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REGN10933+REGN10987 combination therapy

Phase 2

COVID-19 | Small molecule | Infectious Disease |Regeneron Pharmaceuticals, Inc.|Last Updated: Jan 27, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment3,401

FDA Designations

No designations recorded

Clinical trial landscape

REGN10933+REGN10987 combination therapy · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT04666441COVID-19 Study Assessing the Virologic Efficacy of REGN10933+REGN10987 Across Different Dose Regimens in Adult Outpatients With SARS-CoV-2 InfectionCOVID-19
COMPLETED1,149 Analytics
PHASE2COMPLETED
COVID-19 Study Assessing the Virologic Efficacy of REGN10933+REGN10987 Across Different Dose Regimens in Adult Outpatients With SARS-CoV-2 Infection
COVID-19Unlock trial analytics

Study Endpoints

Primary Endpoints

Time-Weighted Average Daily Change From Day 1 in Viral Load in NP Swab Samples
Day 1 to Day 7

Time-weighted average daily change from Day 1 in viral load (log10 copies/mL), as measured by reverse transcription quantitative polymerase chain reaction (RT-qPCR) in nasopharyngeal (NP) swab samples.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Time-weighted Average (TWA) Change in Viral Load in Nasopharyngeal (NP) Samples Based on Seronegative mFAS
Day 1 to Day 7

Time-weighted average daily change from Day 1 to Day 7 in viral load (log10 copies/mL), as measured by reverse transcription quantitative polymerase chain reaction (RT-qPCR) in nasopharyngeal (NP) swab samples.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Percentage of Participants Who Died or Went on Mechanical Ventilation From Day 6 Through Day 29 Based on High Viral Load mFAS
Day 6 to Day 29

Percentage of participants who died or went on mechanical ventilation from Day 6 through Day 29 based on high viral load mFAS were reported.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Percentage of Participants Who Died or Went on Mechanical Ventilation From Day 6 Through Day 29 Based on Seronegative mFAS
Day 6 to Day 29

Percentage of participants who died or went on mechanical ventilation from Day 6 through Day 29 based on seronegative mFAS were reported.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Percentage of Participants Who Died or Went on Mechanical Ventilation From Day 6 Through Day 29 Based on Overall mFAS
Day 6 to Day 29

Percentage of participants who died or went on mechanical ventilation from Day 6 through Day 29 based on overall FAS were reported.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Percentage of Participants Who Died or Went on Mechanical Ventilation From Day 1 Through Day 29 Based on High Viral Load mFAS
Day 1 to Day 29

Percentage of participants who died or went on mechanical ventilation from Day 1 through Day 29 based on high viral load mFAS were reported.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Percentage of Participants Who Died or Went on Mechanical Ventilation From Day 1 Through Day 29 Based on Seronegative mFAS
Day 1 to Day 29

Percentage of participants who died or went on mechanical ventilation from Day 1 through Day 29 based on seronegative mFAS were reported.

Pooled Analysis (Phase 3 [Cohort 1] and Phase 2 [Cohort 1A]): Percentage of Participants Who Died or Went on Mechanical Ventilation From Day 1 Through Day 29 Based on Overall mFAS
Day 1 to Day 29

Percentage of participants who died or went on mechanical ventilation from Day 1 through Day 29 based on overall mFAS were reported.

Pooled Analysis (Phase 1 [Cohort 1] and Phase 2 [Cohort 1]): Number of Participants With Treatment-Emergent Serious Adverse Events
Up to Day 169

Treatment-emergent adverse events are defined as those that are not present at baseline or represent the exacerbation of a pre-existing condition during the observation period.

Pooled Analysis (Phase 1 [Cohort 1] and Phase 2 [Cohort 1]): Number of Participants With Grade >=2 Infusion Related Reactions up to Day 4
Up to Day 4

Infusion-related reactions are defined as any relevant adverse event that occurs during the infusion or up to day 4. The severity of adverse events (including test findings classified as adverse events) were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE).

Pooled Analysis (Phase 1 [Cohort 1] and Phase 2 [Cohort 1]): Number of Participants With Grade >=2 Hypersensitivity Reactions Up to Day 29
Up to Day 29

Hypersensitivity reactions are defined as any relevant adverse event that occurs during the infusion or up to study day 29. The severity of adverse events (including test findings classified as adverse events) were graded according to NCI-CTCAE.

Pooled Analysis (Phase 1 [Cohort 1] and Phase 2 [Cohort 1]): Cumulative Incidence of Death or Mechanical Ventilation Based on Seronegative mFAS
Up to Day 29

Cumulative incidence percentage was estimated using Kaplan-Meier method.

