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Efficacy and Safety of hzVSFv13 in Patients With COVID-19 Pneumonia

Primary Purpose

COVID-19

Status
Unknown status
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
hzVSF-v13
Placebo (Normal saline solution)
Sponsored by
ImmuneMed, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults aged at least 19 years at screening
  2. Those who have been admitted or scheduled to be admitted due to a diagnosis with COVID-19 by RT-PCR test within 4 days prior to screening
  3. Patients whose findings of COVID-19 pneumonia have been confirmed by radiographic tests (CT and X-ray) at screening (e.g., ground glass opacity (GGO), crazy-paving pattern, or consolidation)
  4. Those who fall under the following at screening:

    - Patients identified as moderate: Oxygen saturation in the atmosphere (SpO2) >93% (to be confirmed with respiratory rate ≥20/min or pulse rate ≥90 beats/min secondarily)

    • Patients identified as severe: Oxygen saturation in the atmosphere (SpO2) ≤93% or PaO2/FiO2 <300 (respiratory rate ≥30/min or pulse rate ≥125 beats/min secondarily)
  5. Those who have voluntarily provided a written consent to participate in this clinical study

Exclusion Criteria:

  1. Individuals with a clinically significant history of hypersensitivity reactions to the components of hzVSF-v13, drugs containing components of the same class, or other drugs (aspirin, non-steroidal anti-inflammatory drugs, antibiotics, etc.)
  2. Individuals with a severe at screening

    - Breathing disorder that requires treatment of one or more of the following: Oxygen therapy using high-flow nasal cannula (HFNC), Noninvasive positive pressure ventilation (NIV), invasive mechanical ventilation, ECMO, Clinical diagnosis of respiratory failure

    - Shock (Systolic <90mmHg or diastolic <60mmHg, or in case need a blood pressure booster)

    - Multiple organ failure

  3. Patients with pneumonia other than due to the novel coronavirus (SARS-CoV-2) infection (e.g., influenza virus pneumonia, bacterial pneumonia, and fungal pneumonia)
  4. Patients with severe heart failure (NYHA Class III or higher)
  5. Pregnant women
  6. Men or women of childbearing potential who are planning to become pregnant or do not agree to use one or more of the clinically appropriate methods of contraception below from the first day until 120 days after the last day of investigational product administration

    ① Surgical infertility (e.g., bilateral tubal ligation, vasectomy)

    ② Hormonal contraceptives (Hormone releasing IUD, implantable form, patch, oral hormone)

    ③ Double-barrier method (concomitant use of two of the following: IUD, male or female condom, contraceptive diaphragm, contraceptive sponge, cervical cap, spermicide) Periodic abstinence (e.g., calendar, ovulation date, basal body temperature, post-ovulation methods) and coitus interruptus are not permitted as appropriate contraceptive methods, and effective contraceptive methods must be kept being used during the course of the clinical study.

  7. Those who are scheduled to have organ transplantation
  8. Those who have laboratory test results that fall under the following values at screening ① ALT or AST ≥5 times the upper limit of normal (ULN)

    ② eGFR < 30 mL/min/1.73m2

    ③ platelets < 50,000/mm3

  9. Those who have a positive result for serology (hepatitis B, human immunodeficiency virus [HIV], and hepatitis C tests) at screening
  10. Those who administered other investigational products within 30 days prior to the screening visit
  11. Others who have been determined to be ineligible to participate in the clinical study according to the investigator's medical opinion

Sites / Locations

  • Yeungnam University Medical CenterRecruiting
  • Keimyung University Dongsan HospitalRecruiting
  • Chungnam National University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Standard of care + 3 doses of hzVSF-v13 50 mg/dose IV

Standard of care + 3 doses of hzVSF-v13 200 mg/dose IV

Standard of care + 1 dose of hzVSF-v13 200 mg/dose IV + 2 doses of the placebo

Standard of care + 3 doses of the placebo to match hzVSF-v13 (normal saline)

Arm Description

Standard of care + 3 doses of hzVSF-v13 50 mg/dose IV

Standard of care + 3 doses of hzVSF-v13 200 mg/dose IV

Standard of care + 1 dose of hzVSF-v13 200 mg/dose IV + 2 doses of the placebo

Standard of care + 3 doses of the placebo to match hzVSF-v13 (normal saline)

Outcomes

Primary Outcome Measures

Changes from baseline in the clinical improvement score on an 8-point scale at Day 21
Descriptive statistics for the changes from baseline in the clinical improvement score on an 8-point scale at Day 21 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon rank-sum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.

