search
Back to results

A Phase III Confirmatory Study of K-237

Primary Purpose

Covid19

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
K-237 0.3-0.4mg/kg (once daily)
Placebo 0.3-0.4mg/kg (once daily)
Sponsored by
Kowa Company, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

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

Inclusion Criteria:

Persons who meet all of the following criteria will be eligible for this clinical trial.

  1. Males and females who are 12 years of age or older at the time of obtaining consent
  2. Those who are confirmed positive for SARS-CoV-2 by antigen test or RT-PCR test using specimens (nasopharynx, nasal cavity, oropharynx, or saliva) collected within 120 hours prior to obtaining consent.
  3. Patients who have fevers (37.5 degrees Celsius or higher) and/or at least one of the following symptoms of Score 2 or higher at a screening test: Myalgia, sore throat, diarrhea, nausea, vomiting, cough, and shortness of breath.
  4. Patients with a room air oxygen saturation (SpO2) of 96% or higher at the time of the screening test.

Exclusion Criteria:

  • Subjects who meet any one of the following criteria will be excluded from this study.

    1. Patients who have had symptoms caused by COVID-19 for more than 6 days on the day of initiation of study drug administration (Day 1) with the day of onset of symptoms as Day 0.
    2. Patients who need to receive concomitant therapy or administration of prohibited drugs during the study period
    3. Patients who have taken or received drugs that have or may have antiviral activity against SARS-CoV-2 within 2 weeks prior to the start of study drug administration.
    4. Patients currently using antiviral drugs
    5. Patients with suspected complications of infectious diseases other than COVID-19
    6. Subjects with a history of COVID-19 within 1 month prior to obtaining consent
    7. Persons whose weight at the time of the screening test falls into the following categories (The first decimal place of the weight shall be rounded off.) 1) Those who are 18 years of age or older at the time of consent and weigh less than 25 kg or more than 127 kg 2) Those who are between 12 and 18 years of age and weigh less than 40 kg or 127 kg or more at the time of obtaining consent.
    8. Patients undergoing dialysis treatment
    9. Patients wno have severe liver dysfunction (hepatic dysfunction, hepatic fibrosis, etc.)
    10. Patients with poorly controlled hypertension (systolic blood pressure (SBP) of 180 mmHg or higher or diastolic blood pressure (DBP) of 110 mmHg or higher)
    11. Patients with complications of diabetic retinopathy, diabetic nephropathy, or diabetic neuropathy
    12. Patients with heart failure of NYHA Class III or higher
    13. Patients with malignant tumors or those judged to have a high possibility of recurrence
    14. Patients requiring oxygen therapy
    15. A person who has a complication of methemoglobinemia or any other disease that may cause measurement error of the pulse oximeter
    16. Patients with a history of serious drug allergy (anaphylactic shock, etc.)
    17. Pregnant women, lactating women, or women who plan to become pregnant or lactate during the study period
    18. Subjects who have had more than 400 mL of whole blood drawn within 16 weeks or more than 200 mL within 4 weeks prior to obtaining consent, or component blood (plasma and platelet components) drawn within 2 weeks
    19. Patients who have been administered IVM.
    20. Those who have participated in other clinical trials and received medication at the time of obtaining consent, or those who have received an investigational drug other than placebo for less than 16 weeks
    21. Others who are judged by the investigator or others to be inappropriate to participate in the study.

Sites / Locations

  • Hosokawa Surgical Clinic
  • Nagoya City University West Medical Center
  • Nagoya City University East Medical Center
  • Naika Tonyobyonaika Maejima Iin
  • Nagoya City University Hospital
  • Tohno Chuo Clinic
  • Kamagaya General Hospital
  • Japan Community Health care Organization Funabashi Central Hospital
  • International University of Health and Welfare Narita Hospital
  • National Hospital Organization Fukuokahigashi Medical Center
  • Fukuoka Kinen Hospital
  • National Hospital Organization Takasaki General Medical Center
  • Hiroshima Prefectural Hospital
  • Japan Community Health care Organization Hokkaido Hospital
  • National Hospital Organization Kanazawa Medical Center
  • Sakaide City Hospital
  • Tenyoukai Central Hospital
  • Kawasaki Rinko General Hospital
  • Matsuba Clinic
  • Maekawa Medical Clinic
  • Tsuzuki Azuma Clinic Primary care and Rheumatology
  • Mutsukawa Clinic Primary care and Gastroenterology
  • Kitasato University Hospital
  • NHO Kumamoto Saishun Medical Center
  • Sakura Jyuji Hospital, Sakurajyuji Medical Corporation
  • Minami Nagano Clinic
  • Japan Organization of Occupational Health and Safety Nagasaki Rosai Hospital
  • Ikoma City Hospital
  • Nagaoka Chuo General Hospital
  • Okayama City General Medical Center Okayama City Hospital
  • Okayama University Hospital
  • Tazuke Kofukai Medical Research Institute, Kitano Hospital
  • Japan Community Health care Organization Osaka Minato Central Hospital
  • Rinku General Medical Center
  • Omi Medical Center
  • Kuramochi Clinic Interpark
  • Tokyo center clinic
  • Tokyo Saiseikai Central Hospital
  • Kitasato University Kitasato Institute Hospital
  • Sumida General Clinic
  • Edogawa Hospital
  • Koto Hospital
  • Mishuku Hospital
  • Shimamura Memorial Hospital
  • Minamino Cardiovascular Hospital
  • Tokyo Medical University Hachioji Medical Center
  • Ome Municipal General Hospital
  • Toyama University Hospital
  • Japan Organization of Occupational Health and Safety Toyama Rosai Hospital
  • Toyama City Hospital
  • Japan Organization of Occupational Health and Safety Wakayama Rosai Hospital
  • National Hospital Organization Minami Wakayama Medical Center
  • Srinagarind Hospital
  • Bamrasnaradura Infectious Diseases Institute
  • Ratchaburi Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Treatment A

