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Trial · NCT04625725

Phase III Double-blind, Placebo-controlled Study of AZD7442 for Pre-exposure Prophylaxis of COVID-19 in Adult.

NCT04625725, Phase 3, Completed, AstraZeneca; results first posted 2022-12-20

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Phase III Double-blind, Placebo-controlled Study of AZD7442 for Pre-exposure Prophylaxis of COVID-19 in Adult. Trials, record NCT04625725. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04625725

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Phase III Double-blind, Placebo-controlled Study of AZD7442 for Pre-exposure Prophylaxis of COVID-19 in Adult.
NCT number
NCT04625725
Status
Completed
Phases
Phase 3
Enrollment
5,197 participants, actual
Lead sponsor
AstraZeneca
Conditions
COVID-19
Interventions
AZD7442, Placebo
First posted
2020-11-12
Last updated
2024-12-31
Other registries' IDs
eudract:2020-004356-16
Results first posted
2022-12-20

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With First Case of SARS-CoV-2 RT-PCR-positive Symptomatic Illness165 Days for primary analysis, 183 days for final analysis
To estimate the efficacy of a single IM dose of AZD7442 compared to placebo for the prevention of COVID-19 prior to Day 183. Planned to be evaluated through Day 183, however, the number of events required for the primary endpoint was achieved 165 days after the study start date which is displayed in the primary efficacy row below. Final analysis is final data from the study based on the pre-planned 183 days of follow up for this endpoint.
PrimaryAEs, SAEs, MAAEs, and AESIs Post Dose of IMP457 Days, Final analysisTo assess the safety and tolerability of a single IM dose of AZD7442 compared to placebo
SecondaryThe Incidence of Participants Who Have a Post-treatment Response (Negative at Baseline to Positive at Any Time Post-baseline) for SARS-CoV-2 Nucleocapsid Antibodies.366 daysTo estimate the efficacy of a single IM dose of AZD7442 compared to placebo for the prevention of SARS-CoV-2 infection
SecondaryThe Incidence of SARS-CoV-2 RT-PCR-positive Severe or Critical Symptomatic Illness Occurring After Dosing With IMP366 DaysTo estimate the efficacy of a single IM dose of AZD7442 compared to placebo for the prevention of severe or critical symptomatic COVID-19
SecondaryThe Incidence of COVID-19-related Emergency Department Visits Occurring After Dosing With IMP366 daysTo estimate the efficacy of a single IM dose of AZD7442 compared to placebo for the prevention of COVID-19-related Emergency Department visits
SecondarySerum AZD7442 Concentrations, PK Parameters if Data Permit.457 daysTo assess the pharmacokinetics of AZD7442 administered as a single dose of 300 mg IM
SecondaryIncidence of ADA to AZD7442 in Serum457 daysTo evaluate ADA responses to AZD7442 in serum
OtherAEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy Analysis165 DaysTo assess the safety and tolerability of a single IM dose of AZD7442 compared to placebo

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With First Case of SARS-CoV-2 RT-PCR-positive Symptomatic Illness165 Days for primary analysis, 183 days for final analysisAll randomized and dosed participants who did not have a prior SARS-CoV-2 RT-PCR-positive confirmed COVID-19 infection.ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDAEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy Analysis165 DaysAll participants dosedParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Incidence of Participants Who Have a Post-treatment Response (Negative at Baseline to Positive at Any Time Post-baseline) for SARS-CoV-2 Nucleocapsid Antibodies.366 daysAll randomized and dosed participants who did not have a prior SARS-CoV-2 RT-PCR-positive confirmed COVID-19 infection and had an evaluable sample obtained.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Incidence of SARS-CoV-2 RT-PCR-positive Severe or Critical Symptomatic Illness Occurring After Dosing With IMP366 DaysAll randomized and dosed participants who did not have a prior SARS-CoV-2 RT-PCR-positive confirmed COVID-19 infectionParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Incidence of COVID-19-related Emergency Department Visits Occurring After Dosing With IMP366 daysAll randomized and dosed participants who did not have a prior SARS-CoV-2 RT-PCR-positive confirmed COVID-19 infectionParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSerum AZD7442 Concentrations, PK Parameters if Data Permit.457 daysPK analysis set (only AZD7442 arm)µg/mLGEOMETRIC_MEAN
SECONDARYIncidence of ADA to AZD7442 in Serum457 daysAZD7442 ADA Evaluable Analysis SetParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAEs, SAEs, MAAEs, and AESIs Post Dose of IMP457 Days, Final analysisAll participants dosedParticipantsCOUNT_OF_PARTICIPANTS

