Phase 3 Inhaled Novaferon Study in Hospitalized Patients With Moderate to Severe COVID-19 (NOVATION-1)
Covid19
About this trial
This is an interventional treatment trial for Covid19 focused on measuring antiviral, SARS-CoV-2, COVID19
Eligibility Criteria
Inclusion Criteria:
Inclusion Criteria:
- Signed informed consent form by any patient capable of giving consent, or, when the patient is not capable of giving consent, by his or her legal/authorized representatives prior to initiation of any study procedures.
- Men and women, ≥18 years of age at time of enrollment.
- Laboratory-confirmed diagnosis of SARS-CoV-2 infection as determined by PCR, or other health authority-approved commercial assay or other validated public health assay in any specimen within 72 hours prior to randomization (point-of-care viral infection test allowable if RT-PCR test result not available only at the time of screening).
Less than or equal to 9 days from COVID-19 symptom onset to starting treatment.
• Symptoms are defined as one or more of the following: cough, fever, shortness of breath, chest pain, abdominal pain, nausea/vomiting, diarrhea, body aches, weakness/fatigue, chills/sweating, headache, confusion, sore throat, runny nose/congestion, loss of taste or smell, or any other COVID-19 symptoms as determined by the Investigator.
- Hospitalized and i) requiring supplemental oxygen by face mask or nasal prongs, or ii) non-invasive ventilation or iii) high-flow oxygen (WHO category 4 or 5)
- Female patients participating in this study must agree to avoid becoming pregnant and have a negative pregnancy test prior to randomization. Male and female patients of reproductive potential must use a highly effective, protocol-specified method of contraception during the study and up to post 30 days after the last dose of study drug. For a list of protocol-specified contraceptive methods, and the definition of reproductive potential, refer to Appendix 1.
Exclusion Criteria:
Exclusion Criteria:
- Known hypersensitivity or intolerance to Interferon (IFN) or Novaferon or any excipient(s) of Novaferon, including pre-existing allergy or hypersensitivity to ampicillin.
- Currently undergoing invasive mechanical ventilation (including venous ECMO).
- Inability to use a nebulizer with a mouthpiece.
- ALT/AST > 5 times the Upper Limit of Normal (ULN) or a history of decompensated cirrhosis.
- Stage 4 severe chronic kidney disease or requiring dialysis (i.e. eGFR < 30 mL/min/ 1.73m2).
- In the opinion of the Investigator, progression to death is imminent and inevitable within the next 48 - 72 hours, irrespective of the provision of treatment.
- In the opinion of the Investigator, progression to mechanical ventilation is imminent and inevitable within the next 24 hours, irrespective of the provision of treatment.
- Possibility of the patient being discharged from hospital within 24 hours.
- Concurrent participation in other anti-COVID-19 therapeutic or interventional trials. Patients may, at the discretion of the Investigator, concurrently participate in other non-interventional COVID-19 studies.
- Prior or concurrent use of experimental antiviral therapy for COVID-19 (see Appendix 2.
- Prior or concurrent use of any interferons other than the investigational product (see Appendix 2)
- Other known active infections or other clinical conditions (e.g., severe chronic obstructive pulmonary disease) that contraindicate aerosolized inhalation.
- Patients with current or prior psychiatric illness, seizure disorders, retinal autoimmune disorders, pre-existing severe cardiovascular disease, or patients with prior transplants.
- Females who are breast-feeding, lactating, pregnant or intending to become pregnant.
- The subject has any medical condition that in the opinion of the investigator would compromise subject's safety or compliance with study procedures.
