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. 2022 Jun 17;2022(6):CD014945. doi: 10.1002/14651858.CD014945.pub2

NCT05184062.

Study name A study to evaluate the safety and tolerability of AZD7442 in Chinese adults
Methods Drug name: AZD7442
Trial design: randomised, placebo‐controlled, double‐blind, phase 2 study
NCT number: NCT05184062 (date of trial registration: 11 January 2022)
Target sample size: 272 participants (estimated enrolment)
Estimated completion date: 30 June 2023
Participants Setting
  • Outpatient, PrEP or PEP not further specified

  • Recruitment period: December 2021 to August 2022

  • China


Eligibility criteria
  • Inclusion criteria

    • Adults ≥ 18 years

    • Negative results SARS‐CoV‐2 RT‐qPCR

    • Healthy or medically stable participants

    • Contraceptive within 365 days post dosing

  • Exclusion criteria

    • Medical condition:

      • known hypersensitivity to mAb or investigational product component

      • acute illness including fever on the day prior to or day of dosing

      • any other significant disease increase the risk to participant study

    • Laboratory related:

      • aspartate aminotransferase or alanine aminotransferase > 2.0 × ULN, alkaline phosphatase > 1.5 × ULN, or total bilirubin > 1.5 × ULN (unless due to Gilbert's syndrome)

      • serum creatinine > 176 μmol/L

      • haemoglobin < 10 g/dL

      • platelet count < 100 × 103/μL

      • White blood cell count < 3.5 × 103/μL or neutrophil count < 1.5 × 103/μL

      • other laboratory significantly abnormal in the screening panel that, in the opinion of the investigator, will increase participants risk or might confound analysis of study results

    • COVID‐19 infection history/any receipt of mAb indicated for COVID‐19

    • Prior/concomitant treatment: receipt of any investigational product within 90 days or 5 antibody half‐lives (whichever is longer) prior to day 1

Interventions AZD7442
  • Target: RBD region of SARS‐CoV‐2 spike protein

  • Origin: NR

  • Dose: 600 mg

  • Frequency: single dose

  • Route of administration: IV injection


Comparator
  • Placebo, single dose, IV injection

Outcomes Efficacy outcomes
  • Infection with SARS‐CoV‐2 (confirmed by positive RT‐PCR test) within 30 days: not planned

  • Development of COVID‐19 symptoms within 30 days: not planned

  • Mortality at day 28, day 60, longest follow‐up, and time‐to‐event: not planned

  • Admission to hospital within 30 days: not planned

  • Admission to ICU within 30 days: not planned

  • Quality of life assessed with standardised scales (e.g. WHOQOL‐100) at up to 7 days; up to 30 days, and longest follow‐up available: not planned


Safety outcomes
  • Number of participants with AEs: planned 

  • Number of participants with SAEs: planned


Additional study outcomes
  • Incidence of AESIs

  • Safety as determined by abnormality in haematology

  • Safety as determined by abnormality in clinical chemistry

  • Safety as determined by abnormality in urinalysis

  • Safety as determined by abnormality in coagulation

  • Incidence of abnormal 12‐lead electrocardiogram

  • Safety as determined by abnormal vital signs (blood pressure, pulse rate, body temperature, and respiratory rate)

Starting date 3 December 2021
Contact information NR
Notes Developer: AstraZeneca
Funding: AstraZeneca
Recruitment status: active, not recruiting

Ab: antibody; ACE: angiotensin‐converting enzyme; AE: adverse event; AESI: adverse event of special interest; BMI: body mass index; COVID‐19: coronavirus disease 2019; FSH: follicle‐stimulating hormone; ICU: intensive care unit; IM: intramuscular(ly); IMP: investigational medical product; IV: intravenous; IVIG: intravenous immunoglobulin; mAb: monoclonal antibody;  MERS: Middle East respiratory syndrome; NCT: National Clinical Trial; NP: nasopharyngeal; NR: not reported; PCR: polymerase chain reaction; PI: principal investigator; RBD: receptor‐binding domain; RNA: ribonucleic acid; RT‐PCR: reverse transcription polymerase chain reaction; RT‐qPCR: quantitative reverse transcription polymerase chain reaction;  SAE: severe adverse event; SARS: severe acute respiratory syndrome; AE: adverse event,   SARS‐CoV‐2: severe acute respiratory syndrome coronavirus 2; TIG: tetanus‐specific immunoglobulin; ULN: upper limit of normal; VZIG: varicella zoster immunoglobulin.