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Open Multicenter Study for Assessment of Efficacy and Safety of Molnupiravir in Adult Patients With COVID-19

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Molnupiravir (Esperavir)
Standard of care
Sponsored by
Promomed, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Availability of PIS Informed Consent Form signed and dated by a patient.
  2. Male and female subjects aged 18 to 80 inclusive as of the time of signing the PIS Informed Consent Form.
  3. Confirmed COVID-19 at screening stage: positive for SARS-CoV-2 RNA laboratory test with nucleic acid amplification techniques (NAAT) or SARS-CoV-2 antigen with immunochromatographic assay.

    SARS-CoV-2 test results obtained up to 5 days prior to randomization may be taken into account upon availability of supporting documentation.

  4. Mild or moderate SARS-CoV-2 induced infection.
  5. At least one of the following COVID-19 symptoms as of the time of screening and randomization: nasal congestion or rhinitis; sore throat; dyspnoea or respiratory distress on exertion; cough; tiredness; pain in muscles or throughout the body; headache; chills; fever (body temperature >38 ⁰С); nausea; vomiting; diarrhea; anosmia; ageusia.
  6. Disease onset (first symptom) within not more than 5 days prior to randomization .
  7. The patient agrees and is able to take oral drug products.
  8. Patient's consent to use reliable contraception methods during the entire study and for 3 weeks after the end of the study. Reliable contraception methods are: sexual abstinence, the use of a condom combined with a spermicidal agent.

Female subjects incapable of bearing children (history: hysterectomy, tubal ligation, infertility, menopause for more than 2 years), as well as male subjects with infertility or a history of vasectomy may participate in the study.

Exclusion Criteria:

  1. Hypersensitivity to the study drug components.
  2. Favipiravir intake within 7 days prior to screening.
  3. Necessity to use drugs included the prohibited therapy list.
  4. Hospitalization necessity or expected hospitalization due to COVID-19 within 48 hrs after randomization.
  5. Severe and extremely severe disease signs as of the time of screening.
  6. Vaccination within less than 4 weeks prior to screening.
  7. Possible or confirmed moderate COVID-19 within 6 months prior to screening.
  8. Possible or confirmed history of severe or very severe COVID-19.
  9. Patients with chronic kidney disease on dialysis or with GFR < 30 mL/min as of the time of screening.
  10. History of HIV, syphilis, HBV and/or HCV.
  11. Blood components transfusion within 7 days prior to screening.
  12. Alcohol, pharmacological and/or drug dependence (history and/or at the time of screening).
  13. Schizophrenia, schizoaffective disorder, bipolar disorder, or other psychiatric disorder (history or suspected) at the time of screening.
  14. Any history data that may complicate, in the opinion of the investigator, interpretation of the study results or create additional risk for the patient due to his/her participation in the study.
  15. Unwillingness or inability of a patient to comply with the Protocol procedures (in the opinion of the investigator).
  16. Pregnant or lactating women, or women planning a pregnancy.
  17. Participation in another clinical study within 3 months prior to enrollment in the present study.
  18. Other conditions investigator considers as preventing the patient from inclusion in the study.

Sites / Locations

  • Regional Budget Healthcare Institution "Ivanovo clinical hospital"
  • Kirov State Medical University of Ministry of Health of the Russian Federation
  • State Budgetary Healthcare Institution City Clinical Hospital named after S. I. Spasokukotskiy of Moscow Healthcare Department
  • Professorskaya klinika, LLC
  • Ryazan State Medical University named after academician I.P. Pavlov of Ministry of Health of the Russian Federation
  • Avrora MedFort, LLC
  • OrCli Hospital, LLC
  • Ogarev Mordova State University of Ministry of Health of the Russian Federation
  • Regional State Budget Healthcare Institution "Clinical hospital No. 1"
  • Smolensk State Medical University of Ministry of Health of the Russian Federation
  • Uromed, LLC
  • State Budgetary Healthcare Institution of Yaroslavl Region "Clinical hospital No. 3"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

JCBC00101 (Molnupiravir, Esperavir)

Standard of care

Arm Description

Group 1 (n=120) received the study drug JCBC00101, capsules 800 mg, 2 times a day with 12 ±2 hours interval for 5 days in the setting of pathogenetic and symptomatic therapy provided by Interim Guidelines for the prevention, diagnosis and treatment of COVID-19 approved by the Russian Ministry of Health (version 14, December 27, 2021) or valid as of the time of the study

Group 2 (n=120) patients receive standard therapy prescribed in accordance with the recommended treatment regimens included in the Interim Guidelines for the prevention, diagnosis and treatment of COVID-19 approved by the Russian Ministry of Health (version 14, December 27, 2021) or valid as of the time of the study by decision of the investigator and taking into accountthe availability of drugs at the study site (Favipiravir, Umifenovir, IFN α, used incombination with each other).

Outcomes

Primary Outcome Measures

Prevalence of patients with COVID-19 severity increase as compared from baseline to Visit 4.
Patient severity score at screening and during treatment was determined as per Current clinical Guidelines, version 14 (December 27,2021).

