Skip to content

A Study of Immune System Proteins in Participants With Mild to Moderate COVID-19 Illness

A Randomized, Double-blind, Placebo-Controlled, Phase 2 Study to Evaluate the Efficacy and Safety of Mono and Combination Therapy With Monoclonal Antibodies in Participants With Mild to Moderate COVID-19 Illness (BLAZE-4)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04634409
Acronym
BLAZE-4
Enrollment
1755
Registered
2020-11-18
Start date
2020-10-29
Completion date
2021-10-18
Last updated
2022-07-01

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

Conditions

COVID-19

Brief summary

The purpose of this study is to measure how well monoclonal antibodies work, either alone or in combination, against the virus that causes COVID-19. Study drug(s) will be given to participants with early symptoms of COVID-19. Samples will be taken from the back of the nose to determine how much virus is in the body at various times during the study. Participation could last about 12 or 24 weeks and includes at least 1 visit to the study site, with the remainder of assessments performed in the home, local clinic, or by phone.

Interventions

Administered IV.

Administered IV.

DRUGPlacebo

Administered IV.

Administered IV.

Administered IV.

Sponsors

AbCellera Biologics Inc.
CollaboratorINDUSTRY
Shanghai Junshi Bioscience Co., Ltd.
CollaboratorOTHER
GlaxoSmithKline
CollaboratorINDUSTRY
Vir Biotechnology, Inc.
CollaboratorINDUSTRY
Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

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

Masking description

Includes open label arms

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* For low-risk participant arms 9-11 only: Are greater than or equal to (≥)18 and less than (\<)65 years of age at the time of randomization and do not have the risk factors defined in the bullet point directly below * For high-risk participant arms 12 and 13 only: \-- Are ≥18 years of age and satisfy at least one of the following risk factors at the time of screening * Are ≥65 years of age * Have a body mass index (BMI) ≥ 35 * Have chronic kidney disease * Have type 1 or type 2 diabetes * Have immunosuppressive disease * Are currently receiving immunosuppressive treatment, or * Are ≥55 years of age AND have * cardiovascular disease, OR * hypertension, OR * chronic obstructive pulmonary disease or other chronic respiratory disease * For high-risk participant arms 12 and 13 only: * Are 12-17 years of age (inclusive) AND satisfy at least one of the following risk factors at the time of screening * Have a BMI ≥85th percentile for their age and gender based on CDC growth charts, https://www.cdc.gov/growthcharts/clinical\_charts.htm * Have sickle cell disease * Have congenital or acquired heart disease * Have neurodevelopmental disorders, for example, cerebral palsy * Have a medical-related technological dependence, for example, tracheostomy, gastrostomy, or positive pressure ventilation (not related to COVID-19) * Have asthma or reactive airway or other chronic respiratory disease that requires daily medication for control * Have type 1 or type 2 diabetes * Have chronic kidney disease * Have immunosuppressive disease, or * Are currently receiving immunosuppressive treatment. For high-risk participants arm 14 only: * Are ≥12 years of age and satisfy at least one of the following risk factors at the time of screening Are ≥65 years of age * Are adults (≥18 years of age) with BMI \>25 kg/m2 , or if age 12-17, have BMI ≥85th percentile for their age and gender based on CDC growth charts * Have chronic kidney disease * Have type 1 or type 2 diabetes * Have immunosuppressive disease * Are currently receiving immunosuppressive treatment * Have cardiovascular disease (including congenital heart disease) or hypertension * Have chronic lung diseases (for example, chronic obstructive pulmonary disease, asthma \[moderate-to-severe\], interstitial lung disease, cystic fibrosis and pulmonary hypertension) * Have sickle cell disease * Have neurodevelopmental disorder (for example, cerebral palsy) or other conditions that confer medical complexity (for example, genetic or metabolic syndromes and severe congenital anomalies) * Have a medical-related technological dependence (for example, tracheostomy, gastrostomy, or positive pressure ventilation \[not related to COVID-19\] * Are currently not hospitalized * Have one or more mild or moderate COVID-19 symptoms: Fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, or shortness of breath with exertion, nasal congestion or runny nose, new loss of smell, chills * Must have sample taken for test confirming viral infection no more than 3 days prior to starting the drug infusion * Are men or non-pregnant women who agree to contraceptive requirements * Understand and agree to comply with planned study procedures * Agree to the collection of nasopharyngeal swabs and venous blood * The participant or legally authorized representative give signed informed consent and/or assent

Exclusion criteria

* For low-risk participants only: BMI ≥35 * Have oxygen saturation (SpO2) less than or equal to (≤)93 percent (%) 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 per minute, heart rate ≥125 per minute * Require mechanical ventilation or anticipated impending need for mechanical ventilation * Have known allergies to any of the components used in the formulation of the interventions * Have hemodynamic instability requiring use of pressors within 24 hours of randomization * 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 * Have any co-morbidity requiring surgery within \<7 days, or that is considered life-threatening within 29 days * Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study * Have a history of a positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test prior to the one serving as eligibility for this study * Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing * Have received treatment with a SARS-CoV-2 specific monoclonal antibody * Have a history of convalescent COVID-19 plasma treatment * For low-risk arms only: have received a SARS-CoV-2 vaccine or have participated in a previous SARS-CoV-2 vaccine study and are currently blinded to treatment allotment * 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 * Are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study * Are pregnant or breast feeding * Are investigator site personnel directly affiliated with this study * Have body weight \<40 kilograms

