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Phase III clinical trial with monoclonal antibodies versus standard of care for the treatment of early-stage COVID-19

A randomized, open-label, active controlled, parallel group, multicenter phase 3 study to evaluate the efficacy and tolerability of Bamlanivimab and Etesevimab, Casirivimab and Imdevimab, and Sotrovimab versus Standard of Care in patients with mild to moderate COVID-19 disease (AntiCov) - AntiCov

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-004035-88-IT
Enrollment
400
Registered
2021-08-26
Start date
2021-11-18
Completion date
Unknown
Last updated
2024-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with mild to moderate SARS-COV-2 infection. MedDRA version: 20.0 Level: SOC Classification code 10021881 Term: Infections and infestations System Organ Class: 10021881 - Infections and infestations

Interventions

Trade Name: SOTROVIMAB Product Name: SOTROVIMAB Product Code: [SOTROVIMAB] Pharmaceutical Form: Solution for infusion Current Sponsor code: SOTROVIMAB Concentration unit: mg/ml milligram(s)/millilitre

Sponsors

FONDAZIONE POLICLINICO UNIVERSITARIO AGOSTINO GEMELLI IRCCS UNIVERSITA' CATTOLICA DEL SACRO CUORE
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1.Signed Informed Consent Form 2. Men or non-pregnant women =12 years of age at the time of randomization 3. Agree to the collection of nasopharyngeal swabs 4. Patients currently not hospitalized 5. Have one or more mild or moderate COVID-19 symptoms such as fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, or shortness of breath 6. Must have sample collection for first positive SARS-CoV-2 viral infection 7. High risk for severe COVID-19 disease defined as the presence of one or more of the following conditions: age=65 years, BMI=30 kg/m2, chronic kidney disease, chronic lung diseases, including COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), interstitial lung disease, cystic fibrosis, and pulmonary hypertension, diabetes, heart conditions (such as heart failure, coronary artery disease, cardiomyopathies or hypertension), immunocompromised state, liver disease, stroke or cerebrovascular disease. Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 400 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 400

Exclusion criteria

Exclusion criteria: 1. Have SpO2 =92% on room air at sea level or PaO2/FiO2 <300 2. Respiratory rate =30 per minute 3. Heart rate =125 per minute 4. Hospitalized for COVID-19 disease 5. Respiratory failure secondary to COVID-19 disease 6. Have known allergies to any of the components used in the formulation of the interventions 7. Have hemodynamic instability 8. Suspected or proven serious, active bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking intervention 9. Have any comorbidity requiring surgery within 7 days, or that is considered life-threatening within 29 days 10. Have any serious concomitant systemic disease, condition, or disorder that, in the opinion of the investigator, should preclude participation in this study 11. Have a history of a positive SARS-CoV-2 serology test 12. Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing (Anti-COVID-19 vaccines are allowed) 13. Have received treatment with a SARS-CoV-2 specific monoclonal antibody 14. Have a history of convalescent COVID-19 plasma treatment 15. Have participated, within the last 30 days, in a clinical study involving an investigational intervention. If the previous investigational intervention has a long half-life, 5 half-lives or 30 days, whichever is longer, should have passed 16. Are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study 17. Are pregnant or breast feeding.

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective of the study is: - To assess the efficacy of monoclonal antibodies (Bamlanivimab/Etesevimab, Casirivimab/Imdevimab, Sotrovimab) in patients with COVID-19 by looking at disease progression in terms of hospitalization in intensive care unit, oxygen desaturation =4% and peripheral oxygen saturation =92% during the follow-up period (30 days).;Secondary Objective: The secondary objectives of the study are: - To assess the impact of experimental drugs on safety and tolerability during the 30-day follow-up period, - To assess the impact of experimental drugs on survival during the 30-day follow-up period.;Primary end point(s): The primary endpoint of the study is: - Disease progression defined as: hospitalization in intensive care unit, oxygen desaturation =4% and peripheral oxygen saturation =92% during the follow-up period (30 days).;Timepoint(s) of evaluation of this end point: Timepoint are reported within the endpoint list

Secondary

MeasureTime frame
Secondary end point(s): The secondary endpoints of the study are: - Incidence and severity of adverse events, with severity determined according to the 5-point severity scale (National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 [NCI CTCAE, v.5.0]) during the follow-up period (30 days). - Proportion of patients admitted to the Emergency Department for COVID-19 disease during the follow-up period. - All-cause mortality due to COVID-19 disease.;Timepoint(s) of evaluation of this end point: Timepoint are reported within the endpoint list

Countries

Italy

Contacts

Public ContactU.O.C PNEUMOLOGIA

FONDAZIONE POLICLINICO UNIOVERSITARIO AGOSTINO GEMELLI UNIVERSITA CATTOLICA DEL SACRO CUORE

luca.richeldi@policlinicogemelli.it+390630155701

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026