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The Safety and Efficacy of SCTA01 Against COVID-19 in Patients Admitted to High Dependence or Intensive Care

Primary Purpose

Covid19

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
SCTA01
SCTA01 Placebo
Sponsored by
Sinocelltech Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

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

Inclusion Criteria:

  • Male and female of ≥18years at time of enrollment;
  • Subject (or legally authorized representative [LAR]) is able and willing to provide written or verbal informed consent, which includes compliance with study requirements and restrictions listed in the consent form.
  • Female subjects must agree to use an approved highly effective birth control (BC) method (<1% failure rate per year) throughout the study (until completion of the Day 85 Follow-up Visit), unless documented to have a reproductive status of non-childbearing potential or is postmenopausal:

    1. Non-childbearing potential defined as pre-menopausal female with medical history of bilateral tubal ligation, bilateral oophorectomy (removal of the ovaries), or hysterectomy; hysteroscopic sterilization,
    2. Postmenopausal defined as 12 months of spontaneous amenorrhea
  • Woman of childbearing potential (WCBP) who is already using an established method of highly effective contraception or agrees to use one of the allowed BC methods listed in the protocol, for at least 28 days prior to the start of dosing (as determined by the Investigator or designee) to sufficiently minimize the risk of pregnancy throughout study participation (until completion of the Day 90 Follow-up Visit).
  • Hospitalized participants with severe COVID-19(6-8 point on WHO 10-Point Ordinal Scale):

    1. Point 6: Oxygen by NIV or high flow;
    2. Point 7: Intubation and MV, pO2/FiO2 ≥ 150 mmHg or SpO2/FiO2 ≥ 200 mmHg;
    3. Point 8: MV pO2/FiO2 < 150 mmHg (or SpO2/FiO2 < 200 mmHg) or vasopressors .
  • Biological samples (not limited to any specific type) collected within 72 hours (allow retesting for potential subjects that tested positive beyond 72 hours) before randomization is laboratory-confirmed as SARS-CoV-2 infection (PCR, etc.);
  • ≤ 14 days since the onset of COVID-19 symptoms.

Exclusion Criteria:

  • Subject has been intubated for >72 hours. Note: in the event of extubation and re-intubation, the calculation for the number of hours the subject has been intubated begins at the first intubation
  • Require or anticipated need for extracorporeal membrane oxygenation (ECMO) Suspected or proven septic shock or shock ;
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) is >5 times higher than the upper limit normal range;
  • Severe chronic respiratory disease (e.g., known chronic obstructive pulmonary disease [COPD], pulmonary arterial hypertension [PAH], idiopathic pulmonary fibrosis [IPF], interstitial lung disease [ILD]) requiring supplemental oxygen therapy or mechanical ventilation pre-hospitalization (e.g., prior to COVID-19 diagnosis)
  • Use of prohibited medications
  • Participants with severe COVID-19 who received convalescent plasma or COVID-19 vaccine , or anti-spike (S) SARS-CoV-2 therapy.
  • Moribund condition in the opinion of the clinical team

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    SCTA01 Group

    Placebo Group

    Arm Description

    SCTA01+Best Supportive Care

    Placebo+Best Supportive Care

    Outcomes

    Primary Outcome Measures

    All-cause mortality rate at D29
    The mortality rates in placebo and treatment groups regardless of the cause of death.

    Secondary Outcome Measures

    All-cause mortality rate at Day 60
    The mortality rates in placebo and treatment groups regardless of the cause of death.
    Time to discontinue mechanical ventilation (MV) at Day 29
    The number of days from randomization to discontinue MV support
    Time to improvement of two categories on WHO 10-Point Ordinal Scale from baseline at Day 29
    The number of days from baseline to two categories decreases on World Health Organization (WHO) 10-Point Ordinal Scale at Day 29.
    Time to discontinue supplemental oxygen at Day 29
    The number of days from randomization to discontinue supplemental oxygen support
    Time to hospital free at Day 29
    The number of days from randomization to subject's discharge from hospital.
    Change from baseline in viral shedding as measured by quantitative reverse transcription polymerase chain reaction (RT-qPCR)
    Change from baseline in viral shedding
    SAE
    SAEs collected from Day 1 to Day 120
    Anti-drug antibody (ADA)
    ADA will be tested at Day 29 and Day120 after SCTA01/placebo administration

    Full Information

    First Posted
    December 20, 2020
    Last Updated
    January 17, 2021
    Sponsor
    Sinocelltech Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04683328
    Brief Title
    The Safety and Efficacy of SCTA01 Against COVID-19 in Patients Admitted to High Dependence or Intensive Care
    Official Title
    An Adaptive, Randomized, Double-blinded, Placebo-controlled, Phase II/III Trial of Monoclonal Antibody SCTA01 Against SARS-CoV-2 in Patients With Severe COVID-19 Admitted to High Dependence or Intensive Care Unit (MASP3 Trial)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    February 25, 2021 (Anticipated)
    Primary Completion Date
    May 25, 2021 (Anticipated)
    Study Completion Date
    November 25, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Sinocelltech Ltd.

