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Safety and Efficacy of Intranasal Application of GX-03 as a Treatment and Prevention for COVID-19.

Primary Purpose

Covid19

Status
Completed
Phase
Phase 2
Locations
Panama
Study Type
Interventional
Intervention
GX-03
Petrolatum ointment
Sponsored by
Turn Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1. Patients aged 18-65 hospitalized with SARS-CoV-2, diagnosed by a positive nasal or nasopharyngeal swab

    2. Men or women who are not pregnant, not breastfeeding, postmenopausal, naturally or surgically sterile, or who agree to use effective contraception during the course of the study. A postmenopausal patient is defined as at least 12 12 months of natural spontaneous amenorrhea or at least 6 weeks after surgical menopause (bilateral oophorectomy).

    3. Women of childbearing age who use one of the following acceptable contraceptive methods can be included in the study:

Surgical sterilization (hysterectomy and/or bilateral oophorectomy);

Surgical sterilization (surgical bilateral tubal ligation at least 6 weeks prior to screening); Intrauterine device (IUD) placed at least 3 months prior to detection; Abstinence (not having heterosexual sex);

Barrier method (condom or diaphragm) with spermicide for at least 14 days before selection and until completion of the study;

Stable hormonal contraceptive for at least 3 months prior to selection and until completion of the study

4. Patients capable of understanding and providing signed informed consent.

Exclusion Criteria:

  1. SARS-CoV-2 positive patients on a ventilator.
  2. Patients with any open wounds, injuries, inflammation, erythema, or infection (other than COVID-19) affecting the nasal passages, nose, upper lip, and the area of skin around the nose, including herpes simplex lesions.
  3. Patients with a history of abnormal bleeding, bruising, frequent nosebleeds, or those diagnosed with von Willebrand disease.
  4. Patients with nasal polyps or significant anatomical nasal abnormalities.
  5. Patients with a history of nasal surgery, including cauterization, in the last 6 months.
  6. Patients who currently have or have ever had a nose or septum piercing
  7. Patients treated with antiviral medications in the past 7 days
  8. Known allergy or history of significant adverse reactions to benzalkonium chloride or related compounds, or to any of the excipients.
  9. Known or suspected pregnancy, pregnancy planned during the study period, or breastfeeding.
  10. Clinically significant mental illness (to be determined by the investigator)
  11. Recent history of (last 12 months) or strong potential for alcohol or substance abuse. Alcohol abuse will be defined as >14 drinks per week (1 drink = 12 oz of beer, 5.0 oz of wine, or 1.5 oz of distilled spirits)
  12. Exposure to any agents being researched within 30 days prior to admission to the study.
  13. Prior enrollment in this study
  14. If the patient has a condition that the investigator believes would interfere with their ability to give informed consent or comply with study instructions, or that could confuse the interpretation of study results or put the patient at undue risk.

Sites / Locations

  • Gorgas Memorial Research Hospital
  • Hospital Modular COVID-19
  • Hospital Santo Tomas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Treatment of hospitalized patients with laboratory-confirmed COVID-19

Placebo Treatment of hospitalized patients with laboratory-confirmed COVID-19

Prevention of SARS-COV-2 in Health Care Providers

Placebo Prevention of SARS-COV-2 in Health Care Providers

Arm Description

Hospitalized patients with laboratory-confirmed COVID-19 using GX-03 administered intranasally TID for 5 days.

Hospitalized patients with laboratory-confirmed COVID-19 using placebo (petrolatum emulsion) administered intranasally TID for 5 days.

Health care providers with laboratory-confirmed negative COVID-19 using GX-03 administered intranasally TID for 10 days.

Health care providers with laboratory-confirmed negative COVID-19 using placebo (petrolatum emulsion) administered intranasally TID for 10 days.

Outcomes

Primary Outcome Measures

Reduction of 60% in viral load from baseline
Time to achieve a 60% reduction in viral load from baseline.
Primary Safety analysis
To evaluate the incidence rate(s) of non-serious and serious adverse events associated with administration of the study product.

Secondary Outcome Measures

Full Information

First Posted
June 30, 2021
Last Updated
July 1, 2021
Sponsor
Turn Therapeutics
Collaborators
Gorgas Memorial Institute for Health Studies, Hospital Santo Tomas, Hospital Modular - Covid-19
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1. Study Identification

Unique Protocol Identification Number
NCT04951349
Brief Title
Safety and Efficacy of Intranasal Application of GX-03 as a Treatment and Prevention for COVID-19.
Official Title
Phase 2b Clinical Trial to Evaluate the Tolerability and Efficacy in Reducing the Nasal Viral Load of SARS-CoV-2 of Benzalkonium Chloride 0.0065% (GX-03), in the Form of Nasal Ointment, in Patients Infected With COVID -19, and Evaluation of Its Tolerability in Health Care Providers, as a Preventive of Nasal Colonization, Complementary to Personal Protective Equipment
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
January 21, 2021 (Actual)
Primary Completion Date
May 30, 2021 (Actual)
Study Completion Date
May 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Turn Therapeutics
Collaborators
Gorgas Memorial Institute for Health Studies, Hospital Santo Tomas, Hospital Modular - Covid-19

