search
Back to results

Efficacy and Safety of XAV-19 for the Treatment of Moderate-to-severe COVID-19

Primary Purpose

COVID-19

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
XAV-19
Placebo
Sponsored by
Xenothera SAS
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring COVID-19, SARS-CoV-2, polyclonal IgG

Eligibility Criteria

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

Inclusion Criteria:

I1) Male or female patient aged 18 years or over, weighing >50 Kg and <120 Kg, at the time of signing the informed consent,

I2) Patient presenting in a specialized or an emergency unit

I3) Patient presenting signs of pneumonia evidenced by at least 1 of the following: auscultation, chest X-Ray, CT scan OR presenting COVID-19 related symptoms having started less than 10 days prior to screening visit, including at least 2 of the following: fever, cough, sore throat or nasal discharge, dyspnea (shortness of breath), thoracic pain, headache or fatigue, myalgia, anosmia, dysgeusia, diarrhea, nausea

I4) Patient with SpO2 > 90% (at ambient air)

I5) Patient with a first positive SARS-CoV-2 test (RT-PCR, RT-qPCR or antigen test) in the last 10 days or at screening

I6) Women of childbearing potential (WOCBP) must have a negative urine pregnancy test at screening and use a highly effective birth control until 90 days after the administration of study drug

I7) Non-vasectomized male patients having a female partner of childbearing potential must agree to use a highly effective method of contraception until 90 days after the administration of study drug,

I8) Patient capable of giving signed informed consent.

Exclusion Criteria:

E1) Patient with a positive SARS CoV-2 test (RT-PCR, RT-qPCR or antigen test) of more than 10 days before the screening visit

E2) Patient with multiorgan failure

E3) Patient requiring immediate Intensive Care Unit (ICU) hospitalization

E4) Patient participating in another clinical trial with an investigative agent

E5) Pregnancy or breastfeeding

Sites / Locations

  • Multiprofile Hospital for Active Treatment " St. Ekaterina" - Dimitrovgrad - EOOD, COVID Departement
  • University Multiprofile Hospital for Active Treatment - Plovdiv - AD, COVID Departement
  • Complex Oncological Center - Ruse Ltd, COVID Departement
  • Specialized Hospital for Active Treatment for Pneumophtisiatrics Diseases Dr. Dimitar Gramatikov - Ruse - EOOD, Departement of Pneumology
  • 5th Multiprofile hospital for Active Treatment - Sofia - EAD, Departement of Pneumology and Phtisiatric
  • Evangelismos General Hospital of Athens, Critical Care Departement
  • "Sotiria" General Hospital of Chest Diseases of Athens, 3rd Department of Medicine of University of Athens
  • University Hospital of Heraklion, Department of Internal Medicine & Infectious Diseases Unit
  • AHEPA University General Hospital of Thessaloniki, Infectious Diseases Division of 1st Internal Medicine Department
  • "Hippokration" General Hospital of Thessaloniki, 3rd Department of Pediatrics
  • Leon Daniello Clinical Hospital of Pneumoftiziology
  • Hospital for Infectious Diseases and Pneumology "Victor Babeş" Craiova
  • Military Field Hospital ROL-2
  • Pius Brinzeu County Emergency Clinical Hospital Timisoara
  • Ramón y Cajal University Hospital
  • Puerta del Hierro University Hospital
  • Bağcılar Medipol Mega Universite Hastanesi
  • Istanbul University Cerrahpasa-Cerrahpasa Medical Faculty

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

XAV-19

Placebo

Arm Description

XAV-19

Outcomes

Primary Outcome Measures

Proportion of patients with an aggravation of COVID-19
The aggravation is defined as a worsening of the score of at least 1 point on the WHO 7-point ordinal scale compared to the score on the WHO 7-point ordinal scale at randomization.

Secondary Outcome Measures

Change in Clinical parameters : body temperature
°C
Change in Clinical parameters : Respiratory rate
breath/min
Change in Clinical parameters : SpO2 at ambiant air
Change in Clinical parameters : Supplemental O2
L/min
Change in severity on Common Terminology Criteria of Adverse Events (CTCAE) scale (version 5.0)
Shortness of breath and thoracic pain Scale score : Dyspnea: grade 1 (shortness of breath with moderate exertion) to 5 (death) Non-cardiac chest pain: grade 1 (mild pain) to 3 (severe pain)
Duration of patient's requirement in supplemental O2
Time requiring supplemental O2 at Day 15 will be defined as the time in days from randomization to the date of requiring supplemental O2.
Duration of aggravation
Duration of aggravation will be defined as the time in days between start date of aggravation and improvement date.
Length of hospital stay
Viral status: RT-PCR or RT-qPCR for SARS-CoV-2
(positive/negative)
Proportion of patients referred to Intensive Care Unit (ICU)
Proportion of patients with need for mechanical ventilation
Survival rates
Safety: Occurrence of adverse effects
Number and Proportion of participants with AE, SAE and treatment emergent adverse events leading to study drug discontinuation, to concomitant or additional treatment
Safety: hypersensitivity or allergy
Incidence of hypersensitivity reactions and allergy
Safety: laboratories abnormalities : white blood cell count
G/L
Safety: laboratories abnormalities : red blood cell count
10 12/L
Safety: laboratories abnormalities : hemoglobin
g/dL
Safety: laboratories abnormalities : platelets
G/L
Safety: laboratories abnormalities : creatinine
µmol/L

