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Off-the-shelf NK Cells (KDS-1000) as Immunotherapy for COVID-19

Primary Purpose

Covid19

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
KDS-1000
Placebo
Sponsored by
Kiadis Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring Cell Therapy, COVID-19, Natural Killer Cells, NK Cells, Off-the-shelf

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients are 18-70 years of age;
  2. Patients must have at least one of the following risk factors for developing severe COVID-19 disease:

    1. Age 50 to 70 years;
    2. Obesity (body mass index (BMI) of 30 or greater);
    3. Hypertension;
    4. Current smoker;
    5. Diabetes mellitus (Type 1 or type 2);
    6. Stable cardiac disease.
  3. Experiencing symptoms of mild to moderate COVID-19 not requiring supplemental oxygen;
  4. Having confirmed infection with SARS-CoV-2, defined as detection of SARS-CoV-2 from nasopharyngeal swab or lower respiratory tract specimen;
  5. Karnofsky Performance Score ≥70%;
  6. Enrolled within the first 4 days of onset of symptoms;
  7. Able and willing to comply with the protocol for duration of the study, including 24 hour hospitalization for study drug administration and monitoring, and compliance with follow-up visit schedule;
  8. Signed IRB approved informed consent.

Exclusion Criteria:

  1. Patient is at high-risk for severe COVID-19 due to co-morbidities defined as:

    1. Underlying lung disease such as emphysema, chronic lung disease, COPD, asthma, chronic bronchiectasis or respiratory failure requiring baseline oxygen (O2) support;
    2. Immunocompromised host status due to cancer, transplant, or other causes of immunodeficiency;
    3. Immunosuppressive therapy, including but not limited to the following:

      • Corticosteroids (except topical corticosteroids);
      • Interleukin (IL)-6 or Tumor necrosis factor alpha (TNFα) blockade;
      • Other immunotherapies.
  2. Patient with the following signs of abnormal organ or bone marrow function as defined below:

    • AST(SGOT) and/or ALT(SGPT) > 3 x upper limit of normal (ULN);
    • Serum (total) bilirubin > 1.5 x ULN;
    • Creatinine Clearance ≤ 30 mL/min (by Modification of Diet in Renal Disease (MDRD) formula);
    • Hemoglobin < 9 g/dL;
    • Thrombocytes ≤ 75.000/uL;
    • Absolute neutrophil count (ANC) ≤ 1.500/uL;
    • Prothrombin time (PT) or activated partial thromboplastin (aPTT) time >1.5 × ULN;
  3. Patient has been admitted to the (ICU);
  4. Patients with QT prolongation, history of "torsades de pointes" or ventricular arrhythmia (if they are scheduled to receive diphenhydramine);
  5. Patient with a known history of allergic reactions to any constituent of the product, including a known history of allergic reactions to cellular products or DMSO;
  6. Pregnant (positive pregnancy test) or breast-feeding female patients;
  7. Women of childbearing potential who are sexually active and men who have sexual contact with a female of childbearing potential: not willing to use reliable methods of contraception (oral contraceptives, intrauterine device, hormone implants, contraceptive injection or abstinence) up to 90 days post injection of study medication;
  8. Participation in other COVID-19 studies involving experimental treatments or vaccines for COVID-19. Participation in other observational studies could be allowed if they do not interfere with protocol compliance or blood draws;
  9. Patients with a history or current evidence of alcohol or drug abuse or dependence, or recreational use of illicit drugs including use of medical marijuana;
  10. Vulnerable populations such as those currently incarcerated or homeless;
  11. Any other condition which in the opinion of the investigator makes the patient ineligible for participation in the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    KDS-1000

    Control

    Arm Description

    NK cells expanded ex vivo using PM21 membrane particles:

    0.9% Normal Saline

    Outcomes

    Primary Outcome Measures

    Determine the safety of KDS-1000 given at low and high doses compared to placebo by collecting the rate and severity of adverse events (AE)
    Rate and severity of AE.

    Secondary Outcome Measures

    Determine the efficacy KDS-1000 given at low and high doses compared to placebo by COVID-19 specific questionnaire.
    Improvement in COVID-19 disease symptoms/progression of disease.
    Determine the efficacy KDS-1000 given at low and high doses compared to placebo by measurement of SARS-CoV-2 clearance.
    Determined by real time reverse transcription polymerase chain reaction (rRT-PCR).
    Determine the safety of KDS-1000 given at low and high doses compared to placebo by collecting the rate and severity of AE.
    Rate and severity of AE.

    Full Information

    First Posted
    March 12, 2021
    Last Updated
    August 24, 2021
    Sponsor
    Kiadis Pharma
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04797975
    Brief Title
    Off-the-shelf NK Cells (KDS-1000) as Immunotherapy for COVID-19
    Official Title
    A Phase 1/2a Multicenter Randomized Double-blind Placebo-controlled Trial of Off-the-shelf Natural Killer Cells (KDS-1000) as Immunotherapy for Adult Patients With Mild to Moderate COVID-19 Symptoms at Risk for Complications
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    The sponsor decided to withdraw this study
    Study Start Date
    December 2020 (Anticipated)
    Primary Completion Date
    April 2021 (Anticipated)
    Study Completion Date
    April 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Kiadis Pharma

