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Evaluating Safety, Tolerability, and Potential Efficacy of Intranasal AD17002 in Adults With Mild to Moderate COVID-19

Primary Purpose

Covid19

Status
Completed
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
AD17002
Placebo (Formulation buffer)
Sponsored by
Advagene Biopharma Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring SARS-CoV-2, COVID-19, Therapy

Eligibility Criteria

20 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Aged ≥ 20 and ≤ 70 years
  2. SARS-CoV-2 infection confirmed by real-time RT-PCR ≤ 4 days before randomization.
  3. Symptoms of mild to moderate illness with COVID-19 at Screening. At least one key COVID-19 symptom should have a score of 2 or higher using the scoring system in the diary card, with the exception of fever, sense of smell, and sense of taste where participants may be enrolled with a score of 1 or higher.
  4. Have a negative serum pregnancy test at Screening (for female participants of childbearing potential). A female participant who is of childbearing potential agrees to remain abstinent or use (or have their partner use) two acceptable methods of birth control within the projected duration of the study. Acceptable methods of birth control are: intrauterine device, hormonal contraception, diaphragm with spermicide, contraceptive sponge, condom, vasectomy, as per local regulations or guidelines.
  5. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤ 2.5-fold of upper limit of normal (ULN) and total bilirubin ≤ 1.5-fold of ULN.
  6. Creatinine clearance ≥ 50 mL/min.
  7. A female participant who is not of childbearing potential is eligible without requiring the use of contraception. A female participant who is not of childbearing potential is defined as one who has either:

    1. Reached natural menopause (defined as 6 months of spontaneous amenorrhea with serum follicle-stimulating hormone levels in the postmenopausal range as determined by the laboratory, or 12 months of spontaneous amenorrhea), or
    2. At least six weeks postsurgical documented total hysterectomy and/or bilateral salpingo-oophorectomy, or
    3. Bilateral tubal ligation
  8. Participant or the participant's legal representative understands the study procedures, alternative treatments available, risks involved with the study, and voluntarily agrees to participate by giving written informed consent.
  9. Provide written informed consent for the study and willing to adhere to dose regimen and visit schedules.

Exclusion Criteria:

  1. Participant has clinical signs suggestive of moderate (pneumonia) or more severe illnesses with COVID-19 (as defined in the Taiwan CDC "Interim Guideline for Clinical Management of SARS-CoV-2 Infection Version 13" (Taiwan CDC, Clinical Management of SARS-CoV-2 Infection).
  2. Participation in any other clinical study of an investigational agent treatment for SARS- CoV-2 infection within 30 days prior to the first IMP dosing.
  3. Participant who has a history of confirmed SARS-CoV-2 infection.
  4. Concurrent treatment with other agents with actual or possible direct acting antiviral activity against SARS-CoV-2 < 24 hours prior to the first IMP dosing.
  5. History of severe renal disease (treatment with dialysis or phosphate binders) or clinically apparent hepatic impairment (e.g., jaundice, cholestasis, hepatic synthetic impairment, active hepatitis).
  6. Impaired cardiac function or clinically significant cardiac diseases as judged by the Investigator.
  7. History of anaphylaxis reaction to any known or unknown cause.
  8. Immunosuppressed persons as result of illness (e.g., HIV infection) or treatment.
  9. Documented history of Bell's palsy.
  10. History of allergic reaction to kanamycin.
  11. Immunosuppressive treatment within 3 months prior to the Screening Visit.
  12. Ongoing treatment with any specific immunotherapy at the time of the Screening Visit.
  13. Assessed by the Investigator to be ineligible to participate in the study.

