The Lancet Respiratory Medicine, volume 10, issue 10, pages 985-996

Efficacy and safety of intramuscular administration of tixagevimab–cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial

HUGH MONTGOMERY
F.D. Richard Hobbs
Francisco Padilla
Douglas Arbetter
Alison Templeton
Seth Seegobin
KENNETH KIM
Jesus Abraham Simón Campos
Rosalinda H. Arends
Bryan H Brodek
Dennis Brooks
Pedro Garbes
Julieta Jimenez
Gavin C K W Koh
Kelly W. Padilla
Katie Streicher
Rolando M Viani
Vijay Alagappan
Menelas N. Pangalos
Mark T Esser
Wakana Abe
Tania Adan De Varona
Daria Adiatullina
Daniel Aguilar Zapata
Kevin Ahlers
Carolina Aimo
Ayoade Akere
Elena Akimova
Jorge Alatorre Alexander
Logan Aldrich
Ismael Ali Garcia
Karim Ali García
Lee Allison
Rosa Alonso Zuñiga
Ivan Aloysius
Javier Altclas
Andres Alvarisqueta
Martti Antila
Camila Anton
Elisabet Árboix Alamo
Samir Arora
Ramón Alejandro Avilés Felix
Natalya Bakhtina
Varenka Barbero-Becerra
Armando Barragan-Reyes
Alejandro Barreira
Barrett Mitchell
Jiri Beran
Nikolett Berki
Viktoria Berki
Richard Betten
Claudia Binelli
Lenka Brunzová
Cecilia Bussolari
Karianna Byargeon
Justyna Bytnar
Carlos Camberos
Pedro Campos Corzo
Grazia Cannon
Valentina Canovi
Simone Carla da Rosa
Ana Caroline Moser
Luis Carrera Rivas
Marcelo Martin Casas
Paulo Castañeda-Méndez
Ana Cavalcante
Eugenia Cherepova
Alexei Chermenskii
Lauren Clark
Mauro Codeluppi
Flavia Coelho
Belinda Contreras
Alex Cran
Taylor Dao
Chrisette Dharma
Cosimo Di Castri
Victoria Diaz Balocchi
Omar Durán
Kara Earl
Adam Ellery
Tomoko Endo
Andrea Everding
Rainald Fischer
Benedito Fonseca
Chelsea C. Franklin
Susan-Beatrice Franz
Anna Fumagalli
Mauricio Galindo-Amaya
Mariagiulia Galli
Laura Gerna
Karolly Gil Ureña
Henrikki Gomes Antila
Laura Ines Gomes Maricato
Gabriela Goncalvez
Martin Gonzalez
Jesús González-Lama
Stephen Granier
Jacob Granier
Stephan Grunwald
David Guardeño-Ropero
Monica Guberti
Sridhar Guduri
Carolina Guerrero García
Jehad Haggiagi
Kacie Hale
Toshimasa Hayashi
Maiara Hermes
Dante Hernandez Colin
Yuji Hirai
Masayuki Hojo
Tetsuya Homma
Billy Hour
Andreas Huber
Diego Iacovelli
Noriomi Ishibashi
Yutaro Iwabe
Shinyu Izumi
Arne Jessen
Heiko Jessen
Wilner Jeudy
Marta Jiménez Marcos
Rebecca Johnson
Eva Juárez-Hernández
Kiyomi Kabasawa
Katarzyna Kamińska
Megumi Kawabe
Angela Kemp
Oleg Khmelnitskiy
Carina Klassen
Olena Kobrynska
Pavel Koleckar
Stephanie Korn
Marc Kornmann
Viktor Kostenko
Evgenii Kovalchuk
Yana Kovalchuk
Tim Kümmerle
Ulrike Lachmund
Kerstin Lammersmann
Flávio Lastebasse
Ivana Lattuada
Felicitas Lauer
Kyrylo Lebed
Olga Lebed
Diego Lecona-Garcia
Maria Christina Leoni
Marina Lima
Raymond Little
Holly Little
Andrea Lizardi-Díaz
Michele Lobo-Becker
Francesco Luppi
Veronica Macias
Shigefumi MAESAKI
Cristiano Magnaghi
Annalisa Mancini
Stanisław Mazur
Tatiana Melnikova
Sergio Menchaca
Ibrahim Menendez-Perez
Ewa Międlar
Shuuichi Mizunuma
Anastasiya Mochalova
Mihad Mohamed
Theresa Moll
Camila Montalvo
Amber Mottola
Birgit Mück
Rebeca Mussi Brugnolli
Akanksha Nanda
Dörthe Neuner
Agatha Ngwueke
Sebastian Noe
Martin Novacek
Laura Nuzzolo-Shihadeh
Emeka Obiekwe
Isaias G. Ocampo Gaytán
Norio Ohmagari
Shin Ohta
Ptuonye Onyewuchi
Iurii Pankov
Maurício Pedrosa
Yael Peré
Alejandro Pereyra
Eliana Perez
Eduardo Perez-Alba
Paloma Perpiña Lozano
Tanya Perrei
Dena Peterson
Ligia Pierroti
Felipe Pineda-Cárdenas
Teresa Plascencia Sanchez
