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HC-1119 Adjuvant Treatment for Hospitalized COVID-19 Patients

Primary Purpose

COVID-19 Respiratory Infection

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
HC-1119
Placebo
Sponsored by
Applied Biology, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 Respiratory Infection

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Admitted to the hospital with symptoms of COVID-19.
  2. Male and females age ≥18 years old.
  3. Confirmed positive SARS-CoV-2, through existing RT-PCR test within 7 days prior to randomization.
  4. Patients with clinical status categorized of scores 4, 5, or 6 on the COVID-19 Ordinal Scale:

    • 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID - 19 related or otherwise);
    • 5) Hospitalized, requiring supplemental oxygen;
    • 6) Hospitalized, on non-invasive ventilation or high flow oxygen devices;
  5. Participant able to swallow 4 capsules sequentially of the medication under investigation/ placebo
  6. Coagulation: INR ≤ 1.5 ×ULN, and APTT ≤ 1.5×ULN
  7. Women of child-bearing potential must have negative results of plasma pregnancy test (serum HCG).
  8. Participant (or legally authorized representative) gives written informed consent prior to performing any study procedures.
  9. Participant (or legally authorized representative) agree that participant will not participate in another COVID-19 trial while participating in this study.

Exclusion Criteria:

  1. Participant enrolled in another interventionist study for COVID -19 treatment.
  2. Patients requiring mechanical ventilation.
  3. Patients taking an anti-androgen of any type including: androgen depravation therapy, 5-alpha reductase inhibitors, etc, having last dose of treatment less than 3 months prior to screening.
  4. Patients who are allergic to the investigational product or similar drugs (or any excipients).
  5. Patients has malignant tumors in the past 5 years, except for completed resected basal cell and squamous cell skin cancer and completely resected carcinoma in situ of any type.
  6. Patient with known serious cardiovascular disease:

    1. Heart Failure NYHA III.
    2. Heart Failure NYHA IV.
    3. Angina class III -Canadian cardiovascular Society.
    4. Angina class IV -Canadian cardiovascular Society
    5. Angina with recent onset of symptoms, whose symptoms started 30 days or less.
    6. Myocardial infarction the last 3 months.
    7. Stroke in the last 3 months.
  7. Patient with a history of seizures/epilepsy.
  8. Patient taking any medications (or combination of medications) that could induce seizures/epilepsy during the study period.
  9. Patient with uncontrolled medical conditions despite adequate medication, that could compromise participation in the study (e.g., uncontrolled hypertension, hypothyroidism, diabetes mellitus).
  10. Known diagnosis of human immunodeficiency virus (HIV), hepatitis C, active hepatitis B, treponema pallidum (testing is not mandatory).
  11. Alanine Transaminase (ALT) or Aspartate Transaminase (AST) > 5 times the upper limit of normal.
  12. Estimated glomerular filtration rate (eGFR) < 30 ml/min.
  13. Severe kidney disease requiring dialysis.
  14. Patient likely to transfer to another hospital within 28 days after hospitalization.
  15. Women of childbearing potential, defined as all women physiologically capable of becoming pregnant, unless using a highly effective method of contraception (detailed in the study protocol) throughout the study and for 3 months after stopping treatment with HC-1119.
  16. Sexually active men who refuse to use a condom during intercourse while taking HC-1119 and for 3 months after stopping treatment.
  17. Pregnant, breastfeeding, or women planning to become pregnant 3 months after treatment with HC-1119
  18. Participant (or legally authorized representative) not willing or unable to provide informed consent

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    HC-1119 + Usual Care

    Placebo + Usual Care

    Arm Description

    4 (40mg) soft gel capsule, 160 mg total

    4 soft gel capsule

    Outcomes

    Primary Outcome Measures

    All-cause mortality risk ratio assessed by the proportion of patient deaths in both study arms.
    The proportion of patients reaching score 8 (death) on the COVID-19 ordinal scale at any given time up to 28 days for both study arms.

