Mode
Text Size
Log in / Sign up
Phase 3 Completed N=910 Randomized Triple-blind Treatment

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.
The Lancet. Respiratory medicine · 2022 · Open access · Likely link

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)

  • 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.
    The Lancet. Respiratory medicine · 2022 · 226 citations · Open access · Likely link
  • SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19.
    The Cochrane database of systematic reviews · 2021 · 152 citations · Open access · Likely link
  • Outpatient Treatment with AZD7442 (Tixagevimab/Cilgavimab) Prevented COVID-19 Hospitalizations over 6 Months and Reduced Symptom Progression in the TACKLE Randomized Trial.
    Infectious diseases and therapy · 2023 · 8 citations · Open access · Likely link
  • Safety, Efficacy and Pharmacokinetics of AZD7442 (Tixagevimab/Cilgavimab) for Treatment of Mild-to-Moderate COVID-19: 15-Month Final Analysis of the TACKLE Trial.
    Infectious diseases and therapy · 2024 · 5 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

Back to search