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Prevention of COVID-19 Infection to Severe Pneumonia or ARDS

Primary Purpose

Covid19 Pneumonia

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
EC-18
Placebo
Sponsored by
Enzychem Lifesciences Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 Pneumonia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects must meet all of the following criteria:

    1. Male or female ≥18 years old
    2. Subjects with confirmed diagnoses of pneumonia caused by COVID-19 from:

      • RT-PCR or Abbott ID Now COVID-19 test
      • Chest X-ray or computed tomography (CT) scan (findings of the increased opacity on a chest X-ray, ground-glass opacity indicative of pneumonia on CT, opinion on consolidation, etc.)
    3. Those who can tolerate oral administration
    4. Those who do not need oxygen therapy or only need low-flow oxygen (at least 4L/min) but not requiring high-flow oxygen (higher than 4-6L/min) or non-invasive/invasive ventilation primarily according to the WHO guidance
    5. Those who are planned to be hospitalized or who are just hospitalized
    6. Those who have been fully explained about this clinical study and have voluntarily agreed to participate in this clinical study by signing the informed consent form (ICF)

Exclusion Criteria:

  • Subjects cannot participate in this clinical study if they satisfy any of the following criteria:

    1. Those who are diagnosed with viral pneumonia caused by other than COVID-19 or bacterial pneumonia during the screening
    2. Patients with severe pneumonia according to the WHO guidance

      • Have fever or signs of respiratory infections and
      • Satisfy any one of the following conditions: Respiratory rate > 30 breaths/min, severe respiratory distress, or room air oxygen saturation (SpO2) ≤ 93%
    3. Patients with ARDS according to the WHO guidance
    4. Those who have past medical histories described below:

      • Those who have medical histories of human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), or hepatitis B or C viral infection
      • Those who cannot have a CT test done due to allergy to contrast agents, etc.
    5. Those who have comorbidities/symptoms described below:

      • Those who have a history or evidence of another clinically significant condition that may pose risks to patient safety or interfere with the study procedures, assessments or completion as determined by the investigator
      • Those who have moderate or severe renal impairment (eGFR < 60 mL/min/1.73 m2)
      • Those who have moderate or severe hepatic impairment (Child-Pugh B or C, respectively)
    6. Patients who are being treated with corticosteroids or other immunosuppressants for asthma or autoimmune diseases at the entry of study are excluded, because these drugs counteract the action mechanism of EC-18 (PLAG).
    7. Those who have any abnormalities in laboratory tests described below:

      • Clinically significant liver function abnormality (Satisfy any one or more of the following):
      • Serum alanine aminotransferase (ALT) ≥ upper limit of normal (ULN) × 2.5
      • Serum aspartate aminotransferase (AST) ≥ ULN × 2.5
      • Serum total bilirubin ≥ ULN × 2.5
    8. Patients with uncontrolled diabetes (HbA1c > 7.0%)
    9. Those who have hypersensitivity reactions to the IP and its components
    10. Those who satisfy any of the descriptions below:

      • Pregnant or breastfeeding female subjects
      • Those who are planning on pregnancy or not using accepted contraception measures during the clinical study
    11. Those who have participated in other clinical studies to receive IPs or apply investigational medical devices within 1 month from the time of obtaining the informed consent
    12. Those who are considered to be ineligible to participate in the clinical study or have difficulty conducting this clinical study by the investigator
    13. Those subjects with Hb < lower limit of normal (LLN) for males and females
    14. Those subjects with a platelet count < LLN
    15. Those subjects with a WBC < LLN

Sites / Locations

  • Lincoln Medical CenterRecruiting
  • Kent County Memorial HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Active EC-18

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Proportion of patients alive and free of respiratory failure through at Day 28

Secondary Outcome Measures

Probability of progression of mild pneumonia patients to severe pneumonia or ARDS within 28 days
Assessment of all-cause mortality
Respiratory failure defined based on resource utilization requiring at least 1 of the following:
Endotracheal intubation and mechanical ventilation Oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates > 20L/min with a fraction of delivered oxygen ≥ 0.5) Non-invasive positive pressure ventilation Extracorporeal membrane oxygenation
Proportion of patients alive and free of invasive mechanical ventilation at a pre-specified timepoint
Proportion of patients alive and discharged from the hospital at a pre-specified timepoint
Lengths of ICU stay
Lengths of alive and respiratory failure-free days
Proportion of patients with objective measures of improvement (returning to room air) at time points (days 7, 14, and 28)
Confirmation of changes in subject's subjective clinical symptoms (e.g., patient questionnaire)
o Check for changes in symptoms on a daily basis for 28 days compared to the baseline at day 1

Full Information

First Posted
September 28, 2020
Last Updated
June 8, 2021
Sponsor
Enzychem Lifesciences Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT04569227
Brief Title
Prevention of COVID-19 Infection to Severe Pneumonia or ARDS
Official Title
Phase 2, Multi-center, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of EC-18 in Preventing the Progression of COVID-19 Infection to Severe Pneumonia or ARDS
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Unknown status
Study Start Date
April 30, 2021 (Actual)
Primary Completion Date
September 2021 (Anticipated)
Study Completion Date
November 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Enzychem Lifesciences Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A trial of EC-18 in patients with mild/moderate pneumonia due to COVID-19

