search
Back to results

Relative Bioavailability, Safety, and Tolerability of Single-dose Sotrovimab Injection in Adults (COSMIC) (COSMIC)

Primary Purpose

Covid19

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
sotrovimab
sotrovimab
sotrovimab
sotrovimab
sotrovimab
sotrovimab
sotrovimab
Sponsored by
Vir Biotechnology, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring COVID-19, Pharmacokinetics, Safety, Sotrovimab, Relative bioavailability, Healthy participants

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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.
  • For Part C, inclusion in the Japanese subgroup analysis, a participant must meet all of the following criteria: Japanese ancestry, defined as being a descendant of 4 ethnic Japanese grandparents and 2 ethnic Japanese parents.
  • Body Mass Index (BMI) within the range of 18 to 30 kilogram per square meter (kg/m^2).
  • Capable of giving signed informed consent

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
  • 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.
  • Known hypersensitivity to any constituent present in the investigational product or history of severe hypersensitivity or anaphylaxis after receiving a COVID-19 vaccine
  • Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions
  • 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 over the counter or prescription medications unless permitted by the protocol or approved by the Investigator in conjunction with the GSK medical monitor.
  • For Part A and Part B, any condition that would prohibit receipt of injections in the investigator's opinion, such as coagulation disorder, bleeding diathesis, or thrombocytopenia.
  • Treatment with biologic agents (such as) within 3 months or 5 half-lives
  • Receipt of convalescent plasma from a recovered COVID-19 participant or anti- severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) monoclonal antibody (mAb) within the last 3 months.
  • Receipt of any vaccine within 48 hours prior to enrollment.
  • Has received a SARS-CoV-2 vaccine but has not completed all doses in the series more than 28 days prior to Screening.
  • Exposure to more than 4 new chemical entities (e.g., investigational pharmaceuticals) within 12 months prior to the first dosing day.
  • Enrolment in any investigational vaccine study within the last 180 days or enrollment in any other investigational drug study within 30 days prior to Day 1 or within 5 half-lives
  • Current enrolment or past participation in this clinical study.
  • A positive pre-study hepatitis B surface antigen or positive hepatitis C antibody test result at Screening or within 3 months prior to dosing.
  • Positive pre-study drug/alcohol screen.
  • Positive human immunodeficiency virus (HIV) antibody test.
  • History of regular alcohol consumption within 6 months prior to the study.
  • Regular use of known drugs of abuse.
  • Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates participation in the study.

Sites / Locations

  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting
  • Investigative SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A Cohort 1: Concentration 1 of sotrovimab

Part A Cohort 2: Concentration 2 of sotrovimab

Part A Cohort 3: Concentration 2 of sotrovimab

Part A Cohort 4: Concentration 2 of sotrovimab

Part B Cohort 5: Concentration 1 of sotrovimab

Part B Cohort 6: Concentration 2 of sotrovimab

Part C Cohort 7: Concentration 2 of sotrovimab

Part C Cohort 8: Concentration 2 of sotrovimab

Arm Description

administered at injection site 1

administered at injection site 1

administered at injection site 2

administered at injection site 3

administered at potential injection site 1,2,3 or other

administered at potential injection site 1,2,3 or other

administered by intravenous (IV) infusion

administered by IV infusion

Outcomes

Primary Outcome Measures

Part A (Cohort 1, 2): Area under the serum concentration-time curve (AUC) from Day 1 to Day 29 (AUC D1-29) following administration of sotrovimab
Part A (Cohort 1, 2): Maximum observed concentration (Cmax) following administration of sotrovimab through Day 29
Part A (Cohort 1, 2): Number of participants with adverse events (AEs), serious adverse events (SAEs), and AEs of special interest (AESI) through Day 29
Part C (Cohort 7, 8): Number of participants with AEs, SAEs, and AESI