Design outcomes

Primary

MeasureTime frameDescription
Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Relevance Sequence Imputation (RSI). RSI is defined as follows: If Day 7 SARS-CoV-2 viral load is missing, then Day 7 will be imputed using data from the first available for Day 5, Day 3, Day 11, or Day 1.
Treatment 7-8, Amendments (C-e): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).
Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Secondary

MeasureTime frameDescription
Addendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).
Addendum (4) Arm B - Subcutaneous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).
Pharmacokinetics (PK): Mean Concentration of EtesevimabDay 29Pharmacokinetics (PK): Mean Concentration of Etesevimab
Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death from any Cause
Treatment 7-8, Amendment (C-E): Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death from Any Cause
Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause
Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause
Treatment 14 Amendment (f) High Risk Participants, Updated CDC Criteria: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause
Treatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7Least squares mean (LSM) change from baseline was calculated using a mixed model repeating measures (MMRM) that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. Viral load is reported as normalized viral and is unitless.
Treatment 7-8 Amendments (C-e): Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7LSM change from baseline was calculated using a MMRM that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. Viral load is reported as normalized viral and is unitless.
Pharmacokinetics (PK): Mean Concentration of BebtelovimabDay 29Pharmacokinetics (PK): Mean Concentration of Bebtelovimab
Treatment 9-11 Amendment (f), Low Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7LSM change from baseline was calculated using a MMRM that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. Viral load is reported as normalized viral and is unitless.
Treatment 12 -13 Amendment (f), High Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.
Treatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.
Addendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.
Addendum 4, SC: Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.
Addendum (2): Change From Baseline to Day 7 in SARS-CoV-2 Viral LoadBaseline, Day 7Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.
Treatment 12 -13, Amendment (f) High Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).
Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom ResolutionDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as all symptoms (excluding loss of appetite, taste, and smell) on the symptom questionnaire scored as absent (score of 0). Missing data was imputed using a non-responder imputation.
Treatment 7-8 Amendments (C-e): Percentage of Participants Demonstrating Symptom ResolutionDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as all symptoms (excluding loss of appetite, taste, and smell) on the symptom questionnaire scored as absent (score of 0). Missing data was imputed using a non-responder imputation.
Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom ResolutionDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as a score of 0 for shortness of breath, feeling feverish, body aches and pains, sore throat, chills, and headache, and a score of 0 or 1 for cough and fatigue on the symptom questionnaire. Missing data was imputed using a non-responder imputation.
Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom ResolutionDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as a score of 0 for shortness of breath, feeling feverish, body aches and pains, sore throat, chills, and headache, and a score of 0 or 1 for cough and fatigue on the symptom questionnaire. Missing data was imputed using a non-responder imputation.
Treatment 14, Amendment (g) High Risk Participants Updated CDC Criteria Amendment (g): Percentage of Participants Demonstrating Symptom ResolutionDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as a score of 0 for shortness of breath, feeling feverish, body aches and pains, sore throat, chills, and headache, and a score of 0 or 1 for cough and fatigue on the symptom questionnaire. Missing data was imputed using a non-responder imputation.
Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom ImprovementDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.
Treatment 7-8 Amendments (C-E): Percentage of Participants Demonstrating Symptom ImprovementDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.
Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom ImprovementDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.
Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom ImprovementDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.
Treatment 14 Amendment (g): Percentage of Participants Demonstrating Symptom ImprovementDay 7Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.
Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause
Treatment 7-8 Amendments (C-E): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause
Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause
Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause
Treatment 14 Amendment (g): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any CauseBaseline through Day 29Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause
Pharmacokinetics (PK): Mean Concentration of BamlanivimabDay 29PK: Mean Concentration of Bamlanivimab
Pharmacokinetics (PK): Mean Concentration of VIR-7831Day 29PK: Mean Concentration of VIR-7831
Treatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).
Addendum (2): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27Day 7Missing data is estimated using Relevance Sequence Imputation (RSI). RSI is defined as follows: If Day 7 SARS-CoV-2 viral load is missing, then Day 7 will be imputed using data from the first available for Day 5, Day 3, Day 11, or Day 1.