Full Information

First Posted
May 27, 2021
Last Updated
January 19, 2023
Sponsor
Xenothera SAS
search

1. Study Identification

Unique Protocol Identification Number
NCT04928430
Brief Title
Efficacy and Safety of XAV-19 for the Treatment of Moderate-to-severe COVID-19
Official Title
An International, Placebo-controlled, Double-blind, Randomized Clinical Trial to Evaluate the Efficacy and Safety of 150 mg XAV-19 Infusion, in Patients With Moderate to Severe COVID-19: the EUROXAV Study
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Terminated
Why Stopped
Lack of recruitment
Study Start Date
April 28, 2021 (Actual)
Primary Completion Date
November 28, 2022 (Actual)
Study Completion Date
November 28, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xenothera SAS

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
The purpose of this study is to evaluate the efficacy and safety of XAV-19 drug in patients with moderate-to-severe COVID-19.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
COVID-19, SARS-CoV-2, polyclonal IgG

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Model Description
This is a phase II/III, multicenter, international, randomized (1:1), placebo-controlled, parallel group, double-blind study to evaluate the efficacy and safety of XAV-19 in patients with moderate-to-severe COVID-19.
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
290 (Actual)

8. Arms, Groups, and Interventions

Arm Title
XAV-19
Arm Type
Experimental
Arm Description
XAV-19
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
XAV-19
Intervention Description
150 mg of XAV-19 single IV perfusion
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Single IV infusion
Primary Outcome Measure Information:
Title
Proportion of patients with an aggravation of COVID-19
Description
The aggravation is defined as a worsening of the score of at least 1 point on the WHO 7-point ordinal scale compared to the score on the WHO 7-point ordinal scale at randomization.
Time Frame
within 8 days after treatment
Secondary Outcome Measure Information:
Title
Change in Clinical parameters : body temperature
Description
°C
Time Frame
Between randomization and Day 3, 5, 8 and 15
Title
Change in Clinical parameters : Respiratory rate
Description
breath/min
Time Frame
Between randomization and Day 3, 5, 8 and 15
Title
Change in Clinical parameters : SpO2 at ambiant air
Time Frame
Between randomization and Day 3, 5, 8 and 15
Title
Change in Clinical parameters : Supplemental O2
Description
L/min
Time Frame
Between randomization and Day 3, 5, 8 and 15
Title
Change in severity on Common Terminology Criteria of Adverse Events (CTCAE) scale (version 5.0)
Description
Shortness of breath and thoracic pain Scale score : Dyspnea: grade 1 (shortness of breath with moderate exertion) to 5 (death) Non-cardiac chest pain: grade 1 (mild pain) to 3 (severe pain)
Time Frame
Between randomization and Day 3, 5, 8 and 15
Title
Duration of patient's requirement in supplemental O2
Description
Time requiring supplemental O2 at Day 15 will be defined as the time in days from randomization to the date of requiring supplemental O2.
Time Frame
up to 15 days
Title
Duration of aggravation
Description
Duration of aggravation will be defined as the time in days between start date of aggravation and improvement date.
Time Frame
up to 15 days
Title
Length of hospital stay
Time Frame
up to 15 days
Title
Viral status: RT-PCR or RT-qPCR for SARS-CoV-2
Description
(positive/negative)
Time Frame
At randomization and on Day 8 or at the end of follow-up, whichever comes first
Title
Proportion of patients referred to Intensive Care Unit (ICU)
Time Frame
Between randomization and Day 3, 5, 8 and 15
Title
Proportion of patients with need for mechanical ventilation
Time Frame
At randomization and at Day 3, 5, 8 and 15
Title
Survival rates
Time Frame
at day 8 and day 15 after randomization
Title
Safety: Occurrence of adverse effects
Description
Number and Proportion of participants with AE, SAE and treatment emergent adverse events leading to study drug discontinuation, to concomitant or additional treatment
Time Frame
up to 15 days
Title
Safety: hypersensitivity or allergy
Description
Incidence of hypersensitivity reactions and allergy
Time Frame
up to 15 days
Title
Safety: laboratories abnormalities : white blood cell count
Description
G/L
Time Frame
up to 15 days
Title
Safety: laboratories abnormalities : red blood cell count
Description
10 12/L
Time Frame
up to 15 days
Title
Safety: laboratories abnormalities : hemoglobin
Description
