Trial Outcomes & Findings for VIR-7831 for the Early Treatment of COVID-19 in Outpatients (NCT NCT04545060)
NCT ID: NCT04545060
Last Updated: 2022-11-07
Results Overview
COVID-19 progression defined as hospitalization \>24 hours or death
COMPLETED
PHASE2/PHASE3
1057 participants
Through Day 29
2022-11-07
Participant Flow
The study comprised two parts: lead-in phase and expansion phase
Participant milestones
| Measure |
Sotrovimab (500 mg IV)
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Overall Study
STARTED
|
528
|
529
|
|
Overall Study
COMPLETED
|
498
|
488
|
|
Overall Study
NOT COMPLETED
|
30
|
41
|
Reasons for withdrawal
| Measure |
Sotrovimab (500 mg IV)
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Overall Study
Adverse Event
|
0
|
1
|
|
Overall Study
Death
|
0
|
5
|
|
Overall Study
Lost to Follow-up
|
10
|
13
|
|
Overall Study
Physician Decision
|
3
|
0
|
|
Overall Study
Withdrawal by Subject
|
17
|
22
|
Baseline Characteristics
VIR-7831 for the Early Treatment of COVID-19 in Outpatients
Baseline characteristics by cohort
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received placebo administered intravenously (IV)
|
Total
n=1057 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
2 Participants
n=99 Participants
|
4 Participants
n=107 Participants
|
6 Participants
n=206 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
421 Participants
n=99 Participants
|
417 Participants
n=107 Participants
|
838 Participants
n=206 Participants
|
|
Age, Categorical
>=65 years
|
105 Participants
n=99 Participants
|
108 Participants
n=107 Participants
|
213 Participants
n=206 Participants
|
|
Age, Continuous
|
51.6 years
STANDARD_DEVIATION 15.07 • n=99 Participants
|
52.6 years
STANDARD_DEVIATION 14.76 • n=107 Participants
|
52.1 years
STANDARD_DEVIATION 14.92 • n=206 Participants
|
|
Age, Customized
|
53 years
n=99 Participants
|
53 years
n=107 Participants
|
53 years
n=206 Participants
|
|
Age, Customized
Randomized Age Group Strata, Categorical · <=70 years
|
472 Participants
n=99 Participants
|
473 Participants
n=107 Participants
|
945 Participants
n=206 Participants
|
|
Age, Customized
Randomized Age Group Strata, Categorical · >70 years
|
56 Participants
n=99 Participants
|
56 Participants
n=107 Participants
|
112 Participants
n=206 Participants
|
|
Sex: Female, Male
Female
|
299 Participants
n=99 Participants
|
273 Participants
n=107 Participants
|
572 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
229 Participants
n=99 Participants
|
256 Participants
n=107 Participants
|
485 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
345 Participants
n=99 Participants
|
346 Participants
n=107 Participants
|
691 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
183 Participants
n=99 Participants
|
183 Participants
n=107 Participants
|
366 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=99 Participants
|
2 Participants
n=107 Participants
|
3 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Asian
|
24 Participants
n=99 Participants
|
21 Participants
n=107 Participants
|
45 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Black or African American
|
40 Participants
n=99 Participants
|
42 Participants
n=107 Participants
|
82 Participants
n=206 Participants
|
|
Race (NIH/OMB)
White
|
458 Participants
n=99 Participants
|
463 Participants
n=107 Participants
|
921 Participants
n=206 Participants
|
|
Race (NIH/OMB)
More than one race
|
4 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
4 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=99 Participants
|
1 Participants
n=107 Participants
|
2 Participants
n=206 Participants
|
|
Region of Enrollment
United States
|
479 participants
n=99 Participants
|
474 participants
n=107 Participants
|
953 participants
n=206 Participants
|
|
Region of Enrollment
Canada
|
24 participants
n=99 Participants
|
28 participants
n=107 Participants
|
52 participants
n=206 Participants
|
|
Region of Enrollment
Spain
|
14 participants
n=99 Participants
|
15 participants
n=107 Participants
|
29 participants
n=206 Participants
|
|
Region of Enrollment
Brazil
|
11 participants
n=99 Participants
|
11 participants
n=107 Participants
|
22 participants
n=206 Participants
|
|
Region of Enrollment
Peru
|
0 participants
n=99 Participants
|
1 participants
n=107 Participants
|
1 participants
n=206 Participants
|
|
Weight
|
89.5 kg
STANDARD_DEVIATION 21.5 • n=99 Participants
|
90.05 kg
STANDARD_DEVIATION 21.3 • n=107 Participants
|
89.8 kg
STANDARD_DEVIATION 21.4 • n=206 Participants
|
|
BMI
|
32.3 kg/m^2
STANDARD_DEVIATION 6.7 • n=99 Participants
|
32.2 kg/m^2
STANDARD_DEVIATION 6.6 • n=107 Participants
|
32.3 kg/m^2
STANDARD_DEVIATION 6.6 • n=206 Participants
|
PRIMARY outcome
Timeframe: Through Day 29Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
COVID-19 progression defined as hospitalization \>24 hours or death
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants Who Had Progression of COVID-19 Through Day 29
|
6 Participants
|
30 Participants
|
SECONDARY outcome
Timeframe: Up to 24 weeksPopulation: All participants who received at least one dose of study intervention