    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
    This is an adaptive, randomized, double-blinded, placebo-controlled, Phase II/III study conducted to evaluate the effect of SCTA01 on participant survival and clinical efficacy in participants with severe COVID-19 admitted to high dependence or ICUs. The study duration of subject participation will be up to: 120 days Participants will receive a single intravenous (IV) infusion of SCTA01 at Treatment day 1. Follow up visits will be up to 120 days or early withdrawal visit.
    Detailed Description
    The study is a multicenter, adaptive, randomized, double-blinded, and placebo-controlled Phase II/III trial. It will be conducted globally. The study will evaluate the efficacy and safety of SCTA01 compared to placebo both given with BSC in participants with severe COVID-19. The subjects will be randomized by 1:1 ratio to SCTA01 and placebo group. The primary objective of the study is to evaluate participant survival from randomization to Day 29 between study group and control group. At the end of the Phase II part of the study, an interim analysis will be performed for safety run-in and futility stopping.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Parallel Assignment
    Model Description
    SCTA01+BSC vs Placebo+BSC
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    560 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    SCTA01 Group
    Arm Type
    Experimental
    Arm Description
    SCTA01+Best Supportive Care
    Arm Title
    Placebo Group
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo+Best Supportive Care
    Intervention Type
    Biological
    Intervention Name(s)
    SCTA01
    Intervention Description
    Recombinant anti-SARS-CoV-2 spike protein monoclonal antibody
    Intervention Type
    Biological
    Intervention Name(s)
    SCTA01 Placebo
    Intervention Description
    The excipients of SCTA01
    Primary Outcome Measure Information:
    Title
    All-cause mortality rate at D29
    Description
    The mortality rates in placebo and treatment groups regardless of the cause of death.
    Time Frame
    Day 29
    Secondary Outcome Measure Information:
    Title
    All-cause mortality rate at Day 60
    Description
    The mortality rates in placebo and treatment groups regardless of the cause of death.
    Time Frame
    Day 60
    Title
    Time to discontinue mechanical ventilation (MV) at Day 29
    Description
    The number of days from randomization to discontinue MV support
    Time Frame
    Baseline through Day 29
    Title
    Time to improvement of two categories on WHO 10-Point Ordinal Scale from baseline at Day 29
    Description
    The number of days from baseline to two categories decreases on World Health Organization (WHO) 10-Point Ordinal Scale at Day 29.
    Time Frame
    Baseline through Day 29
    Title
    Time to discontinue supplemental oxygen at Day 29
    Description
    The number of days from randomization to discontinue supplemental oxygen support
    Time Frame
    Baseline through Day 29
    Title
    Time to hospital free at Day 29
    Description
    The number of days from randomization to subject's discharge from hospital.
    Time Frame
    Baseline through Day 29
    Title
    Change from baseline in viral shedding as measured by quantitative reverse transcription polymerase chain reaction (RT-qPCR)
    Description
    Change from baseline in viral shedding
    Time Frame
    Baseline through Day 29
    Title
    SAE
    Description
    SAEs collected from Day 1 to Day 120
    Time Frame
    Day 1 through Day 120
    Title
    Anti-drug antibody (ADA)
    Description
    ADA will be tested at Day 29 and Day120 after SCTA01/placebo administration
    Time Frame
    Day 29, Day 120

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male and female of ≥18years at time of enrollment; Subject (or legally authorized representative [LAR]) is able and willing to provide written or verbal informed consent, which includes compliance with study requirements and restrictions listed in the consent form. Female subjects must agree to use an approved highly effective birth control (BC) method (<1% failure rate per year) throughout the study (until completion of the Day 85 Follow-up Visit), unless documented to have a reproductive status of non-childbearing potential or is postmenopausal: Non-childbearing potential defined as pre-menopausal female with medical history of bilateral tubal ligation, bilateral oophorectomy (removal of the ovaries), or hysterectomy; hysteroscopic sterilization, Postmenopausal defined as 12 months of spontaneous amenorrhea Woman of childbearing potential (WCBP) who is already using an established method of highly effective contraception or agrees to use one of the allowed BC methods listed in the protocol, for at least 28 days prior to the start of dosing (as determined by the Investigator or designee) to sufficiently minimize the risk of pregnancy throughout study participation (until completion of the Day 90 Follow-up Visit). Hospitalized participants with severe COVID-19(6-8 point on WHO 10-Point Ordinal Scale): Point 6: Oxygen by NIV or high flow; Point 7: Intubation and MV, pO2/FiO2 ≥ 150 mmHg or SpO2/FiO2 ≥ 200 mmHg; Point 8: MV pO2/FiO2 < 150 mmHg (or SpO2/FiO2 < 200 mmHg) or vasopressors . Biological samples (not limited to any specific type) collected within 72 hours (allow retesting for potential subjects that tested positive beyond 72 hours) before randomization is laboratory-confirmed as SARS-CoV-2 infection (PCR, etc.); ≤ 14 days since the onset of COVID-19 symptoms. Exclusion Criteria: Subject has been intubated for >72 hours. Note: in the event of extubation and re-intubation, the calculation for the number of hours the subject has been intubated begins at the first intubation Require or anticipated need for extracorporeal membrane oxygenation (ECMO) Suspected or proven septic shock or shock ; Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) is >5 times higher than the upper limit normal range; Severe chronic respiratory disease (e.g., known chronic obstructive pulmonary disease [COPD], pulmonary arterial hypertension [PAH], idiopathic pulmonary fibrosis [IPF], interstitial lung disease [ILD]) requiring supplemental oxygen therapy or mechanical ventilation pre-hospitalization (e.g., prior to COVID-19 diagnosis) Use of prohibited medications Participants with severe COVID-19 who received convalescent plasma or COVID-19 vaccine , or anti-spike (S) SARS-CoV-2 therapy. Moribund condition in the opinion of the clinical team
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Ji Qi, PhD
    Phone
    +86-10-5862 8288
    Ext
    9360
    Email
    ji_qi@sinocelltech.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Zhanghua Lan, PhD
    Organizational Affiliation
    SCT
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    34473343
    Citation
    Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2.
    Results Reference
    derived

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    The Safety and Efficacy of SCTA01 Against COVID-19 in Patients Admitted to High Dependence or Intensive Care

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