Sites / Locations

  • Advagene Biopharma
  • Chang Gun Medical Foundation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Standard of care + AD17002 (3 weekly doses)

Standard of care + Placebo (3 weekly doses)

Standard of care + AD17002 (3 doses in 5 days)

Standard of care + Placebo (3 doses in 5 days)

Arm Description

Received 3 weekly doses of AD17002 20μg/dose of AD17002 by intranasal route

Received 3 weekly doses of Placebo Formulation buffer by the intranasal route

Received 3 doses of AD17002 in 5 days 20μg/dose of AD17002 by the intranasal route on days 1, 3, and 5

Received 3 doses of Placebo in 5 days Formulation buffer by the ntranasal route on days 1, 3, and 5

Outcomes

Primary Outcome Measures

The proportion of participants who experience adverse events
Clinicians and Patients reported AEs in the study period (7 weeks)
The proportion of participants with treatment-emergent adverse events (TEAE) leading to investigational medicinal products (IMPs) discontinuation
Measuring and recording the AEs caused by treatment.
The nasal tolerability to investigational medicinal products (IMPs)
Nasal symptoms will be assessed by participants and ear-nose-throat (ENT) specialists on symptoms include runny nose, stuffy nose, nasal discomfort, sneezing, lacrimation, change in vision, red eyes, facial swelling, nasal pain. Symptom Score Guide: 0= None; 1= Mild; 2= Moderately; 3= Severe

Secondary Outcome Measures

The time to proportions of participants have a Ct≥30
Measuring the RT-PCR on RdRp and E gene
Time to recovery* of fever (days)
Fever is defined as temperatures of ≥ 36.6°C (axilla), or ≥ 37.2°C (oral), or ≥ 37.8°C (rectal or tympanic) over a 48-hour period. Recovery of fever is defined as occurring when body temperature is < 36.6°C (axilla), or < 37.2°C (oral), or < 37.8°C (rectal or tympanic) over a 48-hour period.
Time to recovery* of sore throat (days)
Recovery of sore throat is defined as occurring when the symptom of sore throat has resolved to a score of 0 over a 48 hour period
Time to recovery* of cough (days
Recovery of cough is defined as occurring when the symptom of cough has resolved to a score of 0 over a 48 hour period
Time to recovery* of fatigue (days).
Recovery of fatigue is defined as occurring when the symptom of fatigue has resolved to a score of 0 over a 48 hour period
Time to recovery* of muscle/body pain (days)
Recovery of muscle/body pain is defined as occurring when the symptom of muscle/body pain has resolved to a score of 0 over a 48 hour period
Time to recovery* of other symptoms (days)
Recovery of symptom is defined as occurring when the symptom has resolved to a score of 0 over a 48 hour period
The mean change from baseline to each specified time point on National Early Warning Score 2 (NEWS2)
Clinicians or study staffs report the NEWS 2 scores for each subject.

Full Information

First Posted
October 4, 2021
Last Updated
July 24, 2023
Sponsor
Advagene Biopharma Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05069610
Brief Title
Evaluating Safety, Tolerability, and Potential Efficacy of Intranasal AD17002 in Adults With Mild to Moderate COVID-19
Official Title
A Parallel Group Treatment, Phase 2a, Double-blind, Randomized, Placebo-controlled, 4-arm Study to Evaluate the Safety, Tolerability, and Potential Efficacy of Intranasal AD17002 in Adults Participants Aged 20 to 70 Years With Mild to Moderate COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
March 21, 2022 (Actual)
Primary Completion Date
May 15, 2023 (Actual)
Study Completion Date
May 28, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Advagene Biopharma Co. Ltd.

