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rSIFN-co Among Healthy Subjects and Subjects With Mild or Asymptomatic COVID-19

Primary Purpose

COVID-19, SARS-CoV-2 Infection

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
rSIFN-co Nasal Spray
rSIFN-co Nasal Spray
Placebo Nasal Spray
Placebo Nasal Spray
Sponsored by
Sichuan Huiyang Life Science and Technology Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female ≥18 and ≤75 years of age at the time of informed consent.
  2. Willing and able to provide written informed consent/assent for the trial.
  3. Healthy subjects in close contact with confirmed COVID-19 case(s) or subjects with mild or asymptomatic COVID-19.

    a. Healthy subjects in close contact with confirmed COVID-19 case(s) i. With exposure to confirmed COVID-19 case(s) within 96 hours (refer to the definition of healthy subjects in close contact with confirmed COVID-19 case[s]), ii. Negative reverse transcriptase-polymerase chain reaction (RT-PCR) test for SARS-CoV-2 infection, with the sample collected at screening, iii. Have no previous confirmed COVID-19 diagnosis, iv. Without symptoms of respiratory infection, including fever, cough, fatigue, anorexia, shortness of breath, myalgias, sore throat, nasal congestion, headache, gastrointestinal symptoms, loss of smell (anosmia), loss of taste (ageusia), or other symptoms associated with COVID-19, AND v. With stable health status, as judged by the investigator and determined by physical examination, vital signs, medical history, and laboratory tests at screening.

    b. Subjects with mild or asymptomatic COVID-19 i. Meeting the criteria of mild or asymptomatic COVID-19,

    Note:

    • Asymptomatic or presymptomatic infection: Individuals who test positive for SARS-CoV-2 by virologic testing using a molecular diagnostic (e.g., PCR) or antigen test, but have no symptoms.
    • Mild disease: Individuals who have any of the various signs and symptoms of COVID-19 (e.g., fever, cough, sore throat, malaise, headache, muscle pain) and saturation of oxygen (SpO2) ≥90% on room air at sea level, without shortness of breath, dyspnea, or abnormal chest imaging.

    ii. Positive RT-PCR test for SARS-CoV-2 infection, with the sample collected at screening or within 72 hours prior to screening, AND iii. Without evidence of viral pneumonia or hypoxia.

  4. Women of childbearing potential must have a negative pregnancy test result at screening.
  5. Males and females who are fertile must adhere to contraception requirements for the duration of the study.
  6. Non-participation in any other clinical trials during the study period.

Exclusion Criteria:

  1. Subjects with any of the following conditions that would impair their ability to participate reliably in the trial, or those who may increase the risk to themselves or others by participating

    1. Clinically significant laboratory abnormalities (including a screening test of aspartate aminotransferase/alanine aminotransferase (AST/ALT) > 5 times the upper limit of normal [ULN] and/or estimated glomerular filtration rate [eGFR] < 30 mL/min/1.73m2)
    2. Serious medical illnesses (including known history of major hematological, renal, cardiovascular, or hepatic abnormalities that are clinically significant)
    3. Psychological condition or social circumstances
  2. Received an experimental medication within 1 month prior to screening or expect to receive such treatment during the study period.
  3. With contraindication or hypersensitivity to the study product or any of its component.
  4. Pregnant or lactating women.
  5. Unwilling or unable to follow protocol requirements.
  6. Any condition which in the investigator's opinion deems the potential participant an unsuitable candidate to receive the study product.
  7. Received any interferons and any nasal/pharyngeal sprays within 7 days prior to screening.
  8. Received COVID-19 vaccine within 14 days prior to screening
  9. Had previous confirmed SARS-CoV-2 infection >96 hours prior to being screened for the study.

