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A Study to Evaluate the Efficacy and Safety of Prothione™ Capsules for Mild to Moderate Coronavirus Disease 2019 (COVID-19)

Primary Purpose

Coronavirus Disease 2019 (COVID-19)

Status
Completed
Phase
Phase 2
Locations
Rwanda
Study Type
Interventional
Intervention
Placebo
Prothione™ (6g)
Sponsored by
Prothione, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronavirus Disease 2019 (COVID-19) focused on measuring COVID-19, Prothione

Eligibility Criteria

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

Inclusion Criteria:

Potential subjects are required to meet all of the following criteria for enrollment into the study:

  1. Male or female adult ≥ 18 years of age at time of enrollment with mild to moderate symptoms caused by coronavirus 2019 confirmed infection with COVID-19 by PCR and one or more of the following:

    Mild (uncomplicated) Illness:

    • Diagnosed with COVID-19 by a standardized RT-PCR assay AND
    • Mild symptoms, such as fever, rhinorrhea, mild cough, sore throat, malaise, headache, muscle pain, or malaise, but with no shortness of breath AND
    • No signs of a more serious lower airway disease AND RR<20, HR <90, oxygen saturation (pulse oximetry) > 93% on room air

    Moderate Illness:

    • Diagnosed with COVID-19 by a standardized RT-PCR assay AND
    • In addition to symptoms above, more significant lower respiratory symptoms, including shortness of breath (at rest or with exertion) OR
    • Signs of moderate pneumonia, including RR ≥ 20 but <30, HR ≥ 90 but less than 125, oxygen saturation (pulse oximetry) > 93% on room air AND
    • If available, lung infiltrates based on X-ray or CT scan < 50% present
  2. Subjects with normal level of Vitamin B2; Note: If the result was below the normal range, based on clinical judgment by physician, appropriate treatment to be added to the subject treatment regimen as per standard of care. A B complex daily supplement will be supplied, if needed.
  3. Subject (or legally authorized representative) provides written informed consent prior to initiation of any study procedures;
  4. Understands and agrees to comply with planned study procedures; and
  5. Negative pregnancy test for female subjects. Women of child-bearing potential (WOCBP) and Women not of child-bearing potential are eligible to participate. Both women of child-bearing potential and women of no child-bearing potential should use an approved method of birth control and agrees to continue to use this method for the duration of the study (and for 30 days after taking the last dose of Prothione™ ).

Acceptable methods of contraception include abstinence, female subject/partner's use of hormonal contraceptive (oral, implanted, or injected) in conjunction with a barrier method (WOCBP only), female subject/partner's use of an intrauterine device (IUD), or if the female subject/partner is surgically sterile or 2 years post-menopausal. All male subjects/partners must agree to consistently and correctly use a condom for the duration of the study. In addition, subjects may not donate sperm for the duration of the study and for 30 days after taking study drug.

Exclusion Criteria:

Potential subjects meeting any of the following criteria will be excluded from enrollment:

  1. Subjects showing signs of acute respiratory distress syndrome (ARDS) or respiratory failure necessitating mechanical ventilation at the time of screening;
  2. Subjects who have history of receiving NAC, Prothione™ Capsules or GSH supplements in the past 30 days before the screening visit;
  3. Subjects who have history of receiving corticosteroids (topical corticosteroid is excluded) in the past 30 days;
  4. Subjects who are currently receiving Chemotherapy or Immunotherapy for the treatment of cancer;
  5. Any uncontrolled active systemic infection requiring admission to an intensive care unit (ICU);
  6. Subject with active Hepatitis B and Hepatitis C;
  7. Subjects who are participating in other clinical trials;
  8. Subjects that have had any Covid19 Vaccination;
  9. Subjects who have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to Prothione™ are not eligible;
  10. Inability to provide informed consent or to comply with study requirements; and
  11. Subjects who are pregnant or breast-feeding.

Sites / Locations

  • Rinda Ubuzima

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

Prothione ™

Arm Description

Outcomes

Primary Outcome Measures

Time (days) to successful clinical recovery from positive RT-PCR for SARS-COV2 as indicated by two consecutive negative RT-PCR tests measured with three different measurements within a 24-36 hour period.

Secondary Outcome Measures

Change from Baseline to Day 29 in Serum 8-OHdG levels
Change in RBC intracellular Glutathione levels to Day 29
Quantitative change from Baseline (Screening Visit) to Day 29 oropharyngeal cell intracellular GSH levels
Time to clinical resolution (TTCR) defined as the time (days) from initiation of study treatment until reach a score of 0 at least in three of the following: o Fever o Myalgia o Dyspnea o Cough
( Each symptom is graded from 0 to 3. [0=none 1=mild 2=moderate and 3=severe]
Evaluate Cycle Threshold (Ct) numbers used in qualitative and quantitative RT-PCR for SARS-COV2 tests.
Clinical Improvement as assessed by change in symptom score from baseline (for fever, myalgia, dyspnea and cough).
Note: The score per patient ranges from 0 to 3 points. Each symptom is graded from 0 to 3. [0=none, 1=mild, 2=moderate, and 3=severe]
Mortality at Day 29

