Clinical Trial of Efficacy and Safety of Oral Drug in Adult Patients With COVID-19 (WP1122)
Primary Purpose
COVID-19, Mechanical Ventilation Complication, COVID-19 Acute Respiratory Distress Syndrome
Status
Not yet recruiting
Phase
Phase 1
Locations
Brazil
Study Type
Interventional
Intervention
WP1122
Sponsored by
About this trial
This is an interventional treatment trial for COVID-19
Eligibility Criteria
Inclusion Criteria:
- At least 18 years of age at Screening;
- Confirmed SARS-CoV-2 viral infection by polymerase chain reaction (PCR) within 48 hours prior to first administration;
- Hospitalized patients who are symptomatic (Phase 1) and require respiratory support (Phase 2);
- Off antiviral medications for at least 7 days prior to first dose of study drug. (Antiviral agents directed for another ongoing non-SARS-COV-2 infection such as Valtrex (valacyclovir hydrochloride) for herpes simplex virus lesions are allowed;
- Written informed consent from the patient or legally authorized representative (LAR), if the patient is not able to provide informed consent due to severity of illness;
- Women of childbearing potential (WCBP) must have a negative serum pregnancy test at Screening;
- WCBP must agree to abstain from sex or use an adequate method of contraception* from the time of informed consent through the final in-person evaluations at Day 38 (± 3 days);
- Males must abstain from sex with WCBP or use an adequate method of contraception* from the time of informed consent through the final in-person evaluations at Day 38 (± 3 days).
Exclusion Criteria:
- On extracorporeal membrane oxygenation (ECMO);
- SpO2/FiO2<100 while on respiratory support
- Use of high dose of >1.0 mcg/kg/min of norepinephrine or need for rescue therapy with vasopressin;
- Bacterial or fungal infection, except for mild cutaneous infection or sinus infection. Asymptomatic bacteriuria or airway colonization of bacteria is not an exclusion criteria;
- Pregnant or lactating;
- Alanine aminotransferase (ALT), Aspartate aminotransaminase (AST) ≥5 times the upper limited of normal (ULN), bilirubin >2 times the ULN (unless previously diagnosed with Gilbert's Syndrome), or International Normalised Ratio (INR) outside of normal limits (unless prolonged due to taking anticoagulants) at Screening
- Estimated glomerular filtration rate (eGFR) <30 mL/min;
- Any condition which, in the opinion of the Investigator, places the patient at unacceptable risk if they were to participate in the study;
- Clinically relevant serious co-morbid medical conditions including, but not limited to, unstable angina, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled cardiac arrhythmias, severe hepatic impairment, active central nervous system (CNS) disease uncontrolled by standard of care, known positive status for human immunodeficiency virus (HIV), active hepatitis B or C, cirrhosis, or psychiatric illness/social situations that would limit compliance with study requirements;
- Treatment with any immunosuppressive therapy other than corticosteroids within 30 days prior to Screening;
- Treatment with another investigational drug within 30 days or 5 half-lives of drug prior to Screening, whichever is longer;
- Prior treatment with the study drug (WP1122);
- Known hypersensitivity to the inactive ingredients of the study drug (WP1122) or placebo.
- Participation in another clinical study in less than 1 year (unless justified participation by the principal investigator)
Sites / Locations
- University of Campinas
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
WP1122
placebo
Arm Description
Experimental drug with Concentration 100mg/mL - administered q12h PO for 10 days
Placebo Administered q12h PO for 10 days
Outcomes
Primary Outcome Measures
Difference in the Area Under the Curve (AUC) of Interleukin-6 (IL-6) concentrations
Co-primary efficacy endpoints will be utilized in a sequential analysis manner. The first primary efficacy endpoint will be the difference in the AUC of IL-6 concentrations from Baseline (Day 0) through Day 10. For patients who do not have IL-6 values out to Day 10, a last observation carried forward technique will be utilized
Secondary Outcome Measures
COVID-19 negativity
The time to COVID-19 negativity in patients receiving WP1122 or placebo
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05365321
Brief Title
Clinical Trial of Efficacy and Safety of Oral Drug in Adult Patients With COVID-19
Acronym
WP1122
Official Title
A Phase 1/2, Dose Escalation, and Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of Oral WP1122 in Adult Patients With Advanced Coronavirus Disease 2019 (COVID-19)
Study Type
Interventional
2. Study Status
Record Verification Date
May 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
December 2022 (Anticipated)
Primary Completion Date
February 2023 (Anticipated)
Study Completion Date
October 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Andrei Carvalho Sposito
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase 1, multi-center, dose escalation study that is followed by a Phase 2 randomized, double-blind, placebo-controlled study of the safety and efficacy of WP1122 administered q12h ±1 hr PO in adult patients with COVID-19 who require hospitalization with respiratory support.
