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A Pilot Study to Assess Safety and Efficacy of SIR1-365 in Patients With Severe COVID-19

Primary Purpose

Corona Virus Infection

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SIR1-365
Matching Placebo
Sponsored by
Sironax USA, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Corona Virus Infection

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Hospitalized patient with clinical diagnosis of SARS-CoV-2 virus infection per World Health Organization criteria including positive nucleic acid test of any specimen (e.g., respiratory, blood, or other bodily fluid) within 2 weeks prior to screening.
  • Symptoms suggestive of severe systemic illness with COVID-19, which could include any of the following symptoms: fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, or shortness of breath at rest, or respiratory distress.
  • Clinical signs indicative of severe systemic illness with COVID-19, which could include any of the following clinical signs: respiratory rate ≥ 30 per minutes, heart rate ≥ 125 per minute, SpO2 ≤ 93% on room air, or PaO2/FiO2 ratio < 300 mmHg.
  • Men or women ≥18 but ≤80 years of age at the time of signing the informed consent.
  • Patient is able to understand the purpose and risks of the study and provide signed and dated informed consent or have a legal representative provide consent and authorization to use protected health information (in accordance with national and local patient privacy regulations).

Exclusion Criteria:

  • Patient requires endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates >20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, extracorporeal membrane oxygenation (ECMO), or clinical diagnosis of respiratory failure.
  • Patient with shock defined by systolic blood pressure < 90 mm Hg, or diastolic blood pressure < 60 mm Hg or requiring vasopressor.
  • Patient with multi-organ dysfunction or failure defined by an increase in the Sequential Organ Failure Assessment score of 2 points or more.
  • Patient is unlikely to survive beyond 2 days at the discretion of Investigator.
  • Patient has used chronic systemic corticosteroids within 2 weeks prior to screening.
  • Patient with positive results for human immunodeficiency virus (HIV) or hepatitis B or C test.
  • Patient has known active tuberculosis (TB), history of uncontrolled TB, suspected or known systemic bacterial or fungal infections within 4 weeks prior to screening.
  • Patient has any other condition, which makes the patient unsuitable for study participation

Sites / Locations

  • Triple O Research Institute
  • OSF St. Francis Medical Center
  • Baptist Medical Center
  • Hospital Civil Fray Antonio Alcalde
  • Hospital Universitario "Dr. José Eleuterio González"
  • Media Sur - Medica Sur Tlalpan
  • Dow University Hospital, Ojha Karachi
  • Sindh Infectious Disease Hospital
  • Aga Khan University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

SIR1-365

Matching placebo

Arm Description

SIR1-365 dose 1 daily for 14 days

Matching placebo dose 1 daily for 14 days

Outcomes

Primary Outcome Measures

Proportion of patients with any TEAEs during the treatment period
Primary Safety Endpoint

Secondary Outcome Measures

Proportion of patients with any AEs, SAEs and drug-related AEs during the study
Secondary Safety Endpoint
Proportion of patients with clinically significant abnormality in clinical laboratory tests and ECG during the study
Secondary Safety Endpoint
Change from Baseline to Day 7 and Day 14 in PaO2/FiO2 ratio
Clinical Efficacy Endpoint
Time to improvement of oxygenation defined as oxygen saturation (pulse oximetry) >93% and increased ≥1% from Baseline breathing only room air in the 48 hours preceding the measurement during the study
Clinical Efficacy Endpoint
Number of days without oxygen use during the study
Clinical Efficacy Endpoint
Proportion of patients with clinical improvement defined as a reduction of 2 points in the WHO ordinal scale during the study
Clinical Efficacy Endpoint
Number of days hospitalized during the study
Clinical Efficacy Endpoint
Proportion of patients free of respiratory failure during the study
Clinical Efficacy Endpoint
All-cause mortality rate during the study
Clinical Efficacy Endpoint
Change from Baseline to Day 7 and to Day 14 in plasma CRP level
Inflammatory Biomarker Measure
Time to reach 50% reduction from Baseline in plasma CRP level during the treatment period
Inflammatory Biomarker Measure
Number of the patients to reach 50% reduction from Baseline in plasma CRP level during the treatment period
Inflammatory Biomarker Measure
Change from Baseline to Day 7 and Day 14 in serum cytokine levels
Inflammatory Biomarker Measure
Change from Baseline to Day 7 and Day 14 in plasma pRIP1 and pMLKL levels
Biomarker Assessment for Target Engagement
Change from Baseline to Day 7 and Day 14 in urine NGAL and KIM-1 levels
Biomarker Assessment for Kidney Injury
Plasma drug levels
Assessment of PK profile

