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LY3819253

Phase 4

COVID-19 | Small molecule | Infectious Disease |Eli Lilly and Company|Trials Updated: Apr 11, 2024

LY3819253 development status

Highest phase Phase 4 (NCT04656691)
Phase scored for LLYPhase 3
Registered trials 10 across 3 sponsors since Jun 2020

LY3819253 target and mechanism

ModalitySmall molecule

Also known as Bamlanivimab, LY-CoV555

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment6,377

FDA Designations

No designations recorded

LY3819253 clinical trials

LY3819253 · 5 trials · 2 indications

Phase 3 1Phase 2 3Phase 1 1
NCT04497987A Study of LY3819253 (LY-CoV555) and LY3832479 (LY-CoV016) in Preventing SARS-CoV-2 Infection and COVID-19 in Nursing Home Residents and StaffCOVID-19
COMPLETED1,180 Analytics
PHASE3COMPLETED
A Study of LY3819253 (LY-CoV555) and LY3832479 (LY-CoV016) in Preventing SARS-CoV-2 Infection and COVID-19 in Nursing Home Residents and Staff
COVID-19Unlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With COVID-19
Week 8 after randomization

The endpoint for the primary analysis is defined as the first occurrence of coronavirus disease - 2019 (COVID-19), defined as the detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse transcription - polymerase chain reaction (RT-PCR) AND mild or worse disease severity within 21 days of detection, by Day 57 (8 weeks after randomization). The participant needed to test positive on or prior to week 8, and they needed to develop their symptoms on or after their positive test date, but no later than 21 days after their positive swab OR Week 8, whichever comes first. Logistic regression model was used which includes occurrence of a primary endpoint event as the response variable, and treatment and stratification factors such as facility as explanatory variables.

Percentage of Participants Who Experience COVID-19 Related Hospitalization or Death From Any Cause
Baseline through Days 29, 60, and 90

Percentage of Participants who Experience COVID-19 Related Hospitalization or Death From Any Cause. Hospitalization is defined as ≥24 hours of acute care.

Treatment 1-6 and Unintentional Dosing Arms: Percentage of Participants With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load Greater Than 5.27
Day 7

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Relevance Sequence Imputation (RSI). RSI is defined as follows: If Day 7 SARS-CoV-2 viral load is missing, then Day 7 will be imputed using data from the first available for Day 5, Day 3, Day 11, or Day 1.

Treatment 7-8, Amendments (C-e): Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27
Day 7

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Treatment 9-11 Amendment (f), Low Risk Participants: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than 5.27
Day 7

Percentage of participants with SARS-CoV-2 viral load greater than 5.27 on Day 7. Missing data is estimated using Last Observation Carried Forward (LOCF).

Phase 3: Percentage of Participants Who Experience COVID-Related Hospitalization or Death From Any Cause in 2800 mg Bamlanivumab/2800 mg Etesevimab, 700 mg Bamlanivimab/1400mg Etesevimab and Their Placebo Groups
Baseline through Day 29

COVID-19 Related Deterioration (yes/no) was defined as a participant experiencing COVID-19-related hospitalization (defined as 24 hours of acute care) or death from any cause by Day 29.

Phase 3: Percentage of Participants With SARS-CoV-2 Viral Load Greater Than a Prespecified Threshold in Arms 350 mg Bamlanivimab/700 mg Etesevimab and Placebo
Day 7

SARS-CoV-2 persistent high viral load (yes/no) was defined as ribonuclease P(RP) normalized viral load \>=5.27 vs otherwise.

Phase 2: Change From Baseline to Day 11 in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load
Baseline, Day 11

SARS-CoV-2 viral load was based on nasopharyngeal swab sampling for reverse transcription polymerase chain reaction (RT-PCR) testing for SARS-CoV-2. Least squares (LS) mean values were determined using a mixed-effects model repeated-measures (MMRM) that included log base 10 transformed baseline as a covariate, treatment, day, treatment-by-day interaction as fixed effects. If Day 11 SARS-CoV-2 viral load was missing, the earliest measurement closest to the Day 11 visit, but within 4 days (Day 7-Day 15), was used for the Day 11 value. If no measurements were available, the Day 11 viral load was treated as missing at random (MAR) in the analysis. Viral load is reported as normalized viral load and is unitless.

Phase 2: Percentage of Participants Who Experience a Serious Adverse Event(s) SAE(s)
Baseline through Day 85

An SAE was defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect and other different situations will have medical or scientific judgment to determine if they are SAE. A summary of SAEs and other non-serious adverse events (AEs), regardless of causality are reported in the Adverse Events section.

Phase 3 and Phase 2/3 [Arm 22], Pharmacokinetics (PK): Mean Concentrations of LY3819253 (Bamlanivimab)
Day 29 Post-dose

Mean Concentration of Bamlanivimab in the presence of Etesevimab is reported. Due to the limited number of pediatric participants across all study arms in phase 3, PK concentration summary data was combined including phase 3 and phase 2/3 (Pediatric addendum, Arm 22) reporting arms. All pediatric participants from Phase 3 trial arms including Arm 22 who contributed data to the required outcome (PK concentration at Day 29) were included in the PK summary.

