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A Study of Bemcentinib for the Treatment of COVID-19 in Hospitalised Patients

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Bemcentinib
SoC
Sponsored by
BerGenBio ASA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

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

Inclusion Criteria:

  • Adults (greater than or equal to [>=] 18 years) with SARS-CoV-2 infection.
  • Participants with symptoms and/or signs consistent with COVID-19, requiring treatment.
  • A score of Grade 3 to 5 on the 9-point ordinal scale. In India; only Participants with a score of Grade 4 or 5 will be enrolled.
  • a) Male Participants:
  • A male Participant must agree to use contraception during the treatment period and for at least 120 days after the last dose of study treatment and refrain from donating sperm during this period.

    b) Female Participants:

  • A female Participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:

    1. Not a woman of childbearing potential. OR
    2. A woman of childbearing potential who agrees to follow the contraceptive guidance during the treatment period and for at least 120 days after the last dose of study treatment.
  • Women who are lactating who agree not to breastfeed their child during the study and for at least 120 days after termination of study therapy (they may continue to express milk away from the child during this period, but this milk must be discarded).
  • Ability to provide informed consent signed by the study Participant or legally authorized representative.

Exclusion Criteria:

  • Participants who have previously had a score of 6 or 7 on the 9-point ordinal scale.
  • Inability to swallow capsules (administration via nasogastric tube is permitted in Participants who become unable to swallow after starting the study drug).
  • History of the following cardiac conditions:

    1. Myocardial infarction within 3 months prior to the first dose
    2. Unstable angina
    3. History of clinically significant dysrhythmias (long QT features on electrocardiogram [ECG], sustained bradycardia [less than or equal to {<=} 55 beats per minute {bpm}]), left bundle branch block, or ventricular arrhythmia) or history of familial long QT. Participants with an implantable cardioverter defibrillator device in place, will be allowed to enroll. Atrial fibrillation will not be a reason for exclusion.
  • Screening 12-lead ECG with a measurable QT interval according to Fridericia correction (QTcF) greater than (>) 470 msec.
  • Clinically significant hypokalaemia.
  • Therapeutic anticoagulation with vitamin K antagonists.
  • Previous bowel resection that would interfere with drug absorption.
  • Any participant whose interests are not best served by study participation, as determined by a senior attending clinician.
  • Alanine aminotransferase/aspartate aminotransferase >5 × the upper limit of normal.
  • Current treatment for human immunodeficiency virus (HIV) or tuberculosis (TB).
  • Positive serologic assay at screening for hepatitis B virus (Hep B surface antigen) or hepatitis C virus (hepatitis C PCR or hepatitis C core antigen) at local laboratory.
  • Stage 4 severe chronic kidney disease.
  • Anticipated transfer to another hospital that is not a study center within 72 hours.
  • Allergy to any study treatment.
  • Experimental off-label usage of medicinal products as treatments for COVID-19 at the time of enrolment.
  • Participants participating in another clinical study of an investigational medicinal product.
  • Current or planned treatment for TB.

Sites / Locations

  • Nirmal Hospital Private Limited
  • Kasturba Medical College
  • JSS Hospital
  • Chopda Medicare & Research Centre Pvt. Ltd (CMARC) - Magnum Heart Institute
  • Sahyadri Specialty Hospital
  • Krishna Institute of Medical Sciences (KIMS Hospitals)
  • Maulana Azad Medical College
  • Worthwhile Clinical Trials, Lakeview Hospital
  • Tiervlei Trial Centre
  • Vergelegen Mediclinic
  • Into Research
  • Clinical Projects Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Standard of Care + Bemcentinib

Standard of Care

Arm Description

Bemcentinib will be administered for up to 15 days, or until discharge from hospital, whichever comes sooner. SoC will be administered based on local guidelines.

The SoC will be administered based on local guidelines in place at the time of treatment during the study.

Outcomes

Primary Outcome Measures

Time to Sustained Clinical Improvement of at Least 2 Points (from randomization)
Sustained clinical improvement is defined as improvement without subsequent worsening. Time to sustained clinical improvement of at least 2 points (from randomization) on a 9-point category ordinal scale. Live discharge from the hospital, or considered fit for discharge whichever comes first, by Day 29 will be reported.

