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Pharmacokinetics, Pharmacodynamics, and Safety of Single-dose Sotrovimab in High-risk Pediatric Participants With Mild to Moderate COVID-19

An Open-label, Non-comparator, Multicenter Study to Describe the Pharmacokinetics (PK), Pharmacodynamics (PD; Viral Load) and Safety Following a Single Intravenous or Intramuscular Dose of Sotrovimab in Pediatric Participants With Mild to Moderate COVID-19 at High Risk of Disease Progression

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05124210
Acronym
COMET-PACE
Enrollment
8
Registered
2021-11-17
Start date
2021-12-16
Completion date
2023-06-14
Last updated
2024-01-03

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

Conditions

COVID-19

Keywords

COVID-19, Pharmacokinetics, Safety, Pharmacodynamics, Sotrovimab, Pediatric, Intravenous, Intramuscular

Brief summary

This Phase 2b study will evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of sotrovimab in pediatric participants from birth to less than (\<)18 years old with mild-to-moderate Coronavirus Disease-2019 (COVID-19) at high risk of disease progression.

Interventions

BIOLOGICALSotrovimab

Sotrovimab will be administered.

Sponsors

Vir Biotechnology, Inc.
CollaboratorINDUSTRY
GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Masking description

This is an open-label study.

Eligibility

Sex/Gender
ALL
Age
0 Days to 18 Years
Healthy volunteers
No

Inclusion criteria

* Participant must be 32 weeks estimated gestational age (EGA), day of life (DOL) 0 to \<18 years of age inclusive, at either the time of participant's signed assent (if age-appropriate) or parent(s)/legally authorized representative signing the informed consent. * Participants with mild-moderate COVID-19. * Participants at risk of disease progression with at least one of the following criteria: Age \<1 year; Diabetes mellitus; Genetic or metabolic diseases; Obesity ); Cardiovascular disease; Sickle cell disease; Pulmonary disease; Neurologic disease; Immunosuppressed ; Baseline medical complexity (gastrostomy- or jejunostomy-dependence, parenteral nutrition dependence, tracheostomy-dependence, Baseline oxygen requirement, use of Continuous positive airway pressure \[CPAP\]/ Bilevel positive airway pressure \[BiPAP\]/ventilator support).

Exclusion criteria

* Participant is pregnant or breastfeeding. * Participant is currently hospitalized, or judged by the investigator as likely to require hospitalization in the next 24 hours, due to severe or critical COVID-19. * Multisystem inflammatory syndrome in children (MIS-C). * Prior, current, or planned future use of any of the following treatments during the study period: COVID-19 convalescent plasma, Monoclonal antibodies (mAbs) against Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) (for example \[e.g.\], casirivimab/imdevimab), intravenous immunoglobulin (IVIG) for any indication, or dexamethasone specifically for treatment of COVID-19. * Current use of COVID-19 treatment (authorized, approved, or investigational). * The following exclusions related to use of an authorized or approved vaccine for SARS-CoV-2 are applicable: 1. Receipt of any authorized or approved vaccine for SARS-CoV-2 within 48 hours prior to dosing. 2. Planned use of any authorized or approved vaccine for SARS-CoV-2 within 90 days of study drug administration per current Centers for Disease Control and Prevention (CDC) recommendations. * Receipt of any non-SARS-CoV-2 vaccines within 14 days (for non-live vaccines) or 28 days (for live vaccine) of screening. * Currently enrolled in another clinical study. * Infants \<24 weeks of age: maternal receipt of IVIG, SARS-CoV-2-directed convalescent plasma or SARS-CoV-2-directed mAb(s) within 3 months prior to birth or within 5 half-lives of the investigational product (whichever is longer).

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Up to Week 36An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is any untoward medical occurrence that, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity and/or can result in death. Protocol defined AESIs were included.
Apparent Volume of Distribution During Terminal Phase (Vz) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin. The log-transformed data is transformed back to the original scale and presented here.
Clearance (CL) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin. The log-transformed data is transformed back to the original scale and presented here.
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Up to Day 29An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is any untoward medical occurrence that, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity and/or can result in death. Protocol defined AESIs were included.
Relative Bioavailability (F) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin.
Body Weight-Adjusted Serum Clearance (CL) of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and Pharmacokinetic (PK) analysis was performed. PK parameters were determined by population PK modelling method. The model considered the body weight of each participant to calculate the serum clearance of sotrovimab.
Maximum Observed Concentration (Cmax) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods using Phoenix WinNonlin. The log-transformed data is transformed back to the original scale and presented here.
Time to Reach Cmax (Tmax) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin.
Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and Pharmacokinetic (PK) analysis was performed. PK parameters were determined by population PK modelling method.
Terminal Elimination Half-Life (T1/2) Following Administration of SotrovimabDay 1 (End of Infusion), Day 5, 8 and 12, Week 12Blood samples were collected at indicated timepoints and Pharmacokinetic (PK) analysis was performed. PK parameters were determined by population PK modelling method.

