NCT07445971

Brief Summary

This first-in-human study is designed to evaluate the safety, tolerability, pharmacokinetics, anti-drug antibodies, and neutralizing activity of MDX2301 administered by intravenous (IV), intramuscular (IM), or subcutaneous (SC) routes in healthy adults and adults at higher risk for severe COVID-19. Participants will receive single IV, IM, and SC doses of MDX2301 or placebo and a repeat IM or SC dose approximately 3 months apart of MDX2301 or placebo.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P75+ for phase_1

Timeline
18mo left

Started Mar 2026

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress14%
Mar 2026Dec 2027

First Submitted

Initial submission to the registry

February 10, 2026

Completed
21 days until next milestone

First Posted

Study publicly available on registry

March 3, 2026

Completed
21 days until next milestone

Study Start

First participant enrolled

March 24, 2026

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

May 18, 2026

Status Verified

May 1, 2026

Enrollment Period

1.4 years

First QC Date

February 10, 2026

Last Update Submit

May 15, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Adverse Events

    Incidence and severity of adverse events (AEs) and serious AEs (SAEs), including changes in clinical laboratory parameters.

    Baseline until end of study, up to approximately 12 months

Secondary Outcomes (7)

  • Measure of maximum serum concentration (Cmax) of MDX2301

    12 months

  • Measure of time to maximum concentration (Tmax) of MDX2301

    12 months

  • Measure of terminal half-life (t1/2) of MDX2301

    12 months

  • Measure of area under the serum concentration-time curve (AUC) extrapolated to infinity of MDX2301

    12 months

  • Measure of volume of distribution (Vd) of MDX2301

    12 months

  • +2 more secondary outcomes

Study Arms (6)

Single Dose Healthy Adults MDX2301

EXPERIMENTAL

Healthy Adults will receive a single dose of MDX2301 as intravenous infusion, intramuscular injection, or subcutaneous injection.

Biological: MDX2301

Single Dose Healthy Adults Placebo

PLACEBO COMPARATOR

Healthy Adults will receive a single dose of placebo as intravenous infusion, intramuscular injection, or subcutaneous injection.

Biological: Normal Saline

Repeat Dose Healthy Adults MDX2301

EXPERIMENTAL

Healthy Adults will receive a single dose of MDX2301 as intramuscular injection or subcutaneous injection and then receive a repeat dose of MDX2301, 3 months later as intramuscular injection or subcutaneous injection.

Biological: MDX2301

Repeat Dose Healthy Adults Placebo

PLACEBO COMPARATOR

Healthy Adults will receive a single dose of placebo as intramuscular injection or subcutaneous injection and then receive a repeat dose of placebo 3 months later as intramuscular injection or subcutaneous injection.

Biological: Normal Saline

Single-Dose Higher Risk Adults MDX2301

EXPERIMENTAL

Adults at higher risk for severe COVID-19 will receive a single dose of MDX2301 as intramuscular injection or subcutaneous injection.

Biological: MDX2301

Single-Dose Higher Risk Adults Placebo

PLACEBO COMPARATOR

Adults at higher risk for severe COVID-19 will receive a single dose of placebo as intramuscular injection or subcutaneous injection.

Biological: Normal Saline

Interventions

MDX2301BIOLOGICAL

MDX2301 as intravenous infusion, intramuscular injection, or subcutaneous injection.

Single Dose Healthy Adults MDX2301
Normal SalineBIOLOGICAL

Placebo as intravenous infusion, intramuscular injection, or subcutaneous injection.

Single Dose Healthy Adults Placebo

Eligibility Criteria

Age18 Years - 64 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy Adults
  • Participant is a healthy male or female, 18 to 64 years of age.
  • Participant is in good health in the opinion of the investigator.
  • Adults at Higher Risk for Developing Severe COVID-19:
  • Participant is a male or female, 18 to 64 years of age.
  • Participant is at higher risk for developing severe COVID-19, with 1 or more of the following risk factors:
  • Asthma
  • Diabetes
  • Cerebrovascular disease, which affects blood flow to the brain.
  • Chronic kidney disease
  • Chronic lung disease
  • Cardiac disease
  • Chronic liver disease
  • Cystic fibrosis
  • HIV clinically stable on antiretroviral therapy for at least 6 months prior to screening.
  • +8 more criteria

You may not qualify if:

  • Healthy Adults
  • Participant has any chronic or significant medical condition that, in the opinion of the investigator, might compromise the participant's safety or interfere with evaluation of the study drug.
  • Participant has evidence of active HIV, hepatitis B, or hepatitis C infections at screening.
  • Adults at Higher Risk for Severe COVID-19:
  • Participant has any serious disease, condition, or disorder that, in the opinion of the investigator, might compromise the participant's safety or interfere with evaluation of the study drug or interpretation of study results, or may lead to hospitalization or death within the study period.
  • Participant has evidence of active hepatitis B or hepatitis C infections at screening.
  • All Participants
  • Participant has abnormal vital signs, ECG findings, or laboratory values at Screening or Day -1.
  • Participant tests positive for SARS-CoV-2 infection at screening.
  • Participant self-reports having COVID-19 or received COVID-19 antiviral for prophylaxis or treatment prior to Day 1.
  • Participant has received a SARS-CoV-2 vaccine prior to dosing.
  • Participant has received a monoclonal antibody (mAb) for SARS-CoV-2 or convalescent plasma for SARS-CoV-2 prior to Day 1.
  • Participant has received or is expected to receive for the duration of the study immunoglobulin, blood-derived products, high-dose systemic corticosteroids, or other immunosuppressant drugs within 6 months prior to Day 1.
  • Participant is pregnant, breastfeeding, or seeking pregnancy while on the study.
  • Participant with a known clinically significant bleeding disorder that would prohibit the participant from receiving an IV infusion or IM or SC injection.
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

TrialMed Clinical Research Unit

Las Vegas, Nevada, 89113, United States

RECRUITING

TrialMed Clinical Research Unit

Austin, Texas, 78744, United States

RECRUITING

MeSH Terms

Conditions

COVID-19

Interventions

Saline Solution

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Crystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical Preparations

Study Officials

  • Trial Med

    TrialMed

    PRINCIPAL INVESTIGATOR

Central Study Contacts

ModeX Therapeutics, An OPKO Health Company

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Sponsor staff will remain blinded until two administrative looks are conducted in order to facilitate future study planning.
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 10, 2026

First Posted

March 3, 2026

Study Start

March 24, 2026

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

May 18, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations