Phase 2a MIB-626 vs. Placebo COVID-19
Covid19, Stage 1 Acute Kidney Injury
About this trial
This is an interventional treatment trial for Covid19 focused on measuring MIB-626, Covid19, Early Acute Kidney Injury, NAD-boosting drug
Eligibility Criteria
Inclusion Criteria:
- A man or a woman, 18 years or older
- Willing and able to provide informed consent, or with a legal representative who can provide informed consent with participant's assent
- Has Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by an approved diagnostic test before randomization
- Currently hospitalized
- Documented increase in serum creatinine of 0.3 mg/dL or 50%-99% over baseline (baseline either based on admission serum creatinine or known pre-admission baseline, defined as most recent previous measurement)
- Participant or legal representative has read and signed the Informed Consent Form (ICF) after the nature of the study has been fully explained
- Is willing and able to provide authorization for the use and disclosure of personal health information in accordance with Health Insurance Portability and Accountability Act (HIPAA)
- Patients who are receiving remdesivir as a part of their clinical care or are in clinical trials of remdesivir or other antiviral drugs may be allowed if they meet other eligibility criteria
- Patients, who are participating in observational studies or studies of nonpharmacological interventions, will be allowed to participate
- Not be pregnant and not planning to become pregnant over the next 6 months
Exclusion Criteria:
- In the intensive care unit at the time of screening or prior to randomization
- Requiring mechanical ventilation at the time of screening or prior to randomization
- Has baseline estimated glomerular filtration rate < 30 ml/min/1.73m2
- Has a history of kidney transplantation or hemodialysis treatment or receiving or expected to receive hemodialysis or peritoneal dialysis at screening and prior to randomization
- Is on mechanical ventilation
- Has a contraindication for MIB-626 or its inert ingredients
- Has a diagnosis of lupus nephritis, polycystic kidney disease, other glomerular disease (other than diabetes)
- Has AST or ALT > 3 times the upper limit of normal
- Has other medical condition which, in the opinion of the Principal Investigator, would jeopardize the safety of the study subject or impact the validity of the study results
- Will exclude patients, who are receiving or are enrolled in placebo-controlled intervention trials of anti-inflammatory or immunomodulatory agents, such as tocilizumab. Occasional use of acetaminophen and nonsteroidal anti-inflammatory drugs, such as ibuprofen, for fever or headache is permitted.
Sites / Locations
- The Brigham and Women's HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Placebo Comparator
Other
MIB-626
Placebo Tablet
Home Treatment
Oral administration of MIB-626 substantially raises the intracellular NAD+ levels and activates signaling mechanisms that regulate inflammation and cell survival, downregulates the NLRP3 inflammasome, and attenuates the inflammatory response in a number of experimental models, and protects against tissue damage induced by pro-inflammatory cytokines.
A placebo control will be supplied. Participants randomized to placebo will receive matching tablet. Matching placebo tablets will be provided by the study's Sponsor, Metro International Biotech, LLC.
Participants, who are discharged from the hospital before the completion of the 14-day intervention period, will be provided sufficient study medication to take home with them so they can continue to take the medication twice daily for the remaining duration of the 14-day intervention period.