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REGN10933+REGN10987 combination therapy

Phase 2

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

REGN10933+REGN10987 combination therapy development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Jun 2020

REGN10933+REGN10987 combination therapy target and mechanism

ModalitySmall molecule

Also known as REGN-COV2, REGEN-COV™, Ronapreve™, casirivimab, imdevimab

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

REGN10933+REGN10987 combination therapy clinical trials

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?

REGN10933+REGN10987 is an investigational combination therapy developed by Regeneron Pharmaceuticals for COVID-19, the disease caused by SARS-CoV-2 infection. It combines two monoclonal antibodies and has been studied in adult patients, including outpatients and hospitalized patients, across two completed clinical trials with a total enrollment of 3,401 participants.

What is REGN10933+REGN10987 used for in COVID-19?

REGN10933+REGN10987 was studied for the treatment of COVID-19 in adults with SARS-CoV-2 infection. Clinical testing covered both adult outpatients and hospitalized adult patients. The program includes two completed trials, one Phase 2 study in outpatients and one Phase 1 study in hospitalized patients.

Who makes REGN10933+REGN10987?

Regeneron Pharmaceuticals, Inc. develops REGN10933+REGN10987. Regeneron trades on the Nasdaq under the ticker REGN. The company sponsored both clinical trials of the combination in COVID-19, one evaluating virologic efficacy across dose regimens in outpatients and one assessing safety and efficacy in hospitalized patients.

What phase is REGN10933+REGN10987 in?

REGN10933+REGN10987 is in Phase 2 development for COVID-19. Both of its clinical trials are completed, and no trials are currently active. The Phase 2 study evaluated virologic efficacy across different dose regimens in adult outpatients, while an earlier Phase 1 study enrolled hospitalized adult patients.

What clinical trials is REGN10933+REGN10987 in?

REGN10933+REGN10987 has been evaluated in two completed trials. NCT04666441 was a Phase 2 study of virologic efficacy across different dose regimens in adult outpatients with SARS-CoV-2 infection, enrolling 1,149 participants in the United States. NCT04426695 was a Phase 1 safety, tolerability, and efficacy study in 2,252 hospitalized adult patients across the United States, Brazil, Chile, Mexico, Moldova, and Romania.