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AZD7442 - a Potential Combination Therapy for the Prevention and Treatment of COVID-19

A Phase I Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of AZD7442 in Healthy Adults

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04507256
Enrollment
60
Registered
2020-08-11
Start date
2020-08-18
Completion date
2021-10-19
Last updated
2024-10-18

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

Conditions

COVID-19

Keywords

Coronavirus, Severe acute respiratory syndrome coronavirus 2, Pharmacokinetics, Safety and tolerability

Brief summary

In this first-in-humans dose escalation study, AZD7442 (AZD8895 + AZD1061) will be evaluated for safety, tolerability, pharmacokinetics, and generation of anti-drug antibodies (ADAs). The study is intended to enable future studies of AZD7442's efficacy in preventing and treating COVID-19.

Detailed description

This is a Phase I, first time in human, randomised, double-blind, placebo-controlled, and dose escalation study. The study will comprise of: 1. A Screening Period of up to 27 days (Day -28 through Day -2); 2. A Treatment Period during which participants will be resident at the Clinical Unit from Day -1, 1 day before Investigational Medicinal Product (IMP) administration (on Day 1) until at least 24 hours after IMP administration, will be discharged on Day 2 after all safety evaluations have been completed, and 3. A Follow up Period lasting 360 days (through to Day 361) after the IMP dose. The study will be conducted at a single study centre in United Kingdom.

Interventions

COMBINATION_PRODUCTAZD7442

Participants randomized to AZD7442 will be administered dose 1, each in Cohort 1a (IM) and Cohort 1b (IV). Participants in Cohort 2 and 3 will receive AZD7442 (IV) doses 2 and 3, respectively. Participants in Cohort 4 will receive AZD7442 (IV) dose 4.

OTHERPlacebo

Participants randomised to placebo will receive the same volume of solution as participants on active treatment.

Sponsors

Parexel
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Masking description

The study will be blinded for all placebo controlled dose groups, ie, the Principal Investigator (PI), all clinical staff involved in the clinical study, the participants, and the study monitor will remain blinded, unless safety concerns or a regulatory requirement necessitate unblinding.

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Written informed consent and any locally required authorisation obtained from the participant prior to performing any protocol-related procedures, including screening evaluations. * Negative SARS-CoV-2 qRT-PCR and/or serology tests prior to randomisation. * Weight ≥ 50 kg and ≤ 110 kg at screening, including a BMI of ≥ 18.0 to ≤ 30.0 kg/m\^2. * Healthy by medical history, physical examination, and baseline safety laboratory studies, according to the judgement of the PI. * Electrocardiogram without clinically significant abnormalities at screening. * Able to complete the Follow-up Period through Day 361. * Females of childbearing potential who are sexually active with a non-sterilised male partner must have used a highly effective method of contraception for at least 28 days prior to dosing with IMP and must agree to continue using such precautions until the Final Follow-up Visit. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception.

