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Evaluate the Efficacy and Safety of FB2001 in Hospitalized Patients With Moderate to Severe COVID-19 (BRIGHT Study)

Primary Purpose

COVID-19

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
FB2001
FB2001 placebo
Sponsored by
Frontier Biotechnologies Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Eligibility Criteria

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

Inclusion Criteria:

  1. ≥18 years old, male or female.
  2. Subjects hospitalized with moderate to severe COVID-19 with a category 4 or 5 on an 8-category ordinal scale.
  3. Has laboratory-confirmed COVID-19 infection within 5 days prior to randomization.
  4. Initial COVID-19 symptom onset within 5 days prior to randomization and ≥1 sign/symptom attributable to COVID-19 within 24 hours before randomization.
  5. Has at least 1 characteristic or underlying medical condition associated with an increased risk of severe illness from COVID-19, and that was well controlled prior to SARS-CoV-2 infection and does not affect daily life.
  6. Subject who did not receive COVID 19 (primary series or booster) vaccine within the 6 months prior to screening.
  7. The subject is willing to provide written informed consent to participate in the study after reading the informed consent form and the information provided and has had the opportunity to discuss the study with the Investigator or designee.
  8. The subject is able to communicate satisfactorily with the Investigator and to participate in, and comply with, the requirements of the study.
  9. The subject is able to understand the nature of the study and any potential hazards associated with participating in it.
  10. Negative pregnancy test for female subjects of childbearing potential. Women of childbearing potential (WOCBP) and Women of non-childbearing potential are eligible to participate. Both women of childbearing potential and women of non-childbearing potential must use an approved method of birth control and agrees to continue to use this method for the duration of the study and for 30 days after taking the last dose of FB2001.

Exclusion Criteria:

  1. Pregnant or breastfeeding, or intending to become pregnant during the study or within 30 days after the final dose or who are not willing to use a highly effective method of contraception.
  2. Known human immunodeficiency virus (HIV) infection with a viral load greater than 400 copies/mL or CD4 count less than 200 cell/µL.
  3. Subject with moderate to severe hepatic impairment or acute liver failure.
  4. Known severe kidney disease.
  5. Participated in other intervention studies within 6 months.
  6. Has any condition for which, in the opinion of the Investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments including but not limited to participants who are not expected to survive longer than 48 hours after randomization, or participants who are expected to require mechanical ventilation within 48 hours after randomization, or participants with a recent history of mechanical ventilation.
  7. Subjects receiving any medications or substances that are strong inhibitors or inducers of CYP3A within 14 days of randomization.
  8. Received, ongoing or planed treatment with other anti-SARS CoV 2 therapeutics (including but not limited to known anti-SARS CoV 2 antibodies, small molecule antivirals, etc., other than remdesivir).
  9. Other conditions that may increase the risk of study participation or, in the Investigator's judgment, make the participant inappropriate for the study.
  10. Have known hypersensitivity to FB2001 or its excipients.
  11. Any planned vaccine within 28 days following the last administration of FB2001 for Injection.

Sites / Locations

  • Huashan Hospital Fudan UniversityRecruiting
  • Beijing Ditan Hospital Capital Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

FB2001 group

Placebo group

Arm Description

FB2001 will be administered by IV infusion twice daily (BID) for up to 5 days, plus SOC.

Placebo will be administered by IV infusion twice daily (BID) for up to 5 days, plus SOC.

Outcomes

Primary Outcome Measures

Time to sustained recovery (in days) from randomization up to Day 29.
Day of sustained recovery is defined as the first day on which a subject is discharged from hospital, or hospitalized for infection-control or other non-medical reasons through Day 29

Secondary Outcome Measures

Proportion of participants with mechanical ventilation or all-cause-death
Proportion of participants with mechanical ventilation or all-cause-death in FB2001 group and placebo group
Proportion of participants with sustained recovery on Day 6
no specific description
Clinical status category as assessed by an 8-category ordinal scale daily while hospitalized and on Days, 15 and 29.
no specific description
Duration of each targeted COVID-19 sign/symptom until discharge
Duration of each targeted COVID-19 sign/symptom until discharge
Severity of each targeted COVID-19 sign/symptom until discharge
no specific description
Days of supplemental oxygen (if applicable)
no specific description
Duration of non-invasive ventilation/high-flow oxygen (if applicable)
no specific description
Days of invasive mechanical ventilation/ECMO (if applicable)
no specific description
Time to achieve SARS-CoV-2 virologic clearance
no specific description
Proportion of participants achieving SARS-CoV-2 virologic clearance on Day 3, 5, 8, 15 and 29
no specific description
Viral load change (log10) from baseline on Day 3, 5, 8 and 15.
no specific description
Population pharmacokinetic (PK) parameters to be measured/analyzed, including AUC, Cmax and Ctrough
no specific descriptionsa

