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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04452318
Other study ID # R10933-10987-COV-2069
Secondary ID 2020-003654-71
Status Completed
Phase Phase 3
First received
Last updated
Start date July 13, 2020
Est. completion date October 4, 2021

Study information

Verified date April 2023
Source Regeneron Pharmaceuticals
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Primary Objectives: Cohort A: • To evaluate the efficacy of REGN10933+REGN10987 compared to placebo in preventing symptomatic SARS-CoV-2 infection (broad-term) confirmed by RT-qPCR Cohort A and Cohort A1: • To evaluate the safety and tolerability of REGN10933+REGN10987 following subcutaneous (SC) administration compared to placebo Cohort B • To evaluate the efficacy of REGN10933+REGN10987 compared to placebo in preventing COVID-19 symptoms (broad-term) Cohort B and Cohort B1 • To evaluate the safety and tolerability of REGN10933+REGN10987 following SC administration compared to placebo


Description:

Cohort A: adult and adolescent subjects (≥12 years) who are SARS -CoV-2 RT-qPCR negative at baseline Cohort A1: pediatric subjects (<12 years) who are SARS-CoV-2 RT--qPCR negative at baseline Cohort B: adult and adolescent subjects (≥12 years) who are SARS -CoV-2 RT-qPCR positive at baseline Cohort B1: pediatric subjects (<12 years) who are SARS-CoV-2 RT--qPCR positive at baseline


Recruitment information / eligibility

Status Completed
Enrollment 3303
Est. completion date October 4, 2021
Est. primary completion date October 4, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 1 Day and older
Eligibility Key Inclusion Criteria: 1. Adult subjects 18 years of age (irrespective of weight) and above at the signing of informed consent or adolescent participants =12 to <18 years of age, or pediatric participants <12 years of age at the signing of the assent (parent/guardian sign the informed consent) 2. Asymptomatic household contact with exposure to an individual with a diagnosis of SARS-CoV-2 infection (index case). To be included in the study, participants must be randomized within 96 hours of collection of the index cases' positive SARS-COV-2 diagnostic test sample 3. Participant anticipates living in the same household with the index case until study day 29 4. Is judged by the investigator to be in good health based on medical history and physical examination at screening/baseline, including participants who are healthy or have a chronic, stable medical condition 5. Willing and able to comply with study visits and study-related procedures/assessments. 6. Provide informed consent signed by study participant or legally acceptable representative. Key Exclusion Criteria: 1. History of prior positive SARS-CoV-2 RT-PCR test or positive SARS-CoV-2 serology test at any time before the screening 2. Participant has lived with individuals who have had previous SARS-CoV-2 infection or currently lives with individuals who have SARS-CoV-2 infection, with the exception of the index case(s), the first individual(s) known to be infected in the household 3. Active respiratory or non-respiratory symptoms consistent with COVID-19 4. History of respiratory illness with sign/symptoms of SARS-CoV-2 infection, in the opinion of the investigator, within the prior 6 months to screening 5. Nursing home resident 6. Any physical examination findings, and/or history of any illness, concomitant medications or recent live vaccines that, in the opinion of the study investigator, might confound the results of the study or pose an additional risk to the participant by their participation in the study Note: Other protocol-defined Inclusion/ Exclusion criteria apply

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
REGN10933 + REGN10987
Subcutaneous (SC) or Intramuscular (IM) injections
Placebo
SC or IM injections

