Skip to content

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing Antibody BGB-DXP593 in Participants With Mild-to-Moderate Coronavirus Disease 2019 (COVID-19)

A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of SARS-CoV-2 Neutralizing Antibody BGB-DXP593 in Patients With Mild-to-Moderate COVID-19

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04551898
Enrollment
181
Registered
2020-09-16
Start date
2020-12-02
Completion date
2021-05-25
Last updated
2024-10-26

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

Conditions

Covid19

Brief summary

The primary objective of this study is to evaluate the efficacy of BGB-DXP593 administered intravenously as a single dose in participants with mild to moderate COVID-19

Interventions

Intravenous (IV) infusion administered over 30 to 90 minutes at a dose as specified in the treatment arm

DRUGPlacebo

Placebo to match BGB-DXP593 administered as specified in the treatment arm

Sponsors

BeiGene
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: 1. Laboratory-confirmed severe acute respiratory syndrome (SARS)-CoV-2 infection (positive reverse transcription-polymerase chain reaction \[RT-PCR\] test or other authorized antigen testing methods) in any samples following local practice ≤ 72 hours prior to screening. 2. Have experienced COVID-19 symptoms for ≤ 7 days prior to treatment assignment, such as fever, cough, shortness of breath, sore throat, diarrhea, vomiting, and dysgeusia 3. Agree to the collection of nasopharyngeal swabs, saliva, and venous blood Key

Exclusion criteria

1. Severe COVID-19 having oxygen saturation (SpO2) ≤ 93 % on room air at sea level or ratio of arterial oxygen partial pressure (PaO2 in millimeters of mercury) to fractional inspired oxygen (FiO2) \< 300, respiratory rate ≥ 30/min, heart rate ≥ 125/min 2. Requires mechanical ventilation or anticipated impending need for mechanical ventilation 3. Known allergies to any of the components used in the formulation of the interventions 4. Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing 5. Have received treatment with a SARS-CoV-2 specific monoclonal antibody NOTE: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral SheddingBaseline and Day 8SARS-CoV-2 viral shedding was measured by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in nasopharyngeal swab samples.

Secondary

MeasureTime frameDescription
Volume of Distribution During the Terminal Phase (Vz) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Number of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Day 1 (pre-dose) Days 15, 29, and End of study visit (up to 174 days)
Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)AUClast : AUC from time zero to the time of the last quantifiable concentration AUCinf: AUC from zero to infinite time with extrapolation of the terminal phase
Time to Reach Cmax (Tmax) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Terminal Half-Life (t1/2) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Time-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15Baseline and Day 15
Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15Baseline and Day 15SARS-CoV-2 viral shedding was measured by RT-qPCR in nasopharyngeal swab samples
Clearance (CL) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Percentage of Participants Who Required Hospitalization Due to Worsened COVID-19Baseline up to End of Study (EOS) /174 Days
Time to Resolution of All COVID-19-Related SymptomsBaseline up to EOS /174 Days
All-Cause Mortality at Day 29Day 29Number of participants that died by Day 29
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Up to 174 days
Maximum Observed Plasma Concentration (Cmax) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to174 days)
Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 29Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, and 29
Time to Negative RT-qPCR in All Tested SamplesFrom Baseline up to Day 21The negative RT-qPCR is defined as the value that is below the lower limit of detection

Countries

Brazil, Mexico, South Africa, United States

Participant flow

Recruitment details

This study was conducted in 20 centers and 181 participants were treated.

