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AZD5156

Phase 2

COVID-19, SARS-CoV-2 | Monoclonal antibody | Infectious Disease |AstraZeneca PLC|Last Updated: Jun 18, 2026

Target and mechanism

ModalityMonoclonal antibody

Also known as AZD5156 (Parent study Sentinel Safety Cohort)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment3,882

FDA Designations

No designations recorded

Clinical trial landscape

AZD5156 · 1 trial · 1 indication

Phase 2 1
NCT05648110Parent Study: Study Understanding Pre-Exposure pRophylaxis of NOvel Anitbodies (SUPERNOVA) Sub-study: Study Understanding Pre-Exposure pRophylaxis of NOvel Anitbodies (SUPERNOVA Sub-study)COVID-19, SARS-CoV-2
COMPLETED3,882 Analytics
PHASE2COMPLETED
Parent Study: Study Understanding Pre-Exposure pRophylaxis of NOvel Anitbodies (SUPERNOVA) Sub-study: Study Understanding Pre-Exposure pRophylaxis of NOvel Anitbodies (SUPERNOVA Sub-study)
COVID-19, SARS-CoV-2Unlock trial analytics

Study Endpoints

Primary Endpoints

(Main Cohort) Occurrence of AEs Collected Through Approximately 90 Days After Each IMP Administration; SAEs, MAAEs, and AESIs Collected Through Day 451
AEs: through 90 days post each IMP administration; SAEs, MAAEs, and AESIs: through Day 451

Primary: (Main Cohort) Occurrence of AEs collected through approximately 90 days after each IMP administration; SAEs, MAAEs, and AESIs collected through Day 451

(Sub-study) Occurrence of AEs Collected Through 29 Days After IMP Administration. SAEs, MAAEs, and AESIs Collected Through Day 451.
through 29 days post IMP administration (AEs); through Day 451 (SAEs, MAAEs, and AESIs)

(Sub-study) Occurrence of AEs collected through 29 days after IMP administration. SAEs, MAAEs, and AESIs collected through Day 451 (ie, end of study).

(Sub-study) Predicted SARS-CoV-2 nAb Titers Derived From Serum PK and in Vitro IC50 for SARS-CoV-2 Variants BA.2.86 Following AZD3152 Administration and Alpha Variant Following EVUSHELD Administration.
at Day 29

AZD3152 Day 29 predicted nAb titer for BA.2.86 variant = AZD3152 serum PK conc. (ng/mL)/(3.8 ng/mL), where 3.8 ng/mL is AZD3152 BA.2.86 IC50. AZD7442 Day 29 predicted nAb titer for Alpha variant = AZD7442 serum PK conc. (ng/mL)/(2.1 ng/mL), where 2.1 ng/mL is AZD7442 Alpha IC50. This table only shows AZD3152 and AZD7442 concentration at Day 29.

(Main Cohort) Confirmed Symptomatic COVID-19 Case
at Primary Analysis: average follow-up time of 170 days

(Main Cohort) Confirmed symptomatic COVID-19 case at Primary Analysis.

(Main Cohort) Confirmed Symptomatic COVID-19 Case Attributable to Matched Variants
at Primary Analysis: average follow-up time of 170 days

(Main Cohort) Confirmed symptomatic COVID-19 case attributable to matched variants at Primary Analysis.

(Sentinel Cohort) Occurrence of AEs, SAEs, MAAEs, and AESIs Collected Through Day 461
through Day 461

Primary: (Sentinel Cohort) Occurrence of AEs, SAEs, MAAEs, and AESIs collected through Day 461