Locations

Country Name City State
Moldova, Republic of Regeneron Study Site Chisinau
Romania Regeneron Study Site Bucharest
United States Regeneron Study Site Ames Iowa
United States Regeneron Study Site Atlanta Georgia
United States Regeneron Study Site Atlanta Georgia
United States Regeneron Study Site Aurora Colorado
United States Regeneron Study Site Baltimore Maryland
United States Regeneron Study Site Bellaire Texas
United States Regeneron Study Site Boca Raton Florida
United States Regeneron Study Site Boston Massachusetts
United States Regeneron Study Site Boston Massachusetts
United States Regeneron Study Site Boston Massachusetts
United States Regeneron Study Site Boston Massachusetts
United States Regeneron Study Site Boston Massachusetts
United States Regeneron Study Site Bronx New York
United States Regeneron Study Site 1 Bronx New York
United States Regeneron Study Site 2 Bronx New York
United States Regeneron Study Site Buffalo New York
United States Regeneron Study Site Chapel Hill North Carolina
United States Regeneron Study Site Charleston South Carolina
United States Regeneron Study Site Charleston South Carolina
United States Regeneron Study Site Charlotte North Carolina
United States Regeneron Study Site Charlottesville Virginia
United States Regeneron Study Site Chattanooga Tennessee
United States Regeneron Study Site Chicago Illinois
United States Regeneron Study Site Chicago Illinois
United States Regeneron Study Site 2 Chicago Illinois
United States Regeneron Study Site 3 Chicago Illinois
United States Regeneron Study Site Cincinnati Ohio
United States Regeneron Study Site Clearwater Florida
United States Regeneron Study Site Clinton South Carolina
United States Regeneron Study Site Colorado Springs Colorado
United States Regeneron Study Site Columbus Georgia
United States Regeneron Study Site Columbus Ohio
United States Regeneron Study Site Columbus Ohio
United States Regeneron Study Site Corpus Christi Texas
United States Regeneron Study Site Dallas Texas
United States Regeneron Study Site Danville Pennsylvania
United States Regeneron Study Site Dayton Ohio
United States Regeneron Study Site Decatur Georgia
United States Regeneron Study Site DeLand Florida
United States Regeneron Study Site Detroit Michigan
United States Regeneron Study Site 1 Downers Grove Illinois
United States Regeneron Study Site 2 Downers Grove Illinois
United States Regeneron Study Site Eatonton Georgia
United States Regeneron Study Site Everett Washington
United States Regeneron Study Site Fayetteville North Carolina
United States Regeneron Study Site Fort Pierce Florida
United States Regeneron Study Site Gaffney South Carolina
United States Regeneron Study Site Gulfport Mississippi
United States Regeneron Study Site Hazelwood Missouri
United States Regeneron Study Site Hialeah Florida
United States Regeneron Study Site Houston Texas
United States Regeneron Study Site Houston Texas
United States Regeneron Study Site Houston Texas
United States Regeneron Study Site Houston Texas
United States Regeneron Study Site Houston Texas
United States Regeneron Study Site Jackson Mississippi
United States Regeneron Study Site Jacksonville Florida
United States Regeneron Study Site Knoxville Tennessee
United States Regeneron Study Site La Mesa California
United States Regeneron Study Site La Palma California
United States Regeneron Study Site Lake Charles Louisiana
United States Regeneron Study Site Lakeland Florida
United States Regeneron Study Site Las Vegas Nevada
United States Regeneron Study Site Las Vegas Nevada
United States Regeneron Study Site Long Beach California
United States Regeneron Study Site Los Angeles California
United States Regeneron Study Site Los Angeles California
United States Regeneron Study Site Los Angeles California
United States Regeneron Study Site Loxahatchee Groves Florida
United States Regeneron Study Site Madison Wisconsin
United States Regeneron Study Site Maitland Florida
United States Regeneron Study Site Marietta Georgia
United States Regeneron Study Site Marrero Louisiana
United States Regeneron Study Site Memphis Tennessee
United States Regeneron Study Site Mesa Arizona
United States Regeneron Study Site Metairie Louisiana
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Miami Florida
United States Regeneron Study Site Minneapolis Minnesota
United States Regeneron Study Site Montclair California
United States Regeneron Study Site Morristown New Jersey
United States Regeneron Study Site Nashville Tennessee
United States Regeneron Study Site New Orleans Louisiana
United States Regeneron Study Site New York New York
United States Regeneron Study Site New York New York
United States Regeneron Study Site New York New York
United States Regeneron Study Site New York New York
United States Regeneron Study Site New York New York
United States Regeneron Study Site New York New York
United States Regeneron Study Site Newark New Jersey
United States Regeneron Study Site Northridge California
United States Regeneron Study Site Orlando Florida
United States Regeneron Study Site Oxnard California
United States Regeneron Study Site Pearland Texas
United States Regeneron Study Site Philadelphia Pennsylvania
United States Regeneron Study Site Philadelphia Pennsylvania
United States Regeneron Study Site Providence Rhode Island
United States Regeneron Study Site Raleigh North Carolina
United States Regeneron Study Site Red Oak Texas
United States Regeneron Study Site Richmond Virginia
United States Regeneron Study Site Royal Oak Michigan
United States Regeneron Study Site Sacramento California
United States Regeneron Study Site Sacramento California
United States Regeneron Study Site Saint Louis Missouri
United States Regeneron Study Site San Antonio Texas
United States Regeneron Study Site San Diego California
United States Regeneron Study Site San Francisco California
United States Regeneron Study Site Sandy Springs Georgia
United States Regeneron Study Site Sarasota Florida
United States Regeneron Study Site Seattle Washington
United States Regeneron Study Site Sioux Falls South Dakota
United States Regeneron Study Site Stanford California
United States Regeneron Study Site Summit New Jersey
United States Regeneron Study Site Tampa Florida
United States Regeneron Study Site Teaneck New Jersey
United States Regeneron Study Site Torrance California
United States Regeneron Study Site Torrance California
United States Regeneron Study Site Tucson Arizona
United States Regeneron Study Site Tucson Arizona
United States Regeneron Study Site Tyler Texas
United States Regeneron Study Site Washington District of Columbia
United States Regeneron Study Site West Palm Beach Florida
United States Regeneron Study Site Wilkes-Barre Pennsylvania
United States Regeneron Study Site Wilmington North Carolina
United States Regeneron Study Site Winston-Salem North Carolina
United States Regeneron Study Site Winter Park Florida
United States Regeneron Study Site Yakima Washington