Sites / Locations

  • GreenCity Medical CenterRecruiting
  • Medical Center ManilaRecruiting
  • Srinagarind Hospital
  • Songklanagarind Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Healthy subjects(A1)

Healthy subjects(A2)

COVID-19 subjects(B1)

COVID-19 subjects(B2)

Arm Description

Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Once daily

Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Once daily

Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Twice daily

Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Twice daily

Outcomes

Primary Outcome Measures

Incidence of laboratory-confirmed SARS-CoV-2 infection in health subjects
Incidence of laboratory-confirmed SARS-CoV-2 infection in health subjects over 28 days (Day 1 to Day 28) as assessed by RT-PCR
Percentage of subjects with disease progression
Percentage of subjects with disease progression, defined as progression from asymptomatic/mild to moderate/severe in severity, over 28 days

Secondary Outcome Measures

To assess the safety and tolerability profiles of rSIFN-co nasal spray, as assessed by treatment-emergent adverse events (TEAEs)
TEAEs will be coded using the Medical Dictionary for Drug Regulatory Affairs (MedDRA®, version 24.1 or later) and presented as summary tabulations, including categorical information of interest such as severity, causal relationship to study medication, and action taken.
Percentage of subjects discontinuing from study product due to TEAE during the treatment period
All AEs will be assessed by the Investigator using the CTCAE version 5.0.
Percentage of subjects who develop to moderate or severe COVID-19 (WHO definition) over 28 days
For healthy subjects only
Incidence of COVID-19-related complications over 28 days
For healthy subjects only
Time to clearance of SARS-CoV-2
For COVID-19 subjects only. It defined as 2 consecutive negative swabs (sampling interval ≥24 hours)
Percentage of subjects who require supplemental oxygen or mechanical ventilation
For COVID-19 subjects only.
Percentage of subjects with clinical improvement
For COVID-19 subjects only. It defined as a decrease of at least one point per the 11-point WHO clinical progression scale compared to baseline, on Days 5 and 10
Time to clinical improvement from the highest outcome scores per 11-point WHO clinical progression scale
For COVID-19 subjects only.
Time to resolution of all symptoms present at baseline
For COVID-19 subjects only.

Full Information

First Posted
June 16, 2022
Last Updated
August 15, 2022
Sponsor
Sichuan Huiyang Life Science and Technology Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT05485584
Brief Title
rSIFN-co Among Healthy Subjects and Subjects With Mild or Asymptomatic COVID-19
Official Title
An International, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel, Phase II Pilot Study to Evaluate the Efficacy and Safety of Recombinant Super-compound Interferon (rSIFN-co) Among Healthy Subjects in Close Contact With Confirmed COVID-19 Case(s) and Subjects With Mild or Asymptomatic COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
July 1, 2022 (Actual)
Primary Completion Date
December 1, 2022 (Anticipated)
Study Completion Date
February 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sichuan Huiyang Life Science and Technology Corporation