Camila Poletti
Chiara Pomaranzi
Lisette Portes
Nils Postel
Monica Ramirez
Isabel Ramírez
Miguel Ramirez-Baena
Mahadev Ramjee
Giovanna Ratti
Jackie Reeve
Petr Reichert
Petra Reichertová
Edgar Alejandro Reyes Garcia
Celso Ricardo
Nicomedes Rodríguez Rodríguez
Jaun Roldán Sánchez
Matilde Romero-Lopez
Tyrone Rosales
Harvey Rosales
Mohamed Roshan
Simran Roshan
Patrizia Rovere Querini
Heather Rutter
Sadaf Sachwani
Hironori Sagara
Jun Sakai
Nina Samson
José Héctor Sánchez Mijangos
Liliana Sánchez
Ana Sánchez-González
Micko Sandford
Laura Santana
Felipe Santos de Carvalho
Reiko Sasao
Lubna Sato
Elizabeth Scheuermann
Olaf Schmidt
Masafumi Seki
Safia Shaikh
Daishi Shimada
Masaharu Shinkai
Masahiro Shinoda
Jackie Smith
Fernando Solorzano
Silvia Soncini
Katalin Soregine
Erica Sosa
Olalekan Sowade
Veronika Špinková
Ruth Staniford
Iska Steigemann
Vivien Steiner
Vladimir Strelkov
Cintya R. Suárez Pineda
Hiroki Suenaga
Shintaro Suzaki
Hannah Swayze
Yuji Tada
Yuichiro Takeshita
Yasuo Takiguchi
Akihiko Tanaka
Norihito Tarumoto
Albina Tatarintseva
Michelle Taubert
Elizaveta Terenya
César Tinoco
Tomohiro Tomiyasu
Gladys Torres-Vidal
Gabriela Trejo-Aguiar
Kenji Tsushima
Emma Tunstall
Caterina Turrà
Yoandy Valdes
Nelly Valencia Castro
Guilherme Visconti
Giordano Vitali
Apinya Vutikullird
Jezdancher Watti
Doreen Werth
Cheyanne Wilson
Philippe Wilson
Amy Workman
Pamela Wörle
Christoph Wyen
Yoshiko Yamaguchi
Kei Yamamoto
Publication typeJournal Article
Publication date2022-10-01
Quartile SCImago
Q1
Quartile WOS
Q1
Impact factor76.2
ISSN22132600, 22132619
Pulmonary and Respiratory Medicine
Abstract
Early intramuscular administration of SARS-CoV-2-neutralising monoclonal antibody combination, tixagevimab-cilgavimab, to non-hospitalised adults with mild to moderate COVID-19 has potential to prevent disease progression. We aimed to evaluate the safety and efficacy of tixagevimab-cilgavimab in preventing progression to severe COVID-19 or death.TACKLE is an ongoing, phase 3, randomised, double-blind, placebo-controlled study conducted at 95 sites in the USA, Latin America, Europe, and Japan. Eligible participants were non-hospitalised adults aged 18 years or older with a laboratory-confirmed SARS-CoV-2 infection (determined by RT-PCR or an antigen test) from any respiratory tract specimen collected 3 days or less before enrolment and who had not received a COVID-19 vaccination. A WHO Clinical Progression Scale score from more than 1 to less than 4 was required for inclusion and participants had to receive the study drug 7 days or less from self-reported onset of mild to moderate COVID-19 symptoms or measured fever. Participants were randomly assigned (1:1) to receive either a single tixagevimab-cilgavimab 600 mg dose (two consecutive 3 mL intramuscular injections, one each of 300 mg tixagevimab and 300 mg cilgavimab) or placebo. Randomisation was stratified (using central blocked randomisation with randomly varying block sizes) by time from symptom onset, and high-risk versus low-risk of progression to severe COVID-19. Participants, investigators, and sponsor staff involved in the treatment or clinical evaluation and monitoring of the participants were masked to treatment-group assignments. The primary endpoints were severe COVID-19 or death from any cause through to day 29, and safety. This study is registered with