Study to Assess Adverse Events and How Intravenous (IV) ABBV-47D11 and IV ABBV-2B04 Given Alone and in Combination Moves Through the Body of Adult Participants With Coronavirus Disease 2019 (COVID-19)
- Conditions
- CoronaVirus Disease-2019 (COVID-19)
- Interventions
- Registration Number
- NCT04644120
- Lead Sponsor
- AbbVie
- Brief Summary
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Lung failure is the main cause of death related to COVID-19 infection. The main objective of this study is to evaluate the safety and tolerability of ABBV-47D11 and ABBV-2B04 given alone and in combination to participants with COVID-19 infection. In addition, this study will evaluate the pharmacokinetics (how the body handles the study drug) and anti-viral activity of the study drug.
ABBV-47D11 and ABBV-2B04 are investigational anti-SARS-CoV-2 monoclonal antibodies being developed for the treatment of COVID-19. Study will be conducted in two parts. In part A, participants will receive ABBV-47D11 or placebo. There is a 1 in 4 chance that participants will be assigned to placebo. In part B, participants will receive ABBV-2B04 alone or in combination with ABBV-47D11 or placebo. There is a 1 in 5 chance that participants will be assigned to placebo. Around 54 adult participants with COVID-19 will be enrolled in approximately 10 to 30 sites globally.
In part A participants will receive single intravenous (into the veins) infusion of ABBV-47D11 or placebo on Day 1. In part B participants will receive single intravenous (into the veins) infusion of ABBV-2B04 alone or in combination with ABBV-47D11 or placebo on Day 1. Participants will be followed up for 106 days.
There may be higher treatment burden for participants in this trial compared to their standard of care. The effect of the treatment will be checked by medical assessments, blood tests, nasal swabs and presence of side effects.
- Detailed Description
Part B of this study was not conducted.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 25
- Confirmed SARS-CoV-2 infection based on initial nucleic acid or antigen testing from respiratory swab, saliva, or other bodily fluid within 7 days prior to randomization.
- Must have >= 1 symptom associated with COVID-19 with an onset of <= 8 days prior to randomization.
- Hospitalized or plans for hospital admission due to COVID-19 at the time of randomization or not currently hospitalized and does not have plans for hospital admission at the time of randomization, but is willing to be confined for ≥ 48 hours post-dose for the purposes of participating in this research study
- Have an oxygen saturation (SpO2) < 88% on room air at rest for 5 minutes OR ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) <= 200 mmHg at randomization.
- Requiring high-flow nasal cannula oxygen therapy/non-invasive or invasive mechanical ventilation/extracorporeal membrane oxygenation (ECMO) or anticipated impending need for high-flow nasal cannula oxygen therapy/non-invasive or invasive mechanical ventilation/ECMO.
- Prior treatment with a SARS-CoV-2 specific monoclonal antibody or convalescent COVID-19 plasma.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Part A: Group 3: ABBV-47D11 Dose C ABBV-47D11 Participants will receive ABBV-47D11 Dose C on Day 1. Part B: Group 1: ABBV-2B04 Dose A + ABBV-47D11 ABBV-2B04 Participants will receive ABBV-2B04 Dose A in combination with ABBV-47D11 on Day 1. Part A: Group 2: Placebo for ABBV-47D11 Placebo for ABBV-47D11 Participants will receive placebo for ABBV-47D11 on Day 1. Part B: Group 2: ABBV-2B04 Dose B + ABBV-47D11 ABBV-47D11 Participants will receive ABBV-2B04 Dose B in combination with ABBV-47D11 on Day 1. Part B: Group 2: ABBV-2B04 Dose B + ABBV-47D11 ABBV-2B04 Participants will receive ABBV-2B04 Dose B in combination with ABBV-47D11 on Day 1. Part B: Group 2: Placebo Placebo for ABBV-47D11 Participants will receive Placebo for ABBV-2B04 followed by Placebo for ABBV-47D11 on Day 1. Part A: Group 3: Placebo for ABBV-47D11 Placebo for ABBV-47D11 Participants will receive placebo for ABBV-47D11 on Day 1. Part A: Group 1: Placebo for ABBV-47D11 Placebo for ABBV-47D11 Participants will receive placebo for ABBV-47D11 on Day 1. Part A: Group 2: ABBV-47D11 Dose B ABBV-47D11 Participants will receive ABBV-47D11 Dose B on Day 1. Part B: Group 1: Placebo Placebo for ABBV-47D11 Participants will receive Placebo for ABBV-2B04 followed by Placebo for ABBV-47D11 on Day 1. Part B: Group 1: Placebo Placebo for ABBV-2B04 Participants will receive Placebo for ABBV-2B04 followed by Placebo for ABBV-47D11 on Day 1. Part B: Group 2: Placebo Placebo for ABBV-2B04 Participants will receive Placebo for ABBV-2B04 followed by Placebo for ABBV-47D11 on Day 1. Part A: Group 1: ABBV-47D11 Dose A ABBV-47D11 Participants will receive ABBV-47D11 Dose A on Day 1. Part B: Group 1: ABBV-2B04 Dose A + ABBV-47D11 ABBV-47D11 Participants will receive ABBV-2B04 Dose A in combination with ABBV-47D11 on Day 1. Part B: Group 1: ABBV-2B04 Dose A ABBV-2B04 Participants will receive ABBV-2B04 Dose A on Day 1. Part B: Group 2: ABBV-2B04 Dose B ABBV-2B04 Participants will receive ABBV-2B04 Dose B on Day 1.
