COVID-19 drug trial halted early: what happened with ensovibep?
NCT ID NCT04828161
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a single dose of ensovibep, a lab-made protein, in 407 adults with mild COVID-19 symptoms. The goal was to see if it could lower the amount of virus in the body and reduce hospitalizations. The trial was stopped early, so we don't have complete answers on how well it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ensovibep (a lab-made protein designed to block the coronavirus)
- What this could lead to
- If it worked, ensovibep could have provided a new treatment option to reduce hospitalizations and speed recovery for people with mild-to-moderate COVID-19.
- What could go wrong
- The trial was terminated early, so we don't have full results on whether it works. It was also tested in a specific group of symptomatic adults, so findings may not apply to everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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407 people
The number who actually took part.
- Started
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May 2021
- Finished
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Jan 2022
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Part A Inclusion Criteria: 1. Men and women ≥ 18 years of age on the day of inclusion (no upper limit). 2. Presence of two or more of the following COVID-19 symptoms with an onset within 7 days of dosing: Feeling hot or feverish, cough, sore throat, low energy, or tiredness, headache, muscle or body aches, chills or shivering, and shortness of breath. 3. Positive test for SARS-CoV-2 in upper respiratory swab on the day of dosing (rapid antigen test). 4. Understand and agree to comply with the planned study procedures. 5. The patient or legally authorized representative give signed informed consent. Part A Exclusion Criteria: 1. Requiring hospitalization at time of screening, or at time of study drug administration. 2. Oxygen saturation (SpO2) ≤ 93% on room air at sea level or ratio of arterial oxygen partial pressure (PaO2 in mmHg) to fractional inspired oxygen (FiO2) \< 300, respiratory rate ≥ 30 per minute, and heart rate ≥ 125 per minute. In India, patients with a respiratory rate ≥ 24 per minute or with an oxygen saturation ≤ 93% on room air (SpO2) are not eligible. 3. Known allergies to any of the components used in the formulation of the ensovibep or placebo. 4. Suspected or proven serious, active bacterial, fungal, viral, or other infection (besides SARS-CoV-2) that in the opinion of the investigator could constitute a risk when taking intervention. 5. Any serious concomitant systemic disease, condition, or disorder that, in the opinion of the investigator, should preclude participation in this study. 6. Any co-morbidity requiring surgery within 7 days of dosing, or that is considered life-threatening within 29 days of dosing. 7. Prior or concurrent use of any medication for treatment of COVID-19, including antiviral agents, convalescent serum, or anti-viral antibodies. Purely symptomatic therapies (e.g., over-the-counter \[OTC\] cough medications, acetaminophen, and nonsteroidal anti-inflammatory drugs \[NSAIDs\]) are permitted. Prior vaccination for COVID-19 is permitted. 8. Are concurrently enrolled or were enrolled within the last 30 days or within 5 half-lives (whichever is longer) in any other type of medical research judged not to be scientifically or medically compatible with this study. 9. Are pregnant or breast feeding. 10. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception at the time of dosing and for 11 weeks after dosing of study drug. Highly effective contraception methods include: 1. Total abstinence (when this is in line with the preferred and usual lifestyle of the patient). Periodic abstinence (i.e., calendar, ovulation, symptothermal, and postovulation methods) and withdrawal are not acceptable methods of contraception. 2. Female sterilization (have had bilateral surgical oophorectomy \[with or without hysterectomy\], total hysterectomy, or bilateral tubal ligation at least 6 weeks before taking study treatment). In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow-up hormone level assessment. 3. Male sterilization (at least 6 months prior to screening). The vasectomized male partner should be the sole partner for that patient. 4. Use of oral, injected, or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS) or other forms of hormonal contraception that have comparable efficacy (failure rate \< 1%), for example hormone vaginal ring or transdermal hormone contraception. In case of use of oral contraception, women should have been stable on the same pill for a minimum of 3 months before taking study treatment. If local regulations deviate from the contraception methods listed above to prevent pregnancy, local regulations apply and will be described in the informed consent form (ICF). 11. Patients in the USA who are at high risk of progression to severe COVID-19 illness or hospitalization must not be enrolled in Part A of this study as a placebo-controlled study may not be appropriate in this patient population due to the availability of anti-viral mAbs under EUA in the USA.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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1960 Family Practice, PA
Houston, Texas, 77090, United States
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AdventHealth Tampa
Tampa, Florida, 33613, United States
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All India Institute of Medical Sciences - Nagpur
Nagpur, Maharashtra, 441108, India
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Ascada Research