Control A

Arm Description

K-237 0.3-0.4mg/kg (once daily)

Placebo (once daily)

Outcomes

Primary Outcome Measures

Time from the start of study drug administration to 168 hours until the clinical symptoms reach an improving trend

Secondary Outcome Measures

In addition to the primary endpoint, time to trend toward improvement in clinical symptoms, including headache, abdominal pain, nasal
Time to reach a temperature of less than 37.5 ˚C without the use of antipyretics (acetaminophen)

Full Information

First Posted
September 15, 2021
Last Updated
August 7, 2022
Sponsor
Kowa Company, Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT05056883
Brief Title
A Phase III Confirmatory Study of K-237
Official Title
A Phase III Confirmatory Study of K-237-Multi-regional, Multi-center, Placebo Controlled, Randomized, Double Blind, Parallel Group Controlled Trial in Patients With Mild COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 22, 2021 (Actual)
Primary Completion Date
December 31, 2022 (Anticipated)
Study Completion Date
December 31, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kowa Company, Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The efficacy and safety of K-237 0.3-0.4 mg/kg orally administered once daily for 3 days will be evaluated in patients with mild COVID-19 using a randomized, double-blind, parallel-group comparative method with placebo as a control. Efficacy will be assessed using a stratified log-rank test to determine the superiority of the drug over placebo in terms of time to improvement in clinical symptoms from the start of study drug administration to 168 hours.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1030 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment A
Arm Type
Experimental
Arm Description
K-237 0.3-0.4mg/kg (once daily)
Arm Title
Control A
Arm Type
Placebo Comparator
Arm Description
Placebo (once daily)
Intervention Type
Drug
Intervention Name(s)
K-237 0.3-0.4mg/kg (once daily)
Other Intervention Name(s)
Ivermectin 0.3-0.4mg/kg (once daily)
Intervention Description
Ivermectin 3mg tablet
Intervention Type
Drug
Intervention Name(s)
Placebo 0.3-0.4mg/kg (once daily)
Intervention Description
Placebo 3mg tablet
Primary Outcome Measure Information:
Title
Time from the start of study drug administration to 168 hours until the clinical symptoms reach an improving trend
Time Frame
Day1~11 after administration
Secondary Outcome Measure Information:
Title
In addition to the primary endpoint, time to trend toward improvement in clinical symptoms, including headache, abdominal pain, nasal
Time Frame
Day1~11 after administration
Title
Time to reach a temperature of less than 37.5 ˚C without the use of antipyretics (acetaminophen)
Time Frame
Day1~11 after administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Persons who meet all of the following criteria will be eligible for this clinical trial. Males and females who are 12 years of age or older at the time of obtaining consent Those who are confirmed positive for SARS-CoV-2 by antigen test or RT-PCR test using specimens (nasopharynx, nasal cavity, oropharynx, or saliva) collected within 120 hours prior to obtaining consent. Patients who have fevers (37.5 degrees Celsius or higher) and/or at least one of the following symptoms of Score 2 or higher at a screening test: Myalgia, sore throat, diarrhea, nausea, vomiting, cough, and shortness of breath. Patients with a room air oxygen saturation (SpO2) of 96% or higher at the time of the screening test. Exclusion Criteria: Subjects who meet any one of the following criteria will be excluded from this study. Patients who have had symptoms caused by COVID-19 for more than 6 days on the day of initiation of study drug administration (Day 1) with the day of onset of symptoms as Day 0. Patients who need to receive concomitant therapy or administration of prohibited drugs during the study period Patients who have taken or received drugs that have or may have