Countries

Argentina, Puerto Rico, United States

Participant flow

Participants by arm

ArmCount
Treatment 1: Pbo
Participants received placebo (Pbo) administered intravenously (IV).
155
Treatment 2: 175 mg BAM +350 mg ETE
Participants received 175 milligrams (mg) bamlanivimab (BAM) +350 mg etesevimab (ETE) administered IV.
83
Treatment 3: 700 mg BAM +1400 mg ETE
Participants received 700 mg BAM +1400 mg ETE administered IV.
158
Treatment 4: 2800 mg BAM +2800 mg ETE
Participants received 2800 mg BAM + 2800 mg ETE administered IV.
103
Treatment 5: 700 mg BAM
Participants received 700 mg BAM administered IV.
105
Treatment 6: 350 mg BAM +700 mg ETE
Participants received 350 mg BAM +700 mg ETE administered IV.
101
Unintentional Dosing: 700 mg Bamlanivimab +700 mg Etesevimab
Participants received 700 mg bamlanivimab +700 mg etesevimab administered IV.
20
Treatment 7: 700 mg BAM + 500 mg VIR-7831 (Amendment (C-e))
Participants received 700 mg BAM + 500 mg VIR-7831 administered IV.
101
Treatment 8: Pbo For 700 mg BAM + 500 mg VIR-7831 (Amendment (C-e))
Participants received placebo administered IV.
101
Treatment 9: 175 mg BEB (Amendment (f), Low Risk Participants)
Amendment (f) Low Risk Participants: Participants received 175 mg BEB administered IV.
125
Treatment 10: 700 mg BAM +1400 mg ETE +175 mg BEB (Amendment (f), Low Risk Participants)
Amendment (f) Low Risk Participants: Participants received 700 mg BAM +1400 mg ETE + 175 mg BEB administered IV
127
Treatment 11: Pbo For 175 mg BEB & 700 mg BAM +1400 mg ETE +175 mg BEB (Low Risk Participants)
Amendment (f) Low Risk Participants: Participants received placebo administered IV.
128
Treatment 12: 175 mg BEB (Amendment (f), High Risk Participants)
Amendment (f) High Risk Participants: Participants received 175 mg BEB administered IV.
100
Treatment 13: 700 mg BAM +1400 mg ETE +175 mg BEB (Amendment (f), High Risk Participants)
Amendment (f) High Risk Participants: Participants received 700 mg BAM +1400 mg ETE + 175 mg BEB administered IV.
50
Treatment 14: 700 mg BAM + 1400 mg ETE + 175 mg BEB (Amendment (g), Updated CDC Criteria)
Participants received 700 mg BAM +1400 mg ETE + 175 mg BEB administered IV for participants in updated CDC criteria.
176
700 mg BAM 15-min (Addendum (2))
Participants received 700 mg BAM administered IV. Addendum 2 explored the safety of accelerated intravenous (IV) administration of BAM alone and in combination with ETE.
30
700 mg BAM + 1400 mg ETE 30-min (Addendum (2))
Participants received 700 mg BAM +1400 mg ETE administered IV. Addendum 2 explored the safety of accelerated intravenous (IV) administration of BAM alone and in combination with ETE.
6
700 mg BAM + 1400 mg ETE 15-min (Addendum (2))
Participants received 700 mg BAM +1400 mg ETE administered IV. Addendum 2 explored the safety of accelerated intravenous (IV) administration of BAM alone and in combination with ETE.
30
Pooled Placebo (Addendum 4, IV)
Participants received placebo administered IV.
10
70 mg BEB 140 mg/Min (Addendum 4, IV)
Participants received 70 mg BEB 140 mg/min IV.
6
175 mg BEB 140 mg/Min (Addendum 4, IV)
Participants received 175 mg BEB 140 mg/min IV.
6
175 mg BEB 350 mg/Min (Addendum 4, IV)
Participants received 175 mg BEB 350 mg/min IV.
6
175/700/1400 mg BAM + ETE + BEB 350 mg/Min (Addendum 4, IV)
Participants received 175 mg BAM + 700 mg ETE + 1400 mg BEB 350 mg/min IV.
6
1750 mg BEB 350 mg/Min (Addendum 4, IV)
Participants received 1750 mg BEB 350 mg/min IV.
6
Pooled Placebo (Addendum 4, SC)
Participants received Placebo SC.
4
280 BEB (Addendum 4, SC)
Participants received 280 mg BEB SC.
6
560 mg BEB (Addendum 4, SC)
Participants received 560 mg BEB SC.
6
Total1,755

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017FG018FG019FG020FG021FG022FG023FG024FG025FG026
Overall StudyAdverse Event001001000000000000000000000
Overall StudyDeath000000000010100000000000000
Overall StudyLost to Follow-up31131113311815327000000000000
Overall StudyOther - As reported by Investigator100000064012210000000000000
Overall StudyWithdrawal by Subject316420023232215001000001000