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=523 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=526 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants With Adverse Events (AEs)
|
133 Participants
|
140 Participants
|
SECONDARY outcome
Timeframe: Up to 24 weeksPopulation: All participants who received at least one dose of study intervention
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=523 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=526 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants With Serious Adverse Events (SAEs)
|
11 Participants
|
35 Participants
|
SECONDARY outcome
Timeframe: Up to 24 weeksPopulation: All participants who received at least one dose of study intervention
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=523 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=526 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants With Infusion-related Reactions (IRR) Including Hypersensitivity Reactions
|
7 Participants
|
6 Participants
|
SECONDARY outcome
Timeframe: Up to 24 weeksPopulation: All participants who received at least one dose of study intervention
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=523 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=526 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants With Cardiac Events of Special Interest
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Up to 24 weeksPopulation: Number of subjects with any post-baseline ADA result
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=513 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=4 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants With Serum Anti-drug Antibody (ADA) to Sotrovimab
|
65 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Up to 24 WeeksPopulation: Safety (subjects with any post-baseline ADA)
Titers defined as the reciprocal of the highest dilution of the sample (including minimum required dilution) that yields a positive result.
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=513 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=4 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Titers of Serum Anti-drug Antibody (ADA) to Sotrovimab
Treatment-induced
|
40 Titer
Interval 10.0 to 1280.0
|
0 Titer
Interval 0.0 to 0.0
|
|
Titers of Serum Anti-drug Antibody (ADA) to Sotrovimab
Treatment-boosted
|
80 Titer
Interval 10.0 to 5120.0
|
0 Titer
Interval 0.0 to 0.0
|
|
Titers of Serum Anti-drug Antibody (ADA) to Sotrovimab
Treatment-unaffected
|
10 Titer
Interval 10.0 to 80.0
|
0 Titer
Interval 0.0 to 0.0
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data before study Day 5).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Maximum Observed Concentration (Cmax) of VIR-7831 After IV Administration
|
245.6 μg/mL
Geometric Coefficient of Variation 39.44
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Concentration at the Last Quantifiable Time Point (Clast) of VIR-7831 After IV Administration
|
8.4 μg/mL
Geometric Coefficient of Variation 44.41
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data before study Day 5).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Time to Reach the Maximum Concentration (Tmax) of VIR-7831 After IV Administration
|
0.04 day
Interval 0.04 to 0.05
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Time of the Last Quantifiable Concentration (Tlast) of VIR-7831 After IV Administration
|
161 day
Interval 160.0 to 167.0
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Area Under the Serum Concentration-time Curve Extrapolated From Zero to Infinity (AUCinf) of VIR-7831 After IV Administration
|
5536.9 day*μg/mL
Geometric Coefficient of Variation 25.18
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Area Under the Serum Concentration-time Curve From the Time of Dosing to the Time of the Last Measurable (Positive) Concentration (AUClast) of VIR-7831 After IV Administration
|
4777.7 day*μg/mL
Geometric Coefficient of Variation 20.15
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Percentage of AUCinf Obtained by Extrapolation (%AUCexp) for VIR-7831 After IV Administration
|
12.6 percentage
Geometric Coefficient of Variation 41.26
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Terminal Elimination Half-life (t1/2) of VIR-7831 After IV Administration
|
56.5 day
Interval 42.4 to 77.3
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Apparent Volume of Distribution During the Elimination Phase (Vz) of VIR-7831 Following IV Administration
|
7.52 Liter
Geometric Coefficient of Variation 13.77
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Apparent Volume of Distribution at Steady State (Vss) of VIR-7831 Following IV Administration
|
6.93 Liter
Geometric Coefficient of Variation 11.59
|
—
|
SECONDARY outcome
Timeframe: Day 1: Pre-dose, and end of infusion; Days 2, 5, 8, 15, 29, 43, 57, 85, 141, 169Population: Participants in the Lead-in phase (n=10) who received 500 mg sotrovimab administered intravenously (IV). One subject was excluded from summary due to insufficient data (no data past study Day 2).