Exclusion criteria

* Known hypersensitivity to any component of the IMP. * History of allergic disease or reactions likely to be exacerbated by any component of the IMP. * Previous hypersensitivity, infusion-related reaction or severe adverse reaction following administration of a mAbs. * Acute (time-limited) illness, including fever above 37.5°C (99.5 °F), on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves within the 27-day Screening Period or may be rescreened once. * Any drug therapy within 7 days prior to Day 1 (except contraceptives or a single use of acetaminophen, aspirin, antihistamine, or combination over the counter (OTC) product that contains acetaminophen with an antihistamine, or OTC nonsteroidal anti-inflammatory agent at a dose equal to or lower than that recommended on the package). Vitamins and other nutritional supplements that are not newly introduced, ie, have been taken for at least 30 days prior to enrolment, are not exclusionary. * Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 2 months prior to screening. * Receipt of immunoglobulin or blood products within 6 months prior to screening. * SARS CoV-2 or COVID-19: * Participants with any confirmed current or previous COVID-19 infection before randomisation. * Participant has clinical signs and symptoms consistent with COVID-19, eg, fever, dry cough, dyspnoea, sore throat, fatigue or confirmed infection by appropriate laboratory test within the last 4 weeks prior to screening or on admission. * Any prior receipt of investigational or licensed vaccine indicated for the prevention of SARS CoV-2 or COVID-19 or expected receipt during the period of study follow up. * Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the period of study follow-up, or concurrent participation in another interventional study. * Previous receipt of a mAb within 6 months, or five antibody half lives (whichever is longer), prior to study start. * Immunodeficiency due to illness, including Human immunodeficiency virus (HIV) infection, or due to drugs, including any course of glucocorticoid therapy exceeding 2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day within 6 months prior to screening. HIV testing must be negative at screening. * Either history of active infection with hepatitis B or C or positive test for hepatitis C or for hepatitis B surface antigen at screening. * History of infection with SARS or MERS. * Aspartate aminotransferase, ALT, or serum creatinine above the ULN; bilirubin and ALP \>1.5 × ULN. * Haemoglobin or platelet count below the LLN at screening. White blood cell or neutrophil count outside normal references ranges. * History of malignancy. * Any laboratory value in the screening panel that, in the opinion of the PI, is clinically significant or might confound analysis of study results. * Pregnant or nursing female. * History of alcohol or drug abuse within the past 2 years that, according to the PI, might affect assessments of safety or ability of participant to comply with all study requirements OR positive urine drug or alcohol screening. * Any condition that, in the opinion of the PI, might compromise participant safety or interfere with evaluation of the IMP or interpretation of participant safety or study results. * Employees of the sponsor, clinical study site, or any other individuals involved with the conduct of the study, or immediate family members of such individuals. * Absence of suitable veins for blood sampling (IM and IV cohorts) and administration of IMP (IV cohorts).

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs) and Serious AEsFrom screening day (Day -28) until Follow-up/end of treatment visit (Day 361)The safety and tolerability of AZD7442 administered IV or IM to healthy adult participants 18 to 55 years of age was evaluated.

Secondary

MeasureTime frameDescription
Time to Reach Maximum Serum Concentration (Tmax) of AZD7442Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose tmax of AZD7442 and of the individual mAbs in serum was evaluated
Terminal Elimination Half-life (t½λz) of AZD7442Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose t½λz of AZD7442 and of the individual mAbs in serum was evaluated.
Area Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose AUClast of AZD7442 and of the individual mAbs in serum was evaluated.
Area Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose AUCinf of AZD7442 and of the individual mAbs in serum was evaluated. The bioavailability (F) of AZD7442 Dose 1 administered by IM was calculated as the ratio of geometric mean AUCinf after IM to IV, for mAb AZD8895 and mAb AZD1061 is also presented.
Maximum Serum Concentration (Cmax) of AZD7442Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose Cmax of AZD7442 and of the individual monoclonal antibodies (mAbs) in serum were evaluated.
Apparent Total Clearance (CL/F) of AZD7442 IM InjectionDay 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose CL/F of AZD7442 and of the individual mAbs in serum was evaluated.
Apparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose Vz/F of AZD7442 and of the individual mAbs in serum was evaluated.
Volume of Distribution at Steady State (Vss) of AZD7442 IV InfusionDay 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose Vss of AZD7442 and of the individual mAbs in serum was evaluated.
Percentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061Day 361 (Post dose)The ADA response to AZD7442 in serum was evaluated.
Systemic Clearance (CL) of AZD7442 IV InfusionDay 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)The single dose CL of AZD7442 and of the individual mAbs in serum was evaluated.

Countries

United Kingdom

Participant flow

Recruitment details

A total of 60 healthy participants were enrolled at a single study center in the United Kingdom (UK) from 18 August 2020 to 19 0ctober 2021.

Pre-assignment details

Participants who met the inclusion and none of the exclusion criteria were enrolled to the study. A washout period was not included in this study.