    Secondary Outcome Measures

    Recovery ratio assessed by measuring the proportion of recovered patients in both study arms.
    Recovery will be defined as reaching scores 1 (Not hospitalized, no limitations on activities) and 2 (Not hospitalized, limitation on activities and/or requiring home oxygen) on the COVID-19 ordinal scale.
    Recovery ratio assessed by measuring the proportion of recovered patients in both study arms.
    Recovery will be defined as reaching scores 1 (Not hospitalized, no limitations on activities) and 2 (Not hospitalized, limitation on activities and/or requiring home oxygen) on the COVID-19 ordinal scale.
    Post-randomization time to recover/alive hospital discharge assessed by the median days (interquartile range) of time to recover.
    The median days (interquartile range) of time to recover will be calculated based on the number of days subjects will lead to reach scores 1 and 2 in the COVID-19 ordinal scale.
    Hazard ratio for death assessed by measuring the proportion of deaths by time in both study arms.
    The percentage of patients that reached score 8 (death) in the COVID-19 ordinal scale at any given time up to 28 days for both study arms will allow for the calculation of the hazard ratio for death.
    Pharmacokinetics of HC-1119 assessed by area under the plasma concentration-time curve from time 0 to infinity (∞) (AUC0-∞)
    Pharmacokinetics of HC-1119 assessed by area under the plasma concentration-time curve from time 0 to time t of the last measurable concentration (AUC 0-t)
    Pharmacokinetics of HC-1119 assessed by peak concentration (Cmax)
    Pharmacokinetics of HC-1119 assessed by peak time (Tmax)
    Pharmacokinetics of HC-1119 assessed by elimination half-life (t 1/2)
    Efficacy of concomitant therapies assessed by sensitivity analysis of the primary, and key secondary outcomes.
    Sensitivity analysis of the primary, and key secondary outcomes to evaluate the efficacy of concomitant therapy including off-label use of marketed medications that are intended as treatment for COVID 19 and are given to patient prior to and during the study.

