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Phase 1/2 Study to Evaluate the Efficacy and Safety of Inhaled IBIO123 in Participants With Mild to Moderate COVID-19 Illness

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
IBIO123
Placebo
Sponsored by
Immune Biosolutions Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring IBIO, IBIO123, mild COVID-19, moderate COVID-19, monoclonal antibodies, inhalation

Eligibility Criteria

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

Inclusion Criteria:

Age

  1. Are ≥18 years of age at the time of randomization

    Disease Characteristics

  2. Are currently not hospitalized
  3. Have one or more mild or moderate COVID-19 symptoms:

    i. Fever ii. Cough iii. Sore throat iv. Malaise v. Headache vi. Muscle pain vii. Gastrointestinal symptoms, or viii. Shortness of breath with exertion

  4. Must have sample collection for first positive SARS-CoV-2 viral infection determination

    ≤3 days prior to start of the inhalation.

    Sex

  5. Are men or non-pregnant women Reproductive and Contraceptive agreements and guidance is provided in Section 10.4, Appendix 4. Contraceptive use by men or women should be consistent with local regulations for those participating in clinical studies.

    Study Procedures

  6. Understand and agree to comply with planned study procedures
  7. Agree to the collection of nasopharyngeal swabs and venous blood Informed Consent
  8. The participant or legally authorized representative gives signed informed consent as described in Section 14.1.3 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

    Exclusion Criteria:

    Medical Conditions

  9. Have SpO2 ≤ 93% on room air, respiratory rate ≥30 per minute, resting heart rate ≥125 per minute.
  10. Require mechanical ventilation or anticipated impending need for mechanical ventilation
  11. Have known allergies to any of the components used in the formulation of the interventions.
  12. Have hemodynamic instability requiring use of pressors within 24 hours of randomization.
  13. Suspected or proven serious, active bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking intervention.
  14. Have any co-morbidity requiring surgery or that is considered life- threatening within 29 days prior to dosing.
  15. Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study.

    Other Exclusions

  16. Have a history of a positive SARS-CoV-2 test prior to the one serving as eligibility for this study.
  17. Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing.
  18. Have received treatment with a SARS-CoV-2 specific monoclonal antibody.
  19. Have participated, within the last 30 days, in a clinical study involving an investigational intervention. If the previous investigational intervention has a long half-life, 5 half-lives or 30 days, whichever is longer, should have passed.
  20. Are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
  21. Are pregnant or breast feeding.
  22. Are investigator site personnel directly affiliated with this study.

Sites / Locations

  • Santa Casa de Misercórdia de Passos
  • Instituto Brasil de Pesquisa Clinica
  • Clinica Supera Oncologia
  • Instituto Brasileiro de Controle do Câncer / Sao Camilo Oncologia
  • Pesquisare Saúde
  • FARMOVS
  • Newton Clinical Trial Centre
  • Jongaie Research
  • Johese Clinical Research ZAH
  • Durban International Clinical Research, Enhancing Care Foundation
  • Clinical Research Institute of South Africa - CRISA

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Active

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Phase 1 : Characterize the effect of IBIO123 compared to placebo on safety and tolerability
Safety assessments such as AEs and SAEs
Phase 2: Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load and viral clearance
Change from baseline to Day 7 in SARS-CoV-2 viral load

Secondary Outcome Measures

Characterize the effect of IBIO123 compared to placebo on overall participant clinical status
Proportion (percentage) of participants who experience these events by Day 29: COVID-19 related hospitalization (defined as ≥24 hours of acute care) a COVID-19 related emergency room visit, or death
Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load among participants with ≤8 days since symptom onset
Change from baseline to Day 7 in SARS-CoV-2 viral load among participants enrolled with ≤ 8 days of symptoms prior to randomization
Characterize the effect of IBIO123 compared to placebo on Baseline SARS-CoV-2 related symptoms
• Time to symptom reduction or resolution and proportion of patients
Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load and viral clearance
• Proportion of participants who achieve SARS-CoV-2 clearance
Characterize the pharmacokinetics of IBIO123
IBIO123 mean plasma concentration
Phase 1: Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load and viral clearance
Change from baseline to Day 7 in SARS-CoV-2 viral load
Phase 2 : Characterize the effect of IBIO123 compared to placebo on safety and tolerability
Safety assessments such as AEs and SAEs