Participants by arm

ArmCount
Pooled Placebo
Participants received single intravenous infusion (IV) or intramuscular injection (IM) of placebo.
10
AZD7442 300 mg, IM
Participants received 300 mg of AZD7442 (AZD8895 + AZD1061) via intramuscular injection (IM) administered in 2 sequential injections, starting with 150 mg AZD8895 and followed by 150 mg AZD1061.
10
AZD7442 300 mg, IV
Participants received 300 mg of AZD7442 (AZD8895 + AZD1061) via intravenous infusion (IV) administered in 2 sequential infusions, starting with 150 mg AZD8895 and followed by 150 mg AZD1061.
10
AZD7442 1000 mg, IV
Participants received 1000 mg of AZD7442 (AZD8895 + AZD1061) via IV infusion administered in 2 sequential infusions, starting with 500 mg AZD8895 and followed by 500 mg AZD1061.
10
AZD7442 3000 mg, IV
Participants received 3000 mg of AZD7442 (AZD8895 + AZD1061) via IV infusion administered in 2 sequential infusions, starting with 1500 mg AZD8895 and followed by 1500 mg AZD1061.
10
AZD7442 3000 mg, IV Co-administered
Participants received 3000 mg of AZD7442 (AZD8895 + AZD1061) via IV infusion, the investigational medicinal product (IMP) was co-administered as a single IV infusion containing both (1500 mg of AZD8895 and 1500 mg of AZD1061).
10
Total60

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyWithdrawal by Subject100100

Baseline characteristics

CharacteristicPooled PlaceboAZD7442 300 mg, IMAZD7442 300 mg, IVAZD7442 1000 mg, IVAZD7442 3000 mg, IVAZD7442 3000 mg, IV Co-administeredTotal
Age, Continuous38.1 Years
STANDARD_DEVIATION 11.45
41.9 Years
STANDARD_DEVIATION 6.51
40.7 Years
STANDARD_DEVIATION 7.83
38.9 Years
STANDARD_DEVIATION 8.86
35.8 Years
STANDARD_DEVIATION 9.44
39.6 Years
STANDARD_DEVIATION 9.3
39.17 Years
STANDARD_DEVIATION 8.86
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants9 Participants10 Participants10 Participants10 Participants10 Participants59 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
2 Participants2 Participants2 Participants0 Participants3 Participants0 Participants9 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants1 Participants1 Participants0 Participants1 Participants5 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants1 Participants0 Participants1 Participants1 Participants2 Participants6 Participants
Race (NIH/OMB)
White
6 Participants6 Participants7 Participants8 Participants6 Participants7 Participants40 Participants
Sex: Female, Male
Female
5 Participants2 Participants6 Participants3 Participants3 Participants4 Participants23 Participants
Sex: Female, Male
Male
5 Participants8 Participants4 Participants7 Participants7 Participants6 Participants37 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 100 / 100 / 100 / 100 / 100 / 10
other
Total, other adverse events
8 / 102 / 105 / 106 / 107 / 106 / 10
serious
Total, serious adverse events
0 / 100 / 100 / 100 / 100 / 100 / 10

Outcome results

Primary

Number of Participants With Adverse Events (AEs) and Serious AEs

The safety and tolerability of AZD7442 administered IV or IM to healthy adult participants 18 to 55 years of age was evaluated.

Time frame: From screening day (Day -28) until Follow-up/end of treatment visit (Day 361)

Population: Safety analysis set included all participants who were randomized and received any amount of AZD7442.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE8 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to dose interruption0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE with outcome of death0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to withdrawal from the study0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAny SAE (including events with outcome of death)0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAnt AE leading to dose reduction0 Participants
Pooled PlaceboNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to discontinuation of Investigational Medicinal Product (IMP)0 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE with outcome of death0 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to discontinuation of Investigational Medicinal Product (IMP)0 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAny SAE (including events with outcome of death)0 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to dose interruption0 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE2 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to withdrawal from the study0 Participants
AZD7442 300 mg, IMNumber of Participants With Adverse Events (AEs) and Serious AEsAnt AE leading to dose reduction0 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny SAE (including events with outcome of death)0 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE with outcome of death0 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE5 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to dose interruption0 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAnt AE leading to dose reduction0 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to discontinuation of Investigational Medicinal Product (IMP)0 Participants
AZD7442 300 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to withdrawal from the study0 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to discontinuation of Investigational Medicinal Product (IMP)0 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE6 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE with outcome of death0 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny SAE (including events with outcome of death)0 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to dose interruption0 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAnt AE leading to dose reduction0 Participants
AZD7442 1000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to withdrawal from the study0 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny SAE (including events with outcome of death)0 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE with outcome of death0 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to withdrawal from the study0 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE7 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAnt AE leading to dose reduction0 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to discontinuation of Investigational Medicinal Product (IMP)0 Participants
AZD7442 3000 mg, IVNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to dose interruption1 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to withdrawal from the study0 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to dose interruption0 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAny SAE (including events with outcome of death)0 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE with outcome of death0 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAnt AE leading to dose reduction0 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE6 Participants
AZD7442 3000 mg, IV Co-administeredNumber of Participants With Adverse Events (AEs) and Serious AEsAny AE leading to discontinuation of Investigational Medicinal Product (IMP)0 Participants
Secondary

