ACTIV-2: A Study for Outpatients With COVID-19
Summary
Drug studies often look at the effect one or two drugs have on a medical condition, and involve one company. There is currently an urgent need for one study to efficiently test multiple drugs from more than one company, in people who have tested positive for COVID-19 but who do not currently need hospitalization. This could help prevent disease progression to more serious symptoms and complications, and spread of COVID-19 in the community. This study looks at the safety and effectiveness of different drugs in treating COVID-19 in outpatients. In Phase II, participants in the study will be treated with either a study drug or with placebo. In protocol version 7.0, participants in Phase III of the study will be treated with either a study drug or active comparator drug. Participants assigned to the bamlanivimab agent/placebo arm and will have 28 days of intensive follow-up following study drug administration, followed by limited follow-up through 24 weeks in phase II and in phase III. All other investigational agents and their corresponding placebo arms will involve 28 days of intensive follow-up, followed by limited follow-up through 72 weeks in phase II and phase III. Additional study visits may be required, depending on the agent.
Timeline
- Start
- 2020-08-19
- Primary completion
- 2022-04-07
- Completion
- 2023-06-20
Publications
- Background Currier JS, Moser C, Eron JJ, Chew KW, Smith DM, Javan AC, Wohl DA, Daar ES, Hughes MD; ACTIV-2/A5401 Study Team. ACTIV-2: A Platform Trial for the Evaluation of Novel Therapeutics for the Treatment of Early COVID-19 in Outpatients. J Infect Dis. 2023 Aug 31;228(Suppl 2):S77-S82. doi: 10.1093/infdis/jiad246.
- Background Chew KW, Moser C, Yeh E, Wohl DA, Daar ES, Ritz J, Javan AC, Eron JJ, Currier JS, Smith DM, Hughes MD; ACTIV-2/A5401 Study Team. Validity and Characterization of Time to Symptom Resolution Outcome Measures in the ACTIV-2/A5401 Outpatient COVID-19 Treatment Trial. J Infect Dis. 2023 Aug 31;228(Suppl 2):S83-S91. doi: 10.1093/infdis/jiad300.
- Background Moser CB, Chew KW, Ritz J, Newell M, Javan AC, Eron JJ, Daar ES, Wohl DA, Currier JS, Smith DM, Hughes MD; ACTIV-2/A5401 Study Team. Pooling Different Placebos as a Control Group in a Randomized Platform Trial: Benefits and Challenges From Experience in the ACTIV-2 COVID-19 Trial. J Infect Dis. 2023 Aug 31;228(Suppl 2):S92-S100. doi: 10.1093/infdis/jiad209.
- Background Moser CB, Chew KW, Giganti MJ, Li JZ, Aga E, Ritz J, Greninger AL, Javan AC, Bender Ignacio R, Daar ES, Wohl DA, Currier JS, Eron JJ, Smith DM, Hughes MD; ACTIV-2/A5401 Study Team. Statistical Challenges When Analyzing SARS-CoV-2 RNA Measurements Below the Assay Limit of Quantification in COVID-19 Clinical Trials. J Infect Dis. 2023 Aug 31;228(Suppl 2):S101-S110. doi: 10.1093/infdis/jiad285.
- Results Bender Ignacio RA, Wohl DA, Arends R, Pilla Reddy V, Mu Y, Javan AC, Hughes MD, Eron JJ, Currier JS, Smith D, Chew KW, Gibbs M, Fletcher CV. Comparative Pharmacokinetics of Tixagevimab/Cilgavimab (AZD7442) Administered Intravenously Versus Intramuscularly in Symptomatic SARS-CoV-2 Infection. Clin Pharmacol Ther. 2022 Dec;112(6):1207-1213. doi: 10.1002/cpt.2706. Epub 2022 Jul 26.
