A two-stage open-label, prospective, safety, tolerability, pharmacokinetics,pharmacodynamics, and immunogenicity study with participation of healthy volunteers inthree dose-escalation groups and patients with a confirmed diagnosis of COVID-19.
Not Provided
Drug: 1/10 therapeutic dose
5 volunteers + 1 replacement volunteer will recieve 1/10 therapeutic dose of the study
drug (parenteral administration).
Drug: 1/2 therapeutic dose
5 volunteers + 1 replacement volunteer will recieve 1/2 therapeutic dose of the study
drug (parenteral administration).
Drug: full therapeutic dose
15 volunteers + 3 replacement volunteers will recieve full therapeutic dose of the study
drug (parenteral administration).
Drug: Patients with a verified diagnosis of COVID-19
10 volunteers with a verified diagnosis of COVID-19 will recieve full therapeutic dose of
the study drug (parenteral administration).
INCLUSION CRITERIA
Stage 1
Each potential volunteer for inclusion in Stage 1 of the Study should meet all of the
following criteria:
1. Written Informed Consent to participate in the Study.
2. Men and women, age limits: min.: 18, max.: 45.
  3. Healthy according to the results of a medical examination: no history of pathology
     in the gastrointestinal tract, liver, kidneys, cardiovascular system, central
     nervous system, musculoskeletal system, genitourinary, immune and endocrine systems,
     or blood, which may affect the safety of the volunteer and the assessment of the
     Study results (no diseases or clinically significant abnormalities were revealed by
     clinical, instrumental, and laboratory tests).
4. Negative test result for COVID-19, determined by PCR at the screening.
  5. No contact with COVID-19 patients for at least 14 days prior to inclusion in the
     Study (according to information provided by potential volunteer).
  6. Negative test result for presence of IgM antibodies to SARS CoV2 by enzyme-linked
     immunosorbent assay.
  7. The result of IgG to S-protein or RBD of no more than x3 IGRI (or no more than 30
     BAU) to SARS CoV2 by enzyme-linked immunosorbent assay, regardless of the previous
     immune status.
  8. Consent to the use effective methods of contraception during the entire period of
     participation in the Study.
9. Body mass index (BMI) is 18.5≤BMI≤30.
 10. A negative pregnancy test result based on the results of a urine test (for women of
     childbearing age).
11. Negative test results for HIV, hepatitis B and C, syphilis.
12. A negative urine test result for presence of narcotic and psychostimulants.
13. A negative alcohol content test.
 14. Indicators of general and biochemical blood analysis at screening in the range of
     1.1 X VGRI - 0.9 X NGRI.
15. Indicators of immunoglobulin E are not higher than 2 X IGRI.
Stage 2
Each potential volunteer for inclusion in Stage 2 of the Study should meet all of the
following criteria:
1. Written Informed Consent to participate in the study.
2. Men and women, age limits: min.: 18, max.: 45.
  3. A positive test result for SARS-CoV-2 was obtained < 5 days before the inclusion in
     the Study, or clinical manifestations began, confirmed later by PCR/rapid test.
  4. Oxygen saturation ≥93% without oxygen donation in any way, a diagnosis of COVID-19
     is made, provided that symptoms appear no later than 5 days at the time of inclusion
     in the Study.
  5. The presence of several (at least 2) symptoms of mild or moderate severity at the
     time of inclusion in the Study;
  6. At the time of screening, the potential volunteer is not hospitalized due to the
     severity of the COVID-19 disease;
  7. The presence of factors (at least 1) of a high risk of developing severe COVID-19
     and / or hospitalization and / or death, according to the Investigator, not limited
     to the following:
1. patients not vaccinated against the current strain of the virus
       2. elderly patients (over 60 years of age), including those with additional risk
          factors
3. obesity
       4. patients with immunodeficiency, including those taking immunosuppressive drugs
          for any indication
       5. comorbidities (diabetes mellitus, cardiovascular diseases, coagulopathies,
          chronic kidney disease, including conditions requiring dialysis, chronic lung
          diseases, liver diseases, etc.)
  8. Consent to the use of effective methods of contraception during the entire period of
     participation in the Study.
9. The potential volunteer is able to perform visits during the Study.
EXCLUSION CRITERIA
Stage 1
The potential volunteer will not be included in Stage 1 of the Study in the following
cases:
  1. Inability to read in Russian; inability or unwillingness to understand the essence
     of the Study. Any other condition that restricts the validity of obtaining informed
     consent or may affect the volunteer's ability to participate in the Study.
  2. Plasma treatment from a recovered COVID-19 patient or MCA against SARS-CoV-2 in the
     last 3 months.
  3. Acute infectious diseases within 2 weeks and non-infectious diseases, exacerbations
     of chronic diseases within 4 weeks before the screening.
  4. The presence of inflammatory or dystrophic changes in the myocardium according to
     the results of ECG performed on the screening.