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
Phase 2b clinical trial to evaluate the safety and efficacy of intranasal application of GX-03 as a treatment and prevention for COVID-19.
Detailed Description
Phase 2b clinical trial to evaluate the safety and efficacy of intranasal application of GX-03 as a treatment and prevention for COVID-19. Patients hospitalized with a diagnosis of mild to moderate COVID-19 will be evaluated for a period of five days. Participating health care providers will be evaluated for a period of ten days. Swab samples will be collected from the right and left anterior nostrils at the beginning of the study, as well as three times per day in the treatment arm for five days. Swab samples will be collected from the right and left anterior nostrils at the beginning and end of the prevention arm. Samples will be subjected to biomolecular tests and viral cultures to assess positivity and disease progression. Safety will be evaluated through standard measures of erythema and edema in the nasal mucosa.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Two part study with four total arms. Parts: Health care providers and CV-19 infected patients. Arms: Interventional and placebo in each of the two groups.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
85 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment of hospitalized patients with laboratory-confirmed COVID-19
Arm Type
Experimental
Arm Description
Hospitalized patients with laboratory-confirmed COVID-19 using GX-03 administered intranasally TID for 5 days.
Arm Title
Placebo Treatment of hospitalized patients with laboratory-confirmed COVID-19
Arm Type
Placebo Comparator
Arm Description
Hospitalized patients with laboratory-confirmed COVID-19 using placebo (petrolatum emulsion) administered intranasally TID for 5 days.
Arm Title
Prevention of SARS-COV-2 in Health Care Providers
Arm Type
Experimental
Arm Description
Health care providers with laboratory-confirmed negative COVID-19 using GX-03 administered intranasally TID for 10 days.
Arm Title
Placebo Prevention of SARS-COV-2 in Health Care Providers
Arm Type
Placebo Comparator
Arm Description
Health care providers with laboratory-confirmed negative COVID-19 using placebo (petrolatum emulsion) administered intranasally TID for 10 days.
Intervention Type
Drug
Intervention Name(s)
GX-03
Other Intervention Name(s)
Hexagen Antimicrobial
Intervention Description
Same dosage used in Bactroban Nasal studies.
Intervention Type
Drug
Intervention Name(s)
Petrolatum ointment
Other Intervention Name(s)
Placebo
Intervention Description
Viscous ointment similar in form to study drug.
Primary Outcome Measure Information:
Title
Reduction of 60% in viral load from baseline
Description
Time to achieve a 60% reduction in viral load from baseline.
Time Frame
5 days
Title
Primary Safety analysis
Description
To evaluate the incidence rate(s) of non-serious and serious adverse events associated with administration of the study product.
Time Frame
5-10 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1. Patients aged 18-65 hospitalized with SARS-CoV-2, diagnosed by a positive nasal or nasopharyngeal swab 2. Men or women who are not pregnant, not breastfeeding, postmenopausal, naturally or surgically sterile, or who agree to use effective contraception during the course of the study. A postmenopausal patient is defined as at least 12 12 months of natural spontaneous amenorrhea or at least 6 weeks after surgical menopause (bilateral oophorectomy). 3. Women of childbearing age who use one of the following acceptable contraceptive methods can be included in the study: Surgical sterilization (hysterectomy and/or bilateral oophorectomy); Surgical sterilization (surgical bilateral tubal ligation at least 6 weeks prior to screening); Intrauterine device (IUD) placed at least 3 months prior to detection; Abstinence (not having heterosexual sex); Barrier method (condom or diaphragm) with spermicide for at least 14 days before selection and until completion of the study; Stable hormonal contraceptive for at least 3 months prior to selection and until completion of the study 4. Patients capable of understanding and providing signed informed consent. Exclusion Criteria: SARS-CoV-2 positive patients on a ventilator. Patients with any open wounds, injuries, inflammation, erythema, or infection (other than COVID-19) affecting the nasal passages, nose, upper lip, and the area of skin around the nose, including herpes simplex lesions. Patients with a history of abnormal bleeding, bruising, frequent nosebleeds, or those diagnosed with von Willebrand disease. Patients with nasal polyps or significant anatomical nasal abnormalities. Patients with a history of nasal surgery, including cauterization, in the last 6 months. Patients who currently have or have ever had a nose or septum piercing Patients treated with antiviral medications in the past 7 days Known allergy or history of significant adverse reactions to benzalkonium chloride or related compounds, or to any of the excipients. Known or suspected pregnancy, pregnancy planned during the study period, or breastfeeding. Clinically significant mental illness (to be determined by the investigator) Recent history of (last 12 months) or strong potential for alcohol or substance abuse. Alcohol abuse will be defined as >14 drinks per week (1 drink = 12 oz of beer, 5.0 oz of wine, or 1.5 oz of distilled spirits) Exposure to any agents being researched within 30 days prior to admission to the study. Prior enrollment in this study If the patient has a condition that the investigator believes would interfere with their ability to give informed consent or comply with study instructions, or that could confuse the interpretation of study results or put the patient at undue risk.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Julio Sandoval, MD
Organizational Affiliation
Medical Corps of Punta Pacifica Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Gorgas Memorial Research Hospital
City
Panama City
Country
Panama
Facility Name
Hospital Modular COVID-19
City
Panama City
Country
Panama
Facility Name
Hospital Santo Tomas
City
Panama City
Country
Panama

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Time Frame
Within 30 days of announcement of study completion.
IPD Sharing Access Criteria
By official request for qualified use.

Learn more about this trial

Safety and Efficacy of Intranasal Application of GX-03 as a Treatment and Prevention for COVID-19.

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