- Results Boucau J, Chew KW, Choudhary MC, Deo R, Regan J, Flynn JP, Crain CR, Hughes MD, Ritz J, Moser C, Dragavon JA, Javan AC, Nirula A, Klekotka P, Greninger AL, Coombs RW, Fischer WA 2nd, Daar ES, Wohl DA, Eron JJ, Currier JS, Smith DM; POSITIVES study team; Li JZ, Barczak AK; ACTIV-2/A5401 Study Team. Monoclonal antibody treatment drives rapid culture conversion in SARS-CoV-2 infection. Cell Rep Med. 2022 Jul 19;3(7):100678. doi: 10.1016/j.xcrm.2022.100678. Epub 2022 Jun 20.
- Results Chew KW, Moser C, Daar ES, Wohl DA, Li JZ, Coombs RW, Ritz J, Giganti M, Javan AC, Li Y, Choudhary MC, Deo R, Malvestutto C, Klekotka P, Price K, Nirula A, Fischer W, Bala V, Ribeiro RM, Perelson AS, Fletcher CV, Eron JJ, Currier JS; ACTIV-2/A5401 Study Team; Hughes MD, Smith DM. Antiviral and clinical activity of bamlanivimab in a randomized trial of non-hospitalized adults with COVID-19. Nat Commun. 2022 Aug 22;13(1):4931. doi: 10.1038/s41467-022-32551-2.
- Results Li Y, Harrison LJ, Chew KW, Currier JS, Wohl DA, Daar ES, Evering TH, Wu R, Giganti M, Ritz J, Javan AC, Coombs RW, Moser C, Hughes MD, Eron JJ, Smith DM, Li JZ. Nasal and Plasma Severe Acute Respiratory Syndrome Coronavirus 2 RNA Levels Are Associated With Timing of Symptom Resolution in the ACTIV-2 Trial of Nonhospitalized Adults With Coronavirus Disease 2019. Clin Infect Dis. 2023 Feb 18;76(4):734-737. doi: 10.1093/cid/ciac818.
- Results Smith DM, Li JZ, Moser C, Yeh E, Currier JS, Chew KW, Hughes MD; ACTIV-2/A5401 Study Team. Recurrence of Symptoms Following a 2-Day Symptom Free Period in Patients With COVID-19. JAMA Netw Open. 2022 Oct 3;5(10):e2238867. doi: 10.1001/jamanetworkopen.2022.38867.
- Results Choudhary MC, Chew KW, Deo R, Flynn JP, Regan J, Crain CR, Moser C, Hughes MD, Ritz J, Ribeiro RM, Ke R, Dragavon JA, Javan AC, Nirula A, Klekotka P, Greninger AL, Fletcher CV, Daar ES, Wohl DA, Eron JJ, Currier JS, Parikh UM, Sieg SF, Perelson AS, Coombs RW, Smith DM, Li JZ; ACTIV-2/A5401 Study Team. Emergence of SARS-CoV-2 escape mutations during Bamlanivimab therapy in a phase II randomized clinical trial. Nat Microbiol. 2022 Nov;7(11):1906-1917. doi: 10.1038/s41564-022-01254-1. Epub 2022 Oct 26.
- Results Moser C, Li JZ, Eron JJ, Aga E, Daar ES, Wohl DA, Coombs RW, Javan AC, Bender Ignacio RA, Jagannathan P, Ritz J, Sieg SF, Parikh UM, Hughes MD, Currier JS, Smith DM, Chew KW; ACTIV-2/A5401 Study Team. Predictors of SARS-CoV-2 RNA From Nasopharyngeal Swabs and Concordance With Other Compartments in Nonhospitalized Adults With Mild to Moderate COVID-19. Open Forum Infect Dis. 2022 Nov 11;9(11):ofac618. doi: 10.1093/ofid/ofac618. eCollection 2022 Nov.
