Covid19Phase 2COMET-PEAKNCT04779879
Safety, Tolerability and Pharmacokinetics of Second Generation VIR-7831 Material in Non-hospitalized Participants With Mild to Moderate COVID-19
A Phase 2 study testing Sotrovimab (Gen1) and Sotrovimab (Gen2) in people with Covid19, run by Vir Biotechnology, Inc. at 31 sites in 5 countries.
Trial summary
This is a phase 2 study in which subjects with coronavirus disease 2019 (COVID-19) will receive VIR-7831 (Sotrovimab) Generation 1 (Gen1) or VIR-7831 (Sotrovimab) Generation 2 (Gen2) and will be assessed for safety, tolerability, and pharmacokinetics. Read more about this study
- Who is it for?
- Ages 18 to 69 years
- Conditions the study is for
- Covid19
- What is being tested?
- Sotrovimab (Gen1) and Sotrovimab (Gen2)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 354 participants
- Where
- 31 sitesin 5 countries
- Study dates
- 18 Feb 2021to 6 Apr 2022
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 69 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- For Part A, participants must be aged 18 years or older at the time of obtaining informed consent
- For Parts B and C, participants must be aged between 18 years and 69 years old at the time of obtaining informed consent
- Participants who have a positive SARS-CoV-2 test result ≤7 days prior to enrollment and oxygen saturation ≥94% on room air and have COVID-19 symptoms and ≤7 days from onset of symptoms
Who cannot join
- Currently hospitalized or judged by the investigator as likely to require hospitalization in the next 24 hours
- Symptoms consistent with severe COVID-19
- Participants who, in the judgement of the investigator are likely to die in the next 7 days.
- Severely immunocompromised participants
- For Parts A and B, prior receipt of a SARS-CoV-2 vaccine at any time prior to enrollment (vaccination with an authorized or approved SARS-CoV-2 vaccine will not be allowed for 90 days after dosing)
- For Parts B and C, conditions that would prohibit receipt of IM injections in the investigator's opinion
- For Parts A, B and C, receipt of any vaccine within 48 hours prior to enrollment (vaccination with an authorized or approved SARS-CoV-2 vaccine will not be allowed for 90 days after dosing)
Trial locations and contacts
31 sites in 5 countries.
31 sites in 5 countries
United States18 sites
Investigative Site
Anniston, Alabama, 36207
Investigative Site
Bakersfield, California, 93301
Investigative Site
Columbus, Georgia, 31904
Investigative Site
Ft. Pierce, Florida, 34982
Investigative Site
Gainesville, Florida, 32607
Investigative Site
Hialeah, Florida, 33016
Investigative Site
Houston, Texas, 77090
Investigative Site
Miami, Florida, 33125
Investigative Site
Miami, Florida, 33135
Investigative Site
Miami, Florida, 33155
Investigative Site
Miami, Florida, 33176
Investigative Site
Northridge, California, 91325
Investigative Site
Orlando, Florida, 32803
Investigative Site
Pembroke Pines, Florida, 33024
Investigative Site
Rockville, Maryland, 20850
Investigative Site
Tampa, Florida, 33614
Investigative Site
The Bronx, New York, 10456
Investigative Site
Winfield, Illinois, 60190
Spain9 sites
Investigative Site
Alicante, 03010
Investigative Site
Barcelona, 08006
Investigative Site
Centelles, 08540
Investigative Site
Granada, 18014
Investigative Site
La Roca del Vallès, 08430
Investigative Site
Madrid, 28031
Investigative Site
Madrid, 28040
Investigative Site
Pozuelo de Alarcón, 28223
Investigative Site
Vigo, 36312
Canada2 sites
Investigative Site
Sarnia, Ontario, N7T 4X3
Investigative Site
Toronto, Ontario, M9V 4B4
About this study
Official title: A Multicenter, Randomized, Double-Blind, Parallel Group Phase II Study to Evaluate the Safety, Tolerability and Pharmacokinetics of a Second Generation VIR-7831 Material in Non-Hospitalized Participants With Mild to Moderate Coronavirus Disease 2019 (COVID-19)
This is a phase 2 study in which subjects with coronavirus disease 2019 (COVID-19) will receive VIR-7831 (Sotrovimab) Generation 1 (Gen1) or VIR-7831 (Sotrovimab) Generation 2 (Gen2) and will be assessed for safety, tolerability, and pharmacokinetics.
