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A Study to Test Whether BI 767551 Can Prevent COVID-19 in People Who Have Been Exposed to SARS-CoV-2

Primary Purpose

COVID-19

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
BI 767551 intravenous
BI 767551 inhalation
Placebo intravenous
Placebo inhalation
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ≥ 18 years old, males and females
  • Signed and dated written informed consent in accordance with International Council on Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial
  • Asymptomatic for Coronavirus Disease 2019 (COVID-19) at time of screening and at randomization
  • Household contact with exposure to an individual with a diagnosis of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (i.e. exposure to the index case)
  • Randomization within 96 hours of collection of the index cases' positive SARS-CoV-2 diagnostic test sample (nucleic acid or antigen-based) from any respiratory tract specimen (e.g. oropharyngeal, nasopharyngeal (NP), or nasal swab, or saliva); based on test sample collection date, not the result date.
  • From screening and randomization, the trial participant anticipates living in the same household with the index case until protocol Day 29.
  • Women of childbearing potential (WOCBP)* and men able to father a child must be ready and able to use highly effective methods of birth control per International Council on Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly.

    • A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Tubal ligation is NOT a method of permanent sterilisation. A postmenopausal state is defined as no menses for 24 months without an alternative medical cause.

Exclusion Criteria:

  • Body weight of less than 40 kg
  • Residents of skilled nursing facilities. Definition of skilled nursing facility: assisted living facility that typically provides daily nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities.
  • History of laboratory confirmed SARS-CoV-2 infection (e.g. antigen or nucleic acid test)at any time before screening
  • Active respiratory or non-respiratory symptoms consistent with COVID-19, in the opinion of the investigator
  • History of respiratory or non-respiratory symptoms consistent with COVID-19, within the prior 6 months to screening, in the opinion of the investigator
  • Participant has lived with individuals who have had previous SARS-CoV-2 infection or currently lives with individuals who have SARS-CoV-2 infection, with the exception of the index case(s) who is defined as the first individual(s) known to be infected in the household
  • Receipt of intravenous immunoglobulin within 12 weeks prior to Visit 2
  • Receipt of COVID-19 convalescent plasma treatment at any time prior to Visit 2
  • Receipt of any SARS-CoV-2 monoclonal antibody treatment at any time prior to Visit 2
  • Receipt of SARS-CoV-2 vaccine at any time prior to Visit 2
  • Receipt of an investigational product for COVID-19 within 5 half-lives prior to Visit 2
  • Receipt of systemic steroids (e.g. prednisone, dexamethasone) within 4 weeks prior to Visit 2 unless used for chronic condition
  • Subjects who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial
  • Any co-morbidity requiring surgery within 7 days prior to study entry, or that is considered life threatening in the opinion of investigator within 30 days prior to randomization
  • Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study
  • Subjects not expected to comply with the protocol requirements or not expected to complete the trial as scheduled (e.g. chronic alcohol or drug abuse or any other condition that, in the investigator's opinion, makes the subject an unreliable trial participant)
  • Currently enrolled in any other type of medical research judged not to be compatible with this study
  • Known allergy/sensitivity or any hypersensitivity to any of the components used in the formulation of the interventions
  • Previous enrolment in this trial
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    BI 767551 inhalation and placebo intravenous infusion

    BI 767551 intravenous infusion and placebo inhalation

    Placebo inhalation and placebo intravenous infusion

    Arm Description

    Outcomes

    Primary Outcome Measures

    The primary endpoint of this study is symptomatic SARS-CoV-2 infection (RT-qPCR confirmed based on NP swabs, with a score >= 2 on the WHO Clinical Progression Scale) (Cohort A only)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization. qPCR: Quantitative Reverse Transcription Polymerase chain reaction; WHO: World Health Organisation; The 11-point WHO Clinical Progression Scale ranges from 0 to 10, with a higher score indicating a worsening of the symptoms.

