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Safety and Efficacy of Rayaldee for Treating Mild to Moderate COVID-19

Primary Purpose

Covid19, Coronavirus, SARS-CoV-2 Infection

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Rayaldee 30Mcg Extended-Release (ER) Capsule
Placebo
Sponsored by
OPKO Health, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female ≥18 years of age
  2. Confirmed within the past 3 days to have SARS-CoV-2 infection as evidenced by a positive nasopharyngeal swab test using RT-PCR
  3. Confirmed to have only mild or moderate COVID-19 based on a FLU-PRO© score of ≥ 1.5 for each of the chest/respiratory and body/systemic domains, and the absence of clinical signs indicative of more severe disease (eg, oxygen saturation < 94% on room air or respiration rate > 30 bpm)
  4. Represents on self-assessment that the current COVID-19 symptoms are not consistent with usual health and that they are the same or worse than on the previous day
  5. Willing to limit the use of vitamin D therapies or supplements except for normally fortified food products (eg, milk) during the course of the 6-week study
  6. Must demonstrate the ability to comply with all study requirements
  7. Must be without any disease state or physical condition that might impair evaluation of safety or which, in the investigator's opinion, would interfere with study participation.

Exclusion Criteria:

  1. Clinical signs indicative of severe or critical COVID-19 disease (eg, oxygen saturation < 94% on room air or respiration rate > 30 bpm)
  2. Pregnant or lactating women who are breastfeeding
  3. Use of systemic glucocorticoid medications in the last six months
  4. Recent history (previous 12 months) of primary hyperparathyroidism, kidney stones, hypercalciuria and/or hypercalcemia
  5. History of a chronic granuloma-forming disease (eg, sarcoidosis)
  6. History of tuberculosis or histoplasmosis
  7. History of chronic liver disease
  8. History (previous 12 months) of cardiac event indicative of chronic cardiovascular diseases including congestive heart failure, poorly controlled hypertension and arrhythmias
  9. History in the past five years of multiple myeloma or carcinoma of the breast, lung or prostate
  10. Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of vitamin D or 25-hydroxyvitamin D (eg, small bowel resection, history of Crohn's disease or ulcerative colitis)
  11. Ongoing treatment with thiazide diuretics
  12. History of hyperphosphatemia, hyperuricemia and gout
  13. Renal impairment measured as eGFR< 15 mL/min/1.73m² on serum creatinine in the last three months
  14. Serum calcium ≥9.8 mg/dL in the last three months
  15. Evidence of existing or impending dehydration
  16. Known or suspected to have hypersensitivity to any of the constituents of the study drug
  17. Currently participating in, or have participated in, an interventional/investigational study within 30 days prior to study screening.

Sites / Locations

  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site
  • OPKO Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

30 mcg calcifediol Extended-Release (ER) Capsule

0 mcg calcifediol Extended-Release (ER) Capsule

Arm Description

Subjects will be instructed to take a loading dose of 10 capsules (300 mcg) of study drug per day on Days 1, 2 and 3 at bedtime after fasting for at least 3 hours following dinner, with any nonalcoholic liquid, by the oral route. On Days 4-27, subjects will take a maintenance dose of 2 capsules per day at bedtime unless otherwise directed.

Subjects will be instructed to take a loading dose of 10 capsules (0 mcg) of study drug per day on Days 1, 2 and 3 at bedtime after fasting for at least 3 hours following dinner, with any nonalcoholic liquid, by the oral route. On Days 4-27, subjects will take a maintenance dose of 2 capsules per day at bedtime unless otherwise directed.

Outcomes

Primary Outcome Measures

Severity and duration of disease as evidenced by COVID-19 symptoms using the FLU-PRO© questionnaire.
The FLU- PRO© questionnaire was specifically designed and validated to evaluate in clinical trials the presence, severity and duration of symptoms associated with viral infections. It contains 32 items (eg, felt hot, sweating, headache), grouped into 6 domains, that provide a comprehensive evaluation of such symptoms, using 5-point scales (values ranging from 0 to 4) with higher scores indicating worse symptoms.
Concentration of serum total 25-hydroxyvitamin D maintained at or above 50 ng/mL.

Secondary Outcome Measures

Full Information

First Posted
September 15, 2020
Last Updated
October 14, 2021
Sponsor
OPKO Health, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04551911
Brief Title
Safety and Efficacy of Rayaldee for Treating Mild to Moderate COVID-19
Official Title
A Randomized, Double-Blind Placebo-Controlled Study to Evaluate the Safety and Efficacy of Rayaldee (Calcifediol) Extended-release Capsules to Treat Symptomatic Patients Infected With SARS-CoV-2 (REsCue)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
October 26, 2020 (Actual)
Primary Completion Date
October 8, 2021 (Actual)
Study Completion Date
October 8, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OPKO Health, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase 2, single or multi-center, randomized, double-blind placebo-controlled study to evaluate the safety and efficacy of Rayaldee (CTAP101 Capsules) to treat adult subjects with mild to moderate COVID-19 who test positive for SARS-CoV-2 via nasopharynx swab and subsequent reverse transcription polymerase chain reaction (RT-PCR).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, Coronavirus, SARS-CoV-2 Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
171 (Actual)

