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Clinical Trial to Assess the Efficacy and Safety of Inhaled AQ001S in the Management of Acute COVID-19 Symptoms (SIROCCO-1)

Primary Purpose

Covid19

Status
Terminated
Phase
Phase 2
Locations
Belgium
Study Type
Interventional
Intervention
Drug, inhalation
Sponsored by
Aquilon Pharmaceuticals S.A.
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:

  1. Patient admitted to hospital due to the severity of his/her confirmed or suspected COVID-19 disease.
  2. Positive virus test for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) using real time polymerase chain reaction (nasal swab).
  3. Patient with COVID-19 clinical progression scale score ≥ 4 (hospitalized; no oxygen therapy).
  4. Male or female, ≥18 years of age at the time of consent.
  5. Patients who have given written informed consent.
  6. Reliable patients who are willing to be available for the duration of the clinical trial and willing to comply with clinical trial procedures.
  7. Patients who have the ability to understand the requirements of the clinical trial.
  8. Female patients of childbearing potential (women of childbearing potential, WOCBP ) should have a negative pregnancy test at Screening Visit.
  9. Female patients of childbearing potential (women of childbearing potential, WOCBP1) using a highly effective method of contraception (i.e., pregnancy rate of < 1% per year) on a stable regimen, for at least 28 days, and pursuing this contraception during the trial and for 28 days after the last administration of the study drug The highly effective methods of contraception must be one of the following: combined estrogen and progestogen hormonal contraception with inhibition of ovulation, progestogen-only hormonal contraception associated with inhibition of ovulation, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, or agreement on continuous abstinence from heterosexual intercourse.

Exclusion Criteria:

  1. Intensive care patients
  2. Inability to use a nebulizer with a mouthpiece.
  3. History of hypersensitivity to corticosteroid or to any of the excipients in the drug preparation.
  4. Untreated oral candidiasis.
  5. Evidence of symptomatic chronic or acute respiratory infection other than COVID-19 in the previous 8 weeks.
  6. Proven diagnosis of Chronic Obstructive Pulmonary Disease, asthma or bronchiectasis.
  7. Pulmonary malformations, tuberculosis, cystic fibrosis.
  8. History or presence of severe renal (stage 4 (GFR = 15-29 mL/min)) and/or severe hepatic impairment(s) (grade 4 or above)
  9. Anticipated transfer to another hospital within 72 hours.
  10. Use of inhaled corticosteroid, at a strength at least equivalent to 200 µg of beclomethasone per day, within 7 days before Screening Visit.
  11. Systemic corticosteroids (e.g., dexamethasone) within 28 days before Screening Visit.
  12. Female patients who are breast-feeding, lactating, pregnant or intending to become pregnant.
  13. Any condition, including findings in the patients' medical history or in the pre-randomization study assessments that, in the opinion of the Investigator, constitute a risk or a contraindication for the participation of the patient into the study or that could interfere with the study objectives, conduct or evaluation.
  14. Current or previous participation in another clinical trial where the patient has received a dose of an study drug containing small molecules within 30 days or 5 half-lives (whichever is longer) prior to entry into this study or containing biologicals within 3 months prior to entry into this study

Sites / Locations

  • CHU Liege

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Experimental AQ001S 0.125 mg/mL quarter in die

Experimental AQ001S 0.125 mg/mL bis in die

Comparator: placebo

Arm Description

AQ001S 0.125 mg/mL inhalation solution administered by inhalation 4 times a day

AQ001S 0.125 mg/mL inhalation solution administered by inhalation twice a day + placebo by inhalation twice a day

No active drug - administered by inhalation 4 times a day

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Incidence of Treatment-Emergent Adverse Events as assessed by collection of (Serious) Adverse Events and general/local tolerability
WHO clinical progression scale (COVID-19 clinical progression scale)
Change in the WHO clinical progression scale (reference: WHO Working Group on the Clinical Characterisation and Management of COVID-19 infection, Lancet Infect Dis., Aug 2020, 20(8): e192-e197) with "Uninfected" as minimal value (e.g. 0) and "Dead" as maximal value (e.g. 10, worse outcome), ffrom baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.