Apparent Total Clearance (CL/F) of AZD7442 IM Injection

The single dose CL/F of AZD7442 and of the individual mAbs in serum was evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data. It was pre-specified in the SAP and CSP to report CL/F for only arm receiving IM injection.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboApparent Total Clearance (CL/F) of AZD7442 IM InjectionAZD88950.06174 L (Litre)/dayStandard Deviation 0.01857
Pooled PlaceboApparent Total Clearance (CL/F) of AZD7442 IM InjectionAZD10610.07383 L (Litre)/dayStandard Deviation 0.02733
Secondary

Apparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442

The single dose Vz/F of AZD7442 and of the individual mAbs in serum was evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD88957.771 L (Litre)Standard Deviation 2.152
Pooled PlaceboApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD10618.471 L (Litre)Standard Deviation 2.832
AZD7442 300 mg, IMApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD88955.150 L (Litre)Standard Deviation 0.5804
AZD7442 300 mg, IMApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD10616.042 L (Litre)Standard Deviation 0.5914
AZD7442 300 mg, IVApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD88956.814 L (Litre)Standard Deviation 1.065
AZD7442 300 mg, IVApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD10616.241 L (Litre)Standard Deviation 0.9723
AZD7442 1000 mg, IVApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD10616.449 L (Litre)Standard Deviation 0.692
AZD7442 1000 mg, IVApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD88956.227 L (Litre)Standard Deviation 0.5926
AZD7442 3000 mg, IVApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD88956.514 L (Litre)Standard Deviation 0.7232
AZD7442 3000 mg, IVApparent Volume of Distribution at Terminal Phase (Vz/F) of AZD7442AZD10616.324 L (Litre)Standard Deviation 0.7784
Secondary

Area Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442

The single dose AUClast of AZD7442 and of the individual mAbs in serum was evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pooled PlaceboArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD88952367 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 28.92
Pooled PlaceboArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD10612018 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 30.98
AZD7442 300 mg, IMArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD88953467 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 13.2
AZD7442 300 mg, IMArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD10613085 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 13.01
AZD7442 300 mg, IVArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD88959237 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 11.75
AZD7442 300 mg, IVArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD10619245 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 11.22
AZD7442 1000 mg, IVArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD106128160 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 10.85
AZD7442 1000 mg, IVArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD889529800 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 9.799
AZD7442 3000 mg, IVArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD889529380 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 10.81
AZD7442 3000 mg, IVArea Under the Concentration Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast) of AZD7442AZD106128210 day*μg/mL (microgram per milliliter)Geometric Coefficient of Variation 11.21
Secondary

Area Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442

The single dose AUCinf of AZD7442 and of the individual mAbs in serum was evaluated. The bioavailability (F) of AZD7442 Dose 1 administered by IM was calculated as the ratio of geometric mean AUCinf after IM to IV, for mAb AZD8895 and mAb AZD1061 is also presented.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pooled PlaceboArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD88952526 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 29.75
Pooled PlaceboArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD10612130 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 31.25
AZD7442 300 mg, IMArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD88953677 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 13.75
AZD7442 300 mg, IMArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD10613276 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 14.17
AZD7442 300 mg, IVArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD88959893 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 12.58
AZD7442 300 mg, IVArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD10619712 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 11.69
AZD7442 1000 mg, IVArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD106129860 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 11.71
AZD7442 1000 mg, IVArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD889531850 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 10.85
AZD7442 3000 mg, IVArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD889531850 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 11.89
AZD7442 3000 mg, IVArea Under the Serum Concentration Versus Time Curve Extrapolated to Infinity (AUCinf) of AZD7442AZD106130030 day*ug/mL (microgram per milliliter)Geometric Coefficient of Variation 11.82
Comparison: Bioavailability of AZD8895 at the end of study (Day 361)
Comparison: Bioavailability of AZD1061 at the end of study (Day 361)
Secondary