Pooled Analysis (Phase 1 [Cohort 1] and Phase 2 [Cohort 1]): Cumulative Incidence of Death or Mechanical Ventilation Based on High Viral Load mFAS
Up to Day 29

Cumulative incidence percentage was estimated using Kaplan-Meier method.

Secondary Endpoints

Time-Weighted Average Daily Change From Day 1 in Viral Load
Day 1 to Day 5
Time-Weighted Average Daily Change From Day 1 in Viral Load in Participants With High Viral Load at Baseline
Day 1 to Day 7
Number of Participants With High Viral Load
Day 1, Day 3, Day 5, Day 7, Day 15, Day 22
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IV Dose 1EXPERIMENTALCombination therapy intravenous (IV) single dose
IV Dose 2EXPERIMENTALCombination therapy IV single dose
IV Dose 3EXPERIMENTALCombination therapy IV single dose
IV Dose 4EXPERIMENTALCombination therapy IV single dose
Placebo IV DoseEXPERIMENTALMatching placebo IV single dose
SC Dose 1EXPERIMENTALCombination therapy subcutaneous (SC) single dose
SC Dose 2EXPERIMENTALCombination therapy SC single dose
Placebo SC DoseEXPERIMENTALMatching placebo SC single dose
On Low-Flow OxygenEXPERIMENTALCohort 1 (C1): O2 saturation \>93% on low-flow oxygen via nasal cannula, simple face mask, or other similar device
With COVID-19 symptoms but not requiring supplemental O2EXPERIMENTALCohort 1A (C1A): With COVID-19 symptoms but not requiring supplemental oxygen
High O2 No Mechanical VentilationEXPERIMENTALCohort 2 (C2): On high-intensity oxygen (O2) therapy but not on mechanical ventilation
On Mechanical VentilationEXPERIMENTALCohort 3 (C3): On mechanical ventilation

Interventions

NameTypeDescription
REGN10933+REGN10987 combination therapyDRUGAdministered IV or SC single dose
PlaceboDRUGAdministered IV or SC single dose to match
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites57

Key Inclusion Criteria: * Has SARS-CoV-2-positive diagnostic test from a sample collected ≤72 hours prior to randomization, as defined by the protocol * Low-risk symptomatic patient: Has symptoms consistent with COVID-19 (as determined by the investigator) with onset ≤7 days before randomization, a...

Countries:United StatesBrazilChileMexicoMoldovaRomania
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Frequently asked questions about REGN10933+REGN10987 combination therapy

What is REGN10933+REGN10987 used for?

REGN10933+REGN10987 is an investigational combination of two monoclonal antibodies being studied for the prevention and treatment of COVID-19. It has been evaluated in clinical trials for hospitalized adult patients with COVID-19, for prevention of SARS-CoV-2 infection in healthy adults and adolescents who are household contacts of infected individuals, and in healthy adult volunteers.

What does REGN10933+REGN10987 target?

REGN10933+REGN10987 targets the spike (S) protein of SARS-CoV-2, the virus that causes COVID-19. The combination consists of two anti-spike monoclonal antibodies designed to bind to the spike protein and potentially neutralize the virus.

Who makes REGN10933+REGN10987?

REGN10933+REGN10987 is being developed by Regeneron Pharmaceuticals, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol REGN. The company has conducted multiple clinical trials to evaluate the safety and efficacy of this antibody combination for COVID-19.

What phase is REGN10933+REGN10987 in?

REGN10933+REGN10987 has completed Phase 1, Phase 2, and Phase 3 clinical trials. The trials include a Phase 3 study for prevention of SARS-CoV-2 infection in healthy adults and adolescents, and a Phase 1/2/3 study for hospitalized adult patients with COVID-19. All trials are completed.

What clinical trials is REGN10933+REGN10987 in?

REGN10933+REGN10987 has been studied in four completed clinical trials. NCT04426695 evaluated its efficacy in hospitalized adults with COVID-19. NCT04452318 assessed its efficacy for prevention of SARS-CoV-2 infection in healthy household contacts. NCT04519437 studied safety, tolerability, and pharmacokinetics in healthy volunteers. NCT04666441 evaluated virologic efficacy in adult outpatients with SARS-CoV-2 infection.

Is REGN10933+REGN10987 the same as REGN10933 and REGN10987?

REGN10933+REGN10987 is a combination of two monoclonal antibodies, REGN10933 and REGN10987, administered together. The combination is sometimes referred to by the individual component names, but in clinical trials it is studied as a fixed combination product.