Secondary Outcome Measures

Time to hospital discharge
Time to hospital ldischarge measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time to Intensive Care Unit admission
Time to Intensive Care Unit admission measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Length of Intensive Care Unit stay
Length of Intensive Care Unit stay measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time to hospital readmission
Time to hospital readmission measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Length of hospital readmission
Length of hospital readmission measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time to mechanical ventilation
Time to mechanical ventilation measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Occurrence of death
Occurence of death (all deaths).
Modified Medical Research Council Dyspnea Scale
Change in modified Medical Research Council Dyspnea (mMRC) Scale from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5). Minimum mMRC Scale value is 0 (e.g. "I only get breathless with strenuous exercise"). The maximum mMRC Scale value is 4 (e.g. "I am too breathless to leave the house" or "I am breathless when dressing", worse outcome).
Pulmonary function measurement: Forced Expiratory Volume in the first second (FEV1)
Changes in FEV1 measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Pulmonary function measurement: Forced Vital Capacity (FVC)
Changes in FVC measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Pulmonary function measurement: FEV1/FVC ratio
Changes in FEV1/FVC ratio from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Pulmonary function measurement: Oxygen saturation (SpO2)
Changes in SpO2 measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Pulmonary function measurement: Fraction of inspired Oxygen (FiO2)
Changes in FiO2 measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Pulmonary function measurement: SpO2/FiO2 ratio
Changes in and SpO2/FiO2 ratio measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Diffusion Capacity for Carbon Monoxide measurements
Changes in the Diffusion Capacity for Carbon Monoxide (DLCO) from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Pulmonary CT Scan
Changes in the pulmonary CT Scan between baseline (Visit 2) and Day 28±2 (Visit 5)

Full Information

First Posted
June 24, 2021
Last Updated
January 5, 2023
Sponsor
Aquilon Pharmaceuticals S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT05000346
Brief Title
Clinical Trial to Assess the Efficacy and Safety of Inhaled AQ001S in the Management of Acute COVID-19 Symptoms
Acronym
SIROCCO-1
Official Title
A Randomized, Double-blind, Placebo-controlled, Parallel, Trial to Determine the Safety and Efficacy of Inhaled AQ001S in the Management of Acute COVID-19 Symptoms
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Terminated
Why Stopped
Lack of patient to recruit
Study Start Date
November 4, 2021 (Actual)
Primary Completion Date
December 21, 2022 (Actual)
Study Completion Date
December 21, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aquilon Pharmaceuticals S.A.

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
Double-blind parallel trial to assess the efficacy and safety of inhaled AQ001S in the management of acute COVID-19 symptoms compared.
Detailed Description
A randomized, double-blind, placebo-controlled, parallel clinical trial to determine the safety and efficacy of inhaled AQ001S in the management of acute COVID-19 symptoms in adult patients (≥ 18 years old) who are admitted to hospital due to the severity of his/her confirmed or suspected COVID-19 disease. The patient will be treated for 28 days.