Baseline characteristics

CharacteristicTreatment 1: PboTotal560 mg BEB (Addendum 4, SC)280 BEB (Addendum 4, SC)Pooled Placebo (Addendum 4, SC)1750 mg BEB 350 mg/Min (Addendum 4, IV)175/700/1400 mg BAM + ETE + BEB 350 mg/Min (Addendum 4, IV)175 mg BEB 350 mg/Min (Addendum 4, IV)175 mg BEB 140 mg/Min (Addendum 4, IV)70 mg BEB 140 mg/Min (Addendum 4, IV)Pooled Placebo (Addendum 4, IV)700 mg BAM + 1400 mg ETE 15-min (Addendum (2))700 mg BAM + 1400 mg ETE 30-min (Addendum (2))700 mg BAM 15-min (Addendum (2))Treatment 14: 700 mg BAM + 1400 mg ETE + 175 mg BEB (Amendment (g), Updated CDC Criteria)Treatment 13: 700 mg BAM +1400 mg ETE +175 mg BEB (Amendment (f), High Risk Participants)Treatment 12: 175 mg BEB (Amendment (f), High Risk Participants)Treatment 11: Pbo For 175 mg BEB & 700 mg BAM +1400 mg ETE +175 mg BEB (Low Risk Participants)Treatment 10: 700 mg BAM +1400 mg ETE +175 mg BEB (Amendment (f), Low Risk Participants)Treatment 9: 175 mg BEB (Amendment (f), Low Risk Participants)Treatment 8: Pbo For 700 mg BAM + 500 mg VIR-7831 (Amendment (C-e))Treatment 7: 700 mg BAM + 500 mg VIR-7831 (Amendment (C-e))Unintentional Dosing: 700 mg Bamlanivimab +700 mg EtesevimabTreatment 6: 350 mg BAM +700 mg ETETreatment 5: 700 mg BAMTreatment 4: 2800 mg BAM +2800 mg ETETreatment 3: 700 mg BAM +1400 mg ETETreatment 2: 175 mg BAM +350 mg ETE
Age, Continuous38.9 years
STANDARD_DEVIATION 12.22
40.6 years
STANDARD_DEVIATION 13.89
39.2 years
STANDARD_DEVIATION 9.7
35.8 years
STANDARD_DEVIATION 7.08
30.0 years
STANDARD_DEVIATION 6.98
39.5 years
STANDARD_DEVIATION 16.88
41.7 years
STANDARD_DEVIATION 14.76
36.3 years
STANDARD_DEVIATION 15.24
48.7 years
STANDARD_DEVIATION 9.83
35.2 years
STANDARD_DEVIATION 13.99
46.8 years
STANDARD_DEVIATION 13.27
42.9 years
STANDARD_DEVIATION 11.87
47.7 years
STANDARD_DEVIATION 7.28
35.4 years
STANDARD_DEVIATION 12.55
49.3 years
STANDARD_DEVIATION 17.39
50.8 years
STANDARD_DEVIATION 17.06
49.1 years
STANDARD_DEVIATION 15.17
36.1 years
STANDARD_DEVIATION 11.66
37.6 years
STANDARD_DEVIATION 12.12
36.2 years
STANDARD_DEVIATION 11.4
38.9 years
STANDARD_DEVIATION 11.77
37.6 years
STANDARD_DEVIATION 12.83
36.5 years
STANDARD_DEVIATION 15.04
42.3 years
STANDARD_DEVIATION 11.93
39.8 years
STANDARD_DEVIATION 12.7
39.5 years
STANDARD_DEVIATION 12.63
37.7 years
STANDARD_DEVIATION 12.11
41.5 years
STANDARD_DEVIATION 12.89
Ethnicity (NIH/OMB)
Hispanic or Latino
48 Participants497 Participants2 Participants1 Participants0 Participants2 Participants1 Participants1 Participants0 Participants0 Participants3 Participants3 Participants1 Participants15 Participants49 Participants8 Participants19 Participants45 Participants45 Participants46 Participants27 Participants18 Participants3 Participants33 Participants28 Participants28 Participants47 Participants24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
104 Participants1228 Participants4 Participants2 Participants4 Participants4 Participants5 Participants5 Participants6 Participants6 Participants6 Participants26 Participants5 Participants15 Participants126 Participants42 Participants81 Participants83 Participants82 Participants78 Participants72 Participants80 Participants17 Participants66 Participants74 Participants70 Participants108 Participants57 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants30 Participants0 Participants3 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants3 Participants0 Participants2 Participants3 Participants5 Participants3 Participants2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants13 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants4 Participants1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants1 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Asian
4 Participants60 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants0 Participants1 Participants1 Participants3 Participants2 Participants4 Participants1 Participants1 Participants4 Participants0 Participants4 Participants9 Participants3 Participants13 Participants4 Participants
Race (NIH/OMB)
Black or African American
7 Participants185 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants2 Participants28 Participants13 Participants14 Participants29 Participants19 Participants19 Participants5 Participants15 Participants2 Participants7 Participants4 Participants7 Participants6 Participants5 Participants
Race (NIH/OMB)
More than one race
1 Participants8 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants1 Participants0 Participants2 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants8 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants71 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants6 Participants3 Participants0 Participants6 Participants5 Participants8 Participants4 Participants4 Participants1 Participants5 Participants5 Participants2 Participants7 Participants6 Participants
Race (NIH/OMB)
White
132 Participants1410 Participants5 Participants5 Participants4 Participants6 Participants6 Participants6 Participants6 Participants6 Participants9 Participants27 Participants3 Participants27 Participants136 Participants32 Participants78 Participants90 Participants99 Participants97 Participants90 Participants74 Participants17 Participants84 Participants85 Participants91 Participants127 Participants68 Participants
Region of Enrollment
United States
155 Participants1755 Participants6 Participants6 Participants4 Participants6 Participants6 Participants6 Participants6 Participants6 Participants10 Participants30 Participants6 Participants30 Participants176 Participants50 Participants100 Participants128 Participants127 Participants125 Participants101 Participants101 Participants20 Participants101 Participants105 Participants103 Participants158 Participants83 Participants
Sex: Female, Male
Female
75 Participants909 Participants2 Participants1 Participants1 Participants5 Participants3 Participants1 Participants6 Participants3 Participants3 Participants13 Participants3 Participants12 Participants98 Participants26 Participants52 Participants72 Participants76 Participants63 Participants56 Participants52 Participants8 Participants48 Participants50 Participants55 Participants86 Participants39 Participants
Sex: Female, Male
Male
80 Participants846 Participants4 Participants5 Participants3 Participants1 Participants3 Participants5 Participants0 Participants3 Participants7 Participants17 Participants3 Participants18 Participants78 Participants24 Participants48 Participants56 Participants51 Participants62 Participants45 Participants49 Participants12 Participants53 Participants55 Participants48 Participants72 Participants44 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
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
EG018
affected / at risk
EG019
affected / at risk
EG020
affected / at risk
EG021
affected / at risk
EG022
affected / at risk
EG023
affected / at risk
EG024
affected / at risk
EG025
affected / at risk
EG026
affected / at risk
deaths
Total, all-cause mortality
0 / 1550 / 830 / 1580 / 1030 / 1050 / 1010 / 200 / 1010 / 1010 / 1251 / 1270 / 1281 / 1000 / 500 / 1760 / 300 / 60 / 300 / 100 / 60 / 60 / 60 / 60 / 60 / 40 / 60 / 6
other
Total, other adverse events
16 / 15514 / 8313 / 1589 / 10312 / 1057 / 1014 / 206 / 10110 / 10111 / 12515 / 12710 / 12819 / 1007 / 5020 / 1763 / 300 / 62 / 301 / 100 / 62 / 60 / 61 / 61 / 61 / 42 / 61 / 6
serious
Total, serious adverse events
0 / 1550 / 831 / 1580 / 1030 / 1052 / 1011 / 200 / 1010 / 1010 / 1251 / 1270 / 1283 / 1002 / 502 / 1760 / 300 / 61 / 300 / 100 / 60 / 60 / 60 / 60 / 60 / 40 / 60 / 6