Sponsors (1)

Lead Sponsor Collaborator
Regeneron Pharmaceuticals

Countries where clinical trial is conducted

United States,  Moldova, Republic of,  Romania, 

Outcome

Type Measure Description Time frame Safety issue
Primary Cohort A: Percentage of Participants Who Have a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Broad-term) During the EAP Symptomatic SARS-CoV-2 infection (broad-term) is defined as a positive central lab SARS-CoV-2 RT-qPCR result (either NP, nasal or saliva) associated with signs and symptoms with the onset date occurring within 14 days of a positive RT-qPCR during the EAP. Percentage estimated by Logistic Regression. Up to 1 month
Primary Cohort B: Percentage of Participants Who Subsequently Develop Signs and Symptoms (Broad-Term) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:>=12 to=50), and region (US vs ex-US). Up to 14 Days
Primary Cohort A and Cohort B: Number of Participants With at Least One Treatment-emergent Adverse Event (TEAEs) and Severity of TEAEs Up to 8 months
Secondary Cohort A and Cohort B: Percentage of Participants With High Viral Load in Nasopharyngeal (NP) Swab Samples During the EAP High viral load (> 4 log 10 copies/ml) Up to 1 month
Secondary Cohort A: Number of Weeks of Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Broad Term) During the EAP Up to 1 month
Secondary Cohort A and Cohort B: Number of Weeks of High Viral Load in NP Swab Samples During the EAP High viral load (> 4 log 10 copies/ml) Up to 1 month
Secondary Cohort A: Number of Weeks of RT-qPCR Confirmed SARS-CoV-2 Infection (Regardless of Symptoms) During the EAP Up to 1 month
Secondary Cohort A: Percentage of Participants Who Have a RT-qPCR Confirmed SARS-CoV-2 Infection (Regardless of Symptoms) During the EAP The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:>=12 to=50), and region (US vs ex-US) Up to 1 month
Secondary Cohort A: Percentage of Participants in Placebo Group With a RT-qPCR Confirmed SARS-CoV-2 Infection During the EAP With an Index Case Participating in Study R10933-10987-COV-2067 (NCT04425629) Up to 1 month
Secondary Cohort A: Percentage of Participants With a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (CDC Definition) During the EAP Symptomatic SARS-CoV-2 infection (CDC definition) is defined as a positive central lab SARS-CoV-2 RT-qPCR result (either NP, nasal or saliva) associated with signs and symptoms with the onset date occurring within 14 days of a positive RT-qPCR during the EAP. Percentage estimated by Logistic Regression. Up to 1 month
Secondary Cohort A: Number of Weeks of Symptomatic RT-qPCR-confirmed SARS-CoV-2 Infection (CDC Definition) During the EAP Up to 1 month
Secondary Cohort A: Percentage of Participants Who Have a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Strict-term) During the EAP The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:>=12 to=50), and region (US vs ex-US) Up to 1 month
Secondary Cohort A: Number of Weeks of Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Strict-term) During the EAP Up to 1 month
Secondary Cohort A: Percentage of Participants Who Have a RT-qPCR Confirmed SARS-CoV-2 Infections at Each Week in the EAP Week 1, Week 2, Week 3, Week 4
Secondary Cohort A: Percentage of Participants Who Have a Symptomatic RT-qPCR Confirmed SARS-CoV-2 Infection (Broad-term) at Each Week in the EAP The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:>=12 to=50), and region (US vs ex-US) Week 1, Week 2, Week 3, Week 4
Secondary Cohort A: Time-weighted Average of Viral Load From the First Positive SARS CoV-2 RT-qPCR in NP Swab Samples (That Has an Onset During the EAP) Until the Third Weekly Visit After the First Positive Test During the EAP Up to 1 month