ClinicalTrials.gov, NCT04723394.Between Jan 28, 2021, and July 22, 2021, 1014 participants were enrolled, of whom 910 were randomly assigned to a treatment group (456 to receive tixagevimab-cilgavimab and 454 to receive placebo). The mean age of participants was 46·1 years (SD 15·2). Severe COVID-19 or death occurred in 18 (4%) of 407 participants in the tixagevimab-cilgavimab group versus 37 (9%) of 415 participants in the placebo group (relative risk reduction 50·5% [95% CI 14·6-71·3]; p=0·0096). The absolute risk reduction was 4·5% (95% CI 1·1-8·0; p<0·0001). Adverse events occurred in 132 (29%) of 452 participants in the tixagevimab-cilgavimab group and 163 (36%) of 451 participants in the placebo group, and were mostly of mild or moderate severity. There were three COVID-19-reported deaths in the tixagevimab-cilgavimab group and six in the placebo group.A single intramuscular tixagevimab-cilgavimab dose provided statistically and clinically significant protection against progression to severe COVID-19 or death versus placebo in unvaccinated individuals and safety was favourable. Treating mild to moderate COVID-19 earlier in the disease course with tixagevimab-cilgavimab might lead to more favourable outcomes.AstraZeneca.

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MONTGOMERY H. et al. Efficacy and safety of intramuscular administration of tixagevimab–cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial // The Lancet Respiratory Medicine. 2022. Vol. 10. No. 10. pp. 985-996.
GOST all authors (up to 50) Copy
MONTGOMERY H. et al. Efficacy and safety of intramuscular administration of tixagevimab–cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial // The Lancet Respiratory Medicine. 2022. Vol. 10. No. 10. pp. 985-996.
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TY - JOUR
DO - 10.1016/S2213-2600(22)00180-1
UR - https://doi.org/10.1016/S2213-2600(22)00180-1
TI - Efficacy and safety of intramuscular administration of tixagevimab–cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial
T2 - The Lancet Respiratory Medicine
AU - MONTGOMERY, HUGH
AU - Hobbs, F.D. Richard
AU - Padilla, Francisco
AU - Arbetter, Douglas
AU - Templeton, Alison
AU - Seegobin, Seth
AU - KIM, KENNETH
AU - Campos, Jesus Abraham Simón
AU - Arends, Rosalinda H.
AU - Brodek, Bryan H
AU - Brooks, Dennis
AU - Garbes, Pedro
AU - Jimenez, Julieta
AU - Koh, Gavin C K W
AU - Padilla, Kelly W.
AU - Streicher, Katie
AU - Viani, Rolando M
AU - Alagappan, Vijay
AU - Pangalos, Menelas N.
AU - Esser, Mark T
AU - Abe, Wakana
AU - Adan De Varona, Tania
AU - Adiatullina, Daria
AU - Aguilar Zapata, Daniel
AU - Ahlers, Kevin
AU - Aimo, Carolina
AU - Akere, Ayoade
AU - Akimova, Elena
AU - Alatorre Alexander, Jorge
AU - Aldrich, Logan
AU - Ali Garcia, Ismael
AU - Ali García, Karim
AU - Allison, Lee
AU - Alonso Zuñiga, Rosa
AU - Aloysius, Ivan
AU - Altclas, Javier
AU - Alvarisqueta, Andres
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AU - Anton, Camila
AU - Árboix Alamo, Elisabet
AU - Arora, Samir
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AU - Barbero-Becerra, Varenka
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AU - Barreira, Alejandro
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AU - Everding, Andrea
AU - Fischer, Rainald
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AU - Franklin, Chelsea C.