Maximum Serum Concentration (Cmax) of AZD7442

The single dose Cmax of AZD7442 and of the individual monoclonal antibodies (mAbs) in serum were evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The Pharmacokinetic (PK) analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pooled PlaceboMaximum Serum Concentration (Cmax) of AZD7442AZD889516.52 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 35.56
Pooled PlaceboMaximum Serum Concentration (Cmax) of AZD7442AZD106115.27 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 38.53
AZD7442 300 mg, IMMaximum Serum Concentration (Cmax) of AZD7442AZD889553.71 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 10.24
AZD7442 300 mg, IMMaximum Serum Concentration (Cmax) of AZD7442AZD106151.69 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 12.31
AZD7442 300 mg, IVMaximum Serum Concentration (Cmax) of AZD7442AZD8895162.2 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 11.31
AZD7442 300 mg, IVMaximum Serum Concentration (Cmax) of AZD7442AZD1061154.3 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 14.66
AZD7442 1000 mg, IVMaximum Serum Concentration (Cmax) of AZD7442AZD1061465.5 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 11.09
AZD7442 1000 mg, IVMaximum Serum Concentration (Cmax) of AZD7442AZD8895505.8 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 10.54
AZD7442 3000 mg, IVMaximum Serum Concentration (Cmax) of AZD7442AZD8895447.8 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 8.98
AZD7442 3000 mg, IVMaximum Serum Concentration (Cmax) of AZD7442AZD1061419.3 μg/mL (microgram per milliliter)Geometric Coefficient of Variation 11.62
Secondary

Percentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061

The ADA response to AZD7442 in serum was evaluated.

Time frame: Day 361 (Post dose)

Population: Safety analysis set included all participants who were randomized and received any amount of AZD7442.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD88950 Participants
Pooled PlaceboPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD10610 Participants
AZD7442 300 mg, IMPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD88951 Participants
AZD7442 300 mg, IMPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD10614 Participants
AZD7442 300 mg, IVPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD88950 Participants
AZD7442 300 mg, IVPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD10613 Participants
AZD7442 1000 mg, IVPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD88950 Participants
AZD7442 1000 mg, IVPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD10610 Participants
AZD7442 3000 mg, IVPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD88950 Participants
AZD7442 3000 mg, IVPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD10610 Participants
AZD7442 3000 mg, IV Co-administeredPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD88950 Participants
AZD7442 3000 mg, IV Co-administeredPercentage of Participants Who Have Positive Antidrug Antibodies (ADA) of AZD8895 and AZD1061AZD10610 Participants
Secondary

Systemic Clearance (CL) of AZD7442 IV Infusion

The single dose CL of AZD7442 and of the individual mAbs in serum was evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data. It was pre-specified in the statistical analysis plan (SAP) and clinical study protocol (CSP) to report CL for only arms receiving IV infusion.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboSystemic Clearance (CL) of AZD7442 IV InfusionAZD88950.04113 L (Litre)/dayStandard Deviation 0.005411
Pooled PlaceboSystemic Clearance (CL) of AZD7442 IV InfusionAZD10610.04618 L (Litre)/dayStandard Deviation 0.006162
AZD7442 300 mg, IMSystemic Clearance (CL) of AZD7442 IV InfusionAZD10610.05180 L (Litre)/dayStandard Deviation 0.00626
AZD7442 300 mg, IMSystemic Clearance (CL) of AZD7442 IV InfusionAZD88950.05090 L (Litre)/dayStandard Deviation 0.00651
AZD7442 300 mg, IVSystemic Clearance (CL) of AZD7442 IV InfusionAZD88950.04736 L (Litre)/dayStandard Deviation 0.005317
AZD7442 300 mg, IVSystemic Clearance (CL) of AZD7442 IV InfusionAZD10610.05055 L (Litre)/dayStandard Deviation 0.006086
AZD7442 1000 mg, IVSystemic Clearance (CL) of AZD7442 IV InfusionAZD88950.04740 L (Litre)/dayStandard Deviation 0.005661
AZD7442 1000 mg, IVSystemic Clearance (CL) of AZD7442 IV InfusionAZD10610.05026 L (Litre)/dayStandard Deviation 0.006036
Secondary