Outcome results

Primary

Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Relevance Sequence Imputation (RSI). RSI is defined as follows: If Day 7 SARS-CoV-2 viral load is missing, then Day 7 will be imputed using data from the first available for Day 5, Day 3, Day 11, or Day 1.

Time frame: Day 7

Population: Treatment 1-6 and Unintentional Dosing arms: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.2727.7 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.2712.2 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.2710.8 percentage of participants
Treatment 4: 2800 mg BAM +2800 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.277.8 percentage of participants
Treatment 5: 700 mg BAMTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.2714.3 percentage of participants
Treatment 6: 350 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.277.9 percentage of participants
Unintentional Dosing: 700 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.2710.0 percentage of participants
p-value: 0.00927395% CI: [0.18, 0.78]Regression, Logistic
p-value: 0.00027195% CI: [0.18, 0.59]Regression, Logistic
p-value: 0.00025795% CI: [0.1, 0.51]Regression, Logistic
p-value: 0.01337895% CI: [0.23, 0.84]Regression, Logistic
p-value: 0.00031895% CI: [0.11, 0.52]Regression, Logistic
p-value: 0.14056395% CI: [0.09, 1.41]Regression, Logistic
Primary

Treatment 7-8, Amendments (C-e): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Time frame: Day 7

Population: Treatment 7-8, Amendments (C-e): All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 7-8, Amendments (C-e): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.279.9 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 7-8, Amendments (C-e): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2729.7 percentage of participants
p-value: 0.00083595% CI: [0.12, 0.58]Regression, Logistic
Primary

Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Time frame: Day 7

Population: Treatment 9-11 Amendment (f), Low Risk Participants: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2712.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2712.7 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2719.8 percentage of participants
p-value: 0.09723195% CI: [0.28, 1.11]Regression, Logistic
p-value: 0.1323695% CI: [0.3, 1.17]Regression, Logistic
Secondary

Addendum (2): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Addendum (2): All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (MEAN)Dispersion
Treatment 1: PboAddendum (2): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-2.65 unitlessStandard Deviation 2.394
Treatment 2: 175 mg BAM +350 mg ETEAddendum (2): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.90 unitlessStandard Deviation 1.999
Treatment 3: 700 mg BAM +1400 mg ETEAddendum (2): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.37 unitlessStandard Deviation 2.128
Secondary

Addendum (2): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Missing data is estimated using Relevance Sequence Imputation (RSI). RSI is defined as follows: If Day 7 SARS-CoV-2 viral load is missing, then Day 7 will be imputed using data from the first available for Day 5, Day 3, Day 11, or Day 1.

Time frame: Day 7

Population: Addendum (2): All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboAddendum (2): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2716.7 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETEAddendum (2): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.270.0 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETEAddendum (2): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2713.3 percentage of participants
Secondary

Addendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Time frame: Day 7

Population: Addendum (4) Arm A - Intravenous: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboAddendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2740.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETEAddendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2716.7 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETEAddendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2750.0 percentage of participants
Treatment 4: 2800 mg BAM +2800 mg ETEAddendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.270.0 percentage of participants
Treatment 5: 700 mg BAMAddendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2716.7 percentage of participants
Treatment 6: 350 mg BAM +700 mg ETEAddendum (4), Arm A - Intravenous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2733.3 percentage of participants
Secondary

Addendum (4) Arm B - Subcutaneous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Time frame: Day 7

Population: Addendum (4) Arm B - Subcutaneous: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboAddendum (4) Arm B - Subcutaneous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2725.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETEAddendum (4) Arm B - Subcutaneous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2716.7 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETEAddendum (4) Arm B - Subcutaneous: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.270.0 percentage of participants
Secondary

Addendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Addendum 4, IV: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (MEAN)Dispersion
Treatment 1: PboAddendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.27 unitlessStandard Deviation 3.087
Treatment 2: 175 mg BAM +350 mg ETEAddendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.39 unitlessStandard Deviation 2.334
Treatment 3: 700 mg BAM +1400 mg ETEAddendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.40 unitlessStandard Deviation 3.188
Treatment 4: 2800 mg BAM +2800 mg ETEAddendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.49 unitlessStandard Deviation 1.925
Treatment 5: 700 mg BAMAddendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-6.35 unitlessStandard Deviation 1.502
Treatment 6: 350 mg BAM +700 mg ETEAddendum 4, IV: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.76 unitlessStandard Deviation 2.217
Secondary