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 a phase II pilot, international, multicenter, randomized, double-blind, placebo-controlled study that aims to evaluate the safety and preliminary efficacy of rSIFN-co nasal spray in healthy subjects in close contact with confirmed COVID-19 case(s) as well as subjects with mild or asymptomatic COVID-19.
Detailed Description
Approximately 200 subjects are planned to be enrolled, including 100 healthy subjects and 100 COVID-19 subjects. For the healthy subjects in close contact with confirmed COVID-19 case(s) (Group A), approximately 100 subjects will be randomized in a 1:1 ratio to receive placebo or rSIFN-co treatment in a double-blind fashion. For the subjects with mild or asymptomatic COVID-19 (Group B), approximately 100 subjects will also be randomly assigned in a 1:1 ratio to receive institutional or local standard of care (SoC) plus placebo or SoC plus rSIFN-co in a double-blind fashion. All subjects will receive the study product for 10 days; around 8 million IU (16 μg) or 16 million IU (32 μg) of rSIFN-co will be administered daily. The safety and efficacy parameters will be monitored throughout the study period. Subjects will be instructed to complete a diary to record daily administration of study product, SpO2 level, as well as the occurrence and severity of any clinical symptoms.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Healthy subjects(A1)
Arm Type
Experimental
Arm Description
Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Once daily
Arm Title
Healthy subjects(A2)
Arm Type
Placebo Comparator
Arm Description
Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Once daily
Arm Title
COVID-19 subjects(B1)
Arm Type
Experimental
Arm Description
Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Twice daily
Arm Title
COVID-19 subjects(B2)
Arm Type
Placebo Comparator
Arm Description
Each nostril: 2 sprays/time; Pharynx: 4 sprays/time; Twice daily
Intervention Type
Drug
Intervention Name(s)
rSIFN-co Nasal Spray
Other Intervention Name(s)
rSIFN-co
Intervention Description
8 million IU (16 μg)/day; Once daily
Intervention Type
Drug
Intervention Name(s)
rSIFN-co Nasal Spray
Other Intervention Name(s)
rSIFN-co
Intervention Description
16 million IU (32 μg)/day; Twice daily
Intervention Type
Drug
Intervention Name(s)
Placebo Nasal Spray
Other Intervention Name(s)
ingredients
Intervention Description
Once daily
Intervention Type
Drug
Intervention Name(s)
Placebo Nasal Spray
Other Intervention Name(s)
ingredients
Intervention Description
Twice daily
Primary Outcome Measure Information:
Title
Incidence of laboratory-confirmed SARS-CoV-2 infection in health subjects
Description
Incidence of laboratory-confirmed SARS-CoV-2 infection in health subjects over 28 days (Day 1 to Day 28) as assessed by RT-PCR
Time Frame
Day1-Day28
Title
Percentage of subjects with disease progression
Description
Percentage of subjects with disease progression, defined as progression from asymptomatic/mild to moderate/severe in severity, over 28 days
Time Frame
Day1-Day28
Secondary Outcome Measure Information:
Title
To assess the safety and tolerability profiles of rSIFN-co nasal spray, as assessed by treatment-emergent adverse events (TEAEs)
Description
TEAEs will be coded using the Medical Dictionary for Drug Regulatory Affairs (MedDRA®, version 24.1 or later) and presented as summary tabulations, including categorical information of interest such as severity, causal relationship to study medication, and action taken.
Time Frame
Day1-Day28
Title
Percentage of subjects discontinuing from study product due to TEAE during the treatment period
Description
All AEs will be assessed by the Investigator using the CTCAE version 5.0.
Time Frame
Day1-Day10
Title
Percentage of subjects who develop to moderate or severe COVID-19 (WHO definition) over 28 days
Description
For healthy subjects only
Time Frame
Day1-Day28
Title
Incidence of COVID-19-related complications over 28 days
Description
For healthy subjects only
Time Frame
Day1-Day28
Title
Time to clearance of SARS-CoV-2
Description
For COVID-19 subjects only. It defined as 2 consecutive negative swabs (sampling interval ≥24 hours)
Time Frame
Day1-Day28
Title
Percentage of subjects who require supplemental oxygen or mechanical ventilation
Description
For COVID-19 subjects only.
Time Frame
Day1-Day28
Title
Percentage of subjects with clinical improvement
Description
For COVID-19 subjects only. It defined as a decrease of at least one point per the 11-point WHO clinical progression scale compared to baseline, on Days 5 and 10
Time Frame
Day1-Day10
Title
Time to clinical improvement from the highest outcome scores per 11-point WHO clinical progression scale
Description
For COVID-19 subjects only.
Time Frame
Day1-Day28
Title
Time to resolution of all symptoms present at baseline
Description
For COVID-19 subjects only.
Time Frame