Full Information

First Posted
February 3, 2021
Last Updated
April 19, 2022
Sponsor
Prothione, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04742725
Brief Title
A Study to Evaluate the Efficacy and Safety of Prothione™ Capsules for Mild to Moderate Coronavirus Disease 2019 (COVID-19)
Official Title
A Randomized, Double Blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of Prothione™ Capsules for Mild to Moderate Coronavirus Disease 2019 (COVID-19)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
May 25, 2021 (Actual)
Primary Completion Date
September 21, 2021 (Actual)
Study Completion Date
September 21, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prothione, LLC

4. Oversight

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

5. Study Description

Brief Summary
The study is a phase 2 proof of concept study. The purpose of this study is to assess the efficacy and safety of Prothione™ capsules administered orally twice a day for 30 days in subjects with mild to moderate COVID-19. The study will have three phases: Screening Period, Treatment Period, and Follow-Up Period. The issued patents relevant to Prothione™ capsules and the treatment of viral disease include: • Nutritional or Therapeutic Compositions and Methods to Increase Bodily Glutathione Levels: US Patent No. RE 42,645 Japanese Patent No. 5601745 European Patent No. 1556023 Canadian Patent No. 2539567 Australian Patent No. 2010201136 • Protective Metallothionein Analog Compounds, Their Compositions and Use Thereof in the Treatment of Pathogenic Disease: Canadian Patent No. 2963131 Australian Patent No. 2018279015
Detailed Description
This is a Phase 2, proof of concept, two-arm, randomized, double blind, placebo-controlled study to evaluate the safety and efficacy of Prothione™ capsules in subjects with mild-to-moderate symptoms caused by coronavirus 2019 (COVID-19) infection. Subjects will be randomized to receive three Prothione™ capsules, or placebo orally administered twice daily (BID). The study will have three phases: screening period, treatment period, and follow-up period. Screening period is up to 3 days , the treatment period is 30 days and the follow-up period is 7 days after the last dose.Total study duration is up to 40 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronavirus Disease 2019 (COVID-19)
Keywords
COVID-19, Prothione

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
Prothione ™
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Prothione™ (6g)
Intervention Description
Prothione is a pro-Glutathione compound includes free-form amino acids
Primary Outcome Measure Information:
Title
Time (days) to successful clinical recovery from positive RT-PCR for SARS-COV2 as indicated by two consecutive negative RT-PCR tests measured with three different measurements within a 24-36 hour period.
Time Frame
24-36 hour period
Secondary Outcome Measure Information:
Title
Change from Baseline to Day 29 in Serum 8-OHdG levels
Time Frame
Baseline to day 29
Title
Change in RBC intracellular Glutathione levels to Day 29
Time Frame
Baseline to day 29
Title
Quantitative change from Baseline (Screening Visit) to Day 29 oropharyngeal cell intracellular GSH levels
Time Frame
Baseline to day 29
Title
Time to clinical resolution (TTCR) defined as the time (days) from initiation of study treatment until reach a score of 0 at least in three of the following: o Fever o Myalgia o Dyspnea o Cough
Description
( Each symptom is graded from 0 to 3. [0=none 1=mild 2=moderate and 3=severe]
Time Frame
Baseline to day 29
Title
Evaluate Cycle Threshold (Ct) numbers used in qualitative and quantitative RT-PCR for SARS-COV2 tests.
Time Frame
Baseline to day 29
Title
Clinical Improvement as assessed by change in symptom score from baseline (for fever, myalgia, dyspnea and cough).
Description
Note: The score per patient ranges from 0 to 3 points. Each symptom is graded from 0 to 3. [0=none, 1=mild, 2=moderate, and 3=severe]
Time Frame
Baseline to day 29
Title
Mortality at Day 29
Time Frame
Day 29
Other Pre-specified Outcome Measures:
Title
Quantitative changes in viral load from baseline (Screening Visit) to Day 29.
Description
Exploratory Outcome
Time Frame
Baseline to day 29
Title
Change from baseline to Day 29 in pulse oxygen saturation (SpO2)
Description
Exploratory Outcome
Time Frame
Baseline to day 29
Title
Change from baseline to Day 29 in Quantitative C-Reactive Protein level
Description
Exploratory Outcome
Time Frame
Baseline to Day 29
Title
Change from baseline to Day 29 in Lymphocyte Count
Description
Exploratory Outcome
Time Frame
Baseline to Day 29
Title
Changes in HIV viral load from baseline to Day 29 in HIV positive subjects
Description
Exploratory Outcome
Time Frame
Baseline to Day 29
Title
Duration (days) of hospitalization
Description
Exploratory Outcome
Time Frame
Baseline to Day 29
Title
Time(days) to clinical resolution (TTCR) before Day 14
Description
Exploratory Outcome
Time Frame
Before Day 14
Title
Time (days) to successful clinical recovery from positive RT-PCR for SARS-COV2 as indicated by three consecutive negative RT-PCR tests measured with two different measurements within a 24-36 hour period before Day 14.
Description
Exploratory Outcome
Time Frame
within a 24-36 hour period before Day 14
Title
Quantitative changes in viral load from baseline (Screening Visit) to Day 14
Description
Exploratory Outcome
Time Frame
Baseline to Day 14
Title
Change from baseline to Day 14 in Quantitative C-Reactive Protein level
Description
Exploratory Outcome
Time Frame
Baseline to Day 14
Title
Incidence of treatment-related adverse events (TEAEs)
Description
Safety Outcome
Time Frame
until day 40
Title
Incidence and severity of treatment-emergent adverse events (TEAEs)
Description
Safety Outcome
Time Frame
until day 40
Title
Incidence of serious adverse events (SAEs)
Description
Safety Outcome
Time Frame
until day 40
Title
Incidence of TEAEs and SAEs leading to discontinuation of study medication.
Description
Safety Outcome
Time Frame
until day 40
Title
Incidence of abnormal laboratory test results
Description
Safety Outcome
Time Frame
until day 40
Title
Changes in body temperature
Description
Safety Outcome
Time Frame
until day 40
Title
Changes in pulse rate
Description
Safety Outcome
Time Frame
until day 40
Title
Changes in respiratory rate
Description
Safety Outcome
Time Frame
until day 40
Title
Changes in systolic and diastolic blood pressure
Description
Safety Outcome
Time Frame
until day 40
Title
Incidence of abnormal physical examination findings
Description
Safety Outcome
Time Frame
until day 40
Title
Incidence of abnormal electrocardiogram (ECG) results
Description
Safety Outcome
Time Frame
until day 40