- Results Ramirez SI, Grifoni A, Weiskopf D, Parikh UM, Heaps A, Faraji F, Sieg SF, Ritz J, Moser C, Eron JJ, Currier JS, Klekotka P, Sette A, Wohl DA, Daar ES, Hughes MD, Chew KW, Smith DM, Crotty S; Accelerating COVID-19 Therapeutic Interventions and Vaccines-2/A5401 (ACTIV-2/A5401) Study Team. Bamlanivimab therapy for acute COVID-19 does not blunt SARS-CoV-2-specific memory T cell responses. JCI Insight. 2022 Dec 22;7(24):e163471. doi: 10.1172/jci.insight.163471.
- Results Jilg N, Chew KW, Giganti MJ, Daar ES, Wohl DA, Javan AC, Kantor A, Moser C, Coombs RW, Neytman G, Hoover K, Jana A, Hart PA, Greninger AL, Szurgot B, Eron JJ, Currier JS, Hughes MD, Smith DM, Li JZ; ACTIV-2/A5401 Study Team. One Week of Oral Camostat Versus Placebo in Nonhospitalized Adults With Mild-to-Moderate Coronavirus Disease 2019: A Randomized Controlled Phase 2 Trial. Clin Infect Dis. 2023 Oct 5;77(7):941-949. doi: 10.1093/cid/ciad342.
- Results Taiwo BO, Chew KW, Moser C, Wohl DA, Daar ES, Li JZ, Greninger AL, Bausch C, Luke T, Hoover K, Neytman G, Giganti MJ, Olefsky M, Javan AC, Fletcher CV, Eron JJ, Currier JS, Hughes MD, Smith DM; ACTIV-2/A5401 Study Team. Phase 2 Safety and Antiviral Activity of SAB-185, a Novel Polyclonal Antibody Therapy for Nonhospitalized Adults With COVID-19. J Infect Dis. 2023 Jul 14;228(2):133-142. doi: 10.1093/infdis/jiad013.
- Results Evering TH, Chew KW, Giganti MJ, Moser C, Pinilla M, Wohl DA, Currier JS, Eron JJ, Javan AC, Bender Ignacio R, Margolis D, Zhu Q, Ma J, Zhong L, Yan L, D'Andrea Nores U, Hoover K, Mocherla B, Choudhary MC, Deo R, Ritz J, Fischer WA, Fletcher CV, Li JZ, Hughes MD, Smith D, Daar ES; ACTIV-2/A5401 Study Team. Safety and Efficacy of Combination SARS-CoV-2 Neutralizing Monoclonal Antibodies Amubarvimab Plus Romlusevimab in Nonhospitalized Patients With COVID-19. Ann Intern Med. 2023 May;176(5):658-666. doi: 10.7326/M22-3428. Epub 2023 Apr 18.
- Results Bender Ignacio RA, Chew KW, Moser C, Currier JS, Eron JJ, Javan AC, Giganti MJ, Aga E, Gibbs M, Tchouakam Kouekam H, Johnsson E, Esser MT, Hoover K, Neytman G, Newell M, Daar ES, Fischer W, Fletcher CV, Li JZ, Greninger AL, Coombs RW, Hughes MD, Smith D, Wohl DA; Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV)-2/A5401 Study Team. Safety and Efficacy of Combined Tixagevimab and Cilgavimab Administered Intramuscularly or Intravenously in Nonhospitalized Patients With COVID-19: 2 Randomized Clinical Trials. JAMA Netw Open. 2023 Apr 3;6(4):e2310039. doi: 10.1001/jamanetworkopen.2023.10039.
- Results Deo R, Choudhary MC, Moser C, Ritz J, Daar ES, Wohl DA, Greninger AL, Eron JJ, Currier JS, Hughes MD, Smith DM, Chew KW, Li JZ; ACTIV-2/A5401 Study Team. Symptom and Viral Rebound in Untreated SARS-CoV-2 Infection. Ann Intern Med. 2023 Mar;176(3):348-354. doi: 10.7326/M22-2381. Epub 2023 Feb 21.
