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Evaluation of Safety & Efficacy of MIR 19 ® Inhalation Solution in Patients With Mild COVID-19

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 2
Locations
Russian Federation
Study Type
Interventional
Intervention
MIR 19 ®
Standard therapy
Sponsored by
National Research Center - Institute of Immunology Federal Medical-Biological Agency of Russia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria: Men and women over the age of 18 who have been diagnosed with COVID-19 and who need therapy on an outpatient basis according to the Interim Guidelines "Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)"by Ministry of Health of the Russian Federation. Version 14 from 12/27/2021. Able to give informed consent and attend all study visits Duration of the disease from the first symptoms (presence of at least one of the following symptoms: fever, cough, myalgia, weakness, shortness of breath, headache, nausea, stool disorders, loss of appetite) up to the day of screening no more than 5 days. Negative pregnancy test for women with preserved reproductive potential Participants must agree to use the reliable contraception while on study medication and for posttrial contraception for 3 month The patient's ability to inhale the experimental drug Exclusion Criteria: Respiratory rate is more than 22 / min Oxygen saturation - SpO2 ≤ 94%. Decreased level of consciousness, agitation. Unstable hemodynamics (systolic blood pressure less than 100 mmHg or diastolic blood pressure less than 60 mmHg). Long-term systemic corticosteroid exposure. Autoimmune or inflammatory diseases (systemic / localized), as well as oncological diseases. Symptoms of moderate, severe or critical COVID-19 at the time of screening Positive blood tests for HIV, hepatitis B and С, syphilis. Pregnancy and breast-feeding. Previous adverse reactions to the active substance and/or excipients included in the drug Chronic diseases of the cardiovascular system Type 1 diabetes. The following laboratory parameters are excluded: Alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, total and direct bilirubin >4 x upper limit of normal (ULN); C-reactive protein (CRP) level > 10 mg/L. Participation in other investigational drug or device clinical trials within 90 days prior to screening. History of alcohol, drug or chemical abuse Previous hospitalizations associated with the development of moderate and severe COVID-19. Mental illness. Receipt of plasma from a person who recovered from COVID-19 (convalescent plasma) up to 14 days before participating in the study, vaccination against SARS-CoV-2 less than 4 weeks before randomization. Any conditions that, according to the researcher's, may be a contraindication to the participation in the study.

Sites / Locations

  • NRC Institute of Immunology FMBA

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

MIR 19 ®

Standard therapy

Arm Description

MIR 19 ® was used in a single dose of 1.85 mg for 3 inhalations per day at intervals of 6-7 hours for 7 days in addition to standard therapy without use of any etiotropic drugs. Standard therapy included: - paracetamol - 1-2 tablets (500-1000 mg) 2-3 times a day (if body temperature ≥38.0°)

Standard therapy included: umifenovir (Arbidol®) - 200 mg 4 times per day for 7 days interferon-α, intranasal forms (Grippferon®),spray - in accordance with the instructions. paracetamol - 1-2 tablets (500-1000 mg) 2-3 times a day (if body temperature ≥38.0°)

Outcomes

Primary Outcome Measures

Moderate or severe COVID-19
The proportion of patients with the development of moderate or severe COVID-19 disease (in accordance with the criteria specified in the Interim Guidelines "Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)" by the Ministry of Health of the Russian Federation, version 14 of 27.12.2021 or current at the time of the study)

Secondary Outcome Measures

Etiotropic therapy
The proportion of patients required another etiotropic therapy COVID-19 during the study.
Severity of COVID-19 symptoms
Assessment of the severity of COVID-19 symptoms (nasal congestion, sore throat, shortness of breath, cough, weakness, myalgia, headache, chills, fever, nausea, vomiting, diarrhea, anosmia, ageusia) according to the patient's diary.
Results of polymerase chain reaction (PCR)
The proportion of patients with negative PCR to SARS-CoV-2 at visits 4, 5
Improvement / disappearance of COVID-19 symptoms
Time to clinical improvement / disappearance of symptoms according to the scale of assessment of the severity of symptoms of the disease
Duration of COVID-19 symptoms
Duration of clinical symptoms of COVID-19 disease (fever, cough, myalgia, weakness, shortness of breath, headache, nausea, stool disorders, loss of appetite, anosmia, ageusia) according to the patient's diary.
Moderate COVID-19
Proportion of patients with moderate COVID-19.
Severe COVID-19
Proportion of patients with severe COVID-19.
Critical COVID-19
Proportion of patients with critical COVID-19
Hospitalization
Proportion of hospitalized patients
Death rate
The proportion of deaths during the study
Worsening of COVID-19 symptoms
The proportion of patients with worsening of COVID-19 clinical symptoms during the study by at least 1 point

