E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with mild to moderate SARS-COV-2 infection. |
Pazienti affetti da infezione SARS-COV-2 da lieve a moderata. |
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E.1.1.1 | Medical condition in easily understood language |
Use of monoclonal antibodies vs standard of care for the treatment of early stage SARS-COV-2 infection at high risk of progression to severe COVID-19 (according to AIFA criteria). |
Uso di anticorpi monoclonali vs lo standard of care per il trattamento dell'infezione da SARS-COV-2 in fase precoce, ad alto rischio di progressione a COVID-19 severa (secondo criteri AIFA) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10021881 |
E.1.2 | Term | Infections and infestations |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study is: - To assess the efficacy of monoclonal antibodies (Bamlanivimab/Etesevimab, Casirivimab/Imdevimab, Sotrovimab) in patients with COVID-19 by looking at disease progression in terms of hospitalization in intensive care unit, oxygen desaturation =4% and peripheral oxygen saturation =92% during the follow-up period (30 days). |
L'Obiettivo primario dello studio è il seguente: - valutare l'efficacia degli anticorpi monoclonali (Bamlanivimab/Etesevimab, Casirivimab/Imdevimab, Sotrovimab) in pazienti affetti da COVID-19, osservando la progressione della malattia in termini di ospedalizzazioni nelle unità di terapia intensiva, desaturazione dell'ossigeno =4% e saturazione dell'ossigeno =92% durante il periodo di follow-up (30 giorni) |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of the study are: - To assess the impact of experimental drugs on safety and tolerability during the 30-day follow-up period, - To assess the impact of experimental drugs on survival during the 30-day follow-up period. |
Gli Obiettivi Secondari dello studio sono: - Valutare sicurezza e tollerabilità dei trattamenti di studio nel periodo di follow-up (30 giorni) - Verificare la riduzione della mortalità a 30 giorni dalla positività per SARS-Cov-2 |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Signed Informed Consent Form 2. Men or non-pregnant women =12 years of age at the time of randomization 3. Agree to the collection of nasopharyngeal swabs 4. Patients currently not hospitalized 5. Have one or more mild or moderate COVID-19 symptoms such as fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, or shortness of breath 6. Must have sample collection for first positive SARS-CoV-2 viral infection 7. High risk for severe COVID-19 disease defined as the presence of one or more of the following conditions: age=65 years, BMI=30 kg/m2, chronic kidney disease, chronic lung diseases, including COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), interstitial lung disease, cystic fibrosis, and pulmonary hypertension, diabetes, heart conditions (such as heart failure, coronary artery disease, cardiomyopathies or hypertension), immunocompromised state, liver disease, stroke or cerebrovascular disease. |
1. Adulti e adolescenti di età pari o superiore a 12 anni che non necessitano di ossigenoterapia supplementare per COVID-19 e che sono ad alto rischio di progressione a COVID-19 severa definito dalla presenza di almeno uno dei seguenti criteri: 2. Aver firmato il Consenso informato 3. Uomini o Donne non in stato di gravidanza, di età =12 anni 4. Acconsentire alla raccolta di un campione tramite tampone noasofaringeo 5. Pazienti non ospedalizzati 7. Avere uno o più sintomi COVID-1, di entità lieve o moderata, quali febbre, tosse, mal di gola, malessere, mal di testa, dolori muscolari, sintomi di natura gastointestinale, o respiro corto 6. Avere un campione di positività per l’infezione virale SARS-CoV-2 7. Essere ad alto rischio di sindrome COVID-19 severa, definita con la presenza di una o più delle condizioni che seguono: età =65 anni; BMI=30 kg/m2; malattia renale cronica; malattia polmonare cronica, che include BPCO (BroncoPneumopatia Cronica Ostruttiva), asma (moderata o severa), interstiziopatia polmonare, fibrosi cistica, ipertensione polmonare; diabete; problemi cardiaci (come insufficienza cardiaca, coronaropatia, cardiomiopatie o ipertensione), stato di immunocompromissione; malattie epatiche; ictus o malattie cerebrovascolari. |
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E.4 | Principal exclusion criteria |
