A Study to Investigate the PK, Safety, and Tolerability of Sotrovimab vs Placebo Administered IV or IM in Japanese and Caucasian Participants
Primary Purpose
Covid19
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
sotrovimab
Placebo to Biologic
sotrovimab
Placebo to Biologic
Sponsored by

About this trial
This is an interventional other trial for Covid19 focused on measuring SARS-CoV-2 coronavirus, coronavirus disease 2019, COVID-19, Japanese pharmacokinetics
Eligibility Criteria
Inclusion Criteria:
- Male or female participants, aged 18 to 65 years, inclusive
- Participants who are healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
- Japanese participants must be of Japanese ancestry, defined as having been born in Japan, being descendants of four ethnic Japanese grandparents and two ethnic Japanese parents, holding a Japanese passport or identity papers, and being able to speak Japanese. Participants should have lived outside Japan for fewer than 10 years at the time of Screening.
- Caucasian participants must be of Caucasian ancestry, defined as Caucasian descent as evidenced by appearance and verbal confirmation of familial heritage.
- Body mass index (BMI) within the range of 18 to 29.9 kg/m2 (inclusive).
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and protocol.
Exclusion Criteria:
- History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention or interfering with the interpretation of data.
- Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
- Breast cancer within the past 10 years.
- Abnormal blood pressure at Screening.
- Significant allergies to humanized monoclonal antibodies.
- Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions (including, but not limited to, erythema multiforme major, linear immunoglobulin A (IgA) dermatosis, toxic epidermal necrolysis, and exfoliative dermatitis).
- Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
- Use of any prescription medications (besides contraceptive medications or devices) within the 28 days prior to dosing or concomitantly, unless permitted by the protocol or approved by the Investigator in conjunction with the GSK medical monitor.
- Treatment with biologic agents (such as monoclonal antibodies including marketed drugs) within 3 months or 5 half-lives (whichever is longer) prior to dosing.
- Receipt of convalescent plasma from a recovered COVID-19 patient or anti-SARSCoV- 2 mAb within the last 3 months.
- Receipt of any vaccine within 48 hours prior to enrollment. Vaccination will not be allowed for 90 days after dosing.
- Participant has received a SARS-CoV-2 vaccine but has not completed all doses in the series more than 28 days prior to Screening
- Participation in the study would result in loss of blood or blood products in excess of 500 mL within a 56 day period.
- Exposure to more than 4 new chemical entities within 12 months prior to the first dosing day.
- Enrollment in any investigational vaccine study within the last 180 days or any other investigational drug study within 30 days prior to Day 1 or within 5 half-lives of the investigational compound, whichever is longer.
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 prior to dosing.
- Positive pre-study drug/alcohol screen.
- Positive HIV antibody test.
- History of regular alcohol consumption within 6 months prior to the study defined as: An average weekly intake of >14 units. One unit is equivalent to 8 g of alcohol: a half pint (~240 mL) of beer, 1 glass (125 mL) of wine, or 1 (25 mL) measure of spirits.
- Regular use of known drugs of abuse.
