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A Phase 3 Randomized Double Blind Efficacy and Safety Study of Oral Polio Vaccine and NA-831 for Covid-19 (OPV-NA831)

Primary Purpose

Covid19, SARS (Severe Acute Respiratory Syndrome), SARS-CoV Infection

Status
Unknown status
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Biological: oral polio vaccine
Comparable Placebo
NA-831
Comparable Placebo of drug
Combination of oral polio vaccine and NA-831
Comparable Placebo of Oral Polio Vaccine and Placebo of drug
Sponsored by
NeuroActiva, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Covid19

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Participants who are at high risk of SARS-CoV-2 infection, defined as adults whose locations or circumstances put them at appreciable risk of exposure to SARS-CoV-2 and COVID-19.
  • Understands and agrees to comply with the study procedures and provides written informed consent.
  • Able to comply with study procedures based on the assessment of the Investigator.
  • Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (defined as amenorrhea for ≥12 consecutive months prior to Screening without an alternative medical cause). A follicle-stimulating hormone (FSH) level may be measured at the discretion of the Investigator to confirm postmenopausal status.
  • Female participants of childbearing potential may be enrolled in the study if the participant fulfills all the following criteria:

    • Has a negative pregnancy test at Screening and on the day of the first dose (Day 1).
    • Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose (Day 1).
    • Has agreed to continue adequate contraception through 3 months following the second dose on Day 29.
    • Is not currently breastfeeding.
  • Male participants engaging in activity that could result in pregnancy of sexual partners must agree to practice adequate contraception and refrain from sperm donation from the time of the first dose and through 3 months after the second dose.
  • Healthy adults or adults with pre-existing medical conditions who are in stable condition. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 3 months before enrollment.

Exclusion Criteria:

  • Is acutely ill or febrile 72 hours prior to or at Screening. Fever is defined as a body temperature ≥38.0°C/100.4°F. Participants meeting this criterion may be rescheduled within the relevant window periods. Afebrile participants with minor illnesses can be enrolled at the discretion of the Investigator.
  • Is pregnant or breastfeeding.
  • Known history of SARS-CoV-2 infection.
  • Prior administration of an investigational coronavirus (SARS-CoV, Middle East Respiratory Syndrome [MERS]-CoV) vaccine or current/planned simultaneous participation in another interventional study to prevent or treat COVID-19.
  • Demonstrated inability to comply with the study procedures.
  • An immediate family member or household member of this study's personnel.
  • History of anaphylaxis, urticaria, or other significant adverse reaction requiring medical intervention after receipt of a vaccine.
  • Bleeding disorder considered a contraindication to intramuscular injection or phlebotomy.
  • Has received or plans to receive a vaccine within 28 days prior to the first dose (Day 1) or plans to receive a non-study vaccine within 28 days prior to or after any dose of investigational product (except for seasonal influenza vaccine).
  • Has participated in an interventional clinical study within 28 days prior to the day of enrollment.
  • Immunosuppressive or immunodeficient state, including human immunodeficiency virus (HIV) infection, asplenia, and recurrent severe infections.
  • Has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 6 months prior to Screening (for corticosteroids ≥20 milligram (mg)/day of prednisone equivalent). Topical tacrolimus is allowed if not used within 14 days prior to Screening.
  • Has received systemic immunoglobulins or blood products within 3 months prior to the day of Screening.
  • Has donated ≥450 milliliters (mL) of blood products within 28 days prior to Screening.

Sites / Locations

  • Coronavirus Research Institute- Testing Site
  • Coronavirus Research Institute
  • Coronavirus Research Institute-Testing Site
  • Coronavirus Research Testing Site
  • Coronavirus Research Institute-Testing Site
  • Coronavirus Research Institute
  • Coronavirus Research Institute-Testing Site
  • Coronavirus Research Institute-Testing Site-
  • NeuroActiva-Clinical Research Unit
  • NeuroActiva Testing Facility of NeuroActiva (New Zealand) Ltd

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Standard dose bivalent oral polio vaccine