Secondary Outcome Measures

Part A (Cohort 1, 3, 4): AUC(D1-29) following administration of sotrovimab
Part A (Cohort 1, 3, 4): Cmax following administration of sotrovimab through Day 29
Part A (Cohort 1, 2, 3, 4): Area under the serum concentration-time curve from time zero to infinity (AUCinf) following administration of sotrovimab at injection sites 1, 2 and 3 through Week 24
Part A: Serum concentration following administration of sotrovimab through Day 29
Part A: Serum concentration following administration of sotrovimab through Week 24
Part A (Cohort 3, 4) and Part B: Number of participants with AEs, SAEs, and AESI
Part A and Part B: Number of participants with AEs, SAEs, and AESI
Part B: AUC(D1-29) following administration of sotrovimab
Part B: Cmax following administration of sotrovimab through Day 29
Part B: AUCinf following administration of sotrovimab at up to 2 injection sites through Week 24
Part B: Serum concentration following administration of sotrovimab through Day 29
Part B: Serum concentration following administration of sotrovimab through Week 24
Part C: AUC(D1-29) following administration of sotrovimab
Part C: Cmax following administration of sotrovimab through Day 29
Part C: Serum concentration following administration of sotrovimab through Day 29
Part C: Serum concentration following administration of sotrovimab through Week 24
Part C: Number of participants with AEs, SAEs, and AESI

Full Information

First Posted
March 4, 2022
Last Updated
November 2, 2022
Sponsor
Vir Biotechnology, Inc.
Collaborators
GlaxoSmithKline
search

1. Study Identification

Unique Protocol Identification Number
NCT05280717
Brief Title
Relative Bioavailability, Safety, and Tolerability of Single-dose Sotrovimab Injection in Adults (COSMIC)
Acronym
COSMIC
Official Title
A Phase 1, Open-label, Randomized, Parallel Group, Single-dose Clinical Pharmacology Study to Investigate the Relative Bioavailability, Safety, and Tolerability of Two Different Concentrations of Sotrovimab Administered at Different Injection Sites, in Male or Female Healthy Participants Aged 18 to 65 Years
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 28, 2022 (Actual)
Primary Completion Date
March 4, 2024 (Anticipated)
Study Completion Date
May 30, 2024 (Anticipated)

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
Yes

5. Study Description

Brief Summary
This clinical pharmacology study will evaluate the relative bioavailability, safety, and tolerability of two different concentrations of sotrovimab injections administered at different injection sites in male or female healthy participants aged 18 to 65 years. The study will be conducted in three parts (Part A, an optional Part B and Part C).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
COVID-19, Pharmacokinetics, Safety, Sotrovimab, Relative bioavailability, Healthy participants

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
504 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A Cohort 1: Concentration 1 of sotrovimab
Arm Type
Experimental
Arm Description
administered at injection site 1
Arm Title
Part A Cohort 2: Concentration 2 of sotrovimab
Arm Type
Experimental
Arm Description
administered at injection site 1
Arm Title
Part A Cohort 3: Concentration 2 of sotrovimab
Arm Type
Experimental
Arm Description
administered at injection site 2
Arm Title
Part A Cohort 4: Concentration 2 of sotrovimab
Arm Type
Experimental
Arm Description
administered at injection site 3
Arm Title
Part B Cohort 5: Concentration 1 of sotrovimab
Arm Type
Experimental
Arm Description
administered at potential injection site 1,2,3 or other
Arm Title
Part B Cohort 6: Concentration 2 of sotrovimab
Arm Type
Experimental
Arm Description
administered at potential injection site 1,2,3 or other
Arm Title
Part C Cohort 7: Concentration 2 of sotrovimab
Arm Type
Experimental
Arm Description
administered by intravenous (IV) infusion
Arm Title
Part C Cohort 8: Concentration 2 of sotrovimab
Arm Type
Experimental
Arm Description
administered by IV infusion
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IM injection
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IM injection
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IM injection
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IM injection
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IM injection
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IM injection
Intervention Type
Biological
Intervention Name(s)
sotrovimab
Intervention Description
via IV infusion
Primary Outcome Measure Information:
Title
Part A (Cohort 1, 2): Area under the serum concentration-time curve (AUC) from Day 1 to Day 29 (AUC D1-29) following administration of sotrovimab
Time Frame
Up to Day 29
Title
Part A (Cohort 1, 2): Maximum observed concentration (Cmax) following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part A (Cohort 1, 2): Number of participants with adverse events (AEs), serious adverse events (SAEs), and AEs of special interest (AESI) through Day 29
Time Frame
Up to Day 29
Title
Part C (Cohort 7, 8): Number of participants with AEs, SAEs, and AESI
Time Frame
Up to Day 29
Secondary Outcome Measure Information:
Title
Part A (Cohort 1, 3, 4): AUC(D1-29) following administration of sotrovimab
Time Frame
Up to Day 29
Title
Part A (Cohort 1, 3, 4): Cmax following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part A (Cohort 1, 2, 3, 4): Area under the serum concentration-time curve from time zero to infinity (AUCinf) following administration of sotrovimab at injection sites 1, 2 and 3 through Week 24
Time Frame
Up to Week 24
Title
Part A: Serum concentration following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part A: Serum concentration following administration of sotrovimab through Week 24
Time Frame
Up to Week 24
Title
Part A (Cohort 3, 4) and Part B: Number of participants with AEs, SAEs, and AESI
Time Frame
Up to Day 29
Title
Part A and Part B: Number of participants with AEs, SAEs, and AESI
Time Frame
Up to Week 35
Title
Part B: AUC(D1-29) following administration of sotrovimab
Time Frame
Up to Day 29
Title
Part B: Cmax following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part B: AUCinf following administration of sotrovimab at up to 2 injection sites through Week 24
Time Frame
Up to Week 24
Title
Part B: Serum concentration following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part B: Serum concentration following administration of sotrovimab through Week 24
Time Frame
Up to Week 24
Title
Part C: AUC(D1-29) following administration of sotrovimab
Time Frame
Up to Day 29
Title
Part C: Cmax following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part C: Serum concentration following administration of sotrovimab through Day 29
Time Frame
Up to Day 29
Title
Part C: Serum concentration following administration of sotrovimab through Week 24
Time Frame
Up to Week 24
Title
Part C: Number of participants with AEs, SAEs, and AESI
Time Frame
Up to Week 35

