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SARS-CoV-2-Neutralizing Monoclonal COVID-19 Antibody DZIF-10c by Inhalation

Primary Purpose

SARS-CoV-2 Infection

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
DZIF-10c
DZIF-10c
Placebo
Placebo
Sponsored by
University of Cologne
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for SARS-CoV-2 Infection focused on measuring SARS-CoV-2, Covid-19, Monoclonal Antibody, Inhalation

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Groups 1A-1C

  • Age 18-65.
  • SARS-CoV-2-RNA negative naso- or oropharyngeal swab obtained within 3 calendar days before study drug administration by NAAT (e.g., qRT-PCR).
  • Non-reactivity of serum antibodies (IgG; and IgA and/or IgM when tested) against SARS-CoV-2 by serological assay at screening.

Groups 2A-2D

  • Age 18-70.
  • SARS-CoV-2-RNA positive naso- or oropharyngeal swab obtained within 3 calendar days before study drug administration by NAAT (e.g., qRT-PCR).
  • Onset of COVID-19 symptoms (e.g., sore throat, cough, fever, chills, fatigue, dys- or anosmia, dys- or ageusia, headache, muscle pain, gastrointestinal symptoms) within 7 days prior to study drug administration or Non-reactivity of serum or plasma antibodies (IgG; and IgA and/or IgM when tested) against SARS-CoV-2 by serological assay at screening.
  • Disease severity score 1-4 as defined by the WHO Clinical Progression Scale (WHO, Lancet Inf Dis 2020)

Exclusion Criteria (all groups):

  • Known hypersensitivity to any constituent of the investigational medicinal product.
  • Hepatitis B infection indicated by detectable HBsAg (Hepatitis B surface antigen) in blood.
  • Detectable antibodies against hepatitis C virus in blood unless active hepatitis C is ruled out by negative HCV-RNA.
  • HIV infection indicated by detectable HIV antigen and/or HIV antibodies in blood.
  • Neutrophil count ≤1,000 cells/µl
  • Hemoglobin ≤10 g/dl
  • Platelet count ≤100,000 cells/µl
  • ALT ≥2.0 x ULN
  • AST ≥2.0 x ULN
  • Total bilirubin ≥1.5 ULN
  • eGFR <60 ml/min/1.73m2
  • Pregnancy or lactation.
  • Any vaccination within 14 days prior to DZIF-10c administration.
  • Receipt of any SARS-CoV-2 vaccine or SARS-CoV-2 monoclonal antibody in the past.
  • Diagnosis of bronchial asthma or history of bronchial hyperresponsiveness, COPD, pulmonary fibrosis, or other chronic lung diseases.
  • Any chronic or clinically significant medical condition that in the opinion of investigator would jeopardize the safety or rights of the volunteer.
  • History of systemic corticosteroids, immunosuppressive anti-cancer, or other medications considered significant by the trial physician within the last 6 months (a single administration of systemic corticosteroids within ≤6 months and ≥4 weeks of enrollment is acceptable).
  • Participation in another clinical trial of an investigational medicinal product within the past 12 weeks or expected participation during this study.
  • Dependency on the principal investigator or study staff; or site personnel directly affiliated with this trial.
  • Legally incapacitated individuals
  • Individuals held in an institution by legal or official order
  • If engaging in sexual activity that could result in pregnancy, inability or unwillingness to comply with the requirements for highly effective contraception

Sites / Locations

  • University Hospital Gießen and Marburg
  • University Hospital Cologne
  • University Hospital Düsseldorf
  • University Hospital Frankfurt
  • University Medical Center Hamburg-Eppendorf
  • LMU Munich University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1A (uninfected) - low dose

Group 1B (uninfected) - mid dose

Group 1C (uninfected) - high dose

Group 2A (infected) - low dose

Group 2B (infected) - mid dose

Group 2C (infected) - high dose

Group 2D (infected)

Arm Description

SARS-CoV-2-uninfected volunteers will receive a single dose of DZIF-10c by inhalation

SARS-CoV-2-uninfected volunteers will receive a single dose of DZIF-10c by inhalation

SARS-CoV-2-uninfected volunteers will receive a single dose of DZIF-10c by inhalation

SARS-CoV-2-infected volunteers will receive a single dose of DZIF-10c by inhalation

SARS-CoV-2-infected volunteers will receive a single dose of DZIF-10c by inhalation

SARS-CoV-2-infected volunteers will receive a single dose of DZIF-10c by inhalation

SARS-CoV-2-infected volunteers will be randomized 1:1:1 to receive DZIF-10c by inhalation and infusion, DZIF-10c by inhalation and placebo by infusion, or placebo by inhalation and infusion

Outcomes

Primary Outcome Measures

Rate of Adverse Events after a single DZIF-10c inhalation [Safety and Tolerability]
Primary target variables are (S)AEs and Adverse Events of Special Interest (AESIs)
Rate of Adverse Events after a single combined DZIF-10c inhalation and infusion [Safety and Tolerability]
Primary target variables are (S)AEs and Adverse Events of Special Interest (AESIs)