Full Information

First Posted
November 3, 2020
Last Updated
March 23, 2022
Sponsor
Sironax USA, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04622332
Brief Title
A Pilot Study to Assess Safety and Efficacy of SIR1-365 in Patients With Severe COVID-19
Official Title
A Multicenter, Randomized, Double-Blinded, Placebo-Controlled Study to Assess Safety and Efficacy of SIR1-365 in Patients With Severe COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
December 18, 2020 (Actual)
Primary Completion Date
November 27, 2021 (Actual)
Study Completion Date
November 27, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sironax USA, Inc.

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
Primary Objective: • To evaluate overall safety and tolerability of SIR1-365 in patients with severe COVID-19 Secondary Objectives: To assess the clinical efficacy of SIR1-365 in patients with severe COVID-19 To assess the effects of SIR1-365 on multiple inflammatory biomarker levels including C-reactive protein (CRP), ferritin, lymphocyte and neutrophil counts, cytokines, and chemokines To assess the effects of SIR1-365 on biomarkers indicative of target engagement in patients with severe COVID-19 To assess the effects of SIR1-365 on biomarkers indicative of kidney injury in patients with severe COVID-19 To assess the effects of SIR1-365 on biomarkers indicative of cardiovascular endothelial cell damage in patients with severe COVID-19 To characterize plasma pharmacokinetics (PK) of SIR1-365 in patients with severe COVID-19
Detailed Description
Study duration per participant is approximately 28 days including a 14-day treatment period