- Conditions
- Covid19
- Being tested
- Sotrovimab (Gen1), Sotrovimab (Gen2)
- Keywords
- SARS-CoV-2, coronavirus, coronavirus disease 2019, COVID-19
- Medical subject headings
- COVID-19, Coronavirus Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sotrovimab (Gen1)Biological
Participants will be randomized to receive an IV infusion of Sotrovimab Gen 1 material
Sotrovimab (Gen2)Biological
Participants will be randomized to receive Sotrovimab Gen2 material by IV infusion or by IM injection
Sotrovimab (Gen2)Biological
Participants will be randomized to receive Sotrovimab Gen2 material by IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Sotrovimab (Gen1) | Active comparator | Part A (double-blinded) participants will be randomized to receive 500 mg of an IV infusion of Sotrovimab Gen 1 material or 500 mg of an IV infusion of VIR-7831 Gen 2 material Receives: Biological: Sotrovimab (Gen1); Biological: Sotrovimab (Gen2) |
| Sotrovimab (Gen2) | Active comparator | Part B (open-label) participants will be randomized to receive 500 mg of Sotrovimab Gen2 material by IV infusion or by IM injection
Part C (open-label) participants will be randomized to receive 500 mg of Sotrovimab Gen2 material by IV infusion or 250 mg by IM injection Receives: Biological: Sotrovimab (Gen2) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Number of Participants With All Adverse Events (AEs) and Serious Adverse Events (SAEs) Through Day 29
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before.
Measured: Up to Day 29
Part A: Number of Participants With Adverse Events of Special Interest (AESI) Through Day 29
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs were infusion-related reactions (IRR) including hypersensitivity, events related to antibody-dependent enhancement, and events related to immunogenicity.
Measured: Up to Day 29
Part A: Number of Participants With Worst-case Post Baseline Abnormal Electrocardiogram (ECG) Findings Through Day 29
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with worst-case clinically significant and not clinically significant abnormal ECG findings have been presented.
Measured: Up to Day 29
Part A: Number of Participants With Disease Progression Events (Disease-Related Events) Through Day 29
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Measured: Up to Day 29
Part B: Mean Area Under the Curve (AUC) of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Viral Load From Day 1 to Day 8 (AUCD1-8)
AUC of SARS-CoV-2 viral load was measured by Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) from Day 1 to Day 8 in nasopharyngeal (NP) swab samples. Analysis was performed using an Analysis of covariance (ANCOVA) model with covariates of treatment and Baseline logarithm (base 10) viral load.
Measured: Day 1 to Day 8
Part C: Mean AUC of SARS-CoV-2 Viral Load From Day 1 to Day 8 (AUCD1-8)
AUC of SARS-CoV-2 viral load was measured by qRT-PCR from Day 1 to Day 8 in NP swab samples. Analysis was performed using an ANCOVA model with covariates of treatment, and Baseline logarithm (base10) viral load and randomization stratification factor (prior exposure to an authorized or approved SARS-CoV-2 vaccine).
Measured: Day 1 to Day 8
Secondary outcomes (97)
Part A: Number of Participants With Non-Serious AEs Through Week 12
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Adverse events which were not Serious were considered as Non-Serious adverse events.
Measured: Up to Week 12
Part A: Number of Participants With SAEs Through Week 24
A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before.
Measured: Up to Week 24
Part A: Number of Participants With AESI Through Week 24
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs are infusion-related reactions (IRR) including hypersensitivity, events related to antibody-dependent enhancement, and events related to immunogenicity.
Measured: Up to Week 24
Part A: Number of Participants With Abnormal ECG Findings at Indicated Time Points
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with clinically significant (CS) and not clinically significant (NCS) abnormal ECG findings have been presented.