Secondary Outcome Measures

Pharmacokinetic parameter AUC0-672
AUC0-672 (the area under the concentration-time curve of DZIF-10c in serum over the time interval from 0 to 672 hours (Day 28)) after inhaled and combined inhaled and intravenous application
Development of anti-drug antibodies
Frequency of the development of anti-drug antibodies targeting DZIF-10c determined by immunoassay
Development of anti-drug antibodies
Titer of anti-drug antibodies targeting DZIF-10c determined by immunoassay
Change in viral load in nasopharyngeal swabs after DZIF-10c administration
Change in SARS-CoV-2 RNA from baseline in nasopharyngeal swabs as determined by qRT-pCR

Full Information

First Posted
November 10, 2020
Last Updated
October 23, 2021
Sponsor
University of Cologne
Collaborators
ZKS Köln, Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT04631705
Brief Title
SARS-CoV-2-Neutralizing Monoclonal COVID-19 Antibody DZIF-10c by Inhalation
Official Title
A Phase 1/2a Trial of the Inhaled Administration of the SARS-CoV-2-Neutralizing Monoclonal Antibody DZIF-10c in SARS-CoV-2-Infected and -Uninfected Individuals
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
December 14, 2020 (Actual)
Primary Completion Date
September 23, 2021 (Actual)
Study Completion Date
September 23, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Cologne
Collaborators
ZKS Köln, Boehringer Ingelheim

