COVID-19
Conditions
Keywords
Coronavirus disease 2019 (COVID-19), Prophylaxis setting
Brief summary
This is a dose exploration study to evaluate the safety and pharmacokinetics (PK) of AZD3152 in healthy adult male and female participants, across different dose levels and routes of administration (ie, Intramuscular \[IM\] injection and Intravenous \[IV\] infusion).
Detailed description
The study will be conducted in the United States of America. Eligible healthy participants will be randomized to receive either AZD3152 or placebo administered IM or IV, across 5 fixed-dose cohorts. Participants will receive a single dose of AZD3152/placebo. Cohort 1: Dose X of AZD3152 or placebo, as an IM injection Cohort 2: Dose X of AZD3152 or placebo, administered IV Cohort 3: Dose Y of AZD3152 or placebo, as an IM injection Cohort 4: Dose Y of AZD3152 or placebo, administered IV Cohort 5: Dose Z of AZD3152 or placebo, administered IV The study will comprise of: * A Screening Period of maximum 28 days. * A Treatment Period of one Day. * A Follow-up Period of 12 months after study intervention (Day 365).
Interventions
AZD3152 will be administered via IM injection or IV infusion, as per the assigned arms.
Placebo is a matching volume of 0.9% sodium chloride, will be administered via IM injection or IV infusion, as per the assigned arms.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy male or female participants. * Participants have suitable veins for cannulation or repeated venipuncture. * Negative SARS-CoV-2 RT-PCR or SARS-CoV-2 rapid antigen test result at Visit 1. * Body weight ≥ 45 kg and ≤ 110 kg and body mass index ≥ 18 and \<32 kg/m2 at Screening. * Able to complete the Follow-up Period up to Day 365 as required by the protocol.
Exclusion criteria
* History of any clinically important disease or disorder. * Receipt of any immunoglobulin (either COVID-19 or non-COVID related) or blood products within 6 months prior to Day 1. * Receipt of an EVUSHELD monoclonal antibody (mAb) against SARS-CoV-2 within last 15 months before Day 1. * Receipt of a COVID-19 vaccine within 14 days prior to Visit 1. * SARS-CoV-2 infection within one month prior to Visit 1 (confirmed either by laboratory testing or a rapid test \[including at-home testing\]). * Women who are pregnant, lactating, or of childbearing potential and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration. * Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, * Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study intervention. This includes any acute (time-limited) or febrile (temperature ≥ 38.0°C \[100.4ºF\]) illness/infection on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves within the Screening Period or may be rescreened once. * Any abnormal laboratory values as described in protocol. * Any known HIV or hepatitis B or C infection at Screening. * History of alcohol or substance abuse that in the opinion of the Investigator might interfere with the trial conduct or completion. * Known hypersensitivity to AZD3152. * Previous hypersensitivity or severe adverse reaction following administration of a mAb.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Volume of distribution at steady state (Vss) of AZD3152 (IV administration only) | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (Vss) characterization of AZD3152 in serum after a single IV. |
| Number of participants with adverse event | Until Day 91 | Evaluation of the safety of IM or IV administration of AZD3152 will be done. |
| Number of participants with serious adverse event | Until Day 365 or early discontinuation visit (EDV [approximately 19 months]) | Evaluation of the safety of IM or IV administration of AZD3152 will be done. |
| Number of participants with adverse event of special interest | Until Day 365 or EDV (approximately 19 months) | Evaluation of the safety of IM or IV administration of AZD3152 will be done. |
| Serum concentration of AZD3152 | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | Pharmacokinetics (PK) characterization of AZD3152 in serum after a single IM or IV dose. |
| Maximum observed concentration (Cmax) of AZD3152 | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (Cmax) characterization of AZD3152 in serum after a single IM or IV dose. |
| Time to reach maximum observed concentration (tmax) of AZD3152 | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (tmax) characterization of AZD3152 in serum after a single IM or IV dose. |
| Terminal elimination half-life (t1/2) of AZD3152 | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (t1/2) characterization of AZD3152 in serum after a single IM or IV dose. |
| Area under the serum concentration-curve from 0 to the last quantifiable concentration (AUClast) of AZD3152 | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (AUClast) characterization of AZD3152 in serum after a single IM or IV dose. |
| Area under concentration-time curve from 0 to infinity (AUCinf) of AZD3152 | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (AUCinf) characterization of AZD3152 in serum after a single IM or IV dose. |
| Apparent total body clearance (CL/F) of AZD3152 (IM administration only) | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (CL/F) characterization of AZD3152 in serum after a single IM. |
| Apparent volume of distribution based on terminal phase (Vz/F) of AZD3152 (IM administration only) | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (Vz/F) characterization of AZD3152 in serum after a single IM. |
| Total body clearance (CL) of AZD3152 (IV administration only) | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (CL) characterization of AZD3152 in serum after a single IV. |
| Volume of distribution based on terminal phase (Vz) of AZD3152 (IV administration only) | Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months) | PK (Vz) characterization of AZD3152 in serum after a single IV. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with anti-drug antibody (ADA) to AZD3152 | Pre-dose, Days 15, 31, 91, 181, and Day 365 | Evaluation of ADA responses to AZD3152. |
Countries
United States