Clinical trial • Phase IV • Infectious Disease

Tozinameran for COVID-19

Phase IV trial of Tozinameran for COVID-19. 150 participants.

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
COVID-19
Trial Stage
Phase IV
Drug Modality
mRNA | Vaccine | Monoclonal antibody

Key dates

Initial CTIS Submission Date
12-06-2024
First CTIS Authorization Date
31-07-2024

Trial design

Phase IV trial across 1 site in Italy.

Target Sample Size
150
Trial Duration For Participant
365

Eligibility

Recruits 150 Vulnerable population selected (isVulnerablePopulationSelected: true). The protocol excludes subjects with "Inability to sign informed consent". Subject information and informed consent form available (document title: '5_RENOIR_Allegato 3_Modulo informativo e consenso informato_Versione 2 del 04_05_2022_redacted')..

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected: true). The protocol excludes subjects with "Inability to sign informed consent". Subject information and informed consent form available (document title: '5_RENOIR_Allegato 3_Modulo informativo e consenso informato_Versione 2 del 04_05_2022_redacted').

Inclusion criteria

  • {"criterion_text":"- The subjects eligible for inclusion in the study are patients diagnosed with COVID-19 who meet the access criteria established by the Ministry / AIFA / Regions Program, with the following access criteria [10] (In case of changes, the criteria inclusion will be modified accordingly): a. 18 year old patients and older with laboratory confirmed SARS-CoV-2 infection and mild or moderate COVID-19 disease onset within 7 days of evaluation who are at high risk for severe COVID-19 infection. Possible risk factors include the following: • body mass index (BMI) =30, or> 95th percentile for age and gender • chronic renal failure • uncontrolled diabetes mellitus (HbA1c> 9.0% 75 mmol / mol) or with chronic complications • primary or secondary immunodeficiency • age> 65 years • cardio-cerebrovascular disease • chronic obstructive pulmonary disease and / or other chronic respiratory disease • chronic liver disease • hemoglobinopathies • neurodevelopmental pathologies and neurodegenerative pathologies.\n- b. Treatment is possible beyond 7 days from onset only in subjects with immunodeficiency who have: negative SARS-COV-2 serology and prolonged positivity to molecular swab"}

Exclusion criteria

  • {"criterion_text":"- Patients under 18 year old - Inability to sign informed consent - hospitalized for COVID-19 - Have any concomitant serious systemic disease, condition or disorder which, in the opinion of the investigator, should preclude participation in this study - known allergy or hypersensitivity to the components of the study drug - Unmanageable drug interactions to treatment drugs (Annex 4)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Evaluation of the effectiveness of revaccination at 4 versus 12 months on the temporal kinetics of humoral and cellular response markers.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- 1) Evaluate the anti-N IgG antibody titer at 0, 1, 4, 6, 9, 12 months after the MAbs infusion","definition_or_measurement_approach":"Measurement of anti-N IgG antibody titer at specified timepoints (0, 1, 4, 6, 9, 12 months) after MAbs infusion."}
  • {"endpoint_text":"- 2) Evaluate the anti-S IgG antibody titer at 0, 1, 4, 6, 9, 12 months after the MAbs infusion","definition_or_measurement_approach":"Measurement of anti-S IgG antibody titer at specified timepoints (0, 1, 4, 6, 9, 12 months) after MAbs infusion."}
  • {"endpoint_text":"- 3) Evaluate the titer of neutralizing antibodies at 0, 1, 4, 6, 9, 12 months after the MAbs infusion","definition_or_measurement_approach":"Measurement of neutralizing antibody titers at specified timepoints (0, 1, 4, 6, 9, 12 months) after MAbs infusion."}
  • {"endpoint_text":"- 4) Evaluate cellular immunity to S and N with IGRA test at 0, 4, 12 months after MAbs infusion","definition_or_measurement_approach":"Assessment of cellular immunity to S and N using IGRA test at 0, 4, and 12 months after MAbs infusion."}

Recruitment

Planned Sample Size
150
Recruitment Window Months
28
Consent Approach
Informed consent is required from participants (exclusion criterion: 'Inability to sign informed consent'). Subject information and informed consent form available (document title: '5_RENOIR_Allegato 3_Modulo informativo e consenso informato_Versione 2 del 04_05_2022_redacted'). Documents include Italian translations; participants are adults (>=18 years).

Geography

Total Number Of Sites
1
Total Number Of Participants
150

Italy

Earliest CTIS Part Ii Submission Date
02-07-2024
Latest Decision Or Authorization Date
14-01-2025
Processing Time Days
196
Number Of Sites
1
Number Of Participants
150

Sites

Site Name
National Institute For Infectious Diseases Lazzaro Spallanzani
Department Name
Immunodeficienzevirali
Principal Investigator Name
Valentina Mazzotta
Principal Investigator Email
immunodeficienzevirali@inmi.it
Contact Person Name
Valentina Mazzotta
Contact Person Email
immunodeficienzevirali@inmi.it
Number Of Participants
150

Sponsor

Primary sponsor

Full Name
National Institute For Infectious Diseases Lazzaro Spallanzani
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Italy

Investigational products

Investigational Product Name
Comirnaty 30 micrograms/dose dispersion for injection COVID-19 mRNA Vaccine
Active Substance
Tozinameran
Modality
mRNA
Routes Of Administration
INTRAMUSCULAR USE
Route
INTRAMUSCULAR
Authorisation Status
Marketing authorisation number EU/1/20/1528/003
Starting Dose
30 µg
Maximum Dose
30 µg
Investigational Product Name
Spikevax 0.2 mg/mL dispersion for injection COVID-19 mRNA Vaccine
Active Substance
Elasomeran
Modality
mRNA
Routes Of Administration
INTRAMUSCULAR USE
Route
INTRAMUSCULAR
Authorisation Status
Marketing authorisation number EU/1/20/1507/001
Starting Dose
100 µg
Maximum Dose
100 µg
Investigational Product Name
Nuvaxovid dispersion for injection COVID-19 Vaccine (recombinant, adjuvanted)
Active Substance
SARS-COV-2 spike protein, recombinant (NVX-CoV2373)
Modality
Vaccine
Routes Of Administration
INTRAMUSCULAR USE
Route
INTRAMUSCULAR
Authorisation Status
Marketing authorisation number EU/1/21/1618/002
Starting Dose
5 µg
Maximum Dose
5 µg
Investigational Product Name
Xevudy 500 mg concentrate for solution for infusion
Active Substance
Sotrovimab
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS
Authorisation Status
Marketing authorisation number EU/1/21/1562/001
Starting Dose
500 mg
Maximum Dose
500 mg
Investigational Product Name
EVUSHELD 150 mg + 150 mg solution for injection
Active Substance
Cilgavimab (part of combination product)
Modality
Monoclonal antibody
Routes Of Administration
INTRAMUSCULAR USE
Route
INTRAMUSCULAR
Authorisation Status
Marketing authorisation number EU/1/22/1651/001
Starting Dose
150 mg + 150 mg
Maximum Dose
600 mg

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