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=9 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Clearance (CL) of VIR-7831 After IV Administration
|
90.3 mL/day
Geometric Coefficient of Variation 25.18
|
—
|
SECONDARY outcome
Timeframe: Through Day 29Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
COVID-19 progression defined as a visit to a hospital emergency room for management of illness or hospitalization for acute management of illness or death
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants Who Had Progression of COVID-19
|
13 Participants
|
39 Participants
|
SECONDARY outcome
Timeframe: Through Day 7Population: Intent-to-Treat (All participants who were randomly assigned to study intervention) with available FLU-PRO Plus total scores to calculate AUC through Day 7.
Mean change in InFLUenza Patient-Reported Outcome (FLU-PRO Plus) questionnaire total score. The FLU-PRO is a 32-item daily diary assessing influenza symptoms and severity across 6 body systems (nose, throat, eyes, chest/respiratory, gastrointestinal, and body/systemic). The FLU-PRO Plus includes the 32-item FLU-PRO with 2 additional items for loss of smell and taste. The mean total score can range from 0 (symptom free) to 4 (very severe symptoms) and was calculated as the arithmetic mean of the 32 items within FLU-PRO. Missing total score at day 7 was imputed using a modified last observation carried forward approach.
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=412 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=399 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Mean Change in FLU PRO Plus Total Score (AUC)
|
-3.05 Total symptom score x days
Interval -3.27 to -2.83
|
-1.98 Total symptom score x days
Interval -2.2 to -1.76
|
SECONDARY outcome
Timeframe: Through Day 21Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Symptom alleviation is defined as absence of the majority of core symptoms of COVID-19 (except for cough or fatigue, where scoring no more than 'somewhat' in severity, and loss of smell or taste were allowed) as measured by FLU-PRO Plus, sustained for \>=48 hours. Participants could only achieve sustained symptom alleviation following \>=2 non-missing consecutively scored questionnaires that showed symptom alleviation. Participants who did not achieve sustained symptom alleviation were censored at Day 21, the day of death, or the day of withdrawal, whichever was earliest. Days where symptom alleviation could not be assessed to a missing/incomplete questionnaire were imputed as no symptom alleviation. The FLU-PRO is a 32-item daily diary assessing influenza symptoms and severity across 6 body systems (nose, throat, eyes, chest/respiratory, gastrointestinal, and body/systemic). The FLU-PRO Plus includes the 32-item FLU-PRO with 2 additional items for loss of smell and taste.
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Time to Symptom Alleviation Using FLU-PRO Plus
|
NA Days
It was not possible to calculate the median time to sustained symptom alleviation due to the high proportion of missing data
|
NA Days
It was not possible to calculate the median time to sustained symptom alleviation due to the high proportion of missing data
|
SECONDARY outcome
Timeframe: Baseline and Day 8Population: Participants in the Virology analysis population (all participants who were randomly assigned to study intervention with a central lab confirmed quantifiable baseline nasopharyngeal swab) with analyzable data at Day 8
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=294 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=305 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Change From Baseline in Viral Load in Nasal Secretions by qRT-PCR at Day 8
|
-2.589 Log 10 copies/mL
Standard Error 0.0606
|
-2.357 Log 10 copies/mL
Standard Error 0.0598
|
SECONDARY outcome
Timeframe: Through Day 8Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants Who Progressed to Develop Severe and/or Critical Respiratory COVID-19 as Manifested by Requirement for and Method of Supplemental Oxygen Through Day 8
|
6 Participants
|
20 Participants
|
SECONDARY outcome
Timeframe: Through Day 15Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Participants were defined as progression to severe respiratory COVID-19 if they required supplemental oxygen either by nasal cannula, face mask, high-flow oxygen devices, or non-invasive ventilation. Participants were defined as progression to critical respiratory COVID-19 if they required invasive mechanical ventilation or ECMO.
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants Who Progressed to Develop Severe and/or Critical Respiratory COVID-19 as Manifested by Requirement for and Method of Supplemental Oxygen Through Day 15
|
6 Participants
|
28 Participants
|
SECONDARY outcome
Timeframe: Through Day 22Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Participants were defined as progression to severe respiratory COVID-19 if they required supplemental oxygen either by nasal cannula, face mask, high-flow oxygen devices, or non-invasive ventilation. Participants were defined as progression to critical respiratory COVID-19 if they required invasive mechanical ventilation or ECMO.