Secondary Endpoints

(Sub-study) AZD3152 and EVUSHELD (ie, AZD7442) Concentrations in Serum, Over Time
Day 29, Day 91, Day 181
(Sub-study) Incidence of ADA to AZD3152 and EVUSHELD
through Day 181
(Sub-study) Cilgavimab and Tixagevimab Concentrations in Serum, Over Time
Day 29, Day 91, Day 181
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Parent study Sentinel Safety Cohort - Subcohort 1a Gluteal - AZD5156EXPERIMENTALThe Sentinel Safety Cohort of the Parent Study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 1a Gluteal - PlaceboPLACEBO_COMPARATORThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 1b Thigh - AZD5156EXPERIMENTALThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 1b Thigh - PlaceboPLACEBO_COMPARATORThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 2a Gluteal- AZD5156EXPERIMENTALThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 2a Gluteal - PlaceboPLACEBO_COMPARATORThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 2b Thigh - AZD5156EXPERIMENTALThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Sentinel Safety Cohort - Subcohort 2b Thigh - PlaceboPLACEBO_COMPARATORThe Sentinel Safety Cohort of the Parent study will enroll 56 healthy adults, 18 to 55 years of age, who will be randomized to receive AZD5156 (40 participants) or placebo (16 participants). Participants will be randomized to receive study intervention IM either in the gluteal or the anterolateral thigh. Dosing within the Sentinel Safety Cohort will be staggered, with participants allocated sequentially to 4 subcohorts (1a, 1b, 2a, and 2b).
Parent study Main Cohort - AZD3152EXPERIMENTALThe Main Cohort of the Parent study will enroll approximately 3200 participants. Dosing in the Main Cohort will be staggered, so that it starts with adult participants aged 18 years and older, with no adolescent participants dosed in the Main Cohort until safety data from Visit 2a (Day 8) and Visit 2b (Day 15) have been reviewed by the DSMB for at least 80 adult Main Cohort participants (which will include at least 40 participants who have received AZD3152). Participants in the Main Cohort will be randomized 1:1 to receive AZD3152 300 mg or comparator administered IM in the anterolateral thigh on Day 1. Participants will receive a second dose of their original randomized study intervention (ie, active treatment or comparator) 6 months after Visit 1.
Parent study Main Cohort - EVUSHELD™ACTIVE_COMPARATORParticipants in the Main Cohort of the Parent study will be randomized 1:1 to receive AZD3152 300 mg or comparator administered IM in the anterolateral thigh on Day 1. Participants will receive a second dose of their original randomized study intervention (ie, active treatment or comparator) 6 months after Visit 1. At the request of regulatory authorities the active comparator will be changed to placebo. As the comparator is given on two occasions, this means that a participant randomized to the comparator arm may receive (a) two doses of EVUSHELD, (b) a dose of EVUSHELD and a dose of placebo, or (c) two doses of placebo.
Parent study Main Cohort - PlaceboPLACEBO_COMPARATORParticipants in the Main Cohort of the Parent study will be randomized 1:1 to receive AZD3152 300 mg or comparator administered IM in the anterolateral thigh on Day 1. Participants will receive a second dose of their original randomized study intervention (ie, active treatment or comparator) 6 months after Visit 1. At the request of regulatory authorities the active comparator will be changed to placebo. As the comparator is given on two occasions, this means that a participant randomized to the comparator arm may receive (a) two doses of EVUSHELD, (b) a dose of EVUSHELD and a dose of placebo, or (c) two doses of placebo.
Sub-study - AZD3152EXPERIMENTALThis sub-study will enroll approximately 450 participants, ≥ 18 years of age with a minimum weight of 40 kg. An initial Sentinel Safety Cohort will include 12 healthy volunteers; all other participants in the study will be either immunocompromised or immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.
Sub-study - AZD7442 (EVUSHELD™)ACTIVE_COMPARATORThis sub-study will enroll approximately 450 participants, ≥ 18 years of age with a minimum weight of 40 kg. An initial Sentinel Safety Cohort will include 12 healthy volunteers; all other participants in the study will be either immunocompromised or immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.
Sub-study - AZD7442 (EVUSHELD™) Immunocompromised participants offered AZD3152 1200mg IVEXPERIMENTALThis sub-study will enroll approximately 450 participants, ≥ 18 years of age with a minimum weight of 40 kg. An initial Sentinel Safety Cohort will include 12 healthy volunteers; all other participants in the study will be either immunocompromised or immunocompetent (including healthy participants) with all degrees of SARS-CoV-2 infection risk.

Interventions

NameTypeDescription
AZD5156 (Parent study Sentinel Safety Cohort)BIOLOGICAL600 mg AZD5156 consisting of 300 mg AZD1061 at 100 mg/mL and 300 mg AZD3152 at 150 mg/mL 3 mL of AZD1061 2 mL of AZD3152 IM on Visit 1 Day 1
Placebo (Parent study Sentinel Safety Cohort)BIOLOGICALsingle dose of Placebo (3 mL + 2 mL) IM
EVUSHELD™ (Parent study Main Cohort)BIOLOGICAL600 mg EVUSHELD™/AZD7442 consisting of 300 mg AZD1061 and 300 mg AZD8895, both at 100 mg/mL 2 IM injections (thigh) of 3 mL each IM on Visit 1 Day 1 and on Visit 5 Day 181
AZD3152 (Parent study Main Cohort)BIOLOGICAL300 mg AZD3152 at 150 mg/mL 1 IM injection (thigh) of 2 mL of AZD3152 on Visit 1 Day 1 and on Visit 5 Day 181
Placebo (Parent study Main Cohort)BIOLOGICALSingle doses of 0.9% sodium chloride 2 mL IM for injection on Visit 1 Day 1 and Visit 5 Day 181
AZD3152 (Sub-study)BIOLOGICALSingle dose of 1200 mg IV at Visit 1 Day 1
AZD7442 - EVUSHELD™ (Sub-study)BIOLOGICALSingle dose 300 mg IM administered on Visit 1 Day 1
AZD7442 (EVUSHELD™) (Sub-study) Immunocompromised participants offered AZD3152BIOLOGICALSingle dose of AZD7442 (EVUSHELD™) 300 mg IM
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Eligibility Criteria

Age Range12 Years to 130 Years
SexALL
Healthy VolunteersYes
Study Sites215

Parent study - Sentinel Safety Cohort Participants (Phase I): Parent study - Sentinel Cohort Inclusion Criteria: * Healthy participants according to medical history, physical examination, baseline safety laboratory tests, and screening parameters, according to the judgment of the investigator, wit...

Countries:United StatesAustraliaBelgiumCanadaDenmarkFranceGermanyIsraelMalaysiaPolandSingaporeSouth KoreaSpainTaiwanThailandUnited Arab EmiratesUnited KingdomVietnam
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Recent Changes (Last 90 Days)

MEDIUMJul 19, 2026NCT05648110TRIAL_REMOVED: changed
MEDIUMJul 19, 2026NCT05648110TRIAL_REMOVED: changed
MEDIUMJul 19, 2026NCT05648110TRIAL_REMOVED: changed
MEDIUMJul 19, 2026NCT05648110TRIAL_REMOVED: changed