, 2022
Last Updated
March 30, 2023
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT05437289
Brief Title
A Study to Evaluate the Safety and Tolerability of AZD7442 in Healthy Chinese Adults
Official Title
A Phase I Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD7442 in Healthy Chinese Adults
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
October 9, 2021 (Actual)
Primary Completion Date
November 27, 2021 (Actual)
Study Completion Date
January 16, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca

4. Oversight

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

5. Study Description

Brief Summary
To evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of AZD7442 in Healthy Chinese Adults. vs. placebo
Detailed Description
A Phase I Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD7442 in healthy Chinese participants 18 to 55 years of age, approximately 60 participants will be randomised in a 4:1 ratio to either AZD7442 or placebo, administered by intramuscular (IM) injection or intravenous (IV) infusion, and approximately 479 days in duration for each participant.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronavirus Disease 2019 (COVID-19), Healthy Volunteer
Keywords
Coronavirus, COVID-19, AZD7442, Evusheld, LAAB, tixagevimab, AZD8895, cilgavimab, AZD1061

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
61 (Actual)

8. Arms, Groups, and Interventions

Arm Title
300 mg AZD7442 IM
Arm Type
Experimental
Arm Description
Administration of a single dose of 300 mg AZD7442 (150 mg AZD8895 and 150 mg AZD1061) sequentially by intramuscular (IM) injection.
Arm Title
300mg placebo IM
Arm Type
Placebo Comparator
Arm Description
Administration of placebo with dose match to AZD7442 in the same cohort sequentially by intramuscular (IM) injection.
Arm Title
600 mg AZD7442 IM
Arm Type
Experimental
Arm Description
Administration of a single dose of 600 mg AZD7442 (300 mg AZD8895 and 300 mg AZD1061) sequentially by intramuscular (IM) injection.
Arm Title
600mg placebo IM
Arm Type
Placebo Comparator
Arm Description
Administration of placebo with dose match to AZD7442 in the same cohort sequentially by intramuscular (IM) injection.
Arm Title
300 mg AZD7442 IV
Arm Type
Experimental
Arm Description
co-administration of a single dose of 300 mg AZD7442 (150 mg AZD8895 and 150 mg AZD1061) by intravenous (IV) infusion.
Arm Title
300mg placebo IV
Arm Type
Placebo Comparator
Arm Description
co-administration of a single dose of placebo in equivalent volume by intravenous (IV) infusion.
Arm Title
600 mg AZD7442 IV
Arm Type
Experimental
Arm Description
co-administration of a single dose of 600 mg AZD7442 (300 mg AZD8895 and 300 mg AZD1061) by intravenous (IV) infusion.
Arm Title
600mg placebo IV
Arm Type
Placebo Comparator
Arm Description
co-administration of a single dose of placebo in equivalent volume by intravenous (IV) infusion.
Intervention Type
Drug
Intervention Name(s)
AZD7442 IM
Other Intervention Name(s)
AZD7442
Intervention Description
In cohort 1, participants will be randomized to receive 300 mg AZD7442 (150 mg AZD8895 and 150 mg AZD1061) administered sequentially as direct gluteal IM injections.
Intervention Type
Drug
Intervention Name(s)
Placebo IM
Other Intervention Name(s)
Placebo
Intervention Description
In cohort 1, participants will be randomized to receive placebo with dose match to AZD7442 in the same cohort administered sequentially as direct gluteal IM injections.
Intervention Type
Drug
Intervention Name(s)
AZD7442 IM
Other Intervention Name(s)
AZD7442
Intervention Description
In cohort 2, participants will be randomized to receive 600 mg AZD7442 (300 mg AZD8895 and 300 mg AZD1061) administered sequentially as direct gluteal IM injections.
Intervention Type
Drug
Intervention Name(s)
Placebo IM
Other Intervention Name(s)
Placebo
Intervention Description
In cohort 2, participants will be randomized to receive placebo with dose match to AZD7442 in the same cohort administered sequentially as direct gluteal IM injections.
Intervention Type
Drug
Intervention Name(s)
AZD7442 IV
Other Intervention Name(s)
AZD7442
Intervention Description
In cohort 3, participants will be randomized to receive 300 mg AZD7442 (150 mg AZD8895 and 150 mg AZD1061) mixed in IV bag co-administered as a single IV infusion.
Intervention Type
Drug
Intervention Name(s)
Placebo IV
Other Intervention Name(s)
Placebo
Intervention Description
In cohort 3, participants will be randomized to receive placebo with dose match to AZD7442 in the same cohort as a single IV infusion.
Intervention Type
Drug
Intervention Name(s)
AZD7442 IV
Other Intervention Name(s)
Evusheld
Intervention Description
In cohort 4, participants will be randomized to receive 600 mg AZD7442 (300 mg AZD8895 and 300 mg AZD1061) mixed in IV bag co-administered as a single IV infusion.
