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Phase 1 Completed N=23 Randomized Treatment

A COVID-19 Study to Evaluate Safety and PK of COVID-HIG Administered Through IM, SC, or IV Routes to SARS-CoV-2 Uninfected Adults

Source: ClinicalTrials.gov NCT05142306 ↗
Enrolled (actual)
23
Serious AEs
0.0%
Results posted
May 2024
Primary outcomePrimary: Participants With Adverse Events (AEs) up to 72 Hours Post-dosing — 2; 1; 2 Participants

Summary

The primary objectives of this open-label trial were to evaluate the safety and pharmacokinetics (PK) of Anti-SARS-CoV-2 Immunoglobulin (Human) Investigational Product (COVID-HIG) administered intramuscularly (IM), subcutaneously (SC), or intravenously (IV) as a single dose in healthy adults 18-59 years of age with body mass index ≤35 kg/m^2. Prior studies examined IV administration, and the secondary objective of the present study was to compare PK among the three administration routes. No placebo group was included in the phase 1 randomized design. The exploratory objective was to evaluate disease severity in participants that became positive for SARS-CoV-2.

Outcome Measures

OutcomeResultp-value
PRIMARY
Participants With Adverse Events (AEs) up to 72 Hours Post-dosing
2; 1; 2
PRIMARY
Participants With Adverse Events That Led to Discontinuation or Temporary Suspension of Study Treatment
0; 0; 0
PRIMARY
Participants With AEs and SAEs After Study Treatment
6; 3; 4; 0; 0; 0
PRIMARY
Total Number of AEs and SAEs After Study Treatment
9; 5; 9; 0; 0; 0
PRIMARY
Pharmacokinetics Parameter of Area Under the Concentration-time Curve (AUC) From Time 0 to the Last Quantifiable Concentration (AUC0-last) of SARS-CoV-2 Antibodies After Dose of COVID-HIG
6435.44; 9560.60; 11883.46
PRIMARY
Pharmacokinetics Parameter of Area Under the Concentration-time (AUC) From Time 0 to Infinity (AUC0-inf) After Dose of COVID-HIGIV
8042.38; 6875.52; 19212.18
PRIMARY
Pharmacokinetics Parameter of Maximum Observed Concentration (Cmax) of SARS-CoV-2 Antibodies Observed After Dose of COVID-HIG
17.02; 16.24; 56.88
PRIMARY
Pharmacokinetics Parameter of Time at Which Cmax Occurs After Dose of COVID-HIG
174.71; 201.01; 1.53
PRIMARY
Pharmacokinetics Parameter of Trough Concentration of SARS-CoV-2 Antibodies Observed 28 Days After Dose (Cmin28d) of COVID-HIG
3.67; 7.55; 8.15
SECONDARY
Pharmacokinetics Parameter of Area Under the Concentration-time Curve (AUC) From Time 0 to 28 Days (AUC0-28d) After Dose of COVID-HIG.
14610.82; 14624.92; 12182.14
SECONDARY
Pharmacokinetics Parameter of Area Under the Concentration-time Curve (AUC) From Time 0 to 14 Days After Dose of COVID-HIG
12057.04; 11118.31; 11883.46
SECONDARY
Pharmacokinetics Parameter of Apparent Terminal Elimination Half-life (T1/2) After Dose of COVID-HIG
505.50; 535.70; 673.90
SECONDARY
Pharmacokinetics Parameter of Systemic Clearance (CL) After Dose of COVID-HIG
0.0010; 0.0010; 0.0010
SECONDARY
Pharmacokinetic Parameter of Volume of Distribution (Vz) After Dose of COVID-HIG
0.75; 0.93; 0.35

Eligibility Criteria

Inclusion Criteria

  • Able and willing to provide written informed consent (voluntarily signed by the participant) prior to performing study procedures.
  • Females and males 18-59 years of age.
  • Have a body mass index (BMI) less than or equal to 35.0 kg/m^2
  • Healthy, based on medical history (no chronic disease, no chronic therapy, no ongoing acute condition within four weeks prior to dosing), normal physical examination (no clinically significant findings in the opinion of the investigator), and screening laboratory assessments (no clinically significant findings in the opinion of the investigator).
  • No clinical symptoms suspicious for COVID-19 infection, as well as SARS-CoV-2 Immunoglobulin M (IgM) antibody negative and no laboratory evidence of current SARS-CoV-2 infection (i.e., reverse transcription polymerase chain reaction (RT-PCR) negative for SARS-CoV-2) at Screening.
  • Females must not be pregnant, or trying to become pregnant as demonstrated by either of the following A or B:

A. Not of childbearing potential: surgically sterile (at least six weeks post bilateral salpingectomy, bilateral oophorectomy, or hysterectomy); or post-menopausal (history of ≥12 consecutive months without menses prior to randomization in the absence of other pathologic or physiologic causes and confirmed by follicle stimulating hormone [FSH] level ≥40 mIU/mL) OR

B. Women of childbearing potential who are not planning to be pregnant during the study period who meet all of criteria i-iii:

i. Negative serum pregnancy test at the Screening Visit. ii. Negative urine pregnancy test on Day 1 (a positive test will result in discontinuation from intervention).

iii. Using one of the following highly effective methods of contraception during the study:

  • Combined estrogen and progestogen, or progestogen-only hormonal contraception associated with inhibition of ovulation (e.g., implants, pills, patches) initiated ≥30 days prior to Study Day 1.
  • Intrauterine device (IUD) or hormone releasing intrauterine system (IUS) inserted ≥30 days prior to Study Day 1.
  • Participant understands and agrees to comply with planned study procedures.

Exclusion Criteria

  • Use of any investigational product within 30 days or SARS-CoV-2 monoclonal antibodies and COVID-19 convalescent plasma within 90 days prior to Screening or anticipated receipt during the study follow-up period, or participant plans to participate in another clinic study during the study period.
  • Receipt of 1 or 2 doses COVID-19 vaccine within 60 days prior to screening or during the study follow-up period.
  • SARS-CoV-2 IgG antibody levels >80 AU/mL as determined by the Diasorin LIAISON SARS-CoV-2 S1/S2 IgG antibody assay.
  • Screening clinical laboratory test result greater than the laboratory's upper limit of normal (ULN) for alanine aminotransferase (ALT), aspartate aminotransferase (AST), random glucose, total and/or direct bilirubin, blood urea nitrogen (BUN), or creatinine. Other serum chemistry parameters that are not within the reference range will not be considered exclusionary unless deemed clinically significant by the principal investigator.
  • Positive laboratory evidence of current infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV). Note: Positive anti-HCV antibody result along with a negative HCV PCR would NOT be exclusionary.
  • History of allergy or hypersensitivity to blood or plasma products or to COVID-HIG excipients (proline, PS80).
  • History of allergy to latex or rubber.
  • History of hemolytic anemia.
  • History of Immunoglobulin A (IgA) deficiency.
  • Receipt of any blood product within the past 12 months.
  • Plasma donation within 7 days or blood loss/donation (>450 mL) within 56 days of dosing.
  • History of known congenital or acquired immunodeficiency or receipt of immunosuppressive therapy (e.g., prednisone or equivalent for more than two consecutive weeks within the past three months).
  • History o
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05142306). 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.

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