- Results Li Y, Moser C, Aga E, Currier JS, Wohl DA, Daar ES, Ritz J, Greninger AL, Sieg S, Parikh UM, Coombs RW, Hughes MD, Eron JJ, Smith DM, Chew KW, Li JZ; ACTIV-2/A5401 Study Team. Immune Status and SARS-CoV-2 Viral Dynamics. J Infect Dis. 2023 Aug 31;228(Suppl 2):S111-S116. doi: 10.1093/infdis/jiad200.
- Results Giganti MJ, Chew KW, Eron JJ, Li JZ, Pinilla M, Moser C, Javan AC, Fischer WA, Klekotka P, Margolis D, Wohl DA, Coombs RW, Daar ES, Smith DM, Currier JS, Hughes MD; ACTIV-2/A5401 Study Team. Association Between Anterior Nasal and Plasma SARS-CoV-2 RNA Levels and Hospitalization or Death in Nonhospitalized Adults With Mild-to-Moderate COVID-19. J Infect Dis. 2023 Aug 31;228(Suppl 2):S117-S125. doi: 10.1093/infdis/jiad287.
- Results Evering TH, Moser CB, Jilg N, Yeh E, Sanusi B, Wohl DA, Daar ES, Li JZ, Klekotka P, Javan AC, Eron JJ, Currier JS, Hughes MD, Smith DM, Chew KW; ACTIV-2/A5401 Study Team. Long COVID After Bamlanivimab Treatment. J Infect Dis. 2023 Aug 31;228(Suppl 2):S126-S135. doi: 10.1093/infdis/jiad286.
- Results Ribeiro RM, Choudhary MC, Deo R, Giganti MJ, Moser C, Ritz J, Greninger AL, Regan J, Flynn JP, Wohl DA, Currier JS, Eron JJ, Hughes MD, Smith DM, Chew KW, Daar ES, Perelson AS, Li JZ; ACTIV-2/A5401 Study Team. Variant-Specific Viral Kinetics in Acute COVID-19. J Infect Dis. 2023 Aug 31;228(Suppl 2):S136-S143. doi: 10.1093/infdis/jiad314.
- Results Kara W. Chew, Carlee B. Moser, Eric S. Daar, David A. Wohl, Eunice Yeh, Justin Ritz, Arzhang Cyrus Javan, Joseph J. Eron, Judith S. Currier, Davey M. Smith, Michael D. Hughes, for the ACTIV-2/A5401 Study Team. SYMPTOM OUTCOME MEASURES FOR OUTPATIENT COVID-19 PHASE 3 TREATMENT TRIALS. Presented at conference, 03/10/2021. 2021 Conference on Retroviruses and Opportunistic Infections (CROI 2021, Chicago, IL and/or Virtual, 03/06/2021 - 03/10/2021. (A5401)
- Results Kara W. Chew, Carlee B. Moser, Jonathan Z. Li, Robert W. Coombs, Eric S. Daar, David A. Wohl, Evgenia Aga, Justin Ritz, Arzhang Cyrus Javan, Joseph J. Eron, Judith S. Currier, Michael D. Hughes, Davey M. Smith, for the ACTIV-2/A5401 Study Team. SARS-CoV-2 RNA LEVELS CORRELATE WITH SYMPTOM DURATION BUT NOT SEVERITY IN OUTPATIENTS. Presented at conference, 03/10/2021. 2021 Conference on Retroviruses and Opportunistic Infections (CROI 2021, Chicago, IL and/or Virtual, 03/06/2021 - 03/10/2021. (A5401)
