Official Title
A Phase I/III Randomized, Double-blind Study to Evaluate the Safety, Efficacy and Neutralizing Activity of AZD5156/AZD3152 for Pre-exposure Prophylaxis of COVID-19 in Participants With Conditions Causing Immune Impairment. Sub-study: Phase II Open Label Sub-study to Evaluate the Safety, PK, and Neutralizing Activity of AZD3152 for Pre-exposure Prophylaxis of COVID-19
Brief Summary

AZD3152, a single mAb, is being developed to have broad neutralizing activity acrossknown SARS-CoV-2 variants of concern for pre-exposure prophylaxis of COVID-19.The aim of the Phase I/III study (Parent Study) will be to evaluate the safety, efficacyand neutralizing activity of AZD3152 compared with comparator for pre exposureprophylaxis of COVID-19, and separately evaluate the safety and PK of AZD5156, acombination of AZD3152 and AZD1061.Sub-study:This Phase II sub-study of SUPERNOVA will assess the safety, PK, and predictedneutralizing activity of AZD3152 compared with EVUSHELD for pre-exposure prophylaxis ofCOVID-19.

Detailed Description

In the Parent study, the Phase I Sentinel Safety Cohort will assess the safety of AZD5156
(a combination of 2 mAbs, AZD1061 [cilgavimab, a component of AZD7442 (EVUSHELD)] and
AZD3152) in healthy adults and the Phase III Main Cohort will assess the safety,
efficacy, PK, and neutralizing activity of two doses of AZD3152 compared with two doses
of comparator given at a 6-month interval in adults and adolescents 12 years of age or
older (weighing at least 40 kg) with conditions causing immune impairment, who are less
likely to mount an adequate protective immune response after vaccination and thus are at
higher risk of developing severe COVID-19 in 18 countries.

Sub-study:

This Phase II sub-study of SUPERNOVA is operating in USA only, and it will assess the
safety, PK, and predicted neutralizing activity of AZD3152 in adults 18 years of age or
older (weighing at least 40 kg) with conditions causing immune impairment who are less
likely to mount an adequate protective immune response after vaccination as well as
individuals who are immunocompetent (including healthy participants) with all degrees of
SARS-CoV-2 infection risk.

Active, not recruiting
COVID-19, SARS-CoV-2

Biological: AZD5156 (Parent study Sentinel Safety Cohort)

600 mg AZD5156 consisting of 300 mg AZD1061 at 100 mg/mL and 300 mg AZD3152 at 150 mg/mL

3 mL of AZD1061 2 mL of AZD3152 IM on Visit 1 Day 1

Biological: Placebo (Parent study Sentinel Safety Cohort)

single dose of Placebo (3 mL + 2 mL) IM

Biological: EVUSHELD™ (Parent study Main Cohort)

600 mg EVUSHELD™/AZD7442 consisting of 300 mg AZD1061 and 300 mg AZD8895, both at 100
mg/mL

2 IM injections (thigh) of 3 mL each IM on Visit 1 Day 1 and on Visit 5 Day 181
Other Name: EVUSHELD™

Biological: AZD3152 (Parent study Main Cohort)

300 mg AZD3152 at 150 mg/mL

1 IM injection (thigh) of 2 mL of AZD3152 on Visit 1 Day 1 and on Visit 5 Day 181

Biological: Placebo (Parent study Main Cohort)

Single doses of 0.9% sodium chloride 2 mL IM for injection on Visit 1 Day 1 and Visit 5
Day 181

Biological: AZD3152 (Sub-study)

Single dose of 1200 mg IV at Visit 1 Day 1

Biological: AZD7442 - EVUSHELD™ (Sub-study)

Single dose 300 mg IM administered on Visit 1 Day 1

Biological: AZD7442 (EVUSHELD™) (Sub-study) Immunocompromised participants offered AZD3152

Single dose of AZD7442 (EVUSHELD™) 300 mg IM

Eligibility Criteria

Parent study - Sentinel Safety Cohort Participants (Phase I):

Parent study - Sentinel Cohort Inclusion Criteria:

- Healthy participants according to medical history, physical examination, baseline
safety laboratory tests, and screening parameters, according to the judgment of the
investigator, with no concomitant disease or concomitant medication (except for
medication specifically permitted by the protocol).

