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A Study to Evaluate the Safety and Efficacy of GX-I7 in Elderly Patients With Asymptomatic or Mild Symptoms of COVID-19

Primary Purpose

Covid19

Status
Unknown status
Phase
Phase 2
Locations
Indonesia
Study Type
Interventional
Intervention
GX-I7
Sponsored by
PT Kalbe Genexine Biologics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

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

Inclusion Criteria:

  1. Adults aged 50 years and above at the time of consent
  2. Subjects who have been confirmed to be COVID-19 corresponding to asymptomatic case or mild cases of severity categorization classified by FDA through authorized molecular saliva-based test or polymerase chain reaction (PCR) test and who can be available to be administered within 7 days from the onset of any symptoms.
  3. Patients who provide a voluntarily consent to participate in the study and sign the consent form in his/her own handwriting.
  4. Female patients of childbearing potential (including female received a tubal ligation) should be prove negative pregnancy through pregnancy test before 24 hours of the IP administration, and must be willing to maintain abstinence (restraint sexual relationships) or use an adequate method of contraception at least 90 days after the IP administration.
  5. Male patients must be willing to maintain abstinence (restraint sexual relationships) or use of adequate contraception method, and not to donate sperm. Men with childbearing or pregnant female spouses should maintain abstinence or use condoms at least 90 days after the IP administration to avoid exposure to embryos
  6. Patients who agree for the hospitalisation (however, the hospitalisation will be performed only if needed)

Exclusion Criteria:

  1. Patients who are unable to follow clinical and follow-up procedures
  2. Patients with symptoms of moderate or higher in the severity classification presented by FDA have evidence of lower respiratory tract infection in their imaging findings or need supplemental oxygen therapy or mechanical respiration (ie, non-invasive ventilation, invasive mechanical ventilation, extracorporeal membrane oxygenation, etc)
  3. Patients who have clinically significant cardiovascular diseases such as myocardial infarction, unstable arrhythmia and/or unstable angina within 3 months
  4. Patients who have uncontrolled type II diabetes mellitus (despite the proper use of the drug, if fasting blood sugar level is not controlled to be more than 200 mg/dL)
  5. If the principal investigator determines that patients are ineligible or difficult to follow the protocol due to evidence of severe or unregulated systemic diseases, uncontrolled hypertension (despite the proper use of the drug, if the blood pressure is not controlled to be lower than 150/90 mmHg), and active bleeding tendency
  6. Patients who are known to be HIV positive
  7. Patients who are known to be B-type, or C-type hepatitis-positive carrier
  8. Patients who are pregnant or breastfeeding
  9. Patients suspected of or identified with a malignant tumor or have a history of tumors within the past 5 years
  10. Patients with the infectious diseases such as bacteremia or severe pneumonia requiring active treatment within four weeks prior to the IP administration
  11. Patients with immunodeficiency or autoimmune diseases that can be exacerbated through immunotherapy at present
  12. Patients who have previously received an allogeneic marrow transplantation or solid organ transplantation
  13. Patients who are currently taking other drugs such as immunosuppressants that may affect the results of the study
  14. Patients who have severe allergy for humanized antibodies or fusion proteins, anaphylaxis, or other hypersensitivity
  15. Patients who have received other IP administration while participating in another clinical trial within 30 days prior to the IP administration for this study (However, biological preparation shall be applied to 60 days and even longer period can be applied considering the half-life) -

Sites / Locations

  • Mitra Keluarga Kelapa GadingRecruiting
  • Mitra Keluarga KemayoranRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

GX-I7

GX-I7 vehicle

Arm Description

Patients randomised on experimental arm will receive GX-I7 drug

Patients randomised on comparator arm will receive placebo

Outcomes

Primary Outcome Measures

Dose finding
MTD and RP2D based on safety profiles
Absolute lymphocyte count (ALC)
The change of absolute lymphocyte count from baseline