- Results Teresa H. Evering, Mark J. Giganti, Kara W. Chew, Michael D. Hughes, Carlee B. Moser, David A. Wohl, Judith S. Currier, Joseph J. Eron, Arzhang Cyrus Javan, David Margolis, Qing Zhu, Ulises D'Andrea, Keila Hoover, Bharat R. Mocherla, Courtney Fletcher, Jonathan Li, Davey M. Smith, Eric S. Daar. SAFETY AND EFFICACY OF COMBINATION SARS-CoV-2 MONOCLONAL NEUTRALIZING ANTIBODIES (MAB) BRII-196 AND BRII-198 IN NON-HOSPITALIZED COVID-19 PATIENTS. Presented at conference, 09/30/2021. 2021 IDWeek, Virtual, 09/20/2021 - 10/03/2021
- Results Teresa H. Evering, Busola Sanusi, Nikolaus Jilg, Eunice Yeh, Carlee B. Moser, Justin Ritz, David A. Wohl, Eric S. Daar, Paul Klekotka, Arzhang Cyrus Javan, Joseph J. Eron, Judith S. Currier, Michael D. Hughes, Davey M. Smith, and Kara W. Chew, on behalf of the ACTIV-2/A5401 Study Team and Investigators. PREVALENCE AND CHARACTERISTICS OF POST-ACUTE SEQUELAE OF SARS¬-CoV¬-2 (PASC) IN NON¬-HOSPITALIZED PERSONS WITH COVID-¬19 ENROLLED IN A CLINICAL TRIAL OF EARLY TREATMENT (ACTIV-2). Presented at conference, 12/06/2021. 2021 International Workshop on Long-term Complications of HIV and SARS-¬CoV-¬2, Virtual, 12/06/2021 - 12/09/2021. (A5401)
- Results Nikolaus Jilg, Kara W. Chew, Mark J. Giganti, Eric S. Daar, David A. Wohl, Arzhang Cyrus Javan, Amy Kantor, Atasi Jana, Philip A. Hart, Joseph J. Eron, Judith S. Currier, Michael Hughes, Davey M. Smith, Jonathan Z. Li. CAMOSTAT IS NOT EFFECTIVE FOR MILD-MODERATE COVID-19 IN A PHASE 2 TRIAL OF ACTIV-2. Accepted by conference - oral presentation, 01/20/2022. 2022 Conference on Retroviruses and Opportunistic Infections (CROI 2022), Denver, CO, 02/13/2022 - 02/16/2022. (A5401)
- Results Babafemi O. Taiwo, Kara W. Chew, Mark Giganti, David A. Wohl, Eric S. Daar, Maxine Olefsky, Rick Finnegan, Jake Miles, Arzhang Cyrus Javan, Jonathan Li, Judith S. Currier, Joseph J. Eron, Michael D. Hughes, Davey M. Smith. PHASE-2 EVALUATION OF SAB-185, A POLYCLONAL ANTIBODY TREATMENT FOR COVID-19 IN ACTIV-2. Accepted by conference - poster presentation, 01/20/2022. 2022 Conference on Retroviruses and Opportunistic Infections (CROI 2022), Denver, CO, 02/13/2022 - 02/16/2022. (A5401)