- Age 18 to 55 years at the time of signing the informed consent.

- Negative rapid antigen test at Visit 1.

- Weight ≥ 45 kg and ≤ 110 kg at screening.

Parent study - Sentinel Cohort Exclusion Criteria:

- Women who are pregnant, lactating, or of childbearing potential and not using a
highly effective method of contraception or abstinence from at least 4 weeks prior
to study intervention administration and until at least 6 months after study
intervention administration.

- Known hypersensitivity to any component of the study intervention.

- Previous hypersensitivity or severe adverse reaction following administration of a
mAb.

- Acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection
on day prior to or day of planned dosing; participants excluded for transient acute
illness may be dosed if illness resolves within the screening period or may be
rescreened once.

- Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 30 days
prior to Visit 1.

- Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or
platelet disorder), or prior history of significant bleeding or bruising following
IM injections or venipuncture.

- Receipt of immunoglobulin (non-COVID related) or blood products within 6 months
prior to Visit 1.

- Previous receipt of a mAb against SARS-CoV-2.

- Receipt of a COVID-19 vaccine within 3 months prior to Visit 1.

- Receipt of a COVID-19 antiviral for prophylaxis within 3 months prior to Visit 1

- COVID-19 within 3 months prior to Visit 1 (confirmed either by laboratory testing or
a rapid test [including at home testing]).

- Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the
period of study follow-up, or concurrent participation in another interventional
study.

- Known or suspected congenital or acquired immunodeficiency, or receipt of
immunosuppressive therapy, including any course of glucocorticoid therapy exceeding
2 weeks of prednisone or equivalent at a dose of 20 mg daily or every other day
within 6 months prior to screening.

- Active infection with hepatitis B or C.

- Serum creatinine, AST, or ALT above 1.5 × ULN at screening

- History of malignancy other than treated non-melanoma skin cancers or
locally-treated cervical cancer in previous 5 years.

Parent study - Main Cohort Participants (Phase III):

Parent study - Main Cohort Inclusion Criteria:

- Participant must be 12 years of age or older at the time of signing the informed
consent.

- Negative rapid antigen test prior to dosing at Visit 1.

- Weight ≥ 40 kg at screening.

- Participants must satisfy at least 1 of the following risk factors at enrollment:

- Have solid tumor cancer and be on active immunosuppressive treatment

- Have hematologic malignancy

- Transplant participants must satisfy at least one of the following:

1. Have had a solid organ transplant within 2 years and / or

2. Had a hematopoietic stem cell transplant within 2 years and / or

3. Who have chronic graft-versus-host disease

4. Participants who previously had a solid organ transplant or hematopoietic
stem cell transplant more than 2 years prior to Visit 1 may also be
eligible based on the inclusion criterion for immunosuppressive treatment

- Are actively taking immunosuppressive medicines (eg, are using corticosteroids
[ie, ≥ 20 mg prednisone or equivalent per day when administered for ≥ 2 weeks],
high dose alkylating agents, antimetabolites, transplant-related
immunosuppressive drugs, cancer chemotherapeutic agents classified as severely
immunosuppressive [eg, Bruton's tyrosine kinase inhibitors], tumor-necrosis
blockers, or other immunosuppressive or immunomodulatory biologic agents (eg,
for rheumatic diseases)

- Received chimeric antigen receptor T cell therapy

- Within 1 year of receiving B-cell depleting therapies (eg, rituximab,
ocrelizumab, ofatumumab, alemtuzumab)

- Have a moderate or severe primary (eg, DiGeorge syndrome) or secondary (eg,
hemodialysis) immunodeficiency

- Advanced or untreated HIV infection (people with HIV and CD4 cell counts <
200/mm3 within 6 months of Visit 1, history of an AIDS-defining illness without
immune reconstitution, or clinical manifestations of symptomatic HIV)

- Medically stable defined as disease not requiring significant change in maintenance
therapy or hospitalization for worsening disease or any recent CV event (eg, acute
myocardial infarction, thromboembolic event) during the 1 month prior to enrollment,
with no acute change in condition at the time of study enrollment as judged by the
Investigator and no expected changes at the time of the enrollment.