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
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental AQ001S 0.125 mg/mL quarter in die
Arm Type
Experimental
Arm Description
AQ001S 0.125 mg/mL inhalation solution administered by inhalation 4 times a day
Arm Title
Experimental AQ001S 0.125 mg/mL bis in die
Arm Type
Experimental
Arm Description
AQ001S 0.125 mg/mL inhalation solution administered by inhalation twice a day + placebo by inhalation twice a day
Arm Title
Comparator: placebo
Arm Type
Placebo Comparator
Arm Description
No active drug - administered by inhalation 4 times a day
Intervention Type
Drug
Intervention Name(s)
Drug, inhalation
Other Intervention Name(s)
inhaled drug, including placebo
Intervention Description
Solution administered by inhalation
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Description
Incidence of Treatment-Emergent Adverse Events as assessed by collection of (Serious) Adverse Events and general/local tolerability
Time Frame
During 28 days of treatment
Title
WHO clinical progression scale (COVID-19 clinical progression scale)
Description
Change in the WHO clinical progression scale (reference: WHO Working Group on the Clinical Characterisation and Management of COVID-19 infection, Lancet Infect Dis., Aug 2020, 20(8): e192-e197) with "Uninfected" as minimal value (e.g. 0) and "Dead" as maximal value (e.g. 10, worse outcome), ffrom baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Secondary Outcome Measure Information:
Title
Time to hospital discharge
Description
Time to hospital ldischarge measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time Frame
After 28 days of treatment
Title
Time to Intensive Care Unit admission
Description
Time to Intensive Care Unit admission measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time Frame
After 28 days of treatment
Title
Length of Intensive Care Unit stay
Description
Length of Intensive Care Unit stay measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time Frame
After 28 days of treatment
Title
Time to hospital readmission
Description
Time to hospital readmission measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time Frame
After 28 days of treatment
Title
Length of hospital readmission
Description
Length of hospital readmission measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time Frame
After 28 days of treatment
Title
Time to mechanical ventilation
Description
Time to mechanical ventilation measured over the treatment period from baseline (visit 2) to day 28 (visit 5).
Time Frame
After 28 days of treatment
Title
Occurrence of death
Description
Occurence of death (all deaths).
Time Frame
Within 60 days from hospitalisation
Title
Modified Medical Research Council Dyspnea Scale
Description
Change in modified Medical Research Council Dyspnea (mMRC) Scale from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5). Minimum mMRC Scale value is 0 (e.g. "I only get breathless with strenuous exercise"). The maximum mMRC Scale value is 4 (e.g. "I am too breathless to leave the house" or "I am breathless when dressing", worse outcome).
Time Frame
to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary function measurement: Forced Expiratory Volume in the first second (FEV1)
Description
Changes in FEV1 measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary function measurement: Forced Vital Capacity (FVC)
Description
Changes in FVC measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary function measurement: FEV1/FVC ratio
Description
Changes in FEV1/FVC ratio from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary function measurement: Oxygen saturation (SpO2)
Description
Changes in SpO2 measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary function measurement: Fraction of inspired Oxygen (FiO2)
Description
Changes in FiO2 measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary function measurement: SpO2/FiO2 ratio
Description
Changes in and SpO2/FiO2 ratio measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Diffusion Capacity for Carbon Monoxide measurements
Description
Changes in the Diffusion Capacity for Carbon Monoxide (DLCO) from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
At Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2 (Visit 5)
Title
Pulmonary CT Scan
Description
Changes in the pulmonary CT Scan between baseline (Visit 2) and Day 28±2 (Visit 5)
Time Frame
After 28 days of treatment
Other Pre-specified Outcome Measures:
Title
Change immune system response
Description
Changes in the immune system response will be measured from baseline (Visit 2) to Day 28±2 (Visit 5), using a 15-plex Human Cytokine Panel assay.
Time Frame
After 28 days of treatment
Title
Change in monocyte count
Description
Changes in monocyte count will be measured from baseline (Visit 2) to Day 28±2 (Visit 5).
Time Frame
After 28 days of treatment
Title
Change in lymphocyte count
Description
Changes in lymphocyte count will be measured from baseline (Visit 2) to Day 28±2 (Visit 5).
Time Frame
After 28 days of treatment
Title
Change in hyperinflammation biomarker: ferritin
Description
Changes in hyperinflammation biomarkers will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Change in hyperinflammation biomarker: C reactive protein