Secondary

MeasureTime frameDescription
Number of Participants With Development of Severe and/or Critical Respiratory COVID-19 Through Day 29Up to Day 29Severe and/or critical respiratory COVID-19 as manifested by requirement for supplemental oxygen through Day 29. For participants who required oxygen or respiratory support for premorbid conditions, disease progression was defined as any sustained (greater than \[\>\]24 hours) increase in the level or method of oxygen support required.
Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Baseline (Day 1), at Day 5, Day 8 and Day 11The viral load change from baseline in nasal secretions was measured by quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) at Day 5, Day 8, and Day 11.
Number of Participants With Progression of COVID-19 Through Day 29Up to Day 29Progression of COVID-19 is defined as need for attended medical visit (including the visit to a hospital emergency room for management of illness or hospitalization for acute management of illness) or escalation to higher level of medical care or death.

Countries

United States

Participant flow

Recruitment details

Total of 8 participants were enrolled in this study. Four age bands were planned to be enrolled (12 to less than 18 years, 6 to less than 12 years, 2 to less than 6 years and Birth to less than 2 years). Due to early termination of the study, no participants were enrolled in the 2 to less than 6 years and birth to less than 2 years age bands.

Pre-assignment details

This study was conducted in 2 cohorts (Cohort A and Cohort B). The study was terminated, due to a decrease in in-vitro neutralization of sotrovimab against circulating Omicron BA.2 SARS-CoV-2 variants. Hence, Cohort B was not initiated. None of the participants received Intramuscular (IM) administration of sotrovimab.

Participants by arm

ArmCount
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)
Participants in the age group 6 to \< 12 years received up to a maximum of 500 milligram (mg) sotrovimab based on the body weight through Intravenous administration on Day 1
3
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)
Participants in the age group 12 to \< 18 years received up to a maximum of 500 milligram (mg) sotrovimab based on the body weight through Intravenous administration on Day 1
5
Total8

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up10
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicCohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)TotalCohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)
Age, Continuous14.2 YEARS
STANDARD_DEVIATION 1.1
12.5 YEARS
STANDARD_DEVIATION 2.51
9.7 YEARS
STANDARD_DEVIATION 0.58
Race/Ethnicity, Customized
BLACK OR AFRICAN AMERICAN
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
WHITE
4 Participants7 Participants3 Participants
Sex: Female, Male
Female
4 Participants5 Participants1 Participants
Sex: Female, Male
Male
1 Participants3 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 30 / 5
other
Total, other adverse events
1 / 34 / 5
serious
Total, serious adverse events
0 / 30 / 5

Outcome results

Primary

Apparent Volume of Distribution During Terminal Phase (Vz) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin. The log-transformed data is transformed back to the original scale and presented here.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose. Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Apparent Volume of Distribution During Terminal Phase (Vz) Following Administration of Sotrovimab1.42 Liter
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Apparent Volume of Distribution During Terminal Phase (Vz) Following Administration of Sotrovimab5.49 LiterGeometric Coefficient of Variation 22.08
Primary

Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and Pharmacokinetic (PK) analysis was performed. PK parameters were determined by population PK modelling method.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) Following Administration of Sotrovimab6023.0 Day*microgram per milliliter (day*ug/mL)Geometric Coefficient of Variation 7.91
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Area Under the Serum Concentration-Time Curve From Time Zero to Infinity (AUC[0-inf]) Following Administration of Sotrovimab4928.8 Day*microgram per milliliter (day*ug/mL)Geometric Coefficient of Variation 24.4
Primary

Body Weight-Adjusted Serum Clearance (CL) of Sotrovimab

Blood samples were collected at indicated timepoints and Pharmacokinetic (PK) analysis was performed. PK parameters were determined by population PK modelling method. The model considered the body weight of each participant to calculate the serum clearance of sotrovimab.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Body Weight-Adjusted Serum Clearance (CL) of Sotrovimab0.05 Liter per day (L/day)Geometric Coefficient of Variation 27.6
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Body Weight-Adjusted Serum Clearance (CL) of Sotrovimab0.10 Liter per day (L/day)Geometric Coefficient of Variation 28.5
Primary

Clearance (CL) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin. The log-transformed data is transformed back to the original scale and presented here.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose. Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Clearance (CL) Following Administration of Sotrovimab42.62 milliliter per day (mL/day)
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Clearance (CL) Following Administration of Sotrovimab96.58 milliliter per day (mL/day)Geometric Coefficient of Variation 30.44
Primary

Maximum Observed Concentration (Cmax) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods using Phoenix WinNonlin. The log-transformed data is transformed back to the original scale and presented here.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose. Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Maximum Observed Concentration (Cmax) Following Administration of Sotrovimab342.96 microgram per milliliter (µg/mL)
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Maximum Observed Concentration (Cmax) Following Administration of Sotrovimab191.67 microgram per milliliter (µg/mL)Geometric Coefficient of Variation 29.45
Primary

Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is any untoward medical occurrence that, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity and/or can result in death. Protocol defined AESIs were included.