The Phase 1 component will enroll COVID-19 positive patients who are symptomatic and the Phase 2 component will enroll adults with COVID-19 who require hospitalization for respiratory support and those patients requiring intubation with mechanical ventilation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Mechanical Ventilation Complication, COVID-19 Acute Respiratory Distress Syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
75 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
WP1122
Arm Type
Experimental
Arm Description
Experimental drug with Concentration 100mg/mL - administered q12h PO for 10 days
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
Placebo Administered q12h PO for 10 days
Intervention Type
Drug
Intervention Name(s)
WP1122
Intervention Description
Doses from 8 mg/kg will be increased in doubling increments up to 64 mg/kg in the dose escalation Phase 1 portion of the study, administered orally (PO) for 10 days q12h ±1h. The dose in Phase 2 will utilize the Maximum Tolerated Dose (MTD) established in Phase 1 and also administered PO q12h ± 1h for 10 days.
Primary Outcome Measure Information:
Title
Difference in the Area Under the Curve (AUC) of Interleukin-6 (IL-6) concentrations
Description
Co-primary efficacy endpoints will be utilized in a sequential analysis manner. The first primary efficacy endpoint will be the difference in the AUC of IL-6 concentrations from Baseline (Day 0) through Day 10. For patients who do not have IL-6 values out to Day 10, a last observation carried forward technique will be utilized
Time Frame
through the last day of observation (day 10)
Secondary Outcome Measure Information:
Title
COVID-19 negativity
Description
The time to COVID-19 negativity in patients receiving WP1122 or placebo
Time Frame
through the last day of observation (day 10)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
At least 18 years of age at Screening;
Confirmed SARS-CoV-2 viral infection by polymerase chain reaction (PCR) within 48 hours prior to first administration;
Hospitalized patients who are symptomatic (Phase 1) and require respiratory support (Phase 2);
Off antiviral medications for at least 7 days prior to first dose of study drug. (Antiviral agents directed for another ongoing non-SARS-COV-2 infection such as Valtrex (valacyclovir hydrochloride) for herpes simplex virus lesions are allowed;
Written informed consent from the patient or legally authorized representative (LAR), if the patient is not able to provide informed consent due to severity of illness;
Women of childbearing potential (WCBP) must have a negative serum pregnancy test at Screening;
WCBP must agree to abstain from sex or use an adequate method of contraception* from the time of informed consent through the final in-person evaluations at Day 38 (± 3 days);
Males must abstain from sex with WCBP or use an adequate method of contraception* from the time of informed consent through the final in-person evaluations at Day 38 (± 3 days).
Exclusion Criteria:
On extracorporeal membrane oxygenation (ECMO);
SpO2/FiO2<100 while on respiratory support
Use of high dose of >1.0 mcg/kg/min of norepinephrine or need for rescue therapy with vasopressin;
Bacterial or fungal infection, except for mild cutaneous infection or sinus infection. Asymptomatic bacteriuria or airway colonization of bacteria is not an exclusion criteria;
Pregnant or lactating;
Alanine aminotransferase (ALT), Aspartate aminotransaminase (AST) ≥5 times the upper limited of normal (ULN), bilirubin >2 times the ULN (unless previously diagnosed with Gilbert's Syndrome), or International Normalised Ratio (INR) outside of normal limits (unless prolonged due to taking anticoagulants) at Screening
Estimated glomerular filtration rate (eGFR) <30 mL/min;
Any condition which, in the opinion of the Investigator, places the patient at unacceptable risk if they were to participate in the study;
Clinically relevant serious co-morbid medical conditions including, but not limited to, unstable angina, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled cardiac arrhythmias, severe hepatic impairment, active central nervous system (CNS) disease uncontrolled by standard of care, known positive status for human immunodeficiency virus (HIV), active hepatitis B or C, cirrhosis, or psychiatric illness/social situations that would limit compliance with study requirements;
Treatment with any immunosuppressive therapy other than corticosteroids within 30 days prior to Screening;
Treatment with another investigational drug within 30 days or 5 half-lives of drug prior to Screening, whichever is longer;
Prior treatment with the study drug (WP1122);
Known hypersensitivity to the inactive ingredients of the study drug (WP1122) or placebo.
Participation in another clinical study in less than 1 year (unless justified participation by the principal investigator)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Andrei Sposito, PhD
Phone
+55 (19) 3521-9580
Email
andreisposito@gmail.com
Facility Information:
Facility Name
University of Campinas
City
Campinas
State/Province
SP
ZIP/Postal Code
13083-887
Country
Brazil
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The results of this study will be published under the direction of the Principal Investigator. Results will not be published without prior review by Moleculin Biotech, Inc. To avoid disclosures that could jeopardize proprietary rights, the Investigational Site and the Investigator agree to certain restrictions on publications (e.g., abstracts, speeches, posters, manuscripts, and electronic communications), as detailed in the clinical trial agreement.
The publication or presentation of any study results shall comply with all applicable privacy laws, including, but not limited to, HIPAA (Health Insurance Portability and Accountability Act) or equivalent.
Learn more about this trial
Clinical Trial of Efficacy and Safety of Oral Drug in Adult Patients With COVID-19
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