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
This is the first-in-human phase 1/2a trial of the inhaled administration of the SARS-CoV-2-neutralizing monoclonal antibody DZIF-10c in healthy volunteers and SARS-CoV-2-infected individuals. It will evaluate the safety, pharmacokinetic profile, immunogenicity, and antiviral activity of DZIF-10c.
Detailed Description
The phase 1 component of this trial consists of a single-inhalation open-label dose-escalation phase (Groups 1A-1C and Groups 2A-2C). Subsequently, the highest tolerated dose tested will be administered to an expansion cohort of SARS-CoV-2-infected individuals (Group 2D). In this randomized and blinded group, participants will receive DZIF-10c or placebo both by inhalation and intravenous infusion.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV-2 Infection
Keywords
SARS-CoV-2, Covid-19, Monoclonal Antibody, Inhalation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
This study consists of an open-label dose escalation phase in both healthy volunteers (Groups 1A-1C) and SARS-CoV-2-infected participants (Groups 2A-2C). After completion of the dose escalation phase, SARS-CoV-2-infected individuals will be enrolled into a randomized placebo-controlled expansion cohort (Group 2D).
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1A (uninfected) - low dose
Arm Type
Experimental
Arm Description
SARS-CoV-2-uninfected volunteers will receive a single dose of DZIF-10c by inhalation
Arm Title
Group 1B (uninfected) - mid dose
Arm Type
Experimental
Arm Description
SARS-CoV-2-uninfected volunteers will receive a single dose of DZIF-10c by inhalation
Arm Title
Group 1C (uninfected) - high dose
Arm Type
Experimental
Arm Description
SARS-CoV-2-uninfected volunteers will receive a single dose of DZIF-10c by inhalation
Arm Title
Group 2A (infected) - low dose
Arm Type
Experimental
Arm Description
SARS-CoV-2-infected volunteers will receive a single dose of DZIF-10c by inhalation
Arm Title
Group 2B (infected) - mid dose
Arm Type
Experimental
Arm Description
SARS-CoV-2-infected volunteers will receive a single dose of DZIF-10c by inhalation
Arm Title
Group 2C (infected) - high dose
Arm Type
Experimental
Arm Description
SARS-CoV-2-infected volunteers will receive a single dose of DZIF-10c by inhalation
Arm Title
Group 2D (infected)
Arm Type
Experimental
Arm Description
SARS-CoV-2-infected volunteers will be randomized 1:1:1 to receive DZIF-10c by inhalation and infusion, DZIF-10c by inhalation and placebo by infusion, or placebo by inhalation and infusion
Intervention Type
Biological
Intervention Name(s)
DZIF-10c
Intervention Description
Inhaled administration of the human monoclonal antibody DZIF-10c
Intervention Type
Biological
Intervention Name(s)
DZIF-10c
Intervention Description
Intravenous administration of the human monoclonal antibody DZIF-10c
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Inhalation of DZIF-10c diluent as placebo
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intravenous infusion of sterile normal saline (NaCl 0.9%) as placebo
Primary Outcome Measure Information:
Title
Rate of Adverse Events after a single DZIF-10c inhalation [Safety and Tolerability]
Description
Primary target variables are (S)AEs and Adverse Events of Special Interest (AESIs)
Time Frame
3 months
Title
Rate of Adverse Events after a single combined DZIF-10c inhalation and infusion [Safety and Tolerability]
Description
Primary target variables are (S)AEs and Adverse Events of Special Interest (AESIs)
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameter AUC0-672
Description
AUC0-672 (the area under the concentration-time curve of DZIF-10c in serum over the time interval from 0 to 672 hours (Day 28)) after inhaled and combined inhaled and intravenous application
Time Frame
0 to 672 hours
Title
Development of anti-drug antibodies
Description
Frequency of the development of anti-drug antibodies targeting DZIF-10c determined by immunoassay
Time Frame
3 months
Title
Development of anti-drug antibodies
Description
Titer of anti-drug antibodies targeting DZIF-10c determined by immunoassay
Time Frame
3 months
Title
Change in viral load in nasopharyngeal swabs after DZIF-10c administration
Description
Change in SARS-CoV-2 RNA from baseline in nasopharyngeal swabs as determined by qRT-pCR
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Groups 1A-1C Age 18-65. SARS-CoV-2-RNA negative naso- or oropharyngeal swab obtained within 3 calendar days before study drug administration by NAAT (e.g., qRT-PCR). Non-reactivity of serum antibodies (IgG; and IgA and/or IgM when tested) against SARS-CoV-2 by serological assay at screening. Groups 2A-2D Age 18-70. SARS-CoV-2-RNA positive naso- or oropharyngeal swab obtained within 3 calendar days before study drug administration by NAAT (e.g., qRT-PCR). Onset of COVID-19 symptoms (e.g., sore throat, cough, fever, chills, fatigue, dys- or anosmia, dys- or ageusia, headache, muscle pain, gastrointestinal symptoms) within 7 days prior to study drug administration or Non-reactivity of serum or plasma antibodies (IgG; and IgA and/or IgM when tested) against SARS-CoV-2 by serological assay at screening. Disease severity score 1-4 as defined by the WHO Clinical Progression Scale (WHO, Lancet Inf Dis 2020) Exclusion Criteria (all groups): Known hypersensitivity to any constituent of the investigational medicinal product. Hepatitis B infection indicated by detectable HBsAg (Hepatitis B surface antigen) in blood. Detectable antibodies against hepatitis C virus in blood unless active hepatitis C is ruled out by negative HCV-RNA. HIV infection indicated by detectable HIV antigen and/or HIV antibodies in blood. Neutrophil count ≤1,000 cells/µl Hemoglobin ≤10 g/dl Platelet count ≤100,000 cells/µl ALT ≥2.0 x ULN AST ≥2.0 x ULN Total bilirubin ≥1.5 ULN eGFR <60 ml/min/1.73m2 Pregnancy or lactation. Any vaccination within 14 days prior to DZIF-10c administration. Receipt of any SARS-CoV-2 vaccine or SARS-CoV-2 monoclonal antibody in the past. Diagnosis of bronchial asthma or history of bronchial hyperresponsiveness, COPD, pulmonary fibrosis, or other chronic lung diseases. Any chronic or clinically significant medical condition that in the opinion of investigator would jeopardize the safety or rights of the volunteer. History of systemic corticosteroids, immunosuppressive anti-cancer, or other medications considered significant by the trial physician within the last 6 months (a single administration of systemic corticosteroids within ≤6 months and ≥4 weeks of enrollment is acceptable). Participation in another clinical trial of an investigational medicinal product within the past 12 weeks or expected participation during this study. Dependency on the principal investigator or study staff; or site personnel directly affiliated with this trial. Legally incapacitated individuals Individuals held in an institution by legal or official order If engaging in sexual activity that could result in pregnancy, inability or unwillingness to comply with the requirements for highly effective contraception
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gerd Fätkenheuer, MD
Organizational Affiliation
University of Cologne
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital Gießen and Marburg
City
Gießen
State/Province
Hesse
ZIP/Postal Code
35392
Country
Germany
Facility Name
University Hospital Cologne
City
Cologne
State/Province
NRW
ZIP/Postal Code
50937
Country
Germany
Facility Name
University Hospital Düsseldorf
City
Düsseldorf
ZIP/Postal Code
40225
Country
Germany
Facility Name
University Hospital Frankfurt
City
Frankfurt am Main
ZIP/Postal Code
60590
Country
Germany
Facility Name
University Medical Center Hamburg-Eppendorf
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
LMU Munich University Hospital
City
Munich
ZIP/Postal Code
81377
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32946786
Citation
Kreer C, Zehner M, Weber T, Ercanoglu MS, Gieselmann L, Rohde C, Halwe S, Korenkov M, Schommers P, Vanshylla K, Di Cristanziano V, Janicki H, Brinker R, Ashurov A, Krahling V, Kupke A, Cohen-Dvashi H, Koch M, Eckert JM, Lederer S, Pfeifer N, Wolf T, Vehreschild MJGT, Wendtner C, Diskin R, Gruell H, Becker S, Klein F. Longitudinal Isolation of Potent Near-Germline SARS-CoV-2-Neutralizing Antibodies from COVID-19 Patients. Cell. 2020 Sep 17;182(6):1663-1673. doi: 10.1016/j.cell.2020.08.046. No abstract available.
Results Reference
background
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

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SARS-CoV-2-Neutralizing Monoclonal COVID-19 Antibody DZIF-10c by Inhalation

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