Measured: Days 1, 5, 11 and 85 (Week 12)
Part A: Number of Participants With Disease Progression Events (Disease-Related Events) Through Week 24
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Measured: Up to Week 24
Part B: Number of Participants With All AEs and SAEs Through Day 29
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before. Adverse events include both Serious and Other Adverse Events.
Measured: Up to Day 29
Part B: Number of Participants With AESI Through Day 29
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs were infusion/injection-related reactions (IRR) including hypersensitivity; injection site reactions (ISRs); events related to antibody-dependent enhancement; events related to immunogenicity.
Measured: Up to Day 29
Part B: Number of Participants With Worst-case Post Baseline Abnormal ECG Findings Through Day 29
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with worst-case clinically significant and not clinically significant abnormal ECG findings have been presented.
Measured: Up to Day 29
Part B: Number of Participants With Disease Progression Events (Disease-Related Events) Through Day 29
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Measured: Up to Day 29
Part C: Number of Participants With All AEs and SAEs Through Day 29
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before. Adverse events include both Serious and Other Adverse Events.
Measured: Up to Day 29
Part C: Number of Participants With AESI Through Day 29
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs were infusion/injection-related reactions (IRR) including hypersensitivity reactions; injection site reactions (ISRs); events related to antibody-dependent enhancement, and events related to immunogenicity.
Measured: Up to Day 29
Part C: Number of Participants With Worst-case Post Baseline Abnormal ECG Findings Through Day 29
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with worst-case clinically significant and not clinically significant abnormal ECG findings have been presented.
Measured: Up to Day 29
Part C: Number of Participants With Disease Progression Events (Disease-Related Events) Through Day 29
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Measured: Up to Day 29
Part B: Number of Participants With Non-Serious AEs Through Week 12
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.
Measured: Up to Week 12
Part B: Number of Participants With SAEs Through Week 36
A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before.
Measured: Up to Week 36
Part B: Number of Participants With AESI Through Week 36
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs are infusion/injection-related reactions (IRR) including hypersensitivity reactions; injection site reactions (ISRs); events related to antibody-dependent enhancement, and events related to immunogenicity.
Measured: up to Week 36
Part B: Number of Participants With Abnormal ECG Findings at Indicated Time Points
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with clinically significant (CS) and not clinically significant (NCS) abnormal ECG findings have been presented.
Measured: Days 1, 5, 11 and 85 (Week 12)
Part B: Number of Participants With Disease Progression Events Through Week 36
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Measured: Up to Week 36
Part C: Number of Participants With Non-Serious AEs Through Week 12
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.
Measured: Up to Week 12
Part C: Number of Participants With SAEs Through Week 36
A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before.
Measured: Up to Week 36
Part C: Number of Participants With AESI Through Week 36
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs are infusion/injection-related reactions (IRR) including hypersensitivity reactions; injection site reactions (ISRs); events related to antibody-dependent enhancement, and events related to immunogenicity.
Measured: Up to Week 36
Part C: Number of Participants With Abnormal ECG Findings at Indicated Time Points
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with clinically significant (CS) and not clinically significant (NCS) abnormal ECG findings have been presented.
Measured: Days 1, 5, 11 and 85 (Week 12)
Part C: Number of Participants With Disease Progression Events Through Week 36
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Measured: Up to Week 36
Part A: Change From Baseline in SARS-CoV-2 Saliva and Nasal Mid-Turbinate Viral Load
SARS-CoV-2 viral load was based on saliva and nasal mid-turbinate swab samples and was measured by qRT-PCR. Baseline log10 viral load was defined as the non-missing assessment taken at Day 1 excluding the NEG and <2.08 results. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.
Measured: Baseline, Days 2, 5, 8, 11, 15, 22 and 29
Part B: Change From Baseline in Viral Load as Measured by qRT-PCR From Nasopharyngeal Swab Samples
Viral load was based on nasopharyngeal swab samples and was measured by qRT-PCR. Baseline log10 viral load was defined as the non-missing assessment taken at Day 1 excluding the "NEG" and "<2.08" results. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.