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. For Part C, inclusion in the Japanese subgroup analysis, a participant must meet all of the following criteria: Japanese ancestry, defined as being a descendant of 4 ethnic Japanese grandparents and 2 ethnic Japanese parents. Body Mass Index (BMI) within the range of 18 to 30 kilogram per square meter (kg/m^2). Capable of giving signed informed consent 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 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. Known hypersensitivity to any constituent present in the investigational product or history of severe hypersensitivity or anaphylaxis after receiving a COVID-19 vaccine Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions 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 over the counter or prescription medications unless permitted by the protocol or approved by the Investigator in conjunction with the GSK medical monitor. For Part A and Part B, any condition that would prohibit receipt of injections in the investigator's opinion, such as coagulation disorder, bleeding diathesis, or thrombocytopenia. Treatment with biologic agents (such as) within 3 months or 5 half-lives Receipt of convalescent plasma from a recovered COVID-19 participant or anti- severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) monoclonal antibody (mAb) within the last 3 months. Receipt of any vaccine within 48 hours prior to enrollment. Has received a SARS-CoV-2 vaccine but has not completed all doses in the series more than 28 days prior to Screening. Exposure to more than 4 new chemical entities (e.g., investigational pharmaceuticals) within 12 months prior to the first dosing day. Enrolment in any investigational vaccine study within the last 180 days or enrollment in any other investigational drug study within 30 days prior to Day 1 or within 5 half-lives Current enrolment or past participation in this clinical study. A positive pre-study hepatitis B surface antigen or positive hepatitis C antibody test result at Screening or within 3 months prior to dosing. Positive pre-study drug/alcohol screen. Positive human immunodeficiency virus (HIV) antibody test. History of regular alcohol consumption within 6 months prior to the study. Regular use of known drugs of abuse. Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates participation in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Study Inquiry
Phone
4156545281
Email
clinicaltrials@vir.bio
Facility Information:
Facility Name
Investigative Site
City
Riverside
State/Province
California
ZIP/Postal Code
92503
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
Atlantis
State/Province
Florida
ZIP/Postal Code
33462
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
Edgewater
State/Province
Florida
ZIP/Postal Code
32132
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Inquiry
Facility Name
Investigative Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
Binghamton
State/Province
New York
ZIP/Postal Code
13901
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
Yukon
State/Province
Oklahoma
ZIP/Postal Code
73099
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
Medford
State/Province
Oregon
ZIP/Postal Code
97504
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Inquiry
Facility Name
Investigative Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77065
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigative Site
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

Relative Bioavailability, Safety, and Tolerability of Single-dose Sotrovimab Injection in Adults (COSMIC)

We'll reach out to this number within 24 hrs