- Results Teresa H. Evering, Busola Sanusi, Nikolaus Jilg, Eunice Yeh, Carlee B. Moser, David A. Wohl, Eric S. Daar, Paul Klekotka, Arzhang Cyrus Javan, Joseph J. Eron, Judith S. Currier, Michael D. Hughes, Davey M. Smith, Kara W. Chew. POST-ACUTE SEQUELAE OF SARS-¬CoV-¬2 IN NON-¬HOSPITALIZED ACTIV-¬2 TRIAL PARTICIPANTS. Accepted by conference - poster presentation, 12/10/2021. 2022 Conference on Retroviruses and Opportunistic Infections (CROI 2022), Denver, CO, 02/13/2022 - 02/16/2022. (A5401)
- Results Mark J. Giganti, Kara W. Chew, Joseph J. Eron, Jonathan Z. Li, Mauricio Pinilla, Carlee B. Moser, Arzhang Cyrus Javan, William A. Fischer, Paul Klekotka, David Margolis, David A. Wohl, Robert W. Coombs, Eric S. Daar, Davey M. Smith, Michael D. Hughes, Judith S. Currier, for the ACTIV-2/A5401 Study Team. ASSOCIATION BETWEEN ANTERIOR NASAL AND PLASMA SARS-CoV-2 RNA LEVELS AND HOSPITALIZATION OR DEATH FOR NON-HOSPITALIZED ADULTS WITH MILD-TO-MODERATE COVID-19. Accepted by Conference, 06/30/2022. 2022 IDWeek, Washington DC, 10/19/2022 - 10/23/2022. (A5401)
- Results Carlee B. Moser, Jonathan Z. Li, Joseph J. Eron, Evgenia Aga, Eric S. Daar, David A. Wohl, Robert W. Coombs, Arzhang Cyrus Javan, Rachel A Bender Ignacio, Prasanna Jagannathan, Justin Ritz, Scott Sieg, Urvi M. Parikh, Michael D. Hughes, Judith S. Currier, Davey M. Smith, Kara W. Chew. FEMALE SEX AND SARS-CoV-2 SEROSTATUS PREDICT NASOPHARYNGEAL RNA CLEARANCE DURING EARLY COVID-19. Accepted by conference - poster presentation, 09/13/2022. 2022 IDWeek, Washington DC, 10/19/2022 - 10/23/2022. (A5401)
- Results Yijia Li, Linda J. Harrison, Kara W. Chew, Joseph J. Eron, Eric S. Daar, David A. Wohl, Ryan Wu, Carlee B. Moser, Justin Ritz, Arzhang Cyrus Javan, Robert W. Coombs, Michael D. Hughes, Judith S. Currier, Davey M. Smith, Jonathan Z. Li. NASAL AND PLASMA SARS-CoV-2 RNA LEVELS PREDICT TIMING OF SYMPTOM RESOLUTION IN THE ACTIV-2 TRIAL OF NON-HOSPITALIZED ADULTS WITH COVID-19. Accepted by conference - oral presentation, 09/12/2022. 2022 IDWeek, Washington DC, 10/19/2022 - 10/23/2022. (A5401)
- Results Teresa H. Evering*, Carlee B. Moser*, Nikolaus Jilg, Justin Ritz, David A. Wohl, Jonathan Z. Li, David Margolis, Arzhang Cyrus Javan, Joseph J. Eron, Judith S. Currier, Eric S. Daar, Davey M. Smith*, Michael D. Hughes*, Kara W. Chew*, for the ACTIV-2/A5401 Study Team. *Contributed equally. POST-ACUTE COVID OUTCOMES: AMUBARVIMAB+ROMLUSEVIMAB VS PLACEBO IN THE ACTIV-2 TRIAL. Accepted by conference - poster presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. Submitted for Review, 12/08/2022. (A5401).