antiviral activity against SARS-CoV-2 within 2 weeks prior to the start of study drug administration. Patients currently using antiviral drugs Patients with suspected complications of infectious diseases other than COVID-19 Subjects with a history of COVID-19 within 1 month prior to obtaining consent Persons whose weight at the time of the screening test falls into the following categories (The first decimal place of the weight shall be rounded off.) 1) Those who are 18 years of age or older at the time of consent and weigh less than 25 kg or more than 127 kg 2) Those who are between 12 and 18 years of age and weigh less than 40 kg or 127 kg or more at the time of obtaining consent. Patients undergoing dialysis treatment Patients wno have severe liver dysfunction (hepatic dysfunction, hepatic fibrosis, etc.) Patients with poorly controlled hypertension (systolic blood pressure (SBP) of 180 mmHg or higher or diastolic blood pressure (DBP) of 110 mmHg or higher) Patients with complications of diabetic retinopathy, diabetic nephropathy, or diabetic neuropathy Patients with heart failure of NYHA Class III or higher Patients with malignant tumors or those judged to have a high possibility of recurrence Patients requiring oxygen therapy A person who has a complication of methemoglobinemia or any other disease that may cause measurement error of the pulse oximeter Patients with a history of serious drug allergy (anaphylactic shock, etc.) Pregnant women, lactating women, or women who plan to become pregnant or lactate during the study period Subjects who have had more than 400 mL of whole blood drawn within 16 weeks or more than 200 mL within 4 weeks prior to obtaining consent, or component blood (plasma and platelet components) drawn within 2 weeks Patients who have been administered IVM. Those who have participated in other clinical trials and received medication at the time of obtaining consent, or those who have received an investigational drug other than placebo for less than 16 weeks Others who are judged by the investigator or others to be inappropriate to participate in the study.
Facility Information:
Facility Name
Hosokawa Surgical Clinic
City
Aichi
ZIP/Postal Code
453-0812
Country
Japan
Facility Name
Nagoya City University West Medical Center
City
Aichi
ZIP/Postal Code
462-8508
Country
Japan
Facility Name
Nagoya City University East Medical Center
City
Aichi
ZIP/Postal Code
464-8547
Country
Japan
Facility Name
Naika Tonyobyonaika Maejima Iin
City
Aichi
ZIP/Postal Code
466-0013
Country
Japan
Facility Name
Nagoya City University Hospital
City
Aichi
ZIP/Postal Code
467-8602
Country
Japan
Facility Name
Tohno Chuo Clinic
City
Aichi
ZIP/Postal Code
509-6134
Country
Japan
Facility Name
Kamagaya General Hospital
City
Chiba
ZIP/Postal Code
273-0121
Country
Japan
Facility Name
Japan Community Health care Organization Funabashi Central Hospital
City
Chiba
ZIP/Postal Code
273-8556
Country
Japan
Facility Name
International University of Health and Welfare Narita Hospital
City
Chiba
ZIP/Postal Code
286-8520
Country
Japan
Facility Name
National Hospital Organization Fukuokahigashi Medical Center
City
Fukuoka
ZIP/Postal Code
811-3195
Country
Japan
Facility Name
Fukuoka Kinen Hospital
City
Fukuoka
ZIP/Postal Code
814-8525
Country
Japan
Facility Name
National Hospital Organization Takasaki General Medical Center
City
Gunma
ZIP/Postal Code
370-0829
Country
Japan
Facility Name
Hiroshima Prefectural Hospital
City
Hiroshima
ZIP/Postal Code
734-8530
Country
Japan
Facility Name
Japan Community Health care Organization Hokkaido Hospital
City
Hokkaido
ZIP/Postal Code
062-8618
Country
Japan
Facility Name
National Hospital Organization Kanazawa Medical Center
City
Ishikawa
ZIP/Postal Code
920-8650
Country
Japan
Facility Name
Sakaide City Hospital
City
Kagawa
ZIP/Postal Code
762-8550
Country
Japan
Facility Name
Tenyoukai Central Hospital
City
Kagoshima
ZIP/Postal Code
892-0822
Country
Japan
Facility Name
Kawasaki Rinko General Hospital