Full Information

First Posted
June 27, 2022
Last Updated
January 3, 2023
Sponsor
Frontier Biotechnologies Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05445934
Brief Title
Evaluate the Efficacy and Safety of FB2001 in Hospitalized Patients With Moderate to Severe COVID-19 (BRIGHT Study)
Official Title
A Phase II/III, Double-Blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of FB2001 in Hospitalized Patients With Moderate to Severe COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 14, 2022 (Actual)
Primary Completion Date
November 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Frontier Biotechnologies Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is a double-blind, randomized, placebo-controlled study to evaluate the efficacy and safety of FB2001 in hospitalized patients with moderate to severe Coronavirus Disease 2019 (COVID-19). A total of about 1188 subjects are planned to be enrolled. The subjects will be randomized in a 1:1 ratio to FB2001 group or placebo group while both receiving standard of care treatment.
Detailed Description
Coronavirus Disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. The infectious agent that causes COVID 19 is a novel coronavirus, named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first identified during a recent outbreak in December 2019. Patients with COVID-19 have symptoms of fever, cough, and shortness of breath along with non-specific symptoms including myalgia and fatigue. FB2001 is a small-molecule inhibitor of coronavirus 3CL protease (3CLpro). In two phase I clinical trials, we completed doses of FB2001 that were safe, and were projected to be effective in patients according to its pharmacokinetic profile. This study is a double-blind, randomized, placebo-controlled study to evaluate the efficacy and safety of FB2001 in hospitalized patients with moderate to severe Coronavirus Disease 2019 (COVID 19). A total of about 1188 subjects are planned to be enrolled. The subjects will be randomized in a 1:1 ratio to FB2001 group or placebo group while both receiving standard of care treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1188 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
FB2001 group
Arm Type
Experimental
Arm Description
FB2001 will be administered by IV infusion twice daily (BID) for up to 5 days, plus SOC.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Placebo will be administered by IV infusion twice daily (BID) for up to 5 days, plus SOC.
Intervention Type
Drug
Intervention Name(s)
FB2001
Other Intervention Name(s)
DC402234
Intervention Description
FB2001 for injection will be reconstituted with 100 mL of normal saline prior to intravenous infusion. FB2001 will be administered by IV infusion over approximately 60 minutes.
Intervention Type
Drug
Intervention Name(s)
FB2001 placebo
Intervention Description
Placebo will be reconstituted with 100 mL of normal saline prior to intravenous infusion. Placebo will be administered by IV infusion over approximately 60 minutes.
Primary Outcome Measure Information:
Title
Time to sustained recovery (in days) from randomization up to Day 29.
Description
Day of sustained recovery is defined as the first day on which a subject is discharged from hospital, or hospitalized for infection-control or other non-medical reasons through Day 29
Time Frame
Up to Day 29
Secondary Outcome Measure Information:
Title
Proportion of participants with mechanical ventilation or all-cause-death
Description
Proportion of participants with mechanical ventilation or all-cause-death in FB2001 group and placebo group
Time Frame
Through Day 29 and Day 60
Title
Proportion of participants with sustained recovery on Day 6
Description
no specific description
Time Frame
On Day 6
Title
Clinical status category as assessed by an 8-category ordinal scale daily while hospitalized and on Days, 15 and 29.
Description
no specific description
Time Frame
On Days 15 and 29
Title
Duration of each targeted COVID-19 sign/symptom until discharge
Description
Duration of each targeted COVID-19 sign/symptom until discharge
Time Frame
Up to Day 29
Title
Severity of each targeted COVID-19 sign/symptom until discharge
Description
no specific description
Time Frame
Up to Day 29
Title
Days of supplemental oxygen (if applicable)
Description
no specific description
Time Frame
Up to Day 29
Title
Duration of non-invasive ventilation/high-flow oxygen (if applicable)
Description
no specific description
Time Frame
Up to Day 29
Title
Days of invasive mechanical ventilation/ECMO (if applicable)
Description
no specific description
Time Frame
Up to Day 29
Title
Time to achieve SARS-CoV-2 virologic clearance
Description
no specific description
Time Frame
Up to Day 29
Title
Proportion of participants achieving SARS-CoV-2 virologic clearance on Day 3, 5, 8, 15 and 29
Description
no specific description
Time Frame
On Day 3, 5, 8, 15 and 29
Title
Viral load change (log10) from baseline on Day 3, 5, 8 and 15.
Description
no specific description
Time Frame
On Day 3, 5, 8 and 15
Title
Population pharmacokinetic (PK) parameters to be measured/analyzed, including AUC, Cmax and Ctrough
Description
no specific descriptionsa
Time Frame
Day0-Day 5
Other Pre-specified Outcome Measures:
Title
Incidence and severity of Treatment-Emergent Adverse Events (TEAEs)
Description
safety evaluation
Time Frame
Up to Day 60
Title
Incidence of withdrawals due to Adverse Events (AEs)
Description
safety evaluation