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Potential subjects are required to meet all of the following criteria for enrollment into the study: Male or female adult ≥ 18 years of age at time of enrollment with mild to moderate symptoms caused by coronavirus 2019 confirmed infection with COVID-19 by PCR and one or more of the following: Mild (uncomplicated) Illness: Diagnosed with COVID-19 by a standardized RT-PCR assay AND Mild symptoms, such as fever, rhinorrhea, mild cough, sore throat, malaise, headache, muscle pain, or malaise, but with no shortness of breath AND No signs of a more serious lower airway disease AND RR<20, HR <90, oxygen saturation (pulse oximetry) > 93% on room air Moderate Illness: Diagnosed with COVID-19 by a standardized RT-PCR assay AND In addition to symptoms above, more significant lower respiratory symptoms, including shortness of breath (at rest or with exertion) OR Signs of moderate pneumonia, including RR ≥ 20 but <30, HR ≥ 90 but less than 125, oxygen saturation (pulse oximetry) > 93% on room air AND If available, lung infiltrates based on X-ray or CT scan < 50% present Subjects with normal level of Vitamin B2; Note: If the result was below the normal range, based on clinical judgment by physician, appropriate treatment to be added to the subject treatment regimen as per standard of care. A B complex daily supplement will be supplied, if needed. Subject (or legally authorized representative) provides written informed consent prior to initiation of any study procedures; Understands and agrees to comply with planned study procedures; and Negative pregnancy test for female subjects. Women of child-bearing potential (WOCBP) and Women not of child-bearing potential are eligible to participate. Both women of child-bearing potential and women of no child-bearing potential should use an approved method of birth control and agrees to continue to use this method for the duration of the study (and for 30 days after taking the last dose of Prothione™ ). Acceptable methods of contraception include abstinence, female subject/partner's use of hormonal contraceptive (oral, implanted, or injected) in conjunction with a barrier method (WOCBP only), female subject/partner's use of an intrauterine device (IUD), or if the female subject/partner is surgically sterile or 2 years post-menopausal. All male subjects/partners must agree to consistently and correctly use a condom for the duration of the study. In addition, subjects may not donate sperm for the duration of the study and for 30 days after taking study drug. Exclusion Criteria: Potential subjects meeting any of the following criteria will be excluded from enrollment: Subjects showing signs of acute respiratory distress syndrome (ARDS) or respiratory failure necessitating mechanical ventilation at the time of screening; Subjects who have history of receiving NAC, Prothione™ Capsules or GSH supplements in the past 30 days before the screening visit; Subjects who have history of receiving corticosteroids (topical corticosteroid is excluded) in the past 30 days; Subjects who are currently receiving Chemotherapy or Immunotherapy for the treatment of cancer; Any uncontrolled active systemic infection requiring admission to an intensive care unit (ICU); Subject with active Hepatitis B and Hepatitis C; Subjects who are participating in other clinical trials; Subjects that have had any Covid19 Vaccination; Subjects who have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to Prothione™ are not eligible; Inability to provide informed consent or to comply with study requirements; and Subjects who are pregnant or breast-feeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Laura Lile, MD,RPh
Organizational Affiliation
Innate FFAAP Medicines, L.L.C.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Vincent Mutabazi, MD
Organizational Affiliation
Research, Epidemiology and Training Programs: RASD Rwanda
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Albert Crum, MD
Organizational Affiliation
Innate FFAAP Medicines, L.L.C.
Official's Role
Study Chair
Facility Information:
Facility Name
Rinda Ubuzima
City
Kigali
Country
Rwanda

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Efficacy and Safety of Prothione™ Capsules for Mild to Moderate Coronavirus Disease 2019 (COVID-19)

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