An Adaptive, Randomized, Double-blinded, Placebo-controlled Phase II/III Trial of Monoclonal Antibody SCTA01 Against SARS-CoV-2 in High-Risk Outpatients With COVID-19 (MAOP3 Trial)
Overview
- Phase
- Phase 2
- Status
- Not yet recruiting
- Sponsor
- Sinocelltech Ltd.
- Enrollment
- 690
- Primary Endpoint
- Proportion of participants who experience COVID-19 related hospitalization (defined as at least 24 hours of acute care) or death (all cause) up to Day 29.
Overview
Brief Summary
The study is a multicenter, adaptive, randomized, double-blinded and placebo-controlled Phase II/III clinical trial. It will be conducted at selected investigational sites globally. The study is comprised of 2 parts.
Detailed Description
The study is a multicenter, adaptive, randomized, double-blinded, and placebocontrolled Phase II/III trial. It will be conducted globally. The study will evaluate the efficacy and safety of SCTA01 in high-risk outpatients with COVID-19.The primary objective of the study is to evaluate the clinical efficacy rate among study group [SCTA01+ standard of care (SOC)] and control group (placebo + SOC) up to Day 29.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Male or non-pregnant female adults, ≥18 years old of age at the time of randomization;
- •Participants should have at least one of COVID-19 risk factor;
- •Participants should have at least 2 COVID-19 related symptoms;
- •Has symptoms consistent with COVID-19 as determined by the investigator with onset ≤7 days before randomization;
- •First positive SARS-CoV-2 viral infection tested (PCR or antigen-based diagnostic tests) in samples collected ≤3 days prior to start of the infusion;
- •Participants are currently not hospitalized;
- •Participant (or legal authorized representative) has signed the ICF before any clinical activity related to SCTA01 trial;
- •Women with childbearing potential must agree to use effective contraceptive methods during the study period;
- •Patient should not participate in other clinical studies related to COVID-19 or SARS-CoV-2 infection.
Exclusion Criteria
- •Have known allergies to any of the components used in the formulation of the SCTA01/placebo;
- •Participants with a history of severe anaphylaxis, such as severe anaphylactic reaction, urticaria, and angioedema;
- •Have SpO2 ≤ 93% on room air at sea level or PaO2/FiO2 \< 300, respiratory rate ≥30 per minute, heart rate ≥125 per minute (FDA);
- •Require mechanical ventilation or anticipated impending need for mechanical ventilation;
- •Suspected or proven serious bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking part in this study;
- •Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study;
- •Have any co-morbidity requiring surgery within \<29 days, or that is considered life threatening within 29 days;
- •Have a history of previous SARS-CoV-2 infection;
- •Received convalescent plasma, COVID-19 vaccine, or anti-SARS-CoV-2 spike(S) protein targeted therapy;
- •Have participated in a clinical study involving an investigational intervention within past 30 days or 5-half lives of investigational product, whichever is longer;
Arms & Interventions
SCTA01 low dose +SOC
SCTA01, a recombinant anti-SARS-CoV-2 spike protein monoclonal antibody
Intervention: SCTA01 (Drug)
SCTA01 middle dose+SOC
SCTA01, a recombinant anti-SARS-CoV-2 spike protein monoclonal antibody
Intervention: SCTA01 (Drug)
SCTA01 High dose +SOC
SCTA01, a recombinant anti-SARS-CoV-2 spike protein monoclonal antibody
Intervention: SCTA01 (Drug)
Placebo+SOC
SCTA01, a recombinant anti-SARS-CoV-2 spike protein monoclonal antibody
Intervention: Placebo (Other)
Outcomes
Primary Outcomes
Proportion of participants who experience COVID-19 related hospitalization (defined as at least 24 hours of acute care) or death (all cause) up to Day 29.
Time Frame: Day 29
Secondary Outcomes
- Proportion of participants with ventilation requirements(Day 29)
- Cumulative incidence of serious adverse events (SAEs)(Day 120)
- Proportion of participants with ≥1 ER visit due to COVID-19(Day 29)
- Proportion of participants with ≥2 ER visits due to COVID-19 through Day 29(Day 29)
- Proportion of participants admitted to an intensive care unit (ICU) due to COVID-19(Day 29)
- Proportion of participants with O2 requirement(Day 29)
- Time to symptom improvement;(Day 29)
- Proportion of participants with ≥1 COVID-19 related hospitalization(Day 29)
- Proportion of participants who experience COVID-19 related emergency room (ER) visit(Day 29)
- Proportion of patients with all-cause mortality(Day 29)
- Discontinuation or temporary suspension of infusions (for any reason)(Day 120)
- Incidence and titers (if applicable) of anti-drug antibodies (ADA) to SCTA01(Day 1, Day 8, Day 29, and Day 120))
- Time to sustained resolution of all COVID-19-related symptoms(Day 29)
- - Change in symptom score (total of ratings)(Day 3, 5, 7, 11, 15, 22, and 29)
- Proportion of participants admitted to hospital due to COVID-19(Day 29)
- Proportion of participants with ≥2 COVID-19 related hospitalizations(Day 29)
- Total number of COVID-19 related hospitalization(Day 29)
- Proportion of participants that achieve SARS-CoV-2 clearance in nasopharyngeal (NP) or oropharyngeal (OP) samples(Day 8, Day 15)
- Cumulative incidence of Grade 1, 2, 3 and 4 adverse events (AEs)(Day 120)
- Number and proportion of patients with ADE(Day 120)
- Change from baseline (Day 1) to Day 8 or Day 15 in SARS-CoV-2 viral shedding as measured by quantitative reverse transcription polymerase chain reaction (RT-qPCR) in NP or OP samples for SARS-CoV-2 test.(Day 8, Day 15)
- Mean concentration-time profiles of SCTA01(Day 29)