Addendum 4, SC: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Addendum 4, SC: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (MEAN)Dispersion
Treatment 1: PboAddendum 4, SC: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.47 unitlessStandard Deviation 3.934
Treatment 2: 175 mg BAM +350 mg ETEAddendum 4, SC: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.04 unitlessStandard Deviation 2.114
Treatment 3: 700 mg BAM +1400 mg ETEAddendum 4, SC: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.40 unitlessStandard Deviation 1.9
Secondary

Pharmacokinetics (PK): Mean Concentration of Bamlanivimab

PK: Mean Concentration of Bamlanivimab

Time frame: Day 29

Population: All randomized participants who received 700 mg BAM and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboPharmacokinetics (PK): Mean Concentration of Bamlanivimab30.0 Microgram/milliliter (µg/mL)Geometric Coefficient of Variation 36.4
Secondary

Pharmacokinetics (PK): Mean Concentration of Bebtelovimab

Pharmacokinetics (PK): Mean Concentration of Bebtelovimab

Time frame: Day 29

Population: All randomized participants who received 175 mg BEB and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboPharmacokinetics (PK): Mean Concentration of Bebtelovimab4.18 µg/mLGeometric Coefficient of Variation 80.4
Secondary

Pharmacokinetics (PK): Mean Concentration of Etesevimab

Pharmacokinetics (PK): Mean Concentration of Etesevimab

Time frame: Day 29

Population: All randomized participants who received 1400 ETE and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboPharmacokinetics (PK): Mean Concentration of Etesevimab105 µg/mLGeometric Coefficient of Variation 36
Secondary

Pharmacokinetics (PK): Mean Concentration of VIR-7831

PK: Mean Concentration of VIR-7831

Time frame: Day 29

Population: All randomized participants who received 500 mg VIR-7831 and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboPharmacokinetics (PK): Mean Concentration of VIR-783146.3 µg/mLGeometric Coefficient of Variation 47.4
Secondary

Treatment 12 -13 Amendment (f), High Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Treatment 12 -13 Amendment (f), High Risk Participants: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (MEAN)Dispersion
Treatment 1: PboTreatment 12 -13 Amendment (f), High Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.22 unitlessStandard Deviation 2.585
Treatment 2: 175 mg BAM +350 mg ETETreatment 12 -13 Amendment (f), High Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.43 unitlessStandard Deviation 2.835
Secondary

Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom Improvement

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.

Time frame: Day 7

Population: Treatment 12 -13 Amendment (f), High Risk Participants: All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Improvement values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom Improvement42.4 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom Improvement42.0 percentage of participants
Secondary

Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom Resolution

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as a score of 0 for shortness of breath, feeling feverish, body aches and pains, sore throat, chills, and headache, and a score of 0 or 1 for cough and fatigue on the symptom questionnaire. Missing data was imputed using a non-responder imputation.

Time frame: Day 7

Population: Treatment 12 -13 Amendment (f), High Risk Participants: All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Resolution values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom Resolution50.5 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Demonstrating Symptom Resolution52.0 percentage of participants
Secondary

Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 12 -13 Amendment (f), High Risk Participants: All participants randomly assigned and who received any amount of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause6.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause6.0 percentage of participants
Secondary

Treatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 12 -13 Amendment (f), High Risk Participants: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause3.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 12 -13 Amendment (f), High Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause4.0 percentage of participants
Secondary

Treatment 12 -13, Amendment (f) High Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Time frame: Day 7

Population: Treatment 12 -13, Amendment (f) High Risk Participants: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 12 -13, Amendment (f) High Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2725.3 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 12 -13, Amendment (f) High Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2712.0 percentage of participants
Secondary

Treatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

Baseline is defined as the last non-missing assessment recorded on or prior to the date of first study drug injection. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Treatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (MEAN)Dispersion
Treatment 1: PboTreatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.00 unitlessStandard Error 2.514
Secondary

Treatment 14 Amendment (f) High Risk Participants, Updated CDC Criteria: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 14 Amendment (f) High Risk, Participants Updated CDC Criteria: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 14 Amendment (f) High Risk Participants, Updated CDC Criteria: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause1.7 percentage of participants
Secondary

Treatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Time frame: Day 7

Population: Treatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 14, Amendment (f) High Risk Participants Updated CDC Criteria: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.2717.6 percentage of participants
Secondary

Treatment 14, Amendment (g) High Risk Participants Updated CDC Criteria Amendment (g): Percentage of Participants Demonstrating Symptom Resolution

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as a score of 0 for shortness of breath, feeling feverish, body aches and pains, sore throat, chills, and headache, and a score of 0 or 1 for cough and fatigue on the symptom questionnaire. Missing data was imputed using a non-responder imputation.

Time frame: Day 7

Population: Treatment 14, Amendment (g) High Risk Participants Updated CDC Criteria Amendment (g): All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Resolution values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 14, Amendment (g) High Risk Participants Updated CDC Criteria Amendment (g): Percentage of Participants Demonstrating Symptom Resolution47.2 percentage of participants
Secondary

Treatment 14 Amendment (g): Percentage of Participants Demonstrating Symptom Improvement

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.