Secondary Outcome Measures

Percentage of Participants not Deteriorating According to the Ordinal Scale by 1, 2, or 3 Points
Percentage of participants not deteriorating according to the 9-point category Ordinal Scale (0= uninfected and 8= Death), by 1, 2, or 3 Points will be reported.
Duration of Oxygen Use
Duration of oxygen use in terms of days will be reported.
Number of Oxygen-free Days
Number of oxygen-free days will be reported.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load
SARS-CoV-2 viral load will be determined by polymerase chain reaction (PCR) in oropharyngeal/nasal swab while hospitalized.
Duration of Ventilation
Duration of ventilation will be reported in terms of days.
Number of Ventilation-free Days
Number of ventilation-free days will be reported.
Number of Participants with Any Form of New Ventilation Use
Number of participants with any form of new ventilation use will be reported.
Duration of New Ventilation Use
Duration of new ventilation use will be reported in terms of days.
Duration of Organ Support
Duration of organ support (e.g., including respiratory, renal, and cardiac support) will be calculated in days.
Number of Participants with Response
Response Rate will be assessed on a 9-point category ordinal scale. Number of participants with response (defined as sustained clinical improvement of at least 2 points (from randomization) on a 9-point category ordinal scale, live discharge from the hospital, or considered fit for discharge (a score of 0, 1, or 2 on the ordinal scale), whichever comes first) will be reported.
Time to Live Discharge From the Hospital
Time to live discharge from the hospital will be reported.
Time From Treatment Start Date to Death
Time from treatment start date to death will be reported.
Overall Mortality
Number of deaths will be reported.
Change in the Ratio of Oxygen Saturation to Fraction of Inspired Oxygen Concentration (SpO2/FiO2)
Change in the ratio of the oxygen saturation to fraction of inspired oxygen concentration (SpO2/FiO2) will be measured daily from randomization to Day 15, hospital discharge, or death.
Number of Participants with Physical Examination Abnormalities
Number of participants with physical examinations (including presenting signs, height, weight) abnormalities will be reported.
Number of Participants with Clinical Laboratory Abnormalities
Number of participants with clinical laboratory (Haematology, chemistry, liver function tests, coagulation) abnormalities will be reported.
Number of Participants with Vital Signs (blood pressure/heart rate/temperature/respiratory rate) Abnormalities
Number of participants with vital signs (blood pressure/heart rate/temperature/respiratory rate) abnormalities will be reported.
Number of Participants with Adverse Events (AEs)
An AE is any untoward medical occurrence in participants, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Duration of Intensive Care Unit (ICU) and Hospitalization
Duration of ICU and hospitalization will be evaluated.
National Early Warning Score 2 (NEWS2)
The NEWS2 is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice presentation or when a patient is being monitored in hospital. The score ranges from 0 (best) to 23 (worst).
Time to NEWS2 of <=2, Maintained for at Least 24 Hours
The NEWS2 is based on a simple aggregate scoring system in which a score is allocated to physiological measurements. The score ranges from 0 (best) to 23 (worst).
Ranked Trajectory
Ranked trajectory will be calculated over 29 days, with trajectory ranked of the ordinal scale.

Full Information

First Posted
May 17, 2021
Last Updated
October 13, 2021
Sponsor
BerGenBio ASA
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1. Study Identification

Unique Protocol Identification Number
NCT04890509
Brief Title
A Study of Bemcentinib for the Treatment of COVID-19 in Hospitalised Patients
Official Title
A Multicentre, Phase 2, Randomised Study to Assess the Efficacy and Safety of Bemcentinib for the Treatment of COVID-19 in Hospitalised Patients
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
October 20, 2020 (Actual)
Primary Completion Date
May 25, 2021 (Actual)
Study Completion Date
May 25, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BerGenBio ASA