Participants by arm

ArmCount
Placebo
Single intravenous infusion of placebo solution administered over 30 to 90 minutes
47
BGB-DXP593 5 mg/kg
Single intravenous infusion of 5 mg/kg DXP593 administered over 30 to 90 minutes
45
BGB-DXP593 15 mg/kg
Single intravenous infusion of 15 mg/kg DXP593 administered over 30 to 90 minutes
43
BGB-DXP593 30 mg/kg
Single intravenous infusion of 30 mg/kg DXP593 administered over 30 to 90 minutes
46
Total181

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath1000
Overall StudyIncorrectly randomized and screen failed due to administrative error0010
Overall StudyLost to Follow-up2122
Overall StudyParticipant randomized but did not receive study drug0131
Overall StudyWithdrawal by Subject5122

Baseline characteristics

CharacteristicPlaceboTotalBGB-DXP593 30 mg/kgBGB-DXP593 15 mg/kgBGB-DXP593 5 mg/kg
Age, Continuous44.3 years
STANDARD_DEVIATION 14.02
43.8 years
STANDARD_DEVIATION 13.91
41.1 years
STANDARD_DEVIATION 13.35
43.6 years
STANDARD_DEVIATION 12.43
46.2 years
STANDARD_DEVIATION 15.56
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants8 Participants2 Participants1 Participants2 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
3 Participants15 Participants5 Participants2 Participants5 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants10 Participants6 Participants1 Participants2 Participants
Race (NIH/OMB)
White
40 Participants147 Participants33 Participants39 Participants35 Participants
Sex: Female, Male
Female
20 Participants86 Participants27 Participants22 Participants17 Participants
Sex: Female, Male
Male
27 Participants95 Participants19 Participants21 Participants28 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
1 / 470 / 440 / 400 / 45
other
Total, other adverse events
5 / 474 / 444 / 407 / 45
serious
Total, serious adverse events
2 / 472 / 441 / 400 / 45

Outcome results

Primary

Change From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Shedding

SARS-CoV-2 viral shedding was measured by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in nasopharyngeal swab samples.

Time frame: Baseline and Day 8

Population: Intent To Treat (ITT) analysis set. Participants with available data were included in the analysis.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Shedding-2.88 log10 copies/mlStandard Deviation 2.241
BGB-DXP593 5 mg/kgChange From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Shedding-3.52 log10 copies/mlStandard Deviation 2.831
BGB-DXP593 15 mg/kgChange From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Shedding-3.75 log10 copies/mlStandard Deviation 2.513
BGB-DXP593 30 mg/kgChange From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Shedding-3.03 log10 copies/mlStandard Deviation 2.239
p-value: 0.482990% CI: [-0.84, 0.34]Mixed Models Analysis
p-value: 0.173990% CI: [-1.13, 0.11]Mixed Models Analysis
p-value: 0.600690% CI: [-0.4, 0.77]Mixed Models Analysis
p-value: 0.4996t-test, 1 sided
Secondary

All-Cause Mortality at Day 29

Number of participants that died by Day 29

Time frame: Day 29

Population: ITT analysis set

ArmMeasureValue (NUMBER)
PlaceboAll-Cause Mortality at Day 292.13 Percentage of participants
BGB-DXP593 5 mg/kgAll-Cause Mortality at Day 290 Percentage of participants
BGB-DXP593 15 mg/kgAll-Cause Mortality at Day 290 Percentage of participants
BGB-DXP593 30 mg/kgAll-Cause Mortality at Day 290 Percentage of participants
Secondary

Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593

AUClast : AUC from time zero to the time of the last quantifiable concentration AUCinf: AUC from zero to infinite time with extrapolation of the terminal phase

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)

Population: PK analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureGroupValue (MEDIAN)
PlaceboArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593AUClast1829.3 day*μg/mL
PlaceboArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593AUCInf2098.7 day*μg/mL
BGB-DXP593 5 mg/kgArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593AUClast4707.5 day*μg/mL
BGB-DXP593 5 mg/kgArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593AUCInf4996.3 day*μg/mL
BGB-DXP593 15 mg/kgArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593AUClast10259.5 day*μg/mL
BGB-DXP593 15 mg/kgArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593AUCInf10509.2 day*μg/mL
Secondary

Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 29

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, and 29

Population: PK analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureValue (MEDIAN)
PlaceboArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 291188.7 day*μg/mL
BGB-DXP593 5 mg/kgArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 293014.3 day*μg/mL
BGB-DXP593 15 mg/kgArea Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 296609.2 day*μg/mL
Secondary

Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15

SARS-CoV-2 viral shedding was measured by RT-qPCR in nasopharyngeal swab samples

Time frame: Baseline and Day 15

Population: ITT analysis set. Participants with available samples were included in the analysis.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange in SARS-CoV-2 Viral Shedding From Baseline to Day 15-4.16 log10 copies/mlStandard Deviation 2.446
BGB-DXP593 5 mg/kgChange in SARS-CoV-2 Viral Shedding From Baseline to Day 15-4.29 log10 copies/mlStandard Deviation 2.675
BGB-DXP593 15 mg/kgChange in SARS-CoV-2 Viral Shedding From Baseline to Day 15-4.31 log10 copies/mlStandard Deviation 2.851
BGB-DXP593 30 mg/kgChange in SARS-CoV-2 Viral Shedding From Baseline to Day 15-4.04 log10 copies/mlStandard Deviation 2.577
Secondary

Clearance (CL) of BGB-DXP593

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)

Population: Pharmacokinetic (PK) analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureValue (MEDIAN)
PlaceboClearance (CL) of BGB-DXP5930.21 Liters/Day
BGB-DXP593 5 mg/kgClearance (CL) of BGB-DXP5930.25 Liters/Day
BGB-DXP593 15 mg/kgClearance (CL) of BGB-DXP5930.24 Liters/Day
Secondary

Maximum Observed Plasma Concentration (Cmax) of BGB-DXP593

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to174 days)

Population: Pharmacokinetic (PK) analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureValue (MEAN)Dispersion
PlaceboMaximum Observed Plasma Concentration (Cmax) of BGB-DXP593132.95 µg/mLStandard Deviation 53.18
BGB-DXP593 5 mg/kgMaximum Observed Plasma Concentration (Cmax) of BGB-DXP593368.22 µg/mLStandard Deviation 232.04
BGB-DXP593 15 mg/kgMaximum Observed Plasma Concentration (Cmax) of BGB-DXP593714.17 µg/mLStandard Deviation 149.198
Secondary

Number of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593

Time frame: Day 1 (pre-dose) Days 15, 29, and End of study visit (up to 174 days)

Population: The ADA Analysis Set includes all the participants who have received the study drug and in whom both baseline ADA and at least 1 postbaseline ADA results are available

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Treatment Induced1 Number of participants
PlaceboNumber of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Neutralizing antibody Positive0 Number of participants
BGB-DXP593 5 mg/kgNumber of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Treatment Induced0 Number of participants
BGB-DXP593 5 mg/kgNumber of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Neutralizing antibody Positive0 Number of participants
BGB-DXP593 15 mg/kgNumber of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Treatment Induced0 Number of participants
BGB-DXP593 15 mg/kgNumber of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Neutralizing antibody Positive0 Number of participants
Secondary

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

Time frame: Up to 174 days

Population: Safety analysis set includes all participants who received the study drug or placebo.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)With at Least One TEAE6 Number of participants
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Serious TEAE2 Number of participants
PlaceboNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Grade 3 or Higher TEAE1 Number of participants
BGB-DXP593 5 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)With at Least One TEAE6 Number of participants
BGB-DXP593 5 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Serious TEAE2 Number of participants
BGB-DXP593 5 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Grade 3 or Higher TEAE1 Number of participants
BGB-DXP593 15 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Grade 3 or Higher TEAE1 Number of participants
BGB-DXP593 15 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)With at Least One TEAE4 Number of participants
BGB-DXP593 15 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Serious TEAE1 Number of participants
BGB-DXP593 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)With at Least One TEAE7 Number of participants
BGB-DXP593 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Serious TEAE0 Number of participants
BGB-DXP593 30 mg/kgNumber of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Grade 3 or Higher TEAE0 Number of participants
Secondary

