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TerminatedNCT04822701Updated Jul 28, 2022Results posted

A Study to Test BI 767551 in People With Mild to Moderate Symptoms of COVID-19

A Phase 2/3 interventional study of BI 767551 intravenous and BI 767551 inhaled in COVID-19, sponsored by Boehringer Ingelheim. Terminated at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-28.

Sponsored by Boehringer Ingelheim · Phase 2/3, Interventional, and Treatment

Why this study was terminated
not due to safety reasons
Phase
Phase 2/3
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This study is open to adults with mild to moderate symptoms of COVID-19 (coronavirus disease). The purpose of this study is to find out whether a medicine called BI 767551 helps people with COVID-19. BI 767551 is an antibody against the coronavirus.

The study has 2 parts.

Part 1 wants to find out the best dose of BI 767551 given as infusion into a vein. It also tests how BI 767551 is taken up by the body when taken via an inhaler. Participants are put into 4 groups by chance. Participants get BI 767551 or placebo once.

  • 1 group gets a high dose of BI 767551 as an infusion into a vein
  • 1 group gets a low dose of BI 767551 as an infusion into a vein
  • 1 group gets BI 767551 via an inhaler
  • 1 group gets placebo both as an infusion into a vein and via an inhaler

The placebo infusion and inhaler look like the BI 767551 infusion and inhaler but do not contain any medicine.

Doctors check how BI 767551 reduces the amount of coronavirus. Once the best dose of BI 767551 is found, part 2 of the study tests BI 767551 in a larger group of people. Also, in part 2, the participants get BI 767551 or placebo as an infusion into a vein once. In this part, doctors will check how many people need to be treated in a hospital or die. The results will be compared between the groups.

For each part, participants are in the study for about 13 weeks. During this time, they visit the study site about 8 times and get about 3 remote visits.

The doctors also regularly check participants' health and take note of any unwanted effects of BI 767551.

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Conditions studied

  • COVID-19

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03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 5 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion criteria phase II and III:

  • ≥ 18 years old, males and females
  • Signed and dated written informed consent in accordance with International Council on Harmonisation - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial
  • Documentation of laboratory-confirmed Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, as determined by a molecular test (antigen or nucleic acid) from any respiratory tract specimen (nasopharyngeal (NP) or nasal swab or saliva) collected no more than 72 hours prior to start of treatment
  • Patients experienced mild to moderate Coronavirus Disease 2019 (COVID-19)-related symptoms or measured fever for no more than 5 days prior to start of treatment where symptoms are defined by fever, feeling feverish, fatigue, cough, shortness of breath at rest or during activity, sore throat, body pain or muscle pain/ aches, chills, headache, nasal obstruction or congestion, loss of smell or taste, nausea, diarrhea, vomiting, or dysgeusia
  • One or more of the following signs/symptoms present on day of start of treatment: fever, feeling feverish, fatigue, cough, shortness of breath at rest or during activity, sore throat, body pain or muscle pain/ aches, chills, headache, nasal obstruction or congestion, loss of smell or taste, nausea, diarrhea, vomiting, or dysgeusia
  • Women of childbearing potential (WOCBP) and men able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly

Exclusion criteria phase II and III:

  • Body weight of less than 40 kg
  • Severe or critical COVID-19 including at least one of

    • Oxygen saturation (SpO2) ≤ 93 % on room air or on their usual level of oxygen supplementation in case of chronic oxygen use
    • Ratio of arterial oxygen partial pressure (PaO2 in millimeters of mercury) to fractional inspired oxygen (FiO2) \< 300 (in case arterial blood sample was taken)
    • History of hospitalization for COVID-19
    • Current or imminent need for hospitalization or immediate medical attention in the clinical opinion of the site investigator. Does not include patients hospitalized for isolation only
  • Receipt of intravenous immunoglobulin within 12 weeks prior to Visit 2
  • Receipt of COVID-19 convalescent plasma treatment at any time prior to Visit 2
  • Receipt of any SARS-CoV-2 monoclonal antibody treatment at any time prior to Visit 2
  • Receipt of SARS-CoV-2 vaccine at any time prior to Visit 2
  • Receipt of an investigational product for COVID-19 within 5 half-lives prior to Visit 2
  • Receipt of systemic steroids (e.g. prednisone, dexamethasone) within 4 weeks prior to Visit 2 unless used for chronic condition Further exclusion criteria apply.

Exclusion criterion phase III only:

  • Previous enrolment in this trial. Patients participating in Phase II are not eligible for Phase III. Re-screening is allowed once, for repeat of Quantitative Reverse Transcription Polymerase chain reaction (RT-qPCR) or antigen SARS-CoV-2 test, if required. The test method used for initial screening (RT-qPCR or antigen) should be used for re-screening.
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
5 participants (actual)

Study arms

  • Placebo comparator
    Phase II, Arm 1: Placebo intravenous (i.v.) + placebo inhaled

    Single dose of sterile normal saline (NaCl 0.9%) used as placebo for intravenous (i.v.) was administered as intravenous infusion over a period of 60 minutes plus a single inhaled of solvent for dilution of BI 767551 used as placebo for inhalation administered via inhalation through a mouthpiece (Aerogen® Ultra) using a mesh nebulizer (Aerogen® Solo) on Day 1, followed by a 90-day follow-up period. The inhalation procedure was to start approximately 25 min after the start of infusion.