Description
Changes in hyperinflammation biomarkers will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Change in hyperinflammation biomarker: d-dimer
Description
Changes in hyperinflammation biomarkers will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Change in hyperinflammation biomarker: soluble cluster of differentiation 40 ligand
Description
Changes in hyperinflammation biomarkers will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Change in hyperinflammation biomarker: matrix metalloproteinase
Description
Changes in hyperinflammation biomarkers will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Change in cardiovascular biomarker: troponin
Description
Changes in troponin level will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Change in cardiovascular biomarker: creatine kinase
Description
Changes increatine kinase level will be measured from baseline (Visit 2) to Day 7±2 (Visit 3), Day 14±2 (Visit 4) and Day 28±2.
Time Frame
After 28 days of treatment
Title
Immunology parameters: immunoglobulin E
Description
Changes in immunoglobulin E rates from baseline (Visit 2) to Day 28±2 (Visit 5), and at each visit over the dosing period
Time Frame
After 28 days of treatment
Title
Immunology parameters: immunoglobulin A
Description
Changes in immunoglobulin A rates from baseline (Visit 2) to Day 28±2 (Visit 5), and at each visit over the dosing period
Time Frame
After 28 days of treatment
Title
Immunology parameters: immunoglobulin G
Description
Changes in immunoglobulin G rates from baseline (Visit 2) to Day 28±2 (Visit 5), and at each visit over the dosing period
Time Frame
After 28 days of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient admitted to hospital due to the severity of his/her confirmed or suspected COVID-19 disease. Positive virus test for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) using real time polymerase chain reaction (nasal swab). Patient with COVID-19 clinical progression scale score ≥ 4 (hospitalized; no oxygen therapy). Male or female, ≥18 years of age at the time of consent. Patients who have given written informed consent. Reliable patients who are willing to be available for the duration of the clinical trial and willing to comply with clinical trial procedures. Patients who have the ability to understand the requirements of the clinical trial. Female patients of childbearing potential (women of childbearing potential, WOCBP ) should have a negative pregnancy test at Screening Visit. Female patients of childbearing potential (women of childbearing potential, WOCBP1) using a highly effective method of contraception (i.e., pregnancy rate of < 1% per year) on a stable regimen, for at least 28 days, and pursuing this contraception during the trial and for 28 days after the last administration of the study drug The highly effective methods of contraception must be one of the following: combined estrogen and progestogen hormonal contraception with inhibition of ovulation, progestogen-only hormonal contraception associated with inhibition of ovulation, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, or agreement on continuous abstinence from heterosexual intercourse. Exclusion Criteria: Intensive care patients Inability to use a nebulizer with a mouthpiece. History of hypersensitivity to corticosteroid or to any of the excipients in the drug preparation. Untreated oral candidiasis. Evidence of symptomatic chronic or acute respiratory infection other than COVID-19 in the previous 8 weeks. Proven diagnosis of Chronic Obstructive Pulmonary Disease, asthma or bronchiectasis. Pulmonary malformations, tuberculosis, cystic fibrosis. History or presence of severe renal (stage 4 (GFR = 15-29 mL/min)) and/or severe hepatic impairment(s) (grade 4 or above) Anticipated transfer to another hospital within 72 hours. Use of inhaled corticosteroid, at a strength at least equivalent to 200 µg of beclomethasone per day, within 7 days before Screening Visit. Systemic corticosteroids (e.g., dexamethasone) within 28 days before Screening Visit. Female patients who are breast-feeding, lactating, pregnant or intending to become pregnant. Any condition, including findings in the patients' medical history or in the pre-randomization study assessments that, in the opinion of the Investigator, constitute a risk or a contraindication for the participation of the patient into the study or that could interfere with the study objectives, conduct or evaluation. Current or previous participation in another clinical trial where the patient has received a dose of an study drug containing small molecules within 30 days or 5 half-lives (whichever is longer) prior to entry into this study or containing biologicals within 3 months prior to entry into this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Julien Guiot, MD
Organizational Affiliation
Centre Hospitalier Universitaire de Liege
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU Liege
City
Liege
ZIP/Postal Code
4000
Country
Belgium

12. IPD Sharing Statement

Plan to Share IPD
No

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Clinical Trial to Assess the Efficacy and Safety of Inhaled AQ001S in the Management of Acute COVID-19 Symptoms

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