Percentage of Participants Who Required Hospitalization Due to Worsened COVID-19

Time frame: Baseline up to End of Study (EOS) /174 Days

Population: ITT analysis set

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants Who Required Hospitalization Due to Worsened COVID-194.3 Percentage of participants
BGB-DXP593 5 mg/kgPercentage of Participants Who Required Hospitalization Due to Worsened COVID-192.2 Percentage of participants
BGB-DXP593 15 mg/kgPercentage of Participants Who Required Hospitalization Due to Worsened COVID-192.3 Percentage of participants
BGB-DXP593 30 mg/kgPercentage of Participants Who Required Hospitalization Due to Worsened COVID-190.0 Percentage of participants
Secondary

Terminal Half-Life (t1/2) of BGB-DXP593

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)

Population: Pharmacokinetic (PK) analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureValue (MEDIAN)
PlaceboTerminal Half-Life (t1/2) of BGB-DXP59321.4 Day
BGB-DXP593 5 mg/kgTerminal Half-Life (t1/2) of BGB-DXP59323.2 Day
BGB-DXP593 15 mg/kgTerminal Half-Life (t1/2) of BGB-DXP59320.8 Day
Secondary

Time to Negative RT-qPCR in All Tested Samples

The negative RT-qPCR is defined as the value that is below the lower limit of detection

Time frame: From Baseline up to Day 21

Population: ITT analysis set

ArmMeasureValue (MEDIAN)
PlaceboTime to Negative RT-qPCR in All Tested Samples17.00 Days
BGB-DXP593 5 mg/kgTime to Negative RT-qPCR in All Tested Samples15.00 Days
BGB-DXP593 15 mg/kgTime to Negative RT-qPCR in All Tested Samples10.00 Days
BGB-DXP593 30 mg/kgTime to Negative RT-qPCR in All Tested Samples17.00 Days
Secondary

Time to Reach Cmax (Tmax) of BGB-DXP593

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)

Population: Pharmacokinetic (PK) analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureValue (MEDIAN)
PlaceboTime to Reach Cmax (Tmax) of BGB-DXP5931.500 hours
BGB-DXP593 5 mg/kgTime to Reach Cmax (Tmax) of BGB-DXP5931.500 hours
BGB-DXP593 15 mg/kgTime to Reach Cmax (Tmax) of BGB-DXP5931.500 hours
Secondary

Time to Resolution of All COVID-19-Related Symptoms

Time frame: Baseline up to EOS /174 Days

Population: ITT analysis set

ArmMeasureValue (MEDIAN)
PlaceboTime to Resolution of All COVID-19-Related Symptoms16.5 Days
BGB-DXP593 5 mg/kgTime to Resolution of All COVID-19-Related Symptoms15.0 Days
BGB-DXP593 15 mg/kgTime to Resolution of All COVID-19-Related Symptoms19.0 Days
BGB-DXP593 30 mg/kgTime to Resolution of All COVID-19-Related Symptoms14.0 Days
Secondary

Time-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15

Time frame: Baseline and Day 15

Population: ITT analysis set. Participants with available samples were included in the analysis.

ArmMeasureValue (MEAN)Dispersion
PlaceboTime-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15-2.56 log10 copies/mlStandard Deviation 1.718
BGB-DXP593 5 mg/kgTime-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15-2.93 log10 copies/mlStandard Deviation 1.997
BGB-DXP593 15 mg/kgTime-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15-2.87 log10 copies/mlStandard Deviation 2.049
BGB-DXP593 30 mg/kgTime-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15-2.55 log10 copies/mlStandard Deviation 1.785
Secondary

Volume of Distribution During the Terminal Phase (Vz) of BGB-DXP593

Time frame: Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)

Population: Pharmacokinetic (PK) analysis set includes all participants who have received the study drug per protocol and for whom PK data are available.

ArmMeasureValue (MEDIAN)
PlaceboVolume of Distribution During the Terminal Phase (Vz) of BGB-DXP5936.58 Liters
BGB-DXP593 5 mg/kgVolume of Distribution During the Terminal Phase (Vz) of BGB-DXP5938.07 Liters
BGB-DXP593 15 mg/kgVolume of Distribution During the Terminal Phase (Vz) of BGB-DXP5937.33 Liters

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026