8. Arms, Groups, and Interventions

Arm Title
30 mcg calcifediol Extended-Release (ER) Capsule
Arm Type
Experimental
Arm Description
Subjects will be instructed to take a loading dose of 10 capsules (300 mcg) of study drug per day on Days 1, 2 and 3 at bedtime after fasting for at least 3 hours following dinner, with any nonalcoholic liquid, by the oral route. On Days 4-27, subjects will take a maintenance dose of 2 capsules per day at bedtime unless otherwise directed.
Arm Title
0 mcg calcifediol Extended-Release (ER) Capsule
Arm Type
Placebo Comparator
Arm Description
Subjects will be instructed to take a loading dose of 10 capsules (0 mcg) of study drug per day on Days 1, 2 and 3 at bedtime after fasting for at least 3 hours following dinner, with any nonalcoholic liquid, by the oral route. On Days 4-27, subjects will take a maintenance dose of 2 capsules per day at bedtime unless otherwise directed.
Intervention Type
Drug
Intervention Name(s)
Rayaldee 30Mcg Extended-Release (ER) Capsule
Other Intervention Name(s)
CTAP101 Capsule
Intervention Description
Rayaldee 30Mcg Extended-Release (ER) Capsule
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
0Mcg Extended-Release (ER) Capsule
Primary Outcome Measure Information:
Title
Severity and duration of disease as evidenced by COVID-19 symptoms using the FLU-PRO© questionnaire.
Description
The FLU- PRO© questionnaire was specifically designed and validated to evaluate in clinical trials the presence, severity and duration of symptoms associated with viral infections. It contains 32 items (eg, felt hot, sweating, headache), grouped into 6 domains, that provide a comprehensive evaluation of such symptoms, using 5-point scales (values ranging from 0 to 4) with higher scores indicating worse symptoms.
Time Frame
42 days
Title
Concentration of serum total 25-hydroxyvitamin D maintained at or above 50 ng/mL.
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female ≥18 years of age Confirmed within the past 3 days to have SARS-CoV-2 infection as evidenced by a positive nasopharyngeal swab test using RT-PCR Confirmed to have only mild or moderate COVID-19 based on a FLU-PRO© score of ≥ 1.5 for each of the chest/respiratory and body/systemic domains, and the absence of clinical signs indicative of more severe disease (eg, oxygen saturation < 94% on room air or respiration rate > 30 bpm) Represents on self-assessment that the current COVID-19 symptoms are not consistent with usual health and that they are the same or worse than on the previous day Willing to limit the use of vitamin D therapies or supplements except for normally fortified food products (eg, milk) during the course of the 6-week study Must demonstrate the ability to comply with all study requirements Must be without any disease state or physical condition that might impair evaluation of safety or which, in the investigator's opinion, would interfere with study participation. Exclusion Criteria: Clinical signs indicative of severe or critical COVID-19 disease (eg, oxygen saturation < 94% on room air or respiration rate > 30 bpm) Pregnant or lactating women who are breastfeeding Use of systemic glucocorticoid medications in the last six months Recent history (previous 12 months) of primary hyperparathyroidism, kidney stones, hypercalciuria and/or hypercalcemia History of a chronic granuloma-forming disease (eg, sarcoidosis) History of tuberculosis or histoplasmosis History of chronic liver disease History (previous 12 months) of cardiac event indicative of chronic cardiovascular diseases including congestive heart failure, poorly controlled hypertension and arrhythmias History in the past five years of multiple myeloma or carcinoma of the breast, lung or prostate Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of vitamin D or 25-hydroxyvitamin D (eg, small bowel resection, history of Crohn's disease or ulcerative colitis) Ongoing treatment with thiazide diuretics History of hyperphosphatemia, hyperuricemia and gout Renal impairment measured as eGFR< 15 mL/min/1.73m² on serum creatinine in the last three months Serum calcium ≥9.8 mg/dL in the last three months Evidence of existing or impending dehydration Known or suspected to have hypersensitivity to any of the constituents of the study drug Currently participating in, or have participated in, an interventional/investigational study within 30 days prior to study screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Akhtar Ashfaq, MD FACP FASN
Organizational Affiliation
OPKO Health, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
OPKO Investigative Site
City
San Francisco
State/Province
California
ZIP/Postal Code
94127
Country
United States
Facility Name
OPKO Investigative Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
OPKO Investigative Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33185
Country
United States
Facility Name
OPKO Investigative Site
City
Evanston
State/Province
Illinois
ZIP/Postal Code
60201
Country
United States
Facility Name
OPKO Investigative Site
City
Laurel
State/Province
Maryland
ZIP/Postal Code
20723
Country
United States
Facility Name
OPKO Investigative Site
City
Farmington Hills
State/Province
Michigan
ZIP/Postal Code
48334
Country
United States
Facility Name
OPKO Investigative Site
City
Jackson
State/Province
Michigan
ZIP/Postal Code
49201
Country
United States
Facility Name
OPKO Investigative Site
City
Sterling Heights
State/Province
Michigan
ZIP/Postal Code
48312
Country
United States
Facility Name
OPKO Investigative Site
City
Brookhaven
State/Province
Mississippi
ZIP/Postal Code
39601
Country
United States
Facility Name
OPKO Investigative Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68131
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety and Efficacy of Rayaldee for Treating Mild to Moderate COVID-19

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