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
The primary objective of the study is to evaluate the efficacy of bemcentinib as an add-on therapies to standard of care (SoC) in participants hospitalized with coronavirus disease 2019 (COVID-19).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
115 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Standard of Care + Bemcentinib
Arm Type
Experimental
Arm Description
Bemcentinib will be administered for up to 15 days, or until discharge from hospital, whichever comes sooner. SoC will be administered based on local guidelines.
Arm Title
Standard of Care
Arm Type
Active Comparator
Arm Description
The SoC will be administered based on local guidelines in place at the time of treatment during the study.
Intervention Type
Drug
Intervention Name(s)
Bemcentinib
Intervention Description
Bemcentinib capsules will be administered orally.
Intervention Type
Other
Intervention Name(s)
SoC
Intervention Description
The SoC will be administered based on local guidelines.
Primary Outcome Measure Information:
Title
Time to Sustained Clinical Improvement of at Least 2 Points (from randomization)
Description
Sustained clinical improvement is defined as improvement without subsequent worsening. Time to sustained clinical improvement of at least 2 points (from randomization) on a 9-point category ordinal scale. Live discharge from the hospital, or considered fit for discharge whichever comes first, by Day 29 will be reported.
Time Frame
Up to Day 29
Secondary Outcome Measure Information:
Title
Percentage of Participants not Deteriorating According to the Ordinal Scale by 1, 2, or 3 Points
Description
Percentage of participants not deteriorating according to the 9-point category Ordinal Scale (0= uninfected and 8= Death), by 1, 2, or 3 Points will be reported.
Time Frame
At Days 2, 8, 15, and 29
Title
Duration of Oxygen Use
Description
Duration of oxygen use in terms of days will be reported.
Time Frame
Up to Day 29
Title
Number of Oxygen-free Days
Description
Number of oxygen-free days will be reported.
Time Frame
Up to Day 29
Title
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load
Description
SARS-CoV-2 viral load will be determined by polymerase chain reaction (PCR) in oropharyngeal/nasal swab while hospitalized.
Time Frame
At Days 1, 3, 5, 8, 11, 15, and 29
Title
Duration of Ventilation
Description
Duration of ventilation will be reported in terms of days.
Time Frame
Up to Day 29
Title
Number of Ventilation-free Days
Description
Number of ventilation-free days will be reported.
Time Frame
Up to Day 29
Title
Number of Participants with Any Form of New Ventilation Use
Description
Number of participants with any form of new ventilation use will be reported.
Time Frame
Up to Day 29
Title
Duration of New Ventilation Use
Description
Duration of new ventilation use will be reported in terms of days.
Time Frame
Up to Day 29
Title
Duration of Organ Support
Description
Duration of organ support (e.g., including respiratory, renal, and cardiac support) will be calculated in days.
Time Frame
Up to Day 29
Title
Number of Participants with Response
Description
Response Rate will be assessed on a 9-point category ordinal scale. Number of participants with response (defined as sustained clinical improvement of at least 2 points (from randomization) on a 9-point category ordinal scale, live discharge from the hospital, or considered fit for discharge (a score of 0, 1, or 2 on the ordinal scale), whichever comes first) will be reported.
Time Frame
At Days 2, 8, 15, and 29
Title
Time to Live Discharge From the Hospital
Description
Time to live discharge from the hospital will be reported.
Time Frame
Up to Day 29
Title
Time From Treatment Start Date to Death
Description
Time from treatment start date to death will be reported.
Time Frame
Up to Day 60
Title
Overall Mortality
Description
Number of deaths will be reported.
Time Frame
At Days 15, 29, and 60
Title
Change in the Ratio of Oxygen Saturation to Fraction of Inspired Oxygen Concentration (SpO2/FiO2)
Description
Change in the ratio of the oxygen saturation to fraction of inspired oxygen concentration (SpO2/FiO2) will be measured daily from randomization to Day 15, hospital discharge, or death.
Time Frame
From randomization to Day 15, hospital discharge, or death (Up to 90 days)
Title
Number of Participants with Physical Examination Abnormalities
Description
Number of participants with physical examinations (including presenting signs, height, weight) abnormalities will be reported.
Time Frame
Day 1
Title
Number of Participants with Clinical Laboratory Abnormalities
Description
Number of participants with clinical laboratory (Haematology, chemistry, liver function tests, coagulation) abnormalities will be reported.
Time Frame
Up to Day 29
Title
Number of Participants with Vital Signs (blood pressure/heart rate/temperature/respiratory rate) Abnormalities
Description
Number of participants with vital signs (blood pressure/heart rate/temperature/respiratory rate) abnormalities will be reported.
Time Frame
Up to Day 29
Title
Number of Participants with Adverse Events (AEs)
Description
An AE is any untoward medical occurrence in participants, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Time Frame
From Baseline to Day 90
Title
Duration of Intensive Care Unit (ICU) and Hospitalization
Description
Duration of ICU and hospitalization will be evaluated.
Time Frame
Up to 90 days
Title
National Early Warning Score 2 (NEWS2)
Description
The NEWS2 is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice presentation or when a patient is being monitored in hospital. The score ranges from 0 (best) to 23 (worst).
Time Frame
At Days 15 and 29