1. Have SpO2 =92% on room air at sea level or PaO2/FiO2 <300 2. Respiratory rate =30 per minute 3. Heart rate =125 per minute 4. Hospitalized for COVID-19 disease 5. Respiratory failure secondary to COVID-19 disease 6. Have known allergies to any of the components used in the formulation of the interventions 7. Have hemodynamic instability 8. Suspected or proven serious, active bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking intervention 9. Have any comorbidity requiring surgery within 7 days, or that is considered life-threatening within 29 days 10. Have any serious concomitant systemic disease, condition, or disorder that, in the opinion of the investigator, should preclude participation in this study 11. Have a history of a positive SARS-CoV-2 serology test 12. Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing (Anti-COVID-19 vaccines are allowed) 13. Have received treatment with a SARS-CoV-2 specific monoclonal antibody 14. Have a history of convalescent COVID-19 plasma treatment 15. Have participated, within the last 30 days, in a clinical study involving an investigational intervention. If the previous investigational intervention has a long half-life, 5 half-lives or 30 days, whichever is longer, should have passed 16. Are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study 17. Are pregnant or breast feeding. |
1. Avere una saturazione SpO2 =92% o PaO2/FiO2 <300 2. Frequenza respiratoria =30 al minuto 3. Frequenza cardiaca =125 al minuto 4. Ricovero in ospedale per malattia COVID-19 5. Insufficienza respiratoria secondaria dovuta al COVID-19 6. Avere note allergie ad uno qualsiasi dei componenti utilizzati nella formulazione degli interventi 7. instabilità emodinamica 8. Sospetta o dimostrata grave infezione batterica, fungina, virale o di altro tipo (oltre a COVID-19) che a parere dello sperimentatore potrebbe costituire un rischio durante l'intervento 9. Avere qualsiasi comorbilità che richieda un intervento chirurgico entro 7 giorni o che sia considerata pericolosa per la vita entro 29 giorni 10. Avere qualsiasi malattia, condizione o disturbo sistemico concomitante grave che, a parere dello sperimentatore, dovrebbe precludere la partecipazione a questo studio 11. Avere nel passato un test sierologico SARS-CoV-2 positivo 12. Aver ricevuto un intervento sperimentale per la profilassi SARS-CoV-2 entro 30 giorni prima della somministrazione (sono consentiti i vaccini anti-COVID-19) 13. Aver ricevuto un trattamento con un anticorpo monoclonale specifico per SARS-CoV-2 14. Avere una storia di trattamento al plasma COVID-19 convalescente 15. Aver partecipato, negli ultimi 30 giorni, a uno studio clinico che prevedesse un intervento sperimentale. Se il precedente intervento sperimentale ha una lunga emivita, pari a 5 emivite o 30 giorni, a seconda di quale sia più lungo, dovrebbe essere trascorso il tempo necessario 16. Sono contemporaneamente iscritti a qualsiasi altro tipo di ricerca medica giudicata compatibile a livello medico o scientifico con questo studio 17. Donna incinta o in allattamento. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of the study is: - Disease progression defined as: hospitalization in intensive care unit, oxygen desaturation =4% and peripheral oxygen saturation =92% during the follow-up period (30 days). |
Endpoint Primario: - Progressione della malattia definita come: ricovero in unità di terapia intensiva, desaturazione di ossigeno =4% e saturazione di ossigeno periferica =92% durante il periodo di follow-up (30 giorni). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Timepoint are reported within the endpoint list |
Tempi di rilevazione indicati all'interno dei punti finali |
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E.5.2 | Secondary end point(s) |
The secondary endpoints of the study are: - Incidence and severity of adverse events, with severity determined according to the 5-point severity scale (National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 [NCI CTCAE, v.5.0]) during the follow-up period (30 days). - Proportion of patients admitted to the Emergency Department for COVID-19 disease during the follow-up period. - All-cause mortality due to COVID-19 disease. |
Endpoint Secondari: - Incidenza e gravità degli eventi avversi (AE), con gravità determinata secondo la scala di gravità a 5 punti (National Cancer Institute Common Terminology Criteria for Adverse Events, Versione 5.0 [NCI CTCAE, v.5.0]) durante il periodo di follow-up (30 giorni) - Percentuale di pazienti ricoverati in Pronto Soccorso per malattia COVID-19 durante il periodo di follow-up Mortalità per tutte le cause a causa della malattia COVID-19 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Timepoint are reported within the endpoint list |
Tempi di rilevazione indicati all'interno dei punti finali |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
tolerability |
tollerabilità |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
SOC (standard di cura) quali paracetamolo o FANS, per la gestione domiciliare del COVID-19 |
SOC (standard of care) as Paracetamol or FANS for home management of COVID-19 |
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E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 0 |