Outpatient Treatment With Anti-Coronavirus Immunoglobulin
NCT04910269 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 820
Last updated 2026-04-20
Summary
The primary objective of the Outpatient Treatment with Anti-Coronavirus Immunoglobulin (OTAC) (INSIGHT 012) trial is to compare the safety and efficacy of a single infusion of anti-COVID-19 hyperimmune intravenous immunoglobulin (hIVIG) versus placebo among adults with recently diagnosed severe acute respiratory syndrome - coronavirus 2 (SARS-CoV2) infection who do not require hospitalization. The primary endpoint of this double-blind randomized trial is a five-category ordinal outcome that assesses the participant's clinical status seven days after the infusion of hIVIG or placebo.
1. Asymptomatic and no limitations in usual activity due to COVID-19
2. Mild COVID-19 illness or minor limitations to usual activity
3. Moderate COVID-19 illness and with major limitations to usual activity
4. Severe COVID-19 or serious disease manifestation from COVID-19
5. Critical illness from COVID-19 or Death
Two strata of participants will be identified for analysis purposes. Stratum 2 will be participants who receive direct-acting antivirals (DAAs) or other anti-SARS-CoV2 agents that are approved/available and recommended for use as part of standard of care (SOC), estimated to be about 20% of participants. Stratum 1 will be participants who do not receive this agents, estimated to be about 80% of participants.
Conditions
- COVID
- SARS-CoV2 Infection
- Covid19
Interventions
- BIOLOGICAL
-
Hyperimmune immunoglobulin to SARS-CoV-2 (hIVIG)
The hIVIG product is administered as a single dose of 3.5 grams, or 35 milliliter at a concentration of 0.1 grams/milliliter.
- OTHER
-
Placebo
Infusion of 35 milliliters standard isotonic saline
Sponsors & Collaborators
-
National Institute of Allergy and Infectious Diseases (NIAID)
collaborator NIH -
National Institutes of Health (NIH)
collaborator NIH -
International Network for Strategic Initiatives in Global HIV Trials (INSIGHT)
collaborator NETWORK - lead OTHER
Principal Investigators
-
Cavan Reilly, PhD · University of Minnesota
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-08-06
- Primary Completion
- 2026-08-01
- Completion
- 2026-08-01
- FDA Drug
- Yes
Countries
- United States
- Argentina
- Australia
- Denmark
- Greece
- India
- Malaysia
- Mexico
- Peru
- Spain
- Thailand
- Uganda
- Ukraine
- United Kingdom
Study Locations
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