g/dL
Time Frame
up to 15 days
Title
Safety: laboratories abnormalities : platelets
Description
G/L
Time Frame
up to 15 days
Title
Safety: laboratories abnormalities : creatinine
Description
µmol/L
Time Frame
up to 15 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: I1) Male or female patient aged 18 years or over, weighing >50 Kg and <120 Kg, at the time of signing the informed consent, I2) Patient presenting in a specialized or an emergency unit I3) Patient presenting signs of pneumonia evidenced by at least 1 of the following: auscultation, chest X-Ray, CT scan OR presenting COVID-19 related symptoms having started less than 10 days prior to screening visit, including at least 2 of the following: fever, cough, sore throat or nasal discharge, dyspnea (shortness of breath), thoracic pain, headache or fatigue, myalgia, anosmia, dysgeusia, diarrhea, nausea I4) Patient with SpO2 > 90% (at ambient air) I5) Patient with a first positive SARS-CoV-2 test (RT-PCR, RT-qPCR or antigen test) in the last 10 days or at screening I6) Women of childbearing potential (WOCBP) must have a negative urine pregnancy test at screening and use a highly effective birth control until 90 days after the administration of study drug I7) Non-vasectomized male patients having a female partner of childbearing potential must agree to use a highly effective method of contraception until 90 days after the administration of study drug, I8) Patient capable of giving signed informed consent. Exclusion Criteria: E1) Patient with a positive SARS CoV-2 test (RT-PCR, RT-qPCR or antigen test) of more than 10 days before the screening visit E2) Patient with multiorgan failure E3) Patient requiring immediate Intensive Care Unit (ICU) hospitalization E4) Patient participating in another clinical trial with an investigative agent E5) Pregnancy or breastfeeding
Facility Information:
Facility Name
Multiprofile Hospital for Active Treatment " St. Ekaterina" - Dimitrovgrad - EOOD, COVID Departement
City
Dimitrovgrad
ZIP/Postal Code
6400
Country
Bulgaria
Facility Name
University Multiprofile Hospital for Active Treatment - Plovdiv - AD, COVID Departement
City
Plovdiv
ZIP/Postal Code
4000
Country
Bulgaria
Facility Name
Complex Oncological Center - Ruse Ltd, COVID Departement
City
Ruse
ZIP/Postal Code
7002
Country
Bulgaria
Facility Name
Specialized Hospital for Active Treatment for Pneumophtisiatrics Diseases Dr. Dimitar Gramatikov - Ruse - EOOD, Departement of Pneumology
City
Ruse
ZIP/Postal Code
7002
Country
Bulgaria
Facility Name
5th Multiprofile hospital for Active Treatment - Sofia - EAD, Departement of Pneumology and Phtisiatric
City
Sofia
ZIP/Postal Code
1233
Country
Bulgaria
Facility Name
Evangelismos General Hospital of Athens, Critical Care Departement
City
Athens
ZIP/Postal Code
10676
Country
Greece
Facility Name
"Sotiria" General Hospital of Chest Diseases of Athens, 3rd Department of Medicine of University of Athens
City
Athens
ZIP/Postal Code
11527
Country
Greece
Facility Name
University Hospital of Heraklion, Department of Internal Medicine & Infectious Diseases Unit
City
Heraklion
ZIP/Postal Code
71110
Country
Greece
Facility Name
AHEPA University General Hospital of Thessaloniki, Infectious Diseases Division of 1st Internal Medicine Department
City
Thessaloniki
ZIP/Postal Code
54621
Country
Greece
Facility Name
"Hippokration" General Hospital of Thessaloniki, 3rd Department of Pediatrics
City
Thessaloniki
ZIP/Postal Code
54642
Country
Greece
Facility Name
Leon Daniello Clinical Hospital of Pneumoftiziology
City
Cluj-napoca
ZIP/Postal Code
400371
Country
Romania
Facility Name
Hospital for Infectious Diseases and Pneumology "Victor Babeş" Craiova
City
Craiova
ZIP/Postal Code
200515
Country
Romania
Facility Name
Military Field Hospital ROL-2
City
Otopeni
ZIP/Postal Code
075100
Country
Romania
Facility Name
Pius Brinzeu County Emergency Clinical Hospital Timisoara
City
Timisoara
ZIP/Postal Code
300723
Country
Romania
Facility Name
Ramón y Cajal University Hospital
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Puerta del Hierro University Hospital
City
Majadahonda
ZIP/Postal Code
28222
Country
Spain
Facility Name
Bağcılar Medipol Mega Universite Hastanesi
City
Bağcılar
ZIP/Postal Code
34214
Country
Turkey
Facility Name
Istanbul University Cerrahpasa-Cerrahpasa Medical Faculty
City
Fatih
ZIP/Postal Code
34098
Country
Turkey

12. IPD Sharing Statement

Learn more about this trial

Efficacy and Safety of XAV-19 for the Treatment of Moderate-to-severe COVID-19

We'll reach out to this number within 24 hrs