Title
Time to NEWS2 of <=2, Maintained for at Least 24 Hours
Description
The NEWS2 is based on a simple aggregate scoring system in which a score is allocated to physiological measurements. The score ranges from 0 (best) to 23 (worst).
Time Frame
At Days 15 and 29
Title
Ranked Trajectory
Description
Ranked trajectory will be calculated over 29 days, with trajectory ranked of the ordinal scale.
Time Frame
29 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults (greater than or equal to [>=] 18 years) with SARS-CoV-2 infection. Participants with symptoms and/or signs consistent with COVID-19, requiring treatment. A score of Grade 3 to 5 on the 9-point ordinal scale. In India; only Participants with a score of Grade 4 or 5 will be enrolled. a) Male Participants: A male Participant must agree to use contraception during the treatment period and for at least 120 days after the last dose of study treatment and refrain from donating sperm during this period. b) Female Participants: A female Participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies: Not a woman of childbearing potential. OR A woman of childbearing potential who agrees to follow the contraceptive guidance during the treatment period and for at least 120 days after the last dose of study treatment. Women who are lactating who agree not to breastfeed their child during the study and for at least 120 days after termination of study therapy (they may continue to express milk away from the child during this period, but this milk must be discarded). Ability to provide informed consent signed by the study Participant or legally authorized representative. Exclusion Criteria: Participants who have previously had a score of 6 or 7 on the 9-point ordinal scale. Inability to swallow capsules (administration via nasogastric tube is permitted in Participants who become unable to swallow after starting the study drug). History of the following cardiac conditions: Myocardial infarction within 3 months prior to the first dose Unstable angina History of clinically significant dysrhythmias (long QT features on electrocardiogram [ECG], sustained bradycardia [less than or equal to {<=} 55 beats per minute {bpm}]), left bundle branch block, or ventricular arrhythmia) or history of familial long QT. Participants with an implantable cardioverter defibrillator device in place, will be allowed to enroll. Atrial fibrillation will not be a reason for exclusion. Screening 12-lead ECG with a measurable QT interval according to Fridericia correction (QTcF) greater than (>) 470 msec. Clinically significant hypokalaemia. Therapeutic anticoagulation with vitamin K antagonists. Previous bowel resection that would interfere with drug absorption. Any participant whose interests are not best served by study participation, as determined by a senior attending clinician. Alanine aminotransferase/aspartate aminotransferase >5 × the upper limit of normal. Current treatment for human immunodeficiency virus (HIV) or tuberculosis (TB). Positive serologic assay at screening for hepatitis B virus (Hep B surface antigen) or hepatitis C virus (hepatitis C PCR or hepatitis C core antigen) at local laboratory. Stage 4 severe chronic kidney disease. Anticipated transfer to another hospital that is not a study center within 72 hours. Allergy to any study treatment. Experimental off-label usage of medicinal products as treatments for COVID-19 at the time of enrolment. Participants participating in another clinical study of an investigational medicinal product. Current or planned treatment for TB.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hani Gabra
Organizational Affiliation
BerGenBio ASA
Official's Role
Study Chair
Facility Information:
Facility Name
Nirmal Hospital Private Limited
City
Surat
State/Province
Gujarat
ZIP/Postal Code
395002
Country
India
Facility Name
Kasturba Medical College
City
Mangalore
State/Province
Karnataka
ZIP/Postal Code
575001
Country
India
Facility Name
JSS Hospital
City
Mysuru
State/Province
Karnataka
ZIP/Postal Code
570 004
Country
India
Facility Name
Chopda Medicare & Research Centre Pvt. Ltd (CMARC) - Magnum Heart Institute
City
Nashik
State/Province
Maharashtra
ZIP/Postal Code
422005
Country
India
Facility Name
Sahyadri Specialty Hospital
City
Pune
State/Province
Maharastra
ZIP/Postal Code
411004
Country
India
Facility Name
Krishna Institute of Medical Sciences (KIMS Hospitals)
City
Secunderabad
State/Province
Telangana
ZIP/Postal Code
500003
Country
India
Facility Name
Maulana Azad Medical College
City
New Delhi
ZIP/Postal Code
110002
Country
India
Facility Name
Worthwhile Clinical Trials, Lakeview Hospital
City
Mowbray
State/Province
Benoni
Country
South Africa
Facility Name
Tiervlei Trial Centre
City
Bellville
State/Province
Cape Town
Country
South Africa
Facility Name
Vergelegen Mediclinic
City
Somerset West
State/Province
Cape Town
Country
South Africa
Facility Name
Into Research
City
Groenkloof
State/Province
Pretoria
Country
South Africa
Facility Name
Clinical Projects Research
City
Worcester
Country
South Africa

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Individual participant data that underlie the results reported in the article, after deidentification [text, tables, figures and appendices].
IPD Sharing Time Frame
Beginning 3 months and ending 5 years following article publication
IPD Sharing Access Criteria
Proposal should be directed to HYPERLINK "mailto:clinical@bergenbio.com" clinical@bergenbio.com. To gain access, data requestors will need to sign a data access agreement.

Learn more about this trial

A Study of Bemcentinib for the Treatment of COVID-19 in Hospitalised Patients

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