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The Efficacy and Safety of Pyramax in Mild to Moderate COVID-19 Patients (Phase3)

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Pyramax
Placebo
Sponsored by
Shin Poong Pharmaceutical Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring Pyramax, Pyronaridine, Artesunate, COVID-19, Corona virus

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult males and females aged 19 years or older (or minimum age for adulthood or for informed consent below 19 years for each country)
  2. Patients with body weight ≥45 kg at screening
  3. Patients with COVID-19 confirmed by RT-PCR before randomization
  4. Patients confirmed with mild or moderate COVID-19, along with one or more symptoms in association with COVID-19 within 5 days before randomization, who do not need adjunctive oxygen therapy
  5. Patients who are fully informed of this study, voluntarily decide to participate in this study and provide written consent to comply with requirements for this study

Exclusion Criteria:

  1. Patients with severe or critical* COVID-19
  2. Patients requiring hospitalization for therapeutic purposes for COVID-19 such as oxygen therapy with a decrease of oxygen saturation (<94%) at screening or higher level of care, or who may be potentially transferred to another hospital other than the clinical trial institution within 72 hours.
  3. Patients who have received or who have planned to receive any anti-viral drugs to treat COVID-19 infection or medications that may affect the course of treatment within 28 days before participating in this study or before a sufficient wash-out period [more than five times the half-life of the drug, etc.] (the longer period between the two is chosen).
  4. Patients with one or more of the following infections in the past or present

    1. Infection with need for systemic anti-infection treatment other than Corona virus (SARS-CoV-2)
    2. Major infection with need for oral antibiotics or hospitalization within 30 days before administration of the investigational product by discretion of the investigator.
  5. Patients with a known clinically significant anemia (Hemoglobin <8.0 g/dL)
  6. Patients with a known severe renal impairment (eGFR ≤ 30 mL/min/1.73 m2)
  7. Patients with a known severe hepatic dysfunction
  8. Patients with a known allergic reaction to the active ingredients (pyronaridine tetraphosphate, artesunate) and other ingredients of the investigational product
  9. Patients with a gastrointestinal disease or who underwent a surgery that can affect the absorption, distribution, metabolism and excretion of the drug, or who have active gastritis, gastrointestinal tract/rectal bleeding, gastric ulcer, and pancreatitis or pancreatic function abnormalities (excluding general appendectomy or hernia repair surgery)
  10. Patients who cannot be orally administered with the Investigational Product
  11. Pregnant, breast-feeding or females with positive pregnancy test at screening
  12. Females and males who have child-bearing plan or who are unwilling to commit to the use of the following methods of contraception* during study period and for 3 months after the study period
  13. Patients who have participated in another clinical study/device study and received the investigational product/device within 28 days from signing the informed consent
  14. Patients with Co-morbidity requiring surgery within 7 days before administration of the investigational product, or life-threatening co-morbidity within 30 days before administration of the investigational product
  15. Patients with history of alcohol or drug abuse within 12 months before administration of the investigational product
  16. Patients whom the investigator considers inappropriate for the study due to chronic underlying disease or other reasons