    Secondary Outcome Measures

    SARS-CoV-2 infection, with or without symptoms (Cohort A only)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Asymptomatic SARS-CoV-2 infection (with a score not exceeding 1 on the WHO Clinical Progression Scale) (Cohort A only)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Severity of COVID-19 (No, mild, moderate, or severe COVID-19, with a maximum score of 0, 1-3, 4-5, or >= 6,respectively, on the WHO Clinical Progression Scale) (Cohort A)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Severity of COVID-19 (No, mild, moderate, or severe COVID-19, with a maximum score of 0, 1-3, 4-5, or >= 6,respectively, on the WHO Clinical Progression Scale) (Cohort B)
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Hospitalization due to COVID-19 for >= 24 hours (Cohort A)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Hospitalization due to COVID-19 for >= 24 hours (Cohort B)
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Hospitalization due to COVID-19 for >= 24 hours or death (Cohort A)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Hospitalization due to COVID-19 for >= 24 hours or death (Cohort B)
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Death (Cohort A)
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Death (Cohort B)
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.

    Full Information

    First Posted
    May 18, 2021
    Last Updated
    November 4, 2021
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04894474
    Brief Title
    A Study to Test Whether BI 767551 Can Prevent COVID-19 in People Who Have Been Exposed to SARS-CoV-2
    Official Title
    A Phase III Randomized, Double-blind, Placebo-controlled, Parallel-group, Group-sequential Study to Evaluate Efficacy, Safety and Tolerability of BI 767551 for Post-exposure Prevention of SARS-CoV-2 Infection in Household Contacts to a Confirmed SARS-CoV-2 Infected Individual
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    project terminated
    Study Start Date
    June 17, 2021 (Anticipated)
    Primary Completion Date
    May 23, 2022 (Anticipated)
    Study Completion Date
    July 24, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    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 study is open to adults living with a person who has tested positive for the coronavirus SARS-CoV-2. People who do not have symptoms of COVID-19 can take part in this study. The study is done to find out whether a medicine called BI 767551 can prevent COVID-19. BI 767551 is an antibody against the coronavirus SARS-CoV-2. Participants are put into 3 groups randomly, which means by chance. 1 group gets BI 767551 via an inhaler and placebo as an infusion 1 group gets BI 767551 as an infusion and placebo via an inhaler 1 group gets placebo both via an inhaler and as an infusion All participants get study medicine once at study start and after 1 week. Placebo inhaler and infusion look like BI 767551 inhaler and infusion but do not contain any medicine. Participants are in the study for about 3 months. During this time, they visit the study site about 10 times. About 7 of the 10 visits can be done at the participant's home. Participants are regularly tested for the coronavirus SARS-CoV-2. The doctors check whether the participants have been infected with the coronavirus and whether they have symptoms. The results are compared between the treatment groups. The doctors check the health of the participants and note any health problems that could have been caused by BI 767551.

