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Monoclonal Antibodies

AZD7442 for Pediatric COVID-19 (TRUST Trial)

Phase 1
Waitlist Available
Research Sponsored by AstraZeneca
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
COHORT 2: Increased risk of severe COVID-19 because of immunocompromised state or one or more comorbid conditions that increase the risk of severe COVID-19
COHORT 1: Increased risk of severe COVID-19 because of immunocompromised state or one or more comorbid conditions that increase the risk of severe COVID-19
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day 1 to day 457 (upto 15 months)
Awards & highlights

TRUST Trial Summary

This trial will study how AZD7442 works in children, how safe it is, and how well tolerated it is.

Who is the study for?
This trial is for children from ≥29 weeks gestational age to <18 years who are at high risk of severe COVID-19 due to a weakened immune system or other health conditions. They must weigh at least 1.5 kg and be medically stable. Children with recent biologic treatments, severe allergies, drug abuse history, or those needing immediate medical attention cannot participate.Check my eligibility
What is being tested?
The study tests AZD7442's effects when given as a shot in the muscle (IM) or directly into the vein (IV). It looks at how the body processes it, its effectiveness against COVID-19, and safety in kids who are either at risk of infection or already infected.See study design
What are the potential side effects?
Possible side effects include reactions where AZD7442 is injected, allergic reactions to ingredients in the medication, and potential impacts on liver enzymes and kidney function. The severity can vary among participants.

TRUST Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am at high risk for severe COVID-19 due to a weakened immune system or other health conditions.
Select...
I am at high risk for severe COVID-19 due to a weakened immune system or other health conditions.
Select...
I am between 29 weeks of pregnancy and under 18 years old.
Select...
I weigh at least 1.5 kg.

TRUST Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~day 1 to day 457 (upto 15 months)
This trial's timeline: 3 weeks for screening, Varies for treatment, and day 1 to day 457 (upto 15 months) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Apparent total clearance (CL/F)
Apparent volume of distribution based on terminal phase (Vz/F)
Area under the serum concentration versus time curve extrapolated to infinity (AUC0-inf)
+12 more
Secondary outcome measures
All Cohorts (Other than Neonates) - Number of participants with positive/negative antidrug antibodies (ADA) result and nAb to AZD7442.
All Cohorts (Other than Neonates) Titer of SARS-CoV-2 neutralizing antibodies (nAb)
Cohort 1 (Prophylaxis) - Incidence of SARS-CoV-2 infections
+4 more
Other outcome measures
Nasal concentrations of AZD7442 at specified time points during the study period when administered as a single IM or IV dose

Side effects data

From 2022 Phase 3 trial • 1131 Patients • NCT04625972
16%
Covid-19
11%
Cough
11%
Headache
8%
Fatigue
8%
Oropharyngeal pain
8%
Rhinorrhoea
7%
Nasal congestion
6%
Pyrexia
5%
Pain
4%
Chills
4%
Dyspnoea
3%
Diarrhoea
3%
Nausea
3%
Urinary tract infection
3%
Myalgia
2%
Sinus congestion
2%
Nasopharyngitis
2%
Upper respiratory tract infection
2%
Ageusia
2%
Arthralgia
2%
Anosmia
2%
Blood creatine phosphokinase increased
1%
Bronchitis
1%
Sinusitis
1%
Otitis media
1%
Anaemia
1%
Dehydration
1%
Anxiety
1%
Fall
1%
Vaccination complication
1%
Aspartate aminotransferase increased
1%
Gamma-glutamyltransferase increased
1%
Blood glucose increased
1%
C-reactive protein increased
1%
Dizziness
1%
Toothache
1%
Hypertension
1%
Influenza like illness
1%
Vomiting
1%
Malaise
1%
Asymptomatic covid-19
1%
White blood cells urine positive
1%
Decreased appetite
1%
Type 2 diabetes mellitus
1%
Epistaxis
1%
Back pain
1%
Muscle spasms
1%
Proteinuria
1%
Pain in extremity
1%
Dyspepsia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Placebo
AZD7442

TRUST Trial Design

1Treatment groups
Experimental Treatment
Group I: AZD7442Experimental Treatment1 Intervention
All participants will receive a single dose of AZD7442 on Day 1, either IM (AZD8895 followed by AZD1061) or IV (AZD8895 + AZD1061 concurrently).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
AZD7442
2020
Completed Phase 3
~6640

Find a Location

Who is running the clinical trial?

AstraZenecaLead Sponsor
4,257 Previous Clinical Trials
288,593,740 Total Patients Enrolled
52 Trials studying COVID-19
256,197,477 Patients Enrolled for COVID-19

Media Library

AZD7442 (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT05281601 — Phase 1
COVID-19 Research Study Groups: AZD7442
COVID-19 Clinical Trial 2023: AZD7442 Highlights & Side Effects. Trial Name: NCT05281601 — Phase 1
AZD7442 (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05281601 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does the age cutoff for participation in this clinical trial extend below 35 years?

"This research requires participants of the age range between 0 and 17 years. Currently, 31 trials are seeking younger individuals while 155 studies require patients aged 65 or higher."

Answered by AI

How many health care facilities are currently hosting this trial?

"This investigation is taking place in 14 locations across the United States, including Miami, Long Beach and Providence. For those interested in participating, selecting a location near to you can reduce the travel burden associated with the trial's requirements."

Answered by AI

What requirements must patients meet to qualify for this exploration?

"This trial seeks to recruit 100 paediatric patients aged between 0-17 years old with COVID-19. The eligibility criteria includes: a minimum gestational age of 29 weeks, body weight of 1.5kg or more, an immunocompromised state or one/multiple comorbidities that increase the risk for severe coronavirus disease 2019 (COVID-19), heightened vulnerability to SARS-CoV‑2 infection, medically stable condition in preceding month prior to enrollment, negative RT‑PCR test collected 3 days preceeding Day 1 OR a negative rapid SARS‑CoV‑2 antigen test at"

Answered by AI

Could you discuss the potential hazards associated with AZD7442?

"AZD7442 obtained a score of 1 on the safety scale due to its limited clinical data in Phase 1, indicating that its efficacy and security are yet to be comprehensively evaluated."

Answered by AI

What is the current enrollment for this research endeavor?

"Affirmative. According to clinicaltrials.gov, this investigation is open for recruitment and has been since March 21st 2022, with the latest update on November 14th of that year. A total of 100 volunteers are sought after in 14 specific locations."

Answered by AI

What are the primary goals of this research endeavor?

"The central aim of this trial, which will span from Day 1 to Day 366, is the assessment of AZD7442's serum concentrations through modelling. Secondary objectives include measuring the proportion of participants that progress with COVID-19 after a single dose in Cohort 2 and 3 (Treatment), assessing SARS-CoV-2 infections incidence among those receiving prophylaxis in Cohort 1 and monitoring post-dosing mortality rates due to COVID-19 across 90 days for both Treatment cohorts."

Answered by AI

Is this research endeavor accessible to participants at present?

"According to the information provided on clinicaltrials.gov, this trial is currently in search of participants. It was initially listed on March 21st 2022 and its most recent update was November 14th 2022."

Answered by AI

Who else is applying?

What state do they live in?
California
Colorado
How old are they?
18 - 65
What site did they apply to?
Research Site
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
~15 spots leftby Apr 2025