Sites / Locations

  • Instituto Medico Platense
  • Ciprec - Centro de Investigación Y Prevención Cardiovascular
  • Hospital de Agudos "Dr. Ignacio Pirovano"
  • Instituto Médico Río Cuarto
  • Clinica Privada Independencia
  • Centro Médico IPAM
  • Clínica Universidad de los Andes
  • Icegclinic
  • Hospital Regional Dr. Leonardo Guzman de Antofagasta
  • Centro de Estudios Clínicos e Investigaciones Médicas - CECIM
  • IntegraMédica Las Condes
  • Clínica de la Costa Ltda
  • Corazon IPS S.A.S
  • IPS Centro Cientifico Asisitencial S.A.S
  • Centro de Estudios e Investigación en salud-CEIS
  • Centro de Investigacion en Reumatología y Especialidades Médicas-CIREEM S.A.S
  • Fundación Valle del Lili
  • Institución Prestadora de servicios de salud Centro Medico Julian Coronel S.A.S
  • Clinica Universidad de la Sabana
  • Fundación Cardiovascular de Colombia
  • Asociación IPS Médicos Internistas de Caldas S.A.S
  • Healthy Medical Center S.A.S.
  • Programa de Estudio y Control de Enfermedades Tropicales PECET. Universidad de Antoquia
  • Clinisalud del Sur S.A.S
  • The Catholic University of Korea, Bucheon ST. Mary's Hospital
  • Busan Medical Center
  • Keimyung University Dongsan Medical Center
  • KyungPook National University Chilgok Hospital
  • Kyungpook National University Hospital
  • Chungnam national University Hospital
  • Chungnam National University Sejong Hospital
  • Gimpo Woori Hospital
  • Myongji Hospital
  • Chonnam National University Bitgoeul Hospital
  • Gyeonggi Medical Center An-sung Hospital
  • Gyeonggi Medical Center Icheon Hospital
  • Gyeonggi Medical Center Paju Hospital
  • Gyeonggi Medical Center Pocheon Hospital
  • Gyeonggi Medical Center Suwon Hospital
  • Gyeonggi Medical Center Uijeongbu Hospital
  • Inje University Ilsan Paik Hospital
  • Incheon Sejong Hospital
  • Inha University Hospital
  • Jeonbuk National University Hospital
  • Pusan National University Hospital
  • Boramae Medical Center
  • Chosun University Hospital
  • Chung-Ang University Hospital
  • Eunpyeong St. Marys' Hospital
  • Korea University Guro Hospital
  • Kyung Hee University Medical Center
  • National Medical Center
  • Sahmyook medical Center
  • Seoul Medical Center
  • Seoul Red Cross Hospital
  • Ajou University Hospital
  • Yongin Severance Hospital
  • Krakowskie Centrum Medyczne
  • MEDICOME - Oświęcimskie Centrum Medyczne
  • Przychodnia Lekarska Eskulap
  • FutureMeds Warszawa Centrum
  • CMS Sp. z o.o.
  • Centrum Medyczne AMED Oddział w Łodzi
  • NZOZ Le Med
  • Bridle Road Clinic (Liverpool)
  • Soho Road Health Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Test

Control

Arm Description

Pyramax tablet

Placebo tablet

Outcomes

Primary Outcome Measures

Percentage of subjects who require hospitalization or have died due to COVID-19 infection until post-dose D29.

Secondary Outcome Measures

Time to sustained recovery (discharge) in hospitalized subjects (days)
29-day mortality after the first dose of the investigational product
11-point WHO clinical progression scale for clinical symptoms at D3, D7, D14, D21, and D29 after administration of the IP and changes compared to baseline
NEWS at D3, D7, D14, D21, and D29 after administration of the IP and changes compared to baseline
Percentage of subjects requiring acute therapy for more than 24 hours in a hospital or acute treatment facility or who have died due to COVID-19 until D29 after administration
Percentage of subjects who have newly diagnosed with pneumonia or aggravated pneumonia* according to baseline pneumonia criteria until D29 after administration of the IP
Change from baseline in COVID-19 viral load at D2, D3, D5, D7, and D14
Percentage of subjects in the high-risk group** who require hospitalization or have died due to COVID-19 until post-dose D29

Full Information

First Posted
October 19, 2021
Last Updated
June 16, 2023
Sponsor
Shin Poong Pharmaceutical Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05084911
Brief Title
The Efficacy and Safety of Pyramax in Mild to Moderate COVID-19 Patients (Phase3)
Official Title
A Multi-center, Randomized, Double-blind, Parallel, Placebo-Controlled, Phase III Clinical Trial to Evaluate Efficacy and Safety of Pyramax in Mild to Moderate COVID-19 Patients
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
October 18, 2021 (Actual)
Primary Completion Date
March 24, 2023 (Actual)
Study Completion Date
March 24, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shin Poong Pharmaceutical Co. Ltd.