    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
    Treatment
    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
    BI 767551 inhalation and placebo intravenous infusion
    Arm Type
    Experimental
    Arm Title
    BI 767551 intravenous infusion and placebo inhalation
    Arm Type
    Experimental
    Arm Title
    Placebo inhalation and placebo intravenous infusion
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    BI 767551 intravenous
    Intervention Description
    BI 767551 intravenous
    Intervention Type
    Drug
    Intervention Name(s)
    BI 767551 inhalation
    Intervention Description
    BI 767551 inhalation
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo intravenous
    Intervention Description
    Placebo intravenous
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo inhalation
    Intervention Description
    Placebo inhalation
    Primary Outcome Measure Information:
    Title
    The primary endpoint of this study is symptomatic SARS-CoV-2 infection (RT-qPCR confirmed based on NP swabs, with a score >= 2 on the WHO Clinical Progression Scale) (Cohort A only)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization. qPCR: Quantitative Reverse Transcription Polymerase chain reaction; WHO: World Health Organisation; The 11-point WHO Clinical Progression Scale ranges from 0 to 10, with a higher score indicating a worsening of the symptoms.
    Time Frame
    up to 31 days
    Secondary Outcome Measure Information:
    Title
    SARS-CoV-2 infection, with or without symptoms (Cohort A only)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 31 days
    Title
    Asymptomatic SARS-CoV-2 infection (with a score not exceeding 1 on the WHO Clinical Progression Scale) (Cohort A only)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 31 days
    Title
    Severity of COVID-19 (No, mild, moderate, or severe COVID-19, with a maximum score of 0, 1-3, 4-5, or >= 6,respectively, on the WHO Clinical Progression Scale) (Cohort A)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Severity of COVID-19 (No, mild, moderate, or severe COVID-19, with a maximum score of 0, 1-3, 4-5, or >= 6,respectively, on the WHO Clinical Progression Scale) (Cohort B)
    Description
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Hospitalization due to COVID-19 for >= 24 hours (Cohort A)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Hospitalization due to COVID-19 for >= 24 hours (Cohort B)
    Description
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Hospitalization due to COVID-19 for >= 24 hours or death (Cohort A)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Hospitalization due to COVID-19 for >= 24 hours or death (Cohort B)
    Description
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Death (Cohort A)
    Description
    Cohort A: negative SARS-CoV-2 RT-qPCR* and serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days
    Title
    Death (Cohort B)
    Description
    Cohort B: positive SARS-CoV-2 RT-qPCR test* or positive serology test* at baseline. *test result from day of dosing (baseline) will be retrospectively determined by the sponsor-provided central laboratory. The designation of Cohorts is used only for the analysis not randomization.
    Time Frame
    up to 98 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: ≥ 18 years old, males and females Signed and dated written informed consent in accordance with International Council on Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial Asymptomatic for Coronavirus Disease 2019 (COVID-19) at time of screening and at randomization Household contact with exposure to an individual with a diagnosis of Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (i.e. exposure to the index case) Randomization within 96 hours of collection of the index cases' positive SARS-CoV-2 diagnostic test sample (nucleic acid or antigen-based) from any respiratory tract specimen (e.g. oropharyngeal, nasopharyngeal (NP), or nasal swab, or saliva); based on test sample collection date, not the result date. From screening and randomization, the trial participant anticipates living in the same household with the index case until protocol Day 29. Women of childbearing potential (WOCBP)* and men able to father a child must be ready and able to use highly effective methods of birth control per International Council on Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Tubal ligation is NOT a method of permanent sterilisation. A postmenopausal state is defined as no menses for 24 months without an alternative medical cause. Exclusion Criteria: Body weight of less than 40 kg Residents of skilled nursing facilities. Definition of skilled nursing facility: assisted living facility that typically provides daily nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities. History of laboratory confirmed SARS-CoV-2 infection (e.g. antigen or nucleic acid test)at any time before screening Active respiratory or non-respiratory symptoms consistent with COVID-19, in the opinion of the investigator History of respiratory or non-respiratory symptoms consistent with COVID-19, within the prior 6 months to screening, in the opinion of the investigator Participant has lived with individuals who have had previous SARS-CoV-2 infection or currently lives with individuals who have SARS-CoV-2 infection, with the exception of the index case(s) who is defined as the first individual(s) known to be infected in the household Receipt of intravenous immunoglobulin within 12 weeks prior to Visit 2 Receipt of COVID-19 convalescent plasma treatment at any time prior to Visit 2 Receipt of any SARS-CoV-2 monoclonal antibody treatment at any time prior to Visit 2 Receipt of SARS-CoV-2 vaccine at any time prior to Visit 2 Receipt of an investigational product for COVID-19 within 5 half-lives prior to Visit 2 Receipt of systemic steroids (e.g. prednisone, dexamethasone) within 4 weeks prior to Visit 2 unless used for chronic condition Subjects who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial Any co-morbidity requiring surgery within 7 days prior to study entry, or that is considered life threatening in the opinion of investigator within 30 days prior to randomization Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study Subjects not expected to comply with the protocol requirements or not expected to complete the trial as scheduled (e.g. chronic alcohol or drug abuse or any other condition that, in the investigator's opinion, makes the subject an unreliable trial participant) Currently enrolled in any other type of medical research judged not to be compatible with this study Known allergy/sensitivity or any hypersensitivity to any of the components used in the formulation of the interventions Previous enrolment in this trial Women who are pregnant, nursing, or who plan to become pregnant while in the trial

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents, except for the following exclusions: studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (because of limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datasharing
    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
    PubMed Identifier
    34473343
    Citation
    Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2.
    Results Reference
    derived
    Links:
    URL
    http://www.mystudywindow.com/
    Description
    Related Info

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    A Study to Test Whether BI 767551 Can Prevent COVID-19 in People Who Have Been Exposed to SARS-CoV-2

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