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Clinical Trials/NCT05092581
NCT05092581TerminatedPhase 1

A Phase 1b, Open-Label, Single Dose Study Assessing the Pharmacokinetics, Safety, Tolerability, and Efficacy of Intravenous Anti-Spike(s) SARS-CoV-2 Monoclonal Antibodies (Casirivimab+Imdevimab) for the Treatment of Pediatric Patients Hospitalized Due to COVID-19

Regeneron Pharmaceuticals2 sites in 1 country2 target enrollmentStarted: December 16, 2021Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Terminated
Enrollment
2
Locations
2
Primary Endpoint
Concentrations of casirivimab+imdevimab in serum over time

Study Overview

Brief Summary

The primary objectives of the study are:

  • To characterize the concentrations of casirivimab+imdevimab in serum over time
  • To evaluate the safety and tolerability of casirivimab+imdevimab

The secondary objective of the study is:

• To assess the immunogenicity of casirivimab+imdevimab

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
1 Minute to 17 Years (Child)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Has SARS-CoV-2 positive antigen or molecular diagnostic test ≤72 hours prior to study enrollment Note: historical record of positive result is acceptable as long as the sample was collected ≤72 hours prior to enrollment
  • Has symptoms consistent with COVID-19, as determined by the investigator, with onset ≤ 14 days before dosing
  • Hospitalized due to COVID-19
  • Provide informed consent signed by study patient or legally acceptable representative/guardian

Exclusion Criteria

  • In the opinion of the investigator, unlikely to survive for >96 hours from screening
  • Neonates having gestational age of <29 weeks and weight <1.1 kg
  • Receiving extracorporeal membrane oxygenation (ECMO)
  • Has new-onset stroke or seizure disorder during hospitalization
  • Initiated on renal replacement therapy due to COVID-19
  • Has circulatory shock requiring vasopressors on dosing day Note: Patients who require vasopressors for sedation-related hypotension or reasons other than circulatory shock may be eligible in this study
  • Participation in a clinical research study, including any double-blind study, evaluating an investigational product within 30 days and less than 5 half-lives of the investigational product prior to the screening visit
  • Members of the clinical site study team and/or their immediate family
  • Plans to receive an investigational or approved SARS-CoV-2 vaccine within 90 days after study drug administration based on current Centers for Disease Control vaccination guidelines (CDC, 2021). Refer to the latest CDC guidance for any updates.
  • Note: Patients who have already completed vaccination prior to study enrollment may be allowed in the study.
  • Prior use (within 90 days prior to study drug administration) or current use of any investigational, authorized, or approved passive antibody for prophylaxis of SARS-CoV-2 infection, including convalescent plasma, convalescent sera, hyperimmune globulin, or other monoclonal antibodies (eg, bamlanivimab and etesevimab, sotrovimab)
  • Note: Other protocol defined Inclusion/ Exclusion criteria apply

Arms & Interventions

casirivimab+imdevimab

Experimental

Intervention: casirivimab+imdevimab (Drug)

Outcomes

Primary Outcomes

Concentrations of casirivimab+imdevimab in serum over time

Time Frame: Through day 169

Proportion of patients with infusion-related reactions

Time Frame: Through day 4

Proportion of patients with treatment-emergent serious adverse events (SAEs)

Time Frame: Through day 29

Proportion of patients with hypersensitivity reactions

Time Frame: Through day 29

Secondary Outcomes

  • Incidence of anti-drug antibodies (ADA) to casirivimab+imdevimab over time(Through day 169)
  • Incidence of neutralizing antibodies (NAb) to casirivimab+imdevimab over time(Through day 169)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (2)

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