Primary immunobridging results against JN.1 in Cohort A
Immunobridging is based on the serum neutralization titer-efficacy relationships identified with other neutralizing human mAbs against SARS-CoV-2. This includes adintrevimab, the parent mAb of pemivibart, and other mAbs that were previously authorized for Emergency Use Authorization (EUA). To support immunobridging, serum neutralization titer was utilized to compare PEMGARDA® to previous mAbs.1
Immunobridging would be established if the lower limit of the 2-sided 90% CI of the ratio of the geometric mean titer value is greater than 0.8.1
PEMGARDA neutralizing antibody titers were compared to historical titers of the reference monoclonal antibody adintrevimab
The geometric mean ratio between the calculated titer for PEMGARDA against JN.1 (based on a pseudotyped VLP neutralization assay EC50 value of 74.6 ng/mL) and the calculated titer for adintrevimab against Delta (based on an authentic virus neutralization assay EC50 value of 7 ng/mL) was 0.70 (90% CI: 0.68-0.72).
PEMGARDA neutralizing antibody titers were compared to the titers of 3 reference monoclonal antibodies with clinical efficacy against mild-to-moderate COVID-19
The range of titers achieved with PEMGARDA for 3 months following administration of 4500 mg IV were consistent with the titer levels associated with clinical efficacy in prior clinical trials evaluating certain monoclonal antibodies for the prevention of COVID-19.
COHORT A RESULTS
Exploratory clinical efficacy results
Exploratory objectives of CANOPY evaluated rates of RT-PCR–confirmed COVID-19, COVID-19–related hospitalizations, or all-cause death in participants in both cohorts.1
In Cohort A (adults with moderate-to-severe immune
compromise), no COVID-19–related hospitalizations
occurred through Month 6.
Two all-cause deaths (one due
to an unknown cause and one due to suicide) occurred through Month
6.1
COHORT B RESULTS
Exploratory clinical efficacy results through Month 3
In Cohort B (adults without moderate-to-severe immune compromise), most infection events occurred during a period of time when JN.1 and variants with similar susceptibilities were dominant. No deaths or COVID-19–related hospitalizations occurred in either treatment arm of Cohort B through Month 6.1
PEMGARDA is not authorized for use in individuals who do not have moderate-to-severe immune compromise.1
hospitalizations, or all-cause death† through Month 31,‡
†No COVID-19–related hospitalizations or deaths occurred in either treatment arm of Cohort B through Month 3.
‡Following the initial dosing period of the trial.1
Exploratory clinical efficacy results through Month 6
hospitalizations, or all-cause death† through Month 61,§
†No COVID-19–related hospitalizations or deaths occurred in either treatment arm of Cohort B through Month 6.
§Cumulative through Month 6, following the initial dosing and redosing periods of the trial.1
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