Secondary Outcome Measures

Changes from baseline in the clinical improvement score on an 8-point scale at Day 7, Day 14, and Day 28
Descriptive statistics for the changes from baseline in the clinical improvement score on an 8-point scale at Day 7, Day 14, and Day 28 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon ranksum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Time to discontinuation of oxygen therapy after investigational product administration
The Kaplan-Meier curves for the time to discontinuation of oxygen therapy after investigational product administration shall be presented, and the median time and 95% confidence interval will be presented by treatment group. In addition, a log-rank test shall be performed, if necessary, to test differences of each study group compared to the control group.
Time to recovery* after investigational product administration (days)
*0 to 3 points in the clinical improvement score on an 8-point scale The Kaplan-Meier curves for the time to recovery after investigational product administration shall be presented, and the median time and 95% confidence interval will be presented by treatment group. In addition, a log-rank test shall be performed, if necessary, to test differences of each study group compared to the control group.
Changes from baseline in PaO2/FiO2 at Day 7, Day 14, Day 21, and Day 28
Descriptive statistics for the changes from baseline in PaO2/FiO2 at Day 7, Day 14, Day 21, and Day 28 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon rank-sum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Changes from baseline in the NEWS 2 score at Day 7, Day 14, Day 21, and Day 28
Descriptive statistics for the changes from baseline in the NEWS 2 score at Day 7, Day 14, Day 21, and Day 28 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon rank-sum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Mortality at Day 28 and Day 60 after investigational product administration
The frequency and percentage for the proportion of subjects who died at Day 28 and Day 60 after investigational product administration shall be presented for each treatment group, and the Pearson's chi-squared test or the Fisher's exact test shall be performed to test differences of each study group compared to the control group.

Full Information

First Posted
December 21, 2020
Last Updated
August 24, 2021
Sponsor
ImmuneMed, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04679350
Brief Title
Efficacy and Safety of hzVSFv13 in Patients With COVID-19 Pneumonia
Official Title
A Multi Center, Randomized, Double-blind, Parallel Design, Phase 2 Study to Evaluate the Efficacy and Safety of hzVSFv13 Compared to Standard of Care After Intravenous(IV) Administration With Add-on Standard of Care in COVID-19 Moderate to Severe Patients
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Unknown status
Study Start Date
March 18, 2021 (Actual)
Primary Completion Date
November 30, 2021 (Anticipated)
Study Completion Date
December 30, 2021 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
To explore the efficacy and confirm the safety of the concomitant administration of the standard of care and hzVSF-v13 in patients with COVID-19 infection
Detailed Description
A Multi center, Randomized, Double-blind, Parallel design

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Standard of care + 3 doses of hzVSF-v13 50 mg/dose IV
Arm Type
Experimental
Arm Description
Standard of care + 3 doses of hzVSF-v13 50 mg/dose IV
Arm Title
Standard of care + 3 doses of hzVSF-v13 200 mg/dose IV
Arm Type
Experimental
Arm Description
Standard of care + 3 doses of hzVSF-v13 200 mg/dose IV
Arm Title
Standard of care + 1 dose of hzVSF-v13 200 mg/dose IV + 2 doses of the placebo
Arm Type
Experimental
Arm Description
Standard of care + 1 dose of hzVSF-v13 200 mg/dose IV + 2 doses of the placebo
Arm Title
Standard of care + 3 doses of the placebo to match hzVSF-v13 (normal saline)
Arm Type
Placebo Comparator
Arm Description
Standard of care + 3 doses of the placebo to match hzVSF-v13 (normal saline)
Intervention Type
Drug
Intervention Name(s)
hzVSF-v13
Other Intervention Name(s)
a humanized monoclonal antibody (mAb)
Intervention Description
Drug: hzVSF-v13 Dosage form: hzVSF-v13 40mg/mL in a 5mL vial Frequency: Dose at Day 1, 3, 7 Other names: a humanized monoclonal antibody (mAb)
Intervention Type
Drug
Intervention Name(s)
Placebo (Normal saline solution)
Other Intervention Name(s)
0.9% Normal saline
Intervention Description
Dosage form: 0.9% NaCl solution Frequency: Dose at Day 1, 3, 7
Primary Outcome Measure Information:
Title
Changes from baseline in the clinical improvement score on an 8-point scale at Day 21
Description
Descriptive statistics for the changes from baseline in the clinical improvement score on an 8-point scale at Day 21 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon rank-sum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Time Frame
Day 21
Secondary Outcome Measure Information:
Title
Changes from baseline in the clinical improvement score on an 8-point scale at Day 7, Day 14, and Day 28
Description
Descriptive statistics for the changes from baseline in the clinical improvement score on an 8-point scale at Day 7, Day 14, and Day 28 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon ranksum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Time Frame
Day 7, Day 14, Day 28
Title
Time to discontinuation of oxygen therapy after investigational product administration
Description
The Kaplan-Meier curves for the time to discontinuation of oxygen therapy after investigational product administration shall be presented, and the median time and 95% confidence interval will be presented by treatment group. In addition, a log-rank test shall be performed, if necessary, to test differences of each study group compared to the control group.
Time Frame
Day 28
Title
Time to recovery* after investigational product administration (days)
Description
*0 to 3 points in the clinical improvement score on an 8-point scale The Kaplan-Meier curves for the time to recovery after investigational product administration shall be presented, and the median time and 95% confidence interval will be presented by treatment group. In addition, a log-rank test shall be performed, if necessary, to test differences of each study group compared to the control group.
Time Frame
Day 28
Title
Changes from baseline in PaO2/FiO2 at Day 7, Day 14, Day 21, and Day 28
Description
Descriptive statistics for the changes from baseline in PaO2/FiO2 at Day 7, Day 14, Day 21, and Day 28 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon rank-sum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Time Frame
Day 7, Day 14, Day 21, Day 28
Title
Changes from baseline in the NEWS 2 score at Day 7, Day 14, Day 21, and Day 28
Description
Descriptive statistics for the changes from baseline in the NEWS 2 score at Day 7, Day 14, Day 21, and Day 28 shall be presented for each treatment group, and a two-sample t-test or the Wilcoxon rank-sum test shall be performed depending on whether the normality assumption is satisfied in order to test differences of each study group compared to the control group.
Time Frame
Day 7, Day 14, Day 21, Day 28
Title
Mortality at Day 28 and Day 60 after investigational product administration
Description
The frequency and percentage for the proportion of subjects who died at Day 28 and Day 60 after investigational product administration shall be presented for each treatment group, and the Pearson's chi-squared test or the Fisher's exact test shall be performed to test differences of each study group compared to the control group.
Time Frame
Day 28, Day 60

