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Anti-RSV Study in Chinese Patients (ASCENT) (ASCENT)

Primary Purpose

Respiratory Syncytial Virus Infections

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
AK0529
Placebo
Sponsored by
Ark Biosciences Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Respiratory Syncytial Virus Infections focused on measuring RSV,AK0529,Chinese

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 18 - 75 years, inclusive.
  • Confirmed with RSV infection by rapid diagnostic testing.
  • New onset with documentation of the following symptoms within 72 hours prior to the start of screening: Respiratory symptoms: runny nose, stuffy nose, sneezing, sore throat, earache, cough, shortness of breath; Systemic symptoms: headache, fatigue / lethargy, fever, and muscle and / or joint ache. The patient must have four symptoms of above, and at least one of these must be respiratory symptom in nature.
  • Able and willing to provide written informed consent and to comply with the study protocol.

Exclusion Criteria:

  • The patient has taken, is taking or needs to take any antiviral medication (e.g. ribavirin, Chinese medicine or herbs with effects of treating respiratory tract infection) within the 72 hours prior to screening.
  • Awareness of concomitant infections of respiratory viruses (eg, influenza A, B), bacterial or fungal infections, including systemic bacterial or fungal infections within 7 days prior to screening or during the screening period.
  • Patient frailty was evaluated as "Vulnerable" or worse according to the Clinical Frailty Scale with a score ≥ 4 at screening.
  • Awareness of having positive results on HBsAg or HCV antibody or HIV (HIV 1 or HIV 2).
  • Patient with active tuberculosis or is taking antituberculosis treatment.
  • Patient with severe gastrointestinal disease which could impact drug absorption, eg, vomiting, malabsorption syndrome, or short bowel syndrome caused by necrotizing enterocolitis.
  • Patient with any congenital heart disease, acute or chronic heart failure, ischemic heart disease, or congenital long QT syndrome, or any clinical manifestation resulting in QT interval prolongation.
  • Patient with malignant tumor.
  • Patient has received or is waiting for bone marrow, stem cell or solid organ transplantation.
  • Patient with any immune-related disease to be treated within 12 months prior to screening.
  • Patient with clinical laboratoy test values of ≥ 2x the upper limit of normal (ULN) for alanine aminotransferase or aspartate aminotransferase, or >1x ULN for total bilirubin, or >1.5xULN for serum creatinine.
  • Patient with electrolyte disorders, eg, hypokalemia, hypocalcemia, or hypomagnesemia.
  • Patient with history of drug or alcohol abuse within 12 months prior to screening ("alcohol abuse" definition is >14 units per week: 1 unit = 10mL Alcohol, or 250mL of 4% beer, or 25 mL of 40% spirit, or 75 mL of 13% wine).
  • Patient has allergy or hypersensitivity to study medication or its compositions.
  • Female patient with positive pregnancy test result or is lactating.
  • Patient with fertility refusing to use medically effective contraceptives during the study or within three months of the end of study.
  • Patient participated in an investigational drug or device study within 60 days prior to screening.
  • Patient who in the opinion of the investigator, is deemed as ineligible for the study, including patients who are with active psychiatric disease, or are taking psychiatric medication.

Sites / Locations

  • Beijing Ditan HospitalRecruiting
  • Beijing Anzhen Hospital
  • Quanzhou First Hospital
  • Huizhou Municipal Central Hospital
  • The Second Affiliated Hospital of Hainan Medical University
  • Sanya Central HospitalRecruiting
  • The Second Hospital of Hebei Medical University
  • Nanjing First Hospital
  • Jiangsu Taizhou People's Hospital
  • Qingdao Municipal Hospital
  • People's Hospital of Deyang CityRecruiting
  • Suining Central HopitalRecruiting
  • China-Japan Friendship HospitalRecruiting
  • Beijing Pinggu HospitalRecruiting
  • The First Affiliated Hospital of Bengbu Medical CollegeRecruiting
  • Nantong First People's HospitalRecruiting
  • Shanghai East HospitalRecruiting
  • Central Hospital of Minhang District, ShanghaiRecruiting
  • Shenzhen People's HospitalRecruiting
  • Xiangtan Central HospitalRecruiting
  • Xinxiang First People's HospitalRecruiting
  • Affiliated Hospital of Zunyi Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

100mg AK0529 Arm

200mg AK0529 Arm

300mg AK0529 Arm

Placebo Arm

Arm Description

Patients randomised into this arm will be orally administered with 100mg AK0529 q.d. for five days.

Patients randomised into this arm will be orally administered with 200mg AK0529 q.d. for five days.

Patients randomised into this arm will be orally administered with 300mg AK0529 q.d. for five days.

Patients randomised into this arm will be orally administered with placebo q.d. for five days.