Results by group35

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With First Case of SARS-CoV-2 RT-PCR-positive Symptomatic IllnessAZD7442Primary Analysis8Participants
Number of Participants With First Case of SARS-CoV-2 RT-PCR-positive Symptomatic IllnessPlaceboPrimary Analysis17Participants
Number of Participants With First Case of SARS-CoV-2 RT-PCR-positive Symptomatic IllnessAZD7442Final Analysis12Participants
Number of Participants With First Case of SARS-CoV-2 RT-PCR-positive Symptomatic IllnessPlaceboFinal Analysis34Participants
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy AnalysisAZD7442Adverse Events1221Participants
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy AnalysisPlaceboAdverse Events593Participants
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy AnalysisAZD7442Serious Adverse Events50Participants
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy AnalysisPlaceboSerious Adverse Events23Participants
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy AnalysisAZD7442Medically Attended Adverse Events360Participants
AEs, SAEs, MAAEs, and AESIs Post Dose of IMP at Time of Primary Efficacy AnalysisPlaceboMedically Attended Adverse Events157Participants

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Provent Main StudySTARTEDAZD74423,460
Provent Main StudySTARTEDPlacebo1,737
Provent Main StudySTARTEDGroup10
Provent Main StudySTARTEDGroup 20
Provent Main StudySTARTEDGroup 3a0
Provent Main StudySTARTEDGroup 3b0
Provent Main StudyCOMPLETEDAZD74422,490
Provent Main StudyCOMPLETEDPlacebo1,179
Provent Main StudyCOMPLETEDGroup10
Provent Main StudyCOMPLETEDGroup 20

Adverse events10,758

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersAZD744203,4610
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersPlacebo01,7360
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersGroup 102340
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersGroup 211191
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersGroup 3a0760
otherHeparin-induced thrombocytopeniaBlood and lymphatic system disordersGroup 3b0740
otherHypertrophic cardiomyopathyCongenital, familial and genetic disordersAZD744213,4611
otherHypertrophic cardiomyopathyCongenital, familial and genetic disordersPlacebo01,7360
otherHypertrophic cardiomyopathyCongenital, familial and genetic disordersGroup 102340
otherHypertrophic cardiomyopathyCongenital, familial and genetic disordersGroup 201190

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAZD7442223,461
Total, all-cause mortalityPlacebo101,736
Total, all-cause mortalityGroup 18234
Total, all-cause mortalityGroup 25119
Total, all-cause mortalityGroup 3a076
Total, all-cause mortalityGroup 3b174
Total, other adverse eventsAZD74421,9883,461
Total, other adverse eventsPlacebo9931,736
Total, other adverse eventsGroup 1185234
Total, other adverse eventsGroup 294119

Papers20

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15033648BACKGROUNDPubMed
23449698BACKGROUNDPubMed
24080653BACKGROUNDPubMed
27578435BACKGROUNDPubMed
27956428BACKGROUNDPubMed
28774561BACKGROUNDPubMed
29373476BACKGROUNDPubMed
30280658BACKGROUNDPubMed
30867162BACKGROUNDPubMed
31413005BACKGROUNDPubMed

1 to 10 of 20

See all 20 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
AZD7442 vs Placebo: The Incidence of SARS-CoV-2 RT-PCR-positive Severe or Critical Symptomatic Illness Occurring After Dosing With IMPTrial comparisons
AZD7442 vs Placebo: Incidence of ADA to AZD7442 in SerumTrial comparisons
AZD7442 vs Placebo: The Incidence of Participants Who Have a Post-treatment Response (Negative at Baseline to Positive at Any Time Post-baseline) for SARS-CoV-2 Nucleocapsid Antibodies.Trial comparisons
AZD7442 vs Placebo: The Incidence of COVID-19-related Emergency Department Visits Occurring After Dosing With IMPTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04625725

GET https://conductscience.org/api/trials/v1/NCT04625725/results?page=2