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
AD17002 has demonstrated superior safety and efficacy as a nasal adjuvant function to an influenza vaccine in two completed clinical studies, and has innate immune modulatory and anti-inflammatory properties which could potentially be an effective treatment for SARS-CoV-2 infection. This Phase 2a, multi-center study is set up to assess the safety, tolerability, and potential efficacy of AD17002 in participants with mild to moderate COVID-19. The Immunogenicity of repeated doses of AD17002 will also be explored.
Detailed Description
Participants who meet eligibility criteria will be isolated and confined to the study site to receive treatment for COVID-19. Eligible participants will be assigned to 2 cohorts, Cohort 1 and Cohort 2, in a sequential manner to undergo either a 3-dose (Cohort 1) or 5-dose (Cohort 2) treatment regimen. Within each cohort, participants will be randomized in a 2:1 ratio to receive standard of care treatment and add-on therapy of AD17002 at 20 μg or placebo. Randomized participants will be assigned a participant number. The participants, site personnel and the Sponsor will be blinded to the treatment assignment. Randomization will not be stratified and participants who withdraw from the study after starting treatment will not be replaced, except for participants who undergo sentinel dosing in Cohort 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
SARS-CoV-2, COVID-19, Therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Standard of care + AD17002 (3 weekly doses)
Arm Type
Experimental
Arm Description
Received 3 weekly doses of AD17002 20μg/dose of AD17002 by intranasal route
Arm Title
Standard of care + Placebo (3 weekly doses)
Arm Type
Placebo Comparator
Arm Description
Received 3 weekly doses of Placebo Formulation buffer by the intranasal route
Arm Title
Standard of care + AD17002 (3 doses in 5 days)
Arm Type
Experimental
Arm Description
Received 3 doses of AD17002 in 5 days 20μg/dose of AD17002 by the intranasal route on days 1, 3, and 5
Arm Title
Standard of care + Placebo (3 doses in 5 days)
Arm Type
Placebo Comparator
Arm Description
Received 3 doses of Placebo in 5 days Formulation buffer by the ntranasal route on days 1, 3, and 5
Intervention Type
Biological
Intervention Name(s)
AD17002
Intervention Description
A recombinant protein
Intervention Type
Biological
Intervention Name(s)
Placebo (Formulation buffer)
Intervention Description
Formulation buffer
Primary Outcome Measure Information:
Title
The proportion of participants who experience adverse events
Description
Clinicians and Patients reported AEs in the study period (7 weeks)
Time Frame
7 weeks
Title
The proportion of participants with treatment-emergent adverse events (TEAE) leading to investigational medicinal products (IMPs) discontinuation
Description
Measuring and recording the AEs caused by treatment.
Time Frame
7 weeks
Title
The nasal tolerability to investigational medicinal products (IMPs)
Description
Nasal symptoms will be assessed by participants and ear-nose-throat (ENT) specialists on symptoms include runny nose, stuffy nose, nasal discomfort, sneezing, lacrimation, change in vision, red eyes, facial swelling, nasal pain. Symptom Score Guide: 0= None; 1= Mild; 2= Moderately; 3= Severe
Time Frame
7 weeks
Secondary Outcome Measure Information:
Title
The time to proportions of participants have a Ct≥30
Description
Measuring the RT-PCR on RdRp and E gene
Time Frame
7 weeks
Title
Time to recovery* of fever (days)
Description
Fever is defined as temperatures of ≥ 36.6°C (axilla), or ≥ 37.2°C (oral), or ≥ 37.8°C (rectal or tympanic) over a 48-hour period. Recovery of fever is defined as occurring when body temperature is < 36.6°C (axilla), or < 37.2°C (oral), or < 37.8°C (rectal or tympanic) over a 48-hour period.
Time Frame
7 weeks
Title
Time to recovery* of sore throat (days)
Description
Recovery of sore throat is defined as occurring when the symptom of sore throat has resolved to a score of 0 over a 48 hour period
Time Frame
7 weeks
Title
Time to recovery* of cough (days
Description
Recovery of cough is defined as occurring when the symptom of cough has resolved to a score of 0 over a 48 hour period
Time Frame
7 weeks
Title
Time to recovery* of fatigue (days).
Description
Recovery of fatigue is defined as occurring when the symptom of fatigue has resolved to a score of 0 over a 48 hour period
Time Frame
7 weeks
Title
Time to recovery* of muscle/body pain (days)
Description
Recovery of muscle/body pain is defined as occurring when the symptom of muscle/body pain has resolved to a score of 0 over a 48 hour period
Time Frame
7 weeks
Title