City
Kanagawa
ZIP/Postal Code
210-0806
Country
Japan
Facility Name
Matsuba Clinic
City
Kanagawa
ZIP/Postal Code
212-0024
Country
Japan
Facility Name
Maekawa Medical Clinic
City
Kanagawa
ZIP/Postal Code
220-0004
Country
Japan
Facility Name
Tsuzuki Azuma Clinic Primary care and Rheumatology
City
Kanagawa
ZIP/Postal Code
224-0041
Country
Japan
Facility Name
Mutsukawa Clinic Primary care and Gastroenterology
City
Kanagawa
ZIP/Postal Code
232-0066
Country
Japan
Facility Name
Kitasato University Hospital
City
Kanagawa
ZIP/Postal Code
252-0375
Country
Japan
Facility Name
NHO Kumamoto Saishun Medical Center
City
Kumamoto
ZIP/Postal Code
861-1196
Country
Japan
Facility Name
Sakura Jyuji Hospital, Sakurajyuji Medical Corporation
City
Kumamoto
ZIP/Postal Code
861-4173
Country
Japan
Facility Name
Minami Nagano Clinic
City
Nagano
ZIP/Postal Code
381-2217
Country
Japan
Facility Name
Japan Organization of Occupational Health and Safety Nagasaki Rosai Hospital
City
Nagasaki
ZIP/Postal Code
857-0134
Country
Japan
Facility Name
Ikoma City Hospital
City
Nara
ZIP/Postal Code
630-0213
Country
Japan
Facility Name
Nagaoka Chuo General Hospital
City
Niigata
ZIP/Postal Code
940-0861
Country
Japan
Facility Name
Okayama City General Medical Center Okayama City Hospital
City
Okayama
ZIP/Postal Code
700-8557
Country
Japan
Facility Name
Okayama University Hospital
City
Okayama
ZIP/Postal Code
700-8558
Country
Japan
Facility Name
Tazuke Kofukai Medical Research Institute, Kitano Hospital
City
Osaka
ZIP/Postal Code
530-8480
Country
Japan
Facility Name
Japan Community Health care Organization Osaka Minato Central Hospital
City
Osaka
ZIP/Postal Code
552-0003
Country
Japan
Facility Name
Rinku General Medical Center
City
Osaka
ZIP/Postal Code
598-8577
Country
Japan
Facility Name
Omi Medical Center
City
Shiga
ZIP/Postal Code
525-8585
Country
Japan
Facility Name
Kuramochi Clinic Interpark
City
Tochigi
ZIP/Postal Code
321-0114
Country
Japan
Facility Name
Tokyo center clinic
City
Tokyo
ZIP/Postal Code
103-0028
Country
Japan
Facility Name
Tokyo Saiseikai Central Hospital
City
Tokyo
ZIP/Postal Code
108-0073
Country
Japan
Facility Name
Kitasato University Kitasato Institute Hospital
City
Tokyo
ZIP/Postal Code
108-8642
Country
Japan
Facility Name
Sumida General Clinic
City
Tokyo
ZIP/Postal Code
130-0012
Country
Japan
Facility Name
Edogawa Hospital
City
Tokyo
ZIP/Postal Code
133-0052
Country
Japan
Facility Name
Koto Hospital
City
Tokyo
ZIP/Postal Code
136-0072
Country
Japan
Facility Name
Mishuku Hospital
City
Tokyo
ZIP/Postal Code
153-0051
Country
Japan
Facility Name
Shimamura Memorial Hospital
City
Tokyo
ZIP/Postal Code
177-0051
Country
Japan
Facility Name
Minamino Cardiovascular Hospital
City
Tokyo
ZIP/Postal Code
192-0918
Country
Japan
Facility Name
Tokyo Medical University Hachioji Medical Center
City
Tokyo
ZIP/Postal Code
193-0998
Country
Japan
Facility Name
Ome Municipal General Hospital
City
Tokyo
ZIP/Postal Code
198-0042
Country
Japan
Facility Name
Toyama University Hospital
City
Toyama
ZIP/Postal Code
930-0194
Country
Japan
Facility Name
Japan Organization of Occupational Health and Safety Toyama Rosai Hospital
City
Toyama
ZIP/Postal Code
937-0042
Country
Japan
Facility Name
Toyama City Hospital
City
Toyama
ZIP/Postal Code
939-8511
Country
Japan
Facility Name
Japan Organization of Occupational Health and Safety Wakayama Rosai Hospital
City
Wakayama
ZIP/Postal Code
640-8505
Country
Japan
Facility Name
National Hospital Organization Minami Wakayama Medical Center
City
Wakayama
ZIP/Postal Code
646-8558
Country
Japan
Facility Name
Srinagarind Hospital
City
Khon Kaen
ZIP/Postal Code
40002
Country
Thailand
Facility Name
Bamrasnaradura Infectious Diseases Institute
City
Nonthaburi
ZIP/Postal Code
11000
Country
Thailand
Facility Name
Ratchaburi Hospital
City
Ratchaburi Provinc
ZIP/Postal Code
70000
Country
Thailand

12. IPD Sharing Statement

Learn more about this trial

A Phase III Confirmatory Study of K-237

We'll reach out to this number within 24 hrs