Day1-Day28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female ≥18 and ≤75 years of age at the time of informed consent. Willing and able to provide written informed consent/assent for the trial. Healthy subjects in close contact with confirmed COVID-19 case(s) or subjects with mild or asymptomatic COVID-19. a. Healthy subjects in close contact with confirmed COVID-19 case(s) i. With exposure to confirmed COVID-19 case(s) within 96 hours (refer to the definition of healthy subjects in close contact with confirmed COVID-19 case[s]), ii. Negative reverse transcriptase-polymerase chain reaction (RT-PCR) test for SARS-CoV-2 infection, with the sample collected at screening, iii. Have no previous confirmed COVID-19 diagnosis, iv. Without symptoms of respiratory infection, including fever, cough, fatigue, anorexia, shortness of breath, myalgias, sore throat, nasal congestion, headache, gastrointestinal symptoms, loss of smell (anosmia), loss of taste (ageusia), or other symptoms associated with COVID-19, AND v. With stable health status, as judged by the investigator and determined by physical examination, vital signs, medical history, and laboratory tests at screening. b. Subjects with mild or asymptomatic COVID-19 i. Meeting the criteria of mild or asymptomatic COVID-19, Note: Asymptomatic or presymptomatic infection: Individuals who test positive for SARS-CoV-2 by virologic testing using a molecular diagnostic (e.g., PCR) or antigen test, but have no symptoms. Mild disease: Individuals who have any of the various signs and symptoms of COVID-19 (e.g., fever, cough, sore throat, malaise, headache, muscle pain) and saturation of oxygen (SpO2) ≥90% on room air at sea level, without shortness of breath, dyspnea, or abnormal chest imaging. ii. Positive RT-PCR test for SARS-CoV-2 infection, with the sample collected at screening or within 72 hours prior to screening, AND iii. Without evidence of viral pneumonia or hypoxia. Women of childbearing potential must have a negative pregnancy test result at screening. Males and females who are fertile must adhere to contraception requirements for the duration of the study. Non-participation in any other clinical trials during the study period. Exclusion Criteria: Subjects with any of the following conditions that would impair their ability to participate reliably in the trial, or those who may increase the risk to themselves or others by participating Clinically significant laboratory abnormalities (including a screening test of aspartate aminotransferase/alanine aminotransferase (AST/ALT) > 5 times the upper limit of normal [ULN] and/or estimated glomerular filtration rate [eGFR] < 30 mL/min/1.73m2) Serious medical illnesses (including known history of major hematological, renal, cardiovascular, or hepatic abnormalities that are clinically significant) Psychological condition or social circumstances Received an experimental medication within 1 month prior to screening or expect to receive such treatment during the study period. With contraindication or hypersensitivity to the study product or any of its component. Pregnant or lactating women. Unwilling or unable to follow protocol requirements. Any condition which in the investigator's opinion deems the potential participant an unsuitable candidate to receive the study product. Received any interferons and any nasal/pharyngeal sprays within 7 days prior to screening. Received COVID-19 vaccine within 14 days prior to screening Had previous confirmed SARS-CoV-2 infection >96 hours prior to being screened for the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Guangwen WEI
Phone
+86 28 86789715
Email
weigw@huiyanglife.com
First Name & Middle Initial & Last Name or Official Title & Degree
Winston Town
Email
winstontown@huiyanglife.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GW WEI
Organizational Affiliation
Sichuan Huiyang Life Science and Technology Corporation
Official's Role
Study Director
Facility Information:
Facility Name
GreenCity Medical Center
City
San Fernando
State/Province
Central Luzon
Country
Philippines
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer NISPEROS
First Name & Middle Initial & Last Name & Degree
Harold Gomez
Facility Name
Medical Center Manila
City
Manila
Country
Philippines
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer NISPEROS
First Name & Middle Initial & Last Name & Degree
Michael Tee
Facility Name
Srinagarind Hospital
City
Khon Kaen
State/Province
Changwat Khon Kaen
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kulaya KAMSATIT
First Name & Middle Initial & Last Name & Degree
Atibordee Meesing
Facility Name
Songklanagarind Hospital
City
Songkhla
State/Province
Changwat Songkhla
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kulaya KAMSATIT
First Name & Middle Initial & Last Name & Degree
Asma Navasakul pong

12. IPD Sharing Statement

Learn more about this trial

rSIFN-co Among Healthy Subjects and Subjects With Mild or Asymptomatic COVID-19

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