Time to recovery* of other symptoms (days)
Description
Recovery of symptom is defined as occurring when the symptom has resolved to a score of 0 over a 48 hour period
Time Frame
7 weeks
Title
The mean change from baseline to each specified time point on National Early Warning Score 2 (NEWS2)
Description
Clinicians or study staffs report the NEWS 2 scores for each subject.
Time Frame
7 weeks
Other Pre-specified Outcome Measures:
Title
Changes to anti-SARS CoV-2 antibody titers from baseline
Description
Measuring virus-specific IgG within serum
Time Frame
7 weeks
Title
Changes to pre-specified immunological markers
Description
Measuring the IL6, lymphocyte count and neutrophil-to-lymphocyte ratio.
Time Frame
7 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Aged ≥ 20 and ≤ 70 years SARS-CoV-2 infection confirmed by real-time RT-PCR ≤ 4 days before randomization. Symptoms of mild to moderate illness with COVID-19 at Screening. At least one key COVID-19 symptom should have a score of 2 or higher using the scoring system in the diary card, with the exception of fever, sense of smell, and sense of taste where participants may be enrolled with a score of 1 or higher. Have a negative serum pregnancy test at Screening (for female participants of childbearing potential). A female participant who is of childbearing potential agrees to remain abstinent or use (or have their partner use) two acceptable methods of birth control within the projected duration of the study. Acceptable methods of birth control are: intrauterine device, hormonal contraception, diaphragm with spermicide, contraceptive sponge, condom, vasectomy, as per local regulations or guidelines. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤ 2.5-fold of upper limit of normal (ULN) and total bilirubin ≤ 1.5-fold of ULN. Creatinine clearance ≥ 50 mL/min. A female participant who is not of childbearing potential is eligible without requiring the use of contraception. A female participant who is not of childbearing potential is defined as one who has either: Reached natural menopause (defined as 6 months of spontaneous amenorrhea with serum follicle-stimulating hormone levels in the postmenopausal range as determined by the laboratory, or 12 months of spontaneous amenorrhea), or At least six weeks postsurgical documented total hysterectomy and/or bilateral salpingo-oophorectomy, or Bilateral tubal ligation Participant or the participant's legal representative understands the study procedures, alternative treatments available, risks involved with the study, and voluntarily agrees to participate by giving written informed consent. Provide written informed consent for the study and willing to adhere to dose regimen and visit schedules. Exclusion Criteria: Participant has clinical signs suggestive of moderate (pneumonia) or more severe illnesses with COVID-19 (as defined in the Taiwan CDC "Interim Guideline for Clinical Management of SARS-CoV-2 Infection Version 13" (Taiwan CDC, Clinical Management of SARS-CoV-2 Infection). Participation in any other clinical study of an investigational agent treatment for SARS- CoV-2 infection within 30 days prior to the first IMP dosing. Participant who has a history of confirmed SARS-CoV-2 infection. Concurrent treatment with other agents with actual or possible direct acting antiviral activity against SARS-CoV-2 < 24 hours prior to the first IMP dosing. History of severe renal disease (treatment with dialysis or phosphate binders) or clinically apparent hepatic impairment (e.g., jaundice, cholestasis, hepatic synthetic impairment, active hepatitis). Impaired cardiac function or clinically significant cardiac diseases as judged by the Investigator. History of anaphylaxis reaction to any known or unknown cause. Immunosuppressed persons as result of illness (e.g., HIV infection) or treatment. Documented history of Bell's palsy. History of allergic reaction to kanamycin. Immunosuppressive treatment within 3 months prior to the Screening Visit. Ongoing treatment with any specific immunotherapy at the time of the Screening Visit. Assessed by the Investigator to be ineligible to participate in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mingi Chang, PhD
Organizational Affiliation
Advagene Biopharma
Official's Role
Study Director
Facility Information:
Facility Name
Advagene Biopharma
City
Taipei
ZIP/Postal Code
104
Country
Taiwan
Facility Name
Chang Gun Medical Foundation
City
Taoyuan
ZIP/Postal Code
333423
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluating Safety, Tolerability, and Potential Efficacy of Intranasal AD17002 in Adults With Mild to Moderate COVID-19

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