Full Information

First Posted
March 22, 2023
Last Updated
March 24, 2023
Sponsor
National Research Center - Institute of Immunology Federal Medical-Biological Agency of Russia
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1. Study Identification

Unique Protocol Identification Number
NCT05783206
Brief Title
Evaluation of Safety & Efficacy of MIR 19 ® Inhalation Solution in Patients With Mild COVID-19
Official Title
Open Multicenter Controlled Clinical Trial to Evaluate Safety and Efficacy of Aerosolized MIR 19 ® Inhalation in Adult Outpatients With Mild COVID-19.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
February 10, 2022 (Actual)
Primary Completion Date
May 3, 2022 (Actual)
Study Completion Date
May 3, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Research Center - Institute of Immunology Federal Medical-Biological Agency of Russia

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 aim of this study is to evaluate the effectiveness and safety of MIR 19 ® in preventing development of moderate and/or severe course of the disease in mild COVID-19 outpatients. Primary endpoint: The proportion of patients with the development of moderate or severe COVID-19 disease (in accordance with the criteria specified in the Interim Guidelines "Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)" by the Ministry of Health of the Russian Federation, version 14 of 27.12.2021 or current at the time of the study) by the 28th day of observation.
Detailed Description
This is Phase 2b-3 multi-center controlled randomized study to assess the efficacy and safety of MIR 19 ® via 7 days treatment in a dose of 5.55 mg/day of participants with symptomatic mild COVID-19 who did not require hospitalisation. The MIR 19® is a complex of siRNA, targeting Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) RNA-dependent RNA polymerase (RdRp) and peptide dendrimer (KK-46). This study involved 2 cohorts who received: 5.5 mg of the MIR 19 ® per day via inhalation route plus standard therapy which included symptomatic treatment, without any etiotropic drugs. Standard therapy which included symptomatic treatment as well as etiotropic drugs except MIR 19 ®. All subjects will undergo scheduled safety and efficacy assessments as outpatients to the end of the follow-up period.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
534 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MIR 19 ®
Arm Type
Experimental
Arm Description
MIR 19 ® was used in a single dose of 1.85 mg for 3 inhalations per day at intervals of 6-7 hours for 7 days in addition to standard therapy without use of any etiotropic drugs. Standard therapy included: - paracetamol - 1-2 tablets (500-1000 mg) 2-3 times a day (if body temperature ≥38.0°)
Arm Title
Standard therapy
Arm Type
Active Comparator
Arm Description
Standard therapy included: umifenovir (Arbidol®) - 200 mg 4 times per day for 7 days interferon-α, intranasal forms (Grippferon®),spray - in accordance with the instructions. paracetamol - 1-2 tablets (500-1000 mg) 2-3 times a day (if body temperature ≥38.0°)
Intervention Type
Drug
Intervention Name(s)
MIR 19 ®
Intervention Description
MIR 19 ® contains anti-SARS-CoV-2 siRNAs/KK-46 (peptide dendrimer) complexes for inhalation use. In the experimental groups treated with MIR 19 ®, the therapy included symptomatic treatment without use of any etiotropic drugs.
Intervention Type
Combination Product
Intervention Name(s)
Standard therapy
Intervention Description
Therapy carried out in accordance with the current version of the temporary methodological recommendations of the Ministry of Health of the Russian Federation for the treatment of COVID-19 infection. This therapy included symptomatic treatment as well as etiotropic drugs (except MIR 19 ®)
Primary Outcome Measure Information:
Title
Moderate or severe COVID-19
Description
The proportion of patients with the development of moderate or severe COVID-19 disease (in accordance with the criteria specified in the Interim Guidelines "Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)" by the Ministry of Health of the Russian Federation, version 14 of 27.12.2021 or current at the time of the study)
Time Frame
28th day of observation
Secondary Outcome Measure Information:
Title
Etiotropic therapy
Description
The proportion of patients required another etiotropic therapy COVID-19 during the study.
Time Frame
28th day of observation
Title
Severity of COVID-19 symptoms
Description