Measured: Baseline, Days 2, 3, 5, 8, 11, 15, 22 and 29
Part C: Change From Baseline in Viral Load as Measured by qRT-PCR From Nasopharyngeal Swab Samples
Viral load was based on nasopharyngeal swab samples and was measured by qRT-PCR. Baseline log10 viral load was defined as the non-missing assessment taken at Day 1 excluding the "NEG" and "<2.08" results. Change from Baseline was calculated by subtracting the Baseline value from the post-dose visit value.
Measured: Baseline, Days 2, 3, 5, 8, 11, 15, 22 and 29
Part B: Percentage of Participants With Undetectable Viral Load
Viral load was measured by qRT-PCR from nasopharyngeal swab samples. Viral load (log10 copies/mL) values recorded as negative were considered as undetectable viral load. Percentage of participants with undetectable viral load have been presented. Percentage values are rounded off.
Measured: Days 2, 3, 5, 8, 11, 15, 22 and 29
Part C: Percentage of Participants With Undetectable Viral Load
Viral load was measured by qRT-PCR from nasopharyngeal swab samples. Viral load (log10 copies/mL) values recorded as negative were considered as undetectable viral load. Percentage of participants with undetectable viral load have been presented. Percentage values are rounded off.
Measured: Days 2, 3, 5, 8, 11, 15, 22 and 29
Part B: Mean AUC of SARS-CoV-2 Viral Load From Day 1 to Day 5 (AUCD1-5)
AUC of SARS-CoV-2 viral load was measured by qRT-PCR from Day 1 to Day 5. Analysis was performed using an ANCOVA model with covariates of treatment and Baseline logarithm (base 10) viral load.
Measured: Day 1 to Day 5
Part B: Mean Area Under the Curve (AUC) of SARS-CoV-2 Viral Load From Day 1 to Day 11 (AUCD1-11)
AUC of SARS-CoV-2 viral load was measured by qRT-PCR from Day 1 to Day 11. Analysis was performed using an ANCOVA model with covariates of treatment and Baseline logarithm (base 10) viral load.
Measured: Day 1 to Day 11
Part C: Mean AUC of SARS-CoV-2 Viral Load From Day 1 to Day 5 (AUCD1-5)
AUC of SARS-CoV-2 viral load was measured by qRT-PCR from Day 1 to Day 5. Analysis was performed using an ANCOVA model with covariates of treatment, Baseline logarithm (base 10) viral load and randomization stratification factor (prior exposure to an authorized or approved SARS-CoV-2 vaccine).
Measured: Day 1 to Day 5
Part C: Mean Area Under the Curve (AUC) of SARS-CoV-2 Viral Load From Day 1 to Day 11 (AUCD1-11)
AUC of SARS-CoV-2 viral load was measured by qRT-PCR from Day 1 to Day 11. Analysis was performed using an ANCOVA model with covariates of treatment, Baseline logarithm (base 10) viral load and randomization stratification factor (prior exposure to an authorized or approved SARS-CoV-2 vaccine).
Measured: Day 1 to Day 11
Part B: Percentage of Participants With a Persistently High Viral Load at Day 8
Percentage of participants with a persistently high viral load were categorized as >=4.1 log10 copies/mL and <4.1 log10 copies/mL. Percentage of participants with a persistently high viral load at Day 8 was assessed via qRT-PCR in nasopharyngeal swab samples. Percentage of participants with a persistently high viral load at Day 8 has been presented. Percentage values are rounded off.
Measured: Day 8
Part C: Percentage of Participants With a Persistently High Viral Load at Day 8
Percentage of participants with a persistently high viral load were categorized as >=4.1 log10 copies/mL and <4.1 log10 copies/mL. Percentage of participants with a persistently high viral load at Day 8 was assessed via qRT-PCR in nasopharyngeal swab samples. Percentage of participants with a persistently high viral load at Day 8 has been presented. Percentage values are rounded off.