- Primary Outcome Measures
Name Time Method Number of Participants With Study-Drug Related Grade 3 or Higher Infusion-Related Reactions Up to Day 106 Participants will be assessed for the infusion-related reaction considered drug-related by the investigator.
Number of Participants With Study-Drug Related Grade 3 or Higher Adverse Events (AEs) Up to Day 106 An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug.
- Secondary Outcome Measures
Name Time Method AUC for Change From Baseline (Day 1) in SARS-CoV-2 Ribose Nucleic Acid (RNA) Reverse Transcription-Polymerase Chain Reaction (RT-PCR) Baseline (Day 1) through Day 29 Area Under the Serum Concentration-Time Curve (AUC) of SARS-CoV-2 RNA.
Time to Cmax (Tmax) of ABBV-2B04 Up to Day 85 Time to maximum serum concentration of ABBV-2B04.
Time to Negative SARS-CoV-2 by RT-PCR Up to Day 29 Number of days from Baseline (Day 1) to negative SARS-CoV-2 by RT-PCR.
Terminal Phase Elimination Half-Life (t1/2) of ABBV-2B04 Up to Day 85 Terminal phase elimination half-life (t1/2) of ABBV-2B04.
Detection of Neutralizing Anti-Drug Antibodies (nADA) for ABBV-2B04 Up to Day 85 Neutralizing anti-drug antibodies will be detected using a tiered approach for ABBV-2B04.
Area Under the Serum Concentration-Time Curve (AUC) From Day 1 (0 hour) to Day 29 (672 hour) (AUC0-672h) of ABBV-47D11 Up to Day 29 Area Under the Serum Concentration-Time Curve (AUC) From Day 1 (0 hour) to Day 29 (672 hour) (AUC0-672h) of ABBV-47D11.
AUC From Time 0 to Infinity (AUCinf) of ABBV-47D11 Up to Day 85 AUC From Time 0 to Infinity (AUCinf) of ABBV-47D11.
Detection of Neutralizing Anti-Drug Antibodies (nADA) for ABBV-47D11 Up to Day 85 Neutralizing anti-drug antibodies will be detected using a tiered approach for ABBV-47D11.
Negative SARS-CoV-2 RNA by RT-PCR Up to Day 15 Number of participants with negative SARS-CoV-2 RNA by RT-PCR.
Time to Cmax (Tmax) of ABBV-47D11 Up to Day 85 Time to maximum serum concentration of ABBV-47D11.
Terminal Phase Elimination Half-Life (t1/2) of ABBV-47D11 Up to Day 85 Terminal phase elimination half-life (t1/2) of ABBV-47D11.
Detection of Anti-Drug Antibodies (ADA) for ABBV-47D11 Up to Day 85 Anti-drug antibodies will be detected using a tiered approach for ABBV-47D11.
Maximum Observed Serum Concentration (Cmax) of ABBV-47D11 Up to Day 85 Maximum observed serum concentration (Cmax) of ABBV-47D11.
Area Under the Serum Concentration-Time Curve (AUC) From Day 1 (0 hour) to Day 29 (672 hour) (AUC0-672h) of ABBV-2B04 Up to Day 29 Area Under the Serum Concentration-Time Curve (AUC) From Day 1 (0 hour) to Day 29 (672 hour) (AUC0-672h) of ABBV-2B04.
AUC From Time 0 to Infinity (AUCinf) of ABBV-2B04 Up to Day 85 AUC From Time 0 to Infinity (AUCinf) of ABBV-2B04.
Detection of Anti-Drug Antibodies (ADA) for ABBV-2B04 Up to Day 85 Anti-drug antibodies will be detected using a tiered approach for ABBV-2B04.
Maximum Observed Serum Concentration (Cmax) of ABBV-2B04 Up to Day 85 Maximum observed serum concentration (Cmax) of ABBV-2B04.
Trial Locations
- Locations (18)
Beautiful Minds Clinical Research Center /ID# 228708
🇺🇸Cutler Bay, Florida, United States
Glendale Adventist Medical Center /ID# 225188
🇺🇸Glendale, California, United States
Triple O Research Institute /ID# 228612
🇺🇸West Palm Beach, Florida, United States
Saint Peter's University Hospital /ID# 225183
🇺🇸New Brunswick, New Jersey, United States
Pikeville Medical Center /ID# 224539
🇺🇸Pikeville, Kentucky, United States
Gadolin Research, LLC /ID# 229394
🇺🇸Beaumont, Texas, United States
Saint Michael's Medical Center /ID# 225258
🇺🇸Newark, New Jersey, United States
San Juan Bautista School of Medicine /ID# 225963
🇵🇷Caguas, Puerto Rico
Universitair Medisch Centrum Utrecht /ID# 225919
🇳🇱Utrecht, Netherlands
University of Miami /ID# 225038
🇺🇸Miami, Florida, United States
University of Illinois Hospital and Health Sciences System /ID# 224323
🇺🇸Chicago, Illinois, United States
The Christ Hospital /ID# 224541
🇺🇸Cincinnati, Ohio, United States
Sheba Medical Center /ID# 225857
🇮🇱Tel Hashomer, Ramat Gan, Israel
Prisma Health Children's Hospital Upstate /ID# 224556
🇺🇸Greenville, South Carolina, United States
Hadassah Medical Center-Hebrew University /ID# 225827
🇮🇱Jerusalem, Israel
Semmelweis Egyetem /ID# 226016
🇭🇺Budapest, Hungary
Manati Medical Center /ID# 225936
🇵🇷Manati, Puerto Rico
Betegapolo Irgalmasrend Budai Irgalmasrendi Korhaz /ID# 226015
🇭🇺Budapest, Hungary