Full Information

First Posted
March 23, 2022
Last Updated
April 28, 2023
Sponsor
Immune Biosolutions Inc
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1. Study Identification

Unique Protocol Identification Number
NCT05298813
Brief Title
Phase 1/2 Study to Evaluate the Efficacy and Safety of Inhaled IBIO123 in Participants With Mild to Moderate COVID-19 Illness
Official Title
A Randomized, Double-blind, Placebo-Controlled, Escalating Single Dose, Phase 1/2 Study to Evaluate the Efficacy and Safety of Inhaled IBIO123 in Participants With Mild to Moderate COVID-19 Illness
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
September 29, 2021 (Actual)
Primary Completion Date
January 4, 2023 (Actual)
Study Completion Date
January 4, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Immune Biosolutions 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 1/2, randomized, double-blind, placebo-controlled, single-dose escalating-dose study in participants with mild to moderate COVID-19 illness.
Detailed Description
Participants will be randomized to placebo or IBIO123. In the phase 1 portion of the study, a total of 24 patients will be enrolled in 3 cohorts of 8 patients each. Six (6) of the 8 patients in each cohort will receive IBIO123 and 2 patients will receive placebo. The first cohort will be dosed with 1 mg. Subsequent cohorts will receive 5 mg, and 10 mg of IBIO123 or matching placebo and will be dosed at least 1 week apart to allow for review of safety and tolerability data for each prior cohort. In the phase 2 portion of the study, as dose levels in phase 1 are determined to be safe, these dose levels may be introduced in phase 2 of Study IBIO-INH-001. This table describes the planned treatment arms. The Phase 2 portion of the study will enroll a total of approximately 200 participants (150 participants on study drug & 50 participants on Placebo).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
IBIO, IBIO123, mild COVID-19, moderate COVID-19, monoclonal antibodies, inhalation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
162 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Biological
Intervention Name(s)
IBIO123
Intervention Description
IBIO123 1 mg, 5 mg and 10 mg
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Matching Placebo
Primary Outcome Measure Information:
Title
Phase 1 : Characterize the effect of IBIO123 compared to placebo on safety and tolerability
Description
Safety assessments such as AEs and SAEs
Time Frame
From Baseline to Day 29
Title
Phase 2: Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load and viral clearance
Description
Change from baseline to Day 7 in SARS-CoV-2 viral load
Time Frame
From Baseline to Day 7
Secondary Outcome Measure Information:
Title
Characterize the effect of IBIO123 compared to placebo on overall participant clinical status
Description
Proportion (percentage) of participants who experience these events by Day 29: COVID-19 related hospitalization (defined as ≥24 hours of acute care) a COVID-19 related emergency room visit, or death
Time Frame
From Baseline to Day 29
Title
Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load among participants with ≤8 days since symptom onset
Description
Change from baseline to Day 7 in SARS-CoV-2 viral load among participants enrolled with ≤ 8 days of symptoms prior to randomization
Time Frame
From Baseline to Day 7
Title
Characterize the effect of IBIO123 compared to placebo on Baseline SARS-CoV-2 related symptoms
Description
• Time to symptom reduction or resolution and proportion of patients
Time Frame
From Baseline to Day 29
Title
Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load and viral clearance
Description
• Proportion of participants who achieve SARS-CoV-2 clearance
Time Frame
From Baseline to Day 29
Title
Characterize the pharmacokinetics of IBIO123
Description
IBIO123 mean plasma concentration
Time Frame
Days 1, 3, 7, and 29
Title
Phase 1: Characterize the effect of IBIO123 compared to placebo on SARS-CoV-2 viral load and viral clearance
Description
Change from baseline to Day 7 in SARS-CoV-2 viral load
Time Frame
From Baseline to Day 7
Title
Phase 2 : Characterize the effect of IBIO123 compared to placebo on safety and tolerability
Description
Safety assessments such as AEs and SAEs
