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Completed

NCT Number: NCT05181683

COVID-19 Study Assessing the Safety and Tolerability of Co-Formulated Anti-Spike (S) SARS-CoV-2 Monoclonal Antibodies (Casirivimab+Imdevimab) in Adult Volunteers

The primary objective of the study is to assess the safety and tolerability of co-formulated subcutaneous (SC) and intravenous (IV) casirivimab+imdevimab

The secondary objectives of the study are to:

* Explore variability in the drug concentration profiles of casirivimab and imdevimab after co-formulated subcutaneous (SC) or intravenous (IV) administration * Characterize the immunogenicity of casirivimab and imdevimab in serum over time

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Regeneron Study Site, Miami, Florida, United States

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Is healthy, or has chronic medical condition(s) that per the opinion of the investigator is (are) stable, well-controlled, and not likely to require medical intervention through the end of study
  • Does not require medication(s) for co-morbid condition, or has received stable medication(s) for co-morbid condition(s) for at least 6 months prior to screening
  • Weighs between ≥60 kg and ≤100 kg at the time of screening
  • Has SARS-CoV-2-negative reverse-transcriptase polymerase chain reaction (RT-PCR) from a sample collected ≤72 hours prior to randomization, using local assay and sample collection and assay standards
  • Has completed a full course of COVID-19 vaccination more than 6 weeks prior to randomization

Key Exclusion Criteria:

  • Has active respiratory or non-respiratory symptoms consistent with COVID-19 in the opinion of the Investigator
  • Has recent SARS-CoV-2 infection that resolved within 6 weeks prior to randomization
  • Prior use of casirivimab+imdevimab at any time prior to randomization
  • Prior, current, or planned use during the study of any of the following treatments: COVID-19 convalescent plasma, other monoclonal antibodies against SARS-CoV-2 (eg, bamlanivimab and etesevimab, sotrovimab), intravenous immunoglobulin (any indication), or any other investigational, authorized, or approved agent intended for COVID-19 treatment or prevention (with the exception of COVID-19 vaccines)
  • Treatment with another investigational drug in the last 30 days or within 5 half-lives of the investigational drug, whichever is longer, prior to screening
  • Body mass index (BMI) ≥28 kg/m2
  • Medically-attended acute illness, systemic antibiotics use, or hospitalization for any reason within 30 days prior to screening
  • Acute exacerbation of a chronic pulmonary condition (eg, chronic obstructive pulmonary disease [COPD], asthma exacerbations) in the past 6 months prior to screening
  • Uncontrolled hypertension, in the opinion of the investigator
  • History of heart failure hospitalization, diagnosis of a myocardial infarction, stroke, transient ischemic attack, unstable angina, percutaneous or surgical revascularization procedure (coronary, carotid, or peripheral vascular), or intracardiac device placement (eg, pacemaker) within 12 months prior to screening
  • Cancer requiring treatment currently or in the past 5 years, except for non-melanoma skin cancer or cervical/anus in-situ
  • Is pregnant at screening

Note: Other protocol-defined Inclusion/ Exclusion Criteria apply

Treatment and study plan

casirivimab+imdevimab

Drug

Randomized 1:1 for intravenous (IV) or subcutaneous (SC) administration

Other names: REGN-COV2, Casirivimab, Imdevimab, REGEN-COV™, Ronapreve™

Primary outcomes

  1. Targeted grade ≥3 treatment-emergent adverse events (TEAEs)

    Time frame: Through end of study, approximately 16 weeks

  2. Grade ≥3 injection-site reactions (ISRs)

    Time frame: Through end of study, approximately 16 weeks

  3. Grade ≥2 infusion-related reactions (IRRs)

    Time frame: Through end of study, approximately 16 weeks

  4. Grade ≥2 hypersensitivity reactions

    Time frame: Through end of study, approximately 16 weeks

  5. Serious adverse events (SAEs)

    Time frame: Through end of study, approximately 16 weeks

Secondary outcomes

  1. Concentrations of casirivimab and imdevimab in serum over time

    Time frame: Up to 16 weeks

  2. Incidence and titer of anti-drug antibodies (ADA) to casirivimab and imdevimab

    Time frame: Up to 16 weeks

  3. Incidence of neutralizing antibodies (NAb) to casirivimab and imdevimab

    Time frame: Up to 16 weeks

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

A Phase 1, Randomized, Open-Label Study Assessing the Safety and Tolerability of Co-Formulated Anti-Spike (S) SARS-CoV-2 Monoclonal Antibodies (Casirivimab+Imdevimab) in Adult Volunteers

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Jan 6, 2022
Registry last updated
Oct 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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