    Drug: Placebo intravenous · Drug: Placebo inhaled

  • Experimental
    Phase II, Arm 2: BI 767551 10 milligrams (mg)/kilogram (kg) intravenous (i.v.) + placebo inhaled

    Drug: BI 767551 intravenous · Drug: Placebo inhaled

  • Experimental
    Phase II, Arm 3: BI 767551 40 mg/kg intravenous (i.v.) + placebo inhaled

    Drug: BI 767551 intravenous · Drug: Placebo inhaled

  • Experimental
    Phase II, Arm 4: Placebo intravenous (i.v.) + BI 767551 250 mg inhaled

    Single dose of sterile normal saline (NaCl 0.9%) used as placebo for intravenous (i.v.) was administered as intravenous infusion over a period of 60 minutes plus a single inhaled of 250 milligrams (mg) of BI 767551 administered via inhalation through a mouthpiece (Aerogen® Ultra) using a mesh nebulizer (Aerogen® Solo) on Day 1, followed by a 90-day follow-up period. The inhalation procedure was to start approximately 25 min after the start of infusion.

    Drug: BI 767551 inhaled · Drug: Placebo intravenous

  • Experimental
    Phase III, Arm 1: BI 767551 (medium or high dose infusion) or low dose inhalation

    Drug: BI 767551 intravenous

  • Placebo comparator
    Phase III, Arm 2: Placebo

    Drug: Placebo intravenous

Interventions

  • DrugBI 767551 intravenous

    BI 767551 intravenous

  • DrugBI 767551 inhaled

    BI 767551 inhaled

  • DrugPlacebo intravenous

    Placebo intravenous

  • DrugPlacebo inhaled

    Placebo inhaled

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What researchers measure

Primary outcomes

  1. Phase II: Time-weighted Change From Baseline in Viral Shedding Over 8 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)

    Time-weighted change from baseline in viral shedding over 8 days in site collected nasopharyngeal (NP) swabs by Quantitative Reverse Transcription Polymerase chain reaction (RT-qPCR), defined as a absolute change from baseline in log10 viral load, is reported.

    Time frame: Up to 8 days

  2. Phase II: Time-weighted Change From Baseline in Viral Shedding Over 29 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)

    Time-weighted change from baseline in viral shedding over 29 days in site collected nasopharyngeal (NP) swabs by Quantitative Reverse Transcription Polymerase chain reaction (RT-qPCR), defined as a absolute change from baseline in log10 viral load, is reported.

    Time frame: Up to 29 days

Secondary outcomes

  1. Phase II: Number of Participants With Loss of Detection of Severe Acute Respiratory Syndrome Coronavirus 2 Ribonucleic Acid (SARS-CoV-2 RNA) by Site Collected NP Swab at Day 4, 8, 15, 22 and 29

    Number of participants with loss of detection of Severe acute respiratory syndrome coronavirus 2 ribonucleic acid (SARS-CoV-2 RNA) by site collected NP swab at Day 4, 8, 15, 22 and 29 is report. The "Yes" = loss of detection of SARS-CoV-2 RNA; "No" = SARS-CoV-2 RNA detected; "Missing" = not evaluable.

    Time frame: At Day 4, Day 8, Day 15, Day 22, and Day 29

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Results

Posted Jul 21, 2022
Limitations and caveats
This trial was prematurely discontinued due to sponsor decision. 4 participants were enrolled in the Phase II "Placebo intravenous (i.v.) + placebo inhaled" group and 1 participant in the "Placebo intravenous (i.v.) + BI 250 mg inhaled" group. No patients were entered in the planned Phase II "BI 10 milligrams (mg)/kilogram (kg) intravenous (i.v.) + placebo inhaled" and "BI 40 mg/kg i.v. + placebo inhaled" groups. Phase III part was not conducted.

Participant flow

This study was planned to evaluate the concept of pharmacological activity of BI 767551 in non-hospitalised patients with mild to moderate COVID-19 symptoms. The study was terminated early. 5 patients total participated in phase II and phase III was not conducted.

Participant flow — Overall Study
MilestonePlacebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg Inhaled
Started41
Treated21
Completed01
Not completed40
Withdrew: Not treated20
Withdrew: Lost to follow-up10
Withdrew: Withdrawal by subject10

Outcome measures

PrimaryPhase II: Time-weighted Change From Baseline in Viral Shedding Over 8 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)

Time-weighted change from baseline in viral shedding over 8 days in site collected nasopharyngeal (NP) swabs by Quantitative Reverse Transcription Polymerase chain reaction (RT-qPCR), defined as a absolute change from baseline in log10 viral load, is reported.