Measured: Day 8
Part A: Maximum Observed Concentration (Cmax) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Cmax of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Cmax of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Cmax of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: Cmax of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Concentration at Last Quantifiable Time-point (Clast) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Clast of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Clast of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Clast of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: Clast of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Time to Reach Cmax (Tmax) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Tmax of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Tmax of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Tmax of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: Tmax of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Time of the Last Quantifiable Concentration (Tlast) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Tlast of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Tlast of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Tlast of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: Tlast of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: AUC From Day 1 to 29 (AUCD1-29) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29
Part B: AUCD1-29 of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29 (+/-2 days)
Part B: AUCD1-29 of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29 (+/-2 days)
Part C: AUCD1-29 of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29 (+/-2 days)
Part C: AUCD1-29 of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29 (+/-2 days)
Part A: Area Under the Serum Concentration-time Curve Extrapolated From Zero to Infinity (AUC[0-inf]) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: AUC(0-inf) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: AUC(0-inf) of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: AUC(0-inf) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: AUC(0-inf) of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Area Under the Curve From the Time of Dosing to the Time of the Last Measurable (Positive) Concentration (AUClast) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: AUClast of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: AUClast of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: AUClast of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: AUClast of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Percentage of AUC(Infinity) Obtained by Extrapolation (%AUCexp) for VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: %AUCexp of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: %AUCexp of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: %AUCexp of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: %AUCexp of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Terminal Elimination Half-life (t1/2) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: t1/2 of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: t1/2 of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: t1/2 of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: t1/2 of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Apparent Volume of Distribution During the Elimination Phase Following Intravascular Administrtion (Vz) of VIR-7831
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Vz of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Apparent Volume of Distribution During the Elimination Phase Following Extravascular Administration (Vz/F) of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Vz of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: Vz/F of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Apparent Volume of Distribution at Steady State (Vss) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Vss of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Vss of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Clearance (CL) of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: CL of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Apparent Clearance (CL/F) of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: CL of VIR-7831 After IV Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: CL/F of VIR-7831 After IM Administration
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Dose-normalized Least Square Geometric Mean Ratio of AUCinf for VIR-7831 Gen2 Between the Three Dose Levels (250 mg IM in Part C, 500 mg IM in Part B and 500 mg IV in Parts B and C)
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab). Dose-normalized least square geometric mean ratio of AUCinf was derived based on collected assessments up to 169 (+/-7 days) for Part B- Sotrovimab Gen2: 500 mg IV arm, and up to 169 (+/-18 days) for Part C- Sotrovimab Gen2: 500 mg IV arm.
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Dose-normalized Least Square Geometric Mean Ratio of AUCinf for VIR-7831 Gen2 Between the Two IM Dose Levels (250 mg IM in Part C and 500 mg IM in Part B)
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Dose-normalized Least Square Geometric Mean Ratio of AUClast for VIR-7831 Gen2 Between the Two IM Dose Levels (250 mg IM in Part C and 500 mg IM in Part B)
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Dose-normalized Least Square Geometric Mean Ratio of AUCD1-D29 for VIR-7831 Gen2 Between the Two IM Dose Levels (250 mg IM in Part C and 500 mg IM in Part B)
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29 (+/-2 days)
Dose-normalized Least Square Geometric Mean Ratio of Cmax for VIR-7831 Gen2 Between the Two IM Dose Levels (250 mg IM in Part C and 500 mg IM in Part B)
Blood samples were collected at indicated time points for pharmacokinetic analysis of VIR-7831 (Sotrovimab).
Measured: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Mar 2021
- Study start18 Feb 2021
- Primary completion20 Aug 2021
- Study completion6 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Covid19Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 354 participants (actual)
Sponsor and investigators
- Lead sponsor
- Vir Biotechnology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04779879
- Sponsor's protocol ID
- VIR-7831-5006
- Other IDs
- GSK Study 216912
- Acronym
- COMET-PEAK
- Status last verified
- Apr 2023
- First submitted
- 1 Mar 2021
- Last updated
- 3 May 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Gupta A, Perez-Rodriguez MT, Gonzalez-Rojas Y, Ramgopal M, Free A, Han J, Moore J, Givens N, Yates PJ, Walker JT, Connolly MB, Schnell G, Imber V, Anselm R, Winograd L, Segal S, Harrison S, Skingsley A, Aldinger M, Peppercorn A, Moya J. Safety, Tolerability, Pharmacokinetics, and Viral Pharmacodynamics of the Monoclonal Antibody Sotrovimab Administered via Intramuscular Injection in Participants with Early, Mild-to-Moderate COVID-19: A Randomized Clinical Trial. Drugs R D. 2025 Dec;25(4):353-365. doi: 10.1007/s40268-025-00529-2. Epub 2025 Nov 24.