Secondary Outcome Measures

Treatment related Adverse Events
The proportion of participants with treatment emergent adverse events
Status of COVID-19 infection
Decrease of viral shedding identified with nasopharyngeal swab specimen by RT-PCR test
To evaluate the efficacy of GX-I7 in patients with COVID-19
The proportion of participants who have progressed to moderate or severe or critical illness
Improvement in clinical parameters
Time to clinical improvement: clinical improvement is defined as a ≥ 2-point improvement in clinical status (8-point ordinal scale) from Day 1 (baseline)
Assess in improvement in clinical parameters
Time to ≥ 1-point improvement (days) from Day 1 (baseline) in terms of clinical status

Full Information

First Posted
March 17, 2021
Last Updated
March 22, 2021
Sponsor
PT Kalbe Genexine Biologics
Collaborators
Genexine, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04810637
Brief Title
A Study to Evaluate the Safety and Efficacy of GX-I7 in Elderly Patients With Asymptomatic or Mild Symptoms of COVID-19
Official Title
A Phase 2, Randomized, Double Blinded, Placebo Controlled, Parallel Group, Single Administration Study to Evaluate the Safety and Efficacy of GX-I7 in Elderly Patients With Asymptomatic or Mild Symptoms of COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Unknown status
Study Start Date
November 1, 2020 (Actual)
Primary Completion Date
June 2021 (Anticipated)
Study Completion Date
September 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PT Kalbe Genexine Biologics
Collaborators
Genexine, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 2 prospective, randomized, placebo-controlled, double-blinded, parallel group, single administration, multi-center study to assess the safety and efficacy of efineptakin alfa single treatment compared to placebo in elderly participants (adults ≥50years) with asymptomatic or mild COVID-19
Detailed Description
The study consists of 2 parts: Part I - to identify the Recommended Phase 2 Dose (RP2D) compared to placebo in elderly participants (adults ≥50 years) with asymptomatic or mild COVID-19. These patients will be treated with 120 and 240 µg/kg efineptakin alfa, given on Day 1 (Baseline), respectively. The study will evaluate the safety, tolerability, and pharmacodynamics variable (ALC) of efineptakin alfa against COVID-19. Part II - to assess the safety and efficacy of efineptakin alfa single treatment compared to placebo in elderly participants with asymptomatic or mild COVID-19.