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 study is a multi-center, randomized, double-blind, parallel, placebo-controlled, phase III clinical trial to evaluate efficacy and safety of pyramax in mild to moderate COVID-19 patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
Pyramax, Pyronaridine, Artesunate, COVID-19, Corona virus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1807 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Test
Arm Type
Experimental
Arm Description
Pyramax tablet
Arm Title
Control
Arm Type
Placebo Comparator
Arm Description
Placebo tablet
Intervention Type
Drug
Intervention Name(s)
Pyramax
Intervention Description
Pyronaridine-Artesunate(180/60mg) tablet for 3days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo tablet for 3days.
Primary Outcome Measure Information:
Title
Percentage of subjects who require hospitalization or have died due to COVID-19 infection until post-dose D29.
Time Frame
follow up to Day29
Secondary Outcome Measure Information:
Title
Time to sustained recovery (discharge) in hospitalized subjects (days)
Time Frame
follow up to Day29
Title
29-day mortality after the first dose of the investigational product
Time Frame
Day29
Title
11-point WHO clinical progression scale for clinical symptoms at D3, D7, D14, D21, and D29 after administration of the IP and changes compared to baseline
Time Frame
Day3, Day7, Day14, Day21, Day29
Title
NEWS at D3, D7, D14, D21, and D29 after administration of the IP and changes compared to baseline
Time Frame
Day3, Day7, Day14, Day21, Day29
Title
Percentage of subjects requiring acute therapy for more than 24 hours in a hospital or acute treatment facility or who have died due to COVID-19 until D29 after administration
Time Frame
follow up to Day29
Title
Percentage of subjects who have newly diagnosed with pneumonia or aggravated pneumonia* according to baseline pneumonia criteria until D29 after administration of the IP
Time Frame
follow up to Day29
Title
Change from baseline in COVID-19 viral load at D2, D3, D5, D7, and D14
Time Frame
Day2, Day3, Day5, Day7, Day14
Title
Percentage of subjects in the high-risk group** who require hospitalization or have died due to COVID-19 until post-dose D29
Time Frame
follow up to Day29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult males and females aged 19 years or older (or minimum age for adulthood or for informed consent below 19 years for each country) Patients with body weight ≥45 kg at screening Patients with COVID-19 confirmed by RT-PCR before randomization Patients confirmed with mild or moderate COVID-19, along with one or more symptoms in association with COVID-19 within 5 days before randomization, who do not need adjunctive oxygen therapy Patients who are fully informed of this study, voluntarily decide to participate in this study and provide written consent to comply with requirements for this study Exclusion Criteria: Patients with severe or critical* COVID-19 Patients requiring hospitalization for therapeutic purposes for COVID-19 such as oxygen therapy with a decrease of oxygen saturation (<94%) at screening or higher level of care, or who may be potentially transferred to another hospital other than the clinical trial institution within 72 hours. Patients who have received or who have planned to receive any anti-viral drugs to treat COVID-19 infection or medications that may affect the course of treatment within 28 days before participating in this study or before a sufficient wash-out period [more than five times the half-life of the drug, etc.] (the longer period between the two is chosen). Patients with one or more of the following infections in the past or present Infection with need for systemic anti-infection treatment other than Corona virus (SARS-CoV-2) Major infection with need for oral antibiotics or hospitalization within 30 days before administration of the investigational product by discretion of the investigator. Patients with a known clinically significant anemia (Hemoglobin <8.0 g/dL) Patients with a known severe renal impairment (eGFR ≤ 30 mL/min/1.73 m2) Patients with a known severe hepatic dysfunction Patients with a known allergic reaction to the active ingredients (pyronaridine tetraphosphate, artesunate) and other ingredients of the investigational product Patients with a gastrointestinal disease or who underwent a surgery that can affect the absorption, distribution, metabolism and excretion of the drug, or who have active gastritis, gastrointestinal tract/rectal bleeding, gastric ulcer, and pancreatitis or pancreatic function abnormalities (excluding general appendectomy or hernia repair surgery) Patients who cannot be orally administered with the Investigational Product Pregnant, breast-feeding or females with positive pregnancy test at screening Females and males who have child-bearing plan or who are unwilling to commit to the use of the following methods of contraception* during study period and for 3 months after the study period Patients who have participated in another clinical study/device study and received the investigational product/device within 28 days from signing the informed consent Patients with Co-morbidity requiring surgery within 7 days before administration of the investigational product, or life-threatening co-morbidity within 30 days before administration of the investigational product Patients with history of alcohol or drug abuse within 12 months before administration of the investigational product Patients whom the investigator considers inappropriate for the study due to chronic underlying disease or other reasons