Comparable Placebo- 0.10 mg/kg

Standard dose of NA-831

Comparable Placebo- 30mg

Standard dose of bivalent OPV and NA-831

Comparable Placebo

Arm Description

Biological: oral polio vaccine Bivalent OPV (GSK), 0.1 ml administered orally on a sugar lump

Saline administered orally on a sugar lump

Drug: neuroprotection NA-831 30 mg of NA-831in a capsule administered orally

30 mg of placebo in a capsule administered orally

Biological: oral polio vaccine Bivalent OPV (GSK), 0.1 ml administered orally on a sugar lump Plus 30 mg of neuroprotection drug NA-831 in a capsule administered orally

Placebo of a vaccine administered orally on a sugar lump Plus 30 mg of a placebo in a capsule administered orally

Outcomes

Primary Outcome Measures

Number of Participants with a First Occurrence of COVID-19 Starting 14 Days after Second Dose of OPV with or without NA-831
Number of participants infected with Covid-19 after second dose
Number of Participants with Adverse Events (AEs) or Medically Attended AEs (MAAEs) Leading to Withdrawal
Number of participants with adverse events

Secondary Outcome Measures

Number of Participants with a First Occurrence of Severe COVID-19 Starting 14 Days after Second Dose of OPV with or without NA-831
Clinical signs indicative of severe COVID-19 as predefined for the study.
Number of Participants with a First Occurrence of COVID-19 Starting 14 days after Second Dose of OPV with or without NA-831 or Placebo regardless of evidence of prior SARS-CoV-2 Infection
Clinical signs indicative of COVID-19 and SARS-CoV-2 infection as predefined for the study.

Full Information

First Posted
September 4, 2020
Last Updated
September 5, 2020
Sponsor
NeuroActiva, Inc.
Collaborators
Biomed Industries, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04540185
Brief Title
A Phase 3 Randomized Double Blind Efficacy and Safety Study of Oral Polio Vaccine and NA-831 for Covid-19
Acronym
OPV-NA831
Official Title
A Phase 3, Randomized, Double Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Oral Polio Vaccine and NA-831 for Prophylaxis and Treatment of Early Onset of Covid-19
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Unknown status
Study Start Date
November 1, 2020 (Anticipated)
Primary Completion Date
November 1, 2022 (Anticipated)
Study Completion Date
December 31, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NeuroActiva, Inc.
Collaborators
Biomed Industries, 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
In this randomized double blind Phase 3 clinical trial we will study the efficacy and safety of oral polio vaccine with and without NA-831 versus placebo.
Detailed Description
Early clinical studies showed that besides protecting against poliomyelitis, oral polio vaccine (OPV) reduced the number of other viruses that could be isolated from immunized children, compared with placebo recipients. Both poliovirus and coronavirus are positive-strand RNA viruses; therefore, it is likely that they may induce and be affected by common innate immunity mechanisms. Recent reports indicate that COVID-19 may result in suppressed innate immune responses. Stimulation by live attenuated oral polio vaccines could increase resistance to infection by the causal virus, severe acute respiratory syndrome-SARS-CoV-2. It has been discovered that SARS-CoV-2 viruses (Covid-19) can directly invade the nervous system of patients, instead of injuring the nervous system through the immune response. Increasing evidence suggests that infection with SARS-CoV-2 causes neurological deficits in a substantial proportion of affected patients. It was observed that patients surviving COVID-19 are at high risk for subsequent development of neurological disease and in particular Alzheimer's disease. NA-831 is a new neuroprotective and neurogenesis drug that has been demonstrated its promising safety and efficacy in Phase 2A for the treatment of early onset ofAlzheimer's disease. NA-831 in oral formulation is well tolerated NA-831 with no adverse effects. The Phase 3 clinical trial will evaluate the safety and efficacy of OPV with and without NA-831 versus placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, SARS (Severe Acute Respiratory Syndrome), SARS-CoV Infection, SARS-CoV-2