Intervention Type
Drug
Intervention Name(s)
Placebo IV
Other Intervention Name(s)
Placebo
Intervention Description
In cohort 4, participants will be randomized to receive placebo with dose match to AZD7442 in the same cohort as a single IV infusion.
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs)
Description
To evaluate the safety and tolerability of AZD7442 administered IM or IV to healthy Chinese participants 18 to 55 years of age.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Incidence of serious adverse events (SAEs)
Description
To evaluate the safety and tolerability of AZD7442 administered IM or IV to healthy Chinese participants 18 to 55 years of age.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Incidence of adverse event of special interests (AESIs)
Description
To evaluate the safety and tolerability of AZD7442 administered IM or IV to healthy Chinese participants 18 to 55 years of age.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of white blood cell (WBC) count, red blood cell (RBC) count.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of sodium, potassium, urea/blood urea nitrogen (BUN), calcium, phosphate, glucose, c-reactive protein (CRP).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal Coagulation test results
Description
Measurement of prothrombin time, activated partial thrombin time (aPTT).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal urinalysis
Description
Measurement of glucose, protein, and blood.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal ECG readings
Description
Results for PR interval, QRS duration, QT interval, QTcF interval, and RR interval will be analyzed.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal vital signs
Description
Measurement of systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of neutrophils absolute count, lymphocytes absolute count, monocytes absolute count, eosinophils absolute count, Platelets, Reticulocytes absolute count.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of haemoglobin (Hb).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of haematocrit (HCT).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of mean corpuscular volume (MCV).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of mean corpuscular haemoglobin (MCH).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyl transpeptidase (GGT), creatine kinase.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of creatinine, total bilirubin, conjugated bilirubin.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal laboratory test results
Description
Measurement of albumin.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal Coagulation test results
Description
Measurement of international normalised ratio (INR).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal ECG readings
Description
Results for heart rate will be analyzed.
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal vital signs
Description
Measurement of pulse rate (beats per minute), respiratory rate (breaths per minute).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).
Title
Number of participants with abnormal vital signs
Description
Measurement of body temperature (in degree Celsius).
Time Frame
From day 1 to approximately 15 months after administration (through Day 451).

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adults 18 to 55 years of age Healthy by medical history, physical examination, and baseline safety laboratory tests Negative results of both SARS-CoV-2 qRT-PCR and serology tests within 14 days prior to randomisation. Contraceptive within 365 days post dosing Exclusion Criteria: Medical condition: Known hypersensitivity to monoclonal antibody (mAb) or investigational product (IP) component. Acute illness including fever on the day prior to or day of dosing. Any other significant disease increase the risk to participant study. Laboratory related: Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > upper limit of normal (ULN), or alkaline phosphatase (ALP) or TBL (total bilirubin) > 1.5 × ULN Serum creatinine > ULN Haemoglobin < lower limit normal (LLN) Platelet count < LLN White blood cell or neutrophil count outside normal reference ranges Other laboratory significantly abnormal in the screening panel that, in the opinion of the investigator, will increase participants risk or might confound analysis of study results.
Facility Information:
Facility Name
Research Site
City
Guangzhou
ZIP/Postal Code
510515
Country
China
Facility Name
Research Site
City
Shanghai
ZIP/Postal Code
201107
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

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A Study to Evaluate the Safety and Tolerability of AZD7442 in Healthy Chinese Adults

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