Terminal Elimination Half-life (t½λz) of AZD7442

The single dose t½λz of AZD7442 and of the individual mAbs in serum was evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pooled PlaceboTerminal Elimination Half-life (t½λz) of AZD7442AZD889587.76 DayGeometric Coefficient of Variation 14.56
Pooled PlaceboTerminal Elimination Half-life (t½λz) of AZD7442AZD106179.78 DayGeometric Coefficient of Variation 9.649
AZD7442 300 mg, IMTerminal Elimination Half-life (t½λz) of AZD7442AZD889586.97 DayGeometric Coefficient of Variation 5.195
AZD7442 300 mg, IMTerminal Elimination Half-life (t½λz) of AZD7442AZD106191.08 DayGeometric Coefficient of Variation 9.152
AZD7442 300 mg, IVTerminal Elimination Half-life (t½λz) of AZD7442AZD889592.38 DayGeometric Coefficient of Variation 17.23
AZD7442 300 mg, IVTerminal Elimination Half-life (t½λz) of AZD7442AZD106183.05 DayGeometric Coefficient of Variation 16.22
AZD7442 1000 mg, IVTerminal Elimination Half-life (t½λz) of AZD7442AZD106188.52 DayGeometric Coefficient of Variation 9.086
AZD7442 1000 mg, IVTerminal Elimination Half-life (t½λz) of AZD7442AZD889591.27 DayGeometric Coefficient of Variation 7.827
AZD7442 3000 mg, IVTerminal Elimination Half-life (t½λz) of AZD7442AZD889595.33 DayGeometric Coefficient of Variation 11.06
AZD7442 3000 mg, IVTerminal Elimination Half-life (t½λz) of AZD7442AZD106187.17 DayGeometric Coefficient of Variation 10.78
Secondary

Time to Reach Maximum Serum Concentration (Tmax) of AZD7442

The single dose tmax of AZD7442 and of the individual mAbs in serum was evaluated

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data.

ArmMeasureGroupValue (MEDIAN)
Pooled PlaceboTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD106113.98 Day
Pooled PlaceboTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD889513.96 Day
AZD7442 300 mg, IMTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD10610.02 Day
AZD7442 300 mg, IMTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD88950.04 Day
AZD7442 300 mg, IVTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD10610.02 Day
AZD7442 300 mg, IVTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD88950.04 Day
AZD7442 1000 mg, IVTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD88950.10 Day
AZD7442 1000 mg, IVTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD10610.06 Day
AZD7442 3000 mg, IVTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD10610.05 Day
AZD7442 3000 mg, IVTime to Reach Maximum Serum Concentration (Tmax) of AZD7442AZD88950.05 Day
Secondary

Volume of Distribution at Steady State (Vss) of AZD7442 IV Infusion

The single dose Vss of AZD7442 and of the individual mAbs in serum was evaluated.

Time frame: Day 1 (pre-dose, 8 h), Day 2 (24 h), Day 4 (72 h), Day 6 (120 h), Day 8 (168), Day 15 (336 h), Day 31 (720 h), Day 61 (1440 h), Day 91 (2160 h), Day 151 (3600 h), Day 211 (5040), Day 271 (6480 h), and Day 361 (8640 h)

Population: The PK analysis set consisted of all participants in the safety analysis set who received AZD7442 and who had evaluable serum PK data, with no important protocol deviations thought to impact on the analysis of the PK data. It was pre-specified in the SAP and CSP to report Vss for only arms receiving IV infusion.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD88955.074 L (Litre)Standard Deviation 0.4766
Pooled PlaceboVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD10615.687 L (Litre)Standard Deviation 0.4691
AZD7442 300 mg, IMVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD10616.020 L (Litre)Standard Deviation 0.8755
AZD7442 300 mg, IMVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD88956.520 L (Litre)Standard Deviation 0.9739
AZD7442 300 mg, IVVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD88956.118 L (Litre)Standard Deviation 0.5983
AZD7442 300 mg, IVVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD10616.311 L (Litre)Standard Deviation 0.6722
AZD7442 1000 mg, IVVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD88956.373 L (Litre)Standard Deviation 0.6854
AZD7442 1000 mg, IVVolume of Distribution at Steady State (Vss) of AZD7442 IV InfusionAZD10616.286 L (Litre)Standard Deviation 0.7465

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026