Secondary Cohort A: Time-weighted Average of Viral Load From the First Positive SARS-CoV-2 RT-qPCR in NP Swab Samples (That Has an Onset During the EAP) Until the Second Weekly Visit After the First Positive Test During the EAP Up to 1 month
Secondary Cohort A: Maximum SARS-CoV-2 RT-qPCR Viral Load in NP Swab Samples Among Individuals With =1 RT-qPCR Positive That Has an Onset During the EAP Up to 1 month
Secondary Cohort A: SARS-CoV-2 RT-qPCR Viral Load in NP Swab Samples Corresponding to the Onset of First Positive RT-qPCR During the EAP Up to 1 month
Secondary Cohort A: Area Under the Curve (AUC) in Viral Load From the First Positive SARS-CoV-2 RT-qPCR NP Swab Samples Detected During the EAP Until the First Confirmed Negative Test Up to 1 month
Secondary Cohort A: Total Number of Medically Attended Visits in Emergency Rooms or Urgent Care Centers Related to a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset During the EAP Medically attended visits referred to hospitalizations, Emergency Room visits, or visits at an Urgent Care center. Up to 1 month
Secondary Cohort A: Percentage of Participants With at Least 1 COVID-19-related Hospitalization or Emergency Room Visit Associated With a Positive RT-qPCR During the EAP or All-cause Death Up to 1 month
Secondary Cohort A: Percentage of Participants Requiring Medically Attended Visits in Emergency Rooms or Urgent Care Centers Related to a RT-qPCR Confirmed SARS CoV-2 Infection That Has an Onset During the EAP Up to 1 month
Secondary Cohort A: Proportion of Participants Hospitalized Related to a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset During the EAP The proportion of participants hospitalized related to a RT-qPCR confirmed SARS-CoV-2 infection that has an onset during the EAP Up to 14 Days
Secondary Cohort A: Number of Days of Hospital and Intensive Care Unit (ICU) Stay in Participants Hospitalized for a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset During the EAP Up to Day 29
Secondary Cohort A: Number of Days Missed for Daily Responsibilities Due to a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset During the EAP Daily responsibilities including work (employed adults) or school (students), daycare or family obligations/responsibilities (childcare or eldercare) Up to 1 month
Secondary Cohort A: Proportion of Baseline Seropositive Participants (Based on Central Lab Test) With TEAEs and Severity of TEAEs Up to 8 months
Secondary Cohort A and Cohort B: Incidence and Severity of Symptomatic SARS-CoV-2 Infections During the EAP Up to Day 29
Secondary Cohort A and Cohort B: Incidence and Severity of Symptomatic SARS-CoV-2 Infections During the Follow-Up Period Day 30 Up to Day 225 (Approximately 8 months)
Secondary Cohort A and Cohort B: Incidence and Severity of Symptomatic SARS-CoV-2 Infections in Seronegative Subjects During the EAP Up to Day 29
Secondary Cohort A and Cohort B: Incidence and Severity of Symptomatic SARS-CoV-2 Infections in Seronegative Subjects During the Follow-Up Period Day 30 Up to Day 225 (Approximately 8 months)
Secondary Cohort A and Cohort B: Incidence and Severity of Symptomatic SARS-CoV-2 Infections in Seropositive Subjects During the EAP Up to Day 29
Secondary Cohort A and Cohort B: Incidence and Severity of Symptomatic SARS-CoV-2 Infections in Seropositive Subjects During the Follow-Up Period Day 30 Up to Day 225 (Approximately 8 months)
Secondary Cohort B: Number of Weeks of Symptomatic SARS-CoV-2 Infection (Broad-term) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP Up to 14 Days
Secondary Cohort B: Percentage of Participants With Asymptomatic Infection Who Develop Signs and Symptoms (CDC Definition) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:>=12 to=50), and region (US vs ex-US) Up to 1 month