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19 Pneumonia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Active EC-18
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
EC-18
Intervention Description
2000 mg PO daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
PO daily
Primary Outcome Measure Information:
Title
Proportion of patients alive and free of respiratory failure through at Day 28
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Probability of progression of mild pneumonia patients to severe pneumonia or ARDS within 28 days
Time Frame
28 days
Title
Assessment of all-cause mortality
Time Frame
28 days
Title
Respiratory failure defined based on resource utilization requiring at least 1 of the following:
Description
Endotracheal intubation and mechanical ventilation Oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates > 20L/min with a fraction of delivered oxygen ≥ 0.5) Non-invasive positive pressure ventilation Extracorporeal membrane oxygenation
Time Frame
28 days
Title
Proportion of patients alive and free of invasive mechanical ventilation at a pre-specified timepoint
Time Frame
28 days
Title
Proportion of patients alive and discharged from the hospital at a pre-specified timepoint
Time Frame
28 days
Title
Lengths of ICU stay
Time Frame
28 days
Title
Lengths of alive and respiratory failure-free days
Time Frame
28 days
Title
Proportion of patients with objective measures of improvement (returning to room air) at time points (days 7, 14, and 28)
Time Frame
7, 14, and 28 days
Title
Confirmation of changes in subject's subjective clinical symptoms (e.g., patient questionnaire)
Description
o Check for changes in symptoms on a daily basis for 28 days compared to the baseline at day 1
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must meet all of the following criteria: Male or female ≥18 years old Subjects with confirmed diagnoses of pneumonia caused by COVID-19 from: RT-PCR or Abbott ID Now COVID-19 test Chest X-ray or computed tomography (CT) scan (findings of the increased opacity on a chest X-ray, ground-glass opacity indicative of pneumonia on CT, opinion on consolidation, etc.) Those who can tolerate oral administration Those who do not need oxygen therapy or only need low-flow oxygen (at least 4L/min) but not requiring high-flow oxygen (higher than 4-6L/min) or non-invasive/invasive ventilation primarily according to the WHO guidance Those who are planned to be hospitalized or who are just hospitalized Those who have been fully explained about this clinical study and have voluntarily agreed to participate in this clinical study by signing the informed consent form (ICF) Exclusion Criteria: Subjects cannot participate in this clinical study if they satisfy any of the following criteria: Those who are diagnosed with viral pneumonia caused by other than COVID-19 or bacterial pneumonia during the screening Patients with severe pneumonia according to the WHO guidance Have fever or signs of respiratory infections and Satisfy any one of the following conditions: Respiratory rate > 30 breaths/min, severe respiratory distress, or room air oxygen saturation (SpO2) ≤ 93% Patients with ARDS according to the WHO guidance Those who have past medical histories described below: Those who have medical histories of human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), or hepatitis B or C viral infection Those who cannot have a CT test done due to allergy to contrast agents, etc. Those who have comorbidities/symptoms described below: Those who have a history or evidence of another clinically significant condition that may pose risks to patient safety or interfere with the study procedures, assessments or completion as determined by the investigator Those who have moderate or severe renal impairment (eGFR < 60 mL/min/1.73 m2) Those who have moderate or severe hepatic impairment (Child-Pugh B or C, respectively) Patients who are being treated with corticosteroids or other immunosuppressants for asthma or autoimmune diseases at the entry of study are excluded, because these drugs counteract the action mechanism of EC-18 (PLAG). Those who have any abnormalities in laboratory tests described below: Clinically significant liver function abnormality (Satisfy any one or more of the following): Serum alanine aminotransferase (ALT) ≥ upper limit of normal (ULN) × 2.5 Serum aspartate aminotransferase (AST) ≥ ULN × 2.5 Serum total bilirubin ≥ ULN × 2.5 Patients with uncontrolled diabetes (HbA1c > 7.0%) Those who have hypersensitivity reactions to the IP and its components Those who satisfy any of the descriptions below: Pregnant or breastfeeding female subjects Those who are planning on pregnancy or not using accepted contraception measures during the clinical study Those who have participated in other clinical studies to receive IPs or apply investigational medical devices within 1 month from the time of obtaining the informed consent Those who are considered to be ineligible to participate in the clinical study or have difficulty conducting this clinical study by the investigator Those subjects with Hb < lower limit of normal (LLN) for males and females Those subjects with a platelet count < LLN Those subjects with a WBC < LLN
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
John Choi, M.S.
Phone
201-676-3804
Email
john.choi@enzychem.com
First Name & Middle Initial & Last Name or Official Title & Degree
Ji Sun Park, Ph.D.
Phone
201-676-3807
Email
jisun.park@enzychem.com
Facility Information:
Facility Name
Lincoln Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10451
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maryanne Guerrero
First Name & Middle Initial & Last Name & Degree
Nail Cemalovic, MD
Facility Name
Kent County Memorial Hospital
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Joni Harris
First Name & Middle Initial & Last Name & Degree
Hadeel Zainah, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Prevention of COVID-19 Infection to Severe Pneumonia or ARDS

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