Time frame:
Up to 8 days
Reported as:
Mean · log10 copies / milliliter
Phase II: Time-weighted Change From Baseline in Viral Shedding Over 8 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)
log10 copies / milliliterPlacebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg Inhaled
Phase II: Time-weighted Change From Baseline in Viral Shedding Over 8 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)0.15 ± 1.25-2.84 ± NA
SecondaryPhase II: Number of Participants With Loss of Detection of Severe Acute Respiratory Syndrome Coronavirus 2 Ribonucleic Acid (SARS-CoV-2 RNA) by Site Collected NP Swab at Day 4, 8, 15, 22 and 29

Number of participants with loss of detection of Severe acute respiratory syndrome coronavirus 2 ribonucleic acid (SARS-CoV-2 RNA) by site collected NP swab at Day 4, 8, 15, 22 and 29 is report. The "Yes" = loss of detection of SARS-CoV-2 RNA; "No" = SARS-CoV-2 RNA detected; "Missing" = not evaluable.

Time frame:
At Day 4, Day 8, Day 15, Day 22, and Day 29
Reported as:
Count of participants · Participants
Phase II: Number of Participants With Loss of Detection of Severe Acute Respiratory Syndrome Coronavirus 2 Ribonucleic Acid (SARS-CoV-2 RNA) by Site Collected NP Swab at Day 4, 8, 15, 22 and 29
ParticipantsPlacebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg Inhaled
Day 4 — Yes00
Day 4 — No21
Day 4 — Missing00
Day 8 — Yes00
Day 8 — No21
Day 8 — Missing00
Day 15 — Yes11
Day 15 — No10
Day 15 — Missing00
Day 22 — Yes10
Day 22 — No00
Day 22 — Missing11
Day 29 — Yes00
Day 29 — No00
Day 29 — Missing21
PrimaryPhase II: Time-weighted Change From Baseline in Viral Shedding Over 29 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)

Time-weighted change from baseline in viral shedding over 29 days in site collected nasopharyngeal (NP) swabs by Quantitative Reverse Transcription Polymerase chain reaction (RT-qPCR), defined as a absolute change from baseline in log10 viral load, is reported.

Time frame:
Up to 29 days
Reported as:
Mean · log10 copies / milliliter
Phase II: Time-weighted Change From Baseline in Viral Shedding Over 29 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)
log10 copies / milliliterPlacebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg Inhaled
Phase II: Time-weighted Change From Baseline in Viral Shedding Over 29 Days in Site Collected Nasopharyngeal (NP) Swabs by Quantitative Reverse Transcription Polymerase Chain Reaction (RT-qPCR)-2.09 ± 1.60-4.18 ± NA

Adverse events

Collected over From dosing until end of 90-day follow-up period, up to 91 days.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo Intravenous (i.v.) + Placebo Inhaled0/2 (0%)0/2 (0%)2/2 (100%)
Placebo Intravenous (i.v.) + BI 767551 250 mg Inhaled0/1 (0%)0/1 (0%)1/1 (100%)
Most frequent other events
Most frequent other events
EventPlacebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg Inhaled
DizzinessNervous system disorders1/21/1
ParotitisInfections and infestations1/20/1
Alanine aminotransferase increasedInvestigations1/20/1
Aspartate aminotransferase increasedInvestigations1/20/1
Gamma-glutamyltransferase increasedInvestigations1/20/1
Back painMusculoskeletal and connective tissue disorders1/20/1

Baseline characteristics

Treated set (TS): This subject set includes all subjects who received any amount of study drug.

Age, Continuous
Age, Continuous(Years)Placebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg InhaledTotal
Mean35.5 ± 10.637.0 ± NA36.0 ± 7.5
Sex: Female, Male
Sex: Female, Male(Participants)Placebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg InhaledTotal
Female213
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Placebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg InhaledTotal
Hispanic or Latino202
Not Hispanic or Latino011
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Placebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg InhaledTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White213
More than one race000
Unknown or Not Reported000
Log-transformed Nasopharyngeal (NP) swab viral load at baseline
Log-transformed Nasopharyngeal (NP) swab viral load at baseline(log10 copies / milliliter)Placebo Intravenous (i.v.) + Placebo InhaledPlacebo Intravenous (i.v.) + BI 767551 250 mg InhaledTotal
Mean5.24 ± 2.097.32 ± NA5.93 ± 1.90
08

Study locations

5 sites
  • Ocean Blue Medical Research Center, Inc.
    Miami Springs, Florida 33166, United States
  • Pharmatex Research
    Amarillo, Texas 79109, United States
  • Advanced Surgeons and Physicians Network
    Houston, Texas 77027, United States
  • Crossroads Clinical Research
    Victoria, Texas 77904, United States
  • Hospital Universitario Infanta Leonor
    Madrid, 28031, Spain
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References and documents

Publications

  • Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2. PubMed 34473343 ↗

Related links

Study documents

  • Study protocol · Feb 11, 2021
  • Statistical analysis plan · Oct 19, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.

Supporting information: Study protocol, Sap, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04822701
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Mar 30, 2021
Start date
Apr 21, 2021
Primary completion
Jul 2, 2021
Completion
Oct 4, 2021
Results posted
Jul 21, 2022
Last update
Jul 28, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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