    Full Information

    First Posted
    July 28, 2021
    Last Updated
    February 17, 2022
    Sponsor
    Applied Biology, Inc.
    Collaborators
    Hinova Pharmaceuticals Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04986176
    Brief Title
    HC-1119 Adjuvant Treatment for Hospitalized COVID-19 Patients
    Official Title
    HC-1119 Adjuvant Treatment for Hospitalized COVID-19 Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    April 15, 2022 (Anticipated)
    Primary Completion Date
    December 31, 2022 (Anticipated)
    Study Completion Date
    December 31, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Applied Biology, Inc.
    Collaborators
    Hinova Pharmaceuticals Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The primary purpose of this study is to evaluate the efficacy of HC-1119 as an adjuvant treatment for hospitalized COVID-19 male and female patients.
    Detailed Description
    This study is designed as a prospective, superiority, interventionist, placebo-controlled, double-blinded, randomized parallel assignment study. The study evaluates the efficacy and safety of HC- 1119. Participants will be screened for eligibility; the assessment should be completed prior to any randomization to avoid screening failures to a maximum extent. Eligible participants (men and women) will be randomized 1:1 between arms (HC-1119 and placebo). HC-1119 and placebo will be administered orally. The dosing regimen is 160 mg daily for 14 consecutive days. All patients will receive in parallel the standard treatment for COVID -19, according to the institution's protocol. An electronic program will be used to manage randomization and drug shipment. The whole process will be handled in a manner that is blinded for the treatment received to all involved study personnel. The study follow up period will be 28 days after the first treatment.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Model Description
    Prospective, superiority, interventional, placebo-controlled, double-blinded, randomized, parallel-assignment study
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    602 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    HC-1119 + Usual Care
    Arm Type
    Experimental
    Arm Description
    4 (40mg) soft gel capsule, 160 mg total
    Arm Title
    Placebo + Usual Care
    Arm Type
    Placebo Comparator
    Arm Description
    4 soft gel capsule
    Intervention Type
    Drug
    Intervention Name(s)
    HC-1119
    Intervention Description
    oral
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    oral
    Primary Outcome Measure Information:
    Title
    All-cause mortality risk ratio assessed by the proportion of patient deaths in both study arms.
    Description
    The proportion of patients reaching score 8 (death) on the COVID-19 ordinal scale at any given time up to 28 days for both study arms.
    Time Frame
    28 days
    Secondary Outcome Measure Information:
    Title
    Recovery ratio assessed by measuring the proportion of recovered patients in both study arms.
    Description
    Recovery will be defined as reaching scores 1 (Not hospitalized, no limitations on activities) and 2 (Not hospitalized, limitation on activities and/or requiring home oxygen) on the COVID-19 ordinal scale.
    Time Frame
    28 days
    Title
    Recovery ratio assessed by measuring the proportion of recovered patients in both study arms.
    Description
    Recovery will be defined as reaching scores 1 (Not hospitalized, no limitations on activities) and 2 (Not hospitalized, limitation on activities and/or requiring home oxygen) on the COVID-19 ordinal scale.
    Time Frame
    14 days
    Title
    Post-randomization time to recover/alive hospital discharge assessed by the median days (interquartile range) of time to recover.
    Description
    The median days (interquartile range) of time to recover will be calculated based on the number of days subjects will lead to reach scores 1 and 2 in the COVID-19 ordinal scale.
    Time Frame
    28 days
    Title
    Hazard ratio for death assessed by measuring the proportion of deaths by time in both study arms.
    Description
    The percentage of patients that reached score 8 (death) in the COVID-19 ordinal scale at any given time up to 28 days for both study arms will allow for the calculation of the hazard ratio for death.
    Time Frame
    28 days
    Title
    Pharmacokinetics of HC-1119 assessed by area under the plasma concentration-time curve from time 0 to infinity (∞) (AUC0-∞)
    Time Frame
    14 days
    Title
    Pharmacokinetics of HC-1119 assessed by area under the plasma concentration-time curve from time 0 to time t of the last measurable concentration (AUC 0-t)
    Time Frame
    14 days
    Title
    Pharmacokinetics of HC-1119 assessed by peak concentration (Cmax)
    Time Frame
    14 days
    Title
    Pharmacokinetics of HC-1119 assessed by peak time (Tmax)
    Time Frame
    14 days
    Title
    Pharmacokinetics of HC-1119 assessed by elimination half-life (t 1/2)
    Time Frame
    14 days
    Title
    Efficacy of concomitant therapies assessed by sensitivity analysis of the primary, and key secondary outcomes.
    Description
    Sensitivity analysis of the primary, and key secondary outcomes to evaluate the efficacy of concomitant therapy including off-label use of marketed medications that are intended as treatment for COVID 19 and are given to patient prior to and during the study.
    Time Frame
    28 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Admitted to the hospital with symptoms of COVID-19. Male and females age ≥18 years old. Confirmed positive SARS-CoV-2, through existing RT-PCR test within 7 days prior to randomization. Patients with clinical status categorized of scores 4, 5, or 6 on the COVID-19 Ordinal Scale: 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID - 19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high flow oxygen devices; Participant able to swallow 4 capsules sequentially of the medication under investigation/ placebo Coagulation: INR ≤ 1.5 ×ULN, and APTT ≤ 1.5×ULN Women of child-bearing potential must have negative results of plasma pregnancy test (serum HCG). Participant (or legally authorized representative) gives written informed consent prior to performing any study procedures. Participant (or legally authorized representative) agree that participant will not participate in another COVID-19 trial while participating in this study. Exclusion Criteria: Participant enrolled in another interventionist study for COVID -19 treatment. Patients requiring mechanical ventilation. Patients taking an anti-androgen of any type including: androgen depravation therapy, 5-alpha reductase inhibitors, etc, having last dose of treatment less than 3 months prior to screening. Patients who are allergic to the investigational product or similar drugs (or any excipients). Patients has malignant tumors in the past 5 years, except for completed resected basal cell and squamous cell skin cancer and completely resected carcinoma in situ of any type. Patient with known serious cardiovascular disease: Heart Failure NYHA III. Heart Failure NYHA IV. Angina class III -Canadian cardiovascular Society. Angina class IV -Canadian cardiovascular Society Angina with recent onset of symptoms, whose symptoms started 30 days or less. Myocardial infarction the last 3 months. Stroke in the last 3 months. Patient with a history of seizures/epilepsy. Patient taking any medications (or combination of medications) that could induce seizures/epilepsy during the study period. Patient with uncontrolled medical conditions despite adequate medication, that could compromise participation in the study (e.g., uncontrolled hypertension, hypothyroidism, diabetes mellitus). Known diagnosis of human immunodeficiency virus (HIV), hepatitis C, active hepatitis B, treponema pallidum (testing is not mandatory). Alanine Transaminase (ALT) or Aspartate Transaminase (AST) > 5 times the upper limit of normal. Estimated glomerular filtration rate (eGFR) < 30 ml/min. Severe kidney disease requiring dialysis. Patient likely to transfer to another hospital within 28 days after hospitalization. Women of childbearing potential, defined as all women physiologically capable of becoming pregnant, unless using a highly effective method of contraception (detailed in the study protocol) throughout the study and for 3 months after stopping treatment with HC-1119. Sexually active men who refuse to use a condom during intercourse while taking HC-1119 and for 3 months after stopping treatment. Pregnant, breastfeeding, or women planning to become pregnant 3 months after treatment with HC-1119 Participant (or legally authorized representative) not willing or unable to provide informed consent

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    HC-1119 Adjuvant Treatment for Hospitalized COVID-19 Patients

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