    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
    It is hypothesized that immunotherapy with off-the-shelf NK cells (KDS-1000) early in the course of COVID-19 disease is safe and may augment innate immunity, thereby limiting disease progression and improving survival.
    Detailed Description
    Several publications have suggested a potential role of NK cells, an essential part of the early innate response system, in the management of viral infections like COVID-19. Clinical data has shown that COVID-19 disease severity is correlated with a reduction in the number of NK cells, exhaustion of NK cells and the lack of certain mature, potent NK cell phenotypes. The power of NK cells to fight various other viral infections, such as caused by CMV, HBV and hepatitis C virus (HCV), influenza virus and human immunodeficiency virus (HIV) have been well described, with a durable change in the NK cell profile towards those more mature and potent phenotypes in recovered patients. In view of the lack of (functional) NK cells in patients with COVID-19, adoptive NK cell therapy with KDS-1000 cells may improve survival and reduce rates of disease progression from SARS-CoV-2 infection. Adoptive transfer of expanded NK cells (KDS-1000) early in the course of disease may augment innate immunity, thereby limiting disease progression and could confer a survival benefit to patients infected with SARS-CoV-2.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Covid19
    Keywords
    Cell Therapy, COVID-19, Natural Killer Cells, NK Cells, Off-the-shelf

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    KDS-1000
    Arm Type
    Experimental
    Arm Description
    NK cells expanded ex vivo using PM21 membrane particles:
    Arm Title
    Control
    Arm Type
    Placebo Comparator
    Arm Description
    0.9% Normal Saline
    Intervention Type
    Biological
    Intervention Name(s)
    KDS-1000
    Intervention Description
    Non-randomized part of study: At the beginning of each dose level (Cohort), 3 patients will receive KDS-1000. These initial patients will be enrolled in a staggered manner to ensure detection of any early safety signals. Randomized part of the study (Can start when there are no safety concerns in the non-randomized cohorts): Cohort 1: Low Dose, 2x10E8 cells/dose Cohort 2: High Dose, 1x10E9 cells/dose
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    0.9% Normal Saline
    Primary Outcome Measure Information:
    Title
    Determine the safety of KDS-1000 given at low and high doses compared to placebo by collecting the rate and severity of adverse events (AE)
    Description
    Rate and severity of AE.
    Time Frame
    28 Days
    Secondary Outcome Measure Information:
    Title
    Determine the efficacy KDS-1000 given at low and high doses compared to placebo by COVID-19 specific questionnaire.
    Description
    Improvement in COVID-19 disease symptoms/progression of disease.
    Time Frame
    90 Days
    Title
    Determine the efficacy KDS-1000 given at low and high doses compared to placebo by measurement of SARS-CoV-2 clearance.
    Description
    Determined by real time reverse transcription polymerase chain reaction (rRT-PCR).
    Time Frame
    28 days
    Title
    Determine the safety of KDS-1000 given at low and high doses compared to placebo by collecting the rate and severity of AE.
    Description
    Rate and severity of AE.
    Time Frame
    90 Days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients are 18-70 years of age; Patients must have at least one of the following risk factors for developing severe COVID-19 disease: Age 50 to 70 years; Obesity (body mass index (BMI) of 30 or greater); Hypertension; Current smoker; Diabetes mellitus (Type 1 or type 2); Stable cardiac disease. Experiencing symptoms of mild to moderate COVID-19 not requiring supplemental oxygen; Having confirmed infection with SARS-CoV-2, defined as detection of SARS-CoV-2 from nasopharyngeal swab or lower respiratory tract specimen; Karnofsky Performance Score ≥70%; Enrolled within the first 4 days of onset of symptoms; Able and willing to comply with the protocol for duration of the study, including 24 hour hospitalization for study drug administration and monitoring, and compliance with follow-up visit schedule; Signed IRB approved informed consent. Exclusion Criteria: Patient is at high-risk for severe COVID-19 due to co-morbidities defined as: Underlying lung disease such as emphysema, chronic lung disease, COPD, asthma, chronic bronchiectasis or respiratory failure requiring baseline oxygen (O2) support; Immunocompromised host status due to cancer, transplant, or other causes of immunodeficiency; Immunosuppressive therapy, including but not limited to the following: Corticosteroids (except topical corticosteroids); Interleukin (IL)-6 or Tumor necrosis factor alpha (TNFα) blockade; Other immunotherapies. Patient with the following signs of abnormal organ or bone marrow function as defined below: AST(SGOT) and/or ALT(SGPT) > 3 x upper limit of normal (ULN); Serum (total) bilirubin > 1.5 x ULN; Creatinine Clearance ≤ 30 mL/min (by Modification of Diet in Renal Disease (MDRD) formula); Hemoglobin < 9 g/dL; Thrombocytes ≤ 75.000/uL; Absolute neutrophil count (ANC) ≤ 1.500/uL; Prothrombin time (PT) or activated partial thromboplastin (aPTT) time >1.5 × ULN; Patient has been admitted to the (ICU); Patients with QT prolongation, history of "torsades de pointes" or ventricular arrhythmia (if they are scheduled to receive diphenhydramine); Patient with a known history of allergic reactions to any constituent of the product, including a known history of allergic reactions to cellular products or DMSO; Pregnant (positive pregnancy test) or breast-feeding female patients; Women of childbearing potential who are sexually active and men who have sexual contact with a female of childbearing potential: not willing to use reliable methods of contraception (oral contraceptives, intrauterine device, hormone implants, contraceptive injection or abstinence) up to 90 days post injection of study medication; Participation in other COVID-19 studies involving experimental treatments or vaccines for COVID-19. Participation in other observational studies could be allowed if they do not interfere with protocol compliance or blood draws; Patients with a history or current evidence of alcohol or drug abuse or dependence, or recreational use of illicit drugs including use of medical marijuana; Vulnerable populations such as those currently incarcerated or homeless; Any other condition which in the opinion of the investigator makes the patient ineligible for participation in the study.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Off-the-shelf NK Cells (KDS-1000) as Immunotherapy for COVID-19

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