5. The volunteer's participation in any other study within the last 90 days.
6. A history of splenectomy.
7. Presence of mental illnesses (registered by psychiatric / mental health facility).
8. Treatment with steroids (excluding hormonal contraceptives) for the last 10 days.
  9. Administration of monoclonal antibodies, immunoglobulins or blood products in the
     last 3 months.
 10. Autoimmune diseases or a history of systemic collagenosis that require
     immunosuppressive therapy.
 11. Volunteers who have undergone organ transplants, including bone marrow or peripheral
     blood stem cell (PSCC) transplants.
 12. Immunosuppressive drugs and / or immunomodulators intake for 6 months prior to the
     start of the Study.
 13. Any immunodeficiency (for example, hereditary immunodeficiency, acquired
     immunodeficiency syndrome [AIDS], etc.,).
14. Pregnancy or breast-feeding.
 15. Systolic blood pressure less than 100 mmHg or higher than 139 mmHg; diastolic blood
     pressure less than 60 mmHg or higher than 90 mmHg; heart rate less than 60 beats /
     min or more than 100 beats / min.
 16. A burdened allergic history (including, but not limited to, major multiform
     erythema, toxic epidermal necrolysis, angioedema, polymorphic exudative eczema, a
     history of serum sickness, hypersensitivity or allergic reactions to the
     administration of immunobiological drugs, known allergic reactions to the components
     of the drug, etc.).
17. History of severe infusion reactions
18. Diabetes mellitus or other forms of glucose tolerance disorders;
 19. The medical history of malignant neoplasms, with the exception of basal cell or
     squamous cell epithelial skin carcinomas, which were removed without any signs of
     metastasis for 3 years.
 20. Blood donation (450 ml or more of blood or plasma) less than 2 months before the
     start of the Study;
 21. Taking narcotic and psychostimulant drugs at the present time or according to the
     anamnesis.
 22. Drinking alcohol above the low-risk level: no more than 20 grams of pure alcohol per
     day, no more than 5 days a week, alcohol intake within 48 hours before the study
     drug administration.
23. Smoking: more than 10 cigarettes a day.
 24. Planned hospitalization and / or surgical intervention during the period of
     participation in the Study, as well as 4 weeks before the expected date of study
     drug administration.
 25. The presence of a concomitant disease that may affect the evaluation of the Study
     results or that, in the opinion of the Investigator, will not allow the volunteer to
     participate in the Study or may affect the conduct of the study and/or its results
     (including the assessment of safety parameters), any conditions that, in the opinion
     of the Investigator (doctor), may be a contraindication to participation in the
     Study.
 26. The weight of a potential volunteer is less than 45 and more than 100 kg (even if
     the BMI of the volunteer corresponds to the norm-item 8 of the inclusion criteria).
Stage 2
The potential volunteer will not be included in Stage 2 of the Study in the following
cases:
  1. Inability to read in Russian; inability or unwillingness to understand the essence
     of the research. Any other conditions that limit the validity of obtaining informed
     consent or may affect the patient's ability to participate in the Study.
2. Pregnancy and lactation.
3. Severe and extremely severe course of COVID-19:
- Blood oxygen saturation at rest according to pulse oximetry (SpO2) < 93% OR
- PaO2 / FiO2 ≤ 300 mmHg OR
       -  Respiratory failure and the need for invasive mechanical ventilation (with
          tracheal intubation) or ECMO; OR
- Septic shock OR
- Multiple organ failure
  4. Previous plasma therapy from a recovered patient with COVID-19 or other mAb drugs
     against SARS CoV-2 for the treatment of COVID-19 disease that is ongoing at the time
     of inclusion in the Study.
  5. The patient is currently hospitalized or, according to the Investigator, may require
     hospitalization in the next 24 hours due to the severity of the infection.
  6. Oxygen therapy is required due to COVID-19 disease or an increase in the baseline
     oxygen flow rate due to COVID-19 disease is required in individuals on chronic
     oxygen therapy due to a non-COVID-19 comorbidity.
7. Confirmed active tuberculosis, AIDS (according to medical history, registration).
  8. The presence of any life-threatening concomitant disease in a state of
     decompensation, which, in the opinion of the Investigator, makes the patient
     unsuitable for inclusion in the Study;
9. Body weight less than 40 kg.
10. Participation in any other study within the last 90 days.
 11. Artificial lung ventilation is required or an unavoidable need for mechanical
     ventilation is predicted in the next 24 hours based on the patient's current
     condition.
 12. A suspected or proven serious active bacterial, fungal, viral, or other infection
     (other than COVID-19) that the Investigator believes may pose a risk to the patient
     and affect the assessment of Study endpoints.
 13. There are concomitant diseases that require surgical intervention within the next
     month.
 14. A burdened allergic history (including, but not limited to, erythema majora
     multiforme, toxic epidermal necrolysis, angioedema, polymorphic exudative eczema, a
     history of serum sickness, hypersensitivity or allergic reactions to the
     administration of immunobiological drugs, known allergic reactions to the components
     of the study drug, etc.).
15. A history of severe infusion reactions.
16. Alcohol or drug addiction.
Not Provided
Not Provided