A Study to Evaluate Efficacy and Safety of PTC299 (Emvododstat) in Hospitalized Participants With Coronavirus (COVID-19) (FITE19)
Pneumonia, COVID-19, Coronavirus
About this trial
This is an interventional treatment trial for Pneumonia
Eligibility Criteria
Inclusion Criteria:
- Signed and dated informed consent document(s).
- Agrees to the collection of nasopharyngeal swabs and venous blood and all other protocol-specified procedures.
- Male or non-pregnant female adult ≥18 years of age at time of enrollment.
- Hospitalized and has laboratory-confirmed infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
- Symptom onset was ≤10 days prior to screening.
- Has oxygen saturation SpO2 <94% on room air.
- Has at least one of a respiratory rate >24 breaths/minute or cough.
- Lung involvement as confirmed by radiographic infiltrates observed on imaging (chest X-ray, computed tomography (CT) scan, or an equivalent test).
Women of childbearing potential (as defined in [CTFG 2014]) must have a negative pregnancy test at screening and agree to abstinence or the use at least one of the following highly effective forms of contraception (with a failure rate of <1% per year when used consistently and correctly). Contraception or abstinence must be continued for the duration of the study following discharge from the hospital, and for up to 50 days after the last dose of study drug:
i) combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, and transdermal ii) progestogen-only hormonal contraception associated with inhibition of ovulation: oral, injectable, and implantable iii) intrauterine device iv) intrauterine hormone-releasing system v) vasectomized partner with confirmed azoospermia All females will be considered of childbearing potential unless they are postmenopausal (at least 12 months consecutive amenorrhea in the appropriate age group without other known or suspected cause) or have been sterilized surgically (for example, bilateral tubal ligation, hysterectomy, bilateral oophorectomy).
- Men sexually active with women of childbearing potential who have not had a vasectomy must agree to use a barrier method of birth control during the study following discharge from the hospital and for up to 50 days after the last dose of study drug.
Exclusion Criteria:
- Requires mechanical ventilation.
- Current participation in any other interventional study.
- Alanine transaminase/aspartate transaminase levels ≥3 times the upper limit of normal (×ULN) or total bilirubin (Tbili) ≥2×ULN.
- Lymphocyte count <500 lymphocytes/microliter (μL) or hemoglobin <11 grams/deciliter (g/dL).
- Stage 4 severe chronic kidney disease or requiring dialysis (that is, estimated glomerular filtration rate <30).
- Any other condition, that in the opinion of the Investigator, may be cause to exclude the participant from the study.
- Use of steroids (except dexamethasone), sensitive CYP2D6 substrates, CYP2C inducers, IL-6 neutralizing antibodies, IL-6 receptor inhibitors, or any investigational therapy.
- Pregnancy or breast feeding.
- Anticipated transfer to another hospital which is not a study site within 72 hours.
- Known allergy to PTC299 or excipients.
Sites / Locations
- University of California, Irvine
- Augusta University
- Johns Hopkins Hospital
- University of Massachusetts Memorial Health Care
- University Hospitals Cleveland
- Ralph H. Johnson VA Medical Center
- Westmead Hospital
- Monash Medical Centre
- Sunshine Hospital
- St. Pierre University Hospital
- Clinique Saint Pierre
- Hospital Vera Cruz
- Hospital Moinhos de Vento
- Centro Hospitalar Unimed (CHU) - Joinville
- Hospital Guilherme Alvaro
- Hospital Santa Casa de Misecórdia de Sorocoba
- Hospital Alemao Oswaldo Cruz
- Escola Paulista de Medicina (UNIFESP)
- Fundação Faculdade Regional de Medicina de São José do Rio Preto
- Fundación Santa Fe de Bogotá
- Centro Cardiovascular Somer Incare
- Hôpital Pitié-Salpêtrière
- Centro Hospitalario MAC
- Hospital Universitario Dr. José Eleuterio Gonzalez
- Integra RGH Centro de Investigación/ Hospital MAC Puebla
- SOMECO - Sociedad de Metabolismo y Corazón S.C.
- Central Clinic Hospital of the MSWiA in Warsaw
- Centro Hospitalar Universitário de Lisboa Norte (CHULN), E.P.E - Hospital de Santa Maria
- Centro Hospitalar de Entre o Douro e Vouga, EPE (CHEDV)
- Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE (CHVNG/E)
- Worthwhile Clinical Trials
- TREAD Research
- Tiervlei Trial Centre
- Ahmed Al-Kadi Private Hospital
- Global Clinical Trials
- Hospital Del Mar
- Hospital Universitario de Bellvitge
- Hospital Universitario Infanta Leonor
- Hospital Universitario Ramón y Cajal
- Hospital 12 de Octubre
- Hospital Universitario Infanta Sofía
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
PTC299 + Standard of Care (SOC)
Placebo + SOC
Participants will receive PTC299 at 200 milligrams (mg), administered orally, twice daily (BID) on Days 1 to 7, then at 50 mg administered orally, once daily (QD) on Days 8 to 14. SOC will also be administered according to local, written policies or guidelines.
Participants will receive PTC299-matching placebo administered orally, BID on Days 1 to 7, then administered orally, QD on Days 8 to 14. SOC will also be administered according to local, written policies or guidelines.