Secondary Outcome Measures

Clinical status changes as per the categorical ordinal clinical improvement WHO scale
The score as per the categorical ordinal clinical improvement WHO scale
Clinical status deterioration incidence as per the categorical ordinal clinical improvement WHO scale by ≥ 1 category
The proportion of patients with clinical status deterioration as per the categorical ordinal clinical improvement scale of ≥ 1 category
Prevalence of patients with category 0 as per categorical ordinal clinical improvement WHO scale
The proportion of patients with category 0 as per the categorical ordinal clinical improvement scale
Prevalence of patients with category 1 and less according to clinical improvement WHO scale
The proportion of patients with category 1 and less as per the categorical ordinal clinical improvement scale
Prevalence of patients with negative SARS-CoV-2 RNA test
The proportion of patients with negative SARS-CoV-2 RNA test
Symptoms intensity score as per COVID-19 Major Symptom Rating Scale.
The proportion of patients with Symptoms intensity score as per COVID-19 Major Symptom Rating Scale

Full Information

First Posted
October 24, 2022
Last Updated
October 24, 2022
Sponsor
Promomed, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05595824
Brief Title
Open Multicenter Study for Assessment of Efficacy and Safety of Molnupiravir in Adult Patients With COVID-19
Official Title
Open Multicenter Study for Assessment of Efficacy and Safety of the Drug JCBC00101, Capsules (PROMOMED RUS LLC, Russia) in Relation to COVID-19 in Adult Population
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
December 1, 2021 (Actual)
Primary Completion Date
March 11, 2022 (Actual)
Study Completion Date
March 11, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Promomed, LLC

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
This is open-labe randomized multicenter comparative Phase III study conducted in 12 medical facilities. The objective of the study is to evaluate efficacy and safety of the drug JCBC00101, capsules in the setting of pathogenetic and symptomatic therapy as compared to standard therapy in outpatients with COVID-19.
Detailed Description
Upon signing the informed consent form and screening, 240 eligible outpatients with mild or moderate COVID-19 were randomized at a 1:1 ratio to receive either molnupiravir capsules, 800 mg, 2 times a day with 12 ±2 hours interval for 5 days, or SOC

