TURN-COVID Biobank: The Dutch cohort study for the evaluation of the use of neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2

2024-515263-60-00 Protocol NL78705.018.21 Therapeutic use (Phase IV) Ended

Start 22 Nov 2024 · End 25 May 2025 · Status Ended · 1 EU/EEA countries · 4 sites · Protocol NL78705.018.21

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 400
Countries 1
Sites 4

SARS-CoV-2 infection

- A. What are the SARS-CoV-2 viral load kinetics during and after treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2 and the occurence of SARS-CoV-2 infection when used as a prophylactic? - B. Do viral variants, spike mutations and immune escape occur during treatment with n…

Key facts

Sponsor
Stichting Amsterdam UMC
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08], Diseases [C] - Virus Diseases [C02]
Trial duration
22 Nov 2024 → 25 May 2025
Decision date (initial)
2024-11-22
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-515263-60-00
EudraCT number
2021-005051-37
ClinicalTrials.gov
NCT05195060

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Prophylaxis, Therapy

- A. What are the SARS-CoV-2 viral load kinetics during and after treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2 and the occurence of SARS-CoV-2 infection when used as a prophylactic?
- B. Do viral variants, spike mutations and immune escape occur during treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2?
- C. What are the viral antibody and inflammatory response kinetics during and after treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2?
- D. To create a biobank to address future questions regarding the current use of neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2 compared to novel Covid-19 treatments which are in development.

Conditions and MedDRA coding

SARS-CoV-2 infection

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. All patients that are treated with neutralizing SARS-CoV-2 antibodies and other antivirals against or as prevention of SARS-CoV-2 as standard of care.
  2. Patients have to be aged ≥ 18 y.

Exclusion criteria 2

  1. No informed consent is provided by the patient.
  2. Patients not suitable to fulfil study procedures

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. What are the SARS-CoV-2 viral load kinetics during and after treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2 and the occurence of SARS-CoV-2 infection when used as a prophylactic?
  2. Do viral variants, spike mutations and immune escape occur during treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2?
  3. What are the viral antibody and inflammatory response kinetics during and after treatment with neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2?
  4. To create a biobank to address future questions regarding the current use of neutralizing monoclonal antibodies and other antiviral agents against SARS-CoV-2 compared to novel COVID-19 treatments which are in development.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

Xevudy 500 mg concentrate for solution for infusion

PRD9372710 · Product

Active substance
Sotrovimab
Substance synonyms
GSK4182136, VIR-7831, Human IgG1 (438-leucine,444-serine) monoclonal antibody against SARS-CoV-2 spike protein
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J06BD05 — -
Marketing authorisation
EU/1/21/1562/001
MA holder
GLAXOSMITHKLINE TRADING SERVICES LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ronapreve 300 mg + 300 mg solution for injection/infusion

PRD9334736 · Product

Active substance
Casirivimab
Substance synonyms
Human IgG1 monoclonal antibody against SARS-CoV-2, spike protein, receptor binding domain, REGN10933
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
1200 mg milligram(s)
Max total dose
8000 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J06BD07 — -
Marketing authorisation
EU/1/21/1601/001
MA holder
ROCHE REGISTRATION GMBH
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

EVUSHELD 150 mg + 150 mg solution for injection

PRD9606357 · Product

Active substance
Cilgavimab
Substance synonyms
AZD1061, Human IgG1 kappa (248-threonine,249-methionine,316-tyrosine,318-threonine,320-glutamic acid) monoclonal antibody against SARS-CoV-2, spike protein, receptor binding domain
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
300 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J06BD03 — -
Marketing authorisation
EU/1/22/1651/001
MA holder
ASTRAZENECA AB
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Paxlovid 150 mg + 100 mg film-coated tablets

PRD9472501 · Product

Active substance
Nirmatrelvir
Substance synonyms
(1R,2S,5S)-N-((1S)-1-Cyano-2-((3S)-2-oxopyrrolidin-3-yl)ethyl)-3-((2S)-3,3-dimethyl-2-(2,2,2-trifluoroacetamido) butanoyl)-6,6-dimethyl-3-azabicyclo[3.1.0]hexane-2-carboxamide, PF-07321332, (1R,2S,5S)-N-{(1S)-1-cyano-2-[(3S)-2-oxopyrrolidin-3-yl]ethyl}-6,6-dimethyl-3- [3-methyl-N-(trifluoroacetyl)-L-valyl]-3-azabicyclo[3.1.0]hexane-2-carboxamide
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
800 mg milligram(s)
Max total dose
8000 mg milligram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
J05AE30 — -
Marketing authorisation
EU/1/22/1625/001
MA holder
PFIZER EUROPE MA EEIG
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Stichting Amsterdam UMC

Sponsor organisation
Stichting Amsterdam UMC
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Stichting Amsterdam UMC
Contact name
Joost W. Wiersinga

Public contact point

Organisation
Stichting Amsterdam UMC
Contact name
Joost W. Wiersinga

Locations

1 EU/EEA country · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ended 400 4
Rest of world 0

Investigational sites

Netherlands

4 sites · Ended
Amsterdam UMC Stichting
Division of Infectious Diseases & Center of Experimental and Molecular Medicine (CEMM), Meibergdreef 9, 1105 AZ, Amsterdam
Leids Universitair Medisch Centrum (LUMC)
Interne geneeskunde en infectieziekten, Albinusdreef 2, 2333 ZA, Leiden
University Medical Center Groningen
Interne geneeskunde / infectieziekten, Hanzeplein 1, 9713 GZ, Groningen
Radboud universitair medisch centrum Stichting
Interne geneeskunde en infectieziekten, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-11-22 2025-05-25

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-515263-60-00 5.1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF control patients 1
Subject information and informed consent form (for publication) L1_SIS and ICF prophylactic patients 1
Subject information and informed consent form (for publication) L1_SIS and ICF treatment patients 8
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Evusheld 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Paxlovid 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Ronapreve 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Sotrovimab 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-14 Netherlands Acceptable
2024-11-22
2024-11-22