Time frame: Day 7

Population: Treatment 14 Amendment (g): All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Improvement values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 14 Amendment (g): Percentage of Participants Demonstrating Symptom Improvement38.6 percentage of participants
Secondary

Treatment 14 Amendment (g): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 14 Amendment (g): All participants randomly assigned and who received any amount of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 14 Amendment (g): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause2.3 percentage of participants
Secondary

Treatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

Least squares mean (LSM) change from baseline was calculated using a mixed model repeating measures (MMRM) that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Treatment 1-6 and Unintentional Dosing Arms: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboTreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-2.87 unitlessStandard Error 0.149
Treatment 2: 175 mg BAM +350 mg ETETreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.54 unitlessStandard Error 0.207
Treatment 3: 700 mg BAM +1400 mg ETETreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.52 unitlessStandard Error 0.148
Treatment 4: 2800 mg BAM +2800 mg ETETreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.13 unitlessStandard Error 0.181
Treatment 5: 700 mg BAMTreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.28 unitlessStandard Error 0.18
Treatment 6: 350 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.74 unitlessStandard Error 0.191
Unintentional Dosing: 700 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.51 unitlessStandard Error 0.419
p-value: 0.00995% CI: [-1.17, -0.17]Mixed Models Analysis
p-value: 0.00295% CI: [-1.06, -0.24]Mixed Models Analysis
p-value: 0.26395% CI: [-0.72, 0.2]Mixed Models Analysis
p-value: 0.08395% CI: [-0.87, 0.05]Mixed Models Analysis
p-value: <0.00195% CI: [-1.35, -0.4]Mixed Models Analysis
p-value: 0.14995% CI: [-1.52, 0.23]Mixed Models Analysis
Secondary

Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.

Time frame: Day 7

Population: Treatment 1-6 and Unintentional Dosing Arms: All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Improvement values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement33.5 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement45.1 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement48.5 percentage of participants
Treatment 4: 2800 mg BAM +2800 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement46.5 percentage of participants
Treatment 5: 700 mg BAMTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement49.5 percentage of participants
Treatment 6: 350 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement52.4 percentage of participants
Unintentional Dosing: 700 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Improvement40.0 percentage of participants
p-value: 0.08295% CI: [0.94, 2.81]Regression, Logistic
p-value: 0.01895% CI: [1.11, 3.11]Regression, Logistic
p-value: 0.02195% CI: [1.09, 2.71]Regression, Logistic
p-value: 0.01195% CI: [1.16, 3.22]Regression, Logistic
p-value: 0.00395% CI: [1.3, 3.6]Regression, Logistic
p-value: 0.54695% CI: [0.52, 3.48]Regression, Logistic
Secondary

Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as all symptoms (excluding loss of appetite, taste, and smell) on the symptom questionnaire scored as absent (score of 0). Missing data was imputed using a non-responder imputation.

Time frame: Day 7

Population: Treatment 1-6 and Unintentional Dosing Arms: All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Resolution values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution29.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution28.0 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution36.9 percentage of participants
Treatment 4: 2800 mg BAM +2800 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution32.0 percentage of participants
Treatment 5: 700 mg BAMTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution41.0 percentage of participants
Treatment 6: 350 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution32.7 percentage of participants
Unintentional Dosing: 700 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Demonstrating Symptom Resolution30.0 percentage of participants
p-value: 0.8995% CI: [0.53, 1.73]Regression, Logistic
p-value: 0.14195% CI: [0.89, 2.29]Regression, Logistic
p-value: 0.60395% CI: [0.67, 1.98]Regression, Logistic
p-value: 0.04895% CI: [1, 2.84]Regression, Logistic
p-value: 0.53395% CI: [0.69, 2.04]Regression, Logistic
p-value: 0.86995% CI: [0.4, 2.99]Regression, Logistic
Secondary

Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 1-6 and Unintentional Dosing Arms: All participants randomly assigned and who received any amount of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause1.9 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause0.0 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause0.0 percentage of participants
Treatment 4: 2800 mg BAM +2800 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause0.0 percentage of participants
Treatment 5: 700 mg BAMTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause1.0 percentage of participants
Treatment 6: 350 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause0.0 percentage of participants
Unintentional Dosing: 700 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause5.0 percentage of participants
Secondary

Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death from any Cause

Time frame: Baseline through Day 29

Population: Treatment 1-6 and Unintentional Dosing arms: All participants randomly assigned and who received any amount of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.6 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.0 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.0 percentage of participants
Treatment 4: 2800 mg BAM +2800 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.0 percentage of participants
Treatment 5: 700 mg BAMTreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.0 percentage of participants
Treatment 6: 350 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.0 percentage of participants
Unintentional Dosing: 700 mg BAM +700 mg ETETreatment 1-6 and Unintentional Dosing Arms: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause0.0 percentage of participants
p-value: 0.76995% CI: [0.02, 15.57]Regression, Logistic
p-value: 0.49495% CI: [0.01, 8.12]Regression, Logistic
p-value: 0.67195% CI: [0.02, 12.51]Regression, Logistic
p-value: 0.66395% CI: [0.02, 12.27]Regression, Logistic
p-value: 0.6895% CI: [0.02, 12.76]Regression, Logistic
p-value: 0.58495% CI: [0.09, 67.88]Regression, Logistic
Secondary

Treatment 7-8, Amendment (C-E): Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death from Any Cause

Time frame: Baseline through Day 29

Population: Treatment 7-8, Amendment (C-E): All participants randomly assigned and who received any amount of study drug. No participants met the criteria (duration had to be 24 or more, and had to occur on Day 29 or before)

Secondary

Treatment 7-8 Amendments (C-e): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

LSM change from baseline was calculated using a MMRM that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Treatment 7-8 Amendments (c-e): All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboTreatment 7-8 Amendments (C-e): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.56 unitlessStandard Error 0.182
Treatment 2: 175 mg BAM +350 mg ETETreatment 7-8 Amendments (C-e): Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-2.74 unitlessStandard Error 0.184
p-value: 0.00295% CI: [-1.33, -0.31]Mixed Models Analysis
Secondary

Treatment 7-8 Amendments (C-E): Percentage of Participants Demonstrating Symptom Improvement

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.