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Corona Virus Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Blinded
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SIR1-365
Arm Type
Experimental
Arm Description
SIR1-365 dose 1 daily for 14 days
Arm Title
Matching placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo dose 1 daily for 14 days
Intervention Type
Drug
Intervention Name(s)
SIR1-365
Other Intervention Name(s)
Pharmaceutical form: tablets
Intervention Description
Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
Matching Placebo
Other Intervention Name(s)
Pharmaceutical form: tablets
Intervention Description
Route of administration: oral
Primary Outcome Measure Information:
Title
Proportion of patients with any TEAEs during the treatment period
Description
Primary Safety Endpoint
Time Frame
Baseline to Day 14
Secondary Outcome Measure Information:
Title
Proportion of patients with any AEs, SAEs and drug-related AEs during the study
Description
Secondary Safety Endpoint
Time Frame
Baseline to Day 14 and Day 28
Title
Proportion of patients with clinically significant abnormality in clinical laboratory tests and ECG during the study
Description
Secondary Safety Endpoint
Time Frame
Baseline to Day 14 and Day 28
Title
Change from Baseline to Day 7 and Day 14 in PaO2/FiO2 ratio
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 7 and Day 14
Title
Time to improvement of oxygenation defined as oxygen saturation (pulse oximetry) >93% and increased ≥1% from Baseline breathing only room air in the 48 hours preceding the measurement during the study
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 28
Title
Number of days without oxygen use during the study
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 28
Title
Proportion of patients with clinical improvement defined as a reduction of 2 points in the WHO ordinal scale during the study
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 28
Title
Number of days hospitalized during the study
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 28
Title
Proportion of patients free of respiratory failure during the study
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 28
Title
All-cause mortality rate during the study
Description
Clinical Efficacy Endpoint
Time Frame
Baseline to Day 28
Title
Change from Baseline to Day 7 and to Day 14 in plasma CRP level
Description
Inflammatory Biomarker Measure
Time Frame
Baseline to Day 7 and to Day 14
Title
Time to reach 50% reduction from Baseline in plasma CRP level during the treatment period
Description
Inflammatory Biomarker Measure
Time Frame
Baseline to Day 14
Title
Number of the patients to reach 50% reduction from Baseline in plasma CRP level during the treatment period
Description
Inflammatory Biomarker Measure
Time Frame
Baseline to Day 14
Title
Change from Baseline to Day 7 and Day 14 in serum cytokine levels
Description
Inflammatory Biomarker Measure
Time Frame
Baseline to Day 7 and Day 14
Title
Change from Baseline to Day 7 and Day 14 in plasma pRIP1 and pMLKL levels
Description
Biomarker Assessment for Target Engagement
Time Frame
Baseline to Day 7 and Day 14
Title
Change from Baseline to Day 7 and Day 14 in urine NGAL and KIM-1 levels
Description
Biomarker Assessment for Kidney Injury
Time Frame
Baseline to Day 7 and Day 14
Title
Plasma drug levels
Description
Assessment of PK profile
Time Frame
Baseline to Day 7 and Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Hospitalized patient with clinical diagnosis of SARS-CoV-2 virus infection per World Health Organization criteria including positive nucleic acid test of any specimen (e.g., respiratory, blood, or other bodily fluid) within 2 weeks prior to screening. Symptoms suggestive of severe systemic illness with COVID-19, which could include any of the following symptoms: fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, or shortness of breath at rest, or respiratory distress. Clinical signs indicative of severe systemic illness with COVID-19, which could include any of the following clinical signs: respiratory rate ≥ 30 per minutes, heart rate ≥ 125 per minute, SpO2 ≤ 93% on room air, or PaO2/FiO2 ratio < 300 mmHg. Men or women ≥18 but ≤80 years of age at the time of signing the informed consent. Patient is able to understand the purpose and risks of the study and provide signed and dated informed consent or have a legal representative provide consent and authorization to use protected health information (in accordance with national and local patient privacy regulations). Exclusion Criteria: Patient requires endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates >20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, extracorporeal membrane oxygenation (ECMO), or clinical diagnosis of respiratory failure. Patient with shock defined by systolic blood pressure < 90 mm Hg, or diastolic blood pressure < 60 mm Hg or requiring vasopressor. Patient with multi-organ dysfunction or failure defined by an increase in the Sequential Organ Failure Assessment score of 2 points or more. Patient is unlikely to survive beyond 2 days at the discretion of Investigator. Patient has used chronic systemic corticosteroids within 2 weeks prior to screening. Patient with positive results for human immunodeficiency virus (HIV) or hepatitis B or C test. Patient has known active tuberculosis (TB), history of uncontrolled TB, suspected or known systemic bacterial or fungal infections within 4 weeks prior to screening. Patient has any other condition, which makes the patient unsuitable for study participation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clare Qu
Organizational Affiliation
Sironax USA, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Triple O Research Institute
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33407
Country
United States
Facility Name
OSF St. Francis Medical Center
City
Peoria
State/Province
Illinois
ZIP/Postal Code
61637
Country
United States
Facility Name
Baptist Medical Center
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39202
Country
United States
Facility Name
Hospital Civil Fray Antonio Alcalde
City
Guadalajara
State/Province
Jalisco
ZIP/Postal Code
14050
Country
Mexico
Facility Name
Hospital Universitario "Dr. José Eleuterio González"
City
Monterrey
State/Province
Nuevo León
ZIP/Postal Code
64460
Country
Mexico
Facility Name
Media Sur - Medica Sur Tlalpan
City
Tlalpan
ZIP/Postal Code
14050
Country
Mexico
Facility Name
Dow University Hospital, Ojha Karachi
City
Karachi
State/Province
Sindh
ZIP/Postal Code
74200
Country
Pakistan
Facility Name
Sindh Infectious Disease Hospital
City
Karachi
State/Province
Sindh
ZIP/Postal Code
74200
Country
Pakistan
Facility Name
Aga Khan University Hospital
City
Karachi
State/Province
Sindh
ZIP/Postal Code
74800
Country
Pakistan

12. IPD Sharing Statement

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A Pilot Study to Assess Safety and Efficacy of SIR1-365 in Patients With Severe COVID-19

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