Time Frame
Up to Day 60
Title
Incidence of Treatment-Related Adverse Events (TRAEs)
Description
safety evaluation
Time Frame
Up to Day 60
Title
Incidence of Serious Adverse Events (SAEs)
Description
safety evaluation
Time Frame
Up to Day 60
Title
Change/shifts in laboratory values from baseline
Description
safety evaluation
Time Frame
Up to Day 29
Title
Change in vital signs including blood pressure, heart rate, respiratory rate, and temperature from baseline
Description
safety evaluation
Time Frame
Up to Day 29
Title
Change in abnormal Electrocardiogram (ECG) parameters from baseline
Description
safety evaluation
Time Frame
Up to Day 29
Title
Changes in abnormal physical examination findings from baseline
Description
safety evaluation
Time Frame
Up to Day 29
Title
Change in oxygen saturation (SpO2) from baseline
Description
safety evaluation
Time Frame
Up to Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥18 years old, male or female. Subjects hospitalized with moderate to severe COVID-19 with a category 4 or 5 on an 8-category ordinal scale. Has laboratory-confirmed COVID-19 infection within 5 days prior to randomization. Initial COVID-19 symptom onset within 5 days prior to randomization and ≥1 sign/symptom attributable to COVID-19 within 24 hours before randomization. The underlying medical condition was well controlled prior to SARS CoV 2 infection and does not affect daily life. Subject who did not receive COVID 19 (primary series or booster) vaccine within the 6 months prior to screening. The subject is willing to provide written informed consent to participate in the study after reading the informed consent form and the information provided and has had the opportunity to discuss the study with the Investigator or designee. The subject is able to communicate satisfactorily with the Investigator and to participate in, and comply with, the requirements of the study. The subject is able to understand the nature of the study and any potential hazards associated with participating in it. Negative pregnancy test for female subjects of childbearing potential and female subjects less than 2 years of postmenopause. Women of childbearing potential (WOCBP) and Women of non-childbearing potential are eligible to participate. Both women of childbearing potential and women of non-childbearing potential must use an approved method of birth control and agrees to continue to use this method for the duration of the study and for 30 days after taking the last dose of FB2001. Exclusion Criteria: Pregnant or breastfeeding, or intending to become pregnant during the study or within 30 days after the final dose or who are not willing to use a highly effective method of contraception. HIV-infected subjects with viral load greater than 400 copies/mL or CD4 count less than 200 cell/µL from known medical history within past 6 months of the Screening Visit. Subject with moderate to severe hepatic impairment or acute liver failure. Known severe kidney disease. Participated in other intervention studies within 6 months. Has any condition for which, in the opinion of the Investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments including but not limited to participants who are not expected to survive longer than 48 hours after randomization, or participants who are expected to require mechanical ventilation within 48 hours after randomization, or participants with a recent history of mechanical ventilation. Subjects receiving any medications or substances that are strong inhibitors or inducers of CYP3A within 14 days of randomization. Received, ongoing or planed treatment with other anti-SARS CoV 2 therapeutics (including but not limited to known anti-SARS CoV 2 antibodies, small molecule antivirals, etc., other than remdesivir). Other conditions that may increase the risk of study participation or, in the Investigator's judgment, make the participant inappropriate for the study. Have known hypersensitivity to FB2001 or its excipients. Any planned vaccine within 28 days following the last administration of FB2001 for Injection.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chengchen Sun
Phone
+86 02569760330
Email
ccsun@frontierbiotech.com
First Name & Middle Initial & Last Name or Official Title & Degree
Cheng Yao
Email
yaocheng@frontierbiotech.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cheng Yao
Organizational Affiliation
Frontier Biotechnologies Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Huashan Hospital Fudan University
City
Shanghai
State/Province
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yunao Zhou
First Name & Middle Initial & Last Name & Degree
Wenhong Zhang
Facility Name
Beijing Ditan Hospital Capital Medical University
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cuiyun Wu
First Name & Middle Initial & Last Name & Degree
Ronghua Jin

12. IPD Sharing Statement

Citations:
PubMed Identifier
36354082
Citation
Shang W, Dai W, Yao C, Xu L, Tao X, Su H, Li J, Xie X, Xu Y, Hu M, Xie D, Jiang H, Zhang L, Liu H. In vitro and in vivo evaluation of the main protease inhibitor FB2001 against SARS-CoV-2. Antiviral Res. 2022 Dec;208:105450. doi: 10.1016/j.antiviral.2022.105450. Epub 2022 Oct 29.
Results Reference
derived

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Evaluate the Efficacy and Safety of FB2001 in Hospitalized Patients With Moderate to Severe COVID-19 (BRIGHT Study)

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