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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