Phase 3 and Phase 2/3 [Arm 22], Pharmacokinetics (PK): Mean Concentrations of LY3832479 (Etesevimab)
Day 29 Post-dose

Mean Concentration of Etesevimab in the presence of Bamlanivimab is reported. Due to the limited number of pediatric participants across all study arms in phase 3, PK concentration summary data was combined including phase 3 and phase 2/3 (Pediatric addendum, Arm 22) reporting arms. All pediatric participants from Phase 3 trial arms including Arm 22 who contributed data to the required outcome (PK concentration at Day 29) were included in the PK summary.

Phase 2/3, PK: Area Under the Concentration-time Curve From Time 0 to Infinity (AUC0-∞) for Bebtelovimab [Arm 23]
Day 60 Post-dose

AUC0-∞ for Bebtelovimab was reported.

Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
Baseline through Day 60

An SAE is any adverse event that results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. The number of participants with 1 or more SAEs considered by the investigator to be related to study drug administration is reported. A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, were reported in the Reported Adverse Events module.

Secondary Endpoints

Percentage of Participants With Moderate or Worse Severity COVID-19
Week 8 after randomization
Percentage of Participants With SARS-CoV-2
Week 4
Percentage of Participants Who Are Hospitalized or Have Died Due to COVID-19
Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Bamlanivimab (Part 1)EXPERIMENTALParticipants received single Intravenous (IV) infusion of 4200 milligrams (mg) bamlanivimab.
Placebo (Part 1)PLACEBO_COMPARATORParticipants received single IV infusion of Placebo.
Bamlanivimab (Part 2-Prevention)EXPERIMENTALEnrollment for Part 2 was not initiated because the efficacy of Bamlanivimab 4200 mg observed in Part 1 significantly diminished the feasibility of enrolling Part 2.
Bamlanivimab + Etesevimab (Part 2-Prevention)EXPERIMENTALEnrollment for Part 2 was not initiated because the efficacy of Bamlanivimab 4200 mg observed in Part 1 significantly diminished the feasibility of enrolling Part 2.
Placebo Comparator: Placebo (Part 2-Prevention)PLACEBO_COMPARATOREnrollment for Part 2 was not initiated because the efficacy of Bamlanivimab 4200 mg observed in Part 1 significantly diminished the feasibility of enrolling Part 2.
Bamlanivimab (Part 2 - Treatment)EXPERIMENTALEnrollment for Part 2 was not initiated because the efficacy of Bamlanivimab 4200 mg observed in Part 1 significantly diminished the feasibility of enrolling Part 2.
Bamlanivimab + Etesevimab (Part 2- Treatment)EXPERIMENTALEnrollment for Part 2 was not initiated because the efficacy of Bamlanivimab 4200 mg observed in Part 1 significantly diminished the feasibility of enrolling Part 2.
Bamlanivimab (Part 3)EXPERIMENTALPart 3 of the study is exploratory, conducted to study exploratory objectives and is not reported in this record. \[Participants received single IV infusion of 700 mg bamlanivimab.\]
Bamlanivimab + Etesevimab (Part 3)EXPERIMENTALPart 3 of the study is exploratory, conducted to study exploratory objectives and is not reported in this record. \[Participants received single IV infusion of 700 mg bamlanivimab given with 1400 mg etesevimab.\]
BamlanivimabEXPERIMENTALParticipants received 700 milligram single intravenous infusion of Bamlanivimab.
ControlsNO_INTERVENTIONMatched controls who received standard of care. \[The study was originally designed to include a matched control arm. However, due to low enrollment, it was amended to be a single arm study with Bamlanivimab arm only. No matched controls were utilized.\]
Placebo (Pbo)PLACEBO_COMPARATORTreatment 1: Pbo administered intravenously (IV). Treatment 8: Pbo For 700 mg Bamlanivimab (BAM) + 500 mg VIR-7831 (Amendment (C-e)) administered IV. Treatment 11: Pbo For 175 mg Bebtelovimab (BEB) \& 700 mg BAM +1400 mg Etesevimab ( ETE) +175 mg BEB (Low Risk Participants) administered IV. Pooled Placebo (Addendum 4, IV) administered IV. Pooled Placebo (Addendum 4, SC) administered SC.
BAM + ETEEXPERIMENTALTreatment 2: 175 mg BAM +350 mg ETE administered IV. Treatment 3: 700 mg BAM +1400 mg ETE administered IV. Treatment 4: 2800 mg BAM +2800 mg ETE administered IV. Treatment 6: 350 mg BAM +700 mg ETE administered IV. Unintentional Dosing: 700 mg BAM +700 mg ETE administered IV. 700 mg BAM + 1400 mg ETE 30-min (Addendum (2)) administered IV. 700 mg BAM + 1400 mg ETE 15-min (Addendum (2)) administered IV.
BAMEXPERIMENTALTreatment 5: 700 mg BAM administered IV. 700 mg BAM 15-min (Addendum (2)) administered IV.
BAM + VIR-7831EXPERIMENTALTreatment 7: 700 mg BAM + 500 mg VIR-7831 (Amendment (C-e)) administered IV.
BEBEXPERIMENTALTreatment 9: 175 mg BEB (Amendment (f), Low Risk Participants) administered IV. Treatment 12: 175 mg BEB (Amendment (f), High Risk Participants) administered IV. 70 mg BEB 140 mg/Min (Addendum 4, IV) administered IV. 175 mg BEB 140 mg/Min (Addendum 4, IV) administered IV. 175 mg BEB 350 mg/Min (Addendum 4, IV) administered IV. 1750 mg BEB 350 mg/Min (Addendum 4, IV) administered IV. 280 mg BEB (Addendum 4, SC) administered SC. 560 mg BEB (Addendum 4, SC) administered SC.
BAM+ ETE + BEBEXPERIMENTALTreatment 10: 700 mg BAM +1400 mg ETE +175 mg BEB (Amendment (f), Low Risk Participants) administered IV. Treatment 13: 700 mg BAM +1400 mg ETE +175 mg BEB (Amendment (f), High Risk Participants) administered IV. Treatment 14: 700 mg BAM + 1400 mg ETE + 175 mg BEB(Amendment (g), High Risk, Updated Centers for Disease Control and Prevention (CDC) Criteria) administered IV. 175/700/1400 mg BAM + ETE + BEB 350 mg/Min (Addendum 4, IV) administered IV.
LY3819253EXPERIMENTAL700 mg, 2800 mg, 7000 mg, LY3819253 administered intravenously (IV)
LY3819253 + LY3832479EXPERIMENTAL350 mg, 700 mg, 2800 mg LY3819253 + 700 mg, 1400 mg, 2800 mg LY3832479 administered IV or subcutaneously (SQ)
LY3819253 + LY3832479 (Pediatric Addendum, Arm 22)EXPERIMENTALLY3819253 dose based upon weight (weight Group: ≥40 kilogram (kg) = 700 mg dose, \>20 kg to \<40 kg = 350 mg dose, \>12 kg to 20 kg = 175 mg dose and 1.5 kg to 12 kg = 15 mg/kg dose) and LY3832479 dose based upon weight (weight Group: ≥40 kg = 1400 mg dose, \>20 kg to \<40 kg = 700 mg dose, \>12 kg to 20 kg = 350 mg dose and 1.5 kg to 12 kg = 30 mg/kg dose) administered IV.
LY3853113 (Pediatric Addendum, Arm 23)EXPERIMENTALLY3853113 dose based upon weight (Weight Group: ≥3.3 to ≤12 kg = 3 mg/kg dose, \>12 to ≤20 kg = 43.75 mg dose, \>20 to \<40 kg = 87.5 mg dose, ≥40 kg = 175 mg dose) administered IV.
PlaceboPLACEBO_COMPARATORPlacebo administered IV