Sites / Locations
- Investigative Site
- Investigative Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Arm Label
Part 1 Sotrovimab intravenous infusion, single dose
Part 1 Volume-matched placebo, intravenous infusion
Part 2 Sotrovimab intramuscular injection, single dose
Part 2 Volume-matched placebo, intramuscular injection
Arm Description
Outcomes
Primary Outcome Measures
Maximum observed serum concentration (Cmax) in Part 1 participants
Maximum observed serum concentration (Cmax) in Part 2 participants
Area under the serum-concentration time curve from Day 1 to Day 29 (AUCD1-29) in Part 1 participants
Area under the serum-concentration time curve from Day 1 to Day 29 (AUCD1-29) in Part 2 participants
Time to Cmax (Tmax) in Part 1 participants
Time to Cmax (Tmax) in Part 2 participants
Concentration at Day 29 (CD29) in Part 1 participants
Concentration at Day 29 (CD29) in Part 2 participants
Occurrence of adverse events (AEs) in Part 1 participants
Occurrence of adverse events (AEs) in Part 2 participants
Occurrence of serious adverse events (SAEs) in Part 1 participants
Occurrence of serious adverse events (SAEs) in Part 2 participants
Occurrence of adverse events of special interest (AESIs) in Part 1 participants
Occurrence of adverse events of special interest (AESIs) in Part 2 participants
Occurrence of clinically significant abnormalities on 12-lead electrocardiogram (ECG) readings in Part 1 participants
Occurrence of clinically significant abnormalities on 12-lead electrocardiogram (ECG) readings in Part 2 participants
Occurrence of clinically significant changes in vital signs compared to Baseline in Part 2 participants
Occurrence of clinically significant laboratory abnormalities in Part 1 participants
Occurrence of clinically significant laboratory abnormalities in Part 2 participants
Secondary Outcome Measures
Cmax in Part 1 participants
Cmax in Part 2 participants
Area under the serum concentration-time curve extrapolated to infinite time (AUCinf) in Part 1 participants
Area under the serum concentration-time curve extrapolated to infinite time (AUCinf) in Part 2 participants
Area under the curve from the time of dosing to the time of the last measurable (positive) concentration (AUClast) in Part 1 participants
Area under the curve from the time of dosing to the time of the last measurable (positive) concentration (AUClast) in Part 2 participants
Tmax in Part 1 participants
Tmax in Part 2 participants
Time of the last quantifiable concentration (Tlast) in Part 1 participants
Time of the last quantifiable concentration (Tlast) in Part 2 participants
Terminal elimination half-life (t1/2) of sotrovimab in Part 1 participants
Terminal elimination half-life (t1/2) of sotrovimab in Part 2 participants
Full Information
NCT ID
NCT04988152
First Posted
July 26, 2021
Last Updated
May 2, 2022
Sponsor
Vir Biotechnology, Inc.
Collaborators
GlaxoSmithKline
1. Study Identification
Unique Protocol Identification Number
NCT04988152
Brief Title
A Study to Investigate the PK, Safety, and Tolerability of Sotrovimab vs Placebo Administered IV or IM in Japanese and Caucasian Participants
Official Title
A Phase I, Single-blind, Randomized, Single-dose Clinical Pharmacology Study to Investigate the Pharmacokinetics, Safety, and Tolerability of Sotrovimab vs Placebo by Intravenous or Intramuscular Administration in Healthy Japanese and Caucasian Participants
Study Type
Interventional
2. Study Status
Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
July 6, 2021 (Actual)
Primary Completion Date
September 2, 2021 (Actual)
Study Completion Date
December 7, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vir Biotechnology, Inc.
Collaborators
GlaxoSmithKline
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase I single-dose study to investigate the pharmacokinetics, safety, and tolerability of sotrovimab vs placebo by intravenous or intramuscular administration in healthy Japanese and Caucasian participants.
Detailed Description
The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics (PK) of a single fixed dose of sotrovimab administered intravenously (IV) or via intramuscular (IM) injection in Japanese and Caucasian healthy volunteers. This study will occur in two parts (Part 1 and Part 2).
Part 1: Healthy Japanese and Caucasian participants will be randomized in a 4:1 ratio to receive a single IV infusion of sotrovimab or volume-matched saline placebo on Day 1. Participants will be blinded to study intervention. Safety, tolerability, immunogenicity, and PK of IV sotrovimab will be evaluated.
Part 2: Healthy Japanese and Caucasian participants will be randomized in a 4:1 ratio to receive a single IM dose of sotrovimab or volume-matched saline placebo on Day 1. Participants will be blinded to study intervention. Safety, tolerability, immunogenicity, and PK of IM sotrovimab will be evaluated.
