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Study of Monoclonal Antibodies for Early Etiotropic Therapy for Coronavirus Infection Caused by the SARS-CoV-2 Virus

Primary Purpose

COVID-19

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
GamCoviMab
Sponsored by
Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Each potential patient for inclusion in the study must meet all of the following criteria: Presence of a written Informed Consent to participate in the study; Men and women aged 18 to 75 years inclusive; Positive SARS-CoV-2 test result ≤5 days prior to enrollment or clinical manifestations later confirmed by PCR; Oxygen saturation ≥93% without oxygen donation by any means, diagnosed with COVID-19 disease with symptom onset within 5 days of inclusion; Presence of several symptoms of mild or moderate severity at the time of inclusion in the study; At the time of screening for the study, the patient is not hospitalized; Presence of high risk factors for severe COVID-19 and/or hospitalization and/or death, in the opinion of the investigator, not limited to the following: not fully vaccinated and unvaccinated patients elderly patients (over 60), including those with additional risk factors obesity immunocompromised patients, including those receiving immunosuppressive drugs for any indication with comorbidities (diabetes, diseases of the cardiovascular system, coagulopathy, chronic kidney disease, including conditions requiring dialysis, chronic lung disease, liver disease, etc.) Consent to use effective methods of contraception during the entire period of participation in the study. Able to carry out study visits. Exclusion Criteria: The patient will not be included in the study in the following cases: Inability to read Russian; inability or unwillingness to understand the essence of the study. Any other condition that limits the eligibility of obtaining informed consent or may affect the volunteer's ability to participate in the study; Pregnancy or breast-feeding; Severe and extremely severe course of COVID-19: Oxygen saturation at rest according to pulse oximetry (SpO2) ≤ 93% OR PaO2/FiO2 ≤ 300 mm Hg OR Respiratory failure and need for invasive mechanical ventilation (with tracheal intubation) or ECMO OR Septic shock OR Multiple organ failure Prior therapy with plasma from a recovered COVID-19 patient or other anti-SARS CoV-2 mAbs for the treatment of current COVID-19 disease at study entry; The patient is currently hospitalized or, in the opinion of the investigator, may require hospitalization within the next 24 hours; Requires oxygen therapy due to COVID-19 disease or requires an increase in basal oxygen flow due to COVID-19 disease in individuals on chronic oxygen therapy due to non-COVID-19 related comorbidities; Confirmed active tuberculosis, AIDS; The presence of any life-threatening decompensated comorbidity which, in the opinion of the Investigator, makes the patient unsuitable for inclusion in the study; Body weight less than 40 kg; Volunteer participation in any other clinical trial within the last 90 days; Requires mechanical ventilation or the inevitable need for mechanical ventilation in the next 24 hours based on the current state of the patient; Suspected or proven serious active bacterial, fungal, viral, or other infection (other than COVID-19) that, in the opinion of the investigator, may pose a risk to the volunteer and affect the assessment of study endpoints; There are concomitant diseases requiring surgical intervention within the next month; Aggravated allergic history (including, but not limited to, erythema multiforme major, toxic epidermal necrolysis, Quincke's edema, polymorphic exudative eczema, a history of serum sickness, hypersensitivity or allergic reactions to the administration of immunobiological drugs, known allergic reactions to drug components, etc.); Severe infusion reactions in history; Alcohol or drug addiction.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Patients with a verified diagnosis of COVID-19

    Arm Description

    Outcomes

    Primary Outcome Measures

    Occurrence of adverse events (AE)
    Occurrence of adverse events (AE) within 28 days after administration of the drug
    Occurrence of serious adverse events (SAEs)
    Occurrence of serious adverse events (SAEs) throughout the study

    Secondary Outcome Measures

    Full Information

    First Posted
    February 6, 2023
    Last Updated
    February 6, 2023
    Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05729360
    Brief Title
    Study of Monoclonal Antibodies for Early Etiotropic Therapy for Coronavirus Infection Caused by the SARS-CoV-2 Virus
    Official Title
    "An Open Safety Study and Description of the Parameters of the Therapeutic Efficacy of the Drug for Early Etiotropic Therapy for Coronavirus Infection Caused by the SARS-CoV-2 Virus, With a Single Application in Patients With Confirmed COVID-19 Diagnosis"
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    March 2023 (Anticipated)
    Primary Completion Date
    December 2023 (Anticipated)
    Study Completion Date
    December 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation

    4. Oversight

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

    5. Study Description

    Brief Summary
    Open prospective non-comparative study of safety and tolerability of the drug (GamCoviMab) with the description of the parameters of the therapeutic efficacy in patients with confirmed COVID-19 diagnosis.