Interventions

NameTypeDescription
BamlanivimabDRUGAdministered IV.
PlaceboDRUGAdministered IV.
EtesevimabDRUGAdministered IV.
VIR-7831DRUGAdministered IV.
BebtelovimabDRUGAdministered IV.
LY3819253DRUGAdministered IV
LY3832479DRUGAdministered IV
LY3853113DRUGAdministered IV
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Part 1 and Part 2: Resident or facility staff in a skilled nursing or assisted living facility with at least one confirmed case of SARS-CoV-2 detection less than or equal to (≤)7 days prior to randomization * Are men or non-pregnant women who agree to contraceptive requirement...

Countries:United StatesArgentinaPuerto Rico
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Frequently asked questions about LY3819253

What is LY3819253?

LY3819253 is an investigational therapy developed by Eli Lilly and Company for COVID-19, the disease caused by SARS-CoV-2. It was studied in both the treatment of mild to moderate COVID-19 illness and the prevention of SARS-CoV-2 infection in high-risk settings such as nursing homes.

What is LY3819253 used for?

LY3819253 was studied for the treatment of mild to moderate COVID-19 and for preventing SARS-CoV-2 infection and COVID-19 in nursing home residents and staff. Its clinical program enrolled participants aged 12 years and older, including some trials open to participants from birth.

Who makes LY3819253?

LY3819253 is developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. Lilly sponsored the clinical trial program evaluating the drug in COVID-19 treatment and prevention settings.

What phase is LY3819253 in?

LY3819253 reached Phase 3 clinical development, with a Phase 3 trial evaluating it for prevention of SARS-CoV-2 infection and COVID-19 in nursing home residents and staff. It is an investigational agent and is not described as approved.

What clinical trials is LY3819253 in?

Five completed trials studied LY3819253, including NCT04497987, a Phase 3 prevention study in nursing home residents and staff, and NCT04427501, a Phase 2 trial in mild to moderate COVID-19. Other completed studies include NCT04634409, NCT04701658, and NCT04427501's companion program.

Is LY3819253 the same as bamlanivimab?

Yes, LY3819253 is also known as bamlanivimab. The two names refer to the same investigational agent developed by Eli Lilly and Company for COVID-19, and it also appeared in trial titles under the designation LY-CoV555.