- Results Yijia Li, Carlee B. Moser, Evgenia Aga, Judith S. Currier, David A. Wohl, Eric S. Daar, Justin Ritz, Robert W. Coombs, Michael D. Hughes, Joseph J. Eron, Davey M. Smith, Kara W. Chew, Jonathan Z. Li. IMMUNE STATUS AND SARS-COV-2 VIRAL DYNAMICS. Accepted by conference - poster presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. (A5401)
- Results Rinki Deo, Manish C. Choudhary, Carlee B. Moser, Justin Ritz, Eric S. Daar, David A. Wohl, Alexander L. Greninger, Joseph J. Eron, Judith S. Currier, Michael D. Hughes*, Davey M. Smith*, Kara W. Chew*, Jonathan Z. Li*, for the ACTIV-2/A5401 Study Team. *Contributed equally. SYMPTOM AND VIRAL REBOUND IN UNTREATED COVID-19 INFECTION. Accepted by conference - oral presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. (A5401)
- Results Rachel Bender Ignacio*, Kara W. Chew*, Carlee B. Moser, Judith S. Currier, Joseph J. Eron, Arzhang Cyrus Javan, Evgenia Aga, Michael Gibbs, Herve Tchouakam Kouekam, Matthew Newell, Eric S. Daar, Jonathan Z. Li, Michael D. Hughes, Davey M. Smith, and David A. Wohl, for the ACTIV-2/A5401 Study Team. TIXAGEVIMAB/CILGAVIMAB IM AND IV IN SYMPTOMATIC COVID-19: A RANDOMIZED CONTROLLED ACTIV-2 TRIAL. Accepted by conference - poster presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. (A5401)
- Results Nikolaus Jilg, Mark J. Giganti, Kara W. Chew, Kathryn Shaw-Saliba, Justin Ritz, Carlee B. Moser, Teresa H. Evering, Eric S. Daar, Joseph J. Eron, Judith S. Currier, Michael D. Hughes, H. Cliff Lane, Robin L. Dewar*, Davey M. Smith*, Jonathan Z. Li*. *Contributed equally. PLASMA ANTIBODY AND N ANTIGEN STATUS PREDICT OUTCOMES IN OUTPATIENTS WITH COVID-19. Accepted by conference - poster presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. (A5401)
- Results Prasanna Jagannathan*, Kara W. Chew*, Mark J. Giganti, Michael D. Hughes, Mark Main, Phillip Monk, Arzhang Cyrus Javan, Jonathan Z. Li, David A. Wohl, Eric S. Daar, Joseph J. Eron, Judith S. Currier, Upinder Singh*, Davey M. Smith*, William Fischer*. *Contributed equally. SAFETY AND EFFICACY OF INHALED INTERFERON-β1A (SNG001) IN OUTPATIENTS WITH COVID-19. Accepted by conference - oral presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. (A5401)
- Results Manish C. Choudhary, Rinki Deo, Teresa H. Evering, Kara W. Chew, Mark J. Giganti, Carlee B. Moser, Justin Ritz, David A. Wohl, Judith S. Currier, Joseph J. Eron, David Margolis, Yun Ji, Michael D. Hughes, Davey M. Smith, Eric S. Daar, Jonathan Z. Li for the ACTIV-2/A5401 Study Team. CHARACTERIZATION OF SINGLE VERSUS DUAL ACTIVE MONOCLONAL ANTIBODIES AGAINST SARS-CoV-2. Accepted by conference - oral presentation. 2023 30th Conference on Retroviruses and Opportunistic Infections (CROI), Seattle, WA, 02/19/2023 - 02/22/2023. (A5401)
- Results Jagannathan P, Chew KW, Giganti MJ, Hughes MD, Moser C, Main MJ, Monk PD, Javan AC, Li JZ, Fletcher CV, McCarthy C, Wohl DA, Daar ES, Eron JJ, Currier JS, Singh U, Smith DM, Fischer W; ACTIV-2/A5401 Study Team. Safety and efficacy of inhaled interferon-beta1a (SNG001) in adults with mild-to-moderate COVID-19: a randomized, controlled, phase II trial. EClinicalMedicine. 2023 Oct 6;65:102250. doi: 10.1016/j.eclinm.2023.102250. eCollection 2023 Nov.
- Edelstein GE, Sass TN, Deo R, Glover OT, Boucau J, Jaganathan P, Chew KW, Giganti MJ, Hughes MD, Moser C, Javan AC, Fletcher CV, McCarthy C, Wohl DA, Daar ES, Eron JJ, Currier JS, Singh U, Smith DM, Fischer W, Barczak AK, Choudhary MC, Li JZ; ACTIV-2/A5401 Study Team. Effect of inhaled interferon-beta1a on SARS-CoV-2 diversity and evolution. Microbiol Spectr. 2026 Jul 7;14(7):e0054126. doi: 10.1128/spectrum.00541-26. Epub 2026 May 18.