AU - Franz, Susan-Beatrice
AU - Fumagalli, Anna
AU - Galindo-Amaya, Mauricio
AU - Galli, Mariagiulia
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PY - 2022
DA - 2022/10/01 00:00:00
PB - Elsevier
SP - 985-996
IS - 10
VL - 10
SN - 2213-2600
SN - 2213-2619
ER -
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@article{2022_MONTGOMERY,
author = {HUGH MONTGOMERY and F.D. Richard Hobbs and Francisco Padilla and Douglas Arbetter and Alison Templeton and Seth Seegobin and KENNETH KIM and Jesus Abraham Simón Campos and Rosalinda H. Arends and Bryan H Brodek and Dennis Brooks and Pedro Garbes and Julieta Jimenez and Gavin C K W Koh and Kelly W. Padilla and Katie Streicher and Rolando M Viani and Vijay Alagappan and Menelas N. Pangalos and Mark T Esser and Wakana Abe and Tania Adan De Varona and Daria Adiatullina and Daniel Aguilar Zapata and Kevin Ahlers and Carolina Aimo and Ayoade Akere and Elena Akimova and Jorge Alatorre Alexander and Logan Aldrich and Ismael Ali Garcia and Karim Ali García and Lee Allison and Rosa Alonso Zuñiga and Ivan Aloysius and Javier Altclas and Andres Alvarisqueta and Martti Antila and Camila Anton and Elisabet Árboix Alamo and Samir Arora and Ramón Alejandro Avilés Felix and Natalya Bakhtina and Varenka Barbero-Becerra and Armando Barragan-Reyes and Alejandro Barreira and Barrett Mitchell and Jiri Beran and Nikolett Berki and Viktoria Berki and Richard Betten and Claudia Binelli and Lenka Brunzová and Cecilia Bussolari and Karianna Byargeon and Justyna Bytnar and Carlos Camberos and Pedro Campos Corzo and Grazia Cannon and Valentina Canovi and Simone Carla da Rosa and Ana Caroline Moser and Luis Carrera Rivas and Marcelo Martin Casas and Paulo Castañeda-Méndez and Ana Cavalcante and Eugenia Cherepova and Alexei Chermenskii and Lauren Clark and Mauro Codeluppi and Flavia Coelho and Belinda Contreras and Alex Cran and Taylor Dao and Chrisette Dharma and Cosimo Di Castri and Victoria Diaz Balocchi and Omar Durán and Kara Earl and Adam Ellery and Tomoko Endo and Andrea Everding and Rainald Fischer and Benedito Fonseca and Chelsea C. Franklin and Susan-Beatrice Franz and Anna Fumagalli and Mauricio Galindo-Amaya and Mariagiulia Galli and Laura Gerna and Karolly Gil Ureña and Henrikki Gomes Antila and Laura Ines Gomes Maricato and Gabriela Goncalvez and Martin Gonzalez and Jesús González-Lama and Stephen Granier and Jacob Granier and Stephan Grunwald and David Guardeño-Ropero and Monica Guberti and Sridhar Guduri and Carolina Guerrero García and Jehad Haggiagi and Kacie Hale and Toshimasa Hayashi and Maiara Hermes and Dante Hernandez Colin and Yuji Hirai and Masayuki Hojo and Tetsuya Homma and Billy Hour and Andreas Huber and Diego Iacovelli and Noriomi Ishibashi and Yutaro Iwabe and Shinyu Izumi and Arne Jessen and Heiko Jessen and Wilner Jeudy and Marta Jiménez Marcos and Rebecca Johnson and Eva Juárez-Hernández and Kiyomi Kabasawa and Katarzyna Kamińska and Megumi Kawabe and Angela Kemp and Oleg Khmelnitskiy and Carina Klassen and Olena Kobrynska and Pavel Koleckar and Stephanie Korn and Marc Kornmann and Viktor Kostenko and Evgenii Kovalchuk and Yana Kovalchuk and Tim Kümmerle and Ulrike Lachmund and Kerstin Lammersmann and Flávio Lastebasse and Ivana Lattuada and Felicitas Lauer and Kyrylo Lebed and Olga Lebed and Diego Lecona-Garcia and Maria Christina Leoni and Marina Lima and Raymond Little and Holly Little and Andrea Lizardi-Díaz and