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Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Neutralizing Antibody BGB-DXP593 in Participants With Mild-to-Moderate Coronavirus Disease 2019 (COVID-19)

Phase 2
Completed
Conditions
Covid19
Interventions
Drug: Placebo
Registration Number
NCT04551898
Lead Sponsor
BeiGene
Brief Summary

The primary objective of this study is to evaluate the efficacy of BGB-DXP593 administered intravenously as a single dose in participants with mild to moderate COVID-19

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
181
Inclusion Criteria
  1. Laboratory-confirmed severe acute respiratory syndrome (SARS)-CoV-2 infection (positive reverse transcription-polymerase chain reaction [RT-PCR] test or other authorized antigen testing methods) in any samples following local practice ≤ 72 hours prior to screening.
  2. Have experienced COVID-19 symptoms for ≤ 7 days prior to treatment assignment, such as fever, cough, shortness of breath, sore throat, diarrhea, vomiting, and dysgeusia
  3. Agree to the collection of nasopharyngeal swabs, saliva, and venous blood

Key

Exclusion Criteria
  1. Severe COVID-19 having oxygen saturation (SpO2) ≤ 93 % on room air at sea level or ratio of arterial oxygen partial pressure (PaO2 in millimeters of mercury) to fractional inspired oxygen (FiO2) < 300, respiratory rate ≥ 30/min, heart rate ≥ 125/min
  2. Requires mechanical ventilation or anticipated impending need for mechanical ventilation
  3. Known allergies to any of the components used in the formulation of the interventions
  4. Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing
  5. Have received treatment with a SARS-CoV-2 specific monoclonal antibody

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboParticipants will receive placebo on Day 1, and followed up for safety for up to 85 days
BGB-DXP593 Low DoseBGB-DXP593Participants will receive BGB-DXP593 on Day 1, and followed up for safety for up to 85 days
BGB-DXP593 Medium DoseBGB-DXP593Participants will receive BGB-DXP593 on Day 1, and followed up for safety for up to 85 days
BGB-DXP593 High DoseBGB-DXP593Participants will receive BGB-DXP593 on Day 1, and followed up for safety for up to 85 days
Primary Outcome Measures
NameTimeMethod
Change From Baseline to Day 8 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral SheddingBaseline and Day 8

SARS-CoV-2 viral shedding was measured by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in nasopharyngeal swab samples.

Secondary Outcome Measures
NameTimeMethod
Time to Negative RT-qPCR in All Tested SamplesFrom Baseline up to Day 21

The negative RT-qPCR is defined as the value that is below the lower limit of detection

Percentage of Participants Who Required Hospitalization Due to Worsened COVID-19Baseline up to End of Study (EOS) /174 Days
Time to Resolution of All COVID-19-Related SymptomsBaseline up to EOS /174 Days
All-Cause Mortality at Day 29Day 29

Number of participants that died by Day 29

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Up to 174 days
Maximum Observed Plasma Concentration (Cmax) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to174 days)
Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593 From Time 0 to Day 29Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, and 29
Area Under the Plasma Concentration-time Curve (AUC) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)

AUClast : AUC from time zero to the time of the last quantifiable concentration AUCinf: AUC from zero to infinite time with extrapolation of the terminal phase

Time to Reach Cmax (Tmax) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Terminal Half-Life (t1/2) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Clearance (CL) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Volume of Distribution During the Terminal Phase (Vz) of BGB-DXP593Day 1 (pre-dose, End of Infusion) Days 3, 8, 15, 29, and End of study visit (up to 174 days)
Number of Participants With Anti-drug Antibodies (ADAs) to BGB-DXP593Day 1 (pre-dose) Days 15, 29, and End of study visit (up to 174 days)
Time-Weighted Average Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15Baseline and Day 15
Change in SARS-CoV-2 Viral Shedding From Baseline to Day 15Baseline and Day 15

SARS-CoV-2 viral shedding was measured by RT-qPCR in nasopharyngeal swab samples

Trial Locations

Locations (18)

Btc Network Midland Florida Clinical Research Center

🇺🇸

DeLand, Florida, United States

Elixia Clinical Research Collaborative

🇺🇸

Hollywood, Florida, United States

Consultoria Medica E Pesquisa Clinica

🇧🇷

Sorcaba, Brazil

IECSI

🇲🇽

Monterrey, Mexico

Homestead Associates in Research Inc

🇺🇸

Miami, Florida, United States

Medical Research Center of Miami Ii, Inc

🇺🇸

Miami, Florida, United States

Us Associates in Research

🇺🇸

Miami, Florida, United States

Orlando Health Ufhealth Cancer Center

🇺🇸

Orlando, Florida, United States

Revive Research Institute

🇺🇸

Dearborn, Michigan, United States

Revival Research Institute Farmington Hills

🇺🇸

Sterling Heights, Michigan, United States

Amarillo Center For Clinical Research

🇺🇸

Amarillo, Texas, United States

Panamerican Clinical Research Us Headquarters

🇺🇸

Brownsville, Texas, United States

Hospital Das Clinicas Da Faculdade de Medicina de Botucatu

🇧🇷

Botucatu, Brazil

Fundacao Universidade de Caxias Do Sul

🇧🇷

Caxias do Sul, Brazil

Task Clinical Research Centre

🇿🇦

Cape Town, South Africa

Continental Research Network

🇺🇸

Miami, Florida, United States

Hospital Cardiologica Aguascalientes

🇲🇽

Aguascalientes, Mexico

Langeberg Clinical Trials

🇿🇦

Cape Town, South Africa

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