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
JCBC00101 (Molnupiravir, Esperavir)
Arm Type
Experimental
Arm Description
Group 1 (n=120) received the study drug JCBC00101, capsules 800 mg, 2 times a day with 12 ±2 hours interval for 5 days in the setting of pathogenetic and symptomatic therapy provided by Interim Guidelines for the prevention, diagnosis and treatment of COVID-19 approved by the Russian Ministry of Health (version 14, December 27, 2021) or valid as of the time of the study
Arm Title
Standard of care
Arm Type
Active Comparator
Arm Description
Group 2 (n=120) patients receive standard therapy prescribed in accordance with the recommended treatment regimens included in the Interim Guidelines for the prevention, diagnosis and treatment of COVID-19 approved by the Russian Ministry of Health (version 14, December 27, 2021) or valid as of the time of the study by decision of the investigator and taking into accountthe availability of drugs at the study site (Favipiravir, Umifenovir, IFN α, used incombination with each other).
Intervention Type
Drug
Intervention Name(s)
Molnupiravir (Esperavir)
Other Intervention Name(s)
JCBC00101
Intervention Description
Capsules 800 mg, 2 times a day with 12 ±2 hours interval for 5 days
Intervention Type
Drug
Intervention Name(s)
Standard of care
Intervention Description
The administration of 'Standard of care' drugs was done according to the regimen recommended in the 'COVID-19 TreatmentGuidelines'(Version 14 of 27.12.2021), or inforce at the time of the study
Primary Outcome Measure Information:
Title
Prevalence of patients with COVID-19 severity increase as compared from baseline to Visit 4.
Description
Patient severity score at screening and during treatment was determined as per Current clinical Guidelines, version 14 (December 27,2021).
Time Frame
From baseline to Visit 4 (days 14-15)
Secondary Outcome Measure Information:
Title
Clinical status changes as per the categorical ordinal clinical improvement WHO scale
Description
The score as per the categorical ordinal clinical improvement WHO scale
Time Frame
From baseline to Visit 2 (days 6-7), 3 (days 11-12), 4 (days 14-15), 5 (days 21±1), 6 (study completion, day 28±1)
Title
Clinical status deterioration incidence as per the categorical ordinal clinical improvement WHO scale by ≥ 1 category
Description
The proportion of patients with clinical status deterioration as per the categorical ordinal clinical improvement scale of ≥ 1 category
Time Frame
From baseline to Visit 2 (days 6-7), 3 (days 11-12), 4 (days 14-15)
Title
Prevalence of patients with category 0 as per categorical ordinal clinical improvement WHO scale
Description
The proportion of patients with category 0 as per the categorical ordinal clinical improvement scale
Time Frame
From baseline to Visit 2 (days 6-7), 3 (days 11-12), 4 (days 14-15)
Title
Prevalence of patients with category 1 and less according to clinical improvement WHO scale
Description
The proportion of patients with category 1 and less as per the categorical ordinal clinical improvement scale
Time Frame
From baseline to Visit 2 (days 6-7), 3 (days 11-12), 4 (days 14-15)
Title
Prevalence of patients with negative SARS-CoV-2 RNA test
Description
The proportion of patients with negative SARS-CoV-2 RNA test
Time Frame
From baseline to Visit 2 (days 6-7), 3 (days 11-12), 4 (days 14-15)
Title
Symptoms intensity score as per COVID-19 Major Symptom Rating Scale.
Description
The proportion of patients with Symptoms intensity score as per COVID-19 Major Symptom Rating Scale
Time Frame
From baseline to Visit 2 (days 6-7), 3 (days 11-12), 4 (days 14-15), 5 (days 21±1), 6 (study completion, day 28±1)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Availability of PIS Informed Consent Form signed and dated by a patient. Male and female subjects aged 18 to 80 inclusive as of the time of signing the PIS Informed Consent Form. Confirmed COVID-19 at screening stage: positive for SARS-CoV-2 RNA laboratory test with nucleic acid amplification techniques (NAAT) or SARS-CoV-2 antigen with immunochromatographic assay. SARS-CoV-2 test results obtained up to 5 days prior to randomization may be taken into account upon availability of supporting documentation. Mild or moderate SARS-CoV-2 induced infection. At least one of the following COVID-19 symptoms as of the time of screening and randomization: nasal congestion or rhinitis; sore throat; dyspnoea or respiratory distress on exertion; cough; tiredness; pain in muscles or throughout the body; headache; chills; fever (body temperature >38 ⁰С); nausea; vomiting; diarrhea; anosmia; ageusia. Disease onset (first symptom) within not more than 5 days prior to randomization . The patient agrees and is able to take oral drug products. Patient's consent to use reliable contraception methods during the entire study and for 3 weeks after the end of the study. Reliable contraception methods are: sexual abstinence, the use of a condom combined with a spermicidal agent. Female subjects incapable of bearing children (history: hysterectomy, tubal ligation, infertility, menopause for more than 2 years), as well as male subjects with infertility or a history of vasectomy may participate in the study. Exclusion Criteria: Hypersensitivity to the study drug components. Favipiravir intake within 7 days prior to screening. Necessity to use drugs included the prohibited therapy list. Hospitalization necessity or expected hospitalization due to COVID-19 within 48 hrs after randomization. Severe and extremely severe disease signs as of the time of screening. Vaccination within less than 4 weeks prior to screening. Possible or confirmed moderate COVID-19 within 6 months prior to screening. Possible or confirmed history of severe or very severe COVID-19. Patients with chronic kidney disease on dialysis or with GFR < 30 mL/min as of the time of screening. History of HIV, syphilis, HBV and/or HCV. Blood components transfusion within 7 days prior to screening. Alcohol, pharmacological and/or drug dependence (history and/or at the time of screening). Schizophrenia, schizoaffective disorder, bipolar disorder, or other psychiatric disorder (history or suspected) at the time of screening. Any history data that may complicate, in the opinion of the investigator, interpretation of the study results or create additional risk for the patient due to his/her participation in the study. Unwillingness or inability of a patient to comply with the Protocol procedures (in the opinion of the investigator). Pregnant or lactating women, or women planning a pregnancy. Participation in another clinical study within 3 months prior to enrollment in the present study. Other conditions investigator considers as preventing the patient from inclusion in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dmitriy Pushkar, Academician
Organizational Affiliation
Moscow State Clinical Hospital №50
Official's Role
Principal Investigator
Facility Information:
Facility Name
Regional Budget Healthcare Institution "Ivanovo clinical hospital"
City
Ivanovo
Country
Russian Federation
Facility Name
Kirov State Medical University of Ministry of Health of the Russian Federation
City
Kirov
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution City Clinical Hospital named after S. I. Spasokukotskiy of Moscow Healthcare Department
City
Moscow
Country
Russian Federation
Facility Name
Professorskaya klinika, LLC
City
Perm
Country
Russian Federation
Facility Name
Ryazan State Medical University named after academician I.P. Pavlov of Ministry of Health of the Russian Federation
City
Ryazan'
Country
Russian Federation
Facility Name
Avrora MedFort, LLC
City
Saint Petersburg
Country
Russian Federation
Facility Name
OrCli Hospital, LLC
City
Saint Petersburg
Country
Russian Federation
Facility Name
Ogarev Mordova State University of Ministry of Health of the Russian Federation
City
Saransk
Country
Russian Federation
Facility Name
Regional State Budget Healthcare Institution "Clinical hospital No. 1"
City
Smolensk
Country
Russian Federation
Facility Name
Smolensk State Medical University of Ministry of Health of the Russian Federation
City
Smolensk
Country
Russian Federation
Facility Name
Uromed, LLC
City
Smolensk
Country
Russian Federation
Facility Name
State Budgetary Healthcare Institution of Yaroslavl Region "Clinical hospital No. 3"
City
Yaroslavl
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Open Multicenter Study for Assessment of Efficacy and Safety of Molnupiravir in Adult Patients With COVID-19

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