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants Who Progressed to Develop Severe and/or Critical Respiratory COVID-19 as Manifested by Requirement for and Method of Supplemental Oxygen Through Day 22
|
7 Participants
|
28 Participants
|
SECONDARY outcome
Timeframe: Through Day 29Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Participants were defined as progression to severe respiratory COVID-19 if they required supplemental oxygen either by nasal cannula, face mask, high-flow oxygen devices, or non-invasive ventilation. Participants were defined as progression to critical respiratory COVID-19 if they required invasive mechanical ventilation or ECMO.
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Number of Participants Who Progressed to Develop Severe and/or Critical Respiratory COVID-19 as Manifested by Requirement for and Method of Supplemental Oxygen Through Day 29
|
7 Participants
|
28 Participants
|
SECONDARY outcome
Timeframe: Through Day 29Participants alive at the respective follow-up timepoint were censored at that timepoint; participants who withdrew prior to the respective timepoint were censored at the time of study withdrawal
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
29-day All-cause Mortality
|
0 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: Through Day 60Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Participants alive at the respective follow-up timepoint were censored at that timepoint; participants who withdrew prior to the respective timepoint were censored at the time of study withdrawal
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
60-day All-cause Mortality
|
0 Participants
|
4 Participants
|
SECONDARY outcome
Timeframe: Through Day 90Population: Intent-to-Treat (All participants who were randomly assigned to study intervention)
Participants alive at the respective follow-up timepoint were censored at that timepoint; participants who withdrew prior to the respective timepoint were censored at the time of study withdrawal
Outcome measures
| Measure |
Sotrovimab (500 mg IV)
n=528 Participants
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=529 Participants
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
90-day All-cause Mortality
|
0 Participants
|
4 Participants
|
Adverse Events
Sotrovimab (500 mg IV)
Placebo
Serious adverse events
| Measure |
Sotrovimab (500 mg IV)
n=523 participants at risk
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=526 participants at risk
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Infections and infestations
COVID-19 pneumonia
|
0.57%
3/523 • Number of events 3 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
3.8%
20/526 • Number of events 20 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Infections and infestations
Pneumonia
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.57%
3/526 • Number of events 3 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Infections and infestations
COVID-19
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.38%
2/526 • Number of events 2 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Infections and infestations
Diverticulitis
|
0.38%
2/523 • Number of events 2 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory distress
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory failure
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Cardiac disorders
Atrial fibrillation
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Cardiac disorders
Cardio-respiratory arrest
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Cardiac disorders
Myocardial ischaemia
|
0.19%
1/523 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Gastrointestinal disorders
Gastroesophageal reflux disease
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Gastrointestinal disorders
Obstructive pancreatitis
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Gastrointestinal disorders
Small intestinal obstruction
|
0.19%
1/523 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Metabolism and nutrition disorders
Dehydration
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Metabolism and nutrition disorders
Diabetes mellitus
|
0.19%
1/523 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Metabolism and nutrition disorders
Hypovolaemia
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma pancreas
|
0.19%
1/523 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-small cell lung cancer
|
0.19%
1/523 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Psychiatric disorders
Completed suicide
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Psychiatric disorders
Depression
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Renal and urinary disorders
Acute kidney injury
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.38%
2/526 • Number of events 2 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Skin and subcutaneous tissue disorders
Diabetic foot
|
0.19%
1/523 • Number of events 2 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.00%
0/526 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Vascular disorders
Peripheral artery thrombosis
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.19%
1/526 • Number of events 1 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
Other adverse events
| Measure |
Sotrovimab (500 mg IV)
n=523 participants at risk
Participants received 500 mg sotrovimab administered intravenously (IV)
|
Placebo
n=526 participants at risk
Participants received Placebo administered intravenously (IV)
|
|---|---|---|
|
Gastrointestinal disorders
Nausea
|
1.1%
6/523 • Number of events 6 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
1.7%
9/526 • Number of events 9 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Gastrointestinal disorders
Diarrhea
|
1.5%
8/523 • Number of events 9 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.76%
4/526 • Number of events 5 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Nervous system disorders
Headache
|
1.3%
7/523 • Number of events 8 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
2.1%
11/526 • Number of events 12 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
0.38%
2/523 • Number of events 2 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
1.1%
6/526 • Number of events 6 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
0.00%
0/523 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
1.1%
6/526 • Number of events 7 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
|
Vascular disorders
Hypertension
|
1.1%
6/523 • Number of events 6 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
0.95%
5/526 • Number of events 5 • Baseline Up to 24 Weeks
All participants who received at least one dose of study intervention
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place