About this trial
This placebo-controlled, randomized, blinded, two-arm phase II study will test the safety and potential efficacy of the targeted mAb, Sipavibart (formerly AZD3152) in patients with Long COVID.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18 to 70 years old,
Inciting event: Acute COVID documented by testing (PCR or antigen testing in a clinical setting).
Onset of COVID symptoms occurring on or prior to August 31st, 2023; and persistence of symptomatic expression of Long COVID (defined #6 below) for more than 3 months after COVID diagnosis.
Current symptomatic expression meets the case definition of ME/CFS.
Disqualifiers
Known active acute SARS-CoV-2 infection ≤ 4 weeks from consent.
Known severe anemia, defined as < 8 g/dL.
Known stroke that resulted in cognitive impairment within 3 months of enrollment.
Self-report of current treated or untreated major depression with psychotic or melancholic features, schizophrenia, bipolar disorder, delusional disorders, dementias of any type, or a history of CNS disorders that may affect cognitive function (i.e., epilepsy, stroke, brain tumor, multiple sclerosis, Parkinson's Disease, Alzheimer's disease), or substance abuse during the last two years, excluding cannabis products.
Trial design
Parallel
Treatments tested in this trial
Placebo
DrugA single dose of placebo (saline) indistinguishable from the active drug in appearance
Sipavibart
Biological/VaccineA single intramuscular dose of Sipavibart, 300 mg
Treatment groups
Trial outcomes
Primary outcomes
Patient-Reported Outcomes Measurement Information System-29
Comprehensive Symptom Burden Index (CSBI) total scores will serve as a composite outcome measure derived from eight PROMIS domains to capture overall symptom burden. Scores will be calculated at baseline and Week 12. Efficacy will be determined by the proportion of participants classified as IMPROVED, defined as having a ≥4.5-point increase in CSBI from baseline, a threshold representing moderate and clinically meaningful improvement.
Review of Treatment Related Adverse Events
Number of participants with treatment-related adverse events as assessed by frequency of safety events during the study period.
Secondary outcomes
Symptom-specific participant-reported outcome measures
Evaluate change in Comprehensive Symptom Burden Index (CSBI) score from baseline to Week 24 between Sipavibart and placebo groups.
Change in Simple Reaction Time (Milliseconds)
Change in raw Simple Reaction Time, measured in milliseconds using the CNS Vital Signs computerized test battery, from baseline to Weeks 12 and 24.
Self-reported fatigue using MFI
Change in Multidimensional Fatigue Inventory (MFI) total and subscale scores (General Fatigue, Physical Fatigue, Mental Fatigue, Reduced Activity, Reduced Motivation) from baseline to Weeks 12 and 24. Correlation of MFI scores with PROMIS Fatigue and DSQ-PEM subscales (convergent validity).
Change in Heart Rate Post-6MWT
Change in Heart Rate post 6-minute walk distance (6MWT), in meters, from baseline to Weeks 12 and 24.Unit: Beats per minute (bpm)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Nancy Klimas
Lead sponsor
Nova Southeastern University
Sponsor institution
Florida Department of Health
Collaborator