Assessment of the severity of COVID-19 symptoms (nasal congestion, sore throat, shortness of breath, cough, weakness, myalgia, headache, chills, fever, nausea, vomiting, diarrhea, anosmia, ageusia) according to the patient's diary.
Time Frame
28th day of observation
Title
Results of polymerase chain reaction (PCR)
Description
The proportion of patients with negative PCR to SARS-CoV-2 at visits 4, 5
Time Frame
28th day of observation
Title
Improvement / disappearance of COVID-19 symptoms
Description
Time to clinical improvement / disappearance of symptoms according to the scale of assessment of the severity of symptoms of the disease
Time Frame
28th day of observation
Title
Duration of COVID-19 symptoms
Description
Duration of clinical symptoms of COVID-19 disease (fever, cough, myalgia, weakness, shortness of breath, headache, nausea, stool disorders, loss of appetite, anosmia, ageusia) according to the patient's diary.
Time Frame
28th day of observation
Title
Moderate COVID-19
Description
Proportion of patients with moderate COVID-19.
Time Frame
28th day of observation
Title
Severe COVID-19
Description
Proportion of patients with severe COVID-19.
Time Frame
28th day of observation
Title
Critical COVID-19
Description
Proportion of patients with critical COVID-19
Time Frame
28th day of observation
Title
Hospitalization
Description
Proportion of hospitalized patients
Time Frame
28th day of observation
Title
Death rate
Description
The proportion of deaths during the study
Time Frame
28th day of observation
Title
Worsening of COVID-19 symptoms
Description
The proportion of patients with worsening of COVID-19 clinical symptoms during the study by at least 1 point
Time Frame
28th day of observation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men and women over the age of 18 who have been diagnosed with COVID-19 and who need therapy on an outpatient basis according to the Interim Guidelines "Prevention, diagnosis and treatment of new coronavirus infection (COVID-19)"by Ministry of Health of the Russian Federation. Version 14 from 12/27/2021. Able to give informed consent and attend all study visits Duration of the disease from the first symptoms (presence of at least one of the following symptoms: fever, cough, myalgia, weakness, shortness of breath, headache, nausea, stool disorders, loss of appetite) up to the day of screening no more than 5 days. Negative pregnancy test for women with preserved reproductive potential Participants must agree to use the reliable contraception while on study medication and for posttrial contraception for 3 month The patient's ability to inhale the experimental drug Exclusion Criteria: Respiratory rate is more than 22 / min Oxygen saturation - SpO2 ≤ 94%. Decreased level of consciousness, agitation. Unstable hemodynamics (systolic blood pressure less than 100 mmHg or diastolic blood pressure less than 60 mmHg). Long-term systemic corticosteroid exposure. Autoimmune or inflammatory diseases (systemic / localized), as well as oncological diseases. Symptoms of moderate, severe or critical COVID-19 at the time of screening Positive blood tests for HIV, hepatitis B and С, syphilis. Pregnancy and breast-feeding. Previous adverse reactions to the active substance and/or excipients included in the drug Chronic diseases of the cardiovascular system Type 1 diabetes. The following laboratory parameters are excluded: Alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, total and direct bilirubin >4 x upper limit of normal (ULN); C-reactive protein (CRP) level > 10 mg/L. Participation in other investigational drug or device clinical trials within 90 days prior to screening. History of alcohol, drug or chemical abuse Previous hospitalizations associated with the development of moderate and severe COVID-19. Mental illness. Receipt of plasma from a person who recovered from COVID-19 (convalescent plasma) up to 14 days before participating in the study, vaccination against SARS-CoV-2 less than 4 weeks before randomization. Any conditions that, according to the researcher's, may be a contraindication to the participation in the study.
Facility Information:
Facility Name
NRC Institute of Immunology FMBA
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation

12. IPD Sharing Statement

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Evaluation of Safety & Efficacy of MIR 19 ® Inhalation Solution in Patients With Mild COVID-19

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