Time Frame
From Baseline to Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age Are ≥18 years of age at the time of randomization Disease Characteristics Are currently not hospitalized Have one or more mild or moderate COVID-19 symptoms: i. Fever ii. Cough iii. Sore throat iv. Malaise v. Headache vi. Muscle pain vii. Gastrointestinal symptoms, or viii. Shortness of breath with exertion Must have sample collection for first positive SARS-CoV-2 viral infection determination ≤3 days prior to start of the inhalation. Sex Are men or non-pregnant women Reproductive and Contraceptive agreements and guidance is provided in Section 10.4, Appendix 4. Contraceptive use by men or women should be consistent with local regulations for those participating in clinical studies. Study Procedures Understand and agree to comply with planned study procedures Agree to the collection of nasopharyngeal swabs and venous blood Informed Consent The participant or legally authorized representative gives signed informed consent as described in Section 14.1.3 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Exclusion Criteria: Medical Conditions Have SpO2 ≤ 93% on room air, respiratory rate ≥30 per minute, resting heart rate ≥125 per minute. Require mechanical ventilation or anticipated impending need for mechanical ventilation Have known allergies to any of the components used in the formulation of the interventions. Have hemodynamic instability requiring use of pressors within 24 hours of randomization. Suspected or proven serious, active bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking intervention. Have any co-morbidity requiring surgery or that is considered life- threatening within 29 days prior to dosing. Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study. Other Exclusions Have a history of a positive SARS-CoV-2 test prior to the one serving as eligibility for this study. Have received an investigational intervention for SARS-CoV-2 prophylaxis within 30 days before dosing. Have received treatment with a SARS-CoV-2 specific monoclonal antibody. Have participated, within the last 30 days, in a clinical study involving an investigational intervention. If the previous investigational intervention has a long half-life, 5 half-lives or 30 days, whichever is longer, should have passed. Are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study. Are pregnant or breast feeding. Are investigator site personnel directly affiliated with this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sebastien Labbe, PhD
Organizational Affiliation
Immune Biosolutions
Official's Role
Study Director
Facility Information:
Facility Name
Santa Casa de Misercórdia de Passos
City
Passos
State/Province
Minas Gerais
ZIP/Postal Code
37900-512
Country
Brazil
Facility Name
Instituto Brasil de Pesquisa Clinica
City
Gloria
State/Province
Rio De Janeiro
ZIP/Postal Code
20.241-180
Country
Brazil
Facility Name
Clinica Supera Oncologia
City
Chapecó
State/Province
Santa Catarina
ZIP/Postal Code
89801-355
Country
Brazil
Facility Name
Instituto Brasileiro de Controle do Câncer / Sao Camilo Oncologia
City
Pompeia
State/Province
Sao Paulo
ZIP/Postal Code
05012-020
Country
Brazil
Facility Name
Pesquisare Saúde
City
Santo André
State/Province
Sao Paulo
ZIP/Postal Code
09080-000
Country
Brazil
Facility Name
FARMOVS
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9301
Country
South Africa
Facility Name
Newton Clinical Trial Centre
City
Newtown
State/Province
Gauteng
ZIP/Postal Code
2001
Country
South Africa
Facility Name
Jongaie Research
City
Pretoria West
State/Province
Gauteng
ZIP/Postal Code
0183
Country
South Africa
Facility Name
Johese Clinical Research ZAH
City
Pretoria
State/Province
Gauteng
ZIP/Postal Code
0002
Country
South Africa
Facility Name
Durban International Clinical Research, Enhancing Care Foundation
City
Durban
State/Province
Kwazulu-Natal
ZIP/Postal Code
4052
Country
South Africa
Facility Name
Clinical Research Institute of South Africa - CRISA
City
Stanger
State/Province
Kwazulu-Natal
ZIP/Postal Code
4449
Country
South Africa

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1/2 Study to Evaluate the Efficacy and Safety of Inhaled IBIO123 in Participants With Mild to Moderate COVID-19 Illness

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