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults aged at least 19 years at screening Those who have been admitted or scheduled to be admitted due to a diagnosis with COVID-19 by RT-PCR test within 4 days prior to screening Patients whose findings of COVID-19 pneumonia have been confirmed by radiographic tests (CT and X-ray) at screening (e.g., ground glass opacity (GGO), crazy-paving pattern, or consolidation) Those who fall under the following at screening: - Patients identified as moderate: Oxygen saturation in the atmosphere (SpO2) >93% (to be confirmed with respiratory rate ≥20/min or pulse rate ≥90 beats/min secondarily) Patients identified as severe: Oxygen saturation in the atmosphere (SpO2) ≤93% or PaO2/FiO2 <300 (respiratory rate ≥30/min or pulse rate ≥125 beats/min secondarily) Those who have voluntarily provided a written consent to participate in this clinical study Exclusion Criteria: Individuals with a clinically significant history of hypersensitivity reactions to the components of hzVSF-v13, drugs containing components of the same class, or other drugs (aspirin, non-steroidal anti-inflammatory drugs, antibiotics, etc.) Individuals with a severe at screening - Breathing disorder that requires treatment of one or more of the following: Oxygen therapy using high-flow nasal cannula (HFNC), Noninvasive positive pressure ventilation (NIV), invasive mechanical ventilation, ECMO, Clinical diagnosis of respiratory failure - Shock (Systolic <90mmHg or diastolic <60mmHg, or in case need a blood pressure booster) - Multiple organ failure Patients with pneumonia other than due to the novel coronavirus (SARS-CoV-2) infection (e.g., influenza virus pneumonia, bacterial pneumonia, and fungal pneumonia) Patients with severe heart failure (NYHA Class III or higher) Pregnant women Men or women of childbearing potential who are planning to become pregnant or do not agree to use one or more of the clinically appropriate methods of contraception below from the first day until 120 days after the last day of investigational product administration ① Surgical infertility (e.g., bilateral tubal ligation, vasectomy) ② Hormonal contraceptives (Hormone releasing IUD, implantable form, patch, oral hormone) ③ Double-barrier method (concomitant use of two of the following: IUD, male or female condom, contraceptive diaphragm, contraceptive sponge, cervical cap, spermicide) Periodic abstinence (e.g., calendar, ovulation date, basal body temperature, post-ovulation methods) and coitus interruptus are not permitted as appropriate contraceptive methods, and effective contraceptive methods must be kept being used during the course of the clinical study. Those who are scheduled to have organ transplantation Those who have laboratory test results that fall under the following values at screening ① ALT or AST ≥5 times the upper limit of normal (ULN) ② eGFR < 30 mL/min/1.73m2 ③ platelets < 50,000/mm3 Those who have a positive result for serology (hepatitis B, human immunodeficiency virus [HIV], and hepatitis C tests) at screening Those who administered other investigational products within 30 days prior to the screening visit Others who have been determined to be ineligible to participate in the clinical study according to the investigator's medical opinion
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Byoungok Ahn, phD
Phone
+82-2-527-8391
Email
ahnbo@immunemed.co.kr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jihoon Hwang
Organizational Affiliation
Linical Korea Co., Ltd.
Official's Role
Study Chair
Facility Information:
Facility Name
Yeungnam University Medical Center
City
Daegu
ZIP/Postal Code
42415
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kwan Ho Lee, phD
Facility Name
Keimyung University Dongsan Hospital
City
Daegu
ZIP/Postal Code
42601
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jae Seok Park, phD
Facility Name
Chungnam National University Hospital
City
Daejeon
ZIP/Postal Code
35015
Country
Korea, Republic of
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yeon Suk Kim, phD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Efficacy and Safety of hzVSFv13 in Patients With COVID-19 Pneumonia

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