Outcomes

Primary Outcome Measures

Change of symptom score
To evaluate the change of patient-reported symptom score in AK0529 arms compared with the change in placebo arm after treatment. The scale is Wang bronchiolitis score and the total score is reported with a range from 0 to 12. A decreasing value of total score represents clinical improvement. Subscales are not applicable in this symptom score.
Incidence of adverse events during the study
An adverse event (AE) is any untoward medical occurrence in a clinical investigation patient administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Subject withdrawals due to treatment-emergent adverse events
A treatment-emergent adverse event (TEAE) is an AE that first appears during treatment, which was absent before or which worsens relative to the pre-treatment state.

Secondary Outcome Measures

Area under curve change of viral load
The antiviral effects in adults with RSV infection are to be determined by measuring the RSV viral load area under the curve from baseline to last administration of study medication .

Full Information

First Posted
October 5, 2018
Last Updated
November 25, 2019
Sponsor
Ark Biosciences Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03699202
Brief Title
Anti-RSV Study in Chinese Patients (ASCENT)
Acronym
ASCENT
Official Title
A Randomised, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety and Tolerability of Orally Administered AK0529 in Adults With Respiratory Syncytial Virus Infection
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Unknown status
Study Start Date
March 29, 2019 (Actual)
Primary Completion Date
January 31, 2020 (Anticipated)
Study Completion Date
June 30, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ark Biosciences Inc.

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
This is a randomised, double-blind, placebo-controlled, multicentre, phase 2 study to evaluate the efficacy, safety and tolerability of orally administered AK0529 in Chinese adults with RSV infection.
Detailed Description
This is a randomised, double-blind, placebo-controlled, multicentre, phase 2 study in Chinese adult outpatients with RSV infection. Approximately 160 eligible patients who have been recently diagnosed with RSV infection are planned to be enrolled into the study. Symptom scores of patients before and after treatment will be evaluated. Meanwhile, nasopharyngeal samples and blood samples will be collected for virological and pharmacokinetics evaluations. The evaluation of the safety and tolerability will include AE/SAE, vital signs, physical examination, laboratory examination and 12-lead ECGs. The total study duration for each patient will be 20 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Respiratory Syncytial Virus Infections
Keywords
RSV,AK0529,Chinese