Fullerton, California, 92835, United States
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BAPS Pramukhswami Hospital
Surat, Gujarat, 395009, India
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Benchmark Southern California
Colton, California, 92324, United States
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Bio-Medical Research, LLC
Miami, Florida, 33184, United States
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Boward Infectious Disease and Primary Care
Margate, Florida, 33063, United States
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Centennial Medical Group - Research Department
Elkridge, Maryland, 21075, United States
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Clinical Research of Rock Hill
Rock Hill, South Carolina, 29732, United States
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Clinresco Centres (Pty) Ltd
Kempton Park, 1619, South Africa
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DJW Navorsing
Krugersdorp, 1739, South Africa
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Debreceni Egyetem
Debrecen, 4031, Hungary
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Dr JM Engelbrecht Trial Site
Somerset West, Western Cape, 7130, South Africa
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Durgabai Deshmukh Hospital & Research Centre
Vidyānagar, Hyderabad, 500044, India
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Enhancing Care Foundation
Durban, 4052, South Africa
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Epic Medical Research
Red Oak, Texas, 75154, United States
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FARMOVS (Pty) Ltd
Bloemfontein, Free State, 9301, South Africa
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Fairway Medical Clinic
Houston, Texas, 77087, United States
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Family Practice Center
McAllen, Texas, 78501, United States
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Future Innovative Treatments
Colorado Springs, Colorado, 80907, United States
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George Provincial Hospital
George, Western Cape, 6529, South Africa
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Government Medical College
Aurangabad, Maharashtra, 431001, India
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Government Medical College and Hospital
Nagpur, Maharashtra, 440003, India
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Grant Medical College & Sir J. J. Group of Hospitals
Mumbai, Maharashtra, 400008, India
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Great Lakes Clinical Trials
Chicago, Illinois, 60640, United States
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Gwinnett Research Institute
Buford, Georgia, 30519, United States
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IACT Health
Columbus, Georgia, 31904, United States
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Jasper Summit Research, LLC
Jasper, Alabama, 35501, United States
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Jefferson City Medical Group
Jefferson City, Missouri, 65109, United States
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Jongaie Research
Pretoria, 183, South Africa
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King George Hospital
Visakhapatnam, Andhra Pradesh, 530002, India
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Life Spring Research Foundation
Miami, Florida, 33155, United States
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Monroe Biomedical Research
Monroe, North Carolina, 28112, United States
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Pacific Neuropsychiatric Specialists
Mission Viejo, California, 92691, United States
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Palm Beach Research Center
West Palm Beach, Florida, 33409, United States
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Panax Clinical Research, LLC
Miami Lakes, Florida, 33014, United States
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Providence Family Medical Center
Redondo Beach, California, 90277, United States
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Sandton Medical Research Centre
Sandton, Gauteng, 2196, South Africa
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Shetty's Hospital
Bengaluru, Karnataka, 560068, India
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St. Theresa's Hospital
Hyderabad, Telangana, 500018, India
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Suncoast Research Group, LLC
Miami, Florida, 33135, United States
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UMC Utrecht
Utrecht, 3584 CW, Netherlands
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VHS-Infectious Disease Medical Centre
Chennai, Tamil Nadu, 600113, India
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VitaLink Research
Greenville, South Carolina, 29615, United States
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Wilmington Health
Wilmington, North Carolina, 28412, United States
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Wits Clinical Research
Soweto, 2013, South Africa
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Zion Urgent Care Clinic
Katy, Texas, 77494, United States
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- Can lung ultrasound reveal COVID-19's signature in the lungs?
- When the immune system Can't fight back: tracking three respiratory viruses
- The household maze: how does COVID-19 move between family members?
- Can an oral drug stop COVID-19 from turning deadly?
- Can COVID-19 rapid tests slip into HIV and TB clinics without disrupting care?