Phase 3
Completed N=910
Phase III Study of AZD7442 for Treatment of COVID-19 in Outpatient Adults
COVID-19
Source: ClinicalTrials.gov NCT04723394 ↗
Enrolled (actual)
910
Serious AEs
12.3%
Results posted
Dec 2022
Primary outcomePrimary: A Composite of Either Severe COVID-19 or Death From Any Cause Through Day 29 — 18; 37 Participants — p=0.010
◆ Published Evidence
Highly cited
226citations · ~57 / year
Efficacy and safety of intramuscular administration of tixagevimab-cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial.
Summary
This Phase III study will assess whether AZD7442 (a combination of 2 mAbs) can safely treat outpatient adults with COVID-19 and prevent either severe COVID-19 or death.
Linked Publications (4)
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Efficacy and safety of intramuscular administration of tixagevimab-cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial.
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SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19.
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Outpatient Treatment with AZD7442 (Tixagevimab/Cilgavimab) Prevented COVID-19 Hospitalizations over 6 Months and Reduced Symptom Progression in the TACKLE Randomized Trial.
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Safety, Efficacy and Pharmacokinetics of AZD7442 (Tixagevimab/Cilgavimab) for Treatment of Mild-to-Moderate COVID-19: 15-Month Final Analysis of the TACKLE Trial.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY A Composite of Either Severe COVID-19 or Death From Any Cause Through Day 29 |
18; 37 | 0.010 sig |
| SECONDARY A Composite of Death From Any Cause or Hospitalization for COVID-19 Complications or Sequelae Through Day 169 |
20; 40 | 0.009 sig |
Eligibility Criteria
Inclusion Criteria
- Participant has a documented laboratory-confirmed SARS-CoV-2 infection, as determined by a molecular test (antigen or nucleic acid) from any respiratory tract specimen (eg, oropharyngeal, NP, or nasal swab, or saliva) collected ≤ 3 days prior to Day 1.
- WHO Clinical Progression Scale score > 1 and < 4.
- Participant must be dosed with IMP no more than 7 days from self-reported onset of COVID-19-related symptoms (mild to moderate COVID-19) or measured fever, defined as the self-reported date of first reported sign/symptom.
- One or more of the following signs/symptoms must be present within 24 hours prior to Day1: Cough, Sore throat, Shortness of breath or difficulty breathing at rest or with activity, Body pain or muscle pain/aches, Fatigue, Headache, Chills, Nasal obstruction or congestion, Nasal discharge, Nausea or vomiting, Diarrhea, New loss of taste or smell.
- Oxygenation saturation of ≥ 92% obtained at rest by study staff within 24 hours prior to Day 1 (unless participant regularly receives chronic supplementary oxygen for an underlying lung condition).
- Participant agrees not to participate in another clinical trial for the treatment of COVID-19 or SARS-CoV-2 during the study period until reaching hospitalization or 28 days after entry into the study (whichever is earliest).
- Participant must be ≥ 18 years of age, provide informed consent and is able to comply with study requirements/procedures.
- Male participants: Contraception for male participants is not required; however, to avoid the transfer of any fluids, all male participants must use a condom from Day 1 and agree to continue through 90 days following administration of IMP.
- Women of childbearing potential must use one highly effective form of birth control.
Exclusion Criteria
- History or current hospitalization for COVID-19.
- Current need for hospitalization/immediate medical attention in a clinic/emergency room service
- Previous hypersensitivity, infusion related reaction, or adverse reaction to any monoclonal antibodies or known allergy to components of the IMP or placebo.
- Receipt of any investigational or licensed vaccine for prevention of COVID-19 at any time prior to entry into this study or expected administration immediately after enrollment.
- Current requirement or anticipated impending need for mechanical ventilation.
- Any significant disease, disorder or finding that may increase risk to the participant that might affect his/her ability to participate in this study.
- Received convalescent COVID-19 plasma treatment any time prior to entry into this study.
- Receipt of systemic steroids (e.g., prednisone, dexamethasone) or inhaled steroids within 30 days prior to study entry, unless a stable dose is used for a chronic condition.
- Receipt of any IMP in the previous 90 days or 5 half lives (whichever is longer), or expected receipt of IMP during the study follow-up period, or concurrent participation in another interventional study.
- Pregnant or breastfeeding women.
Data sourced from ClinicalTrials.gov (NCT04723394) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.