Secondary Cohort B: Percentage of Participants Who Subsequently Develop Signs and Symptoms (Strict-term) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP The percentage of participants was estimated by using the logistic regression model with fixed categorical effects of treatment group, age group (age in years:>=12 to=50), and region (US vs ex-US) Up to 14 Days
Secondary Cohort B: Number of Weeks of Symptomatic SARS-CoV-2 Infection (CDC Definition) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP Up to 14 Days
Secondary Cohort B: Number of Weeks of Symptomatic SARS-CoV-2 Infection (Strict-term Definition) Within 14 Days of a Positive RT-qPCR at Baseline or During the EAP Up to 14 Days
Secondary Cohort B: Change in Viral Load From Baseline to Day 8 Visit in NP Swab Samples Up to day 8 visit
Secondary Cohort B: Change in Viral Load From Baseline to Day 15 Visit in NP Swab Samples Up to day 15 visit
Secondary Cohort B: Time-weighted Average Change From Baseline in Viral Load (log10 Copies/mL) in NP Swab Samples Until the Day 22 Visit Day 22
Secondary Cohort B: AUC in Viral Load From the First Positive SARS-CoV-2 RT-qPCR NP Swab Samples Detected During the EAP to the First Confirmed Negative Test Up to 14 Days
Secondary Cohort B: Maximum SARS-CoV-2 RT-qPCR Viral Load in NP Swab Samples in Participants With 1 or More Positive Test That Has an Onset During the EAP Up to 1 month
Secondary Cohort B: Number of Medically Attended Visits in Emergency Rooms or Urgent Care Centers Related to RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset at Baseline or During the EAP Up to 1 month
Secondary Cohort B: Percentage of Participants Requiring Medically Attended Visits in Emergency Rooms or Urgent Care Centers Related to a RT-qPCR Confirmed SARS CoV-2 Infection That Has an Onset at Baseline or During the EAP Up to 1 month
Secondary Cohort B: Percentage of Participants Hospitalized Related to a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset at Baseline or During the EAP Up to 14 Days
Secondary Cohort B: Number of Days Missed for Daily Responsibilities (Where Applicable) Due to a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset at Baseline or During the EAP Up to 1 month
Secondary Cohort B: Number of Days of Hospital and Intensive Care Unit (ICU) Stay in Participants Hospitalized for a RT-qPCR Confirmed SARS-CoV-2 Infection That Has an Onset at Baseline or During the EAP Up to 1 month
Secondary Concentrations of REGN10987 in Serum Over Time (Cohort A) 0 Days Post-Dose, 28 Days Post-Dose, 56 Days Post-Dose, 112 Days Post-Dose
Secondary Concentrations of REGN10987 in Serum Over Time (Cohort B) 0 Days Post-Dose, 28 Days Post-Dose, 56 Days Post-Dose, 112 Days Post-Dose
Secondary Concentrations of REGN10933 in Serum Over Time (Cohort A) 0 Days Post-Dose, 28 Days Post-Dose, 56 Days Post-Dose, 112 Days Post-Dose
Secondary Concentrations of REGN10933 in Serum Over Time (Cohort B) 0 Days Post-Dose, 28 Days Post-Dose, 56 Days Post-Dose, 112 Days Post-Dose
Secondary Immunogenicity as Measured by Anti-drug Antibodies (ADAs) to REGN10933 Up to 8 months
Secondary Immunogenicity as Measured by Anti-drug Antibodies (ADAs) to REGN10987 Up to 8 months
Secondary Immunogenicity as Measured by Neutralizing Anti-drug Antibody (NAb) to REGN10933 (TE&TB+;NAb+) = TE = Treatment-Emergent; TB = Treatment-boosted; NAb+ = Positive in NAb assay Up to 8 months
Secondary Immunogenicity as Measured by Neutralizing Anti-drug Antibody (NAb) to REGN10987 (TE&TB+;NAb+) = TE = Treatment-emergent; TB = Treatment-boosted; NAb+ = Positive in NAb assay Up to 8 Months
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