Time frame: Day 7

Population: Treatment 7-8 Amendments (C-E): All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Improvement values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 7-8 Amendments (C-E): Percentage of Participants Demonstrating Symptom Improvement43.6 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 7-8 Amendments (C-E): Percentage of Participants Demonstrating Symptom Improvement42.6 percentage of participants
p-value: 0.88895% CI: [0.6, 1.82]Regression, Logistic
Secondary

Treatment 7-8 Amendments (C-e): Percentage of Participants Demonstrating Symptom Resolution

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as all symptoms (excluding loss of appetite, taste, and smell) on the symptom questionnaire scored as absent (score of 0). Missing data was imputed using a non-responder imputation.

Time frame: Day 7

Population: Treatment 7-8 Amendments (c-e): All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Resolution values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 7-8 Amendments (C-e): Percentage of Participants Demonstrating Symptom Resolution35.6 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 7-8 Amendments (C-e): Percentage of Participants Demonstrating Symptom Resolution29.7 percentage of participants
p-value: 0.37495% CI: [0.72, 2.35]Regression, Logistic
Secondary

Treatment 7-8 Amendments (C-E): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 7-8 Amendment (C-E): No participants met the criteria (duration had to be 24 or more, and had to occur on Day 29 or before).

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 7-8 Amendments (C-E): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause1.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 7-8 Amendments (C-E): Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause0.0 percentage of participants
Secondary

Treatment 9-11 Amendment (f), Low Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load

LSM change from baseline was calculated using a MMRM that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. Viral load is reported as normalized viral and is unitless.

Time frame: Baseline, Day 7

Population: Treatment 9-11 Amendment (f), Low Risk Participants: All randomized participants who received study drug and provided at least 1 postbaseline measure viral load measurement.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Treatment 1: PboTreatment 9-11 Amendment (f), Low Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.77 unitlessStandard Error 0.198
Treatment 2: 175 mg BAM +350 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-4.00 unitlessStandard Error 0.196
Treatment 3: 700 mg BAM +1400 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Change From Baseline to Day 7 in SARS-CoV-2 Viral Load-3.62 unitlessStandard Error 0.198
p-value: 0.60695% CI: [-0.7, 0.41]Mixed Models Analysis
p-value: 0.1795% CI: [-0.93, 0.17]Mixed Models Analysis
Secondary

Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Improvement

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom improvement (yes/no) is defined as a patient experiencing symptoms on the symptom questionnaire (excluding loss of appetite, taste, and smell) scored as moderate or severe (score of 2 or 3) at baseline are subsequently scored as mild or absent (score of 1 or 0), AND symptoms on the symptom questionnaire scored as mild or absent at baseline are subsequently scored as absent.

Time frame: Day 7

Population: Treatment 9-11 Amendment (f), Low Risk Participants: All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and and had non-missing Symptom Improvement values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Improvement34.9 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Improvement50.4 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Improvement46.8 percentage of participants
p-value: 0.01495% CI: [1.13, 3.13]Regression, Logistic
p-value: 0.05795% CI: [0.98, 2.71]Regression, Logistic
Secondary

Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Resolution

Symptoms associated with COVID-19 were evaluated using a questionnaire that contains the following symptoms: cough, shortness of breath, feeling feverish, fatigue, body aches and pain, sore throat, chills, headache, loss of appetite, and loss in taste and smell. Each symptom (excluding loss of taste and smell) was scored daily by the participant as experienced during the past 24 hours with following rating and score: None or absent (0), Mild (1), Moderate (2) and Severe (3). Loss of taste and smell was scored as Yes (Y) or No (N). Symptom resolution (yes/no) is defined as a score of 0 for shortness of breath, feeling feverish, body aches and pains, sore throat, chills, and headache, and a score of 0 or 1 for cough and fatigue on the symptom questionnaire. Missing data was imputed using a non-responder imputation.

Time frame: Day 7

Population: Treatment 9-11 Amendment (f), Low Risk Participants: All randomized participants who received study drug, provided at least 1 postbaseline measure viral load measurement and had non-missing Symptom Resolution values.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Resolution60.0 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Resolution50.8 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Demonstrating Symptom Resolution44.4 percentage of participants
p-value: 0.01595% CI: [1.13, 3.08]Regression, Logistic
p-value: 0.31795% CI: [0.78, 2.11]Regression, Logistic
Secondary

Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 9-11 Amendment (f), Low Risk Participants: All participants randomly assigned and who received any amount of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause1.6 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause2.4 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization, COVID-19 Related Emergency Room Visit, or Death From Any Cause1.6 percentage of participants
Secondary

Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause

Time frame: Baseline through Day 29

Population: Treatment 9-11 Amendment (f), Low Risk Participants: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
Treatment 1: PboTreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause1.6 percentage of participants
Treatment 2: 175 mg BAM +350 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause2.4 percentage of participants
Treatment 3: 700 mg BAM +1400 mg ETETreatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause1.6 percentage of participants
p-value: 0.97995% CI: [0.17, 6.06]Regression, Logistic
p-value: 0.67595% CI: [0.27, 7.39]Regression, Logistic

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026