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
Interventional Study Model
Parallel Assignment
Model Description
Double blinded phase 2 controlled study
Masking
ParticipantCare ProviderInvestigator
Masking Description
Double blinded
Allocation
Randomized
Enrollment
210 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GX-I7
Arm Type
Experimental
Arm Description
Patients randomised on experimental arm will receive GX-I7 drug
Arm Title
GX-I7 vehicle
Arm Type
Placebo Comparator
Arm Description
Patients randomised on comparator arm will receive placebo
Intervention Type
Drug
Intervention Name(s)
GX-I7
Other Intervention Name(s)
Efineptakin alfa NT-I7, rhIL-7-hyFc, NT-I7, TJ107
Intervention Description
Recombinant human interleukin-7 hybrid Fc
Primary Outcome Measure Information:
Title
Dose finding
Description
MTD and RP2D based on safety profiles
Time Frame
9 weeks
Title
Absolute lymphocyte count (ALC)
Description
The change of absolute lymphocyte count from baseline
Time Frame
9 weeks
Secondary Outcome Measure Information:
Title
Treatment related Adverse Events
Description
The proportion of participants with treatment emergent adverse events
Time Frame
10 weeks
Title
Status of COVID-19 infection
Description
Decrease of viral shedding identified with nasopharyngeal swab specimen by RT-PCR test
Time Frame
9 weeks
Title
To evaluate the efficacy of GX-I7 in patients with COVID-19
Description
The proportion of participants who have progressed to moderate or severe or critical illness
Time Frame
9 weeks
Title
Improvement in clinical parameters
Description
Time to clinical improvement: clinical improvement is defined as a ≥ 2-point improvement in clinical status (8-point ordinal scale) from Day 1 (baseline)
Time Frame
9 weeks
Title
Assess in improvement in clinical parameters
Description
Time to ≥ 1-point improvement (days) from Day 1 (baseline) in terms of clinical status
Time Frame
9 weeks
Other Pre-specified Outcome Measures:
Title
Immune repertoire in the study population
Description
Changes of the rate of different immune cell types (i.e, effector/ memory T cell) and regulatory T cell (i.e, Tregs) in the blood after a single efineptakin alfa treatment, if possible
Time Frame
9 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults aged 50 years and above at the time of consent Subjects who have been confirmed to be COVID-19 corresponding to asymptomatic case or mild cases of severity categorization classified by FDA through authorized molecular saliva-based test or polymerase chain reaction (PCR) test and who can be available to be administered within 7 days from the onset of any symptoms. Patients who provide a voluntarily consent to participate in the study and sign the consent form in his/her own handwriting. Female patients of childbearing potential (including female received a tubal ligation) should be prove negative pregnancy through pregnancy test before 24 hours of the IP administration, and must be willing to maintain abstinence (restraint sexual relationships) or use an adequate method of contraception at least 90 days after the IP administration. Male patients must be willing to maintain abstinence (restraint sexual relationships) or use of adequate contraception method, and not to donate sperm. Men with childbearing or pregnant female spouses should maintain abstinence or use condoms at least 90 days after the IP administration to avoid exposure to embryos Patients who agree for the hospitalisation (however, the hospitalisation will be performed only if needed) Exclusion Criteria: Patients who are unable to follow clinical and follow-up procedures Patients with symptoms of moderate or higher in the severity classification presented by FDA have evidence of lower respiratory tract infection in their imaging findings or need supplemental oxygen therapy or mechanical respiration (ie, non-invasive ventilation, invasive mechanical ventilation, extracorporeal membrane oxygenation, etc) Patients who have clinically significant cardiovascular diseases such as myocardial infarction, unstable arrhythmia and/or unstable angina within 3 months Patients who have uncontrolled type II diabetes mellitus (despite the proper use of the drug, if fasting blood sugar level is not controlled to be more than 200 mg/dL) If the principal investigator determines that patients are ineligible or difficult to follow the protocol due to evidence of severe or unregulated systemic diseases, uncontrolled hypertension (despite the proper use of the drug, if the blood pressure is not controlled to be lower than 150/90 mmHg), and active bleeding tendency Patients who are known to be HIV positive Patients who are known to be B-type, or C-type hepatitis-positive carrier Patients who are pregnant or breastfeeding Patients suspected of or identified with a malignant tumor or have a history of tumors within the past 5 years Patients with the infectious diseases such as bacteremia or severe pneumonia requiring active treatment within four weeks prior to the IP administration Patients with immunodeficiency or autoimmune diseases that can be exacerbated through immunotherapy at present Patients who have previously received an allogeneic marrow transplantation or solid organ transplantation Patients who are currently taking other drugs such as immunosuppressants that may affect the results of the study Patients who have severe allergy for humanized antibodies or fusion proteins, anaphylaxis, or other hypersensitivity Patients who have received other IP administration while participating in another clinical trial within 30 days prior to the IP administration for this study (However, biological preparation shall be applied to 60 days and even longer period can be applied considering the half-life) -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Paritosh Keertikar, PhD
Phone
+65 9730 6164
Email
paritosh.keertikar@innogene.com.sg
First Name & Middle Initial & Last Name or Official Title & Degree
Artati A, MBBS
Phone
+62 812-9262-727
Email
artati@kalbe.co.id
Facility Information:
Facility Name
Mitra Keluarga Kelapa Gading
City
Jakarta Pusat
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr. Frans Liwang, SpPD
Facility Name
Mitra Keluarga Kemayoran
City
Jakarta Pusat
Country
Indonesia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr Candra Wibowo, SpPD-KGH FINASIM

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Safety and Efficacy of GX-I7 in Elderly Patients With Asymptomatic or Mild Symptoms of COVID-19

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