Time frame: Up to Day 29

Population: The analysis was performed on the Safety Set (Cohort A) that included all participants who are exposed to study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Participants with AE1 Participants
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Participants with SAE0 Participants
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Participants with AESI0 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Participants with AE2 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Participants with SAE0 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI)Participants with AESI0 Participants
Primary

Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is any untoward medical occurrence that, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity and/or can result in death. Protocol defined AESIs were included.

Time frame: Up to Week 36

Population: The analysis was performed on the Safety Set (Cohort A) that included all participants who are exposed to study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Participants with SAE0 Participants
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Participants with AE1 Participants
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Participants with AESI0 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Participants with AE4 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Participants with SAE0 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs of Special Interest (AESI) Up to Week 36Participants with AESI0 Participants
Primary

Relative Bioavailability (F) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: Due to early termination of the study, the Intramuscular (IM) administration cohort was not started. The bioavailability assessment was not performed between the Intravenous (IV) and Intramuscular (IM) administration of sotrovimab. Hence there is no data to report.

Primary

Terminal Elimination Half-Life (T1/2) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and Pharmacokinetic (PK) analysis was performed. PK parameters were determined by population PK modelling method.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Terminal Elimination Half-Life (T1/2) Following Administration of Sotrovimab37.5 DayGeometric Coefficient of Variation 16.1
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Terminal Elimination Half-Life (T1/2) Following Administration of Sotrovimab43.6 DayGeometric Coefficient of Variation 22
Primary

Time to Reach Cmax (Tmax) Following Administration of Sotrovimab

Blood samples were collected at indicated timepoints and PK analysis was performed. PK parameters were determined by non-compartmental methods with Phoenix WinNonlin.

Time frame: Day 1 (End of Infusion), Day 5, 8 and 12, Week 12

Population: The analysis was performed on the PK Principal Stratum Set that included all participants in the PK analysis set who would be able to complete the IV dose. Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Time to Reach Cmax (Tmax) Following Administration of Sotrovimab0.000 Day
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Time to Reach Cmax (Tmax) Following Administration of Sotrovimab0.003 Day
Secondary

Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)

The viral load change from baseline in nasal secretions was measured by quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) at Day 5, Day 8, and Day 11.

Time frame: Baseline (Day 1), at Day 5, Day 8 and Day 11

Population: The analysis was performed on the Safety Set (Cohort A) that included all participants who are exposed to study intervention. Number of participants analyzed signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Baseline (Day 1)5.085 log10 copies per milliliterStandard Deviation 0.2475
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Day 5-1.270 log10 copies per milliliterStandard Deviation 2.6304
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Day 8-2.640 log10 copies per milliliterStandard Deviation 0.693
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Day 11-3.305 log10 copies per milliliterStandard Deviation 0.2475
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Day 11-2.870 log10 copies per milliliterStandard Deviation 1.143
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Baseline (Day 1)4.712 log10 copies per milliliterStandard Deviation 1.0668
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Day 8-2.398 log10 copies per milliliterStandard Deviation 1.6272
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Change From Baseline in Viral Load in Nasal Secretions Measured by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (qRT-PCR)Day 5-2.160 log10 copies per milliliterStandard Deviation 1.4053
Secondary

Number of Participants With Development of Severe and/or Critical Respiratory COVID-19 Through Day 29

Severe and/or critical respiratory COVID-19 as manifested by requirement for supplemental oxygen through Day 29. For participants who required oxygen or respiratory support for premorbid conditions, disease progression was defined as any sustained (greater than \[\>\]24 hours) increase in the level or method of oxygen support required.

Time frame: Up to Day 29

Population: The analysis was performed on the Virology Set (Cohort A) that included all participants who are exposed to study treatment and have a quantifiable SARS-CoV-2 viral load measurement at baseline.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Development of Severe and/or Critical Respiratory COVID-19 Through Day 290 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Development of Severe and/or Critical Respiratory COVID-19 Through Day 290 Participants
Secondary

Number of Participants With Progression of COVID-19 Through Day 29

Progression of COVID-19 is defined as need for attended medical visit (including the visit to a hospital emergency room for management of illness or hospitalization for acute management of illness) or escalation to higher level of medical care or death.

Time frame: Up to Day 29

Population: The analysis was performed on the Safety Set (Cohort A) that included all participants who are exposed to study intervention.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort A: Sotrovimab Intravenous (IV) (6 to Less Than [<] 12 Years)Number of Participants With Progression of COVID-19 Through Day 290 Participants
Cohort A: Sotrovimab Intravenous (IV) (12 to Less Than [<] 18 Years)Number of Participants With Progression of COVID-19 Through Day 290 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026