Facility Information:
Facility Name
Instituto Medico Platense
City
Buenos Aires
Country
Argentina
Facility Name
Ciprec - Centro de Investigación Y Prevención Cardiovascular
City
Caba
Country
Argentina
Facility Name
Hospital de Agudos "Dr. Ignacio Pirovano"
City
Caba
Country
Argentina
Facility Name
Instituto Médico Río Cuarto
City
Córdoba
Country
Argentina
Facility Name
Clinica Privada Independencia
City
Munro
Country
Argentina
Facility Name
Centro Médico IPAM
City
Santa Fe
Country
Argentina
Facility Name
Clínica Universidad de los Andes
City
Las Condes
State/Province
Metropolitana
Country
Chile
Facility Name
Icegclinic
City
La Florida
State/Province
Santiago
ZIP/Postal Code
piso 4
Country
Chile
Facility Name
Hospital Regional Dr. Leonardo Guzman de Antofagasta
City
Antofagasta
Country
Chile
Facility Name
Centro de Estudios Clínicos e Investigaciones Médicas - CECIM
City
Santiago
Country
Chile
Facility Name
IntegraMédica Las Condes
City
Santiago
Country
Chile
Facility Name
Clínica de la Costa Ltda
City
Barranquilla
Country
Colombia
Facility Name
Corazon IPS S.A.S
City
Barranquilla
Country
Colombia
Facility Name
IPS Centro Cientifico Asisitencial S.A.S
City
Barranquilla
Country
Colombia
Facility Name
Centro de Estudios e Investigación en salud-CEIS
City
Bogotá
ZIP/Postal Code
carrera 7
Country
Colombia
Facility Name
Centro de Investigacion en Reumatología y Especialidades Médicas-CIREEM S.A.S
City
Bogotá
Country
Colombia
Facility Name
Fundación Valle del Lili
City
Cali
Country
Colombia
Facility Name
Institución Prestadora de servicios de salud Centro Medico Julian Coronel S.A.S
City
Cali
Country
Colombia
Facility Name
Clinica Universidad de la Sabana
City
Chía
Country
Colombia
Facility Name
Fundación Cardiovascular de Colombia
City
Floridablanca
Country
Colombia
Facility Name
Asociación IPS Médicos Internistas de Caldas S.A.S
City
Manizales
Country
Colombia
Facility Name
Healthy Medical Center S.A.S.
City
Manizales
Country
Colombia
Facility Name
Programa de Estudio y Control de Enfermedades Tropicales PECET. Universidad de Antoquia
City
Medellín
Country
Colombia
Facility Name
Clinisalud del Sur S.A.S
City
Sabaneta
Country
Colombia
Facility Name
The Catholic University of Korea, Bucheon ST. Mary's Hospital
City
Bucheon
Country
Korea, Republic of
Facility Name
Busan Medical Center
City
Busan
Country
Korea, Republic of
Facility Name
Keimyung University Dongsan Medical Center
City
Daegu
Country
Korea, Republic of
Facility Name
KyungPook National University Chilgok Hospital
City
Daegu
Country
Korea, Republic of
Facility Name
Kyungpook National University Hospital
City
Daegu
Country
Korea, Republic of
Facility Name
Chungnam national University Hospital
City
Daejeon
Country
Korea, Republic of
Facility Name
Chungnam National University Sejong Hospital
City
Daejeon
Country
Korea, Republic of
Facility Name
Gimpo Woori Hospital
City
Gimpo-si
Country
Korea, Republic of
Facility Name
Myongji Hospital
City
Goyang-si
Country
Korea, Republic of
Facility Name
Chonnam National University Bitgoeul Hospital
City
Gwangju
Country
Korea, Republic of
Facility Name
Gyeonggi Medical Center An-sung Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Gyeonggi Medical Center Icheon Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Gyeonggi Medical Center Paju Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Gyeonggi Medical Center Pocheon Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Gyeonggi Medical Center Suwon Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Gyeonggi Medical Center Uijeongbu Hospital
City
Gyeonggi-do
Country
Korea, Republic of
Facility Name
Inje University Ilsan Paik Hospital
City
Ilsan
Country
Korea, Republic of
Facility Name
Incheon Sejong Hospital
City
Incheon
Country
Korea, Republic of
Facility Name
Inha University Hospital
City
Incheon
Country
Korea, Republic of
Facility Name
Jeonbuk National University Hospital
City
Jeonju
Country
Korea, Republic of
Facility Name
Pusan National University Hospital
City
Pusan
Country
Korea, Republic of
Facility Name
Boramae Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Chosun University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Chung-Ang University Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Eunpyeong St. Marys' Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Kyung Hee University Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
National Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Sahmyook medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Seoul Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Seoul Red Cross Hospital
City
Seoul
Country
Korea, Republic of
Facility Name
Ajou University Hospital
City
Suwon
Country
Korea, Republic of
Facility Name
Yongin Severance Hospital
City
Yongin
Country
Korea, Republic of
Facility Name
Krakowskie Centrum Medyczne
City
Kraków
Country
Poland
Facility Name
MEDICOME - Oświęcimskie Centrum Medyczne
City
Oświęcim
Country
Poland
Facility Name
Przychodnia Lekarska Eskulap
City
Skierniewice
Country
Poland
Facility Name
FutureMeds Warszawa Centrum
City
Warszawa
Country
Poland
Facility Name
CMS Sp. z o.o.
City
Wysokie Mazowieckie
Country
Poland
Facility Name
Centrum Medyczne AMED Oddział w Łodzi
City
Łódź
Country
Poland
Facility Name
NZOZ Le Med
City
Łódź
Country
Poland
Facility Name
Bridle Road Clinic (Liverpool)
City
Birkenhead
Country
United Kingdom
Facility Name
Soho Road Health Centre
City
Birmingham
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

The Efficacy and Safety of Pyramax in Mild to Moderate COVID-19 Patients (Phase3)

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