- Able to understand and comply with all study requirements/procedures (if applicable,
with assistance by caregiver, surrogate, or legally authorized representative or
equivalent representative as locally defined), including those at Illness Visits,
based on the assessment of the Investigator.

Parent study - Main Cohort Exclusion Criteria:

- Women who are pregnant, lactating, or of childbearing potential and not using a
highly effective method of contraception or abstinence from at least 4 weeks prior
to study intervention administration and until at least 6 months after study
intervention administration. Note: female participants aged > 12 years will be
considered to be a woman of childbearing potential.

- Known hypersensitivity to any component of the study intervention.

- Previous hypersensitivity or severe adverse reaction following administration of a
mAb.

- Acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection
on day prior to or day of planned dosing; participants excluded for transient acute
illness may be dosed if illness resolves and may be rescreened for enrollment once.

- Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 30 days
prior to Visit 1.

- Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or
platelet disorder), or prior history of significant bleeding or bruising following
IM injections or venipuncture.

- Receipt of IV or SC immunoglobulin within 6 months prior to Visit 1 or expected to
receive IV or SC immunoglobulin 6 months after dosing.

- Receipt of convalescent COVID-19 plasma treatment within 6 months prior to Visit 1.

- Previous receipt of a mAb against SARS-CoV-2 within 6 months prior to Visit 1.

- Receipt of a COVID-19 vaccine within 3 months prior to Visit 1.

- Receipt of a COVID-19 antiviral for prophylaxis within at least 2 weeks prior to
Visit 1.

- COVID-19 within 3 months prior to Visit 1 (confirmed either by laboratory testing or
a rapid test [including at home testing]).

- Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the
period of study follow-up, or concurrent participation in another interventional
study except where the participant ceased IMP treatment >90 days and is in the
follow-up period of the study and not expected to receive further IMP).

Sub-study - Inclusion Criteria (Phase II):

Sub-study - Sentinel Safety Cohort Inclusion Criteria:

- Healthy, defined according to medical history, physical examination, baseline safety
laboratory tests, and screening parameters, according to the judgment of the
Investigator.

- Participants must be 18 to 55 years at the time of signing the informed consent.

- Weight ≥ 45 kg and ≤ 110 kg at screening.

Sub-study - Full Sub-study Cohort Inclusion Criteria:

- Immunocompromised or immunocompetent, including healthy participants, with all
degrees of SARS-CoV-2 infection risk, will be enrolled following completion of
Sentinel Safety Cohort enrolment.

- Participants must be 18 years of age or older at the time of signing the informed
consent.

- Weight ≥ 40 kg at screening.

Sub-study - Sub-study Sentinel Safety Cohort and Full Sub-study Cohort Inclusion
Criteria:

- Written informed consent and any locally required authorization (eg, HIPAA in the
US) obtained from the participant prior to performing any protocol-related
procedures, including screening evaluations.

- Negative rapid antigen test for SARS-CoV-2 prior to dosing at Visit 1.

- Medically stable defined as disease not requiring significant change in maintenance
therapy or hospitalization for worsening disease or any recent cardiovascular event
(eg, acute myocardial infarction, thromboembolic event) during the 1 month prior to
enrollment, with no acute change in condition at the time of study enrollment as
judged by the Investigator and no expected changes at the time of the enrollment.

- Able to understand and comply with all study requirements/procedures (if applicable,
with assistance by caregiver, surrogate, or legally authorized representative or
equivalent representative as locally defined), based on the assessment of the
Investigator.

Sub-study - Exclusion Criteria (Phase II):

Sub-study - Sentinel Safety Cohort Exclusion Criteria:

- Active infection with hepatitis B or C.

- Serum creatinine, AST, or ALT above 1.5 × ULN at screening.

- History of malignancy other than treated non-melanoma skin cancers or
locally-treated cervical cancer in previous 5 years.

Sub-study - Sentinel Safety Cohort and Full Sub-study Cohort Exclusion Criteria:

- Receipt of EVUSHELD (AZD7442) within 12 months prior to Visit 1.