Sites / Locations
- Hospital Interzonal General de Agudos Dr Jose PennaRecruiting
- CEMICRecruiting
- Clinica Adventista BelgranoRecruiting
- Clinica ZabalaRecruiting
- Hospital San RoqueRecruiting
- Sanatorio del Salvador Privado S.A.Recruiting
- Sanatorio Privado Duarte Quiroz De Clinica Colombo SARecruiting
- Instituto Medico Rio CuartoRecruiting
- Clinica Central S.A.Recruiting
- HCPA- Hospital de Clínicas de Porto AlegreRecruiting
- Fundação PIO XII Hospital de Amor de BarretosRecruiting
- Hospital Casa de Saúde Vera Cruz (Coordenador)Recruiting
- Hospital São JoséRecruiting
- Hospital das Clínicas UFG
- Hospital Geral Prof. Dr. Waldemar de Carvalho Pinto Filho de Guarulhos - BR TRIALSRecruiting
- Hospital Felício RochoRecruiting
- Centro de Pesquisas Clínicas da Fundação Doutor Amaral CarvalhoRecruiting
- CePCLIN - Centro de Estudos e Pesquisas em Moléstias InfecciosasRecruiting
- Hospital São Luiz de JabaquaraRecruiting
- Santa Casa de Misericórdia de Porto AlegreRecruiting
- Hospital 9 de JulhoRecruiting
- Hospital São Luiz de Jabaquara
- Instituto de Moléstias Cardiovalsculares Tatuí LtdaRecruiting
- Lobus Centro de Pesquisa
- Lóbus Centro de Pesquisa ClínicaRecruiting
- University Hospital - London Health Sciences Centre
- Victoria Hospital -London Health Sciences Centre
- St Paul's HospitalRecruiting
- St. Boniface Hospital
- Hospital Base OsornoRecruiting
- Hospital Sotero del Rio
- Fundacion Cardiovascular de Colombia - Instituto del Carazon FloridablancoRecruiting
- Clinica de la Costa LtdaRecruiting
- Fundacion Hospital Universidad del NorteRecruiting
- Fundacion OftalmologicaRecruiting
- Clinica SOMERRecruiting
- Corporacion ClinicaRecruiting
- RS Universitas Udayana
- Royal Taruma Hospital
- M. Djamil Hospital
- Sardjito Hospital
- KEMRI Kericho
- KEMRI/CGHR Siaya Clinical Research Annexe
- Victoria Biomedical Research InstituteRecruiting
- CREATES - Strathmore University Medical CentreRecruiting
- Kenyatta National Hospital
- University Malaya Medical CentreRecruiting
- Hospital MiriRecruiting
- Sunway Medical CentreRecruiting
- HPUPM
- Centro Medico Naval Cirujano Mayor Santiago Tavara
- Hospital Nacional Arzobispo Loayza
- Hospital III Daniel Alcides Carrion - Red Essalud de Tacna
- Hospital Nacional Dos de Mayo
- Tiervlei Trial CentreRecruiting
- Tread ResearchRecruiting
- Johese Clinical Research: UnitasRecruiting
- Drs Sarvan and MoodleyRecruiting
- TASK EdenRecruiting
- MERC SiReNRecruiting
- Nelson Mandela Academic Clinical Research Unit (NeMACRU)Recruiting
- Into ResearchRecruiting
- Dr JM Engelbrecht Trial SiteRecruiting
- Clinical Projects Research SA (PTY) LTDRecruiting
- Ankara City HospitalRecruiting
- Hacettepe University Medical FacultyRecruiting
- Dicle University, Medical FacultyRecruiting
- Acibadem Atakent HospitalRecruiting
- Istanbul University Cerrahpasa - Cerrahpasa Medical FacultyRecruiting
- Kartal Lutfi Kirdar Research and Training HospitalRecruiting
- Ege University Medical FacultyRecruiting
- Kayseri City HospitalRecruiting
- Kocaeli Universitesi Tip FakultesiRecruiting
- Selcuk Universitesi Selcuklu Tip Fakultesi HastanesiRecruiting
- Ondokuz Mayis Univ. Med. Fac.Recruiting
- Karadeniz Tecnical Uni. Med. Fac.Recruiting
- CI Dnipropetrovsk CCH #6 of DRC Dept of Therapy (with pulmonological beds) SI DMA of MoHU
- CNE CCH #16 of Dnipro City Council, DSMU, Ch of Intern Med #1
- CNE Ivano-Frankivsk Reg Clin Infectious Hospital of Ivano-Frankivsk Regional Council
- CNE of Kharkov RC Reg Cl Infectious Hospital
- Communal Non-Commercial Medical Enterprise "O.T.Bohayevskyi Kremenchuk City Hospital #1"
- Kyiv Municipal Clinical Hospital #17 O. O. Bogomolets NMU
- City Hospital #1
- City Clinical infectious Hospital
- Poltava Regional Clinical Infectious Hospital Dept of Diagnostics HSEIU Ukrainian Medical Stomatolog
- Municipal Non-Profit Enterprise Central City Hospital Of Rivne City Council
- CCH #1 Vinnytsia M.I.Pyrogov NMU Ch of Infectious Diseases
- CI Central City Hospital #1 of Zhytomyr
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Active plus SOC
Placebo plus SOC
Inhaled Novaferon, given 20 ug BID, daily for 10 days, plus Standard of Care
Inhaled vehicle formulation (placebo), given BID, daily for 10 days, plus Standard of Care