- Chew KW, Taiwo BO, Moser C, Daar ES, Wohl DA, Ritz J, Javan AC, Li JZ, Fischer W, Greninger AL, Bausch C, Luke T, Call R, Neytman G, Giganti MJ, Fletcher CV, Hughes MD, Eron JJ, Currier JS, Smith DM; ACTIV-2/A5401 Study Team. Safety and Efficacy of SAB-185 for Nonhospitalized Adults With COVID-19: A Randomized Clinical Trial. J Infect Dis. 2024 Nov 15;230(5):1177-1186. doi: 10.1093/infdis/jiae369.
- Jilg N, Giganti MJ, Chew KW, Shaw-Saliba K, Ritz J, Moser C, Evering TH, Daar ES, Eron JJ, Currier JS, Hughes MD, Lane HC, Dewar R, Smith DM, Li JZ. SARS-CoV-2 Plasma Antibody and Nucleocapsid Antigen Status Predict Outcomes in Outpatients With COVID-19. Clin Infect Dis. 2024 Oct 15;79(4):920-927. doi: 10.1093/cid/ciae324.
- Hirsch C, Park YS, Piechotta V, Chai KL, Estcourt LJ, Monsef I, Salomon S, Wood EM, So-Osman C, McQuilten Z, Spinner CD, Malin JJ, Stegemann M, Skoetz N, Kreuzberger N. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19. Cochrane Database Syst Rev. 2022 Jun 17;6(6):CD014945. doi: 10.1002/14651858.CD014945.pub2.
- Chew KW, Moser C, Daar ES, Wohl DA, Li JZ, Coombs R, Ritz J, Giganti M, Javan AC, Li Y, Malvestutto C, Klekotka P, Price K, Nirula A, Fischer W, Bala V, Ribeiro RM, Perelson AS, Fletcher CV, Eron JJ, Currier JS, Hughes MD, Smith DM; ACTIV-2/A5401 Study Team. Bamlanivimab reduces nasopharyngeal SARS-CoV-2 RNA levels but not symptom duration in non-hospitalized adults with COVID-19: A Phase 2 Randomized Clinical Trial. medRxiv [Preprint]. 2021 Dec 21:2021.12.17.21268009. doi: 10.1101/2021.12.17.21268009.
- Kreuzberger 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.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | AMUBARVIMAB | Monoclonal antibody | 1000 mg | Intravenous |
| Subject | Bamlanivimab | Monoclonal antibody | 700 mg | Intravenous |
| Subject | Bamlanivimab | Monoclonal antibody | 7000 mg | Intravenous |
| Subject | CREXAVIBART | Protein / enzyme biologic | 200 mg | Subcutaneous |
| Subject | Camostat | Small molecule | 200 mg | Oral |
| Subject | Interferon beta-1a | Protein / enzyme biologic | 1.3 ml | Inhaled |
| Subject | OGALVIBART | Protein / enzyme biologic | 200 mg | Subcutaneous |
| Subject | ROMLUSEVIMAB | Monoclonal antibody | 1000 mg | Intravenous |
| Subject | SAB-185 | Protein / enzyme biologic | 3840 iu/kg | Intravenous |
| Subject | SAB-185 | Protein / enzyme biologic | 10240 iu/kg | Intravenous |
| Comparator | casirivimab | Monoclonal antibody | 600 mg | Intravenous |
| Subject | cilgavimab | Monoclonal antibody | 150 mg | Intravenous |
| Subject | cilgavimab | Monoclonal antibody | 300 mg | Intravenous |
| Comparator | imdevimab | Monoclonal antibody | 600 mg | Intravenous |
| Subject | tixagevimab | Monoclonal antibody | 150 mg | Intravenous |
| Subject | tixagevimab | Monoclonal antibody | 300 mg | Intravenous |