- Women who are pregnant, lactating, or of childbearing potential and not using a
highly effective method of contraception or abstinence from at least 4 weeks prior
to study intervention administration and until at least 6 months after study
intervention administration. Note: female participants aged > 12 years will be
considered to be a woman of childbearing potential.

- Known hypersensitivity to any component of the study intervention.

- Previous hypersensitivity or severe adverse reaction following administration of a
mAb.

- Acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection
on day prior to or day of planned dosing; participants excluded for transient acute
illness may be dosed if illness resolves and may be rescreened for enrollment once.

- Blood drawn in excess of a total of 450 mL (1 unit) for any reason within 30 days
prior to Visit 1.

- Clinically significant bleeding disorder (eg, factor deficiency, coagulopathy, or
platelet disorder), or prior history of significant bleeding or bruising following
IM injections or venipuncture.

- Has human immunodeficiency virus infection.

- Receipt of IV or SC immunoglobulin or blood products within 6 months prior to Visit
1 and expected to receive IV or SC immunoglobulin or blood products 6 months after
dosing.

- Receipt of a COVID-19 vaccine within 3 months prior to Visit 1.

- Receipt of a COVID-19 antiviral for prophylaxis within at least 2 weeks prior to
Visit 1.

- COVID-19 within 3 months prior to Visit 1 (confirmed either by laboratory RT-PCR
testing or a rapid antigen test [including at-home testing]).

- Receipt of any IMP in the preceding 90 days or expected receipt of IMP during the
period of study follow-up, or concurrent participation in another interventional
study (except where the participant ceased IMP treatment > 90 days and is in the
follow-up period of the study and not expected to receive further IMP).

Eligibility Gender
All
Eligibility Age
Minimum: 12 Years ~ Maximum: 130 Years
Countries
Australia
Belgium
Canada
Denmark
France
Germany
Israel
Korea, Republic of
Malaysia
Poland
Singapore
Spain
Taiwan
Thailand
United Arab Emirates
United Kingdom
United States
Vietnam
Locations

Research Site
Birmingham, Alabama, United States

Research Site
Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Glendale, Arizona, United States

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Mesa, Arizona, United States

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Mesa, Arizona, United States

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Tucson, Arizona, United States

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Little Rock, Arkansas, United States

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Colton, California, United States

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La Mesa, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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Modesto, California, United States

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Sacramento, California, United States

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Tustin, California, United States

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Westminster, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Denver, Colorado, United States

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Fort Collins, Colorado, United States

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New Haven, Connecticut, United States

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Washington, District of Columbia, United States

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Coral Gables, Florida, United States

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Fleming Island, Florida, United States

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Fort Myers, Florida, United States

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Hollywood, Florida, United States

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Jacksonville, Florida, United States

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Jacksonville, Florida, United States

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Lake Worth, Florida, United States

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Lauderdale Lakes, Florida, United States

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Leesburg, Florida, United States

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Medley, Florida, United States

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Miami Lakes, Florida, United States

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Miami Springs, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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North Miami Beach, Florida, United States

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Orlando, Florida, United States

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Ormond Beach, Florida, United States

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Port Orange, Florida, United States

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Saint Petersburg, Florida, United States

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Seminole, Florida, United States

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Winter Park, Florida, United States

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Atlanta, Georgia, United States

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Columbus, Georgia, United States

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Boise, Idaho, United States

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Burr Ridge, Illinois, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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Gurnee, Illinois, United States

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Evansville, Indiana, United States

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Evansville, Indiana, United States

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South Bend, Indiana, United States

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West Des Moines, Iowa, United States

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Overland Park, Kansas, United States

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Wichita, Kansas, United States

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Bowling Green, Kentucky, United States

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Lexington, Kentucky, United States

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Lexington, Kentucky, United States

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Lake Charles, Louisiana, United States

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Metairie, Louisiana, United States

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New Orleans, Louisiana, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Methuen, Massachusetts, United States

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Springfield, Massachusetts, United States

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Worcester, Massachusetts, United States

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Detroit, Michigan, United States

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Farmington Hills, Michigan, United States

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Grand Rapids, Michigan, United States

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Novi, Michigan, United States

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Saint Clair Shores, Michigan, United States

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Minneapolis, Minnesota, United States

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Jefferson City, Missouri, United States

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Kansas City, Missouri, United States