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Parallel assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
3600 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Standard dose bivalent oral polio vaccine
Arm Type
Experimental
Arm Description
Biological: oral polio vaccine Bivalent OPV (GSK), 0.1 ml administered orally on a sugar lump
Arm Title
Comparable Placebo- 0.10 mg/kg
Arm Type
Placebo Comparator
Arm Description
Saline administered orally on a sugar lump
Arm Title
Standard dose of NA-831
Arm Type
Experimental
Arm Description
Drug: neuroprotection NA-831 30 mg of NA-831in a capsule administered orally
Arm Title
Comparable Placebo- 30mg
Arm Type
Placebo Comparator
Arm Description
30 mg of placebo in a capsule administered orally
Arm Title
Standard dose of bivalent OPV and NA-831
Arm Type
Experimental
Arm Description
Biological: oral polio vaccine Bivalent OPV (GSK), 0.1 ml administered orally on a sugar lump Plus 30 mg of neuroprotection drug NA-831 in a capsule administered orally
Arm Title
Comparable Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo of a vaccine administered orally on a sugar lump Plus 30 mg of a placebo in a capsule administered orally
Intervention Type
Biological
Intervention Name(s)
Biological: oral polio vaccine
Other Intervention Name(s)
Oral Polio Vaccine (OPV)
Intervention Description
Bivalent OPV (GSK), 0.1 ml administered orally on a sugar lump
Intervention Type
Biological
Intervention Name(s)
Comparable Placebo
Other Intervention Name(s)
Placebo comparator
Intervention Description
Placebo of a vaccine 0.1 ml administered orally on a sugar lump
Intervention Type
Drug
Intervention Name(s)
NA-831
Other Intervention Name(s)
NA-81 is a neuroprotective drug
Intervention Description
Drug: NA-831 30 mg of NA-831 in a capsule administered orally
Intervention Type
Drug
Intervention Name(s)
Comparable Placebo of drug
Other Intervention Name(s)
Placebo comparator
Intervention Description
Placebo 30 mg in a capsule administered orally
Intervention Type
Combination Product
Intervention Name(s)
Combination of oral polio vaccine and NA-831
Other Intervention Name(s)
OPV and Drug combination
Intervention Description
Combination of biological: Bivalent OPV (GSK), 0.1 ml administered orally on a sugar lump and drug NA-831 30 mg in a capsule administered orally
Intervention Type
Combination Product
Intervention Name(s)
Comparable Placebo of Oral Polio Vaccine and Placebo of drug
Other Intervention Name(s)
Placebo Comparator
Intervention Description
Combination of biological placebo 0.1 ml administered orally on a sugar lump and drug placebo 30 mg in a capsule administered orally
Primary Outcome Measure Information:
Title
Number of Participants with a First Occurrence of COVID-19 Starting 14 Days after Second Dose of OPV with or without NA-831
Description
Number of participants infected with Covid-19 after second dose
Time Frame
Time Frame: Day 29 (second dose) up to Day 365 (1 years after second dose)
Title
Number of Participants with Adverse Events (AEs) or Medically Attended AEs (MAAEs) Leading to Withdrawal
Description
Number of participants with adverse events
Time Frame
Time Frame: Up to Day 365 (1 years after second dose)
Secondary Outcome Measure Information:
Title
Number of Participants with a First Occurrence of Severe COVID-19 Starting 14 Days after Second Dose of OPV with or without NA-831
Description
Clinical signs indicative of severe COVID-19 as predefined for the study.
Time Frame
Time Frame: Day 29 (second dose) up to Day 365 (1 years after second dose)
Title
Number of Participants with a First Occurrence of COVID-19 Starting 14 days after Second Dose of OPV with or without NA-831 or Placebo regardless of evidence of prior SARS-CoV-2 Infection
Description
Clinical signs indicative of COVID-19 and SARS-CoV-2 infection as predefined for the study.
Time Frame
Time Frame: Day 29 (second dose) up to Day 759 (2 years after second dose)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants who are at high risk of SARS-CoV-2 infection, defined as adults whose locations or circumstances put them at appreciable risk of exposure to SARS-CoV-2 and COVID-19. Understands and agrees to comply with the study procedures and provides written informed consent. Able to comply with study procedures based on the assessment of the Investigator. Female participants of non-childbearing potential may be enrolled in the study. Non-childbearing potential is defined as surgically sterile (history of bilateral tubal ligation, bilateral oophorectomy, hysterectomy) or postmenopausal (defined as amenorrhea for ≥12 consecutive months prior to Screening without an alternative medical cause). A follicle-stimulating hormone (FSH) level may be measured at the