    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
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Patients with a verified diagnosis of COVID-19
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    GamCoviMab
    Intervention Description
    A total of 30 people will be randomized and receive the study drug (GamCoviMab) in a hospital setting (7 days of hospitalization).
    Primary Outcome Measure Information:
    Title
    Occurrence of adverse events (AE)
    Description
    Occurrence of adverse events (AE) within 28 days after administration of the drug
    Time Frame
    within 28 days after administration of the drug
    Title
    Occurrence of serious adverse events (SAEs)
    Description
    Occurrence of serious adverse events (SAEs) throughout the study
    Time Frame
    within 180 days after administration of the drug

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Each potential patient for inclusion in the study must meet all of the following criteria: Presence of a written Informed Consent to participate in the study; Men and women aged 18 to 75 years inclusive; Positive SARS-CoV-2 test result ≤5 days prior to enrollment or clinical manifestations later confirmed by PCR; Oxygen saturation ≥93% without oxygen donation by any means, diagnosed with COVID-19 disease with symptom onset within 5 days of inclusion; Presence of several symptoms of mild or moderate severity at the time of inclusion in the study; At the time of screening for the study, the patient is not hospitalized; Presence of high risk factors for severe COVID-19 and/or hospitalization and/or death, in the opinion of the investigator, not limited to the following: not fully vaccinated and unvaccinated patients elderly patients (over 60), including those with additional risk factors obesity immunocompromised patients, including those receiving immunosuppressive drugs for any indication with comorbidities (diabetes, diseases of the cardiovascular system, coagulopathy, chronic kidney disease, including conditions requiring dialysis, chronic lung disease, liver disease, etc.) Consent to use effective methods of contraception during the entire period of participation in the study. Able to carry out study visits. Exclusion Criteria: The patient will not be included in the study in the following cases: Inability to read Russian; inability or unwillingness to understand the essence of the study. Any other condition that limits the eligibility of obtaining informed consent or may affect the volunteer's ability to participate in the study; Pregnancy or breast-feeding; Severe and extremely severe course of COVID-19: Oxygen saturation at rest according to pulse oximetry (SpO2) ≤ 93% OR PaO2/FiO2 ≤ 300 mm Hg OR Respiratory failure and need for invasive mechanical ventilation (with tracheal intubation) or ECMO OR Septic shock OR Multiple organ failure Prior therapy with plasma from a recovered COVID-19 patient or other anti-SARS CoV-2 mAbs for the treatment of current COVID-19 disease at study entry; The patient is currently hospitalized or, in the opinion of the investigator, may require hospitalization within the next 24 hours; Requires oxygen therapy due to COVID-19 disease or requires an increase in basal oxygen flow due to COVID-19 disease in individuals on chronic oxygen therapy due to non-COVID-19 related comorbidities; Confirmed active tuberculosis, AIDS; The presence of any life-threatening decompensated comorbidity which, in the opinion of the Investigator, makes the patient unsuitable for inclusion in the study; Body weight less than 40 kg; Volunteer participation in any other clinical trial within the last 90 days; Requires mechanical ventilation or the inevitable need for mechanical ventilation in the next 24 hours based on the current state of the patient; Suspected or proven serious active bacterial, fungal, viral, or other infection (other than COVID-19) that, in the opinion of the investigator, may pose a risk to the volunteer and affect the assessment of study endpoints; There are concomitant diseases requiring surgical intervention within the next month; Aggravated allergic history (including, but not limited to, erythema multiforme major, toxic epidermal necrolysis, Quincke's edema, polymorphic exudative eczema, a history of serum sickness, hypersensitivity or allergic reactions to the administration of immunobiological drugs, known allergic reactions to drug components, etc.); Severe infusion reactions in history; Alcohol or drug addiction.

    12. IPD Sharing Statement

    Learn more about this trial

    Study of Monoclonal Antibodies for Early Etiotropic Therapy for Coronavirus Infection Caused by the SARS-CoV-2 Virus

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