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Saint Louis, Missouri, United States

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Saint Louis, Missouri, United States

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Missoula, Montana, United States

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Lincoln, Nebraska, United States

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Las Vegas, Nevada, United States

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Portsmouth, New Hampshire, United States

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Hackensack, New Jersey, United States

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Albuquerque, New Mexico, United States

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Buffalo, New York, United States

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Ridgewood, New York, United States

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Rochester, New York, United States

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Rochester, New York, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Monroe, North Carolina, United States

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Morehead City, North Carolina, United States

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Wilmington, North Carolina, United States

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Cincinnati, Ohio, United States

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Westlake, Ohio, United States

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Allentown, Pennsylvania, United States

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Duncansville, Pennsylvania, United States

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Harrisburg, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Providence, Rhode Island, United States

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Myrtle Beach, South Carolina, United States

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North Charleston, South Carolina, United States

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Rock Hill, South Carolina, United States

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Spartanburg, South Carolina, United States

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Knoxville, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Kingwood, Texas, United States

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Mesquite, Texas, United States

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San Angelo, Texas, United States

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San Antonio, Texas, United States

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Shenandoah, Texas, United States

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Layton, Utah, United States

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Salt Lake City, Utah, United States

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Annandale, Virginia, United States

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Norfolk, Virginia, United States

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Norfolk, Virginia, United States

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Olympia, Washington, United States

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Seattle, Washington, United States

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Madison, Wisconsin, United States

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Melbourne, Australia

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Melbourne, Australia

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Murdoch, Australia

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Parkville, Australia

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Raymond Terrace, Australia

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Sippy Downs, Australia

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West Perth, Australia

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Alken, Belgium

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Liège, Belgium

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Aalborg, Denmark

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Aarhus, Denmark

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Hvidovre, Denmark

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Roskilde, Denmark

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Svendborg, Denmark

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Dijon, France

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La Roche sur Yon, France

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Lille, France

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Nantes, France

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Nîmes Cedex 9, France

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Paris cedex 10, France

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Paris, France

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Poitiers, France

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Saint-Etienne Cedex 2, France

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Strasbourg, France

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Toulouse Cedex 9, France

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Tours, France

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Essen, Germany

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Hamburg, Germany

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Hannover, Germany

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Köln, Germany

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Mainz, Germany

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Petah Tikva, Israel

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Ramat Gan, Israel

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Gyeonggi-do, Korea, Republic of

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Seoul, Korea, Republic of

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Seoul, Korea, Republic of

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Seoul, Korea, Republic of

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Bandar Sunway, Malaysia

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Kuala Lumpur, Malaysia

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Kuala Lumpur, Malaysia

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Kuching, Malaysia

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Seberang Jaya, Malaysia

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Krakow, Poland

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Skórzewo, Poland

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Singapore, Singapore

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Singapore, Singapore

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Singapore, Singapore

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Badalona, Spain

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Barcelona, Spain

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Barcelona, Spain

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Barcelona, Spain

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Cordoba, Spain

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Madrid, Spain

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Madrid, Spain

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Madrid, Spain

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Marbella (Málaga), Spain

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Mérida, Spain

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Pozuelo de Alarcón, Spain

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Valladolid, Spain

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Vigo, Spain

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Taichung, Taiwan

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Taipei, Taiwan

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Bangkok, Thailand

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Bangkok, Thailand

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Khon Kaen, Thailand

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Muang, Thailand

Research Site
Muang, Thailand

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Abu Dhabi, United Arab Emirates

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Abu Dhabi, United Arab Emirates

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Bristol, United Kingdom

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Edinburgh, United Kingdom

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Harrow, United Kingdom

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Leeds, United Kingdom

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Liverpool, United Kingdom

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London, United Kingdom

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London, United Kingdom

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Manchester, United Kingdom

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Oxford, United Kingdom

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Sheffield, United Kingdom

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Torpoint, United Kingdom

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Truro, United Kingdom

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Hanoi, Vietnam

Research Site
Hochiminh city, Vietnam

Not Provided

NCT Number
Keywords
Pre-exposure Prophylaxis of COVID-19
MeSH Terms
COVID-19
Cilgavimab and tixagevimab drug combination