PubMed 41284195Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2.
PubMed 34473343
Study at a glance
From the registry record, last updated by the sponsor on 3 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Parallel Group Phase II Study to Evaluate the Safety, Tolerability and Pharmacokinetics of a Second Generation VIR-7831 Material in Non-Hospitalized Participants With Mild to Moderate Coronavirus Disease 2019 (COVID-19)
- ClinicalTrials.gov ID
- NCT04779879
- Acronym / sponsor ID
- COMET-PEAK / VIR-7831-5006
- Conditions
- Covid19
- Keywords
- SARS-CoV-2, coronavirus, coronavirus disease 2019, COVID-19
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 354 participants (actual)
- Lead sponsor
- Vir Biotechnology, Inc.Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 18 Feb 2021 (actual)
- Primary completion
- 20 Aug 2021 (actual)
- Study completion
- 6 Apr 2022 (actual)
- First posted
- 3 Mar 2021 (actual)
- Results
- Posted 10 Nov 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase 2 study in which subjects with coronavirus disease 2019 (COVID-19) will receive VIR-7831 (Sotrovimab) Generation 1 (Gen1) or VIR-7831 (Sotrovimab) Generation 2 (Gen2) and will be assessed for safety, tolerability, and pharmacokinetics.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Sotrovimab (Gen1) | Active comparator | Biological: Sotrovimab (Gen1), Biological: Sotrovimab (Gen2)Part A (double-blinded) participants will be randomized to receive 500 mg of an IV infusion of Sotrovimab Gen 1 material or 500 mg of an IV infusion of VIR-7831 Gen 2 material |
| Sotrovimab (Gen2) | Active comparator | Biological: Sotrovimab (Gen2)Part B (open-label) participants will be randomized to receive 500 mg of Sotrovimab Gen2 material by IV infusion or by IM injection Part C (open-label) participants will be randomized to receive 500 mg of Sotrovimab Gen2 material by IV infusion or 250 mg by IM injection |
Who may qualify
- Ages
- 18 to 69 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- For Part A, participants must be aged 18 years or older at the time of obtaining informed consent
- For Parts B and C, participants must be aged between 18 years and 69 years old at the time of obtaining informed consent
- Participants who have a positive SARS-CoV-2 test result ≤7 days prior to enrollment and oxygen saturation ≥94% on room air and have COVID-19 symptoms and ≤7 days from onset of symptoms
Key exclusion criteria (7 listed)
- Currently hospitalized or judged by the investigator as likely to require hospitalization in the next 24 hours
- Symptoms consistent with severe COVID-19
- Participants who, in the judgement of the investigator are likely to die in the next 7 days.
- Severely immunocompromised participants
- For Parts A and B, prior receipt of a SARS-CoV-2 vaccine at any time prior to enrollment (vaccination with an authorized or approved SARS-CoV-2 vaccine will not be allowed for 90 days after dosing)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sotrovimab (Gen1)Participants will be randomized to receive an IV infusion of Sotrovimab Gen 1 material | Biological | Sotrovimab (Gen1) |
| Sotrovimab (Gen2)Participants will be randomized to receive Sotrovimab Gen2 material by IV infusion or by IM injection | Biological | Sotrovimab (Gen2) |
| Sotrovimab (Gen2)Participants will be randomized to receive Sotrovimab Gen2 material by IV infusion | Biological | Sotrovimab (Gen1) |
Primary outcome
Part A: Number of Participants With All Adverse Events (AEs) and Serious Adverse Events (SAEs) Through Day 29
Time frame: Up to Day 29
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. A SAE is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed before.
