Title

A Study of LY3819253 (LY-CoV555) in Participants Hospitalized for COVID-19
A Randomized, Placebo-Controlled, Double-Blind, Sponsor Unblinded, Single Ascending Dose, Phase 1 First in Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Intravenous LY3819253 in Participants Hospitalized for COVID-19
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Intervention/Treatment

    LY3819253 ...
  • Study Participants

    26
The purpose of this study is to test the safety and tolerability of LY3819253 when it is given by injection into a vein to participants hospitalized with COVID-19. Blood tests will be done to check how much LY3819253 is in the bloodstream and how long the body takes to eliminate it. Participation could last about 8 weeks and may include up to 15 visits in the hospital or the home.
Study Started
May 28
2020
Primary Completion
Aug 26
2020
Study Completion
Aug 26
2020
Results Posted
Nov 09
2021
Last Update
Nov 12
2021

Drug LY3819253

Administered IV.

  • Other names: LY-CoV555, Bamlanivimab

Drug Placebo

Administered IV.

LY3819253 Experimental

Participants received single doses of 700 milligrams (mg), 2800 mg or 7000 mg LY3819253 administered as intravenous infusion.

Placebo Placebo Comparator

Participants received single dose of Placebo as intravenous infusion.

Criteria

Inclusion Criteria:

Are hospitalized or in the process of being admitted to hospital and have an initial laboratory determination of current COVID-19 infection less than or equal to (≤)72 hours prior to randomization
Are men or non-pregnant women
Women of childbearing potential must agree to use at least one highly effective form of contraception for the entirety of the study
Agree to the collection of nasopharyngeal swabs and venous blood

Exclusion Criteria:

Require mechanical ventilation or anticipated impending need for mechanical ventilation
Received convalescent COVID-19 plasma treatment prior to enrollment
Were resident in a nursing home or long-term care facility immediately prior to current hospitalization
Suspected or proven serious, active bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking investigational product
Have an oxygen saturation (SpO2) less than (<)88 percent (%) while breathing room air at rest at randomization.

Summary

Placebo

700 mg LY3819253 IV

2800 mg LY3819253 IV

7000 mg LY3819253 IV

All Events

Event Type Organ System Event Term Placebo 700 mg LY3819253 IV 2800 mg LY3819253 IV 7000 mg LY3819253 IV

Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration

An SAE is any adverse event that results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. The number of participants with 1 or more SAEs considered by the investigator to be related to study drug administration is reported. A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, were reported in the Reported Adverse Events module.

Placebo

700 mg LY3819253 IV

2800 mg LY3819253 IV

7000 mg LY3819253 IV

Pharmacokinetics (PK): Mean Concentration of LY3819253 on Day 29

Pharmacokinetics (PK): Mean Concentration of LY3819253 on Day 29.

700 mg LY3819253 IV

28.2
microgram per milliliter (µg/mL) (Geometric Mean)
Geometric Coefficient of Variation: 75

2800 mg LY3819253 IV

59.4
microgram per milliliter (µg/mL) (Geometric Mean)
Geometric Coefficient of Variation: 37

7000 mg LY3819253 IV

261.0
microgram per milliliter (µg/mL) (Geometric Mean)
Geometric Coefficient of Variation: 50

Pharmacodynamics (PD): Change From Baseline to Day 29 in Viral Load

Pharmacodynamics (PD): Change from Baseline to Day 29 in Viral Load.

Placebo

10.476
log10 (Copies/mL) (Mean)
Standard Deviation: 7.117

700 mg LY3819253 IV

10.923
log10 (Copies/mL) (Mean)
Standard Deviation: 10.036

2800 mg LY3819253 IV

16.956
log10 (Copies/mL) (Mean)
Standard Deviation: 10.388

7000 mg LY3819253 IV

15.726
log10 (Copies/mL) (Mean)
Standard Deviation: 5.723

Pharmacodynamics (PD): SARS-CoV-2 Viral Load AUC

The SARS-CoV-2 viral load was derived from the cycle time (CT) values using a polymerase chain reaction (PCR) assay. Higher CT values indicate a lower viral load.

Placebo

48.865
Cycles*day (Mean)
Standard Deviation: 28.020

700 mg LY3819253 IV

44.858
Cycles*day (Mean)
Standard Deviation: 40.027

2800 mg LY3819253 IV

60.818
Cycles*day (Mean)
Standard Deviation: 24.266

7000 mg LY3819253 IV

69.528
Cycles*day (Mean)
Standard Deviation: 39.336

Pharmacodynamics (PD): Time to SARS-CoV-2 Clearance

Pharmacodynamics (PD): Time to SARS-CoV-2 clearance.

Placebo

700 mg LY3819253 IV

7.7
Days (Mean)
Standard Deviation: 7.0

2800 mg LY3819253 IV

7000 mg LY3819253 IV

15.7
Days (Mean)
Standard Deviation: 11.2

Total

24
Participants

Age, Continuous

53.9
Years (Mean)
Standard Deviation: 12.3

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo

700 mg LY3819253 IV

2800 mg LY3819253 IV

7000 mg LY3819253 IV

Drop/Withdrawal Reasons

Placebo

700 mg LY3819253 IV

2800 mg LY3819253 IV