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
160 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
100mg AK0529 Arm
Arm Type
Experimental
Arm Description
Patients randomised into this arm will be orally administered with 100mg AK0529 q.d. for five days.
Arm Title
200mg AK0529 Arm
Arm Type
Experimental
Arm Description
Patients randomised into this arm will be orally administered with 200mg AK0529 q.d. for five days.
Arm Title
300mg AK0529 Arm
Arm Type
Experimental
Arm Description
Patients randomised into this arm will be orally administered with 300mg AK0529 q.d. for five days.
Arm Title
Placebo Arm
Arm Type
Placebo Comparator
Arm Description
Patients randomised into this arm will be orally administered with placebo q.d. for five days.
Intervention Type
Drug
Intervention Name(s)
AK0529
Other Intervention Name(s)
Ziresovir
Intervention Description
AK0529 is a novel compound being developed for the treatment of RSV infection. The capsule containing enteric coated AK0529 pellets will be orally administered to patients at one of a 100mg, 200mg or 300mg dose level.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
The placebo is made with the same smell and appearance as AK0529 but without the active ingredients. The placebo supplements are composed of microcrystaline cellulose pellet.
Primary Outcome Measure Information:
Title
Change of symptom score
Description
To evaluate the change of patient-reported symptom score in AK0529 arms compared with the change in placebo arm after treatment. The scale is Wang bronchiolitis score and the total score is reported with a range from 0 to 12. A decreasing value of total score represents clinical improvement. Subscales are not applicable in this symptom score.
Time Frame
From Day 0 to Day 5
Title
Incidence of adverse events during the study
Description
An adverse event (AE) is any untoward medical occurrence in a clinical investigation patient administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Time Frame
From Day -3 to Day 14
Title
Subject withdrawals due to treatment-emergent adverse events
Description
A treatment-emergent adverse event (TEAE) is an AE that first appears during treatment, which was absent before or which worsens relative to the pre-treatment state.
Time Frame
From Day -3 to Day 14
Secondary Outcome Measure Information:
Title
Area under curve change of viral load
Description
The antiviral effects in adults with RSV infection are to be determined by measuring the RSV viral load area under the curve from baseline to last administration of study medication .
Time Frame
From Day 0 to Day 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 - 75 years, inclusive. Confirmed with RSV infection by rapid diagnostic testing. New onset with documentation of the following symptoms within 72 hours prior to the start of screening: Respiratory symptoms: runny nose, stuffy nose, sneezing, sore throat, earache, cough, shortness of breath; Systemic symptoms: headache, fatigue / lethargy, fever, and muscle and / or joint ache. The patient must have four symptoms of above, and at least one of these must be respiratory symptom in nature. Able and willing to provide written informed consent and to comply with the study protocol. Exclusion Criteria: The patient has taken, is taking or needs to take any antiviral medication (e.g. ribavirin, Chinese medicine or herbs with effects of treating respiratory tract infection) within the 72 hours prior to screening. Awareness of concomitant infections of respiratory viruses (eg, influenza A, B), bacterial or fungal infections, including systemic bacterial or fungal infections within 7 days prior to screening or during the screening period. Patient frailty was evaluated as "Vulnerable" or worse according to the Clinical Frailty Scale with a score ≥ 4 at screening. Awareness of having positive results on HBsAg or HCV antibody or HIV (HIV 1 or HIV 2). Patient with active tuberculosis or is taking antituberculosis treatment. Patient with severe gastrointestinal disease which could impact drug absorption, eg, vomiting, malabsorption syndrome, or short bowel syndrome caused by necrotizing enterocolitis. Patient with any congenital heart disease, acute or chronic heart failure, ischemic heart disease, or congenital long QT syndrome, or any clinical manifestation resulting in QT interval prolongation. Patient with malignant tumor. Patient has received or is waiting for bone marrow, stem cell or solid organ transplantation. Patient with any immune-related disease to be treated within 12 months prior to screening. Patient with clinical laboratoy test values of ≥ 2x the upper limit of normal (ULN) for alanine aminotransferase or aspartate aminotransferase, or >1x ULN for total bilirubin, or >1.5xULN for serum creatinine. Patient with electrolyte disorders, eg, hypokalemia, hypocalcemia, or hypomagnesemia. Patient with history of drug or alcohol abuse within 12 months prior to screening ("alcohol abuse" definition is >14 units per week: 1 unit = 10mL Alcohol, or 250mL of 4% beer, or 25 mL of 40% spirit, or 75 mL of 13% wine). Patient has allergy or hypersensitivity to study medication or its compositions. Female patient with positive pregnancy test result or is lactating. Patient with fertility refusing to use medically effective contraceptives during the study or within three months of the end of study. Patient participated in an investigational drug or device study within 60 days prior to screening. Patient who in the opinion of the investigator, is deemed as ineligible for the study, including patients who are with active psychiatric disease, or are taking psychiatric medication.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Organizational Affiliation
info@arkbiosciences.com
Official's Role
Study Director
Facility Information:
Facility Name
Beijing Ditan Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100015
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Beijing Anzhen Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100029
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Quanzhou First Hospital
City
Quanzhou
State/Province
Fujian
ZIP/Postal Code
362000
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Huizhou Municipal Central Hospital
City
Huizhou
State/Province
Guangdong
ZIP/Postal Code
516001
Country
China
Individual Site Status
Active, not recruiting
Facility Name
The Second Affiliated Hospital of Hainan Medical University
City
Haikou
State/Province
Hainan
ZIP/Postal Code
571199
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Sanya Central Hospital
City
Sanya
State/Province
Hainan
ZIP/Postal Code
572000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
The Second Hospital of Hebei Medical University
City
Shijiazhuang
State/Province
Hebei
ZIP/Postal Code
050000
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Nanjing First Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210006
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Jiangsu Taizhou People's Hospital
City
Taizhou
State/Province
Jiangsu
ZIP/Postal Code
225300
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Qingdao Municipal Hospital
City
Qingdao
State/Province
Shandong
ZIP/Postal Code
266011
Country
China
Individual Site Status
Active, not recruiting
Facility Name
People's Hospital of Deyang City
City
Deyang
State/Province
Sichuan
ZIP/Postal Code
618000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Suining Central Hopital
City
Suining
State/Province
Sichuan
ZIP/Postal Code
629000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
China-Japan Friendship Hospital
City
Beijing
ZIP/Postal Code
100029
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Beijing Pinggu Hospital
City
Beijing
ZIP/Postal Code
101200
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
The First Affiliated Hospital of Bengbu Medical College
City
Bengbu
ZIP/Postal Code
233004
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Nantong First People's Hospital
City
Nantong
ZIP/Postal Code
226001
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Shanghai East Hospital
City
Shanghai
ZIP/Postal Code
200120
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Central Hospital of Minhang District, Shanghai
City
Shanghai
ZIP/Postal Code
201199
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Shenzhen People's Hospital
City
Shenzhen
ZIP/Postal Code
518001
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Xiangtan Central Hospital
City
Xiangtan
ZIP/Postal Code
411100
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Xinxiang First People's Hospital
City
Xinxiang
ZIP/Postal Code
453000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com
Facility Name
Affiliated Hospital of Zunyi Medical University
City
Zunyi
ZIP/Postal Code
563000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ark Clinical Trial
Phone
+86-21-58350139
Email
info@arkbiosciences.com

12. IPD Sharing Statement

Plan to Share IPD
No

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Anti-RSV Study in Chinese Patients (ASCENT)

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