Michele Lobo-Becker and Francesco Luppi and Veronica Macias and Shigefumi MAESAKI and Cristiano Magnaghi and Annalisa Mancini and Stanisław Mazur and Tatiana Melnikova and Sergio Menchaca and Ibrahim Menendez-Perez and Ewa Międlar and Shuuichi Mizunuma and Anastasiya Mochalova and Mihad Mohamed and Theresa Moll and Camila Montalvo and Amber Mottola and Birgit Mück and Rebeca Mussi Brugnolli and Akanksha Nanda and Dörthe Neuner and Agatha Ngwueke and Sebastian Noe and Martin Novacek and Laura Nuzzolo-Shihadeh and Emeka Obiekwe and Isaias G. Ocampo Gaytán and Norio Ohmagari and Shin Ohta and Ptuonye Onyewuchi and Iurii Pankov and Maurício Pedrosa and Yael Peré and Alejandro Pereyra and Eliana Perez and Eduardo Perez-Alba and Paloma Perpiña Lozano and Tanya Perrei and Dena Peterson and Ligia Pierroti and Felipe Pineda-Cárdenas and Teresa Plascencia Sanchez and Camila Poletti and Chiara Pomaranzi and Lisette Portes and Nils Postel and Monica Ramirez and Isabel Ramírez and Miguel Ramirez-Baena and Mahadev Ramjee and Giovanna Ratti and Jackie Reeve and Petr Reichert and Petra Reichertová and Edgar Alejandro Reyes Garcia and Celso Ricardo and Nicomedes Rodríguez Rodríguez and Jaun Roldán Sánchez and Matilde Romero-Lopez and Tyrone Rosales and Harvey Rosales and Mohamed Roshan and Simran Roshan and Patrizia Rovere Querini and Heather Rutter and Sadaf Sachwani and Hironori Sagara and Jun Sakai and Nina Samson and José Héctor Sánchez Mijangos and Liliana Sánchez and Ana Sánchez-González and Micko Sandford and Laura Santana and Felipe Santos de Carvalho and Reiko Sasao and Lubna Sato and Elizabeth Scheuermann and Olaf Schmidt and Masafumi Seki and Safia Shaikh and Daishi Shimada and Masaharu Shinkai and Masahiro Shinoda and Jackie Smith and Fernando Solorzano and Silvia Soncini and Katalin Soregine and Erica Sosa and Olalekan Sowade and Veronika Špinková and Ruth Staniford and Iska Steigemann and Vivien Steiner and Vladimir Strelkov and Cintya R. Suárez Pineda and Hiroki Suenaga and Shintaro Suzaki and Hannah Swayze and Yuji Tada and Yuichiro Takeshita and Yasuo Takiguchi and Akihiko Tanaka and Norihito Tarumoto and Albina Tatarintseva and Michelle Taubert and Elizaveta Terenya and César Tinoco and Tomohiro Tomiyasu and Gladys Torres-Vidal and Gabriela Trejo-Aguiar and Kenji Tsushima and Emma Tunstall and Caterina Turrà and Yoandy Valdes and Nelly Valencia Castro and Guilherme Visconti and Giordano Vitali and Apinya Vutikullird and Jezdancher Watti and Doreen Werth and Cheyanne Wilson and Philippe Wilson and Amy Workman and Pamela Wörle and Christoph Wyen and Yoshiko Yamaguchi and Kei Yamamoto},
title = {Efficacy and safety of intramuscular administration of tixagevimab–cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial},
journal = {The Lancet Respiratory Medicine},
year = {2022},
volume = {10},
publisher = {Elsevier},
month = {oct},
url = {https://doi.org/10.1016/S2213-2600(22)00180-1},
number = {10},
pages = {985--996},
doi = {10.1016/S2213-2600(22)00180-1}
}
MLA
Cite this
MLA Copy
MONTGOMERY, HUGH, et al. “Efficacy and safety of intramuscular administration of tixagevimab–cilgavimab for early outpatient treatment of COVID-19 (TACKLE): a phase 3, randomised, double-blind, placebo-controlled trial.” The Lancet Respiratory Medicine, vol. 10, no. 10, Oct. 2022, pp. 985-996. https://doi.org/10.1016/S2213-2600(22)00180-1.
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