The data from this study will be used to supplement data available from other clinical trials that were conducted in non-Japanese participants.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
SARS-CoV-2 coronavirus, coronavirus disease 2019, COVID-19, Japanese pharmacokinetics
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
48 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Part 1 Sotrovimab intravenous infusion, single dose
Arm Type
Experimental
Arm Title
Part 1 Volume-matched placebo, intravenous infusion
Arm Type
Placebo Comparator
Arm Title
Part 2 Sotrovimab intramuscular injection, single dose
Arm Type
Experimental
Arm Title
Part 2 Volume-matched placebo, intramuscular injection
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
sotrovimab IV infusion, single dose
Intervention Type
Other
Intervention Name(s)
Placebo to Biologic
Intervention Description
Sterile 0.9% (w/v) sodium chloride solution
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
Sotrovimab IM injection, single dose
Intervention Type
Other
Intervention Name(s)
Placebo to Biologic
Intervention Description
Sterile 0.9% (w/v) sodium chloride solution
Primary Outcome Measure Information:
Title
Maximum observed serum concentration (Cmax) in Part 1 participants
Time Frame
Day 1 through Day 29
Title
Maximum observed serum concentration (Cmax) in Part 2 participants
Time Frame
Day 1 through Day 29
Title
Area under the serum-concentration time curve from Day 1 to Day 29 (AUCD1-29) in Part 1 participants
Time Frame
Day 1 through Day 29
Title
Area under the serum-concentration time curve from Day 1 to Day 29 (AUCD1-29) in Part 2 participants
Time Frame
Day 1 through Day 29
Title
Time to Cmax (Tmax) in Part 1 participants
Time Frame
Day 1 through Day 29
Title
Time to Cmax (Tmax) in Part 2 participants
Time Frame
Day 1 through Day 29
Title
Concentration at Day 29 (CD29) in Part 1 participants
Time Frame
through Day 29
Title
Concentration at Day 29 (CD29) in Part 2 participants
Time Frame
through Day 29
Title
Occurrence of adverse events (AEs) in Part 1 participants
Time Frame
Through Day 29
Title
Occurrence of adverse events (AEs) in Part 2 participants
Time Frame
Through Day 29
Title
Occurrence of serious adverse events (SAEs) in Part 1 participants
Time Frame
Through Day 29
Title
Occurrence of serious adverse events (SAEs) in Part 2 participants
Time Frame
Through Day 29
Title
Occurrence of adverse events of special interest (AESIs) in Part 1 participants
Time Frame
Through Day 29
Title
Occurrence of adverse events of special interest (AESIs) in Part 2 participants
Time Frame
Through Day 29
Title
Occurrence of clinically significant abnormalities on 12-lead electrocardiogram (ECG) readings in Part 1 participants
Time Frame
Through Day 29
Title
Occurrence of clinically significant abnormalities on 12-lead electrocardiogram (ECG) readings in Part 2 participants
Time Frame
Through Day 29
Title
Occurrence of clinically significant changes in vital signs compared to Baseline in Part 2 participants
Time Frame
Baseline and up toDay 29
Title
Occurrence of clinically significant laboratory abnormalities in Part 1 participants
Time Frame
Through Day 29
Title
Occurrence of clinically significant laboratory abnormalities in Part 2 participants
Time Frame
Through Day 29
Secondary Outcome Measure Information:
Title
Cmax in Part 1 participants
Time Frame
Day 1 through 18 weeks
Title
Cmax in Part 2 participants
Time Frame
Day 1 through 18 weeks
Title
Area under the serum concentration-time curve extrapolated to infinite time (AUCinf) in Part 1 participants
Time Frame
Day 1 through 18 weeks
Title
Area under the serum concentration-time curve extrapolated to infinite time (AUCinf) in Part 2 participants
Time Frame
Day 1 through 18 weeks
Title
Area under the curve from the time of dosing to the time of the last measurable (positive) concentration (AUClast) in Part 1 participants
Time Frame
Day 1 through 18 weeks
Title
Area under the curve from the time of dosing to the time of the last measurable (positive) concentration (AUClast) in Part 2 participants
Time Frame
Day 1 through 18 weeks
Title
Tmax in Part 1 participants
Time Frame
Day 1 through 18 weeks
Title
Tmax in Part 2 participants
Time Frame
Day 1 through 18 weeks
Title
Time of the last quantifiable concentration (Tlast) in Part 1 participants
Time Frame
Day 1 through 18 weeks
Title
Time of the last quantifiable concentration (Tlast) in Part 2 participants
Time Frame
Day 1 through 18 weeks
Title
Terminal elimination half-life (t1/2) of sotrovimab in Part 1 participants
Time Frame
Day 1 through 18 weeks
Title
Terminal elimination half-life (t1/2) of sotrovimab in Part 2 participants
Time Frame
Day 1 through 18 weeks
Other Pre-specified Outcome Measures:
Title
