Official Title
A Phase 2A, Open-Label Study Assessing Pharmacokinetics, Safety, Tolerability, and Immunogenicity of Single-Dose Subcutaneous Anti- Spike(s) SARS-COV-2 Monoclonal Antibodies (Casirivimab and Imdevimab) in High-Risk Pediatric Subjects Under 12 Years of Age
Brief Summary

The primary objective of the study is to characterize the concentrations of casirivimab+imdevimab in serum over time after a single subcutaneous (SC) administration The secondary objectives of the study are: - To assess the safety and tolerability of SC or single administration of casirivimab+imdevimab - To assess the occurrence of grade ≥3 injection site reactions and grade ≥3 hypersensitivity reactions, in participants treated with SC doses of casirivimab+imdevimab - To assess the immunogenicity of casirivimab+imdevimab

Terminated
COVID-19

Drug: casirivimab+imdevimab

Single dose administered based on weight
Other Name: Array

Eligibility Criteria

Key Inclusion Criteria:

1. Is <12 years of age and ≥3 kg to <40 kg at the time parental/guardian consent is
signed

2. Has at least one risk factor for developing severe COVID-19 if they were to become
infected, such as:

1. Obesity (BMI [kg/m2] ≥95th percentile for age and sex based on CDC growth charts)

2. Cardiovascular disease

3. Chronic lung disease

4. Type 1 or type 2 diabetes mellitus

5. Chronic kidney disease, including those on dialysis

6. Chronic liver disease

7. Immunocompromised or immunodeficient, based on Investigator's assessment
(examples include cancer treatment, bone marrow or organ transplantation, immune
deficiencies, HIV infection, sickle cell anemia, thalassemia, and prolonged use
of immune-weakening medications)

8. Medical complexities (examples include any underlying genetic condition,
neurologic condition, metabolic condition, or congenital heart disease)

9. Any other condition deemed by the Investigator to be a risk factor for severe
COVID-19

Key Exclusion Criteria:

1. Has positive diagnostic test for SARS-CoV-2 infection from a sample collected during
screening ≤7 days prior to study drug administration Note: The sample for the test
should be collected ≤7 days within study drug administration, and the result should be
reviewed and confirmed negative prior to dosing. Historical records will not be
accepted.

2. Has active respiratory or non-respiratory symptoms consistent with COVID-19 in the
opinion of the Investigator

3. Has subject-reported clinical history of COVID-19, as determined by Investigator,
within the last 90 days

4. Has subject-reported history of prior Emergency Use Authorization (EUA)/approved
positive diagnostic test for SARSCoV-2 infection within the last 90 days

5. Is currently hospitalized or was hospitalized for >24 hours for any reason within 14
days of the screening visit

6. Prior use (within 90 days prior to study drug administration) or current use of any
investigational, authorized, or approved passive antibody for prophylaxis of
SARS-CoV-2 infection, including convalescent plasma, convalescent sera, hyperimmune
globulin, or other monoclonal antibodies (eg, bamlanivimab and etesevimab, sotrovimab)

7. Has initiated vaccination for SARS-CoV-2 with an investigational or approved vaccine,
but has not completed the vaccine schedule as recommended by the vaccine manufacturer.

8. Plans to receive an investigational or approved SARS-CoV-2 vaccine within 90 days
after study drug administration, or per the recommended time frame from the current
Centers for Disease Control vaccination guidelines (CDC, 2021b)

NOTE: Other protocol-defined Inclusion/ Exclusion Criteria apply

Eligibility Gender
All
Eligibility Age
Minimum: 1 Minute ~ Maximum: 12 Years
Countries
United States
Locations

Advanced Research Center, Inc
Anaheim, California, United States

Batchelor's Children's Research Institute
Miami, Florida, United States

Jacobi Medical Center
Bronx, New York, United States

Stony Brook University Hospital
Stony Brook, New York, United States

SUNY Upstate Medical University
Syracuse, New York, United States

Coastal Pediatric Research
Charleston, South Carolina, United States

Regeneron Research Site
Richmond, Virginia, United States

Clinical Trial Management, Study Director
Regeneron Pharmaceuticals

Regeneron Pharmaceuticals
NCT Number
Keywords
Coronavirus Disease 2019 (COVID-19)
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
Coronavirus
MeSH Terms
COVID-19
Casirivimab and imdevimab drug combination