discretion of the Investigator to confirm postmenopausal status. Female participants of childbearing potential may be enrolled in the study if the participant fulfills all the following criteria: Has a negative pregnancy test at Screening and on the day of the first dose (Day 1). Has practiced adequate contraception or has abstained from all activities that could result in pregnancy for at least 28 days prior to the first dose (Day 1). Has agreed to continue adequate contraception through 3 months following the second dose on Day 29. Is not currently breastfeeding. Male participants engaging in activity that could result in pregnancy of sexual partners must agree to practice adequate contraception and refrain from sperm donation from the time of the first dose and through 3 months after the second dose. Healthy adults or adults with pre-existing medical conditions who are in stable condition. A stable medical condition is defined as disease not requiring significant change in therapy or hospitalization for worsening disease during the 3 months before enrollment. Exclusion Criteria: Is acutely ill or febrile 72 hours prior to or at Screening. Fever is defined as a body temperature ≥38.0°C/100.4°F. Participants meeting this criterion may be rescheduled within the relevant window periods. Afebrile participants with minor illnesses can be enrolled at the discretion of the Investigator. Is pregnant or breastfeeding. Known history of SARS-CoV-2 infection. Prior administration of an investigational coronavirus (SARS-CoV, Middle East Respiratory Syndrome [MERS]-CoV) vaccine or current/planned simultaneous participation in another interventional study to prevent or treat COVID-19. Demonstrated inability to comply with the study procedures. An immediate family member or household member of this study's personnel. History of anaphylaxis, urticaria, or other significant adverse reaction requiring medical intervention after receipt of a vaccine. Bleeding disorder considered a contraindication to intramuscular injection or phlebotomy. Has received or plans to receive a vaccine within 28 days prior to the first dose (Day 1) or plans to receive a non-study vaccine within 28 days prior to or after any dose of investigational product (except for seasonal influenza vaccine). Has participated in an interventional clinical study within 28 days prior to the day of enrollment. Immunosuppressive or immunodeficient state, including human immunodeficiency virus (HIV) infection, asplenia, and recurrent severe infections. Has received systemic immunosuppressants or immune-modifying drugs for >14 days in total within 6 months prior to Screening (for corticosteroids ≥20 milligram (mg)/day of prednisone equivalent). Topical tacrolimus is allowed if not used within 14 days prior to Screening. Has received systemic immunoglobulins or blood products within 3 months prior to the day of Screening. Has donated ≥450 milliliters (mL) of blood products within 28 days prior to Screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lloyd Tran, PhD
Organizational Affiliation
Coronavirus Research Institute
Official's Role
Study Director
Facility Information:
Facility Name
Coronavirus Research Institute- Testing Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
Coronavirus Research Institute
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Coronavirus Research Institute-Testing Site
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
Coronavirus Research Testing Site
City
San Francisco
State/Province
California
ZIP/Postal Code
94110
Country
United States
Facility Name
Coronavirus Research Institute-Testing Site
City
Sunnyvale
State/Province
California
ZIP/Postal Code
94086
Country
United States
Facility Name
Coronavirus Research Institute
City
Sunnyvale
State/Province
California
ZIP/Postal Code
94086
Country
United States
Facility Name
Coronavirus Research Institute-Testing Site
City
Naperville
State/Province
Illinois
ZIP/Postal Code
60540
Country
United States
Facility Name
Coronavirus Research Institute-Testing Site-
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
NeuroActiva-Clinical Research Unit
City
Auckland
ZIP/Postal Code
1010
Country
New Zealand
Facility Name
NeuroActiva Testing Facility of NeuroActiva (New Zealand) Ltd
City
Auckland
Country
New Zealand

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
We plan to share the Study Protocol and other information if needed
IPD Sharing Time Frame
90 days after completion of the study
IPD Sharing Access Criteria
To be verified and determined at a later date

Learn more about this trial

A Phase 3 Randomized Double Blind Efficacy and Safety Study of Oral Polio Vaccine and NA-831 for Covid-19

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