Occurrence of AEs in Part 1 participants
Time Frame
Through 18 weeks
Title
Occurrence of AEs in Part 2 participants
Time Frame
Through 18 weeks
Title
Occurrence of SAEs in Part 1 participants
Time Frame
Through 18 weeks
Title
Occurrence of SAEs in Part 2 participants
Time Frame
Through 18 weeks
Title
Occurrence of AESIs in Part 1 participants
Time Frame
Through 18 weeks
Title
Occurrence of AESIs in Part 2 participants
Time Frame
Through 18 weeks
Title
Occurrence of clinically significant abnormalities on 12-lead ECG readings in Part 1 participants
Time Frame
Through 18 weeks
Title
Occurrence of clinically significant abnormalities on 12-lead ECG readings in Part 2 participants
Time Frame
Through 18 weeks
Title
Occurrence of clinically significant changes in vital signs compared to Baseline in Part 1 participants
Time Frame
Baseline and up to 18 weeks
Title
Occurrence of clinically significant changes in vital signs compared to Baseline in Part 2 participants
Time Frame
Baseline and up to 18 weeks
Title
Occurrence of clinically significant laboratory abnormalities in Part 1 participants
Time Frame
Through 18 weeks
Title
Occurrence of clinically significant laboratory abnormalities in Part 2 participants
Time Frame
Through 18 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Male or female participants, aged 18 to 65 years, inclusive
Participants who are healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
Japanese participants must be of Japanese ancestry, defined as having been born in Japan, being descendants of four ethnic Japanese grandparents and two ethnic Japanese parents, holding a Japanese passport or identity papers, and being able to speak Japanese. Participants should have lived outside Japan for fewer than 10 years at the time of Screening.
Caucasian participants must be of Caucasian ancestry, defined as Caucasian descent as evidenced by appearance and verbal confirmation of familial heritage.
Body mass index (BMI) within the range of 18 to 29.9 kg/m2 (inclusive).
Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and protocol.
Exclusion Criteria:
History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention or interfering with the interpretation of data.
Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
Breast cancer within the past 10 years.
Abnormal blood pressure at Screening.
Significant allergies to humanized monoclonal antibodies.
Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions (including, but not limited to, erythema multiforme major, linear immunoglobulin A (IgA) dermatosis, toxic epidermal necrolysis, and exfoliative dermatitis).
Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
Use of any prescription medications (besides contraceptive medications or devices) within the 28 days prior to dosing or concomitantly, unless permitted by the protocol or approved by the Investigator in conjunction with the GSK medical monitor.
Treatment with biologic agents (such as monoclonal antibodies including marketed drugs) within 3 months or 5 half-lives (whichever is longer) prior to dosing.
Receipt of convalescent plasma from a recovered COVID-19 patient or anti-SARSCoV- 2 mAb within the last 3 months.
Receipt of any vaccine within 48 hours prior to enrollment. Vaccination will not be allowed for 90 days after dosing.
Participant has received a SARS-CoV-2 vaccine but has not completed all doses in the series more than 28 days prior to Screening
Participation in the study would result in loss of blood or blood products in excess of 500 mL within a 56 day period.
Exposure to more than 4 new chemical entities within 12 months prior to the first dosing day.
Enrollment in any investigational vaccine study within the last 180 days or any other investigational drug study within 30 days prior to Day 1 or within 5 half-lives of the investigational compound, whichever is longer.
A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 prior to dosing.
Positive pre-study drug/alcohol screen.
Positive HIV antibody test.
History of regular alcohol consumption within 6 months prior to the study defined as: An average weekly intake of >14 units. One unit is equivalent to 8 g of alcohol: a half pint (~240 mL) of beer, 1 glass (125 mL) of wine, or 1 (25 mL) measure of spirits.
Regular use of known drugs of abuse.
Facility Information:
Facility Name
Investigative Site
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Investigative Site
City
Glendale
State/Province
California
ZIP/Postal Code
91206
Country
United States
12. IPD Sharing Statement
Learn more about this trial
A Study to Investigate the PK, Safety, and Tolerability of Sotrovimab vs Placebo Administered IV or IM in Japanese and Caucasian Participants
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