Part A: Number of Participants With Adverse Events of Special Interest (AESI) Through Day 29
Time frame: Up to Day 29
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. AESIs were infusion-related reactions (IRR) including hypersensitivity, events related to antibody-dependent enhancement, and events related to immunogenicity.
Part A: Number of Participants With Worst-case Post Baseline Abnormal Electrocardiogram (ECG) Findings Through Day 29
Time frame: Up to Day 29
Twelve-lead ECGs were recorded with the participant in a semi-supine position after being at rest for at least 10 minutes using an ECG machine. Clinically significant abnormal findings were determined as per clinical judgement by the investigator. Number of participants with worst-case clinically significant and not clinically significant abnormal ECG findings have been presented.
Part A: Number of Participants With Disease Progression Events (Disease-Related Events) Through Day 29
Time frame: Up to Day 29
AEs related to expected progression, signs, or symptoms of COVID-19, unless more severe than expected for the participant's current clinical status and medical history, and considered to be not causally-related to the study agent or study procedures by the Investigator, were reported as a Disease-Related Events (DRE).
Part B: Mean Area Under the Curve (AUC) of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Viral Load From Day 1 to Day 8 (AUCD1-8)
Time frame: Day 1 to Day 8
AUC of SARS-CoV-2 viral load was measured by Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) from Day 1 to Day 8 in nasopharyngeal (NP) swab samples. Analysis was performed using an Analysis of covariance (ANCOVA) model with covariates of treatment and Baseline logarithm (base 10) viral load.
Part C: Mean AUC of SARS-CoV-2 Viral Load From Day 1 to Day 8 (AUCD1-8)
Time frame: Day 1 to Day 8
AUC of SARS-CoV-2 viral load was measured by qRT-PCR from Day 1 to Day 8 in NP swab samples. Analysis was performed using an ANCOVA model with covariates of treatment, and Baseline logarithm (base10) viral load and randomization stratification factor (prior exposure to an authorized or approved SARS-CoV-2 vaccine).
97 secondary outcomes
Part A: Number of Participants With Non-Serious AEs Through Week 12
Time frame: Up to Week 12
Part A: Number of Participants With SAEs Through Week 24
Time frame: Up to Week 24
Part A: Number of Participants With AESI Through Week 24
Time frame: Up to Week 24
Part A: Number of Participants With Abnormal ECG Findings at Indicated Time Points
Time frame: Days 1, 5, 11 and 85 (Week 12)
Part A: Number of Participants With Disease Progression Events (Disease-Related Events) Through Week 24
Time frame: Up to Week 24
Part B: Number of Participants With All AEs and SAEs Through Day 29
Time frame: Up to Day 29
Part B: Number of Participants With AESI Through Day 29
Time frame: Up to Day 29
Part B: Number of Participants With Worst-case Post Baseline Abnormal ECG Findings Through Day 29
Time frame: Up to Day 29
Part B: Number of Participants With Disease Progression Events (Disease-Related Events) Through Day 29
Time frame: Up to Day 29
Part C: Number of Participants With All AEs and SAEs Through Day 29
Time frame: Up to Day 29
Part C: Number of Participants With AESI Through Day 29
Time frame: Up to Day 29
Part C: Number of Participants With Worst-case Post Baseline Abnormal ECG Findings Through Day 29
Time frame: Up to Day 29
Part C: Number of Participants With Disease Progression Events (Disease-Related Events) Through Day 29
Time frame: Up to Day 29
Part B: Number of Participants With Non-Serious AEs Through Week 12
Time frame: Up to Week 12
Part B: Number of Participants With SAEs Through Week 36
Time frame: Up to Week 36
Part B: Number of Participants With AESI Through Week 36
Time frame: up to Week 36
Part B: Number of Participants With Abnormal ECG Findings at Indicated Time Points
Time frame: Days 1, 5, 11 and 85 (Week 12)
Part B: Number of Participants With Disease Progression Events Through Week 36
Time frame: Up to Week 36
Part C: Number of Participants With Non-Serious AEs Through Week 12
Time frame: Up to Week 12
Part C: Number of Participants With SAEs Through Week 36
Time frame: Up to Week 36
Part C: Number of Participants With AESI Through Week 36
Time frame: Up to Week 36
Part C: Number of Participants With Abnormal ECG Findings at Indicated Time Points
Time frame: Days 1, 5, 11 and 85 (Week 12)
Part C: Number of Participants With Disease Progression Events Through Week 36
Time frame: Up to Week 36
Part A: Change From Baseline in SARS-CoV-2 Saliva and Nasal Mid-Turbinate Viral Load
Time frame: Baseline, Days 2, 5, 8, 11, 15, 22 and 29
Part B: Change From Baseline in Viral Load as Measured by qRT-PCR From Nasopharyngeal Swab Samples
Time frame: Baseline, Days 2, 3, 5, 8, 11, 15, 22 and 29
Part C: Change From Baseline in Viral Load as Measured by qRT-PCR From Nasopharyngeal Swab Samples
Time frame: Baseline, Days 2, 3, 5, 8, 11, 15, 22 and 29
Part B: Percentage of Participants With Undetectable Viral Load
Time frame: Days 2, 3, 5, 8, 11, 15, 22 and 29
Part C: Percentage of Participants With Undetectable Viral Load
Time frame: Days 2, 3, 5, 8, 11, 15, 22 and 29
Part B: Mean AUC of SARS-CoV-2 Viral Load From Day 1 to Day 5 (AUCD1-5)
Time frame: Day 1 to Day 5
Part B: Mean Area Under the Curve (AUC) of SARS-CoV-2 Viral Load From Day 1 to Day 11 (AUCD1-11)
Time frame: Day 1 to Day 11
Part C: Mean AUC of SARS-CoV-2 Viral Load From Day 1 to Day 5 (AUCD1-5)
Time frame: Day 1 to Day 5
Part C: Mean Area Under the Curve (AUC) of SARS-CoV-2 Viral Load From Day 1 to Day 11 (AUCD1-11)
Time frame: Day 1 to Day 11
Part B: Percentage of Participants With a Persistently High Viral Load at Day 8
Time frame: Day 8
Part C: Percentage of Participants With a Persistently High Viral Load at Day 8
Time frame: Day 8
Part A: Maximum Observed Concentration (Cmax) of VIR-7831 After IV Administration
Time frame: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Part B: Cmax of VIR-7831 After IV Administration
Time frame: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part B: Cmax of VIR-7831 After IM Administration
Time frame: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-7 days)
Part C: Cmax of VIR-7831 After IV Administration
Time frame: Day 1: Pre-dose, end of infusion; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part C: Cmax of VIR-7831 After IM Administration
Time frame: Day 1: Pre-dose; Days 2, 3, 5, 8, 15, 29, 57, 85, 141, and 169 (+/-18 days)
Part A: Concentration at Last Quantifiable Time-point (Clast) of VIR-7831 After IV Administration
Time frame: Day 1: Pre-dose, end of infusion and at 1, 2, 6, and 8 hours following end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, and 169 (+/-12 days)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 May 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41284195Gupta A, Perez-Rodriguez MT, Gonzalez-Rojas Y, Ramgopal M, Free A, Han J, Moore J, Givens N, Yates PJ, Walker JT, Connolly MB, Schnell G, Imber V, Anselm R, Winograd L, Segal S, Harrison S, Skingsley A, Aldinger M, Peppercorn A, Moya J. Safety, Tolerability, Pharmacokinetics, and Viral Pharmacodynamics of the Monoclonal Antibody Sotrovimab Administered via Intramuscular Injection in Participants with Early, Mild-to-Moderate COVID-19: A Randomized Clinical Trial. Drugs R D. 2025 Dec;25(4):353-365. doi: 10.1007/s40268-025-00529-2. Epub 2025 Nov 24.
- Derived from this study: PubMed 34473343Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
31 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Sotrovimab (Gen1) and Sotrovimab (Gen2) in people with Covid19, run by Vir Biotechnology, Inc. at 31 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 May 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in United States, Spain, Canada, Italy, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Nov 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part A: Number of Participants With